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BUILDING PERMIT NUMBER: 03-2721
Address or location of unit: 175 SWEDES FLAT RD., OROVILLE CA 95965
Legal Description of Real Property: AP # 028-370-038
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.
s
Owner's name: CLIFFORD WARREN AND LISA WINSTON WARREN
Owner's address: 3975 ALTAMONT AVE., OAKLAND CA 94605
INSIGNIA OR HUD NUMBER: RAD 1392083/4
SERIAL NUMBER OR V.I.N.: KC -CA -01-K31593 AB
MANUFACTURER'S NAME:THE KARSTEN CO. YEAR:2003
OFFICIAL APPROVING INSTALLATION: ( �G��yy�j�,Qf�
DATE: 1-15-04
PHONE: (530) 538-7541
H.C.D. 513C
t
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
Iur l'� II'I "III"II�'I'II"I"�I�I"�I'1
2004-0003669
Recorded
Official Records
County Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
03:06PM 22 -Jan -2004
REC FEE 10.00
CONFORM 1.00
Travis
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.
CLIFFORD WARREN AND LISA WINSTON WARREN
REAL PROPERTY OWNER/LESSOR
3975 ALTAMONT AVE.,
MAILING ADDRESS
OAKLAND ALAMEDA
CA
94605
CITY COUNTY
STATE
ZIP
175 SWEDES FLAT RD.,
CITY COUNTY STATE
ZIP
INSTALLATION MAILING ADDRESS, IF DIFFERENT
538-7541
N0. TELEPHONE NUMBER
OROVILLE BUTTE
CA
95965
CITY COUNTY
STATE
ZIP
SAME
NONE
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
03-2721 530
538-7541
N0. TELEPHONE NUMBER
VBUILDGPERMIT
1-15-04
SIG ATIRE OF LOCAL AG Y OFFIC
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
THE KARSTEN CO. 2003 VILLA 40101 A
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER
KC -CA -01-K31593 A/B 40'x23'8" RAD 1392083/4
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 028-370-038
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept.
War No. BU -209627-3 KB
'no lead le&Md to hmin is siluatW In dw State d polifiiiis. Coqpty. of Rutile; a4d is dwaW 0
Wow
ALL THAT POR77ON OF MM WAT HAL? OF TIM--VWt 8W OF THE SOUMUT
QUARMM OF THIR SOUTM" QUARTER OF S 4, MWMW I I NORTH, RANGE 3
Ma, M.D.B. A K, LYM NOMMY OF TIM CWM.L= OF THS =WES FIAT
COUM ROAD.
APP 028-370-038-000 (PORTION)
TIM UST in or nm WAT in OF UM MR 1/4 OF THE SOMWEST 1/4 OF
BBC= 4, TOWNSM? IS NORTHt RANGE 5 BAST, bLDJ3, M.
APN 028-370.038-080 (LWAANXR)
i
000 No. BU-209627••3 KB
i
i�eaorEptiot>t
t 'Mm led tekmd to hoWw 4s aituatod in the Strite d p6lifojisa, Canaty. of Butte; mad K dei~crPed es
tel'► .. •
ALL THAT FORTi0N OF 'ITt$ WAT HALF Or To--WSsT HW OP THE SOtrfEWEST
QUARMM OF TO SC'tT1iMST QUARM OF B N 4� MWMBP 19 NORTH, RAXOR S
$AST, KD.8, &IUB.. LY'M NORTHRLY OF 116 C ins OF TEM =MIS FLAT
COMM ROAD.
APN 028-37"38-000 (FORU"
TEM Lam 1n OF Mm WeAT in QY UM XDR T 114 OF TIM SODT MIST t/$ OF
BBC= 4,'P0WNSW 48 NMTB* RANG3 5 EAST, XDM, bac M.
AF'N 026-370.038.000 OSMADMIR)
FROM : TOM'S MOBILE FAX NO. Jan. 16 2004 07:49PM P2
From: 10/15/2003 15:26 #863 P.002
w,
Os s,wh OF CALIFORNIA NUMBER:
NUSINESS. T:iAN92WATION AND HOUSING AreNCY
OEPAiQTMENT
OF HOUSING AND COMMUNITY ONELOPMF,NT 3;'1
DIVISION OF CODES AND STANDARDS �J
MANUYACTURED MOUSING PROGRAM
m
MANUFACTURER CERTIFICATE OF 0 RIGIN
Q
C64Ec4 IF THIS IS A
SEALi1JFACTURED HOME OR M LTt-UNIT MANUFA IUP n Hnuauto
1fi)
ORIGINAL
NUMBER, OF
w 01W 1.71LI,P—I—WnL- WVVC>.uNu) --d MN -V%—, IMVL I I-VNI i M8NVFAGTUREO4OU61NG .�
'����JrvnrnU�C GCI. 1111NO
COMMERCIAL coacH:
—
I
OCCUPANCY GROUP
ut ';CTUR9A NAME:
KARSTEN COMPANY
MANUFA TRIC N3 SE NTHE
90
VLiuUFACTURER ADOR@SS.
SUGGESTCO RETAIL PRICE.
9998 OLD PLACERVILLE ROAD
SACRAMENTO CA 95827
56,965.00
(ShBe
C; Stale ZI
MANUFACTURER TRADE NAME:
MODEL NAME ANOIO N MER:
DATE Of 1AANUFACTURE
VILLA
40101A
�
I
NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO):
TOM' S .MOBILE AND MOTORrRANsE
CALIF. DEA V OR
'E OF TRANSFER:
jEf 6yfSIONATION:
1 �j 7
l TRANSFEREE ADDRESS:
6366 LINCOLN BLVD OROVILLE CA 95965
1Sif0
INNEN ORY CREDITOR NAME:
(Olt)) ($tele ZIP)
INVENTOR DTTOR ADDRESS:
(3lreat
MINI (s it) (z.
ScCTON MANUFi1CTVAeR SERIAI NUMBER
Itb1 I
MCD INSIONIA OR MUD LABEL NUMBER
LENGTH WIDTl4 WEIGHT
INCI'SB INChEa POUNOSI
1 ( KC -CA -01-K31593 A
RAD 1392083
480
142 18933
2 KC -CA -01-K31593 B
RAD 1392084
480
142 18933
I
1
TAAN3PORTlR NOME:
D & R TRANSPORT
TRANWORTER ADDRea
P. O. BOX �79 DURHAM CA
95938
SeeeU
Cit
DESTINATION FOR UNIT DESCRIBED ARCVP-
�
tbl
TUM'S MOBILE AND MOTOR 6366 LINCOLN BLVD OROVILLE CA 95965
(NAME) (Gln�q 1Li—
�r C401
1 w" Urldet oen.Nr of ps" Linger the Ione 0 ow Stm eT C041elnb Inst Ne etleve R tame am true Md aa'eeL
E:etaneg on
SACRAMENTO SACRAMENTO CA
(Dug Ice I ewty) ( 1410)
SIGNATURS OF AUTHORIZED AGeM:
ARIN 9,M. ORIGINAL IPINN) FOR -ARO TO THE INVENTORY CA601700, UNLaeS THERE to NONE, THEN FORWARD TO THS PVRCHA&ER (DEALER OR TRAk6f eREE).
COPY t MIMITEI FORWARD TO THE OEPARYMENT AT p.0, BOR 1078. SACRAMENTO. CA U012-1028, WITHIN FIVE (8) DAV& OF RELEASE
COPY R ():ElloM DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNITTO ITS DESTINATION.
COPT S 10OLOBNA00) TO BE PETA04ED By THE MANUFACTURER.
ICD 493.0 - Sae 1 • (7/07)
NMRIDING RIQUBUED DY
MID VULEY =LB & BscRow Co.
MID WIMN IMMIkb I3d a T'0:
CLJPPORD WARM
3975 ALTAMONT AVB.
OAKUND, CA 94605
x:33_ C/ I /
I To SEE it.
I 19.01
JP1®f3
Above This Lin for Rraor+t's the Only
A.P.N.: 0*37MI Os&t No.: GRO/C ' .. MUM No.: 28M7X3
GRANT BE --ED-*
IlI�F.A8zGN ro 6RAMI'OR(s) ABCIAMO Tur L1dL'I rWTAP 119 TALC V.- COUM
I atputad as l6ll vsltlt: of pro artyveyed, or
] �tsdMarp [ 11 I C��f or e�Ces t�tuiniq a dw of sale,
POA A VALVA= CONSIDERATION, fceipt of whM ja btaeby at:lwowWpd,
VAL 8. TOMPXM' A 1MIARRMD MAN, AS TO AN tMMMiD 1/4 MUST AND CAR S. TOWEM, A
MAID MAN, AS TO AN UNDlV I D 1/4 WMRM, ANS UM F. T(MPRK AN UMOJMW MAN As
TO AN TINDMM 1/a INTRUST
bmby GRAW(S) to
CLWMD WAR1tFdV AND LMA WpGjNW WARM$ HWAM An Wn AS dODVT 7rw.4,J r5
iia tiolloWq desm property in tbi C11 OfVMC0RpMTED an, Comy of Nu"e State of Cd fornie; .
SRR ATTACRBD LEGAL DXWRW QN . . '
Dogmat Dw.. JM a. = .
�AMwgT1c0�PrA"
t.e►a R. T
f<$l� P., T014Y+KyDI
loaav N o+a (evyrovo� m aR fowsb of hoeory' 6+r094�or) to q®Ihs M& mi; sa+e 44 Waft meso'ad to 06 Z"
oront oM eolmooeledged to sae thst hefahrt" lscwod to Mase UA 01A ®olborlaed aogu4cas) ad 06 by hbft *a* tidosmea(s) on
the lamoieeat iM d
Of *A agify betoif of ureter OkWITMU ow
pofaona4 adea., pia tmcrua¢�t
TWI wren for CfrlC l notsrW'cosl.
RICHARD A. fiAV 00
cion a Ian tT9
Y AAge - CctHo►Np
C� *0 Ctl�to County
MYiaoloiln IM"Novi
CALIFORNIA ALL-PURPOSE ACKNOWLEOOMENT
State of California
CauMy ofW to.
'�-
On
p91`50nelly appeared
before me, ,
(1111111 lllllillullllliullli1111illllllllllllllllt111111
a R08 MAFIY VAZQUEZ
CO>tI K to imeee s
X a w
Mr t0lgirt. 91�te1 Apr, 2P, 2dQS
IIIIIIIIIIilllitllllllitlliluli111111411111111(11lllitl
ly known to me
to me on the basis of satfsiectory
to be the personXwhose nam
subscribed to theinstrumen an
eftftledged tom y executed
the s in I It r thorize
capaolry an that by Is it
etgrlal n the In6lNment the rso or
the a upon behalf of Which the. peso
acted, executed the Instrument.
ITWSS and and official seal.
10C) t3 A
sknuyro oT Nowpaoec
OPnDA�AL ..
1'IMO the bvlwmedorr Wow Is no mgWod bylaw, it M y Robs birluepl "PIM011 f" on Me d 9WM1 and could proven!
tratrotrtandrebno�!®rtOrwetABcar!rAolalthta fpfi N6►lotABlOOcyareNt
OeacrIPHOn Of Attached DOCYRIent
Title or Type of Document: i ----�
Document Date: `°' Ntenber of Pages:^
Signers) Other Than Named Above -&r S.
Capecltypee) Claim by Signer A
Sign a Name.
Indlviduat Top nt oBnnD h0re
❑ Corporate Officer — Tme(s):
❑ Partner -- O limited M General -
O Attomey-In•Fact
'0 Trustee
O Guardian or Conservator
0 Other.
Signer is Representing:/�-
_.....�..—.....•.s•�.•....... -..w �. w�awv+..ca ava fps • i��,IR G1 BTB1t8BW � M�rJ�Blal►ebryo/p PmO. N4 SBO Raetder.401LA.fn01.000.0T6�
Older No. BU -209627.3 KB
1+3escriptl®�
'Mm Jud refired to hero is situated in the StAts df Nifaeiaia, Cvuutg• of Outte; a4d is dela jbrd es
�1ow. . '
AU THAT POR77ON OF M LAAT PAIS OF TBB. -Wm HALF OF THE SOilTg^MT
Qum OF THR SOLrMWWr QUARTER OF s N 4 MWMW t s NORTH, RANGE 3
BAST, XDa, A X. Woo NoRrAmLy OF THS CWM LWH OF TBE S BA FLAT
COMM iia.
APX 028-370.03MO (POIT10to
Tim EAST In OF THE WENT UZ or 3m MRTWMT 3/4 OF THE GOYMMWT 114 OF
88CnON 4, T0VMMW IS NORTm, RAK®B 5 EAST, XDX, & M.
AM 01.6-370.036.000 (REMANUB)
1
NOTES RESIDENTIAL
\ PERMIT N0. 028-370-038--- --�
WARREN, CLIFFORD/LISA 03=2721`
� S _ SWEDES FLAT RD, OROVILLE
CONT: B & B MHS
NEW MH PERM FND NEW SITE
<'13— 27Z Z
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON NEW
I '1 MH'S).
I { INSPECTOR TO VERIFY SERIAL & LABEL #'S. -
L
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
t SPECIAL INSPECTION ITEMS
i VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
OFFICE COPY
3 .
Address
GAS
Meter By Date
ELECTRIC d
Meter By D3t�y
j
JOB FINALED
Signature
J=OK
0 = tlot OK
No Applicable
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/0 -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ P' L'ft.
/ P Nat. or / P' L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PERMA_NENT END SYSTEM (ONLY)
lolloning Requirements -Setbacks -Easements
oot' s; Size -Spacing -Marriage Line
ocking
4. Gas; MH Test -Demand -Valve.
5. Electricity; MH Test
01 6. Water; MH Test
ater and Sewer Connected
8. s and Electricity Tagged
its
1 Lic se Decals
11. erify #'s with Office
Date Card 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, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining.
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panel boards- Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. 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/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24.
Fixture & Transformer Clearance -Ins. Protection
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
26.
Size Boxes & No. of Conductors Stapled
27.
Romex Installed Close to Edge of Studs & C.J.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes O No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
FRAMING (Continued)
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Date
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36.
A.C. Ducts Insulation & Support
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
37. Vent Fan, Exhaust above insulation
57. Siding -Nailing Veneer
38. Condensate Drain & Overflow, Size & Grade
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
63. Infiltration -Walls -Windows
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Card B-1 Date Card B-1
41.
Sills Proper Materials & Anchors
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
65. Smoke Detector
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
68. G.F.I. & Bath Fixtures & Tub Access -Spa
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
_
83. Following Instld./Drive Cl Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/0 to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
t
COUNTY -OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center DriVe • OPoville, California 95965 • Telephone (530) 538-754=1 11761 PE o
(Rev.12/9s) APPLICATION AND PERMIT�
ASSESSOR PARCEL NUMBER
0 1 37 6 b
ZONING
A-5
BUILDING PERMIT
OWNER
L I' W t 4e r &,V
TELEPHONE
80, FT. OCC. BUILDING VALUATION
OWNERS MauNG ADDRESS
3975
1152 R
6 2208.00
CONTRACTC R'S NAME
B & B MOBILE HOME SALES
TELEPHONE
534-9694
CONTRACTORS MAILING ADDRESS
6
CONSTRUCTION LENDER
-
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
6 2208.00
ARCHITECT OR ENGINEER
LICENSE NO.
Flinn Fee
$ 20.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Permit Fee
$ 236.50
Plan CheckingFee
$ 2-3.00
nRnVTT J.P. BUILDING ADDRESS
SWEDES FT AT -RD,
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 279.50
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 5.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel [3 Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW MH PERM END NEW SETS
Gas i in stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home W
@20.00
PERMIT FEE
$ 65.00
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service nosLEss
23.00 23.00
LICENSED CONTRACTOR'S 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 the Business and Professions Code,
and my license is in full force and effect.
License Class A,4 -'7 Lic. No. 7 � � c1 y �
OWNER -BUILDER DECLARATION
I herebyaffirm under penalty of perjury that I am exempt from the Contractors License
P nY P 1 rY P
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure isnot intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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 is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insuran a carrier and policy number are:
Carrier 57-- ilcw
Policy Number i ' y 44 G < 0 2
(The above sections need not be completed 0 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 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.
X Date �5--
Signature of Applica - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is r quired for excavations ve 60" deep and dem ' ion or constr
of structures over 3 stories i height.
ReceiptNo. r
WHITE-D.D.S.-B.D. CA RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Main Service 200A TO 1000A 46.00
NEW CONST, DWELLING OCCUR SO
O ADDNS.. � & 3.5¢FT:
TAOco�
NON-RESID, C @7.50
PowER APPARATUs
A SINGLE OUT.CSI R.
Ex. OCCu OUTLET OR FDRURES B20 Q 1. 0
Ex. OCCU FIXEDAPPUNS. OR
ouTLETs RESID. Ea 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 387.50
HAz.
D
IMP �
v
o
Coj
p7ARC
pp
HD s
This permit is hereby issued nder the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
/.
y Date
O
e
COUNTY OF BUTTE -DEBAR- ANT OF D ELOPMN SERVICES -BUILDING DIVISION
7 County Center Drive, oville, CA .95965 Phone (530)538-7541 Fax (530)538-2140
n o_ I FERMI APPLICATION DATA SHEET
OWNER: v_,,_ASS SSOR PARCEL NUMBER Ii / ✓ ��
fl,
d Building Use.M4("Counter Technician: Date: <7, -63
equired in order to apply for a permit. All bones UST be checked OR marked NA in or er o apply.
ite plans, 3 or 4 sets, signed by the preparer of the plans.
omplete plans, 3 or 4 sets, signed by the preparer of the plans.
ngineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and,signed calculations.
ngineered truss del and layouts in duplicate. No faxes!
5. Energy compliance d ' and upporting documentationWdupl�icrr;. 46.Manufactured home a sheets and installation inge line infq oor Plan, ie down o d plans II in duplicate.
0 7. Metal bldgs: (A) Meta Idg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations In triplicate. (D) Floor plans ins in r�. All of these must be
stamped and wet -signed by the engineer. �-
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and
returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ p
❑ 9. Site plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
94. .Fire Sprinklers............................................................................................ Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by D K Q—I Z—
❑ 15. Other
Wining items needed to issue the permit. (May require additional plan review upon recei g i a
ees as shown on the attached Schedule of Fees Due Sheet ..............-........................
Statement of Intent for Non -heated and AIC Buildings .................................... („
Sanitation and site plan approval from the Environmental Health Department in IY
9. City of Chico Plumbing permit ............................/.
�.v 3
�20. California Department of Forestry plan approval � paid. Sent by: t.........�
❑ 21- Planning approval for (A) Use: � B)Parking: (C) Parcel Chg.
-12--
y1iContact Land Development about ❑ Improvements, ❑ Drainage
NPDESForm.............................................................................................
❑ 24. Encroachment Permit for driveway from the Public,Works Dept .................................
❑ 25. Pre -Inspection for I required ..............:.
❑ 26. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 27. Worker's Compensation Carrier and Policy Number .............................................
i ner-Builder Verification (❑ Given to owner, ❑ Mailed to'owner).....................
er of Signature authorization .................................... i .............................
.n
orded copy of Agricultural Acknowledgment Statement ................................ .: i 0 'G
home utility clearance..........................................................
❑ 32.Pxistinviolations nd/or expired permits .............................................❑ 33.t Deed, M.H. Title/State tFacts, ❑Letter from Legal Owner, h ck to H.C.D. $ !r�
❑ 34. Other:
When issued Telephone 5 and hold for pickup.
I have been informed of the above items and requirements for obt"ing a building permit.
Applicant:
Index permit application for the# ove items numbered:
2"Additioaal,items required '
Date:
Plan Check Letter
r�o
ntractor esign'er;owner, wps advised of the above data by one "❑ mail, ❑ counter, by V M Date: 1ntractor, designer, owner, was wised of theab d t y phone, ❑ mail, ❑ counter by Date:
Plans reviewed by: Crate:' "�' Plans approved by: Date: -
Structural reviewed by: Date: --».:... Structural approved by: Date:
Note transfer by: Date:
Yellow:
i - - -- - - – - .— E.H. use ONLY
Plot Plan AttecMd
f Q cos Plan Attactted
Sant to 6.0
d
TO: Building Department �Q
FROM: Environmental Health
SUBJECT: Sanitation Clearance
111-1,q a 0UA/e20,v -: uW616 Z5S r 1(k , DSS -3% -O S 8
Owner Location AP#
Plan Approved for: Sewage Disposal ✓ Water Supply: ,{ Public Private Well
Clearance for dwelling. Other o2 /��d/��TrY/ •�Jtc���<.c9
Hold final for:
Final clearance O.K. for:
NOTE:
gnvironmental He
8/96
cialist
Date
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
QV14F.TI1TT.F. nlP DlPCVTUT n
BUILDING USE
1. BUILDING PERMIT FEES
--- Balance Due ..................... $
--- Additional Fees Due........... $
A.P.#Ok�3 /Us�C�
DATE
—q o,3
I I .
CEE'T # DATE REC.
q4op
t�
9R4esPlan Checking Fee.... $ 2
L DISTRICT FE S 3
iential
1 is 'ct Off orm bl a P Ch ck)
F FEES (paid at Building Division)
............ X $360.00=$—���6�—.
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Fig. Amt.
10. OTHER
Ll pg:��
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking process. Q
APPLICANT DATE / — 5--03
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
AND WHEN RECORDED MAIL T0:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
1{ll III III I illi I {{i I III I ILII{I fill
�1121,L3-02,106iSaio r+
Recorded
Official Records
I HEC FEE 7,100
I COPIES 2.00
County Of
f OVERAGE 1,00
BUr rE
CANiJACE J. GRUBBS
I
Recorder
f
ROSE14ARY DICKSON
f
Assistant
I Lisa
09:03AM 23 -Sep -2003
i Page 1 of i
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate. dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:Al l that portion
of the east half of the west half of the northwest quarter of the southwest
quarter -and the easthhalf of the west.half of.the southwest quarter of the
southwest.quarter of Section 4, Township 18 North, Range 5. East, M.D.B.&M.,
lying northerly of the.centerline of the Swedes Flat County Road.
Date September 9, 2003 PRO 4RTYOWNW RS:
C ' ord Warren Lisa Winston- arren
State of California )
County of slr�rr �✓GLr/C Sc.' p )
On S�;p,�ah�/%Z ,�'j before me,
personally appearedL=S"i� �tnt e vi,sns aJ7 al-trren a-It,7 , (Z-90r"d G(,1lirrcij personally
mi
on proved to mon the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my hand and, official sef "1. / •- PETER ROBINS CHU
V
COMM.* 1412970
Signature ��(� f��`�f�.�� � � Seal: NOTARY PURI Ir -CAI
g SAN FRANCISCO COUNTY n
COMM. EXP. APRIL 22, 2007 +
1 : 1 1
.I
School District �(
A.P. Number
Property Owner
Property Location/Address�
Subdivision
i
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
Residential Development
`+ No of Living
Units
T
cial/Industrial
� JNe-w
Jul a
it mg Department Representative
Building Department No.
Ju iction: City County
d afiAAD 4/t _
Cq1 —009
n3a7z�
Lot No.
Sq. Footage
...................................................................................................................
Mobile Home Addition/ *Supplemental to (Group R)
Installation Conversion Permit #
*(No foundation inspection);
i...................................................................................................................
Sq. Footage
Add on (Including Exterior
Roofed Are
VGU&Jj�--
Date
(Floor Plans reviewed by S6olil District Personnel)
District Identification No. G4 3 S
(V a V. I U E i 1P IAI School District certifies that
(Applicant)
&.1,
lt..1 g_J
(Street Address) (Phone Number)
rte J► IL\ �-� q 5 OA l0 e
(City) (State) (Zip Code)
has complied with the requirements of Resolution No
representing _
S
School District Reores
1 k 5 ,I- square feet.
a.J-
d 4 a Z—( a by payment of $ ;-4. ke$.
IFABi2926 $
FULL MITIGATION $
Paid by Check of �� Remarks: O Z 1 fl 0 -? R
Date
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 fees are paid. Failure to submit a timely written.protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
M ,
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) feeform.xis (10/98)dmm
4
1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive'• Oroville, California 95965 • Telephone (530) 538-754
ev.12/96) APPLICATIONANDPERMIT - J
ASSE.SSOR.ARCELNUYBER
Zom"m
BUILDING PERMIT
N R' ��•, /J
TEIFAIDNE
SQ. FT. C. !PILQjbtP
U O
S ADDRES �
R
E
co TRUcnoN LENDER
Fireplace
LEND s MauNG ADDREss
Total Valuation S
CT oR ENGINEER
UCE?<;E NO.
Filing Fee
20.00
Permit Fee
S
An EL.T CR ENOWEERS MARJND ADDRESS
Pian Checking Fee
S' '7 --•
0ADDREss
Energy Plan Checking Fee
S '
S
•
PERMIT FEE
S
T __
suaDtivsloNs NAME L
PARCEL MAP
_._.
Alin Fee
PLUMBING PERMIT 9
2 D. D 0
_
Each Trap--- —------�---------
-- --- 7:00 ----
y.
USEOFSTRUCTURE
S Duplex ❑ Moblehome ❑ Other
sFEe>Fr
Solar or heat um water heater
23.00
Water piping 15.00
4�j —
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Add'Ltion R mod ❑ ql lost I er
/1'r�
Desi:. Work.1
Gas fin stem 1 - 5 outlets
15.00
Buildin ' sewer 15.00
Mobile Home W @20.00
PERMIT FEE $ �—
ELECTRICAL PERMIT
Firing Fee 1
20.00
LEES
Main Service coil oa Lsss
23.00
F L(� a� . x ' p.✓S
J
'
SIR X
r
A�
^Lr�r♦�
• ✓
w
s
Main Service 20M TO 1000A
46.00
OR CONST: DWBl C. LoS. 3.5¢Ff.
DA ADDNS. i AOC, BLDS. I
NON -p NEW M]. MULTI.OtrIL.ET @7.50 .
POWER APPARATUS
i S M OURET CIR. '
Ex. Occup. ounzr oR FDCRJREB9AL AL a �.00
O .SO .
Es D,APPLNS
Ex. Occup. 5.00
Temporary Service 23.00
Moble Home Facilities 20.00
Misc. Witing
PERMIT FEEt23.10)0
MECHANICAL PERMIT Firing Fee 20.00
Heating
Coon,
Hood I 1 6.50 �
Ventilation
PERMIT FEt S
Moble Home Installation Fee S
Energy Inspection Fee S
oEe
coNsT. TrPE TOT L FE $ �C
K&Z-FEES I P D c F P EL
This permit is hereby issued`underihe applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date .—
PERMIT EXPIRES ON
r
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO'.
ev.12/96) APPLICATION AND PERMIT
BUILDING -PERMIT
AS SESSOR PAACEI NUW8ER .
OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION
OWNERS WJUNG ADDRESS ..� .
CONTACTORS NAME 7ELFPHONE
�...e.�tnce uan�N] AOORFS6 1
CONS TRUcnomi. HIDER
`
Fireplace.
Total valuation S
--0
LENDERS MATLRdG ADDRESS • .
ARCH OR ENGINEER
UCEN6E NO.
FGA Foe
$
FO
Of
Permit Fee
Plan Chocking Fee
b
$
ARCHITECT AOR ENGNEERS MQUNG ADOAESS
BuR,DR+GAMR=
Energy Plan .Checking Fee ''
S
S
.
PERMIT FEE
_
LOT NO.
SUBDNE:UNSNAME
PARCEL IMP
PLUMBING PERMIT
Filing Fee
20.0
..
_..... ...._.. ...
... ...... .- '-----...— ._–_._.......---'--
Each
v
USEOFSTRUCTURE
Solar or heat um water heater
23.00
SF ❑ Duplex ❑ I&bilehome O Other
Water piping
15.00
sPaffv
Each gas water heater or vent
Gas piping system' 1 - 5 outlets
1
15.00
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Building sewer
15.00
•
Mobile Home S G W
Describe Work:
E2D.
PERMIT FEE
ELECTRICAL PERMIT
_
Firing Fee
20.00
Main Service M0 .1 oa ES
23.00
Main Service ( 2WA To N000A )
45.00
Ex. Occup. oumer OR FIXTURES I BZ
Ex. Occup. & 5.00
Temporary Service 23.00
Moble Home Facilities 20.00
Misc. Wiring23.00
plow PERMIT FEE S
MECHANICAL PERMIT Rrung Fee 20.00
Heating
�� Hoodling
6.50 I
Ventilation
_ PERMIT FES S
Mobile Home Installation Fee S
e Energy Inspection Fee S
D" `DST' TMPE TOTAL FEE $
A HA2. D. FEESIMP HOOD CDF PARCEL PD i FSUE
This permit is hereby issued under the applicable provisions
� a of the Butte County Code and/or Resolutions to do work
" indicated above for which fees have been paid.
w By Date
PERMIT EXPIRES ON
028-370-038 03-2722
WARREN, CLIFFORDAISA' '
175 SWEDES FLAT,R . D,;-,OROVilLt'
1OX13 COVERED DECK
I
'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION l
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 ~^PER770�
(Rev. 12/96) APPLICATION AND PERMIT �'
ASSESSORPARCELNUMBEERRZONING
028.370-038
BUILDING PERMIT
OWNER
a FT't AbM T T A T. -M]
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS „
^07S AT TAMS# AjTg AJ R1T1 C
•„� -, ,s00�
21 V -Ki _!
CONTRACTOR'S NAME v y .- � J
n ARn R MJ
TELEPHONE
� !�
CONTRACTORS MAILING ADDRESS
:/.C1l i ThT
CONSTRUOTIONL WE4
LENDER'S MAILING ADDRESS
Total Valuation f `- S It 1690.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ .39.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 2.5
BUILDING ADDRESS
175 S -ATES FLAT RD OROVIM
Energy Plan Checking Fee $
$
PERMIT FEE $ 84.35
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
w
SF ❑ Duplex ❑ Mobilehome El Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
-• TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherEO
Describe Work: NEW 1043 QED DECK
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service '..A oR tESS 23.00
LICENSED CONTRACTOR'S 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 the Business and Professions Code,
and my license is in full force and effect.POWER
�,/
License Class C- 7 Lic. No. LA % 4, ""
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
! to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO ,000A 46.00
W:L200A
NEW CONST. DWEWNG UP. SG
OR ADDNS. ( DW:
ACC. BLD S. 3.50FT.
NO. DNS MULTI -OUTLET @7,50
cl
APPARATUS
8 SINGLE 0 T.CIR.
TU
Ex. Occup. OUTLET OR FIXTURES BAL p'.50
FIXED APPLNS. OR
Ex. Occup. 5.00
ourLETs RESID. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 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 is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier 7 ee Jv
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
,
PERMIT FEE $
Policy Number /_< ^ 4('rf" - e1'7
(The above sections need not be completed if the per - d is for work of a valuation
of one hundred dollars ($100) or.less.)
❑ 1 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 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.
X ,� f cwl- .- Date - S - /, "'
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ $4.35
HAZ.
D. F a IM.
1% '
FLOG
C_ F
tV
PAgcEL
J
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
,indicated above for which fees have been paid.
By . V'�, Date
PERMIT EXPIRES ON
Dale
Signature of Applicant -'0 Owner Y9',Contractor ❑ Agent
An OSHA permit is required for e)Ac l ation� ve�Al" e p-anId demolition construction
of structures overl3-stones-in Jhei ' U
ReceiptNo.✓ �v/.�G'' I �, ..ice
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-jNSPECTOR GOLDENROD -APPLICANT
. V
COUNTY 'OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 f N
Rev. 12190 APPLICATION AND PERMIT 3
ASSESSOR PARCEL NUMBER
028-.370-038
ZONING
A-5
BUILDING PERMIT
OWNER
WARR SA
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNERS MAIUNG ,ESS
3979 ATTAM0 AVE, DAKIAW 94605
50 C
650.00
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAULING ADDRESS
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation $
650.00
ARCHITECT OR ENGINEER
LICENSE NO.
—FilingFee
$ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee
$ 19.00
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$ 62.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ADDITIONAL SQ FT TO DECK BP# 03-2722
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) Business anode, of Division 3 of the d Professions C
and my license is in full force and effect.
License Class �= �/ 7' Lic. NO. 7 -5 1 % N 5,-
OWNER -BUILDER DECLARATION
I herebyaffirm under penalty of perjury that I am exempt from the Contractors License
P tY P 1 rY P
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A To 1000A
46.00NEW
CONST. DWELLING OCCUP.
OR ADDNS. ( 6 ACC. BLDS.
so
3.50F7;
NEW CONST. MULTI -OUTLET IRCUITS
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
1 .00
BAL 50
Ex. Occup. FU(ED APPLNS. OR
O.RLNS EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 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 is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrierd policy n mbar are.
Carrier S tf41 7—& C.�s✓r
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for 7work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shallr
not employ any person in any manner so as to become subject to 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.
X Date %�" —Q3
Signet Applicant -4 Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST/Tv
TOTAL FEE $ 62.00
HAz.
D FEES IMP
FLo
cDF
,V/
PARCEL
V/
PD
HD SUE
This permit is hereby issued under
of the Butte County Code and/or
indicate a ve for which fees ave
y
MIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Da I d
��
ale
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i
COUNTY OF BUTT-DEP_.ARTMENT OF DEVELOPMENT SERNIE
BUILDING DIVISION
". 7 County Center Drive, Oroville, CA 9.5965 Phone (530)538-7541 Fax (530)538-2140
,r
PERMIT APPLICATION DATA SHEET
If,
i
OWNER:. C' v ASSESSOR PARCEL NUMB -
Proposed Building UAC:2D DI/ Counter Technician: (/U Date:
P3.
quired in order to apply for a permit. All boxes MUST be checked OR marked NA in rder to apply.
ite plans, 3 or 4 sets, signed by the preparer of the plans.
omplete plans, 3 or 4 sets, signed by the preparer of the plans.
ngineered 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 faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be
stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and
returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Site plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent'for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Fire Sprinklers............................................................................................
❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 15. Other
ARemaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... -
Wx❑ ,7. Statement of Intent for Non -heated and A/C Buildings ................................. ...
8. Sanitation and site plan approval from the Environmental Health Department in 0.
❑ 19. City of Chico Plumbing permit........................................................................ _
❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... _
❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: _
b 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... _
❑ 23. NPDES Form............................................................................................. _
❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. _
❑ 25. Pre -Inspection for required ................ _
❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... _
❑ 27. Worker's Compensation Carrier and Policy Number ............................................. _
❑ 28. Owner -Builder Verification (❑ Given to owner, ElMailed to owner) ..................... _
❑ 29. Letter of Signature authorization.................................................................... _
❑ 30. Recorded: copy of Agricultural Acknowledgment Statement .................................... _
❑ 31. Manufactured home utility clearance............................................................... _
❑ 32. Existing violations and/or expired permits......................................................... _
❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 34. Other: _
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: Date: 6)
1. Index permit application for the allove items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, �r,was advised of the above data by 13 phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: 1 • \.L Date: Plans approved by: Date: n •�
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
1"�
•
-7 f E.}8. USE ONLY
�f '
Plot 'Ann Anachod
♦ 1
Roar Man Attack®
Sant to S.D.
`` o3.3y2.1
TO: Building Department ill.
FROM: Environmental Health
SUBJECT: Sanitation Clearance
PuLn� LCi�'yea
Owner Location AP
Plan APP 9 roved for: Sewage Disposal Water Supply: Public Private Well
Clearance for -dwelling. Other DA
Hold final for:
Final clearance O.K. for:
NOTE:
mental Health Specialist
8/96
0-4 —U3
-&;65 -T Date
i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
y 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 2_ P�Z. j
APPLICATION AND PERMIT
I 12/96)
(� J
ZOMNBUILDINGPERMIT
SESSORPAACElNUMBEAA&/'U�_) ' A /' �� TELEPHONE S0, FT, OCC. BU DI G VALUATION
OWNER
/rd I
LENDER'S MAILING ADDRESS
Fire lace
Total Valuation $
UCENSEN0.
-
Fee
$
20.00
ARCHRECT OR ENGINEER
—Firing
$
Permit Fee
ARcW ECT OR ENGwEFAS NANNG ADDRESS
Plan Checking Fee
$
Energy Plan Checking Fee
$
BU4DP,GADDRESS
$
PERMIT FEE
$
PARCEL MAP
PLUMBING PERMIT
Fling Fee
20.00
LOT N0. SUBONLSIONSNAME
7.00
Each Tr
USEOFSTRUCTURE
Solar or heat um water heater
23.00
Water piping
5.00
SF ❑ Duplex ❑ Moblehome ❑
Other
SPEC fff
Each gas water heater or
15:00
TYPE OF WORK
Gas piping ste - outlets
15.00
❑ Remodel ❑
Uties ❑. Instal ion ❑ Other ❑
Building se
15.00
New ❑. Addition
S'
Moble Home S G W
ec25.00
Des ibe Wor
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee
20.00
MY OR LESS
Main Service 200A OR USS
23.00
Main Service 200A TO ,000A
46.00
NEW CONST. OWSAM OCCUP.
(
SFCIL
3.50
OR ADONS. A ACC. Blas
/
NEW CONST. Muui-olmET
:50
FEE PAID
$
NDN•RESID. ANC CI
a�APP «R
.PERMIT,
Ex. Occu OR FDMJRES
SAL. @ .50
FD®APPWS. OR
Fix. OCCu . OUTLETS ID. EA.
5.00
SIA
$
Temporary Service
23.00
Mobile Home Facilities
20.00
Wisc. Wiring
23.00
SHERIFF
$
PERMIT FEE
$
MECHANICAL PERMIT
Firing Fee
20.00
Heating
OTHER
$
Cooing
-_A
6.50
PERMIT FEt S
Moble Home Installation Fee $
$ Energy Inspection Fee $
=C /� TOTAL FEE $
/ NAZ I D. FEES IMP FLOOD CDF pAq
�•
AMOUNT RECEIVED $ This permit is hereby issued under the applicable provisions
of the Butte County Code and!or Resolutions to do work
J3 indicated above for which fees have been paid.
/ � � G
DATE RECEIVED f �
By Date
PERMIT EXPIRES ON
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Orovifle, California 95965 • Telephone (530) 538-754�a, ���
(Rev. 12/96) 1 APPLICATION AND PERMIT J
ASSESSOR PARCEL NUMBER z ,
028-370-038
ZONING
A5
BUILDING PERMIT
OWNER
TELEPHONE
SO, FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
CONTRACTORS NAME TELEPHONE
534-9694
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 1690.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
29-39
BUILDING ADDRESS
175 SWEDES FLAT RD OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
54.35
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 6 Other
SPECIFY
Each Trap 1
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)]
Describe Work: NEW 1OX13 COVERED DECK
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200AORLESs
23.00
LICENSED CONTRACTOR'S 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 the Business and Professions Code,
and my license is in full force and effect.
License Class G'- 1_/7 Lic. No. -7 5 / �l �/
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors license
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. & ACC. BLDS.
SO
3.5¢FT.
'No RES DT MULTI,OUTLET
@7,50
POWER APPARATUS
8 SINGLE OVILET CIR.
Ex. Occup. OUTLET OR FD(TURES
��''50
BAL .SO
FIX1
Ex. Occup. oi�TLEtDrs RD,oEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 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 is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' co m ensation insurance cajj��j. and policy number are:
Carrier Sln'T� ,C�,,,rX
Policy Number /-,T2 3 4 4t �i — U 7
(The above sections need not be completed the per-OrR is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 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.
X _ Date
Signature of Applic t - Own r VContrac ❑ Agent
An OSHA permit is required for ex ti s r " d e demolition nstru -oof structures QF' a
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-1CTOR GOLDENROD -AP LICANT
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood i 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TO AL FEE $ 4, 3
HAZ.
r--
D.
IM 0
C
PAR EL
HD
ISS
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above fo*fTees been paid.
ByD to OReceiptNo. PERMIT EXPIRES
D e
F
r COUNTY OF BUTTE-DEPARTME ' O 'ELOPMEN , SERVICES -BUILDING DIVISION
7 County Center Drive, Orov 1,` , AP",.,5965 Phone (530)538-7541 Fax 530 538-2140
( )
PERMIT AP.� PL ATION DATA SHEET
I ,
,OWNER: A�SESSOR PA CEL NUM
/ ry %
roposed Building Use: Com` Counter Technician: Date: r (�
s r quired iri order to app y for a permit. All boxes MUST be checked OR marked NA in order to apply.
Site plans, 3 -or 4 sets, signed by the preparer of the`planS.
2.mplete plans, 3 or 4 sets, signed by the preparer of the plans.
'!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 faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (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
a stamped and wet -signed by the engineer.
'Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and
returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate .......................... te..
❑ 9. Site plan and business license approval from the City of Biggs ....................................
m
❑ 10. Letter of intent for non-residential buildings.........................................................
O 11. Detached Accessory Building For4filled out by the owner .....................................
❑ ,12. Hazardous Material Form...............................................................................
❑ 13. Fire Sprinklers .................................................. w
........................................
❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 15. Other
Re aining items needed tolissue the permit. (May require additional plan review upon receipt of the following items.) /J ,
16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... C.!/
7. Statement of Intent for Non -heated and A/C Buildings ...................................... ...
. Sanitation and site plan approval from the Environmental Health Department in ` V�--
❑ 19. City of Chico Plumbing permit........................................................................
❑ 20. California Department of Forestry plan approval ❑ paid, Sent by: ......................
❑ 21. Planning approval for (A) Use: PK (B)Parking: (C) Parcel Check: of
22. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 23. NPDES Form.............................................................................................
❑ 24. Encroachment Permit for driveway from the Public Works Dept .................................
❑ 25. Pre -Inspection for required ................
❑ 26. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 27. Worker's Compensation Carrier and Policy Number .............................................
❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 29. Letter of Signature authorization....................................................................
❑ 30. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 31. Manufactured home utility clearance...........................:...................................
❑ 32. Existing violationMnd/or expired permits ............................................. ........
❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 34. Other: _
When issued Telephoned l /_/ten �1 U and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: Date: F'
1. Index perm - application for the ove items numbered: Pan Check Letter 'v
2. Additional items required
Con
50410r, designer, owner, was advised of the above data by ❑ phones�tt❑ mail, ❑ counter, by Date:
n , designer, owne .was dvi ed of thea adata b� e�El 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
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVIL15E, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER A.P. #0 L/ O ✓ �U�/
R SED BUILDING USE DATE
EIPT DATE REC.
1. BUILDING PERMIT FEES 7
--- Balance Due ..................... $ qJ U 3
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES
(paid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$ _
Units
Commercial (sq. ftg.)..... X $0.03
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $ _
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Ftg. Amt.
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checkin&process.
APPLICANT
DATE '� — j — o_-3
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
CO.UP,4TY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Orville, California 95965 • Telephone (530) 538-75416-3-
-
(Rev.12/. APPLIC4TION AND PERMIT
-�
ASSESSOR PARCELNUMBER _ �. _ ZON! BUILDINGPERMIT
TELEPHONE S BU IN UAT4 N
.05NER$ MN�WG SSS A IJ J, / A . / 1 /I L t1 AA .n 'i /Q) / I _ A
NAME
. CONSTRUCTION LENDER /
Fireplace
LENDER'S MAIUNG ADDRESS
$
Total Valuation
ARCHITECT OR ENGINEER LICENSE N0.
Film Fee
'$
20.00
Permit Fee
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS `
Energy Plan Checking Fee
$
$
PERMIT FEE
S
LOT NO. SUBDIVISIONS NAME PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
Solar or heat pump water heater
23.00
SF ❑ Duplex ❑ Mobilehome ❑ Other
Water piping
15.00
sPEco-Y
Each gas water heater or vent
15.00
TYPE OF WORK
Gas piping system 1 -5 outlets
15.00
New ❑ Addition ❑ Remodel 0 U6lities 13 In Hatto Oth r [03
Building sewer
15.00
Mobile Home S'
@20.00
Describe Work:
i
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
eooV
Main Service zooA oORR LEssLESS
23.00
JJ
Main Service loan To iooeA
NEW CONST. DWELLING OCCUP.
OR ADDNS. a Acc. BLDs.
46.00
s0
3.5¢x;
NEW CONST.
NON -RES D. MULTI.OUTLET
�iO 7.50
FEE PAID $
APPARATUS
.PERMIT
SINGLE
a SINGLE oLrrLEr MR.
.
Ex. Occup. OUTLET OR FIXTURES
BALx.5o
PLNEx. Occup. ov�nEDTs E . Fla
5.00
SRA $
Temporar% Se
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
SHERIFF $
PERMIT FEE
$
MECHANICAL PERMIT
Fling Fee 20.00
OTHER $
Heating
Coolin
Hood
6.50
$
Ventilation
PERMIT FEt
$
i
Mobile Home Installati n Fee
$
$
Energy Inspection Fe
$
/
occ coruT. TYPE O AL FEE $
HAZ D. FE FLO D
C F
EL ISSUE
AMOUNT RECEIVED $
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or
Resolutions to do work
indicated above for which fees have been
paid.
DATERECEIVED.
By
Date
® �jQ
RECE I PT # �/ u l
PERMIT EXPIRES ON
l
lDate
4
r
ry
w
f
•
•
SITE PLAN REVIEW APPLICATION
Date: 1�41 �z AN
Permit Number (if applicable) Z %r r /�
APPLICANT INFORMATION Parcel Size:
Owners Name: Z16��
Owners Address:
Telephone No.:
Situs Address:
Proposed Use:
Residential
❑ New Single'Family Residential
❑ Single Family Addition
Mobile Home --
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
Septic
❑ Agricultural Exempt Building
❑ Other:
�G141 Ileol .
%4 5 6-11
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
It Well
Brief Explanation (if necessary):
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
❑ Approved IN Conditionally Approved ❑ Resolve Problems Prior to Approval
. ® Site Plan Stamped Approved
By Date
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
r
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
jj SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone: X
• Flood Panel No.: J O r2—ID Index Date: �-1 �2-�--
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: A o S -
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Ll
•
Zoning Code
Streets & Highways
ire Prevention
Su division Map
Front
2-J
Side
�
3�
Side Street
Rear
SO
Height
Waterway
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Ll
•
w
Applicable Development Fees:
Standard Fees Amount
. ❑
Fire
❑
School*
❑
Parks/Recreation
❑
Roads
❑
Sheriff
❑
Drainage
❑
NCSP/CSA 87
❑
Chico Urban Area — Road
❑
Thermalito Drainage Area
❑
Thermalito Urban Area
❑
Other
L�
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
, Formula
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
IS Deeds:
Date of Creation: 6-)8- Legal Access Provided: ❑ No Z Yes
Deed of Reference: 2A IP3 - Q03 7 8 Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: 0 No ❑ Yes, Road Name:
Complies with County Standards for Decd Creation:❑ No ❑ Yes
Comments:
?—In a V; Q -& , -1 e,.J u PAP,Gf—; L
i:o t✓ A#'CEVI f, �� L � 2- 0--)-)
Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5
II Subdivision Map/Parcel Map:
Map Date of Recording:
Lot:
❑ Use Permit/Minor Use Permit
Permit Number:
v'
Book: Page: '
Date of Approval:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval•
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control P*
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for road maintenance, and stop sign maintenance.
IJ
u
Page 4 of 5
Y
BUTTE COUNTY
AGRICULTURAL BUFFER
r
UNUSUAL CIRCUMSTANCES REQUEST �Ml
v?
Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence.
This dimension is based on environmental assessments and studies. The Agricultural Commissioner
may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This
exception is not available for lots being divided or subdivided.
Applicant must complete the following and return with the required site plan to:
Development Services Department, 7 County Center Drive, Oroville, CA (530) 538_7601
1�d na� <F�P r'i�r„i`ee Phone:
Assessor's Parcel Number: d�� _ . --) Q _ (� -
Reason you believe you qualify for the unusual circumstances exception,
Applicanrsi ture -I "p
Date
UNUSUAL CIRCUMSTANCES DEFINITION:
An exceptional or extraordinary condfiion where the existing lot size or shape or an existing improvement
(well, septic systems, structures etc.) does not allow for the standard condition of a 300400t buffer zone.
SITE PLAN REQUIREMENT: submit 4 copies with this form
Refer to the Site Plan Submittal handout for specific requirements
FOrA ricultural.Co •• .' — --:,: ,..�.......,._._..__........ ......._:.:..- .........:....
........................._...
g mmissionei office use only: (to be completed after submittal)
DISCRETIONARY PERMITSMannino) MINISTERIAL PERMITS (Building)
Exception Recommended 0 Exception Granted with the
0 Exception NOT Recommended following conditions:
Reason/Conditions/Specific setbacks from adjacent agricultural operations:
�.CALfl�►� Say.4-(.k SQL, bavnda�� , Parc,( W,t( A# S� �
S WU [ 5
u
Agricultural Department Signature: ��.� Date: OiZ—ISI-6
pep
C�3'Y�M
YMC 4120/03
June 23, 2003
Butte County Building Dept.
7 County Center Drive
Oroville, CA 95966
To Whom it May Concern:
Regarding: APN 028-370-038.
1 Lisa Winston -Warren and CliffordWarren
at 6498 Lincoln BlBvd�Oro Mobile,
�iICA 9565
Bones, Contr. License 0751948
to obtain permits to install a well and septic system.
if you have any questions, please call at (415) 565-3363 Monday -Friday
7:00am-4:00pm. After 5,00pm (510)569-71172.
Sincerely,
Lisa Winston -Warren
,I ,:
�r
d Warren
T'd ZLTZ-ass tots) wall JIGROO co ea unr
National Pollutant Discharge Elimination System (NPDES) Phase II &
SWPPP Non -Certification for Project # for Butte
County Storm Water Permit Compliance
By signing below, I, the project architect/engineer of record, indicate that I am aware that a
construction project that disturbs more than 1 acre of land requires a Construction Storm Water
Permit from the State Water Resources Control Board. I, additionally, understand that it is the
project owner's/owner's agent's responsibility to submit a Notice of Intent (N. 01), a Storm
Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources
Control Board to obtain such a permit. I, further, certify that this project will not disturb more
than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California
Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be
implemented to effectively minimize the negative impacts of this project's construction activities
on storm water quality. I acknowledge that it is my obligation to make the project owner and
contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure
their effectiveness. If, at any time, site conditions and/or observations by a County official
warrant reevaluation and revisions of the chosen BNIPs, the appropriate changes will be made
without unnecessary delay. I am aware that failure to properly implement and maintain the
BMPs necessary to prevent the discharge of pollutants from this project during construction
could result in significant penalties and/or delays.
Signed: Z2"
Title: �'c�/ T� •� c_ 7'�.-�
Date: T — . S - c,
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from
the State Water Resources Control Board and that it is my responsibility to submit a Notice of
Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00
made payable to the State Water Resources Control Board to obtain such a permit, if my project
disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1
acre of land. This document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified individuals properly
gathered and evaluated the information submitted. Based on my inquiry of the person or persons
directly responsible for gathering the information, I certify, to the best of my knowledge and
belief, that the information submitted is true, accurate, and complete.
Signed:
Title:
Date:
NPDES & SWPPP Non -Compliance Certification Draft
Butte County Stormwater Plan
Building Permit Number: 0 5- 2 7 u
Owner Name: 1A jaV-r&r-L,
Residential Construction Requirements
IMPORTANT
This set of plans and specifications MUST be kept on the job site at all times and it is
unlawful to make any changes or alterations on same without written permission from the
Building Division, County of Butte.
All materials and workmanship shall be in accordance with recognized good practices
and of a quality prescribed for the specific use in the 2001 California Building Code
(2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California
Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.)
COMPLY WITH ITEMS CHECKED BELOW
Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical,
H.V.A.C. equipment and services shall be a minimum of one foot above the elevation
shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate
will also be required.
Note: We will normally accept the following as compliance with the flood elevation
requirements:
1. Building is anchored to concrete stemwall system with conventional anchor bolts.
2. Building plate on top of stemwall to be one foot or more above the 100 -year flood
elevation. (Plate height less than 24" above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and
facilities located above the plate.
ti 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area'of not less than 1 square inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of floodwater.
"_
M
Page 2of 2
Building Permit Number:
Owner Name: WOVY'rM
Parcel lies within the State Responsibility Area (SRA). Comply with attached
requirements.
Fire sprinklers are required in this structure.
MIThe following parcel map requirements shall be met:
All structures gnd equipment including overhangs shall be clear of all easements.
A setback of `)Q feet from the side and feet from the rear property lines and 20
feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of
structures and equipment except for a 2 foot overhang.
Expansive soil may be encountered on this site. This condition may require the
foundation to be designed by a California registered engineer or licensed architect.
From:
08/ 18/2003 15:40 #275 P .006
I
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Mobilehome Manufacturer: STz%� Manufacture Year: - 20 a
If other than single wide, furnish Setup Model Number:
Width: (ft.) Length:ft.) Tagalong or Expando Size eft.) x ---(ft.)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade[] Other:
SUPPORTS: Concrete block[] Other:
Provide Tie Down Specifications for all Mobilehomes: e5a5-
Pier Footings Sizes and Location
SINGLE WIDE Pier
Line i Line 1
Line 2Line 2
...................................................................................7............
Main Beams
Line2 ............................................................................................... ine 2
Line 1 Line 3
Line 2
........:.......................................................................................
Main Beam=
Line 2
.............................................................................................. Line I
a
.............................................rine
ine 5
Tag or Triple ine 4
1
Line 1 Piers:
Size minimum: r 1 x
Spacing maximum: `
From ends -maximum: `
Line 2 Piers:
Size minimum: [�_Y ] x [ 3 a].
Spacing maximum: ` O `
From ends -maximum: / ` �_ `
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 hoof Loads:
Size minimum:
Location (from front):
May 1995
Line 1 Openings
Size minimum: [! a ] x 1301 -
Each
3d].Each side of openings
with width over: (0-7
Line 4 Piers:
Size minimum: [ ] x [ ].
Spacing maximum: `
From ends -maximum: `
i
30
,2'IA 3t? I AAIK30
W
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1 17 Y ""I'v"71
/ )01 7.1 ( I ji- I
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1. Owner's Name: Z—! S't?- �/l//E-vv�'Tow �/G�/�r�"� •tom
2. Assessor's Parcel Number: WILI d 2
3. Installer's Name:
4. Is the site currently under permit? Yes(] No[ ] Permit No.
5. Is the site an existing site? Yes[ ] No[ 4 (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome? /QD Amperes.
7. What is the mobilehome site circuit breaker rating? Amperes.
8. What is the electrical rating of the mobilehome site?Amperes.
9. Is the main service remote from the mobilehome site? Yes[' ] Nov>4 If it is, what is
the rating? Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[ ] No[ j If yes, please identify the load and size:
a) The mobile home
Load- . W 2_4- Amperes- 3 d
b) The main servicer
Load- Amperes -
11. Type of gas service at mobilehome site: Natural[ ] Propane[ -A None[ ]
12. Size of gas pipe at the mobilehome site from the meter or
tank: inches.
13. What is the gas pipe length from the meter or tank to the mobilehome? 10(ft.).
14. What is the mobilehome gas demand? B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
BUTTE COUj\j >
'-IUILDING ®EPARTME:� l'
AP-pR0V .
May 1995 t,
8.5
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rm. tBS.} taoo 1500 2000 vg N0 lam) taco PSF tsKo 2000 rsF 0°K �. taco vs 1500 PSF 2000 PSF 110. ° 1000 tsoa P51 z000 PSF
t 2000 288 1112 144 J 4atn S78 381 28B S b000 861 576 432 7 10000 1640 Sao 7KD
2 2500 360 210 ISO 6 3000 720 180 360 b 8000 1152 768 1 576 1788 1152 866
THE KARSTEN COMPANY CARPET & PIER i KARSTEN mood mwL. ICS40101A
S
ACWXU OLD sm" tNILLE RD. SUPPORT LOCATIONS � 947 �M 1/28/98
(916) J61-2681 Phan" Tw,
016) 3W-45]7 fm STANDARD PLAN AS OF REVISION DATE � � gym,
4-19-02
. v*
2"x 2"x 3/16"
STEEL ANGLE
DETAIL "A"
CHASSIS FRAME
1/4" GRIPPER PLATE
(2) REQUIRED
1/4" GRIPPER BASE
1/2-13UNC—A307 x 4"
BOLT WITH NUTS
(4) REQUIRED
01 1/2" SCH 40 PIPE RISER WITH
01/2" ADJUSTER HOLES AND 3/8"
THICK TOP PLATE
02" SCH 40 PIPE STAND WITH TWO
01/2" ADJUSTER HOLES
��ABESCCO ABS PAD #503
d� C, STEEL FRAME
SEyE�DE*TAIL "A"
i
3/8" CAD PLATED BOLT, NUT & WASHER
COUNTER BORED FLUSH WITH BOTTOM
AT 8" O.C. (8) REQUIRED
1/4" STAND BASE
ABESCO ABS PAD #503
36" MAX
TO BOTTOM
OF PAD
01/2"x 3" C.R.
LOCK PIN WITH
01/8" BRIDGE
PIN
1� r
1
J
COACH "C" FRAME
2" CHANNEL 1/4" GRIPPER
1/4"x1-1/4" PLATE
TEK STS
(2) REQUIRED
1/4" GRIPPER —�
BASE
1/2" A307 BOLT
(2) REQUIRED
3/8"x 6"x 6"
STEEL PLATE
1/2" A307 BOLT C -BEAM
(2) REQUIRED ATTACHMENT
10.00-1
0 0
10.00 O
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09/16 HOLE (TYP)
STAND BASE
TOP VIEW
37" TUF-1 PERMANENT
FOUNDATION SYSTEM
ABESCO-GUS GUARD COMPANY
5851 FLORIN - PERKINS ROAD
SACRAMENTO, CA 95823
PH: (800) 382-8831
FAX: (916) 383-5207
COACH "J" FRAME
1/4"xl-1/4"
TEK STS
(4) REQUIRED
1/4" GRIPPER
BASE
1/2" A307 BOLT
(4) REQUIRED
J -BEAM
ATTACHMENT
8" 1/2" DIA. HOLE (8) PLACES
r— 30" — �1
STEEL FRAME
TOP VIEW
STATE APPROVAL
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WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 1 of 3
I✓
GENERAL NOTES GUS GUARD TUF-1
1. DESIGN LOADS: LIVE LOAD - 30 LB.
FLOOR LIVE LOAD - 40 PSF
WIND LOAD - 80 MPH EXPOSURE "C"
SEISMIC ZONE "4"
*SNOW LOAD 100 PSF (SEE NOTE #15)
2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON
A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS.
3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS
AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS".
4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR,
MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4%
OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT.
5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS
ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND
SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND
MAY BE USED TO FILL LOCAL VOIDS UNDER PADS.
6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION.
WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM
A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725.
7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND
LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS:
ALLOWABLE LOADS: HORIZONTAL VERTICAL
GUS GUARD TUF-1 2200# 6000#
GUS GUARD MGP PAD 2200# 6000#
GUS GUARD E -Z TIE PAD 2200# 6000#
16. FOUNDATION BLOCKS 16"x 16"x12" POURED IN PLACE AT GROUND LEVEL MAY
BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS.
SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES
E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX.
S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX.
VARIES 10'-70' (SEE TABLE ON SHEET #3) -- - - - - -- -
E S S S--- - I E
I
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U
❑
❑
U
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RIDGE BEAM SUPPORT AS
REQUIRED BY MANUFACTURER
<
0 (TYPICAL)
C#3
❑
❑
❑-f-
❑❑❑a
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8' NOM.
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PADS IN ANY PAIR MAY BE T STANDARD M.H. FOUNDATION -'�
ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES
OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT
AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP)
8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT -
MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. �..
9 UXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY ,
INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL `
FOUNDATION PLANS.
T10}314V;,GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD
P AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT
;!_24F 4H REE FEET.
I1,rj,WU�TIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED
.� THf4 NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS
THIa SAME AS SHOWN REQUIRED PER EACH UNIT.
121 -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. ' (SEE SHEET #3)
13>ALG METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED.
14 WHfN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT
—REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF — 1 PERMANENT
fOUR (4) 1/2"x 3 1/2" EXPANSION ANCHORS. FOUNDATION SYSTEM
15. 6 GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES
_ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABESCO-GUS GUARD COMPANY
WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PERKINS ROAD
MANUFACTURER OR REPLACE THEM ON A ONE TO
ONE BASIS. SACRAMENTO, CA 95823
STATE APPROVAL
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PH: (800) 382-8831
FAX: (916) 383-5207 WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3
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1/2"x 3 1/2" 1/2"x 8" LONG (4) REQUIRED
EXPANSION ANCHOR ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT & WASHER
(4) REQUIRED (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM
AT 8" O.C. (8) REQUIRED
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(4) REQUIRED
01 1/2" SCH 40 PIPE RISER WITH
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02" SCH 40 PIPE STAND WITH TWO
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NUMVILK OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED
NOTE: SINGLE WIDE UNITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-1 PIERS ARE
TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL
TUF-1 PERMANENT
FOUNDATION SYSTEM
ABESCO-GUS GUARD COMPANY
5851 FLORIN - PERKINS ROAD
SACRAMENTO, CA 95823
PH: (800) 382-8831
FAX: (916) 383-5207
STATE APPROVAL
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WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3
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CDF FIRE SAFE REQUIREMENTS
d4-370-38 63-Z�z(
AP#
PERMIT #
k'/W, CLtrF-O"
NAME
Under authority of PRC 4290, the following checked items are required by the
Butte County Fire Department and are made a part of this permit. These
requirements are minimums and will be superseded by Butte County local
regulations which equal or exceed these standards. Field inspections will be
made by the Butte County Building Department for compliance.
[X] 1272.00 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 provide for in these standards,
annual maintenance must be provided for by the land owner.
Driveway Standards
Co
[X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and
other appurtenant structures which .supplement the roadway bed or
shoulders) shall provide unobstructed access to conventional drive
vehicles. Including sedans and fire apparatus weighing up to
40,000 pounds.
[X] 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
[X] 1. No roadway shall have a horizontal inside radius of curvature of
less than 50 feet and additional surface width of feet shall be
added to curves of 50-100 feet radius; 2 feet to those from 100-
200 feet.
[X] 2. 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.
[X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40
feet from the center of the road.
[X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long
with a minimum 25 foot taper on each end.
[X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane
and unobstructed vertical clearance of 15 feet along its entire
length.
Page 1 of 3
} AP# PERMIT# NAME
[X] 1273.10 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.
[X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on
driveways over 300 feet in length and shall be within 50 feet of the
building.
1273.11 Gates
[X] 1.Gate entrances shall be at least two feet wider than the roadway
it serves.
[X] 2. 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 that roadway.
[X] 3. Where a one-way road with a single traffic lane provides
entrance, a 50 foot turning radius shall be used.
Fuel Modification
1276.01 Setback for Structure Defensible Space
[ 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.
[ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for
the same practical effect. See other requirements on page 3.
1276.02 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
and fuel modification shall be completed prior to completion of
road construction or final inspection of a building permit.
Page 2 of 3
70 -3 2-7 f t sT
AN PERMIT # NAME
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
Class A or B roof and Enclosed Eaves
If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed
Eaves and:
Choose any 2 of the following:
- Metal or no doors on the side toward property line with insufficient
setback
- Interior automatic fire sprinkler system per NFPA 13D
- Glass area not to exceed 10 % of wall area toward property line with
insufficient setback
- Siding from the following list:
Stucco — 3 coat
Hardi- Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date Signature
Page 3 of 3
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(III Illlllllllllllllllll IIIIIIIIII
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AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
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Recorded I REC FEE 7.00
Official Records I COPIES 2.00
7 COUNTY CENTER DRIVE
ti
County Of i OVERAGE 1.00
OROVILLE, CA 95965
, , `�(�
BU T f E i
CANDACE J. G uns
i
Recorder j
ROSEMARY DICKSON f
Assistant
i Lisa
09:03AM 23 -Sep -2603 i Page i of i
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation; plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows: All that portion
of the east half of the west half of the northwest quarter of the southwest
quarter and the-easthhalf of the west.half"of•the southwest quarter of the
southwest quarter of-Section.4, Township`18'No'rth, Range 5, East; M.D.B.&M:;
lying northerly cf the :centerline of `the Swedes-" F' 1aCuCounty ` Road.
Date September 9, 2003
State of California )
County of SterJ �1, e 7Sc p )
On 2003 before me,
personally appeared L�Sa C 4,7ette ;,S 012 Wal_rlenalftel for 1(%arrf/7 personally
�ews�-me-(or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my hand and icial se .- PETER ROBINS CHU
o COMM. # 1412970
NOTARY PUSUC-CALIFORNIA D
SignatureSeal: SAN FRANCISCO COUNTY 0
COMM. EXP. APRIL 22, 2007''
&M ; Ij► -Mir,11151
w
owTr�o Department of Public Works
0
C o u n t y o f B u t t e
0
0 0 J. Michael Crump, Director LAND DEVELOPMENT DIVISION
O O 7 County Center Drive
CQ'�y Warner C. Phillips, Assistant Director Oroville, CA 95965
A U N �5 (530) 538-7266
ECIC WOE (FAX) 538-7171
ow BUTTE
August 1, 2003 COUNTY
AUG 0 4 2003
DEVELOPMENT
Val H. & Gar E. Tompkins
P.O. Box 72
Brentwood, CA 94513
Re: Certificate of Compliance
AP 02813710�038�
Dear Mr. & Mrs:.Tompkins:
Enclosed please find the Certificate of Compliance that was issued by the Butte County
Development Review Committee and recorded on June 18, 2003, under .Serial Number
2003-0039748, in the office of the Butte County Recorder.
If you have any questions concerning this matter, please contact this office at (530)
538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m.
Sincerely,.
Yr1 Stuart Ede
Manager, Land Development Division
SE/kp
Enclosure
cc: tvironmental Health Department
ilding Department
Planning Division, ATTN: Larry
Michael Mooney
Michael Evans
ill III Iii I VIII I �I I iif�lll I I TIE iil
AFTER RECORDING RETURN TO
Recorded i REC FEE 13.00
Official Records I
Butte County Public Works Dept.
County Of I
�GRUBBS
LAND DEVELOPMENT DIVISION
CANDACE�J
7 County Center Dr.Recorder
ROSEMARY DICKSON I
Oroville, CA 95965
Assistant I Barbara
11:34AM 18 -Jun -8003 i Nage i of 3
CERTIFICATE OF COMPLIANCE
Assessor's Parcel Number: 028-370-038 (current)
028-370-022 & 023 (Old AP)
This Certificate of Compliance is hereby issued by the County of Butte to certify that the land
division that created the parcel of property identified below, complies with the applicable
provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code.
Issued to: ELMER V. TOMPKINS & MARY GERMAINE TOMPKINS, or their
successor(s), Trustee(s) under revocable trust agreement dated October 28, 1980, as
amended; MARY GERMAINE TOMPKINS, VAL H. TOMPKINS & GAR E. TOMPKINS,
successor trustees of the TOMPKINS 1980 TRUST as amended, uta dated October 28,
1980; . MARY GERMAINE TOMPKINS, VAL H. TOMPKINS, & GAR E. TOMPKINS,
successor trustees of the ELMER V. TOMPKINS FAMILY TRUST under declaration of
trust dated October 28, 1980, as amended; and VAL H. TOMPKINS, GAR E. TOMPKINS,
a married man, and LEE F. TOMPKINS, an unmarried man, as their interests appear or
record.
c/o Val H. Tompkins and Gar E. Tompkins, P.O. Box 72, Brentwood, CA 94513
Property Location: North side of Swedes Flat Road, approximately 370 feet East from its
intersection with Spring Creek Road. Bangor area.
Description: All that certain property located in the County of Butte, State of California, more
particularly described in attached EXHIBIT "A".
This certificate relates only to issues of compliance or noncompliance with the Subdivision Map
Act and local ordinances enacted pursuant thereto. The parcel described herein may be sold;
leased, or financed without further compliance with the Subdivision Map Act or any local
ordinance enacted pursuant thereto. Development of the parcel may require issuance of a permit
or permits, or other grant or grants of approval.
Issuance of this Certificate is conditional upon the following condition(s) which have been
imposed pursuant to the Butte County Code Chapter 20-166 and Government Code, Section
66499.35 (b), to protect the public health and public safety: N 0 N E
County of Butte
VICE CHAIRMAN, RICHARD LELAND
On l 7,, Zoo 3 before me, �N Q'w C�
personally appeared _ kr e.Gc" ,:9 4 r L,e%g,va
personally known to me (or proved to me on the basis of satisfactory evidence) to be the
person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me
that he/she/they executed the same . in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the
person(s) acted, executed the instrument.
WITNESS my hand and official seal.
-------------
01
,F�`° 'y JAN V. O'NEAL
Signature Qa" v Comm. # 1228824
NOTARY PUBLIC -CALIFORNIA
e Butte County "
4uac l% IAV Cr.^ m. Exoires Aug. 4. 2003 1
MICHAEL MOONEY CIVIL.ENGINEER
RCE 20647
5 Madrone Avenue, Suite A
Oroville, CA 95966
PHONE: 530-533-2131 FAX: 530-534-0902 .
EXHIBIT A
APN 028-370-038
All that certain real
unincorporated area of Butte
more particularly described as
property situated in the
County, California, and being
follows:
All that portion of the East half of the West half of the
Northwest quarter of the Southwest quarter and the East
half of the West half of the Southwest quarter of the
Southwest quarter of Section 4, Township 18 North, Range 5
East, M.D.B. & M., lying northerly of the centerline of the
Swedes Flat County Road.
END OF DOCUMENT
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
22 -Jan -2004 2004-0003669
Has not been compared with
original
BUTTE 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.
CLIFFORD WARREN AND LISA WINSTON WARREN
REAL PROPERTY OWNERILFSSOR
MAILING ADDRESS
3975 ALTAMONT AVE.,
OROVILLE BUTTE CA
95965
MAILING ADDRESS
ZIP
03-2721 530
OAKLAND ALAMEDA
CA
94605
CITY COUNTY
STATE
ZIP
175 SWEDES FLAT RD.,
DEALER NAME (if not a dealer sale, write "NONE")
INSTALLATION MAILING ADDRESS, IF DIFFERENT
NONE
OROVILLE BUTTE
CA
95965
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
03-2721 530
538-7541
BUILDPERMIT N0. TELEPHONE NUMBER
7G
1-15-04
SIG ATURE OF LOCAL AG Y OFFI
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO
THE KARSTEN CO. 2003 VILLA 40101A
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUMBER
KC -CA -01-K31593 AB 40'X23'8" RAD 1392083/4
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S)
REAL PROPERTY tEGALDES RIPTION ASSESSOR'S PARCEL NUMBER AP # 028-370-038
SEE ATTACHED
HCP FORM 433(A) REV. 8/91
Building Permit Number:'
Owner Name:r'{:�'` l
Residential Construction Requirements
IMPORTANT
This set of plans and specifications MUST be kept on the job site at all times and it is
unlawful to make any changes or alterations on same without written permission from the
Building Division, County of Butte.
All materials and workmanship shall be in accordance with recognized good practices
and of a quality prescribed for the specific use in the 2001 California Building Code
(2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California
Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.)
COMPLY WITH ITEMS CHECKED BELOW
Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical,
H.V.A.C. equipment and services shall be a minimum of one foot above the elevation
shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate
will also be required
Note: We will normally accept the following as compliance with the flood elevation
requirements:
1. Building is anchored to concrete stemwat_l system with conventional anchor bolts.
2. Building plate on top of stemwall to be one foot or more above the 100 -year flood
elevation. (Plate height less than 2499 above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and
facilities located above the plate.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area of not less than 1 square inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of floodwater.
Page 2of2
Building Permit Number: 72 Z,
Owner Name: ril e"";')
Ei
Parcel lies within the State Responsibility Area (SRA). Comply with attached
requirements.
1:1 Fire sprinklers are required in this structure.
ElThe following Parcel map requirements shall be met:
All structures.apd equipment including oy�5hangs shall be clear of all easements.
A setback of feet from the side and "� feet from the rear property lines and 20
feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of
structures and equipment except for a 2 foot overhang.
Expansive soil may be encountered on this site. This condition may require the
foundation to be designed by a California registered engineer or licensed architect.
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PLANNING DIVISION - BUILDING MAN APPROVAI
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Use: --:IK —, �-- Data:
Parking:— Landscaping:
fe- Other — .— 11
Signature:
22
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Building Perm -it Number: 03 412-1
Owner Name: L(,kwl'aiq
Residential Construction Ite uirements
This set of plans and specifications MUST be kept on the job site at all tunes and it is
unlawful to make any changes or alterations on same without written permission from the
Building Division, County of Butte.
All materials and workmanship shall be in accordance with recognized good practices
and of a quality prescribed for the specific use in the 2001 California Building Code
(2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 Califor_rria
Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.)
COMPLY WITH ITEMS CHECKED BELOW
Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical,
H.V.A.C. equipment and services shall be a rninirn-um of one foot above the elevation
shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate
will also be required
Note: We will normally accept the following as compliance with the flood elevation
requirements;
1. Building is anchored to concrete steinwall system with conventional anchor bolts.
2. Building plate on top of steinwall to be one foot or more above the 100 -year flood
elevation. (Plate height less than 24" above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and
facilities located above the plate.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area of not less than 1 square inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of floodwater.
Page 2of 2
Building Permit Number: 6) —
Owner Name: W(,tr-Y-2,Y-\
Parcel lies within the State Responsibility Area (SRA). Comply with attached
requirements.
MFire sprinklers are required in this structure.
10 The following parcel map requirements shall be met:
All structures and equipment including overhangs shall be clear of all casements.
A setback of '�'c feet from the side and A,� feet from the rear property lines and 20
feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of
structures and equipment except for a 2 foot overhang.
Expansive soil may be encountered on this site. This condition may require the
foundation to be designed by a California registered engineer or licensed architect.
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