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005-405-010
3 TRAVEL TRAILERS W/0 PERMITS 7/29/97 3 -Z-D 005-40-5-010 , _ - IRENE TOGNINI J/ 1425 Boucher St, Chico ContR:' Mello Const Pe mit 4 4- demo SF 005-405-010 01-1419 JENSEN, Donald 1425 Boucher Street, Chico ! 4p Cont: D & A Const. MH on Perm Fnd 1 1 5 005-405-010 _._ ..- 01-1613 JENSEN, DONALD �(TV 1425 BOUCHER CHICO CONT: OWNER 1� MH COVERED PORCH M1.. i ' `.•4Y�Pa' t NATES RESIDENTIAL • 005-405-010 � 01-161 TENSEN, DONALD 1425 BOUCHER CHICO CONT: OWNER MH COVERED PORCH s, rr �0jo��65� JOB FINALED (Date) Signature r � • f M i l • 4 �0jo��65� JOB FINALED (Date) Signature MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. ZopinfRequirements-Setbacks-Easements 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 rmg.; Sills-Anchors-Studs-Rttrs-Trusses ung; Nailing -Veneer -Stucco -Mesh 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 4. Water; Location -Test -Easement Needed (Sketch) 1 r V= OK Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 0 = Not OK 6. - = Not Applicable MOBILE HOMES =Not Ready 7. Date MOBILE HOME UTILITIES (Plans) OK except #'s 8. 1. Zoning Requirements -Setbacks -Easements Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 2. Soils; Special MH Support Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. - Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 3. Sewer; Location -Test -Fall -C/O -Concrete MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. ZopinfRequirements-Setbacks-Easements 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 rmg.; Sills-Anchors-Studs-Rttrs-Trusses ung; Nailing -Veneer -Stucco -Mesh 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 4. Water; Location -Test -Easement Needed (Sketch) Setbacks -Easements 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 3. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ PLPG Elec.; Receptacles and Lighting, Distance-GFI 7. Well Clearance & Disconnect 6. 8. Utility Clearance Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. - Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Date 11. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 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 12. Permanent Foundation Only; License Decal 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. ZopinfRequirements-Setbacks-Easements 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 rmg.; Sills-Anchors-Studs-Rttrs-Trusses ung; Nailing -Veneer -Stucco -Mesh 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 FINAL (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- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 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 ELECTRICAL (Permit) OK except #'s RESIDENTIAL (� Date 24. Underfloor (Plans) OK except #'s 25. 1. Zoning•Setbacks-Easements-Flood-Slope Romex Installed Close to Edge of Studs & C.J. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 28. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 31. 5. Stemwalls, Main; Steel- Blockouts-Wrapped Equip. Clearances Panels-Motors-Mech. Equip. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 34. 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Card B-1 12. Electric Underground Card B-1 Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. 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 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 Date Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 Date Draft Stop in Walls (rat proof) MECHANICAL (Permit) OK except #'s Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. 35. A.C. Ducts Insulation & Support 50. 36. Vent Fan, Exhaust above insulation 51. Garage Fire Protection Framing 37. Condensate Drain & Overflow, Size & Grade Property Line Firewall & Openings 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date 58. Card B-1 Date Card B-1 Date Shear Walls; Nailing -Bolts Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing dingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Rofi Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes D No/Walks J Yes J No/Planters D Yes D No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: COUNTY OF BUTTE - DEPARTMkNT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 -.County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No. (Rev. 12/96) 'A APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 005-405-010 ZONING BUILDING PERMIT OWNER__ TELEPHONE JENSEN DONALD 891-0345 .bWNER'S MAILING ADDRESS 4 SO. FT, OCC. BUILDING VALUATION 44 coy 572.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS - Fireplace Total Valuation $572.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee b7 oo ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee 2 on BUILDING ADDRESS ,� Energy Plan Checking Fee $ PERMIT FEE to nn LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT (ling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX 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: C',nVF'RFn P(7rZ('H Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I arc 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 Lic. No. 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 employeeswith 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 ADONS. ( 8 ACC. BLDS. s0 3.5¢FT; =R6I. MULTI -OUTLET @7,50 POWER APPARATUS a sINGLE oLmtT cIR. n Ex. Occu OUTLET Bye@':50 S. Ex. Occup..OUTFIXLErs(RESID.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of tie 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f 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 �'i/L, i`,'r� �— Signature of Applicant -* Owner ❑ Contractor ❑ Agent An OSHA permit is required for xcavations over 63" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 60.00 HAZ. _ D. FEES I" CDF P EL H LS E This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work in indicated above for which fees have been paid. ByQUM22�k n Date PERMIT EXPIRES OTE-D.D.S.-B. ate rReceiptNo.T / D. CANARY -ASSESSOR PINK•LNSPECTOR GOLDENROD -APPLICANT ,1�::s�'�'ati�'-M�..iti�,�7W+•c"i(�y f.M`i�7y�l���w'i�'0*��.Z�f:*1'�}��� 'z �lcnr��7*7�.T�"yM•`yt'L^'i'""l .�- COUNTY OF BUTTE - DEPARTMENT & DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ®ter t� Se Ki ,13frA) ASSESSOR PARCEL NUMBER: f / Proposed Building Use: M1.1 r. , j& _Z Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit imcwsing and/or issuance: Date Received By ❑ 1. All iiems have been submitted .-----------------------------------------------------------------------=------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11Imt fees as shown on the attached schedule. ----------------------------------------------------------------- C rnia Department of Forestry plan approval/fees.----------------------------------------------------- --- 44.pac ao ood elevation certificate. ---------------------------------------------------------------------------------------- Sanitation and plot plan approval Health Department. ------------------------------------------- 15. City of Chico plumbing permit. -----r�----- / '� �,O ❑ 16. Plot plan and business license approval from the City of iggs P` -- ------------------------------------------ -� 041 17. Planning approval for (A) Use: e2f�r (B) Parking: ��------------------------- 7, D 04✓❑ 18. Contact Land Development about ❑ Iinprovements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---• ❑20. Pre -inspection for required Request to Building Inspector oil ❑21. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. ----------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- E124. Letter of signature authorization. -------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------- ❑26. Letter of intent on building use. -------------------- -------------------------- El 27. -----------------------.❑27. Manufactured Home utility clearance. --------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------- C1 29. 0433 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ❑ 3 0. Other: M- (Date) Z youissue the ermit, process as follows ❑Mail to owner, ❑Mail to contractor. ephone �q�' OJ�1 and hold for pickup at Coffice. ❑ Deliver with inspector. s-rru.�r 201t4�=-: w 7/ C./o, 1D I Applicant: ,� Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department❑ Pther: Date: By, rt 1. Index permit application for the above items numbered: 2. Additional items r ❑ Plan Check List Contractor, desi , owner as advised of the above required I by- one, ❑ mail, ❑ Building Division counter, by Date: Contractor, design , er, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 11 phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above r data by ❑ phone, ❑ mail, ❑ Building Division counter, by a Plans reviewed by: (�/ Date: Plans approved by: / � c_ Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Vr llna, (`r,r,._ TIA.. �.+.,,o„f .,f llo..ot......,e..♦ ce....:,.,.,. D..:1.]L_ OWNER -BUILDER ,VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide th major labor and materials for construction of the proposed property ' vement :YES NO D '2. I HANrEP, HAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person. (fum) to.pwyioe_ th.proposed construction: Aec ADDRESS: CITY;_ . PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired.the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY:. PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work"but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: - PROPERTYOWNER 'O(?Zeryeieh �� Y SOCIAL SECURITY NUMBER: - - DATE: (� — p �3— a l NOTE. This Owner -Builder Verification is required by Section 198.31 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our of)4ce before we are permitted to Issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner-buildee, you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their liceame number on all permits for which they apply. „ , If your pled to dtifj j own work, with the exception of various trades that you plan to suiicontrac, you andtrld be aware of the following information for your benefit and protection: ♦ If you employ or otbetwise engage any persons other than your immediate family, and the work (inchrdingniaterials and other costs) is $300 or more for the entire.project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you ifyou do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more spxific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, MiEqhel C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ti r i NOTES i RESIDENTIAL 005-405-010 01-1419 JENSEN, Donald 1425 Boucher Street, Chico Cont: D & A Const. MH on Perm Fnd I61� ri 11 SPECIAL CONDITIONS II CHECKED BY S FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY � USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER C, 6 2,f y(3s /3Z C- 9 ° Z� 129y2 sa _5sV -� JOB FINALED (Date) Signature = OK 0 = Not OK - = Not Applicable =Not Ready 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/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ PLPG 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 H_QNE INSTALLATION (Plans) OK except #'s o equirements-Setbacks-Easements Size -Spacing -Marriage Line MH Test -Demand -Valve -Connector EI ricity; MH Test -Crossovers -Breakers -Clearances in; H Test -Fall -Flex Connector W er; MH Test -Regulator -Connector 7.er and Sewer Connected -C/O to Grade -HD Approval s and Electricity Tagged Tip6owns-Type-Installation Cert. 10, xits; Insp.-Sketch 11. Cert. of Occupancy 1p/Permanent Foundation Only; License Decal 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- Bea ms- 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 FINAL (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- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Licht Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V=OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date Underfloor (Plans) OK except #'s I Date Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg, Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Ste el- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r ` BUILDING PERMIT NUMBER: 01-1419 Address or location of unit: 1425 BOUCHER STREET, CHICO, CA 95928 Legal Description of Real Property: A.P.005-405-010 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: , . DONALD JENSEN Owner's address: 350. ASH STREET #1, CHICO, CA 95928 INSIGNIA OR HUD NUMBER: RAD1329438/39 SERIAL NUMBER OR V.I.N.: 0902-558-12947A/B MANUFACTURER'S NAME: FLEET OOD Y AR: 2001 OFFICIAL APPROVING INSTALLATIO Yu&� ' DATE: 10/26/01 PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 31 -Oct -2001 2001-0050753 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE" T111S LINE FOR RECORDER USE ONIA 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. DONALD JENSEN, JR. REAL PROPERTY OWNER/LESSOR 350 ASH STREET 91 MAILING ADDRESS CHICO, BUTTE, CA 95928 CITY COUNTY STATE ZIP 1425 BOUCHER STREET INSTALLATION MAILING ADDRESS, IF DIFFERENT CHICO, BUTTE, CA 95928 CITY COUNTY STATE ZIP SAME UNIT 0WNER (i 1* also propen y owner. write "SAME") MAILING ADDRESS 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 TY COUNTY STATE ZIP 1-1419 (530)538-7541 ' IN P -R\I TELEPHONE NUMEE0. 10/26/01 SIGNATURE OF LOCAL AGENCY OFFICIA DATE NONE DEALER NAME (irnot a dealer sale, write "NONE") NONE DEALER LICE\SENO CHAMPION HOME BUILDERS CO. 2001 SOUTHWOOD NT SN558-2 MANUFAC'TURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 0902-558-12947A/B 267' X 66' RAD1329438/39 SERIAL NUMBER(S) LENGTH N WIDTH INSIGNIA/1-A131131. NUMBERS) RIiAI. PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. 9005-405-010 SEE ATTACHED NCD FORM 433(A) REV. 8/91 WI IITE - County Recorder CANARY - I ICD PINK -Applicant GOLDENROD - Buildine Dept LEGAL DESCRIPTION A.P. #005-405-010 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 1 IN BLOCK 4, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "BOUCHER'S SECOND ADDITION TO THE TOWN OF CHICO", FILED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, ON SEPTEMBER 7, 1901, IN BOOK 5, OF MAPS, AT PAGE(S) 15. 10/31/2001 11:35 5305330125 INTEGRITY HOMES INC PAGE 02 - -'- STATE OF CALIRORNIA NUMBER: BUSINESS. TRIN TRANSPORTATION AND HOUSING AOENC' ^ w OEPARi1EM OF HOUSING AND COMM1NITY DEVELOPMENT jv{ SV1 OMSfON OF ND CODES ASTANDARDS MANUFACTURSO HOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN •.���...� wrc.ctenr@H owM�NAL MCO NO. MANUEAL-TuRED HOME OR MULTI rNIT MANUFACTURED HOUSING NUMEER OF ® SFO (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSINQ TRANSPORTABLE SECTIONS OOMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: U ACTURER LICENSE NUMBER: Champion Home Builders Co. 90086 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE P.O. Box 429 Lindsay CA 93247 73,00 C9M'. geM MANUFACTURERTRADE NAME MODEL NAME ANDIO N DATE OF MANUFACTURE: SOMh"WOOD NT SN558-2 07-16-01 NAME OF DEALER OR TRAWFIREE (O1Mr1ERSHIP TRANSFERRED TO).CALIF, DEALER NUMBER OR DATE OP TRANBFER: Dupar and Angel Mfg Housing TRANSFEREE DESIGNATION: DEALER OR TRANSFEREE ADDazES3: 106-7-214 07-25-01 (811014 181 Concourse Blvd. Suite B (ciftnta Rosa INVENTORY CREDITOR NAME: Deutschee Financial Services. 7CV CEWRE DRIVE ST. LOUIS MO 63141-5632 sne c sols RECTION MANUFACTURER 8MIIIL NUMBER MCO IN44NIA OR HUD LABEL NUMBER LENOTN yylp WEIGHT16 IMCM81 INCHES) 1 0902-558-129478 RAD1329436 792 160 27127 2 0902-558-12947A RAD1329439 792 160 29070 `Mis Is a true and rwect CSIMUe (if the copy of the Certificate o rigs - TRANSPORTER NAME D & R Transport TRANSPORTER ADDRESS: 4e.0) P.O. Box 179 c Durham Bun CA DES I NATION FOR UNIT DESCRIBED ABOVE; 0@5938 " SVrlel CR S� I r:IVY v10M owmy of prjury wdw I1Me Ieae of IM atm of GBbo b VNI ON am feta we In» W4 =o *m ' Exeuman 07-25-01 Lindsay, Tulare, CA (Gere) cao owy) 31GRATURE OF AUTHORIZED AGENT: ammHYIIQIY: ORfGxMAL (vwfq FORWARD TO TNSriNEl1T OfT COPY 2 (COPYIYELLOM OE► O E TR/WS�ORTER TO ACC 6 COPT 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. "CO 483.0 - Swe 1 . (Tan �EdS TMEAE IB "ONE. THEN FORWARD TO THE PURC"ASER (DEALER OR TRANBFERf:I;►. 1828. SACRAMENTO. CA M$2 -f 828, VATMN FIVE CS) DAY8 OF RELEASE. WY THE UW TO ITS DESTMATIOR, RING REQUESTED BY: National Title of California Escrow No. 205157 -JW Title Order No. 00205157 When Recorded Mail Document and Tax Statement To: Mr. Donald Jensen, Jr. - 20 East 5th Street Morgan Hill, CA 95037 200 1 —00292-70 Rocorded Official Records Countyy Of BUT1F CANOACE J. 6;11188'3 Recorder 103EMARY OICK>0N Assistant 09: OW44 09 -Jul -2001 REC FEE 16.80 TAX 35.20 Maureen Page l of APN: 1J05-4Ub-U1U GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE The undersigned grantor(s) declare(s) Documentary transfer tax is $35.20 1 X ) computed on full value of property conveyed, or ( ) computed on full value less value of liens or encumbrances remaining at time of sale, f ) Unincorporated Area City of Chico FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Robert E Fairchild and Ellen Carla Fairchild, husband and wife and Kurt E. Johnson and Lupe H. Johnson, husband and wife hereby GRANT(S) to Donald Jensen, Jr., A Married Man as his Sole and Separate Property the following described real property in the City of Chico County of Butte, State of California: Lot 1 in Block 4, as shown on that certain Map entitled, "Boucher's Second Addition to the the Town of Chico", filed in the Office of the County Recorder of Butte County, California, on September 7, 1901, in Book 5, of Maps, at Page(s) 15. DATED: June 20, 2001 STATE OF CALIFA;Otk� NIA _ COUN Y OF A 0 -z 2 -on I before me, • _ O per ovally appeared 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 lies), 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 m*da /iil se Signature Robertwimpgo WA len Carla Fairchild K�jrt E. Johnsp*' upe H. John dVn J. WHITSETT COMM. ! 1229842 fY NO'rARY N )ELIC -CALIFORNIA COUriTY OF DUTTE u Comrn. `:7V1 IV 2p 2pp3 n -v. MAIL TAX STATEMENTS AS DIRECTED ABOVE FO.213 (Rev 7/96) GRANT DEED STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a: Mobilehome Commerical Coach Floating Home Truck Camper Decal (License) No. (s) Trade Name Serial No. (s) I/ We, the undersigned, hereby state that the unit described above: bQ pv'cea to o_ �mc�n �i�w�c ��n Si ` vt Q.* C -J:-V-44?-C4 LL tL� kkt'n" � Y� Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above- described unit in California, of from issuance of a California certificate of title covering the same. I / We certify under penalty of perjury that the foregoing is true and correct. Executed on �Q 1'% �1 at: Oroville ,California (Date) (City) (State) Signature of each affiant. Printed name of each affiant M Michelle Freel, Office Manager Address 1740 Feather River Blvd. City Oroville State California HCD 476.6 (Rev 11/86) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. (Rev.12/96) ' APPLICATION AND PERMIT ,1_1 I 1 ASSESSOR PARCEL NUMBER _ ZONING .—? CM BUILDING PERMIT OWNER DONP12 JEr, TELEPHONE _a91_-0_35_4 SQ. FT. OCC. BUILDING VALUATION x.782 R 90 22.8.00 . OWNERMAILING ADDRESS S _150 ASTH STIRFEr ='11 IE 99998, CONTRACTOR'S NAME D PM A CONSTRUCTION TELEPHONE 533-964.3 CONTRACTORS MAILING ADDRESS 1740 1 i P tnn PIVER ORWILLE CA95-265 CONSTRUCTION LENDER ZLOP,-778-2499 LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 96 225,00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 626T 2 $ 313.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 1 LL rl T -0 'CAHTn c. ,1 Energy Plan Checking Fee $ $ PERMIT FEE $ 356. JO LAT NO. SUBDIVISION'S NAME 1iI., PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: M0;3ILE HiVll SYS17M Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 , Mobile Home IS I GI W 920.00 PERMIT FEE $ O5.00 ELECTRICAL PERMIT Fling Fee 20.00 LES Main Service zoEO.A oA oR OR LESSS 23.0023. 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 Lic. No s lJ 4� 1 64 '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 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADONS. ( & ACC. BLDS. 3.5¢FT. NOµgEOSID MULTI.OIUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES Bq� @':50 Ex. Occup. oFIx�E�D�A REESSID.OEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ L'.3 , OO 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' co�ens- anon insytance cagier and policy number are: Carrier ��� t'(�(/'�(� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Policy Number F-1��� a -- (The above sections need not be completed if 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 370D of the Labor Code, I shall forthwith comply with those provisions. X 9 � A M 0 Date Si natureo A Ica t - ❑ Owner contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 464. 00 HAZ. FESS IMP V/ Oji U cOF PARC Pp HD s 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 Date 9-28-200' PERMIT EXPIRES ON 0-28-2002 Oahe ReceiptNo. 32A 75 f 4 i _ 00/ ����n] /�� 1 �n WHITE-D.D.S.-B.D. CANARY A S6S0' PITIK-INSPEC�OR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTfOF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARC ER: - — S� D Proposed Building Use: Building Inspector: Date: At time of permit application, was adv' ed Ifile following data must be sub ed prior to permit roc ssmg and/or issuance: Date Received By 111. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑7. Statement of Intent for Non -Heated wid A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑/9 anufactured Home data and installation instructions including Tie Down Specifications. ------------------ 01 s of $ ------------------------------------------------------------------------------------- i fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12 alifornia Department of Forestry Flan approval/fees. --------------------------------------------------------- Flood elevation certificate. -------------- �•�; ----------------------------------------------------- Sanitation and plot plan approval ( Health Department. ------------------------------------------- 2 0_11. ., ❑ 15. City of Chico plumbing permit. --------------------------------------------------------------------------------- ❑ 16 !Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (1'7umber, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- El 23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - ❑24. Letter of signature authorization. ------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------- 1:126. Letter of intent on building use. --- ------------------------------------------ ❑27. Manufactured Home utility clearance. --------------------------------------- ❑Exi ing v�io0�ions and/or expired is ----------- --------------------- ---------------- 28%.,e4A_, r, ❑Grp eed, ❑ ��.C.D $ ❑30.Other: 1l� When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. Telephone 533gLAS and hold for pickup at office. ❑ Deliver with inspector. S9 I ,, Applicant-- �t ., K$� � Date: UL Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ O er: ate: By: 1. Index permit application for the above items numbered: I El Plan Check List 2. Additional items required: Contractor, designer, owner, was advised ofthe above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised ofthe above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised ofthe above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised ofthe above required data by ❑ phone, ❑ mail, ❑ Building ivision counter, by ate: Plans reviewed by: _N]r� Date. • 2�S •0 Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 BUILDING USE BUILDING PERMIT FEES SCHEDULE OF FEES DUE 3b1 --Balance Due ........................................................ $ --Additional Fees Due .............................. -............ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ SCHOOL DISTRICT FEES �/6 (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. URBAN AREA FEES Dor Residential .......:....................� x lQ�� _ $�--IQ . 00 # Units Amt. Commercial (Sq. ft.) .............-x-=$ Sq. ft. Amt. �RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) A. P. # fl[ S_ -OL-6 DATE 0 RECEIPT # 330,6% DATE REC. �1 r 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE i2 - Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7,'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 Div. 2nd Copy - Applicant 3rd Copy - Owner _ (Rev. 6/00) 91 _ -Hutto ount LAND OF NATURAL WEALTH AND BEAUTY - _..::•rs:;�...- BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 530-2140 Dear Property Owner: ,We have issued a permit to construct a new building, an addition, or to do remodeling on your -property. This letter is to inform' -you we have approved the building plans submitted for conformance with code requirements. We will only inspect the construction for conformance with code requirements. It is your responsibility, to see that the building conforms to your plans and expectations. Should you have any questions concerning this letter or any other matter pertaining to the construction, please do not hesitate to contact thisloffice. Yours very truly, 1 • Mic ael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection -47 RE: Attached Building Permit Dear Permittee: BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: 1916) 538-2140 BEAUTY Attached is your building permit along with the approved set of plans and a, job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set of, plans before construction and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office - do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a temporary occupancy,will be permitted. Please do not confuse gas or electrical service to the building as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card.must be signed by the inspector or special permission given. Your permit expires one year from date of issuance. If the work has started, but is not completed and finaled by the expiration date, a renewal permit is required. If the renewal application has not been made within 30 days of the original permit expiration date, or if the work has not commenced, a new permit application and fees will be required. p -Ron completion of the work covered by this permit please contact this office for final inspection. Should you have any questions concerning this letter or any other matter pertaining to building construction, please do not hesitate to contact this office. r MickYael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments r ^ "tis•�'4"K^"'r+��t .._.-�;«rt�-r l^..h'!'^�`.+.w'�:'.S"'Y`-•- � .-'�{err'�:nr•'k'�iern�5"11TVY�zn""'^,.v-.;`.f'�T�"'7.n.. _ ,.��.•..-�u•r-•-�-.._. ,.� z : BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District CZ Building Department No. A.P. Number WS-- 40S O ` Jurisdiction: City County Property Owner —a Property Location/Address , 0 � [A -t on Subdivision r Lot No. Residential Development )/ Sq. Footage ! t7Z tQ No of Living Mbtiile Home Addition/ *Supplemental to(Group R) Units Installation Conversion Permit # f jaC '(No foundation inspection): Commercial/Industrial Sq. Footage „ New Addition (Including Exterior Roofed Areas) uil ing Department Representative Date A ( oor Plans reviewed by School District Personnel) .1 - ",� - I Irl District Identification No. /Zrf / &/ 1 e School District certifies that ` V �```� , ._) t ,tr oc .— (Applicant) mss+ x (Street Address) ` 11'� (Phone Number) 4? & (City) �� (State) Zip Code) has complied with.the requirements of Resolution No. '" by payment of $ / _hep esenting.,. - � � "s� re febt. AB 2926 $ �y FULL MITIGATION $ School District Repi ft Paid by Check # , ) `Remarks: Notice: Youu"mey protest the imposition.of the'lees idtm Government Code Section 660201a):Nwithini90 days.fror �. you from challenging the impositioof the fees any co n m If, subsequent to the School District Representative §i6ni notified by the applicable Local Planning Ageriy that this this project may be subject to additional school Fees to ft White (applicant), Yellow (building department), Pinl Date10 mn Fed abo� by submitting a w tten protest to the District, in compliance with the date fees a"re paid. ' Failure to submit a timely written protest will prohibit f�iis Butte�County Schools Impact Fee Certification Form, the School District is t .r iject is being reviewed under the California Environmental Quality Act (CEQA), F itigate its 6-0p t on the school district's schools. . ne+.-Y chopR�isftfiOt) feeform.xls (10/98)dmm L' n City of Chico Community Development Department -Building Division 411 Main Street, 2nd Floor/P.O. Box 3420, Chico CA 95927 BUSINESS PHONE: 916/895-4891 INSPECTION REQUEST PHONE: 916/895-4898(24 Hour Recorder) .ACTIVITY/BUILDING PERMIT NO.•:01-01909 114C. 1872 BUILDING INFORMATION Pr ress:1425 BOUCHER STREET COUN APN: 005-405-010-000 Lot Number:.- Subdivision: Zoning: Rl Scope of Work:NEW SEWER USE -ONSITE BLDG SEWER, COUNTY PARCEL Occupant: REQS SEPARATE S/P FOR R/W WORK OWNER'S NAME AND ADDRESS APPLICANTS'S NAME AND ADDRESS Name: JENSEN DONALD JR Name: DUPAR & ANGEL INC Address: 20 EAST 5TH STREET Address: 2532 SANTA ROSA AVENUE MORGAN HILL CA Zip: 95037 SANTA ROSA CA Zip: 95404 LPhoone No. Phone No. 707-577-1880 CONTRACTOR INFORMATION ARCHITECT/DESIGNER INFORMATION Name: DUPAR & ANGEL INC Name: Address: 2532 SANTA ROSA AVENUE Address: SANTA ROSA CA Zip: 95404 Zip: Phone No.707-577-1880 Phone No. St. Lic: 547364 St. Lic: CONTACT PERSON INFORMATION ENGINEER INFORMATION Name: Name: Address: Address: Zip: Zip: Phone No. Phone No. St. Lic: P/E/M FEES SUMMARY TOTAL FEE SUMMARY TOTAL PLUMBING FEES...: 30.00 TOTAL FEES DUE: 4,561.80 TOTAL ELECTRICAL FEES: .00 PAID..........: 4,561.80 TOTAL MECHANICAL FEES: .00 BALANCE DUE...: .00 Comments: App Date:; 09/27/2001 . Const Type: PEM MP No: Received By: LE Issue Date: 09/27/2001 Total Sq Ft: No. Stories: Approved By: Units: 001 Building Use:RES Value: .00 Use/Var #: SIGNATURE: DATE: EXPIRATION INFORMATION - Every permit issued by the Building official under the provisions of the Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit,'or if the building or work is authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Work shall be considered abandoned if an inspection has not been recorded within 180 days. JNSrtU I IUN htUUt5I5 UALL: JZ)aVf OU7-'+0Vo. rlease nave your project address and permit number ready. Requests are recorded 24 hours per day. Calls received before 7 a.m. will be handled the same work day. Calls received after 7 a.m. will be handled the following work day. ACTIVITY/BUILDING PERMIT NO.:01-01909 Project Address: 1425 BOUCHER STREET COUN APN: 005-405-010-000 Lot Number: Subdivision: Zoning: R1 Work: NEW SEWER USE - ONSITE BLDG SEWER, COUNTY PARCEL Occupant: REQS SEPARATE E/P FOR R/W WORK F0, i*` p\FIEILR tin r'r s 1REf3UEST� Sr IC<ISP�Ct�R'S IJO fES INSPEC f1QN" _ t 6 eg .. 4 "Di4 r�(ft FOUNDATION: Forms- Setback- UFER-Hardware Underfloor Plumbing Underfloor Heating OF Insul.: OK to install subfloor SLAB FLOOR -Steel/Rebar SHEAR WALL BRACED WALL Hardware -Straps-Holdowns Roof Nail FRAME: Rough Electrical Rough Plumbing Rough Mechanical Frame OK -Place insulation Rough Fire Sprinklers Insul. OK -Place wallboard Gyp. B walls OK -Place tape Ext. Lath OK -Place stucco i Scratch Coat Sewer RC Channel I SWIM POOL -Bond -PVC -Elect -Light Niche -Fence -Preplaster Shower Pan Elect. Tag: [ I Perm/[ I Tem Gas Test -Gas Tag Health Dept. Fire Planning - ARB Engineering (On-site) Temporary C of O FINAL INSPECTION ADDITIONAL NOTES: S:\L1NDA-F0RMS\REV2PERM1T01.FRM REV. 05101 BUTTE COUNTY PARRS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARR DISTRffIIC�CT Assessor Parcel Number(s) �'^ L -71 -TO V Property.Owner Project Location/Address 1 Subdivision Lot. Numbers) Residential Development: (check one) /Mobilehome('s) New Development Alteration/Addition Total Number of Dwelling Units Comment: t _Non -Residential to Residential wwwwwwwwwwwwyrwwwwww�rwwwwyrwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww Chico Area Recreation and Park District(CARD) certifies that (Applicant Name) (Phone Number) (Street Address) 14 qb (City) (State) (Zip Code) ihas complied with the requirements"of-Butte Co. Resolution No. 90-140by payment for dwelling units @ $1,189 for total payment of $' CARD Re3resentative Date PAID BY CHECK .NO, MARKS QS SO O" BANK N0. (0—az PAID BY CASH RECEIPT NO. Distribution: Whit Applicant Yellow --Butte Co. Building Dept. Pink --CARD Goldenrod --City of Chico Building Dept. park.fec (form revised 11/9) 84. MAP AND PANEL 85. SUFFIX ► s FEDERAL EMERGENCY MANAGEMENT AGENCY '► O.M.B. No. 3067-0077 :�'; NATIONAL:FLOOD INSURANCE PROGRAM Expires July 31, 2002 - ELEVATION CERTIFICATE w,T �r Important: Read the instructions on pages 1 - 7. SFE/ VIED DATE SECTION A -PROPERTY OWNER INFORMATION ;tor insurance:Co:mpany.Use:; BUILDING OWNER'S NAME $ol�cy Number :: 16 a40 BUILDING ST ET D( clu 'ng Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. �%C9 �OR SS%/ZEE CIN4ST,Q,TE ZIP CODE PROPERTY DESCRIPTION (Lot and BlockNumbers, Tax Parcel Number, Legal Description, etc.) BUILDING USE e.g., Residenti I, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) gg LATI UDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: • SOURCE: L_J GPS (Type): or ##.#####°) ' NAD 1927 ; LI NAD 1983 L� USGS Quad Ma _ P Li Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. FIPC! COMMUNITY NAME COMfy1U� NUMBER � C 82. C NTY NA v B3. STATE !!I JJ CA 84. MAP AND PANEL 85. SUFFIX 86. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) Q NUMB R w,T �r SFE/ VIED DATE ZONE(S) (Zone AO, use depth of flooding) 16 a40 rsiv. Indicate the source or the Mase flood Elevation (BFE) data or base flood depth entered in B9. LI FIS Profile Ll FIRM L_J Community: Determined LI Other (Describe): B11. Indicate the elevation datum used for the BFE in 89: L1 NGVD 1929 Ll NAVD 1988 U Other (Describe): 812. Is the building located in a joastal.Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? LI Yes No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) CL-Building_elevations are basion: Construction Drawings' LL 18uilding Under Construction' Finished Construction L-A new Elevation Certificate will b _ fequired-when-con.struction-of the building is complete. C2. Building Diagram Number 46'—(Select the.building.diagram,most similar to'the'build ni g for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, AR/AE, AR/Al-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section 8, convert the datum to that used forthe BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comm nts Elevation reference mark used ✓� Does the elevation reference mark used appear on theoFlf 0 a) Top of bottom floor (including basement or enclosure) O b) Top of next higher floor,r--"',•�,y'< 0 c) Bottom of lowest horizontal structural member (V zones only) _ ft. (m) y a 1:N1 0 d) Attached garage (top of slab) _ ft.(m) E v � 0 e) Lowest elevation of machinery and/or equipment w ° c`•� UQ servicing the building ft.(m) EI 0 f) Lowest adjacent grade (LAG) °ZG7 ft.(m) z 0 t O g) Highest adjacent grade (HAG)_ ft.(m) 0 h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade J �T 0 i) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm) Exp. 6-3c-05 . 11AW, SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ---`®"— This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that, the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. l understand that anv false statement may be punishabie by fine or!monsonmenr unc 18 U. S C^de Sec ; CU1 CERT ,L�IENS NAME,,, A ^ , i _ i LICENSE NUMBER_ TITLE O 1PANY NA AOORESS 2 27 �� yrl�a�ir jK� 12- "�'Ty ALMA C`4TE 9CP 1 -S— P4=.1.IA Gnrm 81.11 AI 1r Qo CFF RGVFRCG CIr1r= Fr1R r.nNTINI I4TIr1N PPPI Ar.r=R AI I Ppr-vir11 IC r=n1TIr1NC IMPORTANT!,, In these spaces, copy the corresponding information from Section A. For:Insura.......................... Ele =' BUILDVI ST T ADDRES Includin A ., Unit Suite, and/or Bldg. No OR P.O. ROUTE ANO BOX NO. :.Polic'.'Nu mbe zs ;fid v rz CITY SATE ZPcooE :::Company,NA1.C;Ptumber:::>3:;z:>>>::':.. SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) . Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS 1 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION .(SURVEY NOT REQUIRED) FORZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E! through E4. If the EJevation'Certificate is intended for use as supporting information for a LOMA or LOMB -F, Section C must be completed. E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7.. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is �L� ft.(m) (_��in.(cm) LI above or L—J below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next; higher floor or elevated floor (elevation b) of the building is I U ft(m) I I lin-(cm) above the highest adjacent grade. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 1_1 Yes 1_1 No LJ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR -OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE .COMMENTS 1_1 Check here if attachments SECTION G - COMM.UNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B. C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. I I A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. I I The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBERI G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for. [_I New Construction U Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _ ft.(m) Datum. - G9. BFE or (in Zone AO) depth of flooding at the building site is: _ ft.(m) Datum: ' LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNA rURE 1) -A T E COMMENTS Check here if attachments Building Permit Number: 0(-J (?j Owner Name: �i5p�t'1 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 1998 California Building Code (1997 U.B.C),-1998 California Plumbing Code ( 1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 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. 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 I foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Pagel of 2 o° t t Building Permit Number: Owner Name: eV, s� Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. ❑ Fire sprinklers are required in this structure. ❑ The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of� feet from the side and L� 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 fora 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. Page 2 of 2 GtT�I DONALD JENSEN 1425 BOUCHER ST. BOUCHER STREET ' CHICO CA. APN* 05-405-010 PAP Neto;. r L J G I w I L `mow 66' w N 5 61' -3, 20' _ _ _ _ 11' SIDE SET BACK w - v) N O H F:4 C\4 Z W Z� I DONALD JENSEN 1425 BOUCHER ST. BOUCHER STREET ' CHICO CA. APN* 05-405-010 PAP Neto;. r N N I O I I I I . I I I I I I I I I I I I I I A I I I i I I I I I cn I 0 w I 0 N I 0 BUILDING OWNER'S NAME BUIIL-ZT ET I CITY -41 ca PROPi,RTY DESCR FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION W0,cl 'ng Apt., Unit, Suite, and'or Bldg. No.) OR P.O. ROUTE AND BOX NO. no block Numbers, Tax Parcel Number, Legal •-010 �ST,Q,TE on, etc.) BUILDING USE e.g., Residenti I, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) LPC -S awl % iQ L LATI I UDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: or ikf.#°) NAD 1927 LI NAD 1983 O.M.B. No. 3067-0077 Expires July 31, 2002 EoefrisuranceCompan p,:ot(cj ny ZIP CODE JUUKGL: L_I GPS (Type): LJ USGS Quad Map "Other: SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1.FIP; OhtMUNITY NAQME�COGMfYtI J (Ty NUMBER 82. CO NTY •NTA � � Bg STATE lJ 7 vL'1 B4. MAP AND PANEL 85. SUFFIX I 86. FIRM INDEX B7. FIRM PANEL88. FLOOD B9. BASE FLOOD ELEVATIONS) O NUMB R �AT �� FF TIVE/ VIS/CraED DATE ZONE S A ©( ) (Zone AoO, use depth of flooding) B10. Indicate the source of the Base Flood Elevation (BFE.) data or base flood depth entered in 89. LI FIS Profile L) FIRM L) Community Determined L1 Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: L1 NGVD 1929 Ll NAVD 1988 U Other (Describe): B12. Is the building located in a oastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? L� Yes L � No Designation Date: Af 14 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: Construction Drawings' L(Building Under Construction' L�Finished Construction �new'Etev� Certificate be required'When construction -of the, building is complete. C2. Bulldin Dia ram Number 9 9 � (Select the building diagram most`simila� to the building for which this certificate is being completed -see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comm nts Elevation reference mark used 4;e ✓� Does the elevation reference mark used appear on theF - Y No ) 0 a) Top of bottom floor (including basement or encicsure O `' '`' LI 0 b) Top of next higher floor ft.(m) N , u ,✓ e ��K. •,ai + R� 0 c) Bottom of lowest horizontal structural member V zones only)l' �� y • }�, �y.�.^\ 0 d) Attached garage (top of slab) _ ft (m) 0 e) Lowest elevation of machinery and/or equipment w servicing the building ft (m) O0 Lowest adjacent rade LAG 9 n e. 0 g) Highh,est adjacent grade (HAG) an 0 h) Nos=yffperr��anent openings (flood vents) within 1 ft. above adjacent grade 0 i) Tota-Kaafea oP II anent openings (flood vents) in C3h sq. in. (sq. cm) F Q >�t (� SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This cer ifr tion is to bel'signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. /certify that lees formation in Sections A, 8, and C on this certificate represents my best efforts to interpret the data availacle. i undars?and tla :t,anvf lSe statement may be punishaoie ia+ rrn.e orimpn.'sorrrrerr a^^ ?? U.S. C^de Sec 'J" CERT�f�S Yl A L L -LICENSE NUMBER -- I HAN IFY N WF HI��j ii5,5J C - ADCRESS272 � CITY AIDf� CTPTE P C 0 SIGNATOR goo AL�AEPH E ;=.1.tA Pnrm R1-11 AI Ir: QQ CPP RP\/PPCF CIf1P Pr)P r.r1NTINI IATInrQ PPPI Ar'.FC GI I PGPVIr1i m PnITIr1NC IMP.ORTANi: In theses aces co the correspond P PI p g information from Section A. For. Insurarice`C`ompany ElsefH:: i :: - BUILDING ST T ADORES Includin A ., Unit Suite, and.lor Bldg. Na OR P.O. ROUTE AND BOX NO. (?obey Numt:e[ :;:: ; iZsv v E rz E :.::: :.::...::.:::................................:. CITY �/ S ATE P CODE Coman NAIC Numb >' C/� ICO �1 � P..Y.. ee::< SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS I I Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION .(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMB -F, Section C must be completed , . r E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is LL -1 ft.(m) L—L—Iin.(cm) �I above or �) below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next,higher floor or elevated floor (elevation b) of the building is LL -1 ft(m) LI_Iin.(cm) above the highest adjacent grade. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? I_I Yes I_I No 1_I Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR -OWNER'S REPRESENTATIVE) CERTIFICATION 1 it: plupeuy owner or owners autnorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS I_I Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) ne iocat orricial who Is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B. C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. LI The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.1 I A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. I I The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER` G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for. (_I New Construction LJ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _ ft.(m) Datum: G9. BFE or (in Zone AO) depth of flo�ing a ie building site is: — ft.(m) Datum: LOCAL OFFICIAL'S NAME ; �'w�' TITLE ce, COMMUNITY NAMETELEPHONE SIGNATURE - 10�: E rP COMMENTS d +^! I I Check here if attachments ,R)c &vr NC4 2x8 - CON. FOOTING 2X6 @ 12" O.0 2X8 W/2 BOLTS GALV. TYP 4X4 POST 2X4 IRONWOOD DECK X6 RAIL ��v ►�E L� STEb�PPR�V'E1� 4" vc- 1411 vccood ioe�ou� �►rr�ed�wzR..--�a�i'ec( Coos . (O 41 1 6 1/2" 1 4X4 POST 1 ITj GERM • _ PIER BLK�� / \�lpp • o. CONC PAVERSrte:= ` o. () GRAVEL. �_..:. ;VTT H—GRA -1-�C'Ja "end 1/2 11 ' -01V ,11 IN 2 R ?nOl BUTTE COUNTY BUILDING. DIVISION VARIES 36MIN. ..h w i t a y • PM x "D m s -�f 2 • tv I / n 7 - Us ti a m 7q C--4 r -v -n ,—,A rn 9 3 03 Ac) m n' X 7'� 3 -P W (33 0 rim 3 MAX. rt `' \ MAX. r 36"MIN. STAIR -t N A W I DTI+ May 1995 s 6.5 Building Permit Number: Owner Name: 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 1998 California Building Code (1997 U.B.C), 1998 California Plumbing Code ( 1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 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 ote: 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. 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. cel -1419 PI -C' W ITE L `v Paget of 2 ' p Building Permit Number: Ol —I`R9 Owner Name: �J ❑ Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. ❑ Fire sprinklers are required in this structure. ❑ The following parcel map requirements shall be met: All structures and equipment including overhangs 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. cqL*jy,�' 1, r M&p,V Page 2 of 2 a. 32' s Co z w� Co H 611 20' 4-4 SIDE SET H BACK. U)x N o E- F i Co z QN ZO ALD JENSEN B H 1/16"=1'-0" x15 BOUCHER ST. OUC ER STREET Q C CO CA. go AP # 05-405-010 z FDate:fParking: NG DIVISION -BUILDING PAL 2 �Landscapine: BUILOI BUILDI FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION OWNER'S NAME ZcT�(�R(�C11 - Clu Apt.. Unit, CITY^ f+1 ca PROP - DESCRIPTION (Lot a RTY CO- b5 B LDING USEe.g., Resident' I, LATI UOE/LONGITUDE (OPTION r Bldg. No.) OR P.O. ROUTE AND BOX NO. �STATE O.M.B. No. 3067-0077 Expires July 31, 2002 ar.;fnsurance:CompanX:tjse:;is:;::: ; Polic`t Numtiec.. ::>:: Cdiripa.. tJ�IG Nuintier ................: :::::::::.;:::::.::;:: ZIP CODE NAD 1927L_1 "-) t i yNe). _ U NAO 1983 L USGS Quad Map Lf Other._ SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. FIPCOMMUNITY NAME 8, � NUMBER B2. COUNTY � 83. STATE Coq B4. MAP AND PANEL 85. SUFFIX/ 86. FIRM INDEX B7. FIRM PANEL 88. FLOOD .89. BASE FLOOD ELEVATIONS) O NUM R c;cf/ 505 CVT �� FF TIVE/ VISED DATE ZONE(S) ( /IT, 8 A O () Zone use depth of , Gooding) B10. Indicate the source of the Base Flood Elevation (BFE.) data or base flood depth entered in 89. LL FIS Profile L_1 FIRM L_j Community Determined LL Other (Describe): 811. Indicate the elevation datum used for the BFE in B9: LI NGVD 1929 "LL NAVO 1988 LJ Other (Describe): B12. Is the building located in a foastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? LL Yes LL No / 1 Designation Date: /(1 4 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: Construction Drawings' L_18uilding Under Construction' LLFinished Construction 'A new Elevation Certiricate willbe required when constructi-� on of the building is complete. -C2. Building Diagram Num6e—r-6(Select`the b'uil'ding diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, -AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comm nts Elevation reference mark used � .3q Does the elevation reference mark used appear on the F-Lctt = Y L_L No O a) Top of bottom floor (including basement or enclosure) ft.(m) O b) Top of next higher floor -- -X V zones only) Y) O c) Bottom of lowest horizontal structural member _ ft.(M) .(m) O d) Attached garage (top of slab) ft m O e) Lowest elevation of machinery and/or equipment:- ' servicing the building O f) Lowest adjacent grade (LAG) ft. (m) z.27 2 � O g) Highest adjacent grade (HAG), ," O h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade J %J, , UL�'� O i) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm I SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to ce�Y levation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret t`>''64 t ya'91 Y e ,understand that env false statement may be punishaoie by t"rn.e orimpriscrms^i under ! A ;r S Cod" �g CERT ER'S ME LICENSE NU MER l AC ill( - o F��@ TITLE 2d t' �.r7 e> NA �Nw` • OTIPA� Y N ADDRESS ,7,,,/-, K� � CITY AJQk. CH TE IS p M SIGNATORQjV 7// A co 5 r PH3 �— =UA Fnrm 81_11 At Ir: PA C; -G pF1rFpCG Clr1F Gr)p r.r1NTINI IATIr)N pFPI Ar'FC Al I PRr=VIr11 IC ;:n1TIr1NC IMPORTANT: In these spaces, copy the corresponding information from Section A BUILDING ST T AOORES Includin A Unit Suite, and/or Bldg. OR P.O. ROUTE AND BOX NO. NiS. v Ei E CITYC ICO ^ 4ATE :FarInsurance Company E.ese::'.:::;. E Compan SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentfcompany, and (3) building owner. COMMENTS I I Check here if attachmentz SECTION E - BUILDING ELEVATION INFORMATION -(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4If the Elevation Certificate is intended for use as supporting . information for a LOMA or LOMB -F, Section C must be completed. , . r . E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is beig9 completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is ft.(M) in. cm above or U below �u c) �L_r ( ) LI (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floc., or elevated floor (elevation b) of the -building is LL -1 ft(m) LI—lin-(cm) above the highest adjacent grade. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? LI Yes LI No LJ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR:OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME \ ADDRESS CITY _ STATE ZIP CODE - - DATE TELEPHONE COMMENTS I_I Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B. C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. LI The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. I I A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. LI The following information (Items G4 -G9) is provided for ccmmunity floodplain management purposes. j G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY l ISSUED G7. This permit has been issued for. L_I New Construction U Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _ ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: — ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGi`IATURE DATE �- °'(I 1. .i C Check here if attachments Bdrm #3 11' -6" Bdrm #2 11' -6" a Opt Inswing Pantry ®j W :q- Bdrm #4 - Dining Room ; Morning RoomKrtclien -____-- 12 10'-5" 0" W Walk-in K F -- ----------- I Master Rtrt 12'-5" Opt Door tnev Living Room Master Bdrm " 2U' 9 14'-6" p Shwr . Opt Lino ' 0...'1`. Model #558 ' 26'-8"x66' Built By HOME BUILDERS CO. Lindsay, California z MOBILEHOME INSTALLATION DATA c 1) Owners Name: ` Don Q ICI Jensen 2) Assessor's Parcel Number: Qp'� _ L46 S— Q 10 3) Installer's Name: INTEGRITY HOMES, INC. 4) Is the site currently under permit? Yes [ J No [)C] Permit No. 5) Is the site an existing site? Yes [ ] No [--to] (If yes, furnish two plot plans). 6) What is the electrical rating of the mobilehome? k0o Amperes. 7) What is the mobilehome site circuit breaker rating? app Amperes. 8) What is the electrical rating of the mobilehome site? DC)o Amperes. 9) Is the main service remote from the mobilehome site? Yes [ ] No [ Kj If it is, what is the rating? Amperes. 10) Is there any other electrical load to be served by the mobilehome site electric service (ie well, garage, etc.)? Yes [ ] No [?o] If yes, please identify the load and size: a) The mobilehome site:. Load- Amperes - b) The main service: Load- Amperes - 11) Type of gas service at mobilehome site: Natural [ ] Propane ()C] None[ ] 12) Size of gas pipe at the mobilehome site from the meter or tank: 3/4". 13) What is the gas pipe length from the meter or tank to the mobilehome? a5 (ft.) 1.4) 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 then 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION 03-Aoddd "M30 Ori .'NOW 31J rV r.. 1 MOBILEHOME SUPPORT DATA Mobile Manufacturer: 0-,KCkhNP ((Jf1 Manufacture Year: If other then single wide, fumishSetup Model Number: C5 '5 g Width:'Sa(� r' (ft) Length: Lojo (ft) Tagalong or Expando Size X 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 [ K] Other: Provide Tie Down Specifications for all Mobilehomes: 0-e.nlya� Par,, Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 1 Line 2 Line 2 ................................................................................................ Main Rea= Lin- 2................................................................................................ e 2 Line 1 Lice 3 Line 2 . ....................................................... Main Beams Line 2 Line I ................................................. ine S Tag or Triple e4 ine I Line 1 Piers: Size minimum: I 1x[ Spacing maximum: " From ends -max: " Line 2 Piers: Size minimum: x IV Spacing maximum: S' O " From ends-max:1,9-,o " Line 3 Roof Loads: Size minimum Location (from rear): Line 5 Roof Loads: Size minimum Location (from rear): 9 Line 1 Openings Size minimum: I ]XI Each side of openings " with width over: " Line 4 Piers: Size minimum:]XI I Spacing maximum: " From ends -max: " GH Y 3® a4x 39 '30 dip I 3o K 3® I �X 3® -:�Q F' 1S' 3-1/8" o q`�i " 3$ ;1'J S' S3 ayy " (Ps " u MAY.-23'01(WED) 14:26 CHAMPION #UOU9 TEL:559 562 146336 F�------.Y- I 1 I I j/1d1t 06 -.'. -- I I I I I I I I ! 66---�{ .0/1 GE I ISI I, l ON3 H311H\JldH-d ` ON3 H311H HIUH-8 I I o—`�rJ I I I ! I 1 I I 8 ISI I I�i Igl ; n, rJ lJ I , 1 1 I II I i m 1 •S, Igl I ISI I -I { t v J l LnJ I I I cool I I I I � I I I LTJ 1 7 I 1 FR 1 I i I { 1 �•-•------- I i._.--- --- .-.__._.1 i I I I I I T. r- -1 z 1181 I�I 1 ISI I�I .............. J I ! t - cr ---- --- ------ { r { � P. 001 I I I I I 1 I I L � J e a r I 1 I I I I I I I I I I I I I I I ! r i 1 �Lj m_ 18 I I ISI Y 181 i D + D oYp �A e { ...... I � i`1 igl 1 I { imJ I i�t I 1 I ,G^ I D , zJ 61 g e a r I l H � 9 a o - D + D oYp �A e �Y L L m e S; _ a o � OOp 3 L i L ,G^ I D , zJ 61 i m Y 6 C = m v n a J4 FE c5 w FF la = 0 g T- a Z O L� W `o SITE PLAN REVIEW APPLICATION Date: AP# Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: ' 20 Owners Name: J'e1Js(sJJ Owners Address: � 5 O AS ST C,141 CO C.A. Telephone No.: Situs Address: r3oU 04 CR S. 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: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY y 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) ❑ SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See attached) • Flood Zone: A- Q • Flood Panel No.: O—Ts 05 C— Index Date: (25V ❑ 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) 0 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: /P — 1 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear S Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 r.i J, ty Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Amount Formula ------------------------------------------------------------------------------------------------------------------------ Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * 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 FI Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: ❑ Parcel Deemed to be legal Legal Access Provided: ❑ No Legal Access Required ❑ No ❑ No ❑ Yes, Road Name:_ ❑ No ❑ Yes ❑ Yes ❑ Yes ❑ 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 19 Subdivision Map/Parcel Map: Map Date of Recording: Lot: I ❑ Use Permit/Minor Use Permit Permit Number: Book: - 33 Page: Date of Approval: ❑ 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 on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ 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. Page 4 of 5 Summary of Specific Requirements: (',. 1A I �2.�GtU l �L�. � �l�-r'-FOr'`. �"'�1 � � 0 rL.e�u �aN�i �� 1G�► � 1 r.� T m .N �, t, P I -O T' P UI,) '1'rz-� nOSC-,D This information provided in this summary is based on the.application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 Development policies for the Chapman/Mulberry Area Building & Development Constraints 1. FRONT YARD AREA: Front yard -areas shall be consistent with the average of the existing front yard of adjoining parcels, but in no case less than 15 feet nor greater than 30 ft. 2. REAR & SIDE, YARD SETBACKS: Same as the base zoning district, except as otherwise provided. 3. SINGLE FAMILY DWELLINGS: a. Front entries shall be established for all residences and shall be oriented toward the street. b. All new garages shall be set back at least 10 feet from the front edge of the dwelling. Garages located in rear yards are encouraged. Detached, single -story garages shall be set back at least 5 feet from the rear yard property line. ' c. New dwellings shall be designed with functional front porches. d. Front yard fences shall be limited to three feet in height and shall be of an open (not solid) -design. Front yard landscaping shall not obscure views of the street and adjoining neighbors. Particular attention shall be given to the design of properties near public use areas, such as parks, community centers, and the school, to provide for direct visual contact with these areas. e. One new tree, 15 gallons or greater in size, shall be planted in front yard areas as a requirement of new single family residential permits. The species of tree planted shall be selected from the following list: Common Name Scientific Name Chaste Tree Vitex agnus-castus Pistache Pistachia chinensis Ornamental Pear Pyrus calleryana "Aristocrat" (Columnar) Ginko Ginko biloba "Princeton Sentry" Sycamore Platanus acerifolia "Yardwood" Trident Maple Acer buergerianum Golden Rain Tree Koelreuteria paniculata Sour Gum Nyssa sylvatica "Black Tupelo" Ginko Ginkgo biloba "Autumn Gold" Silver Linden Tilia tomentosa "Serling Silver" (Won Styer Award) Zelkova serrata "Green Vase" Chinese Hackberry Celtis sinensis Holly Oak Quercus ilex •p� 0n 4. MULTIPLE FAMILY DWELLING UNITS: a. All multifamily dwelling units must face with front doors onto the street.. b. Parking lots shall be established to the rear or on the interior of building clusters. Fencing in the front yard area shall be limited to three feet in height. All front yards shall be landscaped. d. Refuse Containers and mechanical equipment must be screened and located within the interior or rear areas of building complexes. e. Pedestrian walkways shall be provided from street sidewalks to front door. f. Use Permits shall not be required for remodeling of nonconforming multifamily dwelling units which do not result in an increase in the number of units or bedrooms, or results in additional floor levels. Reconstructed multifamily dwellings shall be subject to the provisions of paragraphs a. through e. above. 5. PARKING LOTS: Parking lots for parcels containing more than two dwelling units shall be screened from view from the street by vegetaion. or fencing that is no more than 4 feet in height off street. Parking lots shall be located in the rear or side lot area and are not allowed within the front set back area. 6. COMMERCIAL & INDUSTRIAL USES: a. Outdoor lighting fixture for commercial and industrial uses shall be oriented or otherwise shielded so that the source of light and light reflectors are not visible from nearby residential properties. b. Noise and visual impacts of commercial and industrial uses that abut residential uses shall be buffered through the use of 8 -foot high masonry (or equivenent) walls and landscaping. ,Landscaping shall be installed on the residential side of the wall and be used to buffer the appearance of walls. All such buffering shall occur on and be maintained by the commercial and industrial property. Earthen landscape berms with a wall may also be utilized to meet this standard. CLAIMANT'S NAME MAILING ADDRESS REFUND CLAIM APPLICATION '-D ASSESSOR PARCEL* 010 RECEIPT NUMBER(S) �3"a a®� OAQ-AtA 01 - t01 u Df Request a refund of fees paid on the above receipt number(s) for the following reasons: 1_Mr T` c_. Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) (, ) Building`Permit Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: ( ) Plans returned to me at counter ( ) Sheriff Fees ()() Urban Area Fees ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE o - 0 DATE 1D`�t SOI PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. FOR BUILDING DIVISION USE: i Receipt Information: Number: 3 3 Ra -C) a Date: �( aJ 6;1 / Issued To: Amount:11 ` 6 Fees Retained: Processing Fee: Bldg Filing Fee: Plbg Filing Fee: Elec Filing Fee: Mech Filing Fee: Energy P/C Fee: Plan Check Fee: Inspection Fee: SRA Fee: Total Amount Retained TOTAL REFUND DUE ,j r COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: D & A CONSTRUCTION ADDRESS: 1740 FEATHER RIVER BLVD. CITY & STATE: OROVILLE, CA 95965 DATE OF CLAIM: 10-08-01 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT. - SEE INSTRUCTIONS ON RF'VFRCo *Inc DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OVER CHARGE OF URBAN FEES:(AP# 005-405-010, BP# 01-1419, RECEIPT# 33220 OWNER: , DATED: 9-19-0 TOTAL -AMOUNT PAID: 1 0. DO TOTAL AMOUNT TO BE REFUNDED: TOTAL 106 .he undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim Is tris correct as stated. y ted this 0 1 day of ( 0 , f8__, at Calif. �-�Y1(1>s �1• 0 A I4_�,LAGQ O Signature of Claimant the undersigned, hereby certify that, to the best of my knowledge, the services or articl pecifiedabove ve be performed or deUvwed and at there is a Budget Appropriation I j or Specific 4pprov 41hec., one)forated this day of OA at De artment Head or Authorized Deputy ept. Code 440-002 Exp. Code 421050 ' 2 .OIDAYABLE FROM BUILDING PERMITS FUND :ept. Cade IdUUExp. Code 1U1161 FOR 1 _ AILI117PAYABLE FROM 0TRFFT TMPRMM4FNT��CIiA ?ept Code Exp. Code PAYABLE FROM DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. I PROJ. I SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. I GROSS AMT. Robert E. & Ellen Fairchild 300 Broadway Street, No. C-1 Chico, CA 95926 utte Co LAND OF NATURAL WEALTH AND BEAUTY RE: Forma! Warning Notice Butte County Code Violation 1425 Boucher St., & 752 California St., Chico AP#005-405-010 Dear Mr. & Mrs. Fairchild: PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530)538-7785 According to our records, the courtesy notice, final warning notice and previous citation has not resulted in the abatement or correction of the operation of the illegal used furniture sales on your property. Your failure to cease and desist with this operation are cause for the issuance of this formal warning notice. As of this date, our records indicate that the following violations to the Butte County Code still exist: The operation, of a Furniture repair and sales business on your property for which it is not allowed. Butte County Code, Chapter 24, Section 24-65 - Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. Butte County Code, Chapter 11, Section 11-11 - It shall be unlawful for any person to engage in the business of junk dealer, junk collector, secondhand dealer, pawnbroker or peddler in the unincorporated area of the County without first having obtained a license to engage in such activity as provided herein. Butte County Code, Chapter 24, Section 24-270 - Home Occupations. The business activities occurring at the above -referenced location have not met the requirements of a Home Occupation as defined in Butte County Code, Chapter 24, Section 24-305.195. Butte County Code, Chapter 26 - U.B.C., 1994 Addition, Section 102 - Unsafe Buildings or Structures. All'buildings or structures regulated by this code which are structurally unsafe or not provided with adequate egress, or which constitute a fire hazard, or are otherwise dangerous to human life are, for the purpose of this section, unsafe. Any use of buildings or structures constituting a hazard to safety, health or public welfare by reason of inadequate maintenance, dilapidation, obsolescence, fire Robert E. & Ellen Fairchild March 2, 2001 Page 2 hazard, disaster, damage or abandonment is, for the purpose of this section, an unsafe use. Parapet walls, cornices, spires, towers, tanks, statuary and other appendages or structural members which are supported by, attached to, or a part of a building and which are in deteriorated condition or otherwise unable to sustain the design loads which are specified in this code are hereby designated as unsafe building appendages. All such unsafe buildings, structures or appendages are hereby declared to be public nuisances and shall be abated by repair, rehabilitation, demolition or removal in accordance with the procedures set forth in the Dangerous Building Codes or such alternate procedures as may have been or as may be adopted by this jurisdiction. Asan alternative, the building official, or other employee or official of this jurisdiction as designated by the governing body, may institute any other appropriate action to prevent, restrain, correct or abate the violation. Butte County Code, Chapter 26, Section 26-6(b) - Unsafe for Human Habitation. This dwelling has been posed by the Butte County Department of Development Services, Building Division as unsafe for human habitation. There are numerous conditions existing which are in violation of the State Housing Law and the Health and Safety Code. It is unlawful to occupy this dwelling. It shall be vacated at once and remain vacant until clearance to occupy is received from the Butte County Department of Development Services, Building Division. It is a misdemeanor to occupy this building, or to remove or deface this notice. Butte County Code Section 26-6 (b). Failure to vacate this dwelling as required by law will result in legal action through the District Attorney's Office. The determination that this violation exists on the property is based on the following definition in the Butte County Code: Butte County Code, Chapter 24, Section 24=305.380 -Secondhand Store. "Secondhand store" means any retail establishment in which the principal portion of the articles, commodities or merchandise handled, offered for sale, or sold on the premises are not new and for which a license is required pursuant to Chapter 11 of this Code. Secondhand stores shall not be considered as including antique stores or pawnshops. Butte County Code, Chapter 24 Section 24-305.451 - Violator. An adult owner, tenant, occupant, resident or other,person having possession, control or any other ownership interest in or the right of access to the premises, who is suspected or alleged to have violated or to be in violation of any Butte County Code provisions of the Chapters specified in Butte County Code Section 24-305.451. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: Cease and desist in the operation of furniture repair and sales business from your property. il Robert E. & Ellen Fairchild March 2, 2001 Page 3 . 2. Obtain a Use Permit and License as a Secondhand Dealer. An application from to license as a secondhand dealer,can be obtained from the Butte County Treasurer located at 25 County Center Drive, Oroville, California. An application for a Use Permit can be obtained from the Department of Development Services, Planning Division, located at 7 County Center Drive, Oroville, California. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded ,in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. c rely, in Nvjo G*� E. Frank Cook Code Enforcement Officer EFC:pa cc: Department of Development Services, Code Enforcement d M PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On March 2, 2001, 1 served the foregoing 10 -Day Letter on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope In the appropriate place within the Department of Development Services where mail is collected.for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Robert E. & Ellen Fairchild 300 Broadway Street, No. C-1 Chico, CA. 95928 1 declare under penalty of perjury under the laws of the State o CaliforniaMA 2, 1001, at Oroville, California. 1 _ 0 J aura HTTTeroerry VIOLATION CHECK LIST A. P. # oe3_ yD -,l 9/d Address / j3y&e ,� �'/�i 4 u Owner Owner's Address Owner's Phone No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. Specific Plot Plan with C/V Noted _fires no Penalties Required 1st. Notice Sent 91;147 ate Comments and/or Determination Disposition 2nd. Notice Sent Date For Citation Citation Date (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) ✓' Robert E. and Ellen Carla Fairchild 1299 E. Avenue, Ste. B Chico, CA 95926 t_ BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 September 3, 1997 RE:. Code Violations A.P. #005-40-5-010 1425 Boucher, Chico Dear Mr. and Mrs. Fairchild: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at.the above -referenced location. Failure to obtain. the required permits, inspections and approvals from this office for installation of three (3) travel trailers. Since travel trailers are not permitted in the AR zone, the travel trailers must be removed from the property or the occupancy and use must cease and desist immediately and the travel trailers be placed in dead storage. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement- -if— voluntary if—voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording. of a Notice of Violation including a description of the action necessary to -abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely,. MCV:dms Micha1 C. V'eira, C.B.O. Manag r, Building Inspection cc: Assessor Complainant: Address: Phone Number: Other Comments: Building Inspe must draw a plot plan with all buildings and violations: Additional comments from Building Inspector: ' OVER I�' e r COUNTY OF BUTTE BUILDING DIVISION € DEPARTMENT OF DEVELOPMENT SERVICES ` F; 1469 Humboldt Road, Chico, CA - (916) 891-2751 ;`- 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ILC -Hf F as- te a OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date —Z Inspector REV 10/92 E I Complain e Q( Other Date BUTTE COUN. r A.P.# s- yoS- -y 6 Address "�-57-1> & yV►a vi AW —4AIV✓ R95(-3q� �`en� Zoning Complaint Location G Taken By: YPE Q BUILDING Q HEALTH Q PLANNING Q OTHER h PERMIT HISTORY ON FILE Q NONE Q�' AS FOLLOWS :.eP c S i - j c — FIELD INFORMATION TENANT: Name At p' k Address Description of Violation OTHER COMMENTS: Approx. Bldg./MH Size Approx. Bldg./MH Age QUnder Construction Built By/For -EQ Present Owner Q Previous Owner = Occupied Q Has Power Q Has Gas Q Has Sanitation Facilities Q Written Notice Given & Attached Q Person Contacted Describe Action Taken: ACTION RECOMMENDED: Information only, file Letter Other BY: (2, Q 10 Day Letter Hold for Days 1. DATE �: •- . rX CDF/BCFD DAILY INCIDENT LOB Day/Date from easel/_-�_C-to ®808--�1-1=v--/_ Pageof--- • •r+•Sara#rrrrrr#alaara!##!!###ra##a#raaa##a#i#a#a###r###ra####raa#r#a##r######rf,r#aa • IncO�jf,��.t_Firrt _ Nare ----Type------------------ Rrport ti �L/ :tart t,�rr_r�� Control _ti- R -O---- ------------- att#I� t g�,-- - �----- Laration _ _ Batt_ " Cause E ines:CDFj__BCFD ] _;Co�,�11 Officer ------------------------------------- q - - ------ A /Atk NT___Doz---Crew---AA---AT---HC-- Damage....................................Other Eq_____...... --------------------Total --- - ----- ----------------- Land use --------------- Acre/'type------------------------ 7ota1 Owner/Tenant _ NRA: ----------------------------------------------------BI -------- � 0•Misc,Info ------------------------------------------------------ ---------------- 1nc0Fire# _ _ _Name __ _ _ _ Type _ ----- Location __ T .Report tient. QQa Start time Control tireR.O. - ___5ta•J Location_��rtL?�_i�t�?Jlti/�'�_ ----------- - -Batt_ Cause ..................................... Engines:CDF=-=BCFD--- iCo#j�_Officer— Saved------------------------------------ Sq/Atk_I NT Doz---Crew AA -__AT --- HC--- Dasage....................................Other Eq_. li • G Q--------------- ________________ Land use Acre/Type ----- _-_j_ Total Owner/Tenant--------�------ _---------+--NRAs.� _4_ ' M1sc.Info_ it#afaara#e#asaa#a!!a-+ttttta++tr# . nckQ� Fire#j�],3_Name__j1��LQ(�� sport %L -start imeZ� Control time 3 O--R.O-_-_ _ - - _ Location__. �%�t�24�rSc.�l>=i^_ _ _ -- -- -Batt#_y' Cause _EnginessC9F___9CFD,-, 1060r Officer 2 Saved____ _ ------------------- Bq/Atk_�_NT_(,_Doz... Crew ... AA ... AT ... HC___ h' aea9 --- -�- � - _ r Other Eq---.------------------------------ ---- �ne nd useDQ'MeSn�---_Acre/Type------------------- Total_Tenant _M:� 5l _-- ----------------------MRAs 1 -----9 ----------------------81 s _ L�P�SH: ► Mi ac. Tnfo --------- T.0 -VI I.�,lasia------------------ ! !a!!!!• !#4! •IF;i!!! !'#�j!SF!# Inco U JZ_FirefJol---Nase_rAX/1tz 1-VA(11YY1 ---- Type_ - - --------- P. , Reort ties Bt r tie Control time R 0. l < DQa.1.- --=-------- - --------- Loc tion__C��„ _ _ ------------------ Batt# Cause _ Eny nrssCDFJ_BCFD_ _1Co0Officer '-.Saved-- .. _NT... Doz... Crew -__AA... AT --- HC --- Damage.................................... Other Eq ....................... .------- Land use---------------Acre/Type---------------- To 0Owner/Tenant r� _ _ _ __-NRA: R.P. _ Js� __ ls3L2���_�-------------------------- --BI: AAA . Misc.Info _ !#!#ober♦ia!!alta#!i!!####!a!#!##!itle!!!##a##!####r!!!!4!!#!leesta! e! !!!##a!a#alit t; Inco 0�1►-FireO--------Name------------ -------Type_ - y -------- --- Report tirr_Q,Q Start'Use_ _ Control timeR.O. 3 __________8ta# Location�1----"--v- -------------- ------ - --- Batt# -------------- _ Cause ------------------------------------- Engines:COF... BCFD _-IC o# Officer Saved------------------------------------ Sq/Atk _NT_ Doz... Crew AA AT __ HC - Damage Other E --------- ---- ---Land use --------------- -Acre/Type.LT ----------------------- Total Owner/Tenant NRAs„�(_ U n R.P._2J-----------------------------------------------8Is------_ V hisc,lnfo------------------------ ----- -- rev. H/16/86) I r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephoner 916/538-7541 W20 9( APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 005-405—WV ZONING,. BUILDING PERMIT OWNER Irene To noni TELEP 'ONE 34P 7 SQ- FT. OCC. BUILDING VALUATIONr' OWNER'S MAILING ADDRESS - 855 Lyman St., Reno NV CONTRACTOR'S NAMETELEPHONE Mello Construction 343=i$67 CONTRACTOR'S MAILING ADDRESS 9857 Lott Rd., Durham 95938 Fireplace TA$1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $52.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $67.50 PLUMBING PERMIT Filing Fee 15.00 1425 Boucher St., Mico Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [11 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other X] Describe work: Demo _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS j$,50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I dee lire under penalty of perjury (Check one): IrFJ,S I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full for and effect. License No. ���00� Classification �j �i// ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ACDNS. ACC. BLDGS. / 3.6$sq.ft. NEW CONSTR.ULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 Ex. Occup. OUED P TLETS (RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all :liabiFities, judgments, costs, and expenses which may in any way accrue againstAsaid County; tl, onsequence of the9ranting of this permit. �X (y Date Zz �� signature.011 of Applicant –' Owner ❑ Contractor ® Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $67.50 HAz DFEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees RECTO F _UBLIC ay-- "Z/ PERMIT EXPIRES Date' applicable provi- resolutions to do have been paid. WORKS Date 11/22/9 �92 Receipt No. 103 WHITE-D.r.W.. YELLOW-ASSt3SOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 005-405-006 ZONING BUILDING PERMIT OWNER Irene To noni T3LE O� Nf..j E S3 7867 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 855 Lyman St. Reno NV CONTRACTOR'S NAME Mello Construction ITELEPHONE 43-7867 CONTRACTOR'S MAILING ADDRESS 9857 Lott Rd., Durham 95938 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$3,500.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $52.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $67.50 PLUMBING PERMIT Filing Fee 15.00 1425 Boucher St., Chico Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [3 Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORM New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other ® Describe work: Demo Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declAre under penalty of perjury (check one): teff, I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions-��Code and my license is in full cg and effect. License No.-G���� Classification 7� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Eusiness and Professions Code for this reason NEW CONST. M DWELLING OCCUP OR ADDNS. ACC. BLDGS. // 3.64 sq.ft. NEW CONSTR ULT' -OUTLET NON-RES'D BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 SINGLE OUTCIR. EX, Occup( OUTLETS OR FIXTURES 20 76 EX. OCCUp. FIXED OUTLETS PRESID IREAJ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. V1 I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property -or inspection purposes. I also a ree to save, indemnify and keep harmless the County of Butte against all I ities, judgments, costs, and expenses which may in any way accrue ins said Co on eque a of the granting of this permit. f Date Z� / gnatur of Applicant — Owner ❑ Contractor [1 Agent ❑ An OSHA permit is required for excavations over 5'0" Jeep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P occ CONST TYPE TOTAL FEE $ HAz DFEES IMP FLOOD COF PARCEL PD HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees E�j BLIC BY �/� PERMIT EXPIRES Dat 11/22/92 applicable provi- resolutions to do have been paid. WORKS Date 11 22 9 103980 Receipt No. WNIT!-D.P.W., YELLOW-A88lSSOR, PINK -INSPECTOR. GOLDEN iOD-APPLICANT •� T^x .. i., - .:�. .y. y .......T,�+.n �.s:..��r,.p'.rxi';i *iw�T� +�,'kh•`w.-r r.+. ... -s;d• �,. ��,. _ - i . COUNTY OF BIZTTE1 DEPARTMENT1dF PUBLIC WORKS - BUILDING�DIVISIO, ^ y 7 COUNTY CENTER DRIVE - OROVILLE, CALIPORNIp 95965 - TELEPHONE: 916/538-7541 E PERMIT APPLIC01- O BATA SHEET ,.r Permit No. ! OWNER �/C� �/ � � A. P. Proposed Building Use Building Inspector-_. _ Date At time of p mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: - � DATE RECEIVED APPROVED 1. All items have been submitted....... ..................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . . 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including mariufacturer's installation instructions...................................:................... 10. Fees of $ 11. Chico Urban Area fees paid •3.l • 12. Park fees paid...........................................13. . School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ............................. l".' 16. Plot plan and business license approval from City of ` (see City for other requirements) I 17. Planning approval for (A) Use: (B) Parking: .....•% 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval req.dired prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... ,f. 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: er, ail to contractor. Mai Telephone and hold for pickup office. Deliver w/inspector. Other Applicant Date / Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail_countey date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by- date Plans checked by , Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW to Demolition Permits Asbestos ron Date AP# d©� Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant*to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant -to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant OR I hereby declare that.a written asbestos notification to the United States Environmental Protection Agency is not applica to this demolition pro' ct. r Signa re of Applicant 2/19/91 INST 30'x3 P HOLES FOq x 2 1/2' C.B. 18'xP4'x3/4' PLYWOOD --BO', 24', 28', 28', OR 32= PLAN DOUBLE WIDE MOBILE COACH Scale: 1' - 15' 3/4' PLYVOOD SHEETS HER FHVS ALTERNATIVE PLYWOOD FDUNDATIDN PAD NOT TO SCALE e x-12 14'. OR 18'-J PLAN SINGLE AIDE MOBILE COACH Scale: 1' - 15' 3' X 3' PLATE MAX TUBE HEIGHT 8' SHORT TUBE 14' LONG TUBE 4 - 3/8' BOLTS TIGHTEN TD 180 T 3/4' THREADED_ ROD COACH 1 BEAM ��TS/e• ...2' DIA STD PIPE _3/16' PLATE CLAMP � TYP OF L4 TE LEGS 3/16' PLATE X 1 1/4' BOLT VITH HARDENED WASHER SEISMIC PIER Not to scale C.P. SEISMIC PIERS l - PATENT #5595366 OUR. 180 a�� n oa,QVaarr M is rrfouas 2 - 3/8' x I' BOLTS REVISIONS 04/12/99 OQsrm Mo ns WEAM OPTION OF 4 - 914 TEX STS COACH C (COACH i r 1 LIJ 1/4'x2'x4' . , 1 ANGLE 3' VIDE PLATE 4. ALL FOOTINGS ARE TO IDI SUPPORTED BY TDiY UNSATURATlID UNDL4fIJIiSID COHB3IVE u 901E Pb01II1(i9 ARE DESIGNED FOR 1000 PST TO?AL LOAD Rif PR133IIRE c 4-I/2' STE1� a SNAIL CO TO ASTM A96 90 ESI KOMu M. D. SNAIL BE FABWCATED ACCORDING BOLTS SEISMIC c QI Z PIER o0 O t _ 1Vi. T D DRAWN 2. FOR AN a ,NMS BEAM ADD AN ADDHTONAL ROY OF C.P. ANCHOR PIERS. BEAM SHOULD NOT CANTILEVER OR THAN WZ&L= COLD L07 CARBON WELDABLE b ALL YLTAL CO]D?OdiZRl9 INCLUDIIIO NAILS A 9079 ETC. ARE TO HE PRO'lEf.'!!VE COATED. U O 8. THE Pin SUPPO31T L9�9aMBI m SHALL BE COATED WITH � Wn ajLS Eel-ga OR APPROVED EIQIDVALETT. ►-� W 7. �TDiO (� OIiAWIIiG CJgTI1F1ZD TE.YIDiG AND IAAD98Y a 1wT1QlA1.: 1700 LBl9. UL71MATIC LOAD O ,_..� 41 o D. VZKT=AL : 19000 ULTDMATE LOAD c 311PPORI 3I8TE1[ 13 FOR P11CIIfG MANUFACTURED BUIIDINGS CONSTRUCTED e. WITH WITH LONGlTUDDNAL OR CROSS JODR9. c 9. THIS MJPP03M BTU= PL&N 19 D=o m TO BE CONSMCTZD ON A FAIRLY LEVEL SILT: WITH No ==M LLI EMS, 7SL7TLZMENT OCCURS DUE TO POOR SOIL SULL PROBIU. SEE NOTE u . l0. SUPPORT 1lYSI1tN FOR CHASSIS BEAU SUPPORTS EL" ffi LOCATED AMID SIZED FOR THE LOAD A8 SHOWN DN THE MOB LS HOME DNSTAIIATIOIN DNSTRUCTIONS. � W c c to 11. IN AREAS WHERE DU}'ERENTIAL SSITLEMEMIT �.) CAI OCCUR. MANUTACTVliED HOMES 1�4 %MAT'- BE SWADJUST31) VIM D.THE OR WIDCMi LA O a) . 1T WILL 1DYER8EL Y AT1Zt'f USE OF THE 1WWACTURED HOME. w Q 12.3TANDARD P= k POOTIIMG SPACING PER MOM COACH MANUFACTURER'S INSTALLATION MANUAL W1T80U7 MANU/ACTURER 8 INSTALLATION MANUAL, E- 0°i v� SPACLNO OF 8lANDARD PIERS AND PAD SUPPORTS TO BE DETERMDNED BY STATE NOIipE BOIOl:9 PARS ACT. LINE SUPPORT �TRC�TUTER�'S 13.THD SYSTEM 19 ADA TABLE WITH HOLLOW MASONRT BIACZ PIERS. FOUNDATION PAD R•1. NOTES- I- THE FOUNDATION PAD SHOWN ON THIS PLAN 13 A PRECAST CONCRSIT: FOUNDATION PAD. THE PLYWOOD YMMATTON PAD MAY ffi USED AS AN ALTERNATE. 2. FOUNDATION PADS S8AIL BE PLACED ON LEVEL UNDLYfURBIID SOIL, 3. CONCRETE -m IA MINIMIA�, I I I C. Wim FIELD CONDITIONS REQUIRE PAD ROTATION, NO MORE THAN HALF OF THE PADS IN A TRAVERSE LINE CAN 13M F4DTATRD 90 THAT THE IANC DDMMON I I Z (� 4. 1-1 O A. 9/4 INCH A.PJL 48/24 ==OR P.S.I.-89 CC. PLUGGED. NER-QA397.PRP-108. (I SIZE NOTES- 4 4 O 2. MA311 M LENGTH OF DOUBLE WIDE COACH 70 FEST. 3. UNLESS APPROVED BY THARP r ASSOC.. FLOOR TO RIDGE HEIGHT NOT TO EXCEED: U A. 8 FZEI TOR SINGLE WIDE COACHES. Co I I I I I ' SEISMIC 4 4p 4 PIER L FOUNDATION PADS I ® I I w SEISMIC SEISMIC PIER L FDUNDAAIDS I I 4 4T 4 4 E DU7LNOCIF ,LEE 4 4 4 4 OUTLINE 4 4 Ci]ACH OF MOBILE COACH 30'x3 P HOLES FOq x 2 1/2' C.B. 18'xP4'x3/4' PLYWOOD --BO', 24', 28', 28', OR 32= PLAN DOUBLE WIDE MOBILE COACH Scale: 1' - 15' 3/4' PLYVOOD SHEETS HER FHVS ALTERNATIVE PLYWOOD FDUNDATIDN PAD NOT TO SCALE e x-12 14'. OR 18'-J PLAN SINGLE AIDE MOBILE COACH Scale: 1' - 15' 3' X 3' PLATE MAX TUBE HEIGHT 8' SHORT TUBE 14' LONG TUBE 4 - 3/8' BOLTS TIGHTEN TD 180 T 3/4' THREADED_ ROD COACH 1 BEAM ��TS/e• ...2' DIA STD PIPE _3/16' PLATE CLAMP � TYP OF L4 TE LEGS 3/16' PLATE X 1 1/4' BOLT VITH HARDENED WASHER SEISMIC PIER Not to scale C.P. SEISMIC PIERS l - PATENT #5595366 OUR. 180 a�� n oa,QVaarr M is rrfouas 2 - 3/8' x I' BOLTS REVISIONS 04/12/99 FIELD DRILL HOLES 05/18/00 OPTION OF 4 - 914 TEX STS COACH C WIDZS 90 Pd 140 Pd F70 JdVbf B 4 1 OR J BEAM 1/4'x2'x4' . , 1 ANGLE 3' VIDE PLATE 4. ALL FOOTINGS ARE TO IDI SUPPORTED BY TDiY UNSATURATlID UNDL4fIJIiSID COHB3IVE u 901E Pb01II1(i9 ARE DESIGNED FOR 1000 PST TO?AL LOAD Rif PR133IIRE c 4-I/2' STE1� a SNAIL CO TO ASTM A96 90 ESI KOMu M. D. SNAIL BE FABWCATED ACCORDING BOLTS SEISMIC c QI Z PIER TYPICAL BEAM CDNNECTIDNS_; Not to Scale 12 SO IN OVERSI11 FOR CIiIPP1NG 5/8' X 1 3/8' FLANGED STAINLESS STEEL ANCHOR INSERT n 4x4 -4x4 VVF I- PRECAST FOUNDATIDN PAD Not to scale ELEVATION NOT TO SCALE GENERAL NOTES: RMWOMM AIDOIDM'A CODE OF REGULATTONS. TITLE 26 AND U.B.C. 1944 EDITION. I. DES K LOADS: REVISIONS 04/12/99 COACH SIZE 05/18/00 (� VIDES 90 Pd 40 Pd N B 4 UBIZ VIDESISO Pd 140 Pd B 4 E", WIDZS 90 Pd 140 Pd F70 JdVbf B 4 iJ co c 2. THE DESIGN LOADS SHALL In CONSISTENT WITH ROOF LIVE LOAD, WIND LOAD. AND SEIHIQC ZONE A8 ESTABLISHED FOR PERMANENT BUILDING WITHIN A SPECIFIC LOCAL E..., 1� �1 ARZL 3. THIS FOUNDATION SYSTEM 39 CONSIDERED TO CONSTITUTE A PzRxAN=r FOUNDATION. c - E 4. ALL FOOTINGS ARE TO IDI SUPPORTED BY TDiY UNSATURATlID UNDL4fIJIiSID COHB3IVE u 901E Pb01II1(i9 ARE DESIGNED FOR 1000 PST TO?AL LOAD Rif PR133IIRE AND SBAIL ffi ODMpATIDLZ WrrH LOCAL SOIL CONDITIONS. 6: STRUCTURAL W STE1� a SNAIL CO TO ASTM A96 90 ESI KOMu M. D. SNAIL BE FABWCATED ACCORDING N E --I c TO AL9C 9PlCDFICATION9. 0. i BAM BE WQaED ACCORDING TO AWS 9PDCDiCATJON9: c QI Z Tse�AsrM'LT7o S Age o0 O t _ 1Vi. T D DRAWN 2. FOR AN a ,NMS BEAM ADD AN ADDHTONAL ROY OF C.P. ANCHOR PIERS. BEAM SHOULD NOT CANTILEVER OR THAN WZ&L= COLD L07 CARBON WELDABLE b ALL YLTAL CO]D?OdiZRl9 INCLUDIIIO NAILS A 9079 ETC. ARE TO HE PRO'lEf.'!!VE COATED. U O 8. THE Pin SUPPO31T L9�9aMBI m SHALL BE COATED WITH � Wn ajLS Eel-ga OR APPROVED EIQIDVALETT. ►-� W 7. �TDiO (� OIiAWIIiG CJgTI1F1ZD TE.YIDiG AND IAAD98Y a 1wT1QlA1.: 1700 LBl9. UL71MATIC LOAD O ,_..� 41 o D. VZKT=AL : 19000 ULTDMATE LOAD c 311PPORI 3I8TE1[ 13 FOR P11CIIfG MANUFACTURED BUIIDINGS CONSTRUCTED e. WITH WITH LONGlTUDDNAL OR CROSS JODR9. c 9. THIS MJPP03M BTU= PL&N 19 D=o m TO BE CONSMCTZD ON A FAIRLY LEVEL SILT: WITH No ==M O EMS, 7SL7TLZMENT OCCURS DUE TO POOR SOIL SULL PROBIU. SEE NOTE a 1 . l0. SUPPORT 1lYSI1tN FOR CHASSIS BEAU SUPPORTS EL" ffi LOCATED AMID SIZED FOR THE LOAD A8 SHOWN DN THE MOB LS HOME DNSTAIIATIOIN DNSTRUCTIONS. � W c c to 11. IN AREAS WHERE DU}'ERENTIAL SSITLEMEMIT �.) CAI OCCUR. MANUTACTVliED HOMES 1�4 %MAT'- BE SWADJUST31) VIM D.THE OR WIDCMi LA O a) . 1T WILL 1DYER8EL Y AT1Zt'f USE OF THE 1WWACTURED HOME. w Q 12.3TANDARD P= k POOTIIMG SPACING PER MOM COACH MANUFACTURER'S INSTALLATION MANUAL W1T80U7 MANU/ACTURER 8 INSTALLATION MANUAL, E- 0°i v� SPACLNO OF 8lANDARD PIERS AND PAD SUPPORTS TO BE DETERMDNED BY STATE NOIipE BOIOl:9 PARS ACT. 13.THD SYSTEM 19 ADA TABLE WITH HOLLOW MASONRT BIACZ PIERS. FOUNDATION PAD R•1. NOTES- I- THE FOUNDATION PAD SHOWN ON THIS PLAN 13 A PRECAST CONCRSIT: FOUNDATION PAD. THE PLYWOOD YMMATTON PAD MAY ffi USED AS AN ALTERNATE. 2. FOUNDATION PADS S8AIL BE PLACED ON LEVEL UNDLYfURBIID SOIL, 3. CONCRETE -m A. 9000 PSI AT 24 DAYS AS TL41ED AND MANUF. BY STAR= WEIGHT CONCRETE. B. PRS PAD ORIENTATION WHERE EVER 'POSSIBLE IS THAT THE LONG DIMENSION OF THE PAD HE PERPENDICULAR TO THE COACH BEAM (AS SHOWN ON THE PLAN). C. Wim FIELD CONDITIONS REQUIRE PAD ROTATION, NO MORE THAN HALF OF THE PADS IN A TRAVERSE LINE CAN 13M F4DTATRD 90 THAT THE IANC DDMMON OF 71M PADS ARE PAWALIM• TO THE COACH BEAM. Z (� 4. 1-1 O A. 9/4 INCH A.PJL 48/24 ==OR P.S.I.-89 CC. PLUGGED. NER-QA397.PRP-108. cr) CC)COACH SIZE NOTES- c Z � 1. MAXMM LI NGTR Or SDNGIZ WIDE COACT, - 68 FEET.r O 2. MA311 M LENGTH OF DOUBLE WIDE COACH 70 FEST. 3. UNLESS APPROVED BY THARP r ASSOC.. FLOOR TO RIDGE HEIGHT NOT TO EXCEED: U A. 8 FZEI TOR SINGLE WIDE COACHES. Co 8: 10 rEET POR 20 R •DOUBIZ WIDE COACHES C. 12 PEST FOR 94. 20. t 28 FIST DoUBIZ WIDE COACHES. Q O CQ4. FOR TRIPLE WIDE COACHES. FOLLOR BANE PIACBMEITT PATTERN AS ASHOWN ON TIS DOUBLE WIDE NOBIIZ COACH PIAN. 5. FOR ANY COACH SIZE OTHER THAN AS SHOWN ON THIS PLAN OR REMEENCRI) ABOVE, E", LAYOUT SNAIL BE REVIEWED AND APPROVED BY THARP k ASSOC.. INC. Z W JJJP-AM Sm NOM-T� CC) In 1. SPACWINO SHORN ON THIS PIAN ARE FOR COACHES WITH 10 INCH AND 12 INCH BEAlM9 OR a CH PACO CORRUl3AT'ED BRAYS. �1 2. FOR AN a ,NMS BEAM ADD AN ADDHTONAL ROY OF C.P. ANCHOR PIERS. BEAM SHOULD NOT CANTILEVER OR THAN O �aFEE . � -"-* te, aaYJfwlmfYRTCmL J� hel wrraoveo A.mcr70W.arc-mno. n rg- Vq, .._ r b�.�a.rrroa�o•+-r.. a� ao mum --.%Q.7 S F iaryx./a�1Q-26-e � r%j:%j xl..% 1AA1.11 .1., r at uv.... ....:. BY LP YV 0 0 N o% d U H O a Q W A N J W Y U W of a V) n z O Q z O DATE, 09/08/97 SCALE, AS SHOW? �,YN, YMV ME ~ 95-36-80 ftt1 / A grnHEETS '