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022-080-035
C, 2006 -0039820 - RECORDING REQUESTED BY: Recorded I REC FEE 10.00 Official Records I County of I MNFOR10 COPY 1.@D Butte I CANNM J. 6RIBBS I County Clerk-Recorderl AND WHEN RECORDED MAIL TO: I KL 02:13PN 03 -Aug -2006 I page i of 2 BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA,95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. 119111-111TWOTOW REAL PROPERTY OWNERILESSOR 3332 MILKY WAY MAILING ADDRESS BIGGS BUTTE CA 95917 CITY COUNTY STATE ZIP SAME MODEL NAME/NUMBER ' INSTALLATION MAILING ADDRESS, IF DIFFERENT 60'X 24' SAME t NCY OFFICIAL CITY COUNTY STATE ZIP SAME DEALER NAME (if not a dealer sale, write "NONE") UNIT OWNER (if also property owner, write "SAME") NONE SAME DEALER LICENSE NO. MAILING ADDRESS SAME CITY COUNTY _ STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY ) 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-1655 530 538-7541 - B I. MG PERMIT NO. A MANUFACTURER'S NAME TELEPHONE NUMBER MODEL NAME/NUMBER ' S356XXIU 60'X 24' S G ATURE OF LOCAL A NCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNKNOWN 1972 CCHMP MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER ' S356XXIU 60'X 24' 5470519/20 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 022_080_035 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. ORDER NO. BU -185906 DP DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I• PARCEL "B", AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 16, 1976, IN BOOK 57 OF MAPS, AT PAGE(S) 70 AND 71. APN 022-080-035-000 PARCEL II- A NON-EXCLUSIVE EASEMENT FOR WATER LINES AND FOR PUBLIC UTILITY PURPOSES OVER THE EASTERLY 30 FEET OF PARCEL "A", AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 16, 1976, IN BOOK 57 OF MAPS, AT PAGE(S) 70 AND 71. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 ` COPY of Document Recorded 3 -Aug -2006 2006-0039820 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JOSE TINOCO REAL PROPERTY OWNERILESSOR 3332 MILKY WAY MAILING ADDRESS BIGGS BUTTE CA 95917 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZiP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE CCHMP MAQJNG ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-1655 530 538-7541 �BYPING PERMIT NO. TELEPHONE NUMBER{ f4i I` n A /11!`i V S ATURE OF LOCAL A'QNCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNKNOWN 1972 CCHMP MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER S356XXIU 60'X 24' 5470519/20 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 022-080_035 crrt,vnn1,4AIUANvtrXr triol ORDER NO. BU -185906 DP DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I' PARCEL "B", AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE.16, 1976, IN BOOK 57 OF MAPS, AT PAGE(S) 70 AND 71. APN 022-080-035-000 PARCEL II: A NON-EXCLUSIVE EASEMENT FOR WATER LINES AND FOR PUBLIC UTILITY PURPOSES OVER THE EASTERLY 30 FEET OF PARCEL "A", AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 16, 1976, IN BOOK 57 OF MAPS, AT PAGE(S) 70 AND 71. � q°: 3� P �^ l,r S �.� �� ,�,+�,1.-k.. r• t �X "'&, � t "` t itP -' % A :SAY OUNDAs ION S FYSTEM; A Y t YCERTIFIC °TE .OF;'OCCUPANCY i r. 1rtt a+l' ixr ��.: � i 1,t� .� ''�Zt '� �f v� i4 w - " t BUILDING PERMITS NUMBER: 06-1655 Address or location of unit: 3332 MILKY WAY, BIGGS CA 95917 Legal Description of Real Property: 022-080-035 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation. system pursuant to Health and Safety Code Section 18551. Owner's name: JOSE TINOCO ' Owner's address: 3332 MILKY WAY, BIGGS CA 95917 INSIGNIA OR HUD NUMBER: 5470519/20 SERIAL NUMBER OR V.I.N.: S356XX/U MANUFACTURER'S NAME: UNKNOWN YEAR: 1972 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C • 022-080-035 f. 06-1655 TINOCO JOSE NOTES nt: 33327MILKYWY, BIGGS:``. C6�SIERRA MHS "` r `"� MH PERM FND(EX 1:,.,." M, %,F, "_s. o���`' RESIDENTIAL APN: Permit No. Owner. Site Address: Contractor. Type of Permit i SPECIAL CONDITIONS CHECKED BY Q SRA ❑ FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS VERIFY 0 USE PEkmrr COMMONS Q SUBSTANDARD HOUSING LETTER 0 ENCROACHMENT PERMIT Q REINSPECTION FEE PAID Q ENV HLTH CLEARANCE I ti DATE JOB FINALED• `^ SIGNATURE: LJoc 6 r =OK o = Not OK MANUFACTURED HOMES 2 Soils; Special MH Support Sketch SOFTSET 3 Sewer; Lorin -Test; FaII/C/0-Concrete 4 Wtr, Loctn Test -Easement Needed -Regulator 5 Elec Loctn-Cimcs-Grad 'Amp -concrete 6 Yard Gas; Loctn Test -Wrap Nat ❑ or LPF Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test -Demand Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged ,ierie Downs Q Foundation 14 Exits 15 Cert of Occupancy *:01UD labellinsignia Numbers Serial Numbers oea �a dA via , MItSCELLANEOUS- )ECKS+CQVERS'CARPORTS•GARAGES 1 ZoningSetbacks-Easements 2 Figs; SoilsSz•DpthSpacing-CnnctrsSteel 3 Decks, GirderslJolsts-Dcking-Brcing Stairs-GuardlHandrails 4 Wood Awn; Posts-Beams-Rfirs CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors T Electric 8 Frmg; Sills-AnchrsStuds-Rttrs Trusses. 9 Siding; Nailing-VeneerStucco-Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings - 12 Braced Wail pnls 1 Setbacks -Easements _ 2 Soils; Compaction -Structure Stability _ 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining _ 4 Elec Rcptcls/Lting; Distance-GFI _ 5 Elec Pool Lting; 15 volts-GF1 _ 6 Elec.Enclsrs; Conduit Entries-Terminals-Disted _ T'Elec Bonding; Metal w15-Crc1tng Egp-Htr _ 8 Elec Gmdng; Eqp• wl5' Crcltng Eqp-Pool Ightg Boxers-Enclsrs-pnlboardsansultn-to Main Conduit 9 Health Dept App' m 10 'Ptmb; Cir Test Wtr Supply Test 11 Lt Niche , 12 Endsr, Fencing -Alarms 13 Bonding, Diving board or Slide Pool Drawing RESIDENTIAL (Single & Duplex) UAIE JUNDERFLOOR 1 ZoningSetbacks-Easements-FloodSlope 2 Ftg Main; Soils-Elec Grnd Ft4 Dpfh 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Fig Dpth 5 Stemwalis (Main; Steel-Blockouts-Wrapped 6 Stemwalis Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgmd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr BoltsJoists Vnts-Cripples 15 Acc & VnUtn 16 Insulation DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing &Braces-PlatesSound 19 Bearing Walls over Girders flr Nailing 20 Draft Stop In Walls (rat proof)_ 21 Fire Stops; Fiirre i CeilingsStairs�hasers-Tubs 22 Headers &.Beaihs-0 &Bearing' 23 Hangers -Post CaQs-Anchrs'-Ciinctns 24 Ceiling Joist-Rftr Ties -Purim -Roof Brac TrussShthg 25 Frplc Ties or Type A Flu'6 Frpic Throat Ctmc 26 Attic Acc; Sz & Riirz Pitctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill lit & Dimensions 28 Garage Fire Prtciri Framing -RC Channel 29 Prprty Line Firewall & Opngs' . 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run4:anding-FIre Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr 0.utrgrs 33 Siding -Nailing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts4Jndrflr Acc 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace int/Ext Wall pnis 38 1 nsultn-W al ls-Ceilings 39 Infiltration -Walls -W ndws o'er vTs' o' �a DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clmc4ns Prtctn 41 Elec Rcptcis Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cnddrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire Sz , ❑CU or ❑AL AC Wire Sz P ❑ CU or ❑ AL 48 Range Clic o, ❑ CU or ❑AL Oven Circ pa ❑CU or El AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cimcs pnis-Motors-Meth Eqp 51 Clothes Closet LiShwr LI -Spa Lt 52 Smoke Detector UATE !PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr• Nail Prtctn 56 Shwr Pan; Test, First Hr -Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping ops` DATE MECHAN"ICAL 61 AC Ducts Insulin & Support ?' 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rt Went 115 Outlet 65 Attic Acc & Pltfrin if Furnace in attic DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Duds-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFl Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcis at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct In Garage -Damper. 80 Wtr Htr, Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcis in Garage (GFl) Romex Prtctn 83 Insults -Foam -Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cimc Dmge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFl Rcptci-Undrgmd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Ihspdns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnndd-C/O to grade -HD Apprvi 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler 4;9,-0` 4s BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP06•I(a55 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 07/11/2006 APN: 022-080-035-000 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: License Number. y%03 86 Site Address: 3332 MILKY WAY BIG Date: 6 d 6 Contractor: K-�— Map Index: Description: EX MH EX SITE PERM FNDN (1440) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 l Business and Professions Code: Any city or county which requires a Owner: TINOCO JOSE permit to construct, alter, improve, demolish, or repair any structure, prior 3332 MILKY WAY to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of BIGGS, CA the Contractors State License Law (Chapter 9 commencing with Section 95917-9751 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SIERRA MOBILE SERVICE Code: The Contractors' State License Law does not apply to an BILL REID owner of property who builds or improves thereon, and who does 466 CIRCLE DRIVE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for OROVILLE, CA, 95966 sale. If however, the building or improvements are sold within one 530-534-0599 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: SIERRA MOBILE SERVICE not apply to an owner of property who builds or improves thereon, BILL REID and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' state License Law.). 466 CIRCLE DRIVE OROVILLE, CA 95966530-534-0599 ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: 470386 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: e ;V"'k Total Square Ft: 0 S. F. 7 Valuation: $0.00 Policy #: Census Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 6 Date: �Y-M-0 Applicant: R 101 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. c/�l ` CONSTRUCTION LENDING AGENCY This permit is ereb ssued unde"rthe applicable provisions of the Butte County Code -and/or 1 hereby affirm that there is a construction lending agency for the Resolution ork indicat d above for which fees have been paid. ` performance of the work for which this permit is issued (Sec 3097 Civ.) . Name: By: Date PERMIT 711-01 Address: EXPIRE .ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. 1 hereby certify that 1 have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: R e- % ri Signature: Date: 0 b ❑ Owner U-15o_ntractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLIC,4 TION **PLEASE PRINT CLEARLY** OWNER Last Name First Name %/ NC'�CO foC E Address -333 R, tit; t i•TY w A7 City tGr�S Stale Zip 'J C� fs917 Phone Fax E-mail . CONTRACTOR Name Address City Q.,State � Zip 9SiE6 Phone Shy oS9 9 Fax E-mail Lic. # Y763'94- Class � ARCHITECT/ENGINEER Name Address City State:� �71p� Phone Fax E-mail Qf�f. -_ APPLICANT NAME Name Address City C State Zjp PhoneFax S3q OS -66 E-mail APPLICANT SIGNATURE X I For office use only: Zoning Flood Zone SRA Yes - No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved. OVER FOR Sl1BMITTAI RFfIIIIRt=nn�riirc PERMIT 66-I(v5,; BP BIN It AP# LOCATION 2Z ®SG a3,.C— Properly Address C�, 3332 �. t,,X y war b�GG-S Cross Street Policy Number WORKER'S COMPENSATION yZs 7 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Name LENDING AGENCY Address :::I: Description or Scope of Work: Sq. Footage Li btructure built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Recei ed by: Amount Bldg SRA Receipt #: Sheriff SMIP Date:' � b� b Other e CALIli OR iTE AT... EAN Q2I0. /72 1972 fYPE LH:EN.E NUM.ER a0 JG3078 .OWNERSHIP CERTIFICATE 4 DO NOT CARRY IN VEHICLE - -" ENGINE OR 10 NUMBER VERIFY CURR. LIC. NO. T S56XX MAKE MO ILCRUZ 6B MANUFACTURER MODEL SHOWN IS BASED ON DEASS ALERR REPRESENTATION TIOPE • R A LAND BOGY TYPE MODEL SO I... I01/06/72IBjI N. MP Ili CCHMP .. 41T L • E Ax wC B NUMBER TOTAL FEES UNLADEN WEIGHT TA54705191 R I I I 1 $108 R BAILEY JAMES C4RROLL/ 0400 a.: CE CLARA MILORED wF G 0 PO BX 575 5 IN N RE R R BIGGS CA 95917 LF UI r SIGNATURE ISI RELEASES INTEREST IN VEHICLE. DATE 02 TRANSFER DOES NOT VIOLATE VEH. CODE ART. S.M. 7 07 •. B K A M E R TOTAL FEES E "o` 400 BROADWAY a,z «X A `" .CH I CO CA '95926 wu SE E V�i'1'Fi WARRANTY e W TAX R 8_ * r SLRICA: �-; &SA. BY TT 2 o97JAN 2o'8t' IGNATUREISI RELEASES INTEREST IN VEHICLE DATE 549495 CALIFORNIADATE ISSUEO YEAR Q2/11/72 1912. TYPE LICENSE NUMBER 40 79 OWNERSHIP 1 CERTIFICATE ' DO NOT CARRY IN VEHICLE VERIFY CURR. LIC. NO. MO ENGINE OR ID NUMBER S356XXU MAKE LCRUZ 6B T R YEAR MODEL SHOWN IS BASED ON MANUFACTURER AND DEALER REPRESENTATION BOGY TYPE MODEL CYLS. DALE FIRST SOLO CLASS * YR • . TYPE VEH. MP I41T I A CCHMP I IOj,/Q6/72 IBJ I 171 • L Al WC UNLADEN WEIGHT TAB NUMBER TOTAL FEES E R I I I 1547Q520I SIQ8 o •� R BAILEY JAMES CARROLL/ 040e) 4 FT� nr.:� E CLARA MILDRED wF � G zO :C 5 PU BX 575 RF 5 N T N LF W� R R BIGGS CA 95917 )) / o, A p oz SIGNATURE ISI HcLEASES INTEREST IN VEHICLE: DATE e B TRANSFER DOES NOT VIOLATE VEH. CODE ART. 5. . 7 OB M R TOTAL FEES .`� L400 IROADWAY Q E � CLE .\� G N CHICO C:A 95926 LU W USE L U rAx l L E wrmo WARRANT . BYADATE D TT R BANS F 2 557425 �IG TUR ISIRELEASES INTEREST IN VEHICLE v`( w. ,, < c �ti � . F �. .. t 441,SCEL. L. ANEOUS BUILDING RECORD RCEL-�. ADDREO '— Jr—G-&:X�' � /w/%/'e' y W171 (SHEET 'SHEET; DESCRIPTION OF BUILDINGS Bldg. No Structure Size Found. hall B Exterior Roof Type Cover Floor B Interior Detail Second Story or Loft Year E'st. Tot Built Life Yr., 19 Bldg. Area No. Unit Cost I CosP % Good R. C. N. N. D. Unit Cost Cost % R. C. N Good L. N. D. Unit Cost Cost /. R. C. Good L. N. D Unit Cost Cost. %' R. C. N. Good L. N. D. ry! / v T►G�/T7 �%!ar4, N I .. � 975_ S 7-6-7W�1 L t >�, eic/o .'- /owz �o yG /;� /y/ — � dj-5, �, A:8- C S 7� rt!C� — v ,v % / 9 4-6-1 — / 9,j�''/ 4"pz- C_ COMPUTATION Appraiser -Date r7) 5Z>Qa /O /3� - 19 90,, U� iz d'� 19,g,' saz �1® 4e 19 Bldg. Area No. Unit Cost I CosP % Good R. C. N. N. D. Unit Cost Cost % R. C. N Good L. N. D. Unit Cost Cost /. R. C. Good L. N. D Unit Cost Cost. %' R. C. N. Good L. N. D. 4� L<d�J'U %t' 7,- Z20 Total A 4-24-4=i l 1 Appraiser- Date 19 19 19 19 No Area Unit Cost % R. C. Un $t Cost _—.Totol /° R. C. N. Unit Cost �'° R. C. N. Unfit Cos/ % R. All 531-H 9246 ftE008OlNGREOUESTE0B1^• PAID VALLEY TITLE RECORDING REQUESTED BY FIRST AMERICAN TITLE INS: CO. AND WHEN RECORDED MAIL TO: Jose Tinoco 3332 Milky Way Biggs, CA 95917 20s>D1—caioJLEsZi'7 Recorded OfficialRecords Coun BUTTEOf CANDACE J. BRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 24 -Apr -2001 I REC FEE 10.00 TAX 101.20 I I 1 1 Vickie I Page i of 2 Above This Line for Recorder's Use Only A.P.N.: 22-080-05' Order No.: BU -185906 DP Escrow No.: 27677 GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $101.20 X ] computed on full value of property conveyed, or computed on full value less value of liens or encumbrances remaining at time of sale, X'] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, Clara M. Bailey, as Surviving, joint Tenant hereby GRANT(S) to Jose Tinoco, a Married Man as his Sole and Separate Property UNINCORPORATED AREA the following described property in.;the , . County of Butte State of California; SEE EXHIBIT ATTACHED HERETO AND MADE A PART HEREOF FOR LEGAL DESCRIPTION Clara M. Bailey Document Date: April 12, 2001 STATE OF CALIFO RIA AS COUNTY OF VCAAtOgA On MR -14- 16 , 2oo / before me; t� T�5 L�/Kr✓�' /u ,a,��J /��L�L personally appeared C11-4dA 07 personally known to me (or proved to me on the ba of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that.by his/her/their signature(s) on the instrument the rson(s) or the entity upon behalf of which the person(s) acted, executed the instrument. !" WITNESS in ha and official seal. JOHN T. ISBERG JR Signature a �'�tt,�° NOTARY ltarial seal. ti ® VENTURA COUNTY C My Comm. Expires -� SEPTEMBER 29, 2004 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below Xi2 Foundation System Installation Instructions for -California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie. Down Engineering Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOMEIMOBTLE HOME - FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18531 APPROVED. SUBJECT TO CORRECTIONS NOTED AMOVAL DOES NOT AUTHORIZE OR APPROVE ANY , OMISSIONS OR DEVIATION FROM REQUIREMENTS OF JWPLICABLE STATE LAWS AND REGULATIONS Siwe of Califorr" 14epa kwe of l gad Commla7' Dc OF 72S AND STANDARDS A1CQ L lLoAypaeealFi�kos .� - ''. Page 1 of 8 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of .Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. . • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. Designed for 7:12 roof slope. *Except single sections, (200 - 4.37 in. 12"_ pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. ®> * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathCr4gshall hav�-a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 0 LO 0 n rJ �• � -. I MIT I i I o Installation of Xi2 Ground Systems 1. Identify the number of systems to be used on. the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9.. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) e end °fes Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and beam clamps. x'15 11 Y.. 2.. 0 0 0 0 J -Bolt Nut & Washer 1-3/4" Tube. Strut Lateral Struts (flag end) 1-1/2"Tube 4-#12x1" Tek Screws ` 1 1-13eam Figure 2 U -Bolt & mounting`s, r Figure 1 Bracket e end °fes Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and beam clamps. x'15 11 Y.. 2.. 0 0 0 0 X12 Ground Parts Detail x12 GrounOystemd Xi2 Ground Lateral System is Part Number 59306 ' Includes: 5' Strut' pad & hardware kit w�r'�zz:�� ��€ra (#59329-1 includes all nuts and bolts). ......- = --- ,: ; ` Longitudinal Hardware Kit NN Part Number 59331 -�a '''�� Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. - j Lateral_and Longitudinal Combination 1-ongitudinal Strut Part Number. 59333 & Hardware Kit ` 5 Includes: 5 Strut-, Pad, Longitudinal Strut s (#59329), Lateral and Longitudinal Hardware ® k Kit with all nuts and bolts.. ®® v Struts for Longitudinal Systems Part Strut Pier Height ® ® o 0 1111 ���� Ground Longitudinal No: Length Up To: Strut 59330-44 44" 4 Blocks or 32" Ground longitudinal 59330-65 65" 6 Blocks or 48" Hardware Kit Xi2 Stabilization Pier Placement for Ground or Concrete .Xi2 Pier Placement r r• Single Section Home - Double,Section Home 0 -80' (76' Box). 4 Xi2 Systems 0 -62' 3 Xi2 Systems' 63' 80' 4.Xi2 Systems •2 Xi2 systems can be placed at either end of the.home. r' I I I I I I 1 * I 1 -1 r 1. 1 I 1 I s Triple Section Home 0 -62' 4 Xi2 Systems 63'. - 80' 5 Xi2 Systems Page 4 of 8 m 0 0 0 Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used .on the home using the chart provided. 2. Identify the location where the systems will be installed. =g i 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as ®` a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors :• y C provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showingon to of bolt. Using a hammer, to the wedge bolts into hole through p 9 p 9 9 bracket, leaving nut & washer flush with bracket. Using a 9/16 socket wrench, ��sv tighten wedge/anchor bolt, securing bracket to the concrete. " 5, Attach the end of the smaller tube to the bracket mounted on the pad, using the n grade 5,1/2" x 2-1/2" bolt/nut provided. b r a 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure.1 next page) 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together . 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite en Xfa>eete brac t. 10. Pull the frame bracket clamp with fastened strut outward to remove any slac 1.1. Tighten all nuts and bolts on system. 5 11 �- 2. c i Page 5 of 8 DOW* ENGINEERING ENGINEERING 0 LD 0 0 O Xi2 Lateral Concrete Systems Part#59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013. 44" up to 4 Blocks #59015 65" up to 6 Blocks -- - Longitudinal Hardware Kit Part#59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part#59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut & Washer Figure 1 Beam Clamp Bracket , IBolt Lonc Xi2 Installation Placement -Beam Longitudinal Otrut Xi2 Concrete a w Concrete Longitudinal Hardware Kit e rnQ °f% XM> Page 6 of 8 m o. LO 0 0 Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems.... Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems "L Lflr/e)y� Page 7 of 8 m 0 0 l o 0 Hardware Breakdown #59329-1 Hardware'for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1" 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 .10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 4 10801' Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 .10801 2 10801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13. x 2.63 x 2.19 thread 2 10519 Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w% Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 '59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 4 10801' full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1 " 2. 10646Y . Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801' Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 .59272-2 Beam Clamp Top Flange. 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801' Carriage Bolt 1/2-13 x 2-1/2 4 10926 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2713 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc !Iy-2_ (r11/ems Page 8 of 8 m 0 0 0 0 Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-�t-- Z 1 PERMR NO. APPLICATION AND PERMIT ASSESSORPARMM UMM O22 OQ3 BUILDING PERMIT OWNER ^ ^ ] SO. FT. E OCC. BUILDING VALUATION IILd (Ake/ R;,rr 50 CONSTRUCTION LENOFA Fireplace LENDER'S WVUNO ADDRESS Total Valuation = ARCNm?CT OR ENOINE0 LICENSE NO. Filing Fee $ 20.00 Permit Fee S�s Z S Z ARCWECT OR ENOINMI LIAUNG AOOREss Plan Checkin Fee $ eURDWO ADORESS 33 3 �Ajo- Energy Plan Checking Fee S b PERMIT FEE = O LOTNO."3 I SUSONe DNINAME y�^� _ J C^ PAACEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 f STRUCTURE SF ❑ Duoiw M-bilehome 70ther 4 - -7 b A e- SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Water gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ 'Gties Pinstallation ❑ Describe W rk: %�� e� N� ' ✓`' r Other Gas piping system t - 5 outlets 15.00 Building sewer 15.0 Mobile Home S G W 020.0 PERMIT FEE IS ELECTRICAL PERMIT Filing Fee 20.00 Main Se 20QA OAR tE3S 23 0 \% A n FL, &'D- — /�� O 1 S t �+ Main Service 200A TO 1000A 46.00 NEW CONST. OYVEiLHO OCCUR SQ OR AOONS. a. eros. 3.5¢Fr. 07.50 sRl► � stw,; OK►t�' t Ex. Occup. I ew 3 .w 00 Ex. Occup. (R D.) .1 5.00 Temporary nice 3.00 Mobile HaKe Facilities 2o.bo Misc. wynno 23.00 I PERMIT FEE I t MECHANICAL PERMIT ding Fee 1 20.00 6.50 PERMIT FEE I S Mobile Home Installation Fee S Energy Inspection Fee S OCC CONST. -PE TO L FEE $ 3S NAL D. FM FLOOD COP 10 -UE 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 PERMIT EXPIRES ON wxFn�t+`c'c�(,�aP.�'d}'�7�$3y ! t. iS�[i/S 'ti�a 2 :,`• ���.'� �' � .,F�`�i•vrt •"vi,;,ii'Nlj�1(�,i COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:► ✓1 �7 c'7 ASSESSOR PARCEL NUMBER ��� — (-)(P 0 - e) ? S Proposed Building Use: • H 2` Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. /�,//Plot plans, 3 or 4 sets, signedXy the preparer of the plans. 0'2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans,'all in duplicate.' - - ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and"calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. , ' Items required for initial plan review. If checked items have not been received, plan review cannot proceed. indexed andreturnedto the plan review line-up when require&items are received. -�` ✓ I Date Received ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City o,,,&Biggs .......................... ......... 10. Letter of intent for non-residential buildings.......................................................:.. 11. Detached Accessory Building Form filled out by the owner ............................;......... i x❑ fi . ,"Hazardous Material Form...............}........:...................................................... _ ❑ 13. Other i The.permit will be Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) F15. 4 ees as shown on the attached Schedule of Fees Due Sheet ...................................... _ Statement of Intent for Non -heated and "A/C Buildings ............................................. _ ❑tel anitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit..........`....................:...........:.............:.............: a ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... .f ❑ 19. Planning approval for (A) Use: (>K (B)Parking: (C) Parcel Check: _ d IZ- ' ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ..............................'' ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization................................................................'... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance ..................... I......................................... Exis ng violation and/or expired permits .............. '0 30 CYGrant Deed, M.H. Title/Statement of Facts, el from Legal Owner, 1J'Check to H.CD� 31. Other: 1. 1 ` When issued Telephone and hold for pickup. / : .; I have been informed of the above items and requirements for obtaining a building permit. Applicant: �O S L / j ro ca Date 1. Index permit application for the above itVagiTlikeyed, C 2. Additional items required E Contractor, design wne , was advised c ve Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Yellow: Buildins W,uc/ L■ —O2a Plan Check Letter phone, ❑ mail, ❑ counter, byDate: phone, ❑ mail, ❑ counter, by Date: Plans approved by: Date:_ _Structural approved by: Date:_ -3 s No b.p. �A COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER.— A.P. # O 22-_ O6n O _ 22S PROPOSED BUILDING USE _� 0 �� f M ' DATE 1 ' / RECEIPT # DATE REC. 1. BUILDING PERMIT FEES ZS --Balance Due ........................................................ $ Q --Additional Fees Due .....................:...................... $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. 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) 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 1-1 0 S -C � ,Y i C 0 DATE 9" 1[- 0 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) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 0• (Rev. 12/96) APPLICATION AND PERMIT 12Z14% ASSESSOR PARCEL NUMBER 022-080-035 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION -JOSE 868-1605 OWNERS MAILING ADD ESS 3332 MILKY WAY, BIGGS, CA CONTRACTOR'S NAME V W LV 1-:,L\ TELEPHONE CONTRACTORS MAUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee PERMIT FEE $ LOT NO. SUBDNLSION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or hest 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: EX MH PERM END EX SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 dd PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo p O0OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law jar1he following reason: Er 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 z00% To I 46.00SO NEW CONST. OWEWNG OCCUP. U OR ADDNS. ( a ACC. Bins. SO 3.5¢FT; R61DT MULTI -OUTLET 97,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. ourLETORFaruREs SAL @ I.W FI ED APPLNS. OR Ex. Occup. ourLETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation �f one hundred dollars ($100) or less.) p� 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Sig Ure of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE e TOTAL FEE HAZ. D. FEES IMP FLOOD coF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to ReceiptNo. 361161 $63,0011 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . 9.6 B:R- A I 2-x 2'x S/16 © ,STEEL. :ANGLE W Q ci 4' DETAIL "A- CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2' SCH 40 PIPE RISER WITH 01/2' ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02' SCH 40 PIPE STAND WITH TWO 01/2' ADJUSTTR HOLES e ASESCO ABS PAD 0503 STEEL FRAME SEE DETAIL -A- .i�:o CAu FL. -'LV CZLT, N w.'�SHER COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 1/4- STAND BASE ,— ABESCO ABS PAD @SO3 37 18 1/2' 36" WAX TO 6077061 Of IPAD t 01 /2"x 3" C.R. LOCK PIH MATH 01/8- BRIDGE PIN L^Alu 'r' cogyc 2" CHANNEL- 1/4"xi-1/4", TEK STS . (2) REQUIRED 1/4' GRIPPER BASE t/2" A307 BOLT (2) REOUIREO 3/8"x 6"x 6" STEEL PLATE 1/2- A307 BOLT (2) REQUIRED �t000� p o 10.100. j 0 e9/ta HOLE (TYP) STANDBA_5E TOP VIEW COACH V' FRAME r 1 /4" GRIPPER 1/4-.l - 1/4' PLATE TEK STS (4) REQUIRED �I 1/4" GRIPPER tAD _ 8A5£ 1/2" A307 BOLTtoo (4) REOUIRED -B AM J -BEAM IL ATTACHMENT ATTACHMENT �ol+r . 17S l a 'sem• m60" .^O hl 'T. TUF-1 PERMANENT FOUNDATION SYSTEM ZESCO-GUS GUARD COMPANY SRSI FLORIN - POZKRIS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 38ti-5207 WAYNE T- POLVADO, Pi -LISTING NO. F94249 SHEET 1 of 3 r 4 $ g' 1/2" DIA. HOLE (8) PLACES •- — --- -- 30. STEEL FRAME �T OP. VIEW STATE APPROVAL z > L) 0 c } 9 C I r s m o z U, O Q II ac, WAYNE T- POLVADO, Pi -LISTING NO. F94249 SHEET 1 of 3 r N CD w 0 Q a 0 Ln w m Q r m N In rh !b m r� CD CD N W CSD N LO 0 GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - AO PSF WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE '4' *SNOW LOAD 100 PSF (SEE NOTE #15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTEO ON A FAIRLY LEVEL SITE WITH NO CXISTING SOIL PROBLEMS, 3. CHASSIS BEAM SUPPORTS SHALL' BE LOCATED AND SRED FOR THE LOADS AS SHOWN IN THE MOBILE HOME INSTALLATION INSTRUCTIONS 4, IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4'. OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOWE UNIT. S. CARRY ALL FOOTINGS DOWN TO FIRM. UNDISTURBED SOIL FOOTINGS ARE DESIGNED FOR 7.000 PSF TOTAL LOAD SOIL PRESSURE. ANO SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO A1SC SPECIFICATION. WELD ACCORDING TO AWS SPECIFTCATMS. ELECTRODES -370 PLATES=ASTU A36 BOLTS -SAE GR S=ASTM A419=ASTM A3725. 7 - 'THE GUS GUARD ASSEMBLIES SHOWN ON THIS PACE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOWMING LOADS. ATI.DWAT3T.P TAADS, HOFMONTAL VMICAL GUS GUARD TUf-I 22004 6000/ GUS GUARD"MCP PAD 2200# Ti000/ GUS GUARD E -Z TIC PAD 2200/ 60001 8, DURING PRELIMINARY wSPECTTON. THE ESTIMATOR SHALL ENSURE THV,y -:- .... MOBILE HOME CHASSIS REAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UWTS AS SHOWW ON THIS PACE OF TYPICAL F131El "T1Sti PidMIS:. . IO. THE GUS GUARD TUF-T SYSTEMS ARE SAFE FOR tNSTALAnm tw F1A00 ~ ; PLAIN AREAS WHERE DEPTH DF FLOODING DOES NOT EXCEED THE HEIGHT Of THREE FEET. 16. FOUNDATION BLOCKS I6": 16%12' POURED M PLACE AT GROUND LEYEL HAY BE USED AT INSIAL113ZS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES . E= 2' MIN. / B* MAX. E= 2' MIN. / I,I' MAX. S= 6' MIN. /16' MAX. S= 6' MlN. / 22' MAX. �+— VARIES 10'-70(SEE TABU ON SHEET #3) -----' �: IIF�E t S S— z PIa a 1 6o H SCAM UPPORT AS N � O1.0 a � FRIDGE REOUIRED BYSMANUFACTURER Q Q > > F a a (TYPICAL) a D a a o U El a a a a w W. NOM. �2 a a 0 1 NOM. �N PADS IN ANY PAIR MAY BE I STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS -AS RECOMMENDED BY PVC SCRIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE AVOID CLEARANCE. PROBLEMS. ENGINEER. TYPICAL THROUGHOUT SUPPORT - PAD (TYP) Gca t I T. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-.I UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WW UNITS REQUIRE AODTTIOtuLL RESTiIMNT. • (SEF SITECT /3) • 4 UI �+ �`; �,c 13. ALL HiTAL COHPONDliS AND ATTACHMENTS TITUS SHkL SE PROTECTtYE COATED. 14. WHEN CQNCRETE SLAB IS IN EXISTANCE. PAD IS NOT REOUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF-1 PERMANENT FOUR (4) 1/2-1 3 1/2- EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD 110-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED AMSCO-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORJX - PERYINS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRA vfENrlO, CA 9582'3 ONE BASIS. PH: (800) 382-8831 FAX: (916) .383-5207 STATE APPROVAL ZO z 1 6o H N � O1.0 a � Q Q > > F _ � A Z< o U `� j w 0 �N LL.C. Gca t c=yy li E O ( < o q Vf <O WAYNE T. POLVADO, PE-LlSTIIJG NO. F54249 StfE.Ci 2 )1 3 .- 1/2-x 3 7/2" 1/2"x 8- Lo'w'c (4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT (4) REQUIRED (4) REQUIRED 3/8 CAD PLATED BOLT. NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8- O.C. (8) REQUIRED _0 CONCRETE PAD INSTALLATION CHASSIS FRAME 1/4- GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE I/2-13UNC-A307 x 4'--- BOLTWffH NUTS (4) REQUIRED ol 1/2- SCH40 PIPE RISER WITH 01/2- ADJUSTER HOLES AND 3/8' THICK TOP PLATE jor_kH 40 PIPE STAND WITH TWO Of/2' ADJUSTER HOLES ABESCD . ABS PAD #503 V4 STEEL FPAWE--\ POURED IN PLACE 16x16x12 CONCRETE k FOUNDATION INSTALLATION LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION 3s." mAx_ MULTI-Twx ro ov " vm* OF PAD 3- C.R. LOCK PIN LI)WTH OF �MWE' 24- WIDTH ?K:� �0�w 1 26- 44' 1 UP TO 44' a 1 —812 44'-1' b 12 1-2 4p Zy J_ 24 1 .'A li or HOPE ' 10, Mm OF HOME 1 Ile I UP TO 44' 'S 6. 6 is 6 w ale a a r - Gr—l� f. W 10— Ic) 10 to WITH HUWKR OF TUF-I REQUIRED lgJIiBEJT 01/8" BRIDGE OF IIF -1 REQUIRED PIN AIM SWC11 VfiDE UNITS REQUIRE (4) E -Z TIE PADS. CUS'GUARi6 TUF-1 PIERS . ARE TO K PLACED AT APPMMATELY EQUAL lwatVALs ALMO EACH FRAME RML 37" 18 1/2* TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD CON4PANY 5851 tIX)RN - PERKINS ROAD SACRAMEXTO CA 95923 PH: (800) 392-8831 FAX: (916) 383-5207 TATE APPROVA I-I-_,-- WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 01 3 1 - 4p 37" 18 1/2* TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD CON4PANY 5851 tIX)RN - PERKINS ROAD SACRAMEXTO CA 95923 PH: (800) 392-8831 FAX: (916) 383-5207 TATE APPROVA I-I-_,-- WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 01 3 1 - �T PRE -INSPECTION REPORT OWNER y� or o DATE �, r 2-4, Q Z LOCATION:?. . 331�' (/�G\ A.P. #- 022- Ce ,0,3e CONTRACTOR: e(- ZONING: 14 - Ll1 PRE-INSPETION DATE TO INSPECTOR: PERMIT HISfORY:FNONE ( ) AS FOLLOWS: BUILDIN INSPRCE'OR'S REPORT Building Dacription: Residential/f of Currently Occupied Abandoned/Vacant Electric: Yes No Condition of Electric Electric currently On Off Gas: ^ / NaturalPropane y None y # Currentl On Off Obvious Problems: { Sanitation: Plumbing Working WeU Working Potable Water Obvious SewageProblems _ Comments: ACTION RECOMMENDED: i Inspecto4-. i reverse` Sketch. buildings on HOLD FOR Date and indicate location on p'ropert; Rev. 12196) N 1 T ur ou 1 1 C LJtF' m 1 mcg 1 wr uGicLvrmcr% I acne wc.a - L-1-44— 1 v wwry 7 Courcy Center Drive • Oroville, California 95965 • Telephone (530) 538-7^2� PERMR N0. APPLICATION AND PERMIT () ASSESSOR PARCd NUMBER _t�22 O�( � 0 200" 1"� �%' BUILDING PERMIT OWNER /; "'`sfONC SO. Fr. OCC. BUILDINC3 VALUATION I 1 _. " 7 / ..4 n ;1 /n.f / A0 � CONSTRUCTION IMVER N IENOEA'9 ►WLMIO ADORE89 re lace Fi Total Valuation = ARCNRECT OR ENGNEER UCENSE NO. Filing Fee b 20.00 ARCWTECT OR ENGINEER'S k"NO ADDRESS Permit Fee 152Z5- 2— SZ fL, 2 - Plan Checking Fee S — OULDwOAOORESS Energy Plan Checking Fee S A $ PERMIT FEE _ IDT NO.•� SUeONSDNSNME �� _ i P�'EL � PLUMBING PERMIT Fling Fee 20.00 Pi'l J Each Trap 7.00 UUFSTRUCTURE y 1 lV A E— Solar or heat um water heater 23.00 SF O Duwe bilehome Other Water piping 15.00 sPEesv Each as water heater or vent 15.00 TYPE OF WORK Gas piping system t - 5 outlets 15.00 New O Addition O Remodel ❑ lities Instalaticn O Other Building sewer 15.0 DescribeW rk: � Mobile Home S G W @20.0 Q�� ��^ ' •^' PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 MeOMOR IESs Win Se 2oeoARtEss 2 0 f`•_-� �.,�- 5'X x Q Main Service 20" To IOOOA 48.00 -5 y NEW CONST. pWEilNO OCCUP. $O. OR ADONS. a ACC. albs. 3.50FT. NON-RESIO. • Tt•011TtET @7.50 • / POWER a SINGLE a R FOnMIES 200 1.00 EX. OCCU OsAt. a.w Ex. Occup. o �Ew 5.00 Z Temporary rvice 3.00 �W; � Mobile H e Facilities 20. 0 Mise. Ming 23.00 SAXPERMIT FEE • MECHANICAL PERMIT fling Fee 20.00 SivtrHeating �� Hood Cooling O 8.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ lkft • % Energy Inspection Fee S ll100100 °C CONST. TYPE TO AL FEE $ 3 l f a ftwo �. This permit Is hereby Issued under the appkable provisions �� • ��in the Butte County Code and/or Resolutions m do work V indicated above for which fees have been paid. By Date PERMIT EXPIRES ON �r L �� (�� 1 �F�� � � � ��tio 0�� � � L - OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your Please complete and return this information at your earliest opportunity. to avoid noaeoesaas3ide4,y in processing and issuing your building permit No building permit will be issued tmbil his verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 0 NO C I' RAVE� HAVE NOT C3 signed an application for a building permit for the proposed � ; . I have contracted with the following person (firm) to provide the proposed con NAME: ADDRESS: PHONE: CONTR.ACTOR'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: 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: ,;�Zo<:�o Z1 y1e c o S OCIAI. SECURITY NUMBER: (�', DATE: q - n X070: This Owner -Builder Verification is required by Section 19831 and 198314Vlk California Health and Safety Code. This verification must be cofi*19 d Ind returned to our office before we are permitted to issue the permit , OVER OWNER BUILDER -INFORMATION 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 -builder" you are the responsible party of, ecord on such ' a permit. Building permits aro not required to be signed by property owners unless they are personally perdottoto�16 Ar own work. if your work is being performed by someone other than yourself, you may protect yourself from poastble 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 busiaeas license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: . ♦ If you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ [ f 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 if you do not carry out these obligations, and these risks are especially serious with respec%t to worker's compensation insurance. ♦ For more specit:e information about your obligations under Federal Law, contract the Internal Revenue Service (and, ii you wish, cite U.S. Small Business Administration). For more specific information about your obligations under State Law, c -=act .he Department of Benefit Payments and the Division of Industrial Accidents. If the mcnx: is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally cr 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 perniC 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. I1INN't rely, el C. Vi ira, C.B.O. ger, Building Inspection NOTE: T1,:$ 0wmer-8uilder Information is required by Section 19810 of /he CaAfornla Health and Salary Cad6 OVER Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 022-080-035 Building Permit Number: 02-2428 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1.Please provide Environmental Health clearance for well and septic system 2.Provide verification when mobile home was installed on the parcel. 3.Please provide completed mobile home installation and support data sheet. STRUCTURAL COMMENTS: 1. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Russell. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Russell Bloomfield Plans Examiner Philo Hunt, P.E. Plan Check Engineer 1 of 1 Q9 I 37 v�g Sfo OA9 -t-ea L i 6 S 6 d.? 5 -91 Qj c do , yl—q YF�E odor+ I -L' 3So� N .,(y(,\ AI ->I11\4 rF-e z O z c�