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022-204-008
i Y 22-204-8 02-2- r ` OBERT E HANSEN SEN Pryde d,+� ;5 -mi �WJ of Hwy 99, Bigg Al /�.�3 d .- s Permit#7078 -79P (9piP1?,Pa g) SF i I 022-204-008 04-226 HANSEN, RALPH I GS 145 PRYDE WAY, CONT: OWNER `\ DEMO SF \\ L— 022-204-008 04-2537 HANSEN, RAPLH 145 PRYDE AVE, BIGGS I Cont: OWNER RELOCATED ELEC SERV 022_-204-008 05.0988 HANSEN, RALPH & ELAINE 145 PRYDE AVE, OROVILLE Cont: REDLINE INSTALL NEW MH PERM FND i=/ N4 l.- BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT ' 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: ' Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following. reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to rile a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section 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 properly, or my employees with wages as their sole compensation, will do the work, and the 'structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one 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' Slate License Law does not apply to an owner of property who builds or improves thereon, and, who contracts For such projects with a contractor(s) licensed pursuant to the Contractors' State License taw.). ❑ 1 am Exempt under Article f the Business and Professions -Code Date: 0 owner:. WORKERS' COMPENSATION DECLARATION' I hereby affirm under penalty of perjury one of the following declarations: O 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 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: Policy 1 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 3/P0 ) 0 5 - Applicant:®� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) KI—.. - Address: PERMIT NO. BP050988. OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS, Issued Date: 05/10/2005 APN: 022-204-008-000 Site Address: Map Index: Description:. NEW MH EX SITE (1188) Owner: HANSEN, RALPH & ELAINE rvv/vw j 382 HASTINGS BIGGS, CA 95917 Applicant: HANSEN, RALPH & ELAINE 382 HASTINGS BIGGS, CA 95917 Contractor: RED LINE INSTALLATIONS INC 13407 GARNER LANE CHICO, CA 95973 (530) 895-5543 License #: 848,025 Architect: Engineer: Total Square Ft: Valuation: Census Code: .a 1188 S.F. $77,220.00 � LI l 0 L� This permit is her bQissued uNeriD7e a pllcable ovisions of the Butte County Code and/or Resolutions t o work indicate ov f .. whigKfees have been paid. By. Date: PERMIT EXPIRES ON: f V �� ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials._ ❑' Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that 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:'!t r_ r -_r✓l ►?=Llavy 4' in Signature: � Date: 50105 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION. Inspection Type Insp. Date Ground work Setbacks Foundation/Footings Piers Grade Beams Eufer Ground Hold downs Stemwalls Do Not Pour Concrete Until Above Signed Slab - Slab -Garage Gas Test Yard Pipe Blocks CMU/Logs 1 Lift 2" Lift 3 Lift Final Lift Under Floor/Slab Framing Shear Transfer Plumbing Mechanical Gas Piping Do Not Install Floor Sheathing or Slab. Until Above Signed Butte County Department of Development Services Inspection Card 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX #: (530)538-2140 Visit our website at: www.buttecounty.net/dds ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type Insp. Date Framing Rough Framing Rough Plumbing Rough Mechanical Rough Electrical Rough Gas Roof Sheathing Straps Shear Transfer Shower Pan Rough Sprinkler Do Not Insulate Until Above Signed Insulation Wall Insulation Ceiling Insulation Do Not Cover Until Above Signed Shear Interior Shear Exterior Shear Braced Wall Wall Covering T -Bar Ceiling/RC Sheet Rock-18'layer Sheet Rock -2nd layer Separation/Location Framing/Openings Gas Test House Pipe Stucco Lath Scratch + Brown Finish Inspection Type Insp. Date Final Plumbing Final Mechanical Final Electrical Final Insulation Certificate Final Sprinkler O Swimming Pool Setbacks Pool Steel/Pre-Gunite Electrical Bonding Enclosures & Alarms Plumbing Electrical Gas Test Light Nitch Other Agencies Insp. Date Public Works Sewer Spec -inspection Fire Department Underground Final Sprinkler Fire Final Temp Elect Auth Elect Authorization Gas Authorization Permit Finaled CL LU Date PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION. B. C. Insp. Card 02-17-04 pg 2 rev 1-19-05 Z O ZW H W2 m UmH>- CL LU U) Z CL ca Z W LL LV COQ=O F" C� J ~ I- rn:J-C3OW Z D' m IM W CL 0> oo c �VXI—.zW Z0a0WU) a CL a LU W O Q m Q� 00 aQ=ZQ >.UUIQ MQOWQ W W LL W CO J?QO aWJZ x V) ; J m Q O B. C. Insp. Card 02-17-04 pg 2 rev 1-19-05 NOTES RESIDENTIAL i 022-204-008 PERMIT NO. HANSEN, .kA LPH & ELAINE 05-0988 1145 PRYDE AVE, C� ► ,p Cont:REDLINE INSTALL � NEW MHS��jChatfel SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. l FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 4 4A, - r JOB FINALED (Date) ' Signature CHECKED BY 0 - r".f?,ri�'� L�'�"��i�*'�iflH�t.✓T`,,.r'�yJ�.w:.��-�'•;.w^t:,��/�-•lsviit'i�:..l �../''.#�: r"�stY,.'�r";v; .w..rs!^K.YP.u1('.w.y�,..,v�y+, !'("� s'?'".ri;�-�.^w-z=.....�F!'T±+"�':�'i'°1..�F•?�;µ-i►A+A.s�"v�•"�^q- :.r •�,.:ir„�'. ," MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION - COUNTY CENTER DRIVE OROVILLE, CA 95965 - PHONE (530) 538-7541 APN: O� oil _ o08 PERMIT NO.: ®� y 0 6188. Owner's Name: l�-G�S�en TZa� �, � �la�r►e �_ Owner's Address: j 1415 prq Air, Ave 13r 5 C A NZI . Mobilehome Manufacturer: Year of Manufactures: .,; Serial Number or V.I.N.: Insignia or HUD Number: Official app9dMing ins-aliflo,"n L Date: If the mobilehome is moved or relocated, the mobilehome installation acceptan a shall become invalid. This form* shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor 2 Owner's Name:n�Sl��n/'j BP#: 05 - 0 1� FK Date: /- 1%-(10 s Contact Person & Phone Number: __�Tlnq S ff C �O r AP#: Received By: 7 - Time: S PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item a ❑ *Engineerings L, 'J I.i�av--C *Plan Revision M r' `� (1C'� () ❑ *Requested by Building Inspector's Correction Notice - Inspector's Name: ❑ Requested by Plan's Examiner = Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: ❑ Call ❑ Deliver with next inspection. and hold for pick-up. Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: ❑ Minimum $54.99 Receipt #: ❑ Fee not required for revisions requested by plans examiner prior to issuance of permit. Additional Fee Amount: 2 ( Receipt #. l 5 Revised 2/04 01/12/2006 09:46 530342914 CHICO BLDG SYSTEMS PAGE 02 aw c�rn,oiz�,�i ova � enc, ao oc�c. (� larnC lia 93468 Hwy 99 - Chico, CA 95973 - (530) 343-8494 - 1-800-600-8494 www.cousingarys.com J=OK 0 = Not OK . = NotReadya61e MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 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;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Car -1 Date Card B-1 Date MOB�OME INSTALLATION (Plans) OK excep #'s JVZdninq Requirements -Setbacks -Easements At _ - t 7:-2& - G s; MH Test-Demand-Valve-Connecto7 1" 4. I ctricity; MH Test -Crossovers -Breakers -Clearances r 'n; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval ;Af�a54nd Electricity Tagged owns-Type=Installation Cert. VU -7, -t wfs; Insp.-Sketch 11. P&L of Occupancy ti�-6b t I _fa -,re- - Date Card B-1 t Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 �a 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s i -w { .X 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings' 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) I Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. _ Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 55. 8. Piers -Fireplace Ftg.-Steel 56. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 57. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 58. 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 63. 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr.; Vent -Access -Combustion Air Baffle 66. 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 78. 26. Size Boxes & No. of Conductors Stapled 79. 27. Romex Installed Close to Edge of Studs & C.J. 80. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 81. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Clearance Looked under Floor O Yes 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes O No Following Instld./Drive 0 Yes 0 No/Walks O Yes 0 No/Planters 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 84. 33. Equip. Clearances Panels-Motors-Mech. Equip. 85. 34. Clothes Closet Light -Shower Light -Spa Light 86. 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throughout House Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 93. 38. Condensate Drain & Overflow, Size & Grade 94. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 95. 40. Attic Access & Platform if Furnace in Attic Date Fire Sprinkler Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. I nfi Itration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor O Yes 83. Following Instld./Drive 0 Yes 0 No/Walks O Yes 0 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION - COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: O_ 00b PERMIT NO.: Owner's Name: Owner's Address: i Li 5 �� eta �-ve � � 5 C A : . Mobilehome Manufacturer: Year of Manufacture: Serial Number or V.I.N.: Insignia or HUD Number: Official appraing instal ion: Date: f '. If the mobilehom ie s moved or relocated, the mobilehome installation acceptant shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor - ",:'�[ _ .. - .. ",�"�` � :. : �. i, y � • � `� j, i .' 3 .. .. _ '{�^`i".,'.."a- "•>'7�'S •.-fit'+ •ry MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: 7 '`/+� M/'� ///�//�) PERMIT NO.: Owner's Name: Owner's Address: [ / ,5. (f CA .3g2 Mobilehome Manufacturer: Year of Manufacture: Serial Number or V.I.N.: qM--70-03/S7-T Insignia or HUD Number: ULI T6/-593 Official approving installatio Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: PERMIT NO.: Owner's Name: Owner's Address: Mobilehome Manufacturer: S Year of Manufacture: /^ � Sefrial Number or VIN.: ri-76)_C73/s-t, `! M 7^ Insignia or HUD Number: �, — l 5*G S 9_�o Official approving installatigD* �-» -✓'fr �I�rr Date: � � 4 y.w�. If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor It yltt w ,- STATE OF CALARNtA , .. ? NUAIHEW ' . • -'BUSINESS, TRANSPORTATION ANO MOUSING AGENCY •�•'' DEPARTMENT OF MOUSING AND COLWU N DEVELOPMENT Q �] (] OMSION OF CODEB'ANO STANDARDS Q J 1 • 7 Ib MANUFACTURED NOUdIWG PROGRAM ,:..... MANUFACTURER CERTIFICAi'E OF ORIGIN CO R (DEALER PY (W►trTF) FORWARD TO TH2 OEPARTMENTRATOP.O, BOX 1620. SACRAMENTO. CA:Set'= FORWARD Y'RMIN iNE (S DAYEEOF RELEASE.R TRANSFEREE). COPY 1 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (OOLDENROO) TO BE RETAINED BY THE MANUFACTURER. TO 39Vcl SW31SAS 9Q-19 OOIHO VL16ZVEOES BE:bT 90OZ/bZ/ZO ❑ V 1� CMECI(IF TW 616 A DUPLICATE MCO -ENTER ORIGINAL MCO NO. aM�NUFAQTURED HQMF OR MULTI-LINIT MANUFACTURED HOUSING NUMBER OF 1 �{ LJ SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED MOUSING TRANSPORTABLE SECTIONS. SOMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: SKYLINE 1iOYXS 114C 90002 MANUFACTURER ADDRESS: I UGGESTEO RETAIL PRICE: 772 ,EAST REAMER STREETWOODLAND CA $ 54,986:25 (state)'Al Z1 MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: LAURE.LWOOD 2805—CT 11/9/2004 NAME OF DEALER OR TRANSFEREE (OVIMERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE Of TRANSFER: SKYCREST .ENTERPRISES/ COUSIN GARY`S HOMES TRANSFEREE DESIGNATION: 91265 11/19/2004 DEALER OR TRANSFEREE ADDRESS; 13465 HWY 99 E CHICO CA 95973 soleal(state)zl INVENTORY CREDITOR NAME: TEXTRON FINANCIAL CORP INVENTORY CREDITOR ADDRESS: P.O. BOX 16520 ST LOUIS N.0 63105 (Su"o tstatr(zip) SECTION MANUFACTURER BERLAL NUMBER MCO INSIGNIA OR MUD LABEL NUMBER LENGTH WIDTH V&lO►IT INCME9 INCHES POUNDS 1 9M -70-0315—T ULI 561593 792 168 28,771 TRANSPORTER NAME: ' BENNETT TRUCK TRANSPORT TRANSPORTER ADDRESS: P.O. BOX U 179 DURHAM CA 95938 6-01 C Bfwa 2 INATION FOR UNIT DESCRIBED ABOVE: ' COUSIN .GARY'S HOMES B„ML 13468 HWY 99 E ICO CA Z BI�� 973 z; E 1 MNtY vdat ww?rY d P> wr ~ fly w- d tlr 9lsu d CBIRmMB tAw BM Ibm Nm we w ME anwa VOODLAND YOLO CA ErwBnd am11 / 19 / 2004 w (COW") t (UFO) ( ) SIGNATURE OF AUTHORIZED AGENT: CO R (DEALER PY (W►trTF) FORWARD TO TH2 OEPARTMENTRATOP.O, BOX 1620. SACRAMENTO. CA:Set'= FORWARD Y'RMIN iNE (S DAYEEOF RELEASE.R TRANSFEREE). COPY 1 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (OOLDENROO) TO BE RETAINED BY THE MANUFACTURER. TO 39Vcl SW31SAS 9Q-19 OOIHO VL16ZVEOES BE:bT 90OZ/bZ/ZO 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. BP050988 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION _ I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/10/2005 APN: 022-204-008-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: Map Index: Date: Contractor: Description: NEW MH EX SITE PSI (1188) OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following, reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HANSEN, RALPH &ELAINE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 382 HASTINGS signed statement that he or she is licensed pursuant to the provisions of BIGGS, CA the Contractor's Stale License Law (Chapter 9 commencing with Section 95917 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 penally of not more than five hundred dollars ($500).): ❑ 1, as owner of the properly, 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: HANSEN, RALPH & ELAINE Code: The Contractors' State License Law does not apply to an 382 HASTINGS owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, BIGGS, CA provided that such improvements are not Intended or offered for 95917 sale. If however, the building or improvements are sold within one 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: RED LINE INSTALLATIONS INC not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 13407 GARNER LANE CHICO, CA 95973 ❑ 1 am Exempt under Article f the Businesnnd rofessions Code (530) 895-5543 Date: ✓7 Owner: License #: 848025 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Total Square Ft: 1188 S.F. Policy #: Valuation: $77,220.00 Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, / �j and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall fort_ hwith comply with those provisions. N Date: 010 r ( (_ o Applicant: 1AAIb / WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is her issued u�� a cable ovisions of the Butte County Cade and/or have been I hereby affirm that there is a construction lending agency for the the for this is issued 3097 Civ.) Resolutions t o work indic5te ov f whi fees paid. / O �� / 0. performance of work which permit (Sec BY Date: Name: Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials_ ❑' Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpoosss /!7 1�TLLla.�-�C' {� Signature: �� Print Name:E11 I A21�1 Date: 5J% J ,Ownerr ElContractor C3Agent for Owner 0 Agent for Contractor BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. i BUILDING PERMIT APPLICATION as. �gd AND SUBMITTAL REQUIREMENTS BP 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BIN # OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION F7013 �11 CONTRACTOR Name Address , Address 2 © U C "City . C � � �� rt :► i _. i i Zi ssn APPLICANT NAME CONTRACTOR Name Address , Address 2 © U C "City . C Z. State_ Zi ssn Phone _ Book Fax 2ri I _ —1 Z® E-mail Planner Lic. Z25�d ClaIG APPLICANT NAME ARCHITECT/ENGINEER Name Address , Address City City Z. State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name 'A G Address , City � a Z. P -ae Q ( _ Fax,'_ a 6 E ail APPLICANT SIGNATURE X For office use only: Zoning Property Address I �i'5 PWe' AV, Flood Zone SRA Yes o Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS Description or Scope of Work: la Yr n-� ck� Sq. Footage g ❑ Structure 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. KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Ny: +-3L) Receipt #- Date: ' Amount: `� 'q"' Bldg Sheriff SMIP t Other Total REV 4-30-04 �``'LOCATION AP# Z Z — V Lf- (7(39 c.- Property Address I �i'5 PWe' AV, Cross Street quoA 99 WORKER'S COMPENSATION Policy Number Carrier Ic If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: la Yr n-� ck� Sq. Footage g ❑ Structure 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. KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Ny: +-3L) Receipt #- Date: ' Amount: `� 'q"' Bldg Sheriff SMIP t Other Total REV 4-30-04 SUBMITTAL REQUIREMENTS j 1 The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the en ' eer Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! LK"- 2. 2Data -sheets and installation instruction manual. GV 3. 2 Marriage line information. ems' 4. 2 Floor plans. t3— 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 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: �GJ7V y \ ASSESSOR PARCEL NUMBER U( 6 `" Proposed Building Use: �. � " 'Permit Technician: Date: C*5V Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order o apply. efli 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for pion -heated and AIC for Non -Residential Buildings. / 8. Manufactured homesg(%) Installation manual, including marriage line inf� Floor Plan, Tie down or fnd plans, all in duplicate. / ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 1-1 ❑ 10. Flood Elevation Certificate, wet -stamped and signed; in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form J4 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remainina items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 115"Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ �( 19. Erosion Control Plan Required........................................................................ ISN Fees as shown on the attached Schedule of Fees Due Sheet ............................... ❑ T1. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑�,( 23. California Department of Forestry Ian approval ❑ paid. Sent by: - - / I� Planning approval for (A) Use: (B)Parking: (C) Parcel Check:....... ❑ Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... El 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction......................................................... ............................. 0 35. Legal description, H. Title, title search, istration MCO ........................ ❑ 36. Other: 37. Other: )-avwk SMheissued Telephone and ho ckup. I have been informed of the above items and requirements for 6btaining a building permit. / l Applicant:8Date: �r �q / 0-5 1. Index permit application for the above items numbered: i Plan Check Letter Ci I items required or, signer, owner, was advised of the above data by one, ❑ mail, ❑ counter, by Date: 05 or, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by _ Date: Plans reviewed by: Date: , z-PIans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: _ Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY -CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/Ods OWNERk\ayn A.P. # __E; aV • G "'d PROPROSED BUILDING USE 1J_(/J M _4�C DATE RECEIPT # DA REC. 02-'-1. BUILDING PERMIT FEES --- Balance Due ..................... $ cl�: --- FEMA Flood elevation review ... $ --- Additional plan checking Fee..... $ 2. SCHOOL DISTRICT FEES 1J ) 0 - !E) —/D (paid at School District Office) (form a ilale fter Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per. dwelling) Zoning T $ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP 9. OTHER 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 20io5—ioit21 7'47 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:20PM 18 -Apr -2005 REC FEE 7.00 COPIES 2.00 Kathy Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building. permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but notlimited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: lfi d5 gC(orclin +0 klnA+ Cer��i� MCT e►1��led "Svbdivisio� DIPOnSt-Ot - rrac�, �Ua Coo o,:Vy, ('_CA\+0-'nia1\ I,Jh'NC1n rY\a.p ��S JP� ted 16"V+j he. �. �� ce, o -F +V%e. fe c mke r i � +fie Ccs n�X\ 0� _)ut , uxvl�of n l c' De Cumber 6, 19 I o ► n 0c)y- "t3" p I�Y12 y Ccs- to e, 3, Date li 9 10,5 State of Calif% nia County of tjqtntt On PROPERTY OWNERS: dee Ela m)c 14mr,&r) personally appeared..., .�',mG—�3iQ4 , / , e/ /Q,.�� _&X. ����------'personally known to me (or proved to me ortthe basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS m and official 1. ' Signati LINDA J. OSBOURN ure _ G`U �`��-�.� Seal: Commisslon # 1404358 A.P. # ® ZZ -ZQ ` —00 O Notary Pubic - CaAbmla Butte County My Camm• Explr8S Mau 18, 2007 'Butte County Departureni of Develop pent Serfl CeS %3Tr . 7 County Center Drive ° ° ° Oroville, CA 95965 ° (530) 538-7601 Telephone o '=�' a (530) 538-7785 Facsimile UN�y BUILDING PERMIT APPLICATION. WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: • I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or' re Lire submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: ]FL(VtP, dan<-On Building site address: APN: 02- Z —'LOH —0%9fN' Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: - aw" - 0q/l0kr) SIGNATURE OF APPLICANT DATE Copy to Applicant/EH/File K:Forms/BldgPennitwithoutClearances 020705 A ftkmo� 5 1JeClc xC W°� Department ®f Public Works J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 9 ACREI Project Description: Project Location and/or Parcel Number: 02-7--7O!A -COO By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: EJCW—IU �&AAQAA Title: Date: //0/05, Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 BUTTE COUNTY DEVELOPMENT SERVICES -BUILDING DIVISION 7^ COUNTY CENTER DRIVE, OROVILLE CERTIFICATION OF EXISTING SQUARE FOOTAGE School District 0, AP #"abs: O b� Owner's Name �Yl� Property Location/Address Square Footage Residential Commercial Demo permit issued (Date issued /.6 Mobile home replaced ❑ Verified by Building Department Records Verified by Assessor Department Records Building Departmen R presentative Date ti PLAN'REVISION/RETURN Owner's Name: �# O 2 °2 — 2 Q// '46 _ BP#: D S^ 0 G Y Received By: ' Date: /— q—tllS Contact Person & Phone Number: Time: � r)- S - PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item i10/t � ❑ *Engineeringc�� �-� *Plan Revision M- H 0 ❑ *Requested by Building Inspector's Correction Notice — Inspector's Name: ❑ Requested by Plan's Examiner = Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: ❑ Call ❑ Deliver with next inspection. and hold for pick-up. Minimum. revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: ❑ Minimum $54.99 Receipt #: ❑ Fee not required for revisions requested by plans examiner prior to issuance of permit. S� Additional Fee Amount: Receipt #:-� l / Revised 2/04 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM 4V (One form per Building) School District C> 'I A.P. Number Property Owner (Al Property Location/Address Subdivision Jurisdiction: = city \45 Residential Development No of Living Mobile PHome . - -Units Installation Commercial/Industrial New Addition Building Department Representative () 5. ocrK S Building Department No. County Lot No. .... ........... ............ ............................. ................................ . .... Sq. Footage Addition/ *Supplemental to (Group R) I Conversion Permit # ion Inspection) .......................... . ...............*(No foundat............................. ! ....................... . ... C'G Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) Date 0V District Identification No. N � CA School District certifies that A/)IL) TI-AnOA (Applicant) L530 (Street Address) (Phone Number) I (city) j has complied with the requirements of Resolution No. representing square feet. School District Representative P id by Check # Remarks: ? 1 ILIZ-111AN - 1\ I A k. I_ ' (Stati) (Zip Code) by payment of $ FULL 2926 $ 11111MIGATI0N $ Date Notilve: You may protist the Imposition of the fees Identified above by submitting a written protest to the District. In compliance with Gov unmaid Code Section 66020(a), within 90 days from the date fen are paid. Failure to submit a timely written protest will'prohlbtt you from challenging the Imposition of On fees In any court action. K, subsequent to it* School bletrict Representative signing this buft County Schools Impact Fee Cerlifficallon Form, the School District Is rrot by the applicable Local Planning Agency that this project Is being reviewed undsr the California Enviroriments! Quality Ad (CEQA1 this project may be subied to additional school fen to hdly rntilgift.tts Impact on the school districre schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/03)dm.m 16 BUTTE COUNTY PDSE OF IIII��'<<� 04/18/2005 13:35 530-872-6312 Ila k -q lu ri Lk 16. BUTTE COUNTY PDSE OF IIII��'<<� P, i .19 PAGE 05 1 1 1 1 1 O VN lu ri 16. P, i .19 PAGE 05 1 1 1 1 1 O VN Down 1parkny Zoning: ape. IPavement UTILITIES! Transportation Installed Undergroun Civic Cenlers Year Appraiser j Date Improvement Replacement Cost !mprovement R. G L.N. D. Land And Improvement R. C L. N. D. Capitalized Earning Ability Indicated Sale Price Listed Price Total Real Estate Valve Load Value Improvement Valve / L and a lmprovemenl Tocol Real Estate Entered Poles/nReor Com'L Centers Wleslnirront Land Imps. SUMMARYAA> s APPRAISAL :,• .govt' SESSED . VALUES " AY t. View ry GENERAL rues typ. n% srorres ening Bui11-up bilily Bldg.Restricr. -- �sa Ass m A— 0 Date of lm, A. P. e,. B..k Po, Pa.cd m M 0 0 Z { SHEET 0: 'Co U,. Cd. m 161 SJ.. A,,. Cad.. 0 162 A;p,ei,v N. m !� 157 1.•om01.,n PAP 19 .... -.... 1M Lmi q: r 165 2m1.y r—N—r Ya. (Sr M. rJ LZ 0 167 914. Cl.,cL- 163 Bi: 1 ❑ 2❑ 3m 1 ❑ S❑ tag ga:6,: I'M 7 ❑ 3 ❑ ', © -.:❑ 179 a, � r /f 3 6" Gni •71 A..a: s 172 Le.6 Jrp: Le: ❑ A,,..O. 0� m N 173 Genet Y.a Q ❑ Proper Margins! h Zoning - 7 BUIL DING Class: swill: 1P,0, Cons: Areo: Typi Slories: I i _, URBAN PROPERTY APPRAISAL RECORD PARCEL CITY M ` -1--i=-` =-='� �1 ADDRESS SCH.DIST. -� ? ` m SUBDIVISION BLK LOT `' + Comk Cn CHARACTER OF SUBJECT PROPERTY CHARACTER OF NEIGHBORHOOD •`'•' w USE TOPOGRAPHY LAND IMPS.6esidenfial USE TREND Ln Residential Commerc,ol Irduslriol ,Level Lot of Grade Sidewalk Commercial . Industrial I Developing JDeclininc Single Store Warehouse Low .Bank Parkingstrip 11 Single Retail Light -'Slalionary 18lighled w Duplex Markel Factory High Hole Parkingrreesil Income Wholesale Haovy TOPOGRAPHY m Flol _Office Connery View Retainwoll Curb E Areo Area Argo Leve/ 1 Hilly m Apartment 1Loft I PackingHse, Hill Fill Gutter Spotted Spolled Spoiled LowSlope N 1 :Hotel Theo tre Rough Slove Up jorn. Lights jj Ribbon F Ribban Ribbon IHFgh Unduloti. W Down 1parkny Zoning: ape. IPavement UTILITIES! Transportation Installed Undergroun Civic Cenlers Year Appraiser j Date Improvement Replacement Cost !mprovement R. G L.N. D. Land And Improvement R. C L. N. D. Capitalized Earning Ability Indicated Sale Price Listed Price Total Real Estate Valve Load Value Improvement Valve / L and a lmprovemenl Tocol Real Estate Entered Poles/nReor Com'L Centers Wleslnirront Land Imps. SUMMARYAA> s APPRAISAL :,• .govt' SESSED . VALUES " AY t. View ry GENERAL rues typ. n% srorres ening Bui11-up bilily Bldg.Restricr. -- �sa Ass m A— 0 Date of lm, A. P. e,. B..k Po, Pa.cd m M 0 0 Z { SHEET 0: 'Co U,. Cd. m 161 SJ.. A,,. Cad.. 0 162 A;p,ei,v N. m !� 157 1.•om01.,n PAP 19 .... -.... 1M Lmi q: r 165 2m1.y r—N—r Ya. (Sr M. rJ LZ 0 167 914. Cl.,cL- 163 Bi: 1 ❑ 2❑ 3m 1 ❑ S❑ tag ga:6,: I'M 7 ❑ 3 ❑ ', © -.:❑ 179 a, � r /f 3 6" Gni •71 A..a: s 172 Le.6 Jrp: Le: ❑ A,,..O. 0� m N 173 Genet Y.a Q ❑ Proper Margins! h Zoning - BUIL DING Class: swill: 1P,0, Cons: Areo: Typi Slories: I i Down 1parkny Zoning: ape. IPavement UTILITIES! Transportation Installed Undergroun Civic Cenlers Year Appraiser j Date Improvement Replacement Cost !mprovement R. G L.N. D. Land And Improvement R. C L. N. D. Capitalized Earning Ability Indicated Sale Price Listed Price Total Real Estate Valve Load Value Improvement Valve / L and a lmprovemenl Tocol Real Estate Entered Poles/nReor Com'L Centers Wleslnirront Land Imps. SUMMARYAA> s APPRAISAL :,• .govt' SESSED . VALUES " AY t. View ry GENERAL rues typ. n% srorres ening Bui11-up bilily Bldg.Restricr. -- �sa Ass m A— 0 Date of lm, A. P. e,. B..k Po, Pa.cd m M 0 0 Z { SHEET 0: 'Co U,. Cd. m 161 SJ.. A,,. Cad.. 0 162 A;p,ei,v N. m !� 157 1.•om01.,n PAP 19 .... -.... 1M Lmi q: r 165 2m1.y r—N—r Ya. (Sr M. rJ LZ 0 167 914. Cl.,cL- 163 Bi: 1 ❑ 2❑ 3m 1 ❑ S❑ tag ga:6,: I'M 7 ❑ 3 ❑ ', © -.:❑ 179 a, � r /f 3 6" Gni •71 A..a: s 172 Le.6 Jrp: Le: ❑ A,,..O. 0� m N 173 Genet Y.a Q ❑ 1.1•(1•• r. .,fit •—� �s. '", ,'--.?..r. 5' ,,., ..', A-,:��!'.•7 31, St — '1-•111 �Wl'. .l"_^.:•.:'.,.. ,r �� :s...s, r_ r..� •..j f ,4+. '�1 'i!.r �. `/•.i�• t/� •,'..I :r; :�'•�!:�.,i��',T�„` [yi".1"'.1'.li ^��,' �f�v'I� :'Y• 'r `i,� f- r.1f(J i.ti' '.`.- +:..,fit'.. F..! a. v�` ! ]♦'`Ai'rr v. " 1 ” . n : , �. i •, Y' L t - �. • - • ! is .. Y-1 A:J .. .... . .. ... 4r Ai .. . . . . . . . . U. .J! T ! tv". 4v, TOTAL PJORMAL % GOOD R.C.L.Mo. C. - SPECIAL FEj Boct$CosesI flVilt-157Cees SllufrYn S - w Yeflelfkw Blinds M COMPUTATION IRYP WU&NIJAL. SUILVING Ra GORD PARCEL Appraiser a Date 0 c_- Unit Area ADDRESS. cost Unit Cost uni cost coj 0 cost icost Cost !Vnit Cost < Cost Wt, I COS !/-.Z In SHEETS CS) V S.I201 IM.cw= rri OESCRIPTION OF BUILDING 0 CLASS J# SHAPE CONSTNUCF1014 SY-49CTURAL EXTERIOR poop LJ GH ri NO AIR CONDITION ROOM AND FINISH DETAIL ca Light Frame StL.cw an flat 141 pitch wiringFLOORS by -mw I 4-jv.-q V- IFLOOR FINISH INTERIOR FINISH NJ ROOMS Gable 14. 1 X d, . al flEl TRIAL matwid, I Is' -d. I Wet.13 ce-IRMYS co ci) ARGHJTECTURE S d&d NO [air to 'Crmvity /Yaw. -61 ,11 lcalb I 4 Ln -1 Fixtures 1417/7 MW Stories Avecied Hdd Z8fi cul up En A Hall use TYPEBlick Shire les Ocrmers jM--di-- AlbceL?Wl Living, w Ln FovNvAriom .Adobe --4vy. W -y I Is'peciol zone&filz I x"i-I I PLOMBING Bed A. I';) J� w 2". orick gild c- Flol Nowpe Jub'Fibor None Shane Oil 5urffel- rt M couli Piers WINDOWS rile 7 -ac r -,;m If-Imoveryealer Auiamalic w rraifted. llalerj,71. CONSTRUCTAODIN RECORD EFFEC. APPR. NORMAL GOOD RATING (E, 6, A. F, P) BATH DETAIL - permrFar Amount Date YEAR YEAR Age raAre Coad, Arch. Func. 03n- 51 J, FI. Nos hi�ilz -6,56 �C&,C, Ohtylbw - -- FINISH FIXTURES — T SHOWER Attr- C -do A 1 ?.47JT i forin I wel/3 'r- a 7y,- ciwkh TOTAL PJORMAL % GOOD R.C.L.Mo. C. - SPECIAL FEj Boct$CosesI flVilt-157Cees SllufrYn S - w Yeflelfkw Blinds M COMPUTATION 3!; Appraiser a Date 0 c_- Unit Area unit Cost cost Unit Cost uni cost coj unit Cos t cost icost Cost !Vnit Cost < Cost Wt, I COS !/-.Z In V S.I201 IM.cw= rri 0 7 TOTAL PJORMAL % GOOD R.C.L.Mo. C. - SPECIAL FEj Boct$CosesI flVilt-157Cees SllufrYn S - w Yeflelfkw Blinds M COMPUTATION 3!; 0 c_- 2 zkm Unit Cost Cost Cost unit Cos t cost icost Cost !Vnit Cost < Cost Wt, I COS !/-.Z In V S.I201 IM.cw= rri 0 7 -7- —0 D cm w 3!; '. j 1. � -7 V 7 V- -7- —0 D cm w BUTTE E.H. USE GAILY COUNTY Piot Plan Attached Roar Plan Anschad APR 19 2605 Sens to 8.0. DEVELOPMENT TO: Building Department SERVICES FROM: Environmental Health SUBJECT: Sanitation Clearance �I �I tj �Ato Owner Location AP# Plan Approved for: Sewage Disposaf_. Water Suppi Public P ivate Wel, Clearance for dwelling. Other P �n�Y� n� Hold final for: Final clearance O.K. for: . NOTE: nvironmental Health Specialist Date 8/96 STRETCH 32' STRETCH 16" ® GOLDEN. ESTATE GPH CHICO STOCK GE401F - THREE BEDROOM. TWO BATH - 1,090 SQ. FT. Manufa-C ring Wawt, Inc. rnii Albany Division — Plant 1972 2445 S.W. PACIFIC BLVD. ALBANY. OR 97321 Phone (541) 926-8631 ^Manu Fax (866) 491-6847 SALES FLOOR PLAN puani fY. ALBANY DWM J. HENRY -4, CA 0 famixr "U Mo. GOLDEN ESTATE GE401F-04 sa rr. 1,080 arc 12-16-03 s,Kcr 1- 41 aCvsw — e SITE PLAN ............ ...... ............. ................••-- . :. ....... .. .............. ......�- ...............j .. _. .. .. .- .. ....... - ..... . ... .. .. ... --r' —. ......= • •. ; ;. rsn A 1 ................... .. .. ... = Coun •......... .....: a. �- ...... .... < ..... ... .. ... .. .. ... .................1: ... .. r . _ .. ... .. o o a . _ ... .................... ..... . . ..... o= ..... ....... --��• 1911 4. Sa. i d 3 .I. ....... ......... ............. 9 ... .............. .............. ............. ...... ......... ............. f .....r.....'....................:.._............_. .................... ................... ...... ............. ......... ...... .. ... .. ••ci�,ev •�my ................... ....... ...... ....... .............. ... _ L _ _ ' C _ �` (�LJ .. .. ... .. .. .. .. .. _. .. ... .. .. .. .. .. ... (,� - - A .. ... .. .. ... .. ........................... __ .. .. .. .. ... .. -. ... 5' � .ice• —.. .. ... .. �. 9 • ..... ...--•....... ............. :. f.... •. a� NY .. .. . ' .. . .. ............ .-7_ ._ .. _. .. .. . .. .. .. .. :s _- ,ra. ...................... .. .. __ .. ... .. .. ... .. .. _.. .........� .. ... .. ... .. .. ... ................................................... ... e . . . . . . . . .. •1 > Tr.. ...... r �• N Z . i: ... ................._ ...,..._.._.................. ........ - ... — ------- ... 3i e.1 1 c. ....... .................................... t r. of :.. ;... t. ;joy ....,}; �C G� LE iL V�' ido n•'•� O 1`� .fit.. � .. ........................ _... F ..:....:. . ;� • :....................•:.. r........ .. r@@ �g • _ : : 1 � . r T € Ir y .. ...... ........... :............... ..................... ..................... ........................................................................................................................................................ .................... ...................................................................................................................................................................................... Assessors Parcel Number Owner Name Address / Phone No. ` Site Location t?rr Contact: Name FRI 91 — L Ril ® — E 0 Bil Scale: 1" Phone OdWW2,=3 FOR OFFICE USE ONLY Zoning: General Plan Desig: - Size, Acres a.0(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: I I'/ V SITE PLAN REVIEW APPLICATION Date: T Permit Number (if applicable) i- ©7 9-11 APPLICANT INFORMATION Owners Name: Owners Address: `7r Telephone No.:. Situs Address: Proposed Use: K6 Fr- Jv Residential ❑ New Single Family Residential Single Family Addition Mobile Home —� ❑ Residential Acceslory ❑ 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): AP# Og Q — .z 0 00 Parcel Size: o�, ` G%cy 'A . ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) a Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval IS Site Plan Stamped Approved By Z�Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY 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) p7/ 00� ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: G S� Index Date: q ❑ Sacramento River Reclamation District (Approval must be obtained from the Ca ifornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ---------------------------------------------------------- ------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: /� —5- 0— Q J::c Applicable Building Setbacks: Front Zoning Code Gy , Streets & Highways Fire Prevention Subdivision Map Side s r 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 2of5 y.r Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By 10 Deeds: Date of Creation: Legal Access Provided: Deed of Reference: Legal Access Required Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes ❑ No ❑ Yes Parcel Deemed to be legal Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental. Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control 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. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa IKK Page 4 of 5 r ❑ x x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C*U,arrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 01/12/2006 09:46 5303429174 CHICO BLDG SYSTEMS PAGE 02 oh.y,, /1�Qa�IP.�to,✓I K �d.�m.C� 05--0988. 13468 Hwy 99 - Chico, CA 95973 - (530) 343-8494 - 1-800-600-8494 www.cousingarys.com Plot Plan Attached E H USE ONLY Floor Plan Attached Sent to BD/DS I TO:. Building Division — Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance llc�l 0� 0 1 �,S— 'DO Owner Location AP# Plan Approved for: Sewage Disposal: '-�,_ Clearance for dwelling. Other Ek Hold final for: Final clearance O.K. for: NOTE: Envi or nmental Health &pecialist Building Clearance 9/2005 Water Supply: Public Private Well Date ' bl/WJ/ZUUb UJ: 4f 731734L7114 — 11-W YL V V ... r J r -..- 7, ..- g I - x ► C 1 ti M I K. �i 11 Qvrs,iJ _1\ 06--.0906 BUTTE COUNTY BUILDING DiVi ICA ,-,'APPROVED Butte County Environmental Health Date ®v----- -- Signature -�--�.. •-..... .... .,...r awn www • w1 +r •on ♦nn7 i•w ren - ¢� _ SITE PLAN :...........;.....:......:......:.....:.................. ... .. .. .. ..l.. ..�. .r.. .. �.:• ..}.................. ... .. .. .. .. .. •:'^.. .. .. .. .. ......................................... ...... .. ..:.. .. .. .. .. _. .. ... .. .. ........... .. ........... .. ._ .. ._.................... .. .. - :� Z. 1..X. - ?3 .. . t . -- : 6{ .. ... .. .. .. . .. -. ................................... ri1 a } t • o - O_oill . = a >r.... .......................... ....... ........ - .... ........... . .. .. -- _ c .. ... .. ... i1:..................J - - .. .. .. ..... _. .. ... .. ...................... ftp e 1_ a ..::::::: P . .. .. .. %... ..... ............... ..... . . . . - �.. . ,�. :....... - ................. �SJ ..N..... _ _..... • .. . .. ... .. ...............- t: -Yi L :r_ O .. c;..C,yn y :.. -- . wonmen --�... ,,.. .. ... .. .. .. .. t ....al ------------ ................ 1f E7 .. 1_ .....- .. _. !F !�% . . . . . . . . . . I� i �:. . . . . . . . . . . . . . . r-� ,,.....� ------ _...i �e ................= e.1 '.. :� �� UNT- y >TE :� :..... :...... E : . ........... fes..... ......... o1+�tC�C, ....:. :::...' .. ... .. �r....................... .. .. .. ... . . . . . . . . `D .. ... .. .. .. • •• -- acE` ' o J�t v r: _ _ A ?: �- V� r . G P :APPROVAL - - ,I:dCs...N.SION - BI ILDIN i : .. .. .. ... .. .. .. /Y1 Dai: t.. .- .. ... ! i klss I •� � AIRF L Landsca 'n F.. ..:......... .... .. . ....... ...... O : j.... .....;......................................_........:.... S; rimW ................... .... :_ _.... ............ ...... * ............ ..... . ..... ............ . ..... .................... ............. . ..... ...... * ............ ..... ....................................................................... ............. ..... . ............ ............ ...... ..... ..... ............ . .................. ...................... ...... ...... .................. . ............. Assessors Parcel Number Ob 9191 —1 \Q Q Q — Qo Q ® Scale: 1" Owner Name n\ nh 4` ,r•i,21)niP tiay,Se n UTUM Address / Phone No. aS� o� 6 - QD Site Location Lr. Contact Name i=M of �1� 4 r� . Phone 3� e SITE PLL'A"N" .. ..... .. i.:.... ............. �.. z. 'F .moi.._•_., .:r:.... ._. ...... - ........a3 . . : ............ .................. .. .. ... • • • ... .... �" '' C r. O a . •. .. :. .. - _ _ ; .. �,. --- ............. ..Lc Map`a P .. - ZA -----------r ko. d - y 'P i a .. .. ... ,... .- _..� • - - , 2• - .................... .. ............. ../ '� ......... .. - -'. ..__.. .. _........................ ... .. .. ... .. ...... .. .................. ............. .. ... -. .. .. . o '� -• -- .... ....:• � ,. to . . .. . . . . . . . . . Y d �1: M. .......... :......: ;....:------y:-----.;......:................•-•:.....:-----.......I.. _ ... • • -• • .. ........ ... • -- - - • i } : : E: c' c i c c i : t •K ; c .. r- r.•- 02 f p�� t�i ......... �.... .. 19 .. Q • N �o a a� y. - ,.- G :............. ...... .... ... :.... _ :. V : r :APPROVAL ........................-.............._..... ........... ..............................: i c3\' Ih DiV&Oi - BUILDING PLA i :• ID LE ..I`............................... UD �! Date: O -n _. t- ParldAg'-.— tandscap� ..... ;......: ........................ •-.:....- ..........:...-•-= ; E :.. > .----... .. ............ ........... ;.. f .. .. .. r {- z i 'SigilJCtlt': 1 .���;tom. ------ ...•... .. .- - .................. .. .............. Assessors Parcel Number Owner Name D E— E a a Scale: 1" _ �* Address / Phone No. 6 B aski o� Site Location r. IUU 'Contact Name �R&A Jh n,r E,6 I nP . 1 Phone �, J FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres a.0(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: 5� SITE PLAN ....................... ...... ............-•--........ . ....: .....T ................. .. .. .. .. .. .. --7 ................ .. y — ii44 .. ... .... .. .. ... .. ...•L� .................................... ._ .. .. _ .. .. .. ... .. .. ... ............. ........... '- Y �- K 3 t 3 c- i &rin ...... e . ... . . . . . ........... .............:...... .................... ....... :............ ...... :.......-----:...•..... ----- i f ......:. _... 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A. .......-••..:............. ......;.... .................... f1q ;.. Assessor's Parcel Number Q Q — \0 0 E) — Q 19 o Scale: 1" _ 44, Owner Name 'Rn\ n Address / Phone No. B Site Location ! H5 Contact: Name RSL , n,r Elgi t in .UU Phone y j octabw24=3 . FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres a.00r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: 6'-8 in, 6'-6 3/4" II'.A 3/4' I'.1 1/d' a'-4 0- 3'.3 1/4° 3'.5^ STANDARD CARPET LIVING ROOM BEDROOM 2 4 3 MASTER BEDROOM HALL TOTAL 54'•0 W/ GLAMOUR BATH TOTAL bl'•O OPTIONAL CARPET KITCHEN 12'•0' UTILITY b' -b' GUEST BATH 5'•6' MASTER BATH 1'-1. . . . . . . . . . . . ® (30# ONLY) 13'-6" CARPET LAYOUT •2.I@NL1y� © a © a Q a O o -13-6 40-0I PIER STANDARD CARPET LIVING ROOM BEDROOM 2 4 3 MASTER BEDROOM HALL TOTAL 54'•0 W/ GLAMOUR BATH TOTAL bl'•O OPTIONAL CARPET KITCHEN 12'•0' UTILITY b' -b' GUEST BATH 5'•6' MASTER BATH 1'-1. ® (30# ONLY) 13'-6" CARPET LAYOUT •2.I@NL1y� PIER PIER AFOOTING SIZE REOUIRED (SO. IN.) CAPACITY PIER PIER I EITY FOOTING SIZE REOUIREO (S0. IN.) PIER PIER FOOTING SIZE REQUIRED (SO. IN.) ''PI RY 8 CA?AMITY ' N0. (LBS.) LOCO PSF 1500 PSF 2000 PSF NO. C (LBS.) 1000 PSF 1500 PSF 2000 PSF N0. (LBS.) 1000 PSF 1500 PSF 2000, PSF NO' (LBS.) I000 F f 1500 P i " 0 PSF 1 2000 288 192 144 3 4000 576 384 288 5 6000 864 576 432 77 # 10000 1,40 , 960 �e =,,720 2500 360 240 180 ® 5000 720 480 360 © 8000 1152 768 575 1 08 12000 1728 1152 '- 864 GOLDEN WEST HOMES DRAWING TITLE CARPET &� PIER PRODUCT MODEL NO. ALBANY DIVISION 2445 S.W. PACIFIC BLVD. SUPPORT . L 0 CA TIONS GOLDEN ESTATE - GE401F-04. so. FT. 1 080 DATE 12-17-03 \� ALBANY,419 6— 631 541 926-8631 Phone DRAWING FILE INFORMATIONDRAWN BY SHEET REVISED '^ (800 858-3552 Fax ALBANY DIVISION (6" WALLS) J. HENRY > —A2 — Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 FOOTER SIZES WIND ZONE I - SINGLE - DOUBLE - TRIPLE - HIGH PIER WIND ZONE II - SINGLE - DOUBLE - TRIPLE V -DRIVE & PIER SYSTEMS I SOIL CLASSIFICATION CONCRETE INSTALLATION 9 10 11 12 13 14 15 16 17 18 & 19 I COMPONENT PARTS AVAILABLE UPON REQUEST RELEASE DATE 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 BPA T» Approval MANIIFACTMED ROMEIMOBILB HOME FOUNDATION SYSTEM =&= AND SAFETY CODE„ SECTION lam! AP=VED NBJ= To COpffl=0N8 N0nM APMVAL DON N0T AVTRORI25 Olt AMOW AN OMISSIONS OR DEVIATION FROM REQUIREMENTS APPLICABLE STATE LAWS AND REOULATWM Sbft ofC+IIrbrnb x mdC4=mft oDDESAAIDSTANDA>t>� 4—t _ FhnApprovzI E*ra BUTTE COUNT -1 .UIIG DEPART.', .A ., 10.3 N� Do co L Cn O N O O O INDEX PAGE SECTION NUMBER INTRODUCTION 2 GENERAL INSTALLATION 3 PARTS LIST 4 & 5 LONGITUDINAL DEVICES 6 PIER HEIGHTS 7 SET-UP INSTRUCTIONS 8 FOOTER SIZES WIND ZONE I - SINGLE - DOUBLE - TRIPLE - HIGH PIER WIND ZONE II - SINGLE - DOUBLE - TRIPLE V -DRIVE & PIER SYSTEMS I SOIL CLASSIFICATION CONCRETE INSTALLATION 9 10 11 12 13 14 15 16 17 18 & 19 I COMPONENT PARTS AVAILABLE UPON REQUEST RELEASE DATE 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 BPA T» Approval MANIIFACTMED ROMEIMOBILB HOME FOUNDATION SYSTEM =&= AND SAFETY CODE„ SECTION lam! AP=VED NBJ= To COpffl=0N8 N0nM APMVAL DON N0T AVTRORI25 Olt AMOW AN OMISSIONS OR DEVIATION FROM REQUIREMENTS APPLICABLE STATE LAWS AND REOULATWM Sbft ofC+IIrbrnb x mdC4=mft oDDESAAIDSTANDA>t>� 4—t _ FhnApprovzI E*ra BUTTE COUNT -1 .UIIG DEPART.', .A ., 10.3 N� Do co L Cn O N O O O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. 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, end frame ties and rim plates. �04n:ih Page 2 California 9/2/03 GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE - TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16" ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. �Xonap' Page 3 California 9/2/03 Vector Dynamics Foundation Systems. Lateral Component Parts List Vector System Lateral Stabilization Block Pads #59018 - 2 sq. ff. single/double block pads with hardware, swivel straps and slotted bolts Vector System Lateral Stabilization for Concrete # 59036 - Single (only) block pads with hardware, swivel straps and slotted bolts. # 59049 - Double block pads with hardware, swivel straps and slotted bolts. Vector System Lateral Stabilization For Difficult/Rocky Soils # 59287 - V Drive System Must be used with: # 59018 - Vector for single/double block pads 3 Sq. Ft. Pad Vector System # 59271 - Vector 3 sq. ff. pad (2 required) # 59024 -Vector Lateral Hardware Kit, includes PVC adapter. Strap/Swivel Strap Connectors & slotted bolts not included. �x *-am Page 4 California 9/2/03 Vector Dynamics Foundation Systems Longitudinal Component Parts List Longitudinal Stabilization Hardware Kit # 10733 - (for use with 59018 Vector System, single stack block sets only. Longitudinal struts not included) Longitudinal Stabilization Hardware Kit for Concrete # 59023 - Includes 2 beam clamps, tension brackets, nuts and bolts. (for use with #59036 & 59049, longitudinal struts not included) 3 Sq. 'Ft. Pad Vector Longitudinal System # 59026 - Includes 2 beam clamps, 2 tension brackets, nuts & bolts. (for use with #59271, longitudinal struts not included) Struts for Longitudinal Systems Part No. Length Pier Height # 59016 30" up to 2 Blocks # 59012 , 39" up to 3 Blocks # 59013 44" up to 4 Blocks # 59014 53" up to 5 Blocks # 59015 65" up to 6 Blocks PVC Adapter Bracket # 59281 - For use with Schd 40 PVC Center Compression Strut # 48612 - Single Section, 62"- 108" # 48613 - Double Section, 34"- 60" (includes short u -bolts, nuts, washers and 6 self taping screws) Page 5 California 9/2/03 a Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. LSD Combine Vector Dynamics 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) Note: Two struts =1 L.S.D. system. 3. Longitudinal 5trut (2 per system) Can be used on one pad or slipt on 4. Tie Bracket (2 per system) opposite ends of the home. Examples of Possible Placement: Wind Zone (Contact TIE DOWN for placment in other Wind Zones) I Triple Section Wind Zone Wind Zone I I Single Section Double. Section I I I I I I I I I I I I I I I I I I I I I 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Page 6 Wind Zone I Tag Section 48 Ft. Max. California C R 9/2/03 50 in max. I Maximum Pier Heiaht Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). 'Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. Is 50 in max. Maximum Unequal Pier Heights i Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". I Page 7 California 9/2/03 Set -Up Instructions for Vector System #59018 Long U -Bolts 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or hammer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre- cut center compression member between blocks, rest- ing on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to outside of pads. 4. Inside brackets & Straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to outside tension bracket. Cut strap 12 -15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. 4 2 ( om-_ --c M Page 8 California 9/2/03 ,1 C') 0 Note: L.S.D.: Stabilization See Page 5. r WIND ZONE \2 sq. ft. pad/ s o -h of the home. Pier spacing must be consistent with home manufacturers' Soil Classifications: 2, 3, 4A, & 4B instructions and/or state requirements. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required: 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties Home Length Vector Systems Required Anchors Required Per Side or 24" Pier 24+" Piers L.S.D. 0 to 72' 3 ZONE I, SEISMIC ZONE 4 3 2 73' to 90' _WIND _,--';=-''"" - 4 2 Vector Dynamics Systems Required for . - ' ; - - ' " . ` Single Section Homes _ . (Materials Required) home.ie sed'On ?271- OA a _-- --' WP CD C') 0 Note: L.S.D.: Stabilization See Page 5. r WIND ZONE \2 sq. ft. pad/ s o -h of the home. Pier spacing must be consistent with home manufacturers' Soil Classifications: 2, 3, 4A, & 4B instructions and/or state requirements. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required: 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties Home Length Vector Systems Required Anchors Required Per Side or 24" Pier 24+" Piers L.S.D. 0 to 72' 3 2 3 2 73' to 90' 4 3 4 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) 03 cc co O NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. No anchors required. For pier heights up to 46" for 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. WIND ZONE I 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 46 Soil Bearing Capacity: 1,000 PSF minimum Anchors Reauired*: None (Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 WIND ZONE I, SEISMIC ZONE 4 67' to 84' 4 0 4 85' to 90' 5 0 4 Vector Dynamics Systems Required for Double Section Homes e \ (Materials Required) h°m_ - e�t�or do ° OL ,r=-------- -'''�' \ _S EX ample t zsr�" _ N L T _ NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. No anchors required. For pier heights up to 46" for 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. WIND ZONE I 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 46 Soil Bearing Capacity: 1,000 PSF minimum Anchors Reauired*: None (Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' 5 0 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. WINDoZONE Dynam�1 SEISMIC ZONE 4 �Systems Required for,--''"�\t�Se�tvetomsems;,_ ` ft Triple Section Homes 1e of a sera\ {Ot, (Materials Required) - - - -� ' ' ' EXamph°Ws get _ a _ ro — a NOTE: CD When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. C-) w 0 Tag or ----17` full triple , 0 w 2 sq. ft. pad 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required*: None (*Marriage wall anchors may be required by home manufacturer.) Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 2+2 on Tag 0 2 1 49'to71' 3+2 on Tag 0 2 1 72' to 84' 4+ 2 on Tag 0 2 2 85' to 90' 5+ 2 on Tag 0 2 2 Each Vector System requires one of the following: 1-44 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE I, SEISMIC ZONE 4 (High Pier Sets) , _ - Vector Dynamics Systems Required for Double Section Homes (High Pier Sets with Diagonal Ties) , _ _ - - ' " " " home - , ` section 72� doub\e ` fa NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. w WIND ZONE I Max. Height Unit Width See Page 7 14 F4 N 4 $ O 96' 4-1—,Beam W Spacing �2 sq. ft. pad , as MIn. 0 to 48' 2 2 2 49' to 71' 3 3 3 72' to 84' 4 4 4 85' to 90' 5 5 4 Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required`: 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292) 1-1/4" frame tie with connector Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) � 1 \ WIND ZONE II, SEISMIC ZONE 4 (Hurricane) Vector Dynamics Systems Required for Single Section Homes (High Pier Sets with Diagonal Ties) fts guidelines sect%Oosvm ana1 sa�g,eS ngt,na%%0%0n a72 tsphome Oesra SYaL ,60*sgbetot- , i �; i\Wss� atxd sPa°`n9 m _ \ounat%io % ' r " n 0 24" N W z WIND ZONE II (not to scale) Soil Classifications: Soil Bearing Capacity: Anchors Required*: 2,3, 4A & 4B 1,000 PSF minimum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Equired per side LSD 0 to 48' 3 5 -2 49' to 60' 5 6 2 61" to 72' 6 7 2 73' to 84' 7 8 2 85' to 90' 8 9 2 NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. R Each Vector System requires one of the following: \2 sq. ft. pad 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) NOTE: Vector Systems should be spaced as symmetrically as possible along the length i home. Pier spacing must be consistent witt manufacturers' instructions and/or state req Maximum allowable working drag load for tl System with steel compression strut is 4,001 the K2 Engineering test report. Na 0 W bon bearing uapaciry: Anchors Required": i,uuu rbr minimum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Anchors Equired per side Vector Systems Required LSD 0to48' 4 WIND ZONE 11, SEISMIC ZONE 4 49' to 60' 5 5 3 Vector Dynamics Systems Required for , - " _ - ' ;e Seo�;ec o om a �a� g�\de\\ne5; 3 Double Section Homes ' - - _ " - ' 72 {t do ab e \o sta\\aO man - ' -;' ``♦ `, _-' o{ a era\sP omen EXamP�s oWs9Ustbetoh 4 ♦, `♦ _--"-'""- \\\�stra�`d° spac\n9 m " - ' " , _ _ ' ' "` ` ` ♦ ` `♦ ♦ ♦ NOTE: Vector Systems should be spaced as symmetrically as possible along the length i home. Pier spacing must be consistent witt manufacturers' instructions and/or state req Maximum allowable working drag load for tl System with steel compression strut is 4,001 the K2 Engineering test report. Na 0 W bon bearing uapaciry: Anchors Required": i,uuu rbr minimum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Anchors Equired per side Vector Systems Required LSD 0to48' 4 4 3 49' to 60' 5 5 3 61" to 72' 6 6 3 73' to 84' 7 7 4 85' to 90' 8 8 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) • .� w+•,,:,a,';�.�_m��ia...g,i.,r...--'..r r•w.i «._. .-..w ,,.. ....�::,�: ._!'.5't. R. 3,��. - :rw. bS..�. - - _.x�.: WIND ZONE II, SEISMIC ZONE 4 Vector Dynamics Systems Required for _ _ " - ' " " _ _ , - ' Triple Section Homes"ct on h°Systems' (Materials Required) _ - - ' " " _ _ - - a �g tt mai n9 for Veotor lie 01 9er`era\ P - ' � � � `. ``. E � � � L"- _ _ tee• __ -. .� -.- � CD rr NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Soil Classifications: Soil Bearing Capacity: Anchors Required*: 2, 3, 4A, & 4B ' '"" " 'r 1,000 PSF minimum 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertical ties w//4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 3+2 on Tag 4 2 1 49'to71' 4+2 on Tag 6 3 2 72'to84' 4+3onTag 7 3 2 85' to 90' 5+ 3 on Tag 8 3 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) 2 sq. ft. pad 2 sq. ft. pad Vector Dynamics Metal Pier & V -Di METAL PIER FOUNDATIONS For metal piers, place the piers in the center of the Vector pads. Set the single 44 or two 2x4's through the piers, centered in the U - bolts. Outside Tension brackets attach the same, Inside tie brackets mount "upside down" as shown in drawing. Metal piers using the Vector System can only be used on level ground sets. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. To cut lumber (2 - 2x4's or 1 - 44 per, or 1 adjustable steel commpression member, part #59043 Vector system) for the center com- pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16 Optional Moisture Termite Shield may required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as.to°brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. V -Drive for rocky soil V -Drive anchors are used only in Zone 1, single section homes. V -Drive anchors are used only in Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to be installed. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bolt. Cut the strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight. --2(* Page 16 California 2/03 VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. ' Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: 16x16 = 256 sq. in. - - ' = 20x20 = 400 sq. in. or 16x18 = 288 sq. in. or 17x25=425 sq. in. EQUALS - EQUALS 2 -Vector Pads # 59275 - = _ 1 -Vector Pad # 59271 288 sq. in. or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent listed above. *Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En ineer miliar with site conditons I 7n� /r.—. . Page 17 California V� 9/2/03 Vector Dynamics System for Concrete Applications Instructions These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" round (min) x 10" deep. The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be sufficiently cured and set to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (galv. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1 adjustable steel commpression member, part #59043 this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. 9. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. Illustration One of a Single Section Set -Up Vector pa for concrete footer Page 18 California Wood Cap and wedge Outside Tension Bracket Wedge Bolt OMLP 9/2/03 Vector Dynamics System for Concrete Applications Instructions 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 17. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration Twi Inside Tie Bracket Compressio boards or PVC Pipe Page 19 California Vector pad for concrete Concrete footer 0.1 c 9/2/03 U3/LS/LUU� ,1..1:1'6 rAA 53U Myy V631 VIOLL111 NA11UivAL 111LL. RECORDING REQUESTED BY HARRIS, SANFORD & HAMMAN Attorneys at Law AND WHEN RECORDED MAIL TO . HARRIS, SANFORD .& HAMMAN P. O. Box 908 Gridley, CA 95948 QUITCLAIM DEED AP# 022-204-008-000 The undersigned grantor(s) declare(s): LLojVVv1 vv, P1111 011111111111111 �Q51G!),4-4 jG!�4Es434 Recorded 1 REC FEE I& M officialRecords13A% $• BUT f I CONFORM 1. Bid CANDACE J. 6RUBB5 1 Recorder I ROSEMARY DICKSON t Assistant I Jason 10:28AM 30 -Jul -2004 1 Page 1 of 2 Documentary transfer tax is $8.25 (x) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. t1,Y1it) co 9P �fQY� 14 PC0- FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, LARRY BENNETT, hereby REMISES, RELEASES AND QUITCLAIMS to RALPH T. HANSEN and ELAINE M. HANSEN, husband and wife, as joint tenants all my right, title and interest in the following described real property in the unincorporated area of the County of Butte, State of California: Dated: Lot 25 according to that certain map entitled "Subdivision of Onstott Tract, Butte County, California" which map was filed in the office of the recorder in the County of Butte, State of California, December 5, 1910 in Book `B" of maps, at page 3. Excepting therefrom the westerly 150 feet. MAIL TAX STATEMENTS TO: Ralph Hansen, 382 Hastings, Biggs, CA 95917 Description: Butte,CA Document-Year.DoclD 2004.4_6434 Page: 1 of 2 Order: alsdj Comment: _ 0 UJ/LJ/LUUa l!:l& VAA JJV OVU UD31 1'11)LL111 INAl1UNAL 111LL STATE OF WYOMING } } BB, COUNTY OF WASHAKIE ) L'Vj VVU/ VV! On June 21, 2004, before me, the undersigned, Notary Public, personally appeared LARRY BENNM7, personally known to me, or proved to me on the basis of satisfactory evidence, to be the person whose name i s subscribed to the within instrument and acknowledged to we that he executed the same in his authorized capacity, and that by his signature on the. insm=ent the person, o: the entity upon behalf of which the person acted, executed the instrument. Witness my hand and official seal. M NOTARY PUBLIC w Ao nc off' Publi ,state of Wyoming 0 Description: Butte,CA Document-Year.DoclD 2004.46434 Page: 2 of 2 Order: alsdj Comment: BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BP042537 BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/30/2004 APN• 022-204.008-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: ' �1 5 (� �� ,n, ,�, ` SltI Address: r C r- VC-) i 5 Date: Contractor: MapIndex: Description: RELOCATE ELECT. SERV. TO POLE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HANSEN RALPH &ELAINE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 382 HASTINGS signed statement that he or she is licensed pursuant to the provisions of BIGGS, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or ; 95917 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: HANSEN, RALPH 8r ELAINE Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 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: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Dated a Ll Owner: 211 License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: id I certify that in the performance of the work for which this permit is issued. 1 shall not employ any person in any manner so as to OFFICE COPY become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' n * 5 PP—IYD� ff'V compensation provisions of Section 3700 of the Labor Code, I shall Address forthwith comply with those 191664 jprovisions. Date: �U U `l GAS Meter By Date ELECTRI- a1 `- 9 Applicant: WARNING: Failure to secure workers' compensation coverage is Meter By Date unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte Cnunty CAdn ?nrUor I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) R solu�todo indicat a ve for which fees have been paid.performance Name: By:Date: j� - 30 Address: PERMIT EXPIRES ON: lJ Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu S. Print Name: �l l� P. 1'1CA D !s e -y) Signature: ,� d��%/✓� Date: Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042537 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/30/2004 APN- 022-204-008-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: )� c Site Address: ' �1 �r d� e. Date: Contractor. Map Index: U Description: RELOCATE ELECT. SERV. TO POLE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HANSEN RALPH &ELAINE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 382 HASTINGS signed statement that he or she is licensed pursuant to the provisions of BIGGS, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95917 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: HANSEN, RALPH & ELAINE Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 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.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor' not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Datz��� Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Cartier Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 3-3o— t-1 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit's hereby issued under the applicable provisions of the Butte County Cody anrvor I hereby affirm that there is a construction lending agency for the R solutio to do work indicat a ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: Q049 U �Q ' Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 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 pu(r�4Js S. Print Name: ELI -4e, f rn YN Signature: l . (ma t i�Q/✓� Date: f ? .- O— o $ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor ` �VTBUTTE COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS 0 - _. - 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 o=.-: 0 _ OFFICE #: (530) 538-7541 COU N'�y A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" • M e I J • _'Address• Address I a Fax State City Phone Ste - APPLICANT NAME CONTRACTOR Name Name Address Address I a Fax State City Phone Ste - Zi Phone Date Approved: Fax E-mail UrAt APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE Lai'taoi �j='nu ) For office use only: Zoning Property Address 1�,s P-cmde- Av. Flood Zone X SRA WORKER'S COMPENSATION Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NQ' 2'5-S BP BIN # LOCATION AP# baa -ab — od8— ow Property Address 1�,s P-cmde- Av. kity kt'gas Cross Street ' n L"_-� Q WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must he shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage O Structure Built without Permits 0 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. OVER FOR SUBMITTAL REQUIREMENTS 11 K:\FORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by—fl- Amount Amount Bldg Receipt #:, 2` .4 1 0 ti 1 Date: .-30 0 i✓ SRA Sheriff SMIP Other �v Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLEAND /N INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Flocr plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a pen -nit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Ketunds can oniy be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING FORMS\BldgApplSubRgmts.doc Page 2 of 2 REV 7-27-04 t SlaoloLl azo n,n. &t;vz am qpp eu aula �-tco A PUP)/,v gv. sl*9v3 �' iA h.e ..00 We, s, 2o03. �ou.oea�he .�-�J p�,,�,�ciQ.✓n� c.�%e� co ��u»'u:� 8Po5'aa6& io �0-ve-- oat 3ii'r & COUNTY AUG 3 0 2004 DEVEW-VM T E SEBVIM NOTES U ZZ -Z61/_009 RESIDENTIAL PERMIT NO. (-/ L� 0 *-- ' �r l`f5 �42iOC G✓qi Qaa aav-�o�' 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED Signature CHECKED BY J=OK 0 = Not OK + = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval Date 10. Card B-1 Date Card B-1 Date 11. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Enclosure; Fencing -Alarms 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector Card B-1 Date Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable RESIDENTIAL (Single & Duplex) . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-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 FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors 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 Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 20. Shower Pan; Test, First Floor -Tub Access Garage Fire Protection Framing -RC Channel 21. Test Tub & Shower, Second Floor -Tub Access Property Line Firewall & Openings 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Date Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 62. 26. Size Boxes & No. of Conductors Stapled 63. 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water _ 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI FINAL (Plans) OK except #'s 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Ext. Steps -Door & Sidelight Protection -Landings 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No Smoke Detector 32. Service -Riser Conductors & Ground Main Disconnect Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 33. Equip. Clearances Panels-Motors-Mech. Equip. Bedroom Exiting 34. Clothes Closet Light -Shower Light -Spa Light G.F.I. & Bath Fixtures & Tub Access -Spa 35. Smoke Detector Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails Date 71. Card B-1 Date Card B-1 Date 72. Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 79. Card B-1 Date Card B-1 Date 80. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Guard Rails & Deck Construction -Post Caps 41. Sills Proper Materials & Anchors Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Clearance Looked under Floor O Yes 43. Bearing Walls over Girders & Floor Nailing Following Instld./Drive O Yes O No/Walks 0 Yes Cl No/Planters O Yes 0 No 44. Draft Stop in Walls (rat proof) Stucco Brown -Finish 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instld./Drive O Yes O No/Walks 0 Yes Cl No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: rt, r ' u BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP042268 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/30/2004 APN• 022-204-008-000 the Business and Professions Code, and my license is in full force and ' effect. License Class: License Number: Site Address' Date: Contractor: Map Index' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: DEMO SF Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HANSEN, RALPH & ELAINE to its issuance, also requires the applicant for such permit to file a 382 HASTINGS signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section BIGGS, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95917 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, wit] do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: HANSEN, RALPH & ELAINE owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 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 not apply to an owner of property who builds or improves thereon, Contractor: - and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ IIam Exempt under Article 3 the Business and Professions Code Date.. -L— g Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F: Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Date: 0 —()q Applicant: Aq f WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees.�- CONSTRUCTION LENDING AGENCY This pe it i here i sued nd r th applicable provisions of thheeJBirtte County C.odR an(Vor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Res lu n to d o b w is ees-h e en paid. Name: By Date: Address: PERMIT EXPIRES ON: =M5 ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and 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 repr sen ive f Butte C my to enter upon the above mentioned property for inspection purposes. Print Name: Signature: ` S © -611 Date: .Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor r 7. 7. 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 REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWN r YOU OUR • . W"Wr/�dMr'd-Mi7 I E-mail APPLICANT NAME CONTRACTOR Name City Address Zp City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zp City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zp Phone Fax E-mail APPLICANT SIGNATURE X For office use on , Zoning Address PropertyaiAAL Flood Zone C' ... a, s, SRA I Yes I No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. '�& BIN # LOCATION -7 o AP# © !i� O Address PropertyaiAAL UtQ C' ... a, s, Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address 0 Me piionScope of Work: Sq. Footage O Structure Built without Permits D 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. rived by - X_ Receipt#: 'V 6v/ Dal130%/t Amount �5Bldg SRA Sheriff SMTP Other 4 Iq SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE.ACCEPTED. ALL PLANS MUST BE LEGIBLE AND WINK. Residential, New, Remodels, Additions, and Accessory Structures: 0 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! 0 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ! . , . ' D 3. 2 Engineered truss details and layouts (if required) (NO FAXESI). 4. Letter from Engineer or Architect for truss design review. :1 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes) :1 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). :1 7. Detached Accessory Building Form, filled out by the property owner (if required). :j 8. Sanitation and site plan approval from the Environmental Health Department. 7 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI 2. 2 Data sheets and installation instruction manual. 3. 2 Marriage line information. 4. 2 Floor plans. 5. 2 Engineered Tie Downs or Foundation plans. 6. Sanitation and site plan approval from the Environmental Health Department. 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). :ommercial, New, Additions and Remodels: 1 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER1 ] 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ] 4. Letter from Engineer or Architect for truss design review. ] 5. 2 Energy compliance design and supporting documentation (if required). ] 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ] 7. Statement of Intent for Non -heated and A/C (if required). ] 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ] 9. Letter of intent. 10. . Hazardous Material Form. 11. Sanitation and site plan approval from the Environmental Health Department. F you have questions or would like additional information regarding this process, contact a Permit ,pplication Assistant at (530) 538-7541. ►VER FOR BUILDING PERMIT APPLICATION ORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-U O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner-buildee' 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. I personally plan to provide the major labor and materials for constwtion of the proposed property improvement : -YES.' NO HAVF' HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAMES: 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: CTTY: PHONE: CONTRACTOR'S LICENSE NO. { LwM-pride soms..oMe-v�*r-l-.but-I have-contaGW4ired)fie-ollov persons-to�rovide the workindicated: . ADDRESS PHONE TYPE OR WORK NOTA: 77cis Owner -Builder Verifimlon is required by Section 18831 and 19831 of the California Health and SafO Code. This verykation must be corrapleted and returned to our office before we are permitted to issue the permit I OWNER BUILDER INFORMATION Dear Property Owner -0.A- mzprovemAn aaPplication for a bml&g panni# has been submitted in your name listinspedfied.g yourself as flee buuilder of prop For your Peron, You should be aware that as "owner-bunlder" you are the responsible party ofrecord on such a Pew Big Permits are not required to Se signed by property owners unless they are pmsona ly performing own work. If your work is being performed ung their by someone other t� yourseh; You may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors am required by law to be licensed and bonded by the State of California and to have a business ,,P,, -license from the city or county. They are also required by law to put their license number on all penits for which they be aware of the �tD do your own work with the exception of various trades that you plan to subcontract, yon should wing iafarmafion far your benefit and protection: a Ifyon employ or 01MV e, engage any persons other thau your iumne&ate may. and the work Cmcinding materials and other costs) is $300 or more for the entire project; and such persons are not licensed as contractors or subcont actors, then You may be an employer. ♦ If your are an employer. you must register with the State and Federal Go subject m several obIigalions . v as as employer and you are including state and federal income tax withho fnderal social s WOEh xs compensation trim dace. . ecuaitY �, ♦ Thsre may be financial risks for dusabihfy msuzdnce costs, and umenzplogm�ent; compensation cow, with respect to worbr s Y� ifyou do not carry aur these obligations, and these risks are especially serious P wrapensation . ♦ Far more specific kfiMnadon. about your obligations uadea Federal Law, if YOU �. the U.S. Small Business . contract Sze Internal Revenue Service (and, State Law,). the D ). For morercific inion about your obligations under eParinzent of Benefit payments and the Division of bdustrW Aocidents. If Sue sirmr is intended for sale, property, owners who are not licensed contza.ctors are allowed to peai'nrm their conditions- work personally or throughtheir own employees, mut a licensed contractor or subcontractor, only under limited A• frequent practice of unlicensed persons Pmftsing to be oontactars is to secure an "owner builder. b P� eaoneousiy implying Susi the property owner is providing his or her own labor and uildmg permits are rat 1eg1 to be signed by prope1iy owners unless trey are material PeY• Building inion about Hcensed may be obtained Pig their own wise personalty, comm miry or at 1020 N Street, S the CO oro State License Board in your please; � � , CA. 95814. "Omer Builder Verification" on the reverse side of this rima so that we can confzzm that you are aware of these matter& The big P=aft will not be issued uatal the verifica don is returned. VO2Z• 27ci1; Owner Bagderinforrrtaroft is regtured by Secliors 13530 of the Ca ortsia HeaiBt mrd Safety Code n1raup'n rta CORY of Document Recorded ' UUl-2004 2104-0046433 Has not been compared with original RECORDING REQUESTED BY HARRIS, SANFORD & HAMMAN Attorneys at Law AND WHEN RECORDED MAIL TO HARRIS, SANFORD & HAMMAN P. 0. Box 908 Gridley, CA 95948 QUITCLAIM DEED AP# 022-204-008-000 The undersigned grantor(s) declare(s): BUTTE COUNTY RECORDER Documentary transfer tax is $8.25 . (x) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, BETTY SUE BENNETT, a married woman, dealing with her separate property hereby REMISES, RELEASES AND QUITCLAIMS to RALPH T. HANSEN and ELAINE M. HANSEN, husband and wife, as joint tenants all my right, title and interest in the following described real property in the unincorporated area of the County of Butte, State of California: Lot 25 according to that certain map entitled "Subdivision of Onstott Tract, Butte County, California" which map was filed in the office of the recorder in the County of Butte, State of California, December 5, 1910 in Book `B" of maps, at page 3. Excepting therefrom the westerly 150 feet. Dated: BETT BENNETT MAIL TAX STATEMENTS TO: Ralph Hansen, 382 Hastings, Biggs, CA 95917 STATE OF WYOMING ) .l COUNTY OF WASHAKIE ) ss. On .tune 21, 2004, before me, the undersigned, Notary Public, personally appeared BETTY SUE BENNE-TT, personally known to me, or proved to me on the basis of satisfac;tnry evidence, to be the person whose name is subscribed to the within instrument and aclnuwledged to me that he executed the same in his authorized capacity, and that by bis signature on the instrument the person, or-4he-entity-upon behalf of which the_gerson acted,. executed the instr. hent. Witness my hand and official seal. BETHANY MEASLES NOTARY PUBLIC d &Not4aryiPlubli'MA" COLITY. OF WASHAIGE W AOMMING MY COMMISSION EXPIRESJULY 13,2006 �lyom% COPY of Document Recorded .,y Y 30 -.Jul -2004 2084-0046434 Has not been compared with original RECORDING REQUESTED BY BUTTE COUNTY RECORDER HARRIS, SANFORD & HAMMAN Attorneys- at Law AND WHEN RECORDED MAIL TO HARRIS, SANFORD & HAMMAN P. 0. Box 908 Gridley, CA 95948 QUITCLAIM DEED AP# 022-204-008-000 The undersigned grantor(s) declare(s): Documentary transfer tax is $8.25 (x) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, LARRY BENNETT, hereby REMISES, RELEASES AND QUITCLAIMS to RALPH T. HANSEN and ELAINE M. HANSEN, husband and wife, as joint tenants all my right, title and interest in the following described real property in the unincorporated area of the County of Butte, State of California: Lot 25 according to that certain map entitled "Subdivision of Onstott Tract, Butte County, California" which map was filed in the office of the recorder in the County of Butte, State of California, December 5; 1910 in Book `B" of maps, at page 3. Excepting therefrom the westerly 150 feet. Dated: /��.,r r .l -� / (�) d 6 MAIL TAX STATEMENTS TO: Ralph Hansen, 382 Hastings, Biggs, CA 95917 STATE OF WYOMING } } COUNTY OF WASHAKIE ) SS. On June 21, 2004, before me, the undersigned, Notary Public, personally appeared LARRY BENNETT, personally known to me, or proved tome on the basis of satisfactory evidence, to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in. his authorized capacity, and that by hissignature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. Witness my hand and official seal. BETWXY MEASLES NOTARY PUBLIC COUlY OF STATE OF WASHAKIE WYOMING MY COMMISSI I EXP{RES JULY 13, 2005 Notary Pub li , State of Wyoming 0 �v. ct V�4) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive f_ OtNille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT —"IVI'— I FN vlltativva VI 1110 VVUllLy VI DUttG tV 011tvl UpVll 1110 above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date -_i Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS I By , �4 Date / 1/ Building permit expires Date '' BUILDING Owner +. ;r S0. FT. OCC. BUILDING VALUATION Mailing Address / Telephone No. Contractor Mai I i ng Address Fireplace Total Valuation Telephone No. Permit Fee Building Address � - _ � �� � , Plan Checking Fee &/or Penalty Permit Fee PLUMBING @ FEE ! —No.1 PERMIT FILING FEE J$3.00 ' Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. l C G/ Zonin & Planning Water piping 1,50 Each gas water heater or vent 1.50 a Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1..•50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plops Recd Parcel ApprovaI Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP 5.00 SinSingle Family D Duplex ❑ Mobil Home ❑ Others g v ❑ -L 00 A Main service EA. ADD100 AMP 2.50 Main service OVER 600V25.00 100 AMPP OR LESS O Main service// EA. ADD'L 100 AMP 1.00 NEW OR ADDNST 1 ACCDWELBLDGS LING CCUP. N� 20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: %r T NEW CONSTR. BRANCHMULTI.OCIRCUITS NON.RESI D, (BRANCH CIRCUITS_ 2.50ea NEWCONSTR./POWER APPARATUS a NON-RESID, `SINGLE OUTLET CIR. EX. OCCUP(OUTLETS OR FIXTURES) BALM Ex. CCU FIXED APPLNS, OR O p• OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL iNo. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ —"IVI'— I FN vlltativva VI 1110 VVUllLy VI DUttG tV 011tvl UpVll 1110 above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date -_i Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS I By , �4 Date / 1/ Building permit expires Date '' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,.—, Oraville, California 95965 F-7 Telephone: 534-4541 / APPLICATION AND PERMIT p BUILDING +Owner �� z+ SQ. FT. OCC. BUILDING VALUATION ,,Mailing Address �J elepho Na.. Contractor ` Mailing Address "Building Address M N Telephone No. 6f t A. P. No. P" ���� Zoning& Planning Sartrtathort Fire Dept. Fire Zone Use Permit EQA Parking Parcel Declaration p Parcel Ma 60' R/W I Improvements Bldg. PIan�Rec'3 Parcel Approval Plans App NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Val Single Family, Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification Fireplace Total Valuation Permit Fee 1 Plan Checking Fee&/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADO'L 100 AMP Main service OVER eoov 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. OR ADDNS. DWELLING OCCUP. ACC. BLDGS. NEW CONSTR. NO N.R ESI D. /MULTI-OUTL T 1 BRANCH CIRCUITS $3.00 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 >-0sgft EX. OCCUD(OUTLETS OR FIXTIIRES� EX. OCCU FIXED APPLNS. OR (FIXED (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 FEE r- 1TC5Z� IF J am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ .MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE J$3.00 1 am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-meptfi>TW property for inspection.;purposes. gnoTu�e of Permitee or Agbnt - Receipt No. w� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE 1 =— 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. DI TFR OF PUBLIC WORKS/ ByPate ` Building permit expires Date