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022-330-013
A VERL V. DAVIS . p . 22-33-13 w/s West Biggs -Gridley Hwy: 2nd lot so. of Macedo Ave., Gr dley Permit °2558-73B,P,E (garage, storage, fac. for m/h) A.P. 22-33-13 VERL V."DAVIS W/S West Biggs" -Gridley Hwy., 2nd lot S. of Macedo Ave., Gridley CONTR: Admiral A to. Permit 3840-73 2'afas - vfoAft f 22-33-13 contr: Burl Woodward, Gridley Permit #5587-76B(new open deck/MH) 022-330-013 PERMIT#96-2320 ROBERTSON, Nedean 1837 W Biggs Gridley $.d,Gridley Ex MH on Perm Fnd "I r022-330-013 013 E ROBERTSON; RUSSELL 1837 WEST BIGGS GRIDLEY` GRIDLEY Cont: SKYCREST ENTERPRISES NEW MH PERM FND EX SITE .Jf A VERL V. DAVIS . p . 22-33-13 w/s West Biggs -Gridley Hwy: 2nd lot so. of Macedo Ave., Gr dley Permit °2558-73B,P,E (garage, storage, fac. for m/h) A.P. 22-33-13 VERL V."DAVIS W/S West Biggs" -Gridley Hwy., 2nd lot S. of Macedo Ave., Gridley CONTR: Admiral A to. Permit 3840-73 2'afas - vfoAft f 22-33-13 contr: Burl Woodward, Gridley Permit #5587-76B(new open deck/MH) 022-330-013 PERMIT#96-2320 ROBERTSON, Nedean 1837 W Biggs Gridley $.d,Gridley Ex MH on Perm Fnd "I r022-330-013 013 E ROBERTSON; RUSSELL 1837 WEST BIGGS GRIDLEY` GRIDLEY Cont: SKYCREST ENTERPRISES NEW MH PERM FND EX SITE BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED )ATE NAME DEPT. I DATE NAME DEPT. { S 0359 A r RESMENTIAL } 022-330-013 PERMIT#96-2320 ROBERTSON, Nedean 1837 W Biggs Gridley Rd,Gridley Ex MH on Perm Fnd 4' o}. IE HCD FORM 433A FOR IHIS FIR BE RECORDED UNTIL ONE OF THE FOLLOWIN HAVE BEEN TURNED IN TO THE, BLDG DIV: i LICENSE PLATE(S) or DEC LITHE INSPECTOR MUST RETRIEVE r ' i 1 c© T iso ,� e �cl a. %� O li I D� + oT ; 1 k o r (' i CY f I i JOB FINALED (Date) by > ✓ ` Signature V=OK 0 = Not OR Not •=NotRepad)l MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-Test0rap; / /i'ft. / /Nat. or/ /L°ft./ /LPG 7. Well Clearance & Disconnect Date 8. Utility Clearance Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-DemandVaKe-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Date 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card -13-11 0 - Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Cana 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 LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ OK 0 = Not q' = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date 000UNDERFLOOR (Plans) OK except #'s 46. Hangers -Post Caps -Anchors -Connectors o ' -Setbacks-Easments-Flood-Slope - tg., Main; Soils-Elec. Gmd.-/ P' Ftg. Depth '3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Ste s, Garage; Steel-Blockouts-Wrapped OeIlTolcl Downs and Special Anchors 7. Slab, Steel -Wrapped 55. 8. 1 - ire lace Ftg.-Steel 56. . D. ..; Fall -Fitting -Test -2 Way C/O -Sewer Test Lln�F as Pipe; Size Anchors - Yard Gas Piping; Size Test 58. ater Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance-Mater:al-Support-Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date (1 aQ �%(P Card B-1 ,eo Date Card B-1 Date@ -31 - jL Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s Ext Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffl:. Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Recepticales at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Elec. Receptacles in Garage (G.F.I.)-Romex Protection 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Guard rails & Deck Construction -Post Caps 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 31. Service -Riser Conductors & Ground -Main Disconect Following InstId./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 32. Equip. Clearances Panels-Motors-Mech. Epuip. Stucco Brown -Finish 33. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 34. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 35. A.C. Ducts Insulation & Support Corrections from Previous Inspections 36. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 37. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 38. Furnance Vent Access -Comb. Air -Return Air Vent 115 outlet Energy Compliance Certificate -Other Certificates 39. Attic Access & Platform if Furnace in Attic Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Comments at Final: FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purtin-roll Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove. Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following InstId./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville;*balifornja 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 96-2320 ASSESSQ�i12/1RCEI.tyLI2(T 013 �J[,[, �}�} �J ZONING BUILDING PERMIT OWNER 2 NEDEAN ROBERTSON TELEPHONE g Z SQ. FT. OCC. BUILDING VALUATION 1440 R 77,760 OWNERS MAILING ADDRESS //�� G f f rT l CONTRACTOR'S NAME T b.71NE5444 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.66 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUI ING ADDRESS 837 [NEST BIGGS GRIDLEY RD, GRIDLEY PERMITFEE $ 313.25 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Cf Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other I( Describe Work: EXIST MH ON PERM FEIN Mobile Home S G Ew7 @20.00 PERMITFEE $ 65.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOaV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. oR ADONS. ( a ) SD. 3.52 FT. LTI-ACCUTLEBLDS NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( ourLEr OR FIXTURES ) 2a @ 1.50 64L a .so Ex. Occup. FIXED PPLNS. OR RES D.) Ea) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 X __ __ Date SignEhure of Applicant - %J Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is Occ I CONST. TYPE TOTAL FEE $ 421.25 HA2. ` D. FEES _ IMP -- FLOOD _ cDF PARCEL PD HD _ ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for w 'ees have been By PERMITEXPIRESON L;z (Date) provisions to do work paid. ate lZ 9 3 9/ Receipt No. 206626 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . :,,_..-.*y�M ....+rl., , �s�`"`�w"i"'y,ofws[}s*ryn+y�ys C��•r'4�• COUNTYOF BUTTE -DEPARTMENT OF DEVtLOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,CAL'' IFORNIA 95965 - TELEPHONE (916) 538-7541 - PERMIT APPLICATION DATASHEET'�\� OWNER 111 e Q emit IV 1� ��C, ®AJ '. A. P. No -O*s 1ti D13 Proposed Building Use uilding Inspector Date G -7 At time of permit application,,I was advised the following data must be submitted prior to permit processing and/or issuance: t. DATE RECEIVED BY 1. All items have been submitted. .................. ........................... ' Plot plans, 3/4 sets, signed by preparer of plans. ............. ..... . 3. Complete plans, 3/4 sets, signed by preparer of plans:, -•......................` O-EEr1gj eernd.,pAns,�ind;calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............... '" ......... .............. . •6. Energy Desigrt,Compliance and supporting documentation. ,:.: ......... 7. Statement of Intent for Non -Heated and A/C Buildings. ....... ; •.......... . 8. Engineered truss details and layout in duplicate (required prior to"plan'check). .... 9. Mobilehome.data and manufacturer's installation instructions, 2 sets. .......... 10. Fees of $............................................ 11. Impact fees as shown on attached schedule . ................, ............. 12. California Department of Forestry plan approval/fees......: 13. Flood elevation letter (100 year flood) by California Engineer. ..: ............... 14. Sanitation and plot plan approval Health Departme'nt. ......... . . 15. City of Chico plumbing permit. ./................... j.... I} t,1:;;r' • 16. Plot plan and business license approval from City of Biggs/Gridley. .........: . . 17. Planning approval for (A) Use: (B) Parking: 18. Contact -Land Development about (A) Improvements (B) Drainage. ...... s .""..19. Driveway permit (construction approval required prior to occupancy). .. .. ` .. . hPre4nspec' n reque- 20.� Pre -inspection for required. .. to BuBding lnepector (Date) 21. C tractor's license information. (No., Name Style, Classification). ............. . ertificate of Workmans Compensation Insurance . .......................... ' Owner -Builder Verification (Given to owner , Mail to owner ............. ` Recorded copy of Agricultural•AcknoWledgement Statement . .................� 25. Letter of signature authorization: ..... ight of to Copy of recorded deed of parcel creation an 60 rway a public road�t':... i 27. Letter of intent on building use. .................. ................ 4 -28. 'Mobilehome utility clearance. •. ........ ....... . 29. Documentation of legal access . ..................... :................... - N 30. Documentation of 5.0% subdivision developed or (A) Road improvem nts completed and (B) Parcel meets zoning area and frontage requlrgmt h t J'Z 31. Existing violations/expire permits ). i'! ............... 32. P n the k lis — .......... 33. Wh ou issue the permit, proce s'as follows: Mail o ne Mail to contractor. t Telephon ' d h or pickup at � office. Deliver with inspector. Other - — Parcel Creation Acreage Applicant ��'"�Date r �7 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health.Dept. .. Fire Dept. Other Date By The following data must be submitted prio permit issuance: (Circle new item not checked above). 1. Index permit for above.items No. 2. Additional items required: Contractor, designer, owner, was advised of above required'data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data -by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by (�;:l Datey Sets of plans on hold in _CX File cabinet AP folder Copy - Department of Public Works COUNTY OFiPUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA (916) 872-6307 CORRECTION NOTICE o 6,e r L56^1 96 - ,;233v OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should,be corrected. Please notify this office when correction of work is completed. If you hav ny questions pertaining to this matter, or need additional explanation, please contact this Tice immediately. 0 ._ Date Inspector $ REV 10192 k �"' i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE sz�p�� 5a� 91- a S a t OWNS PERMIT NO.� A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. a 42 e e-- v -� Date 0—�,g �9 5� Inspector KLA S f ' t (�• REV 10192 In Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[ ] NO[ ]. 2. I HAVE HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: ' NAME • - ADDRESS: Com: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following per son to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE:., CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: 3 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 - O.B.-1 .w } Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and"you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice,of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 7OFy0G�yc 9 2 5 2 WELLS FARGO BANK 8 ,Z; 24 `WEA 16 YSAA/�, z a- ATC � PAY TO THE ORDER OF s R. J. ROBERT N NEDEAN ROBERTSON 487-MACEMRD.846.4291: i y. , ,t�+fta0a•e GRIDLEY, CA 95948 Yvwo .s:.- 4a•. MEMO w. ) ._. ,,,, r!► 210002 8 9' 52 0227 22 L85011' Business, Transportation and Housing Agency DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Codes and Standards Manufactured Housing Section INSTRUCTIONS FOR APPLYING ATTACHED STICKER icker W!II Not Stick if Wet or Dirty). Slowly. Top Right Well of the Decal or License Plate as Shown Below. E CALIFORNIA:. E L 19 E � "96", . E MH 63200'79 ' NOTES i RESIDENTIAL x022-330-013 �. 05=1360— PERMIT NO! ROBERTSON, RUSSELL _ ! 1837 WEST BIGGS GRIDLEY,j } GRIDLEY ` i Cont: SKYCREST ENTERPRISES NEW MH PERM FND EX SITE J DETACH FOR SERVING UTILITY Address 1 °3 pew, GAS Meter ByDate C ,,4��t ELECTRI Meter By Date d r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER v, as ,cl Ao 9 1 / JOB FINALED (Date) — Signature J=OK 0 = Not OK . = Not Ready able MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / )Nat or/ /" L 'ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Date PER T END SYSTEM (ONLY) g Requirements -Setbacks -Easements ,, tings; Size -Spacing -Marriage Line-pK . B ng s; MHT t -Demand -Valve Se"ElectricO, 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 r% B-1 Date C CardB-1 Date C/,0 Card B-1 Date Card B-1 -7/1/05- 1r,,jd vl?G1,���Ny D 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) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ / Ftg. Depth 3. Ftg., Garage-, Soils-Steel-Elec. Gmd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle! /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform K Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 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 AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdnn. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FFI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes O No/Walks 0 Yes O 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 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. 1 � - a `7 License Class: W� License Numb / Date: Contractor: 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 permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 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 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 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 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 Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and -7poll y number are: Carrier: Ze-/Z i / Policy #: 7 e4& ❑ 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. MAR G: Failure to secure workers' compensation coverage is ful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP051360 Issued Date: 06/09/2005 APN: 022-330-013-000 Site Address: 1837 WEST BIGGS GRIDLEY RD GRI Map Index: Description: NEW MH PERM FN EX SITE(1716) Owner: ROBERTSON, RUSSELL 1837 WBIGGS GRIDLEY RD GRIDLEY, CA. 95948 530-846-6921 Applicant: SKYCREST ENTERPRISES COUSIN GARY'S HOMES 13468 HWY 99 CHICO, CA 95973 530-342-2694 Contractor: SKYCREST ENTERPRISES COUSIN GARY'S HOMES 13468 HWY 99 CHICO, CA 95973 530-342-2694 License #: 812930 Architect: Engineer: Total Square Ft: 1716 S. F. Valuation: $111,540.00 Census Code: Ob v CONSTRUCTION LENDING AGENCY This permit is I hereby affirm that there is a construction lending agency for the Resolutions to performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By'—� PERMIT EXPIRES Address: fed and applic le provisions of the Butte County Code and/or IndicI above for hick es have been paid. ❑ 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 authonzP,0 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 t u stanc of any official form 6r document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for insp ction purpo es. Print Name:O�/��^ Date: ❑ Owner ontractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY , DEPART,MENT'OF DEVELOPMENT SERVICES BIOLDING;,PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 1 ` A FEE WILL BE REQUIRED AT TIME OF APPLICATION i APPLICANT NAME OWNER NamRLLSSPJ Address 1 1 ' 6ndley 'Rd CiIYA V, f .0,8tate (A zilg594? Phone Fax E-mail StateCA APPLICANT NAME CONTRACTOR Name�� P.-,3 -Ire aa L Address 13 ta'shw t i City churo 0 StateCA Zi D /3 I Phone " ,1 `f ' Fax �f '1' ,Q . qI 1, f E-mail Lic. # IClass 71 APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name 77. ! Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE ril-10KOffice use only: . Zoning -/Z_ 37-1 Flood Zone I SRA Yes No Occ. Type Const. i Subdivision Name Map Book PageL Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 PERMIT NO. BPO5 3 ,f BIN # LOCATION AP# 022 -.3.30 - 015 Property Address It 37 Wesfb)9*!95 rtd M Cross Street Raced() WORKER'S COMPENSATION Policy Num Carrier If hiring anyone other than license contractois, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY,— Name GENCY.Name Address Descriptiono ope of Work- We eo a A Sq. Footage I ❑ Structure Built vnthout Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION ♦- Applications for which a permit has not ' leen 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 iequest 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 n6t refundable. Received by Amount: 219 a 6 Bldg SRA Receipt #: O G� / Sheriff F SMIP Date: �?j i Other Total REV 4-30-04 i 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 IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!- ❑ 3. 3 Engineered plans (if re4uired) 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 talcs in triplicate, (C);Elevations in , triplicate, (D) Floor plans in triplicate, All of these -must be stamped and wet -signed by tlie'engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPERf ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ . 4. 2 Floor plans. • , . ' . 0 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Cei=tificate, 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!). Letter from Engineer or Architect for truss design review. 2 Energy compliance design and supporting documentation (if required). 2 Flood Elevation Certificate, wet -stamped and signed (if required). Statement of Intent for Non -heated and A/C (if required). Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and talcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Letter of intent. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. A. 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 ��'�'�*'}:r,..t+T.w,r�1,t�...ra:.�ar.,;,..;;;rlr*-�r�y�;^..� .... -. � .-,.-.�•.....y�r-.•-�r+._.. ^-"'„"_,,,far.-;=� .,�f`'k,rF^^".. �i � b.:.-:rTs-�,;,:�=yZ:,�•%•"`�'�r - � _ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phonef(530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: / 20ASSESSOR PARCEL NUMBER ©� � ^ 3 3'0-40/ " NLS �� I b)z 5 /Tr, �-�(._ Date: "` Z y~b Proposed Building Use: R Permit Technician: S \ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. i3 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. \O7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. i vv 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd�lans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ ` 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent fog non-residential' buildings• �❑ 12. Hazardous Material Form i n7 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Rem Hing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ -16. Fire Sprinklers............................................................................................ ❑ v ' i` 17. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... \❑ . 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. r ❑ .. 21. City of Chico Plumbing permit ...... :................... ....................................... ....... ❑ 22. Site plan and business license approval from the City of Biggs .............................. r O " 23. California Department of Forestry )an approval ❑ paid. Sent by: ��rj 24. Planning approval for (A) Use: "B)Parking: (C) Parcel Check:..".... \O,.. • 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDESForm.....................................................................:....................... ' ❑ 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 .......................................... ❑ 30. Owner -Builder Verification (_ Given,to•owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization..:................................................................. ❑ 32. Recorded copy of Agricultural Acknowledgment Statement............i`.................... ❑ 33. Existing violations and/or expired permits... �: ................................ -.................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: �p When issued Telephone �16 A -N � '� C `l2 ZG 9 y and hold pickup. I have bee in nfotmed of the abovg items and requirements for obtaining a building permit. permit application for the mal items required --k Date: 7` numbered:`. ' Plan Check Letter / CohtEatlmAlesigner, owner, was advised of the above data by phone, ❑ mail, ❑ counters, by Date: Contractor, 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, ❑ cbunter, by Date: Plans reviewed by: Date: fPlans approved by: " ' Date: Structural reviewed by: Date: uctural 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/dds OWNER PROPR ED BUILDING USE N H 1 L X S l n / BUILDING PERMIT FEES --- Balance Due ..................... $ --- FEMA Flood elevation review ... $ A.P. # d2 Z- / %e9 _'9/ 3 DATE �Y-0�— RECEIPT # DATE REC. `Additional plan checking Fee-... $ Quen 2. SCHOOL DISTRICT FEES (I c V (paid at School District Office) (form available "n Check) �IIJJJ 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. og 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 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) . WATER TENDER FEES BATTALION # $200.00 (paid at Building Divi5' SMIP I I 9. OTHER 10. OTHER 11. OTHER At time of plication, I may be q6nged dur ng the plan advised the above fees are required to be paid prior to issuance of the permit. These fees process. DATE Pursulft to 991krnment 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 s 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) .t V 4 f i. School District I A.P. Number b c Property Owner Property Location/Address ' Subdivision Residential Development l BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) pg Building Department No. Jurisdiction: City County No of Uviing Mobile Home Units Installation Commercial/Industrial Q Buildin'Depertment Representative 0 Addition .................. _.___.................................. :........... ....... ........... .... , Sq. Footage/ // 6/J Addition/ 'Supplemental to `:, (Group R) Conversion Permit # . -(No foundation inspection) :........................_. _.....i 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 I 7n, Identification No. School District certifies that \ ` 11 SS (',� t /►�N .(Applicant) '^ ti I (Street d ress) e 0 `e , 1 t C (Phone Number) 5 �I (City) has complied with the requirements of Resolution No. (State) (Oct • 0 -"-?S0 t 1 (Zip Code) by payment of $ `y representing square feet. 2926 i ` FULL MITIGATION = School District Representative lo.g-a� Date Paid by Check # �� Remarks: � C C Notfq: You may protest the Imposition of the fess Identified above by submitting a writ en protest to the District, In compliance with Govannwnt Cods Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest wlil'pmNblt you from challenging the imposition of the fees in any court action. N, subsequent to the School District RepreserMaWe signing this Butts County Schools Impact Fee Certification Fonn, the School District Is Mile by the applicable Local Planning Agency that this project Is being reviewed under the California Environ mental Quality Act (CEQA), tints project may be subject to additional school fess to fully mitlpab.lts Impact on do school distrid'a schools. White (applicant), Yellow (building department), Pink (school district) feeform.xIs 410/03Mmm TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Plan Approved for: Sewage Disposal-=, Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Location ater SuwaLv: r& J�2 0 _�- -�- s Environmental Health Specialist 8/96 E.H. USE ONLY Plot Plan Anechad Floor Plan Attached Sant to ®.D. / AP# 7ate WellV; J �Z 1 J 5 -3) Date 1_________L �}}1 1 0 4� rot R 94 1 1 OPTION MASTER BEDROOM CLOSET Tte _ 9 OPTION DELUXE BATH W Q y dy Q) �q tj UTILITY \ n; EGEETf�@ F W SPAS s . 0 C 1 eh ENVIRONMENTAL HEALTH -OPTION 1/2BATH. MAY 2 4 2005 7 COUNTY CENTER DRIVE SITE PLAN .. .. ..............- • --- . . . . . . pOV� A. �y n .. u i u , ... .. Iteait� .. e rm .... . . . . . . : : .. Z 7 . ._ .. .. ...:. ..:.. ...... .... . . -- :.....:. :........ ... .. ._ .. .. .... ". ... _..._.._..._.... .....................-- .. . _ - - - - . . . . . ... . :.. a : :o - - .. -- . ...... :.. .•• ... .... . .............. •• ............. ... - - .. -- -• • . ....... ........................ . _ .. .. .. ... A,- �oVEu = ... .. .. ... .. .. �' .. .. . • • v�.e' f- ........%� < --t�1. cnvir nt..H" f, trx�e e��#h ... ........ ... . . . . t -• is= - V ._ ... - - - ---- . . --............. . . . . . . . . . . .. .. ;.... .. ...... .. .. a� - _ - ... _ .-.. ------------------ - jq 6@1vi0. b_. .. .. .. .. .. .. ... z .. .. .. .. ... ............ ................ .................y... .. ... ._ .. .. .....:.. ..:.. - ;. ;._ _ .. . .............. .... e �. d ire -- o .- .�� .. ... .. ... ............ �� .. ..................:......>. ►�•„- :o .! .. .. .. .. .. _- .. . : ....RONIAI ...... N .. .... ._ ...... ... 144Y 2:” .. ... .. ... ._ .. ... ... ......... ............... .......... :. .....:......:......:......:.............._....._._............_...._....... ......._...._.................................................. ....._....._... Parcel Number F01 ©Q ©© Scale: 1" _— _Owner ame Add / Phone No. l.$? Ite Lo tion • 1 $ '♦ - rr; C_onta � .r -Name �'�•� r•' V t - q' s y ` -•� — r t� . :,/ `f � ... . �i'liw �«:- ._ _ '_ v e,. Cr....., , r 's"."'�-•y w ii si?M� i�� 0 0 Cov N� FOR OFFICE USE ONLY Zoning: General Plan Desig - Size, -Acres u s ., , ` gs u .s:4 h y r a.t L_� b • 1 .. 3 ti- � j`� n :" .•F.+. .�..-F►u:i: i � W ��R�,'i'k a e -T :� c...a:, h 3�4�'ys'� �. . - . •1-$.i .:.<R- .f yr'.:• 1Vi. .J.'F :_./!'�. iA•:'Y_ .cn -- _ ... _.....c.- w PROVIDE 1 -UK PJ -L ADJACENT PARCELS SIZE (AC): - ZONING:— ` 3vGEN,PLAN �= WT Butte County Department ofDevelopment Serwces °�`" r�° 7 County Center Drive ° Oroville, CA 95965 a° (530) 538-7601 Telephone °„� "� ° (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit 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: o I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I ant required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained i I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required 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: APN: 0 Building site address: Pte.,° 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: ATURE OF PLICANT DAT w Copy to Applicant/EH/File K:Forms/BldgPermitMthouOearances 020705 10 ?PSTMEN-r 6Q T.TF ° �0 o 0 1 0 .4 U t4l � Ic Department .0 o u n t J. Michael Crump, Director of Public o f B u t t Works 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 ACRE1 Project Description: .Q 12a" u� teaI � Project Location and/or Parcel Number: 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 Drovided by law. 9 T E Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 p�QPgT"taNT 0o �vTrF \ o O �tic WORD Department ..County J. Michael Crump, Director Public f B u t t Works, LAND DEVELOPMENT DNISION 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: 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. V Signed: Title: Date: Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 SITE PLAN REVIEW APPLICATION Date: %n h 41�— AP# dc20 —.350-D/3 Permit Number (if applicable) APPLICANT INFORMATION - Parcel Size: Owners Name: ^�"` s '� ;;� Owners Address: Telephone No.: Situs Address: Proposed Use: ?ryL — &.72-V Residential ❑ New Single Family Residential ❑ Single Family Addition / Mobile Home A _ �a(i►ii Residential Acc ss� ory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By _ Date ' Oho 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) jj Expansive Soils (Test for expansive soils and if verified proper foundation design required) JY,,Gd, ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: (aid • Flood Panel No.: 0&00-7 C 2 6-G Index Date: �l V6 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------ ----------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural. Acknowledgement Statement Zoning: — Applicable Building Setbacks: ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side �Q r Side Street Rear �Q I Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 n �e Applicable Development Fees: Standard Fees Amount Formula ❑ 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) * 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 /P� Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:[] No ❑ Yes n Comments: 7j. ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance M. 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: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control 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 MI Page 4 of 5 x 0 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 �Z, SITE PLAN REVIEW. APPLICATION f Date: �.. 2 AP# r Permit Number (if applicable) a.Bin Number APPLICANT INFORMA TIDNParcel Size: )3C—:0e/K Owners Name: Q� s Address: OA 0,4Pl Telephone No.: ,R(o 9 Email: Situs Address: / k3 � W , Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ -Commercial Addition ❑ New Industrial ❑ Industrial Addition Other X eptic ❑ Agricultural Exempt Building ❑ Other: Brief 'Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date ®� 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) K(X11 ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: Index Date:. ❑ Sacramento River Reclamation -District (Approval must be obtained -from the -Cali ornia Reclamation Board)- - -- - F-1 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) ❑ Oroville Enterprise Zone 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: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front, Side �D Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 N Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban.Area — Road ❑ Thermalito Drainage Area ' ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) " Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. ; Parcel Created By Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with Co ty Standards for De Cr( Comments: de vwzxa Legal, Access Provided: Legal Access Required ❑ No ❑ Yes, Road Name: ,,,•n ATn n VAo ❑ No ❑ No ❑ Yes ❑ Yes ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access.: ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance/Notice 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:E]Meet Parcel size required by zone EJ Meet current Environmental Health Department requirements Paae 3 of 5 Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Book: Page: Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ 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 road maintenance, and stop sign maintenance. 0 Page 4 of 5 u FM 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:Vanys\Building Permit Site Plan Reviewl .doc . Page 5 of 5 SITE PLAN ------- ------ ............ ..... ............. ..... ...... ..... ...... ...... .......... ........... ........... . ..... ............. ...... ...... ............ ...... ..... ...... ...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... ..... ...... ...... ...... ..... ...... ...... ........... .................... ............. ............... ...... ..... ...... ...... 1 ..... : ............ ...... .............. ...... -yr ......... ............ ...... ...... ..... ...... ...... ..... .............. *- ...... ...... ..... ...... ...... ............ ...... . .......... ...... ...... .............. I ............ ..... ...... ..... .............. ..... ............. ..... ............ ............ ......... . ..... ..... . ......... .... * ..... . ............ ....... ...... . ........... ............. ................ * ............. .............. ..... ...... ...... ................. . IN ....... .............. ...... ...... ................... ...... ..... ............. ...... . .......... ............................. ..... ............. ...... ....... ......... ...... : ............. .. ....... ...... ... ............................ ............. ....... .... ... . ..... ---------- ...... ...... ...... ...... ........... ............ ..... ...... ...... ..... ...... ...... ..... ..... . ..... 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Lainti: ..... ...... ...... ..... . ..... .... ...... .......... ...... ------ ...... ...... ..... ....... .... ..... ............ . ..... .......... ............ ...... : ... ..., ..... .............. ...... ...... ...... ....... ...... e.S. . ...... .................. ...... ...... ..... ...... . ..... ..... ..... . ...... ............. . ..... ...... ..... ... ....... ... ....... ... ...... ...... ...... ....... ............ ...... ... ...... ....... ............ ........ .. _ ............... ..... ...... ...... ..... ...... ..... ..... ..... ...... ...... ............ ..... ...... .......... .. .. ..... ............ t............. ............ ------ ..... . ..... ...... ............. ..... ...... ...... ...... x .19 ..... ............ ............... ?. ..... ...... ......... ....... ............ ..... ...... ...... ..... ...... ..... ...... ..... ...... ...... ..... ...... . .... ...... ...... ..... ............. .. . ...... .... .......... ..... ............. ...... ..... . ..... ...... ..... ... Ao�we: ...... ...... ............ . ..... . ........ ...... ............. ...... . ....................... ..... ..... ........ ........... .................. ...... ...... ..... ....... ..... . ...... ...... ............. ..... ..... ...... ...... ...... ...... ...... ..... . .... ...... ..... ...... ............. ..... . ................... ..... . ..... .. ...... ..... ............. ...... ...... ... . .... . ..... ..... ..... . ..... . .... ...... ..... ........ ..... ........... ..... ..... ...... ...... ............ ............ ...... ..... ....... %.. ...... Mon nla.ME ............. ....... ........... ..... ..... ...... ...... ...... ............. . . . . . ...... ............. ...... .......... 4 . . . . .. ............ ...... ...... ...... ..... LOT* W .. dyn-'ri. ............ ............. . . . . ...... ...... . ...... .......... ......... ...... ..... ........... . ............ ............ ...... ............ ..... ....... ...... ...... ENTER DRIVE ...... ...... ..... -7 .......... ....... . ... ..... ...... . ............. .. ... ............. ...... ...... : ...... .... ..... ..... .................. ............... ............. ....... ........... . ............. ............. ...... ...... ...... ............. ....... ...... ..... ...... ..... . ........... . ..... % ...... ...... : ...... ...... : ...... : ..... ......... . .................. . ..... ............ PROVIDE FOR ALL Owner Site 1;0 Scale: Parcel Number Fol © F21. — N 51 Fol Fol M - --'-) - - - I I -1._..1.,_..% �rt"One No. /Phone ;Y r% finn 171- .0dabor23, FUK U -NUC UOM v"11- I ADJACENT PARCELS Zoning: SIZE.(AC): 'General Plan Desig:.,..--.-. 'ZONING: _GEN PLAN: Size Acres. . . . . . . C& 7 7-- . RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded I Official Records I County of I Butte I CANDACE J. GRUBBS I County Clerk—Recorder[ I 02:31PM 21—Jul-2005 I REC FEE 10.00 COPIES 2.00 CONFORMED COPY 1.00 BW Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of'this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. RUSSELL ROBERTSON CA 95965 REAL PROPERTY OWNERILESSOR STATE ZIP 1837 W. BIGGS GRIDLEY RD. (530) 538-7541 MAILING ADDRESS TELEPHONE NUMBER GRIDLEY BUTTE CA 95948 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-1360 (530) 538-7541 BUILDING PERMIT N0. TELEPHONE NUMBER Y;(V1n�It'!.' . LJAA rl- LO-bCJ SIGIPATURE OF LOCAL AG CY OFFICIAL DATE COUSIN GARYS DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO. SKYLINE HOMES 2005 P219 -CT MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 17-70-0582-T-A/B 66'X 26' PFS906657/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTYLEGALDESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 022-330-013 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD, PINK - Applicant GOLDENROD - Building Dept. Order No. 4-174559 SCHEDULE C The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: All that yortion of Lot 12, Gridley Colony No. 11, as shown on the Official Map thereof, recorded in the office of the Recorder of the County of Butte, State of California, May 12, � 1908 in Map Book 116" page 56 and more particularly described as follows: COMMENCING at the Northeasterly corner of said Lot 12 of Gridley Colony No. 11; thence North 890 53' West along the Northerly boundary of said Lot 12 a distance of 182.17 feet to the ' Northeast corner of that certain parcel of land described in that certain deed from James R. Darr et ux to Eby Edwards, et ux recorded April 11, 1955 in Book 11763" of Official Records. at page 587, records of Butte County, California; thence South 00 03' West along the East boundary of said parcel described in said Deed a distance of 113.44 feet to the true point'^ of beginning for the parcel of land herein described; thence continuing South 00 03'.West along the East boundary of said parcel a distance of 135.feet to a point,to tiie'Southeast corner of Said Edwards parcel; thence South 890 32' East 181.15 feet to.a point on'the Easterly boundary of said Lot 12; thence North 00 17' East along the Easterly boundary, a distance of 135.0 feet to a point which bears South 890 32' East from the true point of beginning; thence North 890 32' West a distance of 181.15 feet to the true point of beginning. ... AP No. 022-330-013 03/14/GUU5 1U:49 FAL 53U 899 9531 FIVEL1'1'Y NA'FlUNAL '1'1'rLE 4 COUSIN_GARYS 19l004/009 rAl &la�nsl @�erlMaA ftAl 7 !e f3a tanf ne!orporat� arca Coymy (r Bette sor or cailanfix sea ATTM3= o1 8 C Volt t9L L SUMMON THUS DEW 15 BUM 6LW.)I D 1N =VMWART F" OF 181101 I1MPF64DWMY ;3011L ML IM Sly EINUT AS It' IT WERL 7M CRIGIM., APS &i. OF UHIC 9 TAKM lUL&rs A MAL;. 0LMT:'RPff (M Wo 719r w ed: CCtober 4. 1996 4herml I3thitagtal •taa.eltx�_ ifs riaam Aattm Ethington^—� ' .70aPCWk•ms 7;i712 Q 101ra tAP9Y �l� �aff`a �. L. EA WkGN at ,fy td(k-Abf o t l4j"v-d VA 28,60 4_114559.1$A HMO 09910101 �a9e f AM eoHo31 MAIL10 6oulsty of 1 Butte 1 xwwbw b=*a bc%* ntacmd It&=Lo %%-Ott lo%w tl Af:®ee11 R/abwtsw candmw J. ()t abba 1 lea? U. e«gga ftsdley Rd. RDaaedoa 1 WI I% t* bakw uY.rdy�-d ®aid3ey. CA 95"s 97106va 7 -Raw -96 1 rum fill 6 Great Dead _ _..— ...- ... ._— .. ...... ....... 71915 FOM R9)fRPa1S W W iPWW 1a. WIX @ M70W COMPANY The =dm* d gra- 4s) awls IS). DOMMEMY 39.60 - 4 2)1101 Go fag 9dst of pfewrl navqd. of 4 ) (O+9 het li�l /sJ m fit of late. !30 U mea ( 1 unincorporated area RM A VA A= COMWERATM. T c do d w� y Sharon 19thinQton, an wwarried ='=I llaron Bfyhington,a harried man at hie separate property and°WaDean Robertson, a married abnum as her separate property n=m -Aefta f ftwrtam do ao*dnd title as Q8A1dl(S) ti ASI as R0MLL RQVMnVW. =MMIMM KM &la�nsl @�erlMaA ftAl 7 !e f3a tanf ne!orporat� arca Coymy (r Bette sor or cailanfix sea ATTM3= o1 8 C Volt t9L L SUMMON THUS DEW 15 BUM 6LW.)I D 1N =VMWART F" OF 181101 I1MPF64DWMY ;3011L ML IM Sly EINUT AS It' IT WERL 7M CRIGIM., APS &i. OF UHIC 9 TAKM lUL&rs A MAL;. 0LMT:'RPff (M Wo 719r w ed: CCtober 4. 1996 4herml I3thitagtal •taa.eltx�_ ifs riaam Aattm Ethington^—� ' .70aPCWk•ms �l� �aff`a �. L. EA WkGN at ,fy td(k-Abf o t l4j"v-d • ClatA"Oulwa. 'awmay mme n at cm Papd tm w as la We of w0dwty tr dM0to COUNTY OF GLR7e HyRWtaa, tbpetp�l Tldl4tr h Q prtva�tl .t.,t a,tadn Mtr .aPa,dal d h[ +nk► .n•ttmNrtt �,! xwwbw b=*a bc%* ntacmd It&=Lo %%-Ott lo%w tl aopuf,Aed. W E4c1Ay InlReyfQ�tuudtraxtuaaA! stat®s+Rrt �luantl -114 arrl eaao+hhdl .d .6.A a� �.. •Mq M Oaq.aa.t h .. o„' , .a WI I% t* bakw uY.rdy�-d - . � � .. .•••— .•�� .IM cru tw, .ehaOl tdawel /tall mall TAi4TAW11IT"V) . � aur ..6 el•.w. ---' •-- '- - . _ _..— ...- ... ._— .. ...... ....... Deacription: Dutte,CA Document—Year.DooZD 1996.42312 Page: 1 of 6 Order: mtamm Comment: SKYCREST ENTERPRISES 6471: f DBA COUSIN GARY'S HOMES 13468 HVN 99 530-342-2694 . CHICO, CA 95973 90-3504n211 DATE I TV I ?c..Cgc)s x' PAY N ORDER OF ° DOLLARS 8 F. I.,uro0 t BucYll, n w TRI &NTIES HANK ` 1-800-922-8742 FOR 11000647 1110 11:1 2 1 1350451: 103022 110 u FOR J SKYCREST ENTERPRISES DBA COUSIN GARY'S HOMES 13468 HWY 99 530-342-2694 CHICO, CA 95973 PAY TO THE ORDER OF =-(= (f TRI OUNTIES DANK 1-800-922-8742 77-3dN II'00647Ilia 1:121135045i: 6471 DATE2I i Tv 1 Li-aa(JT 90-3504/1211 I $ DOLLARS F°elu,o° t D°I°11, on 103022 II' L `t' t. Xa yy.._.a r�.�..trDe43 4#r `' �r -v_. r Lr>! t+�1+.•„' s. �. r a �5 v s ,.tt c � .��., 3 ;.�� lk;y rx- ... �i�.�., R ht° a,"^�-a�JG>'i: .: k'42a '��' a�,,, ,t,, s rw � �ri �� ��L. x+( yew► itP +� t'^«' �. l,z-.i.#�� u4rik '+r t a '+� `S fie` �k�*2i}�+i•n.� k P`': e,v e'a,s;�.� ,�,' .fir ��, (.pt`a' r i 2{ FOUNDA�TI9MYSTEM � 51 _ ,, •� .tt � ',�,' \�. N�.'�Y. irr .v� tii �'.( Aah. � R 1R� G • i��+ rt T fCER�TIFICATE�OF OG,CUPANCYµE s 1 v t r.. F `”' �' ra, ,k t s �' ,�.;,�y, {o ` ,n,. t'+•! r� a 1',+'�t�*,���'v'�sy,j :t � kf �� v{R��+�,t;V• 'E' �`e M1Cy J i � a x� ` �''ks' y .,"�s �,,� ,a,"�} R e � ,� ,� e.,,G � � . y� r �+" a r ,� BUILDING PERMIT NUMBER: 05-1360 Address or location of unit: 1837 W. BIGGS GRIDLEY RD., GRIDLEY CA 95948 Legal Description of Real Property: AP#: 022-330-013 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: RUSSELL ROBERTSON Owner's address: 1837 W. BIGGS GRIDLEY RD., GRIDLEY CA 95948 INSIGNIA OR HUD NUMBER: PFS906657/8 SERIAL NUMBER OR V.I.N.: 17-70-0582-T-A/B MANUFACTURER'S NAME: WOODFIELD YEAR: 2005 OFFICIAL APPROVING INSTALLATION:�({1 '7-20-03 DATE: r PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 21 -Jul -2005 2005-0042632 Has not been compared rith original BUTTE COUNTY COUNTY RECORDER r Y SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. RUSSELL ROBERTSON REAL PROPERTY OWNER/LESSOR 1837 W. BIGGS GRIDLEY RD. MAILING ADDRESS GRIDLEY BUTTE CA 95948 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-1360 (530) 538-7541 BUILDING PERMIT NO. a TELEPHONE NUMBER , (9;1 h-TL#t L -AAA ahh 17-2f)-05 SI�GI ATURE OF LOCAL AGISNCY OFFICIAL DATE COUSIN GARYS DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO SKYLINE HOMES 2005 P219 -CT MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMFJNUMBER 17 -70 -0582 -T -AM 66'X 26 PFS906657/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 022-330-013 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept SITE PLAN - ....... ..... ...... ...... ... ------ ............ ...................... .................... ...... : ............. ...... .............. ............. ............. ... ..... ...... ........... . ............. ...... ...... ................... ...... ------------- ...... 7 ...... .............................. .. .................................... .................................... ..-.-.-.---...-...-...-...-...-... - ..-..-..-..-..-..- ................................... .............. .......................:. ...................................................................................� ................................... . .... .................... ............................. ...: ............... ...................................................... 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I ..... . ............. . ............ ...... ...... ...... : ...................... .............. ....... ............. ............. ...... ..... ...... ............. ............... ............................................ . ... ...... ............. ....... * ............ ................................. ...... ............ ...... ............ ...... U FOR OFFICE USE ONLY PROVIDE FOR ALL ADJACENT PARCELS Zoning: SIZE (AC): ' General Plan Des1g:_.-_ -ZONING:_. GER PLAN: Sizd;Acibi - - 4. W. W F2� OR F01 R1 N Scale: I"= S'S Assess Number es Parcel Numb es 0 Owner ame J1 I g4kLo—f – 0 Add Ph6ne No. :21 S L .. 0 Site Lo 101 tion t Conta Name 7 U FOR OFFICE USE ONLY PROVIDE FOR ALL ADJACENT PARCELS Zoning: SIZE (AC): ' General Plan Des1g:_.-_ -ZONING:_. GER PLAN: Sizd;Acibi - - 4. W. A-' 0 r P219CTI6626 3 i i i i i i OEIi fdle 9 9?D OPTION DOOR \ OPTION MASTER BEDROOM CLOSET St dtiG GI .55 OOOu _ DEN 14' OPTION DEN THS - CATHEDRAL THRU-OUT (1,716 SQ.FT.) OPTION 1/2 BATH Iv I\ GVN \\I IR J Tit OPTION DELUXE BATH BUTTE COU V e >s 9EWG PAR 41 P P R`0 V r 4. ED AND_i� ISSUZ 13Y C ASSESSMENT SERVICES L MAR I 12002 OPT SUDING GLASS DOOR DR 4'jkC.ol 0ES. 14' -4 -4c 9'-a' O [_5V�- J. 17'-4' 3�5 BUTTE cM AtjlL-DlNn- DEPA 30# CENTERLINE SUPPORT REQUIREMENTS THIS 9iffT IS TO BE INSERTED VATH SUPPLEMENT TO FIELD WALLATM MANUAL FOR T 30# ROOF ZONE SNOW LOAD. SEE ABOVE PRINT FOR LOAD REQUIREMENTS- AND LOCATIONS. 1Wo RW ON mxa-rA E Lm 6626-,3XCK-2B--'CAlH 7 OPI wa FILE . 11!19321 I UTE: P219 -C7 c unTy SPATE OF CALIFORNIA NUMBER: BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT O DIVISION OF CODES AND'STANDARDS MANUFACTURED HOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. C()PY 7 rYF-I, I.Om OFLIVFR TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. A ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. . MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING EFSFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING NUMBER OF- TRANSPORTABLE SECTIONS 2 COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: SKYLINE HOMES INC 90002 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: 1720 EAST BEAMER STREET WOODLAND CA 95776 77,941.75 street Ci State(zip)$ MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: WOODFIELD P219—CT 5/20/2005 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OF TRANSFER: SKYCREST ENTERPRISES/COUSIN GARY'S HOMES TRANSFEREE DESIGNATION: 5/26/2005 91265 DEALER OR TRANSFEREE ADDRESS: 13468 HWY 99 E CHICO CA 95973 street Ci State(zip) INVENTORY CREDITOR NAME: TEXTRON FINANCIAL CORP INVENTORY CREDITOR ADDRESS: P.O. BOX 16520 ST LOUIS MO 63105 street (City) State(zip) SECTION MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT 1.6 INCHES INCHES (POUNDS) 1 17-70-0582—T—B PFS 906657 792 156 26,565 2 17-70-0582—T—A PFS 906658 792 156 27,845 TRANSPORTER NAME: BENNETT TRUCK TRANSPORT TRANSPORTER ADDRESS: P.O. BOX 179 DURHAM CA 95938 Street Ci State z' DESTINATION FOR UNIT DESCRIBED ABOVE: COUSIN GARY'S HOMES 1.3468 HWY 99 E g ICO CA tie 73 NAME (street) Z1 I certify under penalty of perjury under the laws of the State of Califomie that Vie above facts are true and correct. 5/26/2005 WOODLAND YOLO CA Executedon at (Date)(City) -� (County) (State) SIGNATURE OF AUTHORIZED AGENT:Y` DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. C()PY 7 rYF-I, I.Om OFLIVFR TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. A RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: NAME BUILDING DIVISION STREET 7 COUNTY CENTER DRIVE ADDRESS -OROVILLE CA 95965 CITY, STATE and ZIP •96-041561 196-041561 196-041561 9 6 -041561 1 Re T*e I Total Recorded I Official Records I County of I Butte I C ndace J. Grubbs I Recorder II 1: 4pm 31 -Oct -96 I COMS SPACE ABOVE THIS UNE FOR RECORDER U! XX .00 .00 E ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. SHARON ETHINGTON/AARON ETHINGTON NEDEAN ROBERTSON/RUSSELL ROBERTSON BUTTE COUNTY BUILDING .DIN DIVI ION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 487 MACEDO ROAD 7 COUNTY CENTER DRIVE MAILING ADDRESS GRIDLEY, BUTTE, CA 95948 CITY COUNTY STATE ZIP 1837 W. BIGGS GRIDLEY ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT GRIDLEY, BUTTE, CA 95948 CITY COUNTY STATE ZIP SHARON ETHINGTON/NEDEAN ROBERTSON UNIT OWNER (If also property owner, write "SAME'l 487 MACEDO ROAD MAILING ADDRESS GRIDLEY, BUTTE, CA 95948 CITY COUNTY STATE ZIP UNIT DESCRIPTION MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 6-2320 916 538-7541 B IIDI ERMI NO. TELEPHONE NUMBER ,(,L1 10/31/96 SIGNATU E OF LOCA AGENCY OFFICIAL DATE ONE DEALER NAME (If not a dealer sale, write "NONE') DEALER LICENSE NO. WESTERN DELUXE 1973 --- MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER S6359XX/S6359XXU 60'X24' 84359/84360 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) A.P. /#022-330-013 REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE A EGAL DESCRIPTION. HCD FORM 433(A) Rev. 8/91 WHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Building Dept. LEGAL DESCRIPTION A.P.#{022-330-013 All that portion of Lot 12, Gridley Colony No. 11, as shown on the Official Map thereof, recorded in the office of the Recorder of the County of Butte, State of California, May 12, 1908 in Map Book "6", page 56 and more particularly described as follows: Together with the dwelling -house and the outbuildings thereon: COMMENCING at the Northeasterly comer of said Lot 12 of the Gridley Colony No. 11; thence North 89 deg. 53' West along the Northerly boundary of said Lot 12 a distance of 182.17 feet to the Northeast corner of that certain parcel of land described in that certain deed from James R. Darr et ux to Eby Edwards, et ux recorded April 11, 1955, in Book "763" of Official Records at page 587, records of Butte County, California; thence South 0 deg. 03'i West along the East boundary of said parcel described in said Deed a distance of 113.44 feet to the true point of beginning for the parcel of land herein described; thence continuing South 0 deg. 03' West along the East boundary of the said parcel a distance of 135 feet 4o a point to the Southeast corner of said Edwards parcel; thence South 89 deg. 32' East 1811.15 feet to a point on the Easterly boundary of said Lot 12; thence North 0 deg. 17' East along the Easterly boundary, a distance of 135.0 feet to a point which bears South 89 deg. 32' East from the true point of beginning; thence North 89 deg. 32' West a distance of 181.15 feet to the true point of beginning. i I BUILDING PERMIT NUMBER: 96-2320 Address or location of unit: 1837 W. BIGGS GRIDLEY, GRIDLEY Legal Description of Real Property: A.P. #022-330-013 SEE'ATTACHED LEGAL DESCRIPTION. [X]Mobilehome/Manufactured Home [ ]Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section. 18551. Owner's name: NEDEAN ROBERTSON/SHARON ETHINGTON Owner's address: 487 MACEDO ROAD, GRIDLEY CA 95948 •INSIGNIA OF HUD NUMBER: 84359/84360 SERIAL NUMBER OR V.I.N. S6359XX/S6359XXU MANUFACTURER'S NAME: WESTERN DELUXE . 1973 OFFICIAL APPROVING INSTALLATION:--- ' ' 10/31/96 DATE: �— -- PHONE: (916) 538-7541 H.C.D. 513C UL 1 -tl7-7b WtL 1 1 1, HI'1 5 1 H 1 tW 1Lt 1'11 V 71bL f J7J/D 25 Y. !OG 1 ' RoccrdtnQ ReQuoltod By 95-04830 0,4e, 1 Sharon Fthbngton g �. —u/-� t A40WHEN RECOF10E0MAIL TO +'�����[�`r I Rae: Fri 9.00 I Check 9.00 F `j RPrnrara I ^1'°f Sharon rmnington Oifiai;:il Rocorda I 3"... 1A37 W. RIggs SrifilPy Rd. CVMII�Y vs I -V1911 Gridley, California Butte I GIy6 9$949 Candaco J. Grubbs I 51111 Recorder ) 1:U,Jpin PURL XX L J SPACE ABOVE TMIS LINE FO;; n_COROCR'S VSC >a� 022-330-013 Grant Deed THIS FORM FURNISHED OY MOWELL TITLE d ESCROW COMPANY Thn undersigned grantor(3) declare(s): ^� Documcnimy transfer tax is S o I � compul:d On full Yalue of property conveyed. or i ( ) rnmputed in full v><lue of litnt ind oncumbrencet remaining at time of tale. (A ) Vnlncorporated-arida; ( ) II and I -OR A VALUABLE CONSIDERATION, rccelpt of which Is hereby acW%vlcdgcd, !' Sharon 9thington Ihereby G2-kN•r(S) to Sharon Ethington and Aaron Ethington, her son and NeOean Roberr.son I and Russell Robertson, her son all as joint tenants I tn: f011:%•':ng described real propcny in the unincorporated area Cou» ty,)f Butte i I Stale of C31ifomis: I I III Please see attached property description . i " This is a bonrafide gift and grantor received nothing in return, 1 R&T 11911.11 Sharon Ethington S::u o: ta;fonlia 1 County of Butte f �� i rr•, Fr.l'It't.lA!'y 1 Q , ).995 before me.the underjigned. u Nol:ry Public lit slid for laid :,lute Iwsan3lly .pl> .I, u Sharon Ethington I (This wea for official notarial coal; puiornally )mown to me (or proved to me on the basis of sadsfactory e%•:dance)tobetheperson( whossnamed)Islam subscribed tothewidest VWzv llcnl v9d aclrowledged tome th3tw0KfiJl6y exteuted tho sync bt 1 )I - lx'ifk—rautltori.ed Cbpacip•(iwe), end the( by AislherA eit signalu,t(� CAROLYN WING t I <Qo," COMM. a )025326 or. �1e i Istro,nent d)e pe�Jn(Q or tllC endry upon b:aU of which the NoloryPuVie — cogroml0 IV:-iOn;oj:;tedexKutNtl>eIWVJ1unt eurifCOvNrY \>.•�• .�, �Comm. [n*qq MAY 30. 10ve 11 NE. S ❑)y ha:.d and official Seal. WAii. TAX STATEMENTS TO Same aiLbS2ve �i E-JEO.OS 16Aq OCT -09-96 WED 11:15 AM STATEWIDE MTG 9162739308 P.03 95-04830 1,2 All that portion of Lot 12, Gridley Colony No. 11, as shown on the Official Map thereof, recorded in the office of the Recorderof the the County of Butte, State of California, May -12, 1908 in Map Book "6" page 56 and more particularly described as follows: Together with. the dwelling -house and the outbuildings theron; COMMENCING at the Northeasterly corner of said Lot 12 of the Gridley Colony No. 11; thence North 890 53' West along the Northerly boundary of said Lot 12 a distance of 182.17 feet to the Northeast corner of that certain parcel of land described in that certain deed from James R. Darr et ux to Eby Edwards, et ux recorded April 11, 1955, in Book 11763" of Official Records at page 587, records of Butte, County Cal- ifornia; thence South 06 n.1' Wptt nlong theEast boundary of said par- cel described in said Deed a distance of 113.44 reset to the true point of beginning for the parcel of land herein described; thence continuing SoLth 0° 03' West along the East boundary of the said parcel a distance of•"US feet to a polrit Lu the Southeast corner of sald Edwards parcel; thence South 890 32' East 181.15 feet to a point on the Easterly boundary of said Lot 12; thence North 00 17' East along the Easterly boundary., a distance of 135.0 feet to a point which bears South 890*32` East from the trun point of Deginning;. thence Nortn 890 32' West a distance of 181.15.feet to the true point of beginning. F M i or, 00C U pA E (.1"r 916 224 4817 AUG -30-1996 14:04 916 224 4817 P.01i01 S'rA'rE OF CALIFORNIA DEPARTMENT OI' HOUSING ANI) COMMUNITY DEVEl,OPME:NT TITLE SEARCH - REQUES'rEO ON 08-30-96 AT 13:12 BY CDREDDI DECAL: ABG6322 MANU1+: UNKNOWN TRADENAM: WDLUX MOnF.J,: TJNKNOWN MANUFACTURED ON: 00-00-73 F:(RS"r SOLI) ON: 08-02-73 RATING YR: '73 ORIGINAI, PRI'CL: CI•A.SS: ADI) REG EXPIRATION DATE: 12-31-96 IL'r EXEMPTION: NONE. USE: MH SNOLE FAMIf.,Y TAX TYPE: IN LIETJ TAX SERIAL NUMBYR(S) L.ABE:I,/1NS7GNI'A NUMIiF.R( S) LENGTH WIDTH S6359XX 84359 720 144 56359XXU 84.360 720 344 RECO'Rn GOND: 47 NO PARK PURCHASE FUND EXEMPTION ESTABLISHED REGISTERED OWNER: ETHJNGTON SHARON/ LAST REG CARD: 03-20-96 ROBERTSON NEUEAN JTRS 487 MACE110 RD-- GRIDLFY CA 95948 LOCATTON AUDRE:SS: 1837 W IIIGGS RD LAST TITI.F.: 03-20-96 GRIDLEY CA 95948 BUTTE COUNTY LAS'r II.t FEE PAID: $ 41.00 ON: -03-13--96 ***** END OF' TITLE: SEARCH ***** TOTAL P.01 PERMIT NUMBER - B 2558-73R, P F k ' P r E Y i PERMIT EXPIRES OWNER Verl V. Davis '* CONTR: owner LOCATION (A.P. 22-33-13 w/s West Biggs -Gridley Hwy.,2nd lot ' so. of Ma.cedo Ave., Gridley i( t s a i. s of A t DATE REMARKS OR CORRECTIONS P A16 S ` .g �-�-- ? � ��¢���� ,�z�-•ems. oma`. a 11 COUNTY OF BUTTE Department of : fyblic Works BUILDING INSPECTION RECORD , Zoning, Setback Forms 2Z Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & TestAk5P_ .v/%K Found. Vents Framing 9 — a/ '— % Plmg. Topout Rough Elec. Wt?. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary — Temporary Cert. of Occup. Final Final Final ���`�= -2c:�T DATE REMARKS OR CORRECTIONS P A16 S ` .g �-�-- ? � ��¢���� ,�z�-•ems. oma`. a 11 COUNTY OF BUTTE - DEPART1u1L--NT OF PUBLIC WORKS ' 7 County Center Drive — •Orovillp, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Owner�.�� Mai I i ng Address 7,13 le hone No. a ��e Contractor L� Mailing Address Telephone No. Building Addresses _S �� 1Jef' _ A-4 "/ A. P. No. o2 02 — 5 S �Zon t1kC. a on Fire Dept.FireZone Use Permit EA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration P p ovements i g. c Parcel Approval Plans Approval NEW ® ADDITION ❑ UTILITIES ® OTHER ❑ SingWFamily ❑ 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 I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I 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. JU-1 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ��� Date —� `7 Signature of Permitee or Agent Receipt No. _�a Q _ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BUILDING SQ. FT.7 OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee 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 incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. lisp. or D.W. Air conditioner or heat pump Water pump / #P Mobil Home Facilities Temp. Power Pole Misc. wiring @ $2.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE U -R= Permit Fee $ h.W110 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Venti Iation Hood 2.00 Permit Fee $ r0l TOTAL PERMIT FEE $ d 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. DIRECT R OF PUBLIC WORKS By Date Building permit expires Date1�� PERMIT NUMBER _ B 3840-73B P i E P PERMIT EXPIRES OWNER Verl V. Davis CONTR:. Admiral Awnings, Sacto. V > � LOCATION (A. P. 22-33-13 W/S West Biggs -Gridley Hwy., 2nd s lot S. of Macedo, Gridley k o ti ' COUNTY OF ;BUTTE EDepartment, of Public Works (fr BUILDING INSPECTION RECORD FFp Zoning Setback Forms f Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water d ELEC ICGAS BUILDING Y:y Temporary Temporary Cert. of Occup. Final Final Final k `i. • DATE REMARKS'OR CORRECTIONS is 5 i t r 4 COUNTY OF BUTTE — D'EPARTMENT OF PUBLIC WORKS(((��� 7 County Center Drive J Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner l_6 a 1z SO. FT. OCC. BUILDING VALUATION Mailing Address ZpC) Da ®v Telephone No. Fireplace Contractor E!lA %___ 1 06 S Total Valuation Mailing Address 5- O CLC Permit Fee /Z p Plan Checking Fee&/or Penalty .S' crzAkEx7ro R Telephone No. -z- s'o Permit Fee Building Address t,(/rs W PGC _ ti'tOL� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 A' Lor sc.. op caoa V r . Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 22Gas A. P. No. -2--2--3-3 Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Sa*dfl on FireDept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60 ' R/W Improvements P Lawn sprinkler system 2.00 6091dg. Plans Recd —P..a0*el—Appsw0l PI.rovot Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ©��( Zd(JIJIA�C Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more thon 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 pal silo Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of C lifornia Business Professions Code under the name style ����� Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 2&1' 9 Classification—�p Misc. wiring ❑ 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 No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 TOTAL PERMIT FEE $ 00 authorize representatives or the county of Butte to enter upon the above-mentioned property for inspecti purposes. Date l d Signa ure of Peerrmitee or Age t Receipt No. // 4R7 _ 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 BY Or Date /--1(- —73— Building 73— Building permit expires Date 7 y •d October 4, 1973 Admiral Awnings, Inc. Mi. Building Permit 153 Otto Circle Sacramento, California 95322 Gentlemen: With reference to the above subject and your check and plans received in -this office today for two (2) awnings for Verl Davis in Gridley, we are attaching, herewith, a permit application to be completed and signed by you where indicated. Please return all copies of the permit application to us for processing. For your convenience, we are also attaching some permit application forms. Yours very truly, Clay Castleberry Director of Public Works J.F. Glander ': JFG:dd Assistant Director Attachment t " � � r , N -, , : - :-, C, C. C . r . In . Rl. Des. R/W watar Res. :,v -f-- Zl FILE NO. --b SUM CouNTY I (For Actlom - 1. 2, 31 Pvhllc Works r)*O. Isiroctor Dep. D. Sec. Rd. Moint. Shop if Planning re,m;is ....... C. C . r . In . Rl. Des. R/W watar Res. :,v llY / r Stucco. j Mesh a` Scratch { Brown Finish l Interior Latl i Door Closer a_v_2i== REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING • 1 ! COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Setback / Firewall Soil Forms Parapets 1 Main Bldg. Restroom Finish 2 Footings Windows • 3 f. Stemwall Siding To Slab Roof Sheathing Wat Piers Roofing Sew Garage Fdn. Vents Fix Footings i. Stemwall Garage Vents Insulation Wat Hea Slab Carport Footings ,1 Prov. for physically handica ed Conformance of ex. structure A pr Gas Ten Slab Final San Patio FIREPLACE Fin tFootin s / Footin Masonry Walls Throat Roy ( Reinf. Steel Final Fiv llY / r Stucco. j Mesh a` Scratch { Brown Finish l Interior Latl i Door Closer a_v_2i== REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING PERMIT NO. 5587-76B PERMIT EXPIRES 'Zo��/ I OWNER Verl V. Davis CONTR. Burl Woodward, Gridley. LOCATION (A.P. 22-33-13 E/S West Biggs Gridley Hwy, 'app. 150'S.of Macedo Ave., Gridley Tempe ower Pole Iled PG&E T p.. Elec. Serv. Called PG&E emp. Gas Serv. Called PG&E ' JOB FINALED (Date (Signature) _ COUNTY OF BUTTE — ..DEPArRTMENT OF PUBLIC WORKS • 7 County Center Drive — Ures:✓ille, California 95965 �� /-7GTelephone: 534-4541 `,J5_ APPLICATION AND PERMIT _ authorize representatives of the County of Butte to enter upon the above -m tinned property for inspection purposes. Signature of Permiteeee•or/A�gent Receipt No. ,�LO �7 White-D.P.W. — Yellow-AssessoIr r — 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 be id. DIRECTOR P BLIC WORKS BY Date c." % Z- — 7 f. B ilding permit expires Date �° —r L._ 7 BUILDING Owner _ SQ. FT. OCC. BUILDING VALUATION Ga Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address �77 Permit Fee Plan Checking Fee &/or Penalty r Teleph ne No. Permit Fee $ SI S Building Address /u- PLUMBING No. @ , FEE PERMIT FILING FEE $3.00 1 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 9 51— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FSeR;-4eHefl Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. ons Recd Parcel Approval Plans Approval Permit Fee $ $ .NEW ryADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR1 OR LE LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 ^ /I J W NEW OR ADD S. ( ACCLBLDGS.LING CCUP. &) 20sgft NEW CONSTR. ( MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON -RESID. SINGLE OUTLET CIR. 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 f: Ex. OCCUp(OUTLETS OR FIXTURES)50 @259t BAL@1 FIXED APPLNS. OR EX. OCCU P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 qq ��, � License NjpL ,� ���% 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. fid 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 Workmen's Compensation Laws of California. 1 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -m tinned property for inspection purposes. Signature of Permiteeee•or/A�gent Receipt No. ,�LO �7 White-D.P.W. — Yellow-AssessoIr r — 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 be id. DIRECTOR P BLIC WORKS BY Date c." % Z- — 7 f. B ilding permit expires Date �° —r L._ 7 MODUILE : FOOTING WIDTH SPACING 12'-10" 6'-0a 13'-10" 5`-0" 14'-10" 5'•0" 15'-1m" 4'-6" 1 tM111.Oi 9WYw - u - - _ w m1". i1 p iAita/4 Oitve Pin) _ n.ts. ,. gull "•• ... • S� .� ,•.., J t. •�� • •��• �Y. �•• wd lei AAte •.�, .�..• • • • , . �: , i'. , C /off •••.. ....: F !..:' a, +s ,�• ,"� ;:. ..,. 4Com-is When 6" Deep Powee boloc• ea+e. Fig. TIP • . Continuous Footing so* Chart ts' Used .. f "—Wet E' supwis may Neve ro More 1.2 s on to, Of 3 FLra w1414 OseMdIR&BA Lend AErI