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025-340-023
cRECORDING REQUESTED BY: AND WHEN RECORDED -MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 23 -May -2005 2005-0029146 Has not been compared vith original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DELORES CESENA REAL PROPERTY OWNER/LESSOR 5390 PALM GROVE CT. MAILING ADDRESS SAN JOSE SANTA CLARA CA. 95123 CITY COUNTY STATE ZIP 572 MARIAH LN. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA. 95966 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 04-2917 (530) 538-7541 BUIL[G PERMIT NO. ' TELEPHONE NUMBER GN OF LOCAL A Y OF ICIAL DIFE EXECUTIVE HOMES DEALER NAME (if not a dealer sale, write "NONE") 92081 DEALER LICENSE NO FLEETWOOD HOMES 2004 BARRINGTON 7684X MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER WAFL431A/B/C18587-BA13 68'6"x26'3"; 67'3"xl3'3" WAS0094111/2/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTYAL DESCRIPTION CFF. ATTACT4RD ASSESSOR'S PARCEL NUMBER 025-340-023 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. -1 BUILDING PERMIT NUMBER: -04-2917 Address or location of unit: 572 MARIAN LN. OROVILLE, CA. Legal Description of Real Property: AP#: 025-340-023 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: DOLORES CESENA Owner's address: 5390 PALM GROVE CT. SAN JOSE, CA. 95123 INSIGNIA OR HUD NUMBER: WAS0094111/2/3. SERIAL NUMBER OR V.I.N.: WAFL431A/B/C18587-BA13 MANUFACTURER'S NAME:, FLEETWOOD YEAR: 2004 OFFICIAL APPROVING INSTALLATION• DATE: l PHONE: (530).538-7541 H.C.D. 513C NOTES RESIDENTIAL PERMI' 025.340-02w « 04-2917 CESFNA 4 �� % S72M,�RIALANE, ORUV [L1,E Cont: EXECUTIVE HOMES C NEW MH PERM FND S G 51- Z 9 774 6q-30/7 f-ktt THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS _- BEEN TURNED IN TO THE BUILDING DIVISION: Fr (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON t { NEW MH'S). INSPECTOR O VERIFY SERIAL & ABEL #'S. SPECIAL CONDITIONS CHECKED B 7 SRA FLOOD CERTIFICATE REQ. ( FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB-STANDARD HOUSING LETTER OFFICE COPY w tr Address t , GAS Meter By_X, Date ELECTRIC j e' Meter By Dei 4 ' JOB FINALED (Date) od— ' Signature ,� /� J=OK 0 = Not OK . = Not Readyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch j 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG f 12. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card 514 Date Card B-1 Date MOBLkE KME INSTALLATION (Plans) OK except #'s %., F Ings; Size -Spacing -Marriage Line as; MH Test -Demand -Valve -Connector ctricity; MH Test -Crossovers -Breakers -Clearances MH Test -Fall -Flex Connector 6. ter; M Test -Regulator -Connector k.�"erjaKd Sewer Connected -C/O to Grade -HD Approval 8. Ga nd Electricity Tagged e Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card a-1 Date544/&V-Card B-1 Date Card -B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures j 6. Carports; Windows -Doors ( 7. Electric J 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings f 12. Braced Wall Panels }}Date Card B-1 Date Card B-1 4Date Card B-1 Date Card B-1 11„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 1 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 1 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. e Boxes- Enclosures- Panelboards-Ins. to Main Conduit I 9. Health Department Approval { 10. Plumb.; Cir. Test -Water Supply Test 1 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 = NotOKRESIDENTIAL - =Not AAppplicable . = Not Ready FRAMING (Continued) Card B-1 Date Card B-1 Date UNDE OOR (Plans) OK except #'s Card B-1 Date Card B-1 Date on ing-Setbacks-Easements-Flood-Slope 17. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stem alls, Main; Steel-Blockouts-Wrapped 6. Xmwalls, Garage; Steel-Blockouts-Wrapped 22. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test 24. 12. Electric Underground 25. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 26. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 27. 15. Access & Ventilation 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 16. Insulation (Single & Duplex) Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 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 57. Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 24. Fixture & Transformer Clearance -Ins. Protection Shear Walls; Nailing -Bolts 25. Elec. Receptacles Spacing -Lights & Switches at Doors Brace Interior/Exterior Wall Panels 26. Size Boxes & No. of Conductors Stapled Insulation -Walls -Ceilings 27. Romex Installed Close to Edge of Studs & C.J. Infiltration -Walls -Windows 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al FINAL (Plans) OK except #'s 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ID Yes O No Ext. Steps -Door & Sidelight Protection -Landings 32. Service -Riser Conductors & Ground Main Disconnect Smoke Detector 33. Equip. Clearances Panels-Motors-Mech. Equip. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 34. Clothes Closet Light -Shower Light -Spa Light Bedroom Exiting 35. Smoke Detector G.F.I. & Bath Fixtures & Tub Access -Spa 69. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 72. 36. A.C. Ducts Insulation & Support 73. 37. Vent Fan, Exhaust above insulation 74. 38. Condensate Drain & Overflow, Size & Grade 75. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 76. 40. Attic Access & Platform if Furnace in Attic Date Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Card B-1 Date Card B-1 Date Plb.; Elec. & Mech. Equip. Listed for Location 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 A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive 0 Yes 0 NoMalks O Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/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: r 1111,11"14e, C0l1N'FV DE1'AR'I'111EN1' 01? DEVEL,OI'111EN'1' SI;ItVICES BUIL,Ii)ING PERI1' I' APPIACA110N AND SU111111'1" I'A1., R1PQUIRE111EN'FS 24 IiOUR INSPECTION#: 0R0VIL1_I3: (530) 538-7636 • CIlICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FPX 111ILL .IIL I?EQUIREU A7' 7711117 01" APPLICA 71ON OWNER Namd Address 1A City -oq V,4 1 Slate C,4,% Zil�a�5g bd Fax EE-mall Slate APPLICANT NAME CONTRACTOR Name Address `iek G: GwTI d£ -3,0,j •L S,? r✓A,-. ,A aX City L141 C o Slate Zip, gScn3 Phone _ b 0,5'1-, Fax g 1 — :3 E-mail Fax Llc. b�y a S $,� Class L APPLICANT NAME ARCHITECT/ENGINEER Name City � G.o Phone x.`11— Address E-mail e_XV_V0'#-^-CSQA56 c. )1 06 . V% -p- ' City Lo # 1B- Zip Phone Fax E-mail State License Number APPLICANT NAME Name Address City � G.o Phone x.`11— Slated Zip � Sg'7-j Fax E-mail e_XV_V0'#-^-CSQA56 c. )1 06 . V% -p- ' APPLICANT SIGNATURE X or office use only: Zoning JEP2i Z I Flood Zone SRA Yes 11. Occ. Type Const. Subdivision Name Map Book Page Lo # Planner Date Approved: `A4V=M rUM Z-3ut:5IV11 I I AL. K -1::Q 7IREMENTS K:IFORMSIBUILDIN 'F6aMS\BldgApplSubRgmts.doc Page 1 of 2 PERMIT NO. B Pow} 291 BIN # LOCATION API) 0 -LS - '3'A o - v'L3 ��9 Properly Address Cross Street 1..ari WORKER'S COMPENSATION Policy Number � ,N 3 ` b 91 lo 3 o-2-- Carder S C.0 M P _ If hlrhtg anyone other Iliad license contractors, a certl06ata of worker's compensation must he shown at tits tlme of permit Issuance. LENDING AGENCY Name Yt. Address Description or Scope of Work: •� S-rA w14+j av, -JF VNF,yj %A0xb8 Sq. Footage -2,S4-3 - - O Structure Built without Permits O Proposed Change of Occupancy (Note previous EXPIRATION Or APPLICATION Applications for which a permit has not been issued will expire one Year after the date of application. In order to renew action on an application aner expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. 71ie request must be made prior to the expiration of the permit and no construction work ties been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Ift"I Amount: 2 -7+ -q -S- Bldg RA Receipt II: LE'(Z% Sd,� Sheriff SMTP Dale: (� /� / O 011ier I i Z%4 • q s Total REV 4-30-04 of BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042917 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of - Issued Date: 11/17/2004 APN: 025-340-023-000 the Business and Professions Code, and my license is in full force and effect.a License Class: L4 4- License Numbe� Site Address: ��v�ar'� 'U15CJ3 Date:1 t- 1-1-04Contractor. �2CU/�l �C{om n Map Index: V: Description: NEW MH NEW SITE PERM FND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: CESENA DECOKES 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 466 MARIAN OLANE 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 OROVILLE, CA 95966 she is exempt therefrom and the basis for the alleged exemption. Any (408) 687-3912 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: EXECUTIVE HOMES 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, 3042 ESPLANADE provided that such improvements are not intended or offered for CHICO CA 95973 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530)891-6992 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: EXECUTIVE HOMES 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.). 3042 ESPLANADE ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 (530)891-6992 Date: Owner: License #: 640583 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 Architect: is issued. l� I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carderandpolicy number are: Carrier: lU ✓n Total Square Ft: 2543 S.F. Valuation: $165,295.00 Census Code: Q'5 2G Policy #: I 1 t1JcJ0Z ❑ I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. N 1-3 2-0O,eA Date: C1 1 i Applicant: r WARNING: Failure to secure workers' criminal c verage is unlawful, and shall subject an employer to criminal pen i and one hundred thousand dollars ($100,000), in addition to the cost of T compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 7 50 - CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte County Code 2n'rl/or Resolutions to do wQ die d above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: -)W By: �e: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substan any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection p ose ` Print Name:, \ (�r� �l 1 `� `�y Signatur j j�G�-- Iy00 I� 000 Date: . 1 ❑ Owner ❑ Contractor ❑ Agent for Owner QrAgent for Contractor COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: G E !� E ,..1.o ASSESSOR PARCEL NUMBER -` • 3� ca • c� ;� 3 Proposed Building Use: dc -vv "H dr -vv r 7 E- 'Pp M Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order tb apply. Z' 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (Data sheets and installation inst, (.Marriage line info, (Floor Plan, 51Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitatie and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 16. Othe Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by 4 A22' Soils Report and/or Engineered Foundation required ........................................... ........ Erosion Control Plan Required........................................................................ ........ Fees as shown on the attached Schedule of Fees Due Sheet .............................. . City of Chico Plumbing permit........................................................................ a 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. . Planning approvalw(A) Use: �(B)Parking: (C) Parcel Check: 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 0 32. Letter of Signature authorization.................................................................... 33. Recorded copy of Agricultural Acknowledgment Statement ................................. I t `-�- ❑ 34. Manufactured home utility clearance..........................:.................................... ❑ -35. Existing violations and/or expired permits......................................................... ' ❑ 36. Deed Restriction......................................................................................... ❑ 37. IOGrant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 38. Other: t--,Irc r L ftK� eA:5 7 ❑ 39. Other: When issued Telephone j5-71. lean _3 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Aplicant:_�'�i .GGs✓L ,� Date- 1. ate: 1.Inndex permitapplication for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above dataK ❑ phone, ❑ mail, (Ycounter, by Date: I D • (Z • o Contractor esigner, owner, was advised of the above data by 5rphone, ❑ mail, ❑ counter, by KM Date: I 0 2 ans reviewed by: Date: Z • 0 4 Plans approved by:.' Date : O Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E. . UaE OAiLY 'riot Dien Anachod-�,4,- Roos Ellen Attached Sent to S.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �A-), Owner Location AP# Plan Approved for: Sewage Dispos—a�— � Water SVWy: Qg41ic n Private Wel Clearance for dwelling. l Hold final for: Final clearance O.K. for: NOTE: 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER (=eS E --&J Jq- A.P. # 0:p PROPROSED BUILDING USE J 07W t•+/ 4 ae1ll 917-E 4F" DATE (O 6 b 4 - RECEIPT # DATE REC. UILDING PERMIT FEES -- ft Balance Due ..................... $ Z% ¢ - S --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ �2. SCHOOL DISTRICT FEES aid at School District Office) (form available after Plan Check) Z� ✓ 3. S RIFF FEES (paid at Building Division) r1 sidential............ I X $360.00 =$ 3 �� Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after. Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) V 7. SRA FIRE INSPECTION AND PLAN CHECK FEE 109-.W(paid at Building Division) (g9. 7TENDDER FEES BATTALION #� �. [ uilding Division) O TH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. aercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 1 . THER (p At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed d th1plan c ckin process. APPLICAN �` DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) District; Identification No. �r6U�'� l5�y\ �`i11 17R 1'C�LiIn School District certifies that t < < (Applicant) } (Street Address) (Phone Number) �0�� ICity) (State) (Zip Code) p has complied with the requirements of Resolution No. , �� by payment of $ SiO-1 �p ,3a representing �J square feet. JAB 2926 i \ FULL MITIGATION $ School=Disui&N� epr� Atative Date { J Paid by Check # Zscr,\ J Remarks:V�- �scr.�w #baa\-1g\k-7 ___... S1 -.awn, N�.Isbr� Notios: You may protest the Imposition of the fess Idandfled above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), wltidn 90 days from the date fees aro paid. Failure to submit a timely wrbtten protest wlll'prohlbit you from dudlenging the Imposition of the fees In any court action. M. subsequent to the School District Representative signing this Butts County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this pro)eat Is being reviewed under the California Environmental Quality Ad (CERA). this pno)e A may be subJset to additional school fess to fully mitigate. its Impact on the school district's schools. -- White (applicant), Yellow (building department), Pink (school district) feeform.xls 410103)dmm ..y BUTTE COUNT)Y.•:SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District 0 il2O V I L L EG h{ 1 / Building Department No. e 1 / s A.P. Number D S 3 40 . 0:2 3 Jurisdiction: I City 0 County CES E (•4 Property Owner Property Location/Address qA 4? 1 A OfZOV I L L E R Subdivision Lot No. :.... Residential Development Q (Q .. ................ _....... _.................................. _............................... , Q Q ':. Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection) i....................................................................................................i Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areas)` Buildin Department Representative Date " District; Identification No. �r6U�'� l5�y\ �`i11 17R 1'C�LiIn School District certifies that t < < (Applicant) } (Street Address) (Phone Number) �0�� ICity) (State) (Zip Code) p has complied with the requirements of Resolution No. , �� by payment of $ SiO-1 �p ,3a representing �J square feet. JAB 2926 i \ FULL MITIGATION $ School=Disui&N� epr� Atative Date { J Paid by Check # Zscr,\ J Remarks:V�- �scr.�w #baa\-1g\k-7 ___... S1 -.awn, N�.Isbr� Notios: You may protest the Imposition of the fess Idandfled above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), wltidn 90 days from the date fees aro paid. Failure to submit a timely wrbtten protest wlll'prohlbit you from dudlenging the Imposition of the fees In any court action. M. subsequent to the School District Representative signing this Butts County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this pro)eat Is being reviewed under the California Environmental Quality Ad (CERA). this pno)e A may be subJset to additional school fess to fully mitigate. its Impact on the school district's schools. -- White (applicant), Yellow (building department), Pink (school district) feeform.xls 410103)dmm °�Q�TMEW i �� � 0T Department r n ii n t ' J. Michael Crump, Director of Public f B u 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 (NPD)Preve Phase 11 Construction Storm Water Permit and Storm Water Pollution Plan (SWPPP) Acknowledgement (LESS THAN 7 ACRE Project Description: 119q A) –;�Vw Project Location and/or Parcel Number: ,A) A*--- t /fes I -A.) i 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 toaappBud apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control 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 may result in revocation of grading andlor other permits or other that disturbs one acre or more of ]and sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification -- .. n.__ vr- t.Re. -p-nt ProPram BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BPO43017 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/18/2004 APN: 025-340-023-000 the Business and Professions Code, and my license is in full force and effect. License Class: /ri License Number: .00-5 *=1.9' Site Address: 466 MARIAH LN PAL Date: / Contractor: O Map Index: Description: FIRE SPRINKLERS FOR 04-2917 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DECOKES CESENA permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 5390 PALM GROVE CT signed statement that he or she is licensed pursuant to the provisions of SAN JOSE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95123 she is exempt therefrom and the basis for the alleged exemption. Any 360-687-3912 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: DELORES CESENA Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor• EXECUTIVE HOMES 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.). 3042 ESPLANADE ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 (530)891-6992 Date: Owner: License #: 640583 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 Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: 3?.drTE,Fr✓�� Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: 2:72 Qw1 2'y I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 0 Applicant: WARNING: Failure to secur orkers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one in addition 0 the cost of hundred thousand dollars providedfor compensation, damages as provided for in Section 3708 of the Labor O ^ / ) O( �J � (�11 code, interest, and attorney's fees. 1� i - CONSTRUCTION LENDING AGENCY This permit ishereov issuewunder the applicable provisions of the Bijfte Cnunty CodR anrVor I hereby affirm that there is a construction lending agency for the Resolutions to w dicated above for which fees have been paid. ` 6 P performance of the work for which this permit is issued (Sec 3097 Civ.) Date: 11 19 Name: By. PERMIT EXPIRES ON: Address: ate ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an fficial form or d n of Butte County. I hereby authorize representatives f Butte Count/y, to enter upon the above menti ned property for inspection purpose e-., A 11 A Print Name: Signature: Date: ❑ Owner Contractor 0 Agent for Owner 13Agent for Contractor 1 r' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name G��'s�a/A FirstName �D�L a2cS Address�6,,g City O/1D ✓/LLE St* A Z .5 - 3 Z Fax 'We E-mail CONTRACTOR Name T-�x �Das�I�ld Name City OWO j1&45_ Address CityDQt/ii>r o City t� SC'te State Phoax n 33 _Z 73�c Phone Fc'.533 E-mail E -m ' Lic. #5 Class APPLICANT NAME ARCHITECT/ENGINEER Name City OWO j1&45_ Address 1.4 City N State Zip Phone Map Book Fax E -m ' Planner State License Number APPLICANT NAME Name Addres� OG/V City OWO j1&45_ stale_ � zj S 6 6 Phone _Z iff) Fes. —i82 E-mail TORE X For office use only: Zoning Propert Address 6/moi•/ � Flood Zone Cross Street �CLtJE �/1E�' SRA Yes No Occ. Type Const. Subdivision Name n; Map Book Page Lot # Planner Date Approved: PERMIT No. B BIN # LOCATION AP# 62S — .340 —&z Propert Address 6/moi•/ � city LAID /LLQ Cross Street �CLtJE �/1E�' WORKER'S COMPENSATION Policy Number .272vn/23 Carrier 1f hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: GtJAi�:S �S7�tI �:Q f/16 nr 0A) KSq. Footage ❑ Structure Built without Permits �0 �, f �(� \✓� ❑ Proposed Change of Occupancy (Note previous use): Q(� d EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who ,paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. n Received by: Amount: �v / Bldg SRA Receipt #: Sheriff SMIP 1j ate OVER FOR SUBMITTAL KhQU1Kh[V1tN II, �D:� 0I' �'�� U L I� L Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 r SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a " permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) , ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and caics in triplicate, (C) Elevations in triplicate. (D) Floor, plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license. approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health. Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning" review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag. Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ .4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION - Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The, request must be made withiri two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 At e Building Permit Number: Owner Name: C e-5 en Residential Construction Requirements IlYIPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required: Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: 64- ;?q/7 Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. XFire sprinklers are required in this structure. MThe following Parcel map requirements* shall be met: All structures and equipment including overhangs shall be clear of all easements. Asetback of30 feet from the side and3c feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the ' zo foundation to be designed by a California registered engineer or licensed architect. FLEETWOOD. Barrington Series Model 7684X 0 3 Bedrooms' 2 Baths • 2,543 Square Feet T: igg A 7-1 V--' 21 1. N: IMN: N III En 011 H.,ee: ....... .............. I ............. ............. .................... ..................... I ............... .......... I ........ 'u .Ewan= N. MUM-1:1MIM ............ Hill I.I.Mu-monnownsamb -------- --- I.V ......... . .. ...... ........ OPT. SUPER ACITVT1Y ROOM ........... --- — ------ ' � 0© iii:i::�i:e D EE.., ..... MIR t ................................... KITH REFRESHMENT CENTER lea eeRMU: lei sm.- LIVINO ROOM MASTER BEDROOM BEDROOMBEDROOM 01-11-XIr-fil I - W -6-X10'-61 SUPER ACTIVVY ROOM z 7i IE 4 U, I6'-10I6'-10•X26-O'26 Foje7 H Ll ==w X6 L---- Y -k �7— OPT. SUPER ACTIKTY ROOM ft.j. VATH OPT MEDIA CENTER AND CORNER FIREPLACE fez Fle5od Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be re ' presentative and, in keeping with Fleetwood's policy of constant updating and im provement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. BA/31 /NOV03 1. Owner's Name: re %-'o RAO S C- e S r ,a 2. Assessor's Parcel Number: 0 7-S — 3 '1 0 3. Installer's Name: X e L%, T I-� t Wo -t", Z -S 4. Is the site currently under permit? Yes ] No[ ] Permit No. SES` c '[ 5. Is the site an existing site? Yes[ ] No[ -I] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? \Q-) Amperes. 7. What is the mobilehome site circuit breaker rating? 1)�D Amperes 8. What is the electrical rating of the mobilehome site? —L oQ Amperes. uc v,L 9. Is the main service remote from the mobilehome site? YesN] No[ ] If it is, what is the rating? Amperes. 10. Is there any other elect 'c load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Y ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- W ew' , 6 -A4 -A Amperes- , mperes- s? -(L- -N Y• y- \, � S�,,ST 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[ ] 12. Size of , pipe at the mobilehoe site from the meter or tank: 3�as m � inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?y Z -(ft.). 14. What is the mobilehome gas demand? ^\-A B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 Mobilehome Manufacturer: Manufacture Year: If other than single wide, furnish Setup Model Number: `10 g H X Width: y o' (ft.) Length: \A: 's11(ft.) Tagalong or Expando Size � (ft.) x�(ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[- ] Other: SUPPORTS: Concrete blockf' ] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line I 1 Line 2 Line 2 ................................................................................................ Main Beano Line2................................................................................................ 2 Line I Lice 3 Line 2 ................................................................................................ Main Beams ............................................................................................. — 2 Line 1 .................................................ine S Tag or Triple ine 4 Pine 1 Line 1 Piers: Line 1 Openings Size minimum: -`-y x Zy Size minimum: ] ]. Spacing maximum: o. Each side of openings From ends -maximum: \ with width over: ` Line 2 Piers: Line 4 Piers: Size minimum: `1 x �- z -`f ]. Size minimum: 'Z -y x zy Spacing maximum: 10 Spacing maximum: From ends -maximum. 1 From ends -maximum. Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): S 31--c3o -36+'30 U,,3, 3bk-% __6- jvZ, Z�h �' 1"I we -1 'ss'Al b k 8' 13L O's, 3b Y3° U,,3, 36x'3. '3bx3� OVER i; •aEa _ � 4 w W � G x r x w x 1 LU1 II yC ,s •� i.FCC CPA •�� �^� y(.1I `s b G d y1 p � J 6 p O%-_ P O - limed U i F �J - 1 r41 d Flam• _� �s t I 1 b---------------------�� �1 o � w wp ii r1 1 u ' lJ e� I J6. 41C ZlLid•��:� C� y /{+IBJ •P MEDN [WI[R _ 1 RIM- cn OO 9 0 Ll R' C7 N N O tn tawcawctio nm �W ramcoAmr mx ma mYoas. ❑ y� 2 'moi � Gl V m+ ' ./ . � 11 or � 1 1 1 " • 6 .r, � Lev Z V*Z1 29 1 ITT SEE INSTALLATION N/WUAL SUPPtE orNT APR 11 '03 13:34 360 225 5059 Pone ra.l S0iS0'd 3niinO3X3 01 SZb9 Z99 O2SHO GNU-IaOOM GOOM1331d ZJA TO:6O E0. TE onu 39 APR -11-2003 FRI 01:28 PM FLEETWOOD HOMES OPT FAX NO. 360 225 5069 wr -� . Igo j%j �3)31►;' Ll" � l g I I�L i MIN. PIER LOADS (LBS,0 3u ti JA ' LOAD 6300 1 - B 10'-5 3/8" 8000 2,. 8 13'-3 1/2" 7300 3 B 12'-2 3/8' 8100 4 8 13'-6 3/8- 7800 5 B.13'-0 1/4" 5400 6 B 8'-10 1/8" 6500 7 8 10 —9 3 4 6100 8 C 10 —1 3 4 8000 B 9 C.12'-7 17--33-178-in' IN 8200 10 c '1 3'—s 1 /4" a POST NO. 33 7 6 7 7 33 33 33 7 N ti w a clC. 0 P. 03 1 Al N. Ft. y 6500 11 O 10'-9 1/80 6LAJ 't6700 12 11'-2' 6 V 19 A - c lipF� 0 EGRESS 7000 13D 11'-7 3/4" 33 t 13'--4r (SEE NW 12) 2" BEARING STANDARD 7F7L-7ELE-7Wl0"W TM -E: WOO®LAND - 314FLOOR PLAN SHT 1 c 8� 813'-4'x68'-8' QC 13'--4 x67'-4" O F I SALES LJNE DRAWN BY: SHAUN BARRINGTON 7684X REV FPR 11 5/20/02 OPT SUPER ACTIVITY ROW 1 ' 03 1333 360 225 5069 1 72 - PAGE. 03 S0i20 ' d Bo i i 103X3 01 S2b9 299 0£SHO GNU-I000M QOOMl331A 213 TO : 60 20, Tz onu Jul -02-2004 01:07pm From -FLEETWOOD HSG GROUP 9093513714 T-528 P•001/001 F-988 APPROV REAL 1 SHEET_ OF Q�oflrss� o le _ BY DATE 7- Z —� -� FLEETWOOD ENTERPRISES, INC. L.FAR/Sy F 3125 Myers St., Riverside, CA 92503-5527 DESIGN LOADS (909 351-3500 LIVE PSF DEAD PSF No. C Oi23 m SECTION ;l�c�ri WIND PSF 4�• /7,,3P -of � TrrLE P/,g STRESS INCREASE OF s�91 CIVIC ���p FOR - - SUPPORT F1013 -f-1: 4 X 10 BEAM (SPF 02) k I '.•' ;g;4�'Y 11.700 LBS. MAX. LOAD X 12 9@AM (SPF 09) 15.600 LCIS. 6AAX. LOAD t 1 i stt'•``y � D WEDGES .L. BLOCK 1 -' BEE TABLES FOR TO BE USED WITH: CAPACITIES am i/ 6c4r7,. �Ft-Xll 4 � 777/2r- 771 flu M -COUNT _ a INS wrip w VE AEV. DATE BY COMMENTS REFERENCED ENGINEERIN13 PAGE NU 16 S CALC. NO, AoNw Rev. 100.4.002 I W 98 2"x 2'x 3/16' 318- CAD PLATED BOLT, NUT do WASHER STEEL ANGLE COUNTER BORED .=LUSH WITH BOTTOM Al 8' O.C. (8) REQUIRED 1/4- STAND BASE 1� ABESCO ABS PAD P503 D7AIL wA" CHASSJS FRAME 1/4' GRIPPER PLATE . (2) REQUIRED 1/4" G.11PPER BASE 1/2-13UNC—A307 x BOLT WITH NUTS (4) REOU1REC 01 1/2' SCH 40 PIPE RISER. WITH 01/2- ADJUSTER HOLES AND 3/8 - THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD J503 STEEL FRAME WE 36' iiAX TO BOTTOM OF ?AD 01/2'x 3" C.R. LACK PIN WITH 01/8" BRIDGE PIN J i COACH 'C" FRAME Y CHANNEL 1/4"x1 -1/4t- TEK STS (2) REQUIRED 114' ASE PER — 1/2- A307 BOLT— (2) REQUIRED 3/8'c 6'x E" -- STEEL PLATE 1/2- A307 SCLT (2) REQUIRED 10.00 09/16 HOLE (TIP) STAND BASE TOP VIEW � zRF�.y OF TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD COMPANY 5851 FLORA — PERKINS ROAD SACRAhQFM, CA 45823 PH: (800) 382-8831 FAX: (916) 383-5207 17918 114' GRIPPER PLATE COACH 'J" FRAME 1/4-x1-1/4- TEK STS (4) REOUIRED A :/4- GMPPER BASE 1/2' A307 BOLT (4) REQUIRED C -BEAM J -BEAM ATTACHMENT ATTACHMENT $ $' 8' 1/2" DIA. HOLE (8) PLACES L� 30' "1 STEEL FRAME ; TOP YIEW ST_ ._ . i�$i11DBR!'YJYOQB�,�>�1flElt AV i-�;: amaadsocnenR� . a - (off.... WAYNE T. POLVADO, PE -LUSTING NO. F94249 SHEET 1 of 3 GENERAL NOTES GUS GUARDTUF-1 1. DESIGN LOADS: LIVE LOAD - 3O LB. FLOOR LIVE LOAD - 40 PSF WINO LOAD - 80 MPH EXPOSURE `C' SEISMIC ZONE "4' *SHOW 0AD 103 PSF (SEE NOTE #15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO EE CONSTRUCTED ON A FAIRLY LEVEL SITE 'TTN NO ExMMG SOIL FROBLUM 3. CHASSIS BEAM SUPPORTS SHALL IE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE 'MOBILE NOME INSTALLATION MSTRUCnONS-. 4. IN AREAS WHERE DIFFERENTIAL SETT_EMENT (D_S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4% ORt WHEN 17 WU ADVERSELY AFFECT MOBILE NOME UNIT - 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIMIS. CONPACTED SAND MAY BE USED TO FILL LOCAL VO DS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRCDES-370 PLATES -ASTM A35 BOLTS -SAE GR 5=ASIN A449=ASTk AS725. 7_ THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSN..IATES FOR THE FOL'LOWW„ LOADS: ALLOWABLE LOADS: NOREZONTAL VERTICAL GUS GUARD TUF-1 22001 6OODj GUS GUARD MGP PAD 2200# 6000# GUS GUARC E -Z TIE PAD 2200# 6000# 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ASE OF STANDARD SECTIO4. S. EXISTING COACH_S MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TLF-1 UNITS AS SHOWN ON THIS PAGE OF TIPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR 114STALL41ION IN ILOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE FEIGHT OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER. OF TUF-1 UNITS UNDER EACH UNIT is THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REOURE A13DMONAL RESTRAINL ' (SEE SHEET IS)--' 13. ALL METAL COMPONENTS AND ATTACHMENTS M3IS SNAIL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS ROT REQUIRED. ANCHOR STAYD TO CONCRETE SLAB WITH TUF-1 FOUR (4) 1/2'x 3 1/2' EXPANSION ANCHORS- FOUNDATI 15. GUS GUARD TUF-1 FOUNDATION SYSTEN_PROVIDES B 16. FOUNDATION BLOCKS 16'x IVx12' POURED IN PUKE AT GROUND LEVEL AIRY BE USED AT 1NSrALLEPS DISCRE71OR ALTERNUIVE TO PADS. k+� y` llAN MXC3[7 WffOMElI1fM=== SINCLE WIDE COACHES DOUBLE/MULTIPLE COACH=S FOUNDATIONSY5TEW 17918 .' LHBALiB AND S4PM C OD146jsa;;7iG13T I&= E= Z' MIH. / 8' MAX. E= 2' MIN. / 11' MAX. J APPROYW G� S= 6' MIN. /16' MAX. S= 6' MIN_ / 22` MAX. � ��_ # SUBn=T0la0mxw VARIES 10'-70' (SEE TABLE ON SHEET #3) �`�lAPPROVAL]DOEIIROYAUMORTZLCMAPPRWE,0T OM1smoNs £ S S S E- ' ER E, NT _ -MA caDrau�ass/y rwy - RIDGE BEAM SUPPORT AS -REQUIRED BY MANUFACTURER ❑ ❑ (TYPICAL) ❑ E] [j❑ ❑ ED—F El El.❑ [_1B, NOM. COQ2. . ❑ ElPADS- IN ANY PAIR MAY BE STANDARD M.H. FOUNDATON ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TC THE MANUFACTURER OR -HE AVCID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT SUPPORT PAD (TY?) STATE APPROVAL ALLOW k+� y` llAN MXC3[7 WffOMElI1fM=== FOUNDATIONSY5TEW 17918 .' LHBALiB AND S4PM C OD146jsa;;7iG13T I&= J APPROYW G� � ��_ # SUBn=T0la0mxw �`�lAPPROVAL]DOEIIROYAUMORTZLCMAPPRWE,0T OM1smoNs Oil l.FiMnaN FAO6SltBWJMaM=� . APPLICABLE STATE LAWS AM 7t8Q$.ALp g St-attaolplifo� •� ER E, NT _ -MA caDrau�ass/y rwy - A LE SNOW LOAD TO 100 PSF WHEN INSTALLED ABF9CO-GUS GUAR,?'COWAN WITH EXISTING STANDARDS RMUIRED BY COACH 5852 _ PERMS ROAYYD� MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA OV -3 ONE ELaSIS. PH: (800) 382-8831 FAX: (916) 383-5207 , This Plan ADmammF E... .� .IT. POLVr4DO, PE—LISTING nO. F94243 SHEET 2 of 3 1/2-x 3 1/2" - EXPARSFON AVCHOR (4) REQUIRED 3/4' DLL x 18" LG. 1/2"x 8" LONG (4) REQUIRED ANCHOR BOLT 3/8" CAD PLATED BOLT, HUT $ WASHER (4) REQUIRED COUNTER BORED FLusH WITH BOTTClt AT B" O.C. l (8) REQUIRED CONCRETE PAD INSTALLATION CHASSIS FRAME 1/4' GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1,"2" SCH 40 PIPE RISER. WFTH 01/2' ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02` SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD 1503 POURED IN PLACE 16x16x12 CONCRETE 1 FOUNDATION INSTALLATION LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION 36" rr^ �-WmS T3Iii2'3 TO BOTTOM 3"WGIS OF PAD 01/2'x 3" C.R. LOCK PIN WITH 01 /8' BRIDGE PIN I i &M w"Ab TlAlUb HOME 10 VnDTH -OF HOME UP TO 44' 1 6 24 26 28 4.4 8 UP TD 4+t 8 8 8 12 10 10 10 44'-I' iD fi6' 12 ! 12 12 18 66'-f " to 8D 20 `:. 20 20 24 NUMBER OF TVF-1 LENGTH HOME 10 WIDTH OF HOME 12 __14_.. _ _.16:._ UP TO 44' 1 6 1 b 6 g 44'-1' to ISRST 8 1 8 8 Ti'-!' to 10 10 10 10 R�DLIIRED NUMBER OF 71 -t REQUIRED TO Ha7Ec SENGLE WME UNITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-1 PIERS ARE PLACED AT APPR=MATELY EQUAL XTERYALS ALONG EACH FRAME RAIL %I��.-- -- %►\�_�%\�`� �- .� :may/, t 1. i•'e 1• a'1 POUUM ROAD CA �5M• `PH, Boo) 382-8831 FAX: (916) 3B3-5207 STATE APPROVAL FOU1'1DA=N WSTEM AND SAFETY CODE, SEC= 15511 APPROVED SU2JBCT TO COR1tBCr101i8 r1X= ArROVAL D08SNOT AVFBORM CRAPPROnANY OMLSSIONS CiLDEYLITION FROM REgMREMEtiTS OF APPIdCASUSTATELAWSANDREOLgATWO a Stale of Ca &rads ---Y -.4 c-mmiw F-7 8PAR0.T ✓' io F Wim) TbItPI=ApptmzI I t� WAYNE T. POLVADO, PE -LISTING 140. F94249 SHEET 3 of 3 0 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING October 28, 2004 Delores Cesena 466 Mariah Lane Oroville, CA 95966 Subject: APN — 025-340-023 Dear Mrs. Cesena: The Butte County Department of Development Services, Planning Department, has reviewed the submitted Building Permit Application 04-2917, and has found your application in compliance with the established planning criteria. The site plan you submitted meets the setback requirements for your zone as well as applicable map or use permit conditions. The Permit Application has now been forwarded to the Building Division for their consideration and action. If attached, please find a copy of any use permits, map notes and conditions for your property. We are providing this to your for your information and future reference. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603. S' c�erely, Chris Tolley Assistant Planner NOTES s RESIDENTIAL. PERMIT M.' 04=3017 CE.SENA, DELORES MARIAN LN, OROVILLE r/ 7 Cont: FOX COMPANY `l&j FIRE SPRINKLERS 04-2917 I f O elZc1 7 % gA4 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER c i JOB FINALED (Date) or + L Signature CHECKED BY J=OK 0 = Not OK ` . = Not Ready NotApplicable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements-Setbacks-Easements Wood Awn.; Posts-Beams-Rftrs-Connectors 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location-Test-Fall-C/O-Concrete Roof; Shthg-Roofing 4. Water; Location-Test-Easement Needed (Sketch) Ext.; Steps -Doors -Landings 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete Braced Wall Panels 6. Gas; Location-Test-Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect Card B-1 Date Card B-1 8. Utility Clearance Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements Date 2. Card B-1 Date Card B-1 Date 3. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Elec.; Receptacles and Lighting, Distance-GFI 1. Zoning Requirements-Setbacks-Easements Elec.; Pool Lighting; 15 Volts-GFI 2. Footings; Size-Spacing-Marriage Line Elec.; Enclosures; Conduit Entries -Terminals -Listed 3. Gas; MH Test-Demand-Valve-Connector Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 4. Electricity; MH Test-Crossovers-Breakers-Clearances Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pan elboards-Ins. to Main Conduit 5. Drain; MH Test-Fall-Flex Connector Health Department Approval 6. Water; MH Test-Regulator-Connector Plumb.; Cir. Test -Water Supply Test 7. Water and Sewer Connected-C/O to Grade-HD Approval Light Niche 8. Gas and Electricity Tagged Enclosure; Fencing -Alarms 9. Tie Downs-Type-Installation Cert. 10. Exits; Insp.-Sketch E 11. Cert. of Occupancy Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements-Setbacks-Easements 2. Footings; Size-Spacing-Marriage Line 3. Blocking 4. Gas; MH Test-Demand-Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pan elboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/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 Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - 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 23. Fire Sprinkler; Test Fireplace or Stove, Clearance -Hearth 72. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 75. 24. Fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 77. 26. Size Boxes & No. of Conductors Stapled 78. 27. Romex Installed Close to Edge of Studs & C.J. 79. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 80. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 81. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 82. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 83. 33. Equip. Clearances Panels-Motors-Mech. Equip. 84. 34. Clothes Closet Light -Shower Light -Spa Light 85. 35. Smoke Detector 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 95. Card B-1 Date Card B-1 Date 96. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors Card B-1 Date Card B-1 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes 0 No/Walks 0 Yes O No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-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: FILE No . 566 1028 '04 09:00 I D: LONGFELLOW LUMBER CC f r� [�JILOOKER x4 CONT MAZE A7 BRACE 5 LDNEER THAN 12' 4TTACFI AT MIDPOINT OF BRACE ^V 2-9d NAIL5 iA6LE END 5TL ) N4 W 5TRONS&W-K NAIL TO U3X9z V/ IOfd o 12' OG) -- 2x4 HF LED60Z OWL ro VORTICAL W 10d VAIL5) �—p35 BRACE O FLAT 2x —FF3 AT 46' O NOTE. TH15 DETAIL MAY BE UBED FOR TRZ6ES KIM PITGW 0-6-AI-50- (0) .6-AL50.(0) Ono" TO Hm PLATIN6m WE (5) - 2' HIRE STAPLF5 (0iM DIAA5 6A) . TOENAILED rr" C*RD INTO "M 4 THW Mtn INTO Om ON OIC PALE FOR A TOTAL OF b STAPLES. 0. 15U t (N) M)5T BE ELATED. <<� t waw\�l FAX:530 893 0140 1 2xb PIA 0 AL BRACE a 4b' O.C. PAGE 2 3-IOd EACH END b-IUd GOh440N NAILS " UA MAx UaRALM LENGTH OF 6ABLE 00 571X9. 12x4 Fig -LA" - STAPS7ARD = 5'-11' - 01 AND BTR �` a 1859 0 /n NDTE: 6AULE W MI BASED y�, l ON 15 MPH HIV, AT 0-255 FEET HEI6Nf. TiOF .M MTA& Dome: 10-I8-02 lts JO8 NAME O Drawn; AK CITY, STATE CHICO, CALIFORNIA Job no.: 02-116 FILE/COPY 16' O.G. MAX - TG LL 50D P5F 16 OL 15A F'SF BC. DL f5r BG LL OD FBF TOT1D. 500 f'5F S RFAL. 1.15 Gary Hawkins ARC H ITECY (530) 892-2700 13 WocEWoocDa..S�F,fO Fax:fS�OK�9sC592 CHiCO. CA 95973 pOrye cfyO�c0bOclrof Longfellow Lumber Co. Inc. 89 Loren Ave. Exec. Chico, Ca 95928 Phone: 530-893-0112 Fax: 530-893-0140 �� 0 25 - 3 •� � — 023 er Const f.�+.,2, lam,-, . ��R-o✓ , .",L- E to scale I Date: Tran06O9 Drawn . 1 `�` Job Truss Truss Type Qty ply fRAN0609 Al FINK 14 1 R1248692 Job Reference optional) Longfellow Lumber Co., Inc., Chico, Ca. 95928-7434 5.200 s Jan 16 2004 MiTek Industries, Inc. Wed Jun 09 16:46:53 2004 Pag 11--0 I 6.6-7 12.0.0 17.59 66-7 I I 24-0.0 250-0 1-0.0 559 5.59 667 1-0.0 Scale= 1:42.1 3.00 F12 4x4 = 4 - ' a 3x10 = 3x4 = 4x4 = 3x4 = LOADING(psf) TCLL 38.5 TCDL 10.0 BCLL 0.0 BCDL 7.0 SPACING 2-0-0 Plates Increase 1.15 Lumber Increase 1.15 Rep Stress Incr YES Code UBC97/ANS195 CSI TC 1.00 BC 0.68 WS 0.42 (Simplified) DEFL in (loc) Well Ud Vert(LL) -0.29 10 >998 240 Vert(TL) -0.45 8-10 >626 180 Horz(TL) 0.10 6 n/a n/a PLATES GRIP M1120 220/195 Weight: 88 lb LUMBER BRACING APPROV E 7 D TOP CHORD 2 X 4 DF No.1 &Btr G TOP CHORD Sheathed. ® WARNING - 4erj/y design parameters and READ NOTES ON THIS AND INCLUDED NITER REFERENCE PAGE Ulf. 7473 BEFOREUSE. BOT CHORD 2 X 4 DF No.1&Btr G BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. WEBS 2 X 4 DF Std G REACTIONS (Ib/size) 6=1427/0-3-8, 2=1427/0-3-8 Suite 109 citrus Heights. CA, 95610 jR Max Horz2=-11(load case 6) Max Uplift6=46(load case 6), 2=46(load case 5) M iTekm Max Grav6=1572(load case 3), 2=1572(load case 2) FORCES (lb) - Maximum Compression/Maximum Tension TOP CHORD 1-2=0/19, 2-3=3796/68, 34=-3270/87, 4-5=3270/87, 5-6=3796/68, 6-7=0/19 BOT CHORD 2-10=51/3673, 9-10=4/2546, 8-9=4/2546, 6-8=-41/3673 WEBS 3-10=-787/16, 4-10=-45/952, 4-8=-45/952, 5-8=-787/16 NOTES 1) This truss has been designed for the wind loads generated by 75 mph winds at 25 ft above ground level, using 10.0 psf top chord dead load and 7.0 psf bottom chord dead load, 100 mi from hurricane oceanline, on an occupancy category I, condition I enclosed building, of dimensions 30 K by 24 It with exposure B ASCE 7-93 per UBC97/ANS195 If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 2) Roof design load Is based on 55.0 psf ground snow load; normal terrain, exposure factor 0.7; and normal structure, importance factor 1.0. 3) Unbalanced snow loads have been considered for this design. 4) Overhang has been design for 2.00 limes live load + dead load. 5) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrenl with any other live loads per Table No. 16-B, UBC -97. 6) A plate rating reduction of 20% has been applied for the green lumber members. LOAD CASE(S) Standard °F ESS/�N C. AN���lF2 �rk-C17180Z� BUTTE COUNT* EXP. 06/30!05 dL1ILalNO D PAST E1 ��MENT sT Cl��� APPROV E 7 D June 10,2004 ® WARNING - 4erj/y design parameters and READ NOTES ON THIS AND INCLUDED NITER REFERENCE PAGE Ulf. 7473 BEFOREUSE. 7777 Greenback Lane Design valid for use only wilh Mlek connectors. Ibis design's based only upon paromelers shown. and is for on individual building Component. Applicability of design paromenlen and proper incorporation of component is responsibility of building designer truss Suite 109 citrus Heights. CA, 95610 jR - not designer. Bracing shown is for lolerat support of individual web members only. Additional temporary bracing to insure stability during construction is the responubillity of Ilse ereclor. Additional permanent bracing of The overall structure is the responsibility of the building designer. for general guidance regarding fabrication, quality control, storage. delivery. erection and bracing, consult ANSI/IPll Quality Crlferlo. DSO -89 and BCSII Building Consponenl Safely Information available from buss Plate Institute. 583 D'Onofrlo Drive. Madison, WI 53719. M iTekm Symbols PLATE LOCATION AND ORIENTATION -01 14- j 3�4' *Center plate on joint unless x, y offsets are indicated. Dimensions are in ft -in -sixteenths. Apply plates to both sides of truss and securely seat. 0-'/1 d' 'For 4 x 2 orientation, locate plates 0-1a6' from outside edge of truss. 'This symbol indicates the required direction of slots in connector plates. Plate location details available in MTek 20/20 software or upon request. PLATE SIZE 4 x 4 The first dimension is the width perpendicular to slots. Second dimension is the length parallel to slots. LATERAL BRACING Indicated by symbol shown and/or by text in the bracing section of the output. Use T, I or Eliminator bracing if indicated. BEARING Indicates location where bearings. (supports) occur. Icons vary but reaction section indicates joint number where bearings occur. Industry Standards: ANSI/TPI1: National Design Specification for Metal Plate Connected Wood Truss Construction. DSB-89: Design Standard for Bracing. BCSII : Building Component Safety Information, Guide to Good Practice for Handling, Installing & Bracing of Metal Plate Connected Wood Trusses. Numbering System 6-4-8 dimensions shown in ft4n-sixteenths 1 2 TOP CHORDS 3 8 7 6 5 JOINTS ARE GENERALLY NUMBERED/LETTERED CLOCKWISE AROUND THE TRUSS STARTING AT THE JOINT FARTHEST TO THE LEFT. CHORDS AND WEBS ARE IDENTIFIED BY END JOINT NUMBERS/LETTERS. CONNECTOR PLATE CODE APPROVALS BOCA 96-31, 95-43, 96-20-1, 96-67, 84-32 ICBO 4922, 5243, 5363, 3907 SBCCI 9667, 9730, 9604B, 9511, 9432A M MTek Engineering Reference Sheet Mll-7473 r IG ® General Safety Notes Failure to Follow Could Cause Property Damage or Personal Injury 1. Additional stability bracing for truss system, e.g. diagonal or X -bracing, is always required. See BCSI1. 2. Never exceed the design loading shown and never stack materials on inadequately braced trusses. 3. Provide copies of this truss design to the building designer, erection supervisor, property owner and all other interested parties. 0 O 4. Cut members to bear tightly against each other. U 5. Place plates on each face of truss at each O joint and embed fully. Knots and wane at joint locations are regulated by ANSI/TPI1. 6. Design assumes trusses will be suitably protected from the environment in accord with ANSI/TPII. 7. Unless otherwise noted, moisture content of lumber shall not exceed 19% at time of fabrication. 8. Unless expressly noted, this design is not applicable for use with fire retardant or preservative treated lumber. 9. Camber is a non-structural consideration and is the responsibility of truss fabricator. General practice is to camber for dead load deflection. 10. Plate type, size, orientation and location dimensions shown indicate minimum plating requirements. 1 I. Lumber used shall be of the species and size, and in all respects, equal to or better than that specified. 12. Topchords must be sheathed or purlins provided at spacing shown on design. 13. Bottom chords require lateral bracing at 10 ft. spacing, or less, if no ceiling is installed, unless otherwise noted. 14. Connections not shown are the responsibility of others. 15. Do not cut or alter truss member or plate without prior approval of a professional engineer. 16. Install and load vertically unless indicated otherwise. O 2004 MTek® .a 2x BLK W/ A35 EA BLK. DBL. TOP PLA' W/ 46" OVERL, ® ALL SPLIGE� 2X4 STUD, ® 16" O.G. 2x4 PTOF PL TYP. ENDHALL FRAM NO I/4•` �•-O" tP. VER 'ER YWD. 'ER v Z71 X:MWALL 2x8 RIDGE BM 2x6 RAFTERS 20 YR. ,OMP. SNINSLES OVER 15# FELT OVER x 12 1/2' GDX PLYWD. , 4I 2x BLK'G xFF 13f Gid. W/ A35 EA BLK. " 2x8 0,409.,*?S. ® 24" b.G. 2X4 STUDS 4" GONG. SLABV N TYP. SECTION 2x4 FLAT BRACING 2x(.#1 D.F. RAFTERS o ?tf6.G,— -1 1/0'"xl1" GLB W/ 2x it n2 D.F. GLC. JSTS. ® Ib O.G. ROOF FRAMINO PLAN 1/4" = 1'-0" ROOF SHEATHINO '2" GDX PLYWD. W/EXT. GLUE, NDEX 241o, NAIL 8d ® 6" O.G. EN, 2" O.G. FN.; CLIP EDGES PER ,IANUF. 5PEGS. ALTs Ix 5HT5. 0 EAVES -- 2x8 I p PR C oil -'Dv X_A_�_ 3 — � 3 � O d1 w O J N N tY = X •t ' � D N O 1 m U) I `r N C:.K B�IW�—O' I 'BHI 4'—O" 2x(.#1 D.F. RAFTERS o ?tf6.G,— -1 1/0'"xl1" GLB W/ 2x it n2 D.F. GLC. JSTS. ® Ib O.G. ROOF FRAMINO PLAN 1/4" = 1'-0" ROOF SHEATHINO '2" GDX PLYWD. W/EXT. GLUE, NDEX 241o, NAIL 8d ® 6" O.G. EN, 2" O.G. FN.; CLIP EDGES PER ,IANUF. 5PEGS. ALTs Ix 5HT5. 0 EAVES -- 2x8 I p PR C oil -'Dv X_A_�_ 20 YR. GOMp. 51411-IOLES OVER 15" FELT OVER 1/2" COX PL'f{ND. 2x(b RAFTERS ® 24" O.G. 2x BLK'C E.N. W/ A35 7 EA BLK. DBL. TOP PLATE T I-II SIDING H/ 48" OVERLAP ALL 5PLIGE5 2X4 5TUD5 ® 16" O.G. EAVE DETAIL 1/2" = I' -O" RECORDING kObESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2005-0029146 Recorded I REC FEE 10.00 Official Records I County of I COWORPIEED COPY 1.00 Butte I CMACE J. BRUBBS I County Clerk-Recorderl I I SA R:07M 23 -May -2M I Page I of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DELORES CESENA REAL PROPERTY OWNEWLESSOR 5390 PALM GROVE CT. MAILING ADDRESS SAN JOSE SANTA CLARA CA. 95123 CITY COUNTY STATE ZIP 572 MARIAH LN. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA. 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also propeny owner; write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY - STATE UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION, LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILINGADDRESS 1 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-2917 530 538-7541 BUIL I G PERMIT NO. TELEPHONE MBER '09�k L_gGNVI7URE OF LOCAL A Y OF ICTAL DjrE EXECUTIVE OMES DEALER NAME (if not a dealer sale, write "NONE") 92081 DEALER LICENSE NO. FLEETWOOD HOMES 2004 BARRINGTON 7684X MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER WAFL431A/B/C18587-BA13 68'6"x26'3"; 67'3"x1313" WAS0094111/2/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 025-340-023 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. ORDER NO.: 217947L-001 - SN 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: PARCEL I: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 23, 1998, IN BOOK 144 OF MAPS, AT PAGE(S) 67 AND 68. C:025-240-117 5-340-02IOLD PARCEL II: A 60 FOOT RIGHT OF WAY AND PUBLIC UTILITY EASEMENT, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 23,1998, IN BOOK 144 OF MAPS, AT PAGE(S) 67 AND 68. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A 20 FOOT PUBLIC UTILITY EASEMENT OVER PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE; STATE OF CALIFORNIA, ON SEPTEMBER 23,1998, IN BOOK 144 OF MAPS, AT PAGE(S) 67 AND 68. PARCEL IV: A NON-EXCLUSIVE EASEMENT 30 FEET WIDE FOR PUBLIC UTILITIES PURPOSES .LYING NORTHERLY OF, RUNNING PARALLEL WITH AND ADJACENT TO THE SOUTH LINE OF PARCELS 1, 2,3 AND 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 23,1998, IN BOOK 144 OF MAPS, AT PAGE(S) 67 AND 68, FROM THE EAST LINE OF SAID PARCEL 4 TO THE WEST LINE OF SAID PARCEL 1. THIS EASEMENT IS APPURTENANT TO AND SHALL INURE TO THE BENEFIT OF SAID PARCELS 1, 2,3 AND 4, AND APPLIES TO ALL SUCCESSORS OR ASSIGNS OF SAID PARCELS. PRELIM BIDWELL Title & Escrow Y` C{ci�> o -jrNA) L -1E --'VW-iI S (Z Fsv,(ZS N2�14--NZ- � v--5 1c. T<LAt.SSt. Bidwell Title '8z Escrow' CHICO ' OROVILLE - PARADISE GRIDLEY 500 Wall St. 1835 Robinson St. 145 Pearson Rd. 560 Kentucky Chico, CA 95928 Oroville, CA 95965 Paradise, CA 95969 Gridley, CA 95948 (530)894-2612 (530)533-2414 (530)877-6262 (530)846-4005 Fax(530)894-0713 Fax (530) 533-1589 Fax(530)872-5129 Fax(530)846-0584 NOTES RESIDENTIAL PERMIT NI.025-340-023. ---- -- — -----04=2977-- CESENA, DELORES MARI:AI-i LN, OROVILLE Cont: EXECUTIVE HOMES GARAG E,'CRAF T.IZM/BATHROOM 0y-3017 t t SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. IRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) M Signature !�l" " rte = OK = Not OK = Not Ready Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Electric 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG Roof; Shthg-Roofing 7. Well Clearance S Disconnect 12. 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-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. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. _ Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Date 22. Gas Pipe; Sixe & Anchors Date 23. Fire Sprinkler; Test Date FRAMING (Permit) OK except #'s Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date Sills Proper Materials & Anchors Card B-1 Date Card B-1 Date Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 24. Fixture & Transformer Clearance -Ins. Protection Shear Walls; Nailing -Bolts 25. Elec. Receptacles Spacing -Lights & Switches at Doors Brace Interior/Exterior Wall Panels 26. Size Boxes & No. of Conductors Stapled Insulation -Walls -Ceilings 27. Romex Installed Close to Edge of Studs & C.J. Infiltration -Walls -Windows 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ 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 Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 54. Card B-1 Date Card B-1 Date 55. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 41. Sills Proper Materials & Anchors Siding -Nailing Veneer 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 43. Bearing Walls over Girders & Floor Nailing Glazing Area -Glass Protection -Skylights -Plastic 44. Draft Stop in Walls (rat proof) Shear Walls; Nailing -Bolts 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Brace Interior/Exterior Wall Panels 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks O Yes ❑ No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP042977 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/17/2004 APN: 025-340-023-000 the Business and Professions Code, and my license is in full force and effect. (� License Class: l� License Number: l / Jf UQ � Site Address: C�a mar ! L1A Date: 1 1— I7'0Contractor. E7leCUt►y1ei flowr-,5 Map Index: C),(-,->) Description: ATT GAR (864) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DOLORES CESENA 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 466 MARIAH LANE 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 OROVILLE, CA 95966 she is exempt therefrom and the basis for the alleged exemption. Any (530) 687-3912 violation of Section 7031.5 by any applicant for a permit subjects the - applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: EXECUTIVE HOMES 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, 3042 ESPLANADE provided that such improvements are not intended or offered for CHICO, CA 95973 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530)891-6992 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: EXECUTIVE HOMES 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.). 3042 ESPLANADE ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 (530)891-6992 Date: Owner: License #: 640583 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: E C/A%? Total Square Ft: 864 S.F. Valuation: $20,736.00 ►M-Plo2/eIn',5 F 1 o 3y Policy #: I V J .1/V I V Census Code: ❑ I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Kov. I -T 20 0 `T Date: Applicant WARNING: Failure to secure workers' compensa(n coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is herepy issued under the applicable provisions of the Butte County Cods 2nrVO4r I hereby affirm that there is a construction lending agency for the Resolutions s indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 1 1 d Name: By: % Date: 1 1—p PERMIT EXPIRES ON: c3 Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu S. a-21.Dn lAo I IE` b Print Naa1me:c ].1 . y Signature: 1 `40V t-- 2UU'i Date: 0 Owner 13 Contractor 0 Agent for Owner JF'Agent for Contractor IIIY I'I, C'OUMW 1)E1'Al.t'I'1\1EN'.1' 01' DI,VELOPI\fI,N'I' SHItVICS 11U11,DING 1'1l;RMI'1' A11I1I..ICA1I0N AND SU10117"I'AL, RLQUIRENILN'I'S 24 HOUR 1NSPECI'IONI1: OROVILLE: (530) 538-7636 • CI1fC0: (530) 891-2834 O 1FICE #: (530) 538-7541 A IFIsE WILL RE REQUIRED AT TIME 01%AM1,1CA710N CONTRACTOR Name Address � y E 5� ►� Ar,A City 6-l41 Slate zlp9S Qi-) 3 Phone 8� 1- b � Fax E-mail b Llc. � 05 $ Class � v tel, ARCHITECT/ENGINEER Name Address City St18- Zip Phone Fax E-mail Stale License IJumber APPLICANT NAME Name E c. V S Address ,o t_ City G �� �•o Slate CA Zip Phone �'1— c� Fax E -ma' APPLICANT SIGNATURE X \ •� v v V.R r-vr—% OUL31VII 1 'l HL KtUUIKEMENTS it K:\FORMS\BUILDING FORMS\BldgApplSubRgmis.doc Pale 1 of 2 LOCATION PERMIT NO. BPO+2z9-7 BIN # AMI io 2 S Propel lv Address , V%-% Cross Street L n Received by: Amount: R O Bldg SRA Receipt #: 4 tZ Sheriff SMTP Dale: (� 1 2 Other 55I. 9.7 Total REV 4-30-04 3 SRA ves Ivo "NameMap Type Cons[. p BookPage ]:::T Lot # Planner Date Approved: v v V.R r-vr—% OUL31VII 1 'l HL KtUUIKEMENTS it K:\FORMS\BUILDING FORMS\BldgApplSubRgmis.doc Pale 1 of 2 LOCATION PERMIT NO. BPO+2z9-7 BIN # AMI io 2 S Propel lv Address , V%-% Cross Street L n Received by: Amount: R O Bldg SRA Receipt #: 4 tZ Sheriff SMTP Dale: (� 1 2 Other 55I. 9.7 Total REV 4-30-04 3 o;Z COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION `T -1 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER e%? S • 3 40 • p•?. 3 Proposed Building Use: STT^ G ^ 2 (�[�G{ 1 Counter Technician: �t~'j �- Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 1- 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. Cl 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Al 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8.. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. $Po4-19 r7 ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ do 20. Erosion Control Plan Required ............................................. ........................ ........ ees as shown on the attached Schedule of Fees Due She .....:.. ❑ 2. City of Chico Plumbing permit........................................................................ California Department of Forest y plan approval ❑ paid. Sent by: ............. I �]23. anning approval (A) Use: O' (B)Parking: (C) Parcel Check:- 0 heck:f❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form ....................................................................... "❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...... :.:............................. .:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: �\ When issued Telephone 93 e-7 1, e nn ,anrdl old for pickup. l) I have been informed of the above items and requirements for obtaining a building permit. Applicants _,/ Date: - 1. Index permit applica ion for the above items : Plan Check Letter 2. Addit al items required �,ered X ont designer, owner, was advi the ove data by phone, ❑ mail, ❑ counter, by 2Y�. Date: 'I D 8 o y ontract esigner, ow er, as advised of the abov dat by LTJ phone, ❑ mail, ❑ coun}�r by '- Date: 19 Plans reviewed by: Date: ri Plans approved by:� Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: G G %-./ +- rA L7i`Gr 5 is Yellow: Building Division 1,1G w;i1 Pi o1= L0 j . HfOYM'E` (C i T'EfR i November 8, 2004 Butte County Building Department 7 County Center Drive Oroville, CA 95965 Executive Homes 3042 Esplanade Chico, CA 95973 530-891-6992.800-346-6992 Fax 530-891-8753 E-mail: exhomes@sbcglobal.net To Whom It May Concern: Executive Homes has authorized Sharon Holley to sign for and pick up permits on their behalf. If you have any questions please feel free to call me. Sincerely, I n y Auer Sales Manager 4op v SITE PLAN REVIEW APPLICATION Date: l "S oq AP# oC S 2-3 Permit Number (if applicable) APPLICANT INFORMATION Owners Name: 1 k: (Ul- S Parcel Size:�i v� X Owners Address: , M 1 l n iLl A V1 Telephone No.: 3? 2— Situs Address: Proposed Use: Residential `! ❑ New Single Family Residential ❑ Single Family 1 ion Mobile Home '"1'7 ❑ Single Family Remodel Residential Arcs so --- — e _j &r,7� 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: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well I oulvry SEP `0.3 2004 � ROPrPQNT Brief Explanation (if necessary): G AOJ96 /M�L C4 ISS s,&.� Al DO NOT -WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) , Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval C Site PI tamped roved By Date C/— 2 ` Zoog( %Z — d c 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) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: • G�Bp G Index Date: N 16- ❑ 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: Frontk5l` Zoning Code Streets & Highways Fire Prevention Subdivision Map Side tiD Side Street Rear , Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Parr,-') of f Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 . ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Formula ------------------------------------------------------7------------------------------------------------------------------ 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: r 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 Comments: 1 i ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain aLot 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 ---------------------------------------------------------=-------------------------------------------------------------------- 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 El 01 D—A^.Pc ti 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,airys\Building Permit Site Plan Reviewl.doc COUNT\ BUTTE COUNTY Received SEP 16 2004 AGRICULTURAL BUFFER NOTIFIC ION ANDD UNUSUAL CIRCUMSTANCES REQU TULY01S�/ ENVIRONMENTAL HEALTH SEP Z 2_ ZZ04 7 COUNTf CENTER DRiVI Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name: 5 G z.A Phone:'L— Mailing Address: E -Mail address Assessor's Parcel Number: OZ 5 3 0 - O1- -7 Reason you believe you qualify for the unusual circumstances exception: DEVELOPMENT . ;;_ SERVICES J> 11 (- G e- - , )!S tri % w v4 TA-I*cam{ Da L6 S ►-� off' Owner or Authorized Agent's signature Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ................................................................................................................................................... Internal Dept. Contact Info: ❑ Env. Health ❑ Planning ❑ Building ❑ Other Contact Person: Phone: FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING ........................................................................................................................................................................................ . For Agricultural Commissioner office use only: (to be completed after submittal) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) ❑ Exception Recommended � Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: T-�LtCAJ 5!4,, rlfl-� 5.,mj 4 " 6A -t r CJD OGC COOL CLc.A Or Oro�w�7,. lAcr . r••� '--� S6c� a, f Lae AMa�(` , P[acea Agricultural Department Signature: %. - Date: o t I Zt cAf-ft1% YMC 7/1/03 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile ADNIINISTRATION * BUILDING * GIS * PLANNING September 24, 2004 Delores Cesena 466 Mariah Lane Oroville, CA 95965 Subject: APN — 025-340-023 . Dear Mrs. Cesena, The Butte County Department of Development Services, Planning Department, has reviewed the submitted Environmental Health Application, and has found your application in compliance with the established planning criteria. The site plan you submitted meets the setback requirements for your zone as well as applicable map or . use permit conditions. Your application has been forwarded to Environmental Health. Attached, please find a copies of any use permits, or map notes and conditions for your property. We are providing this to your for your information and future reference.. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603. Sin Chris Tolley Assistant Planner NOTES I. DUE TO HIGH EXPANSIVENESS OF 5011.., ENGINEERING MAY his NEGEb9ARY FOR FOUNDATIONS wNERe SOIL TESTING HAS DETERMINED THE OUILDIM& ENVELOPic CONSI'T5 OF HI&4 6XPANSIVITY IN SOILS. 2. TO ENSURE THE M►NDATEO FIRE CLEARANCE ESTA61-I6146D IN THE COUNTY, A BUILDING S6T6AGK LINE OF SO FEET IS ASQUIROD ALONG A.LL 5106 AND REAR YARD PROPERTY 60UNDARIGS. B. FIRE SUPPRESSION SPRINKLER SYSTEMS 5r -ALE I" = 200' S14ALL bE INSTALLED 114 ALL NEW RESIDENTIAL STROCTuRES IN ACCOROAWCE WITH T146 NATIOU&L FIRE PROTIEC.T.10N ASSOCIATION STANDARD FOR THE INSTALLATION OF SPRIUKLGR SYSTEMS IN ONG AND TWO FAMILY DWELLINGS AND M001Le HOMES, NEPA STANDARD 111�0 UNLESS A. PRIESSURIMED GOMI,AUN1TY WO.T6R SY!5'tEM, WITH 14YORANT5 TMST MEET GIBE DEPARTMENT 5PECIFICAT1ONS, SERVES 'TNE PARCELS. 4. A DEVELOPMEUT IMPACT FEE FOR SHERIFF'S FACILIT12-5 S%A&UL O -W PAID PUiISUkklT TO THE PRC)V!5tot1S OG UdAPTER S. ARTICLE II OF ToE 60TTLE COUNTY CODE, PRIOR To ISSUANCE OF 15UJL,0106•PERMITS. SAID =££ AMOUNT NIVILL BE DETERMINED ANO CALCULATED AS of THE DATE Or, APPLICATION FOR TWE 6011-DINL PERMITS. 5. IbUILDIWC6 1D6NTIFICATIOM ANO/OR ADDRESSES '.SHALL EE INSTALLED IN CONFORMANCE WITH PUBLIC RESOURCES CDDE 4290 AND 614ALL eE PObTED AT 714E SE.C,INNING OF BUILDIN6 CONSTRUCTION AND MAINTAINED CONTINUOUSLY 7WERC-AFTER. 0. OEVELOPMENT OG THEESG PARCEL% MAY REQUIRE PAYMENT INTO THE WATER TENDER FUND. 7. TIAE PROPERTY. OWNERS ARE RIESPONJbIlbLE FOR THE MAINTENANCE OG ALL PRIVATE ROAD SAPETV SIC046, INCLUDING STOP Sl&NS. . 6. TWE PU®LIC HEALTH DEPARTMENT MAY DE61(oNATE WELL AMC) SEPTIC TAMU LOCAT1OW15 OUTSIDE OF AREAS OF SOIL 5ATURXTION OR PONDING. o) Eyc)L = SUILDI►JG c--"ETbAC-K Lin1�_ TH16 ADDITIONAL AARP 5HEET 94'OW6 ADDITIONAL IMFORMATION, 15 FOR IMI=ORMATIONAL PURPOSES ONLY, DESGR101NG CON0ITI0145 AS OF T14E DATE OF GILING AND 15 NOT INTENDED TO AI=FECT REC.ORO TITI._E I m -17F R EST. ADDMOI,JAL NEAP 5NEET E 1/56 con. M 89*18' 6 2/046.(.0'(61-0) Ai 1/4 COR. S- 1 2351.05'(R) FD a4, LS 3425pipe(Ft)(R-3) at W Qv -- ABO' RADIUS CUL- OF -5IU- a i, Sera DSTAIL"A." 1400.29* TRIP DEEDED 450.26* COUNTY so. BUTT • 1(.46.29'(C 66 1 A L ua/999-o4yP6SS Ile, 7.5mool - - i - !T '&&IL- 0.0874 ACG. dJ so". I240.50' Q)fFt% (C), P. I t 16. 4 \1-S 4 006 (A?) COR. 5-I JS�. �4' 01- e FD 9/4" 1. P. . :% U to LOCATION MAP LS 5728(9)( ;n CG III&, COR. It 41 N W cy 0� Z� PARCGL I -PABLEL &- PARCEL �I . PARCEL 4. 1 1 - Lrols 4 5.04, ACS. 5,05 ACS.�, '1 11.11 ACS. 91.14* 0 ND gi 5.06 A". a 0 CALCULATED ONLY WOTI�Ima SET LANE 'Reb 0 SET 1/2* W POUND AS AR PLS, 4085 20- RME TO 06 'm ' 9 - AS, NOTED 5-7 a 0 S"'r-710)4 OR -/4 CORNER AS NOTED RESERVED oe Cd -C) 5 :r LAI W >r� IN DeL R) sz PM,.A2 0 C) 0 LL) R/S 54' FOR Yms' (R 1) 55.pm %3 20 filimovoy OF 6% 3 2 - (R7) e.5 PM )a- PAqCUL.,% J QL JR .1.1 P- -3 PM 16 p.;t JRb) IS F- GLO)-,- ,° DETAIL 'A" id R4 12S IPM -59 0 0 uj R5) 52 PM 49 CALCULATED (C) z CIP - CUL -DE -SAL 150.00* C) MEASURED -i b CG 1/10 COR. V 0 BASIS OF "AFtimCS THE BASIS 09 BEARINGS rORTMIS SURVEY 15 T146 LINE CS I/,&.- -R- lb6TWE6M C. 1/4 SEC I AND TNG r,5 1,(. OF Sac I FD. DIA'1. P .0 a BETWEEN FOUND MOMUMUNITS AS SHOWN TAKEN AS LS b'7145 (R'')(9) 1280.62' (,is) (c) SOUTH 02*54,0(.'WEST (RI), B7 otc Cj 9pA�i��� MAp A Al"OR- A PORTION OF GOVERNMENT LOTS. 5,9 AND 10, SECTION 1, TOWNSHIP 16 NORTH, RANGE 5 EAST, K4.0.M., 1-6za,7&, (RZ)(C) UNINCORPORATED AREA, BUTTE COUNTY, CALIFORNIA. SE COR. S-1 RURAtO LOWES /A S-1 N87'20'26 2657.57'(P)(R2)(C) 2" BRASS DISK (R)(R2) KS 4085 w 7.,47.92' (GLO) MOTHIM& SET (R) FOR tD, OVERHOUSE or rro s 8,.* 5 r I/-(. co;k. t 6/30/00 wCY`M,w6 Ica 4:: PALERMO ROAD 4r4r,-Af-,A1r eatlmrrl -Pe1ws1--yl01?,v cwremwr vorj-:AAI m4we;- xr4mveL/r v a--IA4, evAl THIS MAP WAG PREPARED BY ME OR UNDER MY DIRECTION AWDAS. IlWe rllM MAP .4-0 /TN C91Alfr4"r1.4lZY 71Vff Areco&veo W rV-, 0.rxe a, Kq BASED ON A CIELO SURVEY AND WA5 COMPILED FROM RECORD DATA lr�ms I" Ir A~AFeD ON rAlff rff"rorlve MAP o"a ANy crzzoz a4w~ & j IN CONFORMANCE WITH THE WeQ.IRGM 2 "'olvist"m QAPWv&,2 Atree,*71" rV",fa! ALL of mf RwymlaWo We OF THE 4 MAP ALT AM or. 00 r�e JWgolw-FloAl NAR �wr Amo wew a w Aq OVJRMDU D L I- ORDIMA"CS AT 199 OPOOGST 0 =r D6 0. Apl?, %it MURRSY 'SYATG THAT THIS r11Z rl"d lOWA,-lqVkAVW. Of TAA 4r,"s oon 9N 1 OF 2 PARCEL ~ sua&rAmTiALLv CONFORMS To IMQ APPROVED OR Af." 04W lyeeW mmpuso mIrAl AVo / Aw 7wA7 rmw SEPT, CONDITIONALLY APPROVED TawrATiveMAP. ir- ANY. THE ".4A 14, rj,;CvA1l,:-4z4 jol 'er �I'Z� I, — cww- KT3 SHOWN MSRPO k"'soo v"-cWA2ACT6Q A py THE POSITIONS INDICATED AU IN PLACE'ARE 51JPFICIENTDTOO� 44mO,s.,—,^ 21, 1998 CIVIL UMJ,9,Le TUG SURVEY TO 56 RETRACED. THU P.I.I.E. AS 00CGRED SEAx"k 'A 1198--s"'CS-7 ENGINEERS COR 0 �0=410u * HOT Atcepr LAND associates 8� BUTTE COUNTY AY 1.1104cz �. SU RVEYORS 91 THIS 'r -u. 7eU6!COUUTY RECORDER P.O. BOX 986 OROVILLE, CAL. 95965 SrUAI?YTEOG��,K.�6. 2 Lavazi DEPUTY BUTra OUQTY g.!f -4A— _41b 4w -s wrmv e.Al4w6v Ph (916) 534-9587 ��Ozv 4. -1 x5owwm /'199-0/y bSL 9-2,7-9B S baa a S �t 0 &0, R w 0 Ou.G. To BE Res RVEO IN S f OFFERED FOR + ppp3 DEDICATION 70 60TTO COU T aa- -2z2 0 -- ABO' RADIUS CUL- OF -5IU- a i, Sera DSTAIL"A." 1400.29* TRIP DEEDED 450.26* COUNTY so. BUTT • 1(.46.29'(C 66 1 A L ua/999-o4yP6SS Ile, 7.5mool - - i - !T '&&IL- 0.0874 ACG. dJ so". I240.50' Q)fFt% (C), P. I t 16. 4 \1-S 4 006 (A?) COR. 5-I JS�. �4' 01- e FD 9/4" 1. P. . :% U to LOCATION MAP LS 5728(9)( ;n CG III&, COR. It 41 N W cy 0� Z� PARCGL I -PABLEL &- PARCEL �I . PARCEL 4. 1 1 - Lrols 4 5.04, ACS. 5,05 ACS.�, '1 11.11 ACS. 91.14* 0 ND gi 5.06 A". a 0 CALCULATED ONLY WOTI�Ima SET LANE 'Reb 0 SET 1/2* W POUND AS AR PLS, 4085 20- RME TO 06 'm ' 9 - AS, NOTED 5-7 a 0 S"'r-710)4 OR -/4 CORNER AS NOTED RESERVED oe Cd -C) 5 :r LAI W >r� IN DeL R) sz PM,.A2 0 C) 0 LL) R/S 54' FOR Yms' (R 1) 55.pm %3 20 filimovoy OF 6% 3 2 - (R7) e.5 PM )a- PAqCUL.,% J QL JR .1.1 P- -3 PM 16 p.;t JRb) IS F- GLO)-,- ,° DETAIL 'A" id R4 12S IPM -59 0 0 uj R5) 52 PM 49 CALCULATED (C) z CIP - CUL -DE -SAL 150.00* C) MEASURED -i b CG 1/10 COR. V 0 BASIS OF "AFtimCS THE BASIS 09 BEARINGS rORTMIS SURVEY 15 T146 LINE CS I/,&.- -R- lb6TWE6M C. 1/4 SEC I AND TNG r,5 1,(. OF Sac I FD. DIA'1. P .0 a BETWEEN FOUND MOMUMUNITS AS SHOWN TAKEN AS LS b'7145 (R'')(9) 1280.62' (,is) (c) SOUTH 02*54,0(.'WEST (RI), B7 otc Cj 9pA�i��� MAp A Al"OR- A PORTION OF GOVERNMENT LOTS. 5,9 AND 10, SECTION 1, TOWNSHIP 16 NORTH, RANGE 5 EAST, K4.0.M., 1-6za,7&, (RZ)(C) UNINCORPORATED AREA, BUTTE COUNTY, CALIFORNIA. SE COR. S-1 RURAtO LOWES /A S-1 N87'20'26 2657.57'(P)(R2)(C) 2" BRASS DISK (R)(R2) KS 4085 w 7.,47.92' (GLO) MOTHIM& SET (R) FOR tD, OVERHOUSE or rro s 8,.* 5 r I/-(. co;k. t 6/30/00 wCY`M,w6 Ica 4:: PALERMO ROAD 4r4r,-Af-,A1r eatlmrrl -Pe1ws1--yl01?,v cwremwr vorj-:AAI m4we;- xr4mveL/r v a--IA4, evAl THIS MAP WAG PREPARED BY ME OR UNDER MY DIRECTION AWDAS. IlWe rllM MAP .4-0 /TN C91Alfr4"r1.4lZY 71Vff Areco&veo W rV-, 0.rxe a, Kq BASED ON A CIELO SURVEY AND WA5 COMPILED FROM RECORD DATA lr�ms I" Ir A~AFeD ON rAlff rff"rorlve MAP o"a ANy crzzoz a4w~ & j IN CONFORMANCE WITH THE WeQ.IRGM 2 "'olvist"m QAPWv&,2 Atree,*71" rV",fa! ALL of mf RwymlaWo We OF THE 4 MAP ALT AM or. 00 r�e JWgolw-FloAl NAR �wr Amo wew a w Aq OVJRMDU D L I- ORDIMA"CS AT 199 OPOOGST 0 =r D6 0. Apl?, %it MURRSY 'SYATG THAT THIS r11Z rl"d lOWA,-lqVkAVW. Of TAA 4r,"s oon 9N 1 OF 2 PARCEL ~ sua&rAmTiALLv CONFORMS To IMQ APPROVED OR Af." 04W lyeeW mmpuso mIrAl AVo / Aw 7wA7 rmw SEPT, CONDITIONALLY APPROVED TawrATiveMAP. ir- ANY. THE ".4A 14, rj,;CvA1l,:-4z4 jol 'er �I'Z� I, — cww- KT3 SHOWN MSRPO k"'soo v"-cWA2ACT6Q A py THE POSITIONS INDICATED AU IN PLACE'ARE 51JPFICIENTDTOO� 44mO,s.,—,^ 21, 1998 CIVIL UMJ,9,Le TUG SURVEY TO 56 RETRACED. THU P.I.I.E. AS 00CGRED SEAx"k 'A 1198--s"'CS-7 ENGINEERS COR 0 �0=410u * HOT Atcepr LAND associates 8� BUTTE COUNTY AY 1.1104cz �. SU RVEYORS 91 THIS 'r -u. 7eU6!COUUTY RECORDER P.O. 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J O Iam� er.uia a•wnaus ..�i. g V Bairgz - >IL C , -'•, W V R LMNO ROOM --- 14- MASTER er, EDROOM BEDROOM BEDROOM .. . a� rra•x2sa r,:,.+ n••n•xIz•�• Ir-e•xIa-e• �... PORCH Y'V _ Ir.;!„I .. ..��, nx :r=�t, rte( e•( v to �O \ I • 1 • OPT. SUPER ACnVITy ROOM ^ B�•; WITH Orr. MEDIA CENTER AND CORNER FIREPLACE ID_ 023 Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant - updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is. 3 .Or length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. BA/31/NOV03 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILIRNG DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded I REC FEE Official Records I CONFORM County Of ! BUTTE ! CANDACE J. GRUBBS I Recorder ! ROSEMARY DICKSON ! Assistant I Mark 11:13AN 15 -Nov -2004 I Page 1 of 3 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SSE A -IT ACNED Date v X o 0\-1 State of Cal' ornia County of k4e__ On M\0 Sche�luleC . &*J6 personally appeared W ( koce,5 CCS 5� q }}y i k*w&n-t0 a (or proved to me on the basis of satisfactory evidence) to be the person(jwhose name(sTis/,afe subscribed to the within instrument and acknowledged to me that lK/she/tl}ey executed the same in Kis/her/ y& authorized capacity(io), and that by K/her/tpfir signature) on the instrum nt, the perso�Wor the entity upon behalf of which the personXacted, executed the instrument. WITNESS my hand and official seal. Signature Seal: SHAWN I. NELSON .. Comm. # 1363163 N N NOTARY PUBLIC -CALIFORNIA Yuba County A.P. # 0 WT -340-02-3 My Comm. Expires June 30. 2006 13.00 1.00 1 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: PARCRI.I- PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 23,1998, IN BOOK 144 OF MAPS, AT PAGE(S) 67 AND 68. AP NO. 025-340-023 NEW 025-240-117 OLD PARfFI. IT. A 60 FOOT RIGHT OF WAY AND PUBLIC UTILITY EASEMENT, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF. CALIFORNIA, ON SEPTEMBER 23,1998, IN BOOK 144 OF MAPS, AT PAGE(S) 67 AND 68. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A 20 FOOT PUBLIC UTILITY EASEMENT OVER PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 23,1998, IN BOOK 144 OF MAPS, AT PAGE(S) 67 AND 68. PARCEL IV: A NON-EXCLUSIVE EASEMENT 30 FEET WIDE FOR PUBLIC UTILITIES PURPOSES LYING NORTHERLY OF, RUNNING PARALLEL WITH AND ADJACENT TO THE SOUTH LINE OF PARCELS 1, 2,3 AND 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 23,1998, IN BOOK 144 OF MAPS, AT PAGE(S) 67 AND 681 . FROM THE EAST LINE OF SAID PARCEL 4 TO THE WEST LINE OF SAID PARCEL 1. THIS EASEMENT IS APPURTENANT TO AND SHALL INURE TO THE BENEFIT OF SAID PARCELS 1, 2,3 AND 4, AND APPLIES TO ALL SUCCESSORS OR ASSIGNS OF SAID PARCELS. • 77 SCHEDULE C (CONTINUED) EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL V: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES OVER A PORTION OF SECTION 1, TOWNSHIP 18 NORTH, RANGE 3 EAST; M.D.B. & M., DESCRIBED AS FOLLOWS: BEGINNING AT. THE EAST ONE-QUARTER CORNER OF SECTION 1, TOWNSHIP 18 NORTH, RANGE 3 EAST, M.D.B. & M.; THENCE NORTH 83 DEG. 46'06" WEST, 783.19 FEET TO THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED EASEMENT, SAID POINT BEING ON THE NORTHERLY LINE OF PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 23,1998, IN BOOK 144 OF MAPS, AT PAGE(S) 67; THENCE NORTH 86 DEG. 24'53" EAST, 663.51 FEET; THENCE NORTH 86 DEG. 02'42" EAST, 80.67 FEET; THENCE NORTH 70 DEG. 31'41" EAST, 4.66 FEET TO A POINT ON THE WESTERLY LINE OF LONE TREE ROAD; THENCE SOUTH 00 DEG. 37'50" EAST ALONG SAID WESTERLY LINE, 8.37 FEET TO THE NORTHEAST CORNER OF SAID PARCEL 4; THENCE SOUTH 86 DEG. 55'01" WEST ALONG SAID NORTHERLY LINE OF SAID PARCEL 4,758.26 FEET. , f_. AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 C®I:3'Y of Document Recorded 15-Mov-2004 2004-0069596 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or'included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property, should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE �T�/�CNE'D Date l Xo 0�1 State of Cal' ornia l County of I -tom PRO RTY OWNERS: �.2vru� On \ � \ before me, personally appeared rr �b\(es orenC� pally knowrt-toVe (or proved to me on the basis of satisfactory evidence) to be the person(4whose name(sTis/.yfi subscribed to the within instrument and acknowledged to me that 1K/she/tl}ey executed the same in Kis/her/9Vr authorized capacity(io), and that by K/her/tKir signature) on the instrument, the perso�Kor the entity upon behalf of which the personacted, executed the instrument. WITNESS my hand and official seal. Signature Seal: SHAWN L NELSON .. Comm. q 1363163 A.P. #0 W5- 340- 02-3 N NOTARY PUBLIC•CALIFORNIA N Yuba CountY My Comm. Espires June 30.2006' 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: PARCEL I: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 23, 1998, IN BOOK 144 OF MAPS, AT PAGE(S) 67 AND 68. AP NO. 025-340-023 NEW 025-240-117 OLD PARCEL II: A 60 FOOT RIGHT OF WAY AND PUBLIC UTILITY EASEMENT, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 23,1998, IN BOOK 144 OF MAPS, AT PAGE(S) 67 AND 68. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A 20 FOOT PUBLIC UTILITY EASEMENT OVER PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 23,1998, IN BOOK 144 OF MAPS, AT PAGE(S) -67 AND 68. PARCEL IV: A NON-EXCLUSIVE EASEMENT 30 FEET WIDE FOR PUBLIC UTILITIES PURPOSES LYING NORTHERLY OF, RUNNING PARALLEL WITH AND ADJACENT TO THE SOUTH LINE OF PARCELS 1, 2,3 AND 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 23;1998, IN BOOK 144 OF MAPS, AT PAGE(S) 67 AND 681 . FROM THE EAST LINE OF SAID PARCEL 4 TO THE WEST LINE OF SAID PARCEL 1. THIS EASEMENT IS APPURTENANT TO AND SHALL INURE TO THE BENEFIT OF SAID PARCELS 1, 2,3 AND 4, AND APPLIES TO ALL SUCCESSORS OR ASSIGNS OF SAID PARCELS. :A: r T _ SCHEDULE C (CONTINUED) EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL V: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES OVER A PORTION OF SECTION 1, TOWNSHIP 18 NORTH, RANGE 3 EAST, M.D.B. & M., DESCRIBED AS FOLLOWS: BEGINNING AT. THE EAST ONE-QUARTER CORNER OF SECTION 1, TOWNSHIP 18 NORTH, RANGE 3 EAST, M.D.B. &M.; THENCE NORTH 83 DEG. 46'06" WEST, 783.19 FEET TO THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED EASEMENT, SAID POINT BEING ON THE NORTHERLY LINE OF PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 23,1998, IN BOOK 144 OF MAPS, AT PAGE(S) 67; THENCE NORTH 86 DEG. 24'53" EAST, 663.51 FEET; THENCE NORTH 86 DEG. 02'42" EAST, 80.67 FEET; THENCE NORTH 70 DEG. 31'41" EAST, 4.66 FEET TO A POINT ON THE WESTERLY LINE OF LONE TREE ROAD; THENCE SOUTH 00 DEG. 37'50" EAST ALONG SAID WESTERLY LINE, 8.37 FEET TO THE NORTHEAST CORNER OF SAID PARCEL 4; THENCE SOUTH 86 DEG. 55'01" WEST ALONG SAID NORTHERLY LINE OF SAID PARCEL 4,758.26 FEET. FILE No . 540 05/23 '05 AM 07:23 I D: I VE HOMES FAX :530 891 8753 PAGE 1 W e.4) EEXECUT v-- -' To i STATE or CALIFORNIA ..USINEBB.TRANSPORTATIONANDHOUSINGAGENCY :li ; •.:S.;y g.?.1.Q:6:.9'`,•:,'=•'= .F ��IUFRCIAL COAGH: DEPARTMENOP HOUSING AND COMMUNITY DEVI%UPMENT T OCCUPANCY GROUP 1ANUFACTUREIR LICENSENUMBER; dP DIVISION OF CODES AND STANDARDS FLEETWOOD HOMES OF WASHINGTON, INC. 0031 MF108]465 MANUFACTURED HOUSING PROGRAM r MANUFACTURER ADDRESS: .; �•`,,.. E OF ORIGIN FACTO•.;, :.,,.. r, ...'_ . I MANU R9R:CERTIF.ICAT v ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR. UNLE99 THERE 18 NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FO TO THE DEPARTM$NT AT P.O. BOX 1028, SACRAMENTO. CA 55812.1028. WITHIN FIVE (B) OAYB OF RELlABE. CCOPY 2 OPY 2 SGOt.DEN 00) DE IVEBE RE O THE TRANSPORTER R NSTHEPORTEMANACTURERMPANY T11E UNIT TO ITS OE9TINATION. MCD 453.0 • side 1 - (7187) 1 ❑ CFIECK IF THIS 18 A DUPLICATE MCGONTEtt ORIGINAL MCO NO. OR 141JLTI ' ► '. �!�ryISER OF t't 4• h . •, t ; r• j,, : : ,• :' • r` 7EL4NSPORTABLE SECTIONS ] ,. *LY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING'Am. .F ��IUFRCIAL COAGH: • OCCUPANCY GROUP 1ANUFACTUREIR LICENSENUMBER; tMANUFAC URER NAME: FLEETWOOD HOMES OF WASHINGTON, INC. 0031 MF108]465 UOOESTED R TAIL PRICE: r MANUFACTURER ADDRESS: 211 5TH OTRRZT AT11 9867 (City) Stele (ZIP) Blroet MODEL NAME AND/OR NUMBER: DA OF MA - ACTURE: NUFACTURE RADE NAME: jj i• BARRINGTON 7684x 2005 E ERSMIP N FERRED TO): CALIF. O 07/02/2004 DATE OF.TRANBFER '' Ir NA OF DEALEROR TRANSFE ( REE DES ONAT)ON: BECURITY K/H SHOW/NORTH, INC. DHAs BXSCUTIVE HOMER D R OR TRA 8FEREE ADAMS; 3Siete •8 42 EOPLANADIm LOW- CHICO CA (Zip)95973 t ire6 TORY CRE TOR NAME: TMN '"1'E�'ibr jtACREDITOR PjtOCZsgING CHNTER ' O BOX' 94900 CII PALATINE State IL zl 0014 4aei► ;RECTION MANUFACTURER 9ERVll. NUMBER HCU INSIGNIA OR HUD LADEL NuMBER LENGTH WIDTH WEIGHT iNCHEB tNCH88 POUNDS ti 1-0 1 MZL$31 Al Aga7 —RAJA TRANBPORTER NAME: . TRANSPOATCR ADDRESS: ' (814 1487 WEST HWY. 84 e0 MC Biala n DESTINATION FOR UNIT DESCRIBED ABOVE: NAME street GI Etats Z • I certify under 1gnsDy e1 par)urY underuro leve 01 the Stats O1 C"'Oln a tlral ute above loot■ are true arra awreel. . Executed an 07/C2�2004 _at Y) )County ( to (ae1 General Manager v ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR. UNLE99 THERE 18 NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FO TO THE DEPARTM$NT AT P.O. BOX 1028, SACRAMENTO. CA 55812.1028. WITHIN FIVE (B) OAYB OF RELlABE. CCOPY 2 OPY 2 SGOt.DEN 00) DE IVEBE RE O THE TRANSPORTER R NSTHEPORTEMANACTURERMPANY T11E UNIT TO ITS OE9TINATION. MCD 453.0 • side 1 - (7187) 10/05/04 15:47 FAX 530 894 7647 t RECORDING REQUES]'En BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: DOLORES CESENA 5390 PALM GROVE COURT SAN JOSE, CA 95123 ORO -C 0"" A. P. N.: 025-2406417 i BTEC.CUSTONER SERVICE 0 002 !!I Illi lilt ill t li! Ilil� t!lilt l l! 1 9�9,-04►37 �.�7 Recorded I REC FEE 13.00 Official Records I TAX 33.00 CoAunUiyO f I CANDACE J. GRUM jReco' RMEMARY DICKSON er I Assistant I Fay 09:00AN 31 -Aug -1999 I page 1 of 3 Above This Line for Recorder's Use Only Order No.: 175517 GRANT DEED Escrow No.: 175514PE-3 THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX 1S: COUNTY 133. 00 [ X ] computed on full value of property conveyed, or [[ j computed on full value less value of liens or encumbrances retraining at ti=c of sale, X j umcotporated area: [ ] City of and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, EDWARD L. OVERHOUSE, JR., an Uutnarried Man hereby GRANT(S) to DELORES CESENA the following described property in an Unincorporated Area, County of Butte State of California, SEE ATTACHED LEGAL DESCRIPTION. CDWARD L. OVERHOUSE, JR. 97"�, Document Date: August 11. 1999 STATE OF CALIFORNIA )SS COUNTY OF BUTTE ) On AUGUST 30, 1999 berare me. PENNY C. ENGLAND, NOTARY PUBLIC personally appeared EDWARD L. OVE_RHOUSE d R personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose namc(a) Ware subscribed to the within imwutnent and acknowledged to me that he/shehhey executed the same in his/her/their auttrorixed capacity(ies) and that by hisMer/their signature(s) on the instrument the persoa(s) or the entity upon behalf of which the person($) acted. executed the instrument. WITNESS my d and official stat• Signa .PE LANA This area for official notarial seal. FGNW `i. MLAND CorfgWplon I1079122 k4ft CP51 My Oonr tt W. 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