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025-340-016
11-A COMPLAINT COMPLAINT GIVEN -1-0 INSPECTOR t BUILDING CODE VIOLATION: t. �ti�cc �ur.CM�ofC 025-240-121 00-2329 PHILLIPPI, MICHELLE LONE TREE RD. PALERMO CONTR: OWNERS WATER PIPINGF/,�,q G /0 025-340-016 04-2223 PHILLIPPI. MICHELE _ JUSTELLE DR. PALERMO Cont: OWNER AG BUILDING 025-340-016 04-2224 PHILLIPPI, MICHELE _,d�4p_JUSTELLE DR. PALERMO Cone DUPAR & ANGEL ! l NEW MH PERM PND /I -F$- 41 025-340-016 04-223.5 PHILLIPPI. MICHELE, syc� JUSTEL DR. L 1v1i Cont: DUPAR & AN NEW DECK \ \ 025-340-016 06-1306 PHILLIPPI, MICHELLE 546 JUSTELLE DR, OROVILLE Cont: OWNER AG BUILDING f I NOTES PERMIT NO. s RESIDENTIAL 025-340-01 b 04-22'_'4 PHII.LIPPI, NU HELF �yb JUSTEL,L:E I)R; PALERMO Cont: DUPAR & ANTGEL NEW MH PERM FND THE HCD FORM 433A FOR THIS MH CANNOT BE 'RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE ` INSPECTOR MUST RETREIVE).' (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). ' INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY— ; USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER b OFFICE COPY 'Address SSG J i �- �ll rw GAS - - "1 Meter By Date I B''� ELECTRIC �f� pDate l •j a JOB FINALED (Date) ,�' Signature //� J=OK ' 0 = Not OK _ NotReadyable' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete -6. Gas; Location -Test -Wrap;-/- /" L 'ft. / /':Nat. or/ /;:L "tt./_ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date 1 v' Card 6-_I/ Date Card B-1 Date Card B-1 Date Card B-1 sp S--�- - -z-- MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Date Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 Date 3. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1 5. 1. Zoning Requirements -Setbacks -Easements Carports; Windows -Doors 2. Footings; Size -Spacing -Marriage Line 8. 3. Gas; MH Test -Demand -Valve -Connector Siding; Nailing -Veneer -Stucco -Mesh 4. Electricity; MH Test -Crossovers -Breakers -Clearances 11. 5. Drain; MH Test -Fall -Flex Connector Braced Wall Panels 6. Water; MH Test -Regulator -Connector l` 7. Water and -Sewer Connected -C/O to Grade -HD Approval 1 8. Gas and Electricity Tagged 1 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy " 12. Enclosure; Fencing -Alarms S Date' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) o ing Requirements-Setbacks-Easeme ootings; Size -Spacing -Marriage Line a,O• 3. Blo g MH Teee6ema aloe 6 ctricity; Tger ater; est 7. Water and Sewer Cellected 8. Gas and Electbeffy Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date 1 v' Card 6-_I/ Date Card B-1 Date Card B-1 Date Card B-1 sp S--�- - -z-- E MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements f, 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 1 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 1 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels E ,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 l` 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 1 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main Conduit 1 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche " 12. Enclosure; Fencing -Alarms S 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 Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr.; Vent -Access -Combustion Air Baffle 66. 18. Water Pipe; Test & Anchor -Nail Protection 67. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 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 O 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 87. Water Well, Disconnect, Electrical, Plumbing Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 36. A.C. Ducts Insulation & Support Corrections from Previous Inspections 37. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 38. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Energy Compliance Certificate -Other Certificates 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type 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 O No/Walks O Yes O No/Planters O Yes ❑ 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: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE - K1,11 T j Z/-zF OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explariation, please contact this office immediately. T Date ! / 1 L / Inspector 1 REV 10/92 COUNTY OF BUTTE a BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE fez ��i 0 2 - OWNER OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. S <. Date � ' G Inspecto�"l' >µ REV 10/92 ,SL 131 sr Y C' <. Date � ' G Inspecto�"l' >µ REV 10/92 COUNTY OF BUTTE BUILDING DIVISIOtN DEPARTMENT OF)DEVELOPMENT SERVICES 411 Main Street., treet • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE f P to i -- OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ?tu' U i (:) ( !4_ (1) /1) /-L C. S f CO' 1, Am 1.2 Date/ �` �� Inspectorl� REV 10/92 C 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. BP042224 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: 09/10/2004 APN• 025-340-016-000 the Business and Professions Code, and my license is in full force and effect. C�� �(P License Class: License Site Address: 546 JUSTELLE DR PAL Date: o' �%y Contractor. C PV W Ci (4, 7 Map Index: Description: NEW MH PERM FNDN (1902) 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: PHILLIPPI MICHELLE J permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a P O BOX 624 signed statement that he or she is licensed pursuant to the provisions of PALERMO 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 95968-0624 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: PHILLIPPI MICHELLE J 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; DU PAR &ANGEL INC not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed MICHELLE FREEL pursuant to the Contractors' State License Law.). 2532 SANTA ROSA AVE ❑ I am Exempt under Article 3 of the Business and Professions Code SANTA ROSA, CA 95404 530-821-5850 530-821-5854 (fax) Date: Owner: michellef88@sbcglobal.net License #: 457364 WORKERS' COMPENSATION DECLARATION 1 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. 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 carrier and policy number are: �� Carrier: Total Square Ft: 1902 S. F. Policy #: _l O O"1 —' �V� Valuation: $123,630.00 Census Code: I certify that in the performance of the work for which this permit is issued, .1 shall not employ any persons any manner so a become subject to the workers' compensation laws of California,a, � 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. C � J Date: "1,� CLQ, eLN ^ / Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the Wplicalle provisions of the Butte County da a ruor I hereby affirm that there is a construction lending agency for the Resolutio t o work ind' dab or ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: B . ate: s c/ Address: PERMIT EXPIRES ON: fe ❑ 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. O 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 to enter upon the above mentioned property for inspection purposes. --Butte County z �� Signature: tl�UQ LUQ Print Name: _V I (X . `�1 1 1 �%1 T Date: 13 Owner ❑ Contractor 0 Agent for Owner `<�Pent for Contractor y s BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM. (One form per Building) A UG� 'rn t -ti School District kl— ' by I Building Department No. A.P. Number ��� (J l� Jurisdiction: City County Property Owner Property Location/A Subdivision Residential Development Q No of Living Mo Nle Home Units Installation Commercial/Industrial Q Q New Addition Building Department Representative Lot No. ................. ...... ....... ............................. :...................................... / 1 Sq. Footage tI�V Addition/ 'Supplemental to (.Group R) ' Conversion Permit # -(No foundation inspedbn) ........................................................................1......................._...� , Deed Restricted Sq. Footage,� •� ; (Attach a signed copy of Deed Restriction and•Notice ,f-bmiied Use Facility document) ' Sy. Footage Q9cIudi9g;Exterior Roofed Areas) `Date 3 i ; District Identification No. ; r 1 ,i r ►�u� l� 1 a h,�v� School District certifies that Pk� 11, pp`` (Applicant) (Street`Address) (Phone Number) T) C uvC)N (City) (State) (Zip Code) SJ �[ has complied with the requirements of Resolution No. /V — lA D by payment of $ representing ` (- square feet. 2926 $ FULL MMGATION $ Srhnel Distrir_t.RanrAnantativa Date Paid by Check # Remarks: N. -dc-: You may protsat the Imposition of the fess kteMNled above by submltUng a written protest to the District. in compliance with Gohranhnhrmht Cods Section 66020(a), within 90 days from the date less ane paid. Failure to submit a timely written protest wlil'prohibit you from challenging the Imposition of the fees In any court adios. if, subsequent to the School District Representative signing this Butte County Schools Impact Fes Certif edon Form, flee School District le nhotkled by the applicable Local Planning Agency that this pgo)sct le balng wAowsd under tin CMftrila EwAnmwnsnial Qualky Ad (CEMA thle pmIsd msy bs subisd to sddklonal school fess to fully ndtlgats, its impacton the school distrld's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis 00/03)dmm BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION. 0o AND SUBMITTAL REQUIREMENTS V BP 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BIN # OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATIO OWNER Name ° C -e—Lle I Addressc. c6bL tpal. City cel errne State c,,_. Zip g5gw Phone 39 1 CPgq ? Fax E-mail CONTRACTOR Name Name Address Address City State 6r Zipq�5g9/ Phone $� Fax Bat 58SY E-mail Fax Lic. #�573(0�/ Classe-y7 v APPLICANT SIGNATURE X -2"l • -, For office use onl ARCHITECT/ENGINEER Name Nameml Address /i" fi 7 LU City n State Zip Phone State Fax E-mail Phone State License Number v APPLICANT SIGNATURE X -2"l • -, For office use onl APPLICANT NAME Zoning Nameml 16 -~ (14 /i" fi 7 LU Address n UE City Subdivision Name State Map Book Zip Phone Planner Fax Date Approved: E-mail v APPLICANT SIGNATURE X -2"l • -, For office use onl SRA Zoning Flood Zone SRA I Yes o Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS L CATI N AP# Property Address Cross Street: WORKER'S COMPENSATION Policy Number /?9 ?6Va _ a;y Carrier 64-av�, ^ If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: �S L h • n rpt 3 bd rm . Sq. Footage Oa ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no constriction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: NT Receipt #: q `O)� Date: 1(4 Amount: V Bldg Total REV 4-30-04 SRA see —Sheriff ) ;?' -moo SMIP Total REV 4-30-04 f SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 E.H. USE ONLY igot Ytea atac Roar ooa M. arsenea Sent to 8.0. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage DisposaT� Water Supp,: Publi PPrrivatep Well Clearance for dwelling. OtherQvY`t�T Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Y - 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: } t ` 1 ASSESSOR PARCEL NUMBER Proposed Building Use N V'( rater Technician: Date: Items required in order to apply for a permit. All boxes MUST pe chOR marked NA in order pply. 1 1. Site plans, 3 or 4 sets, signed by the preparer of the pecked t a 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, (B) Marriage line info, (j,Floor Plan, (D) Tie down or fnd plans, all in duplicate. '�'`` ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs s ❑ 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. 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 ........................................... ........ 0 20. Erosion Control Plan Required........................................................................ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. / ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval (A) Use: Ch (B)Parking: (C) Parcel eck:_ ❑ 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) ..................... Lip 32. Letter of Signature authorization......................................:............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. YO 34. Manufactured home utility clearance..:.-,-- ..... 1111111*11111*111111*1 .............. ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction ................................... :.............. t...................................... ❑ 37. ,4 Grant Deed ZM.H. Title/StaleeW_QLEacts,.L7` Yter from Legal Owner, ❑ Check to H.C.D. $ ❑ / 38. Other: Cf 39. Other:_J\Arf-") '-) Iy When issued Telephone l and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. � � � .. � �� ( 1 \ T � ' �'� ��� iGYL�• /"ill . - 1. Index permit application for the above items numbered: kw-Jj Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ hone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner,sed of the above data by ❑ phone, ❑ mail, ❑ counte X� Date: ME s vi Plans reviewed by: Date: 0 Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES J'^ OWNER A.P. # 0 2S � o _,ofd ' �►' l � P� � � 1 PROPROSED BUILDING USE DATE -l-,2- / 6'1 RECEIPT # DATE RFC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ -- Revised Plan Checking Fee.... • $ 2. SCHOOL DISTRICT FEE �Vuzy_\+ aid at School District Office)P heck) 3. SHERIFF FEES (paid at Division) Residential............ X $360.00 =$ 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 = $ 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) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT 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) r t.' COUNTY OF BUTTE '-bEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 J SCHEDULE OF RECEIPT OF FEES OWNER C �-R_ Pl/`� I'► ��� A.P. # 0 X5.3 O/� PROPROSED BUILDING USE DATE / ' G 7 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ -- Revised Plan Checking Fee.... $ — 2. SCHOOL DISTRICT FEE U �1 (paid at School District Office) orm availab e gfte'APlan heck) 3. SHERIFF FEES (paid at ilding Division) Residential............ X $360.00 =$ _ Units .. "Commercial (sq. ftg.)..... X $0.03 = $ — t 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 s s (paid at Recreation District Office) (form available after Plan Check) ' 4 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE, $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 4" 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT 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 1 ellow-Applicant Pink -Owner (rev. 2/2003) b .i . - L' 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 f OWNER PROPROSED BUILDING USE A.P.# �?5 ..-�ya_U/(� DATE a .• RECEIPT # DATE REC. 1. BUILDING PERMITFEES --- Balance Due ..................... $ r --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ , 2. SCHOOL DISTRICT FEESUII u �, �l r', • [ ' (paid at School District Office) form availabl'e,aftei Plan (Aeck), 3. SHERIFF FEES (paid at B ilding Division) Residential............ X $360.00 =$ 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 4 a:r (paid at Recreation District Office) (form available after Plan Check) ° 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE 189.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ r 10. OTHER + { At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These: fees may be changed during the plan checking process. APPLICANT DATE J 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) . i SITE PLAN REVIEW APPLICATION Date: r-P_r_7_%c� AP# Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: P� ��t � ��! � i 6-146 G � Owners Address: (/ -}� 2i /`�[ �i�7✓t�7 C/�� �O Telephone No.: 5)-0 L !J Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other . ❑ Septic ❑ Well ❑ Agricultural Exem t Building Agricultural Buffer Form ❑ Applicable ❑ N/A Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) A Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval �i Site Plan Sta ed Approved By Date 9-1-7- 2�`1 Page 1 of 5 w_ 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).�Fy ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: B 16 DC. Index Date: 6 ❑ 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: 49- 2-5 6-A A-9 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front ` Side l Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 ^+ r Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: 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: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded. prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 it Subdivision ME/Parcel Map: Map Date of Recording: f, L ( (I'rt Lot: Z ❑ Use Permit/Minor Use Permit Permit Number: Book: ///g Date of Approval: Page: 6-7 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 road maintenance, and stop sign maintenance. ❑■ Page 4 of 5 I 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. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 i :OP Y of Document Recorded 19 -Nov -2004 2004-0071312 RECORDING REQUESTED BY: Has not been compared,vith original BUTTE COUNTY RECORDER / AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL, COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the. local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MICHELLE J. PHILLIPPI REAL PROPERTY OWNER/LESSOR PO BOX 624 MAILING ADDRESS PALERMO BUTTE CA 95968-0624 CITY COUNTY STATE ZIP 546 JUSTELLE DRIVE INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE CA 95968 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 04-2813 (530) 538-75411 BUIL DfNQ PEWIT NO. TELEPHONE I& BER SIGNAT kT�Of L L AGE CY OFFICIAL DATE INTEdkITV HOMES ` DEALER NAMEULAt a dealer sole, write "NONE") 1067714 DEALER LICENSE NO. CHAMPION 2004 SOUTHWOOD SN581-2 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 009-05-581-15131A/B/C 13'3"x266" 13'6"X58'6" 13'3X61 RAD 1413941/2/3. SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) AP#025-340-016 REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED HCD FORM 433(A) REV. 8/91 04/04/82 16:18 8IDWELL TITLE CLISTOMER SERVICE 4 5305330125 NO.383 P006 OP.DER NO. BU -179657-3 DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUWrY OF BUTTE, AND YS DESCRIBED AS FOLLOWSt. P11RC'P,;e PARCEL 2, AS SHOWN ON THAT CERTAIN FARCES, MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 11, 1999, IN BOOK 148 OF MAPS, AT PAGE(S) 57 AND 58. RESERVING THEREFROM A 60 FOOT RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES, AS SHOWN ON SAID MAP. AP#¢: 025 -240 -IIS -000 (PORTION) PAP,CEL. III A 60 FOOT'RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF. BUTTE, STATE OF CALIFORNIA, ON OCTOBER 11, 1999, IN HOOK 148 OF MAPS, AT PAGE(S) 57 AND SR. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. ARRCEL III• A STRIP OF LAND 30 FEET 141DE INCLUDING A 50 FOOT RADIUS CUL-DE-SAC:, OVER A PORTION OF THE* NORTHEAST ONE-QUARTER OF SECTION 1, TOWNSHIP I8 NORTH, RANGE 3 VAST, M.D.B. & M., DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF SAID SECTION 1; THENCE SOLTTH 0-0 DEG. 37' SO" EAST ALONG THE FAST LINE OF THE NORTHEAST ONE- QUARTER OF SAID SECTION 1, ALSO BEING THE CENTEF.LINE OF L014E TREE ROAD, 1653.09 FEET; THENCE LEAVING SAID EAST LINE, SOUTH 86 DEG. 52' 32" WEST, 30.03 FEET TO THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED STRIP OF LAND; THENCE CONTINUING SOUTH 86 DEG. 52' 32" HEST, 1914.10 FEET TO THE BEGINNING OF A CURVE Coj;CAVE TO THE NORTH HAVING A RADIUS OF 50 FEET AND A CENTRAL ANGLE OF 143 DEG. 07' 4311, (THE HEARING To THE RADIUS POINT BEING NORTH 86 DEG. 52' 32" EAST); THENCE ALONG THE ARC OF SAID CURVE IN A SO711WASTERLY DIRECTION 124.90 FEET; THENCE NORTH 86 DEC. 52' 3.2" EAST, 1801.91 FEET' TO M BEGXNNTNG OF A CURVE TO THE RIGHT HAVING A RADIUS OI' 20.00 FEET AND A CENTRAL At7C-,jiE OF 92 DEG. 29' 38" • THENCE ALONG THE ARC OF SAID CURVE 32.29 FEET TO A POINT ON THE WEST LINE OF LONE TREE ROAD; THENCE NORTH 00 DEG. 37' 50" WEST ALONG SAID WEST LINE, 50.92 FEET TO THE POINT OF BEGYNNING. CONTINUED 04/04/02 10:19' BIDWELL TITLE CUSTOMER SERVICE 4 5305330125 NO.383 P007 ORDER NO. BU -179657»3 DESCRIPTION - GOtNTIZ D PARCEL IV: A NON-EXCLUSIVE EASEMENT 20 FEET IN WIDTH FOR PUBLIC UTILITIES PURPOSES OVER A PORTION OF THE NORTHEAST QUARTER OF SECTION 1, TOWNSHIP 1S NORTH, RANGE 3 EAST, M.D.B. & 1MS., LYING 10 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE; BEGINNING AT AN EXISTING PACIFIC GAS AND ELECTRIC POWER POLE FROM WHICH THE NORTH QUARTER CORNER OF SAID SECTION 1 HEARS NORTH 17 DEG. 49' 0511 WEST, 1369.97 FEET; THENCE SOUTH 40 DEG. 09' 15" EAST, 140.06 FEET. THE BASIS OF BMINGS FOR THiSE DESCRIPTIONS IS THE SAS AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTS/ OF BUT'T'E, STATE OF CALIFORNIA, IN BOOK 52 OF MAPS, AT PAGR(S) 52. 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. BP042225 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: 09/10/2004 APN: 025-340-016-000 the Business and Professions Code, and my license is in full force and effect. 1 1 License Class: C91 License ,Number: LAS13LA Site Address: 546 JUSTELLE DR PAL Date: Contractor. Map Index: Description: OPEN DECK (192) 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: PHILLIPPI MICHELLE J permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a P O BOX 624 signed statement that he or she is licensed pursuant to the provisions of PALERMO, CA the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95968-0624 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant•- PHILLIPPI MICHELLE J 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: DU PAR & ANGEL INC not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed MICHELLE FREEL pursuant to the Contractors' State License Law.). 2532 SANTA ROSA AVE ❑ I am Exempt under Article 3 of the Business and Professions Code SANTA ROSA, CA 95404 530-821-5850 530-821-5854(fax) Date: Owner: michellef88@sbcglobal.net License #: 457364 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 C 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: Carver �5A�A-e-- Total Square Ft: 192 S.F. Policy #:_ Valuation: $1,920.00 Census Code: ❑ I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, 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: q ^ ( ()— 0-11 / �%� , [/J �/ ((NN 11 nn Applicent:V�/.i��yc �LfJQ� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the pplicable provisions of the Butte County Code ?nrttor 1 hereby affirm that there is a construction lending agency for the Resolutio dQ,work indi dab for ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)%D Name: By Date: PERMIT EXPIRES ON: Address: to ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby, authorize representatives of Butte County toenter upontheabove mentioned property for inspection purposes. ��� `'1 LU Print Name: ��� Q/L e 1 �'�1 Signature`. Lin IX Q� Date: Cl Owner 13 Contractor ❑ Agent for Owner 11-ent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAWE.LCAWrr) I J OWNER Name M C dl / j_ Address �. 69024( Citye /)'JO el State Zip 015 %&e Phone 3.2[ q Fax E-mail CONTRACTOR -}�- Name A.AL nd e Address 0: 0/15/61c' 1* J, City %JLbal /r State CA Zip qs,791 Phone 5� Fax �i 5g5y E-mr)lei I Lic. # IIQ y Classey7 i11v -- APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Subdivision Name Fax E -melt Page State License Number APPLICANT NAME Name Address j Wits, City State Zip Phone Fax E-mail • f \uvv�vee ? 8'Qd v APPLICANT SIGNATURE x` --t For office use onl Zoning Flood Zone y I SRA Yes Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 PERMIT BP BIN # LOCA ION AP# _ oZ / Property Address Cross Street _ - I—LonQ Tr1?.c 2tx WORKER'S COMPENSATION Policy Number I I YR ,� Carrier 4ao_ F&-4d, If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 1 "I Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. by: Receipt #: - bqqS� Date:-�b c 2 Amount: / � Bldg SRA Sheriff SMIP Total REV 4-30-04 SUBMITTAL REQUIREMENTS { The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXESI). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPERI . ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed b t� 'neer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 53877541. _ OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Plan Approved for: Sewa Clearance for dwelli g. ther r Hold final for: Final clearance O.K. for: NOTE: Water Supply: E.N. ONLY Plot Attache Floor Man Attacd� Sant to S.D. / -34 --14 AP# is Private Well EnvironmeniaD Health Specialist 8/96 Date . t 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: ASSESSOR PARCEL NUMBER �' Proposed Building Use: �.. Counter Technician: /' Date G Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t apply. 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: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 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 ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 0 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 ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use:(B)Parking: (C) Parcel Check:_ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. 0 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. Ti e/Statement of Facts ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 38. Other: -5 MI.)? 39. Other. When issued Telephone I - and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. a '^ Applican .�6;k&"c Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner was advised of the ae by phone, ❑ mail, ❑ coun e y Date: Plans reviewed by: -Date:-7,11•8 Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: `1- 2"1- oy Yellow: Building Division Building Permit Number. Qi'aaa's Owner Name: PLS / I P P j Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 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 CHECKFD 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: Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. 0 The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. ' A setback of feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. 6' TYP. , 1•._ -(16 PLYWOOD CC EYT. 'I`--^� 4" �4 _ • , •' FRMIUE� � � ' m 28x 12° STNI STRIIJ6ER. h8'o.b. MAX. ?0P VIEW HR1,I179IUL; AT SHOUTM •FDR CLARITY. 9'18fo' DF*2 2'Klo' DECKIIJ6 '(ALT 3YI BOLT ' S pctcec{ 30 4h(L+ Q 19a'TAG PLYWOOD CC EXT: - - Z,y�q, 1'I Sphere Caand La OC F MOBILE IIDME �t OR PC oc —2111 :7 • ma.FRM{J L--- — — �N `• I MAX. CLIP (EA. DE • . ' 4'144• POST •z -- GrURRDRAIL +'QOF�� 2'k4" PRESSURE '_ (2) 1Il TRrAT£D oJ* DOLTS RFDW00D'P1A 0 . [T - DECKIIJG GIRDER Mid. PRECAST 4"A4' POST '�"� TER ADE04TE' DIAGONAL IO--30�fj 9 --� - Ilb - �rtACINU• TYPICAL REsfDEAlaw sr�Ps .�No/Qo�ck IV` BOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS l4rxl 1114 1. I°'oo NN6 7 County Center Drive — Orovllle. Celllornla 95965 'Telephone: a' •' FRMIUE� � � ' m 28x 12° STNI STRIIJ6ER. h8'o.b. MAX. ?0P VIEW HR1,I179IUL; AT SHOUTM •FDR CLARITY. 9'18fo' DF*2 2'Klo' DECKIIJ6 '(ALT 3YI BOLT ' S pctcec{ 30 4h(L+ Q 19a'TAG PLYWOOD CC EXT: - - Z,y�q, 1'I Sphere Caand La OC F MOBILE IIDME �t OR PC oc —2111 :7 • ma.FRM{J L--- — — �N `• I MAX. CLIP (EA. DE • . ' 4'144• POST •z -- GrURRDRAIL +'QOF�� 2'k4" PRESSURE '_ (2) 1Il TRrAT£D oJ* DOLTS RFDW00D'P1A 0 . [T - DECKIIJG GIRDER Mid. PRECAST 4"A4' POST '�"� TER ADE04TE' DIAGONAL IO--30�fj 9 --� - Ilb - �rtACINU• TYPICAL REsfDEAlaw sr�Ps .�No/Qo�ck IV` BOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS l4rxl 1114 1. I°'oo NN6 7 County Center Drive — Orovllle. Celllornla 95965 'Telephone: 25 -3 qo — o/4 �y£N7O)H STATE OF CALIFORNIA NUMBER: —•• BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 8725282 Y0 DIVISION OF CODES AND STANDARDS i MANUFACTURED HOUSING PROGRAM "f MANUFACTURER CERTIFICATE OF ORIGIN �h L ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -KNIT MANUFACTURED HOUSING NUMBER OF SFD (SINGLE FAMILY DWELLING) 11MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS 3 COMMERCIAL COACH: OCCUPANCY GROUP _ Champion Home Builders Co. RER LICENSE NUMBER: 90086 P.O. Box 429 Lindsay CA 93247 97,472.00 street cl State 1 MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: SOUTHWOOD SN581-2 10-01-04 , NAME OF OEgIffi3OR TMS SF�RF_F (D1� ffyjT0'[[{ff(fRBED TO): Cy t1 Ur7J LV CiY LHOMMESS CALIF. DEALER DATE OF TRANS61E DBA/INTEGRITY ,,iLINC1L' E DESIGNATION: 1067714 u 1-04 DEALER OR TRANSFEREE ADDRESS: '1740 FEATHER RIVER BLVD OROVILLE CA 95965 (Street) (City) (State) (ZIP) INVENTORY CREDITOR NAME: TEXTRON FINANCIAL CORP_ INVENTORY CREDITOR ADDRESS: s eet 1 BONHOMME AVE . SUITE 600 T . LOUIS MO 631 0 a cl (ZIP) SECTION 16 MANUFACTURER SERIAL NUMBER MCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH wEIGmT (INCHES) INCHES POUNDS 1 009-05-581-15131C RAD1413941 320 160 11746 2 009-05--581-15131B RAD1413942 704 160 24113 3 1 009-05-581-15131A I RAD1413943 736 160 1 25209 11 "thg Itertificate of Origin TRANSPORTER NAME: retainedh ton olne u BENNETT TRANSPORT , rRAff�rT R`LOw AVE Date U street D (State) (zip) DESTINATION FOR UNIT DESCRIBED ABOVE: I e ftify Under penally of penury under the laws of the State of CN110frM That the above fatxe are Wo and correct, Executed on 10-01-04 Lindsay, Tulare CA (Dale) IN) I (County) (State) SIGNATURE OF AUTHORIZED AGENT: Q19TRIBUTON; ORIGINAL (PINK) FoawaaD To THe INVI NTKTER ED OR UNL 5 T ER IS NE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY t (WHITE) FORWARD TO THE DEPARTAT D. BOX f 26, S T0, CA 9SB12-1620, WITHIN FIVE (5) DAYS OF RELEASE B COPY 2 (YELLOW) DELIVER TO THE TRANSPOO CCOMPANY TH IT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE UFA RER ■ HCD483.0•Side I-(7/97) USEM069 Y■ TOO/1002 HOIJ90 V\Q "-F Samog SIT,120JuI 7,p.p��tp0pq XB,q Rb:fi qfl,T, w7iQninr �.° =;4 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2004-0050637 Recorded I Official Records I County Of TTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Kathyh 03:09PM 19 -Aug -2004 I Page 1 of 3 REC FEE CONFORM 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: �-e &J --e4 // Date O© PROPERTY OWNERS: P / / State of California County of fJw4'C. On U U fiUSf- 114 100V before me, personally appeared 6 J personally known to me (or proved to me on the basis of satisfactory evidenc to be the person whose named, is/awe subscribed to the within instrument and acknowledged to me that keishe/they executed the same in- herlflwk authorized capacity, and that by #/her/their signatureion the instrument, the person(l or the entity upon behalf of which the person(0 acted, executed the instrument. WITNESS my hand and official seal. Signature Q,l & � A 0 jQ Seal: MICHELLE LEE FREEI N@-MY Comm. # 1435881NOTARY PUBLIC.CALIFORNIAA.P. # r :?3�=10=-01 ,/Rulfe County Comm. ExPlres Augus124, 200704 13.00 1.00 r ORDER NO. BU -179657-3 DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED xN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN TRUE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 11, 1999, IN BOOK 148 OF MAPS, -AT PAGE(S)'57 AND 58. RESERVING THEREFROM A 60 FOOT RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES, AS SHOWN ON SAID MAP. AP#: 025-240-115-000 (PORTION) PARCEL zi s A 60 FOOT RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES, A5 SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 11, 1999, IN BOOK 148 OF MAPS, AT PAGE(S) 57 AND 5B. EXC8PTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DIESCRISED HEREIN. FARCEL III~ A STRIP OF LAND 30 FEET WIDE INCLUDING A 50 FOOT RADIUS CUL-DE-SAC, OVER A PORTIOR OF THE NORTHEAST ONE-QUARTER OF SECTION 1, TOWNSHIP 1S NORTH, RANGE 3 EAST, M.D.S. & M., DESCRIBED AS FOLLOWS.- COMMENCING OLLOWS:COMMENCINGr AT THE NORTHEAST CORNER OF SAID SECTION 1; THENCE SOUTH 00 DEG. 37' SO" EAST ALONG THE EAST LINE OF THE NORTHEAST ONE- QUARTER OF SAID SECTION 1, ALSO BEING THE CENTERLINE OF LONE TREE, ROAD, 1653.09 FEET; THENCE LEAVING SAID EAST LINE, SOUTH 86 DEG. 52' 3211 WEST, 30.03 FEET TO THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED STRIP OF LAND; THENCE CONTINUING SOUTH 86 DEG. 52' 32° WEST, 1914.10 FEET TO THE BEGINNING OF A CURVE CONCAVE TO THE NORTH HAVING A RADIUS OF 50 FEET AND A CENTRAL ANGLE OF 143 DEG. 07' 43", (TIE BEARING TO THE RADIUS POINT BEING NORTH 86 DEG. 52' 32" EAST); THENCE ALONG THE ARC OF SAID CURVE IN A SOUTHEASTERLY DIRECTION 124.90 FEET; THENCE NORTH 66 DEG. 52' 32" EAST, 1801.91 FEET TO THE BEGINNING OF A CURVE TO THE RIGHT HAVING A RADIUS OF 20.00 FEET AND A CENTRAL ANGLE OF 92 DEG. 29' 3811; THENCE ALONG r ARC OF SAID CURVE 32.29 FEET TO A POINT ON THE WEST LINE OF LONE TREE ROAD; THENCE NORTH 00 DEG. 37' 5011 WEST ALONG SAID WEST LINE, 50.92 FEET TO THE POINT OF BEGINNING. CONTINUED ORDER NO. BU -179657»3 DESCRIPTION - CO TTINMD PARCEL TV; A MON-EXCLUSIVE EASEMENT 20 FEET IN WIDTH FOR PUBLIC LTILITIES PURPOSES OVER A PORTION OF THE NORTHEAST QUARTER OF SECTION 1, TOWNSHIP 18 NORTH, RANGE 3 EAST, M.D.H. & M., LYING 10 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT AN EXISTING PACIFIC CCAS AND ELECTRIC POWER POLE FROM WHICH THE NORTH QUARTER CORNER OF SAID SECTION 1 BEARS NORTH 17 DEG. 49' 059 WEST, 1369.97.FEST; THUNCE SOUTH 40 DEG. 08' 15" FAST, 140.06 FEET. THE SIS OF BEARINGS FOR THESE DESCRIPTIONS IS THE SAKE AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN -THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 52 OF MAPS, AT PAGR (S) 152. Y O1 " . ag? . c� r •. i Y r.r y 4.* �� t rd ie 4 r{ + + - � r.'�.`L' x�i �� :=FOUNDATION�,SYSTElVI ,X,. '�•'y,�r�i7r� :��s a��t' .�S +., = .A., �� a '+CrER, CA; Ur OF,�OCCWP C -Y � �Y'�Yt". �F'� ,�ti7'y�i�/ J�,y,.. -F! �F>« t " � [�.-t4 �/A 'FL ",�ti._�.r.'c1�3.�'4• :a,y»^,}j, �3 t r �a � `s� f �i; k8.t ,fir ✓ ci: A .z..``� -w +�? ; t?�. i Fry- �' '7. �` Z �`, �`i. 'tAy,(�Y�. r4. °..0 t ��'ra' ABY i.. �., f'. ���.�� t-� Fa :r i� '! 'ice 4a:��..,.., �'�u. ctyF y °t+..;Y"F'rr�^'�.*;K . C'=� ;"it � .;, + �• BUILDING PERMIT NUMBER:04-2813 Address or location of unit: 546 JUSTELLE DRIVE, PALERMO CA 95968 Legal Description of Real Property: AP#: 025-340-016 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by.installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: MICHELLE PHILLIPPI Owner's address: PO BOX 624, PALERMO CA 95968 INSIGNIA OR HUD NUMBER: RAD1413941/2/3 SERIAL NUMBER OR V.I.N.: 009-05-581-15131A/B/C ' 4 MANUFACTURER'S NAME:CHAMPION YE R: 2004 e OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C i rA 04/04:02 09:3e BIDWELL TITLE CUSTOMER SERVICE 4 5305330125 RWOMING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WI M RWOHDIM MAIL TO: MICHELLE J. PHH.LIPPI 1600 ADOBE ROAD PFTALUMA, CA 94954 ORD -C A.P.N.; 025-244.115, PARCEL 2; (OrderNo,: 11 GRANT ®EEC NO.372 P005 I Ili II I I II I I III I I I II li III I Ilia (I !I 21®tl� tta— ®� i E►®1 4 Recorded Official Records COME& CAWDXE J. 6RLMOS Recorder ROSEW DICKSON Assistant 098NFA 03-0lay-aw l TAX FEE 1353.00 I I t 1 I 1 Vickie IPage 1of3 Above This Line for P notdet's Use Only Escrow No.: 1796573-ItRAM 3 THE UNDERSIGNED GRAN't'OR(s) DECIAREM THAT DOCUMENTARY TRANSFER TAX IS: COUNrY $35.75 X j computed on full value of property conveyed, or computed ou full value less value of Low or eucurttbrances remaining at time of sale, j unincorporated area: [ j City of _, aad FOR A VAL:UA$I.E CONSIDERATION, Receipt of whirl, is hereby acbnowledged, HENRY T. RUNGE, JR. TRUSTEE OF THE HENRY T. RUNGE, JR. AND CYNTMA A. RUNGE L[VING TRUST hereby GRANT(S) to NUCH ELLE J. PWI.LIPPI, an unmarried avornan the following described property in the unincorporated area of the. County of Butte State of California; SEE ATTACHED LEGAL IDESCREMON THE HENRY T. RUNGE, JR, AND CYNTHIA A. RUNGE LIVING TRUST HENRY T. RUNGE, JR., TRUSTEE Document Date: Arvid 27, 2000 STATE OF CALIFO.RtJ)A ;SS COUNTY OP Butte on May 2, 2000 before me, Michelle A. hiller, NotAa Public pstsomlly appeased Henry T. Rurtge, Jr., Trustee Immonady known to me for proved to me on tht: basis of sadsfactory evidence) to be dw pttsoh(c) whose name(s) is/are subscribed to the within insovtnent and acknowledged to the that lidshdthey ettocuted the earns in his/her/their eualoriaed capacity(ies) and that by nisrher)heir signatures) on the insoutttcnt the permott(s) or he entity upon behalf of wh)cb he person(a) acrd. executed the instrument. WITNESS my hand and official seat - for o(tlt:ul nomrlal sent, MICHELLE A. MILLER C*1nlnrsr�116117®414 Aid CPS WON P&k A�9}p Cottldy. CallttxdtlG My ESP, AN. 3, 2002, Mail Tax Stateritab —T SWEAMAMOVE Or -Address Noted Below STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a: Mobilehome Commerical Coach Floating Home Truck Camper Decal (License) No. (s) Trade Name �LA'J(rlUJp( Serial No. (s) I/ We, the undersigned, hereby state that the unit described above: 6-b -GYrlu 6L, APN - a 5- o cio — /a i Affiant further agre'es to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above- described unit in California, of from issuance of a California certificate of title covering the same. I / We certify under penalty of perjury that the foregoing is true and correct. Executed on 19— 6—Q3 at: Oroville ,California (Date) (City) (State) Signature of each affiant Printed name of each affiant Michelle Freel; Office Manaqer Address 1740 Feather River Blvd. City Oroville , State California HCD 476.6 (Rev 11/86) Department C o u'n t J. Michael Crump, Director 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 (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: yxv,--� Un ,('ucr 'rrLl.1 Project Location and/or Parcel Number: 06A� — -- (�s< < Q By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply fora Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: C`C�-vim nC��,9J1 Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte.County Storm Water Management Program Revised 5/12/04 BASIS OF 5EARING5 (6.0. B.) THE 5AS15 OF BEARING5 F0RTH15 PARCEL MPP 1S THE LINE BETWEEN N'/A COR 5-1 AND THE C'/& 5-1 BETWEEN FOUND MONUMENTS A5 SHOWN ANO TAKEN A5... NORTH OZ•54' O4• Ea,ST (R) N1/A COR 5-1 N69.26'E(GLOI 2464.40'(4L0) �•� 5B9. 40'59"E(R)(G)(RI )2'!51.0$(8) N 69.02'52-w(R3) 294,00(251 N 69.40' S9•W(RI)294.S&(4LO) , - WE COR 5-I (R6) / FD. S/6 PI PE LS 5728(R)(RI) 1175. 52'(R) / FD, ,-7 9/a GA PFCD PI Pt ) 1175.93' CR) 1 ) G / l5 5-(28 (R)cl, 9O'DE TO t0 / ' A! W t v I 0 0 7 tr 2459.90SERIALS -00 N 04'60'00 6(<1O.LD9L AGS I % d -d toD•oEW ' I 499.9 Dtn) 910.00'(M) sec ' 6 tJ 5-70.00*(")a `"'�6•,O.O,O+i�i� _ ,it 3 Z ; PARCEL P _ ' O v, in N L,. 5985 AGRE9-NET NPARCEL .a7•�ri. O \ I NOT 5GARC11LD p 0 wrNA 9 N'N PARCEL 2 �I d O 4•GB 77 ACRES �; OnsJ• 3.1277 ACRES f' N GR095 GO V'T LOT 1,)OT SEARC"DFIL'� Fol 0/4 CAPvW PIPC L5 B726 (R)� . NNO d •1 Q` 4' m Nm PIPE i (TYP) �14LS V Z 01 3,26eO N ,.,N of a 1209, 201 (R) N B4.4'I' 25ECR)_- _ — {. _ _5-TD_�PE_— DRivG _ _ =�•� ,-J TS4.Ij'(C)' ✓J 9O'DE TO t0 vato COUNTY ( BUTTE COUNTY 7 I 0 0 2459.90SERIALS -00 N 04'60'00 6(<1O.LD9L AGS I % d -d toD•oEW I 499.9 Dtn) 910.00'(M) sec ' 6 tJ 5-70.00*(")a `"'�6•,O.O,O+i�i� _ ,it 3 Z ; PARCEL ). in N L,. 5985 AGRE9-NET NPARCEL .a7•�ri. F O y �a "a 0PARCEL 1 �a 9 N'N PARCEL 2 �I d O 4•GB 77 ACRES �; OnsJ• 3.1277 ACRES f' N GR095 � nA y •8 - III ()^ a P 5. 1147 ACRES d •1 Q` 4' m Nm 5, 1222 ACRES 0 o. a5•o7's dI N n L•3 5 _ O L• /2a4.9/.9/ 5D ` — _ __ _ .00• •nom— _ c 5,0.00 c) -� —_ _ — {. _ _5-TD_�PE_— DRivG _ _ =�•� ,-J TS4.Ij'(C)' SS ZA F' y —RE { PU. E. TO Be 5RADIUS ; I_ ESERe;z VED IN DEEDS AND 0 R CUL-DE•9AC N OFFERED FOR DEDICATION 0� TO, BUTTE GOutI". 1999-o0." P m - IIII 5ElZ199i9- 9-ooA1955 SE 8.19 952x5 = 1` St R•1999-'S3Z44 COR (R5) 1268. 50 CR) J ,v - LSGOR 5-1 / N B4•CA1'o9-E (RT){R5) •iA'I. P. LS 5,28 (R)(RD) A. na Miii " aaA1D � Crm wISMA�b'LRI E✓O?/ N4OR "ATEMEA1;r oN eveilry' J!/R1�E�OR�i' STATEMENT .ANO WAS CO"PIL!/O FROM R6QDpgT4 /NA✓E E/AM/NEO T.t/M. MAP ANO /T M 4(/IlSTAA?/gLLY THE ANO A9 Ti�4iE0 O.t q F/ECO .N/?✓EY /N MNFQQMgNCE SAME of /r AAPlxgeo OA/ THIS TENTNT/VE MPP e 4 qN✓ w/TN7.1/E QEQ!//.PEMENT9 OF TNC SUA3lA'✓AS/0� �P q[7 qP gOVEO gLTE?AT/OA/ TNEFEQ! ALL OF 7We PROM1Xla f ANO GOCAL QOA/NANL•E DALAZ ONJ4U2 /49NERE9Y,3'TRlC . K THE J/g0/Y/S/ON MMPEqqNflbL OO/NgAME9 APPL/CP9LE T TN6 AATTT qT OFVLR O� rA2 MAMAT/✓b PARfEL A20P •/(A,MyTANT/ALG M 7,rA r4rI R7 T.YE APP.PO✓EO MAP NA✓E .BEEN COMP[/EO W/T/I AA/O / AM !ATMA/PO TMg7 TR.Y 00 CONO/T/qt/ALL✓ gF,oilp✓EJ Td-A/TgT/✓6 MAP /l qNy MqP K' TECNN/CALL✓ CORRECT Me MCWC/MEAIY'9 i.✓Oww a/L-V6A ORB O! T.t/G C.i�AE:4fTEX AA0OCCC/P✓T.✓C.MIi'?/O.C/4 /NOifATBO ANO AqE /.✓PC.00E OOTEO O•neen y/999 A o ARE JY//FiC/ENT 70 E.�/q.OGE THIS .fC/RVEy TO .6E RETRACED. THE 40' RN .MD P.LLE. oFCDR60 Poq OSDICAT1oN 19 N•T �� (fin , AccDPTED AT TMIE THE (.M, �// O _ 1 J 0.. _ 6 w 7�BOGLL S.GE. 2902 ceuurrsuaveye.¢ ACO L. (�'?A✓Ei PC.S. 5 REOpTOAT/ON B1R'RE9: i/s•/ol •-1 FDFO 9-1 5/a' 1. v./ L'54085(p 4065(R GEC COR(R5) NOT SGAR0160 19N a�' ' scALe: 1^.200' ILOUfel• AREA,i 9 e a a 11: LOCATION MAP LEGEND N.T. S. JO CALCULATED ONLY. NOTHING SET m • 5ET'li REBAR TAGGED PLS 4005 AK RECORD tAON(R6)NOT SEARCHED FOR s• O (M) M6A5U RED (RI) 77 n 7A T' (G) CALCULATED (Re) 55 M 21/ e-sro S) (.R) 52 M 52 (RI) 92 M 45 (CLO)9 vaR rbwN v PLaT A PENNINGTONS~I21/ IDTO ND 1/ID/ID71 ( RZ) G5 M 98 2 (R5) 94 84554 (R4) 159 N 15 O SEC CORS AS NOTED J' (Rs) Iaa n &, / (R(,) M3 N 99 PAitLW. MAP THE SOUTH 393 FEET OF THE NORTH l86 FEET OF LOT5 5 AND IO OF SECTION I,TOWNSI-IIP M NORTH, RANGE 3 EAST• M. D. M., Uvil"COR- PORATED AREA, BUTTE COUNTY, CALIFORNIA. xecm ze'4, -rureA EM7 Fi.Eo r/!,y NH y y aR roses-�r2^1Ll,y /A/ HAR0L0 DSLAZ MAS' Ar <[q�'�Po) T7ME RE/L{f/EST StRS7)L+1/999-ODV33d•9 /) ,••t 4•. HAROLD BALAZ A/OTE:0A1 OWN6ef EMrd'H AgAD4 COA/CC/RREAM& RECORLea /N rA/E OFr CE OF THE 9C?TE Cp✓A/rY?Eo7?p EQ L/NOER feeme .VOM/7ES //199-ooy393A RA'Pnnon 1 �r /SHEET I OF 7. CIVIL ENGINEERS $ aSS0C1ates lAXO $UNYLTON$ P.O. BOX 986 OROVILLE, CAG. 95965 APA 25-24-115 Ph -(916)534.9587 S7_Io5 8 OD/C //,o PAGE s� $Quthwood Master Bdrm 14'-6" Opt Window 3 0 v n O Walk-in Opt Glamour Bath (Opt. Picuue Wndows Replace 14" Wndowl Living Room 18'-4" Dining Room 12'-11" Desk Model #581 1,902 Square Feet (Porch area not included) 40'x61'-4"/58'-8" Lino Porch Environmental Health 01 23 704 Oroil e, Canr Cr�ve v Opt Inswing Bdrm #3 11'-6" --------------- Den Bdrm #2 11'-8" 12'-10" mepes veru Environmental Health .1111 2 1 W4 7 County Center urive tL u�,C�moce- Oroville, Ca 12 `�" , ` Built By mamptoRS n Lindsay, California 1 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 19 -Aug -2004 2004-0050837 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 twithin 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: Date 4�ePROPERTY OWNERS: AoV—ZZLz� State of California County of 6LA- k— On att fiust- k L&y'l before me, personally appeared -� personally known to me (or proved to me on the basis of satisfactory evidenc�o t6 be the person whose name(g) is/are subscribed to the within instrument and acknowledged to me that heishe/thy executed the same in•4a6&er/theC authorized capacity a, and that by hi0her/their signaturer60n the instrument, the persons or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. Signature' 4,4� _ (3'1ZL. Pe p Seal: MICHELLE LEE FREEI r'n' Comm. # 1435881 rA �� VI �� NOTARY PUBLIC •CALIFORNIA N A.P. #`Lint`s 340--0 ( W . • . MY Comm. Explies August24,200706 Q,, ORDER NO. BU -179657-3 DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: MC -8b 1; PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN ME OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 11, 1999, IN BOOK 148 OF MAPS, AT PAGE M '57 AND 58. RESERVING THEREFROM A 60 FOOT RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES, AS SHOWN ON SAID MAP. AP#: 025-240-115-000 (PORTION) PARCEL Ii;, A 60 FOOT RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES, A5 SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 11, 1999, IN BOOK 148 OF MAPS, AT PAGES) 57 AND 58. EXCVPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DRSCRYBED HEREIN. PARCEL III• A STRIP OF LAND 30 FEET WIDE INCLUDING A 50 FOOT RADII'S CUL-DE-SAC, OVER A PORTION OF THE NORTHEAST ONE-QUARTER OF SECTION 1, TOWNSHIP 1S NORTH, RANGE 3 EAST, M.D.R. & H., DESCRIBED AS F'OLLOW'S: COD04ENCING AT THE NORTHEAST CORNER OF SAID SECTION 1; THENCE SOUTH 00 DEG. 37' 50" WT ALONG THE EAST LINE OF THE NORTHEA9T ONE- QUARTER OF $AID SECTION 1, ALSO BEING THE CENTERLINE OF LONE TREE ROAD, 1653.09 FEET; THENCE LEAVING SAID EAST LINE, SOUTI°I 86 DEG. 52' 3211 WEST, 30.03 FEET TO THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED STRIP OF LAND; THENCE CONTINUING SOUTH 86 DEG. 52' 32" WEST, 1914.10 FEET TO THE BEGINNING OF A CURVE CONCAVE TO THE NORTH HAVING A RADIUSS OF 50 FEET AND A CENTRAL ANGLE OF 143 DEG. 07' 43", (THE DEARING TO THE RADIUS POINT BEING NORTH 86 DEG. 52' 36" EAST); THENCE ALONG THE ARC OF SAID CURVE IN A SOUTHEASTERLY DIRECTION 124.90 FEST; THENCE NORTH 86 DEG. 52' 32" EAST, 1801.91 FEET TO THE BEGINNING OF A CURVE TO THE RIGHT HAVING A RADIU'S OF 20. 00 FEET AND A CENTRAL ANGLE OF 92 DEG. 29' 38"; THENCE ALONG '1'fiE' ARC OF SAID CURVE 32.29 FEET TO A POINT ON THE WEST LINE OF LONE TREE ROAD; THENCE NORTH 00 DEG. 37' 5011 WEST ALONG SAID WEST LINE, 50.92 FEET TO THE POINT OF BEGINNING. CONTINUED ORDER NO. SU -179657-3 DESCRIPTION - DONT12MTD PARCHL Ii A NON-EXCLUSIVE EASEMENT 20 FEET IN WIDTH FOR PUBLIC MILITIES PURPOSES OVER A PORTION OF TH9 NORTHEAST QUARTER OF SECTION 7., TOWSHIP 1S NORTH, RANGE 3 EAST, M.D.B. & M., LYING 10 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT AN EXISTING PACIFIC (SAS AND ELECTRIC POWER POLE FROM WHICH THE NORTH QUARTER CORNER OF SAID SECTION 1 BEARS NORTH 17 DEG. 49' 059 WEST, 1369.97. FEST; THENCE SOUTH 40 DEG. 08' 15" EAST, 140.06 FEET. THE BASIS OF BEARINGS FOR THESE DESCRIPTIONS IS THE SAME AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 52 OF MAPS, AT PAGR(S) 52. BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. D 3 y6�--®l� ZONING OWNER PHONE N u S 3 -lo OWNER'S ADDRESS LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE //�� ��-- 'X�✓ '_ ��SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME --.X— STEEL CONCRETE OTHER (Specify) l L-�- TYPE OF SIDING 4160,o 3/vod(r oL /!//-(/ O(!iS '' ROOF COVERING FLOOR TYPE A I ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: / rr irlrO ino , Orl'iovn FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. -/j o ' c c y Date GSignature of Owner. Permit Fee -$109.98 The above described AG Building is exempt from a building permit. Receipt No. v-�,577 L Q A FLOOD PAROL' P.D/ ROOFI ISSU Manager Building [$visionrNn �/ j/ By White — DPW, Yellow — Assessor, Pink — B. l., Goldenrod —Applicant Date C. BUILDING DIVISION COUNTY OF BUTTE -. DEPARTMENT OF DEVELOPMENT SERVICES I 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. _ ZONING 11) ,�y ,2 OWNER PHONE NO OWNER'S ADDRESS _ LOCATION OF BUILDING ' 6��( C,7l//LLt% USE OF BUILDING, _ SIZE OF STRUCTURE Hyl �". VSO. FT. TYPE OF CONSTRUCTION: WOOD FRAME X STEEL CONCRETE OTHER (Specify) GASB' TYPE OF SIDING AMeD ROOF COVERING e FLOOR TYPE t. ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: f���nit'�I� FRONT �� SIDES �/ REAR �( ) -,f AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. t AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date K /' 06, Permit Fee -$109.98 Receipt No. c/ is- 5- / 7 Signature of Owner //�'�jr The above described AG Building is exempt from a building permit. I L f AIz;V l Manager Building Division `'// By Date White — DPW, Yellow — Assessor, Pink — B. l., Goldenrod — Applicant I NOTES - RESIDENTIAL PERMIT NO. _ 6' x025-340-01_ 04-2225 PHILLIPPI, MICHELE '� s p JUSTELLE DR, PALERMO Cont: DUPAR & ANGEL' J NEW DECK J . SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER { - t I t JOB FINALED (Date) ho� Signature CHECKED BY 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.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped _ 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 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) Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 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 . 57. Siding -Nailing Veneer Date 58. Card B-1 Date Card B-1 Date 59. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Shear Walls; Nailing -Bolts 24. Fixture & Transformer Clearance -Ins. Protection Brace Interior/Exterior Wall Panels 25. Elec. Receptacles Spacing -Lights & Switches at Doors Insulation -Walls -Ceilings 26. Size Boxes & No. of Conductors Stapled Infiltration -Walls -Windows 27. Romex Installed Close to Edge of Studs & C.J. Card B-1 Date Card B-1 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 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 O Yes O 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 70. Stairs & Rails Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 36. A.C. Ducts Insulation & Support Elec. Outlets & Receptacles at Kit. Counter 37. Vent Fan, Exhaust above insulation Garage Fire Door; Swing -Landing -Closure 38. Condensate Drain & Overflow, Size & Grade A.C. Duct in Garage -Damper 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 81. 41. Sills Proper Materials & Anchors 82. 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 ❑ Yes 83. Following Instld./Drive D Yes O No/Walks O Yes O 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: J=OK 0 = Not OK Not MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 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 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 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 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 BUTTE COUNTY DEC 2 2 2004 DEVELOPMENT SERVICES 2004-00-7 1 3 1 2 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:29PM 19 -Nov -2004 REC FEE 13.00 CONFORM 1.00 Shawnya Page 1 of 3 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. MICHELLE J. PHILLIPPI REAL PROPERTY OWNER/LESSOR PO BOX 624 MAILING ADDRESS PALERMO BUTTE CA 95968-0624 CITY COUNTY STATE ZIP 546 JUSTELLE DRIVE INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE _CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also propeny owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE -LIP UNIT DESCRIPTION CHAMPION 2004 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 04-2813 530 538-7541 BUILD .!G PE Mll'N0. TELEPHONES 'MBER l • , �'- SIGNAT L ' L AGE t 1' OFFICIAL DATE INTEG IT HOMES DEALER NAM N4LAa a dealer sale, write "NONE") 1067714 DEALER LICENSE NO. , SOUTHWOOD SN581-2 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 009-05-581-15131A/B/C 13'3"X26'6" 13'6"X58'6" 13'3X61 RAD 1413941/2/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED Ze1U --I t T AP#025 x'49 -AVC - ASSESSOR'S PARCEL NUMBER HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK -Applicant GOLDENROD. Building Dept. 04/04/02 10:12 BIDWELL TITLE CLISTOMER SERVICE 4 5305330125 HO.383 P006 �d ORDER NO. BU -179657-3 DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUN'T'Y OF BUTTE, AND IS DESCRIBED AS FOLLOWS: $sAR n 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 OCTOBER 11, 1999, IN AOOX 148 OF MAPS, AT PAGE(S) 57 AND 58. R.BSERVYNG THEREFROM A 60 FOOT RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES, AS SHOWN ON SAID MAP. AP#: 025-240-115-000 (PORTION) PAitCHL Ti: A 60 FOOT RIGHT OF WAY FOR ROAD AND PUBLIC UTILITI8S, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 11, 1999, IN BOOK 148 OF MAPS, AT PAGE(S) 57 AND 5B, EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN 'THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A STRIP OF LAND 30 FEET WIDE INCLUDING A 50 FOOT RADIUS CUL-DE-SAC, OVER A PORTXOR OF THE NORTHEAST ONE-QUARTER OF SECTION 1, TOWNSHIP 18 NORTH, RANGE 3 EAST, M.D.E. & M., DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF SAID SECTION 1; THENCE SOUTH 00 DEG. 37' SO" EAST ALONG THE EAST LINE OF THE NORTHEAST ONE- QUARTER OF SAID SECTION 1, ALSO BEING THE CENTERLINE OF LONE TREE ROAD, 1653.09 FEET; THENCE LEAVING SAID EAST LINE, SOUTH 86 DEG. 52' 32" WEST, 30.03 FEET TO THH TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED STRIP OF Ie4ND; THENCE CONTINUING SOUTH 86 DEC. 52' 32" WEST, 1914.10 FEET TO THE BEGINNING OF A CURVE C014CAVE TO THE NORTH HAVING A RADIus OF SO FEET AND A CENTRAL ANGLE OF 143 DEG. 07'-43", (THE BEARING TO THE RADIUS POINT BEING NORTH 86 DEG. 52' 32".EAST); THENCE ALONG THE ARC OF SAID CURVE IN A SOUTHEASTERLY DIRECTION 124.90 FEST; THENCE NORTH 86 DEG. *s2' 32" EAST, 1801.91 FEET TO THE BEGINNING OF A CURVE TO THE RIGHT HAVING A RADIUS OF 20.00 FEET AND A CENTRAL ANGLE OF 92 DEG. 29' 38"; THENCE ALONG '1'HE ARC OF SAID CURVE 32.29 FEET TO A POINT ON THE WEST LINE OF LONE TREE ROAD; THENCE NORTH 00 DEG. 37' 501''WEST ALONG SAID WEST LINE, 50.92 FEET TO THE POINT OF BEGINNING. CONTINUED 04/04/02 10:19 BIDWELL TITLE CUSTOMER SEPOICE 5305330125 NO.383 P007. ORDER NO. SU -179657»3 DESCRIPTION - CONTINUED PARCEL JC_V A NON-EXCLUSIVE EASEMENT 20 FEET IN WIDTH FOR PUBLIC UTILITIES PURPOSES OVER A PORTION OF THE NORTHEAST QUARTER OF SECTION 1, TOWNSHIP 1S NORTH, RANGE 3 EAST, M.D.S. & M., LYING 10 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT AN EXISTING PACIFIC GAS AND ELECTRIC POWER POLE FROM WHICH THE NORTH (QUARTER CORNER OF SAID SECTION 1 BEARS NORTH 17 DEG. 49' OS" WEST, 1369.97 FEST; THENCE SOUTH 40 DEG. 09' 15" EAST, 140.06 FEET. THE BASIS OF BEARINGS FOR THESE DESCRIPTIONS IS THE SAME AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 52 OF MAPS, AT PAGR(S) 52. �'� „—""`Y'�5•W"+n+u. s�'w«7Y{•^�,.a.,.�,�,��,�,,' i•s;1���:,.��e-•wiw^�'^-Y!un^v.� t 025-240-121 x`00-2329 ,. -PHII..LIPPI!,1v1ICHELLE LONE TREE RD. PALERIvfO' CONTR:OWNERS WATER PIPING An -;.,e..- .. -wa.-- � , ... r►a :_rr. ., n .-�.,.r.- � tF.... ,..•�j�,. .. - ...-�.- �..- -^.,--'.*+i0"'^.pit•^a.•-..E+i'?rnes+:..+.Rc•gr'r�. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION a 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT &12-19 --A?& 9 ASSESSORPAR �yNB ZONING -I GJ—B`14lit-12L. BUILDING PERMIT OWNER 4H�/.Ci�• TLL TELEPHONE MILLIPYI ger 1-707 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI .�5D. �K 624 Palenw, CA 95968 , - CONTRACTOR S'Y1AMat � TELEPHONE CONTRACTO" MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDgD ,j j RD* & .JUSTFT S F: RD. , pAIMMEnergy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 TS OT Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other ❑ Describe Work: WA M WING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S 3 • ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOOOV ORoA OR .ES: 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service zooA To ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. S. SG 3.5¢FT. T. NOWRESID. MULTI.O=.I @7.50 OWER APPARATUS a OUTLET CIR. 20 @':50 Ex. Occup. OUTLET OR FXTURES BAL FIXED APPLNS. OR 5.00 Ex. Occup. ovrLErs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - Owner'f'O Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES IMP I FLOOD I CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indic d o e for hich fees have been paid. By ate qlvo PERMIT EXPIRES ON — Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT R COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION ANb PERMIT` ASSESSOR PAR EhNUMB9 Lr IIJ — 1 9 1 ti ZONING BUILDING PERMIT OWNER MICH'LL r;IILLT't'I n TELEPHONE 7 :air ! -7L SO. FT. OCC. BUILDING VALUATION OWNERS MAIUOr. AQDRES�S .� -� /'�� n �.- r n 973_1563 L Vii. !GY, S-24 1a Irmo a", `J .~: J�IO CONTRACTOR'yy��{�N�y�E V4JL ; TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADD-, .- 7�7�T�+ 1. ~,ii�i�� .JUS1 � ELL: Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �J";1�'PIPING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Fling Fee 20.00 LE Main Service 2o0OV A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 CCU000A NEW coNsr. DwELUNG Occup. DWE200ALLING OR ADDNS. ( BLDST 3.5QF°; NEW CONST. MUALCTIC. NON-RESID. I c @7.50 OWER APPARATUS a SINGLE OunEr CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 SAL p .so Ex. Occup. o�UTLETS AESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. L X Date ax/Signature o pp I wn Contractor ❑ Agent An OSHA permit is quired for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD CDF I PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indi d o e for hich fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate !� Dafa Receipt No. 7 — WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION v 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ® '_: �r / / ® SONIJ�O /� /� BUILDING PERMIT owNE /1 SO. FT. OCC. BUILDING VALUATION ow 1 , / CONE OR's S TELEPHONE CONTRACTORS MAAJNG ADDRESS CONSTRUCTION LENDER [Fireelace LENDER'S MAILING ADDRESS Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee S 20.00 Permit Fee S ARCMTECT OR ENOINEERs MAULING ADDRESS Plan Checking Fee S BUILDING ADDRESS ' Energy Plan Checking FeezZts-haHi S � A $ $ PERMIT FEE IDT No. SUBDNsaN9 NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 SF ❑ Duplex ❑ USEOFSTRUCTURE Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 5 — Each gas water heater or vent 15.00 - TYPE OF WORK New ❑ Addition ❑ Remgdel ❑ Utilities ❑ Installation ❑ OYher ❑ Describe Work: 1 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S - -- ELECTRICAL PERMIT Fling Fee 20.00 - Main Service p/A OR LESS 23.00 s tt __ V l S T _ Receipt No.303 WHITE-O.O.S.-B.D. - ` _ - J }, �- y -b �/1 i no 0 t" J CANARY -ASSESSOR PIKAiFSPECTOR GOLDENROD•APPLICANT Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR 3.SQSF. OR ADDNS. ( 6 ACC. BIDS. NEW ONS UTI.Ef MULTI.O NON-RES10. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL ® I.ya LNS Ex. Occup. oFMilTIE�sA RESS,6.)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee S occ CONST. TYPE, TOTAL FEE $ --� HAZ. 1 D. FEES IMP I FLOOD I COF PARCEL PO MO 6SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By _Date PERMIT EXPIRES ON eXa Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and .return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No budding permit iA . be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the roposed property improveent : YESK NO[ �:2.HAvEj HAVE signed an'application' for a budding permit for the proposed work .... i . 3. I have contracted with thefollowing ' person (firm) to provide -the' proposed construction: Imaix ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE- NO. 4. I plan to provide portions of this work, but I have hired_ the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following_persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK PROPERTY OWNER: SOC SECURITY NUMBER: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. stay 1995 This verification must be completed and returned to our office before We are permitted to issue the permit. 2.26 ... r Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of . property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yoursel& you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan,to do your own work, with. the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any ' persons other than your immediate family,' and the work _(including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and yow are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. . 0 There may be financial risks'for you if you do not carry out these obligations,"and these risks are. especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are.allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be - obtained ,by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, -CA 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This -Builder Information is required by Section 19830 of the California Health and Safety Code. Mav 1995 2.27 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. C) Agricultural building is defined as follows: Agricultural building is a structure designed and constru d to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. _410-4J /tP.Q! ZONING OWNER PHONE NO. .s3o 3 -G�Fg`_ OWNER'S ADDRESS Q �y % I r O 4}LO-WV C1/l F5767 - LOCATION OF BUILDING TELL " USE OF BUILDING ' /4,f514—�Qca/PJILr STo/.fi�l� SIZE OF STRUCTURE �� X ✓�' _% 7� SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME v STEEL. CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE 41000 L1d7n os/T IVAI ecce /< o z ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: r FRONT, SIDES REAR Y AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date / / /3' Permit Fee -11%.90 Receipt No. L_V.N.11A (XIQ -rof- Signature of Owner. The above described AG Building is exempt from a building permit. 'KL09rD I PA EL I P.D. ROOFINGISSUE er BuildinmDivision Date _ White — DPW, Yellow — Assessor, Pink — B. l:, Goldenrod —Applicant . 1. PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte. I am, 2 and was at the time of the service hereinafter mentioned, over the age of eighteen 3 years and not a party to the within action. My business address is Department of 4 Development Services, Building Division. # 7 County Center Drive, Oroville, California 5 95965. 1 am readily familiar with the County's practice for collection and processing of 6 correspondence/documents for mailing with the United States Postal. Service and that 7 said correspondence/documents are deposited with the United States Postal Service in 8 the ordinary course of business on the same day. 9 On October 15, 2002, a foregoing 10-Day Letter on the person(s) named below 10 by placing a true copy thereof in a sealed envelope, with first class postage thereon 11 fully paid, addressed as indicated below, and by placing said envelope 12 In the appropriate place within the Department of Development Services 13 where mail is collected for mailing with the United States Postal Services 14 on the same day. 15 X In the United States Postal Service Mail in Oroville, California. 16 17 Michelle Phillippi PO Box 624 18 Palermo, CA 95968-0624 19 I declare under penalty of perjury under the laws of the State of California on October 15, 20 2002 at Oroville, California. 21 22 23 24 25 Alice Meffol 26 27 28 October 15, 2002 Michelle Phillippi PO Box 624 Palermo, CA 95968-0624 RE: Formal Warning Notice Building Code Violation Location: Justelle Drive, Palermo, CA AP #025-240-121 Dear Michelle Phillippi: ,batt¢ C L A N D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated June 11, 2002, notifying you that you are in violation of the Butte County Code, at the above -referenced location. As of this date, the following violations still exist: The installing and occupying travel trailer and the construction of a shed (a) Section 28A-1/1018 (b) Section 28A-1/1048 (c) Section 24/24-260(a) (d) Section 106.1 (e) Section 108.1 (f) Section 108.4 (g) Section 3405 Permits Required for any Plumbing or Electric Inspections Required for any Plumbing or Electric . Camping Limitations and Prohibitions Permits Required Inspections Required Inspection Approval Required Before Use or Occupancy Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by case and desist camping activities and disconnect and remove all utilities to the travel trailer and submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford or Michael C. Vieira in this office at the address or telephone number listed above. Sincerely,-- / 444 Scott Rutherford ��✓ ACS Chief Building Inspector SR: aam LAND OF NATURAL WEALTH AND BEAUTY DIRECTOR'S OFFICE DEPARTMENT.OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 11 June 2002 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 Ms. Michelle Phillipi PO Box 624 Palermo, CA 95968 Subject: Use of Travel Trailer as temporary dwelling while installing mobile home Dear Ms. Phillipi: As I understand the facts, you have property on Justelle Drive off of Lone Tree Road, and use this property to breed and raise horses. You have a Travel Trailer on site which at this time is not suitable for habitation because it is used to house your cats. The question you have is can you use the travel trailer for temporary occupancy while preparing the permanent foundation for a Mobile Home. The answer is yes with the following stipulations: 1. The permit for the temporary use of a travel trailer can only be issued at the same time a permit for the foundation for the Mobile Home is issued. 2. The permit for the travel trailer will be limited to 6 months since construction of the foundation and installation of the Mobile Home can be accomplished in this time frame. 3. Once the Mobile Home is occupied, the travel trailer may be stored or parked on your property, but may not be used as living space. All hookups to the travel' trailer must be disconnected and removed. If you bring this letter in with you when you apply for the building permit for the Mobile Home permanent foundation it will facilitate processing you permits. If you have any questions, please contact me direct at 538-7150. /Sincerely, Carl L. Durling Associate Planner CC: Scott Rutherford C:\Carts StufC\Letters\Phillipi, Michelle re t trailer.doc June 11, 2002 Ms. Michelle Phillippi: P.O. Box 624 Palermo, CA 95968-0624 RE: Building Code Violation Address: Justelle Drive Palermo, CA 95968 AP # 025-240-121 Dear Ms. Michelle Phillippi: B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for the construction of a shed and the use of travel trailers as living area. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions .or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the addressor telephone number listed above. Sincerely, vY Scott Rutherford Chief, Building Inspector SR:th cc: Assessor — -- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 yrs CORRECTION NOTICE OWNER SRW NO. ' A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or'need additional explanation, - -^z plea contact this office immediately. 7 "= � 7--5 CL 21 4 Lc.� r� S :4 �u 1 i D ►''�'S Fa u C7A_ /2U SI�f�T =y ,v ` s t op,s -�A Date <i � / — 0 � I,, .; ec REV 10/92 stiff aIL A 3��� Name PHILLIPPI�MICHELLE;1 Ascot''I® ' Status. ACTIVE Addrl 1P 0 BOX 624 ' Tax OOO�NO Addr2 PALERMO CA 95968.0624 Situs 0 JUSTI Addr3 Base Dt 05!03!2 Addr4 Comments IWAS 025240115 SPLIT BY PM 148.57 Creating D oc#1 1999AP.148.57 Date 10!11!1999 Current Doc# 200080016014 Date 05!03!2000 Killing Doc# Date Asmt Desc LONE TREE RD SuplCntF Zoning— Dwell Acres 5.12 NIC 025 r AgPres r Etal r Notes j- Bonds r Multi Situs r Flagl r Flagg r Asmt PP Pen r Tax PP Pen r Appeal Pending j- Split Pending � °Fee # 025240.121-000'' ; .Status Date 10/11/1999 MAL OWNS HIP _ TRA 092.007 LE.DR PAL +� Land UAW" Structure 0 I Fixtures 0 Growing 0 Total L&I 33,15.0 Fix. RP 0 MH PP 0 PP 0 Exempt 0 Net 33;150 RIC#F T/R DtF— .. - R!C Stat PHY I OWN ( EXP TAX HON I ATT SIT APR. I PCL ►r np; Find 2001 Isa, 07/25/20013:27:21 PM 0 • 0 0 • 0257240-121 • nnariah n _ Ma[eah 1Lj- 0 --------- - • i 025-240-121 00-2329 PFULLIPPI, MICHELLE LONE TREE RD. PALERMO CONTR: OWNERS WATER PIPING`lj W G /0 -1 - Ov 5 BUTTE COUNTY ll Complainant:— Address:— Phone omplainant:Address:Phone Number:_ Other Comments: Inspector must draw a plot plan with all building locations: Additional Comments'from Inspector 2 SOIQ,OINQ:Assessor00 Name J �I -- ^-" Asmt # ff11 Fee # 025 240 121 000 Status ACTIVE Status Date 10!11!1999 Tax 000 NORMAL OWNERSHIP JTRA 092 007 -Situs' 0-JUSTELLE-DR_PAL Addrl IP 0 BOX 624 - yy Addi2 PALERMO CA 95968-0624 �I Addr3 - - - o �� : Base Dt Land ��Structure ;i Fixtures N Growing Total L&I Fix. RP M MH PP'.0 s PP Exempt Netj R!C# -TA Dt RIC Stat_ on ' M _ __33,15Q � Addr4 �� ---_ - -_- =-p iQ AgPres Etal, Notes ,� Bonds Multi Situs IEr Ffagl r" h 031 Flagg t V Asmt PP Pen r�Tax PP Pen Appeal Pending Split Pending' _ _A0 ^-•�--;j Comments WAS 025 240115 SPLfT BY PM. 148 57 �'.� Creating Doc# 1999RP148-57 4 Date 10I11I1999� Current Doc# 200080016014 j Date 05!03!20001 ��l `Killin Doc# - I Date g I„ �r�—J Asmt Desc LONE TREE RD _�_Jj SuplCnt Zoning �� Dwell Acres . 5.12 N!C 025 11 - - - - - - a 0 • 0 33,150; 0 =_ Y 0 0 33;1-50 17�, � - - - �Jl h��� PHY,' OWN- EXP TAX 0 U AT � SIT � ��� ii APR ;� PCL - f r�'7 ►� Find _J�Fa]F - j! 2001 sa; 07J25j2001 3;27;21 PM 025-240=121. 11 �fpllp n, I i I I ---Mar ab a, - - - - -- -- - - ...........- -- ------------- -------------- -- -- --- --- -- ------------i ---------------- 1------------------- ------------------------ 4a5 -a - !a/ &% ImportantMesswe iu Time: 1 % 1�1 For: From: Date: 4 -Ag-ell Telephone: __ ��%' 99>' /,'90 ❑ Telephoned ❑ Wants to see you ❑ Returned your call ❑ Was here to see you Aplease call ❑ Will call again .,URGENT i:4 T Important Messnae a it • '�tY,' x'ra�. Time: Date: 3 For: ti� rtLtanL_ From: G%UGY1i�l�i 7`Le-- Telephone- `/,0"/ ❑ Telephoned *lease call ❑ Wants to see you ❑ Will call again ❑ Returned your call URGENT ❑ Was here to see you Me sage: Taken by: Post -it® 7679-4 OM 1993 1. C, '% IIJI I 02 -240-121 _ _—Ju_stell_e_Dr _ ii a.r_—i Ln �.� ;,Assessor,,, 01:46 am Name RUNGE HENRY T JR & CYNTHIA LIVING T Asmt.# Fee # Status ACTIVE Status Date 10/11/1999EMS Addr1 RUNGE HENRY T JR TRUSTEE ' Tax 000 NORMA_ L.OWNERSHIPj TRA -007 ,Addr2 P 0 BOX 2042 Situs Dt 10/29/1999 Addr3[PR OVI—LLE CA 95965Base FTOM 30,000 Addr4Land -QJ AgPres Structure r Etat Fixtures Notes r Notes Growing 0, —0 0, :Comments WAS 025240115 SPLIT BY PM 148.57 Creating Doc# 1999RP148-57 Date 10!1111999 j Bonds Current Doc# 1199980045990 j Date10!29/1999HFIagl Total L&I Multi Situs Fix. RP 30,000 0 Killing Doc# Date MH PP _ 0 Asmt Desc LONE TREE RD SuplCnt j I� Flag2 PP 0, Zoning Dwell Asmt PP Pen Exempt 0: Acres 5.12 NlC 025 r Tax PP Pen Net 30,000 RJC#� J Appeal Pending TIR Dt r Split Pending 91C Stat OWN �-,_EXP TAX — ATT HON. SIT APR, PCL _ _ Find :III��iP11 J �► ►� �I 2000 sa, 08/08/2000 6:17:48 PM 025-240-121 00-2329 PH9,LIPPI, MICHELLE LONE TREE RD. PALERMO CONTR: OWNERS WATER PIPING `�,W- L /d 126 REOUESY FOR INSPECTION Permit No. Location: - 0 Owner: Comment: c_i Lts t eTL $-� Contractor: BLDG. PLUMB/MECH ELECTRIC H.I./A.H.U. PRE INSPECTION Form Rough Rough Fnd/Ftg Frame/Underfloor Top Out Temp. Service Job Status Stucco Lath Gas Pipinglrest Main Service Corrections Permit Renewal Stucco Brown Temp. Gas Underground Final Verify Utilities Woodstove Sewer Piping Well Circuit Ex Mobile Site Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Light Niche Corrections Corrections Corrections Final Final Final Corrections Ready for Final Inspec. on: 1 Date: Call Phone: Q. 025-240-121 00-2329 PI-IILLIPPI MICHELLE LONE TREE RD. PALERMO Al"n CONTR: OWNERS P940ol/L /wWWATER PIPING`l4q . LAINT GIVEN TO INSPECTOR ,ING CODE VIOLATION. "S�Qrct JS � October 15, 2002 Michelle Phillippi PO Box 624 Palermo, CA 95968-0624 RE: Formal Warning Notice Building Code Violation Location: Justelle Drive, Palermo, CA AP #025-240-121 Dear Michelle Phillippi: quite Co. L AND OF N A T U R A L W EA LTH AND B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a formal=warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated June 11, 2002, notifying you that you are in violation of the Butte County Code, at the above -referenced location. As of this date, the following violations still exist: The installing and occupying travel trailer and the construction of a shed (a) Section 28A-1/1018 (b) Section 28A-1/1048 (c) Section 24/24-260(a) (d) Section 106.1 (e) Section 108.1 (f) Section 108.4 (g) Section 3405 Permits Required for any Plumbing or Electric Inspections Required for any Plumbing or Electric Camping Limitations and Prohibitions Permits Required Inspections Required Inspection Approval Required Before Use or Occupancy Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by case and desist camping activities and disconnect and remove all utilities to the travel trailer and submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 4.1-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford or Michael C. Vieira in this office at the address or telephone number listed above. Sincerely, Scott R th f d G�-y�y�'✓ ' �" "c°z- p� Chief Building Inspector SR:aam , February 9, 2001 Michelle J. Phillippi 1600 Adobe Rd. Petaluma, CA 94954 RE: Formal Warning Notice Butte County Code Violation Justelle Dr., Palermo AP#025-240-121 Dear Ms. Phillippi: tte Co LAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 The Butte County Department of Development Services, Code Enforcement section has determined by inspection and research that there are currently code violations present on your property at the above - referenced location. Specifically, the violations include: Unauthorized camping or otherwise occupying a recreational vehicle. 2. The keeping of inoperable vehicles in public view. 3. Sewage overflowing, accessible to humans and animals. 4. Operating a kennel without a use permit. Your failure to eliminate the stated violations are cause for the issuance of this formal warning notice. As of this date, our records indicate that the following violations to the Butte County Code still exist: Butte Countv Code Chanter 24, Section 24-260 - Camping Limitations and Prohibitions. A. No person shall place or park or allow the placing or parking of any trailer coach, recreational vehicles, tent trailer or tent, or otherwise occupy or allow the occupancy of any parcel (as defined in Section 24-305.310) for the purpose of camping (as defined in Section 24-305.095) on public or private property within the County for a period in excess of 9 days in any one calendar year, except in an outdoor recreational facility, campground, recreational vehicle park, or hunting/fishing camp, lawfully established and maintained pursuant to this Chapter. Butte Coun�Code, Chapter 24, Section 24-95Chapter 24, Section 24-95 - The AR 2'/2 (Agricultural -Residential, 2'/i acre parcels) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the AR 2 '/2 zone without a Use Permit. ELECTRICAL, MECHANICAL, A 4D PLUMS!NG CONSTRUCTION ( NOT PLAN CHECKED ) SHALLCOMPLY WITH CURRENT ED;TOON OF NEC, UIIC AND UPC. NOTE; See the aftached 2 ` Pages MidAftIf, ?KlIIippI Su&Wl�_ '*rive Orman L1 -C, CA 969L o © 2S- '54p .. o I Le %Id# O.s- zlo- vu) TAV4 "m ova PEP4A Flao Ar 0, Sow M 11&04�M w 0-, Aqptvthj -(' NS 39,Y -1q; ewcuNWA d ted. ads.® � hay ek. WRC �.D� s GIQAVEL.) A 'rO X 1000' TO LO -JE T PLANNING DIVISION - BUILDING PLAN APPiOVA;.x- Use: ' Date: Parking- LO.ndscaping, Otter: Signature: ©q'aaa 5 /71G BUTTE COU' Nr -t - %ILDING DEPAR .:E - PP.R0V ° ji/ I r 0 'arzaa- s CIAZRVLrL o4sFrneur -�93' 0 gam 0 49 6 Ll P°5 e e — — u sb 15o' x SD, Fenced I'Z�I - pgn encesi ( W> Fa ' y -' 00 t a �M 0 0 ex LsTwlfill ane. �/STe�► Fi AJAt*a MAy 03' 0 gam 0 49 6 Ll P°5 e e — — u sb 15o' x SD, Fenced I'Z�I - pgn encesi � ' y -' IVA t a o �Li 0 0 1eIV. n, ' Fencec OPP AM Ht�e►1f SICp� wee. 393—/ ®SR 3 N ' y -' IVA t a 0 0 _. e .P 5-70 Q 4 - q�a 93 _ _ = - Envi Onn1e' a 1 a —d Tj'� 1 — — 7 C unty. Center Ur►ve Ca I �0 Y* M o clnellc ?ho I I 1 pp l�. zr; ve Orme LI -c CA 9d elo �:J F F +i / �� 1446 to e ©�s- moo.- plLe 9AIZd ' cr e �Icl�k bas- Z p- 1"t.k C„ .L T7 \ " LSIx g 3 SOWS J OL v 1 I -rem -MLLE IUACa Cz�� s GOAVE ), p�p� X sono' V.40A -rem En*Onmental Health ►il� 21 2n04 7 C&IntY Cancer. unve Oroville, Ca ff o.�uTT�o b � O Building Permit Number: �Y Owner Name: ` Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. a 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 L 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. F I� sd I Page 2of 2 Building Permit umber: j Owner Name: - { i, Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 1 i 3 I Fire sprinklers are required in this structure. is The following parcel map requirements shall be met: j.� All structures and equipment including overhangs shall be clear of all easements. A setback of feet from the side and t 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 ,t structures and equipment except fora 2 foot overhang. { = Expansive soil may be encountered on this site. This condition may require the ` foundation to be designed by a California registered engineer or licensed architect. }i ;f 3 i ?=1 # f iF I r i ;Southwood I Model #581 O1,902 Square Feet 36"x36" (Porch area not included) O .. a sn" 40'x61'-4%58'-8" \ Opt Clamour Bath Opt Bedroor�i #4 Bedroom #2 (Opt. PictweWindows Replace 14'Window) 11'-8" - 12'-10" (Replaces Den) WILDING DEPARTV Built B 12 CHM UILP1 HOME CO. Lindsay, California MOBILEHOME INSTALLATION DATA h 1) Owners Name: 2) Assessor's. Parcel Number 3) Installer's Name: INTEGRITY HOMES, INC. 4) Is the site currently under permit? Yes [ ] No VI Permit No. 5) Is the site an existing site? , Yes[ ] No [,c] (If yes, furnish two plot plans). 6) What is the electrical rating of the mobilehome? (L 0 Amperes. 7) What is the mobilehome site circuit breaker rating? -Lo C) Amperes. 8) What is the electrical rating of the mobilehome site? 706 Amperes. 9) Is the main service remote from the mobilehome site? Yes [ ] No If it is, what is the rating? Amperes. 10) Is there any other electrical load to be served by the mobilehome site electric service identify (ie well, garage, etc.)? Yes 0 N [ �] If yes, please the load and size: a) The mobilehome site: - Amperes- `? Load- ,Q b) The main service: Load- Amperes - 11) Type of gas service at mobilehome site: Natural [ ] Propane V] None[ ] 12) Size of gas *pipe at the mobilehome site from the meter or tank: 3/4!'. 13) What is the gas pipe length from the meter or tank to the mobilehome? 14) What What is the mobilehome gas demand? B.T.U. *(This information is not required if the pipe length is less than 6 feet on natural gas or less then 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION ELEoTnIC AL, MECHAN CUC-rjo�a 1' X 37 , D PLU�F� SHALL OF�Ofi� 4pVFLAN �;��rt NEC, Uhj� �BT M � �U%? fir i .0 ). Ea�a7101 MOBILEHOME SUPPORT DATA Mobile Manufacturer: ev Manufacture Year: if other then single wide, furnishSe Model Number: Width: Qk'19 Length: �{ V ft Tagalong or Expando Size I� Y On all mobilehomes manufactured after October .7, 1973, furnish manufacturer's installation manual and structural setup sheets. Wood pressure treated or foundaFOOTINGS: tion grade] Other: SUPPORTS: Concrete block K Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location bfULTT W DE SINGLE WIDE Line 1 Line 1 Line 2 Line 2 ................:................................. ...................................... ..... .. Main Beanis C2 Line 2 line 3 Line 2 Line i ......................................•Main 13eatns Lute 2 ...................................................... Line l ............................................. ine S Tag or Triple e 4 ................................................. ............................................ rine 1 Line 1 Piers: Size minimum. [ I x Spacing maximum: From ends -max: E�d Line 2 Piers: a� X 30 f' Size minimum: Spacing maximum: From ends -max: Line 3 Roof Loads: Size minimum Location (from rear): Line 5 Roof Loads: Size minimum Location (from rear): Line 1 Openings Size minimum: Each side of openings with width over: Line 4 Piers: Size minimum: Spacing maximum: From ends -max: t3L)TT COU i *JWLDIMG DEP TM PRC'V 4r I li I MOBILEHOME SUPPORT DATA Mobile Manufacturer: ev Manufacture Year: if other then single wide, furnishSe Model Number: Width: Qk'19 Length: �{ V ft Tagalong or Expando Size I� Y On all mobilehomes manufactured after October .7, 1973, furnish manufacturer's installation manual and structural setup sheets. Wood pressure treated or foundaFOOTINGS: tion grade] Other: SUPPORTS: Concrete block K Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location bfULTT W DE SINGLE WIDE Line 1 Line 1 Line 2 Line 2 ................:................................. ...................................... ..... .. Main Beanis C2 Line 2 line 3 Line 2 Line i ......................................•Main 13eatns Lute 2 ...................................................... Line l ............................................. ine S Tag or Triple e 4 ................................................. ............................................ rine 1 Line 1 Piers: Size minimum. [ I x Spacing maximum: From ends -max: E�d Line 2 Piers: a� X 30 f' Size minimum: Spacing maximum: From ends -max: Line 3 Roof Loads: Size minimum Location (from rear): Line 5 Roof Loads: Size minimum Location (from rear): Line 1 Openings Size minimum: Each side of openings with width over: Line 4 Piers: Size minimum: Spacing maximum: From ends -max: t3L)TT COU i *JWLDIMG DEP TM PRC'V ELECT. 43 ' - - GAS 35'-8' -- WATER 34'-4' _.. DRAIN 26'.-8'�; - - SIDENALLt I[-- ^--- __-- --------------3----___-L_116001-r600k`--L--------------- I -BERM s i••-53005300 ------ ------ —5300_--t'-•-'-4.- 53DO•..r .--'r'--•15300-•-•-'-'--'--5300- ----- -'- --'--5300-•-'-----'-+-••=5300-'-'-•-•-• -"5300- L_I.1_J L I! L_IJ I I I_—J L — J I L — J - I "L 1 I I I I ! 36'-10 1/4' 139'-8. ! o ! � I 11 I I. \•�'� W • .! ! I I E I 1 I I ! �, 3 .. IS' -4.314' 114 I -BERM > •-53005300 ---------- -.• 300 - - -+' - � - -5300 - -----4 '- -' 5300 --•-•-'-- -'-5300 -. 1.-.-.-.-. - � 5300 � .5 - . � � X300-•-'-.-.-.�=! '_ 5300 -•al I L_U_J _ L—J L_J I!,L-J L—J L - 'L.....1- `. L—J 9 MRTINGLINE> I------------- --®450001-- --- -- ----------154401-------------------- --------r L_J L 1 scam' sI —y r... —V, I -BERM ------- -•-•-•-•-!•-•-"5300-.'r. 1-•-'+-•-5300x'-•-'-•----5300--! •-•-•-•-•-•-5300-•-•-•-•-•-1-•-5300 L—J L_J !!! LI—J !! i i L--( 4 —J I L—J I j I ! I 29'-? 3/8' 27' 7 719' I �,i'� x I-BEfB1 > -5300.,-.--.-.-X5300-•-•-•-.-i-.--5300--+. :-.-.�-..5300►-- ---5300-•'4-•-•-•-•-•--5300--•-•-•-•-•-+--5300-._-.-.-..� x,:3391) L_ J L_ J' k— J 'L J ' L— J -L _ J L_ J 11 2551DEWALL L—T--riar3- 250 0E6001..46�0 ---------_-- L L - J L-1:74-1 t_1 •Pc;, I -BERM 5300 -•- '-5300--j L013 t- 3200 m g 58' 8' I o ► = — T P CHAMPION HOME BUILDERS CO, NOTES; B40 PALM AVE, P.O. BOX 429, LINDSAY, CA 9324] 1 :nes =.i o�.t7� 1 13:06 SERIES Southwood HOWL 09-501 � _ �� q DRfu44 By Cu r t I s U SCALE I/8' = I'-0' TITLE DATE I-13-00 PIER FOUNDATION M 0 F-2 y I L J I -BERM � L.J.—.—. -5300..-.- -5300..-.-.-.-i'-.-.-5300••--• L _j �� ��-•-5300--1 v 1' I —4 L _ J PIER PLACEMENT ENERAL NOTES I. This plan has been calculated with a 20 pound roof load. �w~ 000 2. All I -Ream piers have a maximum spacing of 8 feet arc with end piers 10 located no more than 2-0 from each end of the I -Beam. �! q �^ 3. See installation manual for pier configurations. t t f 4. Alternate methods of foundation and tie down construction may be used in lie".of the Champion Installation Manual provided the method has been designed in IfIll'amped by a registered Architect or Engineer and the method meets local and/or state building codes. 5. AIT dimensions taken from rear edge of floor. CHAMPION HOME BUILDERS CO, NOTES; B40 PALM AVE, P.O. BOX 429, LINDSAY, CA 9324] 1 :nes =.i o�.t7� 1 13:06 SERIES Southwood HOWL 09-501 � _ �� q DRfu44 By Cu r t I s U SCALE I/8' = I'-0' TITLE DATE I-13-00 PIER FOUNDATION M 0 F-2 L -Omni I'll I lllinm!=, 2 X 91k e# 'q. 9lwn.Outrfggln iiINl®ItD111M . ®lir Norrie: "'' t Maxe 5J8"dierst. x 10 A.O. 2 x A a, t x s flloo><ii+p When Neoistary. U4 Top t' tween Anchor Tolle iYP• is- x 24' Qrciwlapaio• fspacing Ili Pal. aw w- W1 rx 2•'x 3/16" Wood se • NOTEt Wrl of oafs ars e N 1 d`ll .�11 . . : - V [yp. e" x 18"ams x N P t �ti ptala b/lore ondruotlnq foundation f/�� gory %W i. row, e tractB" x I Typiaat Sidwal Anc BsNst I +Crowlhiotr alithin EO 1 """` . a Si sj$ X 10 A.B at a . h i ernnad vent i t�tlmbifil Cao. o x.) �''�.:rA .a.Ima t ••`" 2x411=1110 for cation May Very11 '. j Air Venf1 ..r.•e..w.reee-raer•rtee.r.•..r. "weie•-r � . �' �«.e ver e,r...r ee. .-•w em. wreri en.. w..y+..n•.r.ra-► r.n•.w r w...er .i. r •er• .. •w rw .■r►.r►«ww►wrw..w.ew w e.... MW a* e-• a .w ..w ea.-ee-..,• ' ee►.■,r.r....■r.■r.■.rwrwi.►7 1 �," • 10' - � 1a• • • �• X 4 pen II studs' •«.....................■........■..... e4iteaar xa RT. en! sort. • w.eve--..sea.e..w•e-•e.w•es.•werwweree■.■oe"wo.Beare-e.r..,■e..--•.....-.■"..■-p,,.�s�ee.rsevee•s�►wen•.rwe■ee..rw•..."rsee.•rwe,-e.e.ea.w.rw.rr+w..-w• • j �' • atI8'0.4. t : e i ;• ; r 618" 1 X 1C" A.B, (1yP�i. er.r.er• 1 ... i 't,y.'i . '. ,a ', • .•i . .. 9so asotlona � .. ! � - - but e�•ri, «'wS=• ' `tl"t` o011nq 1 i Ground Loyal • i14 Con'L • • , '1 I Otehtnaia 'Q � Dlstattoi:'!I � Di=tnno� � Diatela» S Disltane E Ctotor»I I i • I . � {F � Endfrall Anchor Bolts: i ! {E) (A) goo Endwalt Anchor Bolt r�+►art 'I"YP. FND. WALL CONSTRUCTION �'YPICAL END. Wa,�►LL DETAt ....... ' ' 1 e dor Number' Of Bolts Regld. m'o N rs. Along Eadwaii • i ' i 1 I taxistNlet-uteftSidi" b.sting Ext. Sidinp • t 518"m x 10• A.S. Font %%9-2X 4 Studs* 16"O.iC. C C Floor o I 1 W 2-x 2•x 8116` wash.. 8d at 8" • . �� oar a t , 1� 8ealli 2X4 ET. OR Fnd.Rrtl IE ( ...... I Sq t>�• • Il lel testell Z bar Tr; m Ce CO N i • I "O.C. ••.� • •- 2"(Mb.)SseNoteBebw �" 2x4elk'qt(WhonNeoaaory . _ _ _ _ _ _ _ _ _ - _ _ • Fold Inull 7110" (Min.) Noll t0 Alm Met w/lOd of WO.C. W.. Comm� _.:,.� HH irdboerdd or lfordlpannef. 2114 %p Petite Noll fop Ik'p. or _ `� . 11 tF1eW 6espM �. f N Match ExMrier pt..... (Min.) APA Rated a 1 45' * Simpson TM or Equal 2 x S P.T.M to " l m Rim JoUtw/ted at 18'0•C. 1 �. i Rebar Cant Top Piy •,;ii. Sheathing � e. !•' C _ T _ - Nell WIS.. Field 8 O.C. Edges /0"* x ll 2x4 a of 10110.0. • 1 Bottom an tcadt Anchor bolt & 1::• O.C. Field 1)19"a x 10" A.S. at 0' • 0" O.C. 1 g I I odesic. : 818"diem. x 10" A.B. „W1 Z"x2"x311!' WasherDttitatMe.1Z Distance ' 1,1 Dtstanoe I0 Oista g Di:bno�r a Distrltl� ? 1 Hfth i - I 1 at ssf Pate and/a•lod•, wi 2"x 2'x 3116- washer ed��► r; o.e...,2s4 RT. tl. K)fid){Q) s lic tix" 4 Rebor NOTE:L...M. e t 1 1 i" • 12" ° cut .�"flif Bottom of Existing.Sits6ng atW . E..,. ...._. I h • mt><wrze>elraRerl>wi(wied�:at�o.�'. TYP. CLOSURE DETAIL j N.T.S. Co i ( ` STEPPED FOOTING DETAL I ........_-..-_ i TYPICAL CLOSURE DETAIL Ridge 8ealn --------•-- i ALL EXTERIOR STRUCTURAL """' ...................� i Supports� -. ipsion•.o Cinihir^_ eT Dr%KIV tAiA1 r -rn .,.r ..COD 0% 'LUMBER RTES sers.tvyt►�a..s■.. ��.vs°sys., .t�rvees,e.v �. �O ":... T t VIAW MOD Allow SSoil Totat Numbr;of s/8. elle Sora Anchor Ridge begin loads and dist4noe to support location are Wherli lumber is cut after treatrnrnt; the cut 04.11 -W. 12" x x 3116" iil+esllers Req'd ' Qptain `d 000 the Manufacwred Home Span Chart �� 1 �Jri surface shalt be brush -ft. al :with: not Ina than 3 t :Wuhan of the' iwant�. rv6 " `YG ' s[ t x 4 ,,<y.`DGE BE14M:SUPPORT•LOCATIONS ' . aft used -In.the wool _.tnadent. ar'silail b6. " field trepted In ooMarloldnce With .A :. kms. t0 :.40` 1 Q" 6 $ DUplO OCATION A 13 C D E F M4-80 using a 5% sotutlat of p K��i` r 40' -' 1" to 50'' . 0" • 6' � g- D stance to support / (► t � ' r, I' copper -nophthenob containing 4 min.'.ot a 2'�. ; 50' ' 1 ° #0 56' 0" ,. 6 8 location l5 li d 3'�3 v copper metal. a 3% scaut160 of.ACA . CCA w LOADS - ,. 1 �e As 8 or 01 or a 6% sohrtton a># FCAP all x to.60 ...0.... 6...:...... 8: '�-�o[� or oreosoh lu oonbrmo a viaAWPA al•B 60' -1" to f8' - 0" 6 . i. FootErig size 3f0 3� standard Mill parogrofsh tail. - 3E : µ •11' to.70".-.0t, 8 8 SUPPORT LOCATION, 1 0 H I J K L Fasteners shall be stainless' $tell or. lipped 1 ' i• . Distance tp support t /t t tr n t t• ' gaWarAnd. Not -dipped :itis-cootod tails shall location °I C8 1 $ 3e1 `Iy$ ,r be tooted after nwfwfacture to their final form,DS tacludin pointian, heodilig thr"ditif orU• to 40' - 0" 6 8. Footing -Size i twisting, as applicable. Electrogolt arnized or k n t. ;:.. .... �'Zic.3fl mechanically 'pfoted dolls or stoplei, and hot-` : ` 40 =1 to 50 - 0 6 •dipped zinc -coated staples shall trot be < 50' -1" to 56' 0" 6 8 �- permitted. Staples, dere permitted vender i n t tt Dist is Diet !i Dist 4 Diat 3 Diet $ Dist• this reports shalt be stainless stesi types -344 31e� ti - :1 to 6$ : 0 . 6 ' -.. ,�.:... 1,...._:..-. �.-..' .- and 316 as defined by the A181- classification. o.:.. $' 1" to '�'0' - 0" 8 8 ' F i i S i 0 ( C S A � . • • Dat 1�2 DissAl b s tC bi 8' Dit�8 Dpi:.ts�Tgnd.. RIDGE BEAM SUPPORT'... ' FOOTING SIZE LOAD FOOTING SIZE FOR SOIL (Ibs)(psi) 1000 1500 2,000 10-6,10 1 -2" 3,000 11.911 1- 5" 4,000 2' - 0" 1 :8" 5,000 2' - 3" I -10" 6,000 21-511 2 0„ 71000 2'- 8" 2-210 8,000 Z-10" 2-411 9,000 31. 0" 2-611" 10,000 3' -2" 2 - 7" 11,000 3'=4" 2-9" 12,000' 3'-6" 2-10" 13;000 31-711 2-1110 14,000 3'-9" 3-1" 15;000 3'-11.. 3 - 2" 16,000. 4' - 0" 3-411 171000.. 4' - 2" 3- 5" 18,000 41- 3" 3.511 19.000 4'-4" 3-T' 20,000 4'.- 5" 3 - 8" i v' USE THIS CHART FOR ROOF :SB NO , - - V a p, LOADS UP TO 40 PSF _ A13ESCO BEARING PAD U. OWN all wasaaaa „ „f C 1 GENERAL o�r�s F ENGINtLaK STATE 2 x 6 8 o i cod Wed es o------ 518"dial x 10" A.B. "' • ..... 1 x L9. W pd locks (With Wood 9 ml. �""-- e f s 13 k'y for Leveling'• I L 'PHIS irQMATIOH PLAN`IS Di:81GNEo'r0 tat» USED W1 2-x 2"x 3116" 1 WITH MFWD. H5L++!! Es and i �•,I • Washer EYardy Spaced MAKES �C1Qf ... ... #4 Con't. t MODEL It # • ' ,, : "w .: . 2. DESIGN 1.0481etAliA►AC1'vRt41oR0ML"M==M1I1oAAwN ROOF LIVE LOAM4.. r. , P.Btt trovNnAllortfi1CS7131t Tyll `t FWOR LIVE LOAD, / 1 ✓ g 1 U JilBM►T6AM aAMW 6 Wood Wed ea or N !! � " " " P.B.It ooh. tsislt CHE u ., Q """"-.�,% !r Il 8 x 8 x 16 WIND 60Ap P.B.t: AlWWvBx CKtsD 36 max. / 61k g. for Leveling, ' - a Wood -------+ - "' SEISMIC ZONEI Elp. i >p4 Rebar of . ' • tY O.C. 18 min. A H.C.B. Backfin -' ,r wedges ,� ,, q ,1 ._. n ¢i''I (Alt. Metal Pier) r I 18 �. 7oCorueCttoNstlalell► •t .t i2 thin. ri tl rt ll � , s Min � THIS FOUNDATION 18 FOR, fr'tl.ACiNQ MFO'01 HOMES ,. , '/,�' 60.3t 13 x I6 Cone. �' , et r, t �� n CONSTRUCTED W/ LONGITUDINAL OR CROSS JOISTS. °�' ��/l•�r r0© 36 " ' a . a �` �� OF ��,�.� .. , ✓ ursbo�aAt.DOeatttoTAvrno�atAllltdYru►�air •' . ' �; Blocks'r� , , r, 12 4. ALL CONCRETE Sll HIAV9 A COMPRESSIVE ° d � ���� �° aeueaorfleoRlaavrA'rw�t>vaoMrR��ar� sCALS 24 Max. Cold Joint (Tilp. y ,; ;� '; ,� N Min STRENGTH OF 8000 P.8.1., IN 28 DAYS. AlPttCAnttietATBIA aAMR111GULAI orttf Q ' t t2' Min. Con'tl '--:. ` 8t•ic'12 Cont: .. , , '� 0% �+ a 1 taa»eradlrbeta. i I • N Concrete fgottng - 6.. ,. , .. ;. rxy , .. •..• •' : '" �, - _ @ ! THtfit FOUNDATION PIAN lli• dE81GNE0 TO 8t: $`;W1. .. •, .. �» CONSTRUCTED ON A FAIRLY LEVEL. SITE WITH NO �"'��4►�"w gots No. r . ,..(+ u l ( 11 - .40 .. " " " . _ :1 �°EXISTIN3 8016 PROfn.IS.'�•2 x 12 x 30 P.T. Wood Pad 0.40 e • e' 'o"• e'�02 •e•4'.o (il) II . .•.e� • _. •see e i e s Ground Leve! �� . Ground Contact W/6" Dee Gravel „� a �0 a ;:{> ..: '' �B , • ,; - . ;. ;p,•",��'• & MFWD. HOME MAY 8E SHIPPED FROM THE FACTORY t' D o3 20 3D. Varlets -Sae Fnd. Pla t• uN 1 i I ^III I f 'o���� / 3 20 So. (Gravel May Be Omitted When Exit'g. �'������(=���(�= ���- iI�L_. ( WITH SIDING CUT BACK 2"ANO is BAR INSTALLED. `� VA 103 i Soil is Free Draining, As Determined ��I�ia Ott3: 2 FOUNDATION CORACTM SHALL. VERIFY ALL. 't3 U TT- E COLI N 1' Missio'• d By Local Bid'g. ONT Official) DIMENSIONS BEFORE COfNSTRUCTINO FOUNDATION. ��®IN{� �� '" ° ��������� � • � �lAhernate To Wood Pad: Abesco Bearing ' The Footing Shown are Options, =110N _._.�._�& • C - ALT. SECTION B . B 1=a�n Type is Acceptable _ 4 : Pad, No Gravel Required - See Detail This Sheet'- P N.T.S. I N.T.S. _ N.T.S.st+aslftTs oto V I IrrRtUiED ON CLtgARPRINf 1000N II -I .M - --- -61 4 t— W, 'k fit 4 A• tAir I )kA Tk