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Home My WebLink About026-060-047} - 26-05-47 , �j nav�d E. Jett ` SW cor.of-tanley Dr. & Rock Haven Ct., Palermo (lot 1)��'�',L,��•. Permit #3866-81P,E til. ,w ' ELEC. 2- �-82 2omA o/1- GAS 2- -92 /2' " GPIs UPPORT'STRUCTUREREQ:--'-"417 -- COMPACTION TEST REQ. Eord 26-05-47 'ckI 'SW cor-o an ey Dr4 &ck H n Ct., I lot 1, Palermo ' Permit #3867-81P,E-Cutil�.,�� I LEC �f-fZ -ZoDA -501 • r' GAS SUPPORT STRUCTURE REQ. 14MCOMPACTION TEST EEQ . dzA 26-05-47 '. Permit##432 0=81MH'I Iw Issued�_� ton4l - - 4 --- _-- — — lotAa Permit##4321-81MHI. Issued c2 F 190,' LANCEEY DR, OROV LIJALED Y BONE-/( 1307-0134 _ 026;050-0_47 MISCELLANEOUS Private Garage/Shop DETACHED GARAGE (1400)Crnal 2197 STANLEY DR ff �� HOLWEGER, LANCE K & R1KA7-17-07 B07-2068 026-050-047'' RESIDENTIAL SFD-Mobile Home PFS NEW MH PERM FND 2107 SQ.FT.EX c e ' 2193 STANLEY DR - c r r HOLWEGER, LANCE' -V , ■ $1D t . 1 -- --......... .r s'• o ; ►� BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0134 Issued: 02/07/2007 Address: 2197 STANLEY DR Area: PALERMO Owner: HOLWEGER, LANCE K 4APN: 026-050-047 Applicant: MITCHELL'S BUILDINCMap Page: Permit Type: Private Garage/Shop Description: DETACHED GARAGE (1400) Flood Zone: A SRA Area: No Front Setback: 20' Side Setback: 10' Rear Setback: 10' Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Ins Ion Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 2' Eufer Ground 216 Forms/Steel/Ho ]downs 122 Do No!,L6ur Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior ,ol 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Sidin ucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 F- - L :Fin'*als Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Pu "F—Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer D}"strict Final **PROJECT FINAL 801 —i - .Project Final is a Certificate of occupancy for est entia Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS Ph;IOR TO EXPIRATION Inspect.ar Copy y� OWNER V-p.—.a--"fro.-. w w_s«• r. . ,,.. J..ivr' ,,'/l.r rY'`�r'��'^..^�V.i."^.iiy}+t� COUNTY OF BUTTE BUILDING DIVISION Al DEPARTMENT OF DEVELOPMENT SERVICES ' 7 County Center Drive • Oroville, CA • (530) 53877541 CORRECTION NOTICE PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at ,a the above address and should be corrected. Please call for reinspection when correction of work is completed. If you have any questions pertaining to Ais matter, or need additional explanation, please contact the Building Inspector as Indic d below. Y O (j C c�S LG�s—� ��4 v t�_ ;IX r AZA µ ll Date Inspector — vuG"J01 REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 E COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE "v- OWNER PERMIT N0. n° A routine inspection_ indicates that the following violations of Butte County Ordinances exist at I,,,•:, the above address and should be corrected. Please call for re -inspection when correction of you If completed. work is com have an P Y y questions pertaining to this matter, or need additional rr explanation, please contact the Building Inspector as indicated below. !r P. ', s irF4sy']itt,� Vii' -i' Date / P Ins ector� rl=: . _ • REV 4/05 Phone # !C;!� (7 ) FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 / Ir- -11.;'F COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive * Oroville, CA 9 (530) 538-7541 CORRECTION NOTICE Rd -7- 'zz' 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 calor re -inspection when correction of work is completed. If you have any questionst '.1 9 to this matter, or need additional explanation, please contact the Building Inspector indicated below. r V a V -e- /0 UC) ytN Date Inspector ( "'J z04 A REV 4/05 Phone# S5 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 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 PROJECT INFORMATION Site Address: 2197 STANLEY DR Owner: Permit N0: B07-0134 APN: 026-050-047 HOLWEGER, LANCE K & RIKA Permit type: MISCELLANEOUS 2193 STANLEY DR Issued Date: 02/07/2007 By KEJ Subtype: Private Garage/Shop OROVILLE, CA 95966 Expiration Date: 02/07/2008 Description: DETACHED GARAGE (1400) (530) 533-0158 Occupancy: 10 Zoning: ARMH Contractor Applicant: Square Footage: HYSMITH CONSTRUCTION MITCHELL'S BUILDING SUP Building Garage RemdUAddn 5190 PENNINGTON ROAD 195 WASHINGTON 1,400 LIVE OAK, CA 95953 GRIDLEY, CA 95948 (530)695-8784 (530)846-4409 Other Porch/Patio Total 1,400 FEE INFORMATION DBEH Building Review Fee $75.70 DBF GARAGE -Wood Frame Plan Che $285.95 DBMSC Garage Wood Frame $428.92 DBSMIP Residential $3.36 Total Charged: $793.93 Fees Paid: $793.93 Balance Due: $0.00 Receipt No: B1754 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires HYSMITH CONSTRUCTION 791117 / B / 02/28/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the to 02/07/2007 applicant a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does ❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, the work himself or herself or through his or her own employees, provided that such improvements are notintended or offered for sale. If, however, the building or improvement is sold within one as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of safe.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ section 3700 of the Labor Code, for the ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Cartier. State Fund 1645113-005 Exp. Date: Policy Number: Contractors License Law.). (This section need not be completed if the permit is or on' e hundred dollars ($100) or less. ❑IAM EXEMPT under Section B. 8 P.C. for this reason: ❑ 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' X 02/07/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 02/07/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply City Signature Date with all and County ordinances, rules, regulations, and State laws relating to building WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND injury, including death, and property damage caused arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. CONSTRUCTION LENDING AGENCY 02/07/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Name of Permittee [SIGN] Print Date ❑ Owner Contractor OR. DAgent for Owner ❑Agent for Contractor APPLICANT COPY Lender's Address City State Zip Of/23/2007 12:43 FAX 530 538 2164 PUBLIC HEALTH DEP 10 001 BUTTE- COUNTY. oOUTrF0 DEPARTMENT OF DEVELOPMENT SERVICES NR19'IIT 0 o BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530),538-2140 o A FEE WILL BE REQUIRED AT TIME OFAPPLICATION O Website: www.baftecounty.net/dds BIN # CAi.►t'�y "PLEASE PRINT CLEARLY" ARCHITECT/ENGINEER Name Address City State Zip Phone E-mail Statense Number ---- - WNER INFORMATION Last Name 044j 42, [First Name Mailing Address. - City D �G State Zip Phone Fax Fax E -mall GJ ARCHITECT/ENGINEER Name Address City State Zip Phone E-mail Statense Number ---- - CONTRACTOR Name l C G. Address - City % C• Stat Zip Phone L ,0 Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name Address City State Zip Phone E-mail Statense Number ---- - ANN For ffice us onl : APPLICANT INFORMATION Name l C G. Address Subdivision Name City % C• Z' Phone D Fax �J E-mail ANN For ffice us onl : Zoning Flood Zone SRA I Yes No Occ.. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: L J PROJECT LOCATION AP# - Property AddressCity /-612i GNU pi F ross treet 047,14 c v. WORKER'S COMPENSATION Policy Number Carrier if Thing anyone other than license contractors, a certiflcate of worker's compensation must be shown at the time of permit Issuance, LENDING AGENCY Name Address . Description or Scope of Work: Z-) 25 4' C Sq FT- Living Garage Open Cov ❑ 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 Received by: Amount: I ' u�� Bldg SRA ReceipNj Sheriff SMTP Date;/ �� 6 / Other 1 g::�Total 2_, � J Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds 0 a 0 0 0 `�� National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0134 Location: 2197 STANLEY DR Parcel Number: 026-050-047 Owner Name: HOLWEGER, LANCE K & RIKA Description: DETACHED GARAGE (1400) Date: 01/24/2007 By: KEJ Sub Type: Private Garage/Shop Phone: (530)533-0158 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title FILE Date: 01/24/2007 Butte County Department of Development Services 'TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://muniCipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-0134 Date: 01/24/2007 Location: 2197 STANLEY DR Parcel Number: 026-050-047 Owner Name: HOLWEGER, LANCE K & RIKA Phone: (530) 533-0158 Description: DETACHED GAjt�GE (1400) Signature of Property Owner: FILE Date: 01/24/2007 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-0134 Job Address: 2197 STANLEY DR Contractor: HYSMITH CONSTRUCTION 5190 PENNINGTON ROAD LIVE OAK, CA 95953 Printed: 01/24/2007 7:56 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee DBMSC Garage Wood Frame 0021-540013-4614901-1010 $75.70 01/24/2007 $75.70 DBF GARAGE -Wood Frame Plan Che", 0010-440001-4210500-1010 $428.92 j DBSMIP Residential 0010-440001-4210500-1010 $285.95 01/24/2007 $285.95 1001-0-280-1011298 $3.36 793.93 $361.65 Printed By: Karen Jones Balance Due: $432.28 At the time of permit a 'on, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 01/24/2007 Pursuant to Gov r (hent c e Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date pprova of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). t 8o7-0I3� U F DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires February 28. 2009 National Flood Insurance Program Important: Read the instructions On pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al A2. Building Street Address (including Apt, Unit, Suite. and/or Bldg. No.) or P.O Route and Box No. I Company NAIC Number I 2193 Stanley Dr. CA ZIP Code95966 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 026-050-047 A4: Building Use (e g , Residential, Non -Residential, Addition, Accessory, etc.) Garage A5. Latitude/Longitude: Let N39:26.981 Long W121.32.831 Horizontal Datum: ❑ NAD 1927 0 NAD 1983 A6. Attach at least 2 photographs of the building If the Certificate is being used to obtain flood insurance. A7. Building Diagram Numberl AS For a building with a crawl space or enclosure(s), provide A9 For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) na sq ft a) Square footage of attached garage na sq ft b) No. of permanent flood openings in the yawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade c) Total net area of flood openings In A8.b sq in c) Total net area of flood openings in A9.b _ sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. NFIP Community Name & Community Number B2, County Name B3. State Butte County Unicor orated. Area 060020 Butte CA B4. Map/Panel Number 135. Suffix . B6 FIRM Index B7. FIRM Panel B8. Flood B9 Base Flood Elevation(s) (Zone 177.50 ® feet ❑ meters (Puerto Rico only) Date Effective/Revised Date Zone(s) AO. use base flood depth) 06007CO985 C June 8.98 June 8, 98 A 175.5 B10 Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile 0 FIRM ❑ Community Determined )] Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑Yes ®No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations —Zones Al -A30, AE, AH. A (with BFE), VE. V1 -V30, V (with BFE), AR, AR/A, ARAE. AR/A1-A30, AR/AH, AR/AO. Complete Items C2 a -g below according to the building diagram specified in Item A7 Benchmark Utilized BC122gVertical Datum NGVD29 Conversion/Comments a) lop of bottom floor (including basement, crawl space, or enclosure floor) - b) Top of the next higher floor c) Bottom, of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment In Comments) 0 Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) Check the measurement used. 177 50 0 feet ❑ meters (Puerto Rico only) na ❑ feet ❑ meters (Puerto Rico only) na. ❑ feel ❑ meters (Puerto Rico only) na. ❑ feet ❑ meters (Puerto Rico only) 177.50 ® feet ❑ meters (Puerto Rico only) 176.5. 0 feet ❑ meters (Puerto Rico only) 177.00 ® feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify ele, information. t certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by rine orimprisonment under 18 U.S. Code, Section 1001 ❑ Check here if comments are provided on back of form Certifier's Name Jim Prusell License Number 60924 Title RCE Company Name Jim Pursell Engineering f Address 2360 Baldwin Ave. City Oroville State CA ZIP Code 95966 All Signature j/ Date Telephone 530-533-2131 d ,v - d C 60924 CI t. IMPORTANT: In these spaces, copy the corresp Building Street Address (including Apt., Unit, Suite, and/or 2193 Stanley Dr. City Oroville StateCAZIP Code 95966 ling information from Section A. For insurance Company Use: Ig No.) or P.O Route and Box No. Policy Number Company SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner Comments Signature Date ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) :For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items El -E4, use natural grade. if available. Check the measurement used. In Puerto Rico only, enter meters Ell Provide elevation Information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG) a) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the building Is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3 Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4.. Top of platform of machinery and/or equipment servicing the building Is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5 Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information In Section G SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A. B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge Property Owners or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, 8, C (or E), and G of this Elevation Certificate Complete the applicable Item(s) and sign below. Check the measurement used in Items GS and G9 G1 ❑ The Information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who Is authorized bylaw to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. 'G 3_ ❑ The following information (Items G4 -G9 ) Is provided for community floodplain management purposes G4: Permit Number G5 IDate Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been Issued for:' ❑ New Construction ❑ Substantial Improvement G8 Elevation of as -built lowest floor (including basement) of the building: _❑ feet ❑ meters (PR) Datum G9 BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments I 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 PROJECT INFORMATION Site Address: 2193 STANLEY DR Owner: Permit No: B07-2068 APN: 026-050-047 HOLWEGER, LANCE & RIKA Issued Date: 11/09/2007 By KCG Permit type: SECOND DWELLING 2193 STANLEY DR Subtype: SFD-Mobile Home PFS OROVILLE, CA 95966 Expiration Date: 11/08/2008 Description: NEW MH, CHATTEL 2107 SQ.FT.E: (530) 533-0158 Occupancy: Zoning: AR -1 Contractor # I Applicant: Square Footage: R T ANGEL INC HOLWEGER, LANCE & RIKA Building Garage Remdl/Addn 868 W ONSTOTT #J 2193 STANLEY DR 2,107 YUBA CITY, CA 95991 OROVILLE, CA 95966 Other Porch/Patio Total (530) 821-5850 (530) 533-0158 2,107 FEE INFORMATION DBEH Building Review Fee $75.70 DBF MH Plan Check $233.56 .DBMSC Mobile Home Permit Fee. $350.34 DBSMIP Residential $0.50 Total Charged: $660.10 Fees Paid: $660.10 Balance Due: $0.00 Receipt No: B4865 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License R T ANGEL INC 457364 / C47 B / 06/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/09/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by R11. AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be competed if the permit is or one7un hundred ($100) or ess. ❑ I AM EXEMPT under Section B. & P.C. for this reason: 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' X 1/09/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. � 11/09/2007 X';e2,e�A� ZZ21�� I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte"County, b' . its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the propertyowner or am authorized to act on the property owners behalf. 11/09/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) © Owner ❑ Contractor OR;Agent for Owner DAgent for Contractor FILE COPY Lender's Address City State zip , j.- -1 -1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last NameOIW a e�, First Name LoAce and I Mailing Address 21 q3 Sfi-Qn iey Dr. City 0 v i I' e 'i State CA /'� Zip 5q6 Phone 53D 533-0150 Fax E-mail Ikho6e era hcstlmctllk com CONTRACTOR Name D&A C onstru et'i on Address IR68 W. OnStoit I J City` U b a City I "f State CA Zip 15q q3 I Phone �30-g21-5$Sv Fax 530-g2 J _ 5g5 E-mail Lic. # 4-57564 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name State CA Address Phone _530_ 33_015$ City E-mail State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name and R, Q ' 1 er Address 2, q3 Staple D)-. City Oroville State CA Zip 546 Phone _530_ 33_015$ Fax E-mail k h oI w e er o holmdi APPLICANT SIGNATURE X 0 PERMIT NO. )017- 2 BIN # PROJECT LOCATION API 026 -050 -04 - Property Address 2 q 3 Sto h f e Dv-. City 01 O v e WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 'r I W3 Sq FT- Living o? Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: zoning7AR-11 Flood Zone I I SRA I Yes I No Occ. Type Const. .1<1711 '4� 6 4 t A yl Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds `:mor S �cQc :70- National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-2068 Location: 2193 STANLEY DR Parcel Number: 026-050-047 Owner Name: HOLWEGER, LANCE Description: NEW MH PERM FND 2107 SQ.FT.EX SITE Date: 10/04/2007 By: TMP Sub Type: SFD-Mobile Home PI Phone: (530) 533-0158 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional -Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Peimit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: to j— FILE Date: 10/04/2007 Butte County. Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http:Hmunicipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-2068 Location: 2193 STANLEY DR Parcel Number: 026-050-047 Date: 10/04/2007 Owner Name: HOLWEGER, LANCE Phone: (530) 533-0158 Description: NEW MH PERM FND 2107 SQ.FT.EX SITE Signature of Applicant: Date: 10/04/2007 FIVE BUTTE CbfJNT'Y ;FEE SUMMARY Printed: 10/04/2007 7 County Center Drive 12:03 pm Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-2068 Job Address: 2193 STANLEY DR Contractor: R T ANGEL INC 868 W ONSTOTT #J YUBA CITY, CA 95991 Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee ' 0021-540013-4614901-1010 $75.70 10/04/2007 $75.70 DBMSC Mobile Home Permit Fee. 0010-440001-4210500-1010 $350.34 10/04/2007 $350.34 DBF MH Plan Check ' . 0010-440001-4210500-1010 $233.56 10/04/2007 $233.56 DBSMIP Residential 1001-0-280-1011298 $0.50 10/04/2007 $0.50 660.10 $660.10 Printed By: Tammie Powell Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 10/04/2007 s Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-2068 Date: 10/04/2007 Location: 2193 STANLEY DR By: TMP Parcel Number: 026-050-047 Sub Type: SFD-Mobile Home P) Owner Name: HOLWEGER, LANCE Phone: (530) 533-0158 Description: NEW MH PERM FND 2107 SQ.FT.EX SITE The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No ❑ ❑ ❑ ❑ li ■ ■ ■ DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street BipRs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: Date: 10/04/2007 FILE L BUTTE COUNTY OCT 0 4 2007. vE VELOPNZNT �,eVe.I o f?�.vt.=�ir v=►`C .S� SERVICES eIoff ��., JD� re�e Lo %'/off ° ` � y ;, .. `. 4 , 1 + - � � � 1 ' L � .t i. .1, { r � � ' , i \, l + . —_ � �� c .. BUTTE COUNTY DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CERTIFICATION OF EXISTING SQUARE FOOTAGE School District Owner's Name Property Location/Address_ ' Square Footage ZWesidential ❑ Commercial ❑ Demo permit issued (Date issued ) 2 obile home replaced "rifled by Building Department Records 0 Verified by Assessor Department Records s `v" uilding Department Representative Date 080056 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Q /nn VJ14 G /� Building Department No. �&O.—Q V Tax Rate Area No. r/� A.P. Number Jurisdiction: City County Property Owner Property Location/Address Subdivision Lot No. .�......................... Sq. Footage 210 Addition/ *Supplemental to (Group R) Conversion Permit # Cr. Demo - ( ) *(No foundation inspection) existing sq. ft. see attached E................................................................................................... Net total sq. ft. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date {; r fDistrict �Identification No. I 080,056 (Street (Street Address) School District certifies that rrov, l It C� (City) (State) kA ` t (Payor) R r 51 (Zip Code) (Phone Number) f has complied with the requirements of Resolution No... / uJ n by payment of $ '.'r a 1 b representing square feet.. B 2926 $ School District Repreventative Paid by Check # FULL MITIGATION $ iil�la� Date Remarks: iV a) 4 U hie n Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm Residential Development 0 I CEI No of Living Mobile Home Units Installation Lot No. .�......................... Sq. Footage 210 Addition/ *Supplemental to (Group R) Conversion Permit # Cr. Demo - ( ) *(No foundation inspection) existing sq. ft. see attached E................................................................................................... Net total sq. ft. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date {; r fDistrict �Identification No. I 080,056 (Street (Street Address) School District certifies that rrov, l It C� (City) (State) kA ` t (Payor) R r 51 (Zip Code) (Phone Number) f has complied with the requirements of Resolution No... / uJ n by payment of $ '.'r a 1 b representing square feet.. B 2926 $ School District Repreventative Paid by Check # FULL MITIGATION $ iil�la� Date Remarks: iV a) 4 U hie n Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm RECORDING REQUESTED BY . MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: -LANCE K. HOLWEGER yRIKA HOLWEGER 128 KIPLING COURT ROSEVILLE, CA 95747 ORO -C I(II III!!I I IIII I I! ILII it I!I III II II 203--tm>0t 1 424 Recorded official Records County Of BUT CANDACE J. GRUBBS Recorder ROSEMARY DICKSON' Assistant 09:00AM 07 -Mar -2003 REC FEE 10.00 TAX 82.50 Barbara Page 1 of 2 Above This Line for Recorder's Use Only A.P.N.: 026-050-047 Order No.: 206950MAM Escrow No.: 206950MAM GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $82.50 "Ov_ IX ]. computed on full valueof property conveyed, or 11 computed on full value less value of liens or encumbrances remaining at time of sale, X] unincorporated area; [ ] City of _, and r FORA VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, CHRISTINE LINDEMANN, an Unmarried Woman and SHARON LINDEMANN, an Unmarried Woman as Joint Tenants hereby GRANT(S) to LANCE K. HOLWEGER and RIKA HOLWEGER, Husband and Wife as Joint Tenants 1 the following described property in the Unincorporated Area of the, County of Butte State of California; R SEE ATTACHED LEGAL DESCRUMON CAkfSTINE LINDEMANN SHAAM LINDEMANN Document Date: February 27, 2003 STATE OF CALIFORNIA )SS COUNTY OF On 44 'h 1 1p d& before me, personally appeared C(., -1'5+1 n .P- U r mct h ✓\ a� (or proved to me on the basis of satisfactory evidence) to be instrument and acknowled ed to me that lie, b�he ea xecuted We same in �is/�e au orw the instrument th erson or the entity upon t f of which the rson acted. executed the WITNESS my hand and official seal Signature C-- �_ 41/ L 4;1� ( a rc) to Li' t o ,e, livt c N h. ame iso subscribed to the within act y t and that by bisMer/4M4Eg tur on This area for official notarial seal. liCHARANirrsiNGH CHAUHAN 3Commission* 1306o2a ze Notary Public - California Placer County MyComn.E*hsMey2,2W5 Z. Mail Tax Statements to: SAME AS ABOVE or Address Noted Below Order No. BU -206950-3 MAM Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL 1: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OFIBUTTE, STATE OF CALIFORNIA, ON NOVEMBER 12, 1980, IN BOOK 79 OF MAPS, AT PAGE(S) 76. APN 026-050-047-000 PARCEL II: A RIGHT OF WAY FOR ROAD PURPOSES 60 FEET IN WIDTH ACROSS A PORTION OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 5, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B.. & M., LYING NORTHERLY OF AND ADJACENT TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT ON THE NORTH -SOUTH CENTERLINE OF SAID SECTION 5, DISTANT NORTH 0° 40' WEST, 1150.68 FEET .FROM THE CENTER OF SAID SECTION 5; THENCE SOUTH 53° 55' WEST, 490.22 FEET; THENCE SOUTH 44° 06' WEST, 239.10 FEET; THENCE SOUTH 88° 34' WEST, 70.92 FEET TO A POINT IN THE EAST LINE OF PALERMO ROAD. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. COY of Docucent Recorded .4 5-Hov-20817 2007-09518594 Has not been coapared rata original ,When recorded return to: BUTTE COUNTY RECORDER County of Butte `Department of {Development Services .Building Division 7 County Center Drive Oroville, CA 95965-3397 Space above for Recorder's Use SECOND DWELLING UNIT DEED RESTRICTION I. WHEREAS, on this 25th day of October, 2007, LANCE K. HOLWEGER & RIKA iHOLWEGER, hereinafter referred to a"s owner(s), is the record owner of the following real property: 2193 STANLEY DR, OROVIL LE, CA 95968 (APN 026-050-047), and as ;further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and II. WHEREAS, Building Permit No. B07-2068 was applied for on 10/4/2007 by the 'owner in accordance with the provisions of,the Butte County Code and the California 'Building Code; and IIII. WHEREAS, the use allowed by Building Permit No. B07-2068 has been reviewed and approved as a Second Dwelling unit; and IV. WHEREAS, Section 24-280(c)(2)(f) of the Butte County Zoning Ordinance ;conditions the occupancy of the primary and secondary dwelling units as follows: the owner of the parcel or, lot must occupy 'either the main dwelling or. the second dwelling unit; and V. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a change in }use or law has occurred, either of which change allows the use otherwise restricted herein to be conducted on the real property described herein. Under either circumstance allowing such change in use, 'Owner shall be entitled to have this Deed iRestriction' and" Notice of Limited Use Facility rescinded by the execution of a I L , 'Peter Calarco Assistant Director '/ subsequent document entitled Rescission of Second Dwelling Unit Deed Restriction by the Director of Development Services; and NOW, THEREFORE, with the issuance of Building Permit No. B07-2068 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, which establishes occupancy restrictions on the dwellings. The undersigned Owner, for himself/herself and for his/her.heirs, assigns, and successors in interest, acknowledges and agrees to the restrictions. This deed restriction and notice of occupancy restrictions shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is.hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in interest. - This document shall be recorded and returned to the Butte County Department of Development Services, Building Division prior to the issuance of Building Permit No. B07-2068. DATE- ZM,&4n:I&n Z, 12009 Owner Signature: Cir C �— Print or Type Name ot Above Owner Signature:a Rikp 1 -folk Al q -e— Print or Type Name of Abo 2 Peter Calarco / Assistant Director NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat (acknowledgment) as explained in yourNotary Public Law Book. STATE OF CALIFORNIA SS. COUNTY OF BUTTE ) 11 On,% 10Vi?cn)MV— S, dl -:1 before me, Public, personally appeared Lancz K 4C , Notary personally kn�dwn to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s re subscribed to the within instrent and acknowledged to me that h h executed the same in hiis/"he('l'.J' uthorized capacity(ies), and that by f h t/eir ignature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNE hand official seal. Si nature STATE OF CALIFORNIA SS. COUNTY OF BUTTE On before me, Public, personally appeared (Seal) L61MYMm im Guy conimboon r Iwo 5 COM-EVIONJOn rte► Pubuo - ca�Jomc�s county 14.201j , Notary personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature (Seal) 3 Peter Calarco Assistant.Di rector This is to certify that the Deed Restriction set forth above is hereby acknowledged by the. Director of the Department of Development Services and that Butte County consents to its recordation thereof. Dated. 2 Peter CalarE6, Assistant Director Department Development Services STATE OF CALIFORNIA SS. COUNTY OF BUTTE ) I J On 0eroBe;?, , ioa before me, Notary Public, personally appeared�o personally known:to me to be the person(,'R'j whose name(51 is/ark subscribed to the within instrument and acknowledged to me that he/s[X/they executed the same in his/hof/their authorized capacity(ieg), and that by his/hof/th,fir signature(sXon the instrument the person(sy, or the entity upon behalf of which the person(,') acted, executed the instrument. KM MCMUM WITNESS my hand and official seal._lamy Commusion#1567051 Notary Public - California Butte county Comm. Expires Apr 6,200 g ature (Seal) 4 Peter Calarco Assistant Director Order No. BU -206950-3 MAM Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL 1: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER I2, 1980, IN BOOK 79 OF MAPS, AT PAGE(S) 76. -APN 026-050-047-000 PARCEL IT: A RIGHT OF WAY FOR ROAD PURPOSES 60 FEET IN WIDTH ACROSS A PORTION OF THE SOUTHEAST- QUARTER OF THE NORTHWEST QUARTER OF SECTION 5, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B.. & M., LYING NORTHERLY OF AND ADJACENT TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT ON THE NORTH -SOUTH CENTERLINE OF SAID SECTION 5, DISTANT NORTH 0° 40' WEST, 1150.68 FEET -FROM THE CENTER OF SAID SECTION 5; THENCE SOUTH 530 55' WEST, 490.22 FEET; THENCE SOUTH 44° 06' WEST, 239.10 FEET; THENCE SOUTH 88° 34' WEST, 70.92 FEET TO A POINT IN THE EAST LINE OF PALERMO ROAD. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. i Sep 25-07 01:39p p.1 Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name: -Q , Q Home Manufacturer: Model Number / Name: Width: "(ft.) Length:_ FOOTINGS: Wood - pressure tr SUPPORTS: Concrete block --�" — -OzE7_ e Year:Q 4/' Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. rier rooting Jlzes ana Locations SINGLE WIDE MULTI -WIDE Line 1 --------------------- ----- Line 1 ------------------------- ----- Line 2 Section 1 Line 2 Line1-----__----------------------------------- ---------- Line 3 Section 2 Line 2 -------------------------�_-_ _____-------__-- '� Line 4 (triple wide only) Section 3 Line 2 Line 1 Piers: lb1inimum size piers: [ ) X [ ] Spacing maximum: o-\, �- From ends maximum: " Line 2 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued) Line 4 Roof Loads: Minimum size piers: Location (from front) Minimum size piers: Location (continued) Snow Load:_ psf Snow Load requirements may be obtained at hftp://www.upstate-ca.com/butte/butte_county/ Insert AP #, view snow load in lower right corner. Line 1 Openings: Minimum size pier: [ i) X Required at each side of openings,over, r"%,,, I,rot ,, , wide. -� -� • - r K 2 Z4 y Z4 2 )rt4 zv-ezy 2u ?1t `( 1S` a w 71% -121 IT `/i` SL` Zkx-ZK 'mVZ`t 24f2k1 rk1 czti ZAyZ o � It' do - --- F ------------ ------- � 1 1 1 1 ----�--------------------- " ----� i i io i t to I �o I_ � 1 1 1 • I 1 I I 1 1 1 T- 1 1 I 1I�� 1 I r -• 1 IS 1 1� 1 I 1 I i io i i -i 'Ec _. I I I6� 1 i 1 � 1 I � I I 1 I • I � 1 u3n=yu Nom. y 2!l9;ffRH U! MIM - �g.�sa�uv a ea`git-8�� R3�� '8sg3 �3 N G d—ES l 0 'vN— IVA, I I 1 13W I I 1 1 1 1 ----�--------------------- " ----� t I I_ I I 1 l' l l -Soot ti .)DO 1 1 1 1 . 1 1 1 l' l l -Soot ti .)DO f } I . . Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems 4-1 HUD Wind Zone 1, 15 PSF Wind load Seismic 4 By Tie Down Engineering Mae l,ounty 1V1yulic rlyl uci lylcalulauua� u Home Acceptance Certificate. Form 513. Form to be completed by field inspector. Heath and REQUIREMENTS Safety Code Section 18613 or 1855(b) • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • 'Main rail spacing must be 75.5° - 99.5" Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. 'Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. Except single sections, (20° - 4.37 in. 12" pitch). Iaj '"' �` """' '�'TY Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8Ck LO 0 o SEE SECTION A-8 OF F=s_Q=M= ELEVATION CERTIFICATE FOR FLOOD OPENING REQUIREMENTS CALIFORNIA CODE of 'REGULATIONS TITLE 25 + Requirements as amended by the (Jurisdiction apply to this project G64e4T SEE FEMA F.I.R.M. CERTIFICATE FOR FLOOD ELEVATION INFORMATION - FL.r,NNNI G DIVISION - BUILDING i' tv� `t�cvv—nL� _ Date: P - - - , FILE COPY Laridswping: Other. Signature— l— LANDING AT EXTERIOR DOORS SHALL COMPLY WITH CBC SECTIONS 1003.3 & 1003.3.1.7 THE 2001 CBC, CMC, CPC, 2004 CEC, AND 2005 CALIFORNIA ENERGY STANDARDS I` I AS AMENDED BY THE I JURISDICTION APPLY TO THIS ALL COVERED DECKS AND OPEN DECKS EXCEEDING 36 SQUARE FEET IN AREA WILL -REQUIRE A BUILDING PERMIT BUILDING - PERMIT# 07- 2060 ASSESSOR'S PARCEL# 010 - ,fit r APP : OVED I ILJ, argil tis. , >� - C REQUIRED AT FINAL INSPECTION Butte county Mobile Home/Manufactured Home Acceptance Certificate Form 513. Form to be completed by field inspector. Heath and Safety Code Section 18613 or 1855(b) 1 a 3 75' 77' 07- io68 y Pc -we' Poi e EXiS?i„� septic 7uq,k Leach Fi e18 3i-` 1well Fx� s4t!3 Crarag C 2b x 50 � o rZy 75' (sting 5 vyt', C Ton Leach F;el J i 263.oq' 0-117 G .215qo.;a fiC. ;40;0* Warer cT y Pc -we' Poi e EXiS?i„� septic 7uq,k Leach Fi e18 3i-` 1well Fx� s4t!3 Crarag C 2b x 50 � o rZy 75' (sting 5 vyt', C Ton Leach F;el J i 263.oq' 0-117 G FILE COPY 1__ OWNER A PN m 4- 14x TUY TI�,T tier c. Uri 2 L q 4 Ir.4 r 77- 5r-ol APPROVED Butte C n Enver mental a ert�71. Co Date Ig ENVIRONMENTAL HEALTh �IA i li R I Z- ?004 7 COUNTY GElmliER DRIVE t,. • ..._ .. .. .. .. I Assessor's Parcel Number: ©2[] ©— °� 0 °� ©0 0 Scale: 1" = 50 Owner Name 'i—i-MvGL A'wa Address/ Phone No. 9 3 ST�.y[ fir, u -r 533 Site Location �pvt e r ,N. n C19�;� • o fF o� i.vc�t.,� bLv 9 _ _� g9o-gg��' �, cw-$�f1S �,��tizy Phone� FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM Cf/ (Onea Building) School DistrictOV11 'i ':M1--4) Building Department No. A.P. Number b9 Lo 'City Jurisdiction: County Property Owner cA\,,4 ta� Property Location/Address C7 � C. Subdivision \ ) N Lot No. ................................ ; ...................................... Residential Development Q Q Sq. Footage No of Living obit Home Addition/ *Supplemental to (Group R), Units Installation. Conversion Permit # Commercial/Industrial = Now Addition Building Department Repr6sentative7l *(No foundation Inspection) Qlwkc�- ....................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (including Exterior Roof Areas) .a . Date 040208 District Identification No. School District certifies that (Applicant) (Street Address) (Phone. Number) p yuQ. Sc (fty) (State) (Zip Code) has complied with the requirements of Resolution No. by payment 6f $ L�J P representing J J square feet. School District Representative Paid by Check # A- Remarks: JAB 2926 - J-L----� PFULL MM28MN---' $ Date 9'� Notice: You may protest the Imposition of the fen Identified above by submtMng a written protest to the District. In compliance with Governrnard Code Section 66020(a), wtttdn 90 days from the daft fen we paid. Failure to submit a timely written protest will'prohititt you from challenging it* Imposition of do fan In any court action. K, subsequent to the School Distrielt Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the apprleable Local Planning Agency UW this p nisct In being rwvlw*W under the California Environmental Quality Act (CEQA), MIs project may be subject to additional school fees to fully midgets. No Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school dis1rict) feeform-xis (10/03)dmm 6P*POOI 6 -MIM) :1 no -yo A I IMOO 3"1 ,c3a ejoi o3ei,3"b (el C133C1 /Y/ 613A&36�. 39 (71117 .217617d eJO-4 CINV ,elglyl eay 511V3kV3.0,P3 '7 '?.-)Y:? -1V1'VV n?) -?"/ I Allklz?& (Lc/ e1RC1elO-79& .(.ZN170.2 N057;?N *9 ,111JVI.7 iF/Y 7171219.5 A SIM a:7 7/d &.7771N -2ly3on3 alo-� Qll 90 00 07 We .3 :9N/15/lr-F) RZ OP.?(&/.?) 3,,90,9,6', 28W (O?J 3 VNI1.5,1XV 7 -72 L 6P*POOI 6 -MIM) :1 no -yo A I IMOO 3"1 ,c3a ejoi o3ei,3"b (el C133C1 /Y/ 613A&36�. 39 (71117 .217617d eJO-4 CINV ,elglyl eay 511V3kV3.0,P3 '7 '?.-)Y:? -1V1'VV n?) -?"/ I Allklz?& (Lc/ e1RC1elO-79& .(.ZN170.2 N057;?N *9 ,111JVI.7 iF/Y 7171219.5 A SIM a:7 7/d &.7771N -2ly3on3 alo-� Qll 90 00 07 We .3 :9N/15/lr-F) RZ OP.?(&/.?) 3,,90,9,6', 28W (O?J 3 VNI1.5,1XV National. Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement tLESS THAN 1 ACRE1 Project Title:�— By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: ' o�T ✓� c o� Date: 'Y 7 — O `Z` F t ,. M F�= *,qwR--B r • il: PERMIT NO. ' PERMIT EXPIRES OWNER David E. Jett CONTR. OWLS ASSESSOR PARCEL 26-05-47 LOCATION SE,cor.of Stanley Dr. & Rock Haven'Ct., Palermo v "r i Temp. Power Pole Called PG&E / Temp. Elec. Service 'Called PG&E b 1/4 A� Temp. Gaf Service Cal led PG / { JOB FI_NALE=(Date) t - t IVd •i Signature i r J = OK 0'= Not OK —r=Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready - Date MOBILE OME UTILITIES (Plans) OK except k's Date DECKS, COVERS, CARPORTS, ETC. (Plans) e.., a,:cept n ,w f ing Requirements—Setbacks—Easements _ 1. Zoning Requirements—Setbacks—Easements . S ' s; Special MH Support—Ske ch 2. Footings; Size—Depth—Spacing—Connectors S er; Loc n—Te F C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Water-ocat i on— Test— Easement Needed (Sketch) 4, Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rfg. -13racing Elec icity; Location—Clearances—Grnd.—/;A" Amp -Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enc.us:..es 6. ; Locatiga-`e%4raKt�'t"f . Nat.or,'/%f "L" ft./ LPG 7. Utility Clearance 6. Carports; Windows—Doors 7. Elec. Card -BI Date ,/6-j�1 Card -BI Date Card -BI Date Card -BI Date _ Q'- ate -Y ZCard-BI Date Card -BI Date Card -BI Date Date MOBILEH INSTALLATION ' oning Requirements—Setbacks—Easements Date,01VIE POOLS (Plans) OK except N's 1. Setbacks—Easements o Ings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability ; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining__ city; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GR amain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8,KGas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9,RExits; Insp.—Sketch 104ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Car -1 -Date rd -BI Date Card -BI Date Card -BI Date rd B -I Date —2 rd -BI Date Card -BI Date Card -BI Date f = OIL = Not OK = Not Applicable = Not Ready RESIDENTIAL'(Singde and Duplex) Date UNDERFLOOR Plans OK exce tq's Date FRAMING (Continued) ' 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings ---.-5. 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 3. Ftg., Garage; Soils -Steel= / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 49. 50. 51. 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Fig. -Steel 54. Glazing Area -Glass Protection-Skyligits-Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date _ PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59, Bedroom Exiting ______17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -_abets 19. Gas Pipe; Size & Anchors - 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date _ 65. Kit. Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location _ 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al' 74. Fdn. Vents & Crawl Hole Door -Drainage & Wooc-Earth Clearance Looked under Floor ❑Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral rF!Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ONO 28. Service -Riser Conductors & Ground -Main Disconnect _ 29. Equip. Clearances; Panels-Motors-Mech. Equip. 76. Stucco; Brown -Finish 30. Clothes Closet Light -Shower Light 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -- - - 79. Water Well; Disconnect, Electrical, Plumbing Card B I Date Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I _ Date Card -BI Date 81. Ventilation throughout House 82. Glass Protection Date __- MECHANICAL (Permit) OK except 31. A.C. Ducts; Insulation & Supporrtt 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval - 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain &Overflow; Size &Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access -& Platform if Furnace in Attic Card -BI Card -BI - -- --- - - --- - - -- -- --- Date _ _ _ Card -BI Date Date Card- B_ -F Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors _ 37. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 38. Bearing Walls over Girders & Floor Nailing----- ailing____39. Draft 39.in Walls (rat proof) _ -Stop _ 40. _Fire _Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Rom ex Protection -Draft Stop -Ins. Baffles 46. Bdrm_Windows or Exiting Doors -Sill Hgt. &_Dimensions _ 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott'Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 1 ri -�7 / 2. Date Z--- I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OE OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number 4 '4ZV`- 99 for the following location: Owner Owner Mobile Insignia No. q L Serial No. It is hereby certified for occupancy at the above described location and may be occupied. , Directtoor,of Public Works. 'O Date. / �2- - <r �_.� g THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. r 7. County Center Drive - Orovilie, California 95965 Telephone 916/534-4541 / APPLICATION AND P MIT ASSESSOR PARCEL NUMBER . l�� i'^ cJ ZON G BUILDING PERMI OWNE TELEPHONE SQ. FT. OCC. BUILDING VALUATION O R'S MAILING ADDRESS CONTRACTOR'S NAVE _ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER � LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESSS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 em Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeP�Qther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK �- New ❑ Addition ❑ odeI ❑ UtiIit'es Ifnstallation I/d� Other ❑ Describe work: Y_ �J 10 n"�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.81 OR ADDNS. ACC. BLDGS. _ 22 sq ft C TRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions -of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. - , Business and Professions Code for this reason NEW CONSTNON-RESID R BRANCH CIRCUITS 2.50 ea NEW CONSTR. ( POWER APPARATUS 01 NON•RESID. SINGLE OUTLET CIR, / Ex. Occup OUTLETS OR FIXTURES g X25 FIXED APPLNS. OR EX. Occup. TLE(RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Mn I shall not employ any person in any manner so as to become subject V'" to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, Jud ments, costs, and expenses which may in any way accrue ag t said Coun i onseq nce of the granting of this permit. Q X , Date i1'-% ? " y r Signature of Applicant - OwnerM Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ ,0 TOTAL PERMIT FEE $ r occuP. GROuP TYPE OF CONST. I ]PARCEL PD HD 1 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date e7— 72 �� c�- Receipt NO. WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 3 , COUNTY OF BUTTE : DE.PA,RTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 APPLICATION AND PERMIT If -ASSESS O PARCEL NUMB ZONI (j_05 — � X Z_ a UILDING PERMIT OW//i�hONE 1�-04 S5 SO. FT. OCC. BUILDING VALUATION OWNER'S M,-IN2Z!RESSPQ-VEr Sa CUI ytJYS- CONTRACTOR'S NAME f - TELEPHONE ESS CONSTRUCTION LENDE LENDE LOT NO. I SUBDIVISION NAME DRESS Fireplace UNKNOWN Total Valuation Is Filing Fee Permit Fee LICENSE NO. Plan Checking Fee ( Penalty Permit fee Meg, 5�1WAIPLUMBING PERMIT 1-14 vej CT PAI.0 i_ O PAR EL MAP 7-749 USE ORUCTURE SF❑ Duplex[]Mobilehome Other SPECIFY New ❑ Addition ❑ Describe work: TYPE OF WORK Remodel❑ Utilities nstallation❑ Other❑ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against allbilities, ,judgments, costs, and expenses which may in any way accrue agai s said Count in seq ce of the granting of this permit. X Date Signature of Applicant — OwnerContractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. J to /f I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Each Trap Repair drainage or vent piping Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Lawn sprinkler system Permit Fee Contractor ELECTRICAL PERMIT Main service 600V OR LESS 100 AMP OR LESS Mafn service EA. ADD'L 100 AMP NEW CONST. ( DWELLING OCCUP.N) OR ADDNS, ACC. BLDGS. NEW CONSTR. •OU LET NON•RESID. BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS y1 NON-RESID. SINGLE OUTLET CIR. / EX. OCCUp OUTLETS OR FIXTURE: FIXED APPLNS, OR Ex. Occup.(pUTLETS (RESID.) EA., Temporary service Mobile Home Facilities Misc. Wiring -' Permit Fee Fi I i ng Fee 10.00 5.00 1 oL 2.50 20 sq it 2.50 ea Hood ■ 50 a 250 BAL P 10t 2.00 ■■ � ii ■ " 15.00 . ()C 7.50 .00 S Fi I i ng Fee 10.00 5.00 1 oL 2.50 20 sq it 2.50 ea Hood 3.00 50 a 250 BAL P 10t 2.00 10.00 15.00 . ()C 7.50 .00 S Contractor 3 3, S70 MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation I Permit Fee S Contractor Mobile Home Installation Fee $ TOTAL PERMIT FEE $ � CU OCCUP. GROUP I TYPE OF CONST. JPAj7Ji7J HD ISSUE k" This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D! TOR OF UBLIC WORKS By. r Date ?-00 / PERMIT EXPIRES Date 1. 2. 3. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroyille,-CA. PHONE: 534-4541 _ -� MOBILEHOME INSTALLATION SHEET Owner' s name: L/ Installer s name: cj cei .itl e, L Is, the site currently under permit?Yes No (If yes, furnish permit number Is the site an existing site? Yes. No (If yes, furnish two (2) plot plans.)- 4. lans.)- OR 4. Will the mobilehome'+be located'at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /% No ( If no,, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- b Amps 7. What is the mobilehome site circuit breaker rating? ------------- d Amps 8. Is.there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes / [ No (If yes, identify the load and size: Cr A (Load) d (Amps) 9. What is the mobilehome site gas pipe size? ----------------------A t77 10. What is the type of gas service?----- ---------------------- Natural —% LPG 11. What.is the gas -pipe length from meter or tank to the mobilehome? % Z (ft.) 12. What is the mobilehome gas demand? ------------------------------ - - (BTU) r 4 (This information not required'if;-pipe,length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, " �� Mohilehome Mfr. furnish Setup Model No. Year Widtr_(ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of s. mobilehome unless otherwise specified. x (ft.)(in:) (in.) (in.) enter support Center support locations* footing sizes (in.) U O (ft.)(in.) (in.) (in.) �T (ft.)(in.) (in•.) (in.) (ft.)(in.) (in.) (in.) Single Footings (check one, 1. Wood either pressure treated 4 foundation grade. 2. Other. ( specify) Supporta (check one; 1: Concrete block. .2. Other (specify) *----Tagalong or Expando,' show support details, x3 of -- Typical Support .) (in.) Footing Size -- Max. Pier Spacing -- Max. Overhang (ft.) (in.) (in.) (in.) i(f t.) (in.) �3 2O rel BUILDJNG ®L?ARTWViD *If center piers are other than drawn above, D .i—, 4'.. _].......•;.,.,- gra i f K V 4 P.,��t © , j A setback of 5 ft. from the ot;Oh ��// �e property lines and a setback °f the eg4Ped of 50ft. from the road Mob;/ego°r �- centerline shall be clear of fie, " structures or equipment exce t t for a 2 ft. eave overhang. V Utility ce nnecti ns shall be wit 4 I ft, of e mo ilehome, either dir� ehin or within the rear ti e roa side (left) of the Workr��anship Shall Be 4� i mobile me. \. ,All. Materials Goad Prr^tices ands f NOTE. with Reco�nizc'd F Accordance or ii?F SF�ec%¢ied use in the A �i of a quality prescr:bpd � Machanica; Codes and Building, Plumbing d Uniforrri the National Electrical CO e- \ / e @ci1i.cntinns MUST �� This set of plans and sp it is unlawful to - �� ` Q/ on the yob at all times and d�lic. '" C/ gine ?yithout kept es or Cl}err',c:ns on s "' of Pu „ _ c4,q artm� ' - BUTTE COUNTY mo4e csn�f from tl?e'p _ - - written peCmis_ion _ N ._ .. Works. C �'^�`y of gtattc'• y BUILDING DEPARTMENT rAPPROVED% p�^burn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 81-35430 FOR RESIDENTIAL DEVELOPMENT Rg'�,"�7YFFC; 14 'jpt 00 WOU 03 nrPLvA"uQiw n.n lu."m�vv! OMAN 141 -3 h.bily2da" T 13:01 04J nsi 0014 islallac 'Al bn" W.W.U-27 MOTTO 41 yalyn-I yjq,GD 91sUd ORION Sixive lJOKA r N owabuaU Oj 101=u Deflows; 07 •"al,"ton "i UISIN WHIM yZinyoly AT 10 wCOW-01 %.. Oq7"1 wallush:?z ml nano, O.m pa cArw .00 y 911 r, -1 14 'jpt 00 nrPLvA"uQiw n.n lu."m�vv! OMAN 141 -3 h.bily2da" ,5;-qxcq 04J nsi 0014 islallac Me &W %a %on ulupown 1 MOM MOTTO 41 Sme V SCHEDULE C Order No. *120249 The land referred to herein is described as follows: All that certain rea'1 property situate in the County of Butte, State =of_ California, described as follows; PARCEL Al: Parcel_ 1, as shown on that certain Parcel P-Ia;. being a portion of -the Southwest quarter of the Northeast quarter of Section 5, Townshi.,_) 18 North, Range 4 EaSt, M.D.B. & I`:. , filed in Clic office of the reco 'der County of Butte, State of California, on November 12, 1980 in Book 79 of Parcel Maps, at page 76. 1:1... _.:`:'; P;:; 'i iii ;rr't:L i :a ::Cl.uti ive ri.gl_t rJi waV for road andpublic utilities, as shown on the i4ap herein referred to. Said r.;ght of way *s for the benefit of and appurtenant to Parcels ?, 3 acrd 4, as shovat on the Parcel. ;: ap recorded 10:ov tuber 12, 1.980 in Book 79 of ParcelI;ups, at page 7G. PARCEL B- A right of way for road purposes 60 feet in width ^roc_ a nort:Lon of the Southeast quarter of the Nort:h4:'e--t— CL;"-rter O`.: Sect -_On Township V A\v>. t -h, 1♦:.:i l\)C East , _ /.1'1♦, l.r':.l lq adjacent to ,the foll_ov.,ing described Line: , BEG13",I ING at a point in the Nor h --South centerline of said Soction 5, distant Norti1 00 40 ° `;est 1150.68 feet from the center of said Section 5; thence South 53°'55' west 490...22 feet; thence South 44" 06' West 1239.10 feet; thence South 88° 341.West 70.92 feet to a point in the East line of Palermo Road. F tp 0 0 FOX �� M iPr END OF DOCUMENT I j {rw fl 0 February 10, 2003 Lake Oroville Realty 5250 Olive Highway Suite "H" Oroville, CA 95966-5650 ATTN: Robert Stahl 16uite Count L A N D O F NATURAL WEALTH A N D BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 Re: Burn -down letter for 2193 & 2197 Stanley Dr., Oroville, CA, (APN 026-050-047). Dear Mr. Stahl; The above referenced parcel is currently zoned AR -1 (Agricultural Residential, 1 acre minimum). This zone allows for a single-family dwelling. Our records show there are two singlewide mobile home dwellings on this parcel as non -conforming uses that were established when the previous zone had no restrictions for the number of dwellings, provided they met Environmental Health requirements for sewage disposal. t Should the dwellings be catastrophically destroyed they may be reconstructed to the same exact footprint within one year, provided they will not be placed within the required building setback areas and meets sanitation codes in effect at the time of reconstruction. Per our conversation, you stated the owner wishes to replace the singlewide mobile homes with larger dwellings sometime in the future. At present one dwelling may be replaced at a larger size provided it is established as the primary dwelling, any expansion of the secondary dwelling will require a Use Permit application be approved through the Planning Division of the Butte County Department of Development Services The setback requirements for the AR -1 zoning are 50 feet from the center of the road and 10 feet side and rear yard property lines. Should you have any further questions, please contact this office between the hours of 8:00 a.m. and 4:00 p.m., Monday through Friday, at 530-538-7977. Sincer , arry Painte Planning Technician H CC: Development Services, Building Division Butte County Department of Development Services Planning Division v MEMORANDUM TO BLDG FILE 026-050-047 5 January 2002 The two mobile homes on this parcel are legal non -conforming uses. They were installed when the zoning ordinance allowed multiple dwellings on this parcel. Carl Durling Associate Planner LAKE OROVILLE REALTY ROBERT"BOB"STAHL Associate 1-800-428-7068 Bus: (530) 589-0505 Res.: (530) 589-5154 5250 Olive Hwy., Suite H Fax: (530) 589-4919 Lake Oroville, CA 95966 T. t •(A Ik 4-2al 8 I PERMIT NO. 1 ,�-;E i PERMIT EXPIRES/—Iry _ �y OWNER Ivan L+ Bickford CONTR. Owner , ASSESSOR PARCEL 26-05-47 LOCATION SW cor.of Stanley Dr. & Rock Haven Ct., Palermo (lot 1) i Temp. Power Pole Called PG&E .r Temp. Elec. Service C led PG&E �J`v em'. as SServi ce �i Called PG&E w �� • r + JO INALED (Date) i - Signature f f I i i t f T. t •(A Ik 4-2al 8 I PERMIT NO. 1 ,�-;E i PERMIT EXPIRES/—Iry _ �y OWNER Ivan L+ Bickford CONTR. Owner , ASSESSOR PARCEL 26-05-47 LOCATION SW cor.of Stanley Dr. & Rock Haven Ct., Palermo (lot 1) i Temp. Power Pole Called PG&E .r Temp. Elec. Service C led PG&E �J`v em'. as SServi ce �i Called PG&E w �� • r + JO INALED (Date) i - Signature f f I T. t •(A Ik 4-2al 8 I PERMIT NO. 1 ,�-;E i PERMIT EXPIRES/—Iry _ �y OWNER Ivan L+ Bickford CONTR. Owner , ASSESSOR PARCEL 26-05-47 LOCATION SW cor.of Stanley Dr. & Rock Haven Ct., Palermo (lot 1) i Temp. Power Pole Called PG&E .r Temp. Elec. Service C led PG&E �J`v em'. as SServi ce �i Called PG&E w �� • r + JO INALED (Date) i - Signature J OK, 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #;s Date DECKS, COVERS, CARPORTS, ETC. (Plans) V•, .accept # 1. Zon' equirements-Set -Eas Is 1. Zoning Requirements -Setbacks -Easements oils; Special fAH Suppo t- etch 2. Footings; Size -Depth -Spacing -Connectors 3. Sebeer; Lo ion -T -F I Concret _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wa, L ation-Test- sement Needed (Sketch) _ 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg. -Bracin_g__ 5. EI ,'city; Loc n -Clear es -Gr .-(W Amp 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.os..res ovation -T - /'•L"ft./ /"Nat. or 11-'L"ft./ LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Cwd'51 Date Card -BI Date Card -BI Date Card -BI Date ar BI Date 1 _;k7-9-)-Card-BI Date Card -BI _ Date Card -BI Date Date &BILEHOME INSTALLATION (P&4s) OK except #'s Date POOLS (Plans) OK except N's oning Requirements -Setbacks -Easements 1, Setbacks -Easements ootings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability T.l'.-225' est -Demand -Valve -Connector 3, Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4.. lectricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5 rain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI k,Al-ter; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed r and Sewer Connected -C/O to Grade -HD Approval 7• Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater as and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit §tfxks; Insp.-Sketch 1 ert. of Occupancy 9. Health Department Approval Card -BI 10. Plumb; Cir. Test -Water Supply Test Date Card -BI Date Card, B -I Dat - � and -BI Date 'rd -BI Date Card -BI Date Card -BI Date V = OK - O = Not OK Not Applicable =Nor Re94 RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story,'2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers' 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except N's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. -- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E) Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps _ --- 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size _/* / ga. Cu or At 74. Fdn. Vents Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral F]Yes ❑No ❑ Ye E)75. Following in Drive El Yes E) No; Walks E) Yes ❑ No; Planters Yes No _- 28. 29. 30. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 76. Stucco; Brown -Finish 77. 78. 79. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing -------------- Card B -I - Date- Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except it's - 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32.- Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade _ _34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Card -BI- Card -BI 35. ----- Attic Access & Platform if Furnace in Attic -- -- -- - ----- Date - _ _Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: _ 36. 37. _Walls; 38. 39. 40. Sills; Proper Material & Anchors Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailin_g___ Draft Stop in Walls (rat proof) _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- PUrlin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Rom_ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _ (NOTE: An entry must be madMach time you visit jobsite) s,-- 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING O,R PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. Ifyouhave any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector A Date_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 *CORRECTION NOTICE BUILDING OR PROPERTY ADDR A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r _ � Inspector '��'' /C��"--�- Date �/� v �"�'� COUNTY OF BUTTE I DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 t CERTIFICATEOFOCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number- 5.. I- for the f llowing location: Owner 7r -A--" A Owner's Address 0 i Mobilehome Mfg. Model Year Insignia No. A-4 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works .c — ';!�Z j•+ r'. _ c ..-ter �� Date.-- $ y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED - White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC>916/5 K PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone -4541 - • APPLICATION AND'PERMIT AS SS R PARCE, aUMBE ' ZO IINGZ BUILDING PERMI 6 - OW_ Y/ 13 TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION ( R NER'S ILING ADDRESS r CON RACTOR' NAME TELEPHONE MAILING CONSTRUCTION LENDER LENDER'S MAILING ADDRESS, ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAI BUILDINGJADDRES54 NO. ISUBDIVISION NAME Z PARCEL MAP USE, SF ❑ Duplex❑ Mobilehome Other SPECIFY TYPE OF WORK �/ New ❑ Addition ❑ entodel �tilities ❑// instal fla}tiond Other ❑ Describe work: <197 X / 'CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 14 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. IQI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant- If after making this statement should ou be— b' Fireplace I - ELECTRICAL PERMIT Total Valuation $ Main service 600V OR LESS 100 AMP OR LESS 5.00 Filing Fee $ 10.00 Permit Fee $ 2,50 ea Plan Checking Fee $ Ex. OCCUp OUTLETS OR FIXTURES Penalty $ 2.00 Permit fee $ Mobile Home Facilities PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping $ 5.00 Water piping MECHANICAL PERMIT FiIingFee 10.00 Each pas water heater or vent Receipt No., d -7 I 5.00 Gas piping system 1 - 5 outlets Cooling Building sewer 3,00 Venti lation Lawn sarinkler system 5.00 Permit Fee Contractor Permit Fee S ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELING OR ADDNS. �ACCLBLDGS.CCUP.y) 20sgft NEW CONSTP- TI.OU LET NON-RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR. ( POWER APPARATUS S1 / NON.RESID. SINGLE OUTLET CIR.50 OCCUP. GROUP Ex. OCCUp OUTLETS OR FIXTURES 0 BAL@100 FIXED APPLNS, OR EX. QCCUp.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 v Permit Fee $ Contractor An OSHA permit is required for excavations over 5'0" deep and demolition or construct- MECHANICAL PERMIT FiIingFee 10.00 Heating Receipt No., d -7 I BY ` Date CZJ^S--?g- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Cooling Hood 3,00 Venti lation y me su lect to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee S provisions or this permit shal I be deemed revoked. Contractor 1 certify that I have read this application and state that the above information Mobile Home Installation Fee $ ©(� is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of. Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE 01) I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue OCCUP. GROUP I TYPE OF CONST, PARCEL PD 1 NDISsuE,i sequence of tranting of this permit..? against said County it__Z6i__J %� "�`�'�Date / " ' v This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF UBLIC WORKS ion of structures over stories in height. Receipt No., d -7 I BY ` Date CZJ^S--?g- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC WORKS � PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534- 41 APPLICATION AND PERMIT ASSESSOR PARCEL�NUM_BEQR� 7 ZONIN BUILDING PERMIT OWNER aAJ �C�,/ �� - TF?6_ q SO. FT. OCC. BUILDING VALUATION OWNER' AI LIN OX E /�.,,SuU/K5—UrVI 94 %%L{_ / r��a ✓J'/TELEPHONE CONTRACTOR'S NAME J CONTRACTOR'S MAILING ADDRESS Fireplace Total Valuation Is CONSTRUCTION LENDER UNKNOWN Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee R TRY $ -VI✓ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Bu t�IG/ADD ss �� /AJ7Te5 5� /LC l/ PLUMBING PERMIT Filing Fee 10.00 n!VE K Each Trap 2.00 Repair drainage or vent piping 5.00 P-Lc-e4v ) Water piping ®r QO LOT NO. SUBDIVISION NAME EL�nPP //Yi„ Each qas water heater or vent 5.00 Gas piping system 1 -5 outlets .Qd USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Building sewer 0C) Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities Installation ❑ Other ❑ Describe work: Permit Fee $ 0a Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS5.00 S. Main service EA. ADD'L 100 AMP 2.50 Tj NEW CONST. ( DWELLING OCCUP.m) OR ADDNS. \ ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CO ID IR RANC(MULTI-OUT CIRCTITS 2.50 ea NEw CONSTR (/ POWER APPARATUS e\\ NON-RESID. (SINGLE OUTLET CIR. 1 Ex. OCCUp OUTLETS OR FIXTURES BAL@1 IXED APPLNS. OR EX. OCCUp.(OUTLETS (RES ID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ]-00 Misc. Wiring 7.50 Permit Fee $ , Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. =® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co�nseq�ence of the granting of this permit. X Date %�— ' Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GROUP I TYPE OF CONST. I PARCEL PD I NDJ ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO%OF BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. '-.J 6.717 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ' BUTTE.COUNTY DEPARTMENT OF PUBLIC WORKS , - 7-_ County Center Drive, Oroville, CA. PHONE: 534-4541 i MOBILEHOME INSTALLATION SHEET 1. Owner's name /a 01 /? /. • �l G�C�a ✓� 2. Installer's name: to ki 3. Is the site currently under permit? Yes )` / No (If yes, furnish permit number 3' 9 � OR Is the site an existing site? Yes No -(If yes, furnish two (2) plot plans.) 4. Will the mobilehom&,be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- a 0 Amps 6. What is the mobilehome site service rating? i�® e) Amps 7. What is the mobilehome site circuit breaker rating? ------------- /Amps 8. Is there any other electric load to be served by the mobilehome l (Amps) siteservice? --------------------------------------------------- Yes 7 No TK F .(If yes, identify the load and size: (Load) (Amps) �Z f 9. What is the mobilehome site gas pipe size? ---------------------- (in.) Z_-y__DA9�_1e=�------------- 10. What is the type of gas service? -=_ Natural / / LPG .11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ _ (BTU) (This information not'required"if 'pipe'length less than 6 ft. on natural gas or less than 50.ft on LPG.) MOBILEHOME SUPPORT DATA P,/ If other than single wide,, Mobilehome Mfr. C� i h / � furnish Setup Model No. year, WidthZ '2 (ft.) Box Length (ft.) Tagalong or Expando Size ft. x — ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of x mobilehome unless otherwise specified. -- Max. Pier Spacing � x V,4 -- Max. Overhang Footings (check one) Single 1. Wood either A. pressure treated or, foundation grade. ( t.)(in:) K (in.) (in.) ❑ 2. Other: (specify) Center upport locati ns* Center su port footing izes. Supporta (check one) (in. UR 1, Concrete block. I ❑ .2. Other. (specify) x (ft.)I (in.) *----Tagalong or Expando,' show support details. (in.) (in.) -- Typical Support (in.) (in.) Footing Size L �o x (in. (in.) -- Max. Pier Spacing � x V,4 -- Max. Overhang (in.) (in. (ft. )(in.) *If center piers are other than drawn above, draw in locations. spaciniz, and dimensions. 2- 7- �-� A setback of 5 ft: from the �� I property lines and a setback ` of 50ft. from the road centerline shall be clear of, structures, or equipment except -- for a 2 ft. eave overhang.- A will re red for- that - Shall Be to mstiv of t mobilehome. f iPPorkmans _ p i Materials CZ & .. Gooch prr.ctices and M rizad in th® 1' �i ee- rpTE:_All with pecog ;he Specified use , _ p;ccordance escribecl aor &Mechanical Cod05 and a quality P' plumbing "` Utility c nnectior�sahall be within' of duild�ng� Code..ehome, either Uniform Electrical 4 ft. of he'mob� the rational behind or within the rear directly of the / of he road ide (left) /( . half / F - mobile ome. 1 1ST begl This set of plans and spec'fi�c+ti^ns Y �,�� " kept on the j.ob at els t¢�rrs ins a mes rind it'sorne w tho + BUTTE COUNTY, make any changes or rl .0 . written permission from the Department of Public _ BUILDING DE?ARTIVIEiN1 Works, County of Bufte. APPROVED -Ody 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 s 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance R Disconnect Clearance Date Card B-1 Date Card B-1 Date Card B-1 bate Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zonin equirements-Setbacks-Easements ootings; Size -Spacing -Marriage Line 3. Gas• MH_Test-Demand-Valve-Connector lectricity; MH Test -Crossovers -Breakers -Clearances 9--BrMI- est -Fall -Flex Connector ater; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged awns -Type -Installation Cert. � � p. -Sketch 1 41*'Mert. of Occupancy MISCELLANEOUS t 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-Con nectors 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 1. Card B-1 Date Card B-1 Date 3. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Elec.; Pool Lighting; 15 Volts-GFI 6. 1. Zoning Requirements -Setbacks -Easements Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. I 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits .10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS t 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-Con nectors 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. i 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. I Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit d 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 49. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 50. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing -RC Channel 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Rin -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Card B-1 Date Card B-1 Date Date Date Card B-1 Date Card B-1 Date 64. 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 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Date 74. Card B-1 Date Card B-1 Date 75. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s A.C. Duct in Garage -Damper 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 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 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date 89. Card B-1 Date Card B-1 Date 90. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Corrections from Previous Inspections 36. A.C. Ducts Insulation & Support Gas Test -Meters Tagged, Gas -Electric 37. Vent Fan, Exhaust above insulation Water & Sewer Connected -C/O to Grade -HD Approval 38. Condensate Drain & Overflow, Size & Grade Energy Compliance Certificate -Other Certificates 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Address Posted 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 Card B-1 Date Card B-1 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 a 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 -Rin -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O 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: NOTES f .. I 1� f .. I 1 RESIDENTIAL PERMIT NO. 1 HOLWEGER, LANCE 2193 STANLEY DR, OROVILLE Cont: BARNEY BONE MHI _c- S SPECIAL CONDITIONS FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter By Date ELECTRI -� Meter By Date JOB FINALED (Date) Signature CHECKED BY 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. BP041190 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN: 026-050-047-000 the Business and Professions Code, and my license is in full force and effect. License Class: r 417 License Number: % . ! r / Site Address' 219.3 STANLEY DR PAL Date: cJ - 3'4 Contractor: 7 Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: MHI EX SITE (1539) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a' permit to construct, alter, improve, demolish, or repair any structure, prior Owner•• HOLWEGER LANCE K & RIKA to its issuance, also requires the applicant for such permit to file a 2193 STANLEY DR signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966-9545 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).): O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: HOLWEGER LANCE K & RIKA 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.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner.of property who builds or improves thereon, Contractor: B & B MOBILE HOME SERVICE and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 6493 LINCOLN BLVD ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-534-9694 Date: owner: License #: 751948 WORKERS' COMPENSATION DECLARATION 1 heiel6y affirm under penalty of perjury one of the following declarations: Q' 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: p Carrier: STS % f A.0 ^ Total Square Ft: 0 S. F. Policy #:_ t6�� / G r1) �`j_ — Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r L�eL�( T 6 a I Date: r— / - �J Cn J "(tJU" e ifi u6d . 21 l 'i • a s (� Applicant: 2 �B �j % e4,-, �J WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal and one 'DIGS C6 ' fr . penalties hundred thousand dollars ($100,000), in addition to the cost of , �YYlC,Urld' �e�Ol�ecf �, Q •SIS compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Thi pe ' i ere issu er th applicable provisions of the Butte County odP a rUOr R oluf o rk in c d b e for which fees have been paid. 'IL Name: B hh Date: V, Address: PERMIT ON: ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25 3, 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. IZ— "."'"' - 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'Gottnty. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes-.----) "- Tr Print Name: Signature: Date: / � _.LN - 0 OwnerContractor ❑ Agent for Owner ❑ Agent for Contractor FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Read the instructions on Woes 1- 7. O.M.B. No. 3067-0077 Expires December 31, 2005 SECTION A - PROPERTY OWNER INFORMATION For Insurance Company use: BUILDING OWNER'S NAME Policy Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number CITY STATE ZIP CODE oroville' Pale= CA 95%8 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN: 026-050-047 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ##° - ##' - ##.IW or ##.#####) ® NAD 1927 ❑ NAD 1983 N] USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. NFIP COMMUNITY NAME & COMMUNITY NUMBER Butte Gomty Unimorporated Areas 060017 B2. COUNTY NAME I Burne B3. STATE CA B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVEREVISED DATE 88. FLOOD ZONE(S) (Zone A0, use depth of flooding) C 06-08-1998 6-8-1998 A 1770 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ® Other (Describe): B11. Indicate the elevation datum used for the BFE in 69: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Desaibe): B12. Is the building located in a Coastal Barrer Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date NIA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3: a� below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or th of Section D or Section G, as appropriate, to document the datum conversion. oe03F ES Sil Datum_IEGS Conversion/Comments Elevation reference mark used%I 17 h;.loes the elevation reference mark used appear on the FIRM? ❑ Yes g] No �. ❑ a) Top of bottom floor (including basement or endosure) 1Z2�8 ft (m) C-3 ❑ b) Top of next higher floor.24 ❑ c) Bottom of lowest horizontal structural member (V zones only) — —ft.(m) H P. 2-31 �- ❑ d) Attached garage (top of slab) _. _k(m) E a ❑ e) Lowest elevation of machinery and/or equipment W v servicing the building (Desaibe in a Comments area) �Z6s8 ft.(m) = ❑ f) Lowest adjacent (finished) grade (LAG) lmi8 fQrn) z' 5 Q Elg) Highest adjacent (finished) grade (HAG) 117-0 ft.(m) y U' OF CA ❑ h) No. of permanent openingS(ffood vents) within 1 ft. above adjacent grade 18 2 • El i) Total area of all permanent openings (flood vents) in C3.h lmsq. in. SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available. I understand thajgny false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAS Alan G. B : :. LICENSE NUMBER C24578 NAME BBA ENGINEERING ADDRESS i CITY STATE ZIP CODE PO BOX 1576 Oroville CA 95965 SIGNATURE DATE TELEPHONE 6104A 530-534-1911 FEMA Fnrm R1-11 Annnary 2nn3 Cora ravPmp drip fnr nnntintiatinn RPnlar.Pc all nravinnc Prlitinn, 9 „o,`Y„r..,..�,..,,,,,Rjyr,,.,,�wdyyr,,..,,�r;,�„�•�� .r . . .- - J .� s r o ,r \. ,z. .a Pgr�c.r`5*'�t t� t MOBILEHOME INSTALLATION ACCEPTANCE ` COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: ;� 6 — PERMIT NO.: Owner's }Name: Owner's Address: Mobilehome Manufacturer: kA Year of Manufacture: Serial Number or V.LN.:. �• Y� N.D. � Insignia or HUD Number: h .`S �- �... r.4, 1^ X. ``� % 4Li(�' / _ `r �V .3 �✓ Official approving installation: r ✓'' t/`;. Dat/e: moi'• (J ( !1 If th mobilehomeis moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not.be used when the mobilehomeis installed on a foundation system. 5138 Wite-Owner, .Yellow -Installer, Pink -Bldg, Gold -Assessor ' t .,._,�+..a.ei?<�”, weitr�h..t.�_+,� u. ... `}' ,�i iK_.'�'.�wa.:.t:_�i�. e.a .. _, �:?".inS�v ....�>..�w S .�'•5..��`.-�_r_„irr,�,. t�'�",n"r&_r "Ht��• 1, .t.�.� �...rr.�. r..�.,h_�_.tF.w:..W.•:.r2:..n1.1...�1ks�a.,e.�::.r.._��+..5..++.•,.:.,'-.. v . _ -• v -- �,.�'-....::... ""'^'A./`t...�Y^''.�j'! {! . `�,N`'�� ...r..r.«.•-rte• MOBILEHOME INSTALLATION ACCEPTANCE axei �_ , i GUUNTY-UFS LWTTE ,. , ,_ f. .— , DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 .11 II APN- PERMIT NO.: ��f (� Owner's Name: f Owner's Address: Mobilehome'Manufacturer: ItA f Year of Manufacture: Serial Number or V.I.N.: tIll is 1 j' t3't-- 1 Insignia or HUD Number: Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. •J1 3B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor d 1 .. .. .. ..t�' .:..:4!.��..�L�: r.:,a..... t.•t:aY _t/fdL�'.L �i..a..1.LT �`.�Ya.G.,...�:..,N,•.�_...i!.:.c,..!`iia.,:S.k'�..'.ifn,".".f.a:+i..'.+s.'.4'G'�rtd.;a�.e-Y...:t.t.._.i•, i. _. 9''y3 ."i,'tFt._.<:��r- . r BUTTE COUNTY 69PAATMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041190 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: APN:O26-050-047-000 the Business and Professions Code, and my license is in full force and effect. License Class: (' y 7 License Number: Site Address: 2193 STANLEY DR PAL Date: v e-1:2-6)14 Contractor: Znr"- -- Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: MHI EX SITE (1539) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HOLWEGER LANCE K & RIKA to its issuance, also requires the applicant for such permit to file a 2193 STANLEY DR signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966-9545 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: HOLWEGER LANCE K & RIKA owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will, have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. B & B MOBILE HOME SERVICE and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 6493 LINCOLN BLVD ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-534-9694 Date: owner: License #: 751948 /' WORKERS' COMPENSATION DECLARATION 1 he,Fcloy affirm under penalty of perjury one of the following declarations: q� 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect' is issued. • ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: p Total Square Ft: 0 S. F. � ✓ Policy a: /' 6 / 6 c'6 � a ,� Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith rcomply with those provisions. Date: S Cn+ Applicant:— //Y/ !y J A ,lcU,, 4 -We eet Urd , q l WARNING: Failure to secure workers' compensation coverage iseeei unlawful, and shall subject an employer to criminal and one penalties hundred thousand dollars ($100,000), in addition to the cost ofS AYYtGV e0- Ueef of r7 q compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.)51Name: Thi pIii ere issu errth a livable provisions of the Butte County .oda a or R ol0 rk in c d b e for which fees have been paid. /Address: B : Date: c4 PERMRES ON: V ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 2556, 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 Go<y. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose . Print Name: < / �GN Signature: Date: 0 OwnerContractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES . BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891.2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP \ dt(_� DATE: J ` D �/ APN: ^ i_ y - ZONING: OWNER'S LAST NAME: OWNER'S FIRST NAME: PHONE 44w r. ,. //0t STREET ADDRESS: FAX CITY, ZIP: � � � � E-MAIL: SITE ADDRESS: CITY, ZIP: n NEAREST CROSS STREET: TT � APPLICANT NAME:¢ �is� PH Ej / ( p STREETADDRESS, /ivC. o L,�v yjl u FAX: CITY, ZIP: 12G ^ ` / j (, Cid E-MAIL: CONTRACTOR NAME: PHONE: rv� �. o STREET ADDRE�: - FAX - L CITY, ZIP: L E-MAIL' LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E-MAIL' DESCRIPTION OR SCOPE OF WORK: 4334 ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) a=L m EXPIRATION OFA PLICATION 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 fees will be required. 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. For office use only: I Notes: 49� Application Received by: Date: Receipt number: Amount Received: ��%�� •��-ahs+r�Xri� rvl�.�'+ip ' ,. i•,riy, -. # „y��,�t�,,.t. • ti .--'"tel+T .. %1►I"�!}.-•` �ll_.�I'��"� _ � �:xai'v'w"�-.Y....,, ..� "... .�'r�. � ✓ .r • ., � .. ' V 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: 6I vj ALASSESSOR PARCEL NUMBER d O`�p ' b 5a ' C>4 Proposed Building Use: L6 Counter Technician: Date Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t pply. 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 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details anza' youts in duplicate. No faxes! �.►�� ❑ 5. Iter from Engineer or Architect for truss design review. ❑ Energy compliance design and supporting documentation in duplica / �ad'1 n ❑ 7. Statement of Intent for Non -heated and A/ or Non- nti uilding . / 8. Manufactured homes: Data sheets a d installation ins Marriage line info,(Floor Plan , , ie down oalin f„ duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in ri Icate, (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 �j 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. .0 16. Other r 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 ........................................... ......... ❑ 20. Erosion Control Plan Required ..... :.................................................................. ........ g! '2�1. 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) UseQ(B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about -Improvements, _ Drainage ........................ 26. NPDES Form.......................................................................................... D 27. Encroachment Permit f r driveway f om the Pu li L�7 28. Pre -Inspection for ' p _ '�) req -ed ....... ❑ 29. Contractor's license i formation. (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............................................................... 035. Existing violations and/or expired permits......................................................... ❑ 36. eed Restriction..................................................................9...................... CJ ❑ 37.ter: Grant Deed, ❑ M.H. Title/Stat ment of F ts, ❑ Letter from Le al wngr ❑ Check to H.C.D. $ LcAef- d� /r)� �'c�YIi07/x-� 0/o�rho��/e hd��d- ?' ` ❑ 39. Other:, ✓. �, _ When issued Telephone r and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. L `� Applicant: Date: 1. Index permit application for the abov ' ems M m eyed: Plan Check Letter 2.Preed items required Conesigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: esigner, owner, was advised of the bove data by one, ❑ mail, ❑ coun by Date: by: fN1 r. Date: b •0 Plans approved by: Date : • 0 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY fiat Plan Attachad Roar�- sent Man At4ashad Sant to G.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Z� 0",4,� 93 .s,� ,d,�. O� -050 --owLocatioK AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public' Private Well t/ Clearance for ✓ dwelling. Other Hold final for: Final clearance O.K. for: NOTE: nvironmental Health pecialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 y SCHEDULE OF RECEIPT OF FEES OWNER PROPR SED BUILDING USE {1. BUILDING PERMIT FEES --- Balance Due ..................... $ A.P.4 9(4 •OJT/` U l.� DATE RECEIPT # DATE REC. J1 9-12-6WIP --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... _ 2. SCHOOL DISTRICT FEES �U� Q rI-OKI" 6 (paid at School District Office) (form available after Plan Ch c) _ 3. SHERIFF FEES (paid at Building 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 (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, ---1 APPLICANT r DATE �— r, 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) RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: • -LANCI•I{:"'HOLWEGBR•t� •r�vf ��-�a`J - RIKA HOLWEGER 128 KIPLING COURT ROSEVILLE, CA 95747 ILII lil I II I ILII I it nli II III III II it 2�b03--ca 14284 Recorded Official Records CountryEOf CANDACE J7GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00M 07 -Mar -2003 I REC FEE 10.00 I TAX 82.50 I i I IrBarbara IPage Iof2 ORO -C, tJ'J"?I'1'3$`✓b 6 1).qr- ,:111J:a irk Vltttlt)o 10 `-•.'Glc .,:'.e f ! ':r.t,�:i�:i : �i ,�Cl.:•:'.I� tl! .:., �':IiT �ti?i,. :.ft 1 Space Above This Line for Recorder's Use Only A.P.N.: 026-050-047 Order No.: 206950AIAM Escrow No.: 206950MAM t?T �QzIJI:I7U�i 'riiCi.'3ft.;t.3�► SI,s.. ;:, .�',s' ��+_!�;`ii.i ;<'�►�:Ic:S'� r,,l 1A_ It.'i ;;GRAtVT THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $8i.56 X ]. computed on full value of property conveyed, or 11 computed on full value less value of Liens or encumbrances remaining at time of sale, X ] unincorporated area; [ ] City of , and FOR A VALUABLE CONSIDERATION, Receipt of which is.hereby acknowledged, 'Wl' • WIT !4: iq A ?,'(`�5:)%�. CHRISTINE I:INDEMANN, an `Unmarried Woman and SHARON LINDEMANN, an Unmarried .Woman . as {Joint Tenants ^it;'',. �.d v:: iL ..l •'CL J:C, 'tv .rt .li/.!i)i+' _':. i'�'. tli iVrr :r[. s r Si..l1 �f(.:c ,r x..l ali�A..'`1•. i3:' QT TKL.qDALGA GIVIA -Io Y.i.}i i"ifill0k ~5'il =`.= .l° _� .'.'c.11, 4 ao,,=-u. m i-fiT4sjlr hereby GRANT(S) to " 'I:ifIt`I'~%.i(_ ii""✓'i` , (?,l.ii 1 i LANCE K. HOLWEGER and RIKA HOLWEGER, Husband and Wife as Joint Tenants MA4 'V) . XI- „'l3'T .41D 0 _ ✓ii �l"1 �=: "Ai.? 0 JMI- i7 �qu ?J of T,nx'-f=31.t•?f: . -.9k : '(;L `0 1:+Sf�-'i:. the following described property in the:Unincorporated Area'of. the,! County. of Butte"State of California;?F: a'i'✓.11fi' L?`O!�! �-se tC3•Y: ia►:tll7O Vi!12Aq E. 1 J� SEE ATTACHED LEGAL DESCREMON r; _i�'�1i�;'� �Q '�ir,j;1U 3Ti*' I41t l�'.;'�� 'J>�x`'� ,.I �t7i'1.`,I�'`�` �' �:I:t i• .i_i.^. i,:t�f;1 'i:R `,;� T• ; u.'� E'!'`1 �1'� �: CRRISTINE LINDEMANN - SHAAM LINDEMANN Document Date: February 27, 2003 STATE OF CALIFORNIA AS COUNTY OF On Jld c� vi i 1 tt :1oc3 before me, C r✓C�NJ:,� personally appeared P rru:t Yt ✓ a. (or proved to me on the basis of satisfactory evidence) to be instrument and acknowled ed to me that h&WwtdM jexecuted the same in h6qtegi the instrument tha6grslo—na or the entity upon 6`610f of which the rson acted, e WITNESS my hand and official seal. Signature CHARANirrsiNGH CHAUHANI II Commission # 1306029 Nefery Public - California Placer County MgCtarm. E)Vh*May26,2W6 the a , c L, C, t ,e_- .1. t q}o r0 tL :its in L i hC •� N i'1 . m iej_ft subscribed to the within act and that by hWheildt i azure on This area for official notarial seal. Order No. BU -206950-3 MAM - Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: -` PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE -OF CALIFORNIA, ON NOVEMBER 12, 1980, _ IN BOOK 79 OF -MAPS; AT PAGES) -76. — — - — —` — -- APN 026-050-047-000 PARCEL H: A RIGHT OF WAY FOR ROAD PURPOSES 60 FEET IN WIDTH ACROSS A PORTION OF THE SOUTHEAST QUARTER' OF THE NORTHWEST QUARTER OF ' SECTION 5, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., LYING NORTHERLY OF AND ADJACENT TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT ON THE NORTH -SOUTH CENTERLINE OF SAID SECTION 5, DISTANT NORTH 00 40' WEST, 1150.68 FEET . FROM THE CENTER OF SAID SECTION 5; THENCE SOUTH 530 55' .WEST, 490.22 FEET; THENCE SOUTH 44° 06' WEST, 239.10 FEET; THENCE SOUTH 880 34' WEST, 70.92 FEET TO. A POINT IN THE EAST LINE OF PALERMO ROAD. I . EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. Tom's Mobile 6366 Lincoln Blvd 1922630 Oroville, CA 95966 Dealer 01097 NOTICE: THIS FORM IS COPYRIGHTED AND REPRODUCTION OF ALL OR PART IS STRICTLY FORBIDDEN. MANUFACTURED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STATEMENT ADDRESS: 2197 Stanley Drive PHONE _30-533-01 58 CITY Oroville RTATF•CA QIP• 95966 QAI i:cP;:Qcnm• Tommie Rinehart Subject to the terms and conditions stated on bothAdes of this cgreemerit Seller agrees to sell and Purchaser agrees to purchase the following MFD./MBL Home: MAKE MODEL B. ROOMS .APPROX.,(NOTXIFNNCL.__ ONE Srrus ' Mod 3.Tg�6 .uline WLtS;0 USED. . 2197. Stanley' Drive Oroville, CA 95966 SERIAL NUMBER - APPROX. DEL DATE HUD OR HCO NO - - y: -DT. OF'MFG. `115604,98-5107913 1995 THE COST OF THE MFD./MBL. HOME EXCLUDES -THE LIST PRICES FOR THESE ITEMS:' . SO. FT. LIVINGAREA . 'TOW BAR, $ WHEELS $ -''.:. WHEEL:HUBS; $ . ..TIRE'S, .$ .. . AXLESMFD. HOME .PRICE 3 0 0 0 0 � 0 01 DATE MFD. ORD. . .. _.. . ; ESCROW OPEN. • ' • ' - -`-' - '• " ` USED HOME SALES TAX" iF ANY.( I Sr SOLD PRIOR TO 7/1/90Y ITEMIZED ACCESSORIES AND THEIR COSTS (SEE ADDENDUM$) Home . t0 :.be SOld� f_caSh.. to clsoe _ o. .. .Escrow _-Apr I 1j , a 2004, t.�: Withholding �on sellerfor no- longer than�45LL4day_s�from close___. escrow t0 repair-, iff. nee'ded _the water..heater,.sstove�&_. heat _pump. These funds_.__ to, be� ho'ld din- the escrow` Buyer ( s) _responsible -forDOH,, ,LPT,escrow and doc . pre_p ____Sel.l_er._responsible to: have _commode.-vurchas:ed-,&—i:n-st-a1.-led—in--•guest-bathroom. TOTAL ACCESSORIES (OUTSIDE HOME) $ TOTAL MFG. HOME &ACCESSORIES $ SALES TAX (ITEMS NOT,INTEGRAL TO HOME) $ FOUNDATION SYSTEM / TIE DOWNS $ OF TRADE-IN DELIVERYDESCRIPTION .. . $ ... MAKE MODEL BED OMS ...- _. SET UP. $ HCD FEES ... $ 305-01) INSURANCE PREM10W (ONLY IF SOLD -BY DEALER) $ - TITLE No. SERIAL No. oLOR 'ESCROW:FEES _ - $ 375 AMOUNTOWING UNTNO. SCHOOLFEE$: $ OTHER1 PRE PAM TAXES - . _ $ TO WHOM: ADDRESS/PHONE DOC. FEE (NOT:A GOVERNMENTAL, CHARGE):- . $ .2f) oo 1'. TOTAL CASH PRICE. $ THE MANUFACTURER STATES THAT INS TION HAS BEEN INSTALLED IN THIS HOME AS FOLLOW : (NEW ONLY) ALLOWANCE ON TRADE-IN $ TYPE THICKNESS • 'R' FACTOR LESS BAL. DUE ABOVE: NET ALLOWANCE PAIDAEREWITH $ . -CASH.BEFORE DEL. : $ DESIGNATED DEPOSIT $ 500 ROOF EXTERIOR WALLS FLOOR WARNING—Un/lea charge is includedin this Agreement for Public Liability oerty Damage ,Insurance, Payment for such -00 (INC:.INDN.PMT) Coverage is not d by this agreement '2c LESS BUYERS DOWN PAYMENT $ 500.00 " also licensed. as a: real estate broker, the Gale "IImanu 3. UNPAID BAL. ON CASH SALES PRICE $ 30,200-013oured 4. FINANCE CHARGE $ home or m. bbilehome being`installed; ona.. fstem 'pursuant' to' Section -=18551 may be` S. ANNUAL PERCENTA TE % -ine 'purchase document for the: underlying real 6- TOTAL PAYMENT OLINT (3+4) $ pvided that. the requirements of HSC SEC:`7• UNPAID BALAN DUE PRIOR TO DEL. $ 1et" :..:':... _ ...: .. .: OT ;8 T AL DEFE PAYMENT PRICE (2+s) $ PAYABLE AS F 'LOWS: THE. DEALER CERTIFIE HAT THE :. .. .... INSTALLATION CO RACTOR IS: NAME - LIC. #- BUSINESS ADDRESS In the a ent the manufactured home cannot be delivered "and/or' inspection completed within the agreed delivery time due to nonperformance by the buyer, buyer agrees to one of the following at the option of seller, either (1) to pay $ CITY CA ZIP A Contractor is requi d by law to be licensed and regulated by the charges per day until a manufactured home installation acceptance or certificate of Contractors State L' nse Board, P.O. Box 26000 Sacramento, CA 95827. occupancy is obtained in addition to all other consideration owing or (2) pay the sum of $ 500 _ 00 in lieu of total consideration. • • = (A) DO NOT SIGN THE PURCHASE AGREEMENT BEFORE YOU READ IT OR IF IT CONTAINS ANY BLANK SPACES TO BE FILLED IN. (B) YOU ARE ENTITLED TO A COMPLETELY FILLED-IN COPY OF THAT AGREEMENT AND, IF PURCHASING A MANUFACTURED/MOBILE HOME COVERED BY A WARRANTY, A COPY OF THE WARRANTY. Complaints concerning the purchase shall be referred to the dealer and, if the complaint is not resolved, may be referred to the Department of Housing and Community Development, Division of Codes and Standards, Occupational Licensing, Post Office Box 31, Sacramento, California 95812-0031 (telephone (800) 952-5275). A failure to disclose pursuant to this section shall not be the basis for recission of a conditional sale contract. me manufactured dome that I am purchasing will be used as a residence. I further certify that I understand that if subject Manufactured Home is used for any purpose other than a residence, I may be liable, to the State Board of Equalization, for the tax measured by the amount excluded pursuant to this certificate. PURCHASER nATF 021804 RECEIPT OF A FILLED-IN COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY PURCHASER The Purchase Order is subject to credit approval and is not binding unless signed by an authorized representative of seller. Purchaser certifies that he is of legal age, and agrees to sign a Security Agreement according to the terms herein. In the event payoff figures on a trade-in toward the purchase of a Manufactured or Mobile Home are more than quoted by the Purchaser, the Purchaser hereby agrees to pay this excess on demand. ALL 1 FU TE PPLICABLE AS UND THOSE SET FORTH ON HE FRONT SIDE OF TITIONS SET FORTH ON THE REVERSE OF HIS AGREEME IS AGREEMENT ARE INCORPORATED HEREIN AND ARE , SE PURCHASER: `f SELLE PURCHASER: t DATE: n A 0 20a_4___ IT •1 ` r_cQ / yT a . -��, f - Building Permit Number: 04 - t(?o Owner Name: �6 t,,e�e'e- Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is t 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 t and of a quality prescribed for the specific use in the 2001 California Building Code i (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California ! Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, = H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A.Post.Flood Elevation -Certificate: °wchralso • be requireu 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. y 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 r automatic entry and exit of floodwater. r (i i Page 2of 2 Building Permit Number: 0 —119 O Owner Name: �+O(we <l Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: it r i All structures and, equipment including overhangs shall be clear of all easements. A setback of' LO feet from the side and _LL 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. F 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. B4. MAP AND PANEL FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 B7. FIRM PANEL NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 NUMBER ELEVATION CERTIFICATE B6. FIRM INDEX DATE EFFECTNEIREVISED DATE Important: Read the instructions on pages 1- 7. (Zone A0, use depth of flooding) 06007CO985 SECTION A - PROPERTY OWNER INFORMATION 06.08-1998 For Insurance Company Use: BUILDING OWNER'S NAME 177.0 Policy Number Lance & Ritka Holwe er BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 2193 Stanley Drive CITY STATE ZIP CODE Palermo CA 95968 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN: 026-050-047 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): or ® NAD 1927 ❑ NAD 1983 ® USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81.NFP C=P =UNITY NAWE & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE Butte County UnixapotaW Areas 060017 Butt CA B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTNEIREVISED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of flooding) 06007CO985 C 06.08-1998 6BI1998 A 177.0 B10. Indicate the source of the Base Float Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ® Other (Describe): B11. Indicate the elevation datum used for the BFE in 69: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ®No Designation Date N/A SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are used on: Z Construction Drawings" ❑ Building Under Construction' ❑ Finished Construction `A new Elevation Certificate will be required when construction of the building is complete. r C2. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ARIA, ARIAE, ARIAI AW, ARIAH, AR/AO Complete Items C3. -a4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Stow field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum USGS Conversion/Comments Elevation reference mark used 177.22 Does the elevation reference mark used appear on the FIRM? [:]Yes ®No ❑ a) Top of bottom floor (including basement or enclosure) 179. 3 ft.ccge ❑ b) Top of next higher floor _ _t(m) U y O c) Bottom of lowest horizontal structural member (V zones only) 0 d) Attached garage (top of slab) _ _R(m) o.2 578 t^ ❑ e) Lowest elevation of machinery and/or equipment 1-0 servicing the building (Describe in a Comments area) I `17.0 ft(m) pe,( con vev t-, 0-11 E ,* O f) Lowest adjacent (finished) grade (LAG) 176.. 8 ft., • Iu'i Til F�nc NelG✓ z' N C3 g) Highest adjacent (finished) grade (HAG) 177.. 0 fL . I " 15,5 P rrY S (0-0 `� W O h) No. of permanent openings (flood vents) within 1 f. above adjacent grade 18 .2 rmlF of �1�OQ� 0 i) Total area of ail permanent openings (flood vents) in C3.h 1008 sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIERS NAME Alan G. Brown, P.E. LICENSE NUMBER C24578 �R TITLEPresident COMPANY NAME BBA ENGINEERING CQU1' .�, t f .t m ADDRESS CITY STATE U�,;.'1 Ii- "ZIP �CODE' PO BOX 1576 Oroville �, , yl VVrUJ _ � 95965 ' .. SIGNATURE DATE"TELEPHONuE 4/19/04 530-534-1911 FFMA Fnrm R1-11 .lanimry 9nni Saq ravarca airier fnr rnntimiatinn Ranlarac all nravinim wlitinnc 1� ?7v:�P5 -AOO)-4 A)OWn +1 0 1 -Aid 1pU) 0 ) _10 p az (<>' � � P -AV � p 0 0 qi� IA.4 L LA 7 t4 4-v X 'P! F%2 ____A__z%R 571 VO r s i y af id .4sa 7.9 770 L zx> 0- W WOW (L Zi CL 1. Owner's Name: Z-,' aG - 2. - Assessor's Parcel Number:_0 2,,4 _ O_0- a 3. Installer's Name: QLl� / �-�-5• 4. Is the site currently under permit? Yes[ ] No[✓J Permit No. _5. Is the site an existing site? Yes[ No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? o o Amperes. 7. What is the mobilehome site circuit breaker rating? _ja Q Amperes. 8. What is the electrical rating of the mobilehome site? o O Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[r/fIf it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[4'�No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Po 0 Amperes - b) The main service: Load- C, o Amperes - 11. Type:ofgas service at mobilehome site: Natural[ ] Propane[ ] None[,. -r—' 12. Size of gas pipe at the mobilehome site from the meter or tank: . inches. 13. What is the gas pipe length from the meter or tank to the mobil ehome?---,(fft.). 1 14. 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 a . less:tfhan�50 feel on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION 8UT-T-s COUM 1 ,. APo ®.., May 1995 Mobilehome Manufacturer: MadManufacture Year: If other than single wide, furnish Setup Model Number: Width:��(ft.) Length: �_(ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. /� FOOTINGS: Wood pressure trea or foundation grade[' ] Other: SUPPORTS: Concrete block[ Other: Provide Tie Down Specifications for all Mobilehomes: V= 06 0 cc. i PXrn n an . Pier Footings Sizes and Location SINGLE WIDE XULTI-WIDE Line 1 e 1 Line 2 Line 2 Main Beams Line 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams Line 2 Line I A ................................................. Tag or Triple ................................................. Line 1 Piers: Size minimum: r I x Spacing maximum: &` From ends-maximum:F—' S 4 1 Line 1 Openings /2, X 30 Size minimum: [Y -A- ] x [t -H- Each side of openings with width over: I - Line 2 Piers: P Line 4 Piers:- Size iers:Size minimum: x [3o ]. Size minimum: [ ) x [ ] "Spacing maximum: I e " Spacing maximum: I- Q From ends -maximum ! b From ends -maximum: Line 3 Roof Loads: Size minimum Location (from front): q6X --30 .36Y30 3&x30 36>c34:5 / �J% Line 5 Roof Loads: 'c�� - Size minimum: �l�C Location (from -front) �1 l�11 .f�� 4i '� •��1 ��11f �Sr'�H �P� May 1995 8.4 2"x 2"x 3/16" STEEL ANGLE CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED DETAIL "A" 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8 O.C. - (8) 'REQUIRED 1/4" STAND BASE ABESCO ABS PAD #503 36" MAX TO BOTTOM OF PAD COACH "C" FRAME COACH "J" FRAME 2" CHANNEL 1/4" GRIPPER - 1/4"x1-1/4" PLATE TEK STS 1/4"x1-1/4" (4) REQUIRED TEK STS (2) REQUIRED Li_ 1/4- GRIPPER J BASE 1/2" A307 BOLT (2) REQUIRED 3/8"x 6"x 6" STEEL PLATE 1/2" A307 BOLT C—BEAM (2) REQUIRED ATTACHMENT I-- 10.00 -- 0 0 1 10.00(� o CQ 09/16 HOLE (TYP) STAND BASE TOP VIEW 37" TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 1/4" GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED J—BEAM ATTACHMENT 8" 1/2" DIA. HOLE (8) PLACES —30 STEEL FRAME TOP VIEW '* STATE APPROVAL z O g r`. fi 0h z a orn w"'� A 1 W (Y i.. i ;'1 e> c :9-N O u K ul wr ooh o a. c' ¢ U w N m z o� >o� £ aha o z a � �oa A d •:3 A paV y F WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 1 of 3 00 GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE #15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS". 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4"; OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7, THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: GUS GUARD TUF-1 GUS GUARD MGP PAD GUS GUARD E -Z TIE PAD HORIZONTAL VERTICAL 2200# 6000# 2200# 6000# 2200# 6000# 16. FOUNDATION BLOCKS 16"x 16"x12" POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) --- --- - E S � S -� - -- S - ------f►- E^ -I u u U❑ D U RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER a a (TYPICAL) ❑ ❑ ❑ ❑ ❑ ❑-j- ❑ ❑ ❑ ❑ z �8' NOM. LJ 2'�NOM. n I I E:],,.,, D In PADS IN ANY PAIR MAY BE I STANDARD M.H. FOUNDATION Is ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. = 9 EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL C FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD J PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF -THREE FEET. 2: in MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED (p THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS OTH SAME AS SHOWN REQUIRED PER EACH UNIT. 121 SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. ' (SEE SHEET #3) • 14METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. —1 JWHEN CONCRETE SLAB IS I,IS ::REQUIRED. ANCHOR STANDNTOXISTANCECONCRETEPAD SLAB WIDTH TUE-1 PERMANENT FOUR (4) 1/2"x 3 1/2" EXPANSION ANCHORS. �p FOUNDATION SYSTEM 115GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED A$ESCO-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PERKINS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO ONE BASIS. SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 3 0 STATE APPROVAL z w x Ilk s O > C p z y O - oE a O Foula� o01 O A O H z cn = r� y x R] W U z > d. oxo' >o6 a `�a .. _ d v z G A Q. spy. ra, Q N •i� F PH: (800) 382-8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 3 0 3/4" DIA. x 18" LG. - 1/2"x 3 1/2" 1/2"x 8" LONG (4) REQUIRED' EXPANSION ANCHOR ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT & WASHER (4) REQUIRED (4) REQUIRED ' COUNTER BORED FLUSH WITH BOTTOM �1 AT 8" O.C. (8) REQUIRED ': ' •: 1 �� 1 . 111-1�u�� CONCRETE PAD' INSTALLATION CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED �IJ,.ni=111_ Ica - i POURED IN PLACE 16x16x12 CONCRETE _ =11F� 111 11- �1=111=11-_1i=11 FOUNDATION INSTALLATION ��1?�11�I IFili�llll� -1111 1 IIFI11=1 11- IIIJ11=111-� 111=111=111-�11_Ijl �'I��FI�_ 1 Il��ll�i j X1111111=111111�11��11=111 1 �11_��i111=111-111J11=111- LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION 36" MAX MU77-fig UNITS SINGLE W MV TlWrrc TO BOTTOM OF PAD LOCK PIN WITH 01 /8" BRIDGE PIN I J LENGTH OF LENGTH OF WIDTH OF HOME HOME HOME 10 1 24 WIDTH OF HOME 26 28 44 UP TO 44' 8 8 8 12 44'-1' to 66' 12 12 12 18 66'-t' to 80 20 20 20 24 nvMocrc yr Mr -1 Kt1.1ul 2 14 16 UP TO 44' 6 6 6 6 44'-1' to 66' 8 8 8 8 66'-i' fo 80 10 10 10 10 Ktu NUMBER OF TUF-1 REQUIRED NOTE: SINGLE WIDE UNITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL OF -1 PERMANENTciLi OUNDATION SYSTEM ABESCO GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL 5C'Noa�� ti. _. � an Ca •n. 0 8 w•-. U o� � z -� a aha x � a z Q O �.., > O U E WAYNE T. POLVADO, PE—LISTING N0. F94249 SHEET 3 of 3 0 U. Assessors Parcel Number©20 0 — 0 0 °� — ©0 Scale: 169= J Owner Name 1 cvGL w� Tka I� 01- way �+'L Address / Phone No. a 19 3 Site Location ?4)- e r---- --F0f/s: 3A�r�ty Phone J-3_ 965�' FOR OFFICE USE ONLY Zoning: ' General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: PRE-INSPE OWNER: l U G 1 •� / r i CTION REPORT LOCATION: O-P� bt-,G(�:ML CONTRACTOR: REASON FOR PREJNSPECTION DATE TO INSPECTOR: PERMIT HISTORY ( ) NONE DATE:'&I A.P. # b 'C)S6- I ZONING: /qF-1 I SEE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: - Commercial/Usage: Residential # of Units: Currently Occupied ( ) Yes ( ) No Abandoned/Vacant: Electric: Electric Currently (Ln ( ) Off Condition of Electric Gas: Currently ( ) On epCondition Sanitation: Plumbing Working ( ) Yes Obvious Sewage Problems ( ) Yes ACTION•RECOMMENDED: Hold for permits or verify: _ Inspector: 0 ( ) Off ( ) No ( ) No ( ) Yes Mobile home # of Units: Date: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP C)t�� v -- DATE ! 7 _ 7 APN: y� (Jg �5 ZONING: OWNER'S LAST NAME: OWNER'S FIRST NAME: PHONE STREET ADDRESS: .- FAX: CITY, ZIP: E-MAIL- SITE ADDRESS: CITY, ZIP: NEAREST CROSS STREET: TRACTILOT 9 APPLICANT NAME: ¢ PHONE.,* HONE., 9 ; STREET ADDRESS: �i�vC-erZ Y]L 0 FAX CITY. ZIP: � f . � � i � 6 E-MAIL, CONTRACTOR NAME: '� PHONE /?I ` o STREET ADDRE: -,T FAX ;L CRY, ZIP: E -"L* LICENSE NUMBER LICENSE TYPE ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX CRY, ZIP: LICENSE NUMBER EMAIL DESCRIPTION OR SCOPE OF WORK: 141�,r 50'el - S f ❑ 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 fees will be required. 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. For office use only: Notes: �? 6 Application Received b : Y Date: Receipt number: - l 5-2� , Amount Received: 26-05-47 David E. Jett SW cor.oanley Dr. Rock Haven Ct., Palermo (lot 1),��kiwi *(.,;I- Permit #3866-81P,E(vti ., H ELEC. 9- �-$2 20m)q Oso GAS 2-4 -SZ le, 35140 Z-E!y N --(SUPPORT STRUCTUREREQ. 4a -y COMPACTION TEST REQ. /;w 26-05-47 Igipcforrdd I cor .of anley Dr., & ck Hv n Ct., lot 1, Palermo #, Permit #3867-81P,E�uti1. 'I /�AI� '11LEC._2 #-99 2004 A GAS /Z' 34t zFj'_ SUPPORT STRUCTURE REQ. 1141 _ COMPACTION TEST IEQ. .//J 26-05-47 --^-�_ Permit#432 0=81MH"I 91 Issued - It n4l _ Poff 26-05-47 Lrmit#4321-81MHI. ,.sued —S— . ...: Assessor's Parcel Number: ©0 .— l 0 — ©, 0 Scale: l" _ e o Owner Name Li-\xvGL 21t i �r� 5�3=0 �5 ° -Address [Phone No. � 9 3 _s7 e y Site Location pmt e 0 'DLO 9 — - - -- cUU N Phone �6 i �' C�� `?5a-y69zw2,2 FOR OFFICE USE ONLY Zoning:. General Plan Desig: - Size, Acres 4.00". PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING:. GEN PLAN: USES: