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027-050-044
027=05=0-044 1 '93=1574 P;E r .JONES,, LADD' .& <PATRICIA" 213 RODMOR LN:,,' OROVILL'E :. $��5 CONTR : HAROLD `BAL'AZ MHU COMPACTION TEST REQ o SUPPORT STRUCT REQ C� 027-05-0-044 93-2382 MHI JONES, LADD & PATRICIA 213 RODMOR LN, OROV ILLE MHI 027-050-044 06-1731 SMITH, C RODMOR LN, OROVILLE Cont: OMS MOBILE SE VICE MH PERM FND(NEW) 10-11 • 06 oz�=oso-+o4 STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEG_GER, Gover r,. DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �stnc Division of Codes and Standards 0 �`�' „ �O 3 irk Z 3G'I,��0 Title Search I DEv� Date Printed : 06/30/2006 Decal #: LAU5256 Use Code: SFD Manufacturer: SILVERCREST' Original Price Code: AJY. Tradename: . SILVERCREST Rating Year: Model: Tax Type: LPT Manufactured Date: 00/00/1977 Last ILT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 07/20/1977 ILT Exemption: NONE Serial Number HUD Label / Insigni Length Width WS 1695A CAL022991 40' 12' WS 1695B CAL022992 40' 12' WS 1.695C CAL022993 40' 12' WS 1695D CAL022994 40' 12' Record Conditions: PPF Exempt VOluntary Conversion to LPT Registered Owner: LLOYDS WHALEY JOAN I WHALEY (Joint Tenants with Right of Survivorship) 3350 PENTZ RD OROVILLE, CA 95965 Last Title Date: 04/14/2005 Last Reg Card: 04/14/2005 Sale/Transfer Info: Price $20,000.00 Transferred on 01/21/2005 Situs Address: - 3350 PENTZ RD OROVILLE, CA 95965 Situs County: BUTTE Inactive Decal/DMV: DMV SD9827, DMV SD9828, DMV SD9829, DMV.SD9830, DECAL AAZ8108 Title Searches: BIDWELL TITLE 1835 ROBINSON ST P0BOX 811 OROVILLE, CA 95965 Title File No: 227386 -KG l * * * END OF TITLE SEARCH Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded JUN ` 2 1993 prior to issuance of a building permit. The property described herein is adjacent 93-022399 to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- N0T coMPAM W"" veniences or discomfort arising from the ,WGINAI DOCIAME use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones .and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real .property: situate in the County of Butte, State of California, described as follows: L) K 49 Date: z % PROP TY OWNERS: 'State of CltzlOn this theArl day of j d/Vp 19(9;, before me, the County of SS. undersigned Notary Public, personally appeared �� ) � _S y- ®vvm®®■aoaaaae��Ma■Ass��aer Personally known to me.PI'Proved to me on the basis DANIEL F. HUNT ® , ■ of satisfactory evidence. NOTARY PUBLIC -CALIFORNIA Butte County to be the person(s) whose name(s) /Z - my Commission Expires Oc41,1s9asVscribed to the within instrument and acknowledged that t� cuted the same for the ur ose ps ther co ai ed. � N ®m®�®e>tteet�a®del®0®meBe�ae®O�� WHEREOF, I hereunto set my hand and of4iqIlal AealJ / / Present A.P. No. otary Publ DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 17th day of August, 2006, Eric J. & Tammy L. Smith, hereinafter referred to as owner(s), is the record owner of the following real property: 213 Rodmor.Lane, Palermo, CA 95966 (APN: 027-050-044), and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and Il. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and Ill. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. 06-1731 was applied for on July 19, 2006 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No. 06-1731 has been reviewed and approved for only the limited purposes set forth below; and VI. 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 character of use has been approved by the Butte County Building Official or a change in law has occurred, either of which change allows the uses =°V,E RK otherwise restricted herein to be conducted on the real property described herein. 0 Under either circumstance allowing such change in use, Owner shall be entitled to have °•n 7 v 2006-0045733 Recorded I REC FEE 25,00 Official Records I County of I CERTIFIED COPY 7.00 When recorded return to: te CNACEuJ. GRUBBS I County of Butte County Clerk -Recorders Department of I DD Development Services 09:01AM 06 -Sep -2.006 I Page i of 7 Planning Division 7 County Center Drive Oroville, CA 95965-3397 (rev.5/04) Space above for Recorder's Use Owner Name: Eric J. & Tammy L. Smith Building Permit No: 06-1731 DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 17th day of August, 2006, Eric J. & Tammy L. Smith, hereinafter referred to as owner(s), is the record owner of the following real property: 213 Rodmor.Lane, Palermo, CA 95966 (APN: 027-050-044), and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and Il. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and Ill. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. 06-1731 was applied for on July 19, 2006 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No. 06-1731 has been reviewed and approved for only the limited purposes set forth below; and VI. 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 character of use has been approved by the Butte County Building Official or a change in law has occurred, either of which change allows the uses =°V,E RK otherwise restricted herein to be conducted on the real property described herein. 0 Under either circumstance allowing such change in use, Owner shall be entitled to have °•n 7 v this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a subsequent document entitled Rescission of Deed Restriction and Notice of Limited Use Facility by the Director of Development Services; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. 06-1731 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 06-1731 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, additionally, the owner of the parcel or lot must occupy either the main dwelling or the second dwelling unit. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility 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. Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte assoon as possible after the date execution. This document shall be recorded and returned to the Butte Cou Peter Calarco Assistant Director Department of Development . Services, Building Division prior to the issuance of Building Permit No. 06-1731. DATE: --26,.. Owner Signature: Owner Signature: Peter Calarco Assistant Director rrint or I ype Name of Above Print or Type Kame of Above 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 your Notary Public Law Book. STATE OF CALIFORNIA COUNTY OF BUTTE On��a Public, personally appeared before me, SS. , 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. Aigna tESS my hand an offi ' I seal. � STATE OF CALIFORNIA COUNTY OF BUTTE On before me, Public, personally appeared SS. PENNYC: ENGLAND P. Commission #1465804 Notary Public - Californiato M CommButte County . Exp. JAN. 27, 2008 (Seal) 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. W SS my hand and offi 'al eal. C, gnature Peter Calarco Assistant Director T PENNY C. ENGLAND ;.;. a Notary ` ,0 p ►Y mia � Butte county My comm. Exp. JAN. 27, 2008 k� 2 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: eter Calarco, Assistant Director Department of Development Services STATE OF CALIFORNIA SS. COUNTY OF BUTTE On AuLu-sr 17 befor e, L - Public, personally appeared cT-rcne c J ��AIJ Notary personally known to me cel-to(OF Me ep the basis 94a�isfaetvl be the person(,s'f whose name(1s) is/a� subscribed to the within instrument and acknowledged to me that he/sWthoy executed the same in his/hef/their authorized capacity(ie 1, and that by his/het/therir signature(sf on the instrument the person(44, or the entity upon behalf of which the person($] acted, executed the instrument. WITNESS my hand and official seal.MMMMUAN J commaton #F 10 MI MY ftkn�a gn ture (Seal) ,07/19/06 14:27 FAX 530 894 7647 BTEC CUSTOMER SERVICE BTEC ORO 0004 Order No. 00217995-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 8,1986, IN BOOK 105 OF MAPS, AT PAGES) 2. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES AS SHOWN ON SAID MAP. AP NO. 027-050-044 PARCEL II: A RIGHT OF WAY FOR ROAD PURPOSES AND UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH BEGINNING AT THE NORTHWEST CORNER OF LOT 3 IN SUBDIVISION NO.4 OF THE PALERMO CITRUS TRACT, AND BEING SHOWN ON THE MAP OF SAID SUBDIVISION NO.4 OF THE PALERMO CITRUS TRACT, THE OFFICIAL MAP OF WHICH WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JULY 26, 1890 AND THEN EXTENDING SOUTHERLY TO THE SOUTH LINE OF SAID LOT 3. PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH OVER AN EXISTING ROAD AS SET FORTH ON THAT RECORD OF -SURVEY RECORDED JULY 59 19749 IN BOOK 47 OF MAPS, AT PAGE(S) 93, BUTTE COUNTY RECORDS, THE CENTERLINE BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWEST CORNER OF LOT 3 OF SUBDIVISION NO. 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF THE SUBDMSION NO.1 AND 2 OF THE P. C. DRECHER TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 1 OF MAPS, AT PAGE(S) 25; THENCE FOLLOWING ALONG THE WESTERLY BOUNDARY LINE OF SAID LOT 3 NORTH 0° 17'00" EAST FOR 89.58 FEET TO A POINT LOCATED IN THE CENTERLINE OF AN EXISTING ROADWAY AND BEING ALSO THE TRUE POINT OF BEGINNING FOR THE CENTERLINE HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, AND FOLLOWING ALONG THE CENTERLINE OF SAID ROADWAY SOUTH 30° 44140" WEST, 432.63 FEET; THENCE SOUTH 350 16' 10" WEST 496.53 FEET; THENCE SOUTH 65° 27'00" WEST 713.80 FEET; THENCE SOUTH 410 02' 00" WEST 228.54 FEET; THENCE NORTH 75° 30135"1 WEST 106.02 FEET; THENCE NORTH 3° 04' 55" EAST 225.42 FEET; THENCE NORTH 130 29' 35" WEST 3 v;e6 GVE Rt _ 0 407/1.9/0.6 14:28 FAX 530 894 7647 BTEC CUSTOMER SERVICE BTEC ORO IM 005 Order No. 00217995-001 FEET; THENCE NORTH 66° 11'051) WEST 558.40 FEET; THENCE NORTH 53° 07'0511 WEST, 186.77 FEET; THENCE SOUTH 78° 04' 25" WEST, 285.73 FEET; THENCE NORTH 75° 361151, WEST 245.53 FEET; THENCE NORTH 540 19145" WEST 283.57 FEET; THENCE NORTH 610 31' 05" WEST, 255.29 FEET; THENCE NORTH 730 3514511 WEST TO A POINT THAT BEARS SOUTH 60 FEET FROM THE CENTERLINE OF THE EASTERLY EXTENSION OF BOHEMIA AVENUE; THENCE WEST AND PARALLEL WITH THE CENTERLINE OF THE EASTERLY EXTENSION OF BOHEMIA AVENUE TO A POINT ON THE EASTERLY BOUNDARY OF CITRUS AVENUE AND THE END OF THE HEREIN DESCRIBED LINE. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY EASEMENTS 60.00 FEET OVER PARCELS I AND 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 8,1986, IN BOOK 105 OF MAPS, AT PAGE(S) 2. Date: 09 — (1 C031P This is to certify that, if bearing the purple seal of this office, this is a true copy of the document filed with the Butte County Clerk -Recorder's Office. Candace J. Grubbs B ttCt Clr -Recorder By. ou , Deputy E3ndle Conulh CIcs,K-SecoLgeL Csugsce I• CLnPP8 8ntie Conu�A CjeLK.jjecoLgeL,z p}}!c e, conA o f ijie gocnwcul t!leq tAitp ipi hnLoie esjl ol ff,oa nwce, line'e s {1ne J.pje Ie 40 cec(EIA .(.PUI' 11 P6-q-Liva ;pc ®:rhe. When recorded return to: County of Butte Department of Development Services Planning Division 7 County Center Drive Oroville, CA 95965-3397 (rev.5/04) Owner Name: Eric J. & Tammy L. Smith Building Permit No: 06-1731 2006-0045733 Recorded I REC FEE 25.00 Official Records I County of I CERTIFIED COPY 7.00 Butte I CANDACE J. GRUBBS I County Clerk—Recorderl I I DD 09:01AM 06—Sep-2006 I Page 1 of 7 111111111111111 1111111111111111111 Space above for Recorder's Use DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 17th day of August, 2006, Eric J. & Tammy L. Smith, hereinafter referred to as owner(s), is the record owner of the following real property: 213 Rodmor.Lane, Palermo, CA 95966 (APN: 027-050-044), 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, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. 06-1731 was applied for on July 19, 2006 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No. 06-1731 has been reviewed and approved for only the limited purposes set forth below; and VI. 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 character of use has been approved by the Butte County Building Official or a change in law has occurred, either of which change allows the uses 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 Restriction and Notice of Limited Use Facility rescinded by the execution of a subsequent document entitled Rescission of Deed Restriction and Notice of Limited Use Facility by the Director of Development Services; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. 06-1731 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 06-1731 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited -use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and 'for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those. limitations prescribed by the California Building Code occupancy classification assigned by the building official, additionally, the owner of the parcel or lot must occupy either the main dwelling or the second dwelling unit. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility 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. Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of h execution. This document shall be recorded and returned to the Butte County Peter Calarco Assistant Director Department of Development Services, Building Division prior to the issuance of Building Permit No. 06-1731. DATE: 2. Owner Signature: Owner Signature: Peter Calarco Assistant Director Print or Twe Name of Above Print or Type,Kame of Above 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 your Notary Public Law Book. STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) Public, personally appeared before me r --I- < , 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. WI ESS my hand an offi ' I seal. �l ignat STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE On ash before me, Public, personally appeared fir,y J_ PENNYC. ENGLAND Commission #1465804.� Notary Public - Califomia y U Butte County M Comm. Exp. JAN. 27, 2008 (Seal) 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. W SS my hand and offi 'al eal. C, gnature Peter Calarc o Assistant Director PENNYC. ENGLAND T U NCmmissio& m04 ble8oaryPia y Butte County M Comm. Exp. JAN. 27, 2008 ,s 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: ^l��71 Zig eter Calarco, Assistant Director Department of Development Services STATE OF CALIFORNIA SS. COUNTY OF BUTTE ) On At -au -s -r 17 �oo� befor e, Public, personally appeared c-•rEp- �a i L -LA -4 Notary personally known to me o be the person(4 whose name(s) is/ard subscribed to the within instrument and acknowledged to me that he/sem/they executed the same in his/hof/their authorized capacity(ie6l, and that by his/het/thefir signature(si on the instrument the person(a), or the entity upon behalf of which the personal acted, executed the instrument. WITNESS my hand and official seal. �,�� we - cararda y suftew* i%T1MVC0"ft&VftAw6.=4 Z!� ture (Seal) 07/,..9/06 14:27 FAX 530 894 7647 BTEC CUSTOMER SERVICE BTEC ORO Q004 Order No. 00217995-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE' STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL[: PARCEL 4, AS SHOWN ON THAT CERTAIN pARS ATE OF CALIFORNIA, ON O RECORDED IN THET OBER 8, 1986, FICE OF THE RECORDER OF THE COUNTY OF BUTT IN BOOK 105 OF MAPS, AT PAGE(S) 2. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES AS SHOWN ON SAID MAP. AP NO. 027-050-044 PARCEL II: A RIGHT OF WAY FOR ROAD PURPOSES VAND T��1T'.1'COR�NEOSES OVER A STRIP OF R OF LOT 3 IN SUBDIVISION LAND60 FEET IN WIDTH BEGINNING AT THE NO.4 OF THE PALERMO CITRUS TRACT, AND BEING SHOWN ON THE MAP OF SAID SUBDIVISION NO.4 OF THE PALERMO CITRUS TRACT, THE OFFICIAL MAP OF WHICH WAS RECORDED IN THE OFFICE OF THE REEXTENDIPTG SOUTHERLY. TO THE SOUTH LINE OF ORDER OF THE COUNTY OF BUTTEl STATE OF CALIFORNIA, JULY 26,1890 AND THEN SAID LOT 3. PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY OPURPOSES SURVEY ET IN WIDTH OVER AN EXISTING ROAD AS SET FORTH ON THAT RECORDED JULY 5,19749 IN BOOK 47 T CULARLY DESCRIBED AS FOLL®WMAPS, AT PAGE(S) 93, BUTTE COUNTY S� CORDS, THE CENTERLINE BEING MORE PAR BEGINNING AT THE SOUTHWEST CORNER OF LOT 3 OF SUBDIVISION NO. 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAI' OF THE SUBDIVISION NO.1 AND 2 OF THE P. C. THAT TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF DRETHE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 1 OF MAPS, AT PAGES) 25; THENCE FOLLOWING ALONG THE WESTERLY BOUNDARY LINE OF SAID LOT 3 NORTH 0° 17'00" EAST FOR 8958 FEET TO A PORE LOCATED OF EGTIN�NING FOR THE CENTERLII�ICENTERLINE OF AN E NG ROADWAY AND BEING ALSO THE HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, AND FOLLOWING ALONG THE CENTERLINE OF SAID ROADWAY SOUTH 300 44140" WEST, 432.63 FEET; THENCE SOUTH 350 16' 10" WEST 496.53 FEET; THENCE SOUTH 65° 27' 00" WEST 713.80 FEET; THENCE SOUTH 410 02' 001, WEST 228.54FE42 FEET; �EN� 75* NORTH 13529W 5S WEST 367.16 FEET; THENCE NORTH 3° 04' 55" EAST ..07/3.9/0,6 •,14:28 FAX 530 894 7647• BTEC CUSTOMER SERVICE BTEC ORO 1a005 Order No. 00217995-001 FEET; THENCE NORTH 66° 11' 05" WEST 558.40 FEET; THENCE NORTH 530 07'0511 WEST, 186.77 FEET; THENCE SOUTH 780 049 25 WEST, 285.73 FEET; THENCE NORTH 750 36' 15" WEST 245.53 FEET; THENCE NORTH 540 19145" WEST 283.57 FEET; THENCE NORTH 610 31' 05" WEST, 255.29 FEET; THENCE NORTH 730 3514511 WEST TO A POINT THAT BEARS SOUTH 60 FEET FROM THE CENTERLINE OF THE ECEN�TE�R�IN OF THE EASTERLY EXTENSION XTENSION OF BOHEMIA AVENUE; THENCE WEST AND PARALLEL WITH THE OF BOHEMIA AVENUE TO A POINT ON THE EASTERLY BOUNDARY OF CITRUS AVENUE AND THE END OF THE HEREIN PARCEL IV: A NON-ExCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY EASEMENTS 60.00 FEET OVER PARCELS 1 AND 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 8,19861, IN BOOK 105 OF MAPS, AT PAGE(S) 2. 07:19/06 14:27 FAX 530 894 7847 BTEC CUSTOMER SERVICE RECORDING REQUESTED BY Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO Nome Eric J. Smith suao 743 E. Tabor Avenue Addrea cloy,state• Fairfield, CA 94533 Up ,..Ne.. no217995-001 4 BTEC ORO 16 003 THIS I RED 13. 00 1 TAX FEE 137.50 ( I I i I Barbara I Gage 1 of 3 Parcel No. 027-050-044 910-023-715 GRANT DEED THIS FORM FURNISHED BY DIDWBLL TITLE & ESCROW COMPANY Documentary Transfer Tax is The Undersigned Grantor(s) Dcciare(s) S' • SD E3 City/Town of 0 computed on full value of interest or property conveyed, or 0 unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale ❑ ' Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt ofwhich is hereby acknowledged, Ladd b. Jones, as surviving Joint Tenant hereby GRANT(s) to Eric ,7. Smith and Tammy L. Smith, Husband and Wife ae Joint Tenants the following real property in the 0 Unincorporated Area County of Butte, State of Califomie: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF LadAJI�1-1 Document Date: November 22 2004 State of California County of Butte I SS. On 11-22-04 , before me, the undersigned, a Notary Public in and for said County and State, personally appeared Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized eapacity(tes), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person($) acted, executed the instrument. WITNESS my hand and official seal. Signatu FOR NOTARY SEAL OR STAMP ------------ COMMS 1433346 ROTMY PUB110•CAUMR0 COUIMY OF BUTTE onm Ex it a u MAIL TAX STATEMENTS TO: Some as Aboya 6TEC4GRAMEE0 X07!19/06 14:27 FAX 530 894 7647 BTEC CUSTOMER SERVICE EXHIBIT A 4 BTEC ORO Q004 Order No. 00217995-001 THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS. PARCEL I: FFICE OF PARCEL 4, AS SHOWN ON THAT CERTAIN PARCELE OF+CALC FORMA O OORDED IN THETO ER 8,1986, THE RECORDS M�SHAT PAGE S) 2� BU�E, STA IN BOOK 105 OF RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES AS SHOWN ON SAID MAP. AP NO. 027-050-044 PARCEL II: A RIGHT OF WAY FOR ROAD PURPOSES AND UTILITY T CORNER OF LOT 3 N SUBDIVISION D 60 FEET IN WIDTI� BEGINNING AT THE NORTHWEST No. 4 OF THE PALERMO CITRUS TRACT, AND TIRNA►CTH'TOIIE UFFN'ICI�AI. M� OF WRICH WAS SUBDIVISION NO. 4 OF THE PALERMO CITRUS RECORDED IN THE OFFICE OF THE RECORDSi NG SOUTHERLY TO THE SOUTH LINE OF THE COUNTY OF BUTTEl STATE OF CALIFORNIA, JULY 26,1890 AND THEN EXTEND SAID LOT 3. PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC N THAT RECORD OF SURVEY ET IN WIDTH OVER AN EXISTING ROAD AS SET FORTH O RECORDED JULY Ss 19742 IN BOOK 47 OF MAPS, A PAGES)DESCRIB93, BUTTE AS FOLLOWS: UNCORDS, THE CENTERLINE BEING MORE PARTICULARL BEGINNING AT THE SOUTHWESTCOItNER OF LUBD YiSION NOI lIAND OF THE P. � ON THAT CERTAIN MAP ENTITLED, MAP OF THE S DRECHER TRACT", WHICH MAP WAS RECORDED IN BOOK 1 OHE ICE OFTHE F MAPS, ATPAGE(SD25; OF THE COUNTY OF BUTTE, STATE OF CALIFORN , THENCE FOLLOWING ALONG THE WESTERLY BOUNDARY D IN HE CENT RLINE OF AN EXISTING 17' 00" EAST FOR 89.58 FEET TO A POINT LOCAT ROADWAY AND BEING ALSO THE TRUE POINT TRUE POINT OF BEGINNING, AND FOLLOWINGHEREIN DESCRIBED; THENCE FROM SAID ALONG THE CENTERLINE OF SAID ROADWAY HENCE SOUTH 65° 2ES00Tt 43WEST 71FEET; 3.S0 FEET; THENCE SOUTH 350 16' loll WEST 496.53 FEET; NORTH 750 30'3" WET 106-02 THENCE SOUTH 410 02' 00" WEST 228.54 FEET; THENCEWESTNORTH 130 2935S WEST 367.16 FEET; THENCE NORTH 30 04'55" EAST 225.42 FEET; .07/19/06 14:28 FAX 530 894 7647 BTEC CUSTOMER SERVICE BTEC ORO Z005 Order No. 00217995-001 40 FEET; THENCE NORTH 53° 07'055) WEST, FEET; THENCE NORTH 660 11'0511 WEST 558. 186.77 FEET; ITHENCE SOUTH 780 04' 25" WEST, 285.73 FEET; THENCE NORTH 75° 36' 15" ET; THENCE NORTH 540 19145" WEST 283.57 FEET; THENCE NORTH 619 SOUTH WEST 245.53 FEET; 05"WEST; 255.29 FEET; THENCE NORTH E EASTERLY EXTENSION OF BOHEMIA AVENUE; 60 FEET FROM THE CENTERLINE OF THE THENCE WEST AND PARALLEL WIT �I THE CENTERLY BOUNDARY OF CIT'RU EXTENSION OF BOHEMIA AVENUE HTEPOINT DSCRIBED LY1�TE�� AND THE END O PARCEL IV: -MENTS 60-00 FEET A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY CEL MAP, RECORDED Y THE OVER PARCELS 1 AND 2, AS SHOWN ON THAT CERTAIN COUNTY OF BS ATE, STATE OF CALIFORNIA, ON OFFICE OF THE RECORDER OF THE OCTOBER 8, 1986t IN BOOK 105 OF MAPS, AT PAGE( ) 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP061731 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/18/2006 APN: 027-050-044-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 215 RODMOR LN PAL Date: Contractor. Map Index: Description: NEW MH, NEW SITE PERM FND 1920 p ( ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the , Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, after, improve, demolish, or repair any structure, prior Owner: SMITH, ERIC to its issuance, also requires the applicant for such permit to file a 213 RODMOR LN signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of'the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any (530) 534-8800 "violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SMITH, ERIC Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 213 RODMOR LN such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 534-8800 proving that he or she did not build or improve for the purpose of 1 sale.). ❑! I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:. TOM'S MOBILE SPECIALTIES not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 6366 LINCOLN BLVD pursuant to the Contractors' State License La OROVILLE, CA ❑ I am Exempt nder Article 3 of the Pusine and Professions Code 95966 530-533-9117 Date: 6 Owner: License #: 865359 WORKERS'COMPSATIO DECLARATION 1 hereby affirm under penalty of erl'ury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: LlI have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1920 S.F. Policy#: Valuation: $124,800.00 Census Code: I certify tha, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to I l /� ► p n /� become subject to the workers' compensation laws of California, r Lr-� V1L11 and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Z forthwith comply with 1 se prov'sions. `7� �a-OCA Date: b Applicant: II � s WARNING: Failuto secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. _ CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte Cnunty Code ?nrUor I hereby affirm that there is a construction lending agency for the Reso ut' ns to do work indicat d abov for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Q Date: PERMI EXPIRES ON: Address: Date O I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly autho "zed agent of the owner. I agree to comply with all coGnty and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official fo or document of Butte County. I hereby authorize representatives of Butte County to a ter upon the above mentioned property for inspection purposes. Print Name: / Signature: l Date: Q,Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor 027-050-044 06-1731 SMITH, ERIC NOTES RODMOR LN, OROVILLE O ` ont. TOMS MOBILE SERVICE ' MH PERM FND(NEW) r�` t t RESIDENTIAL APN: Permit No. Owner. Site Address: Contractor. Type of Permit: X IS Ca © 1 e, 9 q f OFFICE COPY Address i GAS Meter ByIS Cl W(yV6-k Date l QLC7-0(0 ELECTRI D Meter By Ct17C�" Date ��� 7"0 �O C ECKED-13YJ RA ❑ FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED []SPECIAL INSPECTION ITEMS ❑ VERIFY ❑ USE PERMIT CONDITIC$NS Q SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE 0 OFF. &AEM0 AV9. STAG EL INC DATE JOB FINALED: \O `� �O SIGNATURE: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecoOnty.netldds PERMIT NO. BP061731 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/18/2006 APN: 027-050-044-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 215 RODMOR LN PAL Date: Contractor. Map Index: Description: NEW MH, NEW SITE, PERM FND 1920 p ( ) OWr RDECLARATION penalty of I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior Owner: SMITH, ERIC to its issuance, also requires the applicant for.such permit to file a 213 RODMOR LN signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractors Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any (530) 534-8800 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SMITH, ERIC Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 213 RODMOR LN such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one a year of completion, the owner -builder will have the burden of (530) 534-8800 proving that he or she did not build or improve for the purpose of sale.). �] I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:. TOM'S MOBILE SPECIALTIES not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 6366 LINCOLN BLVD pursuant to the Contractors' State License La . OROVILLE, CA ❑ lam Exempt under Article 3 of the usine and Professions Code 95966 530-533-9117 Date: 6 Owner: License #: 865359 WORKERS' COIVIPESATIOPrDECLARATION 1 hereby affirm under penalty of Yerjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1920 S.F. Policy#: Valuation: $124,800.00 Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �j 1- Date: Applicant: WARNING: Failul� to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's tees.'— CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Cods ?nrvpr I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Reso ut' ns to do work indicat d abov for which fees have been paid. performance By: Date: t Name: PERMI EXPIRES ON:(i- Address: 11 Date --r ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly autho ized 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 toor document of Butte County. I hereby authorize representatives of Butte County to a ter upon the above mentioned property for inspection purpose Print Name: / • 7r Signature: / Date: wrier ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor +=OK o = Not OK MANUFACTURED HOMES MISC-ELLANEOUS- DATE RAENT FOUNDATION SOFT -SET J-L�Sadw-Easements Special MH Support Sketch ewer- Lodn-Test; FaIUC/0-Concrete Loctn Test-Easeinent Needed -Regulator .-.--DATE D E C K S•C O V E R S -CA R P O R TS -GA R A G E S 1 ZoningSetbacks-Easements 2 Figs; SoilsSz-0pthSpacing-CnndnSteel 3 Decks, Girders/Joists-0cking-Brcing Stairs-Guard/Handrails , ,9+ -Te -c L ctn-DIrncs-Dmd 2M 'Amp -Concrete Gas; Loctn-Test-Wrap Nat❑ or IPell� Inch Sz Ft Lngth Ic SzSpacing-Marriage Line as Test -Demand Valve-Cnnctr e H Cntnty Test-Crossovers-Breakers-Clmcs Drai -.MH Test -Fall -Flex Cnnctr tr 8: wer Connected -CIO to Grade 1 s and Electricity Tagged 13 Tie D ❑ Foundation is 4 Wood Awn; Posts-Beams-Rfirs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-DnnctnsSplice-Decal-Endsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs Trusses 9 Siding; Nailing VeneerStucco-Lath 10 Roof Shthg-Roofing 11 Ezt; Steps-Doors-Landags 12 Braced Wall pnls 15 Cert of Occupancy 1fiJUMI abeUlnsignia Numbers Serial Numbers DATE POOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability' 3 Pool Structure; Steel-Cnncfns Thickness Dead Men -Lining 4 Elec RcptdsUng; Distance -GH 5 Elec Pool L,ting; l5 volts-GFI 6 Elec.Enclsrs;Conduit EntriesTerminals-Listed 7*Elec Bonding; Metal w/5-Drdtng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crdtng Eqp-Pool Ightg Barg,.Enclsrs-pntboardsansuitn-to Main Conduit 4& rC, dr da 9 Health Dept Appivi 10 Ptmb; Cir Test Wtr Supply Test 11 Lt Niche ; 12 Endsr, Fencing -Alarms 13 Bonding, Diving board or Slide Drawing 0 = Not OK RESIDENTIAL (S DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Fig Dpth 3 Fig Garage; SoilsSteel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth ' 5 Stemwalls Wain; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steelaockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitt ng -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12_ Elec Undrgmd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-SillsBolts-Joists-Vnts-Cripples 15 Ace & Vntltn 16 Insulation o' 0a DATE 15RAMING 17 Sills Proper Materials & Anchrs 18 Wa'11s Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girders tip flr Nailing 20 Draft Stop In Wails (rat Proof) 21 Fire Stops; Fiirred CeilingsStairs�Chasers-Tubs 22 Headers & BeamsSi &'Bearing' 23 Hangers-P,osf•Caps-Anchrs';Cnnctns 24 Ceiling Joist-Rffr Ties-PurlikRoof Brac TnusShthg 25 Frpic Ties or Type A Flu'd*rplc Throat Cimc 26 Attic Acc; Sz &'Binz piteflt4)raft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill "t & Dimensions 28 Garage Fire Prtctri Framing -RC Channel . 29 Prprty Line Firewall & Opngs' , 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng Attic Vnts-Rfir Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Are PrtetnSkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace IntiExt Wall pnls 38 1 nsultn-Walls-Ceilings 39 Infiltration Walls-Wndws oma. 0.3' o' oa DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndetrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz a, DCu or ❑AL AC Wire Sz oa D cu., DAL 48 Range Circ oa OCU or DAL Oven Circ ya D CU or DAL Insulated Neutral ❑Yes [—]No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cirnes pnls-Motors-Meth Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector o'er ajs 4001 ngle & Duplex UAit JPLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tub & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping .4 0�s DATE IMECHANICAL 61 AC Ducts Insulin & Support " 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pltfrm if Furnace In attic DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-fir-Ducts-Meth Prtcth 69 Bedroom Exiting 70 GFI 8 Bath Fxtrs & Tub AccSpa 71 GFI Are Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, GuardlHandrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Cimc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door Swing -Landing -Closure 79 AC Duct In Garage -Damper. 80 Wtr Htr, Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Pimb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insults -Foam -Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters D Yes D No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Plmb.Appinc-Frpic-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgmd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous lespctns 95 Gas Test -Meters Tagged, Gas-Elec 96. Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler oar ops dam. ��. V=OK O=Not OK - = Not Applicable =Not Ready MOBILE HOMES ' Date/Initials MOBILE HOME UTIL IES Plana OK except #'a QZoning R -menta -Setbacks -Easements Special MH Support Sketch war; Location -Test -Fell -C/O Concrete ater; Location -Teat -Easement Needed (Sketch) 5. EleeMc1tv-Location-Clearences-Grnd-/ /Amo -Concrete or/ P'L"ft./ (LQ'PG,1 II Clearance & Disconnect Itv Clearance Date/Initials MOBI OME INSTALLATION (Plans) OK except #'a oni uirements-Setbacks Easements s; Size -Spacing -Marriage Line s; MH Test-Demand-Valve—Connector ctricity; MH Test -Crossovers -Breakers -Clearances 5. Drain;Test-Fell-Flex Connector wedolitgr—MI-I Test -Regulator -Connector 1N r and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9 its; Insp.-Sketch 10. Cert. of Occupangy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftm. Connectors Shthg.-Rig.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 8. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings I Date/Initials POOLS (Plans) OK except #'s i1. Setbacks -Easements 2. Soils; Compaction -Structure Stability l� t- ) ' t d 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 8. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosu res-Panelboards- Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Pians) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg:, Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg.'Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped & Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19.Shower Pan; Test, First Floor -Tub Access 20 Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fen; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sits, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Ceps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brae-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection-Skylighte-Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. • Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kiffixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF'DEVEL6PMENT SERVICES - BUILDING DIVISION 7 County Center Drive - OrovHle,'California 95965 - Telephone (916) 538-754yPERMIT NO. APPLICATION AND PERMIT ° �'J ASSESSOR PARCEL NUMBER ' 027-050-04�� IV ZONING BUILDING PERMIT OWNER Ladd and Patricia Jones TELEPHONE SQ. FT, OCC. BUILDING VALUAT N OWNER'S MAILING ADDRESS P.O. Box 799, Palermo 95968 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee s23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 43.00 213 Rodmor Lane Oroville PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome EK Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation CX Other O Describe Work: MHI 500 sq. f t . Min. PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOVORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. ) SD , 3.50 FT. NEW CONST. MULTI -OUTLET -NON•RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, 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) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 IAL. @ 1.50 Ex. Occup.FIXED APPWS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 0 I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. 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 against said County i on eq nce of the gr ting of this permit. X Date / / 9-- ✓ Sidw4ture of Applicant ;Ver ❑ Contractor O Agent An OSHA permit is requior excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee 1$100.00 Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 143.00 HAZ• I D. FEES IMP FLOOD CDF PARCEL I PD HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIR BY4!1 PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. WORKS / �{ ate 2 rl 7N 0 /Date/ Receipt No. 143730 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M J •i � COUNTYOF BUTTE - DEPARTME PMENT SERVICES - BUILDING DIVISION 4 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE(916)538-75A1 PERMITAPPLICATION DATASHEET OWNER A b D A/v U r N(9_& A. . No. 6 Z 7 6540 - Proposed Building Use - Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. .-7 ........................ 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non-Heated.and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... moi\ 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... & 9 10. Fees of $ 11. Impact fees as shown on attached schedule. 5.+� 1 . � ^!p . e�.(: ... f3 a 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. �= 19. Driveway permit (construction approval required prior to occupancy).......... � �q� --_ 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) .............. 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. 'Letter of intent on building use . ........................................ . � l<l< 28, M6bilehome utility clearance . .......................................... G 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ................................................. . . 33. 34. W;Wu issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other --7-V Parcel Creation Acreage Applicant 1�/ Date 7 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date 'By - The ByThe following data must be submitted prior to perm' ua ce: (Circle ew item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was.advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ ma' Cou e y _Date Plans checked by Date Plans approved by Date 946 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER PROPOSED BUILDING USE ze�. SCHOOL DISTRICT -FEES �O kA k&* N (paid at District Office) ......................... �} SHERIFF FEES (paid at Building Department) D Residential...... x =$ unit -amt. Commercial (sqft) x =$ %sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department` MR 0910Y Iw1 A. P. # DATE 7 �� REC. # DATE REC e;/n /9,3 l`6 193 C" "W' At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE 7 /.� 9 '::k•-.��"�' Int""r,� �7-Vv 'e. /,•' %"^'.'rig` . BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) nqt_ 007 School District (�,C'D/ c "" Building Department No. A.P. Number 677' J risdiction 0 City County Property Owner �� if/VD fin.+ 13 Property Location/Address &CM or G A N e. 16 Subdivison Lot No. r Residential Development 0 Sq. Footage No. of Living MHI Addition (Group R) Units Commercial/Industrial 0 Sq: Footage New .i M Building Departmer District Identificatioi (Street Address) Rep ddition (Including Exterior Roofed Areas) Date (Floor Plans reviewed by School District Personnel) No. 94003 _C4 ) School District certifies that a -c r etc' (Applicant) (Phone Number) "(City) ' (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing square feet. -A, School District Representative Date' Paid by Check Number Bank Number Paid by Cash _ Remarks: [ I I 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 (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) K V7 It r .'est• °' COUNTY QFB *E BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER "j - 27o4) PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contaCY.ihis office immediately. JAI Date Inspector —a REV 10192 COUNTY OF BUTTE -- BUILDIN.G'DIVI8ION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT N0. t A routine inspection indicates that the following violations of Butte County Ordinances exist at the above add ss and should be corrected. Please notify this office when correction of work is completpdIf you have anyuestfts pertaining to this matter, or need additional explanation, . please,p4ntact this office immediately. 1' Date Inspector REV 10/92 r , MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF, BUTTE- DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 ` PERMIT N0.73 m8n ar, ?-Address or location of mobi lehome CQ – Owner's name � _7 , a---- S Owner's address Insignia or hud number u Manufacturer's name =' Serial number o I.N. Year of manufacture (6ff ictal ppro i` g nstaIIaPon) (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. 5138 White - Owner, .Yellow - Installer Pink -DPW% AP OWNER PERMIT NIi i UT IL. CLEARANCE DATE d / INSPECTOR 1 , BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: taA (J O 4 2. Installer's Name: �4' kn 0- 3. 3. Is the site currently under permit? Yes FY . No (If yes, furnish permit number 9'33 6 ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 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? ------------- a� Amps 7. What is the mobilehome site circuit breaker rating? ----- 5-0 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------= Yes ® No F-1 ` (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- /T (in.) 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.)- Jp3 8 0 MffE CVUKY NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPI( NG ®EPAR MEKII APPP %s'� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: taA (J O 4 2. Installer's Name: �4' kn 0- 3. 3. Is the site currently under permit? Yes FY . No (If yes, furnish permit number 9'33 6 ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 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? ------------- a� Amps 7. What is the mobilehome site circuit breaker rating? ----- 5-0 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------= Yes ® No F-1 ` (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- /T (in.) 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.)- Jp3 8 0 MffE CVUKY NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPI( NG ®EPAR MEKII APPP %s'� MOBILEHOMIRE SUPPORT DATA If other,than single wide, Mobilehome Mfr. y `a�Pi furnish Setup Model No. Year Width 19- (ft.) Box Length � b (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 (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade.0 2. Other (specify) SUPPORTS (check one)�1. Concrete block.�2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE 'in.' Line 1 Line 2 _ _ — _ — _ — _ — — — — _ / Line 2 Main Beams ine 2 _ _ _ — — — — — — — — — — —--1+1II£-Z ne Line 3 _—__------ :je Main Beams_ — — --� --- —_ Tag or Triple C— — — — — — — — — — — — — Line 1 Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max .------- Line 2 Piers: Size-Min.------------ Spacing-Max ---------- From -----------Spacing-Max.--------- From Ends -Max. ------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 1 Openings Size -Min. ------------------ x Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------------ „x „ Spacing -Max .--------------- From Ends -Max .------------- Size -Min .------------ Spacing -Max.--------- , From Ends -Max -------- Line S Roof Loads: Size -Min ------------- Location (From Front) r Bear Size -Min ------------------- fix Spacing -Max .--------------- From Ends -Max.------------- flo �: - [ Y' �! • ' I i.•l 7rK�����asj (}!,Z q'�fp"�1�� Y / . tj I L4 C� IYo R /+ N�TE: O --AR A�c-ordhpce Matulals 'Mat Recognized dor hmanstip Good SIA Proallics sl lfi an d jl of :: a qu al;h, pre' scuiriled foi- fhe .1"Pec'n"ed ISO i 1 the 0 0 U the Nati u, oral ;i-ig, EIecirical Cade. 4 r T "t of p12 "s t -lid spThi otilicarloffs MUST. 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I 072 3.?O3ACrn. / 323 O 35 n h 2 I 6 tV 3.03AC N 26 5.00 Ar- a O 3.4630 HO `� M n l SAG 46 3 r • 9�j 6493/ S 4-9.4 C 3X231- 6.03AC ya 2yg �p 2p 3. i 219.67 `EJB ,1y 7j3 m O jot r B9 m27 5C2 aG `? I 10 9 299.97 N I> O 0 39 8 ti0 7 h 65050 I m qs O vl 5.3/AC u SAIAC O O a0 37 m m 44 O 6.0040 �O 1 O 5.30AC ' N .i .r 6.05AC 28 502 AG 1 L COWOEN SUB PMe9 44, ^ 778 380- - 1 PAI 81.93 8492-60 "� 342.33 --375.?ZT � 375 65r.7J ' 3 I I2 ;sy - �. _ J E4 // 10 III e„ I pV r I J) 1 I II 1 I !3 47 13 n 42.22AC _ �1,1 1 I OI I I. �I 11 06 836.64 373.30��- ! N 4/2 1 t 042 h II.OIAC 188AC I I 969.25 ��� 438.43 y O i I 3 0 I 4 1 1 a 43 O 1 .1 ^4 I m!3.3330 11.46AC I 1 PMI03-2 4 ( I 4 3 600 `-682.,s 9 10 i 283.6) 610.67 3J2.78 j4zm7 40 •J I f 1 23 500 AC 0 1 t I I L /9 20 620.20 1 �40 18:SAC. 23 } 5.00AC �+ SA7AC A 4® • O 5.04 AG I I 2Q9AGAG1.{n PM92-583 !4,n �n 630.26 (S '-CdA- - couk'r ? II . Q O t _ JI I 5 I7.54q a G 2l O to c 9.16Ar 3.07 AC 103AC Ip �c, I I PIW89-44t 1294.13 RB AC. 47.77 325.92. 321.22I I Q.2f 300 300 400 4 783.33 647.14 14 ` 3 g O 5 � &4 AC g l A 2 33 0 3.09AC �6 n I R n ! n 32 n 3.22AC / -CT J tib 3 648. . I 072 3.?O3ACrn. / 323 O 35 n h 2 I 6 tV 3.03AC N 26 5.00 Ar- a O 3.4630 HO `� M n l SAG 46 3 r • 9�j 6493/ S 4-9.4 C 3X231- 6.03AC ya 2yg �p 2p 3. i 219.67 `EJB ,1y 7j3 m O jot r B9 m27 5C2 aG `? I 10 9 299.97 N I> O 0 39 8 ti0 7 h 65050 I m qs O vl 5.3/AC u SAIAC O O a0 37 m m 44 O 6.0040 �O 1 O 5.30AC ' N .i .r 6.05AC 28 502 AG 1 L COWOEN SUB PMe9 44, ^ 778 380- - 1 PAI 81.93 8492-60 "� 342.33 --375.?ZT � 375 65r.7J ' 3 I I2 ;sy - �. _ J E4 // 10 III e„ I pV r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds *PLEASE PRINT CLEARLY** Torn) t5igt ,q(3 �u uhq (�rN11 ,S sftill 419 4A U CONTRACTOR OWN R INFORMATION Last Name Stated Zip irst Name Fax :533-6 10-;7 �/ Uc. # Address )3 ROar E-mail , City v State C Zip S Phone U <-S`) 141- Nlid Fax 173 E-mail 1`U l U CONTRACTOR Name v\ obi) ( . Address 6.3 L City i Stated Zip Phone Fax :533-6 10-;7 E-mail Uc. # Cass Map Book Fax E-mail APPLICANT INFORMATION ARCHITECT/ENGINEER Name / Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail . nNTSIGNATURE For office yie only: Zoning R -5 1 Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision'Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BPO & I'73 BIN # PROJECT LOCATION AP# Property Address ` ' o City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: Sq FT-. Livin jq20 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 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. Received by: K6. Amount: Receipt #:�Lll%� 2' oqG Bldg LOQ -9% SRA Sheriff SMIP Date: t�� I il_Q CtsOther q 2� -� q Total REV 8-12-05 Dulli M SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the prepares of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. ' w OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 _ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION f _ 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET apo w (l 3 l OWNER: &A ASSESSOR PARCEL NUMBER n27 -n 5o -oq� Proposed Building Use: Nt til M q. k i S- Permit Technician: t I . G • Date: required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. e 1. Site plans 3 o r 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑/ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Installation rDAnpal, including marriage line info, (C) Floor Plan, (D) Tie downr fnd Ian all in duplicate. -LN 2"N TW ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑/ 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other 'aining items needed to issue the permit. (May require additional plan review upon receipt X fol w14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chicrbvill , Ica 15. Fire Sprinklers................................................................:.......................... ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 18. Erosion Control Plan Required........................................................................ ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ V21. Site plan and business license approval from ttae City�of Biggs................... !v 22. California Department of Forest plan approval paid. Sent by: ., . . =nt o co 0] �Plannln approval for A Use: B Parking: C Parcel Check. f �9 PP () �() 9 () g� ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... C330. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 3 Existing violations and/or expired permits......................................................... 4: egd Restriction.0.......................................................... legal description, . H. QUie s' ea ch -registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone t Cr I have been informed of the hold for pickup. is foi obfainirti a building permit. / ,- Applicant: Date: G 1. Index permit application fdirlt e06,vefjems mbered: Plan Check Leuer 2. Additional items regwrp Contractor, designer,9ufner, was ldvised of the above data by It phone, ❑ mail, ❑ cou ter, by Date: 0 Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owper, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date:J6 - (12KXPlans approved by: 6&.e -.Z Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 TO: FROM: ,;. 4 Building Division = Development Services Environmental Health JY 1 Plot Plan Attached —� Floor Plan =;:d---4-- Sent d Sent to BD/DS / n�A y SUBJECT: Sanitation Clearance ,rtl 3 Owner Location AP# Plan Approved for: Sewage Disposal: Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Building Clearance 912005 Water Supply: PublicT '\ Private I►ell IF --� --31 _,/)z Date BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecouniy.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner SMITH, ERIC APN No: 027-050-044 Permit Type: 1 Subtype:j' App Date: 7/19/2006 Permit No: BP 061731 Permit Desc: QVj �New Mir-)fifld $549.90 $219.96 $329.94 Balance of Building Permit Fee 0 $95.00 $204.98 $109.98 $314.96 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION _ $424.9 FFFS (RFI OW1 DIIF PRIOR TO ISSt1ANCF OF PFRMIT ARI 1d RECEIPT DATE Tech/Asst 4S 7/19/06 Kourtni At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. // Applicant: Pursuant to Govemm n from the date of approval specified in Goverment Date: 1416 16 Section ou are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days the porje t the impostion of the above referenced items during which you may protest. The requirements for a protest are 3 Section 6020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 Butte County Department ofDevelopment SerwCes 0 y kqF° ° .�.4..,.. ° 7 County Center Drive oroville, CA 95965 =" (530) 538-7601 Telephone c0R (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: ® 1 need to submit applications for septic and/or well to Butte County Environmental Health immediately. • 1 am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained 1 am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for'disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the BuildingDivision. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other -entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required pemaits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: , j� APP licant Name: 1 Building site address: Alnno—f L -n • ocavl APN: Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above-refergn9fd building permit application and my signature below: SIGNATUR,VOF APP 2 - 0 Z/ DATE it Department C o u n t 1, J. Michael Crump, Director of Public o f B u t t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elim.ination - System (NPDES) Phase II Construction Storm Water Permit and Storm .Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE] Project Description: ly Project Location and/or Parcel Number: D C—y ^ 0 7 Iy By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM 009 a' (One form per Building) (n School District I(0 Building Department No. O v 1_73 A.P. Number 0) W �� Jurisdiction: = City County Property Owner Property Location Subdivision Lot No. Residential Development Q EZ Q Q € Sq. Footage No of Living Mobile Home Addition/*Supplemental to (Group. R),.. Units Installation Conversion, Pefrnit # *(No foundation inspection) c........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) 4f io . B ilding Department Repr jf b i je -- Dat District Identification No. 107 --,School District certifies that 6-1 (Applicant) 53y- &OD (Street Address) � � . �"% � AH, (Phone Number) 0 (City) has complied with the requirements of Resolution No representing 9 2L square feet. School District Paid by Check # �' . ` Remarks: ,-j (State) (Zip Code) by payment of $ 6i b `If' q. tf GV ,4926 $ ULL MITIGATION $ 69 wUCo Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest.to the Dlsbict, In compliance with Govemment 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 fee: In any court action. N, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School DisMct is notified by the applicable Local Planning Agency that this project Is being reviewed under the CNMomia Environ" Quality Act (CEQA). this Prolect mar be sublect to additional school fees to fully mitlaate Its Immd on the school dlstrWs schools. White (school district), Yellow (building department), Pink (applicant). feelorm.xls (3r Wnrn BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) D PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) _U�e Property Owner (s) C, Project Location /Address Subdivision Name -- IJW--0 V7�_ Building Permit Number JS — / 73 Assessable Sq. Ftge Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department . Demo Permit (date issued ) verified by Building Department Comments: Department 0 FRRPD ❑ CARD ❑ PRPD D 7D certifies that: Date App icantName ' hone Number -7-I3 ledhz1)yr �� �e'oL."/` Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check No: Paid by Cash: Recreation and Park District Representative per unit for a total of $ /101 q. o per sq foot for a total of $ Receipt No: rQ00W MOB_ UEROME SUPPORT DATA Mobilehome Mfr. S I 1.5 other than single wide, furnish Setup Model No . 1 • Year�� Width � 1 � _ (ft.) Box Length 4 L (ft,) Tagalong or Expando Size __,c2t4_ft. x__9Q_ft. 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).. FOOTINGS (check one) �1, Wood -pressure treated or foundation rade. 2, - g � Other (specify) SUPPORTS (check one) y(�1. Concrete block. 1-12. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1} MULTI -WIDE --� Line 1 p��( I Main Beams BUTTE C®U :1 eav BUILDING ®MSI _— _ _ _ _ _ _ _ — — — — _ . Line 3 p� — a Line 2 APPROVE) Maln Beams Line 1 w - Line Tag or Triple Line 1 Line 1 Piers: Size -Min. ------_-____ i O SOC nx n Spacing -Max. --------- From Ends-Max,------- ------------------------ Size-Min - ----__ Size-Min.------------ Spacing-Max ---------- From Ends -Max .------_ Line 3 Roof Loads: r �(O Size -Min: ------------ 2 3 ( E Location (From Front) QS/ y_U Size -Min ------------- tt Spacing-Max ---------- From Ends -Max -------- Line G xoor Loads.• Size -Min .---------___ l `,lit Location (From Front) Line_ 1 Openings. Size -Min. ------------------ `�—fix+Ld Each Side of Openings With Width Over--------- ` Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- Spacing -Max._______________ From Ends -Mex -------------- J , x Line S Piers: (Under Bearing Wall. on y Size -Min.__________________ ..x o Spacing -Max .----__•---____-- , From Ends -Max .------------- '_ n 2 ��= s l 717 511- �T I h h -rN b Q AR i" �AR� pS K r�rjy I't-IcAl f -3 0 k QVI 3 0 F'BUTTE COUNTY,' APPROVED Jay 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 do WASHER (4) REQUIRED (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM ;e•. • _•,;•. ..•• AT B" O.C. � (8) REQUIRED - I 1 . :'! t• tip: • � ., ���p , CONCRETE PAD INSTALLATION POURED IN PLACE 16x16x12 CONCRETE ,p &'.-` FJI 1ATION INSTALLATION CHASSIS FRAME BUTTE CO �J y��i�;lot LIGHT HEAVY -WEIGHT IBUIL®I PLASTIC PAD INSTALLATION 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x BOLT WITH NUTS (4) REQUIRED fel 11/2- SCH 40 PIPE RISER WITH O1/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD X1503 -� Q STEEL FRAME 36" MAX TO BOTTOM OF PAD 01/2"x 3" C.R. LOCK PIN WITH of/8" BRIDGE PIN f I TUF— Mui—T w Uritis swim NMI UNM LENM OFWI OF HOME UP TO 44' 1. a I 8 I 8 1 12 4e -l' 1n SB' 12 12 1 12 1 18 44'-1' to 80 20 0 20 4 LEN= OFWIDTH HOME 0 E 0 Z TO 6 1 10 AB' a 8f' fo 0 in I10 1 NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED Am, 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 bf a, OF wo2d SPA This STATE APPROVAL MANUFACTURED HOMEIMOSILSMOMS FOUNDATION SYSTSM HEALTH AND SAFETY CODE, SECTION 185$1 APPROVED SUBJECT TO CORKWf IONS NOTED APPROVAL DOSS NOT AUTHORIZE OR APPROV2 ANY OMISSIONS OR DEVIATION FROM RSQUIRSMRNTS OF APFLLCABLE STATE LAWS AND REGULATION S SILO of CAlifornie DepotmmtoflTemtir g •rnd Culnmunity D(we4opmeot �S"C'117 AND STANDA�R4311i_s' AT) n.Tg-it,L� 1 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 P GENERAL NOTES GUS GUAtD TUF-1 1. DESIGN LOADS: LIVE LOAD - 30 I.B. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE 019) 2. THIS FOUNDATION SYSTEM IS DESIONED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS'. 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM. UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR S=ASTM A449=ASTM A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL. GUS GUARD TUF-;i 2200# 6000# GUS GUARD MCP PAD 2200# 60000 GUS GUARD E -Z TIE PAD 22001 6000$ 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 FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING ODES NOT EXCEED THE HEIGHT OF THREE FEET. !! 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIOEd THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET 03) + 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH FOUR (4) 1/2% 3 1/2" EXPANSION ANCHORS. 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED WITH EXISTING STANDARDS REQUIRED BY COACH MANUFACTURER OR REPLACE THEM ON A ONE TO ONE BASIS. 16. FOUNDATION BLOCKS 18"x 16002" 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. / I 1 - MAX. S= 6' MIN. /16' MAX. - S= 6' MIN. / 22 MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) E �+— S --�-+— S ---+t+-- S +►�+ E u u u❑❑u RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER ❑ (TYPICAL) ❑ ❑ 0 ❑ cam- E3❑a❑❑ ,n 8' NOM. r�A.._ n ❑.. ❑ ,n PADS IN ANY PAIR MAY BE T STANDARD M.H. FOUNDATION --- —: ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPP RT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD TYP) Q FESSIp` i • riatt��r�1►I+Ic■ STAT f.L FOUNDATION SYSTEM HL4 TH AND SAFETY CODE, SECTION ISS31 APPROVED SUDIEGT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State at Caliiomia De➢wemrnt of Housing and Communigr Dcnl"mont J6I OF DFS STANDARDS BYTE (eige,nture) 'IbI�PImApprovdbxPitoa .-.�...-„_ WAYNE T. POLVADO, PE --LISTING NO. F94249 SHEET 2 of 3 m n n / n STEEL ANGLE DETAIL "A" CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED f1 12" SCH 40 PIPE RISER WITH 01/2' ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/Y ADJUSTER HOLES Q ABESCO ABS PAO #503 3/8" CAO PLATED BOLT. NUT & WASHER COUNTER PORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 1/4" STAND BASE , i-- AUESCO ABS PAD #503 COACH "C" FRAM' 2" CHANNE 1/4"xi-1/4 TEK STS (2) REQUIRE 1/4" GRIPPER BASE 1/2" A307 BOLT (2) REQUIRED 3/8"x 6"x 6" STEEL PLATE 1/2" A307 BOLT (2) REQUIRED / 36" MAX 10.00 TO BOTTOM OF PAD � o 0 1 p.00 01/2"x 3" C.R. LOCK PIN WITH 01/e" BRIDGE 0 PIN 0/16 HOLE (TYP) STAND BASE TDP VIEW STEEL FRAME SEE ET IL INDIA 6 /►scall FLORIN - PERKINS R Rj��CA .. ATTACHMENT GRIPPER 'LATE -COACH "J" FRAME 1/4"xl-1/4" TEK STS (4) REQUIRED J—BEAM ATTACHMENT 1/4" GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED + $ T_1�371/2" DIA. HOLE (8) PLACES 30" STEEL FRAME TOP VIEW STATE APPROVAL 'WANUPACTURBD HOME/MOBILR E FOUNDATION SYST>&1f Mul AND urm CODE. SSCHON 111631 APPROVED >SUB= TO CORREC7700 NO'J8D APPROVAL DOGS NOT AUTHORIZE OR APPROVE AIN ? OMISSIONS OR DEVIA71ON FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REOULATIONS 111ue ofcaclro�nta D000O at 01111, I g; -d CemmcdI r Dwdepmd AND in WAYNE T. POLVADO, PE—LISTING NU. FS 9 SHEET 1 of 5 Sri BUTTE COUNTY - BUIL®ING DIVISION. APPROVED I California Department of Forestry and Fire Protection Butte County Fire Department Fire Safe Requirements Permit# d 6 - I �"� Under authority of Public Resources Code Section 4290 and 4291, Butte County Improvement standards , and the California Building Code, the following checked items are required by CDFButte County Fire Department and made part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which exceed these standards. Butte County Building Inspectors will make the compliance inspections. 1272.00 Maintenance of Defensible Space Measures [X] To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access, and utilization of the defensible space provided for these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or shall be provided as a condition of the permit, parcel or map approval. Public Resources Code 4291 information will be provided. 1273.10 Driveways [X] (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] (b) All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] (c) Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where the driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be within 50 feet of the building. 1273.02 Roadway Surface [X] The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire engines. Surfaces should be established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. 4" of class 2 aggregate base shall be required for all driveways, turnouts, and turnarounds. 1273.03 Roadway Grades [X] The grade for all driveways shall not exceed 15 percent. Grades above 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. 1273.04 Roadway Radius [X] (a) No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] (b) The length of vertical curves in roadways, exclusive of gutters, ditches, and drainage structures designed to hold or divert water, shall be not less than 100 feet. 1273.05 Roadway Turnarounds [X] Turnarounds are required on driveways and dead-end roads as specified in this article. The minimum turning radius for a turnaround shall be 40 feet from the center line of the road. If a hammerhead -T is used, the top of the "T" shall be a minimum of 60 feet in length. 1273.06 Roadway Turnouts [X] Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. Revised 07/25/06 C 1E F to E Q U 1273.07 Roadway Structures [X] (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant structures which supplement the roadway bed,or shoulders) shall be constructed to carry at least the maximum load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550, 35750 and 35250. [X] (b) Appropriate signing, including but not limited to weight or vertical clearance limitations, one-way road or single lane conditions, shall reflect the capability of each bridge. [X] (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. All bridges must be certified by a registered Civil Engineer. 1273.11 Gate Entrance [X] (a) Gate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving that gate. [X] (b) All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. [X] (c) Where a one-way road with a single traffic lane provides access to a gated entrance; a 40 foot turning radius shall be used. 1274.08 Addresses for Buildings [X] All buildings shall be issued an address by the local jurisdiction which conforms to that jurisdiction's overall address system. Accessory buildings will not be required to have a separate address; however, each dwelling unit within a building shall be separately identified. 1274.09 Size of Letters, Numbers and Symbols for Addresses [X] Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke, reflectorized, contrasting with the background color of the sign. 1274.10 Installation, Location and Visibility of Addresses [X] (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible from both directions of travel along the road. In all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible from the road on which the address is located. [X] (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. [X] (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. [X] (d) Where a roadway provides access solely to a single commercial or industrial business, the address sign shall be placed at the nearest road intersection providing access to that site. 1276.01 Setback for Structure Defensible S ace (a) All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] Your parcel is larger then 1 acre but your required minimum setback for buildings and accessory buildings is less then 30 feet from all property lines and/or the center of the road. You are required to meet the same practical effects requirements listed on page three. [ ] (b) For parcels less than I acre, the local jurisdiction shall provide for the same practical effect. See page three for same practical effect requirements. [ ] Your parcel is less then 1 acre and your buildings and accessory buildings meet the 30 foot setback requirements from all property lines and/or the center of the road. Revised 0725/06 2 `•� Same Practical Effect for Buildings less then 30 feet from property line: [.) If the Building Setback is less then 30 Feet from all property lines and/or the center of the road, the following shall be required; • Class A roof • Fully enclosed eaves on entire structure (December 5, 2005, per 2001 California Building Code 704A.2.3, fully enclosed eaves are required on all structures in any fire hazard severity zone within State Responsibility Areas, regardless of setback distance from the property line or center of roadway) • Fire rated metal doors on side toward property line with insufficient setback • Siding on entire structure from the following list: (a) Stucco -3 coat (b) Non combustible Hardi-Board, Plank or similar siding (c) Masonry (d) Metal (e) Other Butte County Fire Department approved materials 1276.02 Disposal of Flammable Vegetation and Fuels [X] Disposal, including chipping, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction, and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements Butte County Improvement Standards Installation of Residential Fire Sprinklers [X] If your property was part of a parcel split after January 1, 1991, you are required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. 2001 California Building Code, December 5, 2000 704A.1 Roofing. 704A.1.1 General [X] Roofs shall comply with the requirements of Chapter 7A and Chapter 15. Roofs shall have a roofing assembly installed in accordance with its listing and the manufacturer's installation instructions. 704A.1.2 Roof coverings [X] Where the roof profile allows a space between the roof and roof decking, the spaces shall be constructed to prevent the intrusion of flames and embers, be fire stopped with approved materials or have one layer of No. 72 ASTM cap sheet installed over the combustible decking. 704A.1.3 Roof valleys [X] When provided, valley flashings shall be not less than 0.016 -inch (0.41mm) (No. 28 galvanized sheet gage) corrosion -resistant metal installed over a minimum 36 inches (914 mm) wide underlayment consisting of one layer of No. 72 ASTM cap sheet running the full length of the valley. 704A.1.4 Roof gutters [X] Noncombustible screens on gutters. Roof gutter shall be provided with the means to prevent the accumulation of leaves and debris in the gutter. 704A.2 Attic Ventilation. 704A.2.1 General [X] When required by Chapter 15, roof and attic vents shall resist the intrusion of flame and embers into the attic area of the structure, or shall be protected by corrosion resistant, noncombustible wire mesh with '/4 inch (6mm) openings or its equivalent. Revised 07/25/06 3 704A.2.2 Eave or cornice vents. [X] Vents shall not be installed in eaves and cornices. EXCEPTION: Eave and cornice vents may be used provided they resist the intrusion of flame and burning embers into the attic area of the structure. 704A.2.3 Eave Protection. [X] Fully enclosed noncombustible eaves on entire structure. Eaves and soffits shall meet the requirements of SFM 12-7A-3 or shall be protected by ignition -resistant materials or non combustible construction on the exposed underside. All of the Butte County Fire Department requirements are posted on our website at http://buttefire.org/Fireprevention/protplan/protplan.htmi JUL 2 5 2006 Date Revised 07/25/06 4 Darren Read Fire Protection Planning COUNTY OF BUTTE - DEPART�ME•NT OF PUBLIC WORKS 7 County Center Drive - Orovlhle, CalVdi'nia 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. 7L4, y - ASSESSOR PARCEL NUMBER 027-050-044 ZONING ARMH5 BUILDING PERMIT OWNER LADD AND PATRICIA JONES TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P 0 BOX 799, PALERMO CA 95968 CONTRACTOR'S NAME HAROLD BALAZ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is FilingFee�yy $ XYYlL LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 20.0 Ener Plan Checkin Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS LANE OROVILLE Permit Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUB IVI ION NAME PARCEL MAP �b, Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomePCI Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 45.00 TYPE OF WORK New ❑ Addition u Remodel ❑ Utilities X Installation❑ Other ❑ Describe work: 500 SQ FT MIN _ Permit Fee $ 0.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 18.50 Main service 200ATO1000A) _ 37.50 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 jprce and effect. yy--���� /V License ;Jo.o�'Z��� Classification ❑ I, as ?he 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 CONST.( DWELLING OCCUPM OR ADONS. ACC, BLDGS. / 3.64sq.ft. NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &\ (SINGLE OUTLET CIR. / Ex. Occup( OR FIXTURES 20 761 A FIXED Ex. Occup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15,00 Misc. Wiring '15.00 148.50 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. EI 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. _I71 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. prcvisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 I Ventilation Permit Fee $ Contractor 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 all liabilities, judgments, costs, and expenses which may in any way accrue against aid County in consequence of the granting of this permit. � X,[ �i-C Date J-� ,/ Signature of Applicant Owner Contractor Agent F1 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 S Ener Inspection Fee $ 9Y P occ CONST TYPE TOTALF E $ 128.50 HAz 1 DFEES IMP Flo COW PARC PD ;DefISS •; This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRE K UBLI By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS D to /(� 9 Jr 141402 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT +�' f. r•}. `� `ti x Ztvrp �ir �roS'�'..; "41044r*.r�'}1� .. -COUNTY OF BUTTE - DEPARTMENT D LOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CA` .lr6RNIA.95965 -TELEPHONE (916) 538-7541 t/ OWNER Ai'0 Proposed Building Use PEF Y_ IT APPLICATION DATA SHEET rt 4_1 Qy!%S_ A. P. No. % D Building Inspector Date �. At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECEIVED BY All items have been submitted . ..................... ................. 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of.'plans. ..................... . .4. 5. 6. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form. t ......... .......{ ......... . Energy Design Compliance and supporting documentation . ................. . 7. ` 8. Statement of Intent for Non -Heated and A/C Buildings . ....................... Engineered truss details and layout i6 duplicate (required prior to plan check). .... 9. ` 10. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . Fees of $................................... .. . 11. Impact fees as shown on attached schedule. ........................ . ".... . «- 12. =�13. i 14. California Department of Forestry plan approval/fees......................... Flood elevation letter (100 year fl by Calf r is Engineer. ......... ....... Sanitation and plot plan approval i ealth Department. ..1t. 15. City of Chico plumbing permit . ......................................... 1 ' 16. Plot plan and business license approval from City of Biggs/Gridley. . .. ........... ` ' 17. Planning approval for (A) Use: (B) Parking: econtact1and Development about .(A) Improvements (B) Drainage. .......... . ,.' 19. Driveway permit (construction approval required prior to occupancy).... req... ► 20. Pre -inspection for PreansP�°n requ t required. i red. . to Building ,nspedcr (Date) 21. Contractor's license information. (No., Name Style, Classification).................. 22. Certificate of Workmans Compensation Insurance . .......................... . 23. 24. Owner -Builder Verification (Given to owner , Mail to owner�... Recorded copy of Agricultural Acknowledgement Statement. :.................. 25. 26. Letter of signature authorization . ................... ................ . Copy of recorded deed'of parcel creation and 60 right of way to a public road. .... . ' 27. 28. Letter of intent on building use . ......................................... Mobilehome utility clearance . ..................: f .................... . 29. Documentation of legal"access........................................ . 30. Documentation of 50% subdivision developed or (A) Road improvements completed 31. 32. 33. and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... rx Plan check list . ......................... ........................ . 34. When you issue the pqrmit, process as follows: Mailij owner. Mail to contractor. _ _Telephone nd hold for pickup at (C./ office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept: Fire Dept. Other Date By «r L ;.c The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above requir d data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by- Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Ii.11.u•:o'LY j Hour Plan mulched _ Sent to B.U. La� :::564es, E jj 6- Po drq r e Lit Owner Location Plan Approved for: Sewage Disposal _� Water Supply: I'ublic Clearance forbedroom mobile home. Other Hold final for: I -I n, Final clearance O.K. for: NOTE: Environmental 8/92 ealth Specialist / a7 -oma �� AP# Private Well�� 3 ---!Ae4�Date ti APPROVED.._ Butte County. 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Parkin: Landsc� I =•-".....:.................--..........-----•----•.....----•---- :--- ............... ..;.. . ;. ....... ,.. ate,-�•....... f Assessors Parcel Number: Scale: 1" = 1(T_ �_o___ Owner Name C v Address / Phone No. S 3o - S3 4 - e? 0 0 - Site Location .2 13 , L) W nn r 4 r O C/2 v r i �-P-- 4 Cr r Contact .Narne - E c- Sm f �. Phone _ l c> 2? - I 0 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres a.0(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: