Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
027-060-054
A.P. 27-06-i;--�. t HERSHEL L. LYNCH 6965 Citrus Aven e, Palermo Permit 1389-74P.,E (Util. for MH) 'Iu 27-06- o tr: Acro-Lume, Oro,,dle, OrovEle 1AFermit #5273-77B(Z"new awnings/MH) ` K Fingl /O 27-06-54 Permit#3521-82B(open deck/over ag bldg) 027-060-054 05-0411 GREEN,LORNE 6965 CITRUS AVE*OROVILLE CONT°;B&B MOBILE HOME NEW: MH PERM FND HERSHEL L. LYNCH res.27-06 -54; . Ee-e,-e+— 6965 Citrus Avenue;."Palermo Permit#50-82-A(farm equip storage &Y repair) r. --T- 2111 ` 11 1 CN ^ o,cfli RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded I REC FEE 10.00 Official yRecords' I Countteof I CONFORMED COPY '1.00 BuI CANDACE J. GRUBBS I County Clerk-Recorderl I LR 012:0" 19-fty-M I Page 1 of 2 _ IIII III III! IIII I IN 111111111111111 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated.is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. LORNE AND LORRAINE B. GREEN REAL PROPERTY OWNER&ESSOR 6965 CITRUS AVE. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP , SAME 65'4"/60'9"X 26'8"- ORE468456/7 INSTALLATION MAILING ADDRESS, IF DIFFERENT LENGTH XWIDTH SAME Z. CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner,. write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION . BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY -CENTER DRIVE MAILING ADDRESS. OROVILLE BUTTE CA 95965 CITY , COUNTY STATE ZIP 05-0411 530 538-7541 BUIL PkRMIT NO. TELEPHONE NUJMBER LL �S1 GN URE OF 1 _'ALAG�VMFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO MARLETTE 2005 PACIFICA 8240 MANUFACTURER'S NAME - - DATE OF MANUFACTURE - • MODEL NAMUNUM13ER HER0237220RA/B 65'4"/60'9"X 26'8"- ORE468456/7 SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S) Z. REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 027-060-054 HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. t Order No. 217943L =0C EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:'- ALL OLLOWS:•ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED A FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF LOT 8 IN BLOCK 85. AS SHOWN ON THE MAP ENTITLED, "MAP OF ADDITION TO SUBDIVISION NO. I OF THE PALERMO CITRUS TRACT", AND BEING SHOWN ON THE MAP ENTITLES "MAP OF PALERMO AND SUBDIVISION 1 AND 2 WITH ADDITION TO NO. I OF THE PALERMO CITRUS TRACT", WHICH MAPS WERE FILED IN THE OFFICE OF THE RECORDER OF -THE COUNTY OF BUTTE, STATE OF CALIFORNIA SEPTEMBER 17,1888 THENCE NORTH 89° 04'07" EAST, ALONG THE EASTERLY EXTENSION OF THE CENTERLINE OF BOHEMIA AVENUE AS SHOWN ON SAID MAP 595.00 FEET-, THENCE SOUTH 0° S5'53" EAST, AND PARALLEL WITH THE EASTERLY LINE OF CITRUS AVENUt AS SHOWN ON SAID MAP, 476.49 FEET TO THE NORTHEAST . CORNER OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN DEED TO HERSHEL L. LYNCH, ET UX, RECORDED- APRIL 10, 1974 IN BOOK 1901 OF OFFICIAL RECORDS OF BUTTE COUNTY, AT PAGE 351, SAID POINT BEING ALSO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, NORTH 896 04'07" EAST, FOR 30.00 FEET TO A 3W' IRON PIPE AND TAG LS 3634; THENCE SOUTH 0° 55' 53" EAST, FOR 240.00 FEET TO A'/,",IRON PIPE AND TAG LS 3634; THENCE SOUTH 89° 04'07" WEST, FOR 30.00 FEET TO A Y." IRON PIPE AND TAG LS 3634; THENCE SOUTH 0° 55' 53" EAST, PARALLEL TO SAID EASTERLY LINE OF CITRUS AVENUE; 236.49 FEET TO THE SOUTHEAST CORNER OF SAID LYNCH PARCEL; THENC SOUTH 890 04'07" WEST, 595.0 FEET TO A POINT ON THE CENTERLINE OF CITRUS AVENUE; THENCE NORTH 0° 55' 53" WEST, ALONG SAID CENTERLINE, 476.49 FEET TO A POINT THAT BEARS SOUTH 89° 04'• 07" WEST, FROM THE TRUE POINT OF BEGINNING; THENCE NORTH 89° 04' 07'.' EAST, 595,00 FEET TO THE TRUE POINT OF BEGINNING. - AP NO. 027-060-054 a - i RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 t� COPY of Document Recorded 19—May-2005 .-20'05-0028432 Has not been compared with original BUTTE COUNTY COUNTY -RECORDER t _ I S CPRS CPA E ABOYE..THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. r LORNE AND LORRAINE B. GREEN REAL PROPERTY OWNER/LESSOR 6965 CITRUS AVE. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT - SAME CITY COUNTY STATE ZIP SAME, UNIT OWNER (if also property owner, write "SAME") r SAME MAILING ADDRESS SAME CITY COUNTY - STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-0411 (530) 538-7541 BUIL IN PkRMIT NO. TELEPHONE NUMBER t V"4-' // &-s GN URE OF LOCAL ALFxy OVFICIAL DATE NONE DEALER NAME (if nat a dealer sale, write"NONE") DEALER LICENSE NO. MARLETTE 2005 PACIFICA 8240 MANUFACTURER'S NAME DATE OF MANUFACTURE - .MODEL NAMFINUMBER HER0237220RA/B 65'4"/60'9"x 268" ORE468456/7 - - SERIAL NUMBER(S) ' LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 027-060-054 SEE ATTACHED ` HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. �yco 0-05Y � S'FATE'OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DEPARTMENTUSE OMY ' OX)CSING DIVISION OF CODES AND STANDARDS OCCUPATIONAL LICENSING PROGRAM DTN,NUMBER •� • 13 EMI -. DEALER REPORT OF SALE OR LEASE .''. 3 �;� w DECAL'NUMBER FORA a yj G 4� NEW MANUFACTURED HOME, NEW MOBILEHOME, OR NEW MULTI -UNIT MCO CONTROL NUMBER 0 MANUFACTURED HOUSING �" DEv•i.� 'TAX TYPE LPT;' EXEMPT *ORIGINAL DEALER LICENSE NUMBER DATE OF TRANSFER TO DEALER USE CODE (Check One Box) SALE/LEASE PRICE 1 D1, t `- o, r�=%SFD ❑ MUMH l i it NAME OF MANUFACTURER (MFR) MFR'S LICENSENUMBER MFR'S TRADE NAME ( '. `i"� --f } V- i �^ lit. �. f' �p M F ' I 3 � M� MFR'S MODEL NAME AND/OR MODEL NUMBER j DATE 0 ANUFACTURE INSTALLATION TYPE (Check One Box) DATE OF SALE/LEASE ❑ Foundation [18551(a)] ❑ Chattel [18551(b)] EYSupport System [18613] ❑ Conversion -Z" I -' [18555] SECTIQN(S)� )MANUFACTURER SSERIAL>NUMBER(S) ��yi�j,) }HUD LABEUHCU INSIGNIA_ (inches) 'YJIDTH (incRes)[ �,VMEIGMT (Pounds)q yUMBER(§j`yALENGTH r, % i 22-1 a;Q n,nv r1; ❑ ADDITIONAL SECTION(S) - Check box if there are more than three sections. See instructions. NAME(S) LASTFIRST MIDDLE }, �s^ _; V 1 i .. 1 i DLRR�S�� -- ,• SIS _:..' 1k ? a.,. x OF REGISTERED . _ U' ,1 "s- 2. n '� ;'r :fi r i 1 ') v t „sPP�tY% g 4:: - ill OWNERS) Y �t IPrintTrue Name(s)) If applicable, check one of the following: �El JTRS ❑ TENCOM OR ❑ TENCOM AND ❑ COMPRO [I COMPRO RS `1W CURRENT MAILING STREET y• �r� ;; .) 1, /" f) '_ ), a t y�iMRF�: - -' •- bbrec ADDRESS CITYI yy 3COUNTY / STATE ZIP_ J) -e PE +j1!z FUTURE MAILING ADDRESS,IF STREET }F ' P_ N2 APPLICABLE CSTATE ZIPy CITY.( )4tii-• if5 C.tam' RO � r t ?( i t`rim dst .x._._. arCt.'nt LOCATION (SITUS) ADDRESS OF THE TREET `�" r ' ' ' ' "^' 0 ? > E4. 1 ` Y. R r, UNIT C/L�`Y1 t ^ - COUNTY STATE ZIP , ! _i1(� J( �.�lf/`i .. v� ' S ��''�iy! fit" rCON a NAME(S) OF LEGAL OWNER(S) i g �t� A!�st--•*'-� r '� t �I )'Vv RREG` 3qL' :'� . j n xst. z`�`.. —4 c _ (LIENHOLDER(S)) [Print True Name(Sn t p n. If applicable, check one of the following: ❑JTRS ❑ TENCOM ORg❑ TENCOM AND ❑ COMPRO p COMPRO RSSIT Y c�tk MAILING ADDRESS STREET / 3 t.!:` .% y,+',,,.,.-s"r CEN:.7 : ~ -� .f r ST65QE •,,.p f ZIP f _ A �°•-• i : t f , d h L i`1, l J ' t� � u! *t '' :otFB �.-. �Fi�� 5�3 )1 e �z : S � St..< a NAME(S) OF JUNIOR LIENHOLDER(S) ._.. .^'" tom _ ti+'iL-', -0 � -g k=':ti mEif Print True Names If applicable, check one of the following: ❑ JTRS ❑ TENCOM OR ❑ TENCOM AND ❑ COMPRO ❑ COMPRO RS MAILING ADDRESS STREET CITY STATE ZIP az f py ❑ ADDITIONAL JUNIOR LIENHOLDER(S) - If additional Junior Lienholders are being recorded, then check box. See instructions. CERTIFICATION The owner(s) and dealer signing below state to the best of their knowledge and belief that all statements made in this Report are true and correct. 4SIGNATURE(S)'OF ALL_'",NEW REGISTEREDOWNER(S) ;, :.` ' . ; `;, '; ' DEALER'S NAME: yTzT�� �gn�Af SIGNATURE OF AUTHORIZED AGENT:` / DEALER'S ADDRESS: ? 9 r 3 .sl.? •' J / 22L SALESPERSON'S NAME: t"'fh f:' .. !.1 f1i )/ e , SALESPERSON'S LICENSE NUMBER: Copy 1 - Department, Copy 2 - Purchaser, Copy 3 -Tax Assessor, Copy 4 - Dealer Book NO. I HCD 480.1 (Revised 10-30-02) - z r r RECORDING REQUESTED BY Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO, Nome , Lorne Jonathon Green Street 6965 Citrus Avenue Address Orovi l le , Calif . . 95966 City. State ZIP order No. '217943L-001 s � �4�Xb5-0�0Es9 �. �G Recorded Official Records CountyOf J CANDACE J. GRU9BS Recorder ROSEMARY DICKSON Assistant ;• 09:00AM 04 -Feb -2005 I TAX EC FEE 10. 69.1 1 MONUMEN 10.1 I. I Travis IPage Iof2 SPACE ABOVE THIS LINE FOR RECORDER'S USE Pamel No. 027-060-054 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantor(s) Declares) D cumentary Transfer Tax is $ (p_ 8 ❑ City/Town of computed on full value of interest or property conveyed, or © 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 of which is hereby acknowledged, Joseph L Evans -and Kathy L Evans, Trustees of The Joseph and Kathy Evans Living Trust, dated March 28, 2000 hereby GRANT(s) to Lorne• J,60e�46z1 Green and Lorraine 'B/�/Green, Husband and - Wife as Joint Tenants the following real property in the ❑ City of _ 0 Unincorporated Area County of Butte, State.of California: " SEE EXHIBIT A ATTACHED HERETO AND MADE APART HEREOF • The Joseph and Kathy Evans Living Trust, The Joseph and Kathy Evans' Living Trust, d ed Marc 28, 2000 dated M r 28, 2000 oseph L Evandi, Trustee Ka,tkyj L Ev, T ustee Document Date: January 27, 2005 State of Calif is ` County of } SS. On �a ,4� _ Q,�}��_, before me, the undersigned, a Notary Public in and for said County and State, personally appeared Joseph L Evans and Kathy L Evans Personally known to me (or proved to me on the basis of satisfactory FOR NOTARY SEAL OR STAMP evidence) to be the person(s) whose name(s) is/ ubscribed to the within instrument and acknowledged to me that /#/they•executed the same in Vs/}�r/their 'authorized capacity(ies), and that -by h r/their signature(s) on the instrument the person(s), or the entity CARRIE E. "NES upon behalf of which the person(s) acted, executed the instrument. f _ Commission # 1466759 WITNESS m hand and official seal. .r Notary Public • California Y Stanislaus County My Coeur. Explrea Jan 30.2008 Signature Corr i �, j-1al nes MAIL TAX STATEMENTS TO: Same as Above_ ... .. Jin�Pursell Page #1 Civil Engineer ` RCE 60924 w Date: 02/05/05 - Job Number.: 105-01-16 Job Name: Lorne & Loraine GreenResidence A.P.N.: 027-060-054 Analysis: 2001 CBC Dead Loads Live Loads Roof Comp. Shingle 6.0 1/2" O.S.B. 1.5 _ Framing 5.0 ,Insulation ' 1.0 1/2" Gypsum 2.5. 16.0 psf. 30 psf. " Wall: Siding 2.5 .. Framing ' 3.0 . 1i2" Gypsum " '•2.5 Insulation' 1.0 9.0 ' psf Floor: 05 Flooring 3/4" plywood 4.0. 2.5®UTTE ®® COU NTY Insulation 1.0 BULL ®I N G DIVISION Joists 2.0 Steel FrameAPPROVE 3.5 [� A . R ®VE 13.0 psf. 40 psf. Lateral Loads Wind: P=C,Cggl where - Exposure B' C2 0.62 @ 15 feet Cq 0.3'; in/0.9 out windward roof q= 14.5 psf @ 75'mph 0:67 @ 20 feet. 0.7 out leeward roof f I= 1 0.72 @ 25 feet r 0.8 in windward wall . 0.76 @ 30 feet 0.5 out leeward. wall Seismic: V=2.5C,IW/1.4Rwhere m P P Ca 0.36rn,. " R= 5.5/4.5. Soil'Bearing Lateral Sliding Lateral Bearing p�qT �.OF .1000 psf Coeff-=0.35 200 psf/ft. - AS Cry, I DING PT=,s . 0 GlQ'� v J ny �NA�YS /s rz- r� q 24 G d6 — �fU AjG: Sores 17 rInsr z y /,04 O L &L Green Page lateral Analysis WallO_ .Wall OB Improtance Factor 1 _: 1 ; Wind Seismic Roof: Windward ' 'Leeward q I P Roof Weight: (Coef.) (Coef.x A + Coef. x A) (@75),, a (lbs) , P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 Pitch='Rise:Run Pitch Factor P(25)= 0.72 0.3. 0 0.7 0 14.5 1 ; _.... 0. 4 : 12. = 1.05 P(20)= 0.67 0.3 0 0.7 . 0 14.5- 1 = 0 (Pitch factor)x(Area)x(Wt,(psf)) = Wt.(Ib) , P(15)= • _ 0.62. 0.3 185 0.7 > 165 14:5 1 = 1483 . - 1.05 x,- 946 x 16 = 15955. Wall Weight: (Area)x(Wt.(psf)) = Wt.(Ib) Wall: Windward Leeward q Ti,: P 1600. x 9 = , 14400 (Coef.) (Coef.x A + Coef. x A) (@75) '(lbs) P(30)= 0.76 0.8 0 0.5 0 .14.5 1 '. = 0 .. ; Floor Weight: (Area)x(Wt•.(psf)) = Wt.(lb) P(25)= 0.72-0.8 0 0.5 0 14:5 1 , _ 0 854 x 13 = 11102. P(20)= .. • 0.67 0.8 0 , • 0.5 0 14.5' 1 = 0 F P(15)= . 0.62 .0.8 256- .0.5,-256 14.5 1 ; _ ',2992 a Ca = 0.36 Total Wt.(Ib) R = 4.5 W = 41457 - P (Total) _ . 4475 Base Shear (Ib) SEISMIC GOVERNS :V = (2.5 x Ca x l x W)/(1.4 x R)=, 5922 Wall Wall 2O ` Wind' Seismic Roof:. Windward Leeward q I. P Roof Weight: (Coef.) (Coef.x A + Coef. x A) (@7.5) (lbs) . P(30)= 0.76 0.3 0 0.7 . 0 14.5 1' _ - 0 Pitch = Rise:Run Pitch Factor ' P(25)= ; 0.72 .0.3 0 0.7 0- • 14.5. 1 •, _ 0 4 : 12 = 1.'05' P(20)= 0.67 0.3 0 .0.7 0 , • 14.5 1 _ 0 (Pitch factor)x(Area)x(Wt (psf)) = Wt.(Ib) P(15)= .0.62 „0.3 74 0:7, 74 14.5 1 _ 665 " 1:05 x 946 x .16=.-15955, Wall Weight: (Area)x(Wt.(psf)) = Wt. (lb) Wall::. Windward ' Leeward q 1 P 1600 x 9 _ '14400 (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76.0.8 0 0.5 0 14.5,•; 1 _ 0' Floor Weight:: (Area)x(Wt.(psf)) = Wt.(Ib). P(25)= 0.72 0.8 0 0.5 0' -14.5 1. ._ 0 854 x 13 = 111021- P(20)= 0.67 0.8 0 0.5- 0 14.5' 1 - 0 P(15)= 0.62 0.8- 147 0.5. 147 14.5 1 1718 • Ca-= 0.36 Total WQlb) R = 4.5 W = 41457 P (Total) _ 2383 Base Shear (lb) . . SEISMIC•.GOVERNS j ;V = (2.5 x Ca x I x W)/(1.4 x R) _ 5922 RESIDENTIAL 027-060-054 05-0411 GREEN,LORNE X 6965 CITRUS AVE, OROVILLE CONT: B&B MOBILE HOMES OFFICE COPY Addressee r GAS ��blSY7eJ� L ` Meter B� ate ? ELECTRIC „�P�. Da D�'" Meter By SRA. FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY. USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY e (e ux ic- s� 04 1d6°*l ®-A,d �Ir -7 7, � , 4/� PJOB FINALED (Date)— Signature Date) Signature "14 1 J=OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete Footings; Soils -Size -Depth -Spacing -Connectors -Steel 4. Water; Location -Test -Easement Needed (Sketch) 3. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 7. Well Clearance & Disconnect 5. 8. Utility Clearance 6. Carports; Windows -Doors Date Card B-1 Date Card B-1 Date Card B Date Card B-1 Date MOBIL O NSTALLATION (Plans) OK except #'s 9. 1' o ' Requirements -Setbacks -Easements 2 o tings; Size -Spacing -Marriage Line as; MH Test -Demand -Valve -Connector (; ,Electricity; MH Test -Crossovers -Breakers -Clearances 6. Drain; MH Test -Fall -Flex Connector 11. eWater; MH Test -Regulator -Connector Wa r and Sewer Connected -C/O to Grade -HD Approval Braced Wall Panels s and Electricity Tagged ,V,Ye Downs -Type -Installation Cert. Date 12"' Exits; Insp.-Sketch Card B-1 Date Card B-1 11. Cert. of Occupancy Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Dated -Gard B-1 a Card 13-1 Date Date Card B-1 Date Card B-1 PERMANENT END SYSTEM (ONLY) 2. 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Pool Structure; Steel -Connections -Thickness Dead Men -Lining 3. Blocking 4. 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test Elec.; Pool Lighting; 15 Volts-GFI 6. Water; MH Test 6. T. Water and Sewer Connected 8. Gas and Electricity Tagged Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 9. Exits 8. 10. License Decals 11. Verify #'s with Office Health Department Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t MISCELLANEOUS t Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing ' 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater t 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Nat Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date ' Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No Clearance Looked under Floor ❑ Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels - 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: bU I It L;UUN I Y FtKIVII I IVU. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING,PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530)891-2834 (CHICO) BPO50411 OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Issued Date: APN: 027-060-054-000 effect. License Class : License Number: Site Address: 6965 CITRUS AVE PAL Date: contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Description: NEW MH PERM FND EX SITE 1690 SQ. FT. Business and Professions Code. Any city or county which requires a permit to construct, alter, Improve, demollsh, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: LORNE GREEN & LORRAINE B. GREEN signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 6965 CITRUS AVE she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE CA violation of Section 7031.5 by any applicant for a permit subjects the 95966 applicant to a civil penalty of not more than five hundred dollars (8500).): (530) 534-9450 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: OWNER provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: B & B MOBILE HOME SERVICE ❑ I am Exempt under Article 3 of the Business and Professions Code 6493 LINCOLN BLVD Date: owner: OROVILLE, CA 95966 530-534-9694 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -Insure for License #: 751948 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation Engineer: PURSELL, FRANK JAMES ' insurance carrier and policy number are: Carrier: Policy 9: Total Square Ft: 1690 S. F. I certify that in the performance of the work for which this permit is Valuation: $109,850.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: to secure workers' compensation coverage is -O<1 shllFailure unlawful, and shall subject an employer to criminal penalties and one �^ SS- � (—�li/ 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. 1 (� �p 9 CONSTRUCTION LENDING AGENCY This permit Is hereb sued under the applicable provisions of the Butte County Code and/or. I hereby affirm that there Is a construction lending agency for the is issued 3097 Civ.) Resol work Indicated above for v�tnch fees have been paid. , �� performance of the work for which this permit (Sec BY: Date: Name: PERMIT EXPIRE ON Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Priht Name: /'rte 1`h p � Gr�� Signature: � Q Dale: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor /� B. C. Building Permit 01-16-04 pg 1 L3 CityIgo �e Stat�A Zlp s we —Phony/ fa E-mail Lic. 7519 ye Clas1�q I APPLICANT NAME ARCHITECT/ENGINEER Name pvx Address 5 - Ziq�,,,,�,� city Da .0 VXA State ZIP95u, 7 Phone Lot # Fax Email Date Approved: State Ie- a- umberI 'A ` 12;L APPLICANT NAME Name Address • 6S' CZ7iz.dS /Q v� City O/Za✓-1 e -C. State Ziq�,,,,�,� PhonePfw �39_ 9S-0 693— 4577-1_ E-mail APPLICANT SIGNATURE X For office use only: Zoning S Flood Zone ! SRA No Occ. Type Const. Subdivision ame Map Book Page Lot # Planner Date Approved: LENDING AGENCY Description or Scope of Work: 0, / milt ti-' / Gsi V - w /QNv!-+dL v2t� +�oN1 Sq. Footage 16,V $ /-:T ❑ 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. OVER FOR SUBMITTAL REQUIREMENTS L, K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 -7viv Received by ---V. Amount: Receipt #: 11-05 I+ Sheriff Total REV 7-27-04 Z SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a pgrmit. INCOMPLETE -SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK 1. Site plans or 4 sets, signed by the preparer of the plans. No graph paper) ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent forN n -heated and A/C for Non -Reside ti I Buildings. NI/ 6. Manufactured homes: (Data sheets and installation inst, ((Marriage line info, ( Floor Plan, ( .Tie -down or fndlans, 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. Detached Accessory Building Form filled out by the owner (if required). ❑/ 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. Regi• rded copy of Agricultural Acknowledgment Statement. ❑ 11. IT Grant Deed, 9,Statement of Facts, ❑Letter from Legal Owner (for 433A's). 1 01 dt Zr Lp -h o -n "A-eck5r�T, P ► C -4r Ir -E7 a4::- a,26 If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made 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. OVER FOR BUILDING PERMIT APPLICATION KIFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 - REV 7-27-04 - _..v -i- _. .. .. .n ..... �•r- •. ... _ Fav' -.r. -.....- . ..-..... ...- ". COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -B LDIN.G DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: (72 n_e ;1, Lole ASSESSOR PARCEL NUMBER Proposed Building Use: / a Counter Technician: t,( > Date: Items required in order to apply for a permit. All bbxes-MUST be checked OR marked NA in order to apply. -rl-- 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. 13- 8. Manufactured homes: (A) Data sheets and installation inst,.t)_Marriage line info, (Q -1 -Floor Plan, 2_Tie down -fnd plan , all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14 Hazardous Material Form Sanitation and site plan approval from the Environmental Health Department in ❑ Chico IP/Oroville, as applicable. 1 G Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Bufferclr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 20. Erosion Control Plan Required........................................................................ ..'...... 21. Fees as shown on the attached Schedule of Fees Due Sheet ............................., 22. City of Chico Plumbing permit........................................................................ 0 23. California Department of Forestry plan approvalgafaid. Sent by: ............. 24. Planning approval (A) Use: �(B)Parking: (C) Parcel Check:- 25. heck: 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy. Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. D 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 1tS 38. Other. � ❑ 39. Other: C;P When issued Telephone -pe _/ /_ ,,,� an old for picku� I hav e n in orm d of?PM' attve-ite ane u rementsior XhVn ng a Eding permit. Applicant:- Date: 2 - //- 0 <�- 1. Index per !hd pp i ation fo a above items numbered:AR; ZR Plan Check Letter 2. Additional items required _% -NI \ Contractor, designer, owner, was advised of the above dat y ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, byDate: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY � el a fi d Ot en Kea o v Floor Stan Anachod� sofa to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Sup • Publ'c-.-= P vats Well l Clearance for dwelling. Other - . 144 Hold final for: Final clearance O.K. for: NOTE: Environmental He 8/96 Specialist Date Lome J & Lon-aine Bi Green 6965 Citrus Ave Oroville Ca, 95966 February 14, 2005 Butte County Department of Development Services — Building Division RE: Mobile Home Removal To Whom It May Concern: This letter is in reference to the removal of an existing mobile home located on AP # 027-060-054. (6965 Citrus Ave). The home, a 2460 Kenwood Decal No. AAX9079 will be destroyed upon installation and completion of new manufactured home. Thank you Sincerely, J. Green ` Owner of residence ti • l" School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One forth per Building) J Building Department No. Property Location/Address Subdivision Jurisdiction: = City Lot No. County Residential Development /� ® .........................................�..................:....................................... Q Q € Sq. Footage No of Living Mobile Home Addition/ Supplemental to (Group R) Units Installation Conversion Permit # `(No foundation inspection) :...................................................................._..., Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q District Identification. No. cgaal (, r) ;(_ School District certifies that WK - A-eMIJ-1 Sq. Footage (Including Exterior Roofed Areas) �- zl- Date 6 (Applicant) (Street Address) (Phone Number) r-� fi) / has complied with the requirements of Resolution No. �? !� square feet. School District Representative Paid by Check # k)i+- Remarks: 1 (State) (Zip Code) / by payment of $ /i 2926 $ FULL MMGATION $ Date Notice: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fess are paid. Failure to submit a timely written protest w111'prohlblt you from challerging the Imposition of the fees in any court action. hf, subsequent to the School District Representative signing this Butts County Schools Impact Fie Certification Form, the School District Is noll by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CECft this pnojset may be md@sct to additional school fess to fully midgate.ks impact on the school disbie's schools. White (applicant), Yellow (building department), Pink (school district) feeform.dp (10/03)dmm BUTTE COUNTY DEVELOPMENT FEE ,CERTIFICATION FORM ff'FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) - ❑ DURHAM RECREATION AND PARK DISTRICT,(DRPD) Assessor Parcel Number (s) ��J�%" `Building Permit Number- Property umberProperty Owner (s) L / , (al e —� Project Location /Address' tSubdivision Name' Assessable Sq. Ftge Type of Residential Development (check one) ` 1� New Development Single Family-Detached Single Family -Attached Alteration/Addition(s) Non-Residential to Residential Multi-Family Dwelling 1 • F. Mobile home ' !/Mobile home replacement verified by Assessor Department Demo Permit (date issuedpW,7 ) verified byBuildingDepartment Comments: Aov/ ) .��h L;/2 J 1,h; 117, .......:........................................................................•............, , FRRPD' ❑CARD ❑- PRPD ❑ DRPD certifies that: ' _ 1 -. 4 . • . Applicant Name _ Phone Number . • t Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Remarks: Dwelling Units @ $. Square Feet @ $ _ per unit for a total of $ _ per sq foot for a total of $ Pai Check No: Paid by Cash: Recreation'and Park District Representative K:\FORMS\BUILDiNG FORMS\park-rec standard form rev Ldoc Receipt No: _ c:1Z t - 04,.1 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE --Additional Fees Due ............................................ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................:................ $I , � 2. SCHOOL DISTRICT FEES ?"a /l rJIQ (paid at District Office) " 010,rO iEw�)I ocC SHERIFF FEES (paid at Building Division) Residential .................................... 'x $360.00 =.$ Units 7-f9.o CLLR DATE REC. I -J 2/ ES/0 Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ i5�t 1 RECREATION DISTRICTFEES eil-A }O< I.l/�C�—�At �" Gl fit° / •- Givers 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) I7. SRA FIRE INSPECTION AND PLAN H C $89� aid at Building Division)�C " ►�� —/ 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) p OTHER < ��%? / c l( 1, y At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby noiified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) �X3TTFo Department .of Public Works 406 l 0 0 :C o u n to f B u t t -e + C p y ° 0 J. Michael Crump, Director LAND DEVELOPMENT DIVISION o _ O Storm Water Management Program UNI / 7 County Center Drive A. Oroville, CA 95965 LIC W 5 (530) 538-7266 O�� F ; , (FAX) 538 7171 National Pollutant Discharge :Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE] Project Description: Project Location and/or Parcel Number: IT By signing'below, I; the project owner/owner.-s--agent; certify, that this project WILL NOT DISTURB l acre more of land.'andahat:.I;ihereforei do no -need to. apply for a Construction Storm Water:Permit -fi•am the State of California,.Regional'JVa� 6i-_- 'iia gty :Control Board. Phased projects that contain: multiple site build=outs-of Jess -than one;;acre. but .. hen-.combinedwith 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 bylaw. Signed: Title: O�rr�ti. Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte County Department of-DeTlopment Services 0 %03, r 0 7 County Center Drive ° r Oroville CA 95965 ° ., o (530) 538-7601 Telephone o ' �4 ° o (530) 538-7785 Facsimile cOUN 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: a I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained o I am responsible for notifying Development Services, in writing, to stop processing of -the. application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require- submission e uiresubmission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will. incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued.. Failure to obtain these permits/clearances will void the application. Typically 'other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to: all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, -and habitat/species). Please print: Applicant Name:.,a e- C<�e>jl APN: 5� `7 - 000- to—,: Building site address: ve Permit No.: �%�� I have read, -understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SI TURF OF APPLICANT DATE Copy to Applicant/EH/File K:Fonns/BldgPennitwithoutClearances 020705 rtr.- 1 ;• i f T AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 11 -Feb -2005 ` 2005-0008483 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: See A i % Ac /l C SNS (. c>ePis2 i A� . i Date Q —//— OS PROPERTY OWNERS: State of Cali rnia County of c on a<.P. D before me, i r JLA_Y)0� personally appeared -{ ersonally 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 instru nt. ' WITNESS my ha fficial seal. Signature eal: +tee D MCQUIRK COMMI 1433346 NOTARY PIMUC-MFORNU A.P. # O 2 17 — t) ( b �� COUMY OF BUTTE Comm. E4MAuq 2, 2007 Order No.: 217943L -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: COMMENCING AT THE NORTHEAST CORNER OF LOT 8 IN BLOCK 85 AS SHOWN ON THE MAP ENTITLED, "MAP OF ADDITION TO SUBDIVISION NO. 1 OF THE PALERMO CITRUS TRACT", AND BEING SHOWN ON THE MAP.ENTITLED, "MAP OF PALERMO AND SUBDIVISION 1 AND 2 WITH ADDITION TO NO. 1 OF THE PALERMO CITRUS TRACT", WHICH MAPS WERE FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, SEPTEMBER 17,1888 THENCE NORTH 89° 04'07" EAST, ALONG THE EASTERLY EXTENSION OF THE CENTERLINE OF BOHEMIA AVENUE AS SHOWN ON SAID MAP 595.00 FEET; THENCE SOUTH 0° 55'53" EAST, AND PARALLEL WITH THE EASTERLY LINE OF CITRUS AVENUE AS SHOWN ON SAID MAP, 476.49 FEET TO THE NORTHEAST CORNER OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN DEED TO HERSHEL L. LYNCH, ET UX, RECORDED APRIL 10, 1974 IN BOOK 1901 OF OFFICIAL RECORDS OF BUTTE COUNTY, AT PAGE 351, SAID POINT BEING ALSO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, NORTH 890 04'07" EAST, FOR 30.00 FEET TO A 3/4" IRON PIPE AND TAG LS 3634; THENCE SOUTH 00 55'53" EAST, FOR 240.00 FEET TO A 3/4" IRON PIPE AND TAG LS 3634; THENCE SOUTH 890 04'07" WEST, FOR 30.00 FEET TO A 3/4" IRON PIPE AND TAG LS 3634; THENCE SOUTH 0° 55' 53" EAST, PARALLEL TO SAID EASTERLY LINE OF, CITRUS AVENUE; 236.49 FEET TO THE SOUTHEAST CORNER OF SAID LYNCH PARCEL; THENCE SOUTH 89° 04'07" WEST, 595.0 FEET TO A POINT ON THE CENTERLINE OF CITRUS AVENUE; THENCE NORTH 00 55'53" WEST, ALONG SAID -CENTERLINE; 476.49 FEET TO A POINT THAT BEARS SOUTH 890 04'07" WEST, FROM THE TRUE POINT OF BEGINNING; THENCE NORTH 890 04"07" EAST, 595.00 FEET TO THE TRUE POINT OF BEGINNING. 3 AP NO. 027-060-054 I .r Order No.: 217943L -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: COMMENCING AT THE NORTHEAST CORNER OF LOT 8 IN BLOCK 85 AS SHOWN ON THE MAP ENTITLED, "MAP OF ADDITION TO SUBDIVISION NO. 1 OF THE PALERMO CITRUS TRACT", AND BEING SHOWN ON THE MAP.ENTITLED, "MAP OF PALERMO AND SUBDIVISION 1 AND 2 WITH ADDITION TO NO. 1 OF THE PALERMO CITRUS TRACT", WHICH MAPS WERE FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, SEPTEMBER 17,1888 THENCE NORTH 89° 04'07" EAST, ALONG THE EASTERLY EXTENSION OF THE CENTERLINE OF BOHEMIA AVENUE AS SHOWN ON SAID MAP 595.00 FEET; THENCE SOUTH 0° 55'53" EAST, AND PARALLEL WITH THE EASTERLY LINE OF CITRUS AVENUE AS SHOWN ON SAID MAP, 476.49 FEET TO THE NORTHEAST CORNER OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN DEED TO HERSHEL L. LYNCH, ET UX, RECORDED APRIL 10, 1974 IN BOOK 1901 OF OFFICIAL RECORDS OF BUTTE COUNTY, AT PAGE 351, SAID POINT BEING ALSO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, NORTH 890 04'07" EAST, FOR 30.00 FEET TO A 3/4" IRON PIPE AND TAG LS 3634; THENCE SOUTH 00 55'53" EAST, FOR 240.00 FEET TO A 3/4" IRON PIPE AND TAG LS 3634; THENCE SOUTH 890 04'07" WEST, FOR 30.00 FEET TO A 3/4" IRON PIPE AND TAG LS 3634; THENCE SOUTH 0° 55' 53" EAST, PARALLEL TO SAID EASTERLY LINE OF, CITRUS AVENUE; 236.49 FEET TO THE SOUTHEAST CORNER OF SAID LYNCH PARCEL; THENCE SOUTH 89° 04'07" WEST, 595.0 FEET TO A POINT ON THE CENTERLINE OF CITRUS AVENUE; THENCE NORTH 00 55'53" WEST, ALONG SAID -CENTERLINE; 476.49 FEET TO A POINT THAT BEARS SOUTH 890 04'07" WEST, FROM THE TRUE POINT OF BEGINNING; THENCE NORTH 890 04"07" EAST, 595.00 FEET TO THE TRUE POINT OF BEGINNING. 3 AP NO. 027-060-054 I re SITE PLAN REVIEW, APPLICATION ..Date: J /7 /Q AP# o-2- 7 e� o -o� Permit Number (if applicable) APPLICANTINFORMATIO Parcel'Size: 7 a",5 Owners Name: .. i Co �� ctt , c l Owners Address: S�` /1 �- ' `� 6� Telephone No, 513 Situs Address: Proyosed Use: Residential x ❑ :New Single Family Residential ❑ Single Family.Addition ❑ Single Family Remodel Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling' ❑ Temporary Mobile Home (Aunt Minnie) ❑ • Temporary Travel Trailer r ❑ Multi -family . . Non-residential .New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Commercial Remodel Industrial Remodel Other _ ❑ Septic ❑' Well ❑ Agricultural Exempt Building Other: . Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) IN Approved , ❑ Conditionally Approved I • ❑ Resolve Problems. Prior to Approval Site Plan Stamped Approved - By Q Date 7 Pagel of 5 0 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) . ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design require ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: -06MYC Oq 8673 Index Date: � d0 ❑ Sacramento River Reclamation District (Approval must be obtained from the Calif&nia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------- --------- ----------- ------------- --------- ------------- ------------ ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front "2_01 Side /0 30 Side Street Rear /O Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Applicable Development Fees: ! Standard Fees Amount ❑ Fire School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ . NCSP/CSA 87 ❑ Chico Urban Area — Road ..z ❑ Thermalito Impact _ ❑ Other .. ----------------------------------; --------------------------------- -- ----------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ • North Oroville Area J ❑ Other (per map) * Check with school district to -verify actual fee if pre -application review. A final the building permit determination will be made at the time of Parcel Created By ❑ Deeds: ` y Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: . �.�: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained, Road:, ❑ No ❑ Yes, Road Name: Complies with Co ty Standards for Deed Creatio :❑ No ❑ Xes Comments: 4 Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance- ❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment. ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NEPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust' emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa El n Page 4 of 5 ft k . This information provided in this summary is based on the application information and on the bes of review. t available data at the time C*V,arrys\Building Permit Site Plan Reviewl.doc J' t Page 5 of 5 , 4 IIII lil Ili � I'II I III" IIII Ii � I Dill 2m05—fd008483 Recorded 1 REC FEE, 10.00 Official Records I CONFORM 1.00 4 AND WHEN RECORDED MAilt TO: — I BUTTE COUNTY'BUILDING•DIVISION I 7 COUNTY CENTER DRIVE �BUTTEE OROVILLE, CA 95965 I ROSEMARY DICKSON FEB 2.8 20. Assistant DEVELOF1eRN'T 0249PM 11 -Feb -2005 SERVICES IIII lil Ili � I'II I III" IIII Ii � I Dill 2m05—fd008483 Recorded 1 REC FEE, 10.00 Official Records I CONFORM 1.00 Count Of I oME I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Kathy 0249PM 11 -Feb -2005 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents.of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ' 6 i % A6NED A_) Date - //- OS PROPERTY OWNERS: sG oi�..vc� � Cre�-c�✓ State of Cali rnia County of c On o2-1/• D`1 before me, 1 Y "% personally appeared PJ . �e� 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 instrunt. WITNESS my ha fficial seal. Signature eal: D. CQ RK COMMI 1433346 NOTARY PUBLIC-MFORNIA A.P. # 0 Z�- ` t) 1 — �j ��( COUNTY OF BUTTE c Comm. Ex tree Au 2, 2007 Order No.: 217943L -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: COMMENCING•AT THE NORTHEAST,CORNER OF LOT 8 IN BLOCK 85 AS SHOWN ONTHE MAP ENTITLED; "MAP OF ADDITION TO SUBDIVISION NO. 1 OF THE PALERMO CITRUS TRACT", AND BEING SHOWN ON THE MAP ENTITLED, "MAP OF PALERMO AND SUBDIVISION 1 AND 2 WITH ADDITION TO NO. 1 OF THE PALERMO CITRUS TRACT", WHICH MAPS WERE FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE .OF CALIFORNIA, SEPTEMBER 17,1888 THENCE NORTH 89°'04' 07" EAST, ALONG THE EASTERLY EXTENSION OF THE CENTERLINE OF BOHEMIA AVENUE AS SHOWN ON SAID MAP 595.00 ,FEET; THENCE SOUTH 0° 55' 53",EAST, AND PARALLEL WITH THE EASTERLY LINE OF CITRUS AVENUE AS SHOWN ON SAID MAP, 476.49 FEET TO THE NORTHEAST CORNER OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN DEED TO HERSHEL L. LYNCH, ET UX, RECORDED APRIL 10, 1974 IN BOOK 1901 OF OFFICIAL RECORDS OF BUTTE COUNTY, AT PAGE 351, SAID POINT BEING ALSO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, NORTH 89° 04'07" EAST, FOR 30.00 FEET TO`A 3/4" IRON PIPE AND TAG LS 3634; THENCE i SOUTH 0° 55'53" EAST, FOR 240.00 FEET TO A 3/4 IRON PIPE AND TAG LS 3634; THENCE SOUTH 89° 04'07" WEST, FOR 30.00 FEET TO A %" IRON PIPE AND TAG LS 3634;'THENCE SOUTH 0° 55'53" EAST, PARALLEL TO SAID EASTERLY LINE OF CITRUS AVENUE; 236.49 FEET TO THE SOUTHEAST'CORNER OF SAID LYNCH PARCEL; THENCE SOUTH 89° 04' 07" WEST, 595.0 FEET TO A POINT ON THE CENTERLINE OF CITRUS,,.* AVENUE; THENCE NORTH 0° 55' 53" WEST, ALONG SAID CENTERLINE; 476.49 FEET TOA POINT THAT ' BEARS SOUTH 89° 04'07" WEST, FROM THE TRUE POINT OF BEGINNING; THENCE NORTH 89° 04'07" _ EAST, 595.00 FEET TO THE TRUE POINT OF BEGINNING. AP NO. 027-060-054 r • J = OK 0 = Not OK c Not Applicable MOBILEHOMES =-Not Ready / MISCELLANEOUS Date MOBILEHOME UTILITIES, (Plans) OK except N's Date D KS„GOVERS, CARPORTS, ETC. (Plans) OK except #'s 1, Zoning,Requirements—Setbacks—Easements oniQg Requirements—Setbacks—Easements _ 2. Soils; Special MH Support—Sketch — ootings; SizeDepth—Spacin onnectors 3. Sewer; Location=Test—Fall-C/O—Concrete -- & Decks; Girdersond s—Decking—Bracing i 4. Water; Location—Test—Easement Needed (Sketch) !4• Wood Awn.; Posts— Beams—Rfirs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures- 6. Gas; Location—Test—Wrap:/ . /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors Card -BI 7. Utility Clearance Date Card -BI Date • 7. "Flet. 17 Card -B Date ard-BI Date" Card -BI Date Card -BI Date _ _ -BI DatCard-BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except It's 1. Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining ^ 4. Electricity; MH Test—Crossovers-Breakers—Clearances 4• Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test-Fall—Flex Connector 5. ,Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test-Regulator—Connector r: 6. Elec.; Enclosures;*Conduit Envies—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity •Tagged . 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enc losures— Pane lboards—Ins. to Main in Conduit 9. Exits; "Insp.—Sketch 10, Cart. -of Occupancy 9. _ Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date- Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date H . = OK = Not OK = Not Applicable RESIDENTIAL (Sin§le and Duplex) = Not Ready Date UNDERFLOOR Plans OK except k's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. _ Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- /. /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Root Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access - 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's _ 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _____17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access _ 19. Gas Pipe; Size & Anchors 62. Stairs & Rails - 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. _ A.C. Duct in Garage -Damper --- 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location _ 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes - 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N - 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish -- 29. Equip. Clearances: Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -- 30. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ------------ 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I -----Date -- ---- Card -BI - Date _- 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric -_ 31_ A.C.-Ducts: Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ -32. 33. Vent Fan; Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet --35.-Attic Card -BI Card -BI --- __ Access & Platform if Furnace in Attic ----- - - Date Card -BI Date Date Card -81 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's _ 36. _Sills; Proper Material & Anchors 37. 38. 39. _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing____ Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors -- Cing. Joist-Rfir. Ties-Purlin -Roof Brac.-Truss-Shlhnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size &_ Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or_Exiting Doors -Sill Hgt. &Dimensions__-- Garage Fire Protection Framing _ (NOTE: An entry must be made each time youvisit jobsite) • COUNTY OF BUTTE "D€PARTMEN' T, OF PUBLIC'WORKS PERMIT NO. f 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-454V • . +•' r APPLICATION AND PERMIT ASSESSOR PARCEL�NUMBE - .. -46 -7Sg ZONING ' BUILDING' PERMIT jL 1 t•oNE OWNER'S MAILING ADQR �L J G.• / r 5/v "SQ FT. OCC. BUILDING.VALUATION CO R C+TOR•S NAM E[dV /V - , - •TELEPHONE eq- -, - CONTRACTOR'S MAILING ADDRESS • - A• - ` Fireplace CONSTRUCTION LENDER - UNKNOWN .I,Total Valuatl h $ x.00 - Filing Fee - $I 10.00 LENDER'S MAILING ADDRESS •- - - Permit Fee. ;,. -- $ • pU ARCHITECT OR ENGINEER LICENSE NO. "i Paan Checking Fee. -$ ARCHITECT OR ENGINEEFrS MAILING ADDRESS -- - 'Sa Penalty Permit fee $ $ O.Od BUILDr [% !P pD�cs� C/%% � uY a -S [✓ '--*'PLUMBING PERMIT FilirigFee 10.00 , Each Trap . 2.00 • Solar WaterHeater20.00 Water piping " 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas-water. heater or -vent 5.00. x Gas piping,system 1 - 5 outlets 5.00 • USE OF STRUCTURE nn�J ,r' t . SF ❑ Duplex ❑ ' Mobi lehome ❑ -Other y Building sewer 5.00 Mobile Home - S I G W I 1 110.00 e , ,t ` SPECIFYi TYPE OF WORK Permit Fee. $ New ❑ Addition ❑ Remodel ❑ 1 U iilities ❑-1stallation❑.. Other Describe work: �1•.;�: • Contractor__ ELECTRICAL PERMIT Filing Fee 10.00 • r a. ^ - { • -600V OR LESS - Main service 100 AMP OR LESS 10.00 . , , - ^ •• Mai nservice EA.,ADD•L 100 AMP 2.50 _ ' - NEW CONST.. DWELLING OCCUP.&� +OR ADDNS.• ACC. BLOGS. - - `�I/2¢Sg ft _ CONTRACTORS LICENSE LAWNEW • declare under penalty of perjury (check one):' .� •' - ❑ I am licensed under provisions of Chapt:.9, Div.'3 of,.the,Business. and Professions_, Code 'and In license is in full•force and'effect., y License No. ' Classification I, as the owner, or my employees with wages as.their sole.compen- sation, will do the work,and the structure is not intended "or offered CONSTR. f MULTI -OUTLET , NON-RESID. BRANCH CIRC ITS 2.50 ea i,NEW CONSTR. (POWER APPARATUS &1 ' NON-RESID.r. 1 SINGLE OUTLET CIR. / 20@60¢ EX. DCCUp�OUTLE,T5 OR FIXTURES RAL@30¢ FIXED APP LNS. OR EX. OCCUp. OUTLETS (RESID,) EA.) 2.00 'Temporary service•: 10.00 " Mobile Home'Facilities 15.00 for sale..(Sec. 7044) N ' ❑ I, as the owner, am exclusively contracting with ,licensed contract- ors. (Sec. 7044). ❑Permit I am exempt under Sec. •, Business and Professions Code Misc. Wiring 15.00 s Fee , - $ Contractor lfor this reason MECHANICAL PERMIT- Filing Fee 10.00 • WORKMEN'S COMPENSATION INSURANCE �' a Heating �. I declare under penalty of perjury (check one): . ❑ . The permit:is.for $100.00 (valuation) or less. `Cooling 1 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. ._d :' Hood . •3.00' Ventilation ; I shall not employ any person in any rrianner'so as to•become subject to the -W. C. laws of California. Notice to Applicant: If after making this.statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such permit Fee $ Contractor provisions or this permit shall be deemed revoked.',, I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize• representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes.. TOTAL -PERMIT FEE $ I also agree to save, indemnify and keep harmless the County.of Butte against,: expen s which may in an w y accrue- all liabilities, judgments, costs, re against id Cou y i co a of the Anting of this permi 2ccUP. GROUP TYPE OF CONST. [PARCEL PO MD. SSUE This permit is hereby issued under the applicable provi- cions of the Butte County Code and/or resolutions to do X �Date Signature of Applicant - 0 ner . g pp ❑ ,Contractor ❑ Agent ❑ Y. �- An OSHA permit is required for excavations over 5'0" deep and demolition or construct` k indicated e beenaid. work above for which fees have = p - .'-,,DIRECTOR OF PUBLIC WORKS ion of structuresover 3 stories in height. 3 �1, 6R6IT EXPfRE`S Date Date�L-G��-�2 Receipt No. 1750 . • WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT. a �_l b q � 5 C �•1"rz u�s9 65 Ota o Vi 11 e, ��st r�Lr A setback of 5 ft. from Yhe, property lines and a setback of 50ft. from the road centerline shall be clear of -AF-&9 1-� structured -ore P0q� p1vfCe(P? O G� c� ft! ��ve p �� `'_O rTp rail to be 36 in. high WP tormediate rails to be not Z �? in, apart. This set of plans and sacificrti(ns 'Mle kept or +m, 'cnb at till . '.S clid it is ia.tiiri", to mat'n any cl^rjnc?es o, t�rr_;i jars on same wi':•:�p� f ne De artment of h ut written permission rem 3U Works, County of, Butte. 'q."" 2n3x 10 /?,Rf•re,;tr—r 2 ga' SfJe �$`X_i g Rp)� ��� ;¢c,�'� rl;t'ncrrsh ra C!,n!! Be -in +ctTtn G \i E � 4 E. ;op. and l in the 3 ,.�3r the Enec•ifieuse a c;t'sr & Ilachanical Codes and Uniform i;uilding, i'lum? �e`: the National Electrical code. Pf ✓���� Iw_ .__v,AtT2 ,���, a %b-, /}t7�k��^ � 2,(ii 1' i� x ;3otr ��cgL e /1(6 r 01 L "'Te e L gUm couNTY �'��r� PARTM & a Q,�• ': 55Ugb ens S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, ,California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. �� �� 7T Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSORCE1r,NOrs ((//((p� ZONING OW R LY�c� PHONE NO..�;3,i_ OWNER'S ADDRESS 6 LOCATION OF BUILDIN� USE OF BUILDING F4/�/`�/, SIZE OF STRUCTURE p o �© r3� O U SO. FT. X = _ TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) &AJ,4 6 �LOG/L TY�(O�C ING ROO��V�� FLOOR TYPE - 60AJ coc T15 ESTIMATED COST OF CONSTRUCTION 678 -7 LlJ $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: S A e. J FRONT SIDES REAR - - AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. . AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and -the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. 76-o,5-0 Director of Public Works - BY Date /?-- Z-'Yz— White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owne A.P. r: S Address: r Date of Inspe Tenant: Inspector Building Location: 9�6 S C1G� Type'of Inspection requested: Housing. f� 2.z'Financing •(,1 3. Change of Occupancy to 2 Other (specify) Q - Present use. of building: A. " Sanitation Mousind 1. Water closet: 2. 'Lavatory: 3. Bathtub or shower: 4.: Kitchen sink: 5. Hot and cold water to fixtures: ..6. Heating' facilities: 7.' Natural light and.. ventilation: 8. Room and space reuirements: 9.. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: .11. Connectior-to sewage disposal: 12. Connection to water.supply: 13. Rubbish and garbage facilities: 14. .Comments• B. Structural 1. Piers and footings: 2. Floor construction: 1' Wall construction: 4. Ceiling and :roof construction: 5. Fireplaces: 6. . Comments • C. Electrical. l.. Service and groundi� 2. Receptae• es: 3. Fusing: 4. Continent s D. Plumbing , 1. Fiktures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4... Comments E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weat}?er protection: 5. Underfloor and attic ventilation: 6: Cormsents F. Ccmmmercial Buildings 1. Roof covering: 2-.'" Distance to property lines: 3. Physically handicapped: 4. Rest-oom floors and walls: 5. Exits: 6—*" 7mprbvements 7. Zoning:_ 8. Cmameritri: lat iovs 77A. "".nfonaation only - file. /lam/ B. Hold for ten (10) days, then write letter. '/ r. Write 1pt_ter. - D. Other: } r •p �r'rPERMIT�N0. P e+ M 3j H UTIL'. PERMIT.NO. 1389-74P,E t PERMIT EXPIRES OWNER Hershel L. Lynch ti, 4. owner OCATION (A.P. 27-06-25 J 6965 Citrus Ave., Palermo Temp.`'Power Pole } Palle d; PG&E i Temp. Elec. Serv. /'c' is��/ Called PG&E Temp. `Gas 8erv. " —1112— Called —Called PG&E i JOB FINALED (Date) (Signature) ; t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers. Roofing Sewer_."— Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas PipIn g & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final % Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent /d — Door Closer Final Final — S DATE REMARKS OR CORRECTIONS •t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive �— '(3f�✓ille, California 95965 .01 Telephone: 534-4541 APPLICATION AND PERMIT WOR auuwnce representatives of the County of Butte to enter upon the above-mentioned property for ins ecti purposes. X Date ///,'9/20 Signature of Permite or,Atgent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF,PUBLiC WORKS By Date S%/J—%/ B Ildinp J g permit expires Date ........................... � � �`� BUILDING Owner L -SQ. -FT. OCC. BUILDING VALUATION Mai I i ng Addres elephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Z no Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 27 Gas piping system 1 - 5 outlets 1.50 1 Each additional outlet .30 es C 4hi ion ire Dept. Fire Zone Use Permit Building sewer 5.00 D EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovers P Lawn sprinkler system 2.00 g. Pla R. Par pioval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter O Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) �/ Single Family 1:1 Duplex E]Mobil Home L-1 Others ❑ Range, Cook -top or Oven 1.00 .O o� SPi4 !.OZ" Water Heater or Space Heater 1.00 Light fixtures b20 a l �l0 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 j0 .0 License No. Classification Misc. wiring Al am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ _17ve WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE v� !r auuwnce representatives of the County of Butte to enter upon the above-mentioned property for ins ecti purposes. X Date ///,'9/20 Signature of Permite or,Atgent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF,PUBLiC WORKS By Date S%/J—%/ B Ildinp J g permit expires Date ........................... � � �`� f The. Setback shall be 5 ft. from the side property Zine and 50'ft: from the centerline of the road permitting maximum of 'a 2 -ft. eave overhang. �----------------- -d x w Septic system and All utility connections shall be to be as per located within 4 ft. outside the rear third section of the mobile home Butte County Health Dept. Re- quirements: on the-left'.(road)•side of the mobile L home. rhis"set 'of plates" and "specifications MUST be+ kept on the 'job, at all times and it is unlawful to BUTTE COUNTY make any changes -or:' alterations. on same without written. peirmisson from the Department of Public BUILDING* DEPARTMENT Works; County' of, Butte. - A P ^ ^ O ` , E ®0.. ., i Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED if (Da ) (Signature) . Footings / 77 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ELECTFkICAL BUILDING BLY.LDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handicaped Conformanc�e,g�e / structure%`" lQ f Appliances Gas Piping &Test Temp. Gas Slab Final 1111d.1911-771" Sanitation Patio ot FIREPLACE Final Footings / 77 Footing ELECTFkICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE)SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MEC NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MR§16EHOMEINSTALLATI N --------------Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive — Oroville, California 95965 ^/7 7 Teleph6rte: 53414541 VQ/ � / APPLICATION AND PERMIT v BUILDING Owner ��, �yN�� SO. FT. OCC. BUILDING VALUATION y o Mailing Address 2-q o 9GUo Telephone No. Fireplace IL/ LJ O Contractor �, v��L�� Total Valuation Mailing Address �7� 7 �ri/�r o' Permit Fee Plan Checking Fee&/or Penalty lzool C �jt Telephone No. �_ Permit Fee $ ��— �/ Building Address /T/2I/s AV PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 LQ r O Each gas water heater or vent 1.50 A. P. 0 - Q Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees C. S on FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel claration Parcel Ma P 60' R/W Im rove ents P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel AooroJZ I Plan Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES [:]—OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 10001 OR 0 AMP ORLESS5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Er Others ❑ OVR Main service 1100EAMP OR LESS 25.00 Main service EA. AOC'L 100 AMP 1.00 �EG% / �' i / 111 J NEW CONST. DWELLING OCCUP. & OR ACDNS. ( ACC. BLDGS. ) 22sgft NEW CONSTR MULTI.OUTLET NON -RES ID. BRANCH CIRCUITS) 2.50ea (POWER NEW NON-RESID R SINGLE OUTLETTUSCIR.& CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under .the name St le Of: /%/' Y Com' - Ex. Occup(OUTLETS OR FIXTURES) BAL25 FIXED APPLNS. OR " Ex. Occup.( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �^'T/ License No. 27 r3 � Classification C Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for IN men's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Iermit is -issued certify that in the performance of the work for which this P employ an . I shall not emto y person in any manner so as to )become subject to the Workmen's Compensation, Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling F Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this lication and state that the above information is correct agr e t comply to all County Ordinances and State Laws r ati,ng oto` uilding construction, and hereby .� / �- TOTAL PERMIT FEE $ , cf„c m aiwca Ui ll C I�UUIIIY UI DUlle w enter upon ine above -mention d r ert for 'nspection purposes. XDate Sign lure P r iteero7r Agent Receiot I / /0 166 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS BY Date jor - 2 Of Building permit expires Date ��� ��fo -7P BMRONMENTAL-HEALTH FEB I 12`0 ?COUNTY CENTER DRIVE ct 0) :EEEZ I F I -1--2j (DIN WO ! QN9 ------- -- 15�-q 1jr— 313W lx- Ir S/K F -t spats a 2 -f -r n wa's SEESIDMALL DETAIL FOR PLATES, FOR PERMITS ONLY V4- STRANS FROM 26'-8- TO 5S-4*-. (SUBJECT' TO CHANCE) NH Manufac 'CAR, GRIL ABQE-0Q2R5-_ WP TER HEATER ( 0 V -r IN 1'-4 1/4' Marlette, MST. Bmu- 3&8 �Q EMNACE f 0 31'-7 I/r IN -r-3 1/2' in SO, N.ELMTRICAL f 0 32* -10 11V IN f-4 Ile BDRk-3 (CPIX�H) ELECTRICAL O=VMf 0.24�--Br A ■ O Mill A L holmmmli'l3m 10"Ki an rA Mooliolm ill �MMMIMNENNM INS MMMUMMMME MEMOONE 0 N ol F-9 LEMNOS 0 M 0 6 0 0 IN M MR SON MMOMEMMEMMEMMINE oil ` ., _ . � (n7iil� � / .r®�l�■■®■hest .� _ 40 ct 0) :EEEZ I F I -1--2j (DIN WO ! QN9 ------- -- 15�-q 1jr— 313W lx- Ir S/K F -t spats a 2 -f -r n wa's SEESIDMALL DETAIL FOR PLATES, FOR PERMITS ONLY V4- STRANS FROM 26'-8- TO 5S-4*-. (SUBJECT' TO CHANCE) NH Manufac 'CAR, GRIL ABQE-0Q2R5-_ WP TER HEATER ( 0 V -r IN 1'-4 1/4' Marlette, MST. Bmu- 3&8 �Q EMNACE f 0 31'-7 I/r IN -r-3 1/2' in SO, N.ELMTRICAL f 0 32* -10 11V IN f-4 Ile BDRk-3 (CPIX�H) ELECTRICAL O=VMf 0.24�--Br A ■ ADJACENT PARCEL INFO: RESIDENTIAL GENERAL USE ENVIRONMENTAL HEALTH FEB 1 7 COUNTY CENTER DRIVE ADJACENT PARCEL INFO: RESIDENTIAL GENERAL USE S 89 04' OT' W 595 625 FEET ............................................................ 100-0" General SI Existing Leach Prope Trenches O.W.I.D. 2@75', 2 @100' Waterway General Slope of Property - �1 g prN 30 FEET N 89 Of 07 E 30.00 ® I i .......................................... ® i ope of rty `i a' I Parkin, i Existing 04 PropeneI 'ix Yry meYlte hams to I. service i be removed after construction of new I 1W home Is ExlstingAs building -•----"- 25'-51/2" N �— I 'L W O W is Proposed I LL F- M nufaclured Homs C 0 on permanent I 1g foundation. Sae rn N shoot 30'sotback I lectrk service i to be relocated Now electrk and attached to Existing Existing Septic meter local new home Shed Cap.- 1000 gal. \ \ General Slope of ' \ \ Property I \ \ I \ \ Unused Well \ \ S 99 04' 07" W 30.00 \ \ General Slope of j \ \ Property I \� \ 3� \ \ I \ \ O.W.I,D. ' I \ \ Waterway I \ \ Y j tJ \ \LLJ LU LL \ \ Existing Well i IM \ Depth = 120' i \ \ Usage = Domestice M \ \ N j N \ \ i \ '[W-01, 20'.a' 595 FEET ............................................ ............................ S 89 04' OT' W 595 _.._.._.._.._.._.._.._.•_.._.._.._.._.._.._.._.._.._..t.._.._.._.._.._.._.._I._.._.._.._.._.._.._.._.._.. .� 30 FEET ADJACENT PARCEL INFO: RESIDENTIAL GENERAL USE 0 No General Notes Revision/Issue I Date Firm Name and Address Lorne & Lorraine Green 6965 Citrus Ave Oroville Ca, 95966 S3y-9YPO 61.E 03-15'71— Drawings by owner Project Name and Address ADJACENT PARCEL INFO: Green Residence RESIDENTIAL GENERAL USE 11 Parcel # 027-060-054-000 6965 Citrus Avenue Site Plan Sheet February 2, 2005 Scale:;1 in = ;40ft. Oin.