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027-070-055
t 2.7-07'5 92-767 P,E STAFFORD, Darre 222.Cynthiann Lnoville /3 mh utilities' ELEC aoo C/o /V- /�� GAS. No n e COMPACTION TEST REQ _ SUPPORT STRUCT REQ..: 1 I l�- 27-07-55 92-1877MHI STAFFORD, D ren 222" Cy Tann Ln, Oroville 027-070=05 Ti 01-0613 =`' HEACOCK, JO SHONDA " 222 CYNTHIANN L E CONT: EXECUTIVE HO NEW MH ON PERM FND v. NOTES RESIDENTIAL 027-070-055 01-0613 HEACOCK, JOHN & SHONDA 222 CYNTHIANN LN PALERMO CONT: EXECUTIVE HOMES NEW MH ON PERM FND 1 JOB FINALED (Date Signature i� THE HCD FORM 433A FOR THIS MH CANNOT i BE RECORDED UNTIL ONE OF THE FOLLOWING .' HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE t, k INSPECTOR MUST RETRIEVE) (2) STATEMENT OF FACTS(ONLY ON t4 NEW MH'S) i i INSPECTOR TO VERIFY SERIAL &"LABEL #' F y6 t. SPECIAL CONDITIONS t. 1' CHECKED BY ► SRA FLOOD CERTIFICATE REQ. f FIRE SPRINKLERS REQ. !� SPECIAL INSPECTION ITEMS i f VERIFY { USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER x r F OFFICE COPY ` Address GAS c Meter By Date ELECTRIC Meter By -° Date JOB FINALED (Date Signature ./ = OK 1. 4' 0 = Not OK Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. = Not Applicable MOBILE HOMES` =Not Ready 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Date MOBILE HOME UTILITIES (Plans) OK except #'s 7. 1. Zoning Requirements -Setbacks -Easements Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 2. S,94; s; Special MH Support Sketch 10. Roof; Shthg-Roofing Sewer; Location -Test -Fall -C/O -Concrete Ext.; Steps -Doors -Landings 4. Water; Location -Test -Easement Needed (Sket 5. Electricity; Location-Cleararices-Grn p -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ftZJA. / /'Nat. or /"L"ft. 6 PLPG Well Clearance & Disconnect 8. Utilitv Clearance Date Card B-1. Date Card B-1 I ` Date Card B-1 Date Card B-1 `.Date MOBILE HO_gE INSTALLATION (Plans) OK except #'s oning Requirements -Setbacks -Easements _ otings; Size -Spacing -Marriage Line A -Ida.; MH Test -Demand -Valve -Connector 4._,P@6ricity; MH Test -Crossovers -Breakers -Clearances 5. ; MH.Test-Fall- Flex Connector r; MH Test- Reg ulator-Connector er and Sewer Connected -C/O to Grade -HD Approval Q_Aw�PTElectricity Tagged s 9. Tie Dow Type -Installation Cert. 1 i s: InSD.-Sketch 2. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Data Card B-1 C IA- FL MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date, Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3., Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Data ' Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date 46. 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.-/ f' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Ste el- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. 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 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 1 of i It ratio n- Wal Is- Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FfNAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Insild./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: FLEETWOOD HOMES OF CALI:rORNIA,-INC. 18 N. PIONEER AVE. COMFORT HEATING PO BOX 1308 NV CA. 17 This manufactured home has been thermally insulated to conform with the requirements of the federal WOODLAND , • .95776 MC# manufactured home construction and safety standards for all locations within Uo value zone Date of Manufacture HUD label No.(s) 1, 2 , 3 (See map at bottom) // RAD 1318 3 0 8 &/1�d-'� Heating equipment manufacturer and model (See list at left). The listed heating equipment has the capacity to maintain an average 70 degrees Fahrenheit o ( RAD 13 Z 8 3 O 9 4 4 temperature in this home at outdoor temperatures of degrees Fahrenheit Manufacturer's Serial Numbers) and Model Unit Designation To maximize furnace operating economy, and to conserve energy, it is recommended that this home S UNCRE ST 5604B! be Installed where the outdoor winter design temperature (97 X%) is not higher than —10 CAFL 117A2 4 5 2 2- S C 13 degrees Fahrenheit. CAFL 117 B 2 4 5 2 2 — S C 13 The above information has been calculated assuming a maximum wind velocity of 15 mph at standard atmospheric pressure. -- , Design Approval by (D.A.P.IA.)- : RADCO ZONES U -VALUES COMFORT COOLING This manufactured home is designed to comply with the federal manufactured home construction and safety standards to force at time of manufacture. Air conditioner provided at factory (Alternate I) (For additional information, consult owners manual.) z . ro2 "' '•'. ,r„ _ The factory installed equipment Includ_ es cur conditioner manufacturer and model (see Inst at left). 4 ;1 Equipment':'', Mariufacturer • Model Designation Certified capacity S.T.Whour in accordance with the appropriate air conditioning and Hea4-4, NORDYNE MlMB070 refrigeration institute standards.For Smoke "Detector,,, &IDDE t - t 12755 The central air conditioning system provided in this home has been sized assuring an or of water Heater #� .�R SBffiS rr d'' 21I40T < the front hitch end of the home facing On this s ( ) g n r is bans the system is designed to 1 « ahk i v s r is y4+m F !i^` Maintain an indoor temperature of 75-F when outdoor temperatures are F dry bulb and , �'". i VR,;y', f u y .e E i wi� - � i y y ^ •' F wet bulb n �,r t ;�•S s z.;..i } ro, �a` •,w.c +,�. �. r `+� ;; � ,'`��'..`.n3 C .,e r �, w •. � -. � .'..; ?.r.'�,yi : 3 r t. x ..:�.'.i F,t:..f'rF'r•.`.` ' r The temperature to which this home can be coded will chane endin a on the amountof Ur g cep 9 P , exposure of the windows of this home to the sun's radiant heat. Therefore, the home's heat gains will0. „ vary dependent upon its orientation to the sun and any permanent shading provided. Information „. 4 s sj ' ;-' t =;•: , ,. , , concerning the calculation of cooling loads at various locations, window exposures and shadings are.t provided in Chapter 22 of the 1989 edition of the ASHRAE Handbook of Fundamentals. Information necessary, to calculate coding loads at various locations and orientations is provided in the :• ' special comfort cooling information provided with this home. - — - - - - = - - j J -- - -- _ .• X❑ Air conditioner not provided at factory (Alternate II) 7. The air distribution system of this home is suitable for the installation of central air conditioning. The supply air distribution system installed in this home is sized for a manufactured home central air _ •500 , i.. condidonin 63 g system of up to 1 B.T.U. /hr. rated capacity which are certified in accordance HOME CONSTRUCTED FOR X ZONE II. _ ZONE II ZONE 111 EXP. `D" with the appropriate air conditioning and refrigeration institute standards, when the air circulators of , This home has not been.designed for the higher.wind pressure and anchoring provisions required for such air conditioners are rated at 0.3 inch water column static pressure or greater for the cooling air oeeantcoaslal areas and should not be located within 1500' of the coastline in Wind Zones If and III, delivered to the manufactured horse suppy.alr duct system. ....J unless the home and its anchoring and foundation system have been designed for the increased •. ^, . Information necessary to calculate coding loads at various locations and orientations is provided in the `. « x�'.. - s.. requirements specified for Exposure D in ANSUASCE 7 - 88. „. , , special comfort cooling information provided with this manufactured hone. ., ,.y. •v ., .Y-, . ... .._ •. .! . .i.. c.-.. L;• r, F • -.- :-. .<'�+t This home has ( , ) has riot (X) been equipped with storm shutters or other protective coverings for ... „r...r ... r, ,_`•r - To determine the required capacity of equipment to cod a home efficiently and economically, a cooling v* dows and exterior door openings. For homes designed to be located in Wind Zones 11 and III, ` load (heat gain) calculation is required. The cooling load is dependent on the orientation. location and which have not been provided with shutters or equivalent covering devices, it is strongly recommended the structure of the hone. Central air conditioners operate most efficiently and provide the greatest that the home be made ready to be equipped with these devices in accordance witti the method , comfort when their capacity closely approximates the calculated cooling toad. Each home's air recommended in manufacturers printed instructions. conditioner should be sized in accordance with Chapter 22 of the American Society of Heating. Refrigerating and cur Conditioning Engineers (ASHRAE) Handbook of Fundamentals 1989 edition, BASIC:IMNO.ZONE7dAP! once the location and orientation are known. INFORMATION PROVIDED BY THE MANUFACTURER NECESSARY TO CALCULATE SENSIBLE HEAT GAIN :. Wails (without windows and doors) .................................... . U" -06 Ceiling and roofs of light color ......................................... •U• .03 • Ceilings and roofs of dark color ....................................... •U• .03 ,.:. E •xoN n Floors..................................:.................................:... U. .05 rVi Air ducts in floor............ ............................................... •U• .05 ZONEY .a .. a d I I A ' ' ing.. r ducts n ceiling ....................................................... U. NH ut w .'. " ZONE 81 81 Air ducts installed ts'de the r outside home ................................. •U• N2 5 - ZONE U 'ZONE The following are the duct areas in this home: Design roof load zone map: North 40 psf X South 20 psf X Middle 30 psf Other _ ;.,1 2t 7w MI —psif RTH •moi .•�:. :��..� ,r A Air ducts in floor ........................................................... 8 9 sq. ft. Air duds in ceiling........ ....................................... NA sq. R Air duds outside the home ......... ` 5 6 . 5 sq. ft,—:i Uf0 VALUE ZONE MAP - VT ME WY $D WI _ MI NY MA ! NV NE [A FU y �. PA CT NJLrr ~CO IL IN CH :,:.:' t i VA DE D ^ / yi • ZONES U -VALUES 0.118 ..rr� K to a -,y '� ^ z . ro2 "' '•'. ,r„ _ 0.096 HI '� r• ' � Q 0 079 �. �. �„ ,c 7�- ,� r .:..1 c1. Ji 7:�"�+2A,a , .xY:": r.'�`a. ��. �'F:�:7 ... �-f.:" ."•� .-d:,..a.t. L''" Kt:_.. r RECORDING REQUESTEb BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COFPY• of Document Recorded 10 -May -2001 2001-0019510 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY • t 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. GEORGE ROBISON & CYNTHIA A. ROBISON REAL PROPERTY OWNEMESSOR P.O. BOX 175 MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 222 CYNTHIANN LANE INSTALLATION MAILING ADDRESS. IF DIFFERENT PALERMO, BUTTE, CA 95965 CITY - COUNTY STATE ZIP JOHN D. & SHONDA R. HEACOCK UNIT OWNER (if also property owner, write 'SAME") - 1181 CORAL CIRCLE MAILING ADDRESS PARADISE, BUTTE, CA 95969 CITY COUNTY STATE ZIP UN_IT 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 01-0613 (530)538-7541 BU PERMIT N TELEPHONE NUMBER SIGNATURE OF LOCAL AG FFICIAL DATE EXECUTIVE WOMES DEALER NAME (if not a dealer sale, write "NOME') 92081 t DEALER LICENSE NO. FLEETWOOD HOMES SUNCREST/560-413 MANUFACTURER'S NAME - DATE OF MANUFACTURE - MODEL NAMEINUMBER 25'8" X 60' SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 027-070-055 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. is ORDER NO. BU -155557-3 DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE_ OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I_ PARCEL. 2, AS SHOWN ON THAT CERTAIN 'PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUT'PE, STATE OF CALIFORNIA, ON OCTOBER 16,-1981, IN BOOK 86 OF Y..APS, AT PAGES) 48. nRCEL, II THAT CERTAIN 60 FOOT NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY EASEMENTS SHOWN ON CYNTHI;.NN•LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED, IN TFIEIOFFICE OF THE,RECORDER OF 'THE COUNTY OF'BUTTE, STATE OF CALIFORNIA, ON OCTOBER 16, 1901, 111 BOOK E6 OF MAPS, Al- PAGE(S) 48.' EXCEPTING- THEREFROM' ALL THAT PORTION LYIIIG WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III• AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF GROUND 60 FEET IN WIDTH LYING NORTHERLY, WESTERLY AND CONTIGUOUS TO THE FOLLOWING DESCRIBED LINE: , BEGINNING AT A POINT ON THE EAST LINE OF THAT CERTAIN PARCEL DESCRIBED IN DEED TO NORTHWEST PACIFIC RESOURCES, INC., RECORDED SEPTEMBER 6, 1980, IN BOOK 2539, OF OFFICIAL RECORDS, AT PAGE 38,' FROM W:iICH THE. NORTHEAST CORNER: OF SAID NORTHWEST PACIFIC RESOURCES, INC., PARCEL BEARS NORTH 00 DEG. 19" 39" WEST 60.00 F7 '; THENCE FROM THE POINT OF BEGINNING SOUTH 89 DEG. 031 09" WEST 254.15 FEET; THENCE SOUTH 02 DEG. 01' 51" FAST, 244.14 FEET; THENCE SOUTH 04 DEG. 561 09" WEST, 655.78 FEET TO THE CENTER OF THE 'EXISTING RIGIiT OF WAY AS CONTAINED ;IN SAID DEED. T'iE SIDELINES SHALL BE LENGTHENED OR SHORTENED TO FORM A CONTINUOUS `'-TRIP. PARCEL '•:O2 , A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY- PURPOSES 60 FEET IN WIDTH OVER AN EXISTING ROAD AS SET FORTH ON THAT CERTAIN RECORD OF SURVEY FILED JULY 5, 1974, IN BOOK 47 OF MAPS, AT PAGE .93, THE CENTERLINE BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWEST CORNER OF LOT 3 OF SUBDIVISION NO. 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF THE -SUBDIVISION NO. 1 CONTINUED i ORDER NO. BU -155557-3 gARCEL IV: CONTINUED AND 2 Or THE P. 'C. DRECHER TRACT", WHICH MAP WAS FILED IN THE OFFICE OF THE RRCORDER OF T14E COUNTY OF BUTTE, STATE OF CALIFORNIA, IN'BOOK 1 OF MAPS, AT PAGE 25; THENCE FOLLOWING ALONG THE WESTERLY BOUNDARY LINE OF SAID LOT 3, NORTH 0 DEG. 17' 00" EAST FOR 89.58 FEET TO A POINT LOCATED IN THE CENTERLINE OF AN EXISTING ROADWAY; THENCE FOLLOWING ALONG -THE CENTERLINE OF SAID ROADWAY, SOUTH 30 DEG. 44' 40" WEST, 432.63 FEET; THENCE SOUTH 35 DEG. 16' 10" -WEST, 496.53 FLET; THENCE SOUTH 65 DEG. 27' 00" WEST, 713.80 FEET; THENCE SOUGH 41 DEG. 02' 00" WEST, 228.54 FEET; THENCE NORTH 75 DEG.. 30' 35" WEST 106.02 FEET; THENCE NORTH 3 DEG. 04' 55" EAST 225.42 FEET. AND BEING ALSO THE TRUE POINT OF" BEGINNING. FOR THE CENTERLINE HEREIN DESCRIBED; THENCE FRCA SAID TRUE POINT OF BEGINNING NORTH 13 DEC. 29' 35" WEST, 367.16 FEET; THENCE NORTH 66 DEG. 11' 05" WEST, 550.40 FEET; THENCE NORTH 53 DEG. 07' 05" WEST, 186.77 FEET; THENCE SOUTH .78 DEG. 04' 25" WEST, 285.73 .FEET; THENCE°NORTH 75•DEG.'.36' 15" WEST, 245.53 FEET;.THENCE.NORTH 54 DEG. '19'.:45"WEST, 283.57 .-FEET;-.THENCF. NORTH 61"DEG. 311105" WEST, 255.29,FEET; -THENCE NORTH 73 DEG. 35' 45" WEST TO A'POINT THAT BEARS'SOUTHr60•FEET FROM THE :CENTERLINE OF THE EASTERLY EXTENSION OF BOHEMIA AVENUE; THENCE WEST AND PA.'ZALLEL WITH THE CENTERLINE OF THE 'EASTERLY EXTENSION OF BOHEMIA AVE'JUE TO A -POINT ON THE'EASTERLY BOUNDARY OF CITRUS,AVENUE AND. THE END 0E' THE HEREIN DESCRIBED LINE. i I RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: HOME STREET ADDRESS CITY, STATE, and ZIP I 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 I-leallh 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. 3C) t ri I-) . i REAL PROPERTY OWNER/LESSOR ��-/ li A i a I co r aL at rC'�� lA Vl � CX l i YlQ MAILING ADDRESS `7 013 PmylaMtze A Q CITY COUNTY STATE ZIP -1 INSTALLATION MAILI G ADDRESS, IF DIFFERENT CITY (� COUNTY ` cal©gym. R 44cP CA 959(.y. ZIP CITY COEJNTY STALE ZIP UNIT OWNER (II also property owner, write "SAME'l MAILING ADDRESS CITY COUNTY - STATE - ZIP ]UILO-1-r ��-/ li A lA Vl � CX l i YlQ LOCAL AGE14CY ISSUING PERMIT and C RTIFICATE OF OCCUPAN `7 013 � QY l� • MAILING -ADDRESS -1 02A CITY (� COUNTY STATE ZIP BUILDING PERMIT NO. TEIEPIIO14E NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE ���f'C ' � e -:6 Ime J DEALER NAME (If not a dealer sale, writ. "NONE') 9Q0?8' I DEALER LICENSE NO. _ UNIT DESCRIPTION F,e-�-�ti9�Y'� Of'Y�S s >�� S�cO -4 10 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER .� SERIAL NUMBER(S) LENGTH X WIDTH ��``--��i`') /��-'7 INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER ©C�( / — / 0 —` �..� Qj0SLIT OF y0G IiCD FORM 433(A) 4/136- O � r• s O W �o ny` WHITE—Co-dy Record., GREEN--IICD BLUE--Baild6,rs Dq,t. + YEILOw—Appliu,ot ��irs.. •trry� 140.1'1.(:13 '1'O ASSESSOR IICD 433 (13) THIS FORM IIUS'I' 13E CONPLE'1'ED 13Y 1'11E OWNER OF A 11ANUFACTURED HOME MOBILEHOt1E OR COHIIERCIAI, COACH AND FORWARDED '1'0 1'11E COUNTY ASSESSOR UPON COIIPLE'1'ION OF 1'HE INS'1'A1,L,A'1'ION OF '11113 UN11' ON A J-:'OUNDA'1'1Otd SYS'1'El-I PURSIJAN'I' 'I'Q SECTION 16551. IIF -A1,111 AND SAFETY CODE_ ORIG11481., 111_1RCIIASI; 1'IZI.C1 FOR 1. The Basic Ullit Z. Optional Egvip.,ent d Upgrade+ J. Su610101 A. Accettorie+ 2 Aucnory $I nrclur e+ S. Other (Specify) A. Delivery 3 Indallatior, 7. TOTAL SALES PRICE DOES THE BASIC PRICE INCLUDE: The T-1 ,(+) ❑ YES fJ0 sire+ Q Wheel+ [J YES Iype o1 Roof Co,C';np Whee%vbt & Axle+ El YES 1.10 LIST NUMBER OF ROOMS: (Metal, Wood, Co,npo+ilion, etc.) — Rcatino.lype: Ij[I. (.iced Air I_l rloor Bedrooms Uinh,p Room I Ball'+ rornily Room Evapmnti e Cooler:, Kitchenf Utility Room Living Room _ O,her Room+ NO . Type of EAICIH)r Wall Covcnup: . (Metol, VJood, etc.) " Iype o1 Roof Co,C';np (Metal, Wood, Co,npo+ilion, etc.) — Rcatino.lype: Ij[I. (.iced Air I_l rloor or Vlnll Air Coriditionir,p: AA YES EI 1,10Toni Evapmnti e Cooler:, i YES NO &rilbin cooktoP: ❑ YES NO Built-in Oven: YES fJ0 Built-in d 041—" 111:1! YES ' I NO Buill ir, Wd Brno YES Ito Rehipeiotor: YES Ell 140 R.Of Overhmrp (fn.<+): YES E� NO runnilvre Included: [] YES NO 'Valve S Car [� (I.E[JGIII X WID111) oil: pod: YES 1-10 X AwninO: U YES NO x Porch: YES 140 X Go,ogc: _ U YES fJ0 X Sloraoc Shed: ❑ YES NO x Skirting: U YES JO lIr1EAl FEET The sales price as shown does [lot incl-u'de any amount for any in-place location. The Assessor's Parcel Number of the installation site is �o� ~% �� -t 0` 9517-7 -3 '1'e l e)",I Torte ORDER NO. BU -155557-3 DESCRIPTION " THE LAND I"RFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFCRNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL Z_ .PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP,. RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 16, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 48. I?CETi ZZL THAT CERTAIN 60 FOOT NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS ,AND PUBLIC UTILITY EASEMENTS SHOWN Off CYNTHI;.NN. LANE; AS;SHOWN ON THAT CERTAIN PARCEL DUAP, RECORDED IN THE OFFICE.OF_THE;RECORDER of THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON'OCTOBER 16, 1981, IIN BOOK E6 OF MAPS, AT PAGE(S) 48. EXCEPTING—THEREFROM ALL THAT POP.TION-LYING WITHIN THE BOUNDS OF PARCEL'I, DESCRIBED HEREIN. PARCEL III• AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF GROUND 60 FEET IN WIDTH LYING NORTHERLY, WESTERLY AND CONTIGUOUS TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT A .POINT ON THE EAST LINE OF THAT CERTAIN PARCEL DESCRIBED IN DEED TO NORTHWEST PACIFIC RESOURCES, INC., RECORDED SEPTEMBER 6, 1980, IN BOOK 2539, OF OFFICIAL RECORDS, AT PAGE 38,' FROM WAiICH THE NORTHEAST CORNER OF SAID .NORTHWEST PACIFIC RESOURCES, INC., PARCEL BEARS NORTH 00 DEG. 19' 39" WEST 60.00 F7 THENCE FROI4 THE POINT OF BEGINNING SOUTH 89 DEG. 03' 09" WEST 2..54.15 FEET; THENCE SOUTH 02 DEG. 01' 51" FAST, 244.14 FEET; THENCE SOUTH 04 DEC. 56' 09" WEST, 655.78 FEET TO THE CENTER OF THE EXISTING RIGHT OF WAY AS CONTAINED IN SAID DEED. T'(E SIDELINES SHALL BE LENGTHENED OR SHORTENED TO FORM A CONTINUOUS ' TRIP. PARCF,T_ 4t A NOF -EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH OVER AN EXISTING ROAD AS SET FORTH ON THAT CERTAIN RECORD OF SURVEY FILED JULY 5, 1974, ;IN BOOK 47 OF MAPS, AT PAGE .93; THE CENTCRLINE BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWEST CORNER OF LOT 3 OF SUBDIVISION 'NO. 2, AS i SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF THE SUBDIVISION NO. 1 CONTINUED I I ' ORDER NO. BU -155557-3 i/ . �AgCEL IV: CONTINUED AND 2 OF THE P. C.' DRECHER TRACT", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,, STATE OF CALIFORNIA, IN BOOK I OF' MAPS, AT-PAGS 25; THENCE FOLLOWING ALONG THE WESTERLY BOUNDARY LINE OF SAID LOT 3, NORTH 0 DEG. 17' 0017 EAST FOR 89.58 FEET TO A POINT LOCATED IN THE CENTERLINE OF AN EXISTING ROADWAY; THENCE FOLLOWING ALONG THE CEHTEF.LIITE OF SAID ROADWAY, SOUTH 30 DRG. 44' 4011 WEST, 432.63 FEET; THENCE SOUTH -35 DEG. 16' 1011 WEST, 496.53 FEET; THENCE SOUTH 65 DEG. 27' 0011 WEST, 713.80 FEET, THENCE ,SOUTH 41 DEG. 02'00" WEST, .228.54 FEET; THENCE NORTH 75 DEG. 30' 3511 WEST 106.02 FEET; THENCE NORTH 3 DEG. 04' 5511 EAST. 225.42 FEET AND BEING .ALSO THE TRUE POINT OF' BEGINNING FOR THE CENTERLINE HEREIN DF.SCRYBED;:THENCE FRCA SAID TRUE POINT OF BEGINNING NORTH 13 DEG. 29' 3511 WEST, 367.16 FEET; THENCE NORTH '66 DEG. 11' 0511 WEST, .550.40 FEET; THENCE NORTH 53 DEG. 07' 0501 WEST, 186.77 FEET; THENCE SOUTH 78 DEG. 04' 25" WEST, 285.73 FEET;.THENCE NORTH 75. DEG..36' 15" WEST, 245.53 FEET; THENCE NORTH, 54 DEG., *19' 4_511.WEST, '283.57 FEET THENCE NORTH -61 DEG. 31'{05" WEST,; 255.29 'FEET; 'THENCE'NORTH 73 DFG. 35' 4511 WEST TO A POINT THAT BEARS SOUTH 60 FEET FROM'THE CENTERLINE OF THE EASTERLY EXTENSION OF -BOHEMIA AVENUE; THENCE WEST `AND PARALLEL WITH- THE CENTERLINE OF "THE 'EASTERLY••EXTENSION OF BOHEMIA AVENUE TO A POINT ON THE EASTERLY BOUNDARY OF CITRUS AVENUE AND THE END Of' THE HEREIN DESCRIBED LINE. I.CL V.l` L_PLL-AA V1-uvj,.k gtler,�. BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPAR'IT�4ENT OF HOUSING AND COMMUNITY DEVELOPMENT � AND STANDARDS DWISION OF CODES REGISTRATION AND TITLING PROGRAM STATEMENT OF hACl'S NEW UNITS PERMANENT FOUNDATION This unit is a: L_' I Mobilehome IJ Commercial Coach Q Floating Home Q Truck Camper Decal (License) No.(s) Trade, Name Serial No.(s) 17/-�/<311/s.PsC/3 I/We, the undersigned, .hereby state: DEALER REPORT OF- SALE THE ABOVE DESCRIBED UNIT HAS BEEN PLACED ON AN APPROVED FOUNDATION SYSTEM IN ACCORDANCE WITH 18551 OF THE HEALTH AND SAFTY CODE VWe further agree to indemnify and save harmless Che Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on� �. / at Da -) (City) (State) Signature(s) '/t L ; Printed names) V r�2 )Ocx eccZrl v.e- v Address City .lam^ c c,b , State HCD 476.6 (REV 9/91) t • • Llai J.J/ U1 114: �4 b I VWtLL I I I LE UUb I UPILI I t -t -il d-) b Requested BMid Va L Loy Title .Y' e co� Ordgr No. Eacrow No. 155557-3 m Loan No, -1;�02994W, I Rac Fect WHEN FIECORDEU MAIL TO; George and Cynthia Rob A Don P.O. Box M county of Omvi!lc, CA 95965 Butte Candmoo J. Drubbsp I 810080 "VTC APO 027-,27U--055 v8 5 DMVMENTAnY 'n"IFF n TAX ................... ...... GIFIA49 ADOW Itim UNE Pon FIFOWMAS V.% r-ww"d an"" rw*ftffftm of vow olpm"Ir ommWokon XX ConWv4 an ft wintdwomi at v" left W" at uvm)rww$ the Un&,mrm12gmd grantor doclares' GRANT DEED in to -w of Fbrmiosure FOO A VALUABLE CONSIDERATION, npowipt of vfto is hemby &*mmj*0W. 11, ST MM nnd WqCY X's 13TArFm, thudmw am "If a hw@W OFMT(S) to III-111ZOM am) CY11nITh A. IM10M trJmtwVW aild wiffg# -as JoLnt lf*nants Ole rel pfvpwty In Ihs V", UjUncorporatmd aKw of thq c'milly of au t tAs ATrWMV LUMU, WIMMMUN %W. '09 n 1,000,00 rm"fwv kfvwie "m . to'. . Fob"'. to wo ad I'm ww fid FITE= bl Atwo am m"21 ad aA�t &W 0101, by —1ft-1 n-W—N" per""(s) nip". allow ff" mv YYITtvoid and o" I MAIL TAX STATEMENTS 'TO' • r�'WnFi A U. MASNLaryn, 1:0 Ira", rOfm aas ito 4,ft al it" too low Ilvd) Vj,.+w 1j%IJ1 .14:24 1311)LJLLL.•,I 1 1 Lt 4,U'a I IJVItk bEKV 11.L y GJJ ;J�J1 6 ESTOPPEL AFFIDAVIT Stato of Callfornia County of eutto DARREN it. STAFFORD and NANCY E. STAFFORD, being first duly sworn, each for himself w4 hersoff, deposes acid sem: That thoy are the Identic*l pantos who made, egoouted, and dsllvorod ftt cwWn Deed to GEORGE ROBISON and CYNTHIA A. ROBISON, husband and wife, an Joint Tenants dated the erb day of August, 1M, conveying the toliq" doembsd property to -wit: SEE ATTACHED LEGAL DESCRIPTION That the aforasaid peed Is Intended to -be mW is on absolute conveyancm of tho oil* to Braid promises to the granteo:named MArein, 'snd:wss not and Is not now Intended -as a « mortgt o, Mast convey , or security. at any kind; that h was the Intention of affiants 6 gr®ntdrs In ssld deed'* =trsy; ,and bind Asad dwm afflantr did oariM to the grantep.themIn W[thoV dght4 We and,Int®r*0 Wolutsly In and to saki premises; that paussalon of sold promIsisti .W bion ou' rmi noir"ed to. #M .grarttes. . That in the execution and delivery cit.6mW ddsd.: ifflbrtts wane. not wing under any misapprohenalon as to the.660 them,:amd ih y st d valuntwily and were not, acting under coercion nr Adrass. That the consideration for Bald Dood was and Is payment to slflants of the sum of $0.00 by grantee, and the full cancellstlon of all debts, obilgatiou, cuts. and'ctwges secured by that certain dead of trust heretofore existing on wild pmporrty oxecuted by DARREN K. STAFFORD and NANCY E. STAFFORD, husband and wife Trustor, to MIL? VALLEY TITLE ANIS ESCROW COMPANY as Trustee, for GEORGE ROBISON and CYNTHIA A. ROBISON, husband and wife, as .Joint Tenants Beneficiary, dated the 7th day of February, 1992, and accorded In Book n/a c.' OMclai Records, at page rVa, Somal No, 92-6617, Butte County, California, and the reconveyance of said property under Bald deed of trust; that at the time of nuking said deed affiants believed and now believe that the aforesaid consideration therefor represents the fair value of the property so deeded. wl :/ IJ/ U 1 1�t : 25 1 likiELL G 1 l LE C:U' i Uf lEl� SEf2lJ 1 i E JJ ) 1 3 NO.25'1 P005 This affidavit Is made for the protection and beneflt of the grantee in said deed, his Successcra and assigns, and all other parties hereafter dealing with or who may acquire ian Interest In the property herein described, and pdrticulady for the benefit of Mid VaJIay . Title and Escrow Company which Is about to Insure the file to said property in reliance thdr®on, and any other title company which may hereafter Insure the title to said property, That affiants, and each of them will testify, declare, depose, or certify before any competent tribunal, officer, or person, In any cm now pending or which may hereafter be instituted, to the truth of the particular facto herelnebove set forth. I)AAAMR. SIAFFOPt _ . r� 14:2,5 B I DWELL T I TLE %US'l-01' IER SERVICE 537 991 875i N0.251 PIE106 } ORDER NO. BU -155557.3 DESCRIPTION THE LAND REFERRED TO IH THIS :REP+OAT : g SaWATED IN THE STA'R'E -OF CAI�ZFORNI�1; . eoUNTY OF'. PiUT'IE, AND IS. DESCRXBED AS FOLWWS: PARCEL 2 P 11S SHOWN dN, .THAT CERTAIN VARCEL I?AP, RECORDED IN THE OFFICE OF THE RECORDEit,OF THE COUNTY 101p:;j��j ,E#: STATE OF CALIFORNIA, ON OCTOBER 16, 1981, XN .b400K .86 ,OF.'F ' :,PAGE(S) 48. THAT CERTAXN 60 FOOT NON --EXCLUSIVE EAsEt4ENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY EASEMENTS SHOIW-ON CYNTHIANN LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIiORNIA, ON OCTOBER 16, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 48. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL X, DESCRIBED HEREIN. phEcgk_jj!1 AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRXP OF GROUND 60 FEET IN WIDTH LYING NORTHERLY, WESTERLY AND CONTIGUOUS TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT ON THE EAST LINE OF THAT CERTAIN PARCEL DESCRIBED IN DEED TO NORTHWEST PACIFIC RESOURCES, INC., RECORDED SEPTEMBER 6, 1980, IN BOOK 2539, OF OFFICIAL RECORDS, AT PAGE 380.-, FROM WHICH THE NORTHEAST CORNER OF SAID NORTHWEST PACIFIC RESOURCES, INC-- PARCEL, BEARS NORTH 00 DEC. 19' 3911 WEST 60.00 FEET; THENCE FROM THE POINT OF BEGINNING SOUTH 89 DEG. 03' 09" WEST 254.15 FEET; THENCE SOUTH 02 DEG, 01' 51" EAST, 244.14 FEET; THENCE SOUTH 04 DEC. 56' 0901 WEST, 655.78 FEET TO THE CENTER OF THE EXISTING RIGHT OF WAY AS CONTAINED IN SAID DEED. THE SIDELINES SHALL BE LENGTHENED OR SHORTENED TO FORM A CONTINUOUS STRIP. A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UT11-TTY PURPOSES 60 FEET XN WIDTF( OVER All EXISTING ROAD AS SET FORTH UN THAT CERTAIN RECORD OF SURVEY FILED JULY 5, 1974, IN BOOK 47 OF MAPS, AT PAGE 93, TiiE CENTERLINE BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS; BEGINNING AT THE SOUTHWEST CORNER'OF LOT 3 OF SUBDIVISION N0, 2, AS SHOWN ON THAT :CERTAIN MAP ENTITLED, "MAP OF THE SUBDIVISION NO. 1 CONTINUED •' •. VI.Ji .��/._ __ `.__... � 1 •L ___ _vL. .. 1._L ._.'C�_1 L. _.. _ i1+J. ��11'. 'I UJ1. �- ORnEI? 140. DU--155557-3 V: (10ktsLtlifEd AVI) 2 OF THE P, C. URECHER TRACT", Wli161 MAP WAS FILED IN-THE OFFICE OF THE RECORDER OF'THE COUNTY OF BUTT' E, STATE OF CALIFORNIA, IN HOOK 1 GF MAPS., AT RAGE 25; TH-ENCE FOLLOWING ALONG THE WESTERLY BOUNDARY LINE OF SAID LOT 3, NORTH 0 DEG. 17' 00" EAST FOR 89 . 5ti FEET TO 'A POINT LOCATED IN THE, CENTERLINE: OF AN EXISTING ROADWAY; THENCE FOLLOWIvG ALONG THE CENTERLINE OF SAID ROADWAY, SOUTH 30 DEG. 441 40" WEST, 432.63 FEET; THENCE SOUTH 35 ]DEG.' 16, loll W"F,ST, A�G.53 FEET; THENCE SOUTH 65 D$t , 27' 0010 WEST, 113.80 FEET; THENCE SOU'G'H 41 NEG 02' .0011� WEST, 228.34 FEET; THENCE NORTH 75 DEG. 30' 35" i1E5r 166.G2 FEET; THENCE NORTH 3 DEG. 04' 55" EAST 2251.42 FEET A•tJb Ht;.LMG A1�0 THE TRUE POINT. OF BEGINNING FOR THE CENTERLINE HFREIN GiESCRIBEoj THENCE FROM SAID TRUE POINT OF'BE:GINNING NORTH13 DEG. 29'. 35" WEST, 367.16 FEET, THENCE NORTH 66 DEC. 111 05" WES. ' 558.40 FEET; TRENCE .NORTH 53 DEG. 071 OS" WEST, 186:77 FEET; THENCE SOUTH 76 DEG, U4' 251' WEST, 285.77 FEET; THENCE NORTH 75 DEG. 36" 15" WEST, 245.53 FEET; THENCE NORTH 54 DEG, 19''45" WEST,-283.57 FEET; THENCE NORTH, 61 DEG. 31' Os" WEST, 255.29 FRET; THENCE NORTH 73 DEG. 35' 4$". WEST TO.A POINT•THAT.BEARS SOUTH 60 FEET FROM THE, CENTERLINE OF THE EASTERLY EXTENSION OF BOMIA AVENUE; THENCE WEST AND PARhLLEL WITH THE CENTERLINE OF THE EASTERLY EXTENSION OF BOHEMIA AVENUE TO A POINT ON THE EASTERLY BOUNDARY .OF CITRUS AVENUE AND THE FND'.OF THE HEREIN DESCRIBED LYNE'. 7 rol FILE No.999 05/07 '01 PM 03:52 ID:EXECUTIVE HOMES' t FAX:530 891 8753PAGE 1' EXECUTIVE HOMES 3042 ESPLANADE CHICO. CA .95973, PHONE: (5301891-6992 FAX: ( 530) 891-8753 From 1 > Date; -0/0/ r Page' 1 of / To�-�- Fax: S 3 d12 - / 310 Phone: RE: . a . _ COU,NTY'OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, Calp�ornia_95965 •Telephone (530) 538-7541 PERMIT No. (Rev. 12/96) APPLICATION AND PERMIT— ASSESSOR PARCEL NUMBER 027-070-055 ZONING AR 5 BUILDING PERMIT OWNER HEACOCK JOHN & SHANDA TELEPHONE 872-4131 SQ. FT. OCC. BUILDING VALUATION 1548 R 83,592.00 . OWNERS MAILING ADDRESS 1181 CORAL CIRCLE, PARADISE, CA CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTOR'S MIUUNG ADDRESS 3042 ESPLANADE, CHICO, CA 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAKING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 283.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 222 cynthiann ln. PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeU Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK NewjPx Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ DescribeNlFVgk:MH ON PERM FDN Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. " 1� rj ��,, License Class 0_49 Lic. No. U Lf on � � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensalon insure ce carrier and olicy number are: Carrier Stt.00rIQr— 1 hL Policy Number Z)— 1..1.E –1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if l should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. XDate Signature of App c t - ❑ Owner WContractor ❑ Agent An OSHA permit is uired for excavations over 5' " deep and demolition or construc 'on of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. so ( 3.5Q NEW CONST. MUI`OU�TLET NON-RESID. @7.50 POWER APPARATUS 8 SINGLE OurLET CIR. .00 EX. OCCU . OUTLET OR PoRURES BAL O 1, 0 Ex. Occup. oimErs UNS AEsID°ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TAL FEE $ 414.75 HAZ. D IMP FLOOD X COF pAgCEL Pp HD UE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. D to DWI Receipt No. 83.00 ' a WHITE-D.D.S.-B.D. CANARY -ASSESSOR I K -INSPECTOR I GOI DENROD-AP9yCANT a" •,Tr,+.r :ee�n�o.- ,.,�.::. - +�ytia.r�y�:�-„:. aR :& 7R�L)A - ♦ ��a.-, ,_ ... '. ,.^.rL ,r..r+ytr.--»-�^+.,iv..�..j}«,�:..'ny,�vr.,.`�i��"'.+.-ib'."`.Ki/+.•4V'1t"-F' a_,`.,.i.`+.��'i��n n,,/.yt�Fj -CO'UNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,;XL-IF,OI'.NIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: f . ASSESSOR PARCEL NUMBER: /—� Proposed Building Use: /j'f � {� p« �� Building Inspector: - Date: At time of permit application, t was advised the following data must he submitted prior to permit processing and/or issuance: Date Received By 111. All iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications.----------------- ` .Fees of $ 3 3 1.75 ------------------------------------------ - - Impact fees as shown on the attached schedule. r L----------------------------------------- XK 16�2!California Department of Forestry plan approv fees - ------------------------------- --- 3 • D 1 3. Flood elevation certificate.---------------------'� ------------------------------------------------------------- / 4. Sanitation and plot plan approval Lealth Department. ------------------------------------------- 0 ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- a ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑a 19. Encroachment Permit for driveway (constructio approval prior to occupancy). ---------------------------- L Ll;ection for f'NYi required. Request to Building Inspector on (Date) 021. Contractor's license information. (Number, 4ame Style, Classification). ------------------------------------!` ❑ 22. Workers'• Compensation carrier and policy number. -------------------- --------------------------------------- E-123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ---------------------------- --------- .024. Iftter of signature authorization. -------------------------------------------------------------------------------- rded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 6. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A ❑Gran�Q trD , ❑ M.H. Title, • ElCheckk to H.C.D $ .--------------- 030. Other: � A I I CJi , C C D ql- 6 qq2------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at „ office. ❑ Deliver with inspector. / Applicant: Y Date: Gl Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ XdNllufton Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numb red: ❑ Plan Check List 2. Additional items required: D Contractor, designer, owner, was advised of the above equired data y ❑ pifone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Da Plans reviewed by: Date: Plans approved by: Date.. Sets of plans on hold in iiPlan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development -Services, Building Division U E.H. USE ONLY Rot Plan Attached Floor Ran Attache„ Sento 8.0. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 0 P-4 P -Q r)4 inn Owner Location AP#' Plan Approved for: Sewage Dispos t Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: s &4S - Environmental Health Specialist 8/96 Date Q� COUNTY OF.HUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - [WILDING DIVISION .. 7 County Center Drive a Oroville, California 95965 - Telephone (530) 538-7541 pEnmir 140. !Rev. 12/96) APPLICATION" ANDPERMIT— •6la— ., NSEa°OgPARCB.rlUbQ[il 0— rot,; �" BUILDING PERMIT OWNIA T 2rie 1 SO. FT. OCC. BUILDING VALUATION c OWN01 MAUNO MS t r — cow as NAME ` -(h0n TDIII'rroNe COMgACT031 A • z OA q5-275 coNs Trax,n01J t.rmEn Fire lace U:NDER'E MAKR#O ADOrt"S Total Valuation = AAC afCt OA uearJEfn ucEresc NO. Filin Fee 20.00 Permit Fee �7 r d -E $ g -a , %S AAcm"cT On vxm Etns w.UNO AODMS Plan Checking_Fee b �� UO eULMGADOFIESa r -,i,1 Y it � Ln. Energy Plan Checking Fee a PERMIT FEE E (}�(, , T7$ IDTNo PAnCEI. MAP USEOFSTRUC•TURE SF ❑ Duplex ❑ Mobilehome Other NMFY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater _ 23.00 Water piping 15.00 1<00 Each gas water heater c( vent 15.00 �-- TYPE OF WORK NewAddition 11Remodel ❑ Utilities ❑ 6rstnCation ❑ Otlrsr ❑ Describe Work: K) 1�W I iI,4 Gas piping_ stem 1 - 5 outlets 15.00 .00 Building sewer 15.00 PO . Mobile Home S G W Q20.00 PERMIT FEE = 5 ELECTRICAL PERMIT I Filing Feel Main Service 23.00 -20.00 ' 'PERMIT FEE PAIN �i �� Ov SRA 9 SHERIFF � OTHER. $ AMOUNT RECEIVED $- l �7� GU 'RECEIPT NUMBER �� f � ��) TO BE PUT INTO COMPUTER Main Service 200A TO r000A 46.00 CONST. OWE11RKl OCCUP. OA ADDNS. 6 ACC. BIDS. 3 5¢so. R. NOKAcsto @7.50 POWETI APPAAATUs a svgau OVnET CA EX. Occup. ovnET Oq FvTUncs xo 0 r.00 BAL .50 Ex. Occup. OSS ESAPPL1ID.OEA 5.00 Temporary Service 23.00 Mobile Horne Facilities 20.00 MiSC. Wiring _ 23.00 PERMIT FEE S Go MECIiA14ICAL PERMIT Filing Fee 20.00 Healing Coolin Hood 8.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ _ Energy Inspection Fee E 7Az CONST. TYPE .rOTAI- FEE $ 75 14 D./EES uro HOOD r Ac rD m cs of This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON I ' 2m0 1 —�0 1 0989 Recorded I IEC FEE 1,11 OfficialRecordsI CONFORM .ADO 6 _ (�, I CoBUTTE f I And when recorded mail to. `"C CANDACE J. GRUBBS I Building Division Recorder II ` 07 County Center Drive ROSEMARY DICKSON . I Orovillc, C2.9S96S Assistant I Nikki 10:52AM 20 -Mar -2001 I Page 1 of i AGRICULTURAL STATrMrNT OF ACIUIOWL mem, T FOR_RE.SIDENTIAL DEVELOPMENT Section 2" of the Butte CountyCode re uirrs this . g recorcl� prior to issuance of a building permit. Tile q �cknowicd mcnt to be Property described hcreiu is adjnecm to land or included within an arca 7.oned for agricultural pu property may be subject to inconvcnicnccs or discomfort Yroin the rposes, and residents of this use or agricultural clacmicals. 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 generale dust, smoke, noise, and odor. Butte County Uas established agricultural purposes and residents within said zones and on ndjaccnt property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County orButte. State of California. described as follows: arcel.2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA{ ON OCTOBER 16, 1981, IN BOOK 86 ofMAPS, AT PAGE(s) 48. n Date; o PROPERTY OWNERS: • � rf� �j�f�EA�ccK. Statc of califo ala ) County of ) On beton mr, personallyappeared J (J �� k-&, COG [✓ known to me (or proved to tile un the basis of satisfactory evidence) to bmrsonally e the person(s) wlaosc namc(s) is/arc subscribed to the within instrument and acl:nuwlehrd to me that hc/shr/thcy executed the same in his/her/gaeir authorized capacity(ics), and that by his/lacr/their signature(s) un csccuthe instrument, the lacrson(s) or, (tic entity upon bchalt of wiucla the person(s) acted, led the Instrunacaat. Wl'I'NESS my hand and urrici:al seal. . PAULA ACCOMAZZOC COMM. 9 1271865 Signature NOTARY PUBLIC -CALIFORNIA Seal: PLACER COUNTY i) o COMM. EXP. JULY 24, 2004 A.P-0 Dal -070_ ��� School District A.P. Number Property Owner A, Property Locationh Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CEiRTIFICATION FORM (One form per Building) rholzdLe, ' Building Department No. Jurisdiction: City County OyZ,-, 600 Residential Development No of Living Units ,r- Commercial/Industrial Lot No. ..................................................................................................................: 0 i Sq. Footage jSA/ Mobile Home Addition/ *Supplemental to `)GJ R Installation Conversion Permit # eplFl l7.4L, *(No foundation inspection); See: A' I I gCOr'I C'(1 ............................................................................. . + Sq. Footage (Including Exterior Roofed Areas) 2 9,204t Dat (Floor Plans reviewed by School District Personnel) District Identification No. 0.10100 ' 4�z School District certifies that (Applicant) f (Set Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. C% ! Qo by payment of $ representing j1 square feet. JAB 2926S' FULL MITIGAT(O a School District Representative Date Paid by Check# -. Remarks: .Y N Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subiect to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm t COPY of Document Recorded 20 -Mar -2001• 2001-0010989 Has not been compared with original BUTTE COUNTY RECORDER And when recorded mail to: x Building Division 07 County Center Drive ` Orovillc, Ca. 9s96s ACRICUT TURAL STATEMENT ORA SNOW, ED HENT FOR RFSIDIsNTIAL DEVRLOPMENT Section 26-8 of lite Butte County Code requires this acknowledgment to be Property, described herein is udjaccnl to and or included within an arca zoned four prior rieultunpurposes.�of a building pern il. The Property m; be subject to iiuonvenicuces or discon►fon froln the use or agriculluralchemi�lsindingnbul n'oe'l s or (ed10herbicides, pesticides, and rcnilizcrs-. and from ilio Pursuit of agricultural -'operations including, but not limited to,cultivation, plowing, spraying, pruning, and h:irycsting which occ s,ionally 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 discomfoit from normal, necessary farm operations. incomenicnce or All that real property situate in tile. County of Butte; State or California. described as follows: "Parcel 2, AS SHOWN ON THAT CERTAIN .PARCEL MAP,`RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF'°BUTTE, STATE OF CALIFORNIA ON OCTOBER 16, 1981, , IN BOOK 86 of MAPS,, AT PAGE (s) 48. C Date. PROPERTY OWNERS: State of Calif oJ''iia ) County or. -'C ) On before lite, ,_�\ Personally apincarcd : J Vr within n me (or Proved to me le the bads of salisr•nctory cvldence) to be the person(s) whose namc(s) is/arc subscribed to (lie within hutrument and acl:nOwlcd'ed to ane Ileal hc/shchhcy executed the same in his/her/their authorized capacily(ics), and" that by his/her/their si�nnturc(s) un lite instnu tent, the Person(s)- or lite entity upon behalf of �rhich.the•person(s) acted,' } executed the Instrument. WITNESS my baud and Official seal. ` U PAULA ACCOMAZZO; COMM. 9 1271865 Signature i 0 NOTARY PUBLIC•CALIFORtdA % Seal: PLACER COUNTY { ` COMM. EXP. JULY 24, 2004 ` t &P.11 6) 7--0 70 0s' PRE -INSPECTION REPORT OWNER: Z LC2L'fk1 f LOCATION:2z� 0-M41nnn qltotml) CONTRACTOR: EN ro- act `t! 2 e� T ,yn e.S ' � PRE-INSPETION FOR: MI -7 , 1 Y,� 4r,M O 1 DATE: ZONING:: i DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE ( ) AS FOLLOWS: BUILDING INSPECT'OR'S REPORT. ` Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes No Electric currently On Off Condition of Electric Gas: Natural - Propane None �'�Currently On Off Obvious Problems: Sanitation: ` Plumbing Working Well Working _ Potable' Water Obvious SewageProblems V. ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector•. j Date, Sketch buildings on reverse and indicate location on property N 00 9 W 4 O W W m m o CD xA� �• mom= -P 00 v CDxA O .O 3 c N APPROVED Butte County Environmental Health Data --- --- co ---_-- Signature CD CD' cD OVERR p SET -- - 3a J�i CL FOR U- S AND EQu1PMEta EASEMENTS )CS HALL BE CLEAR OF ALL SIDE AND OM THE q4eS AN Q K OF REAR PROPERTY E AUI- Of - we FROM THE ROAD CENT�IP�MEI�IT �CCEpT = T. FROM D EO CTURES AN ? . gvE OVERHANG. FiEVItV1it-b- BY IRE DEPT. BUTTE O_.of FORES TR`�: CALIF. DEFT approved as submitted - 1 approved with conditions a ched ;he. A. 3 / PU t Date 41 4(�/ signature r M BUTTE� oma CA pr p fj 0 V P*l o�;19 - 0 rl0 -OSS. CDF FIRE SAFE REQUIREMENTS io��j AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by 'the Butte County Fire Department and are made �a part of this permit. These requirements are minimums and will be superseded by Butte County. local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 127.2.00 Maintenance of Defensible Space. To ensure -continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of.the de-fensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards (- 1273.02 Sur:f.ace. All driveway surfaces and structures (bridges, 1273.07 culverts and other appartezant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [� 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet. to those from 100-200 feet. [ 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�} 1273.05 Turnarounds. If required,' will have a minimum turning radius of 40 feet from the center of the road. [�} 1273.05 Turnouts. Shall be a minimum:of 10 feet wide and 30 feet long.with a minimum 25 foot•taper..on.each end. [�} 1270.10. Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .'_., j6 t7(J AP #. PERMIT # NAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but ,I less than 800 feet in .length, shall provide a turnout near themidpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all // building sites -on driveways over 300 feet in length and shall be within 50 feet of the.building.' 1273.11 Gates [ 1. Gate entrances shall be at least two feet wider than the roadwav it serves. I�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [�(] 1. All parcels 1 acre aild larger shall provide a mini- mum 30 foct setback. for buildings and .accessory .buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than .1 acre, local jurisdiction shall provide for the same practical effect See Other Requirements below. [ 1276.02 Disposal of vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation -and fuels caused by site development and construction, road and driveway construction and fuel modification..shall ba completed prior to completion of road construction -,r f_.ial inspection of a building permit. AP # PERMIT # NAME Other Requirements [ ] if Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ J If Building Setback is Less Than 15 Feet. Choose any.3 of the following: - Metal or no doors on side toward property line with -insuffi- cient setback - Class A or B'roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not -to exceed i0% of wall area toward property line with -insufficient -setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials 1. Owners Name: hn'cis�hondd.2 • 2. Assessor's Parcel Number: O&r%4442S 3. Installer's Name: c102aA U Q. OM 4. Is the site currently under permit? Yes[ ] No Permit No. r 5. Is the site an existing. site? Yeso No[ ) (If yes, furnish two plot plans). " 6. Whatisthe electrical rating of the mobilehome? CO Amperes. 7. What is the mobilehome site circuit breaker rating? ��oorl Amperes. 8. What is the electrical rating of the mobilehome site? Z-'�` Amperes. 9; Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is ; the rating? '1__op' Amperes. Y ' 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? YesV' ] No[ ] If yes, please identify the load and size: a). The mobile home site: . Load- Amperes b) The main service: Load- Ainperes- 3 -11. Type of gas service at ►nobilehome site: Natural[ ] Propane ] None[ ] 12.' Size of gas pipe at the mobilehome... site from the meter or tank: 1 A inches. Y, 0. What is the gas pipe length from the ineter or tank to the. mobilehome? 14. What is the mobilehome gas demand?. ��-a B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST' B&COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION ts(JTT '-=t May 1995 8.5 Mobilehome Manufkcturer: Manufacture Year: DDS If other than single wide, furnish Setup Model Number: Width: ft.) Length:_ ft.) Tagalong or Exparido Size ft.) On all mobilehomes - m.1nufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: , Wood pressure treated or foundation gradef4l Other: SUPPORTS: Concrete,block-N Other: - ----- G Provide Tie Down SpecificAtions for all Mobilehomes: _r, V-.V— Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Una I Line I Line 2Line 2 ................................................................................................. Main Beano Line Line I Line 3 Line 2 ............ ............................................... .................................... Main Beano Line 2 Line I ............ ........................... ........ Line 5 Tag or Triple ine 4 ................................................. > ine I Line I Piers: Size minimum: x r i Spacing maximum: From ends-maximurn:1 I Line 2 Piers: Size minimum: x Spacing maximum: k, 16 From ends -maximum ] I ' U Line. 3 Roof Loads:: Size minimum Location (frorn front): Line 5 Roof Loads: Size minimum: Location (from front May 1995 Line I Openings Size minimum: Each side of op'em'ng>s<,_, with width over:. Line 4 Piers: Size minimum: Spacing maximum: From ends -maximum:/ (N MUTTE C" I 4U1L0-1NG_DEPARTM1*___1,V11 M 0_V F 8.4 . IV1,t'v[1"j3"TvtL43o' ........ S 60 41 1 1 MUTTE C" I 4U1L0-1NG_DEPARTM1*___1,V11 M 0_V F 8.4 gN Lo / I Ir-- - -r �t Tit SIDJ all I@ ao MOM p 1" Ruin ' DEPAR. M EEN�. Fnizn 'H Z99 ON 'ON XV -1 WOMM 'SlldnH Qnn'm i-ia1 a Ido i h , l l nam nw..1-inrd / b �. �s 4.f CM 12 Root FZ TSAI ru WALL logo 07 ri 7 A CIL 7 3 A TZ -v Z) A 7 rI A c C A =3 5 57 .............. = .............. r v cd 301V Z MAX Z LOADS W2:1 umo -b 1.4 4X71 14�� uape" 71M! 2.A lr-- MANUrf,-TuRb 10 p HOUSING CONSI RIAM 1()N 70M. _3 A Z SAFETY ST, AN 21' <r %DARDS 00 A SEP -9 9 7995 1 C. -r -4.1 Q. cr, 5 T7 -r is A -30 B -B SEEELECT MAW rnST%l 2- 5- M;rrKW P FL4EE'l WC CD Mu S -%WITCsq UO -I AM CRjLLXWtG f,,rFoI LTGWr Irf'ZTURE At to Tyv L-AN'5 I *vromos-rAT AIR StyawLy FLOOR PLA SH T r -JD ir t CE1 I. - T r—UST L cilL �7 LI-pto naratsTm SLIME CE'tL,-_TCM -s-IL u kc 0 SIL -PORT pcsr RSV jR DOM SELL Tft&,IS,o,, "TUR" ANR CMUE V,G C4 5 <= !444rd st k"A �3 J. 77 mi AHF'Scu 75 .ChD'.$i1=P�CLSLd,CY.�Il�:JHP�"Eo- !_ NLLADS: L !DAD 'W= 1dUtL'T�' PAM 1 ZCStJ -LOAD-10 a ? 4lAp L7AL- SD 1`fPFi M=+c�Tf=ADAiN IISFa ON rn�-+•• • - j X 111 MAS'8c D�.DV . 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S urcrm - z YIN J r Mtx _ AIMS--O - GUS MARD ;:Oh-V ANY L•- Aft [STA='CCi1.6�7 G'4'S AM9 A .A�'tp.fl�Ti i7£7a SM,,, 7r5> C Mt1N'1b M&x r 15. FYP MG? PAMLSST 1 Ir. -C( ?L--A=M W=C&7Y$ VALLEY, CA. 9x-306 Ivu^ °= R_'szrrx: WIM Dstyn Arm tr �znfl. Tho-� 1~ ��` �/`l�'Z! �.7 - Sat ✓ 7 .. +.'.. wr.. /I'• ,. -.fir' .. - -S: � : �-w ti �-+ -.' r�--'- d •.. - ay, .a_�T__�_�� R'J• -_ ^•-' y d'-r'f -'1 tw. ' _ - ..i .. . J' r - - ir. .�4� i� -, .:. -i'M'_ i '_I -Y -,� . . - -3' �- F -rte +:i-4 ... - - ".{ •Tc': i�-'`'-,�-• .-�r--` i - 2 :1= -'-fit•^ �.. `-i-ati n-' I ter- .. .. r �^ : f.• -.r - �� ..Y--S�i•.ei•� • - . . � I I :xx ... .. ..... . ...... ...... ............ .... ............ I$ ...... .... ..OWNER: tar V -e- DATE:. LOCATION:'P'.# qg,, A.12_: CONTRACTOR: ZONING DATE TO INSPECTOR cS �E � AS FOLLOWS: RMIT HISTORY:;[,, ]NO TYPE OF OCCUPANCY: BUILDING INSPECTOR'S REPORT Building Description: [ ] Pommercial/Usage: Residential/# of Units: `'Mobile Home: Yeslt-.-T No[ Currently Occupied. Abandoned/Vacant. Electric:,' Yes No Electric is currently ]On IV41off Condition of electrical? - Gas: Naturalf Propane[��NoneEf� Cun:ently On[ off [v�/ Obvious problems: R�T,, �4 - _�t > V Sanitation: Plumbing working Yes[ No[ L/I Well: Yes[ 'VN01 Potable water: Yesf-- 'No[ Obvious Sewage Problems: zj_tin Description of Damaged Area: 41"1 C,84 Estimate valuation of Damaged -A --Kea: inspector:\,4�AU M. Date: J=OK O = Not OK =Nt able MOBILE HOMES ' ' =NooReady Not Ready Date MOB!,LE HOME UTILITIES (Plans) OK except #'s Zones Requirements -Setbacks -Easements s;"Special MH Support Sketch S r; Location -Test -Fall -C/O Concrete ater; Location -Test -Easement Needed (Sketch) _ ctricity; Location-Clearences-Grnd-/ /Amp -Concrete , 6. s; Location -Test -Wrap: / /"L"ft. l /"Nat.or/ /"L"ft./ /"LPG ` 7. Wel 1a e & Disconnect t,-'8. Utility Clearance Date Card B-1 ate Card B-1 Date('' -- --1/14-Gard B-1Date Card B-1 Date_ Aftl--E-HOME INSTALLATION (Plans) OK except #'s i . Zo 'ag Requirements -Setbacks Easements fir„ :''Footings; Size -Spacing -Marriage Line ".— z ray naFa Tem°-Demand-Valve—Connector icity, MH Test -Crossovers -Breakers -Clearances r ' ; MH Test -Fall -Flex Connector 6. er; MH Test -Regulator -Connector and Sewer Connected -C/O to Grade -HD Approval ,• s and'Electricity Tagged •` s; nsp.-Sketch 10. Cert. of Occupancy Dat and B-1 Date Card B-1 ° Da -rd B-1 Date Card B-1' i { t r- I MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card -B-1 Date Card B-1 'J OK O = Not OK r = Not Aeady ble RESIDENTIAL (; = Not,ll�eady Date UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----------- ---- --- ---------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------- ---- ------------------ 19. Shower Pan: Test, First Floo-r-Tub Access ----------- - ------------------------- 20.--Test---Tub & Shower. Second Floor -Tub Access ------------------- --------------- ---- 21. Gas Pipe: Size & Anchors Date - - - -Card B_1 - Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's ---- - 22. Fixture & Transformer Clearance -Ins. Protection --- ---------- -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------- ----------------------------------- --- 24. Size Boxes & No. of Conductors -Stapled --------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------ 26. Equip. Equip. Ground made up w/Meth. Faslners-Bond Gas & Water --------- -------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------------- ---'------------------------ 28. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / ! ga. _ _Cu or AI - ------------------------------------------------- 29. Range Circ ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No ----------------------------------------------------------- ---------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------------------- 31. -Equip. -Clea rances Panels -Motors -Meth. Equip. -------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -------------- - ----------- ---------------------------------------------------------------- 33. Smoke Detector -------------------------------------------------------------- Date --------------------------------------------------------Date Card B-1 Date Card B-1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except 4's 34.- A. -C.- Ducts Insulation & Support ------------------------------------------------------------------------------ 35. Vent Fan: Exhaust above insulation ----------------------------------------- - -- - - - ------------------- 36. ----------- ------------------------------------------------36. Condensate Drain & Overflow: Size & Grade ---------------------------------------------- ------ ---- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --- - ---------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ------------------------------- ---- --- --- -------------------------- ---- --------- Date Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except N's 39. Sils. Proper Material & Anchors r. -------------------------------------------------------------------- 40. ------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------------------------ -41. --------- ------41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) ----------------------------------------------------------------------------------- ------------- 43.. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub ------ ---- ------------------------------------------ 44. Headers & Beam -Size & Bearing Nngle & Duplex) Date FRAMING (Continued) c 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr, ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. --- 47_ Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing _ _51. Property Line Firewall & Openings ____ - - 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits __ 53_Siairs Width -Headroom -Rise -Run -Landing -Fire Protection --- --54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --- -Date------- -Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings --- ------------------- 62. Smoke Detector --------------------- 63. --------------------63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection -------- ------------- 64. Bedroom Exiting 65 G.F.I. & Bath Fixtures & Tub Access -Spa -------------------------------- - 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ----------------- ------------- ----------- ___________ 6T Stairs -&-Rai-Is---- 68. Rails68. Fireplace_or Stove: Clearances -Hearth ----------- - - - - - 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ----------------------------------------- --- - ----- 72. Garage Fire Door Swing -Landing -Closer 7A.C.-Duct in -Garage -Damper -----------3. --------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage_ Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------- 76 Elec. Receptacles in Garage; (G.F.I.)-Romex Protection -------------- ------------------------------- - 7;. -Insulation -Foam -Looked in -Attic 0 Yes ------------------------ - 78. Guard Rails & Deck -Const ruct ion -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes -------------------------- ---- ------ 80. Followinginstld.; Drive 0 Yes 0 No: Walks 0 Yes 0 No; Planters 0 Yes -----------0 No ------ 81. Stucco: Brown -Finish ------------ -------------------------- -- -- 82. A_C_Unit, _Disconnect. Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ------------------------------- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House ------ -------------------------- 87. Glass Protection ----------- ------------- ------- ------ ----------------- 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged: Gas -Electric -------------------------------------- ---- 90. -Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy -Compliance -Certificate. -Other Certificates ------...------------------------ ----- - - 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: MOBILEHOME INSTALLATION ACCEPTANCE 'COUNTY OF'BUTTE ---- DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILL6, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 o PERMIT NO. Address or location of mobilehome !�y J_j Owner's name Owner's address /%'� Insignia or huh number/9)y 3: Manufacturer's name 1!2 ial number of V.I.Nr- X Year–of Wnufactu cidl pproving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE a MOBIUZHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White -'Owner, Yellow - Installer, Pink - D.P.W. � �'ti-`..KY'Y'tir"�.w'-•..�-s-,..'"Y�„""^rt-s�-�..+"'....ri�"�'",�'{'��^�"Y�+. t„H'�.51't`.4'I.0 Z�"; ^. �`.� _ rii: '/I•• r^'46'�� COUNTY OF BUTTE _ z• DEPARTMENT OF PUBLIC WORKS • 1469 Humboldt Road, Chico, CA - (916)-891-2751. A 7 -County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 87.2,Y6307 CORRECTION NOTICE `{ S OWNER PERMIT 1 A routine inspection indicates that the following violations of Butte.County Ordinances'exist at 'Y , the above address and should be corrected. Please notify this'office When -correction of 'work -, is completed. If have any questions pertaining to this matter, or need additional explanation; >y please con t this office immediately. °} P -10 AA2 Z4 EL _ yL, r J :J r• .. f t �z Date spector REV 11 /9 1 - , COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE e OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. s r Date v+ ` �e**1nspect /) REV 11/91 ( r .-.4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-27,51 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE" y r,. 4 OWNER PERMIT NO. --S= A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction. of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. t. COUNTY OF-$UTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Canter Drive - Orovllle, California 95965 - Telephone: 916.`538.7541��� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER r• 27-07-55 ZONING ARMH 5 BUILDING PERMIT OWNER DARREN STAFFORD TELEPHONE 534-7401 SO. FT. OCC. BUILDING V •L'GATION OWNER'S MAILING ADDRESS 222 CYNTHIANN LANE OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ HAN 20.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 222CYNTHIANN LANE OROVILLE Permit tee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeq Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationu Other ❑ Describe work: MH I 500 SQ FT MIN _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 20CATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their Sole Compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&\ OR ADDNS. 1 ACC. BLDGS. rI 3.64sq.ft. NE ET W NON-RESID. CONSTR BRANCH CULTI-OUTIRLCITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 9 76, FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against,said County in consequ n e f the granting of this permit. X` \ (� ' D - '1 Z , Date Signature of Applic — Owner Contractor E] Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105.0 HAz 0FEES I IMP LOOD ✓ CDF PA HD Issu This permit is hereby issued under the sions of the Butte County Code and/or work indicate a ve for which fees TO, PUBLIC By PE IT EXPI E Date _ applicable provi- resolutions to do have been paid. WORKS Date e' � Receipt No. 116855 R,FjI� V�?2tJ? WHITE-D.P.W., YELLOW-A58ESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 'COUNTY OF BUTTE] PARTMEN� OF PI B"LIC ; BUILDING DIVISION . 7 COUNTY CENTER DRIVE - O�RgOr/VI,1ffE, CALIFORNIA, 95965 - TELEPHONE (916) 538-7541 PERMIT AP'P'LICATION DATA SHEET OWNER Proposed Building Use Building Inspector 6P.No. C)--7- 0---55 Date 6 - -;,' - `%2 At time of permit application, 4 was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Blot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ................ 8. Engineered truss details and layout in duplicate (required prior to plan check) . . -- 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... -cJ Fees of $ ......... . `Impact fees as shown on attached schedul -54kml. g?✓„ !N..8. S°�?.......... . California Department of Forestry plan approva, ees S. ....................... . 13. ood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ........... . 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements ,(B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for N to Building Ins a est required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner )...... ..... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... '28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. �» 34. Wheyyou issue the emi�rocess, as follows: Mail to owner. Mail to contractor. h nand hold for pickup at office. Deliver with inspector. Parcel Creation Acreage Applicant Iy G�. Date (O -a qa Al Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other _ Date By The following data must be submitted prior to permit issuance: (Circle n 1. Index permit for above items No. 2. Additional items required: checked above). Contractor, designer, owner, was advised of above required data by _phone _mail Counter by _Date Contractor, designer, owner, was advised of above required data by _ phone _ mail ounter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works' `7 Z 71 ::COUNTY OF :BUTTE -DEPARTMENT OF PUBLIC _WORKS := BUILDING DIVISION - 7 COUNTY CENTER DRIVE"- OROVILLE, CALIFORNIA 95965 --TELEPHONE' (916)5387541 OWNERf A . P :. NO. _ /ti_ PROPOSED BUILDING USE �r�' DATE. - - C9 2- ` - - REC . -# _'DATE REC 1. School Distric •;Fees t / (paid at Distric Of V 2. Sheriff Fees - `- (paid at Building Department) • „• • _ - _ Residential ..::. _X ,3 , " unit "Commercial(per' amt_.. sq". ft.) X _ sq.ft. amt.. f 3.,.,Urban Area Fees - - - (paid - - at Building Department _ - - Residential. (per unit).' X _$ units'- amt. Commerical per sq.ft.) X _$` - sq. ft.' amt.-- mt. 4. Recreation District Fees 4.' : (paid at District Office) ......: . .. ...... 5. Drainage District Fees �'. (Contact Land Development) .... .. , .." x 6. Other 7. Other s At time of permit -application, -I was advised the.above"fees are required to be paid prior to issuance of the permit: APPLICANT DATE -a • CD 2-o O(EUCOUNTY OF BUTTE - DEPARTMENT OF WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916!538-7541 APPLICATION AND'PERMIT ASSESSOR PARCEL NUMBER 1. �`7- d7- SS ZONING ff�li'fs BUILDING PERMIT OWNER f 14 TELEPHONE .say- 7410 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS aha G N4- r'4A/A) UV CONTRACTO NA e -c TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ , C!�,� ARCHITECT OR ENGINEERLICENSE ND. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS�� I (liA'� ' ,� r o� a K /I (-(V �� Permit fee $ 3 s' DA PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome�& Other SPECIFY_ Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK te New ❑ Addition ❑ Re/model [:1 Utilities [:1InstallationC5 Other ❑ Describe work:/ s0©S6? 1—s Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 - Main service 600V OR LESS 200A OR LESS 18,50 Main service 200ATOI000AI 37.50 CONTRACTORS LICENSE LAW- ' I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9,.Div. 3 of the Business , and Professions Code and my license IS In full force and effect.- License No. Classification ❑ I, as 'the owner, or my employ ees with wages _ as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) - ❑ I, as the owner, am exclusively contracting with licensed contract-. (Sec. 7044) - ❑ I am exempt under Sec. = , Business and Professions Code - for this reason NEW CONST. DWELLING OCCUPM OR AODNS. ACC. SLOGS. // 3.64 sq.ft. NEW CONSTR ULT' -OUTLET N ON."ESID BRANCH CIRC ITS @ 5,00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES. 20 760 Ex . Occup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities_ 15.00. Misc.-Wiring 15.00ors. Permit Fee $ Contractor - — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant – Owner❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr3gstoriesoin heighttions over S'0" deep and demolition or construct- Mobile Home Installation Fee 70 Ener Inspection Fee $ Energy P occ CONST TYPE TOTAL FEE $ /OS HAz 1 0FEES I IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. 5S WNITE-D.P.W.. YELLOW-A38E33OK, PINK -INSPECTOR, GOLDENROD -APPLICANT a3AO*8ddV tip tib Am= mini -111 ♦, \ •eP°J- joolj+o813 Iouoi+Aly aye • . put) sapo0 •looluoy�alry )g 6uigwnld ,6u!plmq mjOj!u e ul esn ei had at ao u F a �sajd A4!jonb o } o PUD sa*l+'3aJd Poo9 pazlu6oaa*8 y.i.lM eounhJo3ay i1 89 IAS dlysuow�oy`V Pe+.pW liv—:310N 's�aoM oilgnd•sung }ogunoD v I } o }uauavedad aye uaoa} uolssiwaad uajjpm Ino .44!mawes uo suoi}e.ia+le ao sa6uey /� a�ew .�}In}^"elun si 3j pue sawi+ Ile +e q°l 943 uo +da aq 1Sf1W suol+epi}bads pue sueld }o has s!yl ' n• ,`JG p'/VV 6uegaano an48 3deoxa 3uawd+nba 10 ain ruin ' 10 yeaio aq It --u f peoa agl woal •3}.0,5 A V 10 �oeg3as a pug sau�i. I(3.iadoid .env 641 wou IM 10 Vecit"S V - -awoy Qt allgow ay+ }o u01+e11QSu1 :)Lit ao} paimbaa act 111A,,+Iwaad v S31180W 2103 f WnwlNiW 'JA *OS005 r APPROVED . Butte County Environmental Health Date = ' "• Signa re :1L.`i10TL ,SL1'!'t?1U D.;'TA If other thin'single wide, Mobilehome Mfr. �' /li Cq t furnish Setup Model No. u Year 6 Width (ft.) Box Length _% ,(ft.) Tagalong or Expando Size—LIZA . x ft. On all mobilehomes manufactured after October 7, 1973, furnish tlanufacturer's installation manual and structural setup sheets (if not on file with the Councy of Butte). FOOTINGS (check one) Ell. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)Ek. Concrete block. El 2. Other (specify) . Pier Footing Sizes and Locations Main Beams Main Beams — — _• — _ — — — _ — Tag ort,41riple - Line I Line I Piers: Size -Min. ------------ Spacing -Max. --- From End ax Line Z Piers: Size -Min. ------------ O „ Spacing -May..--------- From Ends -Max -------- Line------- Line 3 knot Laads: Size -Min - ------------ Location (From Front) MULTI -VIDE Line 1 Ooeninea: Sire -Min. ----------------- Each Side of Openings With Width Over --------7 Line 3 Piers: (Under Bearing Wall Only) Size -Mia. .................. „x „ Spacing -Mas................ From Eads -Max.------------- „ Z4 x3a �� J�2 /�E.4ci yv6 .yae-r�r�-,�.✓s t _ .1 Gi••i• -Citi• —J�, _ ••� _ _ _ e 4 Piers: Sige-Nin.------------ Spaying-nax.-..------ .. From Ends -Mas. ------- Line S Roof Wads: Size -Min .------------ location (From Front) e 5 Piers: (Under Bearing Wails Qn17) Size -Min.------------------ Spacing -Max. ----•-------- From Ends -Max.------------- " aI DEPARPMENT X11', F>�ik i` BUTTE COUNTY DEPARTMENT Ok PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: i r nq I=F0 L� 2. Installer's Name: ^ L� : L•I:- f7�•'1'1 ��^' ���- "� C_ 3. Is the site currently under permit? Yes No (If yes, furnish permit number Is the site an existing site? Yes (If yes, furnish two_ plot. plans:.,)_ _ _) OR No 7 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach i fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- •f'g� Amps 6. What is the mobilehome site service rating? --------------- Amps 7. What is the mobilehome site circuit breaker rating?-----'`�C� Amps 8. Is there any other electric load to be served by the IR mobilehome site service? ----------------------------- Yes No (If yes, identify the load 4and size . ( Load) : (Amps) 9. What is the mobilehome site gas pipe size? -------------- _ (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?-------------------------=------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This`, information not required if pipe length less than 6 ft. on natural gas.or less than 50 ft. on LPG.) (BTU) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 27-07-55 -,, ZONI-ISG "' ARMH 5i BUILDING PERMIT OWNER DARREN STAFFORD TELEPHONE 534-7401 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 222 CYNTHIANN LN OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE �.. CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS *T�f OROVILLE 222 CYNTHIA.',b. LN Permit fee $ 0.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ��- (� PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome®X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 45.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation❑ Other ❑ Describe work: MHU 500 SQ ST MIN _ Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR 200A OR LESS 18.50 18.50 Main service 200ATO1oo0AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.& 3.6Q sq. OR ACDNS. ACC. BLDGS. NEW CONSTR UTI -OUTLET @ 5 00 NO N.R ESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@76d FIXED APLNS Ex. Occup. OUTLETSP(RESIO IREA.) I 3.00 Temporary service j 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ 48-90 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation —:Penmit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I'abil judgments, costs, and expens s which may in any way accrue agains ai County in c eque th anting of this permit.1. X Date } S' afore of Appl cant — Own Contractor Agent ❑ ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P occ I CONST TYPE TOTAL FEE $ 128. HAz DFEES IMP FLOOD CDF ARC PD IsSU This permit is hereby issued under the hcable provi- P Y PP P sion sions of the Butt County de and/or resolutions to do work indicat abo r hich fees have been aid. P R F PUBLIC WORKS BY ate'����! PERM EXPIRES Date Z Receipt No. 110215 i WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT cry-•-•. `r•t,,.-^rv„p�...r---r.> - -�- - yis�,-�'i,v'>-.r,fi%*,.1.,/.� .�.�%q�.s�`:.�,;� ''c�'.T'i"�.!"^''+�,.�.f� . +a41`, �...� ... , -�.... �._ _ `. COUNTY OF BUTTE - DEPARTMENT OF.,P,UBL.IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROWkE; CALIFORNIA 95965 - TELEPHONE: 916/538-7541 { PERMIT PWj � ATIOIV DATA SHEET L•` _ " s`a' Permit No. OWNERC�C',� C�� O� A. P. No. -7 -0 70 -CSS Proposed Building Use MH -U" ~Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ' DATE RECEIVED APPROVED 1. All items have been submitted . ..................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and rl'ayout in duplicate (required prior to plan check)"'!"" 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ............... 12. Park fees paid ................................................. 13. 14. R School District fees paid ............... Sanitation approval from EOZO(IdIL2 Health Department 31 ION& 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW Q-_V_A- 19. Driveway permit (construction approval required prior to occupancy) 3) t 0012 PIS - S20. 20. Pre -Inspection for required Pre-Inspec.'request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 3 25. 26. Letter of signature authorization .... ............................ . 27. When you issue the permit, process as follows: Mail''t,t��of�"owner. Mail to contractlar. r� Telephone .53y -AP/ and hold for pickup at ��00 office. Deliver w/Inspector. Other "�� Appl ican .Date (�` 2 - Copy of Hdz-Mat form sent Health Dept. Fire Dept, Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nail—counter by .date Contractor, designer, owner, was advised of above required data by one_mall_coun r by date Plans checked by Date PI approved by Date 3 Sets of plans on hold in Copy—DPW File cabinet, " AP folder TO:• Building Department" } w COUNTY N0 E� E FROM:: Encroachment Permit Section RE: Driveway Clearance owner ` to ation Ar # �. . 'Driveway permit �/Ze n e,Mlej has been issued for `the above property. date si ature .� Td- Building Department 1 y FROM: Environmental Health SUBJECT: Sanitation Clearance a L n n Owner- Lo cation APF Plan Approved `for: Sewaqe Disposal water {Supply, Hold final for: Water Supply Final clearance O.R. for Water Supply. Clearance for bedroom obile ome. Other. HOTS x *: Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. AS$FS�,O �P ARC E�N'U MER LFJI (//) ZO ING BUILDING PERMIT OWNER je D TELEPHONE 53Y-.���_ SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS t L N9 Z22 C N I CONTRACTOR'S NAME - OWN � TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 22 Ci- nz> Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2Z Z nl G IV A) N Permit fee - $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF EDDuplex❑ Mobilehome Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home G @ 15.00 , D� TYPE OF WORK New❑ Addition❑ Remode�l[/] Utilities Installation❑ Other ❑ Describe work: &H- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20000A A OR LESS OR LESS 2 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (See. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ OR AODNS. ACG. BLOGS. I 3.64 sq.ft. NEW CONSTR. • ULTI.OUTLET NO N•P.ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURESRAL O 76d 460 FIXED APLNS,El Ex. Occup. OUTLETS P(RESID IRE A.� I 3.00 Temporary service 15.00 Mobile Home Facilities Misc. Wiring 15.00 15.00 Permit Fee $ 'O Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant — Owner 9 PP ❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr 39 stories ineheight Ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE V $� HA2 rEEJ= CDF PARCEL PD Z ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 1102-1-5 WHIT[-D.P.W.. YELLOW-A93E330R, PINK -INSPECTOR, COLO ENROD-APPLICANT Return to DPW �`'�_�Gk1GUhTUR STATEMENT OF ACKNOWLEDGE!NT FOR RESIDENTIAL DEVELOPMENT Scion 26-8.1 of the Butte ,County Code re4tres this acknowledgement be recorded prior to issuance of a building permit.. ntn ��WITH All 'that real property-. situate in -the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION 40 di Lo�J`�•� ' c6 Pate: 3—/9-1$7`/ - State of CA. ) SS. County of BUTTE ) OFFICIAL SEAL • • ANGELA 0. AASTF1.OTTO e • NOTARY PUBLIC-CAUFORMA ' 'Principal Office in BUTTE County, • MY Commission Expires SEPT. 14,1M • OWNERS: On this the 18TH day of MARCH 19 undersigned Notary Public, personally appeared y1 , before me, the Personally known to me. ® Proved to me on the basis of satisfactory evidence. - to be the persoA(s) whose name(s) ARE subscribed to the within instrument and 'acknowledged that-- ,� executed the; same for, the• purposes •therein contained. IN:WITNESS-"; WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 0 Q _C) -0. Notary'Public ^, tv ComrA1INlEt�q The property described herein is adjacent naJrn f Al nnC to land or included within an area zoned 92_011673 for agricultural purposes, and residents of this property may be subject to incon— veniences or discomfort arising 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, plow' spraying, pruning, and harvesting which occasionally generate dust, sm�o e, noise, and odor. Butte County has established agricul— tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property shouldbeprepared 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 ATTACHED LEGAL DESCRIPTION 40 di Lo�J`�•� ' c6 Pate: 3—/9-1$7`/ - State of CA. ) SS. County of BUTTE ) OFFICIAL SEAL • • ANGELA 0. AASTF1.OTTO e • NOTARY PUBLIC-CAUFORMA ' 'Principal Office in BUTTE County, • MY Commission Expires SEPT. 14,1M • OWNERS: On this the 18TH day of MARCH 19 undersigned Notary Public, personally appeared y1 , before me, the Personally known to me. ® Proved to me on the basis of satisfactory evidence. - to be the persoA(s) whose name(s) ARE subscribed to the within instrument and 'acknowledged that-- ,� executed the; same for, the• purposes •therein contained. IN:WITNESS-"; WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 0 Q _C) -0. Notary'Public Q ORDER NO. BU -124993-3 • r, J DESCRIPTION. ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF -CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 16, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 48. PARCEL II• THAT CERTAIN 60 FOOT NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY EASEMENTS SHOWN ON CYNTHIANN LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 16, 1981, IN BOOK 86 OF MAPS, AT PAGES) 48. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF GROUND 60 FEET IN WIDTH LYING NORTHERLY,. WESTERLY AND CONTIGUOUS TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT ON THE ,EAST LINE OF THAT CERTAIN PARCEL DESCRIBED'IN DEED TO NORTHWEST PACIFIC RESOURCES, INC., RECORDED SEPTEMBER 6, 1980, IN BOOK 2539, OF OFFICIAL RECORDS, AT PAGE 38, FROM WHICH THE NORTHEAST CORNER OF SAID NORTHWEST PACIFIC RESOURCES, INC., PARCEL BEARS NORTH 00 DEG. 19' 39" WEST 60.00 FEET; THENCE FROM THE POINT OF BEGINNING SOUTH 89 DEG. 03' 09" WEST 254.15 FEET; THENCE SOUTH'02 DEG. 01' 51" EAST, 244.14 FEET; THENCE SOUTH 04 DEG. 56' 09" WEST, 655.78 FEET TO THE CENTER OF THE EXISTING RIGHT OF WAY AS CONTAINED IN SAID DEED. THE SIDELINES SHALL BE LENGTHENED OR SHORTENED TO FORM A CONTINUOUS STRIP. j PARCEL IV• A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH OVER AN EXISTING ROAD AS SET FORTH ON THAT CERTAIN RECORD OF SURVEY FILED JULY 5, 1974, IN BOOK 47 OF MAPS, AT PAGE 93, THE CENTERLINE BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: CONTINUED - PAGE 6 .41 A ORDER NO. BU-124993-3 PARCEL IV: CONTINUED BEGINNING AT THE SOUTHWEST CORNER OF LOT 3 OF SUBDIVISION NO. 2, AS SHOWN ON THAT CERTAIN, MAP ENTITLED, "MAP OF THE SUBDIVISION NO. 1 AND 2 OF THE P. C. DRECHER TRACT", WHICH MAP WAS .FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY .OF BUTTE, STATE OF CALIFORNIA, IN BOOK 1 OF MAPS, AT PAGE 25; THENCE FOLLOWING ALONG THE WESTERLY BOUNDARY LINE OF SAID LOT 3; NORTH 0 DEG. 17' 00" EAST FOR 89.58 FEET TO A POINT LOCATED IN THE CENTERLINE OF AN EXISTING ROADWAY; THENCE FOLLOWING ALONG THE CENTERLINE OF SAID ROADWAY,,SOUTH 30 DEG. 44' 40" WEST, 432.63 FEET; THENCE SOUTH 35 'DEG. 16' 10" WEST, 496.53 FEET; THENCE SOUTH 65-DEG. 27' 00" WEST, 713.80 FEET; THENCE SOUTH 41 DEG. ,021 00" WEST, 228.54 FEET;,THENCE NORTH 75 DEG. 30' 35" WEST 106.02 FEET; THENCE NORTH 3 DEG. 04' 55" EAST 225.42 FEET AND BEING.ALSO THE TRUE POINT OF BEGINNING FOR THE CENTERLINE HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING NORTH 13 DEG. 29' 35",WEST, 367.16 FEET; THENCE NORTH 66 DEG. 11' 05" -WEST, 558.40 FEET; THENCE NORTH 53 DEG. 07' 05" WEST, 186.77 FEET; THENCE SOUTH 78 DEG. 04' 25" WEST, 285.73 FEET; THENCE NORTH 75 DEG. 36' 15" WEST, 245.53 FEET; THENCE NORTH 54 DEG'. 19' 45" WEST, 283.57 FEET; THENCE NORTH 61 DEG. 31' 05" WEST,° 255.29 FEET; THENCE NORTH 73 DEG. 35' 45" WEST TO A POINT THAT.BEARS SOUTH 60 FEET FROM THE CENTERLINE OF THE EASTERLY EXTENSION OF BOHEMIA AVENUE; THENCE WEST AND PARALLEL.WITH THE CENTERLINE OF THE EASTERLY EXTENSION OF BOHEMIA AVENUE TO A POINT ON THE EASTERLY, BOUNDARY OF CITRUS AVENUE AND THE END OF THE HEREIN DESCRIBED LINE. I PAGE .7 � r COUNTY.OF BUTTE Department of -Public Works 7 County Center Drive:, Oroville, CA. 95965, Phone: 916-538-7541 t OWNER -BUILDER VERIFICATION Attention Property Owner,:" An."owner-builder" building,permit.has•been applied -for in your name and bearing your signature. Please complete and return this information at your earliest opportunityto'avoid .unnecessaidelay in processing and issuing your building permit. No building permit will be issued until this verification.is received.. - 1. I personally plan to.provide the'major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) •� signed' an application for building permit for the proposed work., f 3. I have.contracted with -.the following person (firm) to provide,'the proposed construction: Name Address City Phone Contractors License No. 4. -)I -.plan to provide. -portions of this work, but I have hired the following person to'coordinate, supervise, and provide the major work: Name Address' City Phone Contractors License No.. 5. I.will provide some of the work butyl have contracted (hired) the following persons to provide the work indicated:., Name Address Phone Type of Work. 'Signed:. Property -Owner Social Securi Date NOTE: This Owner -Builder Verification ,is sent to'.you� as .required by Sections 19831 and 19832. of the.,California Health sand Safety Code. This, verification must be"completed and returned to our office before we are per mitted to issue the permit. " r Qz-1 4.673 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL, DEVELOPMENT Section 26-8.1 of the Butte County CM6 requires this acknowledgement be recorded i prior to issuance of a building permit 1 . The property described herein is adjacent 92-011673 1 Ree Fee 11.00 to land or included within an area zoned I Check 11.00, for agricultural purposes, and residents Recorded of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, Candace J. Grubbs and fertilizers; and from the pursuit t Recorder of agricultural operations including, 12: 48pm 18 -Mar -92 I PUBL XX , 3 but not limited to cultivation, plow' g, spraying, pruning, and harvesting which occasionally generate dust, smoc' e,noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within.. -said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real .praperty:-.*situate in.the .County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION Date: 2—,/ f --157% PROPER- OWNERS c� State of CA. ) On this the 18TH day of MARCH 19 92 , before me, the . SS. undersigned Notary Public, personally appeared County of BUTTE ) OFFICIAL SEAL ANGELA 0. MAST¢LOTTO 9. • NOTARY PUBLIC -CALIFORNIA s ° Principal Office In BUTTE County, • My Commleelon.Expires SEPT. 14.1994 • 0 0 Personally known to me. ® Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) ARE subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN.WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No.� otary Public ORDER NO. BU -124993-3 DESCRIPTION ALL. THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 16, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 48. PARCEL II: THAT CERTAIN 60 FOOT NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY EASEMENTS SHOWN ON CYNTHIANN LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, 'STATE OF CALIFORNIA, ON OCTOBER 16, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 48. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I., DESCRIBED HEREIN. - PARCEL III• AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF GROUND 60 FEET IN WIDTH LYING NORTHERLY, WESTERLY AND CONTIGUOUS TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT ON THE EAST LINE OF THAT CERTAIN PARCEL DESCRIBED IN DEED TO NORTHWEST PACIFIC RESOURCES, INC., RECORDED SEPTEMBER 6, 1980, IN BOOK 2539, OF OFFICIAL RECORDS, AT PAGE 38, FROM. WHICH THE NORTHEAST CORNER OF SAID NORTHWEST PACIFIC RESOURCES, INC., PARCEL BEARS NORTH 00 DEG. 19' 39" WEST 60.00 FEET; THENCE FROM THE POINT OF BEGINNING SOUTH 89 DEG. 03' 09" WEST 254.15 FEET; THENCE SOUTH 02 DEG. 01' 51" EAST, 244.14 FEET; THENCE SOUTH 04 DEG: 56' 09" WEST, 655.78 FEET TO THE CENTER OF THE EXISTING RIGHT OF WAY AS CONTAINED IN SAID DEED. THE SIDELINES SHALL BE LENGTHENED OR SHORTENED TO FORM A CONTINUOUS STRIP. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH OVER AN EXISTING ROAD AS SET'FORTH ON THAT CERTAIN RECORD OF SURVEY FILED JULY 51 1974, IN BOOK 47 OF MAPS, AT PAGE 93, THE CENTERLINE BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS.: CONTINUED l 6. l 3 3 ORDER NO. BU -124993-3 PARCEL IV: CONTINUED BEGINNING AT THE SOUTHWEST CORNER OF LOT 3 OF, SUBDIVISION NO. 2,. + AS SHOWN ON THAT CERTAIN MAP .ENTITLED, "MAP OF THE SUBDIVISION NO. 1 AND 2 OF THE P. C. DRECHER TRACT", WHICH MAP WAS.FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY :OF BUTTE, STATE OF CALIFORNIA, IN BOOK 1 OF MAPS, AT PAGE 25; THENCE FOLLOWING ALONG THE WESTERLY :BOUNDARY LINE OF SAID LOT 3,. -NORTH 0 DEG. 17',00" EAST FOR 89.58 FEET TO A POINT LOCATED IN THE CENTERLINE OF AN EXISTING ROADWAY; THENCE FOLLOWING ALONG THE CENTERLINE OF SAID ROADWAY, SOUTH 30 DEG. 44' 40" WEST, 432.63 FEET; THENCE SOUTH 35 DEG. 16' 10" WEST, 496.53 FEET; THENCE SOUTH 65 DEG. 27' 00" WEST, 713.80 FEET; THENCE SOUTH 41 DEG. 02'- 00" WEST, 228.544 FEET; THENCE NORTH 75 DEG. 30' 35" WEST.106.02 FEET; THENCE'NORTH 3 DEG. 04' 55" EAST 225.4.2 FEET AND BEING ALSO THE TRUE POINT OF BEGINNING FOR THE CENTERLINE HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING NORTH•13 DEG. .291 35" WEST, 367.16 FEET; 'WEST, THENCE NORTH 66 DEG. 11' 05" 558.40 FEET; THENCE NORTH 53 DEG. 07' 05" WEST, 186.77 FEET; THENCE .SOUTH 78 DEG.- 04' 25" j i 4._ WEST, 285.73 FEET; THENCE NORTH' 75- DEG. 36' 15" WEST, 245.53 eat- � FEET; THENCE NORTH 54 DEG'. 19.' 45" WEST, 283.57 FEET; THENCE ~ NORTH 61 DEG.. 31' 05" WEST, 255.29 FEET; THENCE NORTH 73 DEG. 35' 451''WEST TO A POINT THAT BEARS SOUTH 60 FEET FROM THE CENTERLINE -, OF THE EASTERLY EXTENSION OF BOHEMIA AVENUE; THENCE WEST AND .PARALLEL WITH THE CENTERLINE OF THE EASTERLY EXTENSION OF BOHEMIA AVENUE TO A POINT ON THE EASTERLY BOUNDARY OF CITRUS AVENUE AND THE END OF THE HEREIN DESCRIBED LINE. { END OF 6000MENT , rn W¢ N (Di ZLL =O O AP # OWNER MI 'UTIL.CLEARANCE DATE 1 �X?wt4/1 INSPECTOR - ELECTRIC GAS.. Support Struc. Compaction Test -Req. Service Ather. Pipe YES NO ..YES -Size 'Load .. T e Size Length ,NO/ .., 'r +` • 4 _ l • i'f',ii�:r+'^'"`.fe`.��r+'v�+.rte•`.{ vd.�,v y �,.Ej. �;�h..rt;;:;+xY,`<"�yw•v�,�„z+,....,;,,.�.�y's+',.T,a.i..�.:v�. ,r,.----•..tiar`�"'*�'mar•.,..-:n-,n le,.,�.r:+�.�i..3r , Py , BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM O Q 7— ®/yo 06-610". (One Form Per Building) // School District. U ( 0A HhJ-------- Building Department No. A.P. Number 2*7-07- 5� Jurisdiction (= City ��County Property OwnerT)A K_K6_�i S 7-,41 Elo1�I--*) Property Location/Address ??_2__ C T P � _V /V L . Subdivison _ t. Residential Development Commercial/Industrial Building Departm,Ont R AUG 0 5 1992 New ntative Lot No. Sq. Footage /36a Addition (Group R) 0 Sq. Footage Addition (Floor Plans rieviewed by School District Personnel) Date (Including Exterior Roofed Areas) District Identification No.JIAIJ;J�. YJAILAI-1) _ School District certifies that. (A plicant) _.. /V (S eet Addressl (Phone Number) (City) (State) (Zip Code) / has complied with the requirements of Resolution No. by payment of $ - /---- representing /�p_ _ sq re feet. S hool Distr' t Representative ( Date Paid by Check Number --- _ _— _ Remarks:�/�� Bank Number Paid by Cash :3W/ If, subsequent to the School District Representative signing this Butte County Schools Impact fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) /-H No. of Living Units COUNTY OF BUTTE BUILDING DEPT C� AUG 0 5 1992 New ntative Lot No. Sq. Footage /36a Addition (Group R) 0 Sq. Footage Addition (Floor Plans rieviewed by School District Personnel) Date (Including Exterior Roofed Areas) District Identification No.JIAIJ;J�. YJAILAI-1) _ School District certifies that. (A plicant) _.. /V (S eet Addressl (Phone Number) (City) (State) (Zip Code) / has complied with the requirements of Resolution No. by payment of $ - /---- representing /�p_ _ sq re feet. S hool Distr' t Representative ( Date Paid by Check Number --- _ _— _ Remarks:�/�� Bank Number Paid by Cash :3W/ If, subsequent to the School District Representative signing this Butte County Schools Impact fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) r. . . . . . . . . . . . ...... ... . . . . . . . . .......... .......... .......... .......... . . . . . .. .. . . .... . .... .. ...... ... ...... .................. ....... ................. ................................I ............. ........ ... ..................... ...................................... .................................. .................. ....... ................... .................................. ... .. .. ... .. . .... ........ ......... ....... .................................. ..... ........ ................. ..... . ....... .................................. iii", '. . . . , , .... ... .................................. .. .... ........ .......... ..... .................................. ...... .. ............ --- --- A 19! OWNER DATE: o I LOCATION: A.P.#: CONTRACTOR: ZONING: _AEMAL-S HISTORY( ]NONE [,fAS FOLLOWS: DATE TO INSPECTOR: PERMIT I L�cbV 9, TYPE OF OCCUPANCY: BUILDING INSPECTOR'S REPORT I Building Description: Commercial/Usage: Residential/# of Units: Mobile Home: Yes[. No[ Currently Occupj6d. T_ Abandoned/Vacant. 44 Electric: Yes No Electric is currently:[' On, ]'Off Condition of electrical?, Gas:- Natural [ Propane[ None[ Currently On[ Off[ Obviou's problems: Sanitation: Plumbing working Yes[ No[' Y6s[ No PotaW water: Yes No[ Obvious Sewage Problems—' I Des'cription,of Damaged Area: Estimate valuation of Damaged'Aiea: Inspector: Date: Ile k.A010 STA. 7 -DAY 41 Pi 1pxoez--," E4AL :, :ai s 7-bAY.r .- INT EMAIL Stiff 7- 1 DAY El INT. 01 pAblo E-MAiLEJ StA. LOG' RAIN TOTAL_, HT -, CDFMCFD DAky INCIDE LOG PAGE OF .. t�k_. IjAY/bAtE FROM 0800 DAY/DATE To 0w4),4)/ 1r1.STA 1M AMBULANCE OFFICER REPORT TIME PCIDENTNO LOGGED BY CASE NO ARE NO Ro. LOCATIM t,. Op -TR -5-7 J)4" VEGETATK)N FALSE ALARM PUBLIC ASSIST DART 15 13 /,o 9, 61,ji j 6 v cyl 0 e.p lktx - f R.P. -OHONE NO STRUCTURE IMPROVE- N*W ASSIS7r RESCUE 'FIRENAME VVRA B.I. VEHICLE I,�T MEDICAL OTHER . X mtsc 5rAF7TIME CAUSE LAND USE DAMAGE SAVE, REFUSE W -Cm Tic 11TAUN ma"mm OFFICER REPORT TIME MMfTNO LW 7. , T-1 CASE NO FIIF-71 P -O/— )h er 1111ficoy) ffi i tren, i' 7c Z - VEGETA " ft4m PUBLIC DART ALARM ASSIST R.P. PHONENO '�3 3 52 c� t:E = !j IMPROVE MEW Ass i 'gr RESCUE .FmNAME ELL VEHICLE HAZMAT MEDICAL OTHER MSC qrAqrnm CAUSE LAND USf- DAMAGE_--*. SAVE REFUSE HM44ONN TQC STA AM8IAAMICE OFFICER 'FORT TME 11'� NO Orn. !I CASE NO FIRE NO FIt LOCATION VEGETATION FALSE j PUBLIC DART ' D -Vi Do-own 14 ALARM ASSIST R.P. PHONE NO STRUCTURE IMPROVE- ASSIST RESCUE '50 9 053'� - (c I 6, MEW If FRENAME WRA B.I. VEHICLE HAZMAT W�� OTHER 3 1 pynsc . I STARTTIME CAUSE LAND USE DAMAGE SAVE REFUSE, HAZ-OON TOC� I IARJA-v ST TIONOFFICER 1 REPORT TIME I 8041 : WCWff NO i �<) -)o CASE NO FIRE NO R.O. LOCATION tt� VEGETATIONFALSE i ALARM PUBLIC ASSETI DAM vvon o n-ve R.P. PHCW NO. C STRUCTURE IMPROVE- MENT ASSIST RESCUE FIRE NAME WRA B.I. VEHICLE HAZMAT;oMED`CAL OTHER to 'mlsc STARTTME CAUSE LANDUSE DAMAGE SAVE REFI)SE � 4—N -HM TFC . Ig 1 srA,nm AmButAwx OFFICER] 3 REPORT TmmE Ncue4T NO LOGGEQBY m.. CASE NO ME NO R.O. a LOCA VEGETATIM FALSE PUBLIC ,DART 'OAK ry) ALARM ASSIST I r PHONE NO. ef STRUCTURE IMPROV&; MEW ASSIST RESCUE FIRE UAW WRA B.L VEHICLE HAZMAT MEDICAL OTHER M19C ST", CAUSE LAND USE DAMAGE SAVE REFUSE HAZ_CON TIC