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027-084-035
027-08-4-035 93-3087 P,E CORTEZ,,JAVIER RIZ 10 LN, PALERMO MHU o-1 GAS icoRp-A-CT-J—oN- TEST REQ --Z2e—. SUPPORT STR CT'REQ-LA-20— -x'.93-3088 MHI CORTEZ,' JAVIER 3 RIZIO LN, PALERMO -3) MHI 1D 1 '\ cc I FROM EXECUTIVE HOMES App 0J7 3,p R/ Z/ o L Avti?- �zq/PJM^ C/� (THU) FEB 14 2008 1419/ST. 14 , 07/No• 6800798811 P 1 STATE OF CALIFORNIA NUMBER: BUSINESS. TRANSPORTATION AND HOUSING AGENCY :PARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS 8773713 MANUFACTURED HOUSING PROGRAM :TURER •CERTIFICATE OF `ORIGIN I �.- 016TWOUTIO 1 ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESSTHERE IS NONE. THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY t (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1528, SACRAMENTO. CA BSB12.1828. WITHIN FIVE 45) DAYS OF RELEASE. 'oma^'"^'"• "COPY2IYEttOW)' OELNERTOTHIaRAOCSMFt ERTOACCOMIPNI" WEUWT"R9'Dt"NATtON=. . COPY 3 (GOLDENROD) TO SE RETAINED -BY THE MANUFACTURER, NCD 48.0 • Side 1 - (7/97) Bcn - 21439 1 -3p / ❑ -Ad CHECK IF THIS IS A.OUPLICATB MCO-ENTF,R ORIGINAL MCO NO. MANUFACTURED_ HOME OR MUUI-NIT MANUFACTURE IN NUMBER OF I� u 5FD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED:+OUSING TRANSPORTABLE SECTIONS 1 COMMERCIAL COACH; OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: FLEETWOOD HOMES OF CALIFORNIA, INC. 9534 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: .18 JT,,;P..IA>hB. AV13_...��. 1 •{ I PO • EOX 1308 ` " ? ..WOODLAND' > CA 95776 S C Slate(ZIP) MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE; EXPRESSION 2492K 2008 02/05/2008 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OF TRANSFER: SECURITY N/H SHOW/NORTH, INC. TRANSFEREE DESIGNATION: DBA: MCUTIVE HONES DL92001 02/05/2008 DEALER OR TRANSFEREE ADDRESS: 0 2 ESPLANADE CHICO CA 95973 (city) State Z INVENTORY CREDITOR NAME: 21ST NORTGAOE CORPORATION INVENTORY CREDITOR ADDRESS: TT' N INVENTORY FINAIECE y20 MARKET STREET SUITS 100 KNOXVILLE TN 37902 Street(City)Slate 2i LECTION MANUFACTURER SERIAL NUMBER NCO INSIORIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT t8 INCHES INCHES POUNDS 1 r. CAFL817A30443-$X13 PF81028232 S80 160 20,522 � q j. TRANSPORTER NAME; BzxN3TT TRv K TRANSPORT. INC. TRANSPORTER ADDRESS: 1001 INDUSTRIAL PARKWAY TBOE 569 C kebON0900 Stare OA z' 30253 DESTINATION FOR UNIT DESCRIBED ABOVE: NAME Blwrl Ctry) (SWO Z' I unit' near perwry a)sNIsY ,neer v+e Iarle a w 81Au a caNlarra trlel olrawre reoe, .. w..o an.u. Ezaonaev, 02/05/2008 In WOOa , POLO CA lDmq / ICr71 .r ) ( ourRr) (slate► SIGNATURE 6F AUTHORIZED AGENT: \ 1 � � ,_ I } ,`/ •.. 016TWOUTIO 1 ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESSTHERE IS NONE. THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY t (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1528, SACRAMENTO. CA BSB12.1828. WITHIN FIVE 45) DAYS OF RELEASE. 'oma^'"^'"• "COPY2IYEttOW)' OELNERTOTHIaRAOCSMFt ERTOACCOMIPNI" WEUWT"R9'Dt"NATtON=. . COPY 3 (GOLDENROD) TO SE RETAINED -BY THE MANUFACTURER, NCD 48.0 • Side 1 - (7/97) Bcn - 21439 14EC( RDINC REQUESTED BY Bidwell Title S Escrow Company 2007-00S300S Recorded I REC FEE 10.88 Official yyRecords 1 TRX 148.58 CaBatte f I CffiM J. GRUBBS I County Clerk-Recorderl I I DD 89:88811 14 -Nov -2887 I Page 1 of 2 t� SPACEAROVETBIS I.INt. FOR RE( 1'gaccl Nu. 027-084-075 GRANT DEED THIS FORM FURNISHED II\' IIIU\\'lil.l.'I'I'I'Lli ,\ ESCROW COMPANY The Undcniguctl i rumnr(A Vaclarcts) Documentary 'rrunslirTax is $148.50 ❑ C'itylTiiwtt of 0 computed on 11111 voluC of interest or property conveyed. ur O Unineurpot ated Arca ❑ full wluc less ialuc of liens or encumbrances remaining at the lime ufsalc ❑ Nionumcm rev of S I0.11I) FOR A VAI,UA131.F, CONSIDERATION. rcceipl of which is hereby acknowledged. Pam Pippin, An. Unmarried Woman hcrcby GRANT(s) w Brad A. Hall and Pacty K Hall, Husband and Wife as Joint Tenants lite IbIlowing real prupcny in lite ❑ City or 0 Unincorporated Area County of Butte. State of California: SEE EXHIBIT .% A7"FAC:PIKI) HERETO AND MADE A PA141' HEREOF Pam Pippin I)ncumcm IT.ite: November 13, 2007 State of Caliromia Cotonyol'Butte } SS. On jQ�/Q.In14C(- 131 ZoO�. before me, `jW([A L• n'1�r'.fQ.I�OS Notary Public, personally appeared Pam Piooin Pet:antally known to site (or proved to me on the basis or satisfactory ` FOR NO'1'ANl' SEAL OR STAXiP evidence) tit he thc.person(s) whose name(s) isrore subscribed to the willtiu instrument and acknowledged to nm Thal helshchhey executed lite same in his/hcdthcir authorized cupucitylies). and that by his/hcrhhcir sigma sl on the instrument the per (s): nr thu cmiiy upon hebull'ui ..I chi C person ted, esceu d Ih instnunent. TVM A L. MEDEIROS COMM. 0 1740784 WITNE nw h• td an ol)ici seal NOTARYep aM cOUNTvairoConrn Apdt 72,1011 Sicnaun MAIL TAx STATEMENTS TO : Samo an Above STEGGRANIDEED 1�` AND \t'iw.s BF:(:omurn MA11. TO .. ,,,• Brad A. Hall ,. ,� PCS itos I. f. Live Oak. CA 95951 �• •�'. 002125HS-001 2007-00S300S Recorded I REC FEE 10.88 Official yyRecords 1 TRX 148.58 CaBatte f I CffiM J. GRUBBS I County Clerk-Recorderl I I DD 89:88811 14 -Nov -2887 I Page 1 of 2 t� SPACEAROVETBIS I.INt. FOR RE( 1'gaccl Nu. 027-084-075 GRANT DEED THIS FORM FURNISHED II\' IIIU\\'lil.l.'I'I'I'Lli ,\ ESCROW COMPANY The Undcniguctl i rumnr(A Vaclarcts) Documentary 'rrunslirTax is $148.50 ❑ C'itylTiiwtt of 0 computed on 11111 voluC of interest or property conveyed. ur O Unineurpot ated Arca ❑ full wluc less ialuc of liens or encumbrances remaining at the lime ufsalc ❑ Nionumcm rev of S I0.11I) FOR A VAI,UA131.F, CONSIDERATION. rcceipl of which is hereby acknowledged. Pam Pippin, An. Unmarried Woman hcrcby GRANT(s) w Brad A. Hall and Pacty K Hall, Husband and Wife as Joint Tenants lite IbIlowing real prupcny in lite ❑ City or 0 Unincorporated Area County of Butte. State of California: SEE EXHIBIT .% A7"FAC:PIKI) HERETO AND MADE A PA141' HEREOF Pam Pippin I)ncumcm IT.ite: November 13, 2007 State of Caliromia Cotonyol'Butte } SS. On jQ�/Q.In14C(- 131 ZoO�. before me, `jW([A L• n'1�r'.fQ.I�OS Notary Public, personally appeared Pam Piooin Pet:antally known to site (or proved to me on the basis or satisfactory ` FOR NO'1'ANl' SEAL OR STAXiP evidence) tit he thc.person(s) whose name(s) isrore subscribed to the willtiu instrument and acknowledged to nm Thal helshchhey executed lite same in his/hcdthcir authorized cupucitylies). and that by his/hcrhhcir sigma sl on the instrument the per (s): nr thu cmiiy upon hebull'ui ..I chi C person ted, esceu d Ih instnunent. TVM A L. MEDEIROS COMM. 0 1740784 WITNE nw h• td an ol)ici seal NOTARYep aM cOUNTvairoConrn Apdt 72,1011 Sicnaun MAIL TAx STATEMENTS TO : Samo an Above STEGGRANIDEED 1�` Ordcr No. 00232585-001 FX141BIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: AI.L THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL 1: LOT 7, IN BLOCK 74, IN SUBDIVISION NO. I OF THE PALi-vIERO CITRUS TRACT, AND BEING SHOWN ON THE MAP OF SAID SUBDIVISION NO. 1 OF THF. PALMERO CITRUS TRACT, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUT`T'E, STATE OF CALIFORNIA. FEBRUARY 28, 1888. AP NO. 027-084-035 PARCEL Il: A RIGHT OF WAY FOR ROAD AND U'T'ILITY PURPOSES 30 FEET ON EACH SIDE OF THF. CENTERLINE OF THE EXISTING ROAD, EXTENDING NORTHERLY AND WESTERLY TO A POINT ON THE EASTERLY BOUNDARY LINE OF CITRUS AVENUE. PARCEL III: A RIGHT OF WAY FOR ROAD AND UTILITY PURPOSES 30 FEET ON EACH SIDE OF THE CENTERLINE? OF AN EXISTING ROAD OVER THE NORTHEASTERLY PORTION OF LOT 8, IN 131-OCK 67, IN SUBDIVISION NO. 1 OFTHE PAL.ERNIO CITRUS TRACT, AND BEING SHOWN ON THE MAP OF SAID SUBDIVISION NO. I OFTHE PALERNIO CITRUS TRACT, RECORDED IN THE OFFICE. OF THE COUNTY RECORDER OF THE COUNTY OF BUTTE. STATE OF CALIFORNIA, FEBRUARY 28, 1888. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 38 RIZIO LN Owner: Permit NO: B07-2438 APN: 027-084-035 BRAD HALL Issued Date: 2/25/2008 By GLB Permit type: RESIDENTIAL PO BOX 156 Subtype: SFD-Mobile Home SFT LIVE OAK, CA 95953 Expiration Date: 2/24/2009 Description: NEW MH EX SITE TIEDOWNS (530) 521-0382 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: EXECUTIVE HOMES EXECUTIVE HOMES Building Garage Remdl/Addn 3042 ESPLANADE 3042 ESPLANADE 639 CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530) 891-6992 (530) 891-6992 639 FEE INFORMATION Ag Com Building Permit Clearan $65.00 DBMSC Mobile Home Permit Fee. $350.34 DBEH Building Review Fee $75.70 DBOMSCF Fire Safe Standards Re $115.98 DBEH Building Review Fee $75.70 DBOMSCF Supplemental Plan Chec $57.99 DBF MH Plan Check $233.56 DBSMIP Residential $0.50 DBFIRE Fire Inspection (SRA) $102.70 DBFIRE Fire Inspection (SRA) $102.70 DBFIRE SRA Fire Plan Review (S $102.70 Total Charged: $1,385.57 Fees Paid: $1,385.57 DBFIRE SRA Fire Plan Review (S $102.70 Balance Due: $0.00 Receipt No: B6469 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License EXECUTIVE HOMES 640583 / C47 / 3/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a peril to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a ofessions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force a of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a peril subjects X 2/25/2008 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: trontra a Signet Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or rformance of the work for which this permit is issued, improve for the purpose of sale.). AVE AND WILL MAINTAIN WORKER'S COMPENSATION (action I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED INSURANCE, as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the EMPLOYERS COMP FN031696304 7/15/2008 Carrier: Policy Number: Exp. Date: Contractors License Law.). (This section need not be completed if the permitis or one hundred dollars ($100) or es—f s.) ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ) ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 2/25/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions.- X 2/25/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building Signature Date WARNING: FAILU T ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJ AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above boned prop; orp n purposes. I bycertify that I am the properly own uthoriz dtoac ep CONSTRUCTION LENDING AGENCY 2/25/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Nam f P mittee ] PAR Date the performance of the work for which this permit is issued. (3097 civ. code) Owner En Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-214( A FEE WILL BE REQ111RED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds BIN # "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name G First Name Q �� T Mailing Address PO co b City `i V 2 A /t State (24. T Zip q5 53 // Phone C2 )_ 0 J I 3 8 2 Fax E-mail CONTRACTOR Name EXecv 1've_ tlome5 Address 30L� City ON 'C__c State 64 Zip 9s% 73 Phone �'q�_ 6Q �i z Fax �C�75 E-mail Lic. 0S 8.3 Class APPLICANT INFORMATION ARCHITECTIENGINEER Name City ,GU Address Zip f3-% %3 City Fax �ey f, p 733 ! O State Zip Phone Addr Fax E-mail State License Number APPLICANT INFORMATION Name eu.�1'�e �eleyteS Address 30 v 2 iFS faA4.4 City ,GU State ( i Zip f3-% %3 Phone 871 _ 2, 6 C1 Fax �ey f, p 733 ! O [Eai >a� E ec1.�;vetia h;co, ort APPLICANT SIGNATURE X For office us o Zoning Flood Zone SRA j Yes U No Occ. Type Const. Subdivision Name Map Book I Paye Lot # P nnerDate Approved: PROJECTLOCATION AP# 0 2/� 7' v 0 4-0 3,5 - Property Address 38 (3) v In. City ti krmo ry fz Cross Street j i l n / r'1172 rA WORKER'S COMPENSATION Policy Number FIV,? If P?6 3 o `/ Carrier EV) I Iol e. -S OoM , If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AG Name Addr Description or Scope of Work: Re /4e 1%t o/W /snc ' / `lard L,. lei v VefcT v/ dl oHte Sq FT- Living Garage Open ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: - `O—Bldg .,� - SRA Receipt #: _ Sheriff SMIP Date: �O Other �b Total � Vv -fit- oR � x:163 dro BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM Tr (One form per Building) School District: Oroville Union High School District Building Permit Number: B07-2438 Assessor's Parcel Number (s): 027-084-035 Tax Rate Area No: 2'00-7 Property Owner (s): BRAD HALL Project Location/Address: 38 RIZIO LN PALERMO Project Description: NEW MH EX SITE TIEDOWNS Type of Development Building Type:New Mobile/Modular/Manul New/Additional Sq Ftg: 639 Bullaing Departmenk#epresentative District Indentification No. n <; U. V S Permit Type: SFD-Mobile Home SFT Deed Restricted Sq Ftg: 02/11/2008 Date C)M s School District certifies that�1A \` (Payor) �'�.rcWT\VAC ��MES I% R\ \o LN) i'A �-=VMa M ` (5�(.% %Ck� (�C� C�)_ (Street Address) (City) ty) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. k O by payment of S representing izz>3) square feet. AB 2926 FULL MITIGATION S School District Representative xemarKs: o� Date Notice: You may protest the imposition of the fees identified above by sumitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. DDS—School Fee Form rev'd 12.12.07 CERTIFICATE OF EXISTING SQUARE FOOTAGE Oroville Union High School District Assessor's Parcel Number (s): 027-084-035 Project Location/Address: 38 RIZIO LN Existing Sq Ftg: Spp Building Permit Number: 807-2435 PALERMO MH Replacement: Yes Existing Construction Type: Residential - Mobile/Manufactured Home Demo Permit Issued?: Demo Permit Issued Date: Verified by Building Records: Yes Assessment Records: Comments: Pre vi us existin moble has been removed and is being replaced with a new manufactured home Representative 02/11/2008 Date BUTTE COUNTY DEVELOPMENT FEE ' CERTIFICATION FORM ••. Feather River Recreation & Park District Assessor's Parcel Number (s): 027-084-035 Building Permit Number: B07-2438 Property Owner (s): BRAD HALL Project Location/Address: 38 RIZIO LN PALERMO Project Description: NEW MH EX SITE TIEDOWNS Type of Residential Development , Permit Type: RESIDENTIAL - - Permit Subtype: SFD-Mobile Home SFT Building Type: New Mobile/Modular/Manufai New/Additional Sq Ftg: 639 Certificate of Existing Square Footage Existing Sq Ftg: 500 MH Replacement: Yes Existing Construction Type: Residential - Mobile/Manufactured Home Demo Permit Issued?: Demo Permit Issued Date: Verified by Building Records: Yes Verified by Assessment Records: Comments: Previous existing mobile has been removed and is being replaced with a new manufactured home. 02/11/2008 it Building Department presentai"Ative Date FRRPD 11 CARD 0 PRPD 0 DRPD certifies that: Applicant Name Mailing Address City Phone Number State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of rl/ Dwelling Units @ $ Square Feet @ $ Remarks: per unit for a total of $ per sq foot for a total of $ Paid by Check No: Paid by Cash: Receipt No: Recreation and Park District Representative Date Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-2438 Date: 11/30/2007 Location: Parcel Number: Owner Name 38 RIZIO LN 027-084-035 BRAD HALL By: GLB Sub Type: SFD-Mobile Home SI Phone: (530)521-0382 Description: NEW MH EX SITE TIEDOWNS The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No ❑ ❑ ❑ ❑ DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: Date: 11/30/2007 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530)538-7171 Fax www.buttecounty.net/dds f`n National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-2438 Date: 11/30/2007 Location: 38 RIZIO LN By: GLB Parcel Number: 027-084-035 Sub Type: SFD-Mobile Home SI Owner Name: BRAD HALL Phone: (530) 521-0382 Description: NEW MH EX SITE TIEDOWNS By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 11/30/2007 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-2438 Job Address: 38 RIZIO LN Contractor: EXECUTIVE HOMES 3042 ESPLANADE CHICO, CA 95973 Printed: 11/30/2007 3:10 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 11/30/2007 $75.70 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $102.70 11/30/2007 $102.70 0100-450001-4617240-1010 $102.70 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $115.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 11/30/2007 $102.70 DBMSC Mobile Home Permit Fee. 0010-440001-4210500-1010 $350.34 DBF MH Plan Check 0010-440001-4210500-1010 $233.56 11/30/2007 $233.56 DBSMIP Residential 1001-0-280-1011298 $0.50 Printed By: Gwyn Benedict 19084.18 $514.66 Balance Due: $569.52 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees mqy, ch durin t plan checking process. Signature: Date: 11/30/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Reference Number: B07-2438 Location: 38 RIZIO LN Parcel Number: Owner Name 027-084-035 BRAD HALL California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Date: 11/30/2007 By: GLB Sub Type: SFD-Mobile Home SI Phone: (530) 521-0382 Description: NEW MH EX SITE TIEDOWNS To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site All development within the Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 11/30/2007 Date Rev'd 5/7/07 I PN Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/FireDrevention/protplan/protDIan.html FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: O Make sure your application is complete. fly Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municiDalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-2438 Location: 38 RIZIO LN Parcel Number: 027-084-035 Date: 11/30/2007 Owner Name: BRAD HALL Phone: (530) 521-0382 Description: NEW MH EX SITE TIEDOWNS Signature of Applicant:n�&m JKV Date: 11/30/2007 n 7 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile www.buttecounty.net/dds PLAN CHANGE L� RECHECK El Owner's Name: 1:);, BP#: Date: Contact Person & Phone Number: PURPOSE OF PLAN C AP#: 6/7 Q Received By:��. Time: _.Q GE OR RECHECK ❑ Response to Inspector's Correction Notice — Inspector's Name: ❑ Response to Plan Check Letter — Plans Examiner's Name: *Submit two (2) drawings reflecting the plan change or recheck for plan review. If engineering is involved, the engineer or architect must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Drawings must clearly show changes proposed and locations involved. WHEN APPROVED: Call Deliver with Next Inspection ( for 8 V2 X I I only) and hold for pick-up. Minimum plan change. fee to be collected at time of submission, plans exaer will determine if additional plan checking fees are needed: ��� �� 57,197 �� Minimum $ t§ -98 -pa d. `� 5 1 SRP PIAN b" snsp• vnildif (� ❑ Additional Fee Amount:. 3q , o ci Receipt #: Revised 6/07 Butte County Building Division MANUFACTURED HOME SUPPORT DATA - Owner's name: A.P.# 027 -0A -03-5- Home 03SHome Manufacturer: j-�e��L,,c,nc% Manufacture Year: Zoo8 Model Number/ Name:_p;��sS�p,; z Width: 1�I' (ft.) Length: YV FOOTINGS: Wood - pressure treated or foundation grade] Other:[ ] i SUPPORTS: Concrete block N Other:[ ] � `` Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. Pier Footing Sizes and Locations SINGLE WIDE MULTI -WIDE Line 1 -_____________ -------------------------------------------------- Line 1 Line 2 Section 1 Line 2 Line1 :!S; — -------------------------------------------------------- Line 3 -------- ----------- Section 2 Line 2 ---------------------------------- --------------- Line 4 (triple wide only) ---------------- Section 3 Line 2 Line 1 Piers: Minimum size[2� piers: ] x Spacing maximum: U " From ends maximum: 1 0 " Line 2 Piers: Minimum size piers: X [ Z0, ] Spacing maximum: U " From ends maximum: I C " Line 3 -Roof Loads: Minimum size piers - Location (from front): Minimum size piers:_ Loeatiorn-(co n`fi n u ed ): of Loads: Minimum size piers:`- Location (from front): Minimum size piers: LocatiQ.n-(cofifinued): Snow Load: psf Snow Load requirements may be obtained at http://www.upstate-ca.com/butte/butte county/ Insert AP #, view snow load in lower right corner. 'ne 1 O enin s: Minim �. ize pier.4---;] 'YRequire a ide of openings vera AF'F'ROVEU ,t VELUPNffiNT SERVICES _,,.., �FZE 4WZP, ExpresSlOn Series .Mode! 2482K.. i Bedrooms 1 Bath • 639 Square Feet __. 48'-O" C ---- — BOOK A5E O UTILITY � , 77 KITCHEN MASTER. sHWIOPr. oxEao BEDROOM _ BAR - BE M8 #2., LIVING ROOM. TI IT 12'-2" X 12'-8" - - " - - - - DINING ----------TO]= I --- — AREA I OPT. WALK -IN -BAY R ENTRANCE q`f UTILITY— ®. OPE OWEAD OPf DBL. / DOORS ! _ OPT. DEN TS\ BUTTE COUNTY JAN 10 2008 DEVEd.OPM ENT SERVICES Fleetwood Homes reserves the right to change colors, prices, specifications, models,,dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage'is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only: The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. EX/17/JUN04 N 8 Xi2 Ground System X12 Engineered Tie Down System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering BUTI-hi GOUNTY APPROVEa il-WR F, N*-, � � *�* I I k%R � 0, a-- -W.Awlw� - PlAlly Ir�� jj _ n35 A + Xi2 Concrete System Engineer Approval State Approval ENGINEERED IIEDOWN SYSTEM APPROVED SUBJECT TO CORRECTIONS NOTED Approval does not authorize or approve any omission or deviation from requirements of applicable State laws and regulations. State of Califomia .Department of Housing and Community Development DIV SION OF CODES AND STANDARDS 1gne ure Dat@ 7 SPA NO 1 ILI `Z This Plan Approval Expires 2 -Ce ep Page 1 of 8 OF Aon' LEngoneeped 799 Down System Installation Instructions for California for Ground & Concrete Systems HUD Mind Zone i, 95 FSS Wind Load Seismic 4 By Tie ®odyn [engineering REQUIREMENTS o These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. o Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. o Main rail spacing must be 75.5" - 99.5" *Except single sections 95" minimum e Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". o Steel piers must be fastened to the I-beam with clamps provided with steel pier. o Systems must be placed as evenly as possible, no more than 10' from end of home. o Designed for 7:12 roof slope.*Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems j • Poured concrete must be 2,500 PSI minimum at 28 days. e Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 N co C �i 0 0 0 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE:(916)538-7541 PERMIT NO.�7 d If Address or location of mobilehome 3 ( Owner's name Owner's addre Insignia or hud number Manufacturer's name5?� ' (0 K )(�'7 11 SeriatAumber of V.I.N. A hi(z F73 Yegr of manufacture rovirvq:lnstaIIation IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION L ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE -Al TMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Californig 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-084-035 ZONING A-5 BUILDING PERMIT (�2 OWNER JAVIER CORTEZ TELEPHONE 349-7799 SQ. FT. OCC. BUILDING VA ION OWNER'S MAILING ADDRESS PO BOX 904 DURHAM 95938 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS - PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 SF ❑ Duplex ❑ Mobilehome Ck Other SPECIFY Mobile Home S G W @20.00 TYPE OF WORK PERMIT FEE $ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Contractor Describe Work: MH ELECTRICAL PERMIT Filing Fee 20.00 p i © OR LESS (Main Service 200A OR LESS ) 200V 23.00 Main Service ( 200A TO 1000A ) 46.00 d - NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. OLDS. ) 3.5C FST.O, I CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) .1 @7.50 ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.000 Ex. Occup' ( FIXED APPWS. OR OU7LE_rS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code Misc. Wiring "23.00 forthis reason WORKER'S COMPENSATION INSURANCE PERMIT FEE $ Contractor 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a MECHANICAL PERMIT Filing Fee 20.00 Heating �t Certificate of Consent to Self -insure. / kl I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Cooling Hood 6.50 Ventilation Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. Mobile Home Installation Fee $ 100.00 I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00. enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all HAZ. D. FEES IMP FLOOD COF PARCEL PO HD SU liabili judgments, costs, and expense which may in any way accr a against said Count in consequence of he granting is permit. Gj X e+I� C. I Date / / �^ / 3 `�" `" " This permit is hereby issued under the applicable provisions Signat r of Applicant - Owner ❑ C ractor ❑ Agent An 04FVA permit is requr ed for excavations over 5"0" deep and demolition or constrtVtion of structures over 3 stories in height. of the Butte County Code and/or indicated above for which fees have DIRECTOR OF PUBLIC By >�G'r1 Resolutions to do work been paid. WORKS Date Receipt No. 148699 I PERMITEXPIRESON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Date) ,j�'�'f;,. F,"_..ti,riJ`ti-1�Jr�I:-,[,...'�.�.,.t`},,,f'�r��yC�1Vi�"fi.'Y��y.:.!�'}('�',F�.�s.t�+.�i�'."'iti'Lr%►' •: �C,r'<-7"v.{,i�,�r�+7�i�4'�f y..r,;.f'(,,,r..^'Ya"`v s^ .. ,'.. h'ti=7:,;�.f�.7 _.,rc: }..a { f. COUNTYOF BUTTE - DEPARTMENTOFDFIVF€OPMENTSERVICES -BUILDING DIVISION /. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE(916)538-755-41 / PERMIT APPLICATION DATA SHEET OWNERyV�� (�O r+- A. P. No. O��'�Y' Proposed Building Use ~ Building Inspector Date "J At time of permit application, Ilwas advised the following data must be submitted prior to permit processing and/or issuance: 'I DATE RECEIVED BY 1. All items have been submitted. ........... ............................ 2. Plot plans, 3/4 sets, signed by preparer of plans: .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. 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 . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... L. 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ......................................... 11. Impact fees as shown on attached schedule. ............................. . 12., California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre -inspection for required. o s�ild g Inspenctimi ctor- (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 . ........................................ AoK 28. Mobilehome utility clearance . ......................................... L 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. W,h n you issue the permit, process as follows: Mail to owner. Mail to contractor. P0 Telephone,?,(/S- 7 ij$hnd hold for pickup at 4,U � office. eliver with inspector. Other Parcel Creation qy Acreage Applicant _ Date / Copy of Haz-Mat form sent Health Dept. Fire Dept. ' Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by Date Contractor, designer, o n , was advised of above re uired data by _ phone _ mail nter b Date Plans checked by Date � '7 _ Plans approved by Dat / Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works U\ 4 I c� i :: c� i :: v OV BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville-, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: U W 3. Is the site currently under permit? Yes F/I<1 No F-1 (If yes, furnish permit number 93 J ©g ) OR Is the site an existing site? . Yes U No FX] (If yes, furnish two plot plans.) QA 4. Will the mobilehome be located at -least 5 ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes X1 No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- ((i Amps 6. What is the mobilehome site service rating? ---- r --------- 4_0 0 Amps • // 7.. What is the mobilehome site circuit breaker rating?*----- CP _ Amps 8. Is there any other electric load to be -served by the mobilehome site service? -------------------------------- Yes 1K No F (If yes, identify the load and size: we-( (Load) oC) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3/ (in.) YP gI. ? ------------------- 10. What, is the type* of, as, service. µ Natural . 0 LPG 11. What is the gas pipe length from meter or tank to the mobilehome?----------------------------------- --=-- - (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50"ft. on LPG.) BUTTE COUP NEXT PAGE MUST BE COMPLETED IO PROCESS PERMIT I j-rf G DEPARTMENT P P R 0 V 6 /4&bd� MOBILEHOME SUPPORT DATA /i If other than single wide,Mobilehome Mfr. Sfa r �` f� furnish Setup Model No. Year Width /0 (ft.) Box Length l/ (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) a1. Wood -pressure treated or foundation grade. 1:12. Other (specify) SUPPORTS (check one)1. Concrete block. F2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE _ _ _ Main Beams ine 2— — — — — — — — Lin Line Line 3 --- -- — — — — — — — — Line 2 — — — — — Main Beams � Line 2 u.r Line 1 — — — — —.—Line Tag or Triple Line 4 .. Line 1 Line 1 Piers: Line 1 Openings: Size -Min:.------------ k Size -Min. -----------'------ Spacing -Max. --------- Each Side of Openings From Ends -Max.------- '_ " With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall.Only) Size -Min.------------ „x _ Size -Min.'--------- Spacing-MaMx----- Spacing -Max- ------ From Ends- ---- . `'_ " From Ends -Max -------------- Line 3 Roof Loads: Size -Min. ---------- "x "x "x k "x "x "x 5c Location (From Front) Line 4 Piers: Line 5 Piers: .(Under Bearing Walls Only Size -Min.------------ „ Size -Min -------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- , „ Spacing -Max .--------------- ' From Ends -Max.------- ,_ „ From Ends -Max .------------- Line 5 Roof Loads: Size -Min. ------------ „x „ „x „ ,� „ „x „ ,k „ „x „ ,y� „ ,y� „ E_ Location (From Front) _ _ ,_ _ _ _ _ 1 _ I RESIDENTIAL 1,1 027-08-4-035 93-3087 P,E CORTEZ, JAVIER RIZIO LN, PALERMO MHU f I 'A v i t' fill q ' OFFICE COPY c i' Address GAS Meter By ate 511 ELECTR ' Meter By Date j, JOB FINALED (Datak1w,/ Y Signature V=OK O = Not M. =N tReadiyable MOBILE HOMES Date/In' BILE HOME UTILITIES Plana OK except #'a Hing Requirements-Setbacks-Essementa , 2. Soils; Special MH Support Sketch Location -Teat -Fall -C/O Concrete -ocation-Test-Easement Needed ition-Teat-Wrap: / /% "ft. or/ /%'X/ /"LPG Clearance & Disconnect Requirements -Setbacks Easements F tangs; Size -Spacing -Marriage Line Gft<bAH Test-Demand-Valve—Connector t#o"ricity; MH Test -Crossovers -Breakers -Clearances ; MH Test -Fall -Flex Connector- ' er; MH Test -Regulator -Connector 'S-- ater and Sewer Connected -C/O to Grade -HD Approval 14, "PC- 8. Gas'find Electricity Tagged . Exits; Inap -Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Gridera and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rig.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftm-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials 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-Panelboards-Ina. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single, & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6s. 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. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nasi Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchor Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ina. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=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. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. I nsu lation-Wells-Cel I i ngs 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 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 67. Stairs & Rails 68. 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 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: AP #7��-_ 3� OWNER PERMIT'lk MH UTIL.CLEARANCE DATE tp%_ INSPECTOR ELECTRIC GAS Support Struc. Compactio Test -Req. Service Size Other Load Type Pipe Size Length YESj NO YES NO c;2d(f 964e 5; V 0<�c COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION •AND PERMIT # 3 �� ASSESSOR PARCEL NUMBER 027-084-035 A-5 ZONING BUILDING PERMIT OWNER .JAVIER CORTEZ IMI 59 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 904 DURHAM 95938 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER 777[LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS RIZIO LANE PALERMO PERMIT FEE $ 23.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome 9 Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 20.00 rin nn TYPE OF WORK New ❑ Addition 1:1Remodel ❑ Utilities'] Installation 1:1Other ❑ Describe Work: MH U PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 2ODA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) $ 3.50 FT0,. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification %1 I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Y-15, [shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also ree to save, indemnify and keep harmless the County of Butte against all liabiliti s, j dgments, costs, and expenses which may in any way accr a against said Countyn ou oe gragting of this permit. /� P (//�/ X � � Date � Signat of Applicant Owner ❑ Con actor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE_$ 66.00 HAZ. D. FEES �� IMP FLOOD A pp HD SSUE This ermit is hereb P y issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. DIRECTOR O_ � F UIC._WORKS BY Dae PERMIT EXPIRES ON lDet Receipt 148699 I WHITE-D.D.S.-B.D. S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN RO D-APPLIC ANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL`E�CALIFORNIA95915 - TELEPHONE (916) 538-7541 PERMIT APPLIQATION, DATA SHEET Proposed Building Use A. P. No. U,G / nspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items h�(e been submitted. ...... ............................... . 2. Plot plansl;�3)4 sets, signed by preparer of plans. . 3. Complete Pans, 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. ........... 10. Fees of $......................................... 1y. Impact fees as shown on attached schedule. .... . 12. California Department of Forestry plan approval/fees4.t T_..3��-.f.�/.. � , , ,[ ZCAJ- 3 - L 13. Flood elevation letter (100 year flood) by California Engineer. . . �14. Sanitation and plot plan approval inkZ) Health Department. ........... 3 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). .. .. ... . Preanapection request 20. Pre -inspection for required. . to Building lnspedor (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..gopy 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. When you issue the permit, process as follows: Mail to owner. Mail to contractor. ITelephone ,3y5- 7zoand hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant , 'Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted rior permit issuance: (Circle new item not checked above). 1. Index permiffor above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, o r, was advised of above re uired data by _ phone _ mail,q-- Counter by _ Date Plans checked by Date �Plans approved by OI!` Date-' 7' Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance F. If. IIs 1: ()\IN 1'I,,t flan Atttiche,� +3 stilt to 11.1), VILT -v- 6(j- 4-zz- 1% -Z-)N -� . � )N, Owner Location Plan Approved for: Scwa_c Disposal \\later Supply: Public _ Clearance for �-- bedroc)nn mobile home. Odic'- Hold thcr Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 17 - c'r L/-- ?,r AP# Private Well Date COUNTY OF BUTTE - Deoartment of Public Works 7 County Center Drive, Oroville, dA 95963— OWNER-BUILDER VERIFICATION: Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to. provide the ma labor and materials for construction of the proposed property improvement (yes) -or no) . 2. I (have have not) signed an -application for a building permit. fo proposed work. 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 h ired•the following person to coordinate, supervise, and provide the major work: Name Address city Phone Contractors Lidense No' 5. I will provide some of. the work.but I have contracted (hired) the following persons to provide .the work indicated: Name. Address Phone Type of Work - Signed: r. (✓�✓�'� - Property Owner Social Secu i� u er Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and. 19832 of the California Health and Safety Code. This verification must.. be completed and returned to our office before we are per- mitted to issue the permit. r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER \, ) 40-k PROPOSED BUILDING USE Al A. P. # UZ.7 DATE 7//Jr �3 REC. # DATE REC . SCHOOL DISTRICT FEES 0A9 Ilt-6-1-1 - (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) Residential ...... O Ate" unit amt. Commercial (sgft) x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office)..... .................. 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE / _j tTt+ntn BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) Y. School District ak& A.P. Number 627-06V -035' Jurisdiction 0 Property Owner J -,q y (fe, Co & -f - C z, Property Location/Address Subdivison' Residential Development Commercial/Industrial Building Department Repr( 0 No. of Living MHI Units New Building Department No. City 0 County Lot No. 0 Sq. Footage 00 Addition (Group R) 0 Sq. Footage Addition (Including Exterior (Floor Plans reviewed by School District Personnel) Identification No. 9 4 Q ( 1 / i/ . Roofed Areas) Date 40 ..moi School District certifies that C, t/ —\L (Appli ant) i - (Stre dress) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. a " �U / by of $ /� payment representing . square feet. School District Representative /Date Paid by Check Number Bank Number Paid by Cash Remarks: ALA- ^,�z7pl% 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 additional school fees to fully mitigate its impact on the school district's schoolsits impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) A permit will be required for the installation of the mobilehome. y''TAe attached Fire Safe requirements must be completed as specified and approved C.D.F. AA J�°0O� S EPT1C._ - LA R CTURES AND EQUIPMENT INCLUDING s OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. _ This set of plans and specifications MUST be - - A SET BACK OF 3 D FT. FROM THE SIDE APED kept on the job at all times and it unlawful to malts any changes or alterations on same without 3 O FT. FROM THE REAR PROPERTY Llld1=S AND written permission from the Department of Public -FT. FROM THE ROAD CENTERLINE SHALL BE " Works, County of Butte. CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. c WELL — --- 500 SO: FT. MINIMUM REVIEWED BY I t FOR MOBILES BUTTE CO. FIRE DEPT. i� t CALIF. DEPT. of FORESTRY 2� BED 1. dAT ? approved as submitted approved witl, conditions �( NOTE: All Materials &Workmanship S tt sheet. S.. a.:ached c �1 Accordance with Recognized Good Practices and of a quality Lr a Gate N` I prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes andy lkf the National Electrical Code, 30' ^� I I , Z"7 -o84 - AP # CDF FIRE SAFE REQUIREMENTS- 41 PERMIT # NAME c 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. [K- 1272.00 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 defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Drivewav Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant 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. 1< 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. [x] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from center of the road. [�] 1273.06 Turnouts. Sia l h-. a minimum of 10 feet wide and 30 feet long with a mir i_:nu,n 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot I traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 a 7- o 9 C/- .2,,- g 3-36E 7 . JAv/c�C_ AP # PERMIT # NAME (�J 1273.10 Turnouts. Driveways exceeding 150 feet in length, but v\ less than 800 feet -in length, shall provide a turnout near the midpoint 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 [ ] 2. For parcels less than l acre, local jurisdiction shall provide -for the same practical effect. See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including I 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 be completed prior to completion of road construction �,r f4nal inspection of a building permit. Page 2 of 3 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�] 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 and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than l acre, local jurisdiction shall provide -for the same practical effect. See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including I 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 be completed prior to completion of road construction �,r f4nal inspection of a building permit. Page 2 of 3 -09 q - �3 - 3,08 7 ' Jet7'e-e-z- AP # PERMIT # NAM Other Requirements [-] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] 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 "_O. 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 3- 2 - Date Signature Page 3 of 3 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE oupt7tz'--3�l�7 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. b; K?d v/ DC - /&*- . , ?`o - z Date Date Wt a Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road',Chico, CA - (916) 891-2751 7 County Center Drive, Orovill4i CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER / PERMIT 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. Date//%�/ �/� Inspector 7 REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENt SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 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. Date — r- Inspector REV 10/92 COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 3 124J ,1111 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 hav any questions pertaining to this matter, or need additional explanation, pleas Contac office 'mmediately. COUNTY OF BUTTE BUILDING DIVISION. DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER 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. ►1 -PeO LIME P1 /D -r- PZAA5 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT 94-09273 State of California SS. CountyofAlivo On o�l�- �] 2 �j ff? - �. %� J before me, bZ DATE _ 14AME, TITLE OF OFFICER - E.G., -JANE DOE, NOT9Ry PUBLfrq' personally appeared V ITV f C A.. V' W &--I tfL d ( NAME(S) OF SIGNER(S) ❑ personally known to me - OR -roved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/ ®®®fl Za m o n o et n Bonn she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/ e: DEBRA L. CURLEE ® their signature(s) on instrument the person(s), rc ,' NOTARY PUBLIC -CALIFORNIA ■ ortheentityupon behalf of which the person(s) butte County m acted, executed the instrument. pl My Commission Expires Feb. 6, 1995 ■ H ® WITNfS my hand(a off iciseal. ��■w�■■■rets®®o®®�a�®®®ccI■®®® / II (This area for official notarial seal) SIGNATORE OF THE NOTARY THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED AT RIGHT: Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form. NP -9 (Rev. 1/93) OPTIONAL SECTION Title or Type of Document Number of Pages Signer(s) Other Than Named Above k - OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER Though statute does not require the Notary to fill in the data below, doing so may prove aI able to persons relying on the document. INDIVIDUAL ❑ CORPORATE OFFICER(S) TITLE(S) Cl PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT Cl TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) M Return to By bdtlq9 WV, V= AGRICULTURAL STATEMENT OF ACKNOW EDGEMENT 9 4- Q 9 2 l 3 FOR RESIDENTIAL DEVELOPMENT Section`?_6-8.1 of the Butte County Code re�uires' this acknowledgement be recorded prior to issuance of a building permit. I I Date: OCTOBER 15, 1993 PROPER ERS: �, ; JOSE ROMERO AVILA CID#C14l9229 State of CALIIaaURUA 15TH OCTOBER S a �' r .Z On this the day of. .19 before me, the SS." undersigned Notary Public, personally appeared Co' inty of IC6 ANGELES). JOSE ROMERO AVILA ------------------------------------ I Present A.P. No. Personally known to me. "X Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) JOSE ROMERO AVILA subscribed to the within instrument and acknowledged that HE executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my, hand and'official seal. SEE ATTACHED UPDATED ACKNOWLEDCEMEVf Notary Public The property described herein is adjacent 94-009273'1 Rec Fee 12.00 to land .or included within an area zoned.. I Cash 12.00 for agricultural purposes, and residents Recorded I - of -this property- may be subject to. incon- Official Records I- veniences or. discomfort arising- from the County of I use of agricultural chemicals, including, Butte- I but not limited to herbicides, pesticides, Candace J: Grubbs I and fertilizers; and from the pursuit Recorder I of agricultural operations " .including, 9:02am 1 -Mar -94 I PUBL XX 3 but not limited. to cultivation;- plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke,. noise, -and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on.'adjacent _property should --.be prepared to accept such inconvenience or discomfort from normal, necessary farm operations.,,-,.-. All 'that .real: property. -situate in .the.. County, of. Butte, State of California, -described as follows: SEE ATTACHED LEGAL DESCRIPTION "SCHEDULE C" I I Date: OCTOBER 15, 1993 PROPER ERS: �, ; JOSE ROMERO AVILA CID#C14l9229 State of CALIIaaURUA 15TH OCTOBER S a �' r .Z On this the day of. .19 before me, the SS." undersigned Notary Public, personally appeared Co' inty of IC6 ANGELES). JOSE ROMERO AVILA ------------------------------------ I Present A.P. No. Personally known to me. "X Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) JOSE ROMERO AVILA subscribed to the within instrument and acknowledged that HE executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my, hand and'official seal. SEE ATTACHED UPDATED ACKNOWLEDCEMEVf Notary Public SCHEDULE C qh — The land referred to herein is described as.follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: Lot 7, in Block 74, in Subdivision No. 1 of -the Palermo Citrus Tract, and being shown on the Map of said Subdivision No. 1 of the Palermo Citrus Tract, recorded in the office of the Recorder of the County of Butte, State of California, February 28,.1888. AP No. 027-084-035 PARCEL II: A right of way for road and utility purposes 30 feet on each side of the centerline of ,the existing road, extending Northerly and Westerly to a point on the Easterly boundary line of Citrus Avenue. PARCEL III: A right of way for road and utility purposes 30 feet on each side -of the centerline of an existing road over the Northeasterly portion of Lot 8, in Block 67, in Subdivision No. 1 of the Palermo Citrus Tract, and being shown on the Map of said Subdivision No. 1 of the Palermo Citrus Tract, recorded in the office of the County Recorder of the County of Butte, State of California, February 28, 1888. t W w x W a U) U) 1 STATE OF CALIFORNIA COUNTY OF LOS ANGELES ) SS. On OCTOBER 15, 1993 gVFROM O ALEXANDER J ALBA a Notary Public, personally appeared AViLA ------------------- -------------------------------------------------------------- X�je}E�'pjfijl](vvj[cj�jrXt} (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and ack- nowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/ her/their signature(s) on the instrument the person ), or the entity upon behalf of whi h the persons ted, executed the instrument. WITNESS my hand an cial Seal. Signature ALBA :1 to"y rxp. May 5,1995 END OF DOCUMENT 3 0 o cnDO � Q n g :3 � .............. ....... :.................... ........................ .... ... .. .......... .... .............. (D :............. ....... (D : w (n P, .. .. .. ... .. 3 o ...........:......:... :..o w .......................... .. .. ... ... .. .. ... .. .. ... .. 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