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HomeMy WebLinkAbout027-100-045�,�� +1�,�.�.�'-'."-.•""ti' - "".T_'. . ....,.,y,.4 }- �` -'1'�._�.•�r.. ii�•.at.`r...z. ..rte r �� 'y �,. � - _-_- 27-10t RICHARRATER 39'Tessaro; Oroville Peimit#774 E(util,_MH) 027-l'00-045"• _ ELEC Dv �rte' :v- • 94=017A` PRATER', ' RICHARD,'&; BARBRARA G, P� } GAS - 39 TESSARO,'�OROVILLE • SUPPORT STRUCTURE RE N- -• '� �• _,'• � x � �, AG'•;EXPEMT-PERMIT-HAY & TRACTOR=.STG COMPACTION TEST RE ., j 2,7 VO ,Permit��77 -84MH ; 8-0193;. X027=100=045. " RESIDENTISFD-Mobile Home PF "��----' NEI, MHfEX-SITE �PERM FNDN (1804' 45 ` `,S"39TESSA:R.OLN ''tl1`�AL�l�Z�Q$` V i :, PRAYER RICHARD LAVER, ' B08-0406), `I' ;`, :,'� t ' 027.100-045 MISCELL'ANEOUS - Demolitibn : DEMO EXISTING�MOBILE HOME =F. r " 39•TESSARO LNv '� • ';�� �` 1l `•` �ry .. '�' _ � i; j PRt1TER RICHARD LAVER, f J1t,SV. l l �. 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: 39 TESSARO LN Owner: Permit No: B08-0193 APN: 027-100-045 PRATER RICHARD LAVER, Issued Date: 03/10/2008 By KCG Permit type: RESIDENTIAL 39 TESSARO LANE Subtype: SFD-Mobile Home PFS OROVILLE, CA 95966 Expiration Date: 03/10/2009 Description: NEW MH EX SITE PERM FNDN (18 (530) 534-9660 Occupancy.: R-3 . Zoning: A5 0( Contractor Applicant: Square Footage: FREEDOM HOMES LORD, DORMAN Building Garage Remdl/Addn 2243 FEATHER RIVER BLVD 1023 14TH ST NO 16A 1,804 OROVILLE, CA 95965 OROVILLE, CA 95966 Other Porch/Patio Total (530) 532-3301 (530) 532-3304 480 2,284 - FEE INFORMATION DBEH Building Review Fee $78.90 DBF MH Plan Check $241.16 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE SRA Fire Plan Review (S $107.00 DBMSC Mobile Home Permit Fee. $361.74 DBOMSCF Fire Safe Standards Re $118.98 Total Charged: $1,134.27 Fees Paid: $1,134.27 DBSMIP Residential $12.49 Balance Due: $0.00 Receipt No: B6615 LICENSED_ CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License FREEDOM HOMES 839031 / B / 05/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full f and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 03/10/200$ ($500]; Please check one of the following: ntra s Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance The Contractor's License Law dows not apply to an owner of the property who builds or improves carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: XL Specialty Insuranpolicy Number: R11 Exp. Date:07/01/2008 Exp' Contractoes License Law.). (This section need not be competed if the permit is or one hundre ($100) or less. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation taws of California, and agree that if I should become subject to the workers' X 03/10/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provis' X 03/10/2008 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 State laws relating to building Si fDate NTNG: FAILURE TO SECU WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the Pr erty owner or am au oriz to act on the property owners behalf. CONSTRUCTION LENDING AGENCY 03/10/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for erne of Perm1 e [ IGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR; ElAgent for O Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: 538-7541 A FEE WILL BE REQUIRED AT)TIME OF APPLICATION **PLEASE PRINT CLEARLY** PERMIT. NO. BIN # n:1rUKM518U1LDING FORMS1BId � v gApplSubRgmts.doc Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire cne year after the date of application. In order to renew action on an application ager expiration, a new required application plans and fee will be 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 Fosts are not refundable_ Received by. Amount 'H 'J v r 31dg SRA Receipt #: Sheriff SM1P Date. 1A 2d Other Total n _ � REV 7-27-0.4 ,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: B08-0193 Date: 02/05/2008 Location: 39 TESSARO LN By: KEJ Parcel Number: 027-100-045 Sub Type: SFD-Mobile Home PI Owner Name: PRATER RICHARD LAVER, Phone: (530) 534-9660 Description: NEW MH EX SITE PERM FNDN (1804) 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 E] E] 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, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 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 NCA 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 o 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 C] ❑ 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: "*When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. _ Signature of Property Owner: Date: 02/05/2008 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: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hgp:HmuniciDalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-0193 Location: 39 TESSARO LN Parcel Number: 027-100-045 Date: 02/05/2008 Owner Name: PRATER RICHARD LAVER, Phone: (530) 534-9660 Description: NEW MH EX SITE PERM FNDN (1804) Signature of Applicant: Date: 02/05/2008 FIL 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 0 0 0 0 0 �M W 0 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B08-0193 Location: 39 TESSARO LN Parcel Number: 027-100-045 Owner Name: PRATER RICHARD LAVER, Description: NEW MH EX SITE PERM FNDN (1804) Date: 02/05/2008 By: KEJ Sub Type: SFD-Mobile Home PI Phone: (530) 534-9660 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: 02/05/2008 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: B08-0193 Job Address: 39 TESSARO LN Contractor: FREEDOM HOMES 2243 FEATHER RIVER BLVD OROVILLE, CA 95965 Printed: 02/05/2008 11:23 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $78.90 02/05/2008 $78.90 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $107.00 02/05/2008 $107.00 0100-450001-4617240-1010 $107.00 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $118.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $107.00 02/05/2008 $107.00 DBMSC Mobile Home Permit Fee. 0010-440001-4210500-1010 $361.74 DBF MH Plan Check 0010-440001-4210500-1010 $241.16 02/05/2008 $241.16 DBSMIP Residential 1001-0-280-1011298 $12.49 Printed By: Karen Jones 19134.27 $534.06 Balance Due: $600.21 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fg"ay change dur'gg the plan checking process. Date: 02/05/2008 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). 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 Reference Number: B08-0193 Date: 02/05/2008 Location: 39 TESSARO LN By: KEJ Parcel Number: 027-100-045 Sub Type: SFD-Mobile Home PI Owner Name: PRATER RICHARD LAVER, Phone: (530) 534-9660 Description: NEW MH EX SITE PERM FNDN (1804) 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. 02/05/2008 Date jignature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Firel)revention/prott)lan/i)rotDIan.htmi Rev'd 5/7/07 FILE T t STATE OF CALIFORNIA NUMBER: BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND.COMMUNITY DEVELOPMENT' IIIIJJJJ u DIVISION OF.CODES AND STANDARDS..... _ _. _ 8736165. MANUFACTURED HOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN ` i DISTRIBUTION: ORIGINAL (PINK) FORW 6 T THE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FO RW .THE DEPARTMENT A7 P.O. 80X, 1 SACRAMENTO„ CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. 1 COPY 2 (YELLOW) DELIVER TO THE TRANSl70RTER,,TO ACCOMP THE UN�f 30"ITS OES gLNATION: COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER HCD 483.0 - Side 1 - (7/97) ❑ CHECK -IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. 4. MANUFACTURED. HOME OR MULTI -UNIT MANUFACTURED HOUSING 'NUMBER OF 3 XXX SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: FLEETWOOD HOMES OF CALIFORNIA, INC. 9534 MgtgJFXQT,tpZ®N Sjf,VE, S PO BOX 1308 et" if00DL�iND 4 CA 1 J. -95776 SUGGEfTEC RETAIL,PRICE: > , =� (Ci (Street) .. State' ZI MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: WATERFORD 7523L 2005. 05/27/2005 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OF TRANSFER: FLEETWOOD RETAIL CORPORATION OF CALIFORNIA TRANSFEREE DESIGNATION: DBA: FLEETWOOD HOMES OF OROVILLE 1061581 05/27/2005 DEALER OR TRANSFEREE ADDRESS: 2243 FEATHER RIVER OROVILLE CA 95965 (Street) Ci State Zi INVENTORY CREDITOR NAME: FLEETWOOD RETAIL CORP SERVICES ... 10700 NORTH FREEWAY, SUITE 900 HOUSTON TB, •77037.. (Street) (City) State Zi SECTION MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT 1.6 INCHES INCHES (POUNDS) 1 CAFL517A28553-WA13 PFS0902654!!�!( 580 160 300240 AC 2 CAFL517B28553-WA13 AC PFS0902655 Lf�tY�f '(!• 532 •160 35,180 3.. r �AF,517C:85$3-.WA, v. -� f, ,•.FSQ0:2'656' , g . ,... 58U <' X1`00 1$'.0-:'. yg y ' 13141\ TRANSPORTER NAME: ) t BENNETT TRUCK TRANSPORT, INC. —I `j I L — �0. TRA1rfs6TTFJjqjffiWSkIAL PARKWAY P.O. BOB 569 MCODNOUGH GA. 30253 (Street) C' state(zip) DESTINATION FOR UNIT DESCRIBED ABOVE: (NAME) Street C Slate Zi I certify under panatty of perjury under the laws of the Slate of California that the above facts are true and correct. 05/27/2005 WOODLAND YOLO CA Executed on at (Date) �_ (City) (County) (State) SIGNATURE OF AUTHORIZED AGENT:. ` i DISTRIBUTION: ORIGINAL (PINK) FORW 6 T THE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FO RW .THE DEPARTMENT A7 P.O. 80X, 1 SACRAMENTO„ CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. 1 COPY 2 (YELLOW) DELIVER TO THE TRANSl70RTER,,TO ACCOMP THE UN�f 30"ITS OES gLNATION: COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER HCD 483.0 - Side 1 - (7/97) lil TY NATIONAL TI Mwilie Ti is tovift V Ift. X". xiomrd L. ester L 2 Alta Aftl6ba OMVLUO, Cawormia 11 I-V L r vq� same as abcma CAT. No. DWd To Im 0.0 1 (UK) amp oodm(an • srBaoHs•,ns�wa�[�L.00�corwbiotst�o�yaamo.le�,l. ane�,D r. sir HI send mACAM L. SUM,buabmd and wife mamm, hu2ba&. WA Wife. and S. IMXS.GM mad MUM 1). beech/ GRA;Mg) w n=Cifl1Aa Lh VMW PR LM and MXMM VZWU, huabaM and Wife an joint -vaunts to ldb" domlAd nd pwputy in an unincorpmrat" a" attach" deacwtiptim J r PIT Da --'i ;Ipma 4, 1984 Q005 sr,knoir"Wom" "U" r. J couNmw W. OV4 OW wedaedpeLd, 4 XWXW POWC hi MW lw Add SbAA6 Xug=WL. Bunt v&V&Q •uw"owm omz,-. ai be the "d ad.—w—.9w r.hu hpZ wrJW9Uwdeed and dfiod=L JAUra V. V"s Rum a MDI),v bwmtr^ NY T%* Mo 04L 3% pm im. ux FA-R—ubmAs DUUMno —AAwg-7-' =130 WM 1 12/18/07 TUE 14:46 [TX/RX NO 53181 Q 005 J EXHIBIT "A" THE LAND REFERRED.TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS: PARCEL A: Parcel 3, as shown on that certain Parcel Map being a portion of Lot 22 "Map of Subdivision #4 of the Palermo Citrus Tract", filed for record in the Office of the Recorder, County of Butte, State of California, on June 3, 1983, in Book.92 of Parcel Maps, at Page(s) 76. PARCEL B: Non-exclusive public easement, 60 feet in width for ingress and egress and public utility purposes over Tessaro Lane, as shown on that certain Parcel Map filed for record in the Office of the Recorder, County of Butte, State of California, on June 3, 1983, in Book 92 of Parcel Maps, at Page(s) 76. Excepting from said easement, that portion lying in Parcel A above. PARCEL C: A non-exclusive easement for road and public utility purposes over the North 40.00 feet of the following described parcel: Parcel 1, as shown on that certain Parcel Map of Lot 21 of .Palermo Citrus Tract Subdivision No. 4, which Map was filed for record in the Office of the Recorder, County of Butte, State of California, on April 7, 1981, in Book 82 of Parcel Maps, at Page(s) 23. PARCEL D: A non-exclusive easement for road and public utility purposes over the following described property: All that real property situated in Section 10, Township 18 North, Range 4 East, M.D.B.&M., being a portion of Parcels 2 and 3, as shown on that certain Parcel Map filed for record in the Office of the Recorder, County of Butte, State of California, on April 7, 1981, in Book 82 of Parcel Maps, at Page(s)23, and more particularly described as follows: Beginning at the Northeast corner of said Parcel 3; thence Southeasterly along the East line of said Parcel 3, South 000 40' 00" East, 60.00 feet, thence leaving said East line, Westerly and parallel with the North line of said Parcel 3, North 890 30' 00" West, 383.61 feet to the West line of said Parcel 3; thence Northerly along said West line North 000 40' 00" West, 20.00 feet; thence leaving said -West line, Westerly and parallel with the North line of said Parcel 2, North 890 30' 00" West, 384.33 feet to the West line of said Parcel 2; thence Northerly along said West line North 000 40' 00" West, 20.00 feet; thence leaving said West line Easterly and parallel with the North line of said Parcels 2 and 3, 600 feet, more or less, to the Easterly right of way of that certain 40 foot strip shown as Reservoir Road on the Map of Palermo Citrus Tract Subdivision No. 4, which Map was filed as Wall Map #16 in the Office of the Recorder of the County of Butte; thence Northerly along said Easterly right of way 20 feet, more or less, to the North line of said Parcel 3; thence Easterly along said North line, 200 feet, more or less, to the point of beginning. APN: 027-100-045 12/18/07 TUE 14:46 (T%/Rl NO 53181 2006 C. . Butte County Building Division NUFACTURED HOME SUPPO Owner's name: T DAT. Home Manufacturer:I �_ ®V6 Model Number/ Name: Manufacture Year: Width: pw�x (ft.) Length: ft.) l FOOTINGS: Wood - pressure treated or foundation grade Other:[ SUPPORTS: Concrete block[ Other:[ . l Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. A ?�J ; _ Pier Footing Sizes and Locations ,ray/=J v yt41%vV SINGLE WIDE Line 1 _ Line 2 Section 1 Line 1 ------------- �Lrne 11^Piers: Minimum size piers: Spacing maximum: From ends maximum: Line_2,Piers:_ Minimum size piers: Spacing maximum: From ends maximum: Line�Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 4.Roof Load'sa Minimum size piers: Location (from front): Minimum size piers: Location (continued): Section 2 Section 3 2yX X ; MULTI -WIDE Line 1 Line 2 Line 3 Line 2 Line 4 (triple wide only) Line 2 Q110w Loaa: L-` - -p-§f Snow Load requirements may be obtained at http://www.upstate-ca-com/butte/butte—county/ Insert AP #, view snow load in lower right comer. it �. Line 1 Oi,eninas /� X �� Minimum size pier: [ /� ~} X Required at each side of openings over ` wide. Q - dl,e/ 48'-0" - L E W-10 1/2" IT -9" 13•-11 1/4" 7-5 V4" ' IEAi TAPE (ECEPi a AECEi TAC c his UEYRS0E (1( HDOROP vX599I YD75991 r Inn CSI OPT. YE6(D5 �'l ODI• Cil YEW06 $ SNIi01 TIERINJSTAT -vj' IAI __.1 I _ SMOKE ALARM nets WE (LASS ❑ 9A"IKE ALARM BEDROOM 1 1 OPT. \ SSA ryp Twl HM x/III>r I�IM. AM (SEE LFSRf>rR�YATI0N91 LIGHT FIXTURE 9 KIT081 ® EXHAUST FAN DI UTLITT VOLA VIDEO DIGITAL ISI ural. o p e'« f Nil I 1 I CABLE PANEL BOX •p N I OPT. « O VIDEO DIGITAL .�� OP' 1,' 1 6 R,A.. W/ II(EMvAa' 1 II , _ CABLE OUTLET QR ( UUP v01 v1 v4S 1 _ T+ + — --- S ❑ ---- -- --- - (AN W/LIGHT APPROVED FAN � e e•Nallom O PFS Corporation s F °"w -- ` �`�"�`�` d" A PANEL BOX S q I [ -_ RAG RETURN AIR Madison -4 n BATHE ---- n- I .y GRILLE 1127104 , ' 0'T' D 1A �CESSED 1Z IRS 4 O REGISTER HUD Manufactured IETV.l Z , CROSS-OVER E 1 �`�` O '' LOCATION/ Home AIR SUPPLY I Construction & g ' ' 0 X SUPPORT POST m«N Rls _____ ' � s __ ' O`"Rn�« DIENS IM S Q sHEARWALL Safety Standard - I p QA 160 X 48"-0' H BATI i © 160 X 57-0' R t_ tj K L X ' H © 160 S 48-0' 3 � OPT. CTR. ?9 N i I SS Iy REM" 3 l __ � / ' WOODLAND M4.9 so > 17 /1� ISS • I I SS NOTES: � I PigpJCT NATE .I. PERIMETER PIERING REOUIREO��// i `l�` pffl., WATERFORD ,. WHEN ROOF LIVE LOAD a 20 psi 1 / � i` � � i 1T / l �s�r r 1 2. ACTUAL SHEAAWALL TAI96TAflY HAS // i ��l11At root`OOELNDBEEN INCREASED PEA�/ R�A17aM 7523L PORCH DESIGN CONFIGURATION, , « DIIAWRO TITLE 3.TRAVEL DISTANCE FROM FARTHEST « y4m Ye991 « BEDROOM TO ENTRY = 32,3 LF, yXMIR Villn OPT FLOOR PLAN IRWY � 4•THIS FLOOR PLAN MAY BE BUILT IN AN EXACT MIRROR BNGIE 4-0 Q-0" Ri 8-0 ABOUT ITS LENGTH (SIDE TO S10E) AND/OR WIOTH (END TO EMI �'-0• D Aw ": AIVAR K. AXIS. POST AND SPLICE. RANGE DIMENSIONS (FROM-TTi "ITS) ARE,: TO BE STARTED AT TEE REAR OF END-TO-END MIRROR' IkOaS A DATE: 01/13/04 m - 51 DEWALL ADD—ON WINDOW n n � TEV tws LflooR P� NJ I 'ATT IQ1y �DF�AILS IiFJAPPLICA8LE1 c :4-0 m Is-0�( NOTE nl IS DESKINW TO MEET TSE FOLLOWING BTPaICTURAL REWRE#iHTS: Er e> > PROJECTION WITH FULL PORCH rte B AWAu F P . 4 re 2=T8 S Ulla • 9� ` ($N �"'RooF'COAasi � �. r30 ^bd: ��.. , Eve-BTRw 9'-S V4' vaAms / L TERNAT I VE ENTRY n / • 21-0' 6fE POIEW Braes FUTE ru yes. APPROVED PFS Corporation Madison - 4 1127104 HUD Manufactured Home Construction & Safety Standard 4-B V� v&M W-6* e o 1 n OPT FULL PORCH L E C E N D bRECEPTACLE $ SWITCH O THERMOSTAT ® SMOKE ALARM iJ SMOKE ALARM ./..Tow LIGHT FIXTURE ® EXHAUST FAN VDCP VIDEO DIGITAL CABLE PANEL BOX ® VIDEO DIGITAL CABLE OUTLET FAN FAN W/LIG1 IPANEL BOX = RAG RETURN AIR GRILLE C3 0 FLOOR rn REGISTER CROSS LOCATION / AIR SUPPLY SUPPORT POST QSHEARWALL QA 160 X 41T-0' 08 160 X 57-0' n 160 X 49'-0' WOODLAND 17 PFC(XXT NUE WATERFORD NO. 7523L OPT FLOOR PLAN M'm BT: AIVAR K. DATE: 01/13/04 9R IEv FP.2 12-0" I1-9 3/1• I- EMPTY PIER LOAD 18 COM81NED IN NUMBER ABOVE - - l Inge A A 1 16G E 7'-B' J 20 87RAP to" -2 S/e' A A 218G E 7'-0. 8 28 Me STRAP A C 10 E 2'-B' B 25 BTRAP A C 2 180 E 2'-S' 8 70 a� B7RAP IN NOTE FIELD REOL EMPTY TRIS FIELD I i 9fARWALL G -STRAP OPTIONAL FULL PORCH ALLOWED T J I SPLICE LOCAT IOn MENSION9 ARE FROM HITCH ENC LIVE LOAD: 30 L89. OPTI FROM TO UNIT MATE 01 - r-8• A B A B 29'•11' A B 35'-8' A B 13'•3• .3'-e' A B SS' -3• - SS' -S' A B 0" - 1'-I' B A 8_8 . - 10'-1' B A I/' -O• - 21' -II' B A 211'-8' - 70'-7' B A 31'-11• - 35•-9' B A 13'-0' - 13'-e 40 BA 55-3" - SS' - S" B A 0" - 10" e C 10'-S' - II• -B• e C IB' -0' - IB' -10' D C 27•-5• - 20—e' B C 33—e• - /1'-S 'S B C 1' - 17'-0" a C 51' -II" - Se' -0• B C 0' C B S'-3" - II' -e' C B le' -10• C e 21—S• - 29•-3 C D 3t' -D' - 41•-S' C e 41'D' - 40•-9• C e S4' -I-II• - Se -0• C e APPROVED PFS Corporation Madison - 4 1/27/04 HUD Manufactured Home Construction & Safety Standard WOODLAND n-1 MDO1ICT NME WATERFORD MODEL ND. 7523L DRAM7N1 TYLE SPEC DRAG DIJON BY: AIVAR K. DATE: 01M/104 SR RY 3PE.C.2 4 1 -2 m DRAIN ml OUTLET 26'-2 V4' 34 1/4" ENTRY 23-8 I/1 � DOOR PANEL EOX of WATER INLET N SB 3/4" 94 V2. ENTRY WINDOW DOOR JI -3 3,11 ►5-0' 20'-0• r�0 ' G -STRAP �I POST DATA LIVE LOAD: 30 LES. � E 27-0' m I 43'-4" Br Vl FURNACE DUCT C -UNI LFUENAC! DUCT O 64JNI T AMTOMIl TUIelrEe NeOrem UOEA raa mere W r�E PLUM B MULLAT IAWIN d Y _ SB 3/4" 94 V2. ENTRY WINDOW DOOR JI -3 3,11 ►5-0' 20'-0• r�0 ' G -STRAP �I POST DATA LIVE LOAD: 30 LES. � E 27-0' FURNACE DUCT C -UNI SB 3/4" 94 V2. ENTRY WINDOW DOOR JI -3 3,11 ►5-0' 20'-0• r�0 ' G -STRAP �I I L E G ESTANDARD FOOT IhYi OTES: THIS DRAWINS IS TO E USED IN CONA.NC- ION WITH TK INS - ALLATION MANUAL AND IS SUPPLEMENTS. FOOTINGS ARE SHOWN OR EXAMPLE 04-Y. UANTITY AND SPACING AY VARY EASED ON PAL YPE, SOIL CONDITIONS, TC. WOODLAND 17-1 XT wo WATERFORD 7523L VXM TITLE PIER LAYOUT 30o ROOF LOAD f km BY: AIVAR K. {{i OV13/04 t 3o SIT SP. .1 I. "Ev ILL POST DATA LIVE LOAD: 30 LES. I L E G ESTANDARD FOOT IhYi OTES: THIS DRAWINS IS TO E USED IN CONA.NC- ION WITH TK INS - ALLATION MANUAL AND IS SUPPLEMENTS. FOOTINGS ARE SHOWN OR EXAMPLE 04-Y. UANTITY AND SPACING AY VARY EASED ON PAL YPE, SOIL CONDITIONS, TC. WOODLAND 17-1 XT wo WATERFORD 7523L VXM TITLE PIER LAYOUT 30o ROOF LOAD f km BY: AIVAR K. {{i OV13/04 t 3o SIT SP. .1 I. "Ev ILL `mac FLEE7'1/1000 HOMES Waterford Series Model • 7523L A t* Bedrooms • 2 Baths • 1,804 Square Feet 52'-0' FREED= t� '� 1°-T't.!.. i.:...�_•.. Lim. 0" WN=a_ ILLL';';i .y. -ti• ..i•t. .L.if:......:�.a.:; .....t�:I -....F,t. om,I ;�; ..0 t---! -t .. .i _^.,_ I � �I . • �i.....-..iL.;.:. B!Ui1F.F' ET :i- 2243 24RR BL VD.D/W'❑❑j__i-I 0ROVILLECA 95965 : (53) 532-3301 BEDROOM 15'-5'X12'-1UrILI - NIIJGr OPT 4_j .�_-:_4;-p..:.li_l_Li L.: -T .Y_q.l_._l..^.i_ ..1..{ ISLAND :L�_i_:.. ;- ROOM; I_._ ,,,.a'-•.A..s_..�,._.,,., =i -.:_1..r r- OwGfl:_'_:_•..L:-r-7 pPf -r_� > _t_...11.T _�_ r� - .'`:._i ._j�.L �i9'•1'X 12'•B"_...i..°.y. OPT CEILINGtlf _-�.1_i::(..i-�..1.i•.:._. FANI.�....�..t�T..:..t'-.1-''7': I': _i..._:_I. 1."1"'I-j-t't': t ._.. .1._.......-- -i-i a .�..r1.�.;.. ..,_I... # t...-r..l_....:...:..F : _i�......_-jENTRY ENTRY ENTRY -t '-;T�-. !:_I.:a_; (:.:. T I OPENING I p„ O_•: _ 1 N SOFFIT W/SHEIF AUOYE ..,_Lf_l_:_:_:..1..._:L' I i i=i W/RECESSEOCANt16NT5 TRANSOM ..I _.. ..7-,....-�-• , T :: . %:. \ I CLOSET ....:..... CC333 OPf. DINING —=FULL PORCH= AREA $�� 19'-6"x 12'-10" - 12'-0-xaa o" t _t.I...F.i..1. I SNELYESI O 3— FF �' 1- ---I–_Al. P CH P H ..,._:..t.,..;y.-:-... I DESK W -B 3 . ;..... ............ ...., _ .. ... -- -fi'�'{" ENTRANCE O ". . :i z,.... .. T T I I BEDROOM #2 ; LIVING ROOM - 12' -0' X 13'-0" i Y N EI IL NG ,' t 19'•0" X 13'-O° C�� i `♦ t\ I -'O ll FAN , I l\`♦ /' 1 \t _ I `2 u _ It / LIVING ROOM t---- / 19'-O"X 13'-O::♦ p� / OPT. I11 r U D. I T ', I OPT. tlf ♦`♦ /'/ I ♦♦\ [FILINELING ENTRANCE r [FILING ♦ ' 1 ♦ — . –F–I I `♦ ' 1 `♦ OPT. ALTERNATE ENTRANCE - �0? C Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative an kAepi g'. ,I(ri . e l4 �`/ Rp 0nztaA4-- 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 hitcl I is not included. (Add four feet to active at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBIECTTO CHANGE WITHOUT NOTICE OR OBLIGATION. PFSAPPRUVAL _b/ 14/06 WU/ 17/IUN06 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Ground System BUTTE COUNTY BUILDING DCYLJM Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOMFfMOBiLB HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18331 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS Steto orColifomil Dept OtHotwles and Communhy Dwwopewnt SI OF COg�ES AND STANDARDS BY .�C_DATB 8PANa ar- �. � This PW Approved Knorr 7A 4 Page 1 of 8 TIE DOWN FNGINIrf.HIN6 m 0 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 39 TESSARO LN Owner: Permit NO: B08-0406 APN: 027-100-045 PRATER RICHARD LAVER, Issued Date: 3/10/2008 By GLB Permit type: MISCELLANEOUS 39 TESSARO LANE Subtype: Demolition OROVILLE, CA 95966 Expiration Date: 3/10/2009 Description: DEMO EXISTING MOBILE HOME (530) 534-9660 Occupancy: Zoning: A5 0( Contractor Applicant: Square Footage: DORM LORD Building Garage Remdl/Addn 2243 FEATHER RIVER BLVD OROVILLE, CA 95966 Other Porch/Patio Total FEE INFORMATION DBMSC Demolition $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B6609 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 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7 000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 3/10/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Plea check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The 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 Contractors License Law.). Carrier. Policy Number: Exp. Date: (This section need not a completed if the permit is or one hundred ($100) or less. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT ISSSUED, X11C I shall not employ any person in any manner so as to become subject to the Workers' ompensation laws of California, and agree that if 1 should become subject to the workers' the 3/10/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith with those s Igr re Date provisions. A 3/10/2008 X ',i, I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building �,, Si Date RNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the irro erty owner am auth 'zed t ad on the property owners behalf. 3/10/2008 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame of Perm i a [SI N] Print Date the performance of the work for which this permit is issued. (3097 civ, code) ElOwner ❑ Contractor OR: Agent for Owner Agent for Contractor FIL COPY Lender's Address City State Zip . BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. APPLICA INF RMAT/ON OWNER INFORMATION Last Name P , First Name Mailing Addess City City 6J rG State /1 Zip Phone Fax ._ E-mail E-mail APPLICA INF RMAT/ON ff • Name. , Address Zip City Fax State I Phone Fax E-mail APPLICA INF RMAT/ON ARCHITECT/ENGINEER Name. City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICA INF RMAT/ON Name ' Address City State Zip Phone Fax E-mail 1W.1391773 PROJECTLOCATION AP# - /m — O7 Property Address City WORKER'S COMPENSATION Policy Number Carrier o . / IIf hiring anyone 60rr than frcensed contractors, a certificate of I worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Sq FT- Living as ---Garage Open ov ❑ Structure Built without Permits ❑ Proposed Change of Occupanc� (Note previous use): y�ii For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. AUTHORIZATION TO OBTAIN INFORMATION I, (We),L Authorize Freedom Homes to obtain any information necessary for the purpose of applying for permits regarding my property located at: Kiae Signature Date CONSENT TO PERMIT Consent to allow an authorized representative of Freedom Homes to act as my (our) agent to obtain the necessary permits (including County, HCD, and utility) required for the construction project located at - A -0 t: AP#� By signing this consent, I (we) agree to pay any fees or charges related to obtaining the required permits. Further, I (we) understand that if the project is cancelled for any reason, I (we) are responsible for any costs incurred by Freedom Homes and give Fidelity National Title (or any other title company) permission to (reimburse Freedom Homes out of the escrow account. tig7niaiuGe Alture Date BUILDING DMISION COUNTY OF BUTTE - DEPARTMy NT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT L/471T NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. � I /00 r ZONING /q 57 OWNER 1CflA 120A.e � PHONE NO. S 34 q( OWNER'S '361—Tr-1;S ^ /-e-D I0-�1 V -D�r✓[✓ LOCATION OF BUILDING 3 9 1-Y/2-- T S �/ USE OF BUILDING Eb -4- eA G V� SIZE OF STRUCTURE X�� ' � � SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER(Specify) TYPE OF Slf.��l / ROOF COMING FLOOR ESTIMATED -COST O F�-GPNSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: � � FRONT �� SIDES S REAR , AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. I n _ „ r\ _ o Date — Z ( " Y 7 Signature of Owner Permit Fee - $60.00 �7 Receipt No. 1556 6 The above described AG Building is exempt from a building permit. FLOO I PA;Ca I ROOFING ISS Manager Building Division By Date 0119-51 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTY OF BUTTE -DEPARTMENT OF DEVEIPPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL"_LE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 - - PERMIT APPLICATION DATA SHEET - OWNER Proposed Building Use Building Inspector Date At timeof per, it application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 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. ........... 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. ..tPosuild 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. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other ` Parcel Creation_ 7 w Acreage Applicant Y4Date 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 new item not checked above). 1. Index permit for above items No 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File. cabinet AP folder Copy - Department of Public Works PERMIT NO. .7-71F�$-P E MH ,PERMIT PERMIT EXPIRES (D (� OWNER RICHARD'PRATER CONTR. owner i ASSESSOR PARCEL 27-10-25port ill •� LOCATION 39 Tessaro, Oro i E/S Teesaro, 500' S She-Yo Ln, 300'E'Crossa countre Rd, Oro f OFFICE COPS • -. �, Address � t Date i e r BY pat I Nleker BY - 1 I Fr t' I T Temp. Power Pole i Called PG&E Temp. Elec. Service Called PG&E ..�''•� ? Temp. Gas Service -CalledPG&E JOB F ALED,(Date.) Signature 3 v .. 4 r , � 0 Not OK I — = NotAppIicable MOBILEHOMES I = Not Ready MISCELLANEOUS *` Date MOBIL OME UTILITIES (PI OK except Ws on'ng Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements oils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors wer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails VeWater: Location—Tes —Easement Needed(Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing_ (62 Electricity; Lo ion—Clear e _ Qty AX—.concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures s; ovation— Wrap:/ /"L" ft./ P'Nat.or "L" fL/ "LPG ----- 6. Carports; Windows—Doors 7 tility Clearance 7. Elec. r i Card -BI Date i Card -BI Date Card -BI Date Card -BI Date _ C d -BI Date i Card -BI .,,-Date Card -BI Date Card -BI Date Date MOBI E INSTALLATION ( s OK except N's Date _ POOLS (Plans) OK except (I's o5ing Requirements—Setbacks—Easements 1. Setbacks—Easements o ngs; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability ; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining _— lectricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI i ; MH Test—Fall-Flex Connector 5. Elec.; Pool Lighting: 15 volts—GFI e , MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed er and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit E s; Insp.—Sketch 1 Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test - Card Date and -BI Date Card -BI Date Card -BI Date C d B -I Date Card -BI Date Card -BI Date Card -BI Date l �e l .o J OK,` 0 = Noi OK - = Not Applicable k = hit Read RESIDENTIAL (Sin6le and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings - 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access - 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19_ .Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except #'s 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 20. Fixture & Transformer Clearance -Ins. Protection - 21. Stec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. --- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes - 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps74. _26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -- _ 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ['Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following ❑ ❑ ❑ Yes No; Plantein3ye Drive Yes No; Walks ❑ Planters ❑Yes ❑No 76. Stucco; Brown -Finish - -- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - -- - ------ Card B -I ---------------- ------ ---------- ----------------- __Date_ Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except #'s 82. Glass Protection 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _- - 31_ A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fail; Exhaust above Insulation _ _Condensate Drain _& Overilow; Size & Grade 86. Energy Compliance Certificate -Other Certificates Card -BI Card-BIrd 34. 35. -- Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic - - -- - - - ------------- --- Date _ Card -B I_ Date Date Ca -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors Comments at Final: _37. 38. _38. 39. - 40._Fire Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls_ over Girders" & Floor Nailing_ _ Draft Stop in Walls (rat proof) _ Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -_Sill Hgt. & Dimensions__ Garage Fire Protection Framing _ (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 7 ZS"'— pfd- for the following location: q S S,'41= Al Owner r -./ / �J-: Owner's Address Mobilehome Mfg. �`•+� Model -i!"l- "' a= r:�a Year —711 Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may ibe occupied. - -- `1 Director of Public Works Date L/ By�- THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector �� �� Date 1. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise-- Phone: 872-2961, Ext. 57 CORRECTION NOTICE (1WAIFD DCDKAI T A routine inspection indicates that the followi violations of County Ordinance exist at the above address and Out be orrected. Please notify this office when correction of work is comp If ou have any question pertaining to this matter, or need additional ex o please contact this office immediately. y Inspector,_ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CaliforFTa 05966 - Telephone 916/534-4541 APPLICATION AND PERMIT "PERMIT NO. / ASSESSOR PARCEL NUML35.R .Z7- %® , -- 6 ZONING BUILDING PERMIT ownl� e#1-/4-0 /'j2/7/ /�7��/ /7-/G4—A7/0 �lF?�+o E� SO. FT. OCC. BUILDING VALUATION O WNER'A / /! /�{!`�� COIO/Ci,�/7-c/Tv CONTRACTOR'S NAME VIELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ &-0 Penalty $ ARCHITECT OR ENGIN-EER'S MAILING ADDRESS Permit fee $ BUIL ING ADDRESS ee� dd/J S %Essi��U N� • /7�0 �� s` �. �- PLUMBING PERMITPilin 9 Fee 10.00 . A� ' " pp' .3©o F- Each Trap 2.00 Solar Water Heater 20.00 JV,0S/7e0LiA)7r6: 4�Z), Water piping 5.00 LOT NO. SUBDIVISION NAME PA CEL MAP 2'76 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome Q/ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK / New ❑ Addition [-I Remodel ❑ Utilities ❑ Instt-a�ll tion th r ❑ Describe work:�j_ !� - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 J� Main service EA. ADD'L 100 AMP 2:50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. Z1h�Sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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 CONSTR, ULI.OUTLET 2,50 ea NON.RESID BRANTCH CIRC ITS NEW CONSTR. ! POWER APPARATUS &') NON=RESID. %SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES ew ®30 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. CAI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County 'n consequence of the granting of this permit. %� V Date`- Signature of Applicant — Owner Contractor ❑ Agent F1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 7a, .,4 OCCUP, GROUP I TYPE OF CONST. I V 17 PARCEL PD I No SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR VFP BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS D e r Receipt No. 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 196 MEMORIAL WAY 7 COUNTY CENTER DRIVE 747 ELLIOTT ROAD CHICO, CALIFORNIA OROVILLE, CALIFORNIA PARADISE, CALIFORNIA 881-2727 534-4281 872.2861 Ext. 88 It APPLICATION FOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM fAlCPL`�" Owner's Name Assessor's Parcel No.e Iola —%Q -24— Applicant's Name t�� tt�L �} r r Phone Mallin Address 1. Construction site (Street and number or direct 2. Lot size 319 .4 feet x feet. I APPLICATION FOR: new system for new building QZJ Repair of or addition to old system ❑ v �SSA�O Atitc __ istance to nearest crossroad) ...Ww S acres Auxiliary or secondary system [] New system to replace existing facilities [� 4. Type of building to be served by proposed system: Mobile Hosie ® (size D ' No. Bedrooms garbage disposal?,, House 0 No. Bedrooms garbage disposal? Other ❑ (specify) ' 5. Water supply for premises: (Must be safe, potable water) Community ElPrivate well 5d Other— Water supply for adjoining properties: Community ❑ Private well ❑ Other - WORKMEN'S COMPENSATION INSURANCE 1 have placed on file with the County of Butte a eartifkste.of Wprkmert's 6. 1 am aware of the provisions of Section 3700 of the California Labor Code Compensation Insurance. r Which requires every etnpbytx to be insured spairtst liability for Workmen's Compensation. ® I certify that in the performance of the work for which this permit is issued 1 shall not employ P Y an Y Person in any manner sq ee tQ,,Ileewne.subjeat;tS► the Workmen's Compensation Laws of California 7. SCALE PLOT PL�kN_TO BE FURNISHED Sketch to scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing: a. Property lines. e. Show direction and approximate amount of ,slope. • - b. Location of all proposed and existing buildings, f. Source of water. structures, driveways and parking areas. g. Water lines. c. Location of large trees, rocks, or other obstacles. h. Set back lines and easements. d. Location of any well, spring, creek or other body of I. Proposed sewage disposal system and area water on the parcel and within 100 feet of property line. for replacement. I hereby state that the information above and on the reverse side hereof or attached hereto is correct and true to the best of my knowledge. I understand that the permit must be obtained before any construction is begun either on the building or on the sewage disposal system, and that -a, satisfa-,tory inspection of the system is required before the new building or dwelling may be occupied or the system backfilled, or put into use. I also understand that a safe potable water must be supplied to the new building or dwelling before occupancy can take place. Signed Date Owner ❑. Authorized agent ❑ Licensed contractor ❑ (An original letter of authorization must accompany this application inorder for an authorized agent to sign.) FOR OFFICE USE ONLY Legal parcel? Zoning Use permitted? - Access Rcpt. No. Amount Water plans cleared Potable water Comment ' 579R BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville. CA. PHONE: 534-4541 r MOBILEHOME INSTALLATION SHEET 1, Owner's name: ^�� Av .if I C r 2. Installer's name: S N\ L: ; 3. Is the site currently under permit? Yes /T/ No (If yes, furnish permit number OR : Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of. all setbacks.and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? ----------------------- 1 O b Amps 6. What is the mobilehome site service rating? --------------- '200 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric. load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If.yes, identify the load and size: P_ (Load)(Amps) 3 �i ? 9. What is the mobilehome site gas pipe size? ---------------=------ ��{ (in.) 10. What is the type of gas service? ----------- ----- --------- Natural /% PG, 11. What is the gas pipe length from meter or tank to the mobilehome? o (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.) + 07 BUTTE COUNTY - BUILDING DEPARTMEN MOBILEHOME SUPPORT DATA If other than single wide, 7 Mobilehome Mfr. furnish Setup Model No. Year Width /0 (ft.) Box Length(ft.) Tagalong or Expando, Sizeft. x-04z—ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single ® 1' Wood either ._ (ft. pressure treated or foundation grade. .� 2. Other; (specify) (in.) (in. Center suppo locations* Center su port footing izes Supporta (check one) (in.) 1: Concrete block. � a . [:]..2i Other. (specify) (f t.)(in.) (in.) (in.) *---Tagalong or Expando,' Q Q show support details. n.) (in.) �� -- Typical Support in. (in.) Footing Size (ft.)(in.) (in.) (in.) ' -- Max. Pier Spacing Max. Overhang in.) *If center piers are.other than drawn above, draw in. -locations, spacing, and dimensions.. I I ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION' AND PERMIT PERMIT NO. , ASSESSO ARCEL NUMBER ZONI BUILDING PERMIT - 14V-�CjQ` S0. FT. OCC. BUILDING VALUATIONOwN OWNER'S MAILING ADDRESS p /' / _ 2— 17trl? 1 64 - CONTRACTOR'S NAME n TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERd UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER � LICENSE NO. Plan Checking Fee $ / �� Penalty $ ARCHITECT OR ENGINE 'S MAILING ADDRESS Permit fee $ NG ADDRE BUIL .. i1Ef7�t{? ��j—�p �'. f� f" S rRl PLUMBING PERMIT Filing Fee 10.00 III L14NC Apn 3CQ / , ©F v'� Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT O. SUBDIVISION NAME3el ES�/1 �j P�RCEL MAP Z^7 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[Other SPECIFY Building sewer44 5.00 Mobile Home 10.00e .fd-cmc! TYPE OF WORK New Addition❑ Remodel❑ Utilities Installation❑ Other❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 100 AMP OR00V OR LESS10.00 /ty 06 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. I DWELLING OCCUP.& OR ADDNS. % ACC. BLDGS. 2/20sgft 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 NON.RESID CONSTR. ULT' -OUTLET 2.50 ea BRANCH CIRC ITS. NEW CONSTFt. POWER APPARATUS &' NON-RESID. \SINGLE OUTLET CIR. Ex. Occu 20®s0c P Ts OR FIXTURES 6AL®ao FIXED APPLNS. OR Ex. OCCUp. FIXED OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S6d Misc. Wiring 15.00 1401 721 /_A/�' Permit Fee $ 7 SU 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 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 ag st said ounty in consequence of the granting of this permit. X LJL.t. s-� .3 _ Date Signature of Applicant — Owner 14 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ SD OCCUP. GROUP I TYPE OF CONST. '/ PARC L PD HD 99U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECXOR OF PU By. GS PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS D to -� C Receipt No -N o G" WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT OFFICIAL RECORDS BIJ'TE' COUNTY- CAI.! �"", ' . i. -• Section 26-8.1 of ?E:�ORDS RE�iUESTE;.'• Ft` the Butte County Code requires this acknowledgement MiOESN be recorded prior to issuance of a building permit. — -- MAn Y i l 49 AH 199 The property described herein is adjacent to land or included ELEAH01(14.BiI;K!:R within an area zoned for agricultural purposes, and residents of this CLERK-RECU41R property may be subject to inconveniences or discomfort arising from 84. 78;:() FEE - the use of agricultural chemicals, including, but not limited to herbicides,; pesticides, and fertilizers; and from the pursuit of agricultural operations including,�bu't. not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust; smoke, noise, and odor. Butte County has established agricultural 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: - 1r-\ _ 0 0 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 A: o k Parcel 3, as shown on that certain Parcel Map being a portion of Lot 22 "Map of Subdivision #4 of the Palermo Citrus Tract", filed in the Office of the Recorder, County of Butte, State of California, on Jurie 3, 1983 in Book 92 of Parcel Maps, at page 76. RESERVING THEREFROM a nonexclusive easement for ingress and egress and, ~' public utility purposes as shown on the Map referred to herein,. Salo -1easement to be for the benefit of and appurtenant to the remaining: land of. the Grantor; herein and shall inure to the benefit of and may be' used by all persons who may hereafter become the owners of any parts; or f portions of said appurtenant land. ; PARCEL B: E Nonexclusive public easement, 60 feet in width for ingress and egress and public utility. -purposes. PARCEL C: 4 A nonexclusive easement for road and public utility purposes; overthe North 40.00 feet of -the following described parcel: Parcel 1, as shown on Parcel Map of Lot 21 of Palermo Citrus Tract Subdivision No. 4, which Map was filed in the ;Office of the Recorder of Butte County, State of California, April 7, 1981 in Book 82 of Parcel Maps, at page ,23. PARCEL D: A nonexclusive easement for road and public purposes over the following described property: All that real property situated in Section 10, Township 18 North, Range, 4 East, M.D.M., being a portion of Parcel 2 and 3 as shown en that certain', Parcel Map filed in Book 82 of Maps, at page 23 in the Office of th.e, Butte County Recorder and more particularly described as follows: BEGINNING at the Northeast corner of said Parcel 3; thence Southeasterly, along the East line of said Parcel 3 South 000 40' 00". East 60.00 feet; thence leaving said East line, Westerly and parallel with the North line of said Parcel 3 North 890 30' 00" West, 383.:61 feet to the West line of + said Parcel 3;. thence Northerly along said West line ;North 000 40''00" West, 20.00 feet; thence leaving said West line, Westerly and parallel with the North line of said Parcel 2 North 890 30' 00" West, 384.33 feet to the West line of said Parcel 2; thence Northerly along said West `line North 00° 40' 00" Wr , 20.00 feet; thence leaving said West line h Easterly and paral' with the North line of said Parcels 2 ands3,,600 feet, more or 1-ess :he Easterly of way of thaC, certain '40 rfpot` strip shown as Reservoir Road on the Map of Palermo Citrus'Tract Date: March 19, 1984 State of California ) ) SS. County of Butte ) Present A.P. No. 2 -IcoZ�_ 3. PROPERTY OWNERS: c / I On this the 19th -day of March 19_$_[y :before me, the undersigned Notary Public, personally appeared& Richard L. Prater and Barbara D. Prater, i E7 Personally known to me. f -V Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) aro subscribed to the within instrument and acknowledged that '7 he; executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. otajr• P blic•; I r s f OFFICIAL SEALDORTHY M BURNS EQ):NOTA RY PUBLIC - CALIFORNIABUTTE COUNTYy comm, expires MAY 25, 1987 Present A.P. No. 2 -IcoZ�_ 3. PROPERTY OWNERS: c / I On this the 19th -day of March 19_$_[y :before me, the undersigned Notary Public, personally appeared& Richard L. Prater and Barbara D. Prater, i E7 Personally known to me. f -V Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) aro subscribed to the within instrument and acknowledged that '7 he; executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. otajr• P blic•; I r s f --7-- 40 "I& H gge,7 AHS - "IN 11 LLJCIS > < U-1 z LL, yu- 'Ilk CID —cl) F 7-0 SA L4 Lu if IL ®Rk !jk 6 Z rti Qcc 0 L! i C - -.) Lu < < z z UD N QD :D 17" J L� OWNER PRATU, APN BP -0/ -sw a, (O 5 501 AC, P LANDING AT EXTERIOR IDOORS SHALL COMPLY WITH CBC SECTIONS 1003.3 & 1003.3.1.7 ALL COVERED DECKS AND OPEN DECKS EXCEEDING 36 SQUARE FEET IN AREA WILL REQUIRE A BUILDING PERMIT ZY NOTE SITE CONDITIONS ENGINEERING MAY BE REQUIRED IF ANY OF THE FOLLOWING SITE / CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED Assessors Parc PLANS: • EXCESSIVE SLOPES EXPANSIVE OJVII;f F�u;p� SOILS EXCESSIVE CUTS OR FILLS Address / I�IiUI' ALTERATIONS TO NATURAL DRAINAGE • OTHER UNUSUAL SOIL OR GEOGRAPHICAL ,7ito 1-oCEltic)I1 CONDITIONS C10/1 CALIFORNIA CODE OF REGULATIONS TITLE 25 REQUIREMENTS AS AMENDED BY THE JURISDICTION APPLY TO THIS PROJECT 156 _ n� AN•o lMAED �06-0113 I rt� �,; Y. e Z.. IJV/ 9' /S0� 4, 3� • I ?- ca' I e: o I o ` THE 2007 CBC, CMC, CPC, 2004 CEC, AND 2005 CALIFORNIA ENERGY STANDARDS AS AMENDED BY THE JURISDICTION APPLY TO THIS PROJECT. COMPLY WITH CDF/ CAL FIRE REQUIREMENTS PRIOR TO BUILDING DIVISION FINAL. CONTACT CDF/ CAL FIRE FOR INFORMATION PLANNING DIVISION - BUILDING PLAN APPROVAL Use:. L�fate: 10 ddA d, 0 8 Parking: Tandscaping: Other. Signature: A rE BUILDING PERMIT# 08- ASSESSOR'S PARCEL# 027' I �" 05/S BUTTE le""UN`Y eN PROVIDE I -=OR ALL APPROVED PLANS AND ADJACENT PARCEL_L.I PERMIT SHALL BE ON SITE i ZONIIt): FOR ALL INPECTIONS Genera. PSin, Aci-es, FILE COPY {