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027-120-032
NOTES RESIDENTIAL 027-120-032 /-04-2-4-7-4--"PERMIT NO. — LEE, CLIFTON j DUSTIN LN, OROVILLE Cont: GREENE ROOFING MHI (TIE -DOWNS) SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS t Meter By Da e -':,O* ELECTRI Meter By Date ' f JOB FINALED (Date) Signature CHECKED BY J=OK 0 = Not OK . ='N tReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 4 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4Shthg-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG i 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector { 6. Water; MH Test -Regulator -Connector j 7. Water and Sewer Connected -C/O to Grade -HD Approval I 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office pate Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r MISCELLANEOUS { Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 4 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4Shthg-Frg-Bracing 4. Wood Awn.; Posts- Beams-Rftrs-Connectors 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors i 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability { 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining j 4. Elec.; Receptacles and Lighting, Distance-GFI I 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test I 11. Light Niche 12. Enclosure; Fencing -Alarms ) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped _ 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No _ 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 36. A.C. Ducts Insulation & Support Corrections from Previous Inspections 37. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 38. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Energy Compliance Certificate -Other Certificates 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth T Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive D Yes ❑ No/Walks D Yes ❑ No/Planters ❑ Yes O No - 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE A DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE r OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: PERMIT NO.: Owner's Name: Z^ E- C. r Owner's Address: Mobilehome Manufacturer: Year of Manufacture: Serial Number or V.I.N.: Insignia or HUD Number: Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed'on a foundation system. 513B white -owner, Yellow -Installer, Pink -Bldg, Gold -Assessor ...i;...x�_ �.ia ._�'.. �.5, ..tu.,_Y.-..ha.. .. �,._�•a _, sr U. �.i✓.�.ay �... ..�. :.:n..1..A...._'. �. ..?.-, :+,G. .a..�.s�.�-. , ,,. i".:... G MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: PERMIT NO.:/ �y �+ / 'f f (.r Owner's Name: Owner's Address: c Mobilehome Manufacturer: Year of Manufacture: Serial Number or V.I.N.: a Insignia or HUD Number: Official approving installation: Date: r// /( '� . / l - I If the mobilehome is move&or relocated, the mobilehome installation acceptance shall become invalid. This �.+ form shall not be used when the mobilehome is installed on a foundation system. I - 513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor COUNTY OF BUTTE ` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 MainStreet • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 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 notice 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. / LO G n 14^ L = C u( REV 10/92 STATE OF CALIFORNIA.- DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT CERTIFICATE'OF TITLE' Manufactured Home Decal No: LAT5978 , Manufacturer ID/Name 90002 SKYLINE Trade Name LEXINGTON " Model LEX5510B DOM 11/22/1991 DFS 1 07/29/1993 RY Exp. Date Serial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use Type 2T7003756E ULI342012 122,339 66' 13' 04 SFD LPT ^ 2T700375AE UL1342013 22,339 66' 13' Issued Total Fees Paid . , Jan 23, 2004 $277.00 Addressee CLIFTON J LEE �-...' 7294 DUTCH FLAT DR NORTH HIGHLANDS, CA 966 A tic T At* *vr%: ' x > R E K R.egisteredrner's CLIFTON FRANCES�f? LEES* Joint Tel,_AAs Wit ght of - urvlvorship 4 7294 D - H FLAT NORTH HIGHLANDS, Situs AddresS .. 31_�- a 106 STIPSON ORO 21. E, CA 95965 - t . E - e , IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. R THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 3270064 01232004- 437 [SECTION A - SMOKE DETECTOR CERTIFICATION The California Health and Safety Code requires that all used manufactured home/used mobilehome be equipped with a smoke detector which is in proper working order on the date of sale. "I/We certify that the manufactured home, mobilehome, or multi -unit manufactured housing is equipped with an operable smoke detector on the date of transfer." VWe further agree to indemnify and save harmless the Director of the State of California, Department of Housing and Community Development, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the unit in California, or from, issuance of a California Certificate of Title covering the same. I/We certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on at ate try State 1 a. lb. Releasing Signature of Registered Owner Releasing Signature of Registered Owner Printed Name Date of Release Date of Release 2. ❑ Release ❑ Retain * ❑ Assign Interact Legal Owner of Record (if any) sign and check appropriate box (• If Assign Interest is checked - Complete New Legal Owner Below) SECTION C - NEW OWNER INFORMATION o NEW REGISTERED_ OWNER _ Please Print or Type Clearly 3a. New Registered Owners Name 3b. 3c. 3d. New Registered Owners Name New Registered Owners Name New Registered Owners Name If more than one New Owner going onto title, please check the appropriate Co-owner term box. ❑ Joint Tenants with Right of Survivorship ❑ Tenants In Common OR *❑ Trust/Trustee(s) (• If this box is checked -Complete HCD 476.613) ❑ Tenants In Common AND ❑ Community Property ❑ Community Property with Right of Survivorship 4. 5. 6. 7a. 7b. 8a. Mailing Address of New Registered Owner Actual Location Address of Unit Purchase Price or check box if Gift -L] Signature of New Registered Owners City/State Zip Code City/State Zip Code Purchase Date or Transfer Date 7c. 7d. Signature of New Registered Owners Signature of New Registered Owners Signature of New Registered Owners NEW LEGAL OWNER- Please Print or Tvpe Clearly 8b. rmw rxgat owners game New Legal Owners Name If more than one New Lender going onto title, please check the appropriate Co-owner term box below. ❑ Joint Tenants with Right of Survivorship ❑ Tenants In Common OR *❑ Trust/Trustee(s) (• if this box is checked -Complete HCD 476.6B) ❑ Tenants In Common AND ❑ Community Property ❑ Community Property with Right of Survivorship 9. Mailing Address of New Legal Owner City/State Zip Code �T NEW JUNIOR LIENHO�DER -Please Print or Type Clearly "� 10a. 10b. New Junior Lienholder Name 11. Mailing Address of New Junior SECTION D — RELEASE OF D: 12. Signature of Selling Dealer New Junior Lienholder Name Print Dealers Name and Dealer Number ZiD Code L=J BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042474 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/20/2004 APN: 027-120-032-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 233 DUSTIN LN PAL Date: Contractor. Ma P Index: Description: NEW MH SOFT SET(1650) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: LEE CLIFTON J & FRANCES D permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 7294 DUTCH FLAT DR signed statement that he or she is licensed pursuant to the provisions of NO HIGHLANDS, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95660-2826 she is exempt therefrom and the 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 ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: LEE CLIFTON J & FRANCES D Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carver: Total Square Ft: 1650 S.F. Valuation: $107,250.00 Census Code: Policy #: I certify that in the performance of the work for which this permit is issued. I shall not employ any persons any manner so as become subject to the workers' compensation laws of California, `_ ! � � U/�/" and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: � Sen� G Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. -"`-- . - CONSTRUCTION LENDING -AGENCY -r-. . _ _ _, This permit,is hereby issued under the applicable,provisions of the Butte_ County Code 2nr_vor I hereby affirm that there is a construction lending agency for the Resolutio s Q do Mork indicated abov for' i& i&es have been performance of the work for which this permit is issued (Sec 3097 Civ.) Name: B • Date: Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that 1 have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substa 9131of any official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pues. Print Name: �" �/�fJGT L_C )7 Signature: Q Date: -6 O t -t 0 Owner O Contractor ❑ Agent for Owner 0 Agent for Contractor COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE; OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OAWER L eG PROPROSED BUILDING USE �Jt-_V_t1 M 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ - Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES Ul LG (paid at School District Office)il� (form available gfter lan Check 3. SHERIFF FEES (paid at Building Division Residential ............$360.00 = Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg A.P. # 261�2, DATE RECEIPT # DATE REC. q0&&70 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ # Units Amt. Commercial (Sq. Ftg.).... X = $ _ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) FIRE INSPECTION AND PLAN CHECK FEE 89 (paid at Building Division)/52 C1pT 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ J4. I''K. may be changed Pursuant to Government Code Section 66020, you areiiclebt notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your pyect. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) COUNTY OF,BUTTE-DEP. ARTMEN.T OF DEVELOP,MENT SERVICES -BUILDING DIVISION a 7 County Center Drive,jOroville, CA 95965 koone.(530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET t OWNER: �EE ASSESSOR PARCEL NUMBER + Proposed Building Use: o C w "H j E w/ (-r .e J>cyv" Counter Technician: Date: B ' f-7' e>4 Dams required in orderto apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plan 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the"preparer of the plans. Q� 0 3. Engineered plans, 3 or 4 sets, with wet signatuu�e on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. Z7✓ 8. Manufactured homes,k Data.sheets and installation inst, ( Marriage line info, 9) Floor Plan, Q Tie downfind plans, all in du licate;-- r ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) )ans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs >j ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form ar t / 15. Sanitation and site plan approval from the Environmental Health Department in q Chico ❑ Oroville, as applicable. ❑ F,t 16 Other tk k, Remain�ftgttems needed to issue the permit. (May require additional plan review upon receipt of the following items.) Sprinklers................................................................................... 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by C .. ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ❑ 20. Erosion Control Plan Required........................................................................ ........ g," 21. Fees as shown on the attached Schedule of Fees Due Sheet..-',......•.... c., ❑ 22. City of Chico Plumbing permit ...................................................... .... 23. California Department of Forestry plan approval �id. Sent by:........... l 24. Planning approval (A) Use: CLY==(B)Parking: (C) Parcel Check: ,�. 25. Contact Land Development about _ Improvements, _ Drainage ......................... GY,r 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ............. ::...... ...... ❑ 28. Pre -Inspection for required ..... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ...........::..... ❑ 30. Worker's Compensation Carrie nd Policy Number .......................................... a� 31. Owner -Builder Verification (_*,/Given to owner, _Mailed to owner) ....................: ❑ 32. Letter of Signature authorization ...................................... :............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: r ❑ 39. Other: When issued Telephone - 3'70. 034 -74 --at affil P r and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Gp/p C1191licantt�i ,�,..,.�cc�� L' ^( a : �� ` 4 4. Index permit application for the above items numbered: Plan Check Letter 2. Additional items re • Contractor, designer, owner as advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the abov data by.- ❑..phone, ❑ mail, = ❑ counter b Date: Plans reviewed by:Date: g'f 0 Plans approved by: Date : - Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division r� t , E. sr! ONLY 'Piot Ran Attech Floor Ran Attached Sent to B.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: blic Private Well Clearance for dwelling. Other QWAlYN )i final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 ' . Dat O.B. - I O` NER-BUELDER VIEWFICAUMI�T Attention Property Owner. An "owner buildee' building permit has been applied for in your name and bearing your signature. Please complete and retum this information at your earliest opportunity to avoid umnecessary delay in processing -and issuing your building pemit No building permit will, be issued until this .verification is received. 40I personally plan to provide the major labor and materials for conshuciion of the proposed property improvement: YES -1 NO ❑ Q2_I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: - CFTY: - PHONE: CON'TRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have bired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS: MY: PHONE: CONTRACTOR'S LICENSE INTO. ..MA ;;:■ NAME ADDRESS PROM, • r OF WORK STPDATE:- ROPERTYO'YVN--• 2�2 NOT' This Owner -Builder Ver kation is regu&ed by Secton 19831 and 19532 of the California Heafth and Safety Code- Thus ver kation must be completed and OWNER BUILDER INFORMATION Dear Prop&fy Owner. Q B, — I iov sp a big P has been sobmb#ed an your nm.,,listing yourself as See builder of property For yourproiecdon, You shatild be aware that as `°owne 4maldee You are the respanmsble party ofrecord on such a PmmiL Big Pma*s are not required to be signed by property owners unless they are own worm If your wank is being performed by someone other than P�o�Y PMfo�g their liab�y if Vat person applies for the 3'�e14 you may P yourself from poss�ble CmftwPmP� P� is his or her name. li cease f vm � � required by law to be Hemsed and bonded by &a She of Ca�f'a Lk and to have a business liemsapply�Y or They are also by law to put their license mmiber on all pmamity for which they Ifyou (b your own w0d; be aware of tine foIIPLMowing mformationn Rw WA the mon various trades that You plan io sober yon should poor- benefit and protean: it Ifyou employ cr othmwbe engage my Pons cdW 9n your kmediate fame- y, and the word Cmcbdm.. =±clots and other costs) is $30D or more far 1he entire pmj and such per= are not licensed as contactors or sobcanixackm thea yon may be an employer; ♦ ff'you are an emP'Yw. you must register WA tine State and Fe3m-1 snbf est to sevezal obi ��g s� and Zderal G°vea�me s as as employer and you are wow � ms more, �Oy ice costs�e wiyma t = ims al social secmasY �, T1nre may be fiaaacial risks for nne�Pl°Yme<at c�peasatioa cows. wi& to worms Y� kisuranm do not cant' Old these obiigafio�, and deme risks are especiauy serious �P� comps ♦ Fonmore qr- c� n¢ormabm aboutyour obligations umkw Fedmal Law 'f You wish, the U.S. Small Business . coat<a� Ja mal REve�e Service (anc� State Law, ca�act the D Far mare spscific moa, about your obftaffi= under eP ofBeaefit Payments and the Division OfWnctxid A.=ideats. If the sf� is ift d %r sale, prvPMIY owners who are not H-.,md condhion-sonany or through th$fr Y own =P�Ds, withmg a licensed contractor or sub=ntracjnr, m�y nnj lid A frequent pracdc_- of tensed pMMW pmt to be yrs is to secare an P� impbiog that the PDp�ty owner is providing bis or hey own lobar and ° vmw ' build ng p� h .steed sip -ed by propmty o �y an pig � � ninny. Building amity or at 1070 N Stream Sm =W be obtdmd by Stale Li=nse Board in pont Please � � CA. 95814. ' BuMm VeaificzbW on the reverse side of ft Salm so that we ran confrsm that you are aware of ff=0 mattzrL The big p=Dit Will not be issued uaM the vedfication is rimed. PZF-• ZIa mer-3u9derlr forr�taSon Is required b�',Sectian 13830 o Bse . f Caf�orafa geaidi mzd Safely Cod BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to, the public!!!!!!! NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing, Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address: Phone Number: ' The above information is not available to the public!!!!!!! m r �,x AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2004-01051 9613 Recorded Official Records CoBUTT Of CANDACE J. 6RUMS Recorder ROSEMARY DICKSON Assistant 12:27PM 25 -Aug -2004 REC FEE 13.00 CONFORM 1.00 Cheryl Page 1 of 3 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: S ,a prttptt1.,td L r --I* L C�1 S Gn�efioJV Date o)J JC.0-a /,o Ll PROPERTY OWNERS: State of California ) County of 6V,j}c, ) On W' IS -O C-/ before me, personally appeared f'/f,uCE.:s ,0. r Terson lly kite -we (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/erre subscribed to the within instrument and acknowledged to me that-be/she/they executed the same in-*is/her/"r authorized capacity(40, and that by-14s/her/their signatures) on the instrument, the person(s) or the entity upon behalf of which the person(*) acted, executed the instrument. WITNESS my ha and official seal. Signature Seal: JAMES LAMAR KINSER COMM. #1377185 -� NOTARY PUBLIC • CALIFORNIA BUTTE COUNTY .. A.P. #�QT��r j�2 Q - 03�Z " My Comm. Expires Sept. -28, 2006 j Description Order No. BU -208592-3 MAM The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCELI: LOT 13, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "STERLING SUBDMSION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 10, 1990, IN BOOK 118 OF MAPS, AT PAGE(S) 64, 65, 66 AND 67. RESERVING THEREFROM A 60 FOOT RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY EASEMENTS SHOWN AS DUSTIN LN. ON SAID MAP. APN 027=120-032-000 PARCEL H: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY EASEMENTS OVER DUSTIN LN. AS SHOWN ON THAT CERTAIN MAP ENTITLED, "STERLING SUBDIVISION", WHICH MAP.WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 10, 1990, IN BOOK 118 OF MAPS, AT PAGE(S) 64, 65, 66 AND 67. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH LYING EASTERLY OF AND ADJACENT TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE INTERSECTION OF THE WEST LINE OF LOT 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FORTUNE ACRES, UNIT NO. I", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY 'OF BUTTE, STATE OF CALIFORNIA, IN BOOK "A" OF MAPS, AT PAGE(S) 23, 23A AND 24, WITH THE SOUTH BOUNDARY OF GRUBBS ROAD, AS SAID ROAD EXISTED ON JUNE 1, 1989; THENCE SOUTHERLY ALONG THE WEST BOUNDARY OF SAID LOT 2, A DISTANCE OF 60 FEET TO THE END OF. THE HEREIN DESCRIBED LINE. CONTINUED Order No. BU -208592-3 MAM DESCRIPTION - CONTINUED PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES 60.00 FEET IN WIDTH. - LYING 30.00 FEET ON EITHER SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE NORTHWEST CORNER OF PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,. ON' FEBRUARY 2, 1982, IN BOOK 87 OF MAPS, AT PAGE(S) 49; THENCE ALONG THE NORTHERLY LINE OF SAID PARCEL 3, NORTH 60° 49' 20" EAST, A . DISTANCE OF 83.57 FEET, MORE OR LESS, TO THE CENTERLINE OF THAT CERTAIN 60.00 FOOT ROAD EASEMENT, AS SHOWN ON THE AFORESAID PARCEL MAP AND THE TRUE POINT OF BEGINNING OF THE LINE HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING SOUTH 220 22' 02" EAST, A DISTANCE OF 442.62 FEET, THENCE SOUTH 000 09' 39" WEST, A DISTANCE OF 526.05 FEET, MORE OR LESS, TO A POINT ON THE SOUTH LINE OF SAID PARCEL 3 AND THE END OF SAID CENTERLINE. SAID EASEMENT BEING FURTHER SHOWN AS CROSACOUNTREROAD, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 2, 1982, IN BOOK 87 OF MAPS, AT PAGE(S) 49. C4. 5 4, SITE PLAN REVIEW APPLICATION Date: LM p AP# 0�"7— � Permit Number (if applicable) UY 2 Y 7 q APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: / O- /J t7X %6 VLSI' Telephone Telephone No.: 770 -� 9 Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home ��t' ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) a Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Pl n Stamped Approved' ByDate ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------- —-------- ------- -------------------------------___--------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A-15' Applicable Building Setbacks: '0 ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front , Side Side Street Rear©, S 761 P U, U. Height Waterway N/A N/A N/A '0 ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ' ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------------------------------------------------------------ Subdivision Map Special Fees ' ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) # Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements JR' Subdivision Mau/Parcel Map: Map Date of Recording: <Z, �d Lot: 13 ❑ Use Permit/Minor Use Permit Permit Number: Book: ' // r Page: 6 410 7 Date of Approval: Parcel Map/Subdivision Map[Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa 0 Parra d rtf G KA 0 l n Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. 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J-) CCEAP ALL MWA".O" NEED6 MW W)�A/ 90'OFdIL .CFS//1E�VT,,ee ((LL.TL@'LY•Y6S, 6A?.OEK, lORRJRI+t, N70ASt'4A/OW LWO A6R/IULTJ/JP.Y /SII.P.'O,WfS FEES GV EFFL5CTA7 T.YCF r/A�dFiYSd.AtlE OF ROJL'RGt/6 iEGf1/Pi .. __,.� , eAV4e//EP A?EA /4 6FAC!/F/fLO tETgAGt tN CA.�74Ld�'ONOP,✓KL S/L7E, P6'OL/Qf/W/,t/!L S/pf. S)) ALL COPi S,�lOLL O.ftf✓/dE 4UFF/C/EM' ATEA «7p N/ELLt dNO /cd0'CBoI.vF/EC/J E1BE 4E7Ji-e AFdQ07 rAocE,alsas avEAtvter. 4rAk ROA/4,,V 7/44K S/A7 S/OA/1[/E6E AA9 7JES,r/.�.E4OBCO.V5rAwnF7 R)CO."Ryw S7ANOd6OS fOE .EW70O ar 777 9E dYCEPTE� RYT//ECO!/,vTY FOP,MO/,VTENd7.Y.E. T/G.c d40/Tt2llQL Af4o-vCvT4Ao'W-S .ongIr/OAloz AlrO.-WrILW, /s FOa 1AI,'-0.-JVr1 VOZ -Z PAk7,QW ewes, Im-re'Q/947/l C[t(/i1?/O,IK .✓t Q-T,K aOre OF F/U•l/G 4VP KNOT /•VTE,< A61 7V AFFECT AMMAO T/TCE /NTEREST. 57ZRINC SC 1.91V1QO1V A FIAla .4 /7O'PT/B•V OF TyE U/EST %z CST SECT/OrV //, TO(.f/rVS'.4///> /Ffit/O.PTif� .Z4rt.�E ! FQST, 'o /g Me Ly IAVR APOY4C///ELEle �REPee1uivue/��lcd BUTTE COUNTY AGRICULTURAL BUFFER N 3 a Q ll AND/OR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name: ER A 1uGF_S M. LF15 Phone: &2J0 ^b37b - C y� J Mailing Address:�Q�c 71.1, VA kA w. o CA 4 • �iS� X E -Mail address Assessor's Parcel Number: 0-3-:2- — Reason 3 -:2 - Reason you -believe you qualify for the unusual circumstances exception: or Authorized UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. bmit 4 copies with this form Refer to the Site Plan Su ................................................................................................................................................... Internal Dept. Contact I ❑ Env. Health tanning ❑ Building ❑ Other Contact Person: Phone: ......................................................................................................................................................................................... For Agricultural Commissioner office use only: (to be completed after submittal) DISCRETIONARY PERMITS (Planning) M ISTERIAL PERMITS(Building) ❑ Exception Recommended Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations:)o pes. 6191df Ol UA. _ Agricultural Department Signature Date: 0 a ?-+ lg-6 ��y,� , YMC 7/1/03 r'+ Building Permit Number: Q 2 Y -7y Owner Name: Leb Residential Construction Requirements EWTORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, =' H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required. Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: 64- a 7 7T Owner Name: L e e-, Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of '36 feet from the side and *0 feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. a a m 11ve'4 BUTTICE COUN i, ",ItjlLDIN*G DEPARTVM'- A P P R 0 V r cn r— A-A 0i r— I Q1 • z BUTTICE COUN i, ",ItjlLDIN*G DEPARTVM'- A P P R 0 V r Mobilehome Manufacturer:S L -,i � 1.1V e Manufacture Year:.. 3 If other than single wide, furnish getup Model Number:- 15'j to Width:nS 8 .(ft.) Length: j_(ft.) Tagalong or Expando Size On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade�C1 Other: SUPPORTS: Concrete blockN Other: Provide Tie Down Specifications for all Mobilehomes: Pier -Footings Sizes and Location SINGLE WIDE Line 1 Line 2 .......................................................................... Main Beams Line2................................................................. Line 1 MULTI --WIDE el Line 2 ................. e2 Line 3 Line 2 .................................................................:.............................. Main Beams ................................................................................................ �`1.ine S Tag or Triple e 4 el Line 1 Piers:, Size minimum:, r lxr Spacing maximum: I` From ends -maximum• ` Line 2 Piers: Size minimum: Pa, a 1 x [ 301. Spacing maximum: y' ` From ends -maximum Line 3 Roof Loads: Size minimu X 3'D Line'1 Openings Line Line 1 Size minimum: [ 1 x [ I Each side of openings with width over: ` Line 4 Piers: Size minimum: [ 1 x [ 1. Spacing maximum: ` From ends -maximum ` 3L,r101 3) J2 12- ; 2 3 3 30 /2 , Location (fro � Line 5 Roof Loads: Size minimum:. Location (from front): FewffIIII t ±[ 1 F�Ql F E IL j I UEr z,A 301/4K3 ��&& . I Il! IM F .d. V 1. Owner's Name: C L i FTG lV - A /r�,ES L E -E 2. Assessor's Parcel Number: 3 3.' Installer's Name: C L 1 FTD N -,t Fg A N C Er5 V 4. Is the site currently under permit? Yes[ ] No[ ] Permit No. 5. Is the site an existing site? Yes[ ] No j�j (If yes, furnish two. plot plans). 6. What is the electrical rating of the mobilehoine? Amperes. 7. What is the mobilehome site circuit breaker rating?IU j) Ainperes: - 8. What is the electrical rating of the mobilehome site? 0 0 Amperes. 9. Is the main service remote from the mobilehome site?. Yes [)fl No[ ] If it is, what is the rating? -' �b Amperes. Y 10. Is*there any other electric load to be served by the mobilehome site electric service (i:e4 ell garage etc.)? Yes[(] Not ] If yes, please identify the load and size: a) The mobile home site: Load- Q Amperes- 3n A b) The main service: _ Load- /6n Amperes- (� n 11. Type of gas service at mobilehome site: Natural[ ] Propane[A None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: L " inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?-:50—(ft.). 14. What is the mobilehome gas demand? 1-3k 60 O B.T.U.* *(This information is not required if the pipe len is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MTJST BE COMPLETED IN ORDER TO PROCESS THIS PERAUT APPLICATION ELECTRICAL,- MECHANICAL, Alii® PLUMBING CONSTRUCT 10iN (PHOT PLAN CHECKED ) SHALL COMPL s° WITH- CURRENT Elul'nON OF NEC, UMC AND UK, E—Z TIE DOWN SYSTEM DESIG LOADS: *WIND LOAD -- 15 PSF 1. THIS, TIE DOWN SYSTEM IS DESIGNEO TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM SOIL BEARING CAPACITY OF 1000 PSF. 2. CHASSIS REAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS 54OWN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS". 3. IN AREAS INHERE DIFFERENTIAL SETTLEMENT (OS) CAN OCCUR, MANUFACTURED HONE SHALL BE READJUSTED WHEN DS EXCEEDS 1/4% OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (3) SECTIONS IN WIDTH, CONTACT THE DESIGN ENGINEER FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. 5. STRUCTURAL. STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECMDDES-370 PLATED -ASTM A36. BOL7S=AST41 A307. 6. THE I: -Z TIE ASSE-MBLIES ARE CAPABLE OF THE FOLLOW[mr- DADS: HEIGHT HORIZONTAL VERTICA UPLIFT 18" 2010 Ib 6000 891 Ib �pirEsSt 22" 1825 Ib 6000 �Ib Ib 801 Ib Q 25" 1510 (lb 6000 (Lb 664 lb ��` � D. 28" 1419 6000 Ib 629 Ib 36"867 �Ib Ib 6000 (Ib 395 libi 14to; 7 LLL:a11< $a9Ti1 AMEETAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PR.=n Expr8VYIRE STAND IS piACEq OI1 A CONCRETESLAB, USE1!2'CON{gjg. �IV1�' gE)C ANSION ANCHORS TO SECURE THE STEEL FRAME TO THE SLAB. OF CA1.� 1 H LASTIC BASE PADS ARE NOT REOUIREO. TA -A-9. TTACHMENT METHODS TOR "C" & 'J' BEAWS SHOWN ON SNT. #2. oR�3 ( ) 1 . "T_HE__lONG DIRECTION OF THE E -Z TIE PAD (37') MUST BE INSTALLED VERKNDlCULAR TO THE CHASSIS BEAN. 4) ABF.SCO-GUS Ot 2 3851 FLORIN - Fl SACRAM ENT+O. I SINGLE WIDE COACHES DOUBLE/MULTIPLI: COACHES E= 2' MIN. / B' MAX. E= Z' MIN. / I V MAX. VARIE5 10'-70* EVENLY SPACED BETWEEN rE - mi �--�-+-- - -- — i� —tet +- E iTi rTi Q O - VDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER (TYPICAL) 0 0 S 8 00 E -Z TIE SUPPORT PAD {TraICAL) � - � 0 0 L /-CHASSIS BEAM SUPPORT PIERS --SIZE AND SPACING AS REQU,R£D BY THE HOME MANUFACTURER. LENGTH OF HOME 18"FIT NUMBER 21"14T OF E -Z 25"HT TIES 28"14T 36"HT 40' 4 4 4 4 6 5D' 4 4 4 4 6 60' 4 4 4 6 8 ' .70 4 4 4 6 8 4 6 6 6 10 APPROVED SMJECT TD CORRECTIONS NOTED Approval does ad mt6orke or approve any omisskm or devia5m *= requbemenI s d s*cable Starts laws and reguldons. Stabs plf Wornis Departm'ommuniily D"opment WS S D STANDARDS By Dabe SPA NO Ill This Plan.�pprgval Expires pyt 3 THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3 SUBSECTION (a). WAYNE T. QOLVADO, PE—IJSTING NO. 99001 SHEET 1 of 3 2"x2"x3/16" STL ANGLE - 3/8" CAD PLATED EOLT. NUT do WASHER COUNTER SOREO FLUSH WITH BOTTOM (8) REQUIRED 1/4" STAND BASE ABESCO ASS PAD J503 1 3/4" DfA. x 18" LG. (4,' REQUIP.ED DETAIL "A" CHASSIS FRAME t/4' GRIPPER PLATE (2) REQUIRED 1/4` GRIPPER BASE - 1/2-t3UNC-A307 x 4" BOLE WITH NUTS (4) REQUIRED 101 1/2",SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/S" THICK TOP PLATE 1/Z- DIA NOLE (5) PLACES 16.75 TOP VIEW 1 1/2"xi f/2"x3/16 x2" T.S. (4) LCg (4) REQUIRED 36" MAX i ! TO BOTTOM OfPAD i ----- --------- - ------ -- / SIDE VIEW / 01/2'x 3" C.R. LOCK PIN WITH 01/6' BRIDGE PIN I 02- SCH 40 PIPE STAND WITH TWO J 01/2` ADJUSTER HOLES o C�.ASESCO ABS PAD X503 Ee STEEL FRAME-\ CLrris m z \ 18 1/2 } �--10.00 --I 0 0 1 O.Oa 1._ o 09/16 HOLE (TYP) -21 STAND BASE TOP VIEW 1 /4`x7 - 1/4'• TEK STS (2) REQUIRED 1/4` GRIPPER EASE 1/2- A307 BC; (4) REQUIRED 5851 i~LORW - PPPJMS ROAD SACRAMWFO. CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 COACH "C" FRAME 1/4- GRIPPE PLATE 2" CHANNEL COACH "J" FRAME 1/4"xI-1/4" K STS REQUIRED A.507 BOLT E13UIRED /4" GRIPPER BASE 1/2- A307 BOLT (2) REQUIRED C —BEAM J —BEAM ATTACHMENT ATTACHMENT E --•Z TIE DOWN SYSTEM WAYNE T. POLVA.DO. PE—LISTING NO. 9900T- - SHEET 2 of 3 0.50 30.00 - STEEL FRAME 16.75 TOP VIEW 1 1/2"xi f/2"x3/16 x2" T.S. (4) LCg (4) REQUIRED 36" MAX i ! TO BOTTOM OfPAD i ----- --------- - ------ -- / SIDE VIEW / 01/2'x 3" C.R. LOCK PIN WITH 01/6' BRIDGE PIN I 02- SCH 40 PIPE STAND WITH TWO J 01/2` ADJUSTER HOLES o C�.ASESCO ABS PAD X503 Ee STEEL FRAME-\ CLrris m z \ 18 1/2 } �--10.00 --I 0 0 1 O.Oa 1._ o 09/16 HOLE (TYP) -21 STAND BASE TOP VIEW 1 /4`x7 - 1/4'• TEK STS (2) REQUIRED 1/4` GRIPPER EASE 1/2- A307 BC; (4) REQUIRED 5851 i~LORW - PPPJMS ROAD SACRAMWFO. CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 COACH "C" FRAME 1/4- GRIPPE PLATE 2" CHANNEL COACH "J" FRAME 1/4"xI-1/4" K STS REQUIRED A.507 BOLT E13UIRED /4" GRIPPER BASE 1/2- A307 BOLT (2) REQUIRED C —BEAM J —BEAM ATTACHMENT ATTACHMENT E --•Z TIE DOWN SYSTEM WAYNE T. POLVA.DO. PE—LISTING NO. 9900T- - SHEET 2 of 3 i INSTALLATION INSTRUCTIONS E -Z TIE DOWN SYSTEM 1. PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CROSS MEMBER, OTHERWISE INSTALL WEB STI=FENER ON CHASSIS BEAM. 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, DOWN TO UNDISTURBED SOIL_ 3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER. THE HOLES IN THE BASE PLATE WILL LINE UP WITH THE STUD BOLTS. REPLACE THE NUTS AND WASI;ERS AND TIGHTEN DOWN_ I -BEAM 5. REMOVE THE TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER. START THE HEIGHT ADJUSTMENT BY REMOVING THE COTTER AND ADJUSTMENT PINS, PIERS CAN THEN TELESCCPE. RAISE THE TOP OF THE PIER UNTIL THE PLATE IS AS CLOSE TO TELE BOTTOM OF THE CHASSIS BEAM AS POSSIBLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE WITH THE COTTER PIM. 6. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT AGAINST THE BOTTOM OF THE CHASSIS BEAM. 7. PLACE THE SRIPPER PLATES OVER THE FLANGE OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. C -BEAMS AND J -SEAMS 8. HEAD OF PIERS REOUIRES THAT TWO (2) TEK SCREWS BE PLACED THRU THE SIDE OF THE BEAN IN ADDITION TO CNE GRIPPER PLATE. 9. FOUR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIVEN -HRU GUIDES INTO SOIL UNTIL STOPS ARE FLUSH WITH THE GUICE. C Z �• rn no y•L ALTERNATIVE: (2) 912 S -M -S_ OR WELD (2) #12 S.M.S. ANGLE IRON i 1�z' x t Stt'it 3/te" NOTE: USE STIFFNEF IF OUTRIGGER OR CROSS MEMBER 00 NOT OCCUR WITHIN 24" OF STANCHION (TYP) WEB STIFFENER DETAIL ABE:SCO-GUS GUAMCOMPghiY 5851 Fi. M - PER J NS ROAD SACRAMENTO. CA95823 PH. (800) 382-3831 WAYNE T. POLVAOO, PE—LISTING NO. 99001 FAX: (916) 383-5207 ,_.,, SHEET 3 of 3 ,1 CDF FIRE SAFE REQUIREMENTS 027-120-032 BP -04-2474 Lee AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and 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. [X] 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. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures 1273.07 (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] 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 the center of the road. [X] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but 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. 1273.11 Gates [X] 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 the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. 1 - A CDF FIRE SAFE REQUIREMENTS 027-120-032 BP -04-2474 Lee AP# PERMIT # NAME Fuel Modification 1276.01 [X] I [X] 1276.02 Setback for Structure Defensible Space 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements below. Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. 4 Other Requirements [ ] If Building Setback is 15 to 30 Feet: Class A or B roof Enclosed Eaves If Buildina Setback is Less Than 15 Feet — Class A or B roof with enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on side toward property line with insufficient setback Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco — 3 coat Hann -Board or Plank Masonry Masonry Veneer Metal Other Butte county Fire Department approved materials 08/29/2004 Darren Read Date Signature 2 F• `r� j N • ,c}- T ,� Go 33 fit►Xf i _-_L� CFJ ! w 1 ARK /ax3d ax�� zaoo�r Zaoo aX30 . 0,a 24aow zzssoht �-1----�-to 3� x� o /a' X30 z-Z.ao z iC3o M 4 S e r; �i�C3o �a3o �aX3 0 3X3 p ct Ll O � y f APPROVED ENVIRONMENTAL HEALTH Butte Coun Environi F ®o� MAY 2 ,-4 2004 � l' Jr 7 COUNTY CENTER DRIVE Signature Y STATE„OF,CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY . DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Codes and Standards Title Search Date Printed : 11/24/2003 Decal #: LAT5978 Use Code: SFD Manufacturer: 90002 SKYLINE Original Price Code: APB Tradename: LEXINGTON Rating Year: Model: LEX55IOB Tax Type: LPT Manufactured Date: 11/22/1991 Last ILT Amount: Registration Exp: Date ILT Fee Paid: GRAY DAVIS, Governor First Sold On: 07/29/1993 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width 2T700375BE ULI342012 66' 13' 2T700375AE ULI342013 66' 13' Registered Owner: JASPER ELLIS 106 STIMPSON OROVILLE, CA 95965 Last Title Date: 08/18/1993 Last Reg Card: 08/18/1993 Sale/Transfer Info: Price $52,900.00 Transferred on 07/29/1993 Situs Address:` 106 STIMPSON OROVILLE, CA 95965 Situs County: BUTTE Legal Owner: GREEN TREE FINANCIAL SERVICING CORP 2951 SUNRISE BLVD STE 175 RANCHO CORDOVA, CA 95742 Lien Perfected On: 07/30/1993 10:10:00 Title Searches: BIDWELL TITLE 1835 ROBINSON ST P0BOX 811 OROVILLE, CA 95965 Title File No: 213859 -JC * * * END OF TITLE SEARCH 3�G0v51NG O ago Z ''n iW��� 11 a� 0 'Y�,Y DEvti� STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND. COMMUNITY DEVELOPMENT, CERTIFICATE OF TITLE Manufactured Home' Decal No: LAT5978 Manufacturer ID/Name 90002 SKYLINE Trade Name LEXINGTON Model LEX5510B DOM 11/22/1991 DFS 07/29/1993 RY Exp. Date Serial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use ` Type 2T700375BE UL1342012 - 22,339 66' 13' 04 SFD LPT 2T700375AE UL1342013 22,339 66' 13' . ' i Issued - Total Fees Paid ' Jan 23, 2004 $277.00 3 , Addressee ' CLIFTON -J LEE - .. a 7294 DUTCH FLAT DR NORTH HIGHLANDS, CAOF A ' Registered. ner( U R—E �. CLIFTON �J LLEE FRANCES'D�LE �y s# ' Joint Tenants Wit i.ght of SuGvivorship . 7294 DEH FLAT D'R NORTIGHLANDS, CSA 95,6 SI itus ddressa , 106 StTIMPSON ORO\MI� E, CA 95965 a .. ITYl - IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 3270064 _ , .01232004- 437 - ' My' •±�: .�.:.,`.-..r.;'t:.:t .�. �,�w. ��-� - ..fL:. 4"�.... � .. :{+:�,�' .t'.r5 ice. .�: � � ir,"_� ,ecihi_ .?i►_:: a' ,;:1s� ., Lot No. ( Residential Development Q E2� ................. _............... Q BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM. Mobile Home Addition/ (One form per Building) (Group R) i Installation Conversion Permit # School District Building Department No. .'(No foundation inspection) A.P. Number Jurisdiction: City County Property Owner Property Location/Address ki Subdivision l bCAL � '�fr_i)1 A v.S flo,y6�� Lot No. ( Residential Development Q E2� ................. _............... Q ........................ ...................... Q € Sq. Footage C7 No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # : .'(No foundation inspection) Commercial/Industrial Q New q L- &i�4 Building Department Representative Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (including Exterior Roofed Areas) Date District Identificatioh' No. 050054 orw School District certifies that (Applicant) D�tS-fir (Street Address) (Phone Number) , (City) has complied with the requirements of Resolution No. representing 1 square feet. School District (State) (Zip.Code) /V� V by payment of $�� yy� r 2926 $ L Mr TION` $ Date Paid by Check # (..\L Q.Y1n Remarks: • l bCAL � '�fr_i)1 A v.S flo,y6�� e�.iL.t, �jt� rA ( FP1.S �1�1i\� . Nodee: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Cods Section 66020(x), within W days from the data fees are paid. Failure to submit a timely written protest wlll'proldbtt you from cteller4ong tie Imposition of the fees In any court action. N. subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notlMd 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 mMgab.No Impact on the school dlshict's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (10/031dmm p ;2, 7- Zzo - owg Z ,66 MOBILEHOME SUPPORT DATA If other than single.wide, Mobilehome Mfr. �� !` furnish Setup Model No.Sslo c'T ro Year L Widthr2,5 (ft..) Box Length�(ft.) Tagalongando Size ft'. x ft.' or Ex p On all mobilehome's manufactured after October 7,'.1973, furnish manufacturer's installation manual and structural setup sheets.(if not -on file -with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 2.. Other (specify) .SUPPORTS (check one) 1. Concrete block. 2. Other (specify) " Pier Footing Sizes and Locations : SINGLE -WIDE MULTI -WIDE tine Line 1 Line 2 _ _ _ — — — — — — _ - Line 2 Main Beams _ 5 ine2 ----- — — — -- -- ---- 4 Lin Line 1 2 ���` —'-- — — — -- — — — — — — — — Main Beams ----------- — Line z Ti— l OYdJil��.. . — — — — — — — — — — — +Line 4 Tag or Triple — r T.inp 4 `. Line 1 Line 1 Piers:. • Line 1 Openings: ,x Size -Min. ------------ ,k „ Size -Min. ----------------- „x - spacing -Max. Each Side Vof Openings :..:• . From Ends -Max- ------- '- " With Width Over --------- Line 2 Piers: Size-Min.------------ �� Spacing -Max. _--------- From Ends -Max - ------ Line 3 Roof Loads: ' Size -Min. ,x3o fi- Location (From ropy)._/n -Line..4 .216&s.. - Size -Min -------------- .iers.:Size-Min------------- k Spacing -Max .--------- „ From Ends -Max.------- Line 5 Roof Loads: Size -Min ----------- "x -. x 11 x 'x x xt=J x Line 3 Piers: (Under.- ea•ring :fall Only) Size -Min.---- ------ -------- ..Spacing-Max.-=------- -- - - From Enda-Max:'--------.----- _ n Line.5..Piers-•. (Under.Bearing Walls.9nly)............. ._.... rz X ars Size -Min• ------------------ .'x Spacing -Max ----------------- ca& '- From Ends -Max.------------- - " Location (From Front) AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE. CA 95965 COPA of Document Recorded 25 -Aug -2004 2004-0051969 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomf6rt from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: S& F p.1 J ACl.,Xfid Lf-- A• 1.. Date I CLQ,., a /e 14 State of California County of PRO ERTY OWNERS: �cEs U). LSF On W- 2.5'O y before me, personally appeared .F Y AJ _e.'; ,n, t morally kaewate-me (or proved to me on the basis of satisfactory evidence) to be the person(@) whose name(s) is/aft subscribed to the within instrument and acknowledged.to me that-lie/she/they executed the same in-#ks/her/their authorized capacity(4es), and that by4iis/her/their signature(e4 on the instrument, the person(s) or the entity upon behalf of which the person(e) acted, executed the instrument. WITNESS myha and official seal Signature Seal: JAMES LAMAR KINSER COMM. #1377185 -� NOTARY PUBLIC . CALIFORNIA .0`. ^ BUTTE COUNTY A.P. # Qo�7 3 Z " MY Comm. Expires Sept. 28, 2006 Order No. BU -208592-3 MAM Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: LOT 13, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "STERLING SUBDMSION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 10, 1990, IN BOOK 118 OF MAPS, AT PAGE(S) 64, 65, 66 AND 67. RESERVING THEREFROM A 60 FOOT RIGHT OF WAY FOR ROAD AND PUBLIC UTII,ITY EASEMENTS SHOWN AS DUSTIN LN. ON SAID MAP. APN 027=120-032-000 PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY EASEMENTS OVER DUSTIN LN. AS SHOWN ON THAT CERTAIN MAP ENTITLED, "STERLING SUBDMSION", WHICH MAP. WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 10, 1990, IN BOOK 118 OF MAPS, AT PAGE(S) 64, 65, 66 AND 67. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH LYING EASTERLY OF AND ADJACENT TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE INTERSECTION OF THE WEST LINE OF LOT 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FORTUNE ACRES, UNIT NO. V, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY'OF BUTTE, STATE OF CALIFORNIA, IN BOOK "A" OF MAPS, AT PAGE(S) 23, 23A AND 24, WITH THE SOUTH BOUNDARY OF GRUBBS ROAD, AS SAID ROAD EXISTED ON JUNE 1, 1989; THENCE SOUTHERLY ALONG THE WEST BOUNDARY OF SAID LOT 2, A DISTANCE OF 60 FEET TO THE END OF THE HEREIN DESCRIBED LINE. CONTINUED Order No. BU -208592-3 MAM DESCRIPTION - CONTINUED PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES 60.00 FEET IN WIDTH. - LYING 30.00 FEET ON EITHER SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE NORTHWEST CORNER OF PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,. ON' FEBRUARY 2, 1982, IN BOOK 87 OF MAPS, AT PAGE(S) 49; THENCE ALONG THE NORTHERLY LINE OF SAID PARCEL 3, NORTH 60° 49' 20" EAST, A DISTANCE OF 83.57 FEET, MORE OR LESS, TO THE CENTERLINE OF THAT CERTAIN 60.00 FOOT ROAD EASEMENT, AS SHOWN ON THE AFORESAID PARCEL MAP AND THE 'TRUE POINT OF BEGINNING OF THE LINE HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING SOUTH 220 22'02" EAST, A DISTANCE OF 442.62 FEET; THENCE SOUTH 00° 09' 39" WEST, A DISTANCE OF 526.05 FEET, MORE OR LESS, TO A POINT ON THE SOUTH LINE OF SAID PARCEL 3 AND THE END OF SAID CENTERLINE. SAID EASEMENT BEING FURTHER SHOWN AS CROSACOUNTREROAD, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 2, 1982, IN BOOK 87 OF MAPS, AT PAGE(S) 49. O.B.- 1 OWNER-]BUILDER VERIFICATION Attention Property Owner: An."owner builder' building pem it has been applied for in your name and bearing your signature. Please complete and return this infonnation 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 major labor and materials for co nstcvciion of the proposed property improvement: YES M-' NO ❑ �• 2. I HAVE HAVE NOT 0 signed an application for a building permit for the proposed work 3. I have contracted with the following person (f rm) to provide the proposed conshvcd NAME: ' ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the'following person to coordinate; supervise; and provide the major woric NA14IZ_ ADDRESS: CITY: PHONE: CONTRACT'OR'S LICENSE NO. S I willrpr�vitie,some otherl�but,I have conte- fiheopeFsons�to�rovl�. ' the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER:A44 A^ SOCIALSECUd2MNUTYMFR:_ ' . DATE:_ NOT' 27cis Owner -Builder Verifica*n is required by Section 19831 and 19832 of the California Health and Safety Code, YUS veri:tkation • must be completed and returned to our office before we are permitted to issue the permit OWNER BUILDER INFO TIr®N Dear Property Owner. far a bmldmg Permit has been submitted in y=,am listing yourself as the bMIder of property Faryourprotection, You should be aware Spat as ¢owner you are the reV0uSIle party ofrecord on such a Pew Building Pemaks are not requ tied to 6e signed by property owners unless they are own work. If your work is being p by s=eone other thano�y PO�g Cher liability if that person Yoffie YOU M' p Yourself from possible p applies for the groper pence is his or her name. license from am required b3' law to be licensed and banded by the State of California and tau have a business apply. �Y or � They are also requited by law to put their license number on all Permits for which they If yon plan to do your own vvod; vi@i the =eption of various trades that You plan to subcontract, you should be aware of the fD"Owbgfi&nmmII0n fbr your benefit and protection; a Ifyou employ or otherwise engage any Persons other than your immediate family, and the work Cmc}nd ng mataaials and other costs) is $300 or more for th$ entire Project; and such persons are not licensed as co=ractors or sabcan 1 3c6ar4, thea you may be an employer ♦ If you are an emPloyer, You must register WA the State and Federal Govemmenis as � etapIoyer and you are sabject to seveial obligations mclndmg state and federal income tag withho wad'= compensation insurance, disability n+�� casts, federal social secuaty , a There may be fii>mcmI � � � ��IO3'm� co®pensatioa c�ninbutians. w ebof wo>ibnl you ifyou do not emy out- these obligafious, and these risks are especially serians P n. ♦ Far more specific mon about your obiigaii:oas under Federal Law if yon wish, tits U.S. SmaI1 Gutsiness . fact the bttemai REve�e Service land State Law, contact lite D � � ). For mare SP -Mr. about your obligations under epmtnew ofBenefrt payments and the Division ofindnsirial A=M=ts. If the struct= is h9w&d for sale, Property owners who are not licensed contractors are allowed to conditions. work nalfy their own employees, without a licensed cmiractar or subcontractor, only under limited pew eaaneously implying $tat the P Proms to be yrs is to secure an ¢owner bm7dea" building e mails are not reed o� is Pig his or her oven labor and materialwork Big P m be signed by property owners unless they are perf�g flier own inion about licensedY be obtained by the yrs State License Board is your cump= nally mhy carat 1020 N Street; SacamameutN GA. 95814. Please complete dr- ` Builder Verification" on &e reverse side of this fiats so that we can can5rm that You are aware of these manrs.'be building P=Mit will not be issued umul the verification is rei=D& „ VOT T7ir 0vae7-8rrr7dPrl zfortrta{ort is regrtired by Section -1-9930 ofthe CaIrforI* Hea18i ,d Safely Code U Department C o u n t J. Michael Crump, Director of Public o f B u t t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) -Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1-ACRE1 Project Description: rn H-1- Project Location and/or Parcel Number: -Af 2 _ ') A(J 3 2 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions. provided by law. ' r _ ' . M Signed: Title: Date: Oo Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 . . I . A . 5.1eS 0 u P3 ICY C Ty o 8 u Th 114 7' I o + Fk t4w c- eJ- E —E— Received, SEP 13-,2004 a I 1� LT%J \D loor�r. --j r i. _ (A-$ ) 33 73 5' \0 0-) MAT 1 tu ZX4 7 COUNTY CENTER DRIVE //UC - h S o Ff f SSeS oR S TeY l N� .s u 3 IAC Couh/Ty of u. TA. LEE �- 7� L/ -i) o fi /S� /A AJ, l< CA S / 7 ' c e -tet <_ APPOV� outer Counttyy EnvlroAIr4ai .Hepitfi Z 3 f MAT <.j ZuU4 7 COUNTY CENTER. DRIVE D F� T 0g. 5 7-c t NS 's u C 0 u A�Ty 0i By - C_ I i To r) + Fkn�e__S E Ei �a'J Q nK� 010 ,nLL STRUCTURES AND Eal)IPWIENT INGWIDMIa cOVE.f.;HAM;pSCALL 112- CLEAR. OF- ALL EASEMENTS- -T. F I THE .Si®E AND' �-J,,,(, LRTY ; INES AND L DENTERLINC SHALL 13E D EQU IPMENT.EXCEF0 R A 2 FT EAVE.Wllmlvuzv�. llk IEW 15T. BUTTE GO. PEs-rRy CALIF- DEPT. F E submifted d as ,.rove ith conditions 'd (1aPm' Date 17G '•,ENING DIVISION - BUILDING PLAN APPROVAL Parking: - Landsmping: 0 er— Zpatum SHALL CPMI OF c6 ,M ANICAL,.AND ON NOT PLAN LY WITH CURB �71J q A AND UPC. ECKED ) EDMONK NOYE: SO the attached Pages -7 BUTTE COUINI'l ZOILDING DEPARTMII� P P R ;NC_h Fc°e . Vt.. x �F. R A 2 FT EAVE.Wllmlvuzv�. llk IEW 15T. BUTTE GO. PEs-rRy CALIF- DEPT. F E submifted d as ,.rove ith conditions 'd (1aPm' Date 17G '•,ENING DIVISION - BUILDING PLAN APPROVAL Parking: - Landsmping: 0 er— Zpatum SHALL CPMI OF c6 ,M ANICAL,.AND ON NOT PLAN LY WITH CURB �71J q A AND UPC. ECKED ) EDMONK NOYE: SO the attached Pages -7 BUTTE COUINI'l ZOILDING DEPARTMII� P P R ;NC_h Fc°e Lo e-3 ZI kA u �Jn Ci -C) Lo N Al kqlj �O 0 W Vl v � � ` q INN Ln 0 W Vl j ,-I CT �Q� �1 ILI � u _ �Q� a � Lo b-lolqbq.-