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HomeMy WebLinkAbout027-220-162I 027-220-162 PERMITN95-1025 MAHMOUD, Samah 8850 Palermo Honcut Hwy, Oroville Cont; Harold Balaz Fl�iq JO(p Mobilehome Utilities 1 027-220-162 - PERMITli95-46AG' - MAHMOUD, SAMAH PALERMO HONCUT HI4Y, OROVILLE AG EXEMPT PER�1_ IT Hpy FOR LIVESTOCK 027-220-162 04-1301 -� y SINCLAIR, BARBARA 8850 PALERMO HONCUT HWY, I Cont: OWNER OROVILLE 7. AG BUILD l I ELECTRIC Il\G - GAS LINE COMPACTION TEST REQ f SUPPORT STRUCT REQ f 027-220-162 =0625 SHANKLAND, TAMMI 8850 PALERMO CUT OROVILL/ CONT: EXE IVE HOMES N IQ2� MH ON P RM FND NEW SITE SII 027-220-162 01-0664 ---- SHANKLAND, TAMMIE 8850 PALERMO HONCUT ORnINALED CONT: EXECUTIVE HOMESWOOD AWNING DECK MH it r RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: FIOME ' STREET ADDRESS CITY, STATE, and ZIP SPACE ABOVE TI -IIS LINE FOR RECORDER .USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,. INSTALLATION ON A FOUNDATION SYSTEM Recording of this docurnent at the request. of the local agency indicated is in accordance Willi California f leallh and Safely Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainly below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real properly and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. t L 46 4, J)e. t REAL PROPERTY OWNER/IEIOR LOCM AGENCY ISSUING PER Ir and CE IFICAI OF OCCUPA14CY a 9.20 CL.,rk /Zd, 1�!/74 ;*e7 (hu,hT MAIIING ADDRESS - MAIIING ADDRESS - Aaz lI�//e4 Bti�7 � C_ 9s9�.s - n,e'wl //e _ X3.7 CA CITY COUNTY STATE ZIP CITY COMITY STATE ZIP INSTALLATION MAIIING ADDRESS, IF DIFFERENT 8011DING PERMIT NO• TEIEPIIONE NUMBER XQ�14ZE 15&772 -- CITY COUNTY STATE ZIP SIGNATURE OF LOCM AGENCY OFFICIAL DATE 54V cr_ ec i LJ e, �v►-I �t UNIT OWNER (II all. property ow�wr, write "SAME'l DEAIER NAME (II -1 o denkr late, w iW "NONE'l 9a o P MAIIING ADDRESS DEAIER lICE14SE 110. CITY COUNTY UNIT DESCRIPTIO14 MANIIFACIURER'S NAME SERIAL' NUMBER(S) / REAL PROPERTY IEGAL DESCRIPTIO14 STATE ZIP oc.UoT fjnnt vEfo's.ar DATE OF MANUFACTURE MODEL NAME/NUMBER S(.' x zt-' P V R19j)13/P306 IENGTII x WIDTII INSIGNIA/LABEL LIUMBER(SI ASSESSOR'S PARCEL NUMBER 0 A7 -;Z 2O —/ Lo 7, ThIE LAND RE, FERRED'1'O HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF TTIE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 15, 1988, IN BOOK 111 OF MAPS, AT PAGE(S) 58 AND 59. AP NO. 027-220-162 NCD FORM 433(A) 4/06 WIIITE--County Rerrn Jer GREFt I—)ICO BI11E—Boild6,p Dq,t. YEIIOW--Appli<nal P3 0 QµQ��ENT OF,,00�• O C z 2 � W n0 OQ� i NOTICE TO ASSESSOR HCD 433(8) 4/86 THIS FORM MUST BE COMPLETED BY THE OWNER OF A MANUFACTURED HOME MOBILEHOME OR COMMERCIAL COACH AND FORWARDED TO THE COUNTY ASSESSOR UPON COMPLETION OF THE INSTALLATION OF THE UNIT ON A FOUNDA- TION SYSTEM PURSUANT TO SECTION 18551 HEALTH AND SAFETY CODE. ORIGINAL PURCHASE PRICE FOR: 22� Type of Exterior Wall Covering: Cewt.tT �d� 1. The Boric Unit Sr (Molal, Wood, atc.T) 2. Optional Equipment & Upgrades S Type of Roof Covering �+�r✓` � 61r.V (Meta , Wood, Composition, etc.) J. Subtotal S �,(�� ��s Structures S �', y O Heating Types C1 Forced Air El Floor or Wall 1.«lie 6 5 oZ OPQ 3. Olhar (Specify) SM l�/e $ Air Conditioning: 1� YES El NO Tons Evaporative Cotler: ❑YES Ll NfJ �� o Delius d Installation $ ���—" Delivery Built-in Cooktops ❑ YES �iJ�/ Jf7 7. TOTAL SALES PRICE $ %S �%3 7 Built-in Oven: Cl YES NO ❑ Built-in Dishwasher YES NO DOES THE BASIC PRICE INCLUDE: Built-in Wet Bar❑ YE5 ETNO The Towbar(s) [I YES ZINO E] YES l�J/NO Refrigerators Roof Overhang (Eaves): a YES 1J rES El NO '.� El NO � inches Tires 6 Wheels ❑ YES L7 NO Furniture Included: ❑YES C3<0 Value S Yheelhubs d Axles (LENGTH X WIDTH UST NUMBER OF ROOMS: Corporh Awnings El OYES OY Q'NO X El 3 X Porchs ["YES C:1 NO X 1Q Bedrooms Dining Room l Garages ❑ YES ONO X — .Z Baths Family Room Storage Sheds ❑ M U NO X �_ Skirting: El �NO LINEAL Isakhen Utility Room FEET Living Room Other Roams The sales price as shown does not include any amount for any in-place location. The Assessors Parcel Number of the installation site is 1 Address Telephom b �17Ae 3-27 31t1AA-: \JA' I.YIS.AA Vdu+! i BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS` REGISTRATION AND TITLING PROGRAM '�`tim oe+z_J STATEMENT OF FACTS NEW UNITS PERMANENT FOUNDATION This unit is a: 0 Mobilehome 0 Commercial Coach 0 Floating Home ED Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) /'Le eTi.)op d G7 /irL � ! 7,4/t3.2 ySSI7fj-V/2 � h n � vZ.i' S YSb • 3 �3 I/We, the undersigned, hereby state: DEALER REPORT OF SALE # THE ABOVE DESCRIBED UNIT HAS BEEN PLACED ON AN APPROVED FOUNDATION SYSTEM IN ACCORDANCE WITH 18551 OF THE HEALTIi AND SAFTY CODE I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed o«S i a at(�-�-- ate) (City) (State) Signature(s) Printed name(s) 'e Address 36 yz LS,OLFYn 1+d -e.. City�,�% w , State l HCD 476.6 (REV 9/91) 0 10 jo ORDER NO.: 00195221-002 - CDL eed of Trust to secure an indebtedness in the original amount shown below: Dated : August 25, 1994 Trustor : Samah Abbas Omer Mahmoud, an unmarried woman Trustee : Mid Valley Title and Escrow Company, a California corporation Beneficiary : John Freeman, an unmarried man Amount : $16,051.78 Recorded on : September 19, 1994 Recorded in : Butte County Official Records Serial No. 94-38979 The amount due, terms and conditions of the indebtedness should be determined by contacting the owner of the debt. 8. Agricultural Statement of Acknowledgment for Residential Development Executed by Samati Omer Mihmoud--'�. a Recorded on � S.eptember 27, 1995 / Recorded in :; Butte CountTOfficial-Recoids Serial No 95--33136 D Butte County Tax Lien for unsecured property tax in the amount stated herein and any other amounts which may be due thereunder Assessee Mahmoud, Samah Abbas Omer Account No. 910-024-944-000 Lien No. 972395 Amount $90.80 Recorded on July 9, 1997 U Recorded in Butte County Official Records Serial No. 97-25425 . Butte County Tax Lien for unsecured property tax in the amount stated herein and any other amounts which may be due thereunder Assessee Mahmoud, Samah Abbas Omer Account No. 995-068-565-000 Lien No. 972526 Amount $44.16 Recorded on July 9, 1997 Recorded in Butte County Official Records Serial No. 97-25520 END OF EXCEPTIONS rev PRELIM 05/07/01 09:52 BIDWELL TITLE CUSTOMER SERVICE 4 530 891 8753 NO.375 P002 95-33136 I 95-033 1 Rec Fee 9.00 And when recorded mail to: I Cash 9.00 Building Division Recorded #7 County Center Drive official Records Ormlille, Ca. 95965 County of Butte Candace J. Grubbs I Recorder I 12116po 27 -Sep -95 I PURI~ XX 2 AGIUCRIM-9-A-& STATEN19111 ORA MLEDGNEW FOR RF MRNTLkL UV Section 26-9 of the Butte Countv Code requires this acknowledgment to be ZZ prior to issuance or a building permit. The I n property described herein is adjacent to land or Included within an am zoned for agricultural purposm and residents of this prop" may be subject to inconveniences or discomfortfrom the use of agricultural chemicals. including. but not limited to pesficides..and fertilizers. and from the pursuit of agricultural operations including, but not limited to cWtivadon. plowing, - - spraying, praying, pnini - or, and I harvesting which becasionally generale dust. sm6ke.-noisd. and odor. Bdfte Coon has aMlishiw agricultural purposes and residents within said zones and on adjacent property should W prepared to accept such inconvenience or discomfort from normal. necessary farm operations. Al I that real property situate in the County of Butte. State of California. described as follows: Date: PROPERTY 0 5: State of California County of Sacramento On Sept. 20.L.1996erureme, Connie Cam pas, Notary Public---------'- ---------------- personally ublic-------------------------------- perwnally appeared.----Samah Omer------------------------------------------ ------ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person90 whose nameM is/pO subscribed to the within instrument and acknowledged to me th04c/shg/"y executed the same inarlsftr1jWr authov+zed tapacity(WI). and that hybWher/t*1rr signatureP6 on the instrument. the person(g or the entity upon behalf o(which the peraonoQ acted. exceuted the instrument. WITINESS my hand and ofric al seat. Connie Campas Comm, 0105M sACRAt.�rrrocounTr •0 76.�C40— fERD MErch26.1 A 0 -- Of A.. C-, Gv%ZV. I A 4 -10— 05/07/01 09:52 BIDWELL TITLE CUSTOMER SERVICE 530 891 8753 NO.375 P003 9533136- ' ORDER NO. BU• -144.13-3 DEBCRXTTION ALL THAT CERTAIN REAL FROPMM SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLWWS: PARCEL 2, AS SHOWN ON THAT CWMAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COMM OF B[JTTE, STATE OF CALIFORNIA, ON JULY 15, 1988, IN BOOR III OF MAPS, AT PAON(S) 58 AND 59. GRD OF 0000W .. RESIDENTIAL. 027-220-162 PERMIT#95-1025 8850 Palermo Honcut Hwy, Oroville Cont; Harold Balaz Mobilehome Utilities JOB FINALED (Date) Signature .fk RESIDENTIAL. 027-220-162 PERMIT#95-1025 8850 Palermo Honcut Hwy, Oroville Cont; Harold Balaz Mobilehome Utilities JOB FINALED (Date) Signature OWNER MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction '.Gest Re . rvice ze Other Load Type Pipe Size Length YES NO YESI NO COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive,=0roville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE IN OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected -Please notify this office when correction of work ; is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1 �q /Yi Eqy-,p u5T- REV 10/92 ft: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 -County.Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMITS= -/DSS` ASSESSOR PARCEL NUMBER , O�17420-162 � ZONING AS BUILDING PERMIT OWNER S. MAHMOUD TELEPHONE 387-8472 SO, Fr. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7701 COLLAGE TOWN DR #32 SACTO 95826 CONTRACTOR'S NAME HAROLD BALAZ TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECTOR ENGINEER LICENSE NO. M Plan Checking Fee $ 23,00 Energy Plan Checking Fee $ ARCHITECT OR ENGIN ,P,MAIUNG ADDRESS Penalty $ BUILDING ADDRESS 8850 PA HON PERMITFEE $ 23.00 x OROYME PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome % Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Q Installation ❑ Other ❑ (� Describe Work: 3 BRDR(lOM Mobile Home�V � @20.00 6 PERMITFEE J$ 80.()() Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.Ex. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. fiJ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. \ ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ADONS. ( a ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NOWRESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Occup. ( BAL .50 OUTLET OR FIXTURES ) 20 Q 1.00 Ex. Occup. ( OUTLEEDrs (FESID.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 f PERMITFEE $ 63.0 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation hof one hundred dollars ($100) or less.) C9/ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. � C X Date _5' �� /� Signature of App Icl ant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 166.00 HAZ. -- D. FEES — IMP FLOOD „r, , – COF PARCEL PD HD ISSUE .- .48100w CE _ V/ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY /– ' " Date / PERMITEXPIRESON &j 9� / (O .) ReceiptNo. 176204 " WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J=OK O = Not OK Not Applic = Not Aeadyable MOBILE HOMES F Date BILE HOME UTILITIES Plans OK except ff's 1. Zoning Requirements -Setbacks -Easements s Soils; Special MH Support Sketch 1] ewer; Location -Test -Fall -C/O Concrete 4. W '`er; Location -Test -Easement Needed (Sketch) e tricity; Location-Clearences-Grnd-/ /Amp -Concrete ,6. G ; Location -Test -Wrap: / /"L" ft. /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date - Card B-1 ( Date Card B-1 - c Date Card B-1 Date Card B-1 i Date MOBILE HOME INSTALLATION (Plans) OK except q's 1. 7nninn RPn111fAmBntS-Setharks Fasements 2. Footings; Size -Spacing -Marriage Line >{ 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 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy vaic u u- 1 Laic -u o- i f Date Card B-1 Date Card B-1 i MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except ff's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except H's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater ' 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 - OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except a's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit).OK except #'s 16. - Water Htr.: Vent -Access -Combustion Air -Baffle ------------------ ------------------------------ 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --------- --------------- -- -------------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test -Tub & Shower, -Second Floor -Tub Access - -- - ------- ----------- 21. Gas Pipe: Size & Anchors ----------------------------------------------------------------------- - Date Card B-1 Date Card B-1 ------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except p's 22. Fixture & Transformer Clearance -Ins. Protection --------------------------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -- --------------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ---------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------------ 26. Equip. Ground- made Up w!Mech. Fastners-Bond & Water --------- -------------------------------------------------Gas----------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------------- --------------------------------------------------------- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size r ! ga. Cu or AI 29. Range Circ. / / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------- ---------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect - ----- ------------------------------ ------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. --------------------------------------- ----------------- 32. Clothes Closet Light -Shower Light -Spa Light -------- ---------------------------------------------- 33. Smoke Detector ------------------------------------------------ ------------------------------ - Date Card B-1 Date Card B-1 -------------- ----------- - - - - ------------------------------ -- - - ----- ---- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support -------------------------------------------- -------...----- ---- 35. Vent Fan Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return -Air Vent -115 outlet ------- ----------------------------------------- ----------- ----------- 38 Attic -Access-&- Platform if Furnance in Attic ---------------------------- ------------ -------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------- --- ------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils, Proper Material & Anchors ------------- -- --------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------ ---- ----------------------------------------------------- -41.. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) ----------------------------------------------------------- ---------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ ___ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. - Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ----------------------- -------------- - 54. -plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---- --- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access --------------------- --- _ 57. Glazing Area -Glass Protection -Skylights -Plastic --------- _--- 58. Shear Walls: -Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --------------------------------- Date _ Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except tr's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ----------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------------- - 64. Bedroom Exiting ----------------------- 65. G F.I & Bath Fixtures & Tub Access -Spa ---------------------------- -- 66. Elec. Trim & SubP anel: Breaker Sizes & Labels ---------------- ------------ ---------- ----------------- 6T Stairs -& Rails 68. Fireplace or Stove: Clearances -Hearth - ---------- ----------------------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit Fixt_& Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ---------- --- -------- --------------------------- ----- 72. Garage Fire Door; Swing -Landing -Closer ---73. --A.C. Duct in Garage -Damper ----------------------------------- - - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --------------------------------------------- 7 . Insulation -Foam -Looked in Attic ❑ Yes 78 Guard Rails & Deck -Co nstruction-Post Caps - - ------------ 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------------- 81. Stucco: Brown -Finish ------------- --- 82. A.C. Unit_ Disconnect. Electrical, Plumbing --- 83. Vents Above Roof: Plbg.-Appliance-fireplace.-Clearance to Openings --------- ----------------------- 84. Water Well; Disconnect, Electrical, Plumbing ------------------------------------- ----- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground -- -- --------------------------- ----- 86. Ventilation Throughout House .. .._ . ----------------------------- 87. Glass Protection - .------------------------------- ------------------------- 88. Corrections from Previous Inspections -- ------- ---------- ------------------------------- --- 89. Gas Test -Meters Tagged: Gas -Electric - ----------- -------------------- -------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval --- - - - - -------------------------------------------- 91. Energy Compliance Certificate -Other Certificates - - ----- ----------------------------- 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: BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Q Agricultural building is defined as follows: Agricultural building is a structure designed a 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.O -7 2 Z c) ZONING ZT OWNER 6A -I5 n PHONE NO. 2 I� OWNER'S ADDRESS a g� � n L e-4 R o � LOCATION OF BUILDING 4o U f' L L �� USE OF BUILDING � �Zi J SIZE OF STRUCTURE 'X _:—LL' = 2L Ci v SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROP EKING gin ` of FLOOR TYPE (_1 " J�> ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: Lir � ' / L'S &2 FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, 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. n n Date ��— r Signature of Owner Permit Feet +8 / �The above described AG ' g is exempt from a bui 'ng per ' - ED P R P.D RO ING I S eceipt No. i. t_ � 1 r uildin I on 7KV1 J By Date.224?Z' White — DPW, Yellow —Assessor, Pink — B. I., Goldenrod —Applicant d t r} RESIDENTIAL 1027-220-162 _ 01-0664 SHANKLAND, TAMMIE 1 8850 PALERMO HONCUT OROVILLE. ' CONT: EXECUTIVE HOMES WOOD AWNING DECK MH II SPECIAL CONDITIONS . II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date 0:57 I Signatur CHECKED BY V= OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s to -loping Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 1. Zoning Requirements -Setbacks -Easements Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 2. Soils; Special MH Support Sketch Carports; Windows -Doors 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Siding; Nailing -Veneer -Stucco -Mesh 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"tt./ /LPG Roof; Shthg-Roofing 7. Well Clearance & Disconnect Ext.; Steps -Doors -Landings 8. Utility Clearance Braced Wall Panels Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements 2. 2. Footings; Size -Spacing -Marriage Line 3. 3. Gas; MH Test-Demand-Vatve-Connector 4. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. 5. Drain; MH Test -Fall -Flex Connector 6. 6. Water; MH Test -Regulator -Connector 7. 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. 8. Gas and Electricity Tagged 9. 9. Tie Downs -Type -Installation Cert. 10. 10. Exits; Insp.-Sketch 11. 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVER5,CARPORTS GARAGES (Plans) OK except #'s 3. 4. to -loping Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6, Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements - 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r' V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date Underfloor (Plans) OK except #'s I Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date 1. Zoning -Setbacks -Easements -Flood -Slope Date 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Date 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Ste el- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 77. Plb., Elec. & Mech. Equip. Listed for Location Date 78. Card B-1 Date Card B-1 Date 79. Card B-1 Date Card B-1 Date 80. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 86. Water Well, Disconnect, Electrical, Plumbing Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date 89. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Date 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No Date 31. Service -Riser Conductors & Ground Main Disconnect Comments at Final: 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes J No/Walks J Yes ] No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: oil 'COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA (530) 891-2751 7 County Center Drive • Ciroville, 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 t . his 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. 5 I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE MITT NO. (Re .12/96) APPLICATION AND PERMIT' '�� ASSESSOR PARCEL NUMBER 027-220-162 ZONING A BUILDING PERMIT OWNER SHANKLAND TAMMIE TELEPHONE SO. FT. OCC. BUILDING VALUATION 110 cov 1430.00 . OWNERS MAILING ADDRESS , 2920 CLARK RD., X SP. 17A BUTTE VALLEY CA CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-5992 CONTRACTORS MAILING ADDRESS ESPLANADE,3042 CHICO, CA CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is 1430. ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 22.75 BUILDING ADDRESS T CUT Energy Plan Checking Fee $ PERMIT FEE $ 77.75 LOT NO. 2 SUBDIVISIONSNAME 111-58 8.39 AC PARCEL MAP 7-15-88 PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New EXXAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 11 x 10 WOOD AWNING ( DECK) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI WT—' @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service z"oonoao=ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. b� V 5$ 3 License Class G ��� LIC. NO. OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ens tion insurance carrier and policy number are: Carrier 15 wER 169- K AT1 0^ AL Policy Number V D 0 3 q jXA IL—N (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith compl with those provisions. ` n X I'm Date �3V —� 1 Signature of Applicant - ❑ Owner AContractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mein Service s TO tOooA 46.00 EL NEW CONST. DWEWNG UP. 3,5Q FT. ( NRA corgi . MUL�Tcou�rLEST NGNREsio. @d50� PowFA APPARATUS 6 or OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES B0 (9 Ex. Occup.Ours RZD°E Tem orar Service 2 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 77.75 HAZ. D FEES IMP— O I CDF PARc D su This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work ind' a for hich fees have been paid. R / % (rL(/ z / B Date PERMIT EXPIRES ON u ?, 6z" Date Receipt No. 315128/$77.75 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTERDRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: 1It ASSESSOR PARC- ER: 047 Proposed Building Use: Building Inspecto Date: At time of permit application, I was advised the following data must be submitted prior to permit procesiing and/or issuance: Date Received By ❑ . All items have been submitted-------------------------------------------------------------------------------------- 4 1 • t plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. P/3. Flood elevation certificate. ---------------------------------------------------------------------------------------- 4, Sanitation and `plot plan approval i Health Department. ------------------------------------------- Ell 5. ------------------------------------------ ❑15. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use:0 J<,1 _ (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage_j�Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑ 20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------- ------------ ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 13) - ------------------------------- 024. Letter of signature authorization. ------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. --------------------------------- ❑27. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. -------------------- 029. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: r (Date) ;en you is t, ro q €e lows ❑ Mail to owner, j contractor. elephone�f-/ �drrd hold for pickup at CJ ,offs . ❑ eliver with inspector. Applicant: 0 Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire D of Date: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index pemrit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ ph arl, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisiog counter, byDat . Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 11Plan Cabinet, 11A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. PLANNING DIVISION -BUILDING PLAN APPROVAL Use: Date: —S' ®/' Parking: Landscaping: Other: Signature: A P 0 V 6 o(o�� LS t = s661 kM N cc s 9" Ly A Q �` O Q %5 < it SLILAJ C Jo cc Cog 4 =v' 9 � LL c 0 fila ! M W ?Y1 H.l S -NIW„ 9 F o *xvw \ ''Z 0 LA-. k, a- t- 1N9t3f1 'Ild2i�lnVH • ;' ' -� ' % cc 1 t ( N IL W C rJ' f a T 7 1 x D.. J I C�~ V II N.ro � •• .y � ..,• �� w m= rCU 't d • • 0 • • • LL. C�.1 •dx- � � � � �. N t� `gyp F— • x C3 .VW W s XQ 3 LL..� o cr+g �o o N� �-E� s ac CIO.o-Air LUx ul 14 lK ' v -� oc J 0 Cd v - � A P V �A t1 cf)x\ P` tool jA (A fo( Dccx. Lill � X6 D� I- ly-1 NOTES, In RESIDENTIAL {027-220-162 01-0625 ` SHANKLAND, TAMMIE 8850 PALERMO HONCUT OROVILLE i CONT: EXECUTIVE HOMES MH ON PERM FND NEW SITE`�T (-THE HCD FORM 433A FOR THIS MH CANNOT i { BE .RECORDED UNTIL ONE OF THE FOLLOWING i j HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) (2) STATEMENT OF FACTS(ONLY ON. NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'S SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB—STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter By Dat ELECTR Meter Bv Date JOB FINALE Signature CHECKED BY V=OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements 2. Soi , Special MH Support Sketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel e r; Location -Test -Fall -C/O -Concrete 3. ater; Location -Test -Easement Needed (Sketch) 5. Electri ity; Location-Clearances-Grn -/ mp-Concrete s; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /LPG Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 7. Well Clearance 6 Disconnect 5. 8. Utility Clearance 6. Carports; Windows -Doors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE H_OME INSTALLATION (Plans) OK except #'s 9. on ,Lpg,Requirements-Setbacks-Easements 00 'ngs; Size -Spacing -Marriage Line Roof; Shthg-Roofing )WWas; MH Test -Demand -Valve -Connector 11. 4. Ele ' 'y; MH Test -Crossovers -Breakers -Clearances Drain Test -Fall -Flex Connector Braced Wall Panels eel�ater; MH Test -Regulator -Connector 7. er arl"ewer Connected -C/O to Grade -HD Approval Date as and Electricity Tagged . Card B-1 Date Card B-1 9. Tie Dow - pe -Installation Cert. xits; Insp.-Sketch Date 11. Cert. of Occup FINAL (Plans) OK except #'s • erman Foundati nly; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in.Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 x oF -3 _r_413 7 AU lZ � ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (E Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel -Blackouts -Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Inf iltration-Walls- Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUILDING PERMIT NUMBER: 01-0625 Address or location of unit: 8850 PALERMO, HONCUT HWY., OROVILLE, CA 95966 r Legal Description of Real Property: A.P.#027-220-162 SEE ATTACHED (x) Mobileh ome/Manufactu red Dome O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: TAMMIE SHANKLAND & BARBARA SINCLAIR Owner's address: 2920 CLARK ROAD #17A, BUTTE VALLEY,. CA 95965 INSIGNIA OR HUD NUMBER: RAD 1318306/7 SERIAL NUMBER OR V.I.N.: CAFL 117A/B24547 MANUFACTURER'S NAME: FLEETWOOD YEAR: 2001 OFFICIAL APPROVING INSTALLATION: DATE: 6/12/01 PHONE: (530) '538-7541 H.C.D. 513C Y RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 29 -Jun -2001 2001-0028091 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ELABAS M. ABDELMAGEED & AMEL A. HASSAN REAL PROPERTY OWNEWLESSOR 3455 HOMESTEAD ROAD #15 MAILING ADDRESS SANTA CLARA, SANTA CLARA, CA 95051 CITY COUNTY STATE ZIP 8850 PALERMO HONCUT HWY. INSTALLATION MAILING ADDRESS. IF DIFFERENT OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP TAMMIE SHANKLAND & BARBARA SINCLAIR UNIT OWNER (if also property owner, write "SAME') 2920 CLARK ROAD #I 7A MAILING ADDRESS BUTTE VALLEY, BUTTE, CA 95965 CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 1-0625 (530)538-7541 U ING I N TELEPHONE NUMBER A&I_6/12/01 SIGNATURE OF LOCAL AGENCY OFFICIAL DATE EXECUTIVE HOMES DEALER NAME (if not a dealer sale. write'NONE') 92081 DEALER LICENSE NO. FLEETWOOD 2001 ANNIVERSARY 456-313 MANUFACTURER'S NAME - DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL 117AB24547 56'X 2618" RAD 1 3 1 8306/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #027-220-162 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. LEGAL DESCRIPTION A.P. 027-220-162 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, 'STATE OF CALIFORNIA, ON JULY 15, 1988, IN BOOK 111 OF MAPS, AT PAGES (S) 58 AND 59. RECORDING REQUES1ED IIY: AND WHEN RECORDED MAIL TO: IIOME STREET ADDRESS CITY, STATE, and ZIP SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEIIOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indiculed is in accordance Willi Culifoalia Ileallh and Safety Code Sectioli 18551. This document is evidence that such local agency has issued a certificate of occllponcy for installation of the unit described hereon, upon the recd property described Willi cer'luinty below, as of the dale of recording. When recorded, this document sholl be indexed by the county recorder to the named owner of the recd properly and shall be deemed to give conshuctive notice as to its contents to all persons Iliereclfler dealing Willi the real properly. REAL PROPERTY OWt! R/LESSOR -�-- A1AIIII.IG ADFMEIS//��' n CITY OUNrY STATE ZIP INSTALIATIOI!AAIIING ADDRESS, F DIF FR CITY/ COUNTY — STATE ZIP (111I1 OWIIER (II oh. property owner, _ila --5AME'j -- --- - MAILING ADDRESS CITY COUNTY STATE _-- ZIP twu DESCRIPTION MAIIIIFACIURER'S IJAIAE SERIAL IUIMBER(S) REAL PROPERIY IEGAL DESCRIPII014 -�IjOCA%I AGEIICY ISSUING P Rp.11T m,J CE TIFI�CpA�hOf OCClIPA1JCY MALI IIlG ADDRESS CITY COMM STATE ZIP BI11101tIG PERMIT 110. IEIEPIIOtIE IIIUADER SIGIIATURE OF LOCAL AGEtICCY/OFFICIAI DATE DEAIER NAME pl rata d-1., -6. -if. "tIOIIE'l- - -- DEAIER IICEIISE 110. OD/ /77)12 UV �Sr4r DAZE OF MANUFACIIIRE ! MODEL IIAME/1 Il1lADER I EIIG111 X WID111 IIISIGIIIA/LABEL IIIWEER(S) ASSESSOR'S PARCEL 1A)1A8L•R q �=' - _Q C) PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE. OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 15, 1988, IN BOOK 111 OF MAPS, AT PAGE(S) 58 AND 59. Y) H It T IWO FOUNT •133(A) 4/I16 �4 Jay i44 , 16o th O rE,I io x W Its n Q� 1IR11:11-11'11 11111E 11-A-1;,.. hrpl YI.IIOVI 03/27/01 10:01 BIDWELL TITLE CUSTOMER SERVICE14 530 891 8753 Recall at lite Request of ELABAS AL AaDELAIAGEED Order No. Escrow No, Loan No, WHEN RECORDED MAIL TO: ELABAS M. ABDELMAGEED AMEL A. HASSAN 3455 HOMESTEAD RD #15 SANTA CLARA, CA. 95451 NO.468 P003 111 11011011 IIIA l 91111111111111111 1 99a-4 011 49W7 Recorded I REC EEE 10.00 tlfficial petards I Countyy Of I CANDACEuJ. GRUBBS I I Vickie 63:26PH 17 -Apr -1998 1 Page i of 2 SPAM ABOVE"UNE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX SIM Computed an 111E cWsidene1100 of Veba Of prop61V Vmv*Vatx OR SAME AS ABOVE _ Computed on the coruldambon or voWuo iso ions or enmvbratoes remehng 0 the d eek. The i,ndersionad nra ltn[ elwdarae SipUlum d Docismi of Amit detenr*ft tet - Finn lions GRANT DEED FOR A VALUABLE OONSIDERATION, reoeipt of which Is hereby acknowledged. SAMA" A®gAS OMjjjN WU•lii MUD, &e1 uvimaiTlad Woman hereby GRANT(S) to ELABAS M. ABDELi1 AGEED AND ANIEL A. HASSAN, husband and wife, -as Joint Tenants the reel property in the UnbsooWrabBd Area of the Courdy of state of cauromla, deacdUW aft "THIS IS A BONAFIDE GIFT AND GRANTOR HAS RECEIVED NOTHING IN RETURN, R & T 11911.° SEE ATTACHED LEGAL DESCRIPTION D STATE OF CIALIFOR MA COUNTY OF `5 A e. -j .�► .••. � �-� tlOM ma. i it f r1 yLer %+FA i N nd r�i ��� !� C'�• p�N eppaered ��} rT�f �4 �� t•1�� pwsw** brown to me (or pmved to nee on the Dub of WWadW evklefw) to be the persort(s) whore mmna(6) Ware sub=rB*d to ate within hest mmd end Adubwl9dWd to me flat h@00* hey rixeeuted the came N NQherMwt► authortrsd ozpapSypmh and VW by hhAtterNWr stna "01 on the kmlAAWd the W50114e) or the enWty Upon be" of 1Mllide On pomm(s) eda4 em mAed the atstrumenR VO rwTtrFW "N!lane end ,ea ;_:.IL Uit ml!e Larson Comm. 0110458.1 A'ZTIAY nu°LIC- CALWOAIIIA SICR4MENT0 COUNT Y Com. Ems. July 2.9000 -r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754�Q/- PERMIT NO. (Rev. 12/96) APPLICATION AND PERMITof, 2S— ASSESSOR PARCEL NUMBER 027-220-162 ZONING BUILDING PERMIT OWNER SHANKLAND TAMMIE TELEPHONE S CC. BUILDING VALUATION .OWNERS MAILING ADDRESS 2920 CLARK RD. SPC #17A BUTTE VALLEY,.1 ,493 80 622.00 CONTRACTOR'S NAME F=CUTIVE HOMES TELEPHONE 891-6992 CONTRACTORS MAILING ADDRESS 3Q4? ESPLANADE CHICO CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 554.00 $ 277.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE S320. 0 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome R Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation K] Other ❑ Describe Work: NEW MH ON PERM FM NEW SITE Gas piping system 1 - 5 outlets 15.00 5 , 00 Building sewer 15.00 5,00 Mobile Home IS I GI W @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Fling Fee 20.00 fS00V R LES Main Service 2o0A OOR LESSS 23-0023.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. (-p License Class C--4'1 Lic. NO. `�-AID 15 03 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO t000A 46.00 NEW CONST. DWELLING UP. OR ADDNS. a ACC.BLDS. SO 3.5¢ fT. CONST.ESIMULTI.OUTLET C. @n 7.50 POWER APPARATUS a swGLE ovn CIR. EX. OCCU OUTLET OR POtTUREs p .00 SAL O 1 50 Ex. Occup. ourl�EDAPR 10 ER. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43,00. WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. --a I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co pensatio nsprare carrier and olicy number are: Carrier �y` Q 16A< !K V1 -A-r) --v^ A L Policy Number W TS. r- -3 g 1 2 (The above sections need not be completed 9 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith c mply with those provisions. -3'� _-L^ X Date II ) X: re of Applicant - ❑ Owner XContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 428.00 HAZ. P D. FEES IMP FLo CD PAp PD PV This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have II By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. lhate J Oa ae ReceiptNo. 315099/428.00 66 WHITE-D.D.S.-B.D. CANARY-ASSE OR PINK -INSPECTOR GOLDENROD -APPLICANT c � •i ' r.:,,,;,F'y:4aY�'.!7'r'�.e,gr•7v •'►r+►br�, iF" �`• rc �` tij '. ,� .t• �M+ a-tOViVTYOF BUTTE -DEPARTMENT OF DEVEA0AVIENT SERVICES - BUILDING -DIVISION r. r 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER: l__ QASSESSOR PARCEL ER: 6 42 -2 Proposed Building se: I (Z_ O• wilding Inspector: Date: ?j , Cz / At time of permit applicatio , 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 -------------------------------------------------------------------------------------- 0lot plans, 3/4 sets, signed by the preparer of plans, ------------------------------------------------------------ 4( 4❑ 3. omplete plans, 3/4 sets, signed by the preparer of plans, ----------------------------------------------------- ngineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans, -------- ❑ 5. Engineered truss details and layout in duplicate (requiredprior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation- ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. *,-, -------------------------------------------------------- El8. Hazardous Material Form. ----------------------------- --------- `------------------------------------------ ----------- anufactured H629-`d�aZ and installation;instructions including Tie Down Specifications,------------------ ,L •. 0. Fees of $ ------ J-=--'----------=--=---------------------------------------------------------- - OFF -Impact fees as shown on the attached schedule: -=--------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- �L 1113 Flood elevation certificate. --------------------------------------------- Sanitation and plot plan approval_ Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------- ❑ 17. Planning approval for (A) Use: ®�� (B) Parking: ------------------- 8. Contact Land Development about ❑ Improvements, ❑ Drainage Legal Parcel. ----------------- Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner.❑, Mailed to owner ❑). - erofsignatureauthorization.----=---------------------------------------------------------------------------- 0�5t orded copy of Agricultural Acknowledgment Statement, -------------------------------------------------- (Sate) ❑26. Letterof intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance, --------------------------------------------------------------------------- ❑28e.Existing.vi 'ons and/o ed permi -- ------------------------------------------------------------------ V291. 0433 A, Gr t DH. Title tChe�ck to H.C.D $ --------------- 030. -------------- ❑30. Other:------- W%elephone ou issue th , ermi ; pr cess as follows ❑ Mail to owner, ❑Ma' to contractor. f and hold for icku a0 pickup office. ❑ Deliver with inspector. Applicant: Date: G� Copy of Haz-Mat form sent 13Health Department, ❑ Fire Department, ❑ ollu Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ ther: Date: By: 1. Index pen -nit application for the above items numbered: C3 Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, it mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di 'sion counter, by Dat Plans reviewed by: Date: Plans approved by: Date: - Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Developrnl S. ervices, Building Division. E.H. E ONLY t Plot Ptan An had 3 . Root Plan A hod Sant to B.O. ! TO: Building Department FROM: Environmental Health. SUBJECT: Sanitation Clearance 6/ Owner Location AP# Plan Approved for: Sewage DisposalLh;��5-�$u Watepply: Public Private Well `�' 1'�D. Clearance for dwelling. Other . /J ,) p. LL ► N , L 4 C?- rN ni Hold final for: Final clearance O.K. for: NOTE: ` Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER <- %`l � A.P. PROPOSED BUILDING USE M114- ��_ E�L� c DATE 1. 1. BUILDING PERMIT FEES --Balance Due ................... :.................................... $ --Additional Fees Due ............................................ $ -:Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER RECEIPT # DATE REC. �-. / {-1 _ � c. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed duri g the plan chec ing process. APPLICANT ,rL, DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner _ (Rev. 6/00) COUNTY OF BUTTE~ - DEPARTMENT OF UEVELOPMEN I' SEFIVICES - BUILDING DIVISION 7 County Center (DriveAeF�Oroviilllae, CraliifforniAa 9�519t6�5 •t�T1�e�lepphone (530) 538-7541 / PEEntvi'T rio. Rev.12/96) lTR'PL'l..AAf�.lNl�N�11f ElllldlI1 �J — AssEssonPMCEi ranenF� O -L,') — 22o - b L 2O1°lia BLJIWING PERMIT OWHEA—A,f.i SHC1nKl.A,nfl WK Tg� h3 so. FT. OCC. BUILDItip VALUATION awr�s 'L9 20 G t,� BAR 7� R9 SP c 1 "1 A) oorrTnnCT " "AMC %9-yev,c.es T0.EfMronE g`i1-e9`1'L _ 63-wnncrona Mnau+o noonm 3,0,%4'L- -A wu I Yi i CON 3TnvcnON UC1AEn Fireplace u PCIA1 MAnara AoonEss Total Valuation E AACWrECr on rijam rr j ucEIRE ra. I Filing Fee L 20.00 Permit Fee G $ !J AAGfrECT on OMaJEEn'S M4LJHo IDOMSS Plan Checking Fee s s11LMOAooAUs QUA Energy Plan Checking Fee $ s PERMIT FEE WTHo auaorvJaroHtrwrt PMCEL MM PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 -- " - USEOFSTTIUCTURE �' SF (3 Duplex ❑ Wbilehome ly Other sPOO`r Solar or heat urn water heater 23.00 Water piping 15.00 F, j Each gas water heater cr vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ lnsta ation� %Otliar O Describe Work: Y�Er) D '"� �a� dr �Ly`Y+n-C-^ A—i (Z-11 "T110-Ift— Gas piping system 1 - 5 outlets 15.00 Buildin sewer 1 5.00 � �J Mobile Home I S I G I W 920.00 PERMIT FEE $ �) w v ELECTRICAL PERMIT Filing Fee 20.00 Main Service pwon.ss 23.00 p�� O ''PERMIT FEE PAID SRA SHERIFF �j OTHER. $ AMOUNT RECEIVED $ *RECEIPT NUMBER � S TO BE PUT INTO COMPUTER Mein Service zoan To lnooA 46.00 cola'. OwELLMo csuP. on ADDUS. a ACC. sins. 3.5¢Fr. ST. _ MULTFOUTLET NOI4RF510. � aR�H CHCVRS 97.50 (P,0 APPAMTU3 L WQLE OIJTIET C., _ Ex. Occup. OUTLET On FwTuncs au 0 l so OuPonEx. Occup. A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 _ i _ Misc. Wirin _ 23.00 PERMIT FEE E MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation _ _ PERMIT FEt $ Mobile Horne Installation Fee $ Energy Inspection Fes s occ CGHST. TTPE "TOTAL FEE E__ l_Z o.►EES #__ COF lb This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON -- --- Iwry on BUTTE COUNTY SCHO�Lt IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. urisdictiori- Number,.,, city County Pro" n?r:.. P -pertyn/A Loditici ddre " si' Subdivision, Lot No. IFULL MITIGATION $ _Z School District Representative Date Paid . :b v.0o el NIQU y Check # Rg&marks: J 6114L& Z2k,( L 's, i.. You. may -p!ot!as;.t tigry6f t I h heimpo�i, e_fbe's'• *ident'ified above by submitting a'4ritten protest to the District; in compliance.with ;Government Code .Section:660201aj,,.Witmn� 961days f6rn the date ,fbes'are paid. failure to submit .a timely *written .protest will: prohibito, you ',TFQMt�ltingir4ih�imposito-of the bes in an .-court Rc.ti, on,,_ "Af, subsequent .. to the . Schoo i &IstiiCt!Representative signin§ithis,But-t6 eounty:Scho@s lmpiict,Fee"Certificati6h"F(i'r-m, -the-S6hood Disitridii is notified, by the'e.pOticabi6''LocaiPlanning Agency that thJis project is beirto reviewed under the.Califomia Environmental Quality Act (CEQA), this'Oroifectmay be subject to additionat school fees to fully mitigate its impact on the school distict's schools. White (applicant),,Yellow'(building department), Pink (school, district). feeform.x1s (10198)dmm (2-1oor*PianS reviewed by School District Personnel) ................... .............................. Residential Development Xobile District Identification No.. Sq. Foota ge/ No of Living Home Addition/ Su� pplemental to (Group R) Units Installation Conversion Permit # (Applidbrit ................................................................................................................ *(No foundation inspection CC 61:1-:, Siriee't,Addniiss) New Addition (Including Exterior (Cit—Yr Roofed Areas) has complied with the requirements of Resolution No.yment �0 by pa $ of (a Building eparttilent Representative Date IFULL MITIGATION $ _Z School District Representative Date Paid . :b v.0o el NIQU y Check # Rg&marks: J 6114L& Z2k,( L 's, i.. You. may -p!ot!as;.t tigry6f t I h heimpo�i, e_fbe's'• *ident'ified above by submitting a'4ritten protest to the District; in compliance.with ;Government Code .Section:660201aj,,.Witmn� 961days f6rn the date ,fbes'are paid. failure to submit .a timely *written .protest will: prohibito, you ',TFQMt�ltingir4ih�imposito-of the bes in an .-court Rc.ti, on,,_ "Af, subsequent .. to the . Schoo i &IstiiCt!Representative signin§ithis,But-t6 eounty:Scho@s lmpiict,Fee"Certificati6h"F(i'r-m, -the-S6hood Disitridii is notified, by the'e.pOticabi6''LocaiPlanning Agency that thJis project is beirto reviewed under the.Califomia Environmental Quality Act (CEQA), this'Oroifectmay be subject to additionat school fees to fully mitigate its impact on the school distict's schools. White (applicant),,Yellow'(building department), Pink (school, district). feeform.x1s (10198)dmm (2-1oor*PianS reviewed by School District Personnel) 01 District Identification No.. lit School District certifies that Y) (Applidbrit CC Siriee't,Addniiss) (Phone Number) (Cit—Yr (State) (Zip Code) has complied with the requirements of Resolution No.yment �0 by pa $ of (a representing �13 square feet. I AB 2926 $ IFULL MITIGATION $ _Z School District Representative Date Paid . :b v.0o el NIQU y Check # Rg&marks: J 6114L& Z2k,( L 's, i.. You. may -p!ot!as;.t tigry6f t I h heimpo�i, e_fbe's'• *ident'ified above by submitting a'4ritten protest to the District; in compliance.with ;Government Code .Section:660201aj,,.Witmn� 961days f6rn the date ,fbes'are paid. failure to submit .a timely *written .protest will: prohibito, you ',TFQMt�ltingir4ih�imposito-of the bes in an .-court Rc.ti, on,,_ "Af, subsequent .. to the . Schoo i &IstiiCt!Representative signin§ithis,But-t6 eounty:Scho@s lmpiict,Fee"Certificati6h"F(i'r-m, -the-S6hood Disitridii is notified, by the'e.pOticabi6''LocaiPlanning Agency that thJis project is beirto reviewed under the.Califomia Environmental Quality Act (CEQA), this'Oroifectmay be subject to additionat school fees to fully mitigate its impact on the school distict's schools. White (applicant),,Yellow'(building department), Pink (school, district). feeform.x1s (10198)dmm PLANNING DIVISION -BUILDING PLAN APPROVAL Use: Date: Parking: Landscaping:----------. m g: Other: Signature: 3x514 �L r vJ 2 b 8' x }i ova. 42r% ,A lamm►e 9460 �iYlLl��r uWu Apo oa-7,a 16-L x"e 'FS 1.9 the site on existing 9itC7 Vcsj Nip(' I (11.'ycr,, Rit-niqlt two plot G. What in the clect I ical rating orIlls 7. Want in tile illobilchollic site ch(mil. breaker satin};'? Amperes. What in the cIv(.:tIic1l rating of the nlohilehonleSit(--*? 'L'D'U Amperes. Y. JS the ltl;.Iitl ScIvice. I-C*tll(-)tc fi-oill the, fit-, site,? Vv�v� I Nod j j.rit is, winit is the rating'? ----- ---- A I I I I) c I -c i. M. In thew. 1113, other clectlic lowl to be Served by the Im.)bilelloille, Site electric sci-vict" (vcll, pm,,Ipc Ct(;.)7 Xc No( j Wyes, p1c;tsc idctitif. the li.md 111(1 size - (1) The mobile hollic, site: . ...... . ........ Amperes.. 1)) Thr Iffaill sel-vicc.- -3o Type of gas service -It. Illobilchollic site: Na(iii-nil I Prop-mr-1-4 I' Nmi(j I I size Qt- gas pipe al. the Illobilchollic file Illefer err tan?:: . ............ .... y ----inches. I.I. W11,11. is tile )Las pipe 1cligall 111-oill tile incter or kink to the I 11ohifello lite? �21 w.). Ill. What is tile Iflubilellollw"U'rin dellialld'? "(This illroulliatioll is flut requited if' the pipe lelipfil is less than 6 (.cc( oil natural ps or 1c7,!, th,111 50 sect oil profmile). THE OTHER 51DE OF THIS YQUI MUSK' 1})l; COMMETED IN 01WER -1-0 PROCESS TUIS ITIMUT krP-LICAXION '9(i/t 4 P,G ivfobileltulue Manufacturer: F��ET v��oi� lvla.nu(itcture Year: 2010]__ if other thm n shi11 gle wide, fi lrni sh Setup Model Number: It wi(,lth:2b $_(f,t.) Length: `5_6—_(fl.)'1'agalong or I,xpslndu Siz.o-®..(R.) x-¢, l.)n all ntobiiehontes tnallllt'stc.tured after October 7, 197-3, lbiltish lilanlltilcllner's installatiult ntantl:d and strltr,Itnal setup slteel.s. I;UU'1_IIJC. __ w(md, pressure treated or Collildat.ion gradtr] Ocher: SUPPORTS. (;c,nc:rctc.blucic]�-] Ober: G�•5 G ,�. A.(Z.D Vrovide'Vie Ibm'1k Specilica(.ic►ns for all IvIvbilehnnxca:Y--D-P- )v/� ili'lla,l{ %V11W I.inn I—- l.inn Lina 2 Linn I )Pier ��o1►Lings Sizes :uld I�I►catinll Rttll;l l-1VID9 ------------.___...----.....-----•-------]4—Line 1 i Llnn 2 Hnin Ileam! ........................................................................................... Ulle I l'id's: `size Ittininlum: 12`�..I_.Y.I_Z'�J� `;pacing limxinlltnt: From ends--nt:tx.ionnu: � p Lille 2 �'iel;5: . .;izc nliriilta.Inl: _L lZ .I -c_l� 1. :;pacing nta;cinnno: � •O L'rc�ut ends-nla;cinittnt: -- --` .Ine 2 Lille 3 Llne 2 Line 2 Linn I Lille I 011elllllgs Size Ininintlllll: I. x E.acll side of ccpenlllgr - will) width over. ' Linc 'I Cicr^: Size Inioin►lml: Spaci►tl, ntaxinuutt: Fronllncl nt:txiulunl -'' 1.,illc 3 ]Zoe►( I,n:lcls: O ntillimu tt Z`Ix3o iyx3v Z`i><3v 3bx3v 3bx3o - - I..oc::tliult -- Linc 5 .1Zoof Loads: 'ii7.r� ntininnnn: . Location (fi un) (i cent): king 199 5) MuTTE (OU'q.I y n .l RUI DING DEPARTMEN ,r ��pFi0vr FED -08-00 TUE I . 1 :38 ni-I FLEETWOOD HOMES, WDLD, CA FAX NO. 530 662 610) P. 01 om A CQ r 01 &0, ki(JILD, t�t NG C6 4. p .._ W p SPAR Nj�kAl Pf 0 V r 36' 6" W 28' { e 8' 8' 8' 3/8" PLATE I L 0 I i i i' l—W MOL! M C-MMERR BASE �1/f DWI co/ r / u hATT ' I L O O Owe I f. ffl %" X 4" bolts G a 0 Typ of 4 rxrxNe'L TVF. OF 2 GRIPPER BASE ;* Z GRIPPER PLATE II TOP VIEW - MGP - PAD I �-I TUF mi xsawo�ous ',Sj •' ®a e�iL (ni os)@a" o' I-1/2" SCH. 40 PIPE m I -GP ADE 5 PIN OR EQUAL , I I r— WITH 3 OR MORE c • w LOCK WfTN ;;' LOC1;[NG LJ ADJUSTER HOLES NUI' OR PIN i I `� �— -'" SCH 40 PIPE • W/ 2 ADJUSTER HOLES SIDE VIEW - MGP - PAD ' 11 �-7 2" SCH 40 PIPE P I ifl, TO 1/4" BASE PLATE 2'x2•x3116' ANGLE IROfw 28' LONG 3/16' X 2' BRACE BAR W/ NUN' 3/16' X 3/4'FD.LET WELD •ITP OF 4 AL �4 x:rC+o. roan Pna' C - Mw m END VIEW - MGP - PAD DERLAYMENT GRADE PLYWD. P'd S CCA PRESSURE TREATED 1/,•,41e DESIGN LISTED AND TESTED BY: BSh ASSOCIA'I•ES WAYNE T, POLVADO, PE - LISTING NO. F94249 ¢� fb. C 0511 l0 I - :t E K 6" ANCHOR .TS TI'P OF 4 '?' O dsQ Si r L Lo ) ?- M1013M }COME FOUNDATION SYSTEM HEUnAND SAFEYC'ODE.SECTION195 PACIFIC CUNSuam ENGINEERS ArrItD:ED 2150BOB Av:nucft146 Ph: 916364-0028 Sacramento, CA. 05636 Fax: 9164%4.602v SUWECTTOCORRECnoNsNOTpPD A74ROVAt,B t NorAVf ORMFROM A �Q �60R OEVIATIR\FRO>•t �;+�, TT F-1 PT,i11� A �L' 1 1' 1 UL' A"LxAetasTAreLAWS AND D)wnoru S= o<asro,on�& FOUNDATION SYSTEM Depaunw o(Rauing amd CMI -airy Dc+v4. m . D ON OF CODES AND STANDAP.AS ABESC�O -GLIS GLi.4RD COMPAI�I' "'Y III�YYR) Dl"-+LA P' .O.BOA 128 SPAND. �D_�G CATHEYSVALLEY, CA. 95306 209-966-5540, FAX 209-966-5549 ,r � G GENERAL NOTES GUS GUARD TUF.II DESIGN LOADS: LIVE LOAD - 30LB. FLOOR LIVE LOAD - 40 PSQ WIND LOAD - 80 MPH EXPOSURE -C- SEISMIC ZONE -4" • SNOW LOAD 100 PSF THIS FOUNDATION SYSTEM 15 DESIGNED_ TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXTSMG SOIL PROBLEMS. CHASSIS BEAM SUPPORT SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN M THE MOBILE HOME INSTALLATION INSTRUCTION. IN AREAS WHERE DIFFERENTIAL SETTLEMENT EMENT (D.S.1 CAN OCCUR MANUFACTURED HOME SHALL BE READJUSTED WHEN D.S. EXCEEDS 1/4' OR WHEN IT WI1- BE ADVERSELY AFFECT MANUFACTURED HOAR UNIT. CARR)- ALL FOOTINGS DOWN TO FIRM UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR JIM) PSF TOTAL LOAD SOIL PRESSURE AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAYBE USED TO FILL LOCAL, VOIDS UNDER PADS. STRUCTURAL STEEL FABRICATE ACCORDING TO ASIC SPECIFICATIONS. WELD ACCORDING TO AWS SPECLFICATLONS. ELECTRODES - 370 PLATES _ASTM A36 BOLTS - . SAE GR 5 -ASTM A449 - ASTM A3725. ' THE GUS GUARD ASSEMBLIES SHOWN BELOW SHALL BE LISTED AM LABF3 FD BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS HORIZONTAL VERTICAL • GUS GUARD TUF_1 22000 6(IDD# GUS GUARD MGP PAD 2200# 6000# GUS GUARD E -Z TIE PAD 2200# 60000 DURING PRELIMINARY INSPECTION. THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. FXOSTTNG COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-I UNITS AS SHOWN ON TICS PAGE OF TYPICAL FOUNDATION PLANS. THE GUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OFTl1F-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET #3) ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. FOR MGP PADS USE 1 1/9 EXTERIOR PLYWOOD WITH WOLMANIgD TREATMENT TO 0.40 MAX PCF RETENTION WITH DRYING AFTER TREATMENT 15. LIGHT HEAVY -WEIGHT PLASTIC AND STEEL PADS MAYBE USED IN PLACE OF WOLMANIZED PADS. 16. E _Z TIE DOWN USED ON SINGLE -WIDE, ROUND STAKES (3/4 X 14) MAYBE USED IN PLACEF -X DA03 FDUNDAT ONrMS, NIOIei L D OF THE I IA- FLAT BAR, WHEN SOIL IS EXTREMELY HARD OR IN ROCK. HOLES MAI' BE r PRE-DRD-LED WHEN NECESSARY. APPROVED 17. GUS GUARD TUF-I FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF SUWECT TO CORRECTIONS NOTED WHEN INSTALLED WITH EXISTING STANDARDS REQUIRED BY COACH MANUFACTURER ~VALDOES M)TAMORDEOaApRUAAM, OR REPLACE TIMA ON A ONE TO ONE BASIS. C602SM OR DEVLCM r40M ¢FqUMMOCTS OF � A"LjCAXSTATE LAWS AND � IS. l6' x 16' x I2• FOUNDATION BLOM POURiD IN PLACE AT GROUND LEVEL MAYBE USED. Sweo(CL ford AT INSTALLERS DISCRETION- AS ALTERNATIVE TO PADS. c Hourin� rtl C=m ly Ix dp=, DIM# NOP CODES AND STANDARDS .VAPIES SL?' — 7d SEE TACE 0.43M[FTa ID. L. lu - S S - - N0. L�/� 14-,1WvviE:pirm Srs 2002 J UL-10�►_ F-R!!I )G_ 3=AM SUPPMZ AS Rc0'D By MAxa-ACTL'RZ- TYP. u �I �--� —T � !J U❑ a 2' 1` l PADS IN ANY PAIR MAY BE ROATED 96 DEGREES OR OFFSET TOOrHmSIDE TO AVOID CLEARANCE PROBLEMS. 918� �� l . Exp. s'r I 1 L MGP OR PVC S]FRIFb ! STANDARD MH FOUNDATION PIERS SUPPORT PAD AS RECOMMENDED BY THE MANUFACTURER TYR OR THE E NGDOE R TYPICAL THROUGHOUT TUF-1 PERNZANENT FOUNDATION SYSTEM SINGLE WIDE UNITS DOUBLE WIDE UNITS E= T MIN / 8' MAX E= 2• / 11' S= 8' MIN/ 16 MAX S- a'/ 22' SHETE 2 OF 3 ABESCO -GUS GUARD COMPANY P.O.BOX 128 CATHEYS VALLEY, CA. 95306 109-%65540, FAX 209-966-5549 i IBACKFILL W/ A.C. II �I!✓I1✓ 10,e ASPHALT SET WITH CONCRETE PAD THINSET MORTAR, /,- MAA THICKNESS, f-0.6 CONCRETE SET WITH CONCRETE PAD RED HEAD OR EQUAL ?' FROM CORNER TOTAL a cu • SINGLE WIDE UNITS REQUIRE GUS GUARD E -Z TIE PADS liolL Gas Gourd 711F--1 Piers are to be plared a/ appfnxlmofelr ecuel inlefruls uIV earn ftm roR SDIGLF-W DE ANCHORAGE um Now C0004� CONCRETE SET R'ITH S �1GP PAD INSTAL E - Z TIE DObVN SYSTEM �cZ ?cZ � p�,Nv pro Aciwld AfODILE110!4r r•OUNDATION SYST_11 1r£4LTHAKD,:,[';:T1'CODE, SECTION 1gSSI APPROVED SUBJECT TO CORRECTIONS NOTED AM0yALD00NOTAUTHORM0RAFT40VEANT . . .. CSUUONS OR DE%TAF70N FROAL RE0UIXD0m Q AEPL'CABLP SPATE LA11'S AND RLOUj.STpNS Sac of CaGfanu Dgwtu=i of Hosing mud Coom,uafq DL dopm= . DIVISI N OF CODES AND STANDARDS . . BJ Uiwn�rtl Dw S L3 cz SA NO. (I/ 118 PYo AFF -I-) &pi., • -2 0�_ �p .�, do ..... .. .. N 7918 E:pZ-_� 1� r�OFCM0 TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO -GUS GUARD COMPAN2' P.O.BOK 128 GTSE YS VALLEY, CA. 95306 209-966-5540, FAX 209-966-5549 SHEET 3 OF 3 NIULIT - WID I NGTH WIDTH M�'�'-66' 24P26 28 ' 40:PT014' 88666' (OVER 66' 12 12 12 16 16 16 • SINGLE WIDE UNITS REQUIRE GUS GUARD E -Z TIE PADS liolL Gas Gourd 711F--1 Piers are to be plared a/ appfnxlmofelr ecuel inlefruls uIV earn ftm roR SDIGLF-W DE ANCHORAGE um Now C0004� CONCRETE SET R'ITH S �1GP PAD INSTAL E - Z TIE DObVN SYSTEM �cZ ?cZ � p�,Nv pro Aciwld AfODILE110!4r r•OUNDATION SYST_11 1r£4LTHAKD,:,[';:T1'CODE, SECTION 1gSSI APPROVED SUBJECT TO CORRECTIONS NOTED AM0yALD00NOTAUTHORM0RAFT40VEANT . . .. CSUUONS OR DE%TAF70N FROAL RE0UIXD0m Q AEPL'CABLP SPATE LA11'S AND RLOUj.STpNS Sac of CaGfanu Dgwtu=i of Hosing mud Coom,uafq DL dopm= . DIVISI N OF CODES AND STANDARDS . . BJ Uiwn�rtl Dw S L3 cz SA NO. (I/ 118 PYo AFF -I-) &pi., • -2 0�_ �p .�, do ..... .. .. N 7918 E:pZ-_� 1� r�OFCM0 TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO -GUS GUARD COMPAN2' P.O.BOK 128 GTSE YS VALLEY, CA. 95306 209-966-5540, FAX 209-966-5549 SHEET 3 OF 3 WIDE UNRS ED� M�'�'-66' 12 16 6 8 6 6 E 8 8 8 VE 10 10 10 10 • SINGLE WIDE UNITS REQUIRE GUS GUARD E -Z TIE PADS liolL Gas Gourd 711F--1 Piers are to be plared a/ appfnxlmofelr ecuel inlefruls uIV earn ftm roR SDIGLF-W DE ANCHORAGE um Now C0004� CONCRETE SET R'ITH S �1GP PAD INSTAL E - Z TIE DObVN SYSTEM �cZ ?cZ � p�,Nv pro Aciwld AfODILE110!4r r•OUNDATION SYST_11 1r£4LTHAKD,:,[';:T1'CODE, SECTION 1gSSI APPROVED SUBJECT TO CORRECTIONS NOTED AM0yALD00NOTAUTHORM0RAFT40VEANT . . .. CSUUONS OR DE%TAF70N FROAL RE0UIXD0m Q AEPL'CABLP SPATE LA11'S AND RLOUj.STpNS Sac of CaGfanu Dgwtu=i of Hosing mud Coom,uafq DL dopm= . DIVISI N OF CODES AND STANDARDS . . BJ Uiwn�rtl Dw S L3 cz SA NO. (I/ 118 PYo AFF -I-) &pi., • -2 0�_ �p .�, do ..... .. .. N 7918 E:pZ-_� 1� r�OFCM0 TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO -GUS GUARD COMPAN2' P.O.BOK 128 GTSE YS VALLEY, CA. 95306 209-966-5540, FAX 209-966-5549 SHEET 3 OF 3 o (A Fx l' a C1 •jE�,C. LcEG.?•� 1 1 ?t QI �4 OC 17 r �I 1 1 r, Dg t -fid. A .-1r r i<OV EU Butte County Environmental Health Date Signature i4GROACHMEY"PERMIT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 FAX: (530) 538-2140 NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone: (530) 538-7681 PERMIT # DISTRICT o1Q68o C APPLICATION IIWE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the county roads and highways, all in accordance with County ordinances and general laws. (All Information except signature must be typed or legibly printed.) NAME: -721/!Y/1/e- L �ii�/1i�.CGA�.t�.d SIGNATOR X ` MAILING ADDRESS: PHONE: J` ✓30 DATE: LOCATION OF WORK TO.BE DONE: TYPE OF WORK TO BE DONE 1. Curb: ❑ Gutter: ❑ Sidewalk: ❑ (PLEASE CHECK) 2. Driveway (List Type): S ' 3. Underground Conduit:. 4. Other: PERMIT GRANTED In compliance with your above request, and subject to all terms, conditions (including those printed on the back of this form) and special conditionswrittenbelow, permission is hereby granted. SPECIAL CONDITIONS: V Cl All work shall conform to accompanying Detail ❑ Plans ❑ Special Conditions ❑. Date Issued: chs 1-0/ Mike Crump Director of Public Works Surety: Yes ❑ No ❑ Expiration Date: gell8 / OZ By `' 1 ' LOCATION: DATE: 88.So Pottermo _Aoncia Nruy. FOREMAN:-aa�'�cr MIN. -,,DISTANCE:, DISTRICT: PERMIT#: >, SPEED LIMIT OF ROADWAY ® DRIVEWAY LOCATION:... DISTANCE TO NEAREST INTERSECTION: SIGHT DISTANCE GOOD O POOR IF POOR — RECOMMENDATION TO IMPROVE:, ❑ CUT BANK O REMOVE VEGETATION (TEMPORARY) O OTHER (EXPLAIN) ADJACENT TOPO FLAT O CUT SLOPE FT. O FILL SLOPE FT. O CURB AND GUTTER O AC DIKE O EXIST. DIST. � TO EP FT. ❑ NONE O SWALE O CULVERT MIN. DIST. FT. MIN. DEPTH TO FT. DIAMETER IN. / LENGTH Fri. I OTHER (EXPLAIN) c/ EDGE OF EXISTING PAVEMENT (EP) ---------------- • . _. .:mo- ,T i Z ,� �� , � J • '` 12' tv1'IN; � AREA 20' MAX. TO. BE PAVED . I l— R /W 10' MIN. .NOTE: IF GREATER THAN / 109 UP- OR DOWN REFER TO ENGINEERING. / MAX. 1 FOOT VERT. RISE OR DROP PER 10 FEET HORIZ. DISTANCE-----, EP . EXIST. DIST, I MIN. DIST. 2% MA� t NOTE:. MIN. DEPTH ! MAX 109, PAVEMENT TO EXTEND --�—� AT 29 CROSS SLOPE OR MATCH EXISTING ROADWAY CROSS SLOPE. N.T.3. PRIVATE DRIVEWAY FIELD REVIEW 'T ° ° \ o 0 UN I % 11ole . ra ENC-ROACHMEPr" PERMIT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 FAX: (530) 538-2140 APPLICATION 0gr7- x,20-/62, COUNTY OURS BEFORE [S TO BE DONE FTIFY (530) 538-7681IT # DISTRICT IIWE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the county roads and highways, all in accordance with County ordinances and general laws. (All Information except signature must be typed or legibly printed.) NAME: L �iS�.�•CGA�.J.D SIGNATURE:4aY-e�'�. MAILING ADDRESS: egD x/7.9 PHONE: /6, 01` DATE: 7— LOCATION OF WORK TO BE DONE: TYPE OF WORK TO BE DONE 1. Curb: ❑ Gutter: ❑ 2. Driveway (List Type): S -;a 1 3. Underground Conduit: 4. Other: Sidewalk: ❑ PERMIT GRANTED (PLEASE CHECK) In compliance with your above request, and subject to all terms, conditions (including those printed on the back of this form) and special conditions written below, permission is hereby granted. SPECIAL CONDITIONS:4i4— 4,1 G--� MAY 0 9 2001 BUTTE COUNTY -BV1rD11VU ON ❑ All.work shall conform to accompanying Detail ❑ Plans ❑ Special Conditions ❑. Date Issued: Mike Crump Director of Public Works Surety: Yes ❑ No ❑ Expiration Date: By a A: ti LOCATION: _885& ,Rr-.lcrrvka HoncK`l' A y DATE: 51-2 /0/ FOREMAN_: 8u'1' l>.r ' MIN. DISTANCE: DISTRICT: S PERMIT#: SPEED LIMIT OF ROADWAY ® DRIVEWAY LOCATION: DISTANCE TO NEAREST INTERSECTION: SIGHT DISTANCE GOOD O POOR IF POOR - RECOMMENDATION TO IMPROVE: O CUT BANK O REMOVE VEGETATION (TEMPORARY) O OTHER (EXPLAIN) ADJACENT TOPO q'FLAT O CUT SLOPE FT. O FILL SLOPE FT. O CURB AND GUTTER O AC DIKE O EXIST. DIST. TO EP FT. DRAINAGE RECOMMENDATIONS d NONE O SWALE O CULVERT MIN. DIST. FT. EDGE OF EXISTING PAVEMENT . (EP) T----------- 1.4 c� z w J 12' MIN. AREA 20' MAX. TO. BE LPAVED R/W 10' MIN. NOTE: IF GREATER THAN 109 UP OR DOWN REFER TO ENGINEERING. MAX. 1 FOOT VERT. RISE OR DROP PER 10 FEET HORIZ. DISTANCE MIN. DEPTH TO FT. EP DIAMETER IN. _/LENGTH FT EXIST. DIST. I MIN. Cry OTHER (EXPLAIN) I DIST. -2 NOTE: PAVEMENT TO EXTEND AT 29 CROSS SLOPE OR MATCH EXISTING ROADWAY CROSS SLOPE. MIN. DEPTH N.TA Mq`� t PRIVATE DRIVEWAY FIELD REVIEW sWMASM joov fir` v� �aP.r• - �'��`�' ew/��f cl Aw a'�r�r.� g�o`C ���� � � ' ', I ��sv[-ifi/7rlA • • �I O v r>O'. r• ..� fit` L Y. - r 4; s p 2 t }L r•, �,,. v. F11 c T v. -For Butte County 'Environmental Health Date nn q Signature E.H. USE ONLY Not Plan Attached ROW Plan A hed Sent to 6.0. 1 ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance I �'AALA"O l FFS [�L-nO40-� � z!2 Z Owner Location AP# Plan Approved for: Sewage Disposal Water upP Y� I Public Private Well Clearance for dwelling. Other ��� p LL i N/- I ��� M w% A Al Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date . f ;A:fli , o II O Date: SITE PLAN REVIEW APPLICATION Permit Number (if applicable) 0 1 — (2� t2S AP# 02--? - 2 20 - ) Lo 2 APPLICANT INFORMATION Parcel Size: I �- Owners Name: A)',N- ^ A9QY�1-- Owners Address: `Zg2� C' L>!j.f?x. rz:b _ S� �%y T%C-.'x/91 Ll.,-- Telephone No.: Situs Address: 8850 Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home Residential Accessory A Lv N 1 jr-1 (,.. ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel O l - 0 ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPAIENT SERVICES INFORMATION (For Staff Use) IM Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval fS Site Plan Stamped Approved By Date Page 1 of 5 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 attac ed) • Flood Zone: • Flood Panel No.: D°l� �' Index Date: ' 8 ❑ 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—' rj— 5 Applicable Building Setbacks: ❑ 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 S c!) C L Side Side Street ----------- Rear DO Height Waterwav N/A N/A N/A ❑ 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: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: Legal Access Provided: ❑ No Legal Access Required ❑ No ❑ No. ❑ Yes, Road Name:_ ❑ No ❑ Yes ❑ Yes ❑ Yes ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a.Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 R Subdivision Map/Parcel Map: Map Date of Recording: `i -a S ` Lot: `Z ❑ Use Permit/Minor Use Permit Permit Number: Book: 111 Pag g Date of Approval: ❑ 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 on slopes steeper than 30%. 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. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and' provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible: A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ 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. Page 4 of 5 ISO I SC -7 Ti3 p o ©� 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. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 BUILDING . r (VISION COUNTY OF BUTTE - DEPARTMEhrOF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT P ITO. Agricultural building is defined as follows: Agricultural building is a structure design 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. ZONING OWNER PHONE NO. .$ Z OWNER'S ADDRESS 0 LOCATION OF BUILDING O G 1 USE OF BUILDING 141zN _ 14!� ES SIZE OF STRUCTURE / O X �' = lv0 o SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE 5-1-)4 '/4 r_> J R ESTIMATED COST OF CONSTRUCTION $ Lig '0 C) 0 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows:�� 1 r J FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. 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. Date A/ • 2 Permit Fee - $60.00 Receipt No. Signature of Owner e The above described AG Building is exempt f m ing permit. FLOG ICARCEJ,-P.D ROOFIy6 SS Manager Building Division By Date 5 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant - •_-L.� - '� '%f;'T*r�'TS.r-ti+ .^..wr..nr'47..'., �-" !,�„iF.+i� , 7 -OUNfYOFBUTTE - DEPARTMENTOFD,OPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER" 5-4A444-1 10,4PA40g0 7 A. P: No.O 0'2- 2 ZD -/&Z Proposed Building Use PT Building Inspector Date 4-2 7 95- At SAt time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . ................... ..................... 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. .132. 33. X34. Plot plans, 3/4 sets, signed by preparer of plans. ... . Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings. .;..................... Engineered truss details and layout in duplicate (required"prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... �. Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer. ...." . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: ........ Contact Land Developmeneabout (A) Improvements (B) Drainage. .......... . Driveway permit (constructionapprovalrequired prior to occupancy). . . Preanspedion reque�s Pre -inspection for required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner . .......:.. . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... :.......... ....... . Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ........................................ Plan check list . .................... -e ............................... When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 3531- Auj Z and hold for pickup at 012,610%LL I- office. Deliver with inspector. Other Parcel Creation Acreage _ Applicant �- ' Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 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 LAND DEVELOPMENT - BUILDING PERMIT CLEARANCE Building Permit No. — CEJ14G OWNERS/,,,, �t' A.P. NAME: MaLMAQ(��r�LCU NUMBER: PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION: A FLOOD ZONE: X FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS DATE OF CREATION: LEGAL ACCESS PROVIDED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION COMMENTS/CONDITIONS: DEED REFERENCE: LEGAL ACCESS REQUIRED: YES NO YES NO PARCEL CREATION BY MAP Y DATE OF RECORDING . LOT. Z BOOK // / PAGE V/A S z-7, ZZ -93 T/1M COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a � � , building setback from 646FI tg7/centerline of IF 4 0 — Nyrj cu r f4W y 3. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 4. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the 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 Fire Department specifications, serves the parcel. 5. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 6. Maintain a 100 ft. leachfield setback from all existing wells. 7. Maintain a SD ft. leachfield setback from 8. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. 9. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. 10. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 11. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. V,/f-s-- P"Pe7 .rr l3 o u w PAn y t1: CHECK APPROPRIATE REQUIREMENTS YES OR NO OR CONDITION NUMBER. " LD 12/94 -_ C:\WP51\F0RMS.K\8LDGPERM.CLR 13. L)Se sT&NO. e205/011J Corr ao L r2oC VIZ�S > ��orj "OEINTY OF BUTTE MAY - 11995 �avelopme�cit'Sec. t'41 �,� �1_Nl�w , ��I�V i��2k�1�✓ �Z�dr�yt-P,� i'G�'U�i2"'� jL(�Q� .; � � - ��' e 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 May 2, 1995 Samah Mahmoud 7701 College Town Drive, #32 Sacramento, CA 95826 RE: Agricultural Exemption Permit 95-46 027-22-0-162 Palermo Honcut Hwy Dear Samah Mahmoud:. This Agricultural Exemption permit has been issued with the following conditions: (1) Maintain a 55' building setback from centerline' of "Palermo Honcut Highway. (2) Maintain a 100 ft. leachfield setback from all existing wells. (3) Maintain a 50 ft. leachfield setback from drainage swale. (4) Maintain a 100 ft. building setback from west property boundary. (5) Use standard erosion control procedures and good construction practices. Should you have any questions concerning this matter, please contact this office. Sincerely, SR:dms Scott Ruther d Supervisor, Building Inspection This filet of.plans and speciftaations MUST be: kept on the job at all tunes and itis unlawful to make any ci}anges or alterations on acme without written permission from the Department of Public Works, County of Butte. NOTE: All Materials & Workmanship -Shall Be In Accordance with Recognized flood Practices and of a Quality prescribed for the Specified use the Uniform Building, . 1�mbing & Mechanical des and the National Electrical Code. 1 APPO'. ED . Butte Cou„ty Environmerital Heap Date Signature 1�Y6, y ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. F 5 FT FROM THE SIDE AND A SET 0M.0 O S Fr. FROM THE REAR PROPERTY LINES AND v 5 S FT. FROM THE. -ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES .AND EQUIPMENT EXCEPT N,I FOR A 2 Fr. EAVE OVERHANG. J� \ 1 2, f' FRon" w cs T N O Z7-eEo - 16P Mq( Cofo� This a6t of.plans and specifications MUST be: kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, Country of Butte. NOTE: All Materials & Workmanship -Shall Be In Accordance with Recognized Good Practices and of a Quality Prescribed for the Specified use the Uniform Building, Pl bing f. Mechanical des and the National Ele trioal Code. 0 t 0 Z-7-ZZO-- I 6 APP i�OV � :D Butte County Environmental Health J0 --- Date Signature Id;6. 71 ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. a A SET BACK OF -5 FT. FROM THE SIDE AND cM 5 FT. FROM THE REAR PROPERTY LINES AND �S FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT W W FOR A 2 Fr. EAVE OVERHANG. MAIN,rArr! loo' ScTRg(!k F ` A/ a w£sT 'P 'fEf?-Ty BoLNZ�,AR) r �0a-S7 FILE COPY 11014-ro 0// SI/ COUNTY OF BUTTE -DEPARTMENT OF DEV,ELOPM ENT SERVICES -BUILDING DIVISION 7 County Center Drive - Orovillii,' California 95965 - Telephone (916) 538-754y-, PERMIT NO. " APPLICATION AND PERMIT `� ASSESSOR PARCEL NUMBER 027-220-162 A5 ZONING BUILDING PERMIT OWNER SAMAH i•1AHMOUD TELEPHONE 387-8472 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7701 COLLEGE TOWN DR #32 SACTO 95826 CONTRACTOR'S NAME HAROLD BALAZ TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNW40WN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDREss 8350 PALIEK10 HONCUT TFIWY PERMITFEE $ 23.00 OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 7' Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Q Installation ❑ Other ❑ 1` Describe Work: REDR(]om Mobile Home CX920.00 6n, 00 PERMITFEE g 80.00 Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main ServiceE00v OR LESS ( 200A OR LESS ) 23.00 23 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. I; as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ACDNS. ( 8 ACC. BLOS. ) s0. 3.5¢ F7. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q I.00 BAL 30 Ex. Occup. (oFT�s (REN of OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 3.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation /�f one hundred dollars ($100) or less.) W 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ p X / Date !� Sign ture pplicant [g OTwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 HAZ. D. FEES -F IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have ByDate 161 PERMITEXPIRESON applicable provisions Resolutions to do work - been paid. l [ g� (D e) Receipt No. 176204 - +66--d@O WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 7,: COUNTYOF BUTTE -DEPARTMENT O-0EN,-LOPMENTSERVICES - BUILDING DTVI ON F 7COUNTY CENTER DRIVE-OROVIL!!, E, CALIFORNIA 95965- TELEPHONE (916)538-7541 PERMIT APPLICATION DATA SHEET OWNER tag A. P. o.oc-? Proposed Building Use Building Inspector Date At t1of3. rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1All items have been submitted . ........................................ 2. Plot plans; 3/4 sets, signed by preparer of plans. .......................... 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. ........ California Department of Forestry plan approval/fees.A/ ............ . ........ . 13. Flood elevation letter (100 year flood) by California Engineer .................. . 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. .... . 9. Driveway permit (construction approval required prior to occupancy).�l���?� 20. Pre -inspection for required. .. toZiding 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 ). .......... j�� � 4 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 y u issue the permit process as follows: Mail to owner. Mail to contractor. Telephone — hold for pickup at office. Deliver with inspector. Other Parcel Creation 1 Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. k+ Fire Dept. Air Pollution Date Copy of plans senf. Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: ( i cle 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 G,r Gvhoj 5 Date Il -1 Cl_�; Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works T Ip TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 0 E.H. USE ONLY Plot Pian Anacbed Floor Plan Attached Seat to B.D. LJI� Y Y r / 1 1 I I IL" 1 u Y C M (k -- - -'11 A I t✓1 Y / 1C_.a 1 K./ 4 .- JU —1 LO OG Owner Location AP# Plan Approved for: Sewage Disposal, Water Supply: Public Private Well_ Clearance • for bedroommobile home. ther Hold final for: Final clearance O.K. for: NOTE: l0 -lam 9 Environmental Health Specialist 0 Date 2/01) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Orovill California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB C� „ //_ /m(.y0 ZONING &,C— BUILDING PERMIT OWNER / ��/ (J � ( "E 47 �) 6 v� SO. FT. OCC. BUILDING VALUATION -' t% Cl J t6>O� ` 6O 7"7o MAILING ORFSS �2 Ow �v V l- . CONTRACTOR'S ME TELEPHONE CONTRACTOFtl MAILING ADDRESS ;n eOL� /7 Fireplace CONSTRUCTION LENDER 7 -OWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADo s s,n����Cv� [/W a� tl Fri r7 PERMITFEE $ �C� PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer Mobile Home LLMG 15.00 920.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U6lrbes Installation ❑ Other ❑ Describe Work: ' ——� PERMITFEE $ 8 Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service ( e00v OR LESS ) 200A OR LESS 23.00 �O Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this NEW CONST. OWELLING OCCUP. OR ( a ACC. BUDS. ) SO. 3.5¢ F7. NEW CNS. CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPRATUS ( a SINGLE OUTALET cIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL SO FIXED APPWS. OR Ex. Occup. (OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hei Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ r IIAZ. I D. FEES I IMP FL000 COF PARCEL PO HO ISSUE This permit is hereby issued under vie of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) /ht. ReceiptNo./ 7 v��� / WHITE-D.D.S.-B.C. CANARY -ASS SSOR PINK•INSPECTOR GOLDENROD -APPLICANT APPROVED Butte County Environmental Health Date Im And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 �5-33136 95-0331361 1 Recorded Official Records County of Butte Candace J. Grubbs Recorder 12:16pm 27—Sep-95 Rec Fee 9.00 Cash 9.00 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT PUBL XX 2 Section 26-8 of the Butte Countv Code requires 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. necessan. farm operations. All that real property situate in the County of Butte. State of California, described as follows: 2� lqj� Datc: PROPERTY O S: State of California ) County of Sacramento ) On Sept. 20, •1995efore me, Connie Campas, Notary Public -------------------------------- personally appeared----Samah Omer--------------------------------------------------- personally known to me (or proved to me on the basis of satisfactory evidence) to be the person90 whose name'M is/p{e subscribed to the within instrument and acknowledged to me thaPbe/she/tJ4.y executed the same in is/her/ofir authorized capacity(bQ, and that by )is/her/tJ r signatureo on the instrument, the person or the entity upon behalf of which the person0Q acted, executed the instrument. WITNESS my hand and official seal. Connie Campas U.fiti •,< 0 Q Comm. #1053908 ^^ (/ ® �'"NOTARYPUOLIC CALIFORNIAO SACRAMENTO COUNTY 'n Signature Seal: , ,FOA . Comm Exp March 26, 1999 :%.P. NOTE TO RECORDER: DO NOT RECORD THIS SIDE Instructions for recording Agricultural Statement of Acknowledgement: � 1 1 3 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the' Recorders Office can provide this information. ( The description may be handwritten or typed in the space provided,or attached ,on a separate sheet if more space is required). 2. Property owners must sign in the presence of a Notary Public, and have the form notarized. '3.. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $6.00 - 1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a m. - 3:00p.m. (Monday - Thursday). OVER i �95-33136 ORDER NO. BU -144113-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY.15, 1988, IN BOOK 111 OF MAPS, AT PAGES) 58 AND 59. END OF DOCUMENT