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027-230-027
n fZ Ic3 0 . y 027-230-027 PERMIT#96'2427 M03ILEHOMFS AND TT W/0 PERMITS STEPHENS., John & Vivian 10/11/95 109 Wayne Charles Rd., Oroville ./ •Mobilehome-Utilities c ELECTRIC M1O O ! r GAS LINE ' .COMPACTION TEST REQ- PW j SUPPORT STRUCT REQ. ria 027-230-027 PERMIT#96-2428 STEPHENS, John' & VivianFri rtoj 12'3• 19 109 Wayne Charle's' Rd., Oroville Mobilehome Installation 027-230-0.2.1 04-303", ST.EPHFi.` S. VIVIAN :37 WAYNE CHARLES RD, OROVIL.LE CONT: OWNER NEW MH PERAI FND EX SITE 027-230-027,PERMIT#95-157AG FRITCH, ELMER L., -,*.jog Wayne Charles Rd:, Oroville 'f 'Ag Exempt:Permit-Hay,Horses,'Sheep r' RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 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. STEPHENS FAMILY REVOCABLE TRUST REAL PROPERTY OWNER/LESSOR 21696 TI STREET MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 87 WAYNE CHARLES ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE CA 95968 CITY . COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAMW 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 04-3033 (530) 538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. SKYLINE 1979 BUDDY MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 04750789A/BM 24x68 CAL153836/7 SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP# 027-230-027 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCDPINK - Applicant GOLDENROD - Building Dept. tr.ke IF r",4' sC wK r@ 4 -i4 »„ i -i�, M i^t t n+.Z.' 4 h rr `rii a Ni '4€`�ry Y� r.,Y,tS4 �r,"'�3Y; A� gY..1` h dr ,� ; t 'la,� , 'S t 4� r Kt y kid �j Tr i x ut t c . k _ YS :a ,a Skiy P"q+` '^mayT GF4.+9E.iYua, k J'„a,.:w;�ng h"t,'!�'' t' w�* s��FOUNDyp ATION�LSYSTElVi 3 G nrj k?� t�Fr�' A '^.• sr -'k ' i �` -, a 3r3 i v+ a.;4 F��,k ., C�ERtiTIFiIC1ATEaOF0 WUPANCY� � K* � -k �t,�7r >+r • r'�x4" ' � � 4 �°'T��. Y r + i �^^r �*�r x % z t ` !f tC �r 'X .! +�"�;,f i � � � v''�`p ^" ,�i �� T �j(f�° �^ �F�.T `1` 7`,F. �..7�_xi tA . 1�{ r •R`,�„� � r,P��x� .�4.2 :T' �iTr,'G 'r'.-A� .%t�, i t: Tr a BUILDING PERMIT NUMBER: 04-3033 Address or location of unit: 87 WAYNE CHARLES ROAD, PALERMO CA Legal Description of Real Property: AP#: 027-230-027 SEE ATTACHED (x) Mobilehome/Manufactured Home () 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: STEPHENS FAMILY REVOCABLE TRUST Owner's address: 2169 6TH STREET, OROVILLE CA INSIGNIA OR HUD NUMBER: CAL153836/7 SERIAL NUMBER OR V.I.N.: 04750789A/BM MANUFACTURER'S NAME: SKYLINE YEAR: 1979. OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C ' DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT °��� stivc q Division of Codes and Standards Z` �O ts, n p ®' Y O Z Uj 3 a'` Title Search Date Printed: 09/09/2004 nEv Decal #: LAP5926 Manufacturer: SKYLINE Tradename: BUDDY Model: Manufactured Date: 00/00/1979 Registration Exp: First Sold On: 00/00/1979 Serial Number 04750789AM 04750789BM Registered Owner: HUD Label / Insignia CAL153836 CAL 153837 Use Code: SFD Original Price Code: AHN Rating Year: Tax Type: LPT Last ILT Amount: Date ILT Fee Paid: ILT Exemption: NONE Length Width 68' 12' 68' 12' JOHN STEPHANS VIVIAN STEPHANS (Joint Tenants with Right of Survivorship) 2149 PLUMAS AVE OROVILLE, CA 95965 Last Title Date: 04/06/1990 Last Reg Card: 04/06/1990 Sale/Transfer Info: Price $18,000.00 Transferred on 03/16/1990 Situs Address: 2149 PLUMAS AVE OROVILLE, CA 95965 Situs. County: BUTTE Inactive Decal/DMV: DMV SM1888 * * * END OF TITLE SEARCH And when recorded'mail to: Building Division #7 County Center Drive. C 95965 96-0�787GI Rec Fee 6.00 1 COP 2.00 Recorded I Check 8.00 Official Records I County of I Butte I Candace J. Grubbs I Recorder I Orov�lle, a. 1:36pm 21 -Oct -96 I PUBL XX 1 AGRICULTURAL STATEMENT -OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County 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 no.—mall, necessary fart "operations. All that real property situate in the County of Butte, State of California, described as follows: ``—iHE—SOUTBEAST QGAt TER OF THE SOUTHWEST QUARTER OF THE SECTION 27, TOWNSHIP 18 NORTH, RANGE 4 EAST, M. D B • & M. �earcel_II A BIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPWSES OVER THE WESTERLY 60 FEET OF THE EAST HALF OF THE SOUTHWEST QURRTEB , LYIN G SOUTHERLY OF THE COX L-kNE OF SECTION 279 TOWNSHIP 18 NORTH, ' RANGE 4 EyST, M . D . B . & M . {.XCEPTI14"G THEREFROfil ALL THAT PORTIOIti LYIXG ;tiITEIN THE BOUNDS OF PARCEL. I, DESCRIBED HEREIN- Date:-/.e) EREIN.Date: .e) % ' P PEI,OWNERS: ,/,. S% p� e h s State of California ) County of�r ) On /.:" -- ; '?- before me, personally appeared'�n,' !� -`� y.oG i?ti? S personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. ���p �- - -- WITNESS my hand and official seal. r . RICHARD FEUERSTEI COMM. OM104 ��.�- Signature O Ca NOTARY PUBLI6-C11LIiroRNtA !� '='!�'-��m,: Seal: BUTTE COUNiY My Comm. E*m Fe& Ite,100E A.P.# BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP043033 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perl'ury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/30/2004 APN: 027-230-027-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 87 WAYNE CHARLES RD PAL Date: Contractor. Map Index: Description: NEW MH PERM FND EX SITE(1632) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a .STEPHENS FAMILY REVOCABLE TRUST Owner. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of STEPHENS JOHN F 8r VIVIAN E TRUSTEES the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code), or that he or 2169 6TH ST she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 95965 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: STEPHENS FAMILY REVOCABLE TRUST owner of property who builds or improves thereon, and who does pp such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner' of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I under Article 3 of a Business a Professi s Code /a/m�Ez�xeempt Datel/-30 .—! Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit.is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 1632 S. F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $106,080.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. // Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 1 1 r� 1 �, (/ 1 (� ✓/�'4� CONSTRUCTION LENDING AGENCY This permit is heretiXissuep under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to di h fees have been paid. Name: BY EXPIRES Address: PERMIT ON: V' Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I ereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pure ses. - , Print Name: i �1 GF`, iYl L/±ifO [I - if 17 S Signature: Date: Owner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor T1'�. BUTTE COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS o 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE M (530) 538-7541 0OU NA FEE WILL BE REQUIRED AT TIME OFAPPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last Namefirst City6 6 p U i Name ✓ 1ILS Address City City State State Zp S rEPho b - _IFax Fax E-mail -mair Uc. # APPLICANT NAME CONTRACTOR Name City6 6 p U i Address Tip 5 City Fax State Zip Phone Map Book Fax E-mail Planner Uc. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City6 6 p U i Address Tip 5 City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Ili , L11 Addy§s City6 6 p U i Sta Tip 5 Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning -,S Flood Zone Cross Street t� 0 _ SRA WORKER'S COMPENSATION No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT N XJ BP BIN # LOCATION .. AP# 27 Property Address City i Cross Street t� 0 _ WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS I K:IFORMSSUILDING F0RMS1BIdaADo1SubRomts.doc Paoe 1 of 2 Description or Scope of Work: Sq. Footage 6 l� 1�S _< T -7 ❑ Structure Builtwithout Pe Itd ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received byAmount: l' Bldg SRA Receipt #: / Sheriff SMIP Date: /o � c/}� �J Other Total Rte/ 7_')7_r%A SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK 0 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! r ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile -or modular homes:) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. 1 ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ -'6. -Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. .REQUEST FOR FEE REFUNDS Ketunds can oniy be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAF0RMSIBUILb1NG FORMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Orovilte, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: P� �✓'P� i f �l ��I �l ✓ % ,. ASSESSOR PARCEL NUMBER / ✓� -�' ��' Proposed Building Use:%%% TI •� / /}'f �/l�I i 1( J 6r-` r/ //�o�pter Technician: -� Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 5�1" 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non eated and A/C for Non -Residential B ildings. ❑ 8. Manufactured homes: ( Data sheets and installation inst, ( arriage line info,01,0or Plan, (eie down o find plans, ll in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Find plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ "13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 14121-4 5. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers........................................................................................:... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ,nn 20. Erosion Control Plan Required........................................................................ . es as shown on the attached Schedule of Fees Due Sheet .............................. 22. ity of Chico Plumbing permit .................................................... ............... 23. California Department of Fore try plan approvalaid. Sent by: .........../ -O ❑ 24. Planning approval (A) Use: T(B)Parking: (C) Parcel Check:_ l 1- 0 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Pre -Inspection for required....... 8L Ic i$ v4- 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier a d Policy Number .......................................... D 31. Owner -Builder Verification (Liven to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... 7 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. D ed Restriction................................................................................. rant Deed,r1 H. TitlelStatement of Facts, er from Legal Owner, ❑ Check to H.C.D. $ F. - 39. Other: Whe Issued Telephone and hold for pickup. I have been i ed of the above items and requirements for obtaining a building permit. Applicant: 1. Index permit application for the 2. Additional items r Contractor, design own as Contractor, designer, own - s Plans reviewed by: Structural reviewed by: Note transfer by: items Date: - 4 Plan Check Letter the above data by & phone, ❑ mail, ❑ counter, by b' -Date: "r l the � abpd t b ❑ phone, ❑ mail, ❑ counter by Date: r l ite: l l 1� Plans approved by: Date : 2 d ate: Structural approved by: ,Date:" ate: '> - ( / Yellow: Building Division E. USE ONLY Piot Pian Amchod r Hoar Plan Atwchod�. Sent to ®.O. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance C 1, �L' -), ue-4-00 cha"& Owner location AP# Plan Approved for: Sewage Disposal Water Sup ly: Pu lic ivate Well Clearance for dwelling. OtherIj JA— Hold final for: Final clearance O.K. for: NOTE: 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER S�r_ PROPROSED BUILDING USE M 14 � /Y1 �/Ul ac t�k A.P. # ()D, -2D D2. h DATE 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) PA 7. SRA FIRE INSPECTION AND PLAN HEC FEE $8 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. 9a �io- is-c� � Commercial (sq. ftg.) ......... X = $ Sq. Ftg. /el Amt. 10. OTHER A0. lO• ` 4 s At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 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 Division Yellow -Applicant Pink -Owner (rev. 2/2003) RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES CJ6Qk l ��r�-�lueel (pai chool District Office) (form available after Plan Check) . {� 3"HERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) PA 7. SRA FIRE INSPECTION AND PLAN HEC FEE $8 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. 9a �io- is-c� � Commercial (sq. ftg.) ......... X = $ Sq. Ftg. /el Amt. 10. OTHER A0. lO• ` 4 s At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 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 Division Yellow -Applicant Pink -Owner (rev. 2/2003) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School DlsbictVj` 111e, I A A.P. NurDusdiction: City Number � Ali 'i Property Owner Property Location/A Subdivision Building Department No. County Residential Development Commercial/industrial Lot No. . ............................................................... ... . ................................. Sq. Footage Addition/ *Supplemental to (Group R) Conversion Permit# *(No foundation Inspection) ....................................................................... ! ..................... . . ... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. 20 tAill\L School District certifies that � / [zn�" '(w. (Street Address) has complied with the requirements of Resolution No. representing square feet. School District (State) Sq. Footage - (Including Exterior - Roofed Areas) Date U(� �/ Ian c<,-� It �Q h.s . , (Applicant) 53 3 -5-D V7. o (Phone Number) 9 S-1110 19 LP (Zip Code) / osi�0 by payment of $ C)u n, 292 $ FULL MMGA'nON C) OV Date Remarks: Ps otrc- r fy1 XI Notice: You may protest the InV6KIon of the fen Identified above by submittinga'written protest to the District In compliance with Government Code Section U820(a), "n 90 days ftorn the date fees are Paid. Fallure to submit a timely written protest will'prohlbit you from challenging theiMp4ttlon if the fen in any court action. N. Subsequent to the School District Representative signing this Suits County Schools Impact Fes Certification Fam the School District Is MIR bythe app16 'A Local Planning Agency that this project is being review under the California Environmental Quality Act (CEQAh thio project mwbesubjedtooddMona]4im6itento'hdty&u 'ge— t*- its Impact on the school diswers schools. White (applicant), Yellow (building department), Pink (school' district.) feeform.)ds (10/03)dmm No of Living Mobile Home Units Installation Lot No. . ............................................................... ... . ................................. Sq. Footage Addition/ *Supplemental to (Group R) Conversion Permit# *(No foundation Inspection) ....................................................................... ! ..................... . . ... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. 20 tAill\L School District certifies that � / [zn�" '(w. (Street Address) has complied with the requirements of Resolution No. representing square feet. School District (State) Sq. Footage - (Including Exterior - Roofed Areas) Date U(� �/ Ian c<,-� It �Q h.s . , (Applicant) 53 3 -5-D V7. o (Phone Number) 9 S-1110 19 LP (Zip Code) / osi�0 by payment of $ C)u n, 292 $ FULL MMGA'nON C) OV Date Remarks: Ps otrc- r fy1 XI Notice: You may protest the InV6KIon of the fen Identified above by submittinga'written protest to the District In compliance with Government Code Section U820(a), "n 90 days ftorn the date fees are Paid. Fallure to submit a timely written protest will'prohlbit you from challenging theiMp4ttlon if the fen in any court action. N. Subsequent to the School District Representative signing this Suits County Schools Impact Fes Certification Fam the School District Is MIR bythe app16 'A Local Planning Agency that this project is being review under the California Environmental Quality Act (CEQAh thio project mwbesubjedtooddMona]4im6itento'hdty&u 'ge— t*- its Impact on the school diswers schools. White (applicant), Yellow (building department), Pink (school' district.) feeform.)ds (10/03)dmm !PMIWA Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your Signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESN NO[ ]. 2. I HAVE HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: 41 ` - / o_n .. ADDRESS: CITY• 0 rO epi 6 Ar— , PHONE:, 5-3 3D / CONTRACTOR'S LICENSE NO. -t5�1-- 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ' ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5.. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: A � NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for -the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, propertyowners who are -not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned I C. Vieitfa, C.B.O. , Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 .; . Department C o u n t v J. Michael Crump, Director of Public Works o f B -u t t e LAND DEVELOPMENT DIVISION Storm Water Management Program - 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement ILESS THAN 1 ACRE Project Description: Project Location and/or Parcel Number:0"_�� By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit , from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program ; Revised 5/12/04 AGRICULTURAL AFFIDAVIT EMPLOYER/EMPLOYEE Please read the following carefully before signing: Section 24-305.020 Agriculture Employer/ Employee (Applicable only in zones A-5, A-10, A-15, A-20, A-40 and A-160) BUTTE 2004 A VkLOPi1iENT SERVICES An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or that his primary source of annual income is, or is anticipated to be, derived from any of the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agriculture purposes, plowing, discing and fertilizing the soil; (b) The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural commodity. As used in this subdivision, "care" includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning or tieing, fumigating, spraying and dusting; (d) The harvesting of any agricultural or horticultural commodity including, but not limited to, picking, cutting, threshing, field packing and placing in field containers or in the vehicle in which the commodity will be hauled on the farm or to the place of first processing; (e) The assembly and storage of any agricultural or horticultural commodity including but not limited to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish, frogs and other aquatic animals, including but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment. This affidavit is valid only for the named employee. Any change of employee requires a new affidavit to be filed. Employer tax rids may be requested as proof of employment status. Signed: Dated:—�Q'—� Employer Employer's Address Name ' of Property Owner Property Owner's Address AGRICULTURAL AFFIDAVIT EMPLOYER Phone nls, Owner's Assessor's Parcel Number 4!�Z7 e�,-Z ? Parcel Size Ac. do declare, subject to the penalty of perjury, that I am the employer ofrLYt 1 -r—I. address (present) % bI _ _ and that I will be employer under Section 24-305.020 for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# (1 ,? . _�A ----d _-7- 2 Signed: Dated: *************************************************************************************** Environmental Health .Approval: ' e Permit Description and Numbers Date Issued J�3�pv) By / Planning Approval: Date OL( Zone - J Dw ling on AP# BY r� S / a/mil / - T-1 Crop/Commodity Produced,�,,,,�„� 027-230- 02�7 AGRICULTURAL AFFIDAVIT EMPLOYEE Employee( h h/ 1' �U �g� r Phon�.s�l� Employee's Address (Present) 8% Name of Property Owner I' Property Owner's Addressofq 6- Owner's Assessor's Parcel Number 027-; 30 - O A-7 Parcel Size V0 Ac. perjury, that 1 am the employee of address (present) 5 do declare, subject to the penalty of S and that I will be employee -under Section 24-305.020 for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# Signe �_� /� �� Dated: *************************************************************************************** Environmental Health Approval: Permit Description and Nu Datelssued ,� -- 23 - Planning Approval: Date H - )- o -I Zone h,J_ Dwelling on AP# 6Z-7 Crop/Commodity Producedw�ltils SITE PLAN REVIEW APPLICATION Date: lel% Z -C - 0 -1 AP# b 2-r7 - 230 ' a 2a Permit Number (if applicable) Bin Number APPLICANT INFORMATION' / Parcel Size: Owners Name: l/ iU!`cin cS �ey► f Owners Address: Telephone No.: Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ® Mobile Home &� , Waw✓ `❑ Residential Accessory ❑ 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: ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ -N/A Brief Explanation (if necessary): Nteej (A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ' ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Sit Ian Sta ed Approved By Date _ - I, - O�i Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: E] Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: of SSG Index Date: � - 9— a -V ❑ 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 Forme ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A-- 1 �� 2) 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 70 Side , U Side Street Rear O Height Waterway 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 ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑. NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -------------------------------------- Subdivision Map Special Fees Amount Formula ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual'fee if pre -application review. A fmal determination will be made at the time of the building permit. Parcel Created By J&Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Pu Complies with Comments: `Legal Access Provided: ❑ No ❑ Yes Legal Access Required ❑ No ❑ Yes blicly Maintained Road: ❑ No ❑ Yes, Road Name: ❑ 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 Lirie 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 Q Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. EMI Page 4 of 5 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. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 PRE -INSPECTION R LOCATION: Lal,vc /e CONTRACTOR: aW4 REASON FOR PRE -INSPECTION DATE TO INSPECTOR: ' Building Description: Commercial/Usage: _ Residential # of Units: EPORT DATE: A.P. # ZONING:-,� PERMIT HISTORY ( ) qNE (_-�E ATTACBED BUILDING INSPECTOR'S REPORT Currently Occupied () Yes ( ) No AbandonedNacant:. .Electric: Electric Currently ( ) On Condition of Electric Gas: Currently ( ) On ( Off Condition Sanitation: Plumbing Worldng ( es ( ) No Obvious Sewage Problems ( ) Yes (1)1 ACTION RECOMMENDED: Hold for permits or verify: _ Mobile home # of Units: ISSUE ( ) Yes ( ) No Inspector: C'vT.rTmrTT T)TTTT T1T1TTr-0 1 -%XT I)U X7_V"P CF. S NIT INT-nTi- A rr-P T rlf A T'Tl1N n7V P_D n_ V-DrrV. �VTT� BUTTE COUNTY 0 o DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTION#: OROVI LLE: (530) 538-7636 - CHICO: (530) 891-2834 o =— o OFFICE #: (530) 538-7541 C0 UR�� A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last Name ` �J City �6O U i ust Name. , > ✓ 1 L� Address city City State State Zp 'l Book Fax Fax E-maif- Lic. # APPLICANT NAME CONTRACTOR Name. City �6O U i Address j , Zip city Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City �6O U i Address Zip City Fax State Zp Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Ades City �6O U i Sta - Zip Phone._ ` Fax E -mal APPLICANT SIGNATURE X For office use only: Zoning —s Flood Zone Cross Street C. cv l SRA a No Occ.K Type Const 0/4 I Subdivision Name Map Book Page Lot # Planner Date Approved: PER.A UT NO. `�/) 5-� BP BIN # LOCATION AP# eQ 2 7 2�0 — (1,-;i Property Address ' City Cross Street C. cv l WORKER'S COMPENSATION Policy Number Carrier ff hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by. Amount: ��i' /' Bldg Sen 4'-.;o SRA Receipt #: y/� �� 17 Sheriff el`Wlt i717' `CJ / SMIP Date: 0 ls-04 '7 S. `7 'i CDF FIRE SAFE REQUIREMENTS 027-230-027 BP -04-3033. Stephens AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail -ability, access and utilization of the defensible space provided for in these standards, 'annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures 1273.07 (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including .sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius IN 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] 2. the length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.11 Gates [X] 1. Gate entrances shall be at least two feet wider than the. roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall ,open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. 1 yy � ' CDF FIRE SAFE REQUIREMENTS 027-230-027 AP# Fuel Modification 1276.01 [X] [ l' [X] 1276.02 BP -04-3033 Stephens PERMIT # NAME Setback for Structure Defensible Space 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or'the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements below. Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements [ ] If Building Setback is 15 to 30 Feet: Class A or B roof Enclosed Eaves [ ] If Building Setback is Less Than 15 Feet — Class A or B roof with enclosed Eaves and: Choose any 2 of the following: Metal or no doors on side toward property line with insufficient setback Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco — 3 coat Hardi-Board or Plank Masonry Masonry Veneer Metal , Other Butte county Fire Department approved materials I 10/27/2004 Date Darren Read Signature 2 0 0 Mobilehome Manufacturer: . �� L. Manufacture Year:_11 72 If other than single wide, furnish Yetup Model Number:.$VA.-T I`,/ t7��in7 g!2 AMZ6& G� y l Width: ft. Len h: ft.) Tagalong or Expando Size (ft.) x �.. J .� () c�� On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressuretre ted or foundation grade[X) Other: I a t� e- r ; SUPPORTS: Concrete block[ Other: 5 ` Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MIILTI-WIDE Line 1 e 1 Line 2 Line 2 ................................................................................................ . Main Beams ....................................................... :............ ............................ e 2 Line 2 Line I Line 3 Line 2 ................................................................................................ Main Beams ................................................................................................ Line 2 Line 1 p .................................................we 5 Tag or Triple . ine 4 rinel Line 1 Piers: Size minimum: x. Spacing maximum:` From ends -maximum: ` /a X 3 Line 2 Piers: 0 5���� Size minimum: ) ] x Spacing maximum:. V` From ends -maximum: ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): May 1995 �zyxjo 3600 Line 1 Openings Size minimum: x [2-q ). Each side of openings with width over: b ` 2- � s`j 12f �%� Line 4 Piers: /* Size minimum: [ ] x [ ]. Spacing maximum: C` From ends -maximum] ` 'e,a? I 'I ayj3a►ZX 12k3c� JOY30 a1V--1/ f,, yr 3 ,' 1 q 6y U /,I,&, 14 1. Owner's Name: ) zj V,,m 1. 1 ) i , , /-I ., .n I , r < 2. Assessor's Parcel Number: , .� `] ,2 ---02 7 3.. Installer's Name: 4. Is the site currently under permit? Yes[V No[ ] Permit No. 5. Is the site an existing site? Yes[4 No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? -2n h Amperes. 7. What is the mobilehome site circuit breaker. rating? �2 ;2 Amperes. 8. What is the electrical rating of the mobilehome site? G�, 0 _ Amperes. 9. Is the main service remote from the mobilehome site? Yes[�,j No[ ] If it is, what is the rating? Q Amperes. 10. Is there any other electric load to be served by the mobUehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ .] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.). 14. What is the mobilehome gas demand? B.T. U. * *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May l995 Yo r Ji bLr2"x 2"x 3/16- STEEL /16"STEEL ANGLE W C7 a 0_ m N Ln m ao al Lo 04 m m Id m N 1-4 in CD DETAIL "A" Le - W'•` 1/4" GRIPPER PLATE (2) REQUIRED 1/4- GRIPPER 13ASE 1/2-13UNC-AS07 x 4 BOLT WITH HUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITF 01/2" ADJUSTER HOLES AVD 3/8' THICK TOP PLATE 02' SCH 40 PIPE STAND WITH TWO -- 01/2' ADJUSTER HOLES ABESCO ASS PAD #503 STEEL FPAMF SEE DETAIL "A" 3/8' CAD PLA -ED BOLT, NUT & WASHER COAC-I "C" FRAME COUNTER BORED FLUSH WITH 30TTOM 2" 'CHANNEL AT e' D.C. (8) REQUIRED 1/4- STAND BASE TEK S'S ABESCO ABS PAD X503 (2) REQUIREO 36' MAX TO BOTTOM OF PAD LOCK PIN WITH isl/8" BRIDGE PIN I 37" 18 1/2" 1/4." GRIFPER BASE 1/2" A307 BOLI (2) REQUIRED 3/8'x 6'x 6 STEEL PLATE 1/2" A307 BOLT (2) REQUIRED 10.00--1 .� o 0 0 09/16 HOLE (TYP) STAND BASE TOP V1 EW 17918 •fit ".r"''�'" OF C TUF--1 PERMANENT FOUNDATION SYSTEM AHRSC"US GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAK: (916) 383-5207 ti COACH "J" FRAME 1/4- GRIPPER PLATS TEK S (4) R:QTS UIREO .61, _n — 1/4" GRIPPER BASE 1/2' A307 BOLT (4) REQUIRED C -BEAM J-BEAL4 ATTACHMENT ATTACHM:-NT g" 1/2' DIA. HOLE {8) PLACES 3D" _I STEEL FRAME TOF VIEW STRe..o sI tlamm umn Com"a - �*><ppplt�'a,CT101LB11C'13f . wrInt.LSO!!!<"wmf"mn0§AffftMAW .►�_:..o�osaa�nesv�Ana�>t�c�us�tsa cwcomAm MUM" k =� . ,�sscA»a>rrwnu�vsu��alo�s>Ia+� uc� WAYNE .. POLVADO, PE -LISTING NO. F94249 SHEET 1 of 3 GENERAL NOTES GUS GUARD TUF-1 DESIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C' SEISMIC ZONE '4" *SNOW LOAD 100 PSF (SEE NOTE 115) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CCNSTRUCTED ON A FA RLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAN SUPPOP.TS SHALL BE L0,",ATI D AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTEUCTIONS'. i. IN AREAS WHERE DIFFERENYTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN OS EXCEEC•S I/4", OR. WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FODTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COI(PATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. E. STRUCTURAL STEEL: FABRICATED ACCORDING TO A1SC SPECIFICATION. WELD ACCORDING TO ANS SPECIFICATIONS. ELECTRODES -370. PLATES -ASTM A36 6OLTS-SAE GR 5=ASTM A449=ASTM A3725. 7. THE CUS GUARD ASSELIBUES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND A3SDCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL G'JS GUARD TUF-1 2200,' 6000# GUS GUARD MGP PAD 22001 6000# GUS GUARD E -Z TIE PAD 22001 6000E 6. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THa MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAr BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTAWHG GUS GUARD TUF-1 LNITS AS SHOWN 0N' THIS PAGE OF TYPICAL FOUNDATION 2LANS. 14 THE CUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE' UNITS REQUIRE ADDITIONAL RESTRAINT. - (SEE SHEET /3) _• 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL B£ PEOTECTTVE ODATEO. 14. WHEN CONCRETE SLAB 15 IN EGSTANCE, PAD IS NOT 16. FOUNDATION FLOCKS 16"x 16"x12" POURED IN PLACE AT GROUND LEVEL MAY BE USED AT IIISTAtURS DISCRETION AVERNATM TO PADS. SIIGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. S= 6' MIN. /16 MAX. S= 6' MIN_ / 22' MAX. VARIES 10'-70' (SEE TABLE ON S14EET 03) ' E �-- S �}+ S �-� � S E -� lJ U U ❑ D U RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER Q D (TYPICAL) .0 ❑ ❑ a D E3 -T D ❑ ❑ D 8' NOIR. El H IOU 2' NOM. PADS IN ANY PAIR MAY BE I STANDARD M.H. FOUNDATION � ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PUC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OP. THE SUPPORT AVOID CLEARANCE PROBJFMS_ ENGINEER. TYPICAL THROUGHOUT PID TYP) STATE APPROVAL MANU°FACM?DROMMOBLLS RM4 FOUNDATION SYSTEAT a )MA11-41TAND SATBTY CODB, SSC n=1NtM APPROVED f REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH -,UF-1 —1 P ER M A14 ENT FOUR (4) 1/2"z 3 1%2" EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD 7UF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 10C PSF WHEN INSTALLED ABFSCO-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5R5I FLORIN - PEPYJNS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. .e.,,.. — suBTBCT TO C'ORpJJCrHM ZOOTBD APT%OVAL DOGS NO'rAtrrBOPtzs ORA"RVM ANY OMISSIONS OR DEVLATTON FROM Rei SOF APPLICABLE STAYSWWBAND RFiWaA7WW Stale ofGdifcmb De of AoasiaR and Ca>xa�g - .,. CODAS AND SPA NO. Sid i` �� TI is Plan Annroval ExWtTm V) cv WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 o1 3 7) D aJ l Z H 0 U Uh w Q I Nr m IS) CV CV m CHASSIS FRAME 1/4" GRIPPER. PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A3D7 x 4' BOLT WITH NUTS (4) REQUIRED sit 1/2" SCH 40 PIPE RISER WIT --I m 1 /2" ADJJSTER HOLES AND 3/f'." THICK TOP PLATE 02" SCH 4Q PIPE STAND . WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 � E - Z TIE PAD 36" MAX TO BOTTOM OF PAD I 01/2"x 3" CR. LOCK PIN WITH ! 01/8" BRIOGE PIN LIGH- HEAVY -WEIGHT PLASTIC PAD INSTALLATION UUL'13--W DE UK= SINGM WMZ UN1'PS GTN OF N 24 WIDTH OF HOIiE 26 26 3/4" DIA. x 18" LG - B 8 8 12 ;l'-1' fo 66' (4) REQUIRED 1/2"x 3 1/2" 1/2"x 8" LONG ANCHOR BOLT 20 3/8' CADlF EXPANSION ANCHOR ;4) REQUIRED (4) REWIRED WITH BOrOM COUNTERBORED USHT�HER S" O.C. (8) REQUIRED \ l 1 .. .:, 4. - CONCRETE PAD INSTALL4TION POURED IN PLACE 16x16x12 -,ONCRETE. 1 FOUNDATION INSTALLATION y CHASSIS FRAME 1/4" GRIPPER. PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A3D7 x 4' BOLT WITH NUTS (4) REQUIRED sit 1/2" SCH 40 PIPE RISER WIT --I m 1 /2" ADJJSTER HOLES AND 3/f'." THICK TOP PLATE 02" SCH 4Q PIPE STAND . WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 � E - Z TIE PAD 36" MAX TO BOTTOM OF PAD I 01/2"x 3" CR. LOCK PIN WITH ! 01/8" BRIOGE PIN LIGH- HEAVY -WEIGHT PLASTIC PAD INSTALLATION UUL'13--W DE UK= SINGM WMZ UN1'PS GTN OF N 24 WIDTH OF HOIiE 26 26 UP TO 4; B 8 8 12 ;l'-1' fo 66' 12 12 12 18 sill -1" to 110 20 20 20 24 LENGTH OF WIDTH OF HOME HOME 10 12 14 16 UP TO 44' 6 —1 fo £6' 8 8 S 8 t6'—t' to 80 10 10 f 0 10 wiluwR OF TUF-1 REQUIRED NUMBER OF TUF--1 REQUIRED MM GUARD -1 PIERS TO BE PLACED ATSAPPROXIMATFlY EQUAL iNnNl ALONG EACHF FRAME RAR. E 1791 Exp- *�f9 C OF TUF-1 PERMANENT FOUNDATION SYSTEtr( ABE8CO-GUS GUARD CDWAT'l 5851 FLOM - PERKINS ROAD SACRAmWM, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL FC•UNDATfON SYSTEM ANN SAFETY CODE, SFIMON 25" APPRDVED SUM= TO CORRRC nOM NOTSD ' APFROVAL DOES NOT AUMORSZB DR App"" ANY r OMISSIO`1S OR DEVIATION FROM REQUIREMENTS 02 APPUCABLS STATE LAWS AND REGULATIONO . -StsteOfC�lifoleSY.. . Y sad C=muiq W AM STAND gv , 7 BPANO. This Flan Appmvst Exp WAYNE T. POLVADO, PE—:_ISTIN(3 N0. F94249 SHEET 3 of 3 RESIDENTIAL !027-230-027 PERMIT#96-2427 STEPHENS, John & Vivian 109 Wayne Charles Rd., Oroville Mobilehome Utilities �i F 101pV1Q7 t6' /Vc? 'Gi tie 4-0 0� p F 6 7 4 (tF' • S i 9 i. JOB11FINALED (Date) — Signature S 0 V=OK O = Not OK Not '=Not Real y MOBILE HOMES t Date MOSP& HOME UTILITIES (Plans) OK except #'s r�uk�Requirements - Setbacks - Easements Is; Special MH Support Skew.. -`SLB Electricity; Lo6n' on-Clea(vfces-Gmd-/ /Amp -Concrete /LPG No 0a&5 7 yelrbearance & Disconnect Utility Clearance Card B-1 t j Date Card B-1 Card B-1 _ Date Card B-1 Llt. 3oning Requirements -Setbacks Easements Footings; SizeSpacing-Marriage Line Gas; MH Test -Demand -Valve -Connector Electricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector r ; ater and Sewer Connected -C/O to Grade -HD Approval t e -Gas ad Electricity Tagged + 'e Downs -Type -Installation Cert. 1 . Exits; Insp.-Sketch 11. Cert of Occupancy r Daze _Q" Fard 13 Date Card B-1 Dare Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plan's) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing-ConnectorsSteel 3. Decks; Girders 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-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setback& -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts -GA 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/9 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 V = No OK RESIDENTIAL (Single & Duplex) - - = Not Applicable x = Not Ready Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors UNDERFLOOR (Plans) OK except #'s 47. 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ PFtg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts4Nrapped 6. Stemwalls, Garage; Steel-Blockouts- Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Pienums & Ducts; Clearance-Mater:al-Support-Ins. Brace Wall Panels 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s Ext Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 78. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 80. 30. Ranee Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 81. 31. Service -Riser Conductors & Ground -Main Disconect 82. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 83. 33. Clothes Closet Light -Shower Light -Spa Light 84. 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throught House MECHANICAL (Permit) OK except #'s 89. 35. A.C. Ducts Insulation & Support 90. 36. Vent Fan, Exhaust above insulation 91. 37. Condensate Drain & Overflow, Size & Grade 92. 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 93. 39. Attic Access & Platform if Furnace in Attic Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Plans) OK except #'s 40. Sits 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 Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Ring. 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 Hgt. & 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 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-Conector- In Garage; Above Floor -Ducts -Meth. 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 & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in -Damper 76. -Garage 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 (G.FI.)-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 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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 Throught 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 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: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION . 7 CI&Qnty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9�`'ago-V / AssEss a "079i��"-M-027 ZONING A-5 BUILDING PERMIT OWNSa!JOHN AND VIVIAN STEPHENS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNT11tyr stTREET, OROVILLE 95965 CONTI6GTJ� MME �iJJ WW1 �l�V �L'' LA � TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTgJ&?pq LENDER UNI(NOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 23 Energy Plan Checking Fee _00 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRWAYNE CHARLES ROAD PERMITFEE $ zA nn PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.SUBDN ISION'S NAME PL MAP ARCE Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 1 Other SPECIFY 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 ❑ Installation IX Other ❑ Describe Work: MHI/96— 7 Mobile Home S I G W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filing 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. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law �r the following reason: V1, 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 ADDNS. ( & ACC. BWS. ) SO. 3.52 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) OUTLET OR FIxTURES EX. Occup. ( ) 20 Q 1.00 BAL Q .SO Ex. Occup. (oFIXED LErs RESD.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I 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 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S 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.) 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 hwith comply with those provisions. _ _ Date �z ignature of Applicant - ❑ Owner ❑ Contractor ❑ Agent T 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 is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 143.00 HA2. I D. FEES O Dr I FUCDF PARC PD HD r ISSUE This permit is hereby issued under the 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) Receipt No. 9(16667 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J �.: y'�`•�"!''�";;� d�R46�1� a�.fieswc st r►�:F•�t�a=` �+�"'"';` �,,,� a=�''"� y:" . _ `"r j `-COUNTYOFBUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 `OWNER C/G Proposed Building Use h PERMIT APPLICATION DATA SHEET V1, , leekn Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ............. :........... . 2. Plot plans, 3/4 sets, signed by preparer of plans. ....... 3. Complete plans, 3/4 sets, signed by preparer of plans. ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). . • --� Mobilehome data an sfaila`iioii`mstrTc nsfrons, 2 sets. ........... 4 Feesof $ ....................................... . 11. Impact fees as shown on attached.. schedule—.. .................. 12. California Department of Forestry plan approval/fees. ........................ . 13. Flood elevation letter (100 year flood) by California Engineer . .................. . 14. Sanitation and plot plan approval Health Department. ............ . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. Pre -Inspection req. .uest 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. . y/ 23. Owner -Builder Verification (Given to owner Mail to owner A i3 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Al 27. Letter of intent on building use . ........................... . ............ Mobilehome utility clearance . ........................................... 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�tle list. .......... .............................. Wh you issue the rocess as follows: M to owney./ Mail to contractor. _X Telephones. y and hold foy pick pat 5 rO v� //: office. Deliver with inspector. Other Conn i e 4uE+ fog r 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 1. Index permit for above items No. _ 2. Additional items required: nce: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Contractor, designer, owner, was advised of above required data by _ phone _ mail Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Counter by _ Date nter by _ Date Date () ` - 4r COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 n OWNERy'y �7'E' YIC'rJ;S A.P. # PROPOSED BUILDING USE �/`f� l DATE ICS// % 9� REC. # DATE REC 1. SCHOOL DISTRICT FEES 6,00) (paid at District Office) • SHERIFF FEES (paid at Building Division) Residential...... x d =$sz"L �QCC� S unit amt. V Commercial (sq.ft.). x =$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.). x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) V6.FIREINSPECTION AND PLAN CHECK $89.00'\ aid at Building Division) 7. -ATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE _' COUNTRY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE OWNER V PERMIT N0. 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. n Date Inspector �USSc/l i3 REV 10/92 �`'ir+�--....-�iw,-,.�•„f...n,,,•-,�,ti.r...,,�..r.�fiititrp"/7��4,ry,,t,,�„tr`'�'^ �.,, ,�"".+,r-..�±-.-.•-.-^�-d�.,.,.,.��..'T'^Y""^'^'�y"r^'r.�..'..r-,.:.•r��.i,,:...4..,...,�...y,..��._.--.-••:.. •.`i MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN0 o ..»-7 PERMIT N0.' Owners: Name: / V �C i f'U' ' Owners- _, ► N f�... C I( Address:/99 k Mobilehome � - �040A, Q N Year of f Manufacturer A t V 4. _Q,. Manufacture: (� Serial number o !. V Insignia or 0j��[4 or V.I.N. HUD number: / ►tiff 1 Official appro In installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. h 5136 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor d ULJ� i • , TIE DOWN. �nrnn' �" t -BEAM SHOW"SE" .v, t C 'k RFC CHASINSTALLATION INSTRUCTIONS FOR CONNECTIONS C0NTRA=R3 WARNL40 : CHECK FIRST FOR UNDERGROUND UTILITIES. c _= 1 1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD 9406 PIER TK='� S PRESSURE TO MINIMIZE SOIL DISTURBANCE. UNTIL HEAD IS OLT—ON TOP' —';: FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED SEE' DETAIL "A" BELOW FROST UNE., „ 1.•' TYPE © TIE DOWN 2- ATTACH STRAPS' TO CHASSIS BEAM IN MANNER SHOWN. SEE DETAIL "A" 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP do TYPE QTIE DOWN THEN TIGHTEN BOLT .UNTIL STRAP IS SNUG. 4. ASESCO NAME IS STAMPED IN ANCHOR HEAD. 1608 SPOT 40. 60 � #608 SPLIT BOLT k NUT BOLT h NUT #616 STABILIZER PLATE N601 OR #602 T.D.A O INSTALL GROUND ANCHOR INTO GROUND, LEAVING 8'-12' OF SHAFT EXPOSED. I BEAM CHASSIS PIT T SBUROE TESTING LABORATORY RESULTS TEST #1: Pull Out Test In SANDY SOIL, A3, having a Density of -124.90 lbs./cuJI. RESULTS: Actual Pull Out=7.000 lbs. Average Deflection measured in Inchesa1.448 TEST /2: Pull Out Test In ROCKY SOIL. Al. having a Density of -133.63 lbs./cu.ft. RESULTS: Actual Pull Out=7.000 lbs. Average Deflection measured In Inches= .771 TEST /3: Pull Out Test In ADOBE SOIL. A6. having a Density of— 87.23 Ibe./au.1t. RESULTS: Actual Pull Out=7.000 lbs. Average Deflection measured In Inches= .624 DRILL 9/16' HOLE AT MID HEIGHT OF BEAM. INSTALL 1/2' A307 BOLT _ C-�i ~vI �12 #606 STL 7' #606 STL STRAP / STRAP #614 STL STRAP #614 STL STRAP SEE I -BEAM CHASSIS FOR SEE I -BEAM CHASSIS FOR TIE DOWN ANCHOR TIE DOWN ANCHOR C BEAM CHASSIS RFC BEAM CHASSIS r is .;,. O PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. i O FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE PROTECTION AGAINSTLATERAL 'MOVEMENT. c-- -1 ra II n n I II 606 STL TRAP 8614 STL STRAP SIDE VIEW END VI . . DETAIL OR ,. CONTRACTORS VERIFICATION I CERTIFY THAT I HAVE INSTALLED THE ASESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAME: tamek'r CONT CTORS_ UC. / DATE: SIGNATURE 10G�� _. - - — -- -- - - 000 9 A� • lr.P- I jy1 3 --- — lo - - - -6 A 17. Y-- �il I r C f �.0 r `•�ti A 7n, CT ICLMECHANICAL,D LU BI Q S U { !O C E KE _H - )• l� ...T --E TI h!aF N C. U AAD l�- ��-,�,.. ' " Com,,,•. i I L^ i -- - - . set 0--f-r. _... ...'F' — ._.. keo add. jA e or al ra o on v ON at vn t .l?. s n . _ �h� Iie — — — `IP ribs Go -Of -- -- -- --- — —rlui -- --- - - Tu3E` A --- °r kmF h- Be In -- -- S T F_C-1 �� ., ��L,. . $ C L ;AR �lP,.4EP n. T s cc nee wi i co d G od Pr is d r t- . , . t7 `— ; F _ r- �A a .f a fxv Pre rm -cri B d n P ec caJ r1 — _ n ad B d e ati n ill tri - Cod( .-- - --- - i A . Ft r : UC'rp I L�' ri'� r ; '� # At, p - . VI'RIJ n. iPJc , ` , ul/ kic pfj _ �'; ` .� E'er _ -- - Th att cfi- . Fi Ile- -- — - - — — — -- — - - -- -- reQ iF$ A -ill — — -- — — - aspeec ifiie an ap mved by_. - _ Vy ag. ,y�.E g g - _ ....., . 1 CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [xj 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparte-cant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [� 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100' feet. [�] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�y 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�y 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Bu_T_ O n' ; 6 i V Page 1 of .3--. L•i' `LS' LD o `;ENT y r '�--� '-2__J - z-7 'i'6 - S7?�/W',✓S "%� AP # PERMIT # NAME [] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. /- 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�(] 1. Gate entrances shall be at least two feet wider than the roadway it serves. ] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ) 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ;.►l] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including / chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, roa3 and driveway construction and fuel modification shale be completed prior to completion of road construction )r fi_ral inspection of a building permit. Elul 0, LAUf a U1 LDH Page 2 of 3 .gip. +T��ly" ry//ir cT7 a t[3 u IeWi to Z- 7 - 2-3 . Z 7 Q6 - ur_i 7 AP # PERMIT # [.] if Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves s,s , Ja NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic spri:ikler system per NFPA 13D - Glass area not to exceed i0%- of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date SignatureRE U,v.:.y..., Page 3 of 3 Mobilehome Manufacturer: Ct a m g.'o n Manufacture Year: P If other than single wide, furnish Setup Model Number: Width:�(ft.) Length: PCtj (ft.) Tagalong or Expando Size (&).x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation gradeb(] Other: SUPPORTS: Concrete block[k] Other: Provide Tie Down Specifications for all Mobilehomes: Co Pier Footings Sizes and Location, SINGLE WIDE MMTI-WIDE Line 1 Line 1 Line 2 - Line 2, .......................:........................................................................ Main Beams ............................................................................................... Line 2 e 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ................................................................................................ Line 2 Line 1 .................................................ine S Tag or Triple e4 ine 1 Line 1 Piers: Size minimum: r i x Spacing maximum: I IFrom ends -maximum: Line 2 Piers: Size minimum: [/1- ] x [Jol. Spacing maximum: From ends -maximum] ` Line 3 Roof Loads: Size minimum t Location (from front): T Line 5 Roof Loads: f Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ . ] x [ ]. Spacing maximum: 1,` From ends -maximum: ` 1. Owner's Name: (/ i v a n t� P 7 S 2. Assessor's Parcel Number: c� _ 3. Installer's Name: Ow n e - Y, 4. Is the site currently under permit? Yes[x] No[ ] Permit No. 5. Is the site an existing site? Yes[ ] No[A] (If yes, furnish two plot plans). 6.. What is the electrical rating of the. mobilehonle? In 0 Amperes. 7. What is the mobilehome site circuit breaker rating? l0 0 Amperes. 8. What is the electrical rating of the mobilehome site? X00 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[X] If it is, what is the rating? Amperes. 10: Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[y] No[ ] If yes, please identify the load and size: a) The mobile home site- Load- we, 11 Amperes- �D b) The main service: Load- 'ZoRe / a Amperes- A0 y 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[K] 12. Size- of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.) 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF TRIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 1 8.5 1 -COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ERMIT NO. APPLICATION AND PERMIT 9& _� ASSESSOR PARCEL NUMBER 027-23-0-027 ZONING — BUILDING PERMIT OWNER JOHN A TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2169 6TH STREET, OROVITLE 95965 CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NnN,F. UNMOWN Total Valuation Is Filing Fee $ @111111m LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDIJtffRWAYNE CHARLES ROAD, OROVILLE l�J�j PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 15 Other SPECIFY 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 ❑X Installation ❑ Other ❑ 2 BEDROOM MOBILEHOME Describe Work: — Mobile Home G W @20.00_92-00 6 , 00 PERMITFEE $ 80.00 Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service ( OOOA OR LESS ) 200A OR LESS 23.00 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. 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: 121 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 ADDNS. ( & ACC. BIDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER SINGLE OUTAPPARATLET sUS ) ,. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL .00 Ex. Occup. (oFI FIXED (RENS. OR .A ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20-00 Misc. Wiring 23.00 PERMITFEE $ 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 9 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.) 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 compensation provisions of section 3700 of the Labor Code, I shall rthwith comply with those provisions. / 7 Lam[ _ _Date 0�_ ure 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 height. Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 166.00 I HAL. . F D IM F OD OD FT CDf PAR PD HD ISSU This permit is hereby issued under the applicable provisions of the e County ode and/or Resolutions to do work Indic ed for w ich fees have been paid. B ��/�b y / "t Date PERMITEXPIRESON /0/3/% (Date) Receipt No. 206676 WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .,. COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION s 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 - PERMIT APPOCATION DATA SHEET OWNER t,70A n �_ v i ✓ i 0 t1 Sfe- ID �t_,ns0.P NO� �`.)30 -OC ii Proposed Building Use 14) Building Inspector Date 101/91W, At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All itemsh been -submitted. . 2. Plot plans sets, signed by preparer of plans . ......................e.... 3. Complete plans, 3/4 sets,, signed by pre"parer 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 $ .......................................... 1.1 pact fees as shown on attached schedule. .. . California Department of Forestry plan approval a IQ vii ----- 13. Flood elevation letter (100 year flog• by, li ornia ngineer. ................. . ---�7 14. Sanitation and plot plan approvalvdoye� Health Department. ............ 15: City of Chico plumbing permit . ........................................ . 1 Plot plan and business license approval from City of Biggs/Gridley. ......:::::. � sk planning approval for (A) Use: (B) Parking: ../o 3c QG 1 Contact Land Development about (A) Improvements (B) Drainage. .......... . )19. Driveway permit (construction approval required prior to occupancy). ...Pr�!� des o; r6quest 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. ZZ 22. Certificate of Workmans Compensation Insurance........ . 23. Owner -Builder Verification (Given to owner ,-Mail-to owner �r� 24. Recorded copy of Agricultural Acknowledgement Statement. ................... , .25. Letter of signature authorization . ...................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... s 27. Letter of intent on building use . ............................... : . 28. Mobilehome utility clearance . ....:............................ I ........ .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. h -n you issue the?Lip't, F%rocess as follows: Mail gowner., I I _ Mail to contractor. TelephoneI , Sand Id fqq� pic up at �Jf O V I I I t office. Deliver with inspector. Other ©h h I e ,44C I c� r� 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 per it issuance: (Circle new item not checked above). 1. Index permit for above items No. l 2. Additional items required: * TWO MoPlit.Et PEf-Wr 50 olJ rkS PARAFJ- • 966 "5Po/JSE -rti WPu7RX DMI-- 5144fep 2 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, I ae e.fs Date lan.3 Sets of plans on hold in File cabinet 3 AP folder Copy - Department of Public Works E.H. USE ONU M Phn Anschad Flow Pka AnwW Sca to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance A� G earIle Owner ij&ation AP# Plan Approved for: Sewage Disposal Water Supply: Public 'Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date Q/01) 7-5 .nvi APPR on T E ner E tal He ign e to I f , lop u� ®R I _ r , INI l 7 t -- - ._ _ - - --- -•- - - Ap f1 (-�- - R e "_ -S� to nature -- J May 1, 1996 Elmer. Lee Roy 109 Wayne Charles Road Oroville, CA 95966 Dear Mr. Lee Roy: UrrAK I [VIrIM i yr ucvcwrrviuv i acrcvwca 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 FAX: (916) 538-7785 A copy of your attached letter was forwarded to me on Tuesday, April 30, 1996. 1 appreciate the time and care you have taken in writing to our department concerning the situation at your property. discussed your concerns with our Code Enforcement Officer, Gary Brown, to get an update. He indicates the file on the zoning violation was officially closed last month as a result of your cooperation in enclosing some of your property items within a fence. At this time, there is no active complaint pending in this office and we can consider the matter resolved. On March 25, 1996, you were sent a letter from Mr. Vieira indicating the need for you to obtain a retroactive mobile home utility permit. We realize you purchased your property with the mobile in question already in place, and that you did not personally make the installment. It is understandably frustrating to have to make corrections "after the fact" for something someone else did not complete. Nonetheless, the State and County codes do require us to work with property owners to bring construction up to code when a non-compliance is brought to our attention. Our efforts in this regard are not to harass you, but to try to ensure reasonable personal safety for you, your family and others that might be using the mobile now or in the future. We have all witnessed the terrible loss of human life due to faulty electrical hookups in mobile homes. I know you will have better peace of mind after an inspector can assure you all is safe and properly installed. I encourage you to contact Scott Rutherford or Mike Vieira promptly to complete the minimal code requirements. Elmer Lee Roy May 1, 1996 Page 2 Again, thank you for taking the time to write. Sincerely, Willia ' Farrel, AICP Director of Development Services WF:jb Attachment .. ^ - � .AV.�' - - -` ` - ` ` - - ' ' '- - - - -- ------`-------- - -- ----- - tic: � � � - y l �,� `� .�5, L: 1 - ♦ � '� a- y .�.� �.. Z. �1 Butte County Building Division County Center Drive . Oroville, Ca. 95965 Y C Ir C ` C GORDON I. SMITH ATTORNEY AT LAW To'whom it may concern: Dear Sirs: Elmer Lee Roy 109 Wayne -Charles Rd. Oroville, Ca. 95966 00UNrV OF buyne BUILDING DEPT APR Z 4 199,5. I am sending -these pictures proving to you -- I am not building any decks or anything on the -Moble; that has been here twenty-three years. Our neighbor is deliberatly harassing for attention. Gary Brown is doing the same thing and�'cal ym it his job:If If this does not cease and desist immediately,.I will go to Sacramento and File In Federal Cort; suing everyone &OV46VIWA for harassment against myself and my wife. All courtesy notices have been submitted to our lawyer; Anymee, the next trip is to Federal Court In Sacramento. "We ask that you leave us a.Luut.. we 11a� our permit and have not been doing anything that requires a permit or permission from Butte .County.`. So Please, once again we ask leave us alone. Gary Brown and Frank Cook told me I was in violation of junk ordinance.. I have corrected that with an eight foot fence which hides my building equipment from Public view., Gary Brown has seen this yet he continues to harass for no reason. By the way, -our neighbor ( Mrs. Warner) is bemgg sued for destroying private property while trespassing on private property. The Sheriff will confirm this. She also will be sued for harassment. DO NOT GET BUTTE COUNTY INVOVLED BECAUSE IF THEY ARE IT WILL BE IN FEDERAL COURT. Sincerely, ry'v� 'Elmer Lee RoyIn God. We Trust ret:3 e71-- "I'l-ft 4 f COUNTY OF BU T -f r - BUILDING DF"'" APR 2 4 i° m 2m M C"3 ro M4 API . OWNER PERMIT' ' MH UTIL. CLEARANCE DATE INSPECTOR GAS Support Struc. Compaction Test Re . ELECTRIC ServiceOther Pipe YES NO YES NO Size LLoad T e Size Len th S.Z�A ��� -.�,-.. ,r. -.r.,� �.-. -^.+,. 1. � rtiry-r•.•r�.w-..._�„�,-„�,:....::w.r�.M•../Y�+.-."ry"�.v^("`'.nr�-i..i�../J�•'v-•.'�-..^-r�..:i1:_...JYy,... ti� �r'..:��1..r1.:.._'.✓-r..,r,. J'��.�a.,. , .,n rev'.: �-,. � �'T`.�- .�I'..r ....-. . . BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Or -0 Ur) ► 4 n 0, N J Building Department No. A.P. Number Od i" -10-0 �/ Jurisdiction: City County .: t� 'Property Owner : 00 GI h v✓✓ r Q h f—S—6 Property Location/Address h e or Subdivison Lot No. Residential Development No. of Living MHI Units C41e/aCC-S Commercial/Industrial 0 Sq. Footage _90 Addition.1 - (Group R) >< S t; n MIR � 4604600.) Sq. Footage Addition (Including Exterior (Floor Plans reviewed by School District Personnel) Roofed Areas) /4Z / Q Date District Identification No. 9 7 XYV-t& 4h-. School District certifies that (Applicant) i .. A n n r __ _ .�•■► (Phone Number) (City)- - (State) \\ (Zip Code) has complied with the requirements of Resolution No. tl (i j U by payment of $ O square feet. Wo Paid by Check # Bank Number Paid by Cash Remarks: AB 2926 $ FULL MITIGATION $ Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmk, ('„isa)dmm C Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature, Please complete and return this information at your earliest opportunity to ,avoid unnecessary.delay in -processing and issuing your building permit. No.building permit will be issued until this -verification is received. 1. T personally pian to provide the major labor and materials for construction of the proposed property improvement: YES NO[ ]. 2. I HAVE[ j HAVE NOT[] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide 'the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following per so^ to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: �. PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK 1 PROPERTY SOCIAL SECURITY, NUMBER: - DATE:— NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of propertyimprovements specified. For your protection, you should be aware that a's "owner -builder" you are the" responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your -own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: v if you employ or dtherTk:se engage many parsons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and'you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, ' contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are -allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuildee' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm - uhatyou are a:vare of dwse matters. Tile building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 O.B.- I .............. ............... .;. VE U i 1E 3- v+ { 1M . Jj }•. 4+ .iii::.ii:.ii:. �. .i Attention Property Owner: An "owner -builder" building permit has been applied for in,your name and bearing your signature. Please complete and return this information at your earliest opportunity to. avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESIJ NO[. ]. 2. I HAVE HAVE NOT[ signed an appcation for a building permit for the proposed work. I -have -contra red with the following persow.`("uni "t6 provide 'the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of -this work, but I have hired the following perso: to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME • . ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: -2 SOCIALvSECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832'of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners.urdess they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. � If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (=nclu ng materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuildee, building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" or. the reverse side cf uiis for -in so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 htoT44e�t 0.roDM�- VIOLATION CHECK LIST A.P. # Address1O� NG 0A&r-/es a Pa%rm a Owner Fri' Owner's Adiresa 10 toe, 4JE 6#*e,1ES R -b. 4.eavi4c€ 9972 er s;Phone No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. / Specific Plot. Plan -with C/V Noted _yes no -Penalties Required 1st. Notice -Sent 2nd. Notice Sent- S - �l L ate Date Comments)) and/or Determination '/�� Disposition For Citation Citation Date (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) ,a SUMMARY February 26, 1996 On Wednesday, February 21, 1996, I received a: phone call from a complainant that advised me that Mr. Fritch has pulled another mobile home -onto his property and they are concerned that no permits have been obtained for the mobile. I advised the complainant that I would check with the Building Department to see if any permits were obtained. Also the complainant said that they believe that there are people living in a white_ bus that is parked on the property next to one of the mobile homes. On Thursday, February 22, 1996, I received a phone call from Mrs. Fritch telling me that they have pulled another mobile home on the property. I than asked Mrs. Fritch why they have brought another mobile home on to the property and she advised me that her husband, Elmer Fritch was thinking about splitting the 40 acres and putting this mobile home on that parcel. I then asked Mrs. Fritch if anyone else besides her and Mr. Fritch is living on the property and she said no. I told Mrs. Fritch that I was told they had some tenants living in a mobile home on the property and that I knew their names and at that point, Mrs. Fritch said yes and that the people have lived in the mobile home for several years and that her and Mr. Fritch were living in another mobile home on the property and that the mobile homes had permits. Mrs. Fritch than advised me that if I needed anymore information about the property that I would need to talk with Mr. Fritch. And so I asked to speak with Mr. Fritch and she said that he was busy at that time but would have him call me as soon as possible. On Thursday, February 22, 1996, around 3:30 p.m., Mr. & Mrs. Fritch came into the Health Department and asked to speak with me. I was told by Mary from the Health Department that Mr. Fritch was at the counter in the Health Department wanting to discuss this matter of the mobile homes. I greeted Mr. & Mrs. Fritch and I asked them to step into the meeting room. We discussed the issues on the mobile home's and I advised Mr. Fritch that I have found two permits in the Health Department that had been issued, one in 1971 and one in 1973, they were for septic systems for mobile homes. I advised him that the permit issued in 1973 did not appear to have the Planning x . _ Summary February 26, 1996 Page 2 Department approval and no utility permit from the Building Department. I told Mr. Fritch that the Planning and Building Department was reviewing the file and would let him know if any approvals or permits would be required. Mr. Fritch seemed to be very upset and stated that he and a group of people were going to rile a lawsuit against Butte County and that myself and Frank Cook would be included in that suit for unlawful enforcement of the Butte County junk code. Mr. Fritch than stated that Frank Cook and myself were making a lot of enemies out there and that our lives were in danger. I asked Mr. Fritch what he meant by that and he again said that our lives were in grave danger and as a friend he thought he should warn us. I advised Mr. Fritch that I took this as a threat to myself and Frank Cook and if he had any information about anyone or any group threatening to harm us in any way that he should tell me now and that if he failed to tell us and myself or Frank Cook were injured or possibly killed, he could be held responsible. At that time, Mr. Fritch refused to give any more information about the threat. We than discussed about myself coming onto his property to inspect the mobile homes and the possible occupancy of the bus. Mr. Fritch refused to let me on his property and he said he was advised by his lawyer not to let anyone on his property. At this time, Mr. Fritch stood up and opened up his coat and said that he had recorded the whole conversation and at that time, I could see the microphone and cord inside of his coat. He also stated that he had recorded another conversation between Frank Cook and myself on another occasion and at that time, he heard us say who the complainant was and that he would use that against us in court. We than got up and left the room. At that time, around 4:00 p.m., I went directly to Mike Vieira's office and advised him of what had taken place. DIRECTOR'S OFFICE DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538.7601 FAX: (916) 538-7785 November 27, 1995 Elmer LeeRoy 109 Wayne Charles Road Oroville; CA 95966 Dear Mr. LeeRoy: I am in receipt of the one page document requesting in writing for an administrative hearing. This department is unable to comply with your request for we do not hold any such hearing in this Department. Government Code Section 25132 authorizes counties to prosecute any violation of any county code section either criminally or civilly, which is the procedure used by the County. The County, typically, handles these violations as infractions or misdemeanors (Section 41-5, Butte County Code). The thirty (30) day courtesy notice you received is designed to give you an opportunity to comply with the Butte County Code by remedying violations which have been brought to your attention, before you are issued a citation. Please contact Gary Brown at (916) 538-7541 if you have questions concerning this matter. Gary will be happy to discuss the case with you and help you resolve the violation. Sincerely; iam Farrel, irector of Development Services GB:WF.jb M PROOF OF SERVICE Elmer L. Fritch, Jr. P.O. Box 384 Palermo, CA 95968 RE: Code Violation 109 Wayne Charles Road, Palermo Dear Mr. Fritch: ,gufte Co BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 May 15, 1996 A.P.#027-23-0-027 This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated March 25,.1996 notifying you that you are in violation of the BCC at the above -referenced location. As of this -date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for installation of mobilehome utilities in violation of the Mobilehome Parks Act of Title 25, California Code of Regulations, adopted by Section 28A-1 of the Butte County Code as follows: (a) 1018 -Permits Required for any Plumbing or Electric (b) 1018 -Inspections Required for any Plumbing or Electric The above violation(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. MCV:dms Sincerely, !�"�--� Mi ael Vieira Manager, Building Inspection 1 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 PROOF OF SERVICE BY MAIL I am over the age of 18 and not a party of this cause. I am a resident of and employed in the county where the mailing occurred. My business address is: I served the foregoing A.P. #027-23-0-027) Building Division Department of Development Services 7 County Center Drive Oroville, CA 95965 SECOND NOTICE VIOLATION LETTER by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage prepaid on 15TH. OF MAY 1996 and addressed as follows: ELMER L. FRITCH, JR P 0 BOX 384 PALERMO CA 95968 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on 5/15/96 at OROVILLE , California. C Do a Sperling Office Assistant III DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 March 25, 1996 Elmer L. Fritch P.O. Box 384 Palermo, CA 95968 RE: Code Violation A.P. #027-23-0-027 109 Wayne Charles Road, Palermo Dear Mr. Fritch: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of mobilehome utilities. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued an'd you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. ely, MCV:dms Miael Cl Vieira, C.B.O. Ma ager, Building Inspection cc: Assessor Additional comments from Building Inspector: �OVER COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541•- 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE C r oa 7 OWNER PERMIT NO. r A routine, inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date'w — �" _� Inspe REV 10/92 S Complainant: Address: Phone Number: Other Comments: Building Inspector must draw a plot plan with all buildings and violations: Additional comments from Building Inspector: OVER 0 0 *-�-qm i �' COMM OF svrra ;�p: BUDDING DEPT NO V 2 1 195 BITI:�Dii: OF D1.. -rPMT ,•.T S' STIC`:--;1 ;ounty Center Drive rovi7_le, Ca.. 95':65-33°. To whom it r=y concern.: Dear Sirs: J.lmer LeeRoy 109 ',Jayne Charles Rd. Crovill.e, Ca. 95966 Novem'rer 15, 19'5 This is in regard to alle-ed Dutte Courcy code viclation at F..='• ;x-027-23-0-027 I have received. two notices in regard to this w `h I ha�re -received ctor er 23 ,1, ,99 5 alleged violation. I contacted your office ( Ge -y Brown) and attempted to resol_v,e this issue by talking. During this convdrsation I regl?ested an Adminstrative Hering to resolve this issue. Gary Brown evidently did net understand so T will. rut this request in writing. This is a formal request and demand in writing for an Adminstrative rearing at the earliest ross;blc date to resolve this issue. I request and demand I -1r. John Llacklock rresant C.A.G. of Butte Coi.inty , ':rivian V.eyers 1st. District Sunervisor, Dill Farrell Developmental Services, Barry Hogan Butte County Planning Department, Micheal iTieira and Gary frown code enforcement officers be present at nd_minstrative Uparing which is clearly mandated. . S�-�A f 1 -,U _dminstrative -.rocedures Act. SLrP?TI-i='`-'IlTD '�'Cf � ^'.v SAID n N ' r_ OP t-! 6 DI?1:Ii. ; 3 1'IV7 c GLS?C" A'2, -- _,r 11 � ��C'JR1 HAS C L .�_ lL�r D.IJ.H I:.� 1� TH:r _ C �TF,R� - A�T..,�aD';I".,Sm;I°,TI�jT AfJ: TCy :a�! S ( VC P�iSJ:iR) . . LL, ,JUXCii-L POW7RS 0 THIS STI:TI' VI ST�� IN TH J?;DICIAL COURTS OF THIS. STAT".. ( CALIFORI'1IA CONSTITUTION) . TT' PUF.FOS� () THI L"T:�� I" ORN!AL '�dRITT SIT D �fID nHR u P? ADIviI::'STFATIjTF F'_ AEIITG a.S TH=; LAW RJ(,UIRES . i reit:, u eeRoy yd3u�o 1Aii'�i� fig?- 6h2 h9'h d OP / OP U BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and co strutted to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shalf 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. t 9� ®� ZONING o OWNER _ PHONE NO. 44 / OWNER ADDRESS D �o. i13ox lift/ LO ATION OF BUI DING 441 Ach e A C, SE Off BUILDING. 0 As � o, SIZE OF STRUCTURE. p S X - SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME _X_ STEEL CONCRETE OTHER (Specify) •" ' WTYEIDINGR F CpVERING FLOOR TYPEr ti ESTI TED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: � r 0 , 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. _--, /7 -17 A Date_ /l '-9� Signature of Ownerf� a r Permit Fee - $60.00 Receipt No. 19()(Vop The above described AG Building is exempt from a building per it. FLVIJ I PARCK I P.DJ ROOF G ISSU Manager Building DiivJJision By J6�C�r Date 3Q A5 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant l/�29/9� �ruc�/ n�a�� �d°.t �"e Return to: AGRICULTURAL STATEMEN'z OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-5 of the Butte County Code requires this acknowledgement 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 arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and -'from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for produc- tive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessaryfarm operations. I All that real property situate in the County of Butte, State of California, described as follows: Date: PROPERTY OWNERS: State of California ) County of ) On before me, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature • Seal: A.P. # ...,A rr..n.f� -.. -11. .._ Y.r . '-4 7 "".+�"ti�•1f4+' :v` 1 ..�.ICf'Y`F'i }FV`,. M`.i17rr t ,�•, rm.,, -.r.; , f . .. . , ._ 1 - COUNTY OF BUTTE - DEPARTMENT OF D �LOPMENTSERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA95965; TELEPHONE(916)538-7541 PERMIT APPLICATION DATA SHEET OWNER 14,He.r' Fc- k A. P. No. -2 b Z:Z Proposed Building Use Biu ,'l l rr �, x n . Building Inspector , Date 114;1-511 5 i At time of per 'application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... ` 3. Complete plans, 3/4 sets, signed by preparer of plans. ...................... " 4, Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . .................. 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction _approval required prior to occupancy). . • •Pre4;sp-edior. requ_e_sT_ 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation 10V Q Acreage Applicant ate 9 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 PIXhs approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 30 - 4 �E(K M r F `Fo t2 1 A j /97-6 � c A-2- 20✓� � 1a73 CSS X973 yeses P-lanning-Department �3�c s � ,. i i ; f j 1 ' • � � � � � ,V , J r � 'iso \ `.St•�,It L�� L ;,j„� ;.�_�..1 >. �r. . \i.�. -�+. .,i• .J+ �.�j','. � -- �+`e•.y �� �� T'�1 9„e': --AS';> ` o.}i'?�`, ,.1-�'1� :�.�1 y n`'1�.�� �.�t�l�'1'4�i� 1 \ `+ J + i � ,` �'��-ham+.: �}'. ��1 !'' T,,,� .,+�': 1•f �\ ,'R J:'��2.. :r'. - ii`1.+'� �. �, ' + _ � y I 1 + + ` i �,;,i,�rhS'� 1 1`�5 i� ,1 . �-.. .� . � \� 3`x'3 ' � O ,moi . � ' � � t,.�� S�` , � •�` 1 � ' .� .` j.iMiJ �_C't Y.' f .: __ 1fi 1 ,\� ' f � +� ,V , J r � 'iso \ `.St•�,It L�� L ;,j„� ;.�_�..1 >. �r. . \i.�. -�+. .,i• .J+ �.�j','. � -- �+`e•.y �� �� T'�1 9„e': --AS';> ` o.}i'?�`, ,.1-�'1� :�.�1 y n`'1�.�� �.�t�l�'1'4�i� 1 \ `+ J + i � ,` �'��-ham+.: �}'. ��1 !'' T,,,� .,+�': 1•f �\ ,'R J:'��2.. :r'. - ii`1.+'� �. �, ' + _ � y I 1 + + ` i �,;,i,�rhS'� 1 1`�5 i� ,1 . �-.. .� . � \� 3`x'3 ' � O ,moi . � ' � � t,.�� S�` , � •�` 1 � ' .� .` j.iMiJ �_C't Y.' f 7 A �m, e�� Planning Department FEB 2 7 1996 MAI MYDe' d l nt of PiubIi Hed l# r . NITATION= pt 243081 DSTREET,� P5}�, - +-OROVILLE 2. 'CALIFGKNIA S3230 EXT 297 Nectlon-4}=Certlflcate r. / yl) Z t: }° r r.� LEACHIt FJ�LD �r g$ f�i: iC 3 eta_ r Length' , h = ., Width, m .. 5 Butte County Department of Public Health 695 Oleander Ave. 2430,13IRD STREET CHICO, CALIFORNIA 95926 DIVISION OF SANITATION OROVILLE, CALIFORNIA 95965 343-4211: EXT. 51 4 533-1230: EXT. 297 APPLICATION FOR PERMIT TO CONSTRUCT A 'SEWA'GJE DISPOSAL SYSTEM Applicant's Name: �( CJ'cJf�L 4�f /- 47t .1 ........................................................................................................................................................ Mailing Address: ............z4........................................................ /.. ............................._............................. l . .........P.ho ne .......... ....................................... Name of Owner: ......................................... .. 1. Construction site: ......................... .............C""T.v...............................................\......................: ..................................... ...... ................ (STREET & NUMBER OR -DIRECTION & DISTANCE TO NEAREST CROSSROAD) 2. Lot size: .................... 0............................ ft. x..............................................ft.; d C ............................ acres 3. Application for new system for new buildings �; auxiliary or secondarysystem � ; Repair of or addition to old system 7�� New system to replace existing sewage disposal facilities 0 4. Type of building to be served by proposed system: HOME F-� No. Bedrooms?...... � .... No. Baths? ... Garbage Grinders Yeses No E4 gJ1122cmr. OTHER 1�r Specify) ........................... ....... 5. Water supply for premises: Community ED ; Private well( Other........................................................................... Water supply for adjoining properties: Community0; Private Well* Other *If private well,; how many feet from your nearest property line? -„ ft. ................................................................ 6. SCALE PLOT PLAN TO BE FURNISHED: Sketch to scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing.. a) Property lines.. ' b) Location of proposed building and driveway. ;Location of large trees, rocks, or other obstacles. d) Location of any well, spring, creek or other body of water. 'e)' Show direction and approximate amount of slope. I hereby state that the information above and on the reverse side hereof or attached hereto is correct and true to the be'st of my knowledge. I understand that the permit must be obtained before any construction is begun either on the building or on the sewage disposal system, and that 'a' satisfactory inspection of the system is required be- fore the new building may be occupied or the system backfilled, or put into use. Date: S Zoning and access: O K�; Permitissued ................................... Remarks: . X02 a 7-.2 -3 i o S4 -164R / 15` Zd-7.1e. .................... NOKE eared by Planning? . Denied: By: „TT_ COUNTY ............. .. .................................................................................)j1ULg} 3'7'DEpARTTMT,'... +0 A,,�a `?nR-c-rte. JU[V.9 1971 ORQVILLE, CAUPORNU,. r,. Butte County Department of Public Health Oleander Ave. 2430 BIRD STREET CHICO, CALIFORNIA 95926 DIVISION OF SANITATION OROVILLE, CALIFORN A 9 965 ' CH 343-4211: EXT. 51 533-1230: EXT. 297 APPLICATION FOR PERMIT TO CONSTRUCT A ............... R ...- ..cy .. SEWA'G)E DISPOSAL SYSTEM Applicant's Name:....................................%................................................................................................................ .. t .f... MailingAddress:...........4........E......!............................................................................................. � ..• Phone Name of Owner: �� Q -c_ I� L �2� .................................................. k ........................................ .. L U i 1. Construction site: ......................... 61C `.............. ..................................... ............................................................................................ (STREET & NUMBER OR DIRECTION & DISTANCE TO NEAREST CROSSROAD) 2. Lot size: ................................................. ft. x.....................:.:.:....................ft-;........................................T ............ I........ acres ................. 3. Application for new system for new buildings auxiliary or secondary system E ; Repair of or addition to old system 0 New system to replace existing sewage disposal facilitiesE ; 4. Type of building to be served by proposed system: HOME No. Bedrooms ?.....• � ..... No. Baths? .................................. Garbage Grinders Yeses No OTHER S eci ).......................... V(Sp fY...........j<.\7�?.'......!..AF._..................................................................................... 5. Water supply for premises: Community ❑ ; Private well Other ..... :.................................................................... ............ Water supply for adjoining properties: CommunityE];` Private Well* 05"; Other.:................................................................................................................................................................... *If private well,; how many feet from your nearest property line? ............................ ........................................... ft. 6. SCALE PLOT PLAN TO BE FURNISHED: Sketch to scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing: a) Property lines. b) Location of proposed building and driveway. J 10 c) Location of large trees, •rocks, or other obstacles. d) Location of any well, spring, creek or other body of water. e) Show direction and approximate amount of slope. I hereby state that the information above and on the reverse side hereof or attached hereto is correct and true to the besi of my knowledge.. I understand that the permit must be obtained before any construction is begun either on the building or on the sewage disposal system, and that a satisfactory inspection of the system is required be- fore the new building may be occupied or the system backfilled, or put into use. Date: ................................................... . ............................... Zoning and access: O K�; NOKF ; Permit issued ...................................... Denied:........ Remarks: S4 -164R Signed: -.._ ............ c eared by Planning ...........! ....................:.::;................... ! ITT: COUNTY, ...... By. ........................................ ..................................... ..r�g4-ai?'DEFAftTT,..... A Ga J UN. 9 ...1971, ORQVILLE, CALIFORNI4. ,1- mail tax sta •etrie;l Rona• -d Lp. Glar. Oakland, California 94600 Recorded at the request of QRU'J:[I�L: TITIaE..(:Qi1PAlYY.----------•-------------- n 11 GRANT DEED (Individual) For value received SILVER VALLEY IAND CO., a partnership GRANT_S------------- to RONALD L. CLARK a single rGan all that real property situate in the e unty of - Butte C+w}e of California, u5 �d,-.s.^rill d r O 11'.J _ C,. ivS: The Southeast quarter of the"Southwest quarter of the Section 27 , . Township 18. North, Range 4 East9M.D.B. & M. TOGETHER WITH a right of way for road and. public utility purposes over the Westerly 60 feet of the East half of the Southwest quarter, lying Southerly of Cox Lane. of Section 27, Totynship 18 'North, Range 4 East, M.D.-B. &M. RESERVING THEREFROM a right of way for road'and public utility. purposes over the Westerly 60.feet. COUNTY OF, Butte : On_ March 7. 1971 before one, the undersigned, a Notary Pu:.:i:; in and for said State, personaiil ac+pea:ed Gerald N. de Roco and Carole de Roso W I. W known to me •� J to be two of the partners of the partnership @, F _.that executed the within instrument, and acknowledged to 0 ^:that such partnership ex uted the same. ^c• �' OFFICIAL SEAL 1ta-. Q'ITNESS• my han rr� official "sea } .: Leo R. Martin i= o Gl NOTARY PUBLIC • CAUFOkN1A ,Signaturey'� BUTTE COUNTY al,: pGM ' Leo R . Mar tin MY COMMISSION EXJIkEs MARCH 7, 1974 6 . Name (Typed or Printed) BUTTE COUNTY PIANNIN6 COIL �urrfC'- (`(`�� A�y� ' 1971 H hlf ag0t,�'Owit, notarial Beal) JUN 7 EALT DE A,4 z9.............................. 19 ... 1-..------ JUN O -1971 oRovlwE. cAl.tF. J S -------- - - TE J 'ot✓ sWZ�, BUT HEALTH DEPJARTWENT IN --J UN -9-- 47 'Butte County Department of Public H Ith �d 695 -&i'e b n d cfr..Ave. EET C-) DIVISION OF SANITATIO I 95916 L ,,CALIFC 2 6 CHIC O, CALIFORNIA 95926 533-12 EXT. 9 7� "343-4211- EXT. 51 1 ?42 APPLICATION FOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL rTfM Applicant's Name:...RQA/AL.j) ..... (2..,.4.4XX ..................... ... ........ ......... .......... .... 'HEALTH [;-- M; ,-.-)A&1CNT V Mailing Address: .... A1.14.3 ..... 7 ............ H.P..vi.c ... .......... is -.T! ................................. e ...................... A? p&0L0AK.A4JAP ... f .....C....0 Q......Phone 4ECALIFO%6" Nameof Owner: . ................................................................. ..... ga/ .... .... .I ............ ............ 1. Construction site: 4A$T/Ri;............. ........ ..... (STREET & NUMBER OR DIRECTION & DISTANCE TO NEAREST CROSSROAD) Z�d 0 2. Lot size: . ......... !3 ... ................. ft. x ............... ... laq ............ ft.; ................................. ? .................................................. .........................................acres 3. Appli - cation for new system for new building auxiliary or secondary system Repair of or addition to old system F-1 New system to replace existing sewage disposal facilities ED 4. Type of building to be served by proposed system: HOME No. Bedrooms? .......................... 1 ................... Nb. Baths? ............. ................ Garbage Grinder[::] Yes No f. OTHER 0 (Specify) ....................... ............................................................................................................................................................................... 5. Water supply for premises: Community ED; Private well &,;Other ....................................................................................... Water supply for adjoining properties: Community; Private Well* Other ..... S...d.0 *.If private well,, how many feet from your nearest property line? ................................................................................................ ft. 6. SCALE PLOT PLAN -TO BE FURNISHED: Sketch to scale on reverse side her'eof, or attach scale sketch of plot plan of the premises showing: a) Property lines. b) Location of proposed building and driveway'. c) - Location of large, trees., rocks, or other o . bstacles. d) Location of any well, spring, creek or other body of water. e) Shoi`w direction and approximate amount of slope. I hereby state that the information above and on the reverse side hereof or attached hereto is correct and true to the best of my knowledge. I understand that the permit must be obtained before any construction is begun either on . the building or on the sewage disposal system, and that a satisfactory inspection of the system is required be- fore the new building may be occupied or the system . back -f* ed, or ur�ii,/se. .. ...... .......... ...... ... . ..... ...... X . .. ... ....... ..................... ...................... Date:........." . /... . ... 71 ................................... Signed:........ an ac Zoning 0 K NOK Cleared by lanning, . ................................................................................................... Permit issued Remarks: Denied: ................ By: .................................................................................. Date: Ur. Ronald L. Clark 4497 Nose .Streot . Oaldandq Caslifornia 94600 Dear Ir. Clark i X Uay 21* 1971 Orovillep Californias 95965 •} '\ have been warble to mmetly locate your property *ft of Cox Lane. t .etars a septic oyetem peFMV be issued to you, a recorded ."Oess 1 must`1iie AorrA. Would you plo"6 send me a copy of load- aid `l gill for*iW 1f`ta the Butte County ,'Pli nning Depart At for iio Dation .of the acQess. Upon approvalBrom the Planrdng ,r Z ipament' amid upon riaeipt of the ten dollar inspection Pea for the ;aeeptio'•eyetem l will Issue a parmit to you. _ It you have aur questions concerning this matter, please contact me at the ,oalth Dmparteaent. ' s 1a + -7 a iter9 truly yours t azr- �.,�2 �� � * � tC�°� i* y�y �t.;v b a.* r.ti,i - �, ti 1 kA„ ,� , t r`• k 4•: � _ t . itiyei; s +'i.3 •= 3+^ "-' v^. r - • K"& Edward Da /n t'Y eti.{c*.• t w ,•t .vfV.r S y„t,L. ,fir , �rr'� Edward Le €TverhouseqJr. j �' _ ;3aiulterian � `t ;? .,bra � ..t \ c •` y :k Sir ., i �� } <<n �� i t •� =• � _ rr� �f i' JI k l - � i e3 � � �,. sh.�_ �� E,4 ' r+'l n l� ��, r M1 -.. �,c e�,v�fr r nww.,�,'���1' �i's: . .:: v - 4 t � r-> v �,+ �' � (j+yly Sf` x � S. .,fi'� r a'� �� r �5"r . 'BUTTE COUNTY DEPARTMENT -OF PUBLIC HEALTH "-'DIVISION OF, SANITATIOW' ? J". r :2430 BIRD STREET - 7,: 'SEWAGE DISPOSAL, PERMIT,. o-695 OLEANDER AVENUE ORMULE, CALIFORNIA 959651 �, 4 21 1" Phone: 343-41 -iExVv62Phon. Li 'T aM jao ff "'- Tl A- A Date Issued 'EXPIRES ONE YEAR FROM ,DATE ,O fssuANC !7. i5n V -v 'Pel _�S7- t 41. '.Td.' constru'd t, Asenageisp"-;bs a 'Ps`ysi te'-6illut Lbclitd at , . . . . . . . vVV 5t 14 17 Ld.T-A SYS 4 S vii'c'atarik ar�ildi m4as t i;ea6ink Field, �.-. It t4. 4,P 0? "r.T o a1 'Le�dth: .:;i 'ift. y Fe,wc N'T inc f h 7W 7 Lijr "d f C,.,' kiihtC W4 �i_ii depth 'in m-'N.ol;--&GIiiiesl 'Mj�id ni z pf 4; t' SP6 V zl q It -.r ." H'. ( ,��:.� -�''ft'%Y6 n d:. * a _ v C.���� r x !'. �,r, i :F.7..`:.. '' .aJt+ n.. ~ +i.;,j t� t A J4r. ;4 w Addie oAA&aAiii fMd'f*W-be-rFq—uinid,i #experien-ce lieQn-f, e s art,o Ak -41ya em,may.ir. 2N fiyk ckf II —rjj in ivre—d ti 6 n the H I ig� D �'p d if rh 6 n t is required o r_ i i g�or 4.. ftttingj;. f luif�i n"g-j:s4_' ti 'i4teffi ppr,ove'd.,_A, ..,th'eisy te t Q��Vpa� cy To a ne '-p_ m in o use 6t. peihi I the IS a yv� X _m, y a erm4'Pee!,5 1-�j #-p f Fe Y Totale+ C "Building Sew- Zr -Fie 8 IssuedBy: A - X, 44� 'Receipt 'No S31 -1162R 3_7 r r- lI % k APR 42 4 1473 Butte County Department of Public Health r' 695 Oleander Ave. 2430, BIRD STREET CHICO, CALIFORNIA 95926 DIVISION OF SANITATION OROVILLE„ CALIFORNIA 95965 343-4211 : EXT. 62 533-1230: EXT. 297 APPLICATION FOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM Applicant's Name: , �On/A-10.._.... ...... .....!`�..... MailingAddress:...-'/1/............5.%:............................................................................................... t7AKtAND �} L►►- Phone................. `f9i2 Name of Owner: Ro.vAc.p A, ek'ale/L ........................................................................................................................................................ 1. Construction site: ..§A� �.....^ ................... NE....................................................................................................: (STREET & NUMBER OR DIRECTION @ DISTANCE TO NEAREST nCROSSROAD) 2. Loc size:. ............. !.. ..a'Z.4................... ft. x ................. ..3..A..O............ ft.; ...................................... .S.l.................................. acres 3. Application for new system for new buildings auxiliary or secondary system F-� ; Repair of or addition to old system New system to replace existing sewage disposal facilitiesE) ; 4.. Type of building to be served by proposed system: HOME [j�' No. Bedrooms? .................... ..Z.,,.,,,_.,,. No. Baths?............... ................ Garbage Grinder FJYes U,1VO OTHER[::) (Specify).................................................................................................................................................................................................... 5. Water supply for premises: CommunityD Private well[; Other...................................................................................... Water supply for adjoining properties: Community0; Private Well*d Other- ...................................................................................................................................................................... 'If private well,; how many feet from your nearest property line? .........•.............& 0.0 ft. .................................................................... 6. SCALE PLOT PLAN TO BE FURNISHED: Sketch to scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing: r a) 'Property lines. b) Location of proposed building and driveway. :'c) Location.oflarge trees, rocks, or ocher obstacles. `d) Location ofyany well, spring, creek or other body of water. ` r k e)Show dire•c onland appioaimate amount of slope. V. Lt. ;I. hereby statethathe information above •and on the reverse side hereof or attached hereio*is correct and true y r to the best of my knowledge. I understand that the permit must be obtained before any construction is begun either on the building or on ahe sewa a dis osal system and that a satisfactory ins ection of the system is required be- } g p system, " -r fore the new building may be occupied or the system back a or p in u .4 ' N 1, oil * to / Signed: G..�:'........................................................... y sx7� In arid access: J r l/ 'n4:E n8 O KD ; _ ''NOK Cleare by Planning,.... ............................................................................................... f� fwP ermi t issued ,� „'t Denied: _......_ B si >ps_>J- h y: ....................................................... Date: S. j(� +•ins' k.,,♦,3 iY%{",k�{�k xr ".. : a � ^..^^ s r • �' - ii l+S4-164R 111 SITE PLAN 1 �' :............ ....... _............ ....... -............. ...... _............ ....... _............. _ ..._ .........._ .............. ..... _ .... _ ....... _OA .................................... .. ....... ....... .:....:....:.....:... ...:......:.....:.... F'- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................. .. ...Y . <l ................................................................................-" . ............ .. ...............F� . .. . ..:. .:....: . . . . . . . . . . . . . . . . . . . ..:....:...:....:....;. .;....:.. u .. ._ .. ... .. .. .. .. .. .. .. .. ------ .. .. .. .. ...... .. .. .. " . .. .. .. ... .. .. ... .. .. ... .. .. ... .. .- --' ............................................... ... .. .. ..... .:.. _ . . . . ; . . . . . . . ......... ........ .... : ............. . 1. ....... ... ...... .. ... .... .. }} C y t :\ 4 'jj _ ....... c _ 1 P- _ y:k g 7r t' s �. :. 9 . ,. t � � i •vim t �• ii 7v ... .. .. .. rCt l\ _ i V � s� 1 C ....:......: f .. ' J 5 .. .. .. .. .. ....................., �i s.l ......:......:.... ;....._.. .. .. .. .. ....;. : : : : : : : : : : : : . : : . . . . . . . . . : : : : : : -; ... ... ..... ........ ..yf d ..r i :� . q� 3� +R� . .. .. .. .. .. ._ .. >1 �. ............. .. .. s ........................... VJF c c i 3 i .....:......:..... .....:......:......:......:.. .....:................:.... .. . ........................... ._.... .. 1 .. APPROVED.x.. .. .. .. ........................' .. �- ... .. .. .. .. .. .. :B utfe Cb un ti. .. �... ..:. f® ... .. .. ... -:.. .... .. ... .. .....' .. .. .. .. .. .. .. ............ .. .. .. �.:' n ..�... t .. Na i......;.....<...._.. .. .. ............ . .......... _..... Assessor's Parcel Number: OQ [ ©— ®� — ®[ ] Scale: 1" = o �� MTre FOR OFFICE USE ONLY—� - MADE FOR ALL Owner Name -. 1-- � ADJACENT PARCELS Address / Phoonwe)No. �p 9 to � Site Locatiorl-% 7 Contact: Name [ n l 10- 'r Phone Zoning. 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