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HomeMy WebLinkAbout027-240-025=+ �� 27-24-25 Mary LUe Pitt Palermo GAS 7 SUPPORT STRUCtURE REQ. --X-Lop COMPACTION TEST.REQ., 27-24-25 Permit #1382-79NHI Permit #4131-:79,B'(new private/de�alhed 27-24-25 027-240-025 ` r�^ ° roe% h� RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded I Official Records I County of I Butte I CANDACE J. GRUBBS I County Clerk-Recorderl I 1 010:58AN 14 -Jul -21&05 1 REC FEE M 00 CONFORMED COPY 1.00 DD Page 1 of 2 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. CELESTE A. FRANK REAL PROPERTY OWNER/LESSOR PO BOX 5392 MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY . COUNTY STATE ZIP 2866 DALY AVE. INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME 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 06-1088 530 538-7541 B D PERMIT NO. TELEPHONE NUMBER V ATURE OF LOCAL AGENCY OFFICIAL DATE EXECUTIVE HOMES DEALER NAME (if not a dealer sale, write "NONE") 92081 MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD 2006 4603K WATERFORD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER CAFL617A/B29589-WA13 61' 8"X13' 4"/59'X13' 4" PFS0970662/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 027-240-025 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. PtvA OJV awti DESCRIPTION i THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBEDIAS FOLLOWS: I PARCEL I• j THE WEST HALF OF LOT 7 IN BLOCK 128, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISION NO. 3 OF *E PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JA*JARY-2, 1889. APN 027-240-025-000 PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE WEST 60 FEET OF LOT 2 IN BLOCK 1281AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISION NO. 3 OF TIE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 2, 1889. Z RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 14 -Jul -2006 2006-0036109 Has not been compared with original BUTTE COUNTY RECORDER .SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. CELESTE A. FRANK REAL PROPERTY OWNER/LESSOR PO BOX 5392 MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY ' COUNTY STATE ZrP 2866 DALY AVE. 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 SAME 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 06-1088 530 538-7541 BIdILD PERMIT T10. TELEPHONE NUMBER �j Br _MM —/�V ATURE OF LOCAL AGENCY OFFICIAL DATE EXECUTIVE HOMES DEALER NAME (if not a dealer sale, write "NONE") 92081 DEALER LICENSE NO FLEETWOOD 2006 4603K WATERFORD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL617A/B29589 WA13 61' 8"x13' 4"/59'X13' 4" PFS0970662/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 027-240-02.$ HCD FORM 433(A) REV. 8/91 FOUNDATION: SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-1088 Address .or location .of unit: 2866 DALY AVE., PALERMO CA 95968 Legal `Description of Real Property: 027-240-025 1 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: CELESTE A. FRANK Owner's address: PO BOX 5392, OROVILLE CA 95966 • INSIGNIA OR HUD NUMBER: PFS0970662/3 SERIAL NUMBER OR V.I.N.: CAFL617A/B29589-WA13 MANUFACTURER'S NAME: FLEETWOOD YE 2006 OFFICIAL APPROVING INSTALLATION: e Jaf or leg DATE: PHONE: (530) 538-7541 l 'H.C.D. 513C i Af v O a-7, aV6 -d a-z- Ctjf--sem Fkn-I.t< 2'p p 041 /tom STATE OF CALIFORNIA NUMBER: 8USINESS. TRANSPORTATION AND HOUSING AGENCY EPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DMSION OF CODES AND STANDARDg MANUFACTURED HOUSING PROGRAM oTURER CERTIFICATE OF ORIGIN MANUFACTURED HOME OR MULTI-UNIT•MANUE&CMRED HOUSING XXX ❑ SFO (SINGLE FAMILY DVVELLING) ElMUMH (MULTI -UNIT MANUFACTURED HOUSING NUMBER OF TRANSPORTABLE SECTIONS 2 COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: FLI&ETWOOD HOMES OF CALIFORNIA, INC. 9534 M . ANULACIMBErrmilmuR AVE. PO -Bo X-1308 SUGGESTED RETAIL PRICE: WOODLAND CA : * 95,7. oC. y 6 SYeM Sb1W Z ip � MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: WATERFORD 4603K 2007 06/23/2006 NAMWMLER OV/TJ[J8,VA NIP WSFERREO TO); iTY i l' m el% CALIF. DEALER NUMBER OR DATE OF TRANSFCR: DBAI EXECUTIVE HOMES TRANSFEREE DESIGNATION: 92081 06/23/2006 DEALER OR TRANSFEREE ADDRESS: 3042 ESPLANADE CHICO CA 95973 S C State(ZIP) INVENTORY.CREDIT.OR NAME: 21ST MORTGAGE CORPORATION INVE SPINANCE 620 MARKET STREET SUITE 100 KNOXVILLE TN 37902 Sts'" C" Is 2i SECTION MANUFACTURER SERIAL NUMBER NCO.INBIONIA OR NUO LABEL NUMBER LENGTH WIOTH WEIGI(T id INCHES(INCHES) POUNDS) 1 CAFL617A29589-WA13 PY90970662 740 160 26,06 2 CAFL617B29589-WA13 FFS0970663 708 160 28,28 TBENNETiETRUCK TRANSPORT, INC. TRAN2VOT€A MBIMTRIAL PARKWAY P.O. Box 569 MCD023oUGH dA 30253 6".a C" Sw (z DESTINATION FOR UNIT DESCRIBED ABOVE: NAME) tsnmj C SW L I wrlily under Ps`MF d P"" www b W" d Wa 8YU d Comm is ow M above Nos are Yue "mnea 06/23/2006 WOODLAND YOLO Eiaortad an Al CA lam) -7 (COY) aMr ( uia) SIGNATURE OF AUTNORVD AGENT. r`' -' '--i . i..•r.-•• r-_._ �_-- ���-- ' 03TRIOUTNXI., ORIGINAL (PINXI FOAVVA/(0'TO THE INVENTORY CREDITOR UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). (VAIRE) FORWARD TO THE OEPARTMENT AT P.O. BOX 1826. SACRAMENTO. CA 95812.10 . WITHIN.FNE ISI DAYS OF RELEASE. COFv 7 MLI.O� . 'DELJVtR TO THEXPANSPORTEQaTO ACCOMPAN6:711E UNIT TO ITS OESTMATIOIi: ' COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCO.03.0 • Sift I - 9w) I d bZ186L0089'0N/£Z*ll'lS/£Z:ll 9002 6Z M (.E) S3WOH 3AIIA03X3 W08J e 027-240-625 •i -..-0670-88 ' NOTES - 7 CFRANK, CELEST- '866 DA -LY AVEN, OROVILLE ur Cont: -EXECUTIVE HOMES b9iHPERM FN APN: Permit No. Owner. i Site Address: Contractor. Type of Permit:~s I e r OFFICE COP Address"���� �4 GAS Meter By_ Datk ELEC Meter y 1 SPECIAL CONDITIONS— CHECKED BY 0 SRA I 0 FLOOD CERTIFICATE EQUIRED i Q FIRE SPRINKLERS REQUIRED jY 0 SPECIAL INSPECTION ITEMS 0 VERIFY } Q USE PERMIT CONDITIONS Q SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT S Q REINSPECTION FEE PAID Q ENV HLTH CLEARANCE. El DATE JOB FINALED: ff 77 0-611 • C SIGNATURE: hr BUTTE COUNTY DEPARTMENT.OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 638-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 638-7541 .PERMIT NO. BP061088 B. C. Building Permit 01-16.04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/14/2006 APN: 027-240-025-000 the Business and Professions Code, and my license is In full force and effect. - License Class: G� License Number: )S Site Address: 2866 DALY AVE PAL Date: k ontractor: � /: % Map Index: Description: MH PERM FND EX SITE 1582 SQ.FT. p OWNER -BUILDER DECLARATION I hereby affirm under penally 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 permit to construct, alter, improve, demolish, or repair any structure, prior Owner: FRANK CELESTE A to Its issuance, also requires the applicant for such permit to file a P O BOX 5392 signed statement that he or she Is licensed pursuant to the provisions of OROVILLE, CA the Contractors Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: EXECUTIVE HOMES Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, 3042 ESPLANADE provided that such Improvements are not intended or offered for CHICO, CA 95973 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530)891-6992 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 Contractor: EXECUTIVE HOMES 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.). 3042 ESPLANADE ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 (530)891-6992 Date: Owner: License #: 640583 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally 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 Architect: is issued. Engineer: El_ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier: r1 Total Square Ft: 1582 S.F. Policy #:_T� J 21 lQ �� (P Z o 3 Valuation: $102,830.00 Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the 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 01ALio forthwith comply with provisions. (those kf / o ll/ (' S- lo- 0 Date: I UJ Applicant: 4 L././workers' �+ WARNING: Failure to compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one , } hundred thousand dollars ($100,000), In addition to the cost of55�1r7`1 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. F -_ CONSTRUCTION. LENDING,AGENCY.- . ___ This r2ermit Is hereby issued under the applicable provisions of the Butte Co_unly Code and/or_ I hereby affirm that there Is a construction lending agency for the Resol .0 s to do work Indic le -ab.ovp for which fees have been paid. ' performance of the work for which this permit is issued (Sec 3097 Civ.) r_ Be Dater - ) ci' Name: / / 1 p� - I -1 PERMIT EXPIRES ON: l O -1 J� Address: Date ❑ I 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. notificatlon 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. I agree to comply with all county and stale laws -relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repn2sefftatives of Butte County to enter upon the above mentioned property for inspection pure Print Name: Signature: Date: 1, ❑ Owner ❑ Contractor ❑ Agent for Owner gent for Contractor B. C. Building Permit 01-16.04 pg 1 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE (0-0A OWNER PERMIT NO. I A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below.; 14 42-1 T Z o r•'o- 2 Or, (��—� �. l r ✓� /Jl [w r� ;4— .iia 3 'r h • n: 2 a Date 6 3 0 [ (9 6'.W Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 +=OK 0 = Not OK MANUF CTURED HOMES a MISCELLANEOUS•. DATE PERMANENT FOUNDATION SOFT -SET oningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 qec Loctn-Clrncs-Grnd Amp-Conu e g'Si Gas; Loctn-Test-Wrap - Nat ❑ or LP Inch Sz le Ft Lngth Bldg-;-SzSpacing-Marriage Line Vis; MH Test-Demand-Valve-Dnnctr c MH Cntnty Test -Crossovers -Breakers -Cines 10 Drain; MH Test -Fall -Flex Cmnt tr 11 Wtr & Sewer Connected -C/O to Grade s and Elect lclty Tagged iYfle Downs ❑ Foundation 14 Exits 15 Cert of Occupancy 1vrrLUD Label/Insignia Numbers Serial Numbers uZOO=. Is O G(62,4-3 T /Z - (a, o ( ---DATE ID EC K S•C O V E R S -C A R P O R T S -G ARA G ES 1 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-DpthSpacing-DnnctrsSteel 3 Decks, Girders/Joists-0cking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg• Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors i 7 Electric 8 Frmg; Sills-AnchrsStuds4btrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wail pnls t s' DATE JPOOL.S 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability f 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec RcptclslLting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI. 6 Elec.Encisrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Encisrs-pnlboardsansuitn to Main Conduit 9 Health Dept Appvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or, Slide es' c 0 t� �s d�° �� Pool Drawing 1 l" .A t K � a } „y ....�(. iw-"" .mow. .t a ✓...•.,._. , _ r. n a. .- .. JS. a.. C +=OK n="M RESIDENTIALIS ngle & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils -Flee GrndFtq DRth 54 Wtr Pipe; Test & Anchr-Nail Prtctm 3 Ftg Garage; SoiisSteel-Elec Grnd Ftg Dpth 55 DWV; Test Fittings & Anchr. Nail Prtctn 4 Ftg Parches/Decks; SollsSteei Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Ace 5 Stemwalis Main; Steel-Blockouts Wrapped 57 Test Tuti & Shwr, 2nd fir - Tub Ace 6 Stemwalis Garage; Steel-Blockouts Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 40� 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12; Elec Undrgmd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support 14 GirdersSills-SillsBolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Ace & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air RtmNent 115 Outlet 65 Attic Ace & Pitfrm If Furnace in attic 41 rya DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE F I N A L 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-DImc-Comb, Air-Cnnctr 21 Fire Stops,'Furred CellingsStairs-Chasers-Tubs In Garage; abv-flr-Ducts-Mach Prtctn 22 Headers & Beams -ti & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub AccSpa 24 Ceiling Joist-Rftr Ties-Purlin-Root Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz &Rmx Prtctn--Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or. Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall .& Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap•Cooking Clmc 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace Mech Prtctn; LPG Appince Undr House 3' drain 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 81 Pimb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drn e & Wood -Earth 86 Clmc Drnge Planters M Yes D No °�• � �• 0� 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, PImb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI RcptcWndrgmd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous lhspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz OCU or DAL 98 Address Posted AC Wire Sz Qa D CU or DAL 99 Fire Sprinkler 48 Range Circ Qa OCU or DAL Oven Circ D CU or DAL Insulated Neutral DYes [_1 No 40 �� 40, 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061088 24 HOUR INSPECTION #: (530) 638-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/14/2006 APN: 027-240-025-000 the Business and Professions Code, and my license is in full force and effect. L Number: LIQ Site Address: License Class : License 2866 DALY AVE PAL %P Date: �L ontractor:nl7� 1-ir�%yl� Map Index: Description: MH PERM FND EX SITE 1582 SQ.FT. p 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 permit to construct, alter, improve, demolish, or repair any structure, prior Owner: FRANK CELESTE A to its issuance, also requires the applicant for such permit to file a P O BOX 5392 signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: EXECUTIVE HOMES Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, 3042 ESPLANADE provided that such improvements are not intended or offered for CHICO, CA 95973 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530)891-6992 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' Stale License Law does not apply to an owner of property who builds or improves thereon, Contractor: EXECUTIVE HOMES and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 3042 ESPLANADE ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 (530)891-6992 Date: Owner: License #: 640583 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 Architect: is issued. Engineer: .Ek_ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: i" -M --e/%5 OVV1/� Total Square Ft: 1582 S.F. Policy #: w a (P �C) Valuation: $102,830.00 Census Code: ❑ 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 n become subject to the workers' compensation laws of California, 21Q -I w and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall �� forthwith comply those provisions 1 i�+ rrwith + ,� Date: �t' 1� u I 0 l!/ C c T Io- 0 lD Applicant: WARNING: Failure to a workers' compensation coverage Is unlawful, and shall subject a( employer to criminal penalties and one�55`1�7`1 hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. - 'CONSTRUCTION LENDING AGENCY _ This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resol io s to do work Indic to •abov for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) L I � - h (. Name: By: Date: 1 ' �D - cn - PERMIT EXPIRES ON: I g / Address: Date ❑ i 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. I 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 hereby ' authorize repr_eseptatives of Butte County to enterr upon the above mentioned property for inspection pure Print Name: ' C.(� Signature: Date: ❑ Owner ❑ Contractor l7 Agent for Owner K gent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538.7541 A FEE WILL BE REQUIRE© AT TIME OF APPILICATION Website: nww1mttecounty-nclidds '"PLEASE PRINT CLEARLY*'R OWNER INFORMATION Lest h:.artra asl erne Address • d, city S12"o, zoqsekw Ftcne 5 ax i_ -M] APPLICANT INFORMATION CONTRACTOR Name Executive Homes Address 4 95973 CiV Chico sate . CA IZip 95973 Phone 530-891-6992 Fax 530-891-8753 E-mail Description or Stupe of wo : L �- ClassC4 APPLICANT INFORMATION ARCHITECT/ENGINEER Name Chico Address 4 95973 City Fax 530-891-8753 1 Sta.e Tip Pha►e Name Fax Description or Stupe of wo : Staff t;�e el�,r�r APPLICANT INFORMATION Name Executive Homes Adder's 3042 Esplande Chico swe CA 4 95973 Phone 530-891-6992 Fax 530-891-8753 1 1�-'l exhomes@sbcglobal.net APPLICANT SIGNATURE EX For office use onl . Zoning I A —,51 Flood Zone SRA I Yea Occ. Type Const Subd visor Nae TtJap Back I Pave Lot N i'leaft� N:e Appeared: OVER FOR SUBMITTAL REQUIREMENTS FL'R11IT NO. 4&- MY BP BIN # PROJECTLOCATION APar Propertj Address r •, C0 Ciy • I I 1 Cross �c .. WORKER'S COMPENSATION Porgy'Nunlber FN31696303 Cartier Employers Com if hir8rg any= other than Hemn corlbadorsr a cartitfcate of worlt es conVo don must he shown at the fte ofpermft iswanca. LENDING AGENCY Name Addy Description or Stupe of wo : Sq FTj' ' Garage Open Cov Built vVilhout Phrnutg 0 Proposed Change of Occupancy (No`'e previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued %,6ill cxpirc one pear alter the date of application. In order to rcnc►► action on an application after expiration, a nc%v application, plan$ and foc gill be rcauired. REQUEST FOR REFUNDS Refunds can only be made upon %crittca roqucst by the person who paid the fee. The reque$t mast be made prior to the expiration of the permit and no oanstruction Bork has boon dine. Filing foes, plan check fees for tenet: plan checked and other department costs are not refundable. Received W.\,haunt Bldg �Y SRA Receipt It Iq Short f (� SNP fter L!SL-i� v 1 l a Total COUIUfiY OF BUTTE-DEPARTMEN1t OF DEVELOPMENT SERVICES -BUILDING DI P/SI��,_ON 7 County Center Drive, Oroville, 6-9-65 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �I11 . �P % ASSESSOR PARCEL NUMBBEER� M / L.'7(% r �J Proposed Building Use: /7 • r /f�%�/1_ �7 Permit Technician: 1`f/` Date: S -14 CJ(n Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 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 -heated and A/C for Non -Residential Buildings. J5 8. Manufactured homes:.(Ar) Installation manual, including marriage line info, ().Floor Plan, (F) Tie down or fnd plans, all in duplicate. ❑ 9. 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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other ReratininlKitems needed to issue the permit. (May require additional plan review upon receipt of the following items.) 9.91Sanitation and site plan approval from the Environmental Health Department in ❑ Chico V1.0toville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ ;� 1 Erosion Control Plan Required ............................................ ............. - Fees as shown on the attached Schedule of Fees Due Sheet .... I�CLCrc ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 2 California Department of Forestry plan approval ❑ paid. Sent by: ............. P4Contact Planning approval for (A) Use: (212_-(B) Parking: (C) Parcel Check: ............o� Flo/ ❑ Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... �NPDESForm............................................................................................. roachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( —'Given to owner, _Mailed to owner) ..................... ❑. tA33. Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ Existing violations and/or expired permits......................................................... ❑ 4. Deed Restriction............................................................ .............. ❑ 3 ,f] Legal description, H. �jtle, title search, re istration or C ....................... Other: S j414030. ❑ 37. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: r, 0 1. Index permit app icatidafe e a ove it a numbered: �, Plan Check Let er 2. Additional items required of �G Contractor, designer, owner, was advised of th ve data by 6�rphone, Nail, b counter, by ate: 37_4/j-//,0 6 Contrac r, designer, owner, was advised of the above data b� phone, ❑ mail, Q -hunter, by Date:, t - b Contractor, designer, owne , w s advised of the ab ve_L;atqPj,.❑ phone, ❑ mail, ❑ counter, b, Date, reviewed by: DaPlans approved by: Date:* ate: Structural reviewed by: Date: 1K tructural approved by: Date: Note transfer by: e,; Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 °�UTT0 0 0Fepartment ®f Public Wo,rks 0 C o u n t y o f B u t t e 0 i C 7 County Center Drive OrovWe, CA 95965 y0 J. Michael Crump, Director (530)538-7681 01 541 41 (FAX) 538-7171 �'etrc wop`� Shawn H. O'Brien, Assistant Director Assessors Parcel Number:n- - < �-D �' Building permit # Owners Name: [le /8 Is t y r Owners Mailing Address: 6 Property Address: ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: n 6 o s To ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: n Not a County maintained road F Existing driveway conforms to County S-31 standard n Other Approved by �j Printed Name L -4)(A %S' J ���r Title i:'► ee r Date %3 .F1 CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existing home with a driveway 10 years or older and doesn't cause. any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. XND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 1 -Jun -2006 2006-0028130 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgement to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as following: Please attached property description for 027-240-025-000 Date ®U Ce PROPERTY OWNERS: C-�U-d) 1, �2v_mtlz Celeste A. Frank State of California County of Butte On (a before me, R- (-ct1 -664 -) personally appeared -Q-s A r-cz v\ fe— personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Cs/are subscribed to the within instrument acknowledged to me that he/ he � ey executed the same in his/her/their authorized capacity(les) and that by his er/ eir signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed t e instrument. WITNESS my h d an official eal. Signature , Seal: ' K. LARSON Jar co Commission 414088900 U Notary -Public - Calitomle Safi Raftisdo County -+ My Comm. Exp; Apr. i, 2007 l , • != H USE ONLY Plot Plan Abdi) Floor Plan Sent to BD/DS TO: Building Division = Development Services FROM: Environmental Health S BJE.CT: Sanitation Clearance (Ao--b -SW L Td-14 Owner Location AP# Plan Approved for: Sewage Disposal:----"\ Water Supply: Public PrivWell Clearance for dwelling. Other 5—Ti. LLo Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Building Clearance 9/2005 Date FLEE7WOOQ Waterford Series Model. 4603K, o� Bedrooms 2 Baths •.1 582 S . uare Feet q LINEN , ------1 ^------ OPf. FREEZER PANT --- — ------ 1 RY $PACE OR DECK O r OPL DAV 'I WALK-IN i CLOSET - i oPr 1 UTILITY KITCHEN_ DOOR I -- 1 4 OPT i - .O r M _ I 11'-8" X 12 -100 0'HD CAB. I SINK OR .® ISLAND BATH WALK-IN I LINEN 1 CLOSET 1 - BREAKFAST ' I jNOOK_:_ i ot . I O rowER CA6. t I _ ------ WALK 77 -IRU - PLAN SHELF/ rAOUEST � / 1,. \\\\ WN I I MA5TER BEDROOM` LIVING ROOM. DINING AREA 13' 10"X 13'-10"j /1 8"X iT 10'. BEDROOM. #2 WU I / \ APP Butte County a ENTRANCE Environmen�tal - %nature Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and impfovement, may vary from the actual home. All dimensions are nominal and approximatert�aar>:foSl ge is measured from exterior wall to exterior wall, and is an approximate figure. length indicated in floorplans is floor length.only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. WD/17/JAN04 School District A.P. Number 0 Property Owner Property Location/Address Subdivision BUTTE COURTY,$CHOOLS IMPACTAE CERTIFICATION FORM I � g - 14� - '(One form per Building) bv Building Department No. Jurisdiction: Q City F-----Jcounty Residential Development 0 No of Living Mobil&Home Units Installation Commercial/IndustrialNew Building Department Representative .. 6Y, 6 Lot No. 6q;� ........................................... :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), Sq. Footage Addition (including Exterior Roofed Areas) Date DistrictD . istrict Identification No Oft 6 02 5 4 oral)), 16 UK I ),n A - 43 h School District certifies that Ced-,s+ R--- f,\ �- (Applicant) (Street Address) (Phone Number) 0 r-L)v;1 C� �s� (City)(State) (Zip Code) has complied with the requi . rern6nts of Resolution N . o. )OS by payment I of $ representing square feet. 29 Paid Paid by Check # Remarks: V[AB 2926 $ ULL MITIGATION Date � M,� - -�, - MW Modes: You may protest the Imposition of the fees Identified above by submitting a written proteatto the District. In cohVtlance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Irnposition of the fees In any*cotirt action. It, subsequent to the School District Representative signing this Butte County Schools impact Fee Certification Foran, the School District to notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environnnntel Quality i Act (CEQA), this project may be subject to additional school fen to fully n9tigate its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant). ftelormids (=5)dr= BUTTE COUNTY .DE'V'ELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Building Permit Numbek66 Property Owner (s) \n' - Project Location /Address x - c ; ` t Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) 'Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: l Building Department Date D FRRPD ❑ CARD 0 PRPD D DRPD certifies that: Applicant Name Phone Number ' �� rn ni,(A i CCC Mailing Address City Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: aah` per unit for a total of $ 7 A0 per sq foot for a total of $ Paid by Check No: Paid by Cash: .,Receipt No: and Park Di ict Representative Date Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, blkOVILLE, CA 95965 www.buttecountV.net/dds . PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner FRANK, CELEST APN No: 027-240-025 Permit Type: Subtype: App Date: 5/10/2006 Permit No: BP 06-1088 Permit Desc: I 1 1 41.1 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $549.90 Plan Check portion of Permit Fee $219.96 $329.94 Balance of Building Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0 $204.98 (State Responsibility Areal Building Inspection $109.98 0 NON-REFUNDABLE portion of fees due at application $219.96 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $219.96 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $340.22 $329.94 155V7 rn-19-06 $10.28 ..r .tq pCa lf 617 4 Balance of Building Permit Fees (from No. 1 above) 10 5 SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) 772 Little Chico Creek 7 Other*: 775 SUDAD Ditch 7a Other*: 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Per Dwelling Applications After 04/15/06 ,> SFD MFD County 4249.11 3183.54 3238.7, Chico Urban Area 6146.23 4538.82 5648.4 EI Medio Fire District 3249.97 2385.76 2422.6E North Chico Specific Plan A SR -1, SR -3, SR-1/PD 8801.091 7395.04 8486.4( 0 R-1 8897.09 7491.04 ° 8582.4( R-2 8390.091 6984.04 8075.4( R-3 7604.091 6198.04 7289.4( Processing Fee is automatically added to impact fee total 0 $100.00 9 WATER TENDER FEE (Not collected when impact Fees Applicable( Enter Bat.# $200.00 RECEIPT DATE Tech/Asst 450440 5/10/06 Tammie iXemp4" E°,� S! le RECEIPT DATE Tech/Asst RECEIPT DATE Tech/Asst 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* i Palermo Union High School 092 12a RECREATION DISTRICT FEES.' At the time of permit application, I was advised the above fees are required to be checking process. � V(P-, T &4 10 to issuance of the permit. 2hes may be changed during the plan Applicant: Date: 5 ) ` " Pursuant to Government code ect' 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 DRAINAGE FEES* 10 CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek 771 Comanche Creek New Construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek 773 Big Chico Creek 774 Lindo Channel 775 SUDAD Ditch 776 Mud -Sycamore Creek 777 PV Ditch RECEIPT DATE Tech/Asst 450440 5/10/06 Tammie iXemp4" E°,� S! le RECEIPT DATE Tech/Asst RECEIPT DATE Tech/Asst 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* i Palermo Union High School 092 12a RECREATION DISTRICT FEES.' At the time of permit application, I was advised the above fees are required to be checking process. � V(P-, T &4 10 to issuance of the permit. 2hes may be changed during the plan Applicant: Date: 5 ) ` " Pursuant to Government code ect' 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 Je P-5 ,:. X. `\;;AC,Q LJ A 5 AUC qq Department Of Michael Crump, Director Public f B U t Works LAND DEVELOPMENT DIVISION Storm Water Mana%event Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan. (SWPPP) Acknowledgement BLESS THAM! 1 ACRE Project Description: J ' CJ V1 o Project Location and/or Parcel Number: au v By signing below, I, the project ownerlowner'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. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storrn 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:�l'-1 Date: L) 04/26/06 14:38 FAX 530 894 7647 BTEC CUSTOMER SERVICE Q003 RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: CELESTE A. FRANK P. 0. BOX 5392 OROVILLE, CA. 95966 183927CB/ORO-C Recorded Official Records CoBuUTT Of CANDACE J. GRUBBS* Recorder ROSEMARY DICKSON Assistant 02.17PM 27 -Dec -2000 Above This Line for Recorder's Use Only REC63 TAX FEE 74.80 Kristyy Page 1 of 2 A.P.N.: 027-240-025-000 Order No.: 183927CB Escrow No.: GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY7� 4.80 X. I computed on full value of property conveyed, or ll computed on full valueless value of liens or encumbrances remaining at time of Sale, X J unincorporated area; I I City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, BOBBY JUNIOR WMS and LSUSAN WEYERS, Husband and Wife hereby GRANT(S) to CELESTE A. FRANK, a Married Woman as her Sole and Separate Property the following described property in the Unincorporated Area of the County of Butte State of California; See Exhibit "A" attached hereto and made a part hereof. BOBBY 10 EYER Docum t DaiK December 21. 2000 L.LZIMN WEYERS STATE OF CALIFORNIA Butte )SS COUNTY OF ) 06 127217 o beroreme, Charity D. Berry Notary Public personally appeared lJobby Junior Weyer an(L.Susan Weyers 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(les) and that by his/her/their signature(s) on the instrument the person(s) or the entlty upon behalf of which the person(s) acted, executed the instrument, WITNESS my hand and official seal. Signature _ ari"Der'�r7 CHANTY D. BERRY CaafilOft #1171841 W CPS1 aft co".�� *Calm i An This area for official notarial seal. CHARITY D. BERRY C•olnnthdoft01178386 MftCPS1 Notary Pubk gulfs County, CoVfoM10 my Cofllmla m Ev. APR. 3, 2002 6 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below 04/26/06 14:39 FAX 530 894 7647 BTEC CUSTOMER SERVICE Q004 i' a ' i ORDER NO. BU -183927-3 DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBEDIAS FOLLOWS: I PARCEL I: THE WEST HALF OF LOT 7 IN BLOCK 128, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISION 140. 3 OFE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE 0 THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JAruARY 2, 1889. APN 027-240-025-000 PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE WEST, 60 FEET OF LOT 2 IN BLOCK 128, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISION NO. 3 OF T E PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY.2, 1889. Butte County Department ofDevelopnent Services 0 7 County Center Drive ° Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans exa>nination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: A I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or re uire submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: E4 P_C CUk F APN: 0a __7^ a-qy ^ 0 a S Building site address: ZZQ(, 1pr4 l A -i,- Permit No.: z/,7 ' `L%6 I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNA RE OF APPLICANT DATE Copy to Applicant/EH/File K:Forms/B1dgPermitwithoutClearances 020705 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING May 15, 2006 Executive Homes 3042 Esplanade Chico, CA 95973 Owner: Frank Celest Assessor Parcel Number: 027-240-025 Building Permit Number: 06-1088 Thank you for submitting the plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re- check and approval of this project. _ COMMENTS: Provide support details for three large piers at interior bearing points. 2. Complete enclosed MANUFACTURED HOME SUPPORT DATA form for all piers. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. //lig/ azl Nelson Plans Examiner PLAN REVIEW RESPONSE FORM in order to expedite the review of your plans, please complete the following information and return this form with your re -submittal. this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a va response to every item requested in our plan correction letter. `By others" is not considered a valid response. Please indicate yc response to each item and the location where the information can be found on the plansJcalcs. ATTACH THIS FORM TO A COPY OF YOUR PLAN P.EYIEW LETTER AND RETURN WITH REYMSED AND ORIGINAL PLANS, OWNERS NAME DATE LIS ASSESSORS PARCEL NUMBER PERMIT NUMBER C) 2 S fl )o — 10 Is'K RESPONSE FOR PLAN CHECK LETTER DATED: , r•^�� \S % LZ7xj b r FV.ia ORFM ■ a PLRid CHECK rTEM 9 RESPONSE BY: LOCATION ON PLANS/CALCS: PLAN CHECK ITEM # RESPONSE BY: n LOCATION ON PLANS/CALLS: COMMENT.-:': <, 1M (- PLAN CHECK ITEM # RESPONSE Sr. LOCATION ON PLANS/CALCS: COMMENTS: r FV.ia ORFM ■ a PLRid CHECK rTEM 9 RESPONSE BY: LOCATION ON PLANS/CALCS: R Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name: (`P 6p Frao 1C A.P.# (Ja � -a Q - Q a- �_ Home Manufacturer:� ( Manufacture Year: &On Model Number / Name: O Wid�t-,_ 0,i?" `�(ft.) Length: O ' (ft.) FOOTINGS: Wood - pressure treated or foundation grade'] Other:[ ] SUPPORTS: Concrete block'+] Other:[ ] Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. rier rcwung oiies ana Locaiions SINGLE WIDE Line 1 - ------------------------ Line 2 Section 1 Line 1 :!S; ------------------------ Line 1 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 2 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Section 2 Section 3 MULTI -WIDE ------------ Line 1 Line 2 ------------ Line 3 Line 2 ------------' Line 4 (triple wide only) ------------ Line 2 Snow Load: psf [ Z ] X [ Zy ] Snow Load requirements may be obtained at O " http://www.upstate-ca.com/butte/butte_county/ o " Insert AP #, view snow load in lower right corner. Line 1 Openings: 5i � 'P L . X [�2 ] Minimum size pier: [ - ] X[ to Required at each side of openings over " wide. ,Z 7z-)" "1 .7- by xtiy ,.� x-i,y zy xz� "i y x"Ly "3bx3 o 1 -6�_ 1 _Q_- 113' 1'/4' 1 33, 5' 1 11 V SIM bb' H "I ___1 BUTTE COUNTY BUILDING DTVI SOW APPR ! SUPPORT POST WOOD WEDGE CAP BLOCK SUPPORT 4 X 10 BEAM (SPF #2) 11,700 LBS. MAX. LOAD 4 X 12 BEAM (SPF #2) 15,500 LBS. MAX. LOAD -WOOD WEDGES —CAP BLOCK TO BE USED WITH SEE TABLES FOR CAPACITIES SEE TABLES FOR TO BE USED WITH: 8" X 16!'X 4" TRIPLE PAD CAPACITIES 8" X 16" X 4" TRIPLE PAD 16" X 16" X 4" DOUBLE PAD Twin Concrete Block Piers At, Mating Line Support Post 16" X 16" X 4" DOUBLE PAD 2 X 12 X 24" DOUBLE PAD SUPPORT 6i 'j SUPPORT POST +I 4X 14 BEAM {SPF #2) 13,500 LBS. MAX. LOAD -WOOD WEDGES -CAP BLOCK 2 �P� TO BE USED WITH: ./ 8" X 16" X 4" TRIPLE PAD D 16"X 16" X 4" QUAD PAD `2a 2 X 12 X 24" DOUBLE PAD SEE TABLES FOR CAPACITIES I� Twin Concrete Block Piers At Mating Line Support Post 8" x 16" x 4" CONCRETE PADS SOIL CAPACITY (PSF) 2 EACH TRIPLE PADS 1000 5200 1500 8000 2000 10,600 3000 15,500- 4000 15,500' 4 X 14 BEAM (SPF #2) 13,500 LBS. MAX. LOAD �C TO BE USED WITH: 8" X 16" X 4" TRIPLE PAD SEE TABLES FOR 16" X 16" X 4" DOUBLE PAD CAPACITIES 2 X 12 X 24" DOUBLE PAD Twin Metal Piers At Mating Line Support Post 16" x 16" x 4" CONCRETE PADS 2 x 12 x 24" WOOD PADS SOIL CAPACITY (PSF) 2 EACH DOUBLE PADS 2 EACH QUAD PADS SOIL CAPACITY (PSF) 2 EACH DOUBLE PADS 1000 7000 14,000 1000 8000 1500 10,600 15,500' 1500 12,000 2000 14,200 15,500" 2000 10,600 3000 1 15,500' 1 15,500" 3000 13,500' 4000 1 15,500' 1 15,500' 4000 13,500` ' - Pad capacity limited by beam capacity. Note: 1. All capacities shown are based on the footing capacity. Individual piers must also be capable of the capacity shown or the configuration must be reduced to match the pier capacity. BUT7 Of AP* �o�i�' ��1 mQQLUIe4i DIVO.S., APPROVED Multiple Section Installation Manual for WZ-1 Nc`FLEE7WOW. Page 34 Copyright 02004 by Fleetwood Enterprises Inc. L E G E N 0 60'-4' v/ 2 x 6 SIDE WALLS RECEPTACLE ?!-4 1 / 2'^ � Sli LTCB 7'-10 1/2" 3'-0 1/ 15./ THERMOSTAT S'-3 1/2' 12`-0' v/ 2x6 SLDEWALLS . ®S?IOXE ALARM ALAM vI 2x6 SIDE MALLS KRT TAPE RLCLPT D6 �� DAQIIDC Of fLOOA ❑ .. Cwt veraF `� \ V3010B5 Q YNi3� _ V1659SB s� s s -LIGHT FIY.:7FE u`� ✓ h s n $ u I s ; K s 1 -- __ — E FLUORESCENT LIGHT LIM OVYram s� ®s Gn s 9 �� �., RECESSED s DENi i a s 1 O LIGHT s 113.1 s� UQ1.lTY ® EXHAUST FAN w 9 s patst V/ BILH 1 R.". O �I ■` PANEL 90X _ M LIM QTOif611 s � fs as O SOLAA TUBE ILRE DPT AiFA57 NOOK I O AIR SU POLY r K s s s � �N s momma mM0 Mr-_ F7H jl�j' u� � AIR� a n+ A ® r•ssa sa m+ st2 a VIDEO DIGITAL, CABLE PANEL SO[ 1 , a T --- -i---- VAL[-A-BAY e , M .a VIDEO DIGrrAL cCABLE OUTLET 4 K E z--_-� � s -. .1 a o ✓o - s 1 ------- O RETURN AE8 Ms /"` C s ;- ' r m RAG GRILLE / \ cl 23'-2' ❑I1I1II �' "� I —�—'—'•'.1. 0 ZF LO`OI R REGIS TQL I 0I HALL Oa /L Or ' SI5'-9 3/8' VALE-TERMDB INTEGRATE ' REGI57L0. DORMER C/LOF9 DORKER O > CROSS-OVER LOCATION it: % SUPPORT POST n v 6 �—LL SBEAMALL um 67DLy . ^' a ofr. \ / 160 x 60' -S' K BEDROOM l / s 30''11 3/1• J LIY[NG ROOM 1/2DIN1 NG tBl\\\\ s ')[e•y O 160 X 59'-0' 197.9 s % 1 C/L OF 9' 305.1 e \ 6�� s �� / sF DORM / \ " x eEDREDN 2 /. 99.9 eqf' (�) `'q`� i j ��•. P1o59f1 P3aslse v1os9S8 v16sTsa �� VyS9� v16Sss8 %�� WOODLAND 17 11•-6' 11'-0 112' 2 -3 1/1_v 2x6 SIOi><ACLc� sasNt v/ 2x6 SIDEWALLS 59'-0' v/ 2 x 6 SIDE 9=5 WATERFORD cE1 ra 1 /ai ai s o a u6• man No. �� Ove I 4603K 1 aolst 2 ua 0 404 0,— ]�/ �� \ V DxxIR1G 7ITli \�/�C_J� ! `/`- J// TV V v 1. RECEpT SgAL6 NOT BE INSTALLED WITHIN 30" OF TUB/SHOWER SPACE. 2 L7•AT:TRICAL WALL 'PLATES SHALL NOT BE INSTALLED WITHIW G" OF A RAWA OR COOKTOP. THIS FLOOR PLAN AND ATTACHED OPTION DETAILS (IP APPLICABLE) 3 FOR PLUMBING 6 HEATING STSTM REFER BACK TO STANDARD IS DESIGNED TO'MEET THE FOLLOW114G STRUCTURAL REQOIPME TTS: APPROVAL SET' WINO LONCIS) 1 ROOF LOAD(SI 30 /: TWC MAXIMUM TRAVEL DISTANCE tAON ANT BEDROOM DOORWAY TO AN EFM DOOR IS 31.5 LF. , 5 TOL-KILT( REGISTERS IN KITC015 AND BATES. U'1 CV V - LD CV LD LO CS M _ u -i N m CD c -I In CD L C9 CV LD CD CD CUSTOM FLOOR PLAN THIS APPROVAL EXPIRES 90 DAYS FROM DAPIA APPROVAL �ff� STAMPED DATE. mLris 10/05/05 sm uV FP.lc LOAD > 20 psf 6_ OVALL DIMENSIONS SHOWN ARE FOR 2X6 EXTERIOR WALLS- PERI2IETER PIERING REQUIRED KMN ROOF LIVE ES POSI DATA - LIVE LOAD: LARELl LOCA a1 9000 SHEAR BALL DATA OMMIONS ARE FRO HITCH END LIVE LOAD: 30 LBS, MIND ZONE: 1 FROM - TO LRBELUNIT WALL PANEL TYPE LEIGIH NOTE • TRIB •' A A 1 1SG E I 2'-U 3/4". 3 x 26 ga STRAP . 7'-10 3/4" B B 1 ILL E 2-5 5/8" 4.5 x 26 ga SfAAPI 18'-5 1/2' B 8 2 1 ILL E 21-4 718" 4.5 x 26 STRAP 43'-10" C B. 1 25G S 9'-6 1/2" 1 JOIS75 1 2 LAGS 30'-10 1/2" D B 1 1SG E 13-0' 3 x 26 0 STRAP 1 34'-8" ' REQUIRES AGGRESSIVE FASTENI1% PATTERN i MAX 16 O.C. rRAUNG �• EMPTY TRIG FIELD IS COOLM IN NUKBER ABOVE 11" !JI PRO -360 SPLICE LOCATION OMMIONS ARE FRO HITCH END LIVE LOAD: 30 LBS, M.R. SPACING 99 1/2' FROM - TO MY MATE 7" - 9" A B 13'-0" - 13'-2' A B 33'-6" - 34'-9" A B 41'-8" - 43'-10" A B 48'-11" - 50'-10' A B 59'-4" - 60'-4" A B 0" - 11" B A 11'-7" - 12'-5" B A 32'-2' - 33'-5" B A 40'-4" - 42'-6" B A 41'-7" - 49'-6" B A 58'-0' - '59'-0" B A DOOR SCHEDULE SYMBOL I SIZE 3279 132 x,79 3679 136 x 79 SYM SIZE 30 x 40 46 x 59 46 x 23 30 x 59 40 x 53 APPiiDYED Madbo" 4" -13 i015/05 HUD wsraofzt.a c mmb stitio" a so" su"daid CHASSIS INFO M.R. SPACING 99 1/2' I-BEAH .SIZZ 10" DRAWBAR LENGTH 39" DRAWBAR ANGLE. 60 FLOOR INFO JOIST SIZE 2x6 JOIST MATERIAL SPF JOIST SPACING 16 WALI, IN FO SIDEWALL NGT. 90" EXT "WALL SIZE 2x6 EXT SIDING MATL 15114 4xe IDMIX CEIL3:NG/ROOF. INFO RAFTER CODE (CATH) FLG7-160-3x117) RAFTER SPACING 24" CIILING THICKNESS 1/2' CEILING MATERIAL US GYP FRONT O'HANG 12" REAR y, SAVE 0' HANG 12" FRONT GABLE 0'HG 12" REAR GABLE O'HG 12' U Im WOODLAND icon No. 4603K ' xurzsc rtru CUSTOM SPEC DRWG THIS APPROVAL EXPIRES 90 DAYS FROM DAPIA APPROVAL CLAW IT: STAMPED DATE. Fabian P. arz: 10/05/05 i FIT zzr SPEC. lc ow)$224.. -;rocr MITT 171WA4603R024639 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Aic uruunu aystum Part #59307 Xi2 Concrete System PPP,P1Yrr_" Engineer Approval State Approval MANUFACTURED ROMWOMIE HOME FOUNDATION SYSTEM MALT! AND SAFETY CODE, WCn OW.113n APPROVED 1VRIECTTOCORRECTwwYQ SD ATPWVALDM NOT' AU7R0NM CW APFTJM AXr ObUSSIOM OR DMAI M PROD MWRWA Mt OF APPL1CA=ITATE LAWS AND RSOULAIUM so" efe"Ormis ariut "d Comwft Dad"" r���D rrAI�DAza � IM&� Kg -la Page 1 of 8 i 0 LO N Xi2 Foundation System �io Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone ►, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Updated: 8/29/2005 REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. Contact Tie Down if piers exceed these heights. HUD approval required. • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Additional systems may be needed for roof slopes greater than 20 degrees, (4.37" in 12" Pitch ) See page 7. Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 LO o I CO it ej O 77- Waterford o d f r Series ri Model4603K c Bedrooms • 2 Baths • .1 582 Square Feet .:: ...- .x ..:.:.+ r ,y,. g. 5 �:� n>Y°i .. .r.�3s;x :,�3., ;-•., ., �.. .. -rte;-eP+=.'. �7;z s .tet. ui: i ;, . '" � :th. U,....t .., ,:<:.-.. *>i.. a ;.: ..: t•..:.,:;.? s. :<::.,. - t i`s ..$, ,:.w ..y:. -.as,. q. �,z .3.* r> ted fpp: l •:'x Fti >, .. .. , � � a .,,x .c , .. � , .`.'t Vit. ._�: .. t ., =ay�,. .,,.• 't . >f?� x -�; ,-,. � < �F. . `�>;t » t". . �r,.. e't;. s.. a.s. • : �..?sx;-� �i ?i;,'�-"�?�"v ':M...,:9�E'�' 'r:.,�.�' r� -mo.'s` � - :.,'�':fis�:, � ��I � .�'.. ?C�h@:aM c ,w`i4;. .,'�.,�u rc, o.: � � ,�'.� �. . � ;'�tv'�s, - �a�... „r .fit . �, #_ _ � . a� ,. i.� ,:>�s�°.. 601-0„ .. LINEN ------ ------ OPf. FREEZER O PANTRY --- — SPALE OR DE,K -- Opt 04Y WALK-IN. — , .I00 — " � — � I � CLOSET - _! � - -: r "lop r i I. - UTILITY KITCHEN DOOR I - - - - - o fV 0� _ 11'-8" X 12'-10" - unLm 15LAND i i- _ - BATH WALK-IN 1 0'HD CAB. I SINK , _ CLOSET 1 I __ _ -, �- - 1 -BREAKFAST" ` _ jNOOK_;_ME • o - - - 1 - - -� ' 8'-3" X 6'-9 - - - t I o TOWER CAB. S-7 X I r ----4---- •I I /� Q Q�� .\\\\ PLANT SHELF/ ®" I. " - - GUEST - \ II. \\ FU) W z a _ MASTER BEDROOM 1 LIVING ROOM <5 i 1 DINING AREA 131-10"X 13'-10" j 18'-B"X 1T 10 I 11'-6" X 13'-0" BEDROOM #2 I 1 < 101-911 X 9'-10" W \\ 1 z \\ oENTRANCE .. ,Vn Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. WD/17/JAN04 AND WHEN RECORD,7rD MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2006.0028130 Recorded I REC FEE 18.80 Official Records I County of 1 CONFORMED COPY 1.80 Butte 1 CANDACE J. 6RUBBS I County Clerk-Recorderl I I CW 03:24PM 81 -Jun -MM I Page 1 of 2 II{f III III I iill l III III l sill III I III AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgement to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as following: Please attached property description for 027-240-025-000 Date W OM 194-h l 'a 66 CQ PROPERTY OWNERS: 6�, ��� Celeste A. Frank State of California County of Butte On ���� before me, _ Lcc--� (� B-�Zc PU b l i^C� personally appeared 6 -el -es -6c AA personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) 's/ a subscribed to the within instrument d acknowledged to me that he/ he ey executed the same in his/her/their authorized capacity(ies) and that by his er/ eir signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed t e instrument. WITNESS my h d anofficial eal. Signature Ste: ht. L� 6N . n 9 -bar pot (I C, K. CARSON N commission 81408830A a. Notary -Public =California O Z7 2, Li 0 D 2— v Sap Francisco County -My Comm. Exp. Apr. t, X007 14.J,l eAA JJV DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, - COUNTY OF BUTTE, AND IS DESCRIBEDIAS FOLLOWS: PARCEL I: THE WEST HALF OF LOT 7 IN BLOCK 128,.AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISION NO. 3 OF *E PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF .THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 2, 1889. APN 027-240-.025-000 PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE WEST 60 FEET OF LOT 2. IN BLOCK 128,1AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISION NO. 3 OF -TOE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED, IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 2, 1889: o PERMIT NO. 3134-81B PERMIT EXPIRES VAMP TO OWNER CHARLES PITT CONTR. Acro Lume..Oroville ASSESSOR PARCEL 27-24-25 LOCATION_ 2866 Daley Ave, Palermo i r' i r, nTemp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E/ JOB F NIKLEO (Date) ly— Z V / Signature —11 c e 0 = Not OK = Not Applicable MOBILEHOMES ' MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIE'S (Plans) OK except N's 1, Zoning Requi4ements=Setbacks-Easements Date DECK OVERS, CARPORTS, ETC. (Plans) OK except N's Zoni g Requirements—Setbacks-Easements 2. Soils; Special MH Support—Sketch ootings; S' — epth—Spag—Cdfinectors 3. Sewer; Location—Test—Fall-C/0—Concrete ` it ers an or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location-Test—Easement Needed (Sketch) . , 4. - s=Rfirs.—Con c.—S thg.— g =Bracing 5. Electricity; Location—Clearances—Grnd.—/ V Amp—Concrete lum. Awn.; Cgl —Connexion —S — �€neioso(es- 6. Gas; LocationrTest—Wrap:/. /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -Bl W Date il� / Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements ' 2. Footings; Size—Spacing-Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Corinectoir 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances f 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating. Equipment—Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool, Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9, Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G. F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size 72. Insulation -Foam -Looked in Attic E] Yes 73. 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No 75. Followinginstld.: Drive [3 Yes ❑ No; Walks ❑Yes ❑ No; Planters ❑Yes EJ No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ ___33. 32. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date - ---- Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except q's Card -BI Date Card -BI Date Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 38. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39. _ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. _ Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) �l I/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center rive-'Ordville, C9lifornia 95965 - Telephone 916/534-4541✓� �%% .� AP TLICIATIOM AND PERMIT ®�L ASSESSOR PARCEL NUMBER ZO TNG UILDING PERMIT OWNE - T LEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILIN ADDRESS 2 JAc V div C, CO ;ACTOR AME �0_ kMG TELEPHONE CONTRACTO'S MAILING ADDRESS /707`IJV Aio i "- V'C- AO&vpL.0-AG Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ U r Filing Fee $ 10.00 LENDER'S MAILING ADDRESS01 Permit Fee $ , ARCHITECTOENGINEER 'v A'k LICENSE NO. Plan Checking Fee $ SCJ Penalty $ ARCHITECT OR ENGINEMAILING ADDRESS Permit fee $ , BUILDING ADDRESS PLUMBING PERMIT FiIingFee 10.00 V Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOFSRUCTURE El Duplex❑ Mobilehome Other SPECT FY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ddition Remodel Utilities ❑ Install t* ❑ Other ❑ Describe work:�Z'�� ,/TMJ %� //� �/elA�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD•L 100 AMP 2.5'50 NEW CONST. DWELLING OCCUP.dj OR ADDNS. ACG. BLDGS. / 2� sq ft CONTRACTORS LICENSE LAW e penalty of perjury (check one): I decA�=Iicensed I d under provisions of Chapt. 9, Div. 3 of the Business and Professions Code a d my license is in full force and effect. J License No.'J-7 gV Classification _G _(/ 1 / ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON NEW BRANCH CTRLCT Ts 2.50 ea NEWCONSTR. (POWER APPARATUS SJ NON-RESID. SINGLE OUTLET CIR. 50 @ 28¢ Ex. OCCUR(OUTLETS OR FIXTURES BALP1 FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. eXf"iave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against s, Jud nts, costs, and ex ses which may in any way accrue,VJPARCELJ_PD all liabi�ai against C ne granting of this permit. X to m/%^ / Signature of Applir.p Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3 stories in height.5545 Mobile Home Installation Fee $ TOTAL PERMIT FEE $ D OCCU . GROUP TYPE OF CONST. ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By - PEPUfT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dateipt ZJ �� Lion,Coff No. -D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMI' NO. 4131-79B 00% PERMIT EXPIRES OWNER MARY LUE PITT I ? C`ONTR.. owner LOCATION (A.P. 27-24-25 )_ 2866 Daley Ave, Palermo F. I' Z 4 y G i. 7 { 1 h i . a Temp. Power Pole Called PG Temp. Elecrv. Calledd PG&E Temp. G s Serv. Ca Ked PG&E D ALED (Date) (Signature) .r k t lin L Setback Forms Main Bldg. Footings Ste�mwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footinas Stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) 110 Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidina _ Topout Garage Vents Insulation Prov. for phsically handicapped Conformance of ex. structure Final FIREPLACE Footing Throat Final FIRE SPRINKLERS Test Final MECHANICAL Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Temp. Gas Sanitation Final tocratcn Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS I g'L? 7 (NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING ELE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive a- Qro4ille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT AIISI-ZY I JA 11/1 BUILDING IV k Owner (2 1 L VL Pi TT- SO. FT. OCC. BUILDING VALUATION Mailing Address 12(p QE�ffCIN R40K ©O((�) ^ V ( � Tele hone fl (o Contractor(( Mailing Address Q Fireplace Total Valuation 14 Telephone No. Permit Fee Building Address 22 GG NtgAVG �TVC.= Plan Checking Fee &/orPenalty Permit Fee L ✓`J Ct q V e OOf ' OF PLUMBING No.1 @ FEE [Xlay /� /1 G m, Gi ✓. o e"LE�.,k,Q PERMIT FILING FEE $3.00 Each Trap 1.50 QlUC0 ru"'"V Repair drainage or vent piping 1.50 A. P. No.—Z oning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Sa tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans arcel Declaration Parcel Map 60' R/W Improve ents Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel Approval PI pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD•L 100 AMP 2.50 WATr/- //.((,, �i (/�'�//y�Pd P `- ' �r I� 4ED C �e L Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACC. BLDGS•CCUP. 4') 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CO ID (BRANCH CIRCUITS) 2.50ea NEW CONSTR. BRANCHMULTI-OCIRCUITS) NEW CONSTR. POWER APPARATUS 8 NON.RESID. (SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXT11RES BAL@1 BAL�1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner s as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and 'hereby Land Development Fee Is TOTAL PERMIT FEE $ 'a-2-10( authorize representatives of the County of Butte to enter upon the above-mentioned grope for ins ection purposes. X Date � ✓ Signal a of Permitee or Agent ,27_ Receipt No. 25:2-7( White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOK' F PUBLIC WORKS By Date 7—;2-,-(— 7f uilding permit expires Date 7-;-q-?(3 *COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE ,OROVILiLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location Owner Owner's Address Mobilehome Mfg Model L'H-L Year' ". Insignia No: Serial No. -- It is hereby certified for occupancy at the above described location and may be occupied. Director,, of Public Works Date By y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. PERMIT NO. 141 �-7 E PERMIT EXPIRES OWNER Mary Lae Pitt 'CONTR. nwnPr 27-24-25 LOCATION (A.P. ) E/S pri.gravel rd.; app.900'S.of Daley Ave. 2 mi.E. f Palermo Honcut Rd.,Palermo M1 y. t l ' Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E L Temp. Gas Serv. Called PG&E JOB FINALED d fi (Date) AW )L—Z\ (Signature) l " COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING tback F wall So Ploinn n Bldg. / I Restr1hom Finish Slak Roof Shea In Piers Roofing Garage Fdn. Vents Footin s Stemwal l Garage Vents Insulation Slab Carport Footings Prov. for ph sical handicaped ° Conformance of ex. structure Slab V Final Patio REP ACE Footings Footin isonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPRINKLE 7 Floor 2nd loor 3rd FI or To out Water Pi in Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Motors btucco I Final Sub ane li Mesh MECHANICAL Gird. Fa6lt Prot. Scra h [Heatj4a Servl 96 BrqAn I Co Ing I T-1-0- Pole Lath TR oor closer NyFinal Inal MOBILEHOME UTILITIES Elec_ Service 9 Elec. Pedestal Water Piping -� Sewer _ Gas Piping E ME INSTALLATION - - - - - - 7777! - - - - SupportElec. Continuity j-7477777 7 Water Piping .? �i Drainage Gas Piping DATE REMARKS OR CORRECTIONS ,Q a000 C -Ir (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 C(4unty Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Owner �/ ��� / Mailing Address L bjaLji:� AVL -Z, .01 u i L Lt-:- 04- 9-0 /. -s Contractor VL- Contractor 1 m& W u 0 am o )%a Mailing Address Q( ,2K LIN U L d ALUU Buildinq Address I� esSAcIIJ� ® r )hone No. I )o?7 JV oc- a ISA UZI Qu- a (-- t`sa( mg -L-1 AUL A. P. No. �` y'`�� ning& Planning e- Fire Dept. Fire Zone Use Permit EQA I Parking I Parcel Parcel Ma 60' R/W I Improvements Plans Declaration P P Bldg. Plc&t'Rec'd I Parcel vol I Plan val NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER .1 AIiMLL IRC & Lo- �„�►rl�t l:= Single Family ❑ Duplex ❑ Mobil Home Others ❑ _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD•L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD•L 100 AMP $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State o California Business & Professions Code under the name style : / y i+u%Ll / �� %��j /n, �✓ ///o//l.D_l.'l/a NEW RES,., BRANCH CIRCU NON•R ONS � BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS d NON -RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES B L 1� a Ex. OCCU / FIXED APPLNS. OR P•\OUTLETS (RESID.) EA) Temporary service 10.00 0.00 Mobile Home Facilities 15.00 License No. 3263, Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against Liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-menljjoned property fok inspection purposes. X Date $ignatur of Permitee or Agent Receipt No. r 195�14` White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Cooling FEE FEE Ventilation Hood 1 1 2.00 Permit Fee �1� $ $ /Va i $�tl�i TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above or which fees have been paid. t` IROF P LIC WORKS di6v L- B .. Dat Building permit expires Date MOBILEHOPM INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes*p�No 2. Does the, mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced asRRx"approved plans? (Note possible variation at spring shackles.) (Sec..5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes--- 5. If mor an a single unit, are crossover connections properly installed? (Sec. 5088) Yes �'// No 6. Water' A. Is -fLe connector of adequate ^size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No !Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes. No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3- ons of water through each fixture including washing machine standpipe?'..Yes No 1�v k coach is not State of California approved; does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the g supply with an approved 3/4" minimum mobilehome con ector not more than 6 ft. to g? Note: All piping .is to be at least as large as the mo Uehome gas line inlet wi out reductions other than the mobilehome' connector. Yes No B. Test OK as per follo g procedure? es_ No 1. Open all appliance nnector v ves. 2. Shut off applianburn slope gauge (minimum 6oz.-maximum 8 oz.) Alc ibrate n tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C.. Are all appliance vents properly installed? es_ No 9. Electrical s A/ = A. Is service large enough to'provid dequate amperage -to mobilehome (must equal.rating of mobilehome with a minimum of amp),and-o`ther facilities on lot,,.e:"; water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes c/N0 C. Is power supply cord or feeder assembly properly fused? D. Is ontinuity test satisfactory as per the following procedure? Yes No De -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. a'." -Switch -all breakers and switches in the mobilehome to the "on" position. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity,from such equipment and the grounding conductor. -A-.'*" Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. Is job card signed by Health Department for water and sanitation? .,If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer. and/or Namestyle Fi ECTZ<)OOD Length (.od Width Vehicle Serial No. State Identification No. CAL /aoa a ty Additional Information or Comments: 1. Owner's name: BUTTE COUNTY DEPARTMENT OF' PUBLIC -WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 2. Installer's L. & bu 0, Lad u: filtDa% �= lY•�+nn L -S name: 3. Is the site currently under permit?` Yes / / No (If yes, . furnish permit number ) OR y. Is the site an existing site? Yes / / No � r (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes // No (If no, clarify 5. What is the mobilehome electrical rating? ----------------------- 1 �n Amps 6. What is the mobilehome site service rating? --------------------- s 7. What is the mobilehome site circuit breaker rating? -- � � s Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- r ;Yes No (If yes, identify the load and size: ?,(j 1"n , (Load) (Amps) � 9. What is the mobilehome site gas..pipe-.size? ( ) 10. What is the type of gas service? ----------------------------- Natural '%- LPG= 11. What is the. gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? -----------------------------.` (BTU) (This information not required if pipe length less than 6 ft. on.natural gas or less than 50 ft. on -,'LPG.) y 1 JE, J 'y MOBILEHOME SUPPORT DATA If other than single wide V Mobilehome Mfr. �L�3�'�y furnish Setup Model No. U(Q,� Year Width 10� (ft.) Box Length (ft.) Tagalong or Expando.Siz_ft.,x�Lft. (SHOW SUPPORT DETAILS BELOW) ' On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. (f1/ )(in.) Cente support loc tions' (ftU(in.) (ft 1) (in.) (f4.)(in.) (ft.)[ (in.) Sinnggle / \ uta- \T1, i Ui/6JZf`j Q,.., Footings (check one) P/1" • Wood either pressure treated or foundation grade. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 0 2. Other (specify) Su orts (check one) Concrete block. 2. Other (specify) Tagalong or Expando, show support details. R -- Typical Support (in.) (in.) Footing Size -= Max. Pier Spacing d -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMEN1 APPROVE D x (in(in.) Cen er support foo ing sizes in.) (in.) in.) (i .) (in.) A (in.) (in.) (in.) in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 0 2. Other (specify) Su orts (check one) Concrete block. 2. Other (specify) Tagalong or Expando, show support details. R -- Typical Support (in.) (in.) Footing Size -= Max. Pier Spacing d -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMEN1 APPROVE D COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County.Center Drive - ,Opoville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner 1/ ���� SQ. FT. OCC. BUILDING VALUATION r Mailing Address �D 6S' p�°GJ/ Contractor /�� Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address © �� &� Plan Checking Fee&/or Penalty Permit Fee 49111 PLUMBING No. @ FEE PA_ C %/�� YJD D/►/CrJ�" /�� PERMIT FILING FEE $3.00 ,Old Each Trao 1.50 ,67209 -AID Repair drainage or vent piping 1.50 A. P. o. S �i�� 'ming & aHing Water piping 1.50 40 Each gas water heater or vent 1.50 n' ion Fire Dept. FireZone Use Aermit Gas piping system 1 -5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improv ents Each additional outlet .30 Building sewer 5.00 pQ / Bldg. PI rRec'd Parcel Approval Pla s Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ $ �e ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 1,0 Main service 600V OR LESS 100 AMP OR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home j�Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( LING O OR ADDNS. ACCLBLDGSCCUP. 51 22 sq It CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW CONSTR.S,., MULTI.OUT LET 1 NON•R ESID BRANCH CIRCUITS/ 12.50ea NEW CONSTR (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. EX. OCcuo(OUTLETS OR FIXTIIRES 50&25¢ BAL1 Ex. Occu FIXED APPLNS, OR p•(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ® License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. XI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ mss" TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspect' n purposes. x �L Date ignatut f Permitee�or?Agent Receipt No. /? " 6 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisidns of the Butte County Code and/or resolutions to do work indicated above for which fees have been pai . DI R&F BLIC WORKS BYA 1 Date ' ermit expires Date s� -A ,11 utility- connections shall Ve I sated within 4 ft. outside the rear ird section of the mobile home n the left (road) side of the mobile A permit i Owed id U e �ins Mallp IF -A ALST, -7Z ja C- 11�slk 4 J NOTE ------AD Plaferials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a qualify prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the Notional Electrical Code. HL This set of plans and specifications MUST br kept on the job at a!l times and it is unlawfui-c make any changes or alf6rafions on same withoui written permission from the Departnivnt Of Pub- lic Works, County of Butte= MIN The *Oft. Setback shall be 5 ft. from The maxside property line and 50 ft.. frr, the c i - r ncenterline of the road, permil-i'in', entirely rmum of a 2 ft. eave overhang 6uburrme. 0 � out of all easements. � IsT. MINIMUM S4jMOBILES FO .9ep sysfern and IncrWon 1)> 04kam- L Butte TO be as per COU�fy Health Dept. Re- Pkc)-r P' -4'j FOS 4-u-irem-eiifs. t3 P 4 1-,Ilq - 7 9 'q BUTTE COUN I) BUILDING DEPAOTMEN APPROVED. 7 7 r , 01 J� BUILDING DIVW- ION COUNTY OF BUTTE - DEPARTMENT DEVELOPMENT SERVICE 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538- 41 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricuftural building is defined as follows: Agricultural building is a structure d implements, hay, grain, poultry, livestock, or other horticultural products. This habitation or a place of employment where agricultural products are processe place used by the public. PERMIT NO. ,?;V- /SS Yand constructed to house farm re shall not be a place of human ed, or packaged, nor shall it be a ASSESSOR PARCEL NO. � Z S ZONING ,L� / ` 5 OW P O ENO. OW R' A RESS ,D. )XS. 3 Zetrno G(f LOCATION OF BUILDING .2/ L DiZO jo O f7T_ Z5&Sr M 174 0�4-1 USE OF BUILDING rZ��D � SIZE OF STRUCTURE �o J�-�� ��` ' X ✓ SL SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME TEEL CONCRETE OTHER (Specify) TYPE OF SIDING-0 �A/ ROOF C R_ L FLOOR TYPE $STIM C eQAf$TRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: ' - I - 4 FRONT ! "5 SIDES 5 /At -4 *U- 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 co with the requirements in effect at that time and before occupancy. [late1� /. —�� Signature of Owner Permit Fee - S60.00 Receipt No. Or The above describecyAG Building is exempt,from a buildinq permit Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant FL PARCfL P. ROOFS G ISS Date o t_' GOUNTYOF BUTTE - DEPARTMENT OF DEVEWPICANVSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 959651- TELEPHONE (916) 538-7541 yU "l w PERMIT APPLICATION DATA SHEET OWNER r R A. Proposed Building Use Building Inspect 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 . ...................... 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 .:........ ........................... . 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 . ............ A 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). .. .. .. . < Pre4napection requ� 20.,,OPre-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 . ................................ y.... . 32. Plan check list . ....................................................... 33. 34. When you issue the permit, process as follows: Lr` -M- ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage ApplicantC144-- Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. .Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1.1 Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date _ Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works -S SITE PLAN ......_........................................................ ..................... ..................... ................... ..... .._..... .............._........ Assessor's Parcel Number: Owner Name Address/ Phone No. Site Location Contact: Name 0 V/ / /c--, Phone ✓- Oda6r 2' , 2W3 -. FOR OFFICE USE ONLY PROVIDE FOR ALL ADJACENT PARCELS Zoning: SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAN: 4.00" USES.: PLANNING DIVISION BUILDING PLAN APPROVAL Use: _C Date: 6 ........... ...... .................................... .............. Parking: Landscaping: .............:.....:......:......:............. :..................... :.. Otfier:: :.....:....................... . ...... .............. ............ .. .................... ...... ....... .............. ....... .. .. .. .. Assessor's Parcel Number: Owner Name Address/ Phone No. Site Location �g Contact: Name • bp L 0dQbW M, 2D03 ................... . BUILDING PERNIIT #0& ASSESSOR'S PARCEL #_................. ... . ............ .. IV ................. 1 • . ........ ....... :... ................. . AO PP......_..... ............................._............_.............. ,.....:............: FOR OFFICE USE ONLY PROVIDE FOR ALL ADJACENT PARCELS Zoning: S SIZE (AC): General Plan Desig: 49, L fift— ZONING: Size, Acres -7 GEN PLAN: 4.0(r USES: 57,0 - o 6-b _ LIQ Nd�' a 315313 saunnp d idoD 31H ld A; E ar CLI � a t� a � 57,0 - o 6-b _ LIQ Nd�' a 315313 saunnp d idoD 31H