HomeMy WebLinkAbout027-270-009FITA TORRANCE Ae 2'i`27-9O�G—Z L'lZ
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027f270 "009. I � � "J03
B'ENEDICT,&E
95LLEY
' INALED,
78RES ERVIOR,'ORLOVILL, 41, IN
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7027�
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0- { 03-0573
PERMIT NO }.
BENEDICT, KELLEY"
'7995 RESERVIOR, OROVILLE '
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(
f"(2) DECKS` ,w
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SPECIAL CONDITIONS i
CHECKED
BY G
SRA _
V
FLOOD CERTIFICATE REQ. I!
`
FIRE SPRINKLERS REQ. i
SPECIAL INSPECTION ITEMS
v
VERIFY
f
USE PERMIT CONDITIONS
�
SUB -STANDARD HOUSING LETTER
7
i
7
FINALED (Date)
`JOB
i
Y
Signature
J=OK
0 = Vot OK
. = Not Ready NotApplicable
Soils; Compaction -Structure Stability
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Elec.; Receptacles and Lighting, Distance-GFI
1.
Zoning Requirements-Setbacks-Easements
6.
2.
Soils; Special MH Support Sketch
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
3.
Sewer; Location-Test-Fall-C/O-Concrete
9.
4.
Water; Location-Test-Easement Needed (Sketch)
Plumb.; Cir. Test -Water Supply Test
5.
Electricity; Location-Clearances-Grnd-/ /Amp-Concrete
12. Enclosure; Fencing -Alarms
6.
Gas; Location-Test-Wrap;-/ P' L -ft.
/ . P Nat. or/ P' L "ft./ P LPG
Date
7.
Well Clearance & Disconnect
Card B-1 Date Card B-1
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements-Setbacks-Easements
2.
Footings; Size-Spacing-Marriage Line
3.
Gas; MH Test-Demand-Valve-Connector
4.
Electricity; MH Test-Crossovers-Breakers-Clearances
5.
Drain; MH Test-Fall-Flex Connector
6.
Water; MH Test-Regulator-Connector
7.
Water and Sewer Connected-C/O to Grade-HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs-Type-Installation Cert.
10.
Exits; Insp.-Sketch
11. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements-Setbacks-Easements
2.
Footings; Size-Spacing-Marriage Line
3.
Blocking
4.
Gas; MH Test-Demand-Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verifv #'s with Office
Date Card B-1 Date Card B-1
Date . Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS�eO-VERS, CARPORTS, GARAGES (Plans) OK except #'s
3. Decks, Girders and/or
4. Wood Awn.; Posts -Be
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12. Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
= Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL
Date
UNDERFLOOR (Plans) OK except #'s
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
1. Zoning -Setbacks -Easements -Flood -Slope
50.
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
51.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
52.
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
53.
5. Stemwalls, Main; Steel-Blockouts-Wrapped
54.
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
55.
6a. Hold Downs and Special Anchors
56.
7. Slab, Steel -Wrapped
57.
8. Piers -Fireplace Ftg.-Steel
58.
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
59.
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
60.
11. Water Pipe; Test -Anchors -Regulator -Service Test
61.
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
78. Plb.; Elec. & Mech. Equip. Listed for Location
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Date
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
Date
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Date
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All
Insulated Neutral ❑ Yes ❑ No
Comments at Final:
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
(Single & Duplex)
Date FRAMING (Continued)
_ 47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
83. Following Instld./Drive ❑ Yes ❑ No/Walks O Yes ❑ No/Planters ❑ Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
•,,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ®�
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
027-270-009
ZONING
A5
BUILDING PERMIT
OWNER
• nt 533-4794
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS ,UNG ADDRESS
Re
p
1400 7000. OO
9800.00
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
[Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $9800, 0C
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $117.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $76-09
BUILDING ADDRESS
7885 reservoir Rcad 0
Energy Plan Checking Fee $
$
PERMIT FEE $ 91
1-nii
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 2 new decks 1: 10X20/ 1: 20 X 60
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I s I G I WF__
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
a00VOR UE
Main Service zo.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000 of Division 3 of the Business and Professions Code,
( g )
and my license is in full force and effect.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law o,r the following reason:
E( I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO
46.00So
CCU000A
NEW CONST. OWF].I.ING OCCUP.
DWE200ALLING
OR ADDNS. ( a ACC. Bin S.
SO
3.5QFT;
NEW CONST. MULTI.OUTLET
NON•RESID.
97.50
OWER APPARATUS
a SINGLE OUTLET CIR.
Ex. OCCu CUTLET OR FIXTURES
Ex. Occup. oun D Ro .oeA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
it mply with those provisions.
X Date o[-�� '(f >
Signatu o pplicant -ErOwner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and emolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TO AL FEE $
HAZ.
D.
P
SSUE
This permit is hereby issued under the applicable provisi s
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By D to v
&9IT EXPIRES ON
Dale
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR . PINK-INSPEYTPR GOLDEN PLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION• DATA SHEET
OWNER: /P L Re ineC t (i ASSESSOR PARCEL NUMBER n,,), '.1 '76 - 66 I
Proposed Building ell Pu) of KS �2> Counter Technician: 7' Date:
-9 K ��'j
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1.. Plot plans, 3 or 4 sets, signed�y the preparer of the plans.
AQ 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 faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will b
indexed and returned to the plan review line-up when required items are received. j
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ............... -.....................
Letter of intent for non-residential build ings."U.f.t,i.�ta.t.�...
❑ 11. Detached Accessory Building Form filled out by the owner ....................... • .............
❑ 12. Hazardous Material Form............................................................................... _
❑ 13. Other
Remaining items needed to issue the permit. (May require addition7Department
reviewuponreceipt ofilte wing items.)
Fees as shown on the attached Schedule of Fees Due Sheet.......�-'�' ........15Statement of Intent for Non -heated and A/C Buildings..............anitation and plot plan approval from the Environmental Healtin (Tf ov( "3'03
017.'
City of Chico Plumbing permit.......................................................................:
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: .................
❑ 19. Planning approval for (A) Use: D � (B)Parking: . (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ..............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
ki V6. Letter of Signature authorization....................................................................
27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
30. ❑ Grant Deed ❑ M.H. Title/State ent of Facts ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
Li J -P Other:
en issued Te evho e C% Z7 1 ( WjAP a d hold for ni un
I have been informed oft a above items and requirements for obtaining a building permit 1
Applicant: Date:��`'�/
1. Index permit application for the above i bered: %
2. Additional items required
Contractor, designer, r, was advised cf the above ata y phone, i>b1�1
Contractor, designer, owner, was advised of the above data by 11 phone, ❑ mail, ❑
l
Plans reviewed by: M, Date:Y7/0 Plans approved by: _
Structural reviewed by: Date: Structural approved 1
Note transfer by: Date:
Yellow: Buildine Division
Plan Check Letter
r, by Date: _N / p
&te , by Date: �
tZA Date:/L--6
Date:
E.H. USE ONLY
Plot Pian Artsch-d�l-
Floo., Man Atuc:h
Sent to 8.0.3 tE=—,
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Ke—ex2c- oni, 1, OZ7--M
Q�vner Location AP#
Plan Approved for: Sewage Disposal V Water Supply: Public Private Well X.
Clearance for dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Heat fi 9pe 'all t
8/96
4!51,3 -07-03
Date
C Yk
Environmental Health
MAR 6
2 2003
7 COUIIICenter Drive
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ROVED
PLANNING DIVISION- BUILDING PLAN APPROVAL
Use: Data: 1% C) . K— '3 --7—
- -
Pafidng:— Landsmping:
11
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5"9 x a o
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O�Ij 2003-001 9075
Recorded I REC FEE 10.00
TE
Official Records I CONFORM 1.00
CountyOf I
Mil when rccordcd mail to: CANDACE BUTTE T GRUBBS I
Building Division Recorder I
117 County Center Drive ROSEMARY DICKSON I
Orovillc, Ca. 95965 Assistant I Cheryl
02:52PM-26-Mar-2003 I Page 1 of 2
ACRiCULTURAL STATzmENT Or ACHNOWLEDCMENT
FOR RESIDENTTAL DEVELOPMENT
Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The
property described herein is adjaccnt to land or included within nn arca 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 genernic dust, smoke, noise, and odor. Butte County has csLlblislicd
agricultural purposes and residents within said zones and on ndjaccnt 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, ticscribcd as follows:
See. atter'-ham' (e.Sa.P deu2,pfiz�
Date: 3 2 L 3 PRO E TY OWNERS:
State of California )
County of
On beforenie,_ 1-'4A31%C1A 4. (��jT/�� O�OTARy I'IAgL�C-
_
personally appeared A -N fJ Ltbg Y r�e,,j .til CT ucrsonally
known to me (or proved to me on tl►c basis of satisfactory evidence) to be the person(s) whose nanrc(s) is/arc subscribed to the
within instnuncut and to me that he/she/they executed the same in his/her/their authorized capacily(ics), and
that by his/lier/their sign:turc(s) on the instnimcnt, the person(s) or the entity upon behalf of which the person(s) acted,
executed the 'nshvmcut.
WITNESS bund ant ofrci:�l ,eel. .�. CYNTHIA A. COSTA
COMM. # 1279287
UUU NOTARY PUBLIC -CALIFORNIA
Signature 1 COUNTY OF BUTTE
Comm. Expires Oct. 30. 2004 6
A.P.1/ D.:�L'V-
3i Did
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oJcA3l(I �'AH1"(�C
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1�iu+8112,21:
Escrow No, 619436 -JS
Title Order No. 00404470
EXHIBIT ONE
All the surface and 60% of the oil, gas and minerals rights in and to the following described property, -
Lot 3, in Block 147, as shown on that certain Map entitled, "Subdivision No, 3 of the Palermo Citrus Tract", filed in
the Office of the County Recorder of Butte County, California, on January 2, 1889•
Together with a right of way for ditch or pipeline across Lots 2 and 5 in -Block 148 of said Subdivision No. 3 of the
Palermo Citrus Tract.
i.
COUNTY OF BUTTE —s^ DEPARTMENT OF PUBLIC WORKS
7 County Center Drive. — OrsviIle, California 95965
Telephone: 534-4541
T
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Signqture of Permitee or Agent
Date
Receipt No.
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.
DIRECTOR OF PUBLIC WORKS
By
Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address
PLUMBING
No.
@ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.Gas
Zoning & Planning
piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W.C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im r
p ovements
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.1
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more thou 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures @.25
o
Receps., switches & fix outlets5
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:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
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 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
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Signqture of Permitee or Agent
Date
Receipt No.
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.
DIRECTOR OF PUBLIC WORKS
By
Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS � �7
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
Owner
^ SQ. FT. OCC. BUILDING VALUATION
Mailing Address yfr
Tel3hone No.
Contractor
Mailing Address
Telephone No.
Building Address
A. P. No.,..) 7 N- fSZ 8 g
F&es Sanita Fire Dept. Fire Zone Use Permit
EQA Parking Parcel Parcel Ma 60' R/W Im rovements
/ Plans Declaration P P
PlanRecd Parcel Approval Plans Approval
NEW ❑ ADDITION ❑ UTILITIES Cil-- OTHER ❑
Single Family ❑ Duplex ❑ Mobil Home Others ❑
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:
License N
Classification
®1 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-mentioned property for inspection purposes.
IA JAL" 4-4-k� a Date v !/ T3 ,
Siergnature of Permjitee or Agent
Re ipt No. / �-/ ) 0!2
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Fireplace
Total Valuation
Permit Fee
PI an 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 incl. 1 meter
Additional meters, each
Sub -panel (12 or less) (more than l:
Range, Cook -top or Oven
Water Heater or Space Heater
Light fixtures
Receps., switches & fix outlets
Hood, Ex. Fan or F.A. Furn. Motor
Evap. cooler, gar. disp. or D.W.
Air conditioner or heat pump
Water pump
Mobil Home Facilities
Temp. Power Pole
Misc. wiring
FEE
$2.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
Permit Fee $
MECHANICAL No.1 @
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
FEE
TOTAL PERMIT FEE $ gl 100
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.
DIRECTOR OF UBLIC WORKS
BY Date
Building permit expires ate . �� 7J.......
s41.e
7_�
0
SePtIc system art
- =
_i Id -
Butte Count t to be as Pe
quirements...Y Health Dept, Re
shall b0
'' � ectlon5" the rear
ub"ty oO4 f t . ou mob% e h°rr1e
located e t on of the o{ the ,,bx\e
third left lroadl.
a� on the o ,
inorne
%ter ry
BU TE COUNTY
°mss - 3UILD NG DEPARTMENT
rs 19 S_ '
PROVED
- i his set of plans and.
sept on the o specifications MUST Abe
job at all times and it is unlaw
Make -any changes ful to
or alterations
written permisson from the De on same without
Works. County of Butte. partment. of Public
NOTES J RESIDENTIAL -
L ;027-270-009 03-062'PERMITNO.,,ENEDICT, KELLY_
7885 RESERVOIR, PALERMO p`
Cont: FLEETWOOD + i
` NEW MH PERM FND NEW SITE
7
E HCD FORM 433A FOR THIS MH CANNOT BE ,
t RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
,"(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY,'ON
NEW MH'S),
',IT;SPECTOR TO VERIFY'SERIAL'& LABEL #'S:,=
I.
SPECIAL CONDITIONS
E
CHECKED
r BY
1 SRA
FLOOD CERTIFICATE REQ. "
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY = —
OFFICE copy
4 '
Address
''D a5'�
3 _ GAS
} Meter BY
ELECTRIC
'Date
eis Meter By
GAS
Date
Meter By
' ELECTRIC D�
I Meter By
t JOB FINALED
.T
Signature
I
J=OK
0 = Not OK
. = NotReadyable
Card B-1 Date Card B-1
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
1.
Zoning Requirements -Setbacks -Easements
Footings; Size -Spacing -Marriage Line
2.
Soils; Special MH Support Sketch
4.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Electricity; MH Test
4.
Water; Location -Test -Easement Needed (Sketch)
7.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Gas and Electricity Tagged
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or / /" L "ft./ P LPG
7. Well Clearance & Disconnect
8. Utilitv Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1,
Date MOBOME INSTALLATION (Plans) OK except #'s
Zooinq Requirements -Setbacks -Easements
2/Fo Ings; Size -Spacing -Marriage Line
Gas; MH Test -Demand -Valve -Connector
4 Elec ricity; MH Test -Crossovers -Breakers -Clearances
5 rain; MH Test -Fall -Flex Connector
ater; MH Test -Regulator -Connector
Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs-TVPe-Installation Cert.
10. Exits; Ir
11. Cert. of
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking -
4.
Gas; MH Test -Demand -Valve ,
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9. Exits
10.
License Decals
11.
Verifv #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
P F
C 1-7
�3
;S t 3
3
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5'. -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
. Boxes- Enclosures-Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
48.
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
20. Shower Pan; Test, First Floor -Tub Access
51.
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
Garage Fire Protection Framing -RC Channel
23. Fire Sprinkler; Test
53.
Property Line Firewall & Openings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
25. Elec. Receptacles Spacing -Lights & Switches at Doors
57.
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
Shear Walls; Nailing -Bolts
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
61.
31. Range Circle/ /ga Cu or AkOven Circ. / /ga Cu or Al
Insulated Neutral O Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
Insulation -Walls -Ceilings
33. Equip. Clearances Panels-Motors-Mech. Equip.
63.
34. Clothes Closet Light -Shower Light -Spa Light
Date
35. Smoke Detector
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
Smoke Detector
37. Vent Fan, Exhaust above insulation
66.
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Bedroom Exiting
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
70.
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
Fireplace or Stove, Clearance -Hearth
43. Bearing Walls over Girders & Floor Nailing
72. Elec. Outlets at Wood Panel, Int. & Ext.
44. Draft Stop in Walls (rat proof)
73.
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
_
83.
Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No
84.
Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN IVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 -7541
(Rev. 12/96) APPLICATION AND PERMIT
ASSUSJPJdUr6q ZONA 5
/V VVI
BUILDING PERMIT
11 R TELEPHONE
Benedict, Kelly Libbie 533-4794
SO, FT, OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
7895 Reservoir Ro d Pnlprmn CA
1539 R 83 106.00
CONTRACTOR'S NAME
Fleetwood Homes
TELEPHONE
CONTRACTORS MAILING ADDRESS
2243 Feather River Blvd Drovillp CA 95969
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $ 83 106.00
ARCHITECT OR ENGINEER
LICENSE NO.
Flin Fee $ 20.00
Permit Fee 567.50/2 $ 283.75
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 2-3-00
BUILDING ADDRESS
7895 Reservoir Ro
Energy Plan Checking Fee $
$
PERMIT FEE s26, 5
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome XOther
SPECIFY
Each Trap 7.00
-
Solar or heat um water heater 23.00
Water piping 15.00 15.00
Each as water heater or vent 15.00
TYPE OF WORK
hd
New^ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: New MH Perm Fnd new site
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G W @20.00
PERMIT FEE s
ELECTRICAL PERMIT Fling Fee 20.00
Main Service2o0A EO.A RR LESS
OLESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.`J c
License Class -4 Lic. No. / f S I
ttF
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
111 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00 -�
NEW CONST. DWELLING UP. SO
OR ADDNS. ( MNGBLDs. 3.5¢x:
Np R.,..ONSTMULTI.OUTLET @7.50
POWER APPARATus
a SINGLE OUTLET CI R.
Ex. Occup. ourLET OR FocTUREs s,,0 4 "00
.50
FIXI
Ex. Occup. OuriFrs AE�sID) E.. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ > �
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' c mpensation insurance carrier and policy number are:
Carrier( )C�wSCA, U
Policy Number : L JI Ob 6
(The above sections need not be completed ff the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
W0rkeA compensation provisions of section 3700 of the Labor Code, I shall
forth comply a provisions.
.r
X Date �"'�'
Signa ure of Ap nt - ❑ Owner ❑ Contractor ❑ Agent
An OSHA per i is required for excavations over 60" deep and demolition or construction
ht.
of structures over 3 stories in he47&&441
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee s
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAz.
D Es
IM
co
PARC
D su
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate above for which fees have been paid.
Da O«P
PERMIT EXPIRES ON
IDate
ReceiptNo.
WHITE-D.D.S.-B.D. CANAR SSESSO 44K -INSPECTOR A, GOL EN D -APPLICANT I
�Mp ..l!�1: {'ill c . t%wi'Tr.i,., o. r-+.-iwo i n.c,7.�Tq =PT ;
COUNTY OF BUTTE -DEPARTMENT O -DEVELOPMENT SERVICES -BUIL G DIVISION
' 7 County Center Drive, Oro ille, CAr-�94�6'S' Phone (530)538-7541 Fax )538-2140
' PER/MIT APPLIGAnTION ,DATA SHEE
OWNER: _—L–,a �I e ,0 /r/1�h l �1 r1 ASSESSOR PARCEL NUMBER 02��' DG
,/ �
Proposed Building Use:A P(- / m H l :Pi /3i Lid [ I IPG[).S/ bunter Technician: �� Date: �
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
'\ 6 1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans.
y❑ 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 faxes! ,
❑ 5. Energy compliance design and supporting documentation in duplicate.
TA6. Manufactured homes:) Data sheets and installation instructions, (B) Marriage line information,-wFloor Plan,VVFie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The -permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings........................................................ ..
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other /
Remaini items needed to issue the permit. (May require ad 'tion_al n rev' w upon receipt of the following
❑ s as shown on the attached Schedule of Fees Due She ...................................
Statement of Intent for Non -heated and A/C Buildings ........................... ........
Sanitation and plot plan approval from the Environmental Health Dep rtment*'
in I' Col � / b'
17. City of Chico Plumbing permit .........................................
1 California Department of Forestry plan approval paid. Sent by: ... .................
Planning approval for (A) Use: ®< (B)Parking: (C) ar el Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 3. Contractor's license information. (Number, Name Style, Classification) ......................
❑ Worker's Compensation Carrier and Policy Number .............................................
❑ 2 Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
6. Letter of Signature authorization....................................................................
ecorded copy of Agricultural Acknowledgment Statement ....................................
8. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expire .ts. CI ...................................
l.�..,�-.
❑ 30. rant Deed, kJ M.H. Title/ tatement of Facts Letter from Legal Owner, C9'Check to H.C.D. $
❑ 31. Other: CO
When issued Telephone 5.�� – ,�� �� 1 and hold for pickup.
By
of
I have been informed"o the above items and requirements for obtaining a building permit.
Applican� Date:
1. Index permit application for he above ite s n ere Plan Check Letter
2. A ional items re�'re
ontr , design, owner, was advised cfa ov ata by phone, :Ol.mail counter, by Date:
Contractor, designer, owner, was advised the ab ve data by ❑phoney Y,❑ mail,` ❑counter, by Date:
Plans reviewed by: —Date:,3 /7' V PI Date- pioyed by: (� , Date: 3
Structural reviewed by: Date: Structural ap ;owed by: Dater
Note transfer by: Date:
Yellow: Buildine Division
a .7 cam' E.H. USE OW Y
Plot flan Attached D
Root Elan Attached
T—
Sent to 8.0!
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
wner location AP#
Plan Approved for: Sewage Disposal Water S�,.pply: „Public _� Private We
if
Clearance for dwelling. Other lrll
Hold final for:
Final clearance O.K. for:
NOTE: %VAT>Cll' i'Yl4
Environmental Health Specialist
8/96
Date
OWNER
i
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
SCHEDULE OF FEES DUE
PROPOSED BUILDING USE NIMAJ W rT C,�Ef M ±dla /1]�.1�('fe
Z-1 BUILDING PERMIT FEES
Balance Due ....................... $
Additional Fees Due ................. $
Additional Fees Due .......... :...... $
Revised Plan Checking Fee .............$
CHOOL DISTRICT FEES
(paid at District Office) (Available after Plan Check)G�
3. SHERIFF FEES (paid at Building Division)
Residential x $360.00 = $
Units
Commercial (sq. ft'.) ............... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... —x—=$
# Units Amt.
Commercial (sq. ft.) ............. —x_=$
Sq. ft. Amt.
5. RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
A.P.# (1��-"eZrIU'OGcI
DATE 3-5— O 8
RECEIPT # DATE REC.
rtq-5
i
I
i
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during th4lan checktng�rogog9
APPLICANT
DATE 3- S. — e—)3
Pursuant to Government CpkKSection 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project.'fou have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner
(Rev. 6/00)
BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM J
�s /
'(One formpe�'Bullding) _
School District
A.P. Number
Property Owner
Property Location/Ac
Subdivision
Building Department No.
�J Jurisdiction: 0 City County
ro T"
I I D -ODD
a-3 06 -Py
Residential Development
Commercial/Industrial
D
No of Living
Mo ile Home
Units-
Installation
New
Addition
ative
Lot No.
................................................................................................................... adv
Sq. Footage
Addition/ *Supplemental to (Group R)
Conversion Permit #
*(No foundation inspection)v
r
(Floor Plans reviewed by School District
District Identification No. 0:30118
;tWv Ale, Uju
M T11 School District certifies that
5C�10 I �
(Street Address)
i"•
(City)
�.. has complied with the requirements of Resolution No.
slrepr�senting ,) liV square feet.
School District Representative
Paid by Check #_ 1�'y
I
Sq. Footage
(Including Exterior
Roofed Areas)
Date
I
„ A r
(Applicant)
5733 —1/79(/
(Phone Number)
(State) (Zip Code)
lb5-y9 p
by payment of $
AB 2926 S
FULL 1 GATION S
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm
P
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IBB
COUNTY
B-7-8-2003
" EVEL-O-'-T
SERVICES
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COPY of Document Recorded
` 26 -Mar -2003 2003-0019075
Has not been compared with
original
BUTTE COUNTY RECORDER
And when recorded mail to:
Building Division
1!7 County Center Drive
Orovillc, Ca. 95965
ACRICULTURAL STATEMENT Or ACKNOWLEDGMENT
FOR RF,S1Di;N'ml. DEVELOPMENT
Section 26-8 of the Butte County Code requires this acknowledgment to be recorcled prior to issuance of n building permit. The
property described herein is adjacent to land or included within nn arca zoned Cor agricultural purposes, and residents of this
1 property may be subject to inconveniences or discomfort front the use of agricultural chemicals, including, but not limited to
herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including; but not limitcd to cultivation,
plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butic County has cstsblisllcd
agricultural purposes and residents within said zones and on adjacent properly should be prepared to accept such inconvenience or
discomfort from normal, necessary faun operations.
All that real property situate in the County of Bultc, Slate of California, described as follows:
� �� � fes✓ ,�; ,�ci G;'� .! �-�!� � �,� � ` �; �:
f
Date: PRO /CRTY 04VNCRS:
P
State of California )
County of
Oil beforelnt',--
personally appeared l�El ly fJ�lv`� ("1 Iry J) lt'K�,vt 1Vl C Personally
known to me (or proved Un me on the imsis of s.ltfsfactury evidence) to be the person(s) whose n:unc(s) is/arc subscribed to the
within iushautcut and acl:nowIcd."ed to 'Ile that he/she/they executed the same in his/hcrAlicir authorized capacity(ics), and
that by lus/hcr/their signanuc(s) un the instl•lfmcnt, the person(s) or' the entity upon behalf of which the person(s) acted,
executed the listruntcnt.
WITNESS y h:uul :llu uffieial seal.
s CYNTHIA A. COSTA
EVV E.'01A:i RIO?•_'C + BLit t3RfJ1
Signature lC F f'•!�t.arr�s n;- n... -.w
1
Escrow No. 61 S426 -JS
Tit1a Ordaz No. 00404470
EXHIBIT ONE
All the surface and 60% of the oil, gas and minerals rights in and to the following described property:
Lot 3, in Block 147, as shown on that certain Map entitled, "Subdivision No, 3 of the Palermo Citrus Tract", filed in
the Office of the County Recorder of Butte County, California, on January 2, 18M
Together with a right of way for ditch or pipeline across Lots 2 and 5 in -Block 148 of said Subdivision No. 3 of the
Palermo Citrus Tract.
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NOTE:
by C.D.F. 7
See the attached
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APPROVED
Butte County
vironment 'Health
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APPROVED
Butte County
vironment 'Health
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, .�' . ...- ������ ..�'�...3�' ..... �- ��_ ., s..�', :mss. :°',�... ��� �:'. � � �� r✓.... '� �� }� h.�,J.. ,4: .."t �� �� �e� .a���W
Exterior
•
Fiber *cement siding built to resist weather damage
• 2" x 4" exterior wall construction provides a sturdy
frame
• Transverse floors with 2" x 6" floor joists for better
support
• Class "A" fire -rated, composition shingle roof for long-
lasting, low maintenance performance
• Vented roof cavity allows hot air and condensation to
exhaust for improved energy efficiency
• Inswing front entry door with deadbolt, peephole and
brass knocker for your family's safety
• Inswing rear door with deadbolt and window add
natural light
• Low -E coated dual paned vinyl framed windows for
better energy efficiency
• Porch lights at front and rear entries for your safety
Interior
• W drywall tape and texture in all areas (excluding
closets) adds style to your interior
• Standard 16 oz. carpet in all living and bedroom
areas for high performance and low maintenance
- 100% nylon to prevent fuzzing and shedding
- Multi -colored dye technique minimizes tracking
and spotting
- Treated with StainTechl for easy cleaning .
Glass ceiling fixtures brighten your home's interior
• Vaulted ceiling throughout provides an open look
and feel
• White lined overhead cabinets for easy maintenance
• Ash arched top wood cabinet doors add quality and
natural beauty to your kitchen and bathrooms
• Metal mini -'blinds in living and bedroom areas for
your privacy
• Hollow core closet doors are durable and provide
convenient access
Baths
• Easy -care laminate countertop with hand laid, 4"
ceramic tile backsplash provides attractive color
accent
• Recessed medicine cabinet provides convenient
storage space in each bath
• Master bath has a large one-piece oval tub/shower
for a relaxing bath or.convenient shower
• Guest bath has a one-piece 60" fiberglass
tub/shower comfortable molded design and easy _.
maintenance
• Ceiling exhaust fan provides extra ventilation in each
bath
• Moen® metal single lever shower faucets - "Buy it for
looks. Buy it for life:" -
• Moen® 4" metal dual lever faucets - "Buy it for looks.
Buy it for life:""
• Bank of three drawers in the master bath for handy
storage
• Extra large vanity mirrors with Hollywood lights in
both bathrooms provide an expansive viewing area
Kitchen
•' Whirlpool® appliances provide confidence and
hassle -free service
- 30" free-standing gas range
- 14 cubic foot frost -free refrigerator
• Moen® metal single -lever metal faucet - "Buy it for
looks. Buy it for life:'"'
• Bank of 4 drawers provides convenient storage for
your utensils
Double cell porcelain sink adds flexibility in kitchen
activities
• Congoleum® no -wax, vinyl flooring for easy care
• Elegant crown molding provides a finishing touch to
overhead cabinets
• Choice selection of 4" ceramic tile backsplash
provides attractive color accent
Wood self -edge provides a finished look
• Two pull-out pot and pan drawers provide easy roll
out storage convenience
Utility, Safety and
Energy Features
Smoke detector(s) and built-in interior 100 AMP
panel box for your safety and easy access
Shut-off valves at all plumbing fixtures for your
convenience
Overhead utility shelf for added storage space
Note that square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is
floor length only. Renderings 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. Ask your retailer for specifics. (Add four feet to arrive at
transportable length.)
PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION.
® 01996
• Zone II insulation package for energy efficiency,
includes: white vinyl framed, dual -paned windows,
R-22 ceiling, R-11 wall, R-11 floor
• 30 gallon gas water heater is efficient and requires
low maintenance
• Coleman® gas furnace provides name brand
confidence and hassle -free service
• Plumb/wire for washer and dryer provides convenient
hook up
Optional Features
• Dishwasher and garbage disposal for quick and
easy kitchen clean-up
• Skylights of various sizes brighten any room'
• Refrigerator and range upgrades meet your culinary
needs
• Deluxe carpet selections for increased performance
and beauty
• %" rebond carpet pad extends the life of your carpet
• Ceiling fan circulates air for a "spring breeze" feeling
all year long
• Rounded sheet rock corners in living areas soften
your decor
• Beautiful ash cabinet system with recessed panel
arched top doors, ash face frames and adjustable
overhead shelving add value and quality
• Overhead utility cabinets expand your storage space
• Recessed fluorescent lights give your kitchen a
contemporary look
• Sliding glass exterior door welcomes more natural
light into your home
• 40 gallon gas water heaters provide more hot water
for your family's needs
• Zone III insulation package to meet the needs of the
climate where you live, includes: 2" x 6" exterior walls
with R-33 ceiling, R-19 wall, R-22 floor insulation
FLEE71/ i D
wf ,
FLEETWOOD HOMES of CALIFORNIAnmic.
a subsidiary of Fleetwood Enterprise's, Inc.
18 N. Pioneer Avenue
Woodland, CA 95776.
(530) 662-3223 SU/17/0CT02 .A
1. Owner's Name:�.�tie-(J (� r
i
2. Assessor's Parcel Number: 0�2_4 -J40 'Do 9
3. Installer's Name:
4. Is the site currently under permit? Yes[,-P'No[ ] Permit No.
4
5. Is the site an existing site? Yes[i7 \iso[ ] (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome? /66 Amperes.
7. What is the mobilehome site circuit breaker rating?__4t��Amperes.
8. What is the electrical rating of the mobilehome site? 1 6 . Amperes.
9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is
the rating? �� 6; Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size:
a) The mobile home site:
Load- Amperes -
b) The main service:
Load- Amperes -
11. Type of gas service at mobilehome site: Natural[ ] Propane[ '"None[ ]
12. Size of gas pipe at the mobilehome site from the meter or
tank: -3 inches.
13. What is the gas pipe length from the meter or tank to the mobilehome? 2�(&).
14. What is the mobilehome gas demand? I B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
sum COM
ry
May 1995
M.H.I.- 2
Mobilehome Manufacturer: j Manufacture Year: �c�o
If other than single wide, furnish Setup Model Number:
Width: �2117 (ft.) Length: �, U (ft.) Tagalong or Expando Size (ft.) x (ft.)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade>jr]'Other:
SUPPORTS: Concrete blockkj Other:
Provide Tie Down Specifications for all Mobilehomes:
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1 1
Line 2 Line 2
................................................................................................
Main Beams
Line 2 e 2
Line 1 Line 3
Line 2
................................................................................................
Main Beams
Line 2
................................................................................................ Line 1
eS
Tag or p1e ine 4
' el
Line 1 Piers:
Size minimum: c�-i`i xra,41.
Spacing maximum: I <e ` d 1 `
From ends -maximum: `
Line 2 Piers:
Size minimum: I a x -Q4 ].
Spacing maximum: Iv `
From ends -maximum: `
pe0J#
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
Line 1 Openings
Size minimum: [ ] x [ ].
Each side of openings
with width over: `
Line 4 Piers:
Size minimum: x
Spacing maximum: `
From ends -maximum: `
1 6-0Ib�-io+f 33r-9�+ y� ��.+ �: �n
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OVER FP ARTME.U7,
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T)This floor pion may be built as an
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96' Shear -dl
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m
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CDF FIRE SAFE REQUIREMENTS
LT—
AP# PERMIT ## NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
[P 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other apparteaant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing.up to 40,000
pounds.
�3 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
1. No roadway shall have a horizontal inside radius of
curvature -of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
`ry 2. The length of vertical -curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
cli 1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
[�} 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
[�9 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of - 3
ti
2-7- 2'7 - Oc� 0 3 -06 2 �_ I -,o
AP # PERMIT # N E
[VT 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
/ 1. Gate entrances shall be at least two feet wider than
/ the roadway it serves.
2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[ ] 1. All parQels 1 acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from 411 property lines and/or the center
of the road.
2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
[�CJ 1276.02 Disposal of Vegetation and Fuels. Disposal; including
chipping, burying, burning or removal to a'landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction )r fi_cal inspection of a building
permit.
Page 2 of 3
ti
AP # PERMIT # NAME.
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
[ ]
If Build Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 10k of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
[J
Date Signature
Page 3 of 3
f ✓
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
22 -Play -2003 2003-0033172
Has not been compared vith
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONIX
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 descnbed
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.
KELLY BENEDICT AND LIBBY BENEDICT
REAL PROPERTY OWNER/LESSOR
7885 RESERVOIR ROAD
MAILING ADDRESS
OROVILLE, BUTTE, CA 95966
CITY SAME COUNTY STATE ZIP
SAME
INSTALLATION MAnJNG ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME-)
MAILING ADDRESS
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERM[T and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
03-0625 530 538-7541
BP;INO*
HONE NUMBER
05/21/03
F LOCAL AGHN DATE
FLEETWOOD S
DEALER NAME (if not a dealer sale, write "NONE")
92081
DEALER LICENSE NO.
FLEETWOOD HOMES 2003 SUNCREST
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
CAFL317A/B26543-SC13 63'X13'& 61'7"X13' PFS0808043/4
SERIAL NUMBERISI
RRALPROP RTY t_D - CR1PTTnx ASSESSORS PARCEL NUMBER #027-270-009
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
wcTrrF _ rn.... R.rn.4— r A W .. V vrn - . _.:___. , n. .
FOUNDATI.ON SYSTEM'.-
"CERTIFICATE
YSTEM . CERTIFICATE OF OCCUPANCY
BUILDING PERMIT NUMBER: 03-0625
Address or location of unit: 7885 RESERVIOR ROAD, OROVILLE, CA 95966
Legal Description of Real Property: A.P # 027-270-009
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: KELLY & LIBBY BENEDICT
Owner's address: 7885 RESERVIOR RD., OROVILLE, CA 95966
INSIGNIA OR HUD NUMBER: PFS0808043/4
SERIAL NUMBER OR V.I.N.: CAFL317A/B26543-SC13
MANUFACTURER'S NAME: FLEETWOOD YE • 2003
OFFICIAL APPROVING INSTALLATION:
izL 4�p
DATE: 05/21/03 ff/1
PHONE: (530) 538-7541
H.C.D. 513C
,
LEGAL DESCRIPTION
A.P.# 027-270-009
All that certain real property situate in the County of Butte, State of California, described as follows:
Lot 3, in Block 147, as shown on that certain Map entitled, "SUBDIVISION NO. 3 OF THE
PALERMO CITRUS TRACT" filed in the Office of the County Recorder of Butte County,
California, on January 2, 1889.
Together with a right of way for ditch or pipeline across Lots 2 and 5 in Block 148 of said
Subdivision No. 3 of the Palermo Citrus Tract
- - — -- WJ UU4
RECORDING REQUESTED BY: 10 Q) 1 7 1a9
Rdplity National Title Company ltecsmfe,i 1 RFL
Title > 43.00
Escrow No. 4044 Official Recor6s 1 IAX 55.O
G[der No.
004044 070 Co OF OF I
When Recorded Mal Document BW - 1
and Tax Statement To: CANOACE J. CIIiJB&; t
Recorder I
Mr. and Mrs. Kelly Benedict ROSBARY DICKSON 1
7885 Reservoir Road 01:1Ak5i 0<a� I sant Pathy of 3
Oroville, CA 95966 9
GRANT DEED SPACE ABOVE THIS UNE FOR RECORDER'S USE
The undersigned grantor(s) declares)
Documentary transfer tax is * a (,�)
I X 1 computed on full value of property conveyed, or
i 1 computed on full value less value of liens or encumbrances remaining at time of sale,
I X 1 Unincorporated Area—6i#y-94 GroWile dC,
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Juanita G. Torrance, An J�
Unmarried Woman
hereby GRANT(S) to Kelly Benedict and Libby Benedict, Husband and Wife as Joint Tenants
the following described real property In the City of Oroville
County of Butte, State of Californias
SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF
DATED: March 29, 2002
STATE OF Arizona •
COUNTY OF ,gg�Pjq/moi,. A � lV
ON CMZ„_„ before me, � Juanita G. Torrance
�.�p� personally appeared
vp U*"r_'4 5 E
7-1
personally known to me (or proved to me on the basis
of satisfactory evidence) to be the parson(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 capacityGes), and that
by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
Witness my han_4-l7d official seal
LZIFFICIAL SEAL
00GLAS E. HASTIN S
NOTARY PUBLIC -ARIZONA
MARICOPA COUNTY
Y Comm. Exp. Sep. 3o MAN
FD -213 (Rev 7/98)
Ir
TAX STATEMENTS AS DIRECTED ABOVE
GRANT DEED.
Description: Butte, CA Document-Year.DoclD 2002.97969 Page: 9 of
Order. miranda Comment:
I
--• —� �� av yr •ai.. VVV VI 1 VYYJ
Escrow No. 619426 -JS
Title Order No, 00404470
EXHIBIT. ONE
All the surface and 60% of the oil, gas and minerals rights in and to the following described property:
Lot 3, in Block 147, as shown on that certain Map entitled, "Subdivision No. 3 of the Palermo Citrus Tract filed in
the Office of the County Recorder of Butte County, California, on January 2, 1889.
Together with a right of way for ditch or pipeline across Lots 2 and 5 in -Block 148 of said Subdivislon No. 3 of the
Palermo Citrus Tract.
WJUU5
Description: Butte, CA Document-Year.Doc/D 2002.97169 Page: 2 of 3
Order: miranda Comment.
16 C ,
STATE OF CALIFORNIA
BUSINESS, TRANSPORTATION AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
REGISTRATION AND. TITLING PROGRAM
STATEMENT OF FACTS
This unit is a: �WMobilehome 0 Commercial Coach 0 Floating Home 0 Truck Camper
Decal (License) No.(s)
Trade Name l
-qQ "�, o d
Serial No.(s)
I/We, the undersigned, hereby state:
P'j d -y"- frn dLc
70
I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State
of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of
the above-described unit in California, or from issuance of a California certificate of title covering the same.
I/We certify under penalty.of perjury that the foregoing is true and correct.
Executed
Signature(s
Printed name(s)
Address
City. Stat 1
T-T/'R1 A'74 4 /D=1,1 0 /0 1
r
( te)
i
' 'rNSTATE OF CALIFORNIA
BU5INESS. TRANSPORTATION AND HOUSING AGENCY NUMBER;
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Q `7 � �.�
' ® DIVISION OF CODEQ / S AND STANDARDS Q
'9 •g MANUFACTURED HOUSING PROGRAM
MANUFACTURER
rA^TURER CER ! IFICA 0 E OF ORIGIN
F-13 CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO.
M ACTUREO HOM OR MULTI UNIT MANUFA .Yt IREn HOUSING
❑ SFD (SINGLE FAMILY DWELLING) ❑UMH (MULTI -UNIT MANUFACTURED HOUSING NUMBER OF 8
M TRANSPORTABLE SECTIONS
COMMERCIAL COACH:
OCCUPANCY GROUP
ANUFACTURER NAME:
FLEETWOOD $6168S OF CALIFORNI)k, INC. MANUFACTURER LICENSE NUMBER:
9534
WOODI.mm
rv^va f.nme: • • • • MC OEL'NAME At
SUNCitEST
56038
IDBA; FIIB12WOOD HOMES OF OROVILLE
-FLEETWOOD RETAIL CORP
rmm
2150 ?TEST 118TH ST SUITE 300
SECTION MANUFACTURER SERIAL NUMBER
41-6
1 CAFL317A26543-SC13
2 CAFL317B26543-SC13
BIArjsPVR,g VjpORT
TRANSPORTER ADDRESS:
P-0- BOX 179
(SVeeq
DESTINATION FOR UNIT DESCRIBED ABOVE:
CA, 95776
OR NUMBER;• "•
1003
CALIF. OEALER NUMBER OR
TRANSFEREE OESIGNATION:
1061581
OROVILLE
HOUSTON
NCO INSIGNIA OR HUD LABEL NUMBER
PPSOB00043
PFS0808044
DURg2M
CA
05/07/2003
DATE OF TRANSFER:
05/07/2003
CA 95965
TX
LENGTH
(INCHES
T
756
740
Zia) 77008
95938
I Canty Undw pvnmy of pefjury under 111e towg of Blg St" of Calif0MIa Inn the 600ve tete w0 UM a" Cb Cq.-
05/07/2003 WOODIJWD
Executed an05/07/2003
YOLO
toele> tray) CA
(County) (Stere)
SIGNATURE OF AUTHORIikO AGENT.
O19�T IBUTION; ORIGINAL (PINK) FORWARD THE INVENTORY CREDITOR. UNLESS THERE IS NONE. THEN FORWARD TO THE PURCHASER DEALER OR Yp 5FER
COPY 1 (WHITE) FORWARD THE DEPARTMENT AT P.O. BOK 1028. SACRAMENTO. CA 95812.1028, WITHIN FI ( EE).
COPY 21YELLCM011• 'DELNEA 7 rNE T-P-VGPCRTER TO ACCOMP.ANTJ7HEUN[TJO1Tg0ESTINAT10N _ • ,_• (5) DAYS OF RELEASE.
urn •av n .__ , COPY 3 (GOLDENROD) TO BE RETAIN�0 BY TME MANUFACTURE0.
7nn/7nnM vn TTIT AAV^ nnnu T""".T anon inn non vvr na .. nn.. n ,.-,
WIDTH
WEIGHT
INCHES)
(POUNDS'
156
24.720
156
21_6;'5n
95938
I Canty Undw pvnmy of pefjury under 111e towg of Blg St" of Calif0MIa Inn the 600ve tete w0 UM a" Cb Cq.-
05/07/2003 WOODIJWD
Executed an05/07/2003
YOLO
toele> tray) CA
(County) (Stere)
SIGNATURE OF AUTHORIikO AGENT.
O19�T IBUTION; ORIGINAL (PINK) FORWARD THE INVENTORY CREDITOR. UNLESS THERE IS NONE. THEN FORWARD TO THE PURCHASER DEALER OR Yp 5FER
COPY 1 (WHITE) FORWARD THE DEPARTMENT AT P.O. BOK 1028. SACRAMENTO. CA 95812.1028, WITHIN FI ( EE).
COPY 21YELLCM011• 'DELNEA 7 rNE T-P-VGPCRTER TO ACCOMP.ANTJ7HEUN[TJO1Tg0ESTINAT10N _ • ,_• (5) DAYS OF RELEASE.
urn •av n .__ , COPY 3 (GOLDENROD) TO BE RETAIN�0 BY TME MANUFACTURE0.
7nn/7nnM vn TTIT AAV^ nnnu T""".T anon inn non vvr na .. nn.. n ,.-,
MARRIAGE LIME SUPPOFTS
AS 3PECIFIED,BY HOLE STANDARD VERTICAL
MANUFACTURER SUPPORT PIERS
SPECIFIED BY HOME
MANUFACTURER
OUTLINR Of
01iroAcV.
n
n
n
u
QTS
ea
i�
ss
ss
STD PIPE
4 INCH, SHORT TUBE
9 INCH ,ONG TUBE
4 - 3/8' BOLTS
14 INCH EX -TONG TUBE
h
h
Rf
h
IN-LRS
(15 FT -LBS) TOROUS
3' MIN'IN TO CLAMP
T
W)
L3//IPLATE
AMP
3/4• THREADED ROD
IBASE
NCH SM�L
11.3 (NCH REGULAR
n
h
h
n
ii
q��q
t
y
u
u
a
a
a
5/l6' PLATE
SEISMIC PIER
Not to scale
C.P. SEISMIC PIER#1-PATENT #5595366
�S
E -; 3/0' x 1' BOLTS
FIELD DRILL HOLES
i OPTION OF
4 - 114 TEX STS
COACH C
u
u
u
u
24', 26', 28'. OR 32' -
PLAN
DOUBLE WIDE MOBILE COACH
B]OSIBC
& FOUND
OUT1ms
OF MOBILE
COACH
L---12•, 14', OR IS -
PLAN
SINGLE HIDE MOBILE COACH
Scale: 1' - 10'
COACH I BEAM .. .
r x r PLATE
e'
44IIA
QTS
r
MAX HT ABOVE CLAMP
STD PIPE
4 INCH, SHORT TUBE
9 INCH ,ONG TUBE
4 - 3/8' BOLTS
14 INCH EX -TONG TUBE
TIIGHTE14 TO
TUBE ;MUST�EXT'd(C
- a O
IN-LRS
(15 FT -LBS) TOROUS
3' MIN'IN TO CLAMP
T
W)
L3//IPLATE
AMP
3/4• THREADED ROD
IBASE
NCH SM�L
11.3 (NCH REGULAR
3/16' PLATE LEGS
18.3 INCH EXTRA LARGE
TYP OF 4
BOLT
t
y
5/9'. X
WITH HARD WASHER
4
5/l6' PLATE
SEISMIC PIER
Not to scale
C.P. SEISMIC PIER#1-PATENT #5595366
�S
E -; 3/0' x 1' BOLTS
FIELD DRILL HOLES
i OPTION OF
4 - 114 TEX STS
COACH C
1�
OR J BEAM
1/i xP'x4
3' x 3•
ANGLE 3' VIDE
PLATE
1
4 -71/2'
SEISMIC
BOLTS
a �
MER
TYPICAL BEAM CONNECTION
�� t1 Not to Scale
12 `SO IN OVERSIZE FOR CHIPPING
SND OR CORNER BREAKAGE
L- 36 1/c"
S
r
5/9' lj,/ ES!:LANGEEL
ANCHOR INSERTT
n
1'
4x4 -4x4 VVF
1.
r
PRECAST FOUNDATION PAD
t Not to scute
•i
31yx32'x3/4'
PLYVOOI
HOLES FOR
1/2" x 2 1/2• C.B.
18'x24•x3/4•
PLYWOOD
3/4' PLYWOOD SHEETS
SCREWED TOGETHER WITH
9 08 x 1 L/2• FHWS
GWNEFIAL aU:o s:
REFERENCLCALIFORNIA CODE' OF REGULATIONS, TITLE 26 AND U.B.C. 1994 EDITION.
COACH SIZE OR 0
SINGLE TIMES 30 Ps/ 40 Pa[ 0 M B 4
DOUBLE WMES 30 Paf 40 Ps T M B 4
TRIPLE WMES 30 Psf 40 Pat M B 4
2. THE DESIGN LOADS SHALL BE CONSISTENT WITH ROOF LIVE [AAD, WIND LOAD AND
SEISMIC ZONE AS ESTABLISHED FOR PERMANENT BUILDING WITHIN A SPECIFIG1 LOCAL
AREA.
3. THIS PLAN IS CONSIDERED To CONSTITUTE A FOUNDATION SYSTEM.
4. ALL SOIL OOO'TQNGS ARE DESIGNED FARE TO BE OR D1000 PPSSF TOTAL LOAD SO PRESSURE
ED
AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS.
6. STRUCTURAL STEM'
a. SHALL CONFORM TO ASTM A36
cSHBDCIZ lS3At4MO
ONS.
. LL E WELDED ACCORDING TO ASPECIFICATIONS:
1. ELECTRODES: E70
11. PLATES: ASTM A3
11LBOLTS: STAND ASTM A307
iv. THREADED ROD: COLD DRAWN LOW CARBON WELDABLE
d. ALL �ETAL CO1�NDENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE
S. 'OHS PVED IIERRO SUPPORT LV�MBI�S SHALL BE COATED WITH SHERMAN WILLIAMS E61 -RC2
7.
CONSULTING C.P. SEISMIC ICSI FOR US= AND
:.AB ZD BY CERTIFIED TESTING, AND
TC
e. LATERAL 1700 LBS. ULTIrATE LOAD
b. VERTICAL 13000 ULTIMATE pL LO,AAD
8. THIS FOUNDATION- OUNDATIOLONGITUDIIN- RO SYSTEM IS MANUFACTURED BUILDINGS CONSTRUCTED
9. THIS FOUNDATIONp SYSTEM PLAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVgL
SITE WITH NO EXISTING SOIL PROBLEMS, IF SETTLEMENT OCCURS DUE TO POOR SOIL,
SEE NOTE 11.
10. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR
THE LOAD AS SHOWN IN THE MOBILE HOME INSTALLATION INSTRUCTIONS.
11. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D j.) CAN OCCUR, MANUFACTURED HOMES
SHALL. BE READJUSTED WHEN D.S. HOME,DS 1/4 . OR WHEN IT TTI]. ADVERSELY AFFECT
THE USE OF THE MANUFACTURED
12. �ARDOFOOTING
ANURINN AR s
ISATIN MMAL UTMANUFACTURE" INSTALLATION
SPACING OF STANDARD.PIER4 AND PAD SUPPORTS TO BE DETERMINED BY
STATE MOBILE HOMES PARK ACT.
13. THIS SYSTEM IS ADAPTABLE p(TH HOLLOW MASONRY BLACK PLERS.
FOCNDATION PAD. NOTES:
I. THE FOUNDATION PAD SHOWN 04 THIS PLAN IS A PRECAST CONCRETE FOUNDATION PAD
THE PLYWOOD r)UNDATIOP PAIL !LAY BE USED AS AN !-LTERNATE.
2. FOUNDA77ON PADS SHALL BE PLHCED ON LEVEL. UNDISTURBED SOIL.
3. CONCI ETE FOUNDAEON PAD
A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARL17E WEIGHT CONCRETE.
B. PREFERRED PAD ORIENTATION WHERE EVER POSSIBLE IS THAT THE LONG DIMENSION
OF THE PAD BE PERPENDICULAR TO THE COACH BEAM (AS SHOWN ON THE PLAN).
C. WHERE FIELD CONDITIONS REQUIRE PAD ROTATION, NO MORE THAN HALF OF THE
PADS ID A TRAVERSE LINE CAN BE ROTATED SO THAT THE LONG DIMENSION
OF THE PADS ARE PARALLEL To THE COACH BEAM.
4, PRYQQITRR rrzs.TRn FOUNDATION PAD
A. 3/4 INCH A.P.A. 48/24 EXTERIOR P.S.I.-83 CC. PLUGGED. NER-QA397,PRP-108.
COACH SIZE NOTES:
1. MAXIMUM LENGTH OF SINGLE WIDE COACH 68 FEET.
2. MAXIMUM LENGTH OF DOUBLE WIDE COACH 70 FEET.
3. MAXIMUM LENGTH OF TRIPLE WME COACH 70 FEET.
4. UNLESS APPROVED BY THARP & ASSOC.. FLOOR TO RIDGE HEIGHT NOT TO EXCEED
A. 8 FEET FOR SINGLE WIDE COACHES.
B. 10 FEET FOR 20 FEET DOUBLE WIDE COAC-M.
C. 12 FEET FOR 24'. 26', 28' & 32' DOUBLE WIDES R ALL TRIPLE WIDE COACHES
6. FOR TRINE WIDE COACHES. FOLLOW SAME PLACEMENT PATTERN AS ASHOWN ON THE
DOUBLE WIDE MOBILE COACH PIAN: '
6. FOR ANY COACH SIZE OTHER THAN AS SHOWN ON THIS PLAN OR REFERENCED ABOVE.
LAYOUT SHALL BE REVIEWED AND APPROVED IFY THARP A ASSOC., INC.
Op3 -0625woemEnomp .
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AM70MLD00 MOI AUTI/D[O1L Ott AMtaBAR � �1 4Y
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