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027-300-028
;■ 027-30-0-028 98-1761-PE(MH) PAYNE, Hilda 2621 Ludlum Ave, Palermo (uti11MH)/::/4yG Z�g/9y ELECTRIC GAS COMPACTION TEST REQ SUPPORT STRUCTURE REQ "027-30-0-028 98-1762 MHI { PAYNE, Hilda 2621 Ludlum Ave, Palermo (MHI/98-1761) F// -Z- 1414/99. 027-300-028 PERMIT#98-2892 PAYNE, Hilda 2621 Ludlum Ave., Palermo Cov PorcQMH o�/og�9 furor& -7 M:2021 02:7-�o0-02q, Tdwell,Larc,y G. F%Mar91e 2(92) Udlum Awe. NittIr"P New M N, Wpm Ind (ID2(vAP(Llter" C0Nw: frudom tlorres bob -ZD o 02-7-30-09,t Tcdwell,Larry 5, � Margie 2-621 Ludlum A*: Palermo DZmo..Etc.D?N.CS�nn�.cd�, Loft: Freedom tomes 7-30-0-028 2621 LUDLUM AVE, PALERMO ADMINISTRATIVE PERMIT 99-01 TEMP SECOND DWLLING r i 1 . 3 i L BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD MUST BE`ON JOB SITE 24 Hour Inspection Line (IVR) :(530) 538-4365 Office: (530) 538-7541 Fax: (530) 538-2140 Website for Online Permits/Renewal Payments: www.buttecounty.net/dds Permit No: B08-2030 - Issued: 10/03/2008 Address: 2621 LUDLUM AVE Area: PALERMO Owner: TIDWELL, LARRY G. & MARGIA Applicant: FREEDOM HOMES Permit Type: Demolition APN: 027-300-028 Description: DEMO EX MH Flood'Zone: None SRA Area: No SETBACKS for Zoning. AG. SRA. PW Front: Ultimate R/W from CL: Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road:+ ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Finals Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Ins ection Type I IVR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 -rroJeci rural 1s IS %,cnmcaic o1 occupancy for krnc51Uc11ua1 v111y) PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2621 LUDLUM AVE Owner: Permit No: B08-2030 APN: 027-300-028 TIDWELL, LARRY G. & MARGI Issued Date: 10/03/2008 By KCG Permit type: MISCELLANEOUS 2621 LUDLUM AVENUE Subtype: Demolition PALERMO, CA 95968 Expiration Date: 10/03/2009 Description: DEMO EX MH (530) 533-9031 Occupancy: Zoning: U Contractor Applicant: Square Footage: FREEDOM HOMES FREEDOM HOMES Building Garage Remdl/Addn 2243 FEATHER RIVER BLVD 2243 FEATHER RIVER BLVD OROVILLE, CA 95965 OROVILLE, CA 95965 Other Porch/Patio Total (530) 532-3301 (530) 532-3301 FEE INFORMATION DBMSC Demolition $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8754 XICENSED;CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License FREEDOM HOMES 839031 / B / 05/31/2010 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/03/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ 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 :WORKERS'. COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Conlractofs License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: XL Specialty Insuranpolicy Number: RWD9435192 Exp. Date:07/01/2009 Contractor's License Law.). (This section nee not a competed if the permit is oris or on�ndred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to became subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 10/03/200$ compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 10/03/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused o,o arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) t is the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property ownefs behalf. CONSTRUCTION LENDING AGENCY 10/03/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR:Agent for Owner Agent for Contractor INSPECTOR COPY Lenders Address City State Zip BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line (IVR) : (530) 538-4365 Office: (530) 538-7541 Fax: (530) 538-2140 Website for Online Permits/Renewal Pavments: www.buttecounty.net/dds Permit No: B08-2029 Issued: 10/28/2008 Address: 2621 LUDLUM AVE Area: PALERMO Owner: TIDWELL, LARRY Applicant: FREEDOM HOMES Permit Type: SFD-Mobile Home PFS APN: 027-300-082 Description: NEW MH, PERM FND (1026) REPLACEME Flood Zone: None SRA Area: No SETBACKS for Zonine. AG. SRA. PW Front: 20 Ultimate R/W from CL: 30 Rear: 10 SRA: Side: 10 AG: Other: Total Setback from Centerline of Road:20+30 ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 ShearwallB.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Buil mg Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 i Finals Inspection T pe I IVR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 Sewer District Final Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks ' 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 IZS if/aft Tiedown/Foundation System 611 95 1. ? Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 05, It/-r/,c7 Continuity Test 602 Zj it -7 p Skirting/Steps/Landings 610 ot Coach Info Manufactures Name: LIE �'i�J OOG Date of Manufacture: I et 11,0 v Model Name/Number CA FL -9I A 1+7--- WW1's Serial Numbers: — W m 2 Length x Width: 2 Insignia: v` __ 1 Public Works Fina 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 801 -rruleci anal 15 a ♦,eruucaW of occupancy IUUJPE s�auua1 vuJy) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAPS PRIOR TO EXPIRATION Inspector Copy i RECO"ING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. TIDWELL, LARRY BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 2621 LUDLUM AVENUE 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS PALERMO BUTTE CA 95968 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 2621 LUDLUM AVE B08-2029 530 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUIL G PERMIT NTELEPHONE NUMBER PALERMO BUTTE CA 95968 11/12/2008 CITY COUNTY STATE ZIP G ATURE OF WCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME cn Y COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD HOMES OF CALIFORNIA 2008 WINGATE XTREME 3443W MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL817A/B 30642-)XN12 44'X 23' PFS1048385/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: ASSESSOR'S PARCEL NUMBER: 027-300-082 SEE ATTACHED EXHIIBT u A" Parcel 1 ResultantLegalDescription All that certain real property situate In the unincorporated area of the County of Butte, State of California, described as follows: Lots 19 and 20 in Block 49, as shown on that certain map entitled 'MAP OF THE TOWN OF PALERMO. BUTTE COUNTY, CALIFORNIA, PROPERTY OF THE PACIFIC IMPROVEMENT COMPANY,' which map was tecorded in the office of the Recorder of the County of Butts, State of Califomla, on February 17, 1891 In Book 5 of Maps, at page 4; TOGETHER WITH Lot 13 in Block 49, as shown on that certain map entitled 'MAP OF PALERMO AND SUBDIVISION 1 AND 2, WITH ADDITION TO NO.1 OF THE PALERMO GTRUS TRACT,' which map was filed in the office of the Reoorder of the County of Butte, State of California, September 17, 1 MS. EXCEPTING THEREFROM the southerly 150 feet of said Lot 13; ALSO EXCEPTING THEREFROM the Easterly 107 feet of said Lot 13; Containing 0.35 acres, more or less. End of Dascriptlon The purpose of this deed is to effect a lot line adjustment as approved by Bums County on April 0, 2007. No additional lots or parcels are created thereby. The scope of review of said lot tine adjustment was limited as specifled in Government Code Section 68412(d), and approval of it does not constitute assurance thatfuture applications for building permits or other land use entitlements on the modlfled lots or parcels.will be approved by the County of Butte. �pFESSIp 44,,— 4- Q Bruce A Nash A. any R.C.E 33381 c� Registration Expires: 06-30-05 y z Date: 49-/9-07 CNa 33381 ^' Ercp Q6-30-08 i it it f}} ascription: Butte,ca Documant-3�eaz_Do6XD 2007.56331 Page: 3 of 6 ,rder: ink comment: 09/02/08 TUE 09:39 [T%/R% NO 64991 1?1006 EXHIBIT "B" Parcel 2 Resultant Legal Description All that certain real property situate In the unincorporated area of the County of Butte. State of California, described as follows: lois 13 and 14 in Block 49, as shown an that certain map entitled "MAP OF PALERMO AND SUBDIVISION 1 AND 2, WITH ADDITION TO NO. 1 OF THE PALERMO CITRUS TRACT; which map was filed In the office of the Recorder of the County of Butte, State of California, September 17, 1888. EXCEPTING THEREFROM the Southerly 150 feet thereof; ALSO EXCEPTING THEREFROM the Westerly 38 feet of said Lot 13: ALSO EXCEPTING THEREFROM the Easterly 127.5 feet of said Lot 14: Containing 0.50 acres, more or less. End of Description The purpose of this deed is to effect a lot Ilne adjustment asapproved by Butte County on April 6, 2007. No additional lots or parcels are created thereby. The scope of review of said lot fine adjustment was limited as specIfled in Government Code Section 66412(4), and approval of it does not constitute assurance that future applications for building permits or other land use entitlements on the modified lots or parcels will be approved by the County of Butts. �4ZO JG� A. NSF\ z y No. 33381 , ;' � Eggs OEt30-08 a Of C � of Ca0 A*!!!! . -4. ^ 4e - Bruce A, Nash R.C.E. 33381 Registration Expires: 08-30-08 Dale: o9 -/9-o7 !3cription: Butto,CA Document-Year•Poc2D 2007-56331 Page: 4 of 6 .der. mk Comment: 09/02/08 TUE 09:39 (T%/R% NO 64991 Q007 M14 COUNTY SURVEYOR'S STATEMENT THIS LOT UNE ADJUSTMENT PLAT HAS BEEN EXAMINED FOR CONFORMANCE WITH THE REQUIREMENTS OF APPROVAL FOR A LOT UNE ADJUSTMENT BY THE COUNTY OF BUTTE ON APRIL S. 2007. fl`Z& *W7 J-cn rt- rw DATE: STUART EDELL DEPUTY COUNTY SURVEYOR R.C.E. 29132 REGISTRATION EXPIRES 3/31/09 ENGINEER'S STATEMENT THIS LOT LINE ADJUSTMENT PLAT WAS PREPARED BY ME OR UNDER MY DIRECTION. I HEREBY STATE THAT THIS LOT LINE ADJUSTMENT PIAT SUBSTANTIALLY CONFORMS TO THE CONDITIONS OF APPROVAL DATED APRIL 6, 2007. DATE BRUCE A. NASH R.C.E. 33381 REGISTRATION EXPIRES 06/30/08 THIS PLAT DOES NOT CONSTITUTE A LEGAL DESCRIPTION OF THE LOTS OR PARCELS DEPICTED AND DOES NOT SHOW ALL EASEMENTS OF RECORD ON OR AFFECTING SAID LOTS OR PARCELS. =_ iption. Butte,CA oo==wrxt-Year.DoclD 2007.56331 Page: 5 of 6 rdari mk Comment: EXHIBIT "C" LOT LINE ADJUSTMENT FOR LARRY AND MARGIE TIDWELL RAR ROLLS AWDERSCW & ROLLS aiv11- awalweapte TROHM 336 2.1,44 t JULY. 2007 71130 SHEET 1 OF 2 09/02/08 TUE 09:39 [T%/RX NO 64991 Ia008 LOCATIaN MAP NO SCALE �I LUDLUM A VENUE ' 0 N �9 20'57' E 247.50' —� xx -x---1 t --x^•)< k -mak b on u N. �U N f LEGEND -------- OLD LOT LINE ------ ORIGINAL LOT LINE IN BLOCK 49 --•--•– NEW LOT UNE —x—:— EXISTING WIRE FENCE Sam SANITARY SEWER CLEANOUT .p JOINT POLE - MULTIPLE UTILITIES ce DROP POLE – MULTIPLE U71LITIES APN ASSESSOR'S PARCEL NUMBER 13 ORIGINAL LOT NUMBER IN BLOCK 49 PER N � "MAP OF PALERMO AND SUBDIVISION 1 h Q AND 2. WITH ADDITION TO NO. 1 OF THE o C PALERMO CITRUS TRACT F2-01 ORIGINAL LOT NUMBER IN BLOCK 49 PER "MAP OF THE TOWN OF PALERMO, BUTTE 0 COUNTY, CALIFORNIA. PROPERTY OF THE I b �3 PACIFIC IMPROVEMENT COMPANY," 5 MAPS 4 LOCATIaN MAP NO SCALE �I LUDLUM A VENUE ' 0 N �9 20'57' E 247.50' —� xx -x---1 t --x^•)< k -mak b on u N. �U N f 103.00' i 144.50' f �' rr�r -RIM I I PARCEL1 1 PARCEL 2 I N � � o h Q 1a I c; m I e o C LOCATIaN MAP NO SCALE �I LUDLUM A VENUE ' 0 N �9 20'57' E 247.50' —� xx -x---1 t --x^•)< k -mak b on u N. �U N f 103.00' i 144.50' f �' I I PARCEL1 1 PARCEL 2 I N � � o h Q 1a I c; m I e o C O o � � � rvEw f LOT LINE 0 a I b �3 I I o I i 13 I 14 3. I Q2 I C I z i o' �• q bWCLL o 4Z f Q 01 21 120 I ( 19 I I E] • K NOUN o I X00 ( In a f z I z� m I z l I LOTLINE Pr*c4o r r a r we vk 103.00 I 1� i_ T.mc 144.50'®Ex.❑ PN 027--300--026 N 69'20'57' E x x — X147.5(f— x "� x APH 02U 223-004 APN 027-300-029 , LOT AREAS EXIS71NG PROPOSED 0.22 AC. (026-223-003) 0.35 At (PARCEL 1) 0.63 AC. (027-300-02B) • 0.50 AC. (PARCEL 2) SCA Document-Year.Doc±D 2007.56331 Page: 6 of EXHIBIT "C" LOT LINE ADJUSTMENT FOR LARRY AND MARGIE TIDWELL PAR FJCW S MtDERSCW & ROU -5 CIVIL.Amoiritinks in mummm• �0� Wtacn Tm� JULY. 2007 07130 SHEET 2 OF 2 nAin2inA TTTR nA'aA fTX/RX. NO 64991 0 009 FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B08-2029 i3 Address or location of unit: 2621 LUDLUM AVE PALERMO CA 95968 Legal Description of Real Property: 027-300-082 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: TIDWELL, LARRY Owner's address:2621 LUDLUM AVENUE PALERMO CA 95968 INSIGNIA OR HUD NUMBER: PFS 1048385/6 SERIAL NUMBER OR V.I.N.: CAFL817AIB 30642-WN12 MANUFACTURER'S NAME: FLEETWOOD HOMES OF CALIFORNIA I YEAR: 2008 OFFICIAL APPROVING INSTALLATION:) f DATE: PHONE: (530) 538-7541 H.C.D. 513 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2621 LUDLUM AVE Owner: Permit NO: B08-2029 APN: 027-300-082 TIDWELL, LARRY Issued Date: 10/28/2008 By KCG Permit type: RESIDENTIAL 2621 LUDLUM AVENUE Subtype: SFD-Mobile Home PFS PALERMO, CA 95968 Expiration Date: 10/28/2009 Description: NEW MH, PERM FND (1026) REPL, Occupancy: Zoning: AR -1 Contractor Applicant: Square Footage: FREEDOM HOMES FREEDOM HOMES Building Garage Remdl/Addn 2243 FEATHER RIVER BLVD 2243 FEATHER RIVER BLVD 1,026 OROVILLE, CA 95965 OROVILLE, CA 95965 Other Porch/Patio Total (530)532-3301 (530)532-3301 1,026 FEE INFORMATION DBEH Building Review Fee $78.90 DBF MH Plan Check $241.16 DBFIRE Fire Inspection (SRA) $107.00 DBFIItE SRA Fire Plan Review (S $107.00 DBMSC Mobile Home Permit Fee. $361.74 DBSMIP Residential $6.67 Total Charged: $902.47 Fees Paid: $902.47 Balance Due: $0.00 Receipt No: B8976 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires t HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License FREEDOM HOMES 839031 / B / 05/31/2010 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 700D) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects �y/ �X_ i ,2:2 10/28/2008 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: , Cont_ra _ is Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by _ .Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: XL Specialty Insuranpolicy Number: RWD9435192 Exp. Date.07/01/2009 Contractors License Law.). (This section need not a competed if the permit is oris or one�hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑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 Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 10/28/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. 1 X +--y 10/28/2008 I hereby certify that I have read this application and state that the above information is correct. 1 agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building k Date _Sigflatur WARN G: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( 1 the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the op rty owner or am authoriz to ct on the property owners behal . f 10/28/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency forame.Of Permittee IGN] �Prin Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR:Agent for Own Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE -COUNTY o�vTTF0 DEPARTMENT OF DEVELOPMENT SERVICES a ° BUILDING PERMIT APPLICATION*�` _ ° OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 c o A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds OV N� PLEASE PRINT CLEARLY PERMIT NO. "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public infornuition related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNi5R INFORMATION Last NameYl - _- First Name Mailing Address 26 rI, City 1.,neA16 Stat Zip & .6 Phone rJj Fax E-mail CONTRACTOR Name F—$?E.E>ofty L9/� Address JJ -2 / g)z v 1 City State 04 Zip Phone 0, Fax o E-mail Lic. # � ©3 t Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City 6001�lu> Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name r):ZFJ>e/,t Address ;-? --?y -:� rir:,I�rfz_ K / y% Z V7�- City 6001�lu> State j Zip Phone`�, Fax E-mail APPLICANT , J PROJECT LOCATIO AP# O o Property Address City 1/ WORKER'S COMPENSATION Policy Number � � Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): i For office use only: Zoning I AALJFlood Zone I y I SRA Yes rbc Occ. Type Const. i F Ar '(A 092.000 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B08-2029 Job Address: 2621 LUDLUM AVE Contractor: FREEDOM HOMES 2243 FEATHER RIVER BLVD OROVILLE, CA 95965 Printed: 10/03/2008 9:36 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540011-4614901-10101 $78.90 10/03/2008 $78.90 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-10101 $107.00 10/03/2008 $107.00 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-10101 $107.00 10/03/2008 $107.00 DBMSC Mobile Home Permit Fee. 0010-4400014210500-10101 $361.74 DBF MH Plan Check 0010-440001-4210501-10101 $241.16 10/03/2008 $241.16 DBSMIP Residential 1001-0-280-1011298 $6.67 902.47 1 $534.06 Printed By: Kourtni Graham Balance Due: $368.41 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan hec king process. r Signature: Date: 10/03/2008 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). 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) 538-2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B08-2029 Date: 10/03/2008 Location: 2621 LUDLUM AVE By: KCG Parcel Number: 027-300-028 Sub Type: SFD-Mobile Home PI Owner Name: TIDWELL, LARRY G. & MARGIA Phone: (530) 533-9031 Description: NEW MH, PERM FND (1026) REPLACEMENT Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS ❑ E] Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 I--] ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 M PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: ❑ ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: 10/03/2008 FILE SCHOOL DISTRICTS ❑ E] Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 I--] ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 M Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: ❑ ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: 10/03/2008 FILE California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau . 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B08-2029 Date: 10/03/2008 Location: 2621 LUDLUM AVE By: KCG Parcel Number: 027-300-028 Sub Type: SFD-Mobile Home PI Owner Name: TIDWELL, LARRY G. & MARGIA Phone: (530) 533-9031 Applicant: FREEDOM HOMES Phone: (530) 532-3301 Description: NEW MH, PERM FND (1026) REPLACEMENT Butte County requires a pre -construction inspection to pro -actively provide the fire departments requirements to the property owner. Your property is located within the Local Responsibility Area (LRA) of Butte County. All development within the LRA is required to meet the below requirements: California Fire Code (Residential fire flows/fire sprinklers, LPG tank protection) Requirements prior to scheduling the pre -inspection: Full plan submittal to Butte County Development Services -Building Division Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226. For the pre -inspection, the property owner or authorized agent (contractor) is required to meet the inspector at the construction site. I have read and understand the above pre -inspection requirements. 10/03/2008 Date Rev'd 3/3/08 eg�ignaiure All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Fireprevention/protplan/i)roti)lan.html FILE 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) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-2029 Location: 2621 LUDLUM AVE Parcel Number: 027-300-028 Date: 10/03/2008 Owner Name: TIDWELL, LARRY G. & MARGIA Phone: (530) 533-9031 Description: NEW MH, PERM FND (1026) REPLACEMENT Signature of Applicant: Date: 10/03/2008 FILE Butte County Department of Public, Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds esti„ "After / • National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B08-2029 Date: 10/03/2008 Location: 2621 LUDLUM AVE By: KCG Parcel Number: 027-300-028 Sub Type: SFD-Mobile Home PI Owner Name: TIDWELL, LARRY G. & MARGIA Phone: (530) 533-9031 Description: NEW MH, PERM FND (1026) REPLACEMENT By signing below, I the project owner/owners' 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 buildouts 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 Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: //"v FILE Date: 10/03/2008 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 11 P W E �V Bog OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please 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. TYPE OF INSPECTION: S JF -77— BAG, f R,OV IZ)z5� P40 - ' P L4i4-1 -7-o CZ'F�¢� �S ! -770 SPECIAL CONDITIONS: Date Oz /s? Inspector S'V L t rl�-( REV 4105 Phone 7 4 rD FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 I STATE OF CALIFORNIA NUMBER: BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING NUMBER OF ff�SFD (SINGLE FAMILY DWELLING) MUMH (MULTI -UNIT MANUFACTURED HOUSING) TRANSPORTABLE SECTIONS COMMERCIAL COACH: MOCCCECUPAANCCYg GGROU�PE FLEE'AJ.RFJ yipF— OMES OF CALIFORNIA, INC. I MANUFACMWCENSENUMBER: ? F gTUR?M& AVE. - a WOODLAND' , CA 9 5 :7 6 SUGGESTED,RETAIL PRICE: (Street) (Cit) (State) (Zip) MANUFACTURER TRADE NAME: MODEL Nyf4JD/OR NUMBER: 2 00 9 DATE OF I��UFACT�B� 0 8 WINGATE XTREME 3443W /fi LU NAMED; DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIFORNIA DEALER NUMBER OR DATE OF TRANSFER: DBA: FREEDOM HOMES TRANSFERE��TdpN: 10/10/2008 DEALER OR TRANASFEREE ADRRESS: R BLVD OROVILLE CA 95965 INC. IN70TWMC GVM: CONTROL 5000 CLAYTON ROAD _. (Street) s ( rnDN MANUFACTURER SERIAL N 1 CAFL817A30642-WN12 2 CAFL817B30642-WN12 TRANSPORTER NAME: BENNETT TRUCK TRANSPORT, INC. TRA $p RJER ADDRESS L•§1 IAL PARKWAY > .�. (Street) DESTINATION FOR UNIT DESCRIBED ABOVE: MARYVILLE (City) (State) ,k ,yHCD INSIGNIAOR HUD LABELNUMBER . PFS1048385' PFS1048386 MCDONOUGH GA TN 37804 528 140 18,150 528 140 17,424 1 certify under penalty of perjury under the laws of the State of California that the above facts are true and correct. Executed on 10/10/2008 at WOODLAND YOLO CA (Date) (City) (County) (State) SIGNATURE OF AUTHORIZED AGENT: — DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER COPY 1 (WHITE) (DEALER OR TRANSFEREE). FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812.1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCD 483.0 - Side t - (7/97) 30253 IL • f 1223 DORMAN LORD Bo-maI3211 1023 14TH ST SPC. 16A j OROVILLE, CA 95965 • (530) 532 9296 Date AY TO THE p ORDER OF �1 p Oa .I'on Dollars 8 �.�•. 1gutte ffeDeral Crebit minton P.O. Box 475.482 B Street Biggs, Calitomia 95917 NP For � � .1:,3 2 L 17 L 68 91: 7 5 700008 580 LII' L 2 2 3 ` •_-.�.�a111111°Illl'Ili�lllll `Ilil�llllll c' 2007--00`6331 Official Records I ed I= FEE M80 RECORDING REQUESTED BY Countof I WERA6E 1i9,Be Bane I Mid Valley Title B Escrow Company CIN= J. on= 1 County Clerkikeordrrl AND WHEN RECORDED MAIL DOCUMENT I I LV 13UTTE COUNTY PUBLIC WORKS B9:BlAR 84^l)t+c,i'A87 I Rage I of 6 LAND DEVELOP�IMENT DIVISION 7 COUNTY CENTER DRIVE OROVILLE. CA 95965.3397 spam Abwo This Una for Recorder s Use Croy A.P.N.: 026.223-003-000 File No.: 0403-2640201 (CB) RESULTANT .DEED / The Underslgned Graiar(S) OWam(s); DOCUMENTARY TRANSFER TAX $0.00; CrrYTRAN3FM TAX so -co: 40 SURVEY MONUMVKr PEE $ [ X 3 ooffvAed on We mnsidembon or full value of pWerW WnvgA4 OR [ computed on dte eonstderadon or Rd value less value of liens and/or enGXnbraxes rematnbV at time ornate, C x uNnewporated area; 13 CAY of. and FOR A VALUABLE CONSIDERATION, receipt of wNch is hereby acknowledged, Larry G- Tidwell and Margie Tidwell, husband and wife as joint tenants hereby GRANTS to Larry Gr Tidwell and Margie Tidwell, husband and wife as joint tenants the, following described property In the Unincorporated of, County of Butts, State of California: .i�vis eX�►'ibr'a• See Attached "Exhibit "A."Rfor legal descriptions -1"w0 error/AW- "or~W.as i Dated: -10123121007 21007 G Larry � 4rgle wel t �t �. UNTY i 04 ± J 3 2008 DEVs,,,.._s'J.ff T SERVICES Mail Ta: Sb taments Tm SAME AS ABOVE )escription: Butte,CA Doc=ent-Year-DOCID 2007.56331 Duiga: 1 ce 6 )rder: mk Comment: 09/02/08 TUE 09:39 [TX/RX NO 64991 Q004 A.P.N.: 026223-003-000 Grant Deed - continued File No.:0403-2640201 NIB) Date: 10/23/2007 STATE OF' 0,,J 0 )SS COUNTY OF ) On n U11 07) before me, �S hOl UA - No ray Public, pers0 Ily ed ✓yl Q7 �l � (-1 1 --- �y Ld f UVW personally known tome (or 3rcved to a on the basis of satisfactory evidence) to be the n(s) whose name(s) Is/am subscribed to the within instrument and acknowledged to me that he/she/they =eaGed the same in his/her/dtelr authorized capacitypes) and that by hls/her/thelr slgnature(s) on the Instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the Instrument. wmvESS my hand and official seal. rC9if+a K RVMEL Cam>timan a Mv6d9 Notoly Pubes - ca kmb ignature &me WmmW4m8 l 0 Ele M Cyommliwon Expires: 77u's area for o idal notarial seal Mtory Name: Notary Phone; Notary Registration Number: County of Principal Place of su5iness: �@Z orZ 7escription: Butte,CA Dominent=Yeaz.DaclD 2007.56331 Page: 2 ce 6 7rder: mk Cotmnent: 09/02/08 TUE 09:39 (T%/R% NO 64991 14005 EXHIBIT uW tj Parcel 1 Resultant Legal Descdptlon t All that certain real property situate In the unincorporated area of the County of Butte, State of Califomia, described as follows: Lots 18 and 20 in Block 49, as shown on that certain map entitled'MAP OF THE TOWN OF PALERMO. BUTTE COUNTY, CALIFORNIA, PROPERTY OF THE PACIFIC IMPROVEMENT COMPANY,' which map was recorded in the office of the Recorder of the County of Butte, State of California, on February 17, 1891 In Book 5 of Maps, at page 4; TOGETHER WITH Lot 13 in Block 49,. as shown on that certain map entitled'MAP OF PALERMO AND SUBDIVISION 1 AND 2, WITH ADDITION TO NO.1 OF THE PALERMO CITRUS TRACT,'whtrh map was filed in the office of the Recorder of the County of Butte, State of California, September 17, 1688. EXCEPTING THEREFROM the southerly 150 feet of said Lot 13; I ALSO EXCEPTING THEREFROM the Easterly 107 feet of said Lot 13; Containing 0.35 acres, more or less. l End of Descriptlon r The purpose of this deed is to effect a lot line adjustment as approved by Buns County on April 8, 2007. No additional lots or parcels are created thereby.. The eaope of review of said lot line adjustment was R limited ss specified in Government Code Section 68412(d), and approval of it does not constltute assurance that future applications for building permits or other land use entitlements on the modified lots or parciJ-1 will be approved by the County of Butte. FESSIp ,$Arm` A- o A k4 Bruce A. Nash ' by cry R.C.E. 33381 m x Registration Expires: 06-30-08 No. 33381 Date: 09-009-07 EKµ 06-30.08 CIv11. # or Cada t 7esoription: Butte,= Document- rear - Z)o61D 2007.56331 Page: 3 of 6 7rder: mk Comment: 09/02/08 TUE 09:39 [T%/R% NO 64991 0 006 .....,.+:±aGna�ci.:.A�f::xSi:.r;i^dRT.lst3S!t.2.^_•'i.�7. ...,:{.n..,e.. i.4�:-.+.•.-."..........•: ,z S .;tc.a'G,w ..., ,,,:.r•.,.:.a�r.. ...>.0.•.:A ........ .., .. .. ... ., .. ,..... ....ry..�.,�.,.......o...-. - EXHIBIT "B" Parcel 2 Resultant Legal Description All that certain real pnVerty situate in the. unincorporated area of the County of Butte, State of Califomia, desalbed as follows: Lots 13 and 14 In Block 49, as shown an that certain map entitled "MAP OF PALERMO AND SUBDIVISION 1 AND 2, WITH ADDITION TO NO. 1 OF THE PALERMO CITRUS TRACT,' which map was filed In the office of the Recorder of the County of Butte, State of California, September 17, 1888. EXCEPTING THEREFROM the Southerly 150 feet thereof; ALSO EXCEPTING THEREFROM the Westerly 38 feet of said Lot 13; ALSO EXCEPTING THEREFROM the Easterly 127.5 feet of said Lot 14; Containing 0.50 acres, more or less. End of Description The purpose of this deed is to effect a lot 11ne adjustment as approved by Butte County on April 6. 2007. No additional lots or parcels are created thereby. The scope of review of said lot fine adjustment was llmlted as specified in Government Code Section 66412(d), and approval of it does not constitute assurance that future applications for building permits or other land use entitlements on the modified lots or parcels will be approved by the County of Butte. ESS/p,fira« i A-e- ��O GE A. Bruce A, Nash R.C.E. 33381 m x z Registration Expires: 08-30-08 y No. 33381 m Date: o9 -i9-42 W, E* 06-30-08 a of ascription: Butto,CA Docummnt-rear.Doc= 2007.56331 Page: 4 of 6 rder: mk Comment: 09/02/08 TUE 09:39 (T%/R% NO 64991 Q007 ... r:..T.=. .. � n:rRrrrr<c:^.�-.. , .�, wt.• � ..... ... ..TsrS):::::Tii a.G...e,_...<-.Js. .. ....,. ... � .. ., .. ... .. .. ..._..,�,.....3SacGti.s s.'.:. ..,. _ COUNTY_ SURVEYOR'S STATEMENT THIS LOT LINE ADJUSTMENT PLAT HAS BEEN EXAMINED FOR CONFORMANCE WITH THE REQUIREMENTS OF APPROVAL FOR A LOT LINE ADJUSTMENT BY THE COUNTY OF BUTTE ON APRIL S. 2007. %jG W ZM �� CAW DATE: STUART EDELL DEPUTY COUNTY SURVEYOR R.C.E. 29132 REGISTRATION EXPIRES 3/31/09 ENGINEER'S STATEMENT THIS LOT LINE ADJUSTMENT PLAT WAS PREPARED BY ME OR UNDER MY DIRECTION. I HEREBY STATE THAT THIS LOT LINE ADJUSTMENT PLAT SUBSTANTIALLY CONFORMS TO THE CONDITIONS OF APPROVAL DATED APRIL 6, 2007. o7•A_07_AAft, + dag:r DATE: BRUCE A. NASH R.C.E. 33381 REGISTRATION EXPIRES 06/30/08 QsAOfES,�\ A. Na 33:181 Exp, 06.30-08 � CIV1L 'I NOTE THIS PLAT DOES NOT CONSTITUTE A LEGAL DESCRIPTION OF THE LOTS OR PARCELS DMC17Z AND DOES NOT SHOW ALL EASEMENTS OF RECORD ON OR' AFFECTING SAID LOTS OR PARCELS. escription: Butte,cA ooctuwnt-Year.. Do CID 2007.56331 Page: 5 of 6 rdor: mk Comment: EXHIBIT "C LOT LINE ADJUSTMENT FOR LARRY AND MARCIE TIDWELL ROLLS NVDERSON RAR civic oNetrleeme yummm,we •,onna oum" 19113-wn ml8,fm *-"3_uv JULY. 2007 07130 SKEET 1 OF 2 09/02/08 TUE 09:39 [TX/R% NO 64991 11 008 5:o.ac f'.w,:.Fsn:.6.:FSWl+SUSS"�N:if?:ivi,Tr#Favr.Y�ti:..:Pv`:cHa nituY.Cv.tA.3:4f.1i::u�i:t.-.. r...,...+n ..........n.... .... �,.:'�: :?^ N•-n7••a...,..-n.•r :..: ,.a.� .�. .......+(:. .it.:.a<....e..xb d�eclu4+cn'.uwMru�-.v+v+s..n a»>n LOCATION MAP NO SCALE c LUDLUM A VENUE b r7 x `N 070'57' E x ---� 247.50' x _ I 103.00'i �� ( �� 144.50' I �' I I � I I I I PARCELII PARCFI2 I l olo I I $I� m I o c;_r ' I NEw o a " I N I N i i LOT LINE I o Nb T3 3 1 + ,pre ' o os83 1 v o�rma o Z I Q ro I e C] • •tcl ®1 21 120 I 1 g � o I o f = I OLDJ z I z l I LOT i NE AW rrt�anwe °`' D r k 13.101� I_ _ � TANKT..... I i 161� NI W9 57 % E x ---- x — 14-7-9(fAPN 026-223-004 i APN 027-300-029 LOT AREAS EXI'S77NG PROPOSED 0.22 AC. (026-223-003) 0.35 At (PARCEL 1) 0.63 At (027-300-028) • 0.50 AC. (PARCEL 2) ICA Document-Year.DocZD 2007.56331 Page: 6 of 6 027-300-026 EXHIBIT "C" LOT LINE ADJUSTMENT FOR LARRY AND MARGIE TIDWELL RAR AWLS Al4DERSQP1 & ROILS CIVIL ANomliu M ia tsgoNelpMER �0-un A p�trlan JULY. 2007 07130 SH97T 9 nr i 09/02/08 TUE 09:39 [T%/R% NO 64991 1?1 009 .t7:bx.:';..��t.-...J,.-w.. . �.wS n.,.: era: c.:vi.v-.-...Zoi.. 3. w..v..5' ... >..:.., :J ..,.. ., .. . ... .. ... ,:... 4� • ..._'c�ii.-.� zw.z.w....«.. LEGEND -------- OLD LOT LINE - -- - -- ORIGINAL LOT LINE IN BLOCK 49 --•--•- NEW LOT UNE —x—x— E)aSTING WIRE FENCE Sam SANITARY SEWER CLEANOUT .p JOINT POLE - MULTIPLE UTILITIES De DROP POLE - MULTIPLE UTILITIES APIV ASSESSOR'S PARCEL NUMBER 13 ORIGINAL LOT NUMBER IN BLOCK 49 PER "MAP OF PALERMO AND St.110VISION I AND 2. WITH ADDITION TO NO. 1 OF THE PALERMO CITRUS TRACT" 20 ORIGINAL LOT NUMBER IN BLOCK 49 PER "MAP OF THE TOWN OF PALERMO, BUTTE COUNTY, CALIFORNIA. PROPERTY OF THE PACIFIC IMPROVEMENT COMPANY; . 5 MAPS 4 LOCATION MAP NO SCALE c LUDLUM A VENUE b r7 x `N 070'57' E x ---� 247.50' x _ I 103.00'i �� ( �� 144.50' I �' I I � I I I I PARCELII PARCFI2 I l olo I I $I� m I o c;_r ' I NEw o a " I N I N i i LOT LINE I o Nb T3 3 1 + ,pre ' o os83 1 v o�rma o Z I Q ro I e C] • •tcl ®1 21 120 I 1 g � o I o f = I OLDJ z I z l I LOT i NE AW rrt�anwe °`' D r k 13.101� I_ _ � TANKT..... I i 161� NI W9 57 % E x ---- x — 14-7-9(fAPN 026-223-004 i APN 027-300-029 LOT AREAS EXI'S77NG PROPOSED 0.22 AC. (026-223-003) 0.35 At (PARCEL 1) 0.63 At (027-300-028) • 0.50 AC. (PARCEL 2) ICA Document-Year.DocZD 2007.56331 Page: 6 of 6 027-300-026 EXHIBIT "C" LOT LINE ADJUSTMENT FOR LARRY AND MARGIE TIDWELL RAR AWLS Al4DERSQP1 & ROILS CIVIL ANomliu M ia tsgoNelpMER �0-un A p�trlan JULY. 2007 07130 SH97T 9 nr i 09/02/08 TUE 09:39 [T%/R% NO 64991 1?1 009 .t7:bx.:';..��t.-...J,.-w.. . �.wS n.,.: era: c.:vi.v-.-...Zoi.. 3. w..v..5' ... >..:.., :J ..,.. ., .. . ... .. ... ,:... 4� • ..._'c�ii.-.� zw.z.w....«.. 3 .. - ... •.. .. ,. ^•rr Yn. .. ..A ., v cw• �. r . .•,..>y,. ,_n.YSYc46:ae2il.c1.Y,, o�.`w�•rr ....ry.•..- „ Butte County Building Division UFACTURED HOME SUPPORT DATA Owner's name: ��.�• .-.. A.P.# (� Houle Manufacturer:_ '—"– — -�- Manufacture Year: ,: Model Number/ Name: Width:�3 (ft.) Length. (ft.) FOOTINGS: Wood - pressure treated or foundation gradeklOther:[ ] SUPPORTS: Concrete block Other:[ ^_ t� Provide manufacturer's in manual, support blocking ng requirements and state approved or engineered foundation or tie down system specifications. SINGLE WIDE Line 1 Line 2 Line 1 ��►( Pier Footing Sizes and Locations Section 1 Section 2 Section 3 Line 1 Piers - Minimum size piers: X Spacing maximum: From ends maximum: Line-'2'Piers: mtih- size piers: Spacing maximum: From ends maximum: L-ine 3 Roof _Loads: Minimum size piers: Location (from front): Minimum size piers: _ocation (continued): _ine 4 Roof Loads: Minimum size piers: _ocation (fro .'R`rfront): 0130 v r y Minimum size piers: Location (c r rTtAu?e r48 DEVELOPMENT SERVICES s�� N X b ' O " MULTI -WIDE Line 1 Line 2 Line 3 Line 2 t Line 4 (triple wide o..i;:; Line 2 onow Load: -�Uo % psf Snow Load requirements may be obtained at httP://wwW.upstate-ca.com/butte/butte county/ Insert AP_*, view snow load in lower richt comer Cine 1' Obeninos Minimum size pier: [ A� ] X [; ] Re uired at each side of openings over O wide. '?00^0 12:11 5366626425 FLEETWOOD WOODLND CA V V PAGE 01/02 AR/9A/AA TTTV 11•n0 rry/DY *tn 0A0A\ I k-,-) I --, , APO,, �VlkAj • t—_3"-'! "' nV/fIM36-' I SFS t 6S�TALLATICH ---J — —L—L - — — — — — I I --j LU 1/4- [ DOOR L e.• -n• ---r i1 -n- 30# ROOF LOAD srxxt aror M07ES: i. rXIS OPARIN DESICEEC- M r SIXHIPARC. wl9D AND ES TO BE 0 It, ccuklul--Txov IHC INSTAL1471 F-WAL JwD ITS SLIPPI.Emo7s. 2. fbOrINGS AN SEXAM FOR EIM Ony. 7-,AFILI7 SPXCIME- MY VX EASE! GT' FAO r 50TE, MKDI?Iaff c7c. I- Mo?ll;r Poo p7clo'lP.OE r.roir 0 SoFpraf POT SEE INSTAt.urii 0 -MULL M3 RD)l V7 RLEEM WOODLANI 17 77 :7 M':E WMATE XTRE14H WINGATE I. 344341 ALTERNATE HER LAYO! 30A ROOF Ll 08M.tr �c FLEE7'WO�D� HOMES Wingate Xtreme Series Model 3443W 3 Bedrooms • 2 Baths • 1,026 Square Feet w v I OPf. WW. I a O BIT.. ❑❑ D/W unuTY o BEDROOM #2 a� DOOR KITCHEN DINING --o#--p--r e' s"x 111-0" 1`1 AREA ^ ® 110E/uNG 11 FAN p3� i �� M. BATH 0 HIGH BAR O1 r a1 f ill L11JL. Z2SrF17.Z2� 1 111111 11111111111 11111111111 1 �v .. ll 11 11 ill .. .. .. .. .. .. CEILINGII T = OPr. <� MASTER BEDROOM I CEILING([ 1 I FAN�� LIVING ZOOM CEILINGII 13 FAN I$ 13'0°X114" I� �%�' Ii I I MASTER BEDROOM BEDROOM #3 10'-9"X 11'-0" `t.. . I ENTRANCE OPTIONAL BEDROOM CLOSET BUTTE ,!P. COUNTY OCT 0 3.2008 I - DEVELOPIMENT shown Wiridows shown reflect s-- —c a(,i{minumywindows. Selection of optional thermal pane (vinyl) windows may affect the size and number of windows. 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 SUBJECTTO CHANGE WITHOUT NOTICE OR OBLIGATION. PFSAPPROVAL_6/09/08 WN/17/JUN08 X12 Ground System .v tLS•t+ ' 'r"n.+PY .... .. : .. .. •.. ..... .. .. •..,. s...-�.,' •ye.,.r ;. ;..:.-.....�.-•r.v..•. v-....,...n.v..rn.:.. •.v... � vrv. .v. 1 f. Nv tAe - +^M ✓a aCi2 Foundation System Installation instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Concrete System �U �60-n o J C 1 0 V; Engineer Approval State Approval MANUFACTURED HOME/MOBjU HOMH FOUNDATION SYSTEM HEALTH AND SAFETY'CODE, SECTION 18311 APPROVED 'i SUBIECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORTZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM RL'QUIREMENTS OF APPLICABLE STATE LAWS AND REUULAT]ONS Sato orCaliromin bapaRaaaet of HOW"Z and Communhy Dsryopmau ISI OP' OO EZ AND aTANDAItDii B7nA f8 D I EPA N0. Tkk PIM Appm al RVkn DO [NOINf:f&lNG a 0 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR (. PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty-net/dds. FACE OF STRUCTURE TOE OF SLOPE FACE OF FOOTING TOP OF SLOPE HO BUT NEED NOT EXCEED 40 FT. (12 192 mm) MAX H(2 BUT NEED NOT EXCEED 1S FT. (4572 mml MAX. BUILDING CLEARANCE FROM ASCENDING SLOPES HT1 (1F RETAINING 1 �/ WALL) / STEEPER / THAN 1 T0.1 TOE FOR PURPOSES OF FIGURE 18-1-1 FOOTING SETBACK FROM DESCENDING SLOPE SURFACE STEEPER /-;;--- THAN 1 TO 1 / / 11 REQUIRED / J SETBACK 1 FOR PURPOSES OF FIGURE 18-1-1 POOL SETBACK EQUAL TO ONE-HALF BUILDING FOOTING 7 FT. (2134 mm) SETBACK DISTANCE AS REQUIRED I BY FIGURE 16-1-1 SLOPED BUILDING SITES FOR SLOPES STEEPER THAN 3 TO 1 STRUCTURE SETBACKS s PORTIONS OF POOL WITHIN 7 FT. `2134 mm SHALL BE CAPABLE OF SUPPOR NG WATER WITHOUT SOIL SUPPORT RESIDENTIAL - 027-30-0-028 .98-1761 PE(MH) PAYNE, Hilda ' 2621 Ludlum Ave, Palermo ,PERMIT N (util,MH) PERMIT EXPIRES OWNER CONTR. 'ASSESSOR PARCEL " LOCATION . a _ N CHECKED SRA BY FLOOD CERTIFTCkE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E t, Temp. Elec. Service Called PG&E l Temp. Gas Service ) Called PG&E JOB FINALED (Date) Signature OFFICE COPY Address . i GAS • h Meter By Dat ELECTRIC �J Meter By D • I . a _ N CHECKED SRA BY FLOOD CERTIFTCkE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E t, Temp. Elec. Service Called PG&E l Temp. Gas Service ) Called PG&E JOB FINALED (Date) Signature v 0 10. Roof; Shthg-Roofing O = Not OK 11. Ext.; Steps -Doors -Landings Not '=NotRepady MOBILE HOMES 12. Braced Wall Panels Date JACBILE HOME UTILITIES(Plans) OK except #'s Card B-1 Date Card B-1 1 Zoning Requirements - Setbacks - Easements t ; Special MH Support Sketch POOLS (Plans) OK except #'s e , bon -Test -Fall -C/O -Concrete 1. Setbacks -Easements r, Location -Test -Easement Needed (Sketch) 2. Soils; Compaction -Structure Stability ectricity; Location-Clearances-Gmd-/ /Amp -Concrete fe"as: Location -Test -Wrap; / /12ft. 4. Elec.; Receptacles and Lighting. Distance-GFI / /Nat. or/ /1_°ft./ /LPG 5. Elec.; Pool Lighting; 15 Volts-GFI Well Clearance & Disconnect 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 8 tility Clearance Date Card B-1 _,,v Date Card B-1 Date Card B-1 Date Card B-1 Date IL,E-HOME INSTALLATION (Plans) OK except #'s nino Reauirements- Setbacks Easements (/ 2.Fg SiaeSpacing Maniage Line w%. , -4.-Electric4 MH Test -Crossovers -Breakers -Clearances 5 in JWTest-Fall-Flex Connector ater; M Test -Regulator -Connector 7. W nd S er Connected -C/O to Grade -HD Approval a Elec ' itq Tagged ie g -Type -Installation Cert. zits; Insp. 11. Cert of Occupancy 1 12. Permanent Foundation Only: License Decal J Date - Card B-1 Date Card B-1 Date Cana B-1 -• Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing VeneerStucc"esh 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 Lghtq. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test- Watef Supply Test 11. Light Nlche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = NotOK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date 1. ZoningSetbacks-Easments-FloodSlope Date 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 48. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Fig. Depth 49. 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts•Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 60. Brace Interior / Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation, 45. Headers & Beams -Size & Bearing Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sae & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date 'Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 25. Size Bo es & No. of Conductors Stapled 76. 26. Romex I stalled Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral p Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date 46. Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftc Ties-Purtin-roff Brac.-Truss-Shbng.-Ring. MECHANICAL (Permit) OK except #'s 48. 35. A.C. Ducts Insulation & Support 49. 36. Vent Fan, Exhaust above insulation 50. 37. Condensate Drain & Overflow, Size & Grade 51. 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 52. 39. Attic Access & Platform if Furnace in Attic 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Date Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Card B-1 Date Card B-1 Date Siding -Nailing Veneer Card B-1 Date Card B-1 Date Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access FRAMING (Plans) OK except #'s 58. 40. Sits Proper Materials & Anchors 59. 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 60. Brace Interior / Exterior Wall Panels 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftc Ties-Purtin-roff Brac.-Truss-Shbng.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration-WallsAtVindows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Ddve 0 Yes 0 No/Walks 0 Yes 0 No/Planters Q Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: . VV MW\,\ • - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT rgERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 w PERMIT N (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2621 1 11DI 11M AVE, PALERMO CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2621 LUDLUM AVE, PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome P Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: MHT/98-1762 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 8000 R LESS Main Service 2001 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, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: dIL 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, forthe performance of work forwhich this permitis 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 of one hundred dollars ($100) or less.) ;01 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provision X ���J1--���CCCJJJ Date �SILO —S Signature ofpr ❑ Contractor ❑ Agent �T] An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNG OCCUP. SO OR ADDNS. ( & ACC. BUDS. 3.5¢FT; NEW REOSIDT MULTI -OUTLET 97.50 APPARATUS 8 SINGLE OUTLET CIR. 20 Ex. Occup. OUTLET OR FIXTURES Bq p t.w Ex. Occu . O FIXEDS RESUNSID.°E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee s 100.00 Energy Inspection Fee $ Occ CONST. TYPE TO AL FEE $ 43.00 HAz D FE6 I --DCDF -- PD HD SSU This permit is hereby issued under in the Butte Cou Code and/or indi t vefrwhich fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ' 2 ` d� Date Receipt No WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ��. COUNTY OF BUTTE BUILDIN&DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street• Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 0,0 OWNER , PERMIT NO. t A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE BUILDING DIVISION - DEPARTMENT''OF DEVELOPMENT'SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you/have any questions pertaining to this matter, or need additional explanation, please contactttiis office immediately. Date inspector s REV 1k92 _( r MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ---PHONE (916) 538-7541 APN: IPERMITNO.: Owner's: ) I t _. 1 &q Pjq Name:L Owners: f L Awl l '�' Address: �/,ice Mobilehomef / t4) L L_E �-5 Year of ' (f � 7 Manufacturer Manufacture: t( Serial number O '� F1'ngnia orl-Zor V.I.N. ✓ D number: Official approvingstallation: Date: J r If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor • y', COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 v pM¢T Np. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MARINO ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee S2,3,00 ARCHITECT OR ENGINEERS MAKING ADDRESS Plan Checking Fee S BUILDING ADDRESS Energy Plan Checking Fee S a PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome S Other SPECS Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ' s ❑ Installation Other ❑ Describe Work:------���I%T� Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2DDA 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, and my license is in full force and effectPOWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service PDA To IDDDA 46.00 NEW CONST. DWELLING OCCUR SO OR ARDNS• ( & ACC. BLDS. 3.5QFT. T. NOWROSID. MULTI OUn.ET @7,50 APPARATUS a P. LE OLRLET CI0. Ex. Occup. oLm.EroR PDcnIREs UL @ .5DBO- 1) AP Ex. Occup. Guth.- CP�sID°ENI 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 ' Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling F04' 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: S Mobile Home Installation Fee $ 7775 r Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ -� HAz. D FEEs IMP I FLOOD I CDP I PARCEL Po HD ISSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to Receipt No. ' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: All. A Y ASSESSOR PARCEL NUMBER: (0 2 %— -7GU " D 2 e Proposed Building Use: Building Inspector: �' Date://y /yg At time of permit application, I was advised the following data must be submitted prior to permprocessing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 03. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Huwdous Material Form. ------------------------------------------------------------------------------------------ &k:j ufactured Home data and installation instructions including Tie Down Specifications .----------4JOL ❑ 10. Fees of $ ------------------------------------ W-11�pact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.------------- ❑ 13. Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- 111. 9. ---------------- ❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- �❑22. orkers' Compensation carrier and policy number. -------------------------- r----------- -- -------- Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). --'"�` --X` - � ---y ----- Letter of signature authorization. -------------------------------------------------------------------------------- j N ;25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- / ❑026.Letter of intent on building use. ----------------------------------------------------------------------------------- �Z7. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑;il to contractor. 2 &lephone 53 — 79 -s and hold for pickup at r office. 11D lkver within ector. P licant: �r �t. ate:0 J aA Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollutio Date: By: Copy of plans sent ❑ Health Department, 13 Fire Department, 11Oth D By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: C<5 Date: /ate Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. .Yt ,,Ir. A .. ... .. �'•r-�°t ,r. , .�. r . ry ,..i �� �r�..d,.-o.lM'r..crv.... r'r'r..",r-+-,.---r..r�'. w�. _ ..v. ! � .. .. 1 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District A.P. Number Property Owner Property Location/Address Subdivision Jurisdiction: Building Department No. E ✓✓ County Lot No. ................................................................................................ Residential Development E✓ / Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection); ................................................................................................................... Commercial/Industrial Sq. Footage New Addition (including Exterior tt Roofed Areas) al n ,@uiiding epartment Representative Date - (Floor Plans reviewed by School District Personnel) 01 District Identscation No. 9.90066 C)PAI b1m chool District certifies that Ai P (Applic n ► (State) has comphe��Hnth the requirements of Resolution No. re resen6n square feet. P g 'nD 4 Representative d by Check # / L-,/_ J �. _Remarks: 3-3-9D5(( (Phone Number) (tip Code) by payment of . $ 5� / • `7 -0 AB 2926 FULL MITIGATION = 9gl Date ,4-7 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 66020(x), 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 (CEQAI, 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.uis (10/98)dmm OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 r+ SCHEDULE OF FEES DUE PROPOSED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ................ $ { -- Additional Fees Due ........... $ + -- Additional Fees Due ........... $ --Rev* d Plan Checking Fee ....... $ A.P. # 0.2-7 — &20 ' 022 DATE o RECEIPT # DATE REC CHOOL DISTRICT FEES Orb 1 / (pai bistrict Office) HERIFF FEES (paid at Building Division) .Residential ........ J x $360.00 = $� F Units i Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. I i 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x - _ $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 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) t 9. CSA 87 'TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER 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 the plan checking process. APPLICANT DATE I Pursuant to Government Co ection 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). I Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary deW in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed prZ�WHAVE ovement : YES* NO O 2. I NOT 13 signed an application fora building permit for the proposed woo 3. I have contracted with the following person (firm) to provide the proposed constritcdon; ADDRESS:.CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the.following person to c(�o..... e, ' supervise, and provide the major work: 7 ; NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to po-vide the work indicated: Q.: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER SOCIAL SECURITY NUMBER: DATE: I - j - ')l a " NOTE. "This Owner -Builder Verification is required by SectionI9d.3I-sn�19M-67 e California Health and Safety Code. This verification must be -completed attd returned to our office before we are permitted to issue the permit I OVER 14 ��-�� a SIGNED: PROPERTYOWNER SOCIAL SECURITY NUMBER: DATE: I - j - ')l a " NOTE. "This Owner -Builder Verification is required by SectionI9d.3I-sn�19M-67 e California Health and Safety Code. This verification must be -completed attd returned to our office before we are permitted to issue the permit I OVER 14 ��-�� OWNER BUILDER INF,:ORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property , improvements specified. For your protection, you should be aware that as "owner-buildee' you are the responsible parry of record on such-.' a permit. Building permits are not required to be signed by property owners unless they are personally performing their; own work. If your work is being performed by someone other than yourself, you may protect yourself from possible``` liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. t ' If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: -... ♦ Ifyou employ or otherwise engage any persons other than your immediate family, and the work -(including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors"or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security�taxes, .i., Workers compensation insurance, disability insurance costs, and unemployment compensation contributions."°:;' ♦ There may be financial risks for you if you do not carry out these obligations; and these risks are es`ecialiy serious p with respect to worker's compensation insurance.. _" • ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service.(and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. . . • •3 If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under'limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building " permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contacting the Contractors State License Board in your .. community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can conium that you are aware of these matters. The building permit will not be issued until the verification is returned. Irely, i�.� elC. Vi ira, C.B.O.ger, Building Inspection NOTE. This Owner-Builder,Informatlon is required by Section 19830 of the California Health and Safety Code- OVER ode OVER t Count . ,. u to y. LAND OF NATURAL WEALTH AND BEAUTY Date: December 23, 1998 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Permit Applicant: Hilda Payne 2621 Ludlum Avenue Palermo, CA 95968 With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other Permit Number: 98-2892 Assessor Parcel #: 027-300-028 Action Required: [X] Comply with Plan Check List [ ] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ J Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, Linda Seddon Date: December 23, 1998 Permit Applicant: Hilda Payne Permit Number: 98-2892 2621 Ludlum Avenue Assessor Parcel #: 027-300-028 Palermo, CA 95968 The above referenced building plans were received by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Your covered deck as shown does not meet code requirements. A. It cannot be attached to the mobile other than with flashing. B. You need a beam to support the 2 X 6 rafters. This is not shown on the plans. C. Your posts which support the roof must be continuous to the foundation. D. You need footings or 12 X 30 pressure treated pads under the concrete pier blocks. 2. If the carport was built since 1972 permits are required. 3. If the shed is over 120 square feet and built since 1972, permits will be required. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4.00 P.M., Monday through Friday. Linda Sexton _ ilioo4e�lz d COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION t 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 Mr (Rev.12/96) APPLICATION AND PERMIT 10- ASSESSOR PARCEL NUMBER 027-30-0-028 ZONING BU I LDI NG P ERM IT OWNER HILDA TELEPHONE _ SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 2621 LUDLUM AVENTIE., PALERMO 9596 CONTRACTOR'S NAME OWNER TELEPHONE CCNTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Ma Filing Fee $ Mallo Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome OXOther SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities M Installation ❑ Other ❑ Describe Work: MOBILEHOMEUTILITIES, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 0.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zDOA OR LESS 23.0023.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: A9� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 6 the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'p� X Date (y " �V " � _ Signa Ture of App 'cant - Owner ❑ Contractor ❑ Agent An OSHA permit is quired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 CCU000A YT_200A NEW CONST. DWEWNO OCCUP. SO OR ADDNS. ( a ACC. S.3.5¢FT: REOSINEW D. MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CTR. 20 (9 1,00 E0 Occup. OUTLET OR PDMRES SAL @ .50 FIXI Ex. Occup. ouTLEEDT5(RR=.0EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166 0 HAZ. D. PEES I P FLOOD „� CDF ,^ PAR HD 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. _ B�� at YW�y PERMIT EXPIRES ON 7/ to ReceiptNo. 2C%4/re-s 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ��-17 ASSESSOR PARCEL NUMBER Z "ym 1� , / I BUILDING PERMIT OWNE TELEPHONE 4.. .OWNERS MMLI ADO 14-:S /a p Ct 5- SQ. FT. OCC. BUILDING VALUATION WNTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filina Fee $ Permit Fee ARCHITECT OR ENGINEETiS MAILING ADDRESS Plan Checking Fee $ BUILDING A4DRES3 � b 7 Energy Plan Checking Fee $ a PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tra 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome J�, Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each cas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ RemodelUblities)t Installation pqDOther ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Homcl S I G 1 020.00 4 p,0 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zODow 0. RR LLEs9 23.00 ob LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ✓1` X Date fa Signature of plicant - 13Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60• deep and demolition or construction of structures over 3 stories in height Main Service 100A TO 1000A 46.00 NEW CONST. DWELLWO OCCUP. SO OR AODNS. a ACC. BLns. 3.50Fr. NON -R S10. BRANCH MULT40IRUITS 07,50 POWER APPARATUS 8 SINGLE OtlTLET CIR. Ex. Occup. e 0 ® 1.00 OUTLET Ex. Occup. �) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 0 TOTAL FEE $ ,,,,� D. FEES IMP FLooO 1 CDF PARCEL PO I Ho I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. Ie ReceiptNo-2-Y C&57 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT " x +, .r�. + , .'° '4°,.,."''y'K?r'' '''" '�'J"i;' .lr�l •fir?'+ 'F ^'" '� y�'ii� `�4'`, i:�:r r,1 a'+ �� . f3. 'r'' "1t' •,r ;+'•t "y1y�" °t�'"'. Vjlp"'s -Wl z COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: W R %4 Pt.-__ ASSESSOR PARCEL NUMBER: -7- G o - U 2- v Proposed Building Use: /j �Building Inspector: Date: Q//�rj'� 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(XP All items have been submitted.------------------------------ Plot plans, sets, signed by the preparer of plans. ------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Im act fees as shown on the attached schedule. --------------------- --Ga1-ifom ent of Forestry plan approval/fees.-------------- ❑„ 13 . Flood elevation certificate. --------------------------------------------- Sanitation and plot plan approval Oro Health Department. ❑ 15. City of Chico plumbing permit. ---------------------------------------------------------------------------- ❑ 161 Plot plan and business license approval from the City of Biggs. ---------------------------------------- Planning approval for (A) Use: (B) Parking: -------------- ---- 0 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- El 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------=------ MM—rD M . t�� V or-kers' Compensation carrier and policy number.-----------------------------------------------------------wner-Builder Verification (Given to owner ❑, Mailed to owner-----�f---Y--------- �tter. of signature authorization.-------------------------------------------------------------------------------- _ Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- W\ 1126. Letter of intent on building use.----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. �28. Existing violations and/or expired permits. ---------------------------------------------------------------------- 29. ❑433 A, 0 G t Deed, ❑ M.H. Title, El Check to H.C.D $ .--------------- �O.Other:------- When you issue the permit, pr ss as d1lows ❑ Mail to owner, ❑Mail to contractor. 9'relepho eS3.3 -`?COI and hold for pickup at �%� office. ❑ Deliver with 'inRector. (day S3 -71 ( 4, Q plicant: ��L C <21 Date: (/ ` l Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air olluti n Date: By: Copy of plans sent ❑ Health Department, o Fire Department, ❑ Other: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil igvision counter, by Date, Plans reviewed by: Date: Plans approved by: Ot Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division.�O TO: Building Department FROM: Environmental Health ;SUBJECT: Sanitation Clearance I Owner ]Plan Approved for: Sewage Disposal Clearance fort Oidwelling. Other Hold final for: Final clearance O.K. for: NOTE: 'i Environmental Health Specialist 8/96 I Q Location Water Supply: E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D. I AP# Public Private Well OA - Date OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature, Please complete and return this information at your earliest opportunity to avoid unnecessary'dejay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO E3 - 2. I HAVE 4 HAVE NOT ❑ signed an application for a building permit for the proposed w d'L'. 3. I have contracted with the following person (firm) to provide the proposed construction;.:'; ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. Irovide to an l p p portions of this work, but I have hired the following person to cooidanate, . supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. - - 5. I will provide some of the work but I have contracted (hired) the following persons to prgvide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: – i - n . r, 10 SO, DA - -" "NOTE: -This Owner -Builder Verification is required by Section I9F9.3l-- 79UZ-lte— California Health and Safety Code. This verification must be completed oxd returned to our office before we are permitted to issue the permit. OVER I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property, improvements specified. For your protection, you should be aware that as "owner-buildee, you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possibie•;., liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: v If you employ or otherwise engage any persons other than your immediate family, and the work •(including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contr'actors'or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security, taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contriibutions'.'' ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are •especially serious with respect to worker's compensation insurance.. ' ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service.(and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are hot required to be signed by property owners unless they are performing their own work personally. Information about licensed contracTrs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, 'fes, Mic el C. Vi iia, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Injormallon is required by Section 19830 of the Ca11Jornia Health and Safety Code - OVER OWNER -BUILDER VERIFICATION Attention Property Owner: An `owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO 0 2. I HAVE HAVE NOT E3 signed an application for a building permit for the proposed w 3. I have contracted with the following person (firm) to provide the proposed constr ctiom.. £ -p£-:� ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I'have hired the. following"'person to coordinate, supervise, and provide the major'work: ;T NAME: ADDRESS: CITY: PHONE: CON'TRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired).the following persons to prpvide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED:--c��0�1 PROPERTYOWNER:'. ,c SOCIAL SECURITY NUMBERJ o) 0 - DATE: ?- UDATE:-- / L -e7 -"r -- NOTE: -Thu Owner -Builder Verification is required byS ction I98.3I�7�3�0,j'tlte— California Health and Safety Code. This verification must he completed and returned to our office before we are permitted to issue the permit. OVER ,?7_ 3c) oj�-i74 Z y# #N OWNER BUILDER INFORMATION I I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property.:., improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such ; a permit. Building permits are not required to be sighed by property owners unless they are personally performing their own work. if your work is being performed by someone other than yourself, you may protect yourself from possible` liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply - If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors�or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, . Workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especiallyoserious with respect to worker's compensation insurance.. --. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building ` permits are not required to be signed by property owners unless they are performing their own work personally. - Information about licensed contrac!prs may be obtained by contracting the Contractors State License Board in your . community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confim that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi ira, C.B.O. M ger; Building Inspection NOTE: This Owner-Builder,lnformadon is required by Section 19830 of the California Healdh and Safety Code: OVER __ eouftfq utte LAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 August 5, 1998 Hilda Payne 2621 Ludlum Ave. Palermo, CA 95967 Re: Administrative Permit, AP 027-300-028 Dear Ms. Payne: Enclosed is youMvandate strativeTermit No. 99-01_to allow a temporary second dwelling to be located atorthgraves Ave, Chico. A S b d W (XS S nb S SSS Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Thomas A. Parilo Director of Development Services Teri Bridenhagen Office Assistant III Enc. cc: Land Development Division Building Division - Environmental Health Department of Forestry j:\temp\up7 r ;} ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Hilda Payne FROM: Thomas A. Parilo, Director Development Services _ DATE: July 9, 1998 FILE: ADM O11 PURPOSE: Administrative Permit on APN 004-490-006 for a temporary second dwelling to be located at 816 Northgraves Ave., Chico, in the A-10 (Agricultural, 10 acre minimum) zone. PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements. A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Larry & Margie Tidwell. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by this Section, and the Butte County Code Chapter 28A. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be - permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed, with the Planning Division, within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. 8. The Permit may be revoked if any of the terms or conditions of the Permit are violated or if any acts or omissions of the permittee in connection with the use authorized by said Permit constitute a public nuisance. 9. The applicant must maintain a bond or dep� .t in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. ;A 9 d' Permittee Signature Date Craig Sanders, Principal Planner Date I . C-1 C4- 1 - t'T t r T ials & Wo CO , Recogni2 0 a Mescribed for in the jL ,,Ipri.i Buildings, 1 Col the National Eli U -e D13 M -d I C2 amhil 9 AD Be Tn Good P Aqz-s a ;1,-,e Spec 'ed u„R' -0- ;re IV. 0 k,o M II'Lls Set of pla='arad specifications MUST be in ,in the job at, all times and it is unlawful to es or alterations on same without Pitt dssion from the DeXaAment of PubUG r -Wk of-%& wo fO R®F Pl-"- P.Pyr W. 00 yx \A, , WV M M Lcoz lz� T tdk,E'I - 4 cie o i- OoO Ave PIK A 1710- 1. Owner's Name: 2. Assessor's Parcel Number: 0 3. Installer's Name: ,,;, _. i.: _.. ..... : r"(TV r0, .1° tu"aYd 4. Is the site currently under permit? Yes[t�No[: ] Perriiit-No _G`;7j 5. Is the site an existing site? Yes [ ] No[ (If yes, furnish two plot plans). 6._ What is the electrical rating of the. mobilehome? 'Amperes.. Y 7. What is the mobilehome site circuit breaker rating? SO Amperes.. ............� ._.....� . , r S. What is the electrical rating of the mobilehome site? 9. Is the main service remote from the mobilehome site? Yes[ No[ j If it is, what- is the rating? ;ZQQ Amperes. ..... .... 10. Is there any other electric load to beed .by the mobilehome. site- electric service_ (i.e. well, garage etc.)? Yes[ ] No[✓ Oyes, please'identify the load and size: i.. a) The mobile home site: Load- Amperes-. b) The main service: Load- Amperes- i 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: 3/4 inches. 1 13. What is the gas pipe length from the meter or tank to the mobilehome? 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 Mobilehome Manufacturer: Manufacture, Year: If other than single wide, furnish Setup Model Number: Width: ;_(ft.) Length: (r� C� (ft.) Tagalong or Expando Size_(ft.) x I (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[ ] Other: SUPPORTS: Concrete block[ ] Other: Provide Tie Down Specifications for all Mobilehomes: -A bee. cn Pier Footings Sizes and Location fp SINGLE WIDE MULTI -WIDE" c> 3iir r` Line 1 _ I Lmei" 1 2..................................................................... Main Beams Line 2 .......................... .................. ............................................... 2 Line 1 :I+oe i Line 2 ................................................................................................ Main BeamsLine 2 d , ........ Line 1 -M I ................................................ Tag or Triple 4 Line 1 Piers: /a 3� Size minimum: r IP -1 x Spacing maximum: 1 4S ` From ends -maximum: ` Line 2 Piers: Size minimum: x Spacing maximum: ` From ends -maximum. ` Line 3 Roof Loads: Size minimum Location (from front): Line S 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: &` OVER 1 r . Line 1 Openings Size minimum: [ ] x [ Each side of openings with width over: ` Line 4 Piers: Size minimum: ] x ]. Spacing maximum: &` From ends -maximum: &` OVER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1 996-0037939 Recorded Official Records I REC FEE 13.00 I.COPIES I COPIES 2,00 Count? Of J. GRUBBS I Recorder 02:19PN 03 -Sep -1998 I I Pageydy I of 3 `AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT / v FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing. spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said iones`and on adjacent property sh651d_ a prepared'1u accept su:.n inconvenience or discomfort from normal, necessary farm operations. ' All that real property situate in the County of Butte, State of California, described as follows: Date:_ 9 -17� � - �� PROPERTY OWNERS: County of ) On 8-31-199 before me, 6krio- A . 6oNZrJGz personally appeared 41 Ido- r Glioie- personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(g whose name00 is/#Q subscribed to the within instrument and acknowledged to me that Wshe/t executed the same in l�I. /her/t authorized capacity(14,1, and that by Q6/her/t� signature(y) on the instrument, t of which the person() acted, executed the instrument. CNITIM 0107712MCPS1 WITNESS my hand and official seal. Way N* wft SM Connihron .4.2000 -Ir V_ -lewP Signature cC A.P.# s! County of ) On 8-31-199 before me, 6krio- A . 6oNZrJGz personally appeared 41 Ido- r Glioie- personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(g whose name00 is/#Q subscribed to the within instrument and acknowledged to me that Wshe/t executed the same in l�I. /her/t authorized capacity(14,1, and that by Q6/her/t� signature(y) on the instrument, t of which the person() acted, executed the instrument. CNITIM 0107712MCPS1 WITNESS my hand and official seal. Way N* wft SM Connihron .4.2000 -Ir V_ -lewP Signature cC A.P.# a NOTE TO RECORDER: DO NOT RE(Y)RD THIS SIDE AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT Instructions for recording Agricultural Statement of Acknowledgment: A.A. -1 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If ynu don't have --cc.-ss to the deed, the Recorders Office can provide this information. (The description may be handwritten or typed in the space provided or attached on a separate sheet is more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $7.00 - 1 st Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday - Friday) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Butte On 8" 3/— -7 Y" (Date) before me, Gloria A. Gonzalez, Notary Public, personally appeared ❑ personally known to me - OR - proved to me on the basis of satisfactory evidence to be the person(Q whose name(;) is/aK subscribed to the within instrument and .acknowledged to me that Wshe/th* executed h� the same in her/tt it authorized of GLORIA A. GONZALEZ capacity(, and that by 0-9/her/ttkir Comrdon t 1107712 hO CPS) Notm Pd* co>toma signature(;4 on the instrument the personA, or MYComftmbp.AUG.A,2000 the entity upon behalf of which the person( acted, executed the instrument. WITNESS my hand and official seal. LIGuo Q Glav � OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of the form. CAPACITY CLAIMED BY SIGNER O INDIVIDUAL O CORPORATE OFFICER TITLE(S) CI PARTNER(S) O LIMITED O GENERAL O ATTORNEY-IN-FACT O TRUSTEE(S) O GUARDIAN/CONSERVATOR O OTHER: SIGNER IS REPRESENTING: DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES / DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE 1996 C:\WPWIN60\WPDOCSIFORMS NOTARYACK.ALL j 2621 Ludlum - Palermo, Ca. 95968 - APN 026-223-003 DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: Lots 19 and 20, i�n Block 49, as shown o.n that certain map entitled, "MAP OF THE TOWN OF PALERMO, BUTTE COUNTY, CALIFORNIA, property of the Pacific Improvement Company", which map was filed in the office of the Recorder of County of Butte, State of California, February 17, 1891 in Book 5 of Maps, at page 4. PARCEL II: Lots 13 and 14 in Block 49, as shown on that certain map entitled "MAP OF PALERMO AND SUBDIVISION 1 AND 2, WITH ADDITION TO NO. 1 of THE PALERMO CITRUS TRACT", which map was filed in the office of the Recorder of the County of Butte, State of California, September 17, 1888. EXCEPTING THEREFROM the Southerly 150 feet thereof. ALSO EXCEPTING FROM Lot 14, the Easterly 127.5 feet thereof. RESIDENTIAL I R NTIAL - 027-300-028 PERMIT#98-2892 PAYNE, Hilda 2621 Ludlum Ave., Palermo Cov-Porch/MH PERMIT NC PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION F+ ' S . y u/.� �►� rlo a� s . • '_ �Grkf s ham[. - , ✓fie �?� ne�� ��.e�n. • � f��•f: 5� rtC.e-jam ri n ��S �/�. ve lam• e yo ba h s CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole r. Called PG&E Temp. Elec. Service -f Called PG&E Temp. Gas Service Called PG&E JOB FINALED Date) Signature V=OK O a Not OK * Not Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plana) OK except /'a 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer Location Teat -Fe )O -Concrete 4. Water, Location -list -Easement Needed (Sketch) 5. Electricity; LocadwrCfeamnoes•Gmd-/ /AmpConcreta 8. Gas; Location•TesWVrap; / MIL / /Nat or/ &W /LPG 7. Well Clearance b Disconnect 8. Utility Clearance 9. Siding; NaitingAkneerStucoo•Mesh 10. Root; ShdVAoo&V Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements Setbacks Easernents Date 2 Footings; Size -Spacing -Marriage Line Date 3. Gas; MH ImW)ernwxWahe-Connector 4. Electricity; MH TestC Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 8. Water, MH Te"egrdator-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 12. Permanent Foundatlon Onty: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK swept !'s 1. Zoning RequirementsSetbacks-Eam.m to 2. Footings: SoilsSize-DepthSpacing-ConnecWs-Sted 3. Decks; Girders and/or Joists-0edcirg-BracirgStsrs-Rails 4. Wood Awn.; Posts-8eam9-Rftrs.CamecWm Shthg.4itg.-Bracing S. Alum. Awn.; Cdumns-ConneedwoSpfioe-Decai Enclosures 8. Carports; Windows -Doors 7. Electric 8. Fmg.; Sds-AnchorsStuds ft's -Trusses 9. Siding; NaitingAkneerStucoo•Mesh 10. Root; ShdVAoo&V 11. Ext; Steps -Door ndiirgs 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. Sods; Compaction -Structure Stst ty 3. Pod Structure. SleelZorrections-Thickness Dead Men- inirg 4. Elec.; Receptacles and Lighting. Distance -GR S. Elec.: Poo Lighting; 15 VdI s•GR 8. Elec.; Enclosures; Conduit Enttie9-Td 7. Elec.; Banding. Metal WS -Circulating Equip. -Heater 8. Elec.: GmurdW. Equip. wV Circulating Equip. -Pool Lghtg. BoxesZriclosures�Penelboards-Irm to Main in Conduit 9. Health Departtnent Approval 10. Pkrmb.; Cs Tes~er Supply Test 11, light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 O NrotOK RESIDENTIAL Not Applicable • = Not Ready Date UNDERFLOOR (Plans) OK except it's 1. ZoningSetbacks-Easments-Flood-Sk)pe 2. Fig., Main; Soils-Elec. Gmd. / )' Fig. Depth 3. Ftg. Garage; Sols-Steel-Elec. Gmd/ r Ftg. Depth 4, Ftg. Porches & Decks; SodsSteel-/ P Ftg. Depth 5. Stemwans, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, SteeFWrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test-Anchors-RegulatorSenrice Test 12. Electric Underground 13. Pienums & Ducts; Clearance-MaterialSupport-Ins. 14. Girders -Sills -Anchor Bolts k fists -Vents Crippies 15. Access & Ventlation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 Date PLUMBING (Perms OK accept ft 17. Water Htq Venl-Access4Cornbusdon Air Baffle 18. Water Pipe; Test & Ar>choFNai Protection 19. D.W.V.; Test Fittings & Anchor NaB Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shover, Second FIooFTub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date ELECTRICAL (Permit) OK w=ept ft 23. Fortune & Transfori ner Cleararrcedns. Protection 24. Elec. Receptacles Spacing -lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex stalled Gose to Edge of Studs & CJ. 27. Equip. Ground made tip wAAech Fastrners•Bond Gas & Water 28. 2 Appliance Cinxrts it Kfthen & Conductor Sim GFI 29. Subfeed Wire Size / /ga. Cu or Al-A.C. Woe Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AEOven Circ. / / Ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Graud-Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except it's 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Rehm Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 (Single & Duplex) Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except it's 40. Sits Proper Materials & .Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Frettops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Dem FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-toff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt & Dimensions 5/. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. ExL Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs: Width-Headroom-Rise-Run4 anding-Fre Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except it's 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage: Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int & Ext 72. Kit. Rett & Appliance: Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at KiL Counter 74. Garage Fire Door: Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage- Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 NoRlanters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 Comments at Final: 10 • 60UNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P R IT NO. (Rev. 12/96) - APPLICATION AND PERMIT T2TR3�pepC�LN�, �, iJ D ZONING AR 1 BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 160 COV 2,080. . OWNER'S MAILING ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace ' LENDER'S MAIUNG ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 35-10 BUILDING ADDRESS 9691 T-11DIUM AVE PALERMO Energy Plan Checking Fee $ $ PERMIT FEE S 10 .10 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other YA Describe Work: COV PORCH Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VOR UE Main Service zoOA 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, and my license is in full force and effect.POWER License Class Lie. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law)or the following reason: NA—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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply With those provi io s. ® _ Date �� 1 ��'Z— ature of A icant - ❑Owner ❑ Contractor [3 Agent An OSHA permit'it required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. ' Main Service 200A To t000A 46.00 NEW CONST. DWELLING OCAce SO OR ADONS. ( a Ace. S.3.5¢FT: p�,p MULTI -OUTLET g7.50 APPARATUS a SINGLE OUTLET CI R. Ex. Occup aA0 @ 1.000 FIXTURES OFIXEDA PLNS. Ex. Occup.OUTLETS RES D°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 109.10 HAZ. O. FEES IMP FLOOD I CDF PARCEL PD HD SU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate _ALI co D fe Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT °+ `tip ti• 1'av 1 .+r., .r1. J..t 1MF :♦ +, � u'4n,^�tiP'+J° Cj^�`y'�IC, �' Fe 2MVVtY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 " PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER:no-'?—, Proposed Building Us : Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permitroceJsing and/or issuance: Date Received By 111. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 116. Energy Design Compliance and supporting documentation. ------------------------------------------- 117. ------------------------------------------ ❑7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ C1 8. Hazardous Material Form. -,------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- 0 10. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ---------------------------------------- .Q , ❑ 12. California Department of Forestry plan approval/fees. --------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------------------------------= Pf4. Sanitation and plot plan approval. Health Department. ------------------- ❑ 15. City of Chico plumbing permit. --------- ------------------------------------------------ ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---- 020. Pre -inspection for required Request to wilding Inspector on u 01. C ntractor's license information. (Number, Name Style, Classification). ;---------------=------------ ❑ orkers' Compensation carrier and policy number. --------------------- - ---------------------------- 3. Owner -Builder Verification (Given to owner ❑, Mailed to owner ).-------------------------------------- - E124. Letter of signature authorization. ❑25. Recorded copy of Agricultural Acknowledgment Statement. ❑ 26. Letter of intent on building use ---------------------------------- El 27. • ------------------------------- ❑27. Manufactured Home utility .cl6arance- ---------------------------------------------------------------------------- ❑28. Fxisting violations and/or expired permits. ---------- f------------------------------------------------------------ ❑ 9 ❑433 A, ❑Grant Deed,', Q M.H. Title, ❑ Check to H.C.D $ .--------------- Other:� '�- i/�i-,at]% V`O�------- _5 and hold for pickup at Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ A Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: _ (Date) Date: ` 0' . t Qu 42 `J �'v _ By - 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date. Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. :"" i7� i E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D. 17- / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Dispose —Water Supply: Public Private Well. Clearance for dwelling. Other ':Z6 �C�L _I J•P_C.d � Hold final for: Final clearance O.K. for: NOTE: 0�1 10/� Environmental Health Specialist Date 8/96 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 EMIT No (Rev. 12/96) APPLICATION AND PERMIT Aa.woRPAReaw,uee+Q� 360^ Q m BUILDING PERMIT OWNER an SO. FT. OCC. BUILDING VALUATION fNWWM't MAL*= .Doom --(��DF77- CONSTRUCTION UINOCR LZMER'9 MARM ADORIM ARG4rECr OR ENOWEER ARCW=OR MMURs MALM ADORM SULOWADOREss ;;? (0 1 Permit Fee Plan Checkh Enerav Plan .7. OVnEr OR FDCMf s '" " (RES1. Ex. Occup. ovnEra Esm. Ew 5.00 Temporary Service - rc Mobile Home Facilities tDTNO aueaveanwlME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Tr 7.00 USEOF8TRUCTURE Solar or heat pump water heater 23.00 SF O Duplex 0 Moblehome Other Water piping 15.00 aPeefr Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New O Addition O Remodel O L Mw O Installation O Other Building sewer 15.00 �- Mobile Home I S I G I W @20.00 Describe Work: l..o PERMIT FEE _ ELECTRICAL PERMIT [Flangffeel 20.00 Main Service = oR 1 23.00 I Main Service ( —To + ► j1 46.00 OVnEr OR FDCMf s '" " (RES1. Ex. Occup. ovnEra Esm. Ew 5.00 Temporary Service 23.001 1 Mobile Home Facilities 20.00 WGsc. Widna 23.00 I PERMIT FEE _ 1 1 MECHANICAL PERMIT Fling Feel 20.00 , Cooling Hood I 1 6.50 PERMIT FEE i Mobile Home Installation Fee $ Energy Inspection Fee $ D" CONST. TYPE TOTAL FEE $ NAZ D. FEE4 IMP RD00 1 00 I PARCH I PO 64UE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date ReceiptNo. PERMIT EXPIRES ON ff OTE: All Mater. als & Workma�mnstd Accordance -,nth Gcod of a qftplitj Pr*5c z; he Spec 1,,,, 4 in thonifori"p. B,. bing Cod eaAnd the listionAl M04 C" wet( �k APlJV,0VEU Butte County ,)nmental Health Date ---------- Signature Z1, 91 M, Be to A NO -tp P.(,r \ALL STRlJa7URE8 OVERHANGS SHALL A dIRT 0ACX oFS 5 r --f. f--pom -1-i FT. FROM TH CLEA9 OF STRUOT4 FOR Al2. FT. EAVE 0 i S let 1dV T'll" set of kto ept on , Pi ald 8pecM,,t,,L the Jo l i Uls,Da c Or al� - ts?-. to tell p .ezqri, f -orat-iolla oll same with unto, Slall rom the Depaxtr� of zutta� ellt our Of PUblia 2 -cd 1 . 'seAeetv1. CK Ad fko +0 be )UIPMENT W40LUDIPJU ,R OF ALL EASE.N%NTS THE SIDE ANC PROPERTY LINES AND CENTERLINE SHALL BE D EQUIPMENT EXCEF'i 3. t9 I- o, tz jL y TCk, %Aj 0 E13 rr) c Out c' - E a_ .2 I < I.- C 2 2 �Al LU A 0 �-1 3 000 16 13UTTF Lodic't, CoUt4jy RWO1 DEt- .;JILI)IN6 6 LwAorvi Av-e 4 cie v + IA C -h �-. /- r--, -46- 10 ITI 7 VARIES 0 I N 3(" MIN... D G" W DC7 m go 3411 o � �� J,/HI�IURAIL ME16HT CD m _ 9 , MAX. y,l� 1 D °w rn r" o�� Obi W O - 4 N V ��. � MAX. � _ 9 , r y,l� 1 D W - 4 N V_3 f X L N I o 7Q II II `» -i ' 3(o"MIN, STAIR W I DTO y 7v p. 3 Y X /50, o f` + t N"" N OTE SITE CONDITIONS In �2wsr%N6 l}%,B/i,70 f7ig �.�5110✓�D ' ....4 if GTvR�l7.If � � J3 10� � �•�o Ar COVERED DECKS AND PROVIDE MINIMUM DISTANCE t FROM FOOTING OF STRUCTURE �J ®ja� dlecks! QxrQed, 3^ 3k OF 5 FT FROM ALL PORTIONS 5pLj - RE FEET H'i AREA WILL OF PRIVATE SEWAGE DEPOSAL i7Ff.1111RF- p RI III nIWr.- PERMIT SYSTEM INCUDING SEPTIC ! TANK, LEACH AREA AND PITS , 18_ � LANDINGS AT DOORS NFPA 58 SHALL COMPLY WITH 2007 1 LPG TANK LOCATION MINIMUM I ICRC SECTIONS 100B.1.5, II DISTANCE FROM PROPERTY LINES OR STRUCTURES FOR_ - ' GALLONS OR I 1 009.4 & 1 01 0.6 LESS, LPG TANK SHALL BE l0 FEET I ' Asses5ae9 Parcel Number. oK 0 ©— 310❑- O❑ - o...a a Scale: 1"= �_ �\3 T. Owner Name _ T%�WEAA° - a a. a Address f Phone No- %49Z' L, S-fe Logia -don Contact- Names ® `'F'h9ne�';�'�0 7•_ I ENGINEERING MAY BE REQUIRED IF ANY OF THE FOLLOWING , SITE CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED PLANS: I • EXCESSIVE SLOPES • EXPANSIVE SOILS a • EXCESSIVE CUTS OR FILLS If • ALTERATIONS TO NATURAL DRAINAGE 3 4 OTHER UNUSUAL SOIL OR GEOGRAPHICAL CONDITIONS N OTE: PROPERTY OWNER IS RESPONSIBLE FOR DETERMINING LOCATIONS OF PROPERTY LINES AND' EASEMENTS AND MAINTAINING REQUIRED SETBACKS FROM PROPERTY LINES AND 1 EASEMENTS. A SURVEY MAY BE REQUIRED IF I t DETERMINED NECESSARY BY THE BUILDING I I OFFICIAL. f CALIFORNIA CODE of— REGULATIONS' TITLE 25APPROVED PLANS AND Requirements as amended by PERMIT SHALL BE ON SITE the jurisdiction apply to this FOR ALL INSPECTIONS project _ - FSEE STRUCTURE l ; THE 2007 CBC, CMC, CPO, SETBACK ATTACHMENT CEC, AND 2005 CALIFORNIA FOR SLOPED BUILDING ENERGY STANDARDS AS SITES AMENDED BY THE JURISDICTION APPLY TO THIS PROJECT. BUILDING C� 0=12MIT& 019 - of-LelI ' ASSESSOR'S I PARCEL# bl-7- 300- 0�2 ,,: PP FOR OFFIOE USE ONLY - Zoning- General Plan ©esig: Size, Acres 4_0(r -^ PROVIDE FOR ALL ADJACENT PARCELS SUE (AC): FILE PIPT I I a .1 _.. Cc C,4 H 6T-0T-0-0#d9r�/ �Q I f, a3NMO Z _� Sy Ad��� CD