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HomeMy WebLinkAbout027-320-00127-32-01 n� CARY ARNOLD �/ 3c�o • i 3 Parham, Palermo lot 1� Permit#2418-86P,E(util, MH) , EELC---------------- GAS ^ - SUPPORTSTRUCTURE REQ_ '"`'~�'; OMPACTION 'TEST REO--fi' "''` 027-320-001 PERMIT#95-1434 AISPURO, Baudilio 3 Parham Way, Oroville Mobilehom4 Utilities 1.4 ELECTRIC , GAS LINE ' COMPACTION TEST REQ i ''yam--- - SUPPORT STRUCT REQ— .............. EQ-f i 1 027-320-001 04-2937 STEWART, SUSAN' 3 PARHAN1 RD, O[tC)VILL% r' Cont: OWNER .T .NEW MH PERM FND _3 1 I i dab z i o , I r 0 j �l SUSAN .:STEWART a ERIC STEWART 11-4286 4223 --1210 3 PARHAM; 3 $ a 2. RD. OROVILLE.CA -95966 0039845615 Date ' .'.- "d to the OIder of - - - _ 1. Wells Fargo aank,N A, f ;: " *t _Valued Dollars` a.. California ' uCustomes { • .;welisfargo.com S. Ince, $ . .Memo= ' ,yy ` ., -j--1: 1 2.104 288 84 21:0039 S6 1SI1' 0380 2 a a baa a a aW a m — d' Q-' cu Cut— En ~ N m Z C3 em cu ^�L 4- LG- Y+- 7 A O [:3 i ] C "�1rgJ > p W as r-+ r0 K= u d 79nW U= kn d w F d `o �L3 ¢tea¢ c� �I i= .. Z. C3 co LLJ cu Z. a -crcu cu W .. x ®®LL.0 W U �a+ Waj YQ J a ��es cu UF - 6[2 tra Jan -11r From-SCRCA ♦8167743888 T-807 P.02/02 F-260 ''� STATE OF CALIFORNIA '01 3sING DEPARTMENT OF MOUSING AND ( OMMUNITY DEVELOPMENT pEPAii�MrNIr U; ONtti 9DIVISION OF CODE -3 AND STANDARDS '! •', ' • r �'.: i ,, ,:.. • �� OCCUPATIONAL LICENSING PROGRAM P' N N BE +•• " ••„i; ® ® o aaa z DEALER REPORT O SALE OR LEASE ec t r�u I $ as w FORA �G 4g NEW MANUFACTURED HOME, NEW MOBILEHOME OR NEW MULTI -UNIT . M: Q�C NT�1 • N' �kR. MANUFACTUFED HOUSING '; ” '`" ' DE �� .�• i , 1 im,ai�)�' /� !�� i L — NAME OF Ill f� CTUA ( F J t)_...� l ' ,t 1(.' dl� r'' f_ ;` , l 1e . MFR'S MODEL NAME AND/OR ODEL NUMBER ATE OF MANUFACTtIRI: ,.1 ( 111 -1_� � I,:;. {,' SFD CI MUMH_ DI -R6 , :. •„ ; . _ MFR'S ICENSE NU �'. f� 1 INSTAL ATION TYPE (Check One Box) oFoundation lteSSi(a)l QChattel dSuppon System (I 86131 n Convelslon (,esssl gkR'S TIADE All}IE ` DATE OF SALEILEASE ' (•, MANUFAC'SURER'S,SERIAL:NUMBER(S)•.•.... ..`-"' OWNER(S) IubLABEL/HCOINy)(iNIANUMBE"(S) - L'ENGTIAIlaatlex)• WIDTHIlechaa) IN r - (_ A,, li' -�f Gl p �1l 0 Fes-: i" F ,�� _� /_ .;-..�9 -, If applleable, check one of the following: ❑ JTRS ❑ TENCOM OR Q TENCOM AND CI COMPRO ❑ COMPRO AS CURRENT MAILING STREET i --� 1 P ( f /,1AfllP- . I o ��_Irs' ., II1..)n.'' ❑ ADDITIONAL SECTION(S) -Check box if there are more than three. sections, See Instructlons. NAME(S) OF c sT I B1� ►„ ,t MIDDLE 1/ ' DI -R6 , :. •„ ; . _ REGISTERED _ ,.— 2 OWNER(S) (Pr1fflTn* Nxnu(*0 3. XT If applleable, check one of the following: ❑ JTRS ❑ TENCOM OR Q TENCOM AND CI COMPRO ❑ COMPRO AS CURRENT MAILING STREET i --� 1 P ( f ADDRESS C 1 �. ) r� lL COUNTY .1, l I_.� STAT ( =Ip.. FUTURE MAILING STREET ADDRESS, IF APPLICABLE CITY COUNTY STATE ZIP LOCATION (SITUS) STREET , • �� �� #'1��� -�P TuU ADDRESS OF THE UNIT CITY COUNL - , , STATE NAME(S) OF LEGAL OWNERS) {�C �� I, r\ 11 i -' I 1{'' ) i ) ( - ijRt O . ILIENHOLDER(S)) •---^ VI (Print True Name(SA .� r ' , " r If applicable, check one o1 the following: ❑ JTRS ❑ TENCOM OR I] TEPIC_OM_AND ❑ COMPRO 0 COMPRO AS MAtLWG ADDRESS STREIST ^ ) STATE "+ ) ZEPL ; C �a�l CITY k�. � ! ) I I f i a� NAME(S) OF JUNIOR LIENHOLDER(S) . �� '• 6! •--�_�� :• . .' IPrV,t True Ne (a)) If applicable, check one of the following: ❑ JTRS p TENCOM OR 13 TEN,:OM AND C COMPRO ❑ COMPRO AS MAILING ADDRESS STREET 17Y STATE ZIP TQTAL.'•' ! . ❑ ADDITIONAL JUNIOR LIENHOLDER(S) - If additional Junior Llonholders are being racindcd, then check boa. See 1nStrUCtions. ` CERTIFICATION The owner(a) and dbaler signing below state to the best of their knowledge and bc,lcf .hat 011 statements made In this Report are true and correct. f;",.1;:.•r; ;:;•; —(-- WTURtE(S) OF:AL) 'NRW REQIS?EFiED.O}NNBRFS) .s,' _ (J) ►1�,�'''�i y '' �" '( j r ', 2. 3. -T------ •,.�1 i p L✓ -ear f •..•� �,1 DEALER'S NAME:,-',) '' �' ) f '>L'�q)' (' ' �l IGNATURE OF AUTHORIZE — -- DAGEN'Te• DEALER'S ADORES SALESPERSON'S NAME: 1 sASAI. IiSI CR_c, ON'S LICENSE NUMBER:: C _lYl Copy f - Department, Copy 2 -Purchase(. Copy 3 -Tax A essor. Copy 4 - r_I.±aloe BOOk No.�;% HCD 480.1 (Revised 1030-02) GE481 F o 3 Bedroom o z tsatn i Itv-j sq. t -i. Z *Z'QZ TdVV 96 (a'/ NWHS SV NdNL07/YO/1215 O,1 ti S 7 gs T% 12S ZOO a OlY3�T � Z> ('V oS:)V?)!!bd NO r7 V?) 737NJb3 C3HJ1VHN17 NmoH SI VadV IVSWS.O 37—/ r atBV3Sn y0 L3b'7b 0— 3H2 (a 3JNVN2I N/bH d'CJ AJAfW 9HL A9 p31d377b 3B Ol SOboli' a'Oj f,Od'v,0/Yb1S He//N A7oHoJ.o1 031Jnais o7 b0 OaN9/Sa0 loN.eygri,./YQlS/il/OBnS S///1 N/Nl/M SOVOY HHJ. (Y S310N ,rr�eai lel � ao,io,ee/v 133H5 3.95 (Y% 5so1 S'7 •re.a •oma LZ r�nboJ NOHJ� A e l p 8 ^aI A rter° A A m�A v� c T n AN LSL aA Aa TAyN �°� ua:T m AORN4M � ZL" hb tin �A O°� Oma"'• ,�,�W 2 O JaBo'aliav n\ hibk _ 101'1440-W 7) 3800.97' (n'1TRL) y i �y m ayA — \ 349.9,6 rm `I%�A \ :\\\\ \\ 2 x \ \ v \ \ \\\ th \ Aly 14 ct \ \ p a \ \\ \ \ 04 y �\ \ � \\tel rl B 90 641. Y !1 0 / \ k8 a ^ d c/ Ag e \ 4 o� m \ \\ \ \ 7!06.00' 906.F5 39. /b' • Vol 014'40'W I'R) 9806.99' 70M J N s Building Permit Number: c94 - a 37 Owner Name: fq-CAXV_„i�_ Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to -make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use. in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 200.0 .California Mechanical Code (2000 U.M.C.) and the. 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS. CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. y Page 2of 2 f Building Permit Number: 8" 4 3 7 Owner Name:�� 4 Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. f . i 4 E Fire sprinklers are required in this structure. a The following parcel map requirements shall be met: i L a , y' All structures and equipment including overhangs shall be clear of all easements. A setback of -;% feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) -from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. . Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. } MM - - - - - - - Air 2. Assessor's Parcel Number:. D)f? -- &�� — C)o 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No[X] Permit No. 5. Is the site an existing site? Yes] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of themobilehome?_Jr)b Amperes. 7. What is the mobilehome site circuit breaker rating? 10D Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[. )d No[ ] If it is, what ,is the rating? Oth Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] NoV] If yes, please identify the load and size: a) The mobile home site:- Load- . Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 3 / inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?_). 14. What is the mobilehome gas demand? B.T.U.* . *(This information is not required if thepipe 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 ELECTRICAL, ME-CHANIT L, AND CHECKED CONSTRUCTION ( NO sHALLcomPLY WITH IIU RENT EDITION r OF MEC, LSC AN r May 1995 ; 8.5 Mobilehome Manufacturer:D LCL �I'`� Manufacture Year: D If other than single wide, furnish Setup Model Number: G� C VP/ YL: Width:_�_7 -(ft.) Length:�_(ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[4 Other: SUPPORTS: Concrete block[(,] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE NfULTI-WIDE Line 1 0 01 Line 2 Line 2 Main Beams Line2 ...............................................................................................-Jjne 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams Line 2 Line 1 4 ................................................. ................. ..... ........ ............... ine 5 Tag or Triple e 4 ine 1 Line 1 Piers: Size minimum: r ial x Spacing maximum: I L ` • ` From ends -maximum: ` b ` Line 2 Piers: Size minimum: [ j ] x M>]. Spacing maximum: p ` From ends -maximum: 6 ` Line 3 Roof Loads: Size minimum 111Y30 jjk3a Location (from front): 3'4„ Line 5 Roof Loads: Size minimum: Location (from front): May 1995 l-2) S—Zl/ Line 1 Openings Size minimum: [ J x [ J. Each side of openings with width over: I I` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum. ` ?ti I f IC Ira), 111 In, 9M jij iba l-), 0 pfvj,�NJ - %W3 UV_1 8.4 Y-3 In' .2'.13/4' 4'-3- 4'-4* 4'-3* -J.: _LE LINO ...... 0c) CARPET rl L 0 30D r * 3F9 2�0 P5F (7 17M STANDARD CARPET 2'.1' 1'4. Y-10 1/4' 4'-4" 4'-3* to%to, 1..6. 51-11/2, N-3114" 3'.9' 3'-9' LIVI, ROOM MASTER BEDROOM / WARDROBE BEDROOM *2 / HALL - BEDROOM 5 v O TOTAL W1 GLAMOUR BATH �e- TOTAL LINO LINO LINO ;3-6 11-0 E -LJ LINO OPTIONAL CARPET UTILITY ME 97,11, 6mm — — ------------------------------ KITCHEN to,_O" DINING ROOM GUEST BATH 30 PSF (D20 PF (D20 T 20 PSF Q 20 P5F C) 20 P -If Q 20 PSF BEDROOM '2 WARD. (D ii, ps, ov- 30 PSF' 0 P5F 0 30 PSF MASTER BAT14 6'4' F,sF 30 F (D PS 13-6 x 46-0 G) m C)m 0 rh 0 0 LINO > C I I I 10 :z (30# ONLY) n -I Z, (20# & 30# ONLY) 13'-6* CARPET LAY -OUT PIER FcbTING SIZE REQUIRED (SO. IN.) PIER PIER PIER FOOTING SIZE REOUIRED (SO. IN.) PIER PIER FOOTING SIZE REQUIRED (SO. IN.) I PIER PIER FOOTING SIZE REQUIRED (SO. IN.) CAPACITY i-4 N 1500 PSF 0. PSF I (LEIS.) '- 1000 2000 PSF N CAPACITY — 0. 500 PSF 2000 PSF (LBS.) 1000 PSF 1 DArIly - -'(LE) I- 000 PSF 1500 PSF 2000 PSF I CAPACITY NU. (LBS IOGO PSF 1500 PSF 2000 PS (D 2000 288 192 144 0 4000 576 384 288 (5) 6000 864 576 432 7 10000 1 1440 960 720 2500 360 240 180 0 5000 720 480 360 8000 1152 768 576 12000 1 1728 1152 864 GOLDEN WEST HOMES DRAWING TITLE CARPET & PIER PRODUCT GOLDEN ESTATE MODEL NO. GE 481F-04 ALBANY DIVISION 2445 S.W PACIFIC BLVD. ALBANY, 014 97321 SUPPORT LOCATIONS SO. FT. 1,296 DATE 12-03-03 DRAWING FILE INFORMATION ALBANY DIVISION (6' _TR WALLS) N By J. HENRY SHEET I —A2 REVISED - (541 926-8631 Phone (800� 858-3552 Fax Elm Vector Dynamics Foundation system. INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 SECTION INTRODUCTION GENERAL INSTALLATION PARTS LIST LONGITUDINAL DEVICES PIER HEIGHTS SET-UP INSTRUCTIONS FOOTER SIZES WIND ZONE I WIND ZONE II INDEX PAGE RELEASE 9/2/03 Approval 10 9/2/03 - TRIPLE 11 MANUFACTURED HOME/MOBILE HOME NUMBER DATE 9/2/03 FOUNDATION SYSTEM 13 9/2/03 -DOUBLE HEALTH AND SAFETY CODE, SECTION 18551 9/2/03 - TRIPLE 15 APPROVED 2 9/2/03 SUBJECT TO CORRECTIONS NOTED 3 912/03 ROVAL DOES NOT AUTHORIZE OR APPROVE ANY 4 & 5 9/2/03 MISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS 6 9/2/03 Scaio or California tousiu and community Davafopamed 7 9/2/03 N ODES AND STANDARDS 8 9/2/03 DATE . �61$DAitit�% SPA This P Avp .11w ExDiros —� - SINGLE 9 9/2/03 -DOUBLE 10 9/2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 - SINGLE 13 9/2/03 -DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS SOIL CLASSIFICATION CONCRETE INSTALLATION 16 9/2/03 17 9/2/03 18 & 19 9/2/03 II- COMPONENT PARTS AVAILABLE UPON REQUEST yP�- .ern OQRpFESS/p\ M Wigs c No. 245 a p tc /04- Civl� j OF CA1-�FO� 6U E I E COUN 11 AUIL®ING ®EPARTM ,�t� �PPR0V 17 I\ 00 O N O O O :. GENERAL INSTALLATION INSTRUCTIONS • SITE PREPARATION It is necessary that the home site be properly graded 'and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics.Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE -TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ,ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. c D. Page 3 California '41 /2/03 Vector Dynamics Foundation Systems Longitudinal Component Parts List C T t Page 5 Longitudinal Stabilization Hardware Kit # 10733 - (for use with 59018 Vector System, single stack block sets only. Longitudinal struts not included) Longitudinal Stabilization Hardware Kit for Concrete # 59023'- Includes 2 beam clamps, tension brackets, nuts and bolts. (for use with #59036 & 59049, longitudinal struts not included) 3 Sq. Ft. Pad Vector Longitudinal System # 59026 - Includes 2 beam clamps, 2 tension brackets, nuts "& bolts. (for use with #59271, longitudinal struts not included) Struts for Longitudinal Systems Part No. Length Pier Height. # 59016 30" up to 2 Blocks # 59012 39" up to 3 Blocks # 59013 44" up to 4 Blocks # 59014 53" up to 5 Blocks # 59015 65" up to 6 Blocks PVC Adapter Bracket # 59281 - For use with Schd 40 PVC Center Compression Strut # 48612 - Single Section, 62% 108" # 48613 - Double Section, 34"- 60" (includes short u -bolts, nuts, washers and 6 self taping screws) California 9/2/03 50 in. max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from. surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone 1, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 in max. Unequal Pier Heights rlaximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". ND Page 7 California 9/2/03 (M CD T-� n sv 0 CO Note: L.S.D.= Longitudinal Stabilization Device See Page 6. Soil Classifications: Soil Bearing Capacity: Anchors Required: s byiuiucu(uauy as puaalu.o a.U..y ...a h of the home. Pier spacing must be consistent with home manufacturers' 2, 3, 4A, & 4B instructions and/or state requirements. 1,000 PSF minimum 30" with 24" helix anchor (59095), 12" stabilizer plates (59292), 1=1/4" frame ties Home Length. Vector Systems Anchors Required 24+" Piers L.S.D. Required Per Side or 24" Pier 0 to 72' 3 2 3 2 73' to 90' 4 3 4 2 • • lx„ 9 ✓s .i fie' ¢5- j?4 .7'{` �.i.�' i G• .�, '; � �� �� sl, ��tt`''t�A d �M, 91 (M CD T-� n sv 0 CO Note: L.S.D.= Longitudinal Stabilization Device See Page 6. Soil Classifications: Soil Bearing Capacity: Anchors Required: s byiuiucu(uauy as puaalu.o a.U..y ...a h of the home. Pier spacing must be consistent with home manufacturers' 2, 3, 4A, & 4B instructions and/or state requirements. 1,000 PSF minimum 30" with 24" helix anchor (59095), 12" stabilizer plates (59292), 1=1/4" frame ties Home Length. Vector Systems Anchors Required 24+" Piers L.S.D. Required Per Side or 24" Pier 0 to 72' 3 2 3 2 73' to 90' 4 3 4 2 Each.Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) . NOTE: to CD When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. >v 0 • • _+6y"c.. y its":•Y ,-^ ��k�� '�!� �w�,v yy�ys`�'-SLS--'' �i �,�m,�,�► wh Its Him FO SIN, I Tag or --.- full triple _ - L sy. It. Pau � ay.... I— A 01 f Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': None (`Marriage wall anchors may be required by home manufacturer.) Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 2+2 on Tag 0. 2 1 49'to71' 3+2 on Tag 0 2 1 72'to84' 4+2onTag 0 2 2 85' to 90' 5+ 2 on Tag 0 2 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable 'steel compression (see parts list) ►,1 z. WIND ZONE II (not to scale) • o • to Soil Classifications: 2,3, 4A'& 48 Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': 30' with 4" helix anchor (59095), 1-1%4" vertical ties w/4725 lbs. min, breaking strength. Home Length Vector Systems Required Anchors Equired per side LSD 0to48' 3 5 2 49' to 60' S 6 2 61" to 72' 6 7 2 73' to 84' 7 8 2 85' to 90' 8 9 2 NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. Each Vector System requires one of the following: �2 S ft. pad 1-4x4 or 2-2x4's pressure treated wood compression member, q' Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE • Vector Dynamics Systems Required for Triple Section Home's n se \jectO( (Materials Required)it 1 • • • ORO mo ,�,g�= gg -o sti cn co 2M NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location: NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home. .manufacturers' instructions and/or state requirements. Soil Classifications: Soil Bearing Capacity: Anchors Required': Tag ori 2, 3, 4A, & 4B full triple 1,000 PSF minimum 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertical ties w//4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 3+2 on Tag 4 2 1 49' to 71' 4+ 2 on Tag 6 3 2 72' to 84' 4+ 3 on Tag 7 3 2 85' to 90' 5+ 3 on Tag 8 3 2 �ach Vector System requires one of the following: 1-44 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) 2 sq. ft. pad 2 sq. ft. pad VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in'the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils 1 Sound hard rock...... Blow Count (ASTM D2586) NA Soil Test Probe (1) Torque Value (2) NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very . stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess; varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in lb -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for. anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads.Equivalent to Footer Pads* Footer Size: Footer Size: 1 6x1 6 = 256 sq. in. - 20x20 = 400 sq. in. _ or 16x18 = 288 sq. in. or 17x25=425 sq. in. - - EQUALS EQUALS;- -- _ - - - 2 -Vector Pads # 59275: _ -_ _ __ 1 -Vector Pad # 59271 - - =- _. 288 sq. in. or 432 sq. in. . 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent /iste bove. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in r ar with site conditons C 03 Page 17 California 9/2/ Vector Dynamics System for Concrete Applications Instructions 9. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the o.utside tension bracket, metal Vector pad and into the concrete. 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that. the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor. bolts, securing the outside tension bracket and Vector pad to the concrete. 17. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration T% Inside Tie Bracket Compressic boards or PVC Pipe ad :e I ayVJ I Q %janivi Iua CDF FIRE, SAFE REQUIREMENTS D2 7- 3.26 -&z�/ Z�L�2 r�7 AP# PERMIT # . NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail -ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Drivewav Standards [X] 1273.02 Surface. All driveway surfaces and structures 1273.07 (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet ,and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] 2. the length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to .hold or divert water. shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.11 Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway.. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. AP# Fuel Modification 1276.01 CDF FIRE SAFE REQUIREMENTS ,�' Z 277 PERMIT # NAME Setback for Structure Defensible Space 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements below. [X] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels. caused -by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements [ ] If Building Setback is 15 to 30 Feet: Class A or B roof Enclosed Eaves [) If Building Setback is Less Than 15 Feet Choose any 3 of the following: Metal or no doors on side toward property line with insufficient setback Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco — 3 coat Hardi-Board or Plank Masonry Masonry Veneer Metal Other Butte county Fire Department approved materials 10/12/04 Date Steven J. Signature N COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: A1,400 A/SPUeo ADDRESS: P, Q . l3oX 411 CITY & STATE: PW L �1�-fy • 64 9s%� DATE OF CLAIM: 11/28/95 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.- SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER CANCELLED PROJECT. PROPERTY SALE DID NOT DEVELOPE. TOTAL AMOUNT PAID .......................................... $758.00 RETAIN REFUND PROCESSING FEE...................$25.00 RETAIN SHERIFF FEE.............................$25.00 RETAIN PLAN CHECK FEE..........................$69.00 RETAIN BLDG PERMIT FILING FEES.................$60.00 TOTAL AMOUNT TO BE RETAY.,ED..........................$179.00 (A.P.#27-32-01, B.P.#95-1434, RECEIPTS,#180358 DATED 6/27/95 & RECEIPT#180268 DATED 7/10/95, OWNER:BAUDILO AISPURO B.) TOTAL AMOUNT TO BE REFUNDED .............................. TOTAL $579. 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this Z day of tib 192 at LC— Calif. 1)21 PCC CCzS%-/ %7l S UiC� Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or artic s specified abo have been performed or delivered and that there is a Budget Appropriation [ ] or Specific Board Approval [ ] (Check one) for e. Dated this 28TH day of NOV, 19 9�iat OROVILLE Calif. Department Head or Authorized Deputy 1800-----280-----SHERIFF $335.00 :.. 0100- ---- 4617240-CDF $ 43.00 440-002--4210500-CONSTRUCTION $201.00 rNJ� LINE : AUPITDR:� VSA OM4Y . '" DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. SA"r,"4 roc's n 1�e1 u ACC+ Cocle-) c RC- �U Vic1 VA CL � 1 14 � Code, �_ v0. FOR BUILDING DIVISION USE: ! 8•'D 3� � r Receipt Information: Number: Date: Issued To•` ✓C0 �7�Si4Ud'�O Amount: $ �� Fees Retained: Processing Fee:" $ Bldg Filing Fee $ Plbg Filing Fee $ Elec Filing Fee $ Mech Filing Fee $ Energy P/C Fee $ Plan Check Fee $ Inspection Fee $ Total Amount Retained $ TOTAL REFUND DUE $ 1 G-0c)e-s •C7 onsfi ��W.;i-S sho-y\sP S RA I' � jr c2Do ao : o - • /_ 1/6/,00 MR. SRA Al 'f2-1 " x,3,00 -. 69 - s4,q Receipt Information: Number: Date: Issued To•` ✓C0 �7�Si4Ud'�O Amount: $ �� Fees Retained: Processing Fee:" $ Bldg Filing Fee $ Plbg Filing Fee $ Elec Filing Fee $ Mech Filing Fee $ Energy P/C Fee $ Plan Check Fee $ Inspection Fee $ Total Amount Retained $ TOTAL REFUND DUE $ 1 G-0c)e-s •C7 onsfi ��W.;i-S sho-y\sP S RA I' � jr c2Do ao : o - • /_ 1/6/,00 MR. SRA Al 'f2-1 " x,3,00 -. REFUND CLAIM APPLICATION CLAIMANT'S NAME MIAf& AISLLPGIl2� MAILING ADDRESS �0, /50%� ASSESSOR PARCEL # PERMIT # RECEIPT NUMBER(S) Request a refund of fees paid on the above receipt number(s) for the following reasons: bog- Please og Please refund any applicable fees in the followina cateaories: (Check those categories which you wish to have refunded.) [VII Building Permit Fees [lam]/ Sheriff Fees [V'I SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [ ] Please dispose of plans. SIGNATURE DATE BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636.(OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: wwwbuttecounty.net\dds PERMIT NO! I BP042937 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/28/2004 APN: 027-320-001-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 3 PARHAM RD PAL Date: Contractor: Map Index: Description: NEW MH PERM FND EX SITE(1404) OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: STEWART ERIC C. &SUSAN L. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a PO BOX 649 signed statement that he or she is licensed pursuant to the provisions of PALERMO, CA the Contractor's State License Law (Chapter 9 commencing with Section 95968 7000) 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 the applicant to a civil penalty of not more than five hundred dollars ($500).): Jif I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: STEWART, ERIC C. & SUSAN L. Code: The Contractors' State License Law does not apply to an PO BOX 649 owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, PALERMO, CA provided that such improvements are not intended or offered for 95968 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt underArticle 3 o the and Professions Code �Business O Off+ • /IvDwner:of�4e "" _ Date: License #: 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1404 S. F. Valuation: $91,260.00 Policy#: Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. B A Date: p, Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages s provided for in Section 3706 of the Labor code, interest, and attorney's fees. 41 CONSTRUCTION LENDING AGENCY This permit is h by is ued under the applicable provisions of the Butte County CodR ?nrVOr , �o have I hereby affirm that there is a construction lending agency for the Resolutions to diceted above for which fees been paid.— performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: Name: Ib ` PERMIT EXPIRES 0 . Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County toenterupon the above mentioned property for inspection purposes. Su S-9 Print Name:: /-� p� Signature: Date: � �f� / Owner ❑ Contractor ❑ Agent for Owner 13 Agent for Contractor ' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name 2 GJR r f ust Na�e� J Address 3 le City OR 0 1////z, State G,,g City Phony91 /.6 Fax E-mail APPLICANT NAME CONTRACTOR Name •N-4 City • Address Zip City Fax State Zip Phone Type Const Fax E-mail Map Book Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City • Address Zip City Fax State Zp Phone Type Const Fax E-mail Map Book State License Number APPLICANT NAME Name �Q Address City • State Zip Phone Fax E-mail APPLICANT SIGNATURE X G�li For office use nly: Zoning Ci Flood Zone I I I SRA Yes No Occ. LENDING AGENCY Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP BIN # LOCATION P rop , s ��'44r Ci C s Street ere WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of or Sq. Footage ❑ Structure Built vvith ut Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION. Applications f6r which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Received b)r Amount: 5 Tg• qy Bldg I I 010 9U SRA Receipt #: 36go- 6-D Sheriff • 3 SMTP OVER FOR SUBMITTAL REQUIREMENTS 11 K TORMSMILDING FORMS161dgApplSubRgmts.doc Page 1 of 2 Date: (d 7 ()� Other Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitte819 the Building Division in order to apply for a permit. INCOMPLETFSUBMiTTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLEAND IN INK. W 1. Site plan 3 (4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). 119. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been. issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Ketunas can oniy be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance -for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING FORMS06 gAPPISubRgmts.doc Page 2 of 2 REV 7-27-04 0(4ag3% COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET i OWNER:5l ✓' SSESSOR PARCEL NUMBER - 330, V Proposed Building Use: r ► ,Counter Technici Date: Li Items required in order to apply fo �.a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ _ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. g ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs j ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 0 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ......................................... 0 20. Erosion Control Plan Required........................................................................ ........ dud- 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit ............................�.. 23. California Department of Forestry plan approval .Qpaid. Sent by: ............ 24. Planning approval (A) Use: 6�:_ (B)Parking: (C) Parcel Check: 1 D- 2'7 ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. .PUT 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 0 32. Letter of Signature authorization......................................:............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 0 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... 37. TGrant Deed, tyJh.l_T44e/Statement of Facts,❑.L-eReLfEcz.Legal-Dwae;.9.Check.to.f CC,,D-$ ❑ 38. Other: ❑ 39. Other: 1 When issued Telephone and hold for pickup. 1 have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items r Contractor, design r, owner was advised of the above data by phone, ❑ mail, ❑ counter, Date: �-7 • G Contractor, designer, owner, was advised of the above d to by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Ini� C� Date: ®• I Plans approved by: Date : 0 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot ®Pen Attached : Roar Pian Anachad _ Owner Location AP# Plan Approved for: Sewage Disposa`t— Water Su=ly: P blic Private Well Clearance for dwelling. Other `'J y Hold final for: Final clearance O.K. for: NOTE: Pit En ' onmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 1� SCHEDULE OF RECEIPT OF FEES OWNER A.P. # a:7 ;�O—L7 PROPROSED BUILDING USE DATE o4. RECEIPT # DATE REC. 1. BUILDING PERMIT FEES ---,Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ LK. SCHOOL DISTRICT FEES I J (paid at School District Office) (form available after Plan Check) I �/ ✓ 3. SHERIFF FEES (paid at Building Division) 'r q� Residential............ X $360.00 =$ 3 ' W 0777 - Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES / $510.00 (paid at Building Division) i✓ 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89:90 (paid at Building Division) -Z 777- 461-716 ao4 9 8 8. WATER TENDER FEES BATTALION # $200.00 (paid, at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ /Ane ii Units Amt. Commercial (sq. ftg.) ......... X = $ ri Sq. Fig. Amt.. '✓ 10. OTHER �[ / IL3 U/27 / '� 10 7 b l At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees maybe changed during the plan checking pro�`'`� APPLICANT DATE Z6 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) School District A.P. Number Property Caner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) /- 300- 001 Property Location/Address Building Department No. County Subdivision Lot No. CY/ - 0 -3 � .................. _... ...................�..................:................................. Residential Development © `�" Q Q Sq. Footage No of Living Mobile Home Addition/ Supplemental to (Group 12) Units Installation = Conversion Permit # i *(No foundation inspection) .......................................................................... ..................... Commercial/Industrial Q Q _ New n Addition Deed Restricted Sq. Footage , (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) . s Sq. Footage (Including Exterior., d /Roofed Areas) -7D Date District Identification No. 6 t� School District ceri:fes that. • i (Street Address) (Applicant) (Phone Number) (City) (State) (Zip Code) C has complied with the requirements of Resolution No.. 6S -04—k44- by payment of $ representing t square feet. 2926 $ FULL MITIGATION $ School District Reprihentative Date / Paid by Check # "too Nodes: You may protest the Impositiwr of the fess Identified above by submitting a written protest to the District, In compliance with 'Government Cods Section 66020(x), wMdn 90 days from the date fess aro paid. Fallure to submit a timely w. tten protest will'prohiblt you from chellenging the Imposition of the fess In any court action. If, subsequant to the School District Representative signing this Butte County Schools Impact Fes Certification Form, the School Dletrlct Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environntsrdal Quality Act (CEQA), this project maybe subject to additional school fess to fully rdtigate. tis Impact on the school dMtrk t schools. White (applicant), Yellow (building department), Pink (school district) feeforrn.xls (10/03)dmm Department A(,�r% 5 Clc W��� Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 e v Project Description: l/)/l 8 B1� J` / /0 tK Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB I acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total. more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING October 27, 2004 Susan Stewart 3 Parham Road Oroville, CA 95969 Subject: APN — 027-320-001 Dear Mrs. Stewart: The Butte County Department of Development Services, Planning Department, has reviewed the submitted Building Permit Application 04-2937, and has found your application in compliance with the established planning criteria. The site plan. you submitted meets the setback requirements for your zone as well as applicable map or use permit conditions. The Permit Application has now been forwarded to the Building Division for their consideration and action. If attached, please find a copy of any use permits, map notes and conditions for your property. We are providing this to your for your information and future reference. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and 4:00 pan. Monday through Friday at (530) 538-7603. Sind, gbly, Chris Tolley ( Assistant Planner I SITE PLAN REVIEW APPLICATION Date: /0 ` 27' ZGO AP# D 2 7- Zc� Permit Number (if applicable) 0q 2q '57 Bin Number APPLICANT INFORMATION Parcel Size: Owners Name:' Owners Address: Telephone No.: ' Situs Address: e�L&%^ Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) emporaryTravel-Trailer-❑ ❑ Temporary-Travel-Trailer- F-1Multi -family Non-residential ❑ New Commercial ' ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Well ❑ Agricultural Buffer FormE] Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval J Site an Sta ped Approved By Date Page 1 of 5 r ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: Y- • Flood Panel No.: 40,7-,6-L Index Date: ZD - 2&6, ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form. ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: - 610= AIZ Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. 11 CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side r Side Street Rear ' Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. 11 CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road i ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) < * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: . Date of Creation: Legal Access Provided: ❑ No Deed of Reference: Legal Access Required ❑ No Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed- Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Yes ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 JM Subdivision Map/Parcel Map: ��� 'T f� Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Book: /�00 Permit Number: Date of Approval: Page: 3 1' 3t - Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 1 Page 4 of 5 L Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. .y CALarrys\Building Permit Site Plan Reviewl.doc i c + Page 5 of 5 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 - PERMIT NO. APPLICATION AND PERMIT ASSESSO ARCELNU EA ZONING • T• 01 lo BUILDING PERMIT Ow TELEPHONE OWNEIrS WILING ADDRESS SO. FT. OCC. BUILDING VALUATION CONTRACTOR' NAME TELEPHONE COM MAILING ADDRESS Fireplace CONS LIC T NDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S ADDRESS Permit Fee $ ARCHfT O I EER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHIT TO E GINEERS MAILING ADDRESS Penalty $ BUILD GADO ss PERMITFEE $ 0.0 1 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SU N' M&rA UA PgRCI Ml�, /(/V/YVVf S Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTU E SF ❑ Duplex Mobilehome Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New*' Addition ❑ Remodel 9, Ufil'Ities Installation ❑ Other ❑ Describe Work: U Mobile Home; VX @20.00 60.00 PERMITFEE $ Contractor ELECTRICAL PERMIT20.'00 Filin Fee 2 BEDROOM Main Service ( ZoaA OR OR LEss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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. ❑ 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 NEW CONST. DWELLING OCCUR OR ACDNS. ( d ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .30 Ex. Occup. (oFI FIXEDA PLS D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 00 20.00 ' Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation 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. Sof J&evo Date L9�'Z_z �'� Ignature of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 I HAZ. 1 D. FEES IMP FLOOD PARCEL PD HD E This permit is hereby issued under the the Butte County Code and/or indica above or which fees have PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date �O 9 % -V A(a - (Date) Receipt No. 180358 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .- . r-": "�=RA?^-,�= •,asn_, ..'* ' �..�� r , r „ , ... fir, .. . . COUNTYOF BUTTE - DEPARTMENTOF D0,9,LOPM ENT SERVICES - BUILDING DIVISION 7 COU NTY C E NTER DRIV E - OROVI LLE,, CALI FO RN IA 959 65 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET l OWNER l A. . No. o� % - Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1; All items have been, submitted ......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. ` r 5. Hazardous Material Form . ............................................ vt 6. Energy.Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... ,. 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ......... . 11. Impact fees as shown on attached schedule. t alifornia Department of Forestry plan approval fees.. 6k� 13. Flood elevation letter (100 year flood) by C ifornia gineer. ................. . �14. Sanitation and plot plan approval ��' Health Department . ............ 15. City of Chico plumbing permit . ......................................... ,16. Plot plan and business license approval from City of Biggs/Gridley. ............ . 17. Planning approval for (A) Use: (B) Parking: P-18. Contact Land Development about (A) Improvements (B) Drainage. ........... ( 19. Driveway permit (construction approval required prior to occupancy). ...F;i�4;sp*edion reclu_eg_ f 20. Pre -inspection for required. .. to Building Inspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance. .............. . 23. Owner -Builder Verification (Given to owner Mail to owner _). . . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. ........ 0 ............................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . .....................:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail o owner. Mail to contractor. Telephone - O/O and hold for pickup at vt 2 office. Deliver with inspector. Other t� f'r "a Parcel Creation Acreage Applicant h'IA�� C� 5Ar �i, S�firD Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By Th'e following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date2_. 3 Sets of plans on hold in File cabinety AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance V,P,,u ,. i t�\� c- L aS vx a vie 03 ' Pa 4�re 6 y Owner Location H.H. USE ONLY Plat Phn Athchad Floor Phn Attached Sent to B.D. / Off.? -- 3 acv — oo AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for 9, bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: 'T—o &-e- ft V tom. 0f �' l ✓ :�(s1 , -Z�� '�yo�-. vq-�- c2� ssasac F+° cCGO / ?-`v EnvVonmental Health Specialist Date 8/92 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO[ ]. OI HAVEN] HAVE NOT[ ] signed an application for a building permit for the proposed work 3. I have contracted . with the following person (firm) to provide the proposed construction: NAME: ADDRESS: Com' 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: NAiME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE Or WORK SIGNED: PROPERTY OWNER: MAP, C, 6 G t°S'01r fA sw r r7 SOCIAL SECURITY NUMBER: DATE: " Z 2 Q1' NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: .. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tar withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your .! obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees. without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material -personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. ' Sincerre'll Michael C. Vena, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF -BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER zON1 BUILDING PERMIT OWNER SO. FT.. OCC. BUILDING VALUATION OWNERS IUNO JODRESS _ re, EA CONTRACTOR'S NAME .E CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 0 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS aq PERMITFEE S (/j PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome k Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities A Installation ❑ Other ❑ Describe Work: ' Mobile Home S G W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filing Fee 20.'00 (Main Service 000V OR LESS 200A OR LESS ) 23.00 oZ Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. NEW CONST. DWELLING OCCUP. SO. OR ( 8 ACC. BLOS. ) 3.50T. CNS. NEW CONST. MUITI.OUTLET NON•RESIO. ( BRANCH CIRCUITS ) 97.50 ( 6 POWER APPARATUS ) SINGLE OUTLET CMR. EX. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 0 .SO Ex. Occup. (oUXXEEDTS PLLS . OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 __X•67 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I COF PARCEL I PO I HD I ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. WHITE-D.O.S.-B. . CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT qn--Iq 3s - ASSESSOR PARCEL NUMBER 00-7-320-0010-001 A5 ZONING BUILDING PERMIT OWNER BAUDILO AISPURO B. TELEPHONE OWNERS MAILING ADDRESS f 95966 SQ. FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace ' CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE S 43,00 OROVILLE PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ( Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: Mobile Home I S I GI W 1 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service a OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO +000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SO. DR ADON ( a ACC. BLDS. ) 3.5Q Fr. S NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ) ( 8 SINGLNGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 2e 0 + 50 BAL .00 Ex. Occup. (DFIXED RES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Xn���<(J�Date b '-�_ 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. 4,4'L Mobile Home Installation Fee Is 100.00 Energy Inspection Fee Is Occ CONST. TYPE I TOTAL FEE $ HA2. 1 0. FEES IMP FLOOD COF PARCEL PO HD SSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. 180358/125.00// tX 6ZfGk­ /j? WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTYOF`BUTTE'- DEPARTMENTOFDEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLES CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER P. No. - % - 3�v - CJ Proposed Building Use Building Inspector Date 69 P At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. cl+(e P.-.:" 9. 10. Fees of $ IR.O-D .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...Pn�4A.e.6o; 20. ,6queSt Pre -inspection for required. . to Building Inspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ........... = - 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. ....................................... Letter of intent on building use. ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the ermit, process as follows: Mail to owner Mail to contractor. Telephone - O and hold for pickup at -or -out office. Deliver with inspector. Other NT -Cif- mbail- Parcel Creation Acreage Applicant 1*91RC0 << SA1 IQ" S/9v/ODate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE — DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE (916) 538-7541 OWNER .. A.P. # PROPOSED BUILDING USE �Y 1T DATE - AA REC. # DATE REC 1. SCHOOL DISTRICT FESS pvO (paid at District Office).. ..... ............... 2. SHERIFF FEES (paid at Building Department) Residential......)_x �) =$ unit amt. Commercial (sqft) x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES aa // (Contact Land Development Division).............. 1!1 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... G (paid at Building Department) 7. O'T'HER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT' DATE 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. OI personally plan to provide the major labor and materials for construction of the proposed property improvement : YES[] NO ]. I HAVE[)] HAVE NOT[ ] signed an application for a building permit for the l % proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDIZESS- PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: M12o�C(-q CYypy 5PLIr0 SOCIAL SECURITY NUMBER: DATE: 2 ^ 9P NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: .. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only .under -limited. conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material -personally. Building -permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, `�.:C Ltc.f•...i�(,' Michael C. Vicu* a, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ®: 2418-86P,E(NH) PERMIT NO. Q • PERMIT EXPIRES U GARY ARNOLD OWNER owner . CONTR. ASSESSOR PARCEL 27-32-01 LOCATION #3 Parham, lot 1, Palermo 7--6 5' — Y m Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E a JOB FINALED (Date) Signature I OK ' Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date "'MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete'- _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors - 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1• Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except H's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elect; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK ° = NotX'ppli°able RESIDENTIAL (Single and Duplex) - Not Ready Date UNDERFLOOR (Plans) OK except#'s Date FRAMING (Contin' 1. Zoning requirements -Setbacks -Easements _ 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / Ftg. 49. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. 1 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric: Underground 12. Plenums &_Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Gard -BI Date _ _ _ Card -BI _ Date Card -81 Date Card -BI Date Date ELECTRICAL (Permit) OK except #'s Card B -I Card B -I Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- 20. 48. Property Line Firewall & Openings In Garage; Above Floor-Mech. Protection 49. Ext. Doors -One 3'-Check,Garage-3rd story, 2 exits 70. 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Size Boxes & No. of Conductors -Stapled 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 23• 52. Siding -Nailing -Veneer Insulation -Foam -Looked in Attic ❑Yes 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ - 73. 54. Glazing Area -Glass Protection -Skylights -Plastic 2 Appliance Circuits in Kitchen & Conductor Size 55. Shear Walls; Nailing -Bolts 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size/ / ga. Cu or Al Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, 75, Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Card -BI Date Card -BI Date Card -BI Service -Riser Conductors & Ground -Main Disconnect_ -_ Date Card -BI Date Card -BI 29. Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- 20. Fixture & Transformer Clearance -Ins. Protection Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights _& Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23• Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic ❑Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size/ / ga. Cu or Al Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, 75, Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Insulated Neutral Yes No Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect_ -_ 76. Stucco; Brown -Finish 29. Equip. Clearances: Pane ls-Motors=Mech. Equip. - 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light Date Card -BI Date _ Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. 83. Glass Protection Corrections from Previous Inspections MECHANICAL (Permit) OK except #'s 31. A.C. Ducts. Insulation & Support _ _ _ 32. Vent Fan. Exhaust above Insulation 84. Gas -est-Meters Tagged; Gas -Electric 85, Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates 33. 34. 35. Card -BI Card -BI Condensate Drain & Overflow: Size_& Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic -- - ----_ - _ - -- Date Card -BI Date _ Date Card -BI Date ----- - Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilings-Stairs._Chases-Tub 41 Header & Beam -Size & Bearing - -- 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Slop -Ins. Baifl_e_s 46. Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions 47. Garage Fire Protection Framing Com rents at Final: __- - ------ --_39. - --' - _ (NOTE An entry must be made each time you visit job site) Card -BI Date _ Card -BI Date Card -BI Date COUNTY OF BUTTE BUILDING DIVISION ' `DEPARTMENT OF DEVELOPMENT SERVICES •, 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ER -2 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contac this office immediately. vl�x9411OP -IF6 .4ZIQ17 Date 1Q, 74,7. Inspector REV 10/92 Y' COUNTY OF BUTTE - DEPAR;HENT, OF PUBLIC WORKS 7 County Center Drive - Oroville,,Celif6rnia-95965 - Telephone 916/534-4541 _ p APPLICATION AND PERMIT PERMIT NO. ASSESSO��,RCEL MBER (�+y/- // ZO N'G BUILDING PERMIT Ow R T LEPHONE SQ. FT. OCC. BUILDING VALUATION O ER'S MA ING A00Rr CO TRAC OR'S NAM TELEPHONE ONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $Q— LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 7771, 0. Plan Checking Fee $ Energy Plan Checking Fee $ AR HITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS IT Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 palerniD Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL. MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer in 5.00 Mobile Home (S_4 G 0.00 ea .00 . TYPE OF WORK New❑ Addition❑ Remodel❑�j Utilities Installation❑ Other F1 Describe work: 'h uiafi>Y� S� SF /�/ Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 V OR Main service 100 AMP ORSLESS 10.00 10.1)(7 Main service EA, ADD'L 100 AMP 2.50 0.0 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/ and Professions Code and my license is in full force and effect. License No. Classification �FIXED 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.Ik, OR ADDNS. ACC. BLDGS. /20sgft NEW CONSTR. ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS APPARATUS e) (SINGLE OUTLET CIR. / 20 0 ALePOWER Ex. Occup\OUTLETS OR FIXTURES aAL@30 APLNS. Ex. Occup. OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 115. Misc. Wiring 15.00 / '`J. do Permit Fee $ L`Vol Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. C�?/I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I e read this application and state that the above information is correct. I a ee o comply to all County Ordinances and State Laws relating n, and hereb authorize representatives of the County of to building c stru�'Iioe Butte ent upo above -me i ned property for inspection purposes. I also re to s e, indemnify nd Sep harmless the County of Butte against all I it es, j gments, cost , a d expenses which may in any way accrueY/ again sa d Cc ty in consequen of the granting of this_permit. X Date Sign to o p1icont — ner ❑ Contractor ❑ Agent An CISH permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 7. 5 occuP. coNsr.TrPE JF7PARCE} Po No ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PERM EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS at � � �/ 6313:Z •� Receipt No. J 1317 6 WHITE-O.P.W•, YELLOW -ASSES OR, PINK -INSPECTOR, GOLDENROD -APPLICANT f � f COUNTY OF BUTTE - DEPARTMENT,,O0PJB'CIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL�E, QAJ.a FORNIA 95965 - TELEPHONE: 916%,534-4541 PERMIT APPLICATIOWDATA SHEET Permit No. OWNER qY �/'rUi [� A. P. No -0 7— /9 4aE4K Proposed Building Use Permit Fee Based Upon: Complete Contract 'Price DPW Valuation O her �cpl'ai ) Building Inspector Date At time of permit application, I was adviAed the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . / 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . erC AlLPO ,3. Complete plans in duplicate/'tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5.* Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . . Qr� J State Ment of Intent for Non -Heated and AC Buildings. . . . . 1 G 8. Fees of $ . . . . . . . . _.. 9. Letter of signature authorization. . . . . . . . . . . zk_1.0- Sanitation approval from. ()rz) Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . .= 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to ownerE]) y -15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . Pre-Insp17. Pre -Inspection for Required- Building request to � p q Building Inspector 0� 18. Recorded copy of Agricultural Acknowledgment Statement . 19. Other Date) Whe you issue the permit, process as follows: Mail t ner Mail to contractor. i Telephone 3a a / and hold for pickup at office. Deliver w/inspector. Other n_CLo Appl ican Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: ~� (Contractor, Designer, Owner) was advised of above required data by By Plans checked by. Plans approved by Other: Copy—DPW Telephone Mail Other -bate _ Date Date 1 To: Building 0 From: 7nvironment-I Subject: Sanitation 0-6 cv MIt -e, t Locat,ion Plan Approvod fo.-.- bold final. for: Final clearance O.K. 1011: Clearance for �L-- I I o I,.: 5anitari :-in - /? -1A �t^-) ":.Upplv supply V . . COUNTY OF BUTTE-- Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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 or no) �. 2. I (have/have not) signed an application for a building permit for the proposed wo k. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors 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: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Sign NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Return to DPW 'AGRICULTURAL STATEMENT-'OF•ACKNOWLEDGENENT RECORDEDIjIOFFICIAL RECORDS FOR' RESIDENTIAL. DEVELOPMENT OF BUTTE COU?JTY.0 a �OR914 &TTxE REOU� Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 86-27120 1986 AUG 19 AM 9' 4$ The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of tha 9ECKER property may be subject ;to inconveniences or discomfort arising fro�L RK -R C�R�ER FEE the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should -be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: bAl 66, -C to 101-0-- F V� 7"t 4 C Z- 5 0 C, �eagoet Date: / ` f` 6' State of (-AT.TFCIRNTA ) ), SS. County of • RLTTTF. Y > &I -j f NGT fyIT ORIGINAL DpCUEN7 e- OFFICIAL SEAL �."a.l NANCY E. PRICENOTARY PUBLIC - CALIFORNIABUTTE COUNTY My Comm. Expires J. '2. 1988 PROP TY OWNER 'GACom* f RY J�IXRN61;15- On this th1.e,, 19th day of Au�i,st- , 19_gf�, before me, the undersigned Notary Public, personally appeared h GARY JOE ARNOLD Personally known to, me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) subscribed to the within instrument and acknowledged that TF executed the same for the purposes therein contained. `IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public NANCY E. PRICE 9 NW -• 4-�--- r..m'lfN+S• ..•• ....:.:.: .... u....rw_...i.+...r.•wu ,w..uv.u:.....r.�..._... _..__..w.•YopNd',.r. pit• I / / Lha t certain rcril property siCuate in thL 1 State of California, described ��.s fo)-lo�ti,s. e Cot�1zY of F3utte, ;.. shown on that certain !�!aentitled,„ , wl.ki.c1:l P4ap 14as recorded in the n Mal tie R 1 ARI AM -SUBDIVISION” at ages, State of California, on June 7 Iz19II5cinder l3°Olcfltl1e County" at pages 31, 32, 33, 34 & 3,. .... .00 of maps, . PARCEL B: A non- c.xcl-11sive easement fOz all roads as tyle same are'",sho an aon��that certain I�Ia a � • nd 1_ul31i-c uti.li.ty p1zposes over_ , Subdivision," which M , the Country of Butte aP was recorded in t11e OfficeC' etled, "palhanl �ta•te of California onJ7; 1985, the Recorder_ of 100 of Flaps, at pages 31, 32, .33, 34 & 35. 19II5, in Book PARCIM C: All that real property situated in Scction.23 Totrnc' 18 East, t•I,D, & 1�I, , - and being a non -e% clusive easement �11forP roads Range 4 utilities purposes on, over and under a9'6, lying 30 feet on,•each side of the alld public strip of land, 60 feet in width - following described centerline. �`.'�E GINNIING at a point on the North line of said Sect' ITorthtre�st col:ner of said Section ion 23 from which the feet; thence Southerly and bon ?�, .:ears South II70 43' SG'f ,.,C South Ol° 2r < <, para.:. F'�c-tet 30,00 ry,_ QG lel ~lith the ~';est line of 40 Ea.,� .,u7.90 feCt; t11C:11Ce'Sc]1?th 44° n. e ,� Section 23, feet; thence along a tal)cler�t curve concave t�o�.�tlitae"tc rty }�avin �. of 125 feet; a central angle of. 3 / ° 1, . ,� East 409.87 81.28 feet-; thence Soutll Q7 2, r 14 9 g �, radzu., Lhe arc lon •t:h of which is line of that certain pl-ircel convey' l „ p,. j 144.20 feet to the Southerly Decd recorded Idar.ch 9•, 1970 -'ed to P., J, IIunter Developments LTD b in 13oolc 160, of Ul�ficial Records, of I3utto County, at page 104 and the end of said line. PhRCL•'L D: All thz,;: recd propert: y �it_ua _0d ill. Section 14,. To,,gt; ;hip ].II North, Range 4 descr Ii, I�. & Ii. , Butte Count��, Czlli ornia and bci.ng more articu descril�cd as a non --exclusive easement for road and publicutilitieslar].y P.lrt�o: e �, on, over and under the fo11o;,�i.rig described parcel , 13EGII;NINKS a t the Southti-rest corner of ;aid Section 14 ' along the South line of said -Sectio 14 P thence T'asterly � Leet; thence �7 said' .7leavin ' �- . North II % ° r .3' SG" East G0.00 South line North 010 36' " thence Sotzi:h 070 4•.;' SG" ilest 60,00 Leet to the 1;e�;04 West 30.00 ''-4t th nc_e Southc!rly x10119 Said G•,ic�t line "Doth O1° 3G, flet:; t line of said Section feet to the point of beginliing. 09 East 30.00 , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovill, California 95965 - Telephone 916/534-4541 - APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBFR! — / J (/v--- ZINf: _ ( S J BUILDING PERMIT OWNE �Y` Y TELEPHONE SO. FT. �CC. BUILDING VALUATION - -- - 27-32-01 �7 PeY'IIt�t7r./t 2419—H6MEII Issued Fireplace OWNER'S MAILZING ADDR , r ` CONTRACTOR'S N TELEPHONE VICYNTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $' , Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FiIingFee 10.00 SE r Each Trap 2.00 �LOr Solar or heat pump water heater 20.00 LOT NO. SU DIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomt` Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 Be TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation,& Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10OV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Icense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El I, as the owner, am exclusively contracting with licensed cont ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , hltsgft New CONSTR.(AMULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS y (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20050t 5AL030 FIXED APLNS Ex. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Home Facilities 15.00 Mobile Horact- sc. Mi15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a ertificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have re this application and state that the above information is correct. I agree to o ply to all Count rdinances and State Laws relating to building c nstruc on, and hereby au dri a representatives of the County of Butte to a upon he ove-mentio d pr perty for inspection purposes. 1 also ag e s e, in emnify and keep armless the County of Butte against all liabi e j gme s, costs nd a enses which may in any way accrue again i o �t onse of a granting of this permit. X Date Sig ature ' fpl r — Owner Contractor ❑ Agent ❑ An OSHA p it is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 4415, Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CO.ST.TYPe IFLOODIPARCELI PD ND Is9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT 'r BUILDING DIVISION COUNTY OF BUTTE DEPARTMENT OP- UBbC.WORKS - "• 7 CbUNTY CENTER DRIVE - OROVILD�;"CA�^.I.F„ORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION, RATA_, SHEET Permit No. - OWNER ��� � A. P. `No. � Proposed Building Use—�-- Permit Fee Based Upon: Complete Contract Price DPW Valuation Ot er (E plain) Building Inspector Date �� p \ At time of permit application, I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . (')I e*'1'6. Mobilehome Installation Data. . . . . . . .•B. d.Pre-request — to (pore)17. Pre -Inspection for Required.uiling Inspector 18. Recorded copy of Agricultural Acknowledgment Statement . . . 19. Other When you issue the ermit, process as follows: Mail to ow fir. Mail to contractor. I`Telephone 3a "N / and hold for pickup at office. Deliver w/inspector. Other Applican ` i _ Dat 'f!��? Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By T Date Plans checked by Date Plans approved by Date Other: Copy—DPW BUTTE COUNTY'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,'Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: " /All .t0 3. Is the site currently under permit? Yes No T-1 (if yes, furnish permit number ) OR Is the site an existing site? • Yes No a (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5.ft, away from septic. tank and leach f ields'and clear of all setbacks and easements? Yes No F1 (If no, clarify 1; 5. What is the mobilehome electrical rating? --------------- j 2 5 Amps 6. What is the mobilehome site service rating? ------------- 14U(f Amps 7. What is the mobilehome site circuit breaker rating? ----- j 2 4; Amps 8. Is there any other electric load to be served by the FV I mobilehome site service? -------------------------------- Yes goNo (If yes, identify the load and size: (Load) (Amps) 9. What is the'mob'lehome site gas pipe size? --------- --- (in.) -1-F-1 10. What is the type of gice?--=--------- ------ Natural F LPG as v 11. What is the gas pipe length from meter tank to the mobilehome?--------------------==------------------_ * 12. What is the mobilehome.gas demand? ---------------------- (BTU) *(This information not required if pipe.length less than 6 ft. on .natural gas or less than.50 ft. on LPG.) MOBILEHOME SUPPORT DATA � If other than single wide, Mob ilehome Mfr.h *10- IC1 furnish Setup Model No. Width ?- (ft.) Box Length(ft.) Tagalong or Expando Size Year 19T ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) a 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) Zr_Cncrete block .. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1 Piers: _ Line 1 Openinits: Size -Min. ------------ Size-Min------------------- Spacing-Max - -----------------Spacing-Max. --------- , „ Each Side of Openings From Ends -Max --------'_ '� With Width Over --------- " Line 2 Piers:! Size -Min ------------- Spacing-Max - ------------Spacing-Max.--------- Prom Ends -Max .------- Line 3 Roof Loads: Size -Min. ---------- Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ ,x , n Spacing -Max---------------- From Ends -Max -------------- Line 4 Piers: Size -Min .------------ ,k „ Spacing -Max---------- ,- From Ends -Max -------- Line 5 Piers: (Under Bearing Walls Ong Size -Min ------------------- Spacing -Max.-------------- From Ends -Max .------------- '- Line 5 Roof Loads: Size-Min.------------ ux n nx a ux a nx 1. „x. n ux a ,k Location (From Front) A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang, &V � a Vx S00 I -- ,r .! S fh/s Cept On Sot of J Nke a the Io p/ans e 0 ripen hl" Chen b of a// ndt. spec • . !Es pe"�'SSo es or s/ i��s a� t�Cetions >.. Co�ntY A froom terat/o d ft /s 41t/SI y Of god the �s ons (Ja/,7 fb• ®ryt�ve ��th / to of ot> P(16/4 Le • thevireol nob//eh�o�e he >P/N/M'QM Utl; S ft o thoenecti°ns s ha/f oIrec{y ben db'feh me/ �e Within rh° the ro or With; 'they bel ehOrr�e dQ(side (left) n the r o f thear .. NOTES .l +A 11 RESIDENTIAL PER( 427=320-001 04-2937 STEWART, SUSAN 3 PARHAM RD, OROVILLE f Cont: OWNER F NEW MH PERM FND I' THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE .BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS .fn::r SUB-SNDARD HOUSING LETTER DETACH FOR SERVING UTILITY Address GAS Meter By Date ELECTRI 3 a Meter By Date JOB FINALED (Date) 131or Signature Rpplioable VotReady DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES ate MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 I 'I Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector ; 6. Water; MH Test -Regulator -Connector 1 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. i 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche ? Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1--Adhing Requirements -Setbacks -Easements aeoro0 Size -Spacing -Marriage Line 3 ocking 4. Gas; MH Test -Demand -Valve 5,Electricity; MH Test r 6-.-WMer: MH Test and Sewer Connected t' ' J/(,E�10. License Decals J 11. Verifv #'s with Office Date ' /] Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 /�� _q oe1� 4 3 (9,1 p bC z 3 Av Z5 bZcf ca", e a F / OC Go l Ptd-' wuxs7'_ MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date 47. Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 17. Water Htr.; Vent -Access -Combustion Air Baffle 52. 18. Water Pipe; Test & Anchor -Nail Protection Property Line Firewall & Openings 19. D.W.V.; Test Fittings & Anchor -Nail Protection 55. 20. Shower Pan; Test, First Floor -Tub Access Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 21. Test Tub & Shower, Second Floor -Tub Access 58. 22. Gas Pipe; Sixe & Anchors Glazing Area -Glass Protection -Skylights -Plastic 23. Fire Sprinkler; Test 61. Brace Interior/Exterior Wall Panels 62. Date 63. Card B-1 Date Card B-1 Date 73. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 24. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 25. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 26. Size Boxes & No. of Conductors Stapled Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 27. Romex Installed Close to Edge of Studs & C.J. Plb.; Elec. & Mech. Equip. Listed for Location 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Guard Rails & Deck Construction -Post Caps 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 32. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor 0 Yes 33. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters O Yes 0 No 34. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 35. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 86. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 89. 36. A.C. Ducts Insulation & Support 90. 37. Vent Fan, Exhaust above insulation 91. 38. Condensate Drain & Overflow, Size & Grade 92. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 93. 40. Attic Access & Platform if Furnace in Attic Date Energy Compliance Certificate -Other Certificates Card B-1 Date Card B-1 Date Address Posted Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Date 43. Bearing Walls over Girders & Floor Nailing Comments at Final: 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa t 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r r •.�� .tiv. -. i'i:.Fed*-'1:n....s-l':.y1'9+�""'�"'�"�'pis"':'t'�y,v"+.".'�•-7inf^'M��ii'y+�7wa�..W+ • �, COUNTY OF BUTTE d BUILDING DIVISION Via• DEPARTMENT OF DEVELOPMENT SERVICES F„. 1 411 Main Street • Chico, CA • (530) 891-2751 ' 7 County Center Drive • Oroville, CA • (530) 538-7541 If CORRECTION NOTICE 4 OWNER PERMIT NO. I's , .' 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 t completed. If you have any questions pertaining to his matter, or need additional explanation, 3 please contact this office immediately. wV 1 7 RECORDING REQUESTED BY: n AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:51PM 12 -Jan -2005 REC FEE 13.00 CONFORM 1.00 Alyce Page 1 of 3 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 3A, 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. ERIC C. STEWART AND SUSAN L. STEWART REAL PROPERTY OWNER/LESSOR PO BOX 649 MAILING ADDRESS PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP 3 PARHAM ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAI LING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-2937 530 538-7541 BUIL G PEWIT NO. TELEPHONE NUIABERIP S!PINIAMCITE OF LOCA1 AGEN F IAL VTE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GOLDEN WEST 2004 GE481F MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER G10R23N29024A/B 43'8"X 13'6"/85- 4" x 13'6" ORE466062/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 027-320-001 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. Eswow No.: 04 -106519 -TG Locate No.: CAFNT0958-0958-0001-0000106519 Title No.: 04-106519 ` EXHIBIT ""A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS: PARCEL I: LOT 1, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARHAM SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7, 1985, IN BOOK 100 OF MAPS, AT PAGE(S) 31, 32, 33, 34 AND 35. CERTIFICATE OF CORRECTION RECORDED OCTOBER 24, 1986, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-37964 AND RECORDED MARCH 15, 1991, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 91-9992. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER ALL ROADS, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARHAM SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7, 1985, IN BOOK 100 OF MAPS, AT PAGE(S) 31, 32, 33, 34 AND 35. CERTIFICATE OF CORRECTION RECORDED OCTOBER 24, 1986, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-37964 AND RECORDED MARCH 15, 1991, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 91-9992. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: ALL THAT REAL PROPERTY SITUATED IN SECTION 23, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., AND BEING A NON-EXCLUSIVE EASEMENT FOR ROADS AND PUBLIC UTILITIES PURPOSES ON, OVER AND UNDER A STRIP OF LAND, 60 FEET IN WIDTH, LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT ON THE NORTH LINE OF SAID SECTION 23 FROM WHICH THE NORTHWEST CORNER OF SAID SECTION 23, BEARS SOUTH 87 DEG. 43'56" WEST, 30.00 FEET; THENCE SOUTHERLY AND PARALLEL WITH THE WEST LINE OF SECTION 23, SOUTH 01 DEG. 24'40" EAST, 967.90 FEET; THENCE SOUTH 44 DEG. 40'28" EAST, 409.87 FEET; THENCE ALONG A TANGENT CURVE CONCAVE SOUTHWESTERLY HAVING A RADIUS OF 125 FEET; A CENTRAL ANGLE OF 37 DEG. 15' 14" THE ARC LENGTH OF WHICH IS 81.28 FEET; THENCE SOUTH 07 DEG. 25' 14" EAST, 144.20 FEET TO THE SOUTHERLY LINE OF THAT CERTAIN PARCEL CONVEYED TO R. J. HUNTER DEVELOPMENTS LTD, BY DEED RECORDED MARCH 9, 1970, IN BOOK 1605, PAGE 104, OFFICIAL RECORDS, AND THE END OF SAID LINE. PARCEL IV: ALL THAT REAL PROPERTY SITUATED IN SECTION 14, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA, AND BEING MORE PARTICULARLY DESCRIBED AS A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES, ON, OVER AND UNDER THE FOLLOWING DESCRIBED PARCEL: BEGINNING AT THE SOUTHWEST CORNER OF SAID SECTION 14; THENCE EASTERLY ALONG THE SOUTH LINE OF SAID SECTION 14, NORTH 87 DEG. 43' 56" EAST, 60.00 FEET; THENCE LEAVING 5. Initials: Gam% SAID SOUTH LINE NORTH O1 DEG. j6'04" WEST, 30.00 FEET; THENCE .SOUTH 87 DEG. 43,56" WEST 60.00 FEET TO THE WEST LINE OF SAID SECTION 14; THENCE SOUTHERLY ALONG SAID WEST LINE SOUTH O1 DEG. 36'04" EAST, 30.00 FEET TO THE POINT OF BEGINNING. Initials: EWA R { ' f''� r 7 - ti s� h 9 Y7 fw� r, �. Y'�+r'r'= � A tC r w,C i�+4_ a 7i:f •S't *r g rs'_t, .e [i y d f t - j,�as q - )r+G, yy�.s,+'v3 }$ ti 5 1 L x 4 r 1 i F p.k V hrc'�(Fi i!i r.i a'Xwr;' h'r ft VRGA"2 rf �G'� �e Ik ! t� �..�5wa.�. i.� F k�"": s�!4rr _,,. �1 E)e"!s'"�t.r .N�« 8 �rr,.k Q�°j 47 L'i..�Ci .+�.. t u� 3�+Yi •1' Irk r1,� ,u r'K i a ..i n of �T C: %fq �a.Ac r1{.� 'ylnha zS y{�p� r4 F+�,e r �jA lY: `i�}+ FOUNDATIONWSYSTEM�� � � , w rig #rKY v,as pt i4� hk , , 4, ,� .�. +�; c a g3 k .qa ski°jr ` r r >f a uw'� c 5cur? r M } i yr Y ja Hp. t �E'it' .1'c +?t +.Pa+z«` E .* R�..f i w.• �S,R `Car u,:r � ,��l�r? •.fs'i� •T!-'i�lC f rF TJ'i ;` '�k ; kE s i p f -0r PA" d r iryCERTIFuI �4�At,la OFYjOCCUPANCY n ti.VF. r 5 .s r b v.x r.•• ,if' l 't r 1 u 'rwF ft Fye y tr z� t 4�rGa EIA to 3 iit a Sde3 4S ? i ! ti 4 i i G t1a ry C`f Frw2 j(,.;•� k� v 3i�h> Y4�d. t,'GX'�(f, q�Air,. �"�g iPt,',�7`�.rxCO' tire!"'' ���t,,,d���'�i;.s�.�VYt3'��i:'1d'�: �•.d''4YrA{�G:.�n5��.,'r{ �K.�.7+�','�,��..;4.P;c(t�C11�..:� BUILDING PERMIT NUMBER: 04-2937 Address or location of unit: 3 PARHAM ROAD, PALERMO CA Legal Description of Real Property: AP#: 027-320-001 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: ERIC C. STEWART AND SUSAN L STEWART Owner's address: PO BOX 649, PALERMO CA 95968 INSIGNIA OR HUD NUMBER: ORE466062/3 SERIAL NUMBER OR V.I.N.: G10R23N29024A/B MANUFACTURER'S NAME: GOLDEN WEST YEAR: 2004 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUESTED BY: Fidelity National Title Company of California Escrow No.: 04 -106519 -TG Locate No.: CAFNT0958-0958-0001-0000106519 Title No.: 04-106519 When Recorded Mail Document and Tax Statement To: Mr. and Mrs. Eric C. Stewart 21214--10105331 8 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 01 -Sep -2004 REC FEE 13.08 TAX 42.90 Cheryl Page 1 of 3 APN: 027-320-001 SPACE Ai3pVE THIS LINE FOR RECORDER'S USE GRANT DEED The undersigned grantor(s) declare(s) Documentary transfer tax Is $42.90 j ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, j ] Unincorporated Area City of Oroville, FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Albert C. Pond, an unmarried man hereby GRANT(S) to Eric C. Stewart and Susan L. Stewart, husband and wife the following described real property in the City of Oroville, County of Butte, State of California: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF DATED: August 18, 2004 STATE OF /i;(E✓ COUNTY OF ON u - a'I UD before me, E R - 4--WitM�V4a4wnersonally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to, the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures) on the instrument the person(s), or the- entity upon behalf of which the person(s) acted, executed the instrument. Witness my hArio and official seal. Signature _.... C Albert C. Pond 7 14 d TERRI A. RU371 N • PulIb�ary me1,a Butte Coonhr My Comm. Exp. OCT. 24, 2007 10 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED (grant)(3-04). 2 W STATE OF CALIFORNIA 1 BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT .. l DIVISION OF CODES AND STANDARDS ' REGISTRATION AND TITLING PROGRAM STATEMENT OF FACTS This unit is a: 0 Mobilehome 0 Commercial Coach 0 Floating Home 0 Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) I/We, the undersigned, hereby state: j % Ila 7 s� I/We further agree -to indemnify: and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. A�. 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X596 tib ; !I % Site Looaflon rev, Contac: Name S� S� S7`� �JQY'f' Phone 1816) Ly combw 2% W03 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acmes LLI .4 1 Ll LLI ILI ti