Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
027-360-119
92-0160 GOLDSTIEN, J N CONTR: BIGLOW, TED MSSPALERMO HONCUT Y, OROVILLE MH UTIL ,LEC .Wo aApZ o �/JAS /7,OMPACTION TESUPPORT STRUCT- -119 �,�Contr: Mobr Inc q"Permit#92-0-0160).�� ►+� oG-oG 27-360-119 05-2775 0 GOLDSTEIN, JOHN _�j p� 8855 PALE H lJ� �Z-7 — 3GO — I ' 1 OROVILLE \ Cont-FREEDO OM 027-360-119 OS -2776 GOLDSTEIN, JOHN ROVILLE 8855 PAL O Cont: F DECK � COPY of Document Recorded 30 -Nov -2005 2005-0072751 RECORDING REQUESTED BY: Has not been compared with original BUTTE COUNTY COUNTY RECORDER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JOHN GOLDSTEIN REAL PROPERTY OWNER/LESSOR 10191 GRIFFITH STREET MAILING ADDRESS SAN JOSE SANTA CLARA CA 95127 CITY COUNTY STATE ZIP 8855 PALERMO HONCUT HWY INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME') SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-2775 530 538-7541 BUILDINJ3'PERMIT TELEPHONE NUMBER SIGN A r LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (Knot a dealer sale, write "NONE') NONE DEALER LICENSE NO FLEETWOOD 2005 VOGUE MANUFACR:RERS NAME DATE OF MANUFACTURE MODEL NAMEMUMBER WAFL531AJB/C8998-VO13 71 X 39'1 V WAS0095727/8/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNLVLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSORS PARCEL NUMBER 027-360-119 07/20/2005 14:27 FAX 530 899 9331 FIDELITY NATIONAL TITLE 0 006/007 Quitclaim........ .Deed; California...................................................................... I ................ THIS QUITCLAIM DEED, executed thls '8TH day. of DECEMBER - 20 04 , by first party, Grantor, JOHN PIERRE GOL STEIN whose post office address is _l 01 41 GR?FFTTxT SAN _,Tn� to second party, Grantee, - — A X31 7 _ Whose post office address is 1 g Gi?T1;`FTTH Cm , 7nat. r�A q 51 �7 WITNESSETH, That the sald first parry, for good consideration and for the sum of Dollars ($ J paid by the said second party, the receipt whereof is hereby acknowledged, does hereby remise, release and quitclaim unto the said second parry forever, all the right, title, interest and claim which the said first party has in and to the following described Parcel of land, and improvements and appurtenances thereto In the County of BUTTE State of California to wit: LEGAL DESCRIPTION: TEE REAL PROPERTY IN THE UNINCORPORATED AREA OF THE COUNTY OF BUTTE, STATE OF CALFORNIA, DESCRIBED AS: THE SOUTH HALF OF THE SOUTH HALF OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 33, TOWNSHIP 18 NORTH RANGE 4 EAST, M.D.B.& M .v,..�j 447v.e.,aew . Page I Dasaription: Batt®,CA D0=='3=t-Ye$r.D0o1D 2004.75229 Page: 2 of 3 ord®r:.Molly Comm®ne. O 2MA, Saoetes Mcdq• uG u29eeA - ftev. WM4 o -=p Butte County Department ofDevelopment Services Paul McIntosh, Interim Director www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION* BUILDING* PLANNING October 6, 2005 John Goldstein 10191 Griffith Street San Jose, CA 95127 CERTIFIED MAIL Re: Administrative Permit, ADM 06-06 APN 027-360-119 Dear John Goldstein: Enclosed is your validated Administrative Permit No. ADM 06-06 to allow a temporary mobile home on property zoned A-5 (Agricultural, 5 -acre parcels). The property is located 8855 Palermo Honcut Highway, approximately 3,000 feet south of intersection with Cox Lane. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Sherry Viernes Office Specialist, Senior Enc. cc: Land Development Division (g) Building Division (y) Environmental Health (p) Department of Forestry (gld) GIS (vi) ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: John Goldstein FROM: Paul MacIntosh, Director - Development Services DATE: September 15, 2005 FILE #: ADM 06-06 PURPOSE: Administrative Permit for John Goldstein on APN 027-360-119 for a temporary second dwelling to be located at 8855 Palermo Honcut Highway, approximately 3,000 feet south of intersection with Cox Lane, on property zoned A-5 (Agricultural, 5 -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to John and Tuseline Goldstein. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. No rent is to be charged to the occupant of the mobile home. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. Permittee Signature Date /r Pete Calarco ate 01Z Assistant Director I STATE OF CALIFORNIA NUMBER: i BUSINESS. TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF ►MUSING AND COMMUNITY OEVELOPMEfYT DWISION OF CODES AND STANDARDS Q % MANUFACTURED MOUSING PROGRAM V { 3 6 -' MANUFACTURER CERTIFICATE OF ORIGIN ❑ CNECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MAK'.�ACTURED HOME OR MULTIUNIT MANUFACTURED HOUSINq ` NUMBER OF U SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING T TRANSPORTABLE SECTIONS 3 COMMERCIAL COACI.1- OCCUPANCY GROUP FLEETWOOD HOMES OF WASHINGTON, INC. 0031 • I t_S 11�Al 5TH STREET , ., . , _bTOODLAND 191- VOGUE rA VOGUE I 7714P 2006 IAME OF DEALER OR TRANSFEREE (OIMNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER QR CMH, INC TRANSFEREE DESIGNATION: DHA: FREEDOM HOM$S NA 2243 FEATHER RIVER OROVILLE INC. 5000 CLAYTON ROAD SEfes SECTION MANUFACTURER SERIAL NUMBER 1 WAFL531A18998-VO13 2 WAFL531BIS990-VO13 3 WAFL531CIO990-VO13 TRANSPORTER NAME: WESTSTAR SYSTEMS, IN TRANSPORTER ADDRESS: DESTINATION FOR UNIT DESCRIBED ABOVE: MARYVILLE NCO INSIGNIA OR NUO LABEL NUMBER WASOOSS727 WAS0095728 WAS0095729 MFI082465 SUGGESTED RETAIL PRICE. 98674 , DATE OF MANUFACTURE: 08/05/2005 DATE OF TRANSFER: 08/15/2005 CA 95965 Slate 2i0) Mt—I TN 37804 LENGTH WIDTH WEIGHT INCHES INCHES (POUNDS) 852 160 29,200 852 160 30,950 852 160 32,000 I O"'I fy'"- P --Y of pWfufy U -d" 1tq WS Oft?* SIMI- OIC-Iif a Incl Ire above feta an llue Ong oonrea. Execulodan 08/05/2005 A WOODLAND COWLITZ l (Data) ► (City) (County) (SUIo) f SIGNATURE OF AUTHORIZED AGENT: �� I'•a;"..� r l i f'L i DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREOITOR. UNLESS THERE IS NONE. THEN FORWARD TO THE PU14CHASER I011ALER OR TRANSFGRGC I COPY 1 (WHITE] FORWARD TO THE OEpARTMENT AT P 0. 8071 1828. SACRAMENTO. CA 9ygi2•t828, WITHIN FIVF, (91 DAYS OF NEI.EASE COPY 2 (VELL07k OELVvER TO THE TRANSPORTER TO ACeOMPANY TME UNIT TO ITS DESTINATION, COPY 3 (GOLOENR00) YO BE RETAINED BY THE MANUFACTURER HCO 403.0 • Side 1 - (7/97) C00/C00z - A11103 311119 �+-+- dI'IV3 3111AOSO AIOQ332i3 bOCC ZCS Of'S w4 ZT:nT rtaU eninriTT Butte County Department of Development Services. urrfe NOT ES 7 County Center Drive, Oroville, CA 95965 _ (530) 538-7601 www.buttecounty neUdds ''•��ev" RESIDENTIAL APN: Permit No. ! Owner: _ _ -05-2775 1027-360-119 Site Address: GOLDSTEIN, JOHN 8855 PALERMO HONCUT HWY,' Contractor , OROVILLE I Cont:_FRIEDUM=HOMES Type of Permi (M`H PER-bF_ND.(NEW), OFFICE COPY I Address S / 4Lfen10 d9..V U/" GAS Meter By Z +�'' Date $ os- ELECTRIC Date Fl.��rwoop ° Dom Hyo WAS ogs-7z ti✓^s 095'72.6, WA.s '0 4s 729 1� f� SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE CHECKED BY t i DATE JOB FINALED: * SIGNATURE: (� = OK 0 = Not OK MANUFACTURED HOMES I MISCELLANEOU'S--`'' DATE ANENT FOUNDATION SOFT -SET ng-Setbacks-Easements ��PERI //,; Special MH Support Sketch 3w-er; Loctn-Test; Fall/C/O-Concrete ,(Wtr; Loctn-Test-Easement Needed -Regulator ?� 5 Elec Loctn-Clrncs-Grnd Amp -Concrete Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth �kng; Sz-Spa • g -Marriage Line OGp;�g H Te errand -Valve nnctr c MH tnty Test-Cros�rs-Breakers-.L-Irncs IV Dra'n-; MH Test -Fall -Flex Cnnctr Sewer Connected -C/O to Grade I e ® Gas and Electricity Tagged 13� a Downs ❑ Foundation 21 O 44 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE DECKS`COVERS•CARPORTS-GARA G ES i I i j ; Oa' 1 Zoning -Setbacks -Easements 2 Ftgs; Solis -Sz-Dpth-Spacing-CnnctrsSteeI 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams-Rftrs-CnnctrsShthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Stu ds-Rftrs-Trusses 9 Siding; Nailing-Veneer-Stucco-Lath1 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 4 DATE IPOOLS l' I i 1 1 t C _ } 1 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr • 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bdxes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide 41 o 'e.�a�-tet./ _ q ( Z I 0 S C1 000 Ott' ° ° t �J i t Pool Drawing • f I s .=OK 0 = Not OK - RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zan ingSetbacks-Easements-Flood-Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth_ 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Fig Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel -B lockouts -Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall-Fifting-Test-2-way C/0 -Sewer Testo'o0 �s 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd DATE M E C H A N I C A L 13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn _ 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties -Pu rlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Cirnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cirnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Cirnc-Com Air Cnnctr•PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace IntlExt Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cirnc Drnge Planters ❑Yes [::]No 87 Stucco Brown -Finish o'• e� o"• �S 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frpic-Cirnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Pimb 40 Fxtr & Trnsfrmr Clrnc-Ins Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or ❑AL 98 Address Posted AC Wire Sz ga ❑ CU or 0 A 99 Fire Sprinkler 48 Range Circ ga ❑CU or ❑AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No o+' 04'_ 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector o'• o`,c o' 0• . r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds 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 the Business and Professions Code, and my license is in full force and effect. License Class : Lice se Number: lew�y Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 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).): O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 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 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.). O 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I ly�reby affirm under penalty of perjury one of the following declarations: ref I 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carder and policy mbar are: !/ Carrier: Policy #: ® t✓ .L J O 1 certify that in the performance of the work for which this permit is issued, 1 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. Date: Ze `d `a Applicant: Ail WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this.permit is issued (Sec 3097 Civ.) Address: Pr3PHAll 9- Pb 5_-.2 `77 Issued Date: 10/14/2005 APN: 027-360-119-000 Site Address: 8855 PALERMO HONCUT HWY PAL Map Index: Description: new mh, new site, prm fnd (2748) Owner: GOLDSTEIN JOHN P & TUSELINE 10191 GRIFFITH ST SAN JOSE, CA 95127 Applicant: CMH HOMES INC DBA CLAYTON HOMES #748 PO BOX 9790 MARYVILLE, TN 37802 916-371-2200 Contractor: CMH HOMES INC DBA CLAYTON HOMES #748 PO BOX 9790 MARYVILLE,.TN 37802 916-371-2200 License #: 839031 Architect: Engineer: Total Square Ft: 2748 S.F. Valuation: $178,620.00 Census Code: o _0�5 qqo.o?-9/ f �A4 )�� This permit' ereby iss nder th applicable provisions of the Butte County Coda enrl/or Resolutio s to do dicated abo e t /which fees have been paid. By: Date: /�/ / PERMIT EXPIRES ON: ❑ 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. O 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. 1 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 doc mart of utte County. I hereby authorize represe"es/off Butte County to enter pon the above mentioned property for inspection purpo Print Name: � Xl�i�// 41 ;K Sinnatnra• �//// Date: J --, e / '7 -- f ❑ Owner ❑ Contractor O Agent for Owner for Contractor N74tT = P994 %Rb Cr - 6?©1`5?,W BUTTE COUNTY &)6P -J DEPARTMENT OF DEVELOPMENT SERVICES- •PERMIT. BUILDING PERMIT APPLICATION NO. AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 SP 05 - OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION BIN # **PLEASE PRINT CLEARLY** Name Freedom Homes Address 2243 Feather River Blvd. City Oroville state Zi Phone CA p 95965 530-532-3301 Fax 530-532-3304 E-mail "* 839031 1 Class B AhPUCANT NAME Name Freedom Homes "Ju 2243 Feather River Blvd. City Oroville State z CA p 95965 Phone 530-532-3301 lax 530-532-3304 OVER FOR SUBMITTAL REQUIRE MNN—TS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of wvRKER'S COMPEN: Policy Number , D004WO0236 -"'"' Willis North America, Inc. If hiring anyone other than license contactors, a certificate of workers compensatlon must be shown at the time of permit Issuance. Name LENDING AGENCY Address Description or Scope of Work: sr;D - Sq. ❑ Proposed Change of Occupancy (Note previous use): A WA 00 V4 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one Year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be KLQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by� Receipt #: c6 I 1 ` �ll1l`"' Date: ID' Amountb-Bldg SRA Sheriff SMIP Other Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a 7 mit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK 1. Site plans, 3 or -4 sets, signed by the preparer of the plans. No graph paperl ❑ 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 faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑/ 5. Statement of Intent for Nog -heated and AIC for Non -Residential Buildings. C� 6. Manufactured homes: (gData sheets and installation inst, ( Marriage line info, (C�F'Ioor Plan, (eie down or fnd plans, all in duplicate. , ❑ 7. Metal bid s: O MetalBId�Plans, B Fnd laps and calcs in triplicate, C Elevations in triplicate. D Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractors 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 o2H. ultural Acknowledgment State��rent. ❑ 11. I�Grant Deed, Title/Statement of Facts,14etter 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 Refunds can only 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 KAFORMS\BUILDING F0RMSadgApp1SubRgmts.d0c Page 2 of 2 REV 7_27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI0111, 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 . PERMIT APPLICATION DATA SHEET OWNER: �DGr/ `i?ZF-/ v ASSESSOR PARCEL NUMBER O 2 o D Proposed Building Use: N��i N 5 / / 'Permit Technician: Date: /0-7-0-5- Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. I" 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ��❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. �• i Al 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Find plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildirigs ❑ 12. Hazardous Material Form A) 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other \Rema Hing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: O ....... 24. Planning approval for (A) Use: !L(B)Parking: (C) Parcel Check:....`. 25. Contact Land Development about _Improvements, _Drainage ....................... %i 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization...............................:.................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction........................................................ �..... ................ 35. gal description, ❑ M.H. Title, title search, registration q�MCo... r ................... Cl 36.O1her: i ❑ 37. Other: When issued Telephone 660 - D 5VD and hold for pickup. I have been inform d of the above items nd re irements for obtaining a building permit. / Ppli;�7 �ca Date: ` 0� .. ndex pe app ic�tion for the abov i ems umbered: Plan Check Letter 2. Additiopai items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: 'Plans approved by: Date: � Structural reviewed b : Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Divisio COUNTY OF BUTTE ®012 - DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 . SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER �OL�S�/ A.P. # PROPROSED BUILDING USE N L—�/ N%/ f • , N�'y✓ S qv_1041 X�I /V v� RECEIPT fl i. BUILDING PERMIT FEES q/�,�/ � --- Balance Due ..................... $ DATE 627- /D- 7 0 �� --- FEMA Flood elevation review ... $ --- Additional plan checking Fee .... $ _ 6-12-0 2. SCHOOL DISTRICT FEES/qL' 6 If— A- d I (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Chec AVNT_ 5. RESIDENTIAL DEVELOPMENT IMPACT FEES /NN /E COUNTY WIDE (per dwelling) $ l�Dwl-06—O&CO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) DATE VP�REC.(( � '-4 `7-6,5— 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP 9. DRAINAGE FEE 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed duri; the plan checking process. APPLICANT Ia � ff., 9 Pursuant to Goveaffnent Code Section 66020, yod 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 projector 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. 7/05) BUTTE C LINTY DEVELOPMENT' FEE CERTIFICATION FORINT FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Q2 3GO �� Building Permit Number 6'S_2 7? Property Owner (s) Project Location /Address U���� L� O LvT7—� Subdivision Name New Development Alteration/Addition(s) Mobile home Assessable Sq. Ftge Type of Residential Development (check one) Demo Permit (date issued Comments: Single Family -Detached Non -Residential to Residential Mobile home replacement Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building Department ❑ FRR? ❑ CA ❑ PRPD ❑ DRPD certifies that: _ Applican Nam Ph Num r Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ Remarks: Paid by Check No: Paid by Cash: Recreation and Park District Representative fnr rev l.doc per unit for a total of $ R02� •. CFO per sq foot for a total of $. Receipt No: I q ''1114�k IN BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District 02o va, t ,�;— lotlSW 491 A.P. Number 0 2 7-36O — 11q Jurisdiction: Q City Building Department No. ®County Property Owner C.� �' C'> S 7Z-77N.— Property Location/Address Subdivision -/'&/-V e V7'7 - Lot No. Residential Development Q Q Q '•: Sq. Footage 2 y8 No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # •(Nofoundation inspection) .'• ........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior 101 /17 Roofed Areas) Building /0--7-65- Date District Identification No. 060083- O(, ()v +' �hk 0 f) Al k School District certifies that .J (Applicant) r TYN , LAS 53a 33o (St re t Address) (Phone Number) a1��m� C (City) (State) (Zip Code) / L has complied with the requirements of Resolution No. I by payment of $ (� fSJJ fU representing a -79% square feet. rl- School District Paid by Check # ) Remarks: B 2926 $ ULL MITIGATION $ i 1 �� �'%A Date Nodce: You may protest the Imposition of the fees Identified above by submtMng a written protest to the District. In compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If. subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.,ds (3;05)dMm Department of Public Work's C o u n t y o f LAND DEVELOPMENT DNISION a J. Michael Crump. Director Storm Water ManagementRag am 7 County Center Drive ��`'• C'� / Oroville. CA 95965 � N.� a 5 (530) 538-7266 �Uc wtoF� (FAX) 538-7171 National Pollutant Discharge Elimination Systerrl ' Iluti ' Phase li Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN I ACRE Project Description: r 'D-,,;o,.f s nratin„ nndlor Parcel Number: (9127` :20 �! � By sighing below, I, the project owner/owner's agent, certify that this project WLLL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit frcn 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: LQ _e=10 - Butte County Department of-Developnent servrces °`'Tr�° 7 County Center Drive Oroville, CA 95965 °° (530) 538-7601 Telephone c0UK�-� (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development; County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. ® I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: i C . .•. - �� i.���/1// i� /moi r �/ - -r APN : �i1 7 - 040 l` Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIG URE �APPI�tAN DATE v Copy to Applicant/EWFile K Forms/BidePermitwithoutClearances 020705 07/20/2005 14:27 FAX 530 899 9531 FIDELITY NATIONAL TITLE/2006/007 r' Quitclaim Deed; California .............. THIS QUITCLAIM DEED, executed thls 8TH day of DECEMBER 20 04 , by first party, Grantor, JOHN PIERRE GOLDSTEIN whose post office address Is to second party, Grantee, whose post office address 6 1 1 g CT � Am ORE rA q 57 77 WITNESSETH, That the said first parry, for good considerationandfor the sum of Dollars paid by the said second (3 ) parry, the receipt whereof is hereby acknowledged, does hereby remise release and quitclaim unto the said second parry forever, all the right, title, interest and daim which the said first party has in and to the following described parcel of land, and improvements and appurtenances thereto in the County of _ BUTTE Stare of California to wit LEGAL DESCRIPTION: THE REAL PROPERTY IN THE UNINCORPORATED AREA OF THE COUNTY OF BUTTE, STATE OF CALFORNIA, DESCRIBED AS: THE SOUTH HALF OF THE SOUTH HALF OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 33, TOWNSHIP 16 NORTH RANGE 4 EAST, M.D.B.& M . f%ge I D'asorilotion: J tutta,CA Dccun'=t-Year.DoolD 2004.75229 Page, 2 of 3 Order: 11021Y Comment: 07/20/05 WED 14:25 O 2004. $wnes Meds, UC tF29KA • Ren WU (TX/RX NO 85391 12006 07/20/2005 14:27 FAX 530 899 9531 FIDELITY NATIONAL TITLE 007/007 IN WITNESS WHEREOF, The said first party has signed and sealed these presents the day and year first above written. Signed, sealed and dellvered in presence of.- Signature f: Signature of Witness: Print name of Witness: Signatwe of Witness: Print name of Witness: Signature of First Party, Print name of First Parry: JOHN PIERRE GOLDSTEIN Signature of Second Party, Print name of Second Parry; Signature of Preparer EDNA LILIA v RON. Print Name of Preparer Address of Preparer 1 020 S WHITE RD SUITE B SAN JOSE CA ( 5127 State of Californla County of SANTA g=,A A On DECEMBER 8 Otefore mQ EDNA L•rLIA VARQN appeared jogN plyr Tbj —_ personally known to me (or proved to me on the balls 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 hit/her/thelr slgnature(s) on the instrument the person(s), or the entity upon behalf of which the Person(s) acted, executed the Instrument WITNESS my hand and official seal, Signature of Notary: Affiant.Known X Produced ID Type of ID CALL (Seal) PqV 2 W*WWea,.WLa1rn * ta63W NOMW haftCen+rrl, salb Cure" a" jaw# 211L Description: Butto,CA DoC�at—YQar.DoCZD 2004.75219 Pago: 3 of 3 order: Mo21y Comment: e 20a. SMM w4a. uc LP29KA - Fw Oval 07/20/05 WED 14:25 [TX/RX NO 85391 2007 �u. PsVISION PROVED-" Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. VO/31/OCT04 0 ro N 0 CA r N N Dye 0 00 CA ul 0 0 Nv i IJd�I � - . 4 1A 1 h ML {_ / nrl T to (6. ' t5 T 6 6 6 66 --i--- V 6 �6) 6 � 001 ffmw ' 111.3 sq. n np N0.1 SIZE 711 fwl 25•-0' caellm 4921 % R a" 1 it Or r� A OWN- --y 1. ili lbe► 1�'� '"0I d■ b+i b an aoocl " L EIqlL■ >Aon n111 pM► i0 ®�,+oitib, 3 � 91ii► otfiaq lotoled m er riido■ 9. ML 20V It 21 MR M 51001 9 r-1' 133 ft '7 Ir -13p• 7 IJ'-! 1/1' 7 j33 f-0' JJ 1'-4' 33 1 c 1(-r 7 (�3 '. IOC IS -1 J/M' d 149! Sa R 1181 E C stAMAM Rff)11pOb =11TUMAND - 31 • ILOOR PLRl SRI I IJ'-4-■7o'-e'®1J-4;70-e'®IJ'-4.170'-e' Of 1 sus IME owuel Or. SHAUN REV M 10/11/04 VOGUE SrAL 6'= r -o' 1114P SCRIPTM CIM VENIINO. SIZE DESCRIPTION -I- GIR C� � . M 51 m EJOMIb1 t C2sNIL 9QQ: AURA NNe1 ( cm Me I AR PAR 10 t n1 ��r. mm Po RX R{1m MR cat[ @ Ham t.4 A , __ _ _ COME 3.t--1. SLAIN$LIU l a2O SiAER 141 1S r-0- ■ e'-ar UA SIM 143 18.2 r� A OWN- --y 1. ili lbe► 1�'� '"0I d■ b+i b an aoocl " L EIqlL■ >Aon n111 pM► i0 ®�,+oitib, 3 � 91ii► otfiaq lotoled m er riido■ 9. ML 20V It 21 MR M 51001 9 r-1' 133 ft '7 Ir -13p• 7 IJ'-! 1/1' 7 j33 f-0' JJ 1'-4' 33 1 c 1(-r 7 (�3 '. IOC IS -1 J/M' d 149! Sa R 1181 E C stAMAM Rff)11pOb =11TUMAND - 31 • ILOOR PLRl SRI I IJ'-4-■7o'-e'®1J-4;70-e'®IJ'-4.170'-e' Of 1 sus IME owuel Or. SHAUN REV M 10/11/04 VOGUE SrAL 6'= r -o' 1114P Pboa rtggR [W XN/X.T.1 97:7.T TRA CO/77/in I JUL-22-2005 FRI 03:34 PM FLEETWOOD HOMES WA FAX NO. 3602255069 P. 04/06 07/22/05 FRI 16:01 [TX/RX NO 85681 Z004 JUL-22-2005 FR1 03:35 PM FLEETWOOD HOMES WA FAX NO, 3602255069 P. 05/06 07/22/05 FRI 16:01 [TX/RX NO 85681 U005 JUL-22-2005 FRI 03:35 PM FLEETWOOD HOMES WA FAX NO, 3602255069 C'7 CO ,OI L m 3� I D1 s I r r� ( � N I C-4 C-4 G�+ N � Q Co. N r OD i v W I QrJ i r 4b- I CO w.' I./J I m m r OD .1► �� VL f ti� O ^ I Lf CAIMM cy W Q; W 1 y CD 1 G+d A ti V V ax cc CDP V V os C") C0 11,1 :1w P. d zl- C C> C� Yt1 V v 07/22/05 FRI 16:01 [TX/RX NO 85681 Q]006 ,OI L 1 I s I r 01+1 ( � N N � N C") C0 11,1 :1w P. d zl- C C> C� Yt1 V v 07/22/05 FRI 16:01 [TX/RX NO 85681 Q]006 ,OI L I ( � N C") C0 11,1 :1w P. d zl- C C> C� Yt1 V v 07/22/05 FRI 16:01 [TX/RX NO 85681 Q]006 F SITE PLAN REVIEW APPLICATION Date: .d/I�A5_ AP# 0.2.-7- 3k d —d 01 776 Permit Number (if applicable) Q�— 77 Bin Number APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Site Address: 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) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: Parcel Size: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form Zone: A 5— DEVELOPMENT SERVICES INFORMATION (For Staff Use) t Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By C�/�/l Date ,. R ' .1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: v • Flood Zone: • Flood Panel No.: Index Date: ❑ 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 ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance Agricultural Worker Affidav Administrative Permit - jYY2p22GC �1�1Fi1�V�. — /S ��� 06 ❑ Minor Use Permit ❑ Minor Variance Zoning: Applicable Building Setbacks: General Plan: Ak ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 4 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side 30 Side Street Rear S �� Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 4 r,. Parcel Created By: Deeds: Date of Creation: y-6 --7y Legal Access Provided: ❑ No ❑ Yes Deed of Reference: / a— Gf Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies withounty Standards for Deed Creation:❑ No ❑ Yes Comments: �Oc� JJ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Subdivision Map/Parcel Map: Map Date of Recording: Lot: . Book: 3 Page: t ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: John Goldstein FROM: Paul Macintosh, Director - Development Services DATE: September 15, 2005 FILE #: ADM 06-06 PURPOSE: Administrative Permit for John Goldstein on APN 027-360-119 for a temporary second dwelling to be located at 8855 Palermo Honcut Highway, approximately 3,000 feet south of intersection with Cox Lane, on property zoned A-5 (Agricultural, 5 -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to John and Tuseline Goldstein. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. 8. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. A, Permittee Signature Date /��- Pete Calarco ate Assistant Director BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds 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 the Business and Professions Code, and my license is in full force and effect. License Class : �_ License bef:P Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code:Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 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).): D I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O 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 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.). O I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I 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 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 / ` Policy #: ❑ 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. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this.permit is issued (Sec 3097 Civ.) Address: Issued Date: 10/14/2005 APN: 027-360-119-000 Site Address: 8855 PALERMO HONCUT HWY PAL Map Index: Description: deck (288) Owner: GOLDSTEIN JOHN P & TUSELINE 10191 GRIFFITH ST SAN JOSE, CA 95127 Applicant: CMH HOMES INC DBA CLAYTON HOMES #748 PO BOX 9790 MARYVILLE, TN 37802 916-371-2200 Contractor: CMH HOMES INC DBA CLAYTON HOMES #748 PO BOX 9790 MARYVILLE; TN 37802 916-371-2200 License M 839031 Architect: Engineer: Total Square Ft: 288 S.F.U6 Valuation: $2,880.00 Census Code: a -A ( �� �1 This permjPrs hereby issued ufider thgapplic8ble provisions of the Butte County Code ?nrUor Resolu' ns to do %4brk ' ated abore to ich fees have been paid. By: Date: y^0 PERMIT EXPI SON: %/''7)�—%'-7^C��'� ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 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 documqnt of Butte County. I hereby authorize re pre lives of Butte County to enter upon the above mentioned property for inspection pure s. Print Name: Signature: eIX Date: O Owner ❑ Contractor ❑ Agent for Owner for Contractor r r �%JYr� BUTTE COUNTY l o o DEPARTMENT OF DEVELOPMENT SERVICES C o BUILDING PERMIT APPLICATION v o AND SUBMITTAL REQUIREMENTS o _'- 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 o -_ •_�� o _ OFFICE #: (530) 538-7541 SOU �ty A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWIVER Last Name First Name Address City(0a VState Zip Zp� Phone Fax E-mail APPLICANT NAME CONTRACTQR Name Name Address Zip Address��, / City State Zip �- Phone��3� E-mail Fax �1 E-mail Lic. # FClass APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE Fr office use only: Zoning Pro erty Addresa7 Flood Zone Cross Street SRA es No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL KhUUIKtMtN 15 PERMIT NO. BPpj Z77C BIN # LOCATION AP# Pro erty Addresa7 City r Cross Street 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 Work: _ Sq. Footage u Structure tsuia wanout vermits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. K:\FORMS\BUILDING F0RMS161dgApp1SubRgmts.doc Page 1 of 2 REV 6-16-04 Received by: Amount: (&_;� t� Bldg SRA Receipt #: Sheriff D�ZC4 SMIP Date: u � I to Other Total K:\FORMS\BUILDING F0RMS161dgApp1SubRgmts.doc Page 1 of 2 REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. . 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health,Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ ' 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation- Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 a5 -z-77 y COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIOI,_, 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: i/ d 4t/ kT,?;7N ASSESSOR PARCEL NUMBER Proposed Building Use: % G ��� Permit Technician: C ��=� - Date: \Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �. / f 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. f h! 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including 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-siqned by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildirigs �❑ 12. Hazardous Material Form [ N 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) -0• f J 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ • 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan �Required........................................................................ �{v 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. O 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval for (A) Use: QX-.(B)Parking: (C) Parcel Check:..'....d S' \ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form ............................. ................................................................ ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number ............ ........... .................. : ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ ' 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................... :............................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone ba;&M 0,",&7-St-�)d and hold for pickup. I have been informed of the above items and yequirements for obtaining a building permit. for the above 2. Additional items required I/ Date: /U ` �?_ a� Plan Check Letter Contractor, designer, owner, was advised of the above data by ❑ Pone, ❑ mail, ❑ counter, by Date: ontC ra to iesigner, owner, was advised of the above data by Wphone, ❑ mail, ❑counter, by Date: CDnfta-ctor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: 4tz Date: ns approved by: Date: If Structural reviewed Date. Structural approved b Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website- www_hutternuntv_net/dda OWNER 60 �-PS 7Z�/ V PROPROSED BUILDING USE 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ .2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP rri I 9. DRAINAGE FEE 10. OTHER 11. OTHER A.P. # O Z .DATE RECEIPT # DATE REC. 01 Ifto N -off At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed durin&the plan checking propgss. /J APPLICANT DATE la- 9'—a f7' Pursuant to Gdvvemment Code Section 6602Vyou 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. 7/05) Depart merit C o u n t y J. Michael Crump, Director of Public Works o f B iu; t.� t o LAND DEVELOPMENT u1v15r JN Storm Water Management Pr—rare 7 County Center Drive oroviUe, CA 95965 (530) 538.7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE N Project Description: Project Location andlor Parcel Number: Q By signing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit fron 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: Butte County Department of-Developinel�t 5'el-vices °�uzr�° 7 County Center Drive Oroville, CA 95965 °° =' o (530) 538-7601 Telephone (530) 538-7785 Facsimile c�UN�y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. e I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained e I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence. to. all mitigations and conditions imposed on the parcel at time of creation, as well . as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: APN: n Building site address: ���l�"�GC� Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: �D -(f-0) f S ATURE OF AP ICAN DATE 9 Copy to Applicant/EWFile K:Forms/BldePermitwithoutCleamnces 020705 `Lr,,�Department of Development Services ''�''`" °0 Building Division f 0 7 County Center Drive ° o oroville, CA 95965 0 0 o (530) 538-7541 (530) 538-2140 FAX \�U N�� GUARDRAIL DETAIL HANDOUT Nailing shall comply with Table UBC 23 -II -13-1. ' Lumber shall be at least Douglas Fir #2 or better (D.F. #2).. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Minimum underfloor clearances from finish grade to wood joists is 18"; (UBC 2306.3) and minimum 12 from the finish grade to wood girders or treated wood js required. No wood shall be placed closer than 6" to earth unless it is foundation grade or pressure treated. (UBC 2320.13) 4" Max. T4-36" Min. m v rn — Top of SIDE VIEW 4- Max. Deck Min. 2x pressure treated ledger Min. 2 — 3/8" x' lag bolts or screws. TYPICAL LEDGER If the deck/porch is 30" Pier posts greater or greater above the than 3 feet in height finish grade a guardrail is need to be diagonally required. braced between posts 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier into concrete footing Min. 4 x 4 post @ 5'- 0" O.C. Intermediate rails spacing shall prevent the passage of a 4" diameter sphere. Top of 3/4" clearance Joist to the edge of �he wood member joist Min. 2 - 1/2" dia. thru bolts required GUARDRAIL An approved post cap connection Girder or connect girder and post with 1/2" plywd gussett Post and 3 - 16d nails top & bottom 17'x 12" Footing TYPICAL PIER FOOTING �v.T'rk' Department of Development Services o 0 Building Division o ` 'y:. ° 7 County Center Drive o -` Oroville, CA 95965 o 0 (530) 538-7541 (530) 538-2140 FAX - 0v 44� HANDRAIL DETAIL HANDOUT Nailing shall comply with Table 23 -I1 -B-1. Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood is required. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Stairs serving 3000 sq.ft.and greater, risers shall be 7" max and treads 11" min. The dimension difference between the smallest and largest tread run or riser height within any flight of stairs can not exceed 3/8" (UBC 1003.3.3.3.3) Stair stringers shall be anchored to primary structure. Toenails subject to withdraw are not acceptable anchors (2320.13). 4" Max. 36" Min. Top of 4- M — Top of peck 1y Joist Anchor stair stringers to the primary structure with an approved foist hanger and screws, lags, M.B. Pier posts greater than 3 feet in height need to be diagonally braced between posts. 4 - 15d nails or an approved post base connection If using precast piers, wet set precast pier into concrete footing. 3-12 1.14- 3-12 Max. • Max. 1 -12 • Min. 2.12' Intermediate rails 4' Max. spacing shall prevent I-vz- the passage of a 4" 3-12 ' Marc diameter sphere. 1-1/4• W 2.,rz 4• Max. HANDRAILS I -12 • Min. , 4•- 8'Min. 9'Min • Girder 6'Max Post An approved post cap connection or connect girder & post with 1/2' W/ i gussett & 3 - 16d nails top aux 3--2x1� a 6' Min. Stringers ni 12 x 12 footing Handrail . height 34"-38" r---, Not Acceptable 8" Min. embedment Attach stringer to sill plate with angle clip 4 x 4 post min. Min. clear width at stairs shall be 36" Min. 2 - 1/2" dia. thru bolts required P4in. 2x pressure treated sill plate ti -4—o ioo7 I IRCxls 1 �•,` '[� G PLYWOOD CC EXT• ,—� . _ _ — -'• — . �C r1 z U FRMIJfa_ • - CLIP_. r• — � . . . �. 2•K KID S 111ft STRINGER. 4t3'd.c.. MAX. ' IvifPITS "'' ?DP VIEW • Gon ltylF ►�•m• Ha1.lpgI1IL,•NDT 5110LUI4•rDIZ CLCIZITY. 2"i (d DECI(IIJ 6 IALTA • �j•l� fo DF" _ L(I(Spherc, cannot . GIRDERS ._ .. 2"'``u .nom -(-h r,.•) .19a" TZ G PL AN60D Cr. EXT. • MOBILE- 110ME `r . • m� OR DELK CL MTL. F MIJ 4�" I CLIP �Ea. DE MAX. y •. �.µG� TO" POST - 2'x 12' '---'— 00 �r 2'Ic4" PRESSURE' • r.. GUARDRAIL ' �'21]E� __ (�ja��• iRl�►7'.CJ� oh BQLTS RFDWOOD'1�I.A7A 0; ' DECKI IJ G • GIRDER Ht1N., ' PRECf1ST ° 4794" PEST to -30-0 w If:� ,gd�4wrR' vw�otvAt. � • o L3f�I1CING. T10 + 3k 8 Ill• r • lo° a _ PUBLIC WORKS BOUNTY 7OCounly (� a. pailfornla 09906 it ooY'lNd�al hone: x;311 75h7 i EAH USE CPd6 Y Fiat Plan Attached Rooe Plan Attached Sans to 8.0. Owner Location AP# Plan Approved for: Sewage Disposal --I,,_ Water Supply: Public Private 11Vell Clearance for dwelling. Other L' �"�� �a4 �-� vv../i�V�-�i1,A� v� r Hold final for: Final clearance O.K. for: NOTE: h6 - Environments Health Specialist o Date 8/96 TO: Buildin 9 De atment p� FROM: Environmental Health SUBJECT: Sanitation Clearance EAH USE CPd6 Y Fiat Plan Attached Rooe Plan Attached Sans to 8.0. Owner Location AP# Plan Approved for: Sewage Disposal --I,,_ Water Supply: Public Private 11Vell Clearance for dwelling. Other L' �"�� �a4 �-� vv../i�V�-�i1,A� v� r Hold final for: Final clearance O.K. for: NOTE: h6 - Environments Health Specialist o Date 8/96 �v11 aosEr OE19ROOM #3 0 BEDROOM #41 DINING �� - V loo im (00w .. WALKiIN CLOS T 0.4� 11"", •T-4 OFT CEILING 7 • / PANfRY -- .i■■■■■■■■-� ■■■■ H 14 1■■■■■■■■■■.......■■■■■I .■■UUM:■■■■■■r :■■.....■■■, .■ LIVIING ROOM MASTER ■■■�....�i,ri::...x■ eN u ■■■■ .jK1rCH!EN ..u:.:.:..■IrqM.- FAN ••-l- Mmd 21 iBEDROOM.. NO •u� FAMILYR ►� ,■■■■■ OO•GGGiGGGGGiiGGGGGGGiGGGGGGGGGi . . u■uuuu■uuuuuu■o■. � ■uuuuuuuuuon ■u■ IMMENSE ■MENS■r■■■■■■■■■■■■■■■■:■■■■i [ip ::::::•■::aMISS' BEDROOM #2 .... I .....��. .....■.. MORNINGROOM mu,■.,Csuuauui ' ' 1■ . . ... ■■� rll�L�! �! ' I RErREAr oz IN Wood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Renderingand diagrams g rams are meant to be representative and, in keeping with Fleetwood's policy of constant �q and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage Is measured from exterior wall to exterior wall, and Is an approximate figure. Length indicated in floorplans is 4 j h only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. I `VO/31 /OCT04 RESIDENTIAL 1Kk1 f.,x- 8 7 027-22-0-119 GOLDSTIEN, JOHN 92-0160 CONTR: BIGLOW, TED 66-5SPALERMO HONCUT HWY, OROVILLE MH UTIL JOB FINALE Signature OFFICE, COPY I Address ,J OK O = Not OK Not = Not Readyable MOBILE HOMES L Date MOBILE HOME UTILITIES (Plans) OK except #'s ✓1. Zoning Requirements -Setbacks -Easements C/2. Soils; Special MH Support Sketch Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) %_&.- Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L"ft. /'Nat. or�7 L"ft_*w<LPG II Clearance R Disconnect 8. Utility Clearance Date/ rd B- Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Hing Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector %---'T.—Electricity; MH Test -Crossovers -Breakers -Clearances f. RAW . ater; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval Gas and Electricity Tagged ----_r`tyte!I n s p. -S ketc h Cert. of Occupancy Date — _ d B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O`- Not O)<C -� Rot Applicable Not Ready RESIDENTIAL 1; = Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permil),OK except ti's 16.• Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------------------- - ------------------ 19. Shower Pan; Test. First Floor -Tub Access 20. Test Tub & Shower. -Second Floor -Tub Access --------------------- -------- ---------- 21. Gas Pipe: Size & Anchors ---------- ------------------------------------------------------------------- - Date Card B-1 Date Card B-1 -------- --------------- --------------- ------------------- -------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except k's 22. Fixture & Transformer Clearance -Ins. Protection ------------------ ----------------------- --------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled -------------- Romex Installed Close to Edge of Studs & C.J. -------- ---------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----- - ---------------------------------------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 29. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------- -------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --------- - ------------------------------------ 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light -----------•------------------ ----------- - ---- ------ ---------- 33. Smoke Detector ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 --------------------•----- ------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34.--A.-C.- Ducts Insulation & Support --------------------------------------------------------------- -------------- 35. Vent Fan: Exhaust above insulation ------------ ---------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ----- - --- -------------------------------------------- ------- -- 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------------------------------------------------------- 38 Attic -Access-&- Platform if Furnance in Attic ---------------------------------------------------------------------------------- --------------------------------------------------------------------------------- Date Card B-1 Date Card -B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------- --- --- ------ --------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------------------------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ----------------------- --- ------ --------------------------- - 42 -Draft -Stop-in-Walls (rat proof) ---------------------------------------------- ----------------------- ------------- 43.. Fire Stops. Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing >ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ____________ 55. Siding -Nailing Veneer ____________ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------------------ - - Date_ Card B-1 Date Card B=1 Date Card B-1 - Date Card B=1 Date FINAL (Plans) OK except ti's 61. - Ext. Steps -Door & Sidelight Protection -Landings ----------------------- - 62. Smoke Detector -------------------- ___ -- - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection -------------- 64. Bedroom Exiting ---------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------------------- 66._ Elec. Trim & Subpanel; Breaker Sizes & Labels ----------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter - ---- -- - ----------------------- ------- 72. Garage Fire Door; Swing -Landing -Closer •------------------------------------ - 73. A.C. Duct in Garage -Damper _ 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection ----- ------------------------------ 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes --------------------------- -- ------------- 78. Guard Rails & Deck Construction -Post Caps -------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters--O-Yes 13No --- -- 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ------ ------------------------------ 84. Water Well; Disconnect, Electrical, Plumbing -------------- --------------------- - 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground -------- ----------------- 86. Ventilation Throughout House ---- -- ----------------------------- 87._Glass Protection 88. Corrections from Previous Inspections -------------- ------------------- - ---------- 89. Gas Test -Meters Tagged; Gas -Electric ----------- ----------------------------- -- ----------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------------------- 91. Energy Compliance Certificate -Other Certificates -------------------------- - ----- ----- - Date Card B-1 Date Card B-1 -------------- -------------------------------- ---- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N0. C) 0 a� Address or location of mobiiltehome Owner's name.. IV 6/011410 S r Owner's address ((J� //�� //�� �t//S Insignia or hud number KA -P6 3q? "' 27 Og 41 Manufacturer's name Serial nunl4r of V.I -33607 Year of manufactureuf, — (officiaT Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B - White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE V DEPARTMENT OF PUBLIC w6RKS 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 PERMIT NO. I A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. _ Date(/ �[) tc:::7 Inspector REV 11/91 l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NQ. rte% 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �GJ APPLICATT(ON AND PERMIT ASSESSOR PARCEL NUMBER 27-22-119 ZONING A 5 BUILDING PERMIT OWNER JOHN & TUSELINE GOLDSTEIN 408 TELEPHONE 272-7606 SQ.FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 10191 GRIFFITH STREET SAN JOSE 95127 CONTRACTOR'S NAME MOBILE HOME CENTER INC TELEPHONE 533-4403 ' CONTRACTOR'S MAILING ADDRESS 1740 FEATHER RIVER BLVD OROVILLE Fireplace CONSTRUCTION LENDER NOUR UNKNOWN Total Valuation $ Filing Fee $ 45.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NQNF LICENSE No. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS VILLE Permit tee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Q Other ❑ Describe work: 4 BDRM MH I —(� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare u der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code/and y license is in full orce a�j)1d effect. License No. �,�/ 7 r/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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW OR ADONS. 1 CONST. / ACC. BLDGS. DWELLING OCCUP. �\ 3.6Q sq.ft. NEW CONSTR. ULT' -OUTLET NON•RES.D BRANCH CIRCUITS) @ 5.00 APPARATUS e SINGLE OUTLET CIR. \OUTLETS Ex, OCCUp\( OR FIXTURES 20 76 Ex. OCCUp. OUTLETS P(RESID )FIXED APLNS.REA'.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 9<1haveplaced on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ LContractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities u gments, costs, and expenses which may in any way accrue against sai o ty in conVnc of the granting of this permit. X Date — Owner❑ Contractor ❑ Agent Signature of Applicantfed An OSHA permit is reqor excavations over 5'0" deep and emolition or construct- ion of structures over 3s in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ HAz I of S IMP FLOOD CDF PARCEL PD HD i/ IS Df This permit is ereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated bo for which fees have been paid. D OF U C WORKS .�^lZi BY Date PER IT EXPIRES ate — O Receipt No. 110-2h WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ,0-2a ZONIN BUILDING PERMIT OWNERTELEPHON Son Se i h o f s f �/ - SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADC? SS 101 r, S = �,� e L�. 9s lad CO RACTOR'S NAME L E vii &�n TELEPHONE__ 33 (��(' C RACTOR'S ILING ADORER r Lo 11/ O/�Q�/j//� Fireplace CONSTRUCTION LENDER 2�_ UNKNOWN Total Valuation Is , Filing Fee $ 15.00 LENDER'S MAILINt ADDRESS GNI Permit Fee $ ARCHITECT OR E GINEER 14220 LICENSE ND. Plan Checking Fee $ 60 Energy Plan Checking Fee $ ARCHITECT ENGINEER'S MAILING ADDRESS — Penalty $ BUILWfRESS Permit fee $ S PLUMBING PERMIT Filing Fee 15.00 0 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home S G W 615.00 TYPE OF WORK New Addition ❑ Rem_o_d%f I ❑ Uti litiieels ❑ Inst3I aatttiion Other ❑ Describe work: yZ in I � �// l � �("d Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO 1Oo0A) 37.50 CONTRACTORS LICENSE LAW I declare nder penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code nd my license is in full force /and effect. I ,—�1� License ;Jo. Classification -^ f—� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 3.6Q sq.tt. NEW CONSTR. ULT' -OUTLET NON-RES'D BRANCH CIRCUITS) @ ItPOWER APPARATUS .&) OUTLET CIR. 276cl Ex.Occup(OUTLETSOR FIXTURES 20 Ex. Occup. OUTLETS FIXED PIRESID 1REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ijl�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. ❑ 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities udgments, costs, and expenses which may in any way accrue against sai unty in cons n of the granting of this permit. ,, J X Date �— Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is r fired for excavations over 5'0" deep andmolition or construct- ion ion of structures over stories in height. Mobile Home Installation Fee 5 o O Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEES lo �/, C/ a i HAz I DFEES I IMP FLOOD CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date 2Z7 /J Receipt No. J WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/536-7541 PERMIT APPLICATION DATA SHEET Permit No. �t�OWNERo�DS-�i /^J P. No. X7 M Z Z - O Proposed Building Use 114 f�',Y"" Building Inspector Date 21 gZ' 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, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. -1161, 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... _ -12. Park fees pa16U .............................................. 13. 0 0 ff School District fees paid .............. a 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter 26. of signature authorization oih �► Q 27. Whessue the permit, process as follows: Mail to own Mail to contractor. lephoneand hold for pickup at TeMti�/� office. Deliver w/inspector. Other Applicant e v Copy of Hdz-Mat form sent Health Dept. Fire Dept. ___Zit 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 _mall—counter by date Plans checked by rUl Date —3-Lq(_2�22,Plans approved by 1 ^ Date 3/30/9 2 Sets of plans on hold in File cabinet AP folder Copy—DPW BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Formper Building) -h 1"-'A. P . Number *73 School District Property Owner Project Location%Address Building Department No._ _ • City County Jurisdiction Subdivision Lot Number tai` 7 Residential Development: •` Sq. Footage 01C (o(-EATving M I Addition ( Group R) (Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior 376 Roofed Areas) Building Department R presentative Da e (Floor Plans reviewed by School District Personnel) If 1 1.1. —t -- AI -_ t_ ,. .. AI l+ Dist r tAU o. School District certifies that /J (Applicant Name) (Phone Number) has complied with the requirements of Resolution No. by the payment of $ �11' representing 7169 square feet. dfoo zt 'Alad 2t, ;� W"7teX,;t, a',4 e School District Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) AllI�l/l_2! • - /!moi white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) #'WorkM8n9fi*GbA9Wft All SIMMU "pr&&4amad A00094huas with Secognized Good w at a qMUt9 .pmsWjb9d for the 8pe0M04 u88 - 95jidjogNV"hilriff ff tpik- ftl MWS"n.&..dtAh& X&OUN& MWO04 00" IM at or p1ma md speaMca-tlms MST be kept an tbLepb at 211 times and it IS Unlawful to mna,xe any 01j"68 or aatarationB M Same without "ritteu PSTIi Wsjon from the Depar=sut Of POLIO Work,16 00=0 of SUM& APPROVED Butte County Environmental Healt!" ate - ---- ------------------ Signature Location of structures & equipment shall be as shown clear of all easements. M0,5wel, 'K 0 TO ' 11 7114-5t.1, //4i e4i f BUTTE COUNTY DEPAYtTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHM -'/ S �✓ 1. Owner's Name: Gf O !� TF 2. Installer's Name: llxo b t b� 3. Is the site currently under permit? Yes �. No (If yes, furnish permit number V �t ) OR Is the site an existing site? . Yes No K (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes 14 No U (If no, clarify F, 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- ��� Amps 7. What is the mobilehome site circuit breaker rating? Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No ,r t.�6 (�1t P (If yes, identify the load and size: /si A"(Load) 2d (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or 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.) FJ`W- @@& (MY MOBILEHOME SUPPORT DATA If other than single wide' c *iobilehome Mfr. C. �� o,^i furnish Setup Model No.,. Year `2l� Width (ft.) Box Length (ft.) Tagalong or Expando.,Size� xl 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) 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)1. Concrete block.0 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE ......sem_ _ _ • � Main Beams Line 2 --- � Main Beams — — — — — — —' �Llne 4 Tag or Triple line 4 Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ „ Size -Min. ------------------ Spacing-Max - ----------------- Spacing-Max. --------- Each Side of Openings From Ends -Max. ------- _ With Width Over --------- " Line 2 Piers: Size -Min .------------ 4 Spacing -Max --------- From --------From Ends -Max.------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ , Spacing -Max---------------- From Ends -Max .------------- Line 3 Roof wads. 24 x?424„)gZ+ ��24 Z+x 24,E 24 2-4x7_+ 12X3,0 Size -Min. ------------ „x30. U„x zb„ d'kJa' 30 -Y,36„ 3d-,00 - 36 'k30,1 IIx, Location (From Front) c; C) '.g l l� 13 (— ' 2/ 4-.3 27' _ i L} y'- �%P'-o Line 4 Piers: C/ ecoLine 5 Piers-: (Under Bearing Walls Oniy) Size -Min.------------ Size -Min------------------- ,k Spacing -Max.--------- , „ Spacing -Max .-------------^ , From Ends -Max-------- „ From Ends -Max .------------- Line 5 Roof Loads: Size -Min. ------------ „x „x „ „x „ ,k „ ,k „ ,.x „ ,k „ „x I. Location (From Front) ** 1 00 ' 390d -14101 **- ,-TYPICAL *- ,TYPICAL BLOCKING DIAGRAM FOR DOUBLE -SECTION HOMES �d Support pier; are required under porch poets and under fireplaces DOOR OR OPG. and wood -burning stoves located on floor overhangs. MAIN BEJ1M MAIN BEAM MAIN BEAM MAIN BEAM DOOR OR OPG. a'-0'' L a'-0. - L 8,.0,.. L a,-0„ L W-0. _�__ _ !ll_ 1_ SPACING FOR BLOCKING 200 ROOF 11.0AD ZONE 300 400 24' wide 8'0' o.c. max. 3784 4248 4720 28' wide 8'0" oz, n'ku. 42% 4824 5360 32' wice 810' o.c. max. 4896 5504 NA MINIMUM PIER CAPACfTIES FOR MARRIAGE WALL OPENWW fibs.) CLEAR SPAN DISTANCE IN MAARIAW WALL • j" ` 24' 28' 32' 300 24' 28' 32' 400 24' 28' 4'•1'-8'-0' 1304 1496 1720 1768 2024 2328 2240 2580 8'-1'-12'0" 1956 2244 2580 2652 3036 3492 3360 3840 121-1"-16'-0" 2608 2992 3440 3536 4045 465614480 5120 16'•1"-20'-0" 3260 3740 4300 4420 5060 5820 5600 6400 NOTE: For 26' wide horw, use marriage wall pier capdCitie6 W201' wide horrow .Y 1 w lf: MARRIAGE WALL BLOCKING PIER FOOTINGS Based on a soil capacity of 1000 Ib. per square foot, a suggested footing size for all piers is 218' square. FRAME BLOCKING PIER FOOTINGS Based on a soil capacity of 1000 Ib. per square foot, a suggested footing size for all piers is 216" square. Altemate methods are acceptable if they meet with local Boil bearing capacities. It is extremely important to check with local building officials as to the latest local codes In your area. NOTE: Blocking of perimeter rail Is required at each side of the largo bow windows, reoessed entries, exterior doors IOCAtod in the Sidewall, and any other opening in excess of 41. For pier Capacity, use 112 the value shown in marriage well opening table. below. The diagram above shows the minimum required placement of blocks under the frame of a typical length and width home. It is extremely important to check with local building officials prior to blocking your home as to the latest local codes in your area. FRAME BLOCKING Begin by placing piers at front and rear of home. Starting at front, place piers at a maximum of 8' o.c. along both main beams the entire length of home. Follow this procedure for any length of Champion -built home. Other blocking positions are also required under the center marriage walls, depending on the model. These positions are determined by the locations of the openings in the marriage wall. Clear spans may occur on each section of the home or at the same location of both sections. There must be blocking at each end of the openings shown as A and B on diagram above and vary depending on the model. For clear span openings and pier capacities see the chart shown above. FOR 60# ROOF LOAD ZONE SEE PAGE 11 I v I , v� V SS 40 CAL I a --Ube I VS.. S. mi T 42 YY s! N I true T L r 4 I � onf 1 w— Y /r spa w Irl � s M Y ' L. r N QC), Z00'3Jdd 0-2110 HW 01 r AP # OWNED U 240 IM UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test -Req. Service Size Other Load Type Pipe Size Length YES I NO YES NO UP a COUNTY OF BUTTE - 15EPAR4TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT NQ. ASSESSOR PARCEL NUMBER 27-22-119 ZONING A 5 BUILDING PERMIT OWNER JOHN GOLDSTIEN (408) TELEPHONE 272-7606 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 10191 GRIFFIN STREET SAN JOSE 95127 CONTRACTOR'S NAME TED BIGLOW CONST TELEPHONE 533-9187 ` CONTRACTOR'S MAILING ADDRESS 1250 ROBINSON STREET OROVILLE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 20.00 Ener Plan Checkin Fee gY g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 8185 PALERMO—HONCUT HWY Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeq Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑{ Installation❑ Other ❑ Describe work:__ MH Tl 4 BDRM Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A, 37.50 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 fu4 force and effect. License No. icy 040Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ADONS. ACC. BLDGS. // 3.54 sq.ft. NEW CON5TRMULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. EX. Occu p(ou XFIXED-S DR FIXTURES 20 7s EX. Occup. OUTLETS (RESID IRE AT I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ 48.50 — 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. }J�( 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Coolin g Hood 6.50 Ventilation pertnit Fee $ L202ntractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai County in conse u nce of the granting of this permit. X — Date �� signature of Applicant — Owner Contractor Agent ❑ An OSHA 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 122.90 HAz OFEES I IMPFLOOD CDF -� PARCE PD D SS This permit is hereby issued under the sions of the Butte Count Code and/or work indica d a o r which fees I OF PUBLIC BY &— PER EXPIRES Date 2 applicable provi- resolutions to do have been paid. WORKS ZateZ7 Receipt No. 1n951n WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT A N O T H E R Q U A L I T Y- / O B B Y TED BrcIMowCONSTe OCTION (916) 533-9187 General Engineering Contractor Lic. 0624063' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION = 7 COUNTY CENTER DRIVE - OR'OVI `n. CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET -�'-"- Permit No. OWNER\ -,J G�� O, -j( N A. P. No. -2-7 Proposed Building Use �&y Building Inspector IBJ Date t Z 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, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. HazarsdgulseMaterial Form . ......... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... *4 Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from 0 le Health Department , % - z 1- 9Z 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: —�-- 18. Improvements may be required. Contact Land Development Section DPW —L` 19. Driveway permit (construction approval required prior to occupancy) /-2- SZ �o 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (DatFi 21. Contractor's license information (No., Name Style, Classifications ... 0 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement_ ......... 7 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to ow Mail to contractor. _(,,f_-f_Telephone, and hold for pickup at e. Deliver w/inspector. Other ApplicanDate Copy of !-laz-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_Jnail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by gza Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina.DepartMent . FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Hold final for: Final clearance O.R. for: Clearance for _ bedroom mobile home. Other NOTE * * * Sanitarian Water Supply Water Supply Water Supply Date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance r 1� �Z 7 ,6 1 S/ze Q /C �JD 7i AP owner location Driveway permit 07//, si ature s has been issued for the above property. date I COUNTY OF BUTTE - APARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSESSOR'PARCEL NUMBER � ..-. ZONIN10 G 5- BUILDING PERMIT OWNER I J oh n & o i AJ TELEPHONE 277- -7406 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDR SS - V< ( &Ir 5`1'r seam Z CONTRACTOR'S NAMETELEP ONE i° cJ �dtis 18 5�a3-�i r� CONTRACTOR'S AILING ADDRESS Z�JQ i'AJ �5T aeo Cz Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 1.SAA- LENDER'S MAILING ADDRESS Permit Fee $ ARCHITEC OR ENGINEER LICENSE NO. Plan Checking Fee $ ,,D Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS `!? b Permit fee �[�/� $ L—tJ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome®- Other sPECIFr Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home @ 15.00 Qp TYPE OF WORK New ❑ Addition l❑L Remodel ❑ /U,tilit'es R Installation❑ Other ❑ Describe work: / �'l ! l — �T M _ Permit Fee $ C>O < Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20V OR LESS 00A OR LcSS 18.50 Main service 20CATO 1o00A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON•R 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 ❑APPLN I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.h OR AODNS. ( ACC. SLOGS. 3.66 sq.ft. NEW CONSTR ULTI.OUTLET ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76d A 4 s' Ex. Occup. OUTSETS IIRESID IREA.) j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 f5,do Misc. INirin g 15.00 Permit Fee $ — 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. ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA over 5'0" deep and demolition or construct- ion of structurestrover r3g9stories inehe height. Mobile Home Installation Fee $ Energy Inspection Fee $ OccCONST TYPE TOTAL FEES ��- I I HAz OFEES IMP I FLOOD CDF I PARCEL I PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. l D l SID NNITC•D. P. W., YELLOW -ASSESSOR. PINK -INSPECTOR. f.OLOEN ROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESI.9F;NTTxL 1)CvU1,OPMENT 'Section, 26-8.1 of -the Butce County Cod,. requires this uc:knowledgement be recorded. prior to issuance of a building permit,jA� 192 92-001995 The property described herein is adjacent ❑ 'rersonr� ! y � ...,," _. Lu land or included within an area zoned to me on the hasi..s for agricultural purposes, and residents this WITH of property may be subject to incon- veniences discomfort NOTCOMPARED or ari.5ing omenINAI_DOCUMENT us'e of agricultural chemicals, including, • but not limited' to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, purposes but not limited to cultivation, plowing, spraying, pruning, and hnrvcsting which � occasionally generate dust, smoke, noise, and odor. Lural zones.which have Butte County has esLab.lishcd ogr•ic•ul-- as a priority use for productive agricultural purposes, and resiclow s within said zones and on adjacent property should be or disconform from normal, necessary farm operations. prepared to accept such inrc�nvcc►iencc All. Lhat real property situate in the County of Butte, State of California, dosc•ribed n� Colluws: THE SOUTH HALF OF THE SOUTH HALF OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 33, TOWNSHIP 18•NORTH, RANGE 4 EAST, M.D.B. & M. Date: Jan. 15, 1992 PROPERTY OWNERS: TUSELINE GOLDSTEIN Slane of CA) `c On this the 15th (irI; �F January 1992 l)ufr�rc� mc-. SS, the undersigned -Notary Public, personally appeared County of BUTTE ) Tuseline Goldstein Present A.P. No. 27-22-119 Notary Puhli.c ❑ 'rersonr� ! y � ...,," _. X❑ Proved to me on the hasi..s OfFICIAL SEAL MICHELLE A. MILLER a TARYyyPUB PUBLIC-n�CBgALLI�IFTORMA Cohan. NPO".9m Y to be the person(s) whose of satislacLory evicictic:c. name(s) is OCT.20,1i • • subscribed to the within instrument and acknowledged OWL she executed the same for the purposes therein contained. IN WI'I'NI-;tib:, WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 27-22-119 Notary Puhli.c ' Return to DPW AGRICULTURALSTATEMENT OF ACKNOWLEDGMENT 9 2 y 0 1.995 V. FOR RESIDENTIAL DEVELOPMENT nA Section 26-8.1 of the Butte County Code D` requires this acknowledgement be recorded prior to issuance of a building permit. Thee property described herein is adjacent I to land. or Included within an area zoned 92-001995 1 Rec Fee 5.00 for agricultural purposes, and residents I Cash 5.00 of this property may be subject to incon- Recorded veniences or discomfort arising from the Official Records I use of agricultural chemicals, including, County of I but not limited' to herbicides, pesticides, Butte I and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder I but not limited to culti.vation, plowing, 10:40am 16 -Jan -92 I PU BL XX 1, spraying, pruning, and harvesting which � -- --- -• -3_ __ �. occasionally generate dust, smoke, noise, and odor. Butte County has estab.lishod j1gr•ic•u1-- Lural zones.which have as a priority use for within said zones productive agricultural purposes, and resiclonts and on adjacent property or disconform from normal, necessary farm should be prepared to accept such iirc oirvti► i cnc c' operations. All. that real property situate in the County of Butte, State of Californi.u, des(—ribed ;is follows: THE SOUTH HALF OF THE SOUTH HALF OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 33, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. .& .M. Date: Jan. 15, 1992 StaC.e of. CA ) ) SS County of BUTTE OFFICIAL SEAL • MICHELLE A. MI11ER NOTARY PUBWC•CALMNIA • P Coins'►.A OCT:201 • •• ••• • • PROPERTY OWNERS: -rUS'�L ✓ A/,E G oz -P ST J N TUSELINE GOLDSTEIN On this the 15th day of January , 1992 , heforc, in(-, the undersigned Notary Public, personally appeared Tuseline Goldstein El' Personally known to me. M Proved to me on the basis Of satislactory evidenco, to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged thus she executed the same for the purposes therein contained. .1 T WITNESS WHEREOF, I hereunto set my hand and official seal, Present A.P. Nu.27-22-119 s. " Notar�yP u h �li EN® OF DOCUMENT f� RECORDING REQ U ED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2005-0072751 Recorded I REC FEE 10.00 Official Records I County of I COMFORMB COPY 1.80 Butte I C1WW J. GRUBB5 I County Clerk-Recorderl I I LV 010:57M 3"ov-2085 I Page 1 of 2 IIII"III��I'I'IIII"IIII�"IIII�I SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM -C,,/ 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. JOHN GOLDSTEIN REAL PROPERTY OWNER/LESSOR 10191 GRIFFITH STREET MAILING ADDRESS SAN JOSE SANTA CLARA CA 95127 CITY COUNTY STATE ZIP 8855 PALERMO HONCUT HWY INSTALLATION MAILING ADDRESS. IF DIFFERENT PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME') SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS ' OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-2775 530 538-7541 BUILDIN ERTELEPHONE NUMBER 3o�p SIGNA E LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD 2005 VOGUE MANI!FAcTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER WAFL531A/B/C8998-VO13 71 x 39' 11" WAS0095727/8/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 027-360-119 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. 07/20/2005 14:27 FAX 530 899 9531" FIDELITY NATIONAL TITLE 006/007 Quitclaim Deed: California THIS QUITCLAIM DEED, executed this STH day of DECEMBER , 20 04 , by first party, Grantor, JOHN PIERRE GOLDSTEI whose post office address is to second party, Grantee, Whose post office address is 10191 tlRTFFTTF7 cm ky MMP r"1;1917i WITNESSETH, That the said first party, for good consideration and for the sum of Dollars d _ ) Paid by the said second party, the receipt whereof is hereby adcnowledged, does hereby remise release and quitclaim unto the said second party forever, all the right, title, Interest and Claim which the said first parry has in and to the following described parcel of land, and improvements and appurtenances thereto In the County of BUTTE State of California to wit; • LEGAL DESCRIPTION: THE REAL PROPERTY IN THE UNINCORPORATED BUTTE, STATE OF CALFORNIA, DESCRIBED AS: THE SOUTH HALF OF THE SOUTH HALF OF THE OF THE NORTHWEST QUARTER OF SECTION 33, RANGE 4 EAST, M.D.B.& M www%c" ' " Ptge I Dosaription: Butte,= Document=Year.DoolD 2004.75229 Page: 2 of 3 Order: MoZIy coa"e�t: AREA OF THE COUNTY OF NORTHWEST QUARTER TOWNSHIP IS NORTH 07/20/05 WED 14:25 O 20Gt. Sacnes Me&�, uc tf29ecA • Itly ONM (TX/RX NO 85391 0 006 VfA Ptge I Dosaription: Butte,= Document=Year.DoolD 2004.75229 Page: 2 of 3 Order: MoZIy coa"e�t: AREA OF THE COUNTY OF NORTHWEST QUARTER TOWNSHIP IS NORTH 07/20/05 WED 14:25 O 20Gt. Sacnes Me&�, uc tf29ecA • Itly ONM (TX/RX NO 85391 0 006 R r` SITE PLAN :......:.....:......:. :............:....::........... ........ .. ... .. .. .. .. .. .. .. ........ ....... .. ....... .. SRI; .......:. .:.. . Ilil!1Ls7 ..................... _.......... .._..... _................... _......!! f .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. _. .. ........ .. .. .. .. .. .. .. .. .. .. . ..... ..... ..... :.cc: :......... f , .. t?.. ........:......:.....:......:......'17.� .. . Q� ......'.... .....:......:....... .....:. .. .. .. .. .. .. . ............... ;... .. .. i .. .. .. .. .. . •j•• .. .. .. .. .. .. .. .. .. .. .. .. .i.. ._ j.... .. ............ .. .. _ .. .. .. .. .. .. ............. .. .. ................... .. .. .. .. .. .. .. .. ....................................... ..... ... .. .. ... _ .. ............. .. .. .. .. .. ............. .. .. ... ........... .......... ................... _ .. _ .. ... .. .. ............... 'ai....:......:.....:.................... .. .. _ .. .. .. ........................ .. ./ .. ... ...................../ _ .... .. .. !I�'Y •. j . .. .. .. ... .. .. .................. .. .. .. .. .. .. ... .. .. ... .. ... ................. .. .. .. .. .. . �.le.� .eY ................................. i..� !• !• .. .:. .... . ' ..:.. .:............ .. _. ... .. .. ... .. .. .. .. .. .... .. :�. .j... .. .. .i- af" .. -.. .. .. .. .. ... .. ........... ... .. .. ... : .. - 3�• 7-17W 07: ..o... "...... :......:........ ... : ....... •............................i! 8 m... i' c� .........:...........:.............:.........:....: . . . _ _....... ..:....:.. a . ............................/3� 11. olrJ!s .. .. ... .. .. .. .. .. �... .. .. _ . A A 1 !E 9 .j. o F� i C2 $: U .. f A .. ti T' )£ r 6 YJS Nde t .. � 1 .. .. ... ......... .. ........ '.. .. .. ... .. .. ;'i: .. 1 t4r� � ,�j�y��: .. .. ................... ............ .. .. .. .. .. .. .. .. .. ...... ...... ... .. .. .. . l .. .. .. ........ ........ .. .. .....54 .5 yt.. 3 .. ............ . .. .. .. .. .. .. :G.. .. .. .. r� .....;......:...... :.............. ;........ ..... <.._..j......:.............:.......... ...r......:......:.....r...... i......:..... r...... j.... . ... .. .. .. .. ............ .. .. .. ..................... ... .. .. .............. .. .. ..................... .. .. Assessor's Parcel Number00 0 0 — 181 ©O9 -- M 1/1191 Scale: 1" Owner Name 5919 GOAn$ i hl � r���,✓sA d oxr•N Address /Phone No. P&FlI/rllO y08' Q 7 'S X82 Site Location Contact: Name rA00 --41Ar Phone 19-"��s` 0/ — �.� t �-.-?x'-32 •c1�9bJ FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: — USES: r SITE PLAN ......:_.......... :.. .. .. .. .... .- . . ......... . . . .... .... ................ . .... : .... kit .................... .. .. .. -- .......................... .. .... s. . .. . . ............ .. .. .. .. .. .. .. ...,....... ........> .:....:...:.. .;....:....:.. . .... o; ;_.. .. _... . ......................... ..- :.,' .. ..... . . ....:...:. .� :..• .. .... .. ... ............. ....::: .. ............ ...... i ... .. a .. .. :..................:....:.................................. ................ . 1. :1�.. . .. � .. .. .. .................... ..: ................. ..:....:.. .:....:. ....... .. .. .. .. .. .. .. .. ... .. .. t.. Tr op :..... .... .... ......:..... ...... ....... .. .. . . . ... .<.. ..:.. ..:. .:.. _ ...... ..:.. .. .... t 19 WA .. .. 1. .. .. ;\. .. .. .. .. .. .:....:...:. .:.. ..:....:.. ;t.... _ .::...:.... .:....:.. ..:....:.. :....:.. ..:....:.. . . . . . . . . . . . . . . . . . . . . . . . . . . . : ........... _ ....... -Ev ....:. .:..................... .. . . . . . . . . . . . . .................... . . . . . . . . . . . . . . . . . APPROVED ...:....:.. ............ .............................-- ..................................:.....:...._.:......_............. .... : ..:........... . /%3 PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: — USES.- Assessor's Parcel Number: OC� ❑� - a a a a a o Scale: 1"= /0,f Owner Name omy (;0AQ ��z���✓s 'd� °�``'> — Address / Phone No. 8�5� 1��9•�FJ�/ � ��NG��I�I o x/08' R>,t SC�S'Z Site Location AI-,.Y,ni"/�B"✓__lr-f 1:1/��� Ti�l.4 rP ` Phone `7_-'7Uf R- 0da6r D,2,4-1 FOR OFFICE USY ONLY Zoning: "e — General Plan Desig: _ Size, Acres f ------ 4.00- I .oa -- --- -- -----------I SITE PLAN . .. ............. ............. p _ ................ .... ... ............... .... . ./"0 P P .. P - P v �. .- / h tr ....:......:.....:......:......:. .. .. ... .. .. .. ...... .. . ... _ ' :• ;.. • r. :.-•} r 5Ill•V X11' - - �S �U B qq t�lt►GR. .................. 'NUING:......:.............:............'.....'... ..................... .. .._..._...__...._... .. _ _ .. ^. _ .. _ .. .. .. . -..._ ...... ..- . _ ...............................:....................... ................... ...._..... .......... ... . . . . . /- �.. .. .. .. .. .. ._ ._ .. .. ° .. _ .. _ .. �. f. _ .. .............................................._........._........._..... ................... . C(�u.o....:.....:.... ..:....:.. ... in _ : : :.................. .. .. ................... .... . :.....:...... :..... :_....:......:.....:.........:. .. .. _. .. .. .. .. ... ...:..... • t1. .._. ............ .. — �7►Z13//E� , .. .. $........... :...... ............. :.................... ,..... _ . .. .. ... .................... .. .. .. .. -. .. .. .. . .. .. .. .. 01V 0 . ............ '............. .... ... .:.. ..: .. lo �..._ .. ............ ............ .. .. 1. -r i1:.. ..;.. .. . .. .. .. . .................. :.. ,_. .. .. .. .. .. .. _ ....................... .. .. I .. .. �.... ... .. ............. .. ............. .. .. .. .. ............. ..;� .. . .. .. ..................... ............ ..� ... ! 330 ............ : Assessor's Parcel Number: OI� 0 -- [� ©0 -- 0 10 C. M Scale: 1" = f�� , 4V;;! TF �, Owner Name :AHNG /7526/{ �1 r���.✓s� �1�. o1y� o o Address / Phone No. 1�4' ,4 _91e0 f; ulyelo''}l Q xAQK 111? 1�71 1S682 Site Location --- ----- ------ --- �iN� l ° 1 Contact_ Name _ _--- -- ----- ,-���-•r-�, ,- iii-ri�T�fi--L�rr9--L���--- ---- ---------.__..._ .__.._.. FOR OFFICE USE ONLY Zoning: — General Plan Desig: Size, Acres l----- --- -- -- — a.ocr --- ---- ---- — -- —I PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: _ -- GEN PLAN: __..— USES - INTERIOR RIDGE SUPPORTS STANDARD PIER AS SPECIFIED AS SPECIFIED BY MANUFACTURER BY COACH MANUFACTURER OR TRIPLE WIDE LACE SEISMIC PI i ROWS OF 4. HEN 18 PIERS EQUIRED PLACE 4 ROWS OF B. FOR DOUBIE (FIDE ACE SEISMIC PIER4 IN ROWS OF 4 0 PER TABLE 3 & OUTLINE OF MOBILE COACH OF TIEDOWNS REQUIRED. TOTAL NUMBERROWS EES SHALL BE IPLAN 0OR PLACEMENT OF PSO AUGER EFLISTED INSTALLATION INSTRUCTIONS SHALL 1T TIOOINSECFION.R18 PSNC L 3 R S INSTAL. MINUTE MAN EARTH AUGERS g � WHEN TRIPLE WIDE MOBILE COACH 2 SEISMIC ZONE �ISTIME, MOBIL I ' EXISTING MOBILfE'�y� � 'C%ISIING MOBIL[ 03 1/COACH BEANS\I o 1/C11ACH IE"S y Efl ✓COACH aI BEANS\I WIND LOAD(MPH,EXP) �a 70B,70C&81 tea( COACH SIZE LENGTH ROOF PITCH aEl i I 4 I El 4 I I 4 4 I 4 I 4 w -UP TO 78 FT 2h:12 12 0 12 0 20' UP TO 48 FT 4:12 B 0 1 EJ I I UP TO 78 FT 4:12 II 4�I 4 I I 4 4 I 4 I 4 7 IJ1 U B 0 LJ L!i - © L!i51 0 B 0 24'28• UP TO 88 FT 4:12 12 i 12 0 28,32 UP TO 78 FT 4:12 El 0 16 0 �a�l UP TO 60 FI' 4:12 Q 4 4 4 4 UP TO 78 FT 4:12 18 0 0' 36' 42' 48' OR TRIPLE WIDE LACE SEISMIC PI i ROWS OF 4. HEN 18 PIERS EQUIRED PLACE 4 ROWS OF B. FOR DOUBIE (FIDE ACE SEISMIC PIER4 IN ROWS OF 4 0 PER TABLE 3 & OUTLINE OF MOBILE COACH OF TIEDOWNS REQUIRED. TOTAL NUMBERROWS EES SHALL BE IPLAN 0OR PLACEMENT OF PSO AUGER EFLISTED INSTALLATION INSTRUCTIONS SHALL 1T TIOOINSECFION.R18 PSNC L 3 R S INSTAL. MINUTE MAN EARTH AUGERS PLAN Sc.l.: I' _ 10' WHEN TRIPLE WIDE MOBILE COACH 2 SEISMIC ZONE 3 3 & 4 03 ROOF LIVE LOAD (PSF 60 4 40 I 1 'EYI SLING MOBILE WIND LOAD(MPH,EXP) 70B 70B,70C&81 WIDTH COACH SIZE LENGTH ROOF PITCH / OF / OF SEISMIC TIE- PIERS DOWNS # OF e C SEISMIC TIE PIERS DOW TUBE MUST E%TEND UP TO 48 FT 2%:12 B 0 8 0 w -UP TO 78 FT 2h:12 12 0 12 0 20' UP TO 48 FT 4:12 B 0 8 4 ROD BOLTS I I UP TO 78 FT 4:12 12 0 12 4 24'.28'28' UP TO 48 FT 4:12 8 0 B 0 32' UP TO 44 FT 4:12 8 0 B 0 24'28• UP TO 88 FT 4:12 12 0 12 0 28,32 UP TO 78 FT 4:12 le 0 16 0 30',38 UP TO 60 FI' 4:12 12 0 16 0 42',48' UP TO 78 FT 4:12 18 0 IB 0 OR TRIPLE WIDE LACE SEISMIC PI i ROWS OF 4. HEN 18 PIERS EQUIRED PLACE 4 ROWS OF B. FOR DOUBIE (FIDE ACE SEISMIC PIER4 IN ROWS OF 4 0 PER TABLE 3 & OUTLINE OF MOBILE COACH OF TIEDOWNS REQUIRED. TOTAL NUMBERROWS EES SHALL BE IPLAN 0OR PLACEMENT OF PSO AUGER EFLISTED INSTALLATION INSTRUCTIONS SHALL 1T TIOOINSECFION.R18 PSNC L 3 R S INSTAL. MINUTE MAN EARTH AUGERS .r. T (OR EQUIV.) 2900 lbs CAPACITY WHEN REQUIRED, SEE TABLE. SPACE IST ROW 2 FT FROM. END THEN EVENLY.. I ,COACH BEANS -4 o/ a SPSPACE 03 L.F. 4 4 4 I 1 'EYI SLING MOBILE 14 1N FOR TI7E I. 1N PIPE N3 VCDACH BEANS11 NJ _ 4� SPANp HOLES FOR � CL TUBE MUST E%TEND I I CL 441 `4 w L� I I - 3/16' PLATE _ / 1 J lJ I8'z24'x3//' DO o 1/2'.2-1/2' C.B. BASE HEIGHT 7 INCH SMALL ra U ROD BOLTS I I LL Ln PLYWOOD �^ . v �� CY w -�20'. 24', 26', 28', OR 32- 2PLAN PLAN Lij PIER PIER SEISMIC PIERk I I FOUL N 18.5 IN CH V, PER / PER TABLE BLE (� W c c N - CONNECTED WITH EIGHT I -1/2'x.120' NAILS m mm a F- STCCL INSERT- 5/8'x1-1/2' BOLT OR PLASTIC INSERT: 5/0'x2-1/2' BOLT WITH HARDENED WASHER. 4 .r. T I I ❑ C%ISIING NOBIISIING + ❑ NOB0. KMACH BC \, ,a a I ,COACH BEANS -4 o/ a N FOR THE D IN PIPE 12 N FOR THE 5 IN PIPE 03 L.F. 4 4 4 4 14 1N FOR TI7E I. 1N PIPE N3 IK NJ _ 4� SPANp HOLES FOR TUBE MUST E%TEND 4 4 441 `4 HOLES FOR .... ... L� u - 3/16' PLATE _ / 1 J \���Co�s /oa����� I8'z24'x3//' DO o 1/2'.2-1/2' C.B. BASE HEIGHT 7 INCH SMALL cu ROD BOLTS SEISMIC RRIACE PLYWOOD �^ . v �� INCH RGE -�20'. 24', 26', 28', OR 32- 2PLAN PLAN 3/16' PLATE LEGS PIER PIER Scale: 1' - 10' DOUBLE WIDE MOBILE COACH o OFMOBILEO^• --0 COACH 0 ,12',14',OR 18' PLAN SODIa: 1- 10" SINGLE WIDE MOBILE COACH 12 IN OVERSIZED 5/8'x3' FOR CHIPPING AND/OR FLANGED PLASTIC CORNER BREAKAGE ANCHOR INSERTS ' o c • 3' 36 1/2' 4' 5/8' x 1-3/8' FLANGED 5/8'x3' STAINLESS STEEL OR FLANGED PLASTIC 5/8 x 3' FLANGED ANCHOR INSERTS PLASTIC ANCHOR INSERT 3' ;3' PLATE 3.5' 1x4 -4x1 VVF 4' 1'1 I' A 0 CLAMP GENERAL NOTES: REFERENCE:CALIFORNIA CODE OF REGULATIONS. TITLE 25 AND U.B.C. 1994 EDITION. 1. DESIGN LOADS SHALL BE CONSISTENT WiTH LOCAL REQUIREMENTS WHERE INSTALLED. 2. FOOTINGS ARE TO BE SUPPORTED BY EITHER FiRM. UNSATURATED, UNDISTURBED SOIL OR COM -ACTED FIRL, ASPHALT OR CONCRETE. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING CAPACITY AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. ALL FOOTINGS SHALL BE FOUNDED IN ACCORDANCE WITH H.C.D. GUIDLINES AND TITLE 25. . 3. STRUCTURAL STEEL: a. SHALL CONFORM TO ASTM A36 Fy = 36 KSI MINIMUM. b. SHALL BE FABRICATED ACCORDING TO 'AiSC SPECIFICATIONS: c. SHALL BE WELDED ACCORDING TO AWS SPECIFICATIONS: i. ELECTRODES: E70 ii. PLATES: ASTM A36 (ii.BOLTS: STANDARD ASTM A307 Iv. THREADED ROD: COLD DRAWN LOW CARBON WELDABLE d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE PROTECTIVE COATED. 4. THE C.P. SEISMIC PIER SHALL BE LISTED AND LABELED BY CERTIFIED TESTING AND CONSULTING SERVICES (CTC) FOR THE FOLLOWING. LOADS: a. LATERAL :X -LARGE PIER: 1907 LBS. ULT. LOAD LARGE PIER: 2423 LBS ULT. LOA b. VERTICAL : 16000 LBS ULTIMATE LOAD 5. THIS FOULONG ATION L SEMOR ISSFOR PL CING MANUFACTURED BUILDINGS CONSTRUCTED WITH6. THIS FOUNDATION SYSTEM PLAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS.. SEE TITLE 25 SECTION 1334(b) 7. STANDARD PIER & FOOTING SPACING PER COACH MANUFACTURER'S, INSTALLATION MANUAL WiTHOUT MANUAL, SPACING OF STANDARD PIERS TO BE DETERMINED BY STAT MOBILE HOMES PARK ACT. FOUNDATION PAD NOTES: 1. FOUR FOUNDATION PADS ARE AVAILABLE FOR USE WiTH THIS SYSTEM. THE CUSTOMER MAY CHOOSE ONE OF THE FOUR PADS FOR THEiR COACH. 2. FDTN PADS SHALL BE PLACED ON FiRM, LEVEL UNDISTURBED SOiL (SEE GEN. NOTE 2) 3. CONCRETE FOUNDATION PADS A'3000 PSi AT 28 DAYS AS TESTED AND MANUF. BY STARLITE WEIGHT CONCRETE. B: PREFERRED PAD ORIENTATION WHERE EVER POSSIBLE IS THAT THE LONG DIMENSION OF THE PAD BE PERPENDICULAR TO THE COACH BEAM (AS SHOWN ON THE PLAN). C. WHERE FIELD CONDITIONS REQUIRE PAD ROTATION, NO MORE THAN HALF OF THE PADS IN A TRAVERSE LINE CAN BE ROTATED SO THAT THE LONG DIMENSION OF THE PADS ARE PARALLEL TO THE COACH BEAM. 4. PRESSURE TREATED FOUNDATION -PAD A. 3/4 INCH A.P.A. 46/24 EXTERIOR P.S.I.-83 CC. PLUGGED, NER-QA397,PRP-108. 5. ATTACHMENT TO EXISTING, CONCRET STAR THE C.P. SEISMIC PiER MAY BE ATTACHED TO AN EXISTING COMPETENT CONCRETE SLAB OR CONCRETE FOOTING ACCORDING TO THE FOLLOWING CRITERIA: 1 ATTACH WITH TWO '%* CLAM. ITW RAMSET/ REDHEAD TRUBULT WEDGE ANCHORS 2. MINIMUM EMBEDMENT = 2.5- 3. MINIMUM CONCRETE THICKNESS = 3'/.' 4. MINIMUM EDGE DISTANCE = 2' COACH SIZE NOTES: 1. UNLESS APPROVED BY ROCK SOLID ENGINEERING, INC., .THE ROOF PITCH SHOULD NOT EXCEED: A. SINGLE WIDES: 3:12 OR 4:12 AS SHOWN IN TABLE B. 20 FEET WIDES: 21A:12 OR 4:12 AS SHOWN IN TABLE C. ALL OTHER DOUBLE WIDES: 4:12 D. TRIPLE WIDES: 4:12 2. FOR ANY COACH SIZE OTHER THAN AS SHOWN ON THiS PLAN OR REFERENCED ABOVE, LAYOUT SHALL BE REVIEWED AND APPROVED BY ROCK SOLID ENGINEERING, INC. INSPECTION REQUIREMENTS: 1. THE DESIGN OF THIS SYSTEM IS BASED ON STANDARD MANUFACTURED HOMES AS BUILT BY THE MANUFACTURER. SiTE BUILT ADDITIONS SUCH AS GARAGES AND SECONDARY ROOFS HAVE NOT BEEN INCLUDED iN THIS DESIGN. 2. ALL DIMENSIONS INCLUDED ON THIS PIAN, INCLUDING COACH SiZE, ROOF HEIGHT AND PiER HEIGHT, SHOULD BE FIELD VERIFIED BY THE LOCAL BUILDING OFFICIAL ANY DISCREPENCIES SHOULD BE IMMEDIATELY BROUGHT TO THE ENGINEER'S ATTENTION. 3. THE BUILDING PAD SHOULD BE INSPECTED TO ENSURE THAT PROPER DRAINAGE PATTERNS HAVE BEEN ESTABLISHED IN'ACCORDANCE WITH TITLE 25 & MANUFACTURER. COACH 1 BEAM ' 4 - 3/8' 2 - 3/8' x V BOLTS BOLT WITH FIELD DRILL HOLES WASHER A NUT OPTION O BFF 4-014 SELF TAP SCRE I COACH C YAMAACMED HOMEIMOBILE HOME FOUNDATION SYSTEM •- IMTHANDSAFETY C•OOV.SECTION I8151 APPROVI'.0 FUBRCr TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMP.M'B OF APPLICABL ATE LAWS AND RMUATIOiq Soa Af 011f_% PRECAST C.P. PRO PAD 1x1 -4x4 VVF PRECAST PAD 3 N FOR THE 6 NPP 7 YW 2' DiA SiD PIPE OR J BEAM o aloAlmRTAIIIwL7• 30'.32'x3/4 N FOR THE D IN PIPE 12 N FOR THE 5 IN PIPE 03 A - 3/8' BOLTS 1/4'.2'x4' 3' x 3' v I 1 PLYWOOD L 14 1N FOR TI7E I. 1N PIPE ^ E- TIGHTEN TO 180 IN-L8S ANGLE 3' VIDE PLATE _ 4� SPANp HOLES FOR TUBE MUST E%TEND ¢ • EIS fT-1 BS1 TpROUE SPACER AS NEEDED TyypW FOR J -BEAM - 1/2' x 2 1/2' C.B. . ... zzzz HOLES FOR .... ... 3' NIN IN TO CLAMP 0 - 3/16' PLATE _ / 1 J \���Co�s /oa����� I8'z24'x3//' DO o 1/2'.2-1/2' C.B. BASE HEIGHT 7 INCH SMALL cu ROD BOLTS SEISMIC RRIACE PLYWOOD �^ . v �� INCH RGE lJ 3/16' PLATE LEGS PIER PIER PER'INSTA .: Ill J 18.5 IN CH V, TYP OF 2 (� W c c N - CONNECTED WITH EIGHT I -1/2'x.120' NAILS .. "'-" a F- STCCL INSERT- 5/8'x1-1/2' BOLT OR PLASTIC INSERT: 5/0'x2-1/2' BOLT WITH HARDENED WASHER. EISMIC PIER A �FOUNOAitON PAD OR 808x1-1/2' FHVS . t/4' PLATE SIDPB MIN Z; 4 4 4 4• I �- TYPICAL BEAM �32 SEISMIC PIER - Not to Sc Le Q-ppD PLYWOOD PAD .� a FOUNDATION PADS C.P. SEISMIC PIER41-PATENT 05595366 CONNECTION ELEVATION Not to Scale NNOT i❑ SCALE Not to scale 7 " b & STD. CHASSIS SUPPORT IN MANUAL REVISI❑NS BY 05-02-03 YW 10-01-03 YW 04-07-04 YW L'I 03 E- 3 DO In L I � ^ E- °'CLI W n I\ r h �J • o F0 00 3 �z Wo 0 WU v ON Q U lJ W �z 3 Ill J wx V, (� W c c N z 0 F-1 _EH a F- OLiW oI a ' c i a Q c W _ 33 U Z Q0 1� O t - W CO 00 z 0' � a O-c�� 00 x, W OC\2 � N W 00 Qr_.' Lr) U C\24 -, I T-4 L0 I C7 C0 Q a. 1 W E_ z O E"' Q z rrO F=.1 Q W W W O 0 z W DATE: 04-28-03 SCALE: AS SH❑WN fWWNYMW .9ak0e W03002B �,HLL 1: 1 OF l SHEETS f .. ... .. .. ._ .. .,.. ... .. .. .. ... .. .. .. .. .. .. .. .. ... .. .. ... .. .. ... .. .. .. .. .. ............. .. ... .. : : : : .1 ..... : ... .. .. ... .. .. ... .. .. .. ... .. .. .. ... .. .. .. ......... .. .. ... .. .. .. .. .. ... ._... .. ♦.....................,........... ,................ . .............,............:......1...... �. .., .. ... .. .. _ ... .. .. _ ... .. .. .. .. .. .. .. .. .. .. .. ... .. .. ... .. .. ... .. .. _ .. _ .. .. .. .. ....................lryT��y.(pr/� ...... ................... ... .. .. .. .. ............................. .. .. .. .. .. .. : : - .. .. . ......... . . ......:....:.. .. .. 's;. . .. . . . . . . ............... . . ..................... ............... .. .. /4+ �*./"- : : ASi 4,8121 ........... .. .. .............. : = O I 8: 8 CS . .... ..... . .m : : .. .. ._ .. .. :...........:..............................:.....:......:.. :....:...: . ..l..:............ . - � i5T l� oM�s . .. ; .. .. .. �Z11/!E :............,.....,......,......,. ,..... -... .. ........ ......T: N op ............................... .. .. .. .. .. .. �.... .. .. .. ............. ........ ....... . .........:...... 1 ,......;.....:......,.. ; ; .. .. .. .. ............. .. ........... .. .. .... ... .. ...................... . _ 3 /c ... ....... ... .. _ i3o — .. ................... :::::::. ..:.....:.. ...:....:.. ...... BUT ............. ..... .... - .......... UIGDON LD t ...._.....:......... .... Assessor's Parcel Number: OK ❑N [� -- � © 0 a a o Scale: 1" _ /00, 0 0� +,r ��`, FOR I E USE ONLY PROVIDE FOR ALL ADJACENT PARCELS Owner Name SoH Go%[�S�i�% ,��- r���yS JiYsA •d�-o mK- o o Zoning: -�-� SIZE (AC): r- � -�•p``�-o General Plan Desi Address / Phone No. 1985%1� ,(4940 11U/✓G02-L-9- o y08' 7/z 5X082 0 o I g• ZONING: _ Site Location _ _ _ c(. Site Size, Acres _ _ GEN PLAN: — Contact Nameu/�O� Tail _ Ph73. 2M:1one 'x'32 �� _ am ----- 4.00" ------.----------j USES: Odolw -aL, SITE PLAN - .. .. - .. ... .. .... .. --. .. ....... .. .. ... .. .. ... ... .... .._ .. - .. ... .. .. .. .. ... • .. .. .. .. .. .- .. ... -. ... .. ... .. .. .. Devefo• erFt Plan ... .. ............ .. .. ................... .............. ............ .. .. .. ...................... .. ... .. .. ... . .. .. .. P..... ........................................... DATE : > 74 . ate: ... . ? • : .. ... .. .. .. .. ... _. .. ... .. .. ... .. .. .. .. .. .. ... E PERMIT' _ VARIAN. E. ................. .................. .. .. ... .. W S, .:.. Y:V. �r • ; : - ;h.�. - ...:......• ...................:...........:i .. .. ...... .. .. .. .....................t......:... .. .. .. .. ... ......................... .. ._ ......... ... ..... ......:............:......:............ ..... ... ...�I�•�.:�. —, Adl1ll•.#'EFiM�I� �.� .:I. SSE 1:3 :�05................. .. P�ANIYIN r �_: G C{)IV�IV) �S: l)EVyL ?pM;N .. . .. .. .. .. .. .. .. .. .. .............................. ... .. G T .............. ...... :......=.....:......:......; ....:.. ..:.. PLANNIN MANAGER h1A E .. C R . . . . . . . . . : .� ;. ;.. K. .. ... .. .. ....... .. ............ ... .. ............................... ................ .. .. ... .. .. _ ... .. .. ... .. .. .. - .. _ .. .. - .. -. .. .. .. .............. ......... .. .. .. .. .. .. ... .. •�-....../r - ................ .. .. .. .. .. -- ... .. ..••t. : .. .. .. .. ................. .. .. ..::.. ..:. .. .. ... .. .. ... :�.. ..j. .. .. .. .. .. .......... .. .. .. .. ......... .. .. •'Q .. .. .. .. ... .. .. _ ........... .. ;f... .. ... .. .. .. .. .. 'f 0� _. :.. .. ... .. .. .. _. .. .. .. .. ... .. .. .. ._ .. �VeEm As .. � 4 2 I-%MJ� —. - m ... ... -• ' I •IC .. .. Q ...iv.. .. .. .. .. .. .. ._ .. .. .. .. .. .. .. .. .. ... .. ..:.. .:.. ..; ..:.....:......:............' ....:. .. .. .. .. .. _ .......... ._ .. .. .. .. .. ..........................................................._ .. .. .. .. .. 1 .. j. - _ :.....:_ t. +. %3.. .of i.. .. .. 1. ....................... ... ........... .. .. ........... ...... ... ............. : • ......... ...... ...... .... ...... .......................... ....... ............... ...... ............. .............� ...... ...... ..... ......... ........................... ..........4 ................... ............ ...... ...... * ............ ......................... .... .................... . .... ..................... ...... ...... : .......3 ............... ... ............ . . . . . . . . . . . . . . . . . . . ... :.... Q'i....:.............I Assessor's Parcel Number: K [A F7 Scale: 1" = l00 Owner Name �S-O YiV Go%L75�/� ��<. n���✓s .�/�r�a�vtii _ Address / Phone No.5rio82- Site Location --- _ _-- --- -- Contact: Name Phone FOR OFFICE USE ONLY Zoning: General Plan Desig: _ Size, Acres -- -- - 4.001 -- - PROVIDE FOR ALL ADJACENT PARCELS -- SIZE (AC): ZONING.- GEN ONING:GEN PLAN: _ — ___ _I USES_: