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028-074-004
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION At: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP041356 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued 06/03/2004 APN'' 2 74-004-000 the Business and Professions Code, and my license is in full force and _Date- �r – effect. License Class: License Number: Site Address: 1292 SMULLIN ST HON Date: Contractor: �� Map Index: Description: MH PERM FND NEW SITE 40 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from th 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 QW , to its issuance, also requires the applicant for such permit to file a P.O. BOX 1844 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section YUBA CITY CA 7000) of Division 3 of the Business and Professions Code) or that he or 95992 she is exempt therefrom and the basis for the alleged exemption. Any (530) 742-8881 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my.employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: ZENON VILCHEZ Code: The Contractors' State License Law does not apply to an PP 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, Contractor:. DE CANN, PHIL and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 169 BARDOLINO LANE ❑ 1 am Exempt under Article 3 of a Business and ofessions Code OROVILLE, CA 95966 s Owner: (530) 534-7670 Date: License #: 670920 WORKERS' CO PENSAT4DE�bN I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 840 S. F. Policy #: Valuation: $54,600.00 Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to 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 wor ers' 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. J O CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Cod anrUor I hereby affirm that there is a construction lending agency for the Resolutio s to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: 6� Name: Address: PERMIT EXPIRES ON: D to ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly a bodzedagent 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 an c rm or documen utte County. I hereby authorize representatives of Butte Countyto enter upon the above mentioned property for inspection purposes. Print Name: 7t �� ' �e�z Z Signature: _ n� r�� �J� --- - Date:�'– Owner 13 Contractor ❑ Agent for Owner 0 Agent for Contractor RECORDING iiQUESTED BY: 1 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2005-0055023 Recorded I Official Records I County of I Butte I CANDACE I GRUBBS I County Clerk-Recorderl 1 I 09:29 4 14 -Sep -2M I REC FEE 10.05 CONFORMED COPY 1.00 LV Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 2 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. ZENON VILCHEZ REAL PROPERTY OWNER/LESSOR PO BOX 1844 MAILING ADDRESS YUBA CITY. BUTTE CA 95992 CITY COUNTY STATE ZIP 1292 SMULLIN STREET INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1356 530 538-7541 ILDI PERMIT I:O. TELEPHONE NUMBER SIGN TURP OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP' UNIT DESCRIPTION KAUFMAN/BROAD 2/11/1986 SAHARA 1331 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMUNUMBER KBCASN86121447 14X60 CAL324404 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 028-074-004 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. WHEN RECORDED MAIL TO: ZENON VILCHEZ. P.O.BOX 1844 YUBA CITY, CA 95992 2'10104-0028105 Recorded Official Records CountyBUTTEOf CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:32PM 12 -May -2004 REC FEE 7.00 TAX 16.50 Kathy Page i of i SO SPACE ABOVE TH15 LINt t -UM MtUUMutM', U= DOCUMENTARY TRANSFER TAX $.�...:.....•- ......................... Computed on the consideration or value of property conveyed: OR ...... Computed on the consideration or value less liens or encumbrances Signature of Declarant or Agent determining tax — Firm Name remaining at time of sale. GRANT DEED A.P.N.:028-074-004-000 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, FIDENCIO FLORES - BECERRA, A SINGLE MAN. hereby GRANT(S) to ZENON VILCHEZ , A SINGLE MAN. the real property in the City of H 0 N C U T -Countyof BUTTE----------------------------------------- State of California, described as THE NORTH LOT 76, SHOWN ON THAT CERTAIN MAP ENTITLED "TOWN OF HONCUT" WHEN MAP WAS RECORDED IN THE OFFICE OF THE COUNTY RECORDER; IN THE COUNTY OF BUTT STATE OF CALIFORNIA Dated � .- 2 J = �•�9 � .� ,� STATE OF CALIFORNIA }ss. F) P Fly C-1 U rL 0 COIJNTY OF 8w44-c� } On lnlga / 1 �,; 2�Q �-% before me, personally appeared'-��iNc;ca -- - rr;' c=_5----"-- --- perso (or proved to me on the basis of satisfactory evidence) to bet heperson(s) whose name(s).is/are subscribed to the within instrument and acknowledged to me that he/speabey executed the same in hislher/their authorized capacityags), and that by his/her/their signa- tures) on the instrument the person( or the entity upon behalf of which the persons) acted, executed the instrument. WITNESS my handan 6fficial seal. Signature �"`� MAILT TATEMENTSTO: S0Q,0QM6 v4S fi,0011 - JAMES L;~1MAR KINSE� COMM, #I�37T1 NOTARY PUBLIC CNF©RMA �.. _ BIMT€--.000NTY I NfyCornm Exptri" *pt:;2$, 2005• (This area for official notarial seal) 1002 (1/94) FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: 04-1356 I Address or location of unit: 1292 SMULLIN STREET, OROVILLE CA 95966 Legal Description of Real Property: 'AP # 028-074-004 SEE ATTACHED (x) Mobilehome/Manufactured Home j () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and. Safety Code Section 18551. . i Owner's name: ZENON VILCHEZ Owner's address: PO BOX 1844, YUBA CITY, CA 95992 INSIGNIA OR HUD NUMBER: CAL324404 ' SERIAL NUMBER OR V.I.N.: KBCASN86121447 i MANUFACTURER'S NAME: KAUFMAN/BROAD YEAR: 1986 t OFFICIAL APPROVING INSTALLATION: DATE: f PHONE: (530) 538-7541 j H.C.D. 513C RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 14 -Sep -2005 2005-0055023 Has not been compared rith original BUTTE COUHTY'COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real"property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to+give constructive notice as to its contents to all persons thereafter dealing with the real property. i ZENON VILCHEZ 7 COUNTY CENTER DRIVE REAL PROPERTY OWNERILFSSOR OROVILLE BUTTE I CA PO BOX 1844 CITY COUNTY STATE ZIP MAILING ADDRESS 538-7541 ILD PERMIT NO. I TELEPHONE NUMBER YUBA CITY BUTTE CA 95992 CITY COUNTY STATE ZIP . 1292 SMULLIN STREET INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95966 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 PERMrf and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE I CA 95965 CITY COUNTY STATE ZIP 04-1356 530 538-7541 ILD PERMIT NO. I TELEPHONE NUMBER SIGN TURE OF LOCAL AGENCY OFFICIAL i DATE NONE DEALER NAME (if not a dealer sale, write "NONE") i DEALER LICENSE NO. KAUFMANBROAD 2/11/1986 SAHARA 1331 MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAME/NUMBER KBCASN86121447 14X60 CAL324404 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLAEEL NUMBER(S) i REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCELNUMEER AP # 028-074-004 SEE ATTACHED 1 HCD FORM 433(A) REV. 8/91 WHEN RECORDED MAIL TO: ZENON VILCHEZ. P.O.BOX 1844 YUBA CITY, CA 95992 210ID4—QJ92024B 1 105 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:32PM 12 -May -2004 REC FEE 7.00 TAX 16.50 Kathy Page I of 1 6.5.0 SPACE ABOVE THIS LINE 1 -UH HtGUHUtH'J UJE DOCUMENTARY TRANSFER TAX $.I..........:.- i Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or value less liens or encumbrances remaining at time Of sale. Signature of Declarant or Agent determining tax — Firm Name ' A.P.N.:028-074-004-000 GRANT DEED � FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, FIOENCIO FLO_RES - BECERRA, A SINGLE MAN. hereby GRANT(S) to ZENON VILCHEZ , A, SINGLE MAN. the real property in the City of H O N C U T County of BUTTE------------------------------------------ - State of California, described as THE NORTH LOT 76, SHOWN ON THAT CERTAIN MAP ENTITLED "TOWN OF HONCUT" WHEN MAP WAS RECORDED IN THE OFFICE OF THE COUNTY RECORDER, IN THE COUNTY OF BUTT STATE OF CALIFORNIA Dated 2 S- oow 3 STATE OF CALIFORNIA }ss. COUNTY OF A,,A4-r. } On " Inq �z 7-o o `a before me, J C,c �Gt 6. c e vti.c r— K t N3 tJ" efSOnall a Eafea Z-i�'�C7 S perso (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(e .is/are subscribed to the within instrument and acknowledged to me that he/sbeaboy executed the same in hisAw/t#aeir authorized capacity(ies), and that by his/ber/tAeir signa- tures) on the instrument the personal or the entity upon behalf of which the persons) acted, executed the instrument. WITNESS my hand an fficial seal` �� V Signature ��.�.= MAIL TAX ATEMENTS TO: S0,o r45 I9"00111r 1 /--,. /-/�r 74�z&� M/ JAMES LNW KIKSER COMM. *077T85 NOTARY PUBLIC - C4.1FORMA . *-Ctunn EVire5l5i pt 213, 200b (This area for, official notarial seal) 1002(1/94) -o COPY Butte County Department of Development Services www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile October 21, 2004 Zenon Vilchez PO 1844 Yuba City CA 95992 RE: HCD 433A (mobile home on a permanent foundation) 1292 Smullin Street Ap# 028-074-004 Dear Zenon Vilchez; The County of Butte, Department of Development Services, Building Division, is returning your check, payable to HCD due to incomplete permit process. Due to the incomplete information on your permit we are unable to finalize the 433A; (mobile home on a permanent foundation) process. You will need to come in to our office, at the address above, and talk to one of our Permit Application Assistants, who will assist you in determining what you will need to finish the 433A permit process. The recorded 433A, check, and supporting documentation must be mailed;to the State of California, Housing and Community Development, Manufactured Housing Department before the mobile home can be removed from state license rolls and the Butte County Assessor treating the mobile as real property. ' k If you have any questions regarding this process, please call (530) 538-7541, and ask for a Plan Application Assistant. Thank you, Gwyn Benedict Office Assistant II NAW: AN -0 DATE: H.COD• ATTACH CHECK WHEN RECORDED MAIL TO: ZENON VILCHEZ. P.O.BOX 1844 YUBA CITY, CA 95992 IIIIIIIIIIIIIIIIIIl011111111111111 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:32PN 12 -Nay -2004 REC FEE 7.00 TAX 16.50 Kathy Page 1 of 1 5 V SPACE ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX $ ./ ...........-.................................... .S Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or value less liens or encumbrances remaining at time of sale. Signature of Declarant or Agent determining tax — Firm Name A . P . N .: 028-074-004-000 GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, FIOENCIO FLORES - BECERRA, A SINGLE MAN. hereby GRANT(S) to ZENON VILCHEZ , A SINGLE MAN. the real property in the City of H 0 N C U T -County of BUTTE------------------------------------------, State of California, described as THE NORTH LOT 76, SHOWN ON THAT CERTAIN MAP ENTITLED "TOWN OF HONCUT" . WHEN MAP WAS RECORDED IN THE OFFICE OF THE COUNTY RECORDER, IN THE COUNTY OF BUTTF STATE OF CALIFORNIA Dated STATE OF CALIFORNIA )ss. F) D F 1VC–i U l- 2.O t� -s COUNTY OF &,A+C• } On In q%l 1-2-47-00q before me, personally appeared perso (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(eyis/are subscribed to the within instrument and acknowledged to me that he/sdeLtbey executed the same in his/her/04eir authorized capacity(jes•), and that by his/her/t4eir signa- ture(s) on the instrument the person(a) or the entity upon behalf of which the personW acted, executed the instrument. WITNESS my hand an fficial seal. Signature n MAIL T TATEMENTS TO: 4S %9,0.6llt- M/ JAMES LAMAR KINSER COMM. #0771A5 NOTARY PUBUC= CALIFORNIA BldM.COUNIY 1 Nfy Comm Escpir 5100,:28.2006WOW, (This area for official notarial seal) 1002(1/94) STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ,3stNG Division of Codes and Standards O p 0 .0 Z Title Search V0 nE�� Date Printed : 05/10/2004 Decal #: LAI7596 Use Code: SFD Manufacturer: 09578 KAUFMANBROAD HM SYS I Original Price Code: AEP Tradename: SAHARA Rating Year: Model: 1331 Tax Type: LPT Manufactured Date: 02/11/1986 Last ILT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 02/27/1986 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width KBCASN86121447 324404 60' 14' Registered Owner: ERWIN ROSALES 129 QUINCY LANE BEALE AFB, CA 95903 Last Title Date: 11/06/2001 Last Reg Card: 12/04/2002 Sale/Transfer Info: Price $14,000.00 Transferred on 10/29/2001 Situs Address: 129 QUINCE LN , BEALE AFB, CA 95903 �tTs -- A Legal Owner CONSECO BANK INC \ 1400 TURBINE DRIVE RAPID CITY, SD 57703 LtemP�erfected On: 10/29/2001 14:57:00 Title,Searches: .FIRST AMERICAN TITLE INSURANCE CO 415 CENTURY PARK DR SUITE A YUBA CITY, CA 95991 Title File No: 1401211 * * * END OF TITLE SEARCH r , 0 u�.n-ter LEGAL DESCRIPTION A.P. #: 028-074-004 All that certain real property situate in the County of Butte, State of California, described as follows: r r r r _— - �i� III _ ,y �f � .. - o ', t _ R � ,j � r = �� f II ` II . `' ` - _ - III ..» NOTES RESIDENTIAL PERMIT NO. r 028-074-004 04-1356 VILCHEZ, ZENON ZG� SMULLEN ST, OROVILLE I Cont: PHIL DECANN l , MH PERM FND -- 1 THE HCD FORM 433A FOR THIS MH CANNOT BE - -RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) .LICENSE PLATE(S) OR DECAL (THE r INSPECTOR MUST RETREIVE). , -- (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). -.—IN.,PECTOR TO VERIFY SERIAL & LABEL #'S. 11 SPECIAL CONDITIONS 11 _S/SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1 OFFICE COPY } Address GAS Meter By Date ELECTRIC Meter By Date R• i 'JOB FINALED (Date) Signature CHECKED BY I COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES r .. 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 t i CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is <4, •completed. If you have any questions pertaining to this matter, or need additional explanation, please con act t is office immediately. —1 ea A rt: 441-0 All 1 /0 L Inspector -- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (5 30) 53877541 CORRECTION NOTICE OWNER PERMIT NO. to routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, -` please co tact this office^ immediately. U U (lac � C 77c'/T- /— / - t G, i� C c Oso t t4,4 i 14- fi x1d e - COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE V1'--G.tIE"z 0'4- 3g" OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. J=OK, 0 = 066K . = NotReadyable OBILE HOMES Date MOBICE HOME UTILITIES (Plans) OK except #'s Special MH Location -1 5. Ele ri i Location Clea n s /Amp -Concrete 6. /Gas; astrap;-/ L"/ G 7. Well Clearince &'BiOkonnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date KMANENT END SYSTEM (ONLY) ni9 Requirements -Setbacks -Easements ootings; Size -S cing-Marriage Line B%w9g F15a_s;1VIHWt-Demand-Valve ectcity; MH Test ; MH Test r d Ga nd ElgelTIfity Tagged is icense Decals erify #'s with O ice Card B-11ZW Date Card B-1 Card B -f Date Card B-1 Date MISCELLANEOUS Date DEC OVERS, CARPORTS, GARAGES (Plans) OK except #'s so.roning Requirements -Setbacks -Easements 3 ootings; Soils -Size -Depth -Spacing -Connectors -Steel Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures I 6. Carports; Windows -Doors 7. Electric I 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh k 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels r" Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI f 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 1Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable r = Not Ready RESIDENTIAL (Single &•Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setba:ks- Easements- Flood -Slope 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel -Blockouts-Wrapped Garage Fire Protection Framing -RC Channel 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 57. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 58. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 59. 11. Water Pipe; Test -Anchors -Regulator -Service Test 60. 12. Electric Underground 61. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 62. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 63. 15. Access & Ventilation 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 66. 17. Water Htr.; Vent -Access -Combustion Air Baffle 67. 18. Water Pipe; Test & Anchor -Nail Protection 68. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 69. 20. Shower Pan; Test, First Floor -Tub Access 70. 21. Test Tub & Shower, Second Floor -Tub Access 71. 22. Gas Pipe; Sixe & Anchors 72. 23. Fire Sprinkler; Test 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date Garage Fire Door; Swing -Landing -Closure Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 79. 26. Size Boxes & No. of Conductors Stapled 80. 27. Romex Installed Close to Edge of Studs & C.J. 81. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 82. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire S ze/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 83. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral Cl Yes O No 84. 32. Service -Riser Conductors & Ground Main Disconnect 85. 33. Equip. Clearances Panels-Motors-Mech. Equip. 86. 34. Clothes Closet Light -Shower Light -Spa Light 87. 35. Smoke Detector 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date Ventilation Throughout House Card B-1 Date Card B-1 Date Glass Protection Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date's - FRAMING (Permit) OK except #'s _ 41r: -Sins Proper Materials &-Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Fur,,ed Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: SUN J' OUNTY i, mw �CESN aPy- II Cc-i✓sN VICcN G'2 J m - I fit• •`F'� y M ■ Jun -01-04 02:38pm From -First American Title Yuba City +5306717611 T-860 P.001/001 F-909 /� �► F:7 -- it , q, first Amerkaa Title COMPOPY 415 Century Park Drive, Yuba City, CA 95991 (530) 673-5527 Fax - (30x673-3MZ. )une 1,2004 county -of Butte Dept of Development Services , RE; Escrow-Not14QMk \ This letter is in regards to ap# 028-074-004. The mobile home which is being placed Qn pecmanertt.fcaundatiptkwii! be paid off through this escrow. Escrow is estimated to close on June 4,2004. Please contact me at the number listed -above when permits have -been iss -ed be ableto-note mYfdk- sincerely, • First AmericaaTitle.Company\ Kehoe Escrow Officer r 11 Page.. l,of._i. t First American 6/3/2004 10:04 PAGE 002/002 Fax Server wn A 5*10 FirstAmedcan Tide COMPJWV 415 Ccatay Pazi Dfivc -Yuba City, CA 95991 Esdinawd Settlement Statement Property: Smalling Street, Honoult, CA Buyer. 7Anon Vffchez Address: Seller. Erwin Rosales Address: Smalling Street, Honcutt, CA File No: 5102-1401211 Officer. Becky Kehoc/KF New Loan No. Settlement Date: Disbursement Date: Print Date: 6/3/2004,10:05 AM Notice - This Estimated Settlement Statement is subject to changes, corrections or additions at the time of final computation of the Settlement Statement. Page 1 of 1 Consideration: 17 .00 Total Constdctation 17.5W-00— Deposits in Escrow: 3,000.00 R=ciptNo. SlO2g946onO&MtMbyZcnonVilchez 1,2W.00 Receipt No. 51028947 an 06103/2004 by Zenon Vilehez .510284!8 on byzeaoo vilchcz Adjustme 8.000.00w paid MIoutside escrow 8,000.00 Payoff Loan (s): Under Gmmtree Financial Prindpal Balms to QremUee Financial W Charges to: Mo. Me� 400.00 El Fft. Amerim Title Campany 75.00 Doe Prep to First c 35.00 Title Seam to First American YdlgVmm_qwy Disbursements Paid: 250.00 transfer fee to Department ofHousioA Cesh( From To Borrower T Cub (X To From Mer M99.48 1W.00 1 18,260,001 1 17,500.00 17,5001:01 Notice - This Estimated Settlement Statement is subject to changes, corrections or additions at the time of final computation of the Settlement Statement. Page 1 of 1 First American 6/3/2004 10:04 `PAGE 001/002 Fax Server RrstAmfficm 06/03/2004 To: Karen Attn: Fax No.: 15305387785 From: Bedry He No.: 5102-1401211 Property: Smalling Street, Honatt, CA Subject: This message is for the designated recipiet t only and may contain privileged or confidential information. If you have received it in error, please notify the sender immediately and delete the original. Any other use of the information by you is prohibRed. If you do not receive all pages as indicated or have problems in receiving this fax, please contact the sender at (530) 673-5527. 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.net%dds PERMIT NO. BP041356 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/03/2004 APN: 028-074-004-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1292 SMULLIN ST HON Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: MH PERM FND NEW SITE(840) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ZENON VILCHEZ to its issuance, also requires the applicant for such permit to file a P.O. BOX 1844 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section YUBA CITY CA 7000) of Division 3 of the Business and Professions Code) or that he or 95992 she is exempt therefrom and the basis for the alleged exemption. Any 742-8881 violation of Section 7031.5 by any applicant for a permit subjects the (530) applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: pP -carlt: ZENON VILCHEZ 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 licehsed 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, Contractor: DE CANN, PHIL and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 169 BARDOLINO LANE ❑ I am Exempt under Article 3 of a Business and fessions Code OROVILLE, CA 95966 Date: �-3-0 Owner: (530) 534-7670 License #: 670920 WORKERS' CO PENSATION D ON 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect'' is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Total Square Ft: 840 S. F. Policy a: Valuation: $54,600.00 I certify that in the performance of the work for which this permit is Census Code: 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 forthwithcomplywith those provisions. Date: v Applicant: WARNING: Failure to secure wor ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one S 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 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutio s to do work,ilidicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)i Name: By: v � Date: Address: PERMIT EXPIRES ON: 4(D*e) ❑ 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 alwhorizedaWnt 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 anc rm or doccumen uIle County. I hereby authorize representatives of Butte Countyto enter enter upon the above mentioned property for inspection purposes. G �0 1 e//L Z Print Name: Signature: r nV Date: Owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor r-1 �0, QIOJ%E �v BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION LICANT SIGN TURE x 0 � For office use only: OWNER Name �pn/ Il Gib' Address 6 D. 7- --7,4 Z -S City State ` St Phone Z - Fsb' 8 Fax E-mail Phone . T Fax LICANT SIGN TURE x 0 � For office use only: CONTRACTOR Name 24 N® Address 106 2 c s City e n Address cA r d j I� d 1,n . City ` St Z' E-mail i State License Number Phone . T Fax E-mail Lic. # Class LICANT SIGN TURE x 0 � For office use only: ARCHITECT/ENGINEER Name 24 N® Address 106 2 c s City No State Zip Phone , . �2^ Fax E-mail Planner State License Number LICANT SIGN TURE x 0 � For office use only: APPLICANT NAME Name 24 N® Address 106 2 c s City No State Zip �S"Sl3 Phone , . �2^ Fax E-mail Planner LICANT SIGN TURE x 0 � For office use only: Zoning Flood ZoneSRA No Occ. �3 Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT 04,)3 BP BIN # nLOCATION/1 AP# O — © - l - U Property Address V I o 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 LLDescription or Sco a of W t•k: Sq. Footage S ❑ Structure B11ilt without PerFnit§ ❑ 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. Received by:_nQ Amount: 542, Bldg Receipt #: c� Sheriff SMIP (I. n r7 p. Vy Date: /' S- �2-G� Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 r • SUBMITTAL REQUIREMENTS J The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, -signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets_ of, stamped and signed calculations. , • .,, ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. 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 GRAPH PAPER! ❑ 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 additi nal information regarding +this process, contact a Permit ' Application Assistant at (530) 538-7541) OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: VI ASSESSOR PARCEL NUMBER Q r CYJ4 Proposed Building Use: OgncY Counter Technician Date: �'' I G ems required in order to apply for a permit. All boxes'NA ST be checked OR marked NA in ore to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. ❑ 4. Engineere r,syletailrnd layouts in duplicate. No faxes!' ❑ 5. Letter f� Engineer or Arc 'tect for truss review. ,. ❑ r W 4d, -6y En'erd compliance design ndiupportinydoci'Aedtation in duplicate. ❑l ��.� tatement of Intent for Non -heated and A/C for Non -Residential Buil ' gs. ❑ 8. Manufactured home) Data sheets and installation inst, (I 1 line infolVloor PI arS, Tie downnd pfa—n-sla in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 1;1. Site plan and business license approval from the City of Biggs t)j ❑ 12. Letter of intent for non-residential buildings d ❑ X13. Detached Accessory Building Form filled out by the owner ❑ j14. Hazardous Material Foam 115. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico neroville, as applicable. ❑ e 16. Other ` Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... t ........ . ❑iy 20. Erosion Control Plan Required ........................................... --i ....... hee as shown on the attached Schedule of Fees Due St. (..�.. ❑ 22. City of Chico Plumbing permit .................... 23. California Department of Forestr plan approval paid. Sent by: ❑ 24. Planning approval (A) Use:W (B)Parking:, (C) Parcel Check: U, 25. Contact Land Development about _ Improvements, _ Drainage ......................... -' .............................. - 26�NPDES Form............................................................... U�;•, Encroachment Permit for drivewayfrom the Public Works Det - ❑ \vim � cP ns�ectio r p required....... ❑ 29. Contractor's I e iii or tion. (Number, Name Style, Classification) ................... ❑ /C3Q. 6Wo%prfi eEnsation Carrier and Policy Number.... ' ❑ 31. Owner -Builder Verification Given to owpr�,. Mailed to owner) ..................... ❑ 11 4,32Aettel6dSignatureauthoriGROn......................................:............................. 33. Recorded copy f Agricultural Acknowledgment Statement ................................. —i Z—a El3' . !Manufactured home utility clearance............................................................... ❑ '35 Existing violations and/or expired permits.......................................................... ❑ 36. Deed estriction........................................�... '� 37* rant Deed, 1. Title/Statement of Facts[etter from Legal Owner, e ecic to H.C.D. $ er: 1 When issue and hold for pickup. I have been informed oft a ah b to n requirements for obtaining a building permit. Applicant: r 4*i Date:—�� 1. Index permit�ppplieatio 4h6imve-iteme at �,ered: / Plan Check Letter 2. Additional items required ontr, , designer, n as advised of the above data by one, ❑ ma' , ❑ counter, by Date: = Z �o 0�- Contractor, designer, owner, was advised of thea a ata by phone, ❑mail, ❑ coun e b Date: ar* w� Plans reviewed by: Date: Plans approved by: L --Date':. Date : Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building D.vision E.N. USE ONLY Piot Plan Attach Flocs Man Attached Sent to B.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposals Water upply: Public Private Well Clearance for dwelling. Other .0 1 l A /b nz,- ' JA )I I L4A� Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist j 8/96 Date j pgo COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER PROPROSED BUILDING USE 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ Q..";-W-Ae Plan Checking Fee.... $ Z - O DISTRICT FEES (DVl �� U ►�r'1 �j a d at chool District Office) (form available after Plan Check) \ 3. SHERIFF FEES (paid at Building Division) Residential............ X 60.0 $ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES A. P. # d'P_DATE RECEIPT # DATE REC. (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) � 7. SRA FIRE INSPECTION AND PLAN CHECK FEE at Building Division) 1,!9 CI 8. WATER TENDER FEES BATTALION # $200.00 (paid, at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I bove fees are required to be paid prior to issuance of the permit. These fees may be changed diVing t , n cheFkimg.7prgtess APPLICANT DATE Pursuant to Government Code 66020 reby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Af i ;,,*,;.,,;,,tI UTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM Oq Z— v+ 3 (One form per Building) School District (� (Oth l6P �n 1 /1 Building Department Na. 08, A.P. Number �� ��' / �^ (�o% Jurisdiction: City County Property Owner Vilehpre PropertyLocation/Address .17'7 /J ���1 S Subdivision Lot No. Residential Development ®oop ..........................._............ ...................... :...................................... Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # i (No foundation inspection) :............................................................................................... _ ... , Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial"'" . 0 Q Sq. Footage New Addition (Including Exterior Roofed Areas) Buil mg Department Representative Date District Identification No. 040244 rb tri Ile U�,ii ilyn OiG1. School District certifies that (Applicant) y (Street �JA'dress) �. ! (Phone Number) C 9• '08 (City) has complied with the requirements of Resolution No. representing �9y square feet. School District Representative :- Paid by Check # (�� Remarks: / //(--State) Rip Code) by payment of $18�� , l� 2926 i FULL Mm1GAT10N Date v r- Nafte: You may protest the Imposhlon of the fees Identified above by subs tting a written protest to the District, In compliance with Govern wd code Section 66020(m), within 90 days from the date fees are paid. Failure to submit a timely wrtMen protest wlll'prohibk you from chdW ing the Imposition of the fees in any court action. f, wbsequerd to the School District Represerdatlw signing this Bulb County -Schools Impact Fee Certification Form,, the School Dlstriet is noditd by the applleable Local Planning Agency that this proiset ls being wvlswed under the CNHomla EmAronn ental Qudtiy Act (CEGA). MDIs proieet may be subject to additional school fees to fully mitigate. Its impact on the school district`s schools. White (applicant), Yellow (building department), Pink (school district) teefomm.xds (10/03)dmm AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR"RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be piepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: THE NORTH LOT 76, SHOWN ON THAT CERTAIN MAP ENTITLED "TOWN OF HONCUT" WHEN MAP WAS RECORDED IN THE OFFICE OF THE COUNTY RECORDER, IN THE COUNTY OF BUTTE STATE OF CALIFORNIA Date �S� - /2 - d9--1 State of California County of g;�-44e, On PRO RTY OWNERS: before m G personally appeared zl:r Mrj" ` JZ 1r. ! e,.t•_ kuawa4e-me (or proved to me on the basis of satisfactory evidence) to be the person( whose name(s) is/a-ubscribed to the within instrument and acknowledged to me that he/she/t#oor executed the same in his/her/Ehew authorized capacity(ies), and that by his4wr/the4r signature;) on the instrument, the person( or the entity upon behalf of which the persons acted, executed the instrument. WITNESS my ha d and official seal. JAMES LAMAR Kl(VSER Signatur Seal: COMM. #137TT$5 ��. NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY A.P. # (0 - {j`j�/ "" �O�l "cnC� MY Comm. Expires Sept..28, 2006 AND WHEN RECORDED MAIL TO: + iQ14-101028 1 1 i BUTTE COUNTY BUILDING DIVISION Recorded Official Records I REC FEE 7.00 I COPIES 2.00 7 COUNTY CENTER DRIVE County Of I OROVILLE, CA 95965 BUT rE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Lisa 03:42PM 12 -May -2604 I Page 1 of"1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR"RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be piepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: THE NORTH LOT 76, SHOWN ON THAT CERTAIN MAP ENTITLED "TOWN OF HONCUT" WHEN MAP WAS RECORDED IN THE OFFICE OF THE COUNTY RECORDER, IN THE COUNTY OF BUTTE STATE OF CALIFORNIA Date �S� - /2 - d9--1 State of California County of g;�-44e, On PRO RTY OWNERS: before m G personally appeared zl:r Mrj" ` JZ 1r. ! e,.t•_ kuawa4e-me (or proved to me on the basis of satisfactory evidence) to be the person( whose name(s) is/a-ubscribed to the within instrument and acknowledged to me that he/she/t#oor executed the same in his/her/Ehew authorized capacity(ies), and that by his4wr/the4r signature;) on the instrument, the person( or the entity upon behalf of which the persons acted, executed the instrument. WITNESS my ha d and official seal. JAMES LAMAR Kl(VSER Signatur Seal: COMM. #137TT$5 ��. NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY A.P. # (0 - {j`j�/ "" �O�l "cnC� MY Comm. Expires Sept..28, 2006 National Pollutant Discharge Elimination System (NPDES) Phase II .Construction' Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRET Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.); a Storm Water Pollution Prevention Plan (SWPPP), and ,a .check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more Iof land. " I' am aware that submitting false and/or inaccurate information may result in revocation of grading and/or-othei permitsro other sanctions provided -by law. Signed:' Title: Date: i �y f' • Date: I b ` � _6 SITE PLAN REVIEW APPLICATION AP# 2� - U'� 4 --6 Permit Number (if applicable) f jyp k jnV. ��dj, Bin Number APPLICANT INFORMATION Parcel Size: Owners Name:�- j o /0 � (9E G G. rZ. t2_ A Owners Address: '. l. n2 k Y Y Ua Lil r Telephone No.: Situs Address:,k 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 ❑ Commercial Remodel , ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other Septic Well ❑ Agricultural Exempt Building Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): —14 ;' e r DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ® Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval • ® Site Plan Stamped Approved By Date ) 1 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: IN Snow Load Area: Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract Nitrate Action Plan (See Environmental Health for standards) Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: 1 S D C. Index Date: 6 ^ 9 Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) North Chico Specific Plan (See Development Fees Section and attached standards and requirements) Chapman/Mulberry (See attached standards and requirements) Cohasset Area (See attached standards and requirements) Grading Zone (See attached handout) Use Requires: • ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement • Zoning: 1 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. • Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side 3 Side Street Rear , Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. • Page 2 of 5 ff • CJ Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area = Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement . ❑ North Oroville Area ❑ Other (per map) Amount Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Date of Creation: ) q'T I Legal Access Provided: ❑ No E Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No 5 Yes, Road Name: h� y LL -1 ;J Complies with County Standards for Deed Creation:[] No ❑ Yes Comments: 0-L-12 42 4: e L 9Je> 'b 6 E b iQex7srz tsN e r2:- 12 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 ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: �'M-111� b, ❑ Use Permit/Minor Use Permit Permit Number: Book: % Date of Approval: -Page: 8 9 • Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control PlaO must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. • Page 4of5 I Summary of Specific Requirements: 0 - This information provided in this summary is based on the application information and on the best available data at the time of review. C: L%Tys\Building Permit Site Plan Reviewl.doc Page 5 of 5 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 p`i -I S L�lo�1 AQP a004-0028117 Recorded I REC FEE 7.00 OfficialRecordsI COPIES 2.00 CoBMEOf j CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Lisa 03:42PM 12 -May -2004 I Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of, California, described as follows: THE NORTH LOT 76, SHOWN ON THAT CERTAIN MAP ENTITLED "TOWN OF HONCUT" WHEN'MAP WAS RECORDED IN THE OFFICE OF THE COUNTY RECORDER, IN THE COUNTY OF BUTTE STATE OF CALIFORNIA Date State of California County of 8L, -14.e, On -YKAV 12-.26oLi before PRO RTY OWNERS: Li/PlA/ 1�lZCly ��Z L,-w.or r-IRSe0- personally appeared kuamw-te-we (or proved to me on the basis of satisfactory evidence) to be the person(o) whose names) is/am subscribed to the within instrument and acknowledged to me that he/she/tom executed the same in hist/their authorized capacity(ies), and that by his/bWtheir signaturejA) on the instrument, the person(o) or the entity upon behalf of which the personlQ acted, executed the instrument. WITNESS my h d and official seal. ::JAMES LAMA -XINS& Signatur Seal: .i COMM. #lVT1.85 NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY A. P. # Q Z - ON 00t/ -00o tM Comm: Expires SeDt..28, 2006- " Building Permit Number: Owner Name: V i / Gh t Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, =`r H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5: The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Q �— 135 Owner Name: V j l ch C Z Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 4 Fire sprinklers are required in this structure. 19 The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of '-�b feet from the side and -�30 feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. E; Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. 1. Owner's Name: 2. Assessor's Parcel Number: 1�le 9-�> 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No[ ✓Permit No. 5. Is the site an existing site? Yes[ j No[(If yes, furnish two plot plans). 6. What is the electrical rating of the mobi1ehome?_Z&2Amperes. 7. What is the mobilehome site circuit breaker rating?. Amperes. 8. What is the electrical rating of the mobilehome site? _2 10 Amperes. 9. Is the main service remote from the mobilehome site? Yes[V111"No[ ] If it is, what is the rating? Amperes. 10. Is there any other electric load. o be rued by the mobilehome site electric service (i.e. well, garage etc.)? Yes[o[If yes, please identify the load and size: a) The mobile home site: ` Load- Amperes - b) The main service: Load- Amperps- 11. Type of gas service at mobilehome site: Natural[ ] Propane[: None[ j 12. Size ofas pipe at the mobilehome site from the meter or tank: -� inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?,,20 (ft.). 14. What is the mobilehome gas demand? '(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO -PROCESS THIS PERMIT APPLICATION t3U TTTE COON I ,AUILi ING ®EPARTME.. . A P P R0 V May 1995 8.5 Mobilehome Manufacturer:11r-1VCdy7` , Q Manufacture Year: If other than single wide, furnish Setup Model Number: Width: 'Length: Length: (ft.) Tagalong or Expando Size (ft.) x (ft ) On . all mobilehomes manufactured after Octpber 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure tr ed or foundation grade[i.Other: SUPPORTS: Concrete block[&�Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Lice I . I Line 2Line 2 ................................................................................................ Main Beano Line2................................................................................................ 2 Line 1 Line 3 Line 2 ms Main Bea .................................................... Line I ............................................ tne e 3 Tag or Triple e q I Line 1 Piers: Size minimum: 1 1 x Spacing maximum: ` From ends -maximum. ` Line 2 Piers: Size minimum: x Spacing maximum: el ` From ends -maximum. o ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ], Each side of openings with width over: Line 4 Piers: Size minimum: x Spacing maximum: From ends -maximum ` a i UIL�IN� 37" TUF-1 PERMANENT --4 FOUNDATION SYSTEM 18 112" ALiCt1-GUS GUARD COMPANY �NIRR• ii 5851 FLOFJN-PERKINS ROAD L 1 SACRAMENTO, CA 93923 PH: (800) 382-8831 WAYNE POLVA00, PE -LISTING NO. F94249 SHEET i or 3 2"x 2"x 3/16" 3/8" CAD PLA-ED BOLT, NUT & WASHER COACH "C' FRAME COACH "J" FRAME STEEL ANGLE COUNTER BORED FLUSH WITH 307,OM AT e" D.C. (8) REQUIRED 2" CHANNEL 1/4"x1-1 /4" GRIPPER TEK STS 1/4"x1—t/4"LAT£ (4) REQUIRED 1/4- STAND BASE TEK STS (2) REQUIRED ASESCO ARS PAD #503 1/4." GRIFPER� 1/4' GRIPPER BASE BASE P DETAIL "A„ 1/2' A307 BOLT (2) REQUIRZ-D 1/2" A307 BOLT (4) REQUIRED 3/8'x b'x 6' STEEL PLATE CHAS5�5 FRAME 1/2" A3U7 BOLT J-BEAL4 (2) REQUIRED ATTACHMENT ATTACHMENT • 36" MAX 10.00 1/4" GRIPPER PLATE (2) REQUIRED TO BOTTOM PAD 8» '° DIA. HOLE {8) PLACES 1/2" 1/2 1/4- GRIPPER BASE Ji 10.70 1/2-13UNC—A307 x 4" 01/2"x 3" C_R. LOCK PIN WITH L BOLT WITH t1UT5 01/8- BRIDGE PIN 0 .` 30`1 (4) REQUIRED 09/16 HOLE (TYP) STAND BASE STEEL FRAME 01 1/2" SCH 40 PIPE' RISER WITh: o TOP VIEW TQF VIEW 01/2" ADJUSTER HOLES AVD 3/8` ' THICK TOP PLATE SCH 40 PIPE STAND WITH TWO o "= J ` S �low 02' ADJUSTER HOLES @ApfESSM Q -�� 401/;•2" _ A (ABESCO ABS PAD #503 FPAME' Tom• 9T7QOo =r! A dI� STEEL "A" 179418 Aw SEE' DETAIL Exp. ]�' ;` ,lt,1C1111i,LfC11'RtA1Ri�iti:�i Mm �'� Of G�Lt4� m coon mm" �71 k� po'N;wc 37" TUF-1 PERMANENT --4 FOUNDATION SYSTEM 18 112" ALiCt1-GUS GUARD COMPANY �NIRR• ii 5851 FLOFJN-PERKINS ROAD L 1 SACRAMENTO, CA 93923 PH: (800) 382-8831 WAYNE POLVA00, PE -LISTING NO. F94249 SHEET i or 3 d 9 9 N Z N e -i 19 GENERAL NOTES GUS GUARD TUF-1 DESIGN LOADS: LIVE LOAD - 30 LTi. FLOOR LIVE LOAD - 40 PSF WINO LOAD - 80 MPH EXPOSURE 'C" SEISMIC ZONE '4" * SNOW LOAD 100 PSF (SEE NOTE 11115) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CCNSTRUCTED ON A FA RLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. S. CHASSIS BEAN SUPPOPTS SHALL BE L0,".ATED AND SIZED FOR THE LOADS AS SHOWN IN THE 'MOBILE HOME INSTALLATION INSTRUCTIONS". �. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEE•S 1/4", OR: WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FDDTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COILPATfBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. E. STRUCTURAL STEEL: FABRICATED ACCORDING TO A1SC SPECIFICATION. WELD ACCORDING TO ANS SPECIFICATIONS. ELECTRODE'S -370 PLATES -ASTM A36 BOLTS -SITE GR 5=ASTM A449=ASTMi A3725. 7. THE 'CUS GUARD ASSENBUES SHOWN ON THIS PAGE SHALL Of LISTED AND LABELED BY BSK AND A-SSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL G°JS GUARD TUF-1 2200'f &0001 GUS GUARD MGP PAD 22001 6000# GUS GUARD E -Z TIE PAD 22(30f 6000f S. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 LNITS AS SHOWN 0N' THIS PAGE OF TYPICAL FOUNDATION 2LANS. 10. THE CUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. IM MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED Imo; THE NUMBER OF TUE-1 UNITS UNDER EACH LIMIT IS z� THE SAME AS SHOWN REQUIRED PER EACH UNIT. G) 1� SiNGLI-WIDE UNITS REQUIRE ADDIRONAL RESTRAINT. - (SEE SHEET /3) :• 013. ALL wETAL COMPONENTS MW ATTACHMENTS ITEMS SHALL BE P?OTfCIA'E COATED. M 1 ) WHEN CONCRETE •SLAB 15 IN EUSTANCE, PAD IS NOT 16. FOUNDATION FLOCKS 16'x 16"x12" POUP.EO IN PLACE AT GROUND LEVEL WAY BE USED AT INSTALLERS DISCRETION ALTEPAATWE TO PADS. SNGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' UIN. / 8' MAX. f= 2' MIN. 11' MAX. S= 6` MIN. /16' MAX. S= 6' WIN. / 22* MAX. VARIES 10'-70' (SEE TA3LE ON SHEET #3) -' E--- S S —S ---� E Lj u u ❑ ❑ u RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER a a (TYPICAL) a ❑ ❑ E] E3 -T ❑ ❑ ❑ ❑ 8' NOM. ANOM. ❑ PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION �- ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OP. THE SUPPORT AVOID CLEARANCE PROBJFMS_ ENGINEER. TYPICAL THROUGHOUT PAD (7YP) 41 OF C`►1� U %.d REQUIRED. ANCHDR STAND TO CONCRETE SLAB WITH 7UI=-1 PERMANENT FOUR (4) 1/2'x 3 lj2' EXPA1LS10N ANCHORS. FOUNDATION SYSTEM GUS GUARD 1UF-1 FOUNDATION SYSTEM PROVIDES -.� ALLOWABLE SNOW LOAD TO 10C PSF WHEN INSTALLED ABESCU-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 51151 FLORN - PEBl(M ROAD ' MANUFACTURER OR REPLACE THEN ON A ONE TO SACRAMENTO. CA 95$23 ONE BASIS. PM: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL MANL°FACi1tJR9D 1i�01,TElf�1pHQ)B TtIO� FOUNDAUON SYSTEM MATTRAND SATM COIDg, R&MM JUN "PROVED S[JBIIBC! TO CORPilcru NJ1 nam AMOVAL DOES NOTAUMOME QRAPMOM ANY 06USS10NS OR DBVIATTON FROM REQ i3MQ1 APPLICABLE STATE LAWS AND RB(iWAIX 4 State ofC�lfamts � of Aocs�� and Coate T�1wt�p� - - .. CODES AND or, 211 v SPA TDO. — TlisPlait Approval Exgrm i ! u p WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 1/2"x 3 1/2" EXPANSION ANCHOR . ,4) REQUIRED I l , CONCRETE PAD INSTALLATION CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4' ---- BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJJSTER HOLES AND 3/P" THICK TOP PLATE .02" SCH 40 PIPE STAND . WITH Two -'o1/2" ADJUSTER HOLES ABESCO ABS PAD #503 Q STEEL FRAME z �, G) J c Lo j::l m <� w m CMD N u� CD E - Z TIE PAD 3/4" DIA. x 18" LIG. 1/2"x 8" LONG (4) REQUIRED ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT & WASHER (4) RECUIRED COUNTER BORED FtUSH WRH BOTOM AT B" O.C. ` (8) REQUIRED 1 POURED IN PLACE 16xl6x12 CONCRETE y FOUNDATION INSTALLATION ,1 01/2"x 3" CR.j LOCK PIN WITH 01/8" BNOGE PIN LIGH— HEAVY—WEIGHT PLASTIC PAD INSTALLATION 1tIZ71--IIID$ UK= LENM OF HOME 24 1 W3DTH OF HOME 2 28 44 UP TO 44 B 8 I 8 1 12 44'-1' to IV 12 12 12 18 8i'-1' to 80 20 20 20 24 SIN= HIDE UB1M LENGTH HOME WIDTH OF HOME 2r7 14 16 IIP TO 44' 1 6 1 6 . 6 8 44 —1 to wl S I 8 IS 8 4tY-1' to 801 10 1 t 0 If 0 10 NUMBER OF TUF-1 REQUIRED NUMBER OF TUF—T KL119UIWM NOTI ; SINGLE 1YLDE UNITS REQLraRE (4) E-2 Tt_ PADS. GUS SUM TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL D(TERVAIS ALONG EACH FRAME RAR. Q Exp. �0 F TUF-1 PERMANENT FOUNDATION SYSTEM( ABMCO-CM CKTARD COMPANY 51351 FLORIN - PERKINS ROAD SACRANiI%rr0. CA 95823 FH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL FCUNDAIRON SYSTIM Am SAFETYCODBa SBC4TM A551 APPRDVED SUm= TO CIORREC ONS NOTED APPRUVAL DOES NOT AUMORM DR APPROVE AN4 0MISSIGMS OR DEVIATION MOM REQUIREMENTS W APPL:CABLB ETATE LAWS ANDREGULATMO GI!►U� -sow oratlr�l.... .. . r -a Co=mmft Duel F4 AAS ST:p z� o c•ro� SPAVO. 77-1 ThR P1seADpmvmI Expbu b WAYNE T. POLVADO, PE—JSTING NO. F94249 SHEET 3 of 3 0 in CDF FIRE SAFE REOUIREMENTS 04,39 PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet.. [X] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 BUTTE COUN ] 4 �.. Z L/ ' AP# PERMIT# NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than • 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [X] 1.Gate entrances shall be at least two feet wider than the roadway it serves. x [X] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space [j 1. All parcels 1 acre and larger shall provide a minimum SO foot \\ setback for buildings and accessory buildings from all property lines and/or the center of the road. , [ J 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements on page 3. [X] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 t AP# PERMIT # • Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof and Enclosed Eaves C,-- -,-- NAME If Building Setback is Less Than 15 Feet- _Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on the side toward property line with insufficient setback Interior automatic fire sprinkler system per NFPA 13D Glass area not to exceed 10 % of wall area toward property line with insufficient setback Siding from the following list: Stucco — 3 coat Hardi- Board or. 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