Loading...
HomeMy WebLinkAbout028-170-187/ ,•, r _ - AP 28-17 tf!�, I LEWIS MORGAN ! _ : !600!_ _ W.. • of Hurl.et on. Swedes Flat: Rd..; turn S. of Private Rd., to end of rd. Oroville . ,!�,,c y. Permit# 2449- 5BMHI Issued lo��S��s 'ATF 28-17-. i8 i { LEWIS MORGAN i ! <16001 W. of Hurleton Swedes Flat Rd. ; 1 then S. on private rd., Oroville' { ! Permit# 24.48-75P,E(uti1., MH) ELEC ._�� -!'�}" SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. r70 28-17 i64 18`7 MAUNUEL GOMEZ 97 Gold Mtn. Rd, Orovi11 e�e' s)armit#3216-87 (existing siteyp f Issued 28 -17 -Ni Permit #3407-87E(el-b/MH, existing.'ite_ 28-17-187 2432-91B,P,E y ' LOPEZ, _Arithony.- i ! 97 Gold Mtn Rd',-Oroville— cont: 'Schiedeck Const � (mh on `perm fndn) F , -� 7LOP 02-0�►�� 1 , I y y Q f runtain' Rd.,° Bangor cribiier Const. Garage .a -7,. ' t 028-170-181;1 , SECOND DWF,LL;EId'fl-Mobile Home`SFT_ MH PERM FND' "REPLACEMENT" 115 t E i 97 GOLD MOUNTAIN RD ` LOPEZ, ANTHONY & MONICA 7.27 -01 1 , 114 ,�'�'4.t:�r`n:w _ i.i=`l � � .>< .. _._.,t�Y1`�..+". ''�'-�''t"' ►"s` ""'"",n,ri•.r: '?* :..�;"'�"_'"YSl.S„Y _ ._ �7. 11?t... ,, s. �;k 0 1 I I i row" CN 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 WORKERS'_COMPENSATION DECLARATION'S 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. AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 4761244006 w Exp. Date:06/01/2007 (This section need not be completed if the permit is or onedollars ($100) or less.) ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to 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. J X,4% . / 07/11/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION, LENDING�AGENCY�;``; I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: X 07/11/2007 Owner's Signature Date thereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the �abtiperty for inspection purposes. I hereby certify that I am the prop owner orn the property owner's behalf. 1 07/11/2007 ❑ Owner ontractor OR; Agent for Owner Agent for Contractor FILE COPY PROJECTJNFORMATION' ' Site Address: 97 GOLD MOUNTAIN RD �j�� '�a_ 4 `TOWNER/,BUILDERM_ECLARATION, Owner: Pennit NO: B07-0575 APN: 028-170-187 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that LOPEZ, ANTHONY & MONICA requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, Issued Date: 07/11/2007 By TMP Permit type: SECOND DWELLING P O BOX 391 Subtype: SFD-Mobile Home SFT is in full force and effect—of BANGOR, CA 95914 Expiration Date: 07/10/2008 Description: MH PERM FND "REPLACEMENT" (530) 679-0419 Occupancy: R-3 Zoning: M -R . Contractor Please check one of the following: Applicant:- Square Footage: SKYCREST ENTERPRISES SKYCREST ENTERPRISES Building Garage Remdl/Addn 13468 HWY 99 13468 HWY 99 1,198 CHICO, CA 95926 CHICO, CA 95926 Other Porch/Patio Total (530)342-2694 (530)342-2694 1,198'FEE c INFORMATION' .. i iL. DB SRA Fire Plan Check Fee $109.98 DBEH Building Review Fee $75.70- DBF MH Plan Check $219.96 ' DBFIRE Fire Inspection (SRA) R $102.70 DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Mobile Home $329.94 DBSMIP Residential $7.79 WORKERS'_COMPENSATION DECLARATION'S 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. AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 4761244006 w Exp. Date:06/01/2007 (This section need not be completed if the permit is or onedollars ($100) or less.) ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to 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. J X,4% . / 07/11/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION, LENDING�AGENCY�;``; I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: X 07/11/2007 Owner's Signature Date thereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the �abtiperty for inspection purposes. I hereby certify that I am the prop owner orn the property owner's behalf. 1 07/11/2007 ❑ Owner ontractor OR; Agent for Owner Agent for Contractor FILE COPY Balance Due: $0.00 Receipt No-. B3851 LICENSED CONTRACTOR'S DECLARATION ' . - �j�� '�a_ 4 `TOWNER/,BUILDERM_ECLARATION, Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SKYCREST ENTERPRISES 812930 / C47 / 09/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect—of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the l^j� 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]; X / /T—' / 07/11/2007 Contractor's Signature Date Please check one of the following: ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE WORKERS'_COMPENSATION DECLARATION'S 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. AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 4761244006 w Exp. Date:06/01/2007 (This section need not be completed if the permit is or onedollars ($100) or less.) ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to 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. J X,4% . / 07/11/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION, LENDING�AGENCY�;``; I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: X 07/11/2007 Owner's Signature Date thereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the �abtiperty for inspection purposes. I hereby certify that I am the prop owner orn the property owner's behalf. 1 07/11/2007 ❑ Owner ontractor OR; Agent for Owner Agent for Contractor FILE COPY R Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, •ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0575 Date: 03/23/2007 Location: 97 GOLD MOUNTAIN RD By: TMP Parcel Number: 028-170-187 Sub Type: SFD-Mobile Home SI Owner Name: LOPEZ, ANTHONY & MONICA Phone: (530) 679-0419 Description: MH PERM FND "REPLACEMENT" 1198 SOFT. The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ 0 Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ E] LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS ❑ M Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 (� Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 1:1 E] Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 Signature of Property Owner: Date: 03/23/2007 FILE SCHOOL DISTRICTS ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ E] Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 (� Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions ❑ F] City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ❑ F-1 Other: El Other: F] Other: Signature of Property Owner: Date: 03/23/2007 FILE 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 Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last Name D irs N Address z i7.� City Fax Stat / Phor; _ 4 Fax E-mail CONTRACTOR Name Addr b city � i Address z i7.� Ph o Fax E-mail L' OZ D Phone APPLICANT INFORMATION ARCHITECTIENGINEER Name City Address Zip City Fax State Zip Phone Address Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail �APPLICANT SIGNATURE - W. 52 )'or 1c use only: ing Flood Zone SRA res No �Occ. Type Const.VN Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERUT�t'� 0(1-7- 6S BP BIN # PROJECT LOCATION APmY . S 17V -16 7 P"re Zr s W10 Cross Street WORKER'S COMPENSATION Policy Number e17! Alybq 4P Came�� f?�� ��%iL/ 1.�✓�. ji�rlel 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 K:IFORMSIBUILDING FORMS1BldgApp1SubRgmts.doc Page 1 of 2 Description or Scope of Work: �1 Sq FT- Livin Garage Ope Cov ❑ Structure Built w1 Mt-Pe'rmits ❑ 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 Received b�f Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: Total REV 8-12-05 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Permit Number: B07-0575 Job Address: 97 GOLD MOUNTAIN RD Contractor: SKYCREST ENTERPRISES 13468 HWY 99 CHICO, CA 95926 Printed: 03/23/2007 9:34 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 03/23/2007 $75.70 DBFIRE Fire Inspection (SRA) R 0100-450001-4617240-1010 $102.70 03/23/2007 $102.70 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 03/23/2007 $102.70 DB SRA Fire Plan Check Fee 0010-440001-4210500-1010 $109.98 03/23/2007 $109.98 DBMSC Mobile Home 0010-440001-4210500-1010' $329.94 DBF MH Plan Check 0010-440001-4210500-1010 $219.96 03/23/2007 $219.96 DBSMIP Residential 1001-0-280-1011298 $7.79 03/23/2007 $7.79 Printed By: Tammie Powell 948.77 $618.83 Balance Due: $329.94 At the time of permit application, I was advised a above fees are required prior to issuance of the permit. These fees may change during the plan checking proce Signature: Date: 03/23/2007 Pursuant to 991ernment code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the &afe of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds *01 0 0 11 0 O 0 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0575 Date: 03/23/2007 Location: 97 GOLD MOUNTAIN RD By: TMP Parcel Number: 028-170-187 Sub Type: SFD-Mobile Home SI Owner Name: LOPEZ, ANTHONY & MONICA Phone: (530) 679-0419 Description: MH PERM FND "REPLACEMENT" 1198 SQ.FT. By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signi Title: FILE Date: 03/23/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-0575 Location: 97 GOLD MOUNTAIN RD Parcel Number: 028-170-187 Date: 03/23/2007 Owner Name: LOPEZ, ANTHONY & MONICA Phone: (530) 679-0419 Description: MH PERM FND "REPLACEMENT" 1198 SQ.FT. Signature of Property Owne Date: 03/23/2007 FILE BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District yi - V�IO{�/ /f/)06(o, �(C/f `7?. Building Department No. `"ax Rate Area No. W4 A.P. Number (�} 7(J' / Jurisdiction: Y City County Property Owner Property Location/Address Subdivision Lot No. i .............................. :.................................................................... . . Residential Development © ®� Sq. Footageav No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # Cr. Demo - ( ) `(No foundation inspection) € existing sq. ft. see attached . .......................... :.............. ........................................................: .. Net total sq. ft. t Deed RestdctedtSq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date District Identification No. 0721 1 c School District certifies that I ,(P yor) } (Street Address) (City) 1' (State) has complied with the requirements of Resolution No. _ , p representing 1 square feet. fes...... ` r School District Representative (Zip Code)a by payment of $ B 2926 $ FULL MITIGATION $ Date ._Paid by Check # Remarks: (Phone Number) f Notice: You may protest the imposition of the fees identified*aboye by submitting a written protest to the District, in compliance with Government Code Section 66020(a), 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. F 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.xls (12/06)dmm BUTTE C9UNTY DEVELOPMENT FEE CERTIFICATION FORM RrTEATHER 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) Building Permit Number 8 Gr7-65 '/S Property Owner (s Project Location h Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) -t7— New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling !� Mobile home ___/,� Mobile home replacement verified by Assessor Department Demo Permit (date issued )�-� - verified by Building Department Comments: Department Representative -,2-3-67, Daze „ [a')�' D ❑ CARD 0 PUD ❑ DUD certifies that: DnVVon La_o] Annlicantslame Phone Number `1l Mailing Address Civ- 1511 City state Has complied with requirements of the Butte County Board of Supervisors Resolution No. SSS by Payment of: I, Dwelling Units @ $ per unit for a total of $ Square Feet @ $ per sq foot for a total of $ Remarks: Paid by Check No: Recreation and Park District Paid by Cash Receipt No: 7 // r,�,1 Date Zip Hfornia Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 N 1 A O 11 CA 95965 e sonvenue, rove e (530) 538-7888 Office, (530) 538-2105 Fax Building Permit # - S� Under authority of Public Resources Code Section 4290 and 4291, Butte County Improvement Standards, and the California Building Code, the following items are required by CDFButte County Fire Department for all development located within Wildland-Urban Interface Fire Areas and made part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which exceed these standards. Public Resources Code 4290 ARTICLE 1. ADMINISTRATION 1272.00 Maintenance of Defensible Space Measures 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 provided for these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or shall be provided as a condition of the permit, parcel or map approval. ARTICLE 2. EMERGENCY ACCESS 1273.00. Intent Road and street networks, whether public or private, unless exempted under Section 1270.02(e), shall provide for safe access for emergency wildland fire equipment and civilian evacuation concurrently, and shall provide unobstructed traffic circulation during a wildfire emergency consistent with Sections 1273.00 through 1273.11. 1273.02 Roadway Surface The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire engines. Surfaces should be established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. 4" of class 2 aggregate base shall be required for all driveways, turnouts, and turnarounds. 1273.03 Roadway Grades The grade for all driveways shall not exceed 15% without being paved. Grades over 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. 1273.04 Roadway Radius (a) 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. (b) 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. 1273.05 Roadway Turnarounds Turnarounds are required on driveways and dead-end roads as specified in this article. The minimum turning radius for a turnaround shall be 40 feet from the center line of the road. If a hammerhead -T is used, the top of the "T" shall be a minimum of 60 feet in length. SRA Development Requirements, Revised 01/10/07 1 4t '+ ) i ; h _ i _ y ■ S A F E R E Q U I R E M E N T S rA 1273.06 Roadway Turnouts . 1# Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1273.07 Roadway Structures (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant structures which supplement the roadway bed or shoulders) shall be constructed to carry at least the maximum load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550, 35750 and 35250. (b) Appropriate signing, including but not limited to weight or vertical clearance limitations, one-way road or single lane conditions, shall reflect the capability of each bridge. (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. All bridges must be certified by a registered Civil Engineer. 1273.09. Dead -End Roads (a) The maximum length of a dead-end road, including all dead-end roads accessed from the dead-end road, shall not exceed the following cumulative lengths, regardless of the numbers of parcels served: parcels zoned for less than one acre 800 feet parcels zoned for 1 acre to 4.99 acres 1,320 feet parcels zoned for 5 acres to 19.99 acres 2,640 feet parcels zoned for 20 acres or larger 5,280 feet All lengths shall be measured from the edge of the roadway surface at the intersection that begins the road to the end of the road surface at the intersection that begins the road to the end of the road surface at its farthest point. Where a dead-end road crosses areas of differing zoned parcel sizes, requiring different length limits, the shortest allowable length shall apply. (b) Where parcels are zoned 5 acres or larger, turnarounds shall be provided at a maximum of 1320 foot intervals. (c) Each dead-end road shall have a turnaround constructed at its terminus. 1273.10 Driveways (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. (b) All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. (c) Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where the driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be within 50 feet of the building. SRA Development Requirements, Revised 01/10/07 2 J 1273.11 Gate Entrance (a) Gate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving that gate. (b) All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. (c) Where a one-way road with a single traffic lane provides access to a gated entrance; a 40 foot turning radius shall be used. ARTICLE 3. SIGNING AND BUILDING NUMBERING 1274.00. Intent To facilitate locating a fire and to avoid delays in response, all newly constructed or approved roads, street, and buildings shall be designated by names or numbers, posted on signs clearly visible and legible from the roadway. This section shall not restrict the size of letters of numbers appearing on street signs for other purposes. 1274.08. Addresses for Buildings All buildings shall be issued an address by the local jurisdiction which conforms to that jurisdiction's overall address system. Accessory buildings will not be required to have a separate address; however, each dwelling unit within a building shall be separately identified. 1274.09. Size of Letters, Numbers and Symbols for Addresses Size of letters, numbers and symbols for addresses shall be a minimum 3 inch letter height, 3/8 inch stroke, reflectorized, contrasting with the background color of the sign. 1274.10. Installation, Location and Visibility of Addresses (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible from both directions of travel along the road. In all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible from the road on which the address is located. (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. (d) Where a roadway provides access solely to a single commercial or industrial business, the address sign shall be placed at the nearest road intersection providing access to that site. ARTICLE 4. EMERGENCY WATER STANDARDS 1275.00. Intent Emergency water for wildfire protection shall be available and accessible in quantities and locations specified in the statute and these regulations, in order to attack a wildfire or defend property from a wildfire. Such emergency water may be provided in a fire agency mobile water tender, or naturally occurring or man made containment structure, as long as the specified quantity is immediately available. Butte County Fire Department currently utilizes mobile water tenders to meet the emergency water for wildfire protection requirement. SRA Development Requirements, Revised 01/10/07 ARTICLE 5. FUEL MODIFICATION STANDARDS 1276.00 Intent To reduce the intensity of a wildfire by reducing the volume and density of flammable vegetation, the strategic siting of fuel modification and greenbelts shall provide: (1) increased safety for emergency fire equipment and evacuating civilians; (2) a point of attack or defense from a wildfire. 1276.01 Setback for Structure Defensible Space (a) All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] (b) For parcels less than 1 acre, the local jurisdiction shall provide for the same practical effect. Same Practical Effect Requirements for buildings less then 30 feet from property line: [ ] If the Building Setback is less then 30 feet from all property lines and/or the center of the road, the following shall be required: ✓ Class A roof ✓ Fully enclosed eaves on entire structure (December 5, 2005, per 2001 California Building Code 704A.2.3, fully enclosed eaves are required on all structures in any fire hazard severity zone within State Responsibility Areas, regardless of setback distance from the property line or center of roadway) ✓ Fire rated metal doors on side toward property line with insufficient setback ✓ Siding on entire structure from the following list: (a) Stucco -3 coat (b) Non combustible Board, Plank or similar siding (c) Masonry (d) Metal (e) Other Butte County Fire Department approved materials 1276.02 Disposal of Flammable Vegetation and Fuels Disposal, including chipping, 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. 1276.03 Greenbelt Subdivision and other developments, which propose greenbelt as a part of the development plan, shall locate said greenbelt strategically, as a separation between wildland fuels and structures. The locations shall be approved by the inspector. Public Resources Code 4291 A person that owns, leases, controls, operates, or maintains a building or structure in, upon, or adjoining any mountainous area, forest -covered lands, brush -covered lands, grass -covered lands, or any land that is covered with flammable material, shall at all times do all of the following: SRA Development Requirements, Revised 01/10/07 4 (a) Maintain around and adjacent to the building or structure a firebreak made by removing and clearing away, for a distance of not less than 30 feet on each side of the building or structure or to the property line, whichever is nearer, all flammable vegetation or other combustible growth. This subdivision does not apply to single specimens of trees or other vegetation that is well -pruned and maintained so as to effectively manage fuels and not form a means of rapidly transmitting fire from other nearby vegetation to any building or structure. (b) Maintain around and adjacent to the building or structure additional fire protection or firebreak made by removing all brush, flammable vegetation, or combustible growth that is located within 100 feet from the building or structure or to the property line or at a greater distance if required by state law, or local ordinance, rule, or regulation. Grass and other vegetation located more than 30 feet from the building or structure and less than 18 inches in height above the ground may be maintained where necessary to stabilize the soil and prevent erosion. This subdivision does not apply to single specimens of trees or other vegetation that is well -pruned and maintained so as to effectively manage fuels and not form a means of rapidly transmitting fire from other nearby vegetation to a dwelling or structure. (c) Remove that portion of any tree that extends within 10 feet of the outlet of a chimney or stovepipe. (d) Maintain any tree adjacent to or overhanging a building free of dead or dying wood. (e) Maintain the roof of a structure free of leaves, needles, or other dead vegetative growth. (f) Prior to constructing a new building or structure or rebuilding a building or structure damaged by a fire in such an area, the construction or rebuilding of which requires a building permit, the owner shall obtain a certification from the local building official that the dwelling or structure, as proposed to be built, complies with all applicable state and local building standards, including those described in subdivision (b) of Section 51189 of the Government Code, and shall provide a copy of the certification, upon request, to the insurer providing course of construction insurance coverage for the building or structure. Upon completion of the construction or rebuilding, the owner shall obtain from the local building official, a copy of the final inspection report that demonstrates that the dwelling or structure was constructed in compliance with all applicable state and local building standards, including those described in subdivision (b) of Section 51189 of the Government Code, and shall provide a copy of the report, upon request, to the property insurance carrier that insures the dwelling or structure. Public Resources Code 4621 thru 4628 and California Forest Practice Rules Article 7 Prior to any lot clearing activity or cutting of trees, contact the Butte area Forester at (530) 872-6353 to determine the need for a less then 3 acre conversion exemption permit or a timber harvest plan. Butte County Improvement Standards Installation of Fire Sprinklers If your property was part of a parcel split (regardless of parcel size) after September 1, 1991, you are required to install residential fire sprinklers. It is your responsibility to inspect your official parcel map to confirm if sprinklers are required. If you are building a new residential structure on a parcel 3 acres or larger, you are required install an automatic fire sprinkler system in accordance with the National Fire Protection Association standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D. SRA Development Requirements, Revised 01/10/07 2001 California Building Code, December 5, 2005 704A.1 Roofing 704A.1.1 General Roofs shall comply with the requirements of Chapter 7A and Chapter 15. Roofs shall have a roofing assembly installed in accordance with its listing and the manufacturer's installation instructions. 704A.1.2 Roof coverings Where the roof profile allows a space between the roof and roof decking, the spaces shall be constructed to prevent the intrusion of flames and embers, be fire stopped with approved materials or have one layer of No. 72 ASTM cap sheet installed over the combustible decking. 704A.1.3 Roof valleys When provided, valley flashings shall be not less than 0.016 -inch (0.41mm) (No. 28 galvanized sheet gage) corrosion -resistant metal installed over a minimum 36 inches (914 mm) wide underlayment consisting of one layer of No. 72 ASTM cap sheet running the full length of the valley. 704A.1.4 Roof gutters Roof gutters shall be provided with the means to prevent the accumulation of leaves and debris in the gutter. 704A.2 Attic Ventilation 704A.2.1 General When required by Chapter 15, roof and attic vents shall resist the intrusion of flame and embers into the attic area of the structure, or shall be protected by corrosion resistant, noncombustible wire mesh with'/ inch (6mm) openings or its equivalent. 704A.2.2 Eave or cornice vents. Vents shall not be installed in eaves and cornices. EXCEPTION: Eave and cornice vents may be used provided they resist the intrusion of flame and burning embers into the attic area of the structure. 704A.2.3 Eave Protection. Fully enclosed eaves on entire structure. Eaves and soffits shall meet the requirements of SFM 12-7A-3 or shall be protected by ignition -resistant materials or noncombustible construction on the exposed underside. All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.orp/Fireprevention/protplan/protplan.html APR 10 2007 SRA Development Requirements, Revised 01/10/07 6 Butte County Building Division MANUFACTURED DOME SUPPORT DATA Owner's name.- / X A. P.# Da g -/%D -� Home Manufacturer: Manufacture Year: Model Number / Name: 1 „97!G V _. A_� tc%s�'br �C Width: a.3 8" (ft.) Length: j� (ft.) FOOTIINGS: Wood - pressure treated or foundation grade[ ] Other:[ d,8 s SUPPORTS- Concrete block [--'Other:[ ] Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. Dinr Gf%f%finr, Si7Pc anti Locations SINGLE WIDE MULTI -WIDE Line 1 —�' ----------------- Line 1 - ------------------------------------------ Line 2 Section 1 Line 2 -------------------- ----------- Line 3 Line 1 ��----------------------------- .� ------------------------------------------------------------ Section 2 Line 2 ------ --------------- --------------- ------------- ------------Line 4 (triple wide only) Section 3 Line 2 Line 1 :Piers: Minimum size piers: Spacing maximum: From ends maximum Line 2;Piers: Minimum size piers: .Spacing maximum: From ends maximum: Line 3: Roof Loads:_ 'Minim -dm size piers: Location (from front): Minimum size piers: Location (continued): Line 4: Roof Loads: Minimum size piers: Location (from front): Minimum size piers. - Location (continued): Snow Load: W_ psf ] X [ ] Snow Load requirements may be obtained at " http://www.upstate-ca.com/butte/butte_county/ " Insert AP #, view snow load in lower right corner. Line 1 Openings: [ ] X [ ] Minimum size pier: [ ] X [ ] " Required at each side of openings over wideBUT'E COUNTY BUILDING DIVISION Xi2 Engineered Tie Down System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie. Down Engineering Updated: 7/21/2005 i ENGINEERED "TIED M — APPR'OVED ^�l Part #59306 sueJECT TO CORRECTIONS NOTE _ Xi2 Ground System does not authorize or approve a ' sloo or, from requirements of applicable State laws RgViBt1011g. State of CaGfomia Approval Oepartm6i t of ousing 7NDS mmuni y Developme CTANDARDS Date 7 2� n Approval Expires LU . 26070 �' c MAR 3 12006 rglF CIV► FP / Of CA1,� Part #59307 Xi2 Concrete System A�-1 (V Page 1 of 8 0 u� o_ E DOWN ENGINEERING 5901 Wheaton Drive o Atlanta GA n .,30336 O O X12 Foundation System Installation Instructions for California for Ground & Concrete Systems 00100-- . HUD Wind Zone ►, IS PSF Wind Load Seismic 4 By Tie Down Engineering Updated: 4/5/2005 REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when.the design loads are .adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. Contact Tie Down if piers exceed these heights. HUD approval required. • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Sy_stems must be placed as evenly as possible,,no more.than 10' from end of home. • Additional systems may be needed for roof slopes greater than 20 degrees, (4.37" in 12" Pitch ) See 7 of 8. Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 ilE V11114 LIN 1.1,1 1 =14; Hru• 5901 Wheaton Drive •Atlanta CA 30336 / �7�ny� APPA)3VEO PSS 2:0^pamsoa !►�aelgse„ SIYb KUb WeautacSvred km010 �D9O11A�Oat � �dTO�( 8lsndeM �5-6°�J'-!0°�I1'-4• �t0'-g��5'-4'—}--:1'-4'� e � 7BUTTE y DI V ISIOIN, .D VOL t ' 5 kL 5) —K -6-%Z n ZO# GENTERUNE SUPPORT REQUIREMENTS � oaaW1 BY: vAD, TICS SWEET IS TO BE INSERTED WH StUPP9.IM10IT 10 MiLfD MSTALLATM MANUAL FOR) LObttl(�4i w 6i . OAX- 03/D3/= 201 ROOF ZONE SNOW LOAD. SEE ABOVE PRINT FOR LOAD REARENENTS AND LOCATIONS. 20# t ln+t LmDj 5224 -3(K -20 -CAT# (52/50} 3702. -CT i WcfAook �■■■►_ ■■■■NrDINING i■■■■ :■NONE■ i■■■■-■�1�.. NOON■. . i■E■■s 1014* ■ �a■'s EN■v so IN MICK L 3702CT152-5024 3BEDROOM - 2BATHS - CATHEDRAL THRU-OUT (1,198 SQ.FT.) (AVAILABLE WtTHOVT RECESSED ENTRY AT 1,206 SQ.FT.) r 91 �T� , 82-0811 I IJP •. yyIEN R 1mVel) VIAL M t 92- 000all I I" Fee 19,00 ANTHONY LOPEZ I &tnotded i CAacic 19.00 91 COLD MOUNTAIN ROAD I 0tiioial Btaaordn I BANGOR. CA 95914 I County of I Rutty I I Candace J. Mvbbs I . I RWat+d�r I j It15pm 8 -Joh -92 I PUBL XX 4 fi AHEIIpRAli0NA1 AOR@YW OF W Cl"mo 140349 THIBA09FE1WXTtsmj eerdrotore hWMle 51N 01of 01111101 tB 91•13yulf Cltuaon Me DEPARTMENT OF VETERAM9 AFFAM )F Tw UATB OF CIH.IFOWk haremakwcaw DEPARTMENT. an ANTHONY LOPEZ hae4lanad®Mt'urahaeer DEPARTMENTmaranyagreaafoago toPudmwaadpatahatefhm byIOmIopmcAAaeif= Depw%*Aatthepflwsod uponthe tante and eaodttlataaet bO b plat m m w c remM GWatLop CoaysCl of omdate eacimberhermmdth eatmtl wo brand bKwm to 9m NNW enaonme #A the oHw of DwAmt. All Wto9►leldreal property lying orwDoing 14 ft goanlyd 9U11E ,gtetepf0ammis. par eutaf9Tdeaonroed a& EEE EXHIBIT "A" ATTACKED 9 i STATE OF CALIFORKM l COtATfY0k8ACRA�NT01 'a' •..._. d„ stn atttAola .fe of , beton Ins. Nte underdynod. l NfAdT PpD7D, psrlpapBlr appal red PEGGY P1AM1 WAiTTiW dP VETERMI AFFAYl8 of tae GTATH OF MFORNA pmrtone8y kw m lo= erprmW tame oa to Italie d — — ApfhpAseO eatufaatoryovldotcatp Oe eaeulherhadaftkeraadlM OmtOntthsett8aua1ln91dWaiaauoatatlabeAaldlAo Pochuar 0epanmett Ot Yme�s! Alien oltJte buu W CaldWaa4 and aolmowledged 104s?lel ills O/parfmwt vt THlera.a Alf*v cf 0W 8l4to dQ3*rma eaeCNed fhe some 8if1CIA s WTTtMtRYtts ae ?McW,L S� x iiv� 2lcrttsw�.>�ticl FWrtr¢uc WC—) YmAl"mm MAL TAX BTATEMEWS T0: W4,•r..�o,n;i+' DWT- OFVETEBANGAPPASIC P O. Bax Im ryPubacInaadfvrsaidtarmytodfoto BACit 16M. CA BUOY ABSBUNfaO ON MVEM efftt Description: Butte, CA DoRwzz9nt-yvar.DoclD 2992.811 Page: 1of 9 Oz'der: a cc=xant: . I I i I I I 1 92-00811 I wa- Anthony Lopez and konice Lm R 14004 and MD. foreoy m99n and IM ooto OWD& s IN of our 4W5 and pOv9 W caul% lmgj p wrdradosdln9reuproporlytharam dsarxibedrtn6la!<+>d WolYreobllpe' bck{edmw!klobe himaher*=adRedhold brussalalntUnw a FfinM 4 Oste_ Uecemher 9. 1991 WUs jo BTATEOFCALIFOW 1 COWNOFYa6e a' Oamb 9th , Dace bor . � 91 —mom -a Thi a L. 41 r ,Nblar pm pmmAY a peered Anthm tam #Ad Ifimica Upez pamuakka mbmsorptavadto �" ma a tbs bu{a d wtd«os b 6albe perfi0larhgaa Asm" aro subscrbsd b"WeDow aplgmat &A the atlwo ftdped 10 Fe MM [hey MwAid On eeme. ` Naaeas ray hard ed d1bW ae:l are day sad YD" M 0M• t r"Ishow swrmax . AfMuy poiwe>n ud fdt4atdGoamy W stere �oow�ruAirLau�� =O4b" Wm.�a.�lvatlr►a Tw Cp /b. {aM M. 4MM Description: Bntte,CA Docum=t:- rear. Doo2D 2992.811 Page: 2 of 4 Order: a Co=ent. I I 1 "y' 2- + FXH1W,& BMW= c I Oitler NO. 6•iW013 �i the lend referred to herein in Abad as follovel 111 that certain real property aituete in the county of Butte, state of California, desct;ibad au Eollokn: VILIRM. J1 One Southwest quarter of the Boatheast quarter of the Voxtheast quarter of Section 11. Township 18 North, Range 5 Best, N.D.M. AV No. 028.170-187 PARCEL II: A 60.00 foot sasemant for road and pubiiv utility purposes located in sections 2 and 11, TMWhip 18 lith, Rang 5 Bast, N.D.K., Butte (busty, California, Wore parti4a k%rly dammihed as follew0l A strip of land 60.00 fact in width lying 30.00 foot on each aide of the following described centerlines . Beginning at a poiat in the centerline of swede'e plat Rend (County ) that bears South 3' 50' 27" But, 688.68 feet from the venter of said Section 3; tbenw fron said point, the follola g oouraeml South 19' 40' 19' eamt, 172.61 faetl South 32' 23' 53' roast, 206.42 foetj Booth B• 41' 50' bast, 325.5L fast) South 1' 05' 22' East, 1348.45 feed South 0. 36' 18' hest, 1323.87 feat) Mance North 89. 17' 59' seat, 1109.37 feat to a point hereinafter knorn as Pgint 'B', and the and of said line. r- P�=L'3L IIIc An easement for road and public utility purppese 50.00 feat in width, lying 30,00 feet on each side of toe fnll� deaeribed centarlinei Soginning 9t tha above mentioned Polut '8' and runniap South 43.92 feet; ' thenoe South 63. 17' 47' Bast, 112,49 feet to a point in the Most line of the Southeast quarter of the Worthaaat quarter of said Section 11, being the point of termination df this line. PARCEL IV A 60.00 foot eesement for road and public utility purposes located in Seationa 2 and 11, Township 18 North, Range 5 Bast, HIDA, Butte County. Californip, more psrtloulerly described an follower A strip of land 60,00 feet in width lying 30.00 feet on each aide of tha follo■ing described oenterlinac Beginning at a point )n OW CW=11ne of Swede's Plot Road (County Rood) that bears south 3' 50' 27• goat, 688.68 feat from the center of said Raction 2; thence frw said point the following couraesl South 191 40' d0' (Continued) Description: Butta,CA D0CU=6rit-Year.DoC1D 1992.821 Page: 3 of 4 Order: u Comment: j 92-00811+.. Order No. 5-184013 Bast, 172.61 Peet; South 32- 23' 53' Test, 20.42 feet 3vwU 5' 41' SO- SaeC, 925.51 feat) south 1' 05' 221 6aet, 1346.46 feet) South 0' 36' 190 Nest, 2647.74 feetf thenen North 69. 05' 43• fist, along the 6outberly bomidary line of "id Nor i+eeet Quarter, 1241.00 feet: q. thenrA North 80. 36' 06' spat, 884.04 fart) thence South 47* 47' 34' >*st, 210,74 -feet and North 69. 50' 40' East, 215.73 feat to a point on tbs masterly boundary live of Said 8eotion 11., and the end of eaid r line. EXCEPTING TaB MMM so wA b of the above described Pusoel IV oe liar within Parcel 1. Description: Butta,CB DOcUZL8nt-Year.1)ocZD 1992.811 Page: 4 of ,a3omcumm Order: u Cnmbant: wJvv, T F STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT.OF. HOGSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM MANUFACTURER -CERTIFICATE OF NUMBER: 8746755 ORIGIN DISTRIBUTION .ORIGINAL (PINK) FORWARD TO THE INVENTORYCREDITOR, UNLESS THERE IS NONE, THEN F D,fO THE PURCHAS W(IJE)1lEkbRTRAN E COPY I (WHITE) FORWARD TO THE DEPARTMENT AT P.O.- BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY, 3,(GOLDENROD) ­TO-BERETAINED,BY-,THE MANUFACTURER:-;- ACD 483.0 2SIde 1 - (7!97) EICHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING NUMBER OF aSFD (SINGLE FAMILY DWELLING) '13 MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS - .2 COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: SULINE HOMES INC 90002 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: 1720 EAST BEAKER STREET WOODLAND CA 95776 $ 62,666.50 Street Ci (City) (State) (zip) MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: WESTBROOK 3702 -CT 1/19/2006 NAME OF. DEALER'OR TRANSFEREE (OWNERSHIP TRANSFERRED TO)--" 'CALIF.'DEALER NUMBER OR 'DATE OF TRANSFER: I • k� 'SKY INTERPRISES/�COUSIN GARY'S HOMES �006 -CREST %91265-4 , DEALER OR TRANSFEREE ADDRESS: 13468 HWY 99 E CHICO CA 95973 ,- Street (City) (State) (zip) INVENTORY CREDITOR NAME: GE CDF INVENTORY CREDITOR ADDRESS: ...... P.O.-BOX 94900. PALATINE IL 60094 (Street) (City) (State) (zip) SECTION MANUFACTURER SERIAUNUMBER HCO INSIGNLK'OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT (INCHES) .(INCHES) (POUNDS) 1 8V -70 -0417 -U -B PFS 947048 600 144 19,016 8v'70 -0417 -U -A PFS 947049624'."', 144 21,007 TRANSPORTER NAME: BENNETT fttck t9AN-6P_6kT JTRANSPORTERADDRESS: 4 I&IIN, �:il ld 1+!,j is -it zn�l;illrrt fm A'. P.O. BOB 179 DURHAM CA I (street) ':7-7—icity) (State) (Zip) 'DESTINATION FOR UNIT DESCRIBED ABOVE: COU S�I-N-GARYIS-'HOM�L_.t)- CHICO.__ I certify LxxW Penalty of P&jury under the Lows of the State of California dtal the above facts we true and correct. 1IF-mo6uted on_�_ I WOODLAND 100 CA (Y (County) (St to) 3-yg t SIGNATURE OF AUTHORIZED AGENT: DISTRIBUTION .ORIGINAL (PINK) FORWARD TO THE INVENTORYCREDITOR, UNLESS THERE IS NONE, THEN F D,fO THE PURCHAS W(IJE)1lEkbRTRAN E COPY I (WHITE) FORWARD TO THE DEPARTMENT AT P.O.- BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY, 3,(GOLDENROD) ­TO-BERETAINED,BY-,THE MANUFACTURER:-;- ACD 483.0 2SIde 1 - (7!97) A!,;-) rc 6�� AppiloliLD Butte County Environmental Health Dat u) iure MOP.AUF Hdtil L A FOUNDATION PLAN s q„ SLAB • 12 X 12 FOOTING •6X6X10X10REMESH ,112" REBAR 2 RUNS BRACED WALL PANEL 5/8" 8° O.C. DURA. -TEMP SIDING ,¢ ..A9 X 34' WINDOW I 4" X 12" HEADER c FLOOR PLAN orb ro QQ�� °J\ � 1 "- n FDT,B&TS 6- O -C- /2 X 10 C AND NO MORE`THAN 9" FROM, P'ENDS OR USE SIMPSON MAS FDT. ANCHORS 31/2" X 131/2" GLUE LAM .16'X 7' SECTIONAL DOOR O� �oluLSoti lryl. i� 01'�l 0�' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0575 Issued: 07/11/2007 Address: 97 GOLD MOUNTAIN RlArea: BANGOR Owner: LOPEZ, ANTHONY & MIAPN: 028-170-187 Applicant: SKYCREST ENTE Map Page: Permit Type: SFD-Mobile Hom SFT J_ Descriptions MH� ..REPLACEMENT" 1198 SQ1 I AREA 1 Flood Zone: None SRA Area: Yes Side Setback: -Other Setback: um Setback From Centerline of Street: ®w t-6 ` REVISIONS MUST BE APPROVE'" BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 1 I 1 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Stee l/Ho l downs 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 - Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile H Final 802 it Inspection Type IVR INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stuccos _. _ 143 •Stucco B!'j.;...► Y - µ - w-� --OFFICE COPY i Bldg Peimit: "".�."�'` � Set ac sJ Address: -_!___ Pool Plum i1;'ic 1 Oji I Gas Testf Tr; "r'..""`. .. ".•' Pre -Gunk ,. GASB y: Pool Pool Fend �Eleciric By.*, Pre -Plast' .. "- Manufactured Homes Setbacks 132 CJ -020 O' Blocking/Underpining 612 bC_ Tiedown/Foundation System 1 611 DE: Site Utilities/Trench Insp. 137 O c- -7-1-1-0- I-1 � -O- Gas Gas Test Yard 404 Manometer Test 605 -7-d6-C; Continuity Test 602 � -) ap-I Skirting/Steps/Landings 610 QL -,;L(o _I Coach Info Manufactures Name: ( CI N E Date of Manufacture: -- 9 - aOb G Model Name/Number: w6s-r1zo�(L 2 -70a -C-7- Serial Numbers: 8V-70 - - I 1 - UBFF Length x Width: ' >c 5-D " Insignia: P 1 Q - 0119 Fire 0 i e ome ma +I "PROJECT FINS 'eject Final is a Cel PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COM RENEWAL 30 DAYS POOR TO EXPIRATION Inspector Copy D, YOU MAY PAY' FOR A 1 YEAR MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION - COUNTY CENTER DRIVE OROVILLE, CA 95965 - PHONE (530) 538-7541 APN:o � � • /_70 0 / PERMIT NO.: /] Owner's Name: Owner's Address: Makn4a r ()j�c( , � 6( Mobilehome Manufacturer: IN 14— Year of Manufacture: Serial Number or V.I.N.: ty 7-)v_?o - CAS � � � Insignia or HUD Number:. - PFS C(.t�(j(-// S A? Official approving installation: � �� -�� Date: -� 4;>- -7 G. If the mobilehome is moved or relocated, the mo ilehome installation acceptance shall become invalid. This form` ,shallno'6e s*d(tfie mo`6ilehome is installed on a foundation system. J 5138 White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor ` o COUNTY OF BUTTE BUILDING DIVISION " DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE L 0 P6_2_ 60-1 • OS 75 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional - explanation, please contact the Building Inspector as indicated below. .✓ S PRO IECT QAC J PE F1_I1UACEn IN O(--F(eF 0NCcE_ 6130VE- C-MS- r' -RC- C0141?do Date r v 0 –7 Inspector-\) P–A H REV 4/05 Phone # 6_3 t0 n ?_Z— FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buftecounty.net/dds www.buttegeneralplan.net REQUIRED SWIMMING POOL SAFETY UPGRADES (EFFECTIVE JANUARY 1, 2007) TO: All Single Family Residential Remodel and Modification Permit Applicants FROM: Scott. Rutherford. Manager, Building Division RE: Correction of Pool & Spa Hazards, Assembly Bill 2977 (Mullin) Chapter 478, Statutes of 2006 California Health and Safety Code Section 115928 DATE: February 28, 2007 To eliminate safety hazards on existing pools and spas, Assembly Bill 2977 (Chapter 478, Statutes of 2006), effective January 1, 2007, requires the installation of pool anti -entrapment covers whenever a building permit is issued for the remodel or modification of a single family home. The permit shall require that. the suction outlet of the existing swimming pool, toddler pool, or spa be upgraded so as to be equipped with an anti -entrapment cover meeting current standards of the American Society for Testing and Materials (ASTM) or the American Society of Mechanical Engineers (ASME), ASME/ANSI Standard A 112.19.8. DECLARATION The property located at bunJTA r rJ 2-b . , ►3A tJ(ooTL has: (Check all that apply) ❑ a swimming pool ❑ a spa ❑ a wading /toddler pool oes not have a swimming pool, spa, or wading/toddler pool If there is an existing swimming pool, spa, or wading/toddler pool, I understand that a pool anti -entrapment device is required at the above address in conjunction with my permit. I also understand that if a pool anti -entrapment device is required, the completed Installation Certification below must be received by the building inspector at final inspection. Please note that permits cannot receive final inspection approval without this certification. I acknowledge that I_have read and understand the requirements of AB 2977 and that the above is true and correct. >�i �u-Ci I�Zex 1�d 61.J C T i 2 Za0 Signature Print Name Date Relationship to Project (please, check one): ❑ Owner ❑ Agent for Owner 2' Licensed Contractor ❑ Agent for Licensed Contractor Ke 2 r✓s�r c�rr�=lz pie�� Fs _ 812 9,g O Company Name Contractors State License Number INSTALLATION CERTIFICATION For the property located at I hereby certify that an anti -entrapment cover meeting the current standards of the American Society for Testing and Materials, or the American Society of Mechanical Engineers is installed in the ❑ swimming pool ❑ spa ❑ wading /toddler pool Signature Print Name Relationship to Project (please check one): ❑ Owner ❑ Agent for Owner ❑ Licensed Contractor ❑ Other: Date ❑ Agent for Licensed Contractor If "Licensed Contractor" or "Agent for Licensed Contractor" is checked, please complete the following: Company Name Contractor's State License Number K:Forms/Building Forms/Swimming Pool Affidavit Anti -Entrapment Updated: 7/11/2007 Page 1 of 1 Chico Permits From: 'Read, Darren" <Darren.Read@fire.ca.gov> To: "Chico Permits" <chicopermits@cousingarys.com> Sent: Thursday, July 26, 2007 10:54 PM Subject: RE: Permit # 07-0575 Nothing else. Thanks Darren Read Fire Captain, Fire Protection Planning Butte Unit Fire Prevention Bureau CAL FIRE/Butte County Fire Department 176 Nelson Ave. Oroville CA 95965 (530) 538-7888, Office (530) 538-2105, Fax From: Chico Permits [mailto:chicopermits@cousingarys.com] Sent: Thursday, July 26, 2007 3:00 PM To: Read, Darren Subject: Permit # 07-0575 Darren, regarding the Lopez projet @ 97 Gold Mountain Road. Bangor. Debora Carpenter was out for the inspection and cof+rmed the driveway is gravel. Do you need anything else to final this project. Thank You Joan 7/27/2007 RESIDENTIAL 28-17-187 2432-91B,P,E LOPEZ, Ant=hony'� 97 Gold Min R41 Oroville cont: Schledetk Const, (mh on pe I rm fndn) C -A 9 -Ll- 17,6 OFFICE COPY Address m GAS Meter B L y Dahl/ EL \ ' T R I Meter eCBY E L� C' T R 11 -7' Met y Da�/e� �/�7/ JOB FINALED (Da Signatu\r L/ = OK ; O= Not OK =N t'RReadyable - MOBILE HOMES r Date &dBILE HOME UTILITIES (Plans) OK except #'s 1. ng Requirements-Setbacks4Easements ✓2. Soils; Special MH Support Sketch ` 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) r 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG . ' ' 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s ' 1. Z ning Requirements -Setbacks Easements i Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 'Electr'icity; MH Test -Crossovers -Breakers -Clearances ,_--�5. Drain; MH Test -Fall -Flex Connector C__ ter; MH Test -Regulator -Connector :_Water and Sewer Connected -C/O to Grade -HD Approval 8. C}As and Electricity Tagged --�'E�ttts'Ri�p.-Sketch 10. Cert. of Occ z2 I Dat Card B-1 ate Card B-1 Date Card B-1 Date Card B-1 '.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 J=OK O=Not OK = Not Applicable RESIDENTIAL (� = Not Ready , Date ` UNDERFLOOR (Plans) OK except #'s ' 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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 I 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------- -- - ------------ ---- ------------- 177. 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 ft's 22. Fixture & Transformer_ Clearance -Ins. Protection - --------- ----------------- -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors - ------- ---- -------------------------------------- ------- 24. Size Boxes & No. of Conductors -Stapled 25 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 i / ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At ---------------------------------------------------- 29. --------------------------- ---- 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 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except 4'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 a's 39. Sils. Proper Material & Anchors ------ - .1 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 . = v '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 h'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. -------- 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 -Land ing-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 -Const ruct ion -Post Caps -------------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked -under Floor-- ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes Planters ❑ Yes ❑ No ❑ No; 81. Stucco Brown -Finish -------------- -------------------------- -- 82. A.C. Unit: Disconnect. Electrical, Plumbing --------------------------------- -- --- 83. Vents Above Roof: Plb9- A pP fiance-Firep lace. -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 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 i `/ COUNTY OF BUTTE. DEPARTMENT OF PUBLIC WORKS - - 196 Memorial Way,-Chico — Phone: 891-2751 4' 7 County Center Drive, Orovi Ile — Phone: 538-7541 747,Elliott Road, ParadNise— Phone: 872-8307 Y CORRECTION NOTICE piff { OWNER 'PERM •. ,� A routine inspection indicates that the following violations of County Ordinance - exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining'to this matter, or need additional explanation, please contact this office immediately. 44 7 ffal- 1 '•a 1 ? .y 'a • i.;i - TIt . 5 i `/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS '~ 196 Memorial Way, Chico — Phone: 891-2751 , 7 County Center Drive,"OroviIle —Phone: 538-7541 - 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE VNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. LL I Date s Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil le, Cali:ornia.95065 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ,, ) ASSESSOR PARCEL NUMBER _ ZONING' M—R BUILDING PERMIT OWNER ANTHONY LOPEZ TELEPHONE SO. FT. OCC. BUILDING VALUATION 1612 R 82,212 OWNER'S MAILING ADDRESS 6377 ZULMIDA NEWARK CA 94560 CONTRACTOR'S NAME SCHIEDECK CONST TELEPHONE 679-2448 CONTRACTOR'S MAILING ADDRESS P.O. BOX 231 RACKERBY CA 95972 Fireplace CONSTRUCTION LENDER MUAYILINGW UNKNOWN c Total Valuation $ 82.212 Filing Fee 38222 $ 10.00 LENDER'S AYDDRESS Permit Fee $$ 191.00 ARCHITECT OR ENGINEER ROSS SHOAF LICENSE NO. Plan Checking Fee V 5.50 Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 810 B STREET MARYSVILLE CA Penalty $ BUILDING97 RESS GOLD MTJVRD OROVILLE Permit tee $ 296.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping * 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeU Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: PERMANENT FOUNDATION 3 BDRM Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 0.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. x/21 L/<—� Classification. A Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ad OR ADDNS. ACC. BLOGS. , /20sgft NEW CONSTR.LET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES eA 030 Ex. OCCUp. OUTLETS FIXED PRESID ILNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin g 15.00 Permit Fee $ -00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. KI 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. F] 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 I to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keepharmless the Count of Butte against g %� arm%� g all liabilitie udgments, costs, and expenses which may in any way accrue against d unty in conse ce of the granting of this permit. Date 79/ 9/ gnature of Applicant — Owner ❑ Contractor Agent F1work 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 $ Energy Inspection Fee $ ocC CONST TYPE TOTAL FEE $ 34 .50 AZ. CUA PARK SC F CDF PA PD ) HD. ISSUE This permit is hereby issued under the sions of the Butte County. Code and/or indicated above for which fees DI OR OF PUBLIC B �+�� x/� PERMIT EXPIRES Date 9/ applicabl provi- resolutions to do have been paid. WORKS to zo g Receipt No. 96754 341.50 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY R' Y OWNER /(/ 1-4a, Proposed Building Use . w. .. r • .. n � 1 - ..• ill . - - _' . _ n w � �_ .. r OF BUTTE - DEPARTMEWT-OP-'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CEt`fTER#D�E - OROeICLE, 'CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ,PERMIT APPLICATION; ATA SHEET \ h � /li ,* Permit No. :� tZI /-Build A P. No. Inspector Date 7 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 .............. 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 paid 13• .............. i 14. Sanitation approval fromG2oI//Vre 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. PLre-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 Acknowledgmen Sta�ement ......... - 25. Leitter of signature authorization ...C�-`J .............. . .26. i27. ikl v 'Od C-4Ck 5,e When you"issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone y�B and hold for pickup at 60OU office. Deliv w/inspeGtoi Other b • APPI ica Date Copy of ! laz-Matjorm sent ealth Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date �.. By`i The following data m,ust_be_submit.ted\p i r to•p, n t issuance: (Circle new_i,t.em-not.-checked above). 1. Index permit for above items No. 2. Additional items required. Igne , owner, was advised of above required data by✓ phone�nail—counter byw"I date er, owner, was advised of above required data by—phone —mal l—counter by date n, I . Plans checked Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy—DPW Date TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 4 O��,���- wner LocatiQn AP# Approved for: Sewage Disposal v Water Supply Plan ApP ` Hold final for: Water Supply:/ Final clearance O.K. for: Water Supply Clearance for -? bedroo mobil home. Other , TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance 40 V -e qdO )&Ioi, c—;-)�--/7— IE -7 O er Location AP# Plan Approved for: Sewage Disposal Water Supply%6;2-jr Hold final for: ^inal clearance O.K..for: Clearance for �_; bedroo�Mobiiome. Other NOTE * * * Water Supply Water Supply &Z;�---=-�-�-l9 Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californi,a 95965 - Telephone: 916:•538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _2 BUILDING PERMIT OWNER AGI o�v � N Lv ±OaNIN9—l% LEPHONE SQ, FT. I OCC. BUILDING VALUATION OWNER'S MAILING ADOR $ 637 7 ? u I M,'vA irK Cit CONTRACTOR'S NAME sc TELEPHONE CONT7°CTOR'3 MAILING ADDRESS tom• r -3 t A,c erQ CA 95 7Z Fireplace CONSTRUCTION LENDER _ /w/ UNKNOWN Total Valuation 5 Z LENDER'S MAILING ADDRESS Filing Fee 10.00 Permit Fee r ged ARCHITECT OR ENG NEER !� 05-5 5 �UPt�116600 LICENSE NO. Plan Checking Fee S - -0 ARCHITECT OR ENGINEER'S MAILING ADDRESS 870 e STeef 4411-1"Q11t -COCA- 9 51 7 Energy Plan Checking Fee Penalty $ BUILDING ADDRESS /f!' / eD (914 (� Permit fee S �, PLUMBING PERMIT FilingFee I 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 SL)U Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECI FY Gas piping system 1 - 5 outlets 5,00 SQL3 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New❑ Addition[] Remodel❑ Utilitie Install do ❑ Otherx Describe work: /////����` 198/`MAN&V-- _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS 800 VAMP OOR R LESS 10.00 .0c) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service EA. ADD'L too AMP NEW CONST. DWELLING OCCUP.Li OR ADONS. ( ACC. SLOGS. 2.50 t� , 24esoftl NEW CONSTR. VON.RESID 9RANCH CIR: UL-UL ITS UT 12.50 ea POWER APPARATUS s (POWER OUTLET CIR. ) I EX. OCCUp�OUTLETS OR FIXTURES 20970t eAL73oe FIXED APPLNS. OR Ex. Occup. DUTLE-s IREsIo.,2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. I— 1 have placed on file with the County of Butte Building Department u 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 10.00 Heating Cooling g Hood 3,00 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 County or 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. XTh's Signature of Applicant - Owner L Contractor C Agent ❑ An OSHA permit is required for excavations over 5'0” deep and demolition or construct. .on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee 5 occ CONST TYPE TOTAL FEE S //•s0 ,A,! "" ' """ CML . FL[) (;OF aoa :o ,o• .„�_ permit is hereby issued unser sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES - Date the applicable provi- resolutions to do have been paid. WORKS Date erS2�3 Receipt No. -! (— ---9— ­.rC•O.P.W•. YCLLOW-ASSCSSa R. P1411—SPECTOR• .OLOCMROO-APPL.cANr BUTTE COUNTY4SCHOOLS,DEVELOPMENT FEE CERTIFICATION FORM (One Form �per-Building) 7k A.P. Number-�g—76 - h?Building Department No. School District Qte() fest r City County Jurisdiction Property Owner .,/v ll o/ , ` U e Z :.Project Location/Address 97 owo Subdivision Lot Number Residential' Developmet:" s. nSq'. Footage. tc `' �'^ •y,�Yof e,Llyvi•nWfMHI 'Addition ( Group R ) x•p' ��"*' . 1 11J! t.r .n t' Un 1 t S',� - , �+.s'vtw .. �t �. w.s .:.::1i nS Commercial•/Industrial,s',.:<. , Sq. Footage 'New Addition (Including Exterior' f Roofed Areas) 12 _ i •r BuildincrDepartment Representative 0� (Floor`Plans reviewed by School District Personnel) • District' IdyNo 4.8 00 School District certifies that (kppticdzt N kne`) ( Phone Number) '(Street. Address){ ar T— (City) ; (State) (Zip Code) has complied with the requirements of -Resolution No. Ds --9 6 °byi.the payment of $ _k"� representing square feet. School Distr ct Representative Date . k' PAID BY CHECK NO.REMARKS: BANK NO --'"' PAID BY CASH c % d white -applicant, yellow -building department, pink -school distrid't•` SCHOOL.FEE .(8/88) } DOUBLE WIDE PIERING WORKSHEET MODEL: ��'S�i�/ e _ PSP ROOF LOAD PLANTO..L-L. SEE PERIMETER PIERING SEE NOTE.-C,#RECUIRI:MQNTS TABLE -SEE MATING LINE PIERING'TABLE 4701 FRONT OF SEE PERIMETER UNIT PIERING REQUIREMENTS TABLE NOTE. SEE PIERING PLAN AND PIER LOAD CAPACITY DRAWINGS FOR REQUIREMENTS OF MAIN RAIL SUPPORT CAPACITY AND FOOTING SIZE, MATING LINE PIERING TABLE* 14031 BEAM INITIAL P0$T IST INTERIOR 2ND INTERIOR 3RD INTERIOR 4TH INTERIOR STM INTERIOR REAR WALL 000 LOCATIONS AT FAQN;T POST POST POST POST POST r- ST PIER LOAD 103'7 A CAPACITY IN L$S_ 4414q G tL4 132 D -7 CSU % .w MINA~ VM 0"NE PIEC€ EDDYING a28' I4. xt A 24,IL34 it At 3fo 'Zq tt ei Z X3 �. ZLfX Z�( 24{sr X 7-4t u t Z44 X 1. 4'r 24 2L( WITH 6M 6 FOOTINGPADS {� .Ucl�watr� d v -p -'A QtAAA Q LA. A, QL,x ri'l � M' LL� T lap ' Q 66_ ` IF" 7 -7 p t/ 13 / NOTE! Footinq sizes bees om 1000POF soil bearing value. If sail aoRdmoms differ w � Fier Load Capacity drawing or the Horne Technical Ins.allaVom Manual for method of calculation. PEPWAIwTER PIERING PEOUIREMENTS TASLF FiGRS I^CC�UIF.E� DOo;;I; WkLL' FOADSIDE WALL' JAVI3 S rI UD5 Al •" G'JDR OPENIt;GS AND AND OVER 48' MASONRY FACED FIREPLACES IN OVERHANG OF FLOOR PORCH POSTS AT RE- CESSED SMALL WHEN P^E i S EXCEFi) 4?` HEAVY APPLIANCES IN OVERHANG OF FLOOK , •r)IMFANSir)Nr, ARF FAnU Fgt"W't riC UNIT ri To'd ltlloi _- !- .- Zr + d N tib c �+ A A kit $0 rt � O qg V�� N � 1L a� Y Y py 1Jf m fir n Z�r 9 a xxx4,8 �INYIip wL4 �c H wf t fA 4 C O � 79 � tQ r7J►Ow �• �Ll e v y N �Nf (n $moo �^� •• ��� 400 7700 N�'w�66 a�d acxx, o���•4•pppp n �p A �+3 1.� m } _ lrte-• W h �'•, �-. �S Y N t► g to h 7 N �ro I 4 f 0 amu! ;N ~ Z b h �1 M1 N {� N R t + d N tib c �+ A A kit $0 rt � O qg V�� N � 1L a� Y Y py 1Jf m fir n Z�r 9 a xxx4,8 �INYIip wL4 �c H wf t fA 4 C O � 79 � tQ r7J►Ow �• �Ll e v y N �Nf (n $moo �^� •• ��� 400 7700 N�'w�66 a�d acxx, o���•4•pppp n �p A �+3 1.� m } _ lrte-• W h �'•, �-. �S Y N t► g to h 7 N �ro I 4 f 0 amu! ;N s- _1 I F I '1 ,i CC' A ' 6 lour b- 01 OWNER'S NAME: Z e1 4 (7- Z RECEIVED PERMIT NUMBER: p((- A . P . # : �' DATE b RESIDENTIAL NON RESIDENTIAL RECEIVED BY TIME —---——— ———————————-- REQUIRED PRIOR ——————————— TO PERMIT ISSUANCE —————--- '1 r1�REQUESTED FROM DATA SHEET BY PLAN CHECKER ,17 OTHER REQUESTED BY CORRECTION NOTICE Q YES [-�] NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: --------------------------------------- WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner (Address) Mail to contractor (Name and Address) Call and hold for pickup at office. Deliver with next inspection. REVISED PLANCR FEES PAID: $15.00 $30.00 Additional Fees Not Required R. P. Shoaf Asscia otes Qg - Engineering Building Design Surveys Q 810 B Street Marysville,' California 95901 916 / 743-6526 I —o-,-�1 , 9 -o o n v s>iaui v,, iniand =io '1d30 D4 --Ln@ JO A.LNnoo R. P. Shoaf Associates - Engineering Building Design Surveys 4D F r I v V r i�S� ��� d'1✓� � w �I C fe.-,-°(N - .t,c tol����(dC.041'9-Dt¢S i ------------ UJ 3Hy.Sx /- Zl-tT ,9�ESI0/ Falx- cr E4/0 fiUA'G-,J'2- 19� �1.�e 712�aQeQ S6¢3 -14C �- SC4_�� 810 B Street Marysville, California 95901 916 / 743-6526 h utte Count - '��_ LAND Of NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965 Telephone- (916) 538.7681 RONALD D. McELROY FAX PHONE NO. 916/538-2140 Deputy Director FACSIPffLE COVER SHEET THIS COVER SHEET IS SENT IN FRONT OF FACSIMILE MATERIAL. RETAIN COVER SHEET FOR OUR RECORDS TO: DATE: FAX PHONE NO: / 741 - TOTAL ` /-TOTAL PAGES INCLUDING COVER SHEET: 2 SPECIAL INSTRUCTIONS: 7rV%L r,�W/t BUTTE COUNTY BUILDING'DEPARTMENT A. P. NO. 90 -170 - le 7 PERMIT NO. q� DATE 3o Gj/ PLAN CHECK LIST- -f/(/Tf/ONY LO'Dl=-:Z M08/LE 171101lE PROVIDE INFORMATION AND/OR MAKE REVISIONS AS FOLLOWS: To LoC-i-/off o F ��Y/SE END /iU/fGL f��t/Gf�o/Z �aGT S'�ft-%t/G 00 9LAI! /1/IR/IP1i1FACT�iI�_'�jZ- RE-cO ��t/IE/I/Of�?ION� o� Pilo /I O4!!5- Eii/G /4%EZ-:7� CSC c s ,#57?�- 7a 25 u, "e ,v-n� fo J-%,4-cr Co�t/T/Zi1-�To� Fo/Z /t20B`G� �O�IE SFTGlO /��dJZit�1 �7'�D� . �/oAIA/ 2. �/EAa Y ': . , .,r. %�. ,. � �.. � -1.. \a � . � , `, ; •� Jit .. ,�\ a, .. ` . . .. 4"• - •, c ._. � ". �, ,tib• •��' /2�z'o �%6�9/ R. P. Shoaf Associates' Engineering Building Design Surveys If F -n r - �10' c, -Ty Lo �:-7 g -Irv, ( C�'OG LL L( BUTTE COUNTY % 13UILDING DEPARTMENT -7 APPROVED 44 QTcrt<-it;)72. �/� g����� 2o Sa V_c qo44/4' [A 0 + -to _4�� 4 3 4 - 4'. z 4 �.ov VX -0 4-o. .5%1� --ZA 11 810 B Street - Marysville, California 95901 - 916 / 743-6526 S-0 ft! 08/02/91 02:36 FLEETWOOD HOMLS OF NO LHL. ;;1r L1110G DOUBLE W10E PIERING WORKSHEET MODEL: `'S 'y- - 3_ 0 PSF ROOF LOAD PLANtI+.J.-.- SEE PERIMETER PIERING SEE NOTE REQUIREMENTS TABLE SEE MATING LINE PIERING TABLE ---�= r-RONT OF SEE PERIMETER —UNIT PIERINQ REQUIREMENTS TABLE NOTE: SEE PIERING PLAN AND PIER LOAD CAPACITY DRAWINGS FOR REOILIAEMENTS OF MAIN BAIL SUPPORT CAPACITY AND T=OOTING SIZE, MATING LINE PIERING TABLE' - RIDGE BEAM INITIAL POST IST INTERIOR 2ND INTERIOR 3RD INTERI(A 4TH INTERIOR STH INTERIOR REAR WALL vOct LOCATIONS AT FRONT POST POST POST POST POST pOSt PIER LOAD Ik LBS. Ov 444= SVCAPACITY � M'mum C'Ne PIECE F90TINO L' e JzKt Q it '3.0- ' Z a i��-1 14c( 010, ji 214 is Zc a Z� X rr �� Z� vtv-3 �'� MINIMUM FOOTING A tax IS- PADS Qwa� 1WITH cfn, l . ri ) NOTE! Foolimo SIXOS baS801 an 1000POF $oil 68ahR value, if sail aenditlems d�set wtie Pier Lade Capacity drawing or the Home Technical Ins�llaVon Manual for method of caloulation. PERIMETER PIERING REQUIREMENTS TABLE PIrR5 REQLHF, D DOORSIDE WALL' 90ADSIDE WALL" it M11 STUDS Al DOOR OPI KINGS AND AND OVER 48' MASONRY FACED FIREPLACES IN OVERHANG OF FLOOR PORCH POSTS AT IRE- CESSED SfYVALL WHEN . F SIS EXCEED 42' HEAVY APPLIANCES IN OVERHANG OF FLOOR ` 'DIMENSIONS ARE FROM FRONT OF UNIT. ' i z 3 C Z L n z a L4 z UJs P REWIRED PIER CAFIAC11YAT EACHLND Of tl0ttf EDIALS THE TOTAL 057ANCf , IN FEET. 10 TILE NEUT RIOOE SEA" P05T MUL1IPLiEDBY 24710 PER IL0 EAR FOOT. REOMEDPIER CAPACAYAT INTERIOR RIDGE OEM POST EWS 1NE DMANCE BETWEEN EACH POST ON MH SME, M FEET.nMTIPLIEDBY 247" PER LINEAR FOOT_ lt7IE: SFE Nm 2 �.�9' ry GL I. Pdsnflat]p1 DrtS _ regni� Snider d er ea� main rail e` 8'-D' o_c. maciinan actid shall be within 1'-8" from frau and waw Rhus. STS CAPAMW ;®�Af!ll m :nar Of xrit_1fcidi.L.ai sapIrts are swizz d cinder the mating line rim joists at each end and under each ridge beats log TABIE BEIM. intftvuc P*F=t P=f'oundaon suMarts for 14' vide sections using 8` vain rails to be 7'-8" o.e_ unaximme. 2. Aerbnetnr Pilo mxst placeoander the floor at the boring loeatsats has applicable): �. �� si a3. Be:xm jpm studL sides -a door openuns ouer "'side. deell at tiedown strap lsbe_ed G-2 b3 . Be3ow money fd GzWoe %ftwn located in overhamq portion. of floor. c} 80306 em post ac eoessed sideAallls sdnr_n past spacinq excaftft 420. d!. 1Ir¢:teptim-pier d cap=t.ies shall snot be less than ; n0� lir le=er mCb studs mhd orch_p�st �p 72 air and for fireplaces. 3_ 31501 for piers under sirde�+a31 at ls�eled se r 1 posts sbSeet en 73- an 12p" aaaart. t G-2 strap 1. lt*r. can Ise rw•rte bl,a shiah,n With +.ad9es os an adjustable S+etal or Concitk &mSetb1— _- • � m be -Wrote xmdK=re . grade or press>re treated min. 2 x 12 _• It soil baasSag Flu" 4twt PLr--able use the 1000 Y5F aolu,n for mise. lootirq s:=s. 4. Ad&*-& rW �MForalicn deers matontiMs may the fOw d is tht !lave 7echrA- 0a1 Ittstbjtits usual. --- _ PI LOAD .DWABL-ENIN1I1UM ALMABLE miNIPIUf1 ALLOWABLE MINIM" ALtOwABLE MIMI1M 26' w!E t w ay . ema FOOTING ML 8EARIND FOG11N3 I 931E SEAROD 1 IMUM SOIL SEARINO fODTIN0 15V FTOORUR 156 UMS NE - P? SLIE VALUE - P5F SIZE 11 VALUE - PSF SIZE YALUE - PSF SIZE 0 IN EAE 1000 WxT6`7 1500 24'X 18" 2000 _24-X 14' 3000 12"X 1W 12 IN VATS 60 =000 24'1(30' 15DD 24`1120- 2000 24'X 14" 3000 12-X20' 18 IN ME .12 : 000 . 24"X 30" 15M 24-X 20' 2000 24- X t4" 3000 12" X 20 1. lt*r. can Ise rw•rte bl,a shiah,n With +.ad9es os an adjustable S+etal or Concitk &mSetb1— _- • � m be -Wrote xmdK=re . grade or press>re treated min. 2 x 12 _• It soil baasSag Flu" 4twt PLr--able use the 1000 Y5F aolu,n for mise. lootirq s:=s. 4. Ad&*-& rW �MForalicn deers matontiMs may the fOw d is tht !lave 7echrA- 0a1 Ittstbjtits usual. --- _ --"-'' PAOM11FUMAND CDNFII? WMU IIy'•'..1 �: G21S2P71r.5-r, _ �r ......�...rr................M r.�.' :`.+..���r.. m�,....�,........ «� MAR 2 -11991 r' stFE't►+ 00 cur CAM CAM Tna B&SMEM FRme PTPRINC yLM-30 m ROOF LOADof 26' w1M SWrIM (2 f 13' ) DRAUlulssf hu am ET�iEItPRIS1°S �ZOsi7 ��' 72-13-8025 � roc 3-t�-S T•e•d��eloz..._. (H 2 at Q o LIN w 4n111ird'�A�rr.t�9~� p, MNA ,r �� � a• !n v ar � Jt, •S S � tt1 clM Q_ dtfl<djam 4� �Qd1�4�'� IS Q o LIN w l �6� 9 0 On V JQ� ! °nicIvnod�o 1P�4A/ CM ClG A?&saBNrrrr•fc 9/q�q/ y'"131 A9,41Z P16?Z�� - /0— / 233 7 6 2S X 75 �- � ooc� 0- ✓�H zl�a Bei 56s/ 30 1�1 std . 48f 0 2 711,f $- -,�000 Z�G sly• 37oo Sig7o''S�C. 3gs2 24 ''Ja . ,gai/CH0/efGE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,, Oroville, CA 95965 PHONE: 916-538-7341 DATE July 19, 1991 Anthony Lopez c/o Schiedeck Construction RE: Permit appin #2432-91 MH/fdn P.O. Box 231 Rackerby, CA 95972 A.P. # 28-17-187 With reference to the above subject: / / Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER We need the following information: Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval -from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. XXX Recorded copy of deed showing original parcel creation and right of Way to n Recorded copy of agricultural acknowledgement statement. public road. / / OTHER Should you have any questions concerning the above, please contact of this office. JFG/aj cc: Debbie McGregor 590.5 D Clark Road Paradise, CA 95969 Yours very truly, William Cheff Director of Public ;forks J.F. Glander Chief Building Inspector 9 -4 s:so y RECORDING REQUESTED BY: 11 a AND, WHEN RECORDED MAIL TO: im BUTTE COUNTY BUILDING DEPARTMENT snm 7 COUNTY CENTER DRIVE ADDRESS OROVILLE CA 95965 Cm, STATE. XXI 2F 91-046601 1 Total .00 I Recorded I Official Records I County of I Butte I Candace J. Grubbs 1 Recorder I 9:23amM f6—NOV-91 1 MP 3 .3011 Tisa t— fv.. ' _T1r4M. 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 I I n i t de s c r i. bed 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 per- sons thereafter dealing with the real property. ANTHONY LOPEZ & MONICA LOPEZ BUTTE COUNTY BUILDING DEPARTMENT REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 97 GOLD MOUNTAIN ROAD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95965 OROVTLTF RTTTTF' CA 459 CITY COUNTY STATE IIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (If also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP CITY COUNTY SATE IP 2432-91 916-538-7541 BUILDI RM N TELEPHONE NUMBER SIGNATURE LOCAL AGENCY OFFICIAL DATE FEATHER RIVER H D``11LI§DME (If not a dealrsaee, write "NONE") DEALER / LLICENSE NO. UNIT DESCRIPTION FLEETWOOD HOMES 1991 464-3K MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLL17A/B11629 60X28 RAD 540077/540076 SERIAL NUMBER(S) LENGTH X WIDTH -----------7 ' INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER QE -17 -18 -7 E17 -1H7 SEE ATTACHED. HCD FORM 433(A) 4/86 P,aENT Or hOG� QY iZ o ILII• 3 C, OQ %MVNI7Y OE -A 4660 1 90-44086 ' '7 EXHIBIT "A" ;r• The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: The Southwest.quarter of the Southeast quarter of-,the Northeast :. quarter of Section-11, Township 18 North,-Range 5 East; M.D.M. Containing 10 acres more or less. ;' { with and reserving therefrom•a'60.00 foot easementforroad ..Together 'and-public' utility purposes" located ;in .Suctions '2 and .i 1, _Township 18 "` `:'�' North, Range 5 East, M.D.M.,- Butte'County, Califoinia',""more--r •_ .: particularly described as"follows: _k 'oneach M+ M F,r 30.00 feet side of A strip of land 60 00 feet in width lying j _ the"following described centerline:' Beginning at a point in the centerline of Swede's Flat Road (County Road) that bears South 3. 50'_ 27" East, 688.68 feet from the center of South said Section 2; thence from said point, the following courses: 206.42 feet; 19. 40' 49" East, 172.61 feet: South 32' 23' 53" West, South 5' '41' 50" East, 325.51 feet;'South.l' 051`22" East, 1348.46 feet; South 010.36! 18" West,',1323.87 -.feet;, thence North 89' 17' 59" the _, East, 1109.37 feet to a point hereinafter known as Point :"B".-,' and 4 ine.- end of. said line.-- Also together with and reserving therefrom an easement.-for road and Also publiuiollowih• lying 30.00 feet on-each side ofthefollowing described centerline: Beginning at the above mentioned Point "B" and running South 42.92 feet; thence South 65' 17' 47" East, 142.99 feet to a point in the West the Northeast quarter of said Section line of the Southeast quarter of 11, being the point of termination of.this line. Also together with and reserving therefrom a 60.00 foot easement for road and public utility purposes'.located-in Section 2 and 11,. 5 East, M..D.M., Butte County, California, Township 18'North, Range more particularly described as follows: A strip of land 60.00 feet in width lying 30.00 feet on each side of the following described centerline; CONTINUED . ,, �N•wlyw V L ice.• ovc it n R END OF DOCUMENT END OF DOCUMENT 9 1 6.60 1 .. • r '• I .. .. m k _• . i," Exhibit *A" tea continued Gamez to Lopez' Beginning at i"point In the centerline of Swede's Flat.Road (County r---_-Road)Ahat bears South 30 50' 27"..,East, 688.68 feet 'from"the-center of said Section 2; thence frozi said 'point the followlng*coursess"South 190 .401 *.490 -East, 172-61 feet i`South -,32*.231"53*-.West',:-206.42,feet; South 50 41"50" East, '325.51 feet; - South V 051 22" Eait,'-1348.46 feet; South 00-36' 180 West,"2647.'74'-feet; thence"North 890 051,,42n East, 1d Nor .1244.00. along the"Southerly boundary line of sa th6ast quarter, 36 *f* -C thence -North 16'­'Eait,"�884.44 "feet; -thence­fSoith'470 471 4. --East, 215.73 feet to a 340.East.,�210.74'feet and North",89'�'50',40"� point on the Easterly boundary line of said Section 11, and the -'end of said line." . "j., The Bails of.Bearings forthisdescription is the West'line of said Northeast of said Section 11 taken as North 000.361 18",,East. END OF DOCUMENT END OF DOCUMENT 6, sa, r '�� �; til (p l �'�°�, �� .�°��d l� �2�0 � �°���'® Address or Location of �l_J i 97 GOLD MOUN Lepol Description of Real Property A.P. #28-17— SEE ATTACHED. v NO, 2432-91 A ®Mobilehome/Manufactured Home Commercial Coach has been affixed to the real property described above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owrrr's none: ANTHONY AND MONICA LOPEZ Owner's address: 97 GOLD MOUNTAIN ROAD OROVILLE CA 95965 INSIGNIA OR HUD NUMBER: RAD 540077/540076 MANUFACTURER'S NAME ^Qwo—v ww aw—, ►.ca s n x rnieoi M%wo-0wM, CIw�---i�IwM�M. &%.� R6. SERIAL NUMBER OR V.I.N. CAFLLI7A/B11629 YEAR OF MANUFACTURE: 10/7/91 a 7 M-1 CA STATE OF CALIFORNIA STATE ,AND Cull' 'R SERVICES AGENCY PETE WILSON. Governor DEPARTMENT OF VETERANSAFFAIRS DIVISION OF FARM AND•HOME PURCHASES r� - . REQUIRERENTS FO a' ANTHONY 1. FUNDS ARE NOW AVAILABLF. FISP YOUR ; ',L—'JT T LOAN APPLTC_ 7101.1. 2. APPROXIMATELY 2 11FFKS PRIOR TO COHPLET, Incl G:' CONSTRUCTT0"1, PL1"AG?. NOTIFY THIS OFFICE OF THE ESTTIdA.TEP COMPLETION DATE. 3. PP.OVIDF'..AN INSURAnL7 EASEAiEPT FP011 THE NFAREST COUNTY ROAD TO PROPERTY SrLECTION. ALSO PROVTDr TRIS OFFICE WIT71 T"0 COPTFS 0'" AN AMENDED PRT;LI1•1INA.RY REPORT OF TITLr 1'11 iCH TNCLT'DEG TT -TF, TINSURE')LA` ?tUIJ, SE'– WENT - 3- AS PART. 'OF 'x1IF LEGAL DESCRIPTT.OP? A!I) PLATS IIIDTCATIt•T'J'TIT �(',:1.nfA– TIOiI-OF..THI: ROAD ,"EASE14ENT ARID COUP•1TY Rn AD.' !CO NTACT YOU!:'TITC^AIPA'1" . FOR A S S I S T_.4N C_l;'i;:) �, _ v 4. IF T1!r PRIVATE -RI OAD IS A Anil–E7:'71,US1 7ASE!iE T, PRrV'Dr T1!1S 0PcIC1? WITH AN OR OR CFRTIFIEO COPY OF A ROAD ?'AINTBNA?ICF ACP.rEME'17 SIGNED BY ALL"O"U+fERS HAVING TIIt RIG?;T Tr !!SS SAID PRIVATE ROAD.. 'THIS AGREEMENT-IJ'ILL NOT BE NECESSARY IF YOlj C PI PROVTD!' DCC!)'MFNTAP,Y EVIDENCE FROM `"TilE ROAD DEPAT TMENT, TITLE COMPANY OR OTHER RrSPONrTRLr AGENCY OP'PERSON' 4.HIC1I VFRIVIES TIA:T T111' ROAD !!Ar 1:7—STED. F^R. r.VF? FIVE YEARS.' 5. I14. ORD ER_TO „QT.IALT.FY FOP.!A CAL–Vr I.OAil OUR,J-10BILF I10MF !.ITUST BE _:_: IIlSTALLEDjy�1nN ,A tF30UIdDATION SYSTEM PURSUANT TO SECTION 15 551 OF TLTE- IiEfy ALTH AND 3AF xY COAE. PP.OViDF A CCiPY OF TFE DTPA^TT91?`.dT�OF'HOUST.ATC AND COMMUNITY%:-D1;Y LOPMENT F0P•M "l0PILrTTO'fE TNSTALT,A.''-.T( ^4 A ?^T"?T)ATTD!' SYSTEM – HCD'•FORW 433" SHOWING C!)IJ'ITY 2LCORDER'S STAMP. ALSO S6P.MIT A COPY Oi ;HCDtcFORM 513c; (CEPTIFICATr OF 0`C!JDANCY' :III'C?i "A, Bt?Gi•1 GU?-IPLETETD,'BY, .THE"LOCAL AGENCY HAVI IC JlJP.'•.SDTCTI')"'. PI.G'iS:, CONTACT YOUR MOBILE ROME-'DLALT;R FOR ASSISTANCE f TTI C ^!PLYI?:7G 1dITIi THESE RP0'JIP,FAt1'►ITS. LrY,r �fY�'�forfi�aa .,.'... .<6 X14 gUalivlon�in' the amount of $60,000. HIRE A VETERAN—HIRE EXPERIENCE a RECORDING REQUESTED BY Anthony Lopez AND WHEN RECORDED MAIL TO Na" Anthony Lopez street 915 Tisdale C416 Vallejo, CA 94=192 State L 90-44086 90-044086 Recorded Official Records County of Butte Candace J. Grubbs Recorder lit46am 12 -Oct -90 SPACE ABOVE THI Rec Fee 11.00 Check 11.00 CD 4 5 LINE FOR RECORDER'S USE — A.P. #28-17-66 Deed of Gift This Deed,madethe Eleventh ..................................... day of ............. September one thousand nine hundred and ............ Ninety .................... BetweenM .... ue--1-'d'.---G'a'mez and Belen R. Gamez husband.. and. wi f.q. M! tween ...... . ..................................................................... ...... ..... . ........ joint,tenants ................. ...................................................................................................... Grantor and. o ................. * teiiknica ................................................................................. ...................................... ..................................................... Grantee Witnesseth: That the Grantor. for and in consideration of the love and affection which ........ :heY ...... have.... for the GrF..:itee, do ....... by these presents gift, give, and grant unto the Grantee, and to .... their.. heirs and assigns forever, all ................................................. . ...................................................................................................................... that.... certaint8f ....... hA#& ........ I* parcel ....... of land situate in the Northea hea s t .......... 1 /4 of Section 1.1., .. Tvwnnhiv.. 1A. East., K. D..M ................ uni-pMrpoFa ..... ted ..a. County of ... AIMtP .......................... State of ...C.al i f.orn ia ............ and bounded and described as follows: '-NSee Exhibit "A." attached hereto and made a part hereof; 7 UW'D V2 DATE L This Is to certify that if bearing the purple seal of S.• this office, this is a true copy of the document filed 140.4CM§ P. with the Butte County Recorder's Office. `-�­iOandace Grubbs %..4 J. 13"71,10%.17t Clark-Rerder .....• \�o�'cg b• (10 B DGPUV n belonging Together with the tenements, hereditaments, and appurtenances thereunto belonging or appertaining, and the reversion and reversions, remainder and remainders, rents, issues and profits thereof. ,a To have and to hold the said premises, together with the appurtenances, unto the Grantee, and to.. t;h P. i r... heirs and assigns forever. no I" ~ ff" DO OMM %a 1" 0 W4M war"Clufft am 0 no "" am. M a "WM0 to do, 4 Mam" 10, Me I al a- am 0, rft was, on rm Rime arq 00 - 0. 00W 0 to of w I a M to 0" ""to of " $1 - - at " k0abow Go "" let" 0 a" eoec.e Van"Coan Cowdery's From No. 480 - DEED OF GIFT - Short Form - i Rev. V831 -90-44086 In Witness Whereof the Grantor, ha me........... hereunto set ...... the i.r ................. Is .... theday and year first above written. Signed and Delivered in the Presence of 9 Op" 0 0 4-4 OF.A'R'W.'X.d'* ...... %F BER HADOTELBERLE "'Ab Comm. Evbn Aug. 9- NOTMYPUMX W vim i� MIA N IN r "" - 41i! 'Elf Z RE '—d NICI On this ......... day Of �. rp. TX RA.Z: ........ in the year ... . .......... ............................. before me, ................... I a Notary Public, State of California, duly commissioned and sworn,H _persona y appeared U ..4C4.4! ! ... .................................... personally known to me (or proved to me on the be,* of satisfactory evidence) to be 4 the person� ....... whose name'........I ....... 16f& ........................... subscribed to thin instrument, and acknowledged that .... h executed it. IN WlTtRSS�REOT I have hereunto set my hand an a��;� my ofcial Beal� Z /.0 4 .......................... County of .................................... on the date set forth above in this certificate. Notary Public. State of California My commission expires 6P - -"y / - �%-1 �- EXHIBIT "A" 90-44086 The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: The Southwest quarter of the Southeast quarter of the Northeast quarter of Section 11, Township 18 North, Range 5 East, M.D.M. Containing 10 acres more or less. Together with and reserving therefrom a 60.00 foot easement for road and public utility purposes located in Sect -ions 2 and 11, Township 18 North, Range 5 East, M.D.M., Butte County, California, more particularly described as follows: A strip of land 60.00 feet in width lying 30.00 feet on each side of the following described centerline: Beginning at a point in the centerline of Swede's Flat Road (County Road) that bears South 3° 50' 27" East, 688.68 feet from the center of said Section 2; thence from said point, the following courses: South 151° 40' 49" East, 172.61 feet; South 32° 23' 53" West, 206.42 feet; South 5" 41' 50" East, 325.51 feet; South 10 05' 22" East, 1348.46 feet; South 00 36' 18" West, 1323.87 -feet; thence North 89° 17' 59" East, 1109.37 feet to a point hereinafter known as Point "B", and the end of said line. Also together with and reserving therefrom an easement for road and public utility purposes 60.00 feet in width, lying 30.00 feet on each side of the following described centerline: Beginning at the above mentioned Point "B" and running South 42.92 feet; thence South 650 17' 47" East, 142.99 feet to a point in the West line of the Southeast quarter of the Northeast quarter of said Section 11, being the point of termination of this line. Also together with and reserving therefrom a 60.00 foot easement for road and public utility purposes, located in Section 2 and 11, Township 18 North, Range 5 East, M.D.M., Butte County, California, more particularly described as follows: A strip of land 60.00 feet in width lying 30.00 feet on each side of the following described centerline; CONTINUED LANOSG SGrl �' ......� 9 L Q•p'• CIS f n 9 *J# No. 40,05 _tme �FOFC i V 90-44086 f/ Exhibit "A" continued Gamez to Lopez Beginning at a point in the centerline of Swede's Flat Road (County Road) that bears South 3' 50' 27" East, 688.68 feet from the center of said Section 2; thence from said point the following courses:.South 190 40' 49" East, 172.61 feet; South 320 23' 53" West, 206.42 feet; South 5" 41' 50" East, 325.51 feet; South 10 05' 22" East, 1348.46 feet; South 00 36' 18" West, 2647.74 feet; thence North 890 05' 42" East, along the Southerly boundary line of said -Northeast quarter, 1244.00 feet; thence North 800-361 06" --,East, 884.04 feet( thence South 47' 47' 34" East, 210.74 feet and North 890 50' 40"' East, 215.73 feet to a point on the Easterly boundary line of said Section 11, and the end of said line. The Basis of Bearings for this description is the West line of said Northeast } of said Section 11 taken as North 000 36' 18" East. VV No. 4085. N i.A ti on9Zr�O # OF C e r W �. END OF DOCUMENT 0 2 1 - -4'1 TF. EV4THFEE f<:.� F' I EF<: H0ME: S sit PS® •*r 4 , � 1 r• � �+ � •� •(.a STATE O4° CALifORCNTA DCPARTMENT'OF NOUVNa AND COQ Until DEVELOPMENT �. �ll�,'ISIOi� OF CODES 'AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a; �, i�oi�ilehame far�r►ercia"� Coach Floating home E] Truck Camper Decal (License) s 110- Trade (} Name Serial No„ -- � (s) I/We, the undersigned, hereby state that the unit described above„ .� 'cow set - r_�\0.ce_6 01Z) eti t 1e_ `c AQ -M Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss the my,suffe resulting from registration of the above-described unit in California, or from issuanee-of a California certificate of title covering the same. IWe certify under penalty of penury that the foregoing is true and correct. Executed on --Za- 3J- at Date ---� - Signature of each affiant Painted name,.of eaCh`affiant 1 Ei � ,� '' 1(! i t7'�7J••__ ��. .���Y`r4/6�,�� ��ks�� _ .�.-.. ' .' i Address - (AR City ` •• — ---.�..�.�. ' , � . HCD S 70 ��', ; �:� , 11186) NOTES - RESIDENTIAL y 028-170-187 0.2-0.16. PERMITNO. - LOPEZ, '1 oily. '. 97'Go1d Mowitain Rd., Bangor . Cont: Don Scribner Const. New Pri Det Garage V = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 1. 3. Sewer; Location -Test -Fall -C/O -Concrete 2. 4. Water; Location -Test -Easement Needed (Sketch) 3. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 4. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ /'LPG 5. 7. Well Clearance & Discorinect 6. 8. Utility Clearance 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit Date Health Department Approval Card B-1 Date Card B-1 Date Plumb.; Cir. Test -Water Supply Test 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 Date 3. Gas; MH Test -Demand -Valve -Connector Date 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 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i MISCELLANEOUS Date DECKS, COVER S_rARPO5`f5_GARAGES ($tans) OK except #'s 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mach Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga Cu or Al Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive ] Yes ❑ NoMalks Z) Yes :I No/Planters ] Yes J No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing itngle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer _ 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive ] Yes ❑ NoMalks Z) Yes :I No/Planters ] Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California Q5965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT `�1� - ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TONY I QPE7 TELEPHONE 679-21217 SO. FT. OCC. BUILDING VALUATION 420 11 87640.00 OWNERS MAILING ADDRESS 97 GOLD M01MAIN RMD, BANGOR CONTRACTOR'S NAME DON SCRIBNER TELEPHONE 1846-4409 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 00 • 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $70 20 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE _ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT (ling F6e 20.00 Each Trap 7.00 USEOFSTRUCTURE SF CK Duplex ❑ Mobilehome ❑ Other PRIVATE DETACHED GARAGE SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 24 X 20 GARAGE FLOOD = X, 1050C Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VOR LE Main Service 20OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.c-� License Class �3 Lic. No. 3 1 4 Z-3 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure, for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 51-A,7't FUN D Policy Number I Q3 TL15:,0 1 (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Xf-len Date J �- 3 ji ` 0-2— Signature of App (cant - ❑ Owner g Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00so OCU000A NEW CONST. DWELLING OCCUP. SO V OR ADDNS. ( 8 ACC. BLD S. 3.5¢x, rwµaoE,sIUT MULTI.OUTLET RANCH @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. .00 EX. OCCU . OUTLET OR FIXTURES BAL O 20 @1. 0 Ex. Occup. GuT,EF°A RESES p.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 EE PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ U CONST. TYPE VN TOTAL FEE $ 235.00 HAZ. D. FEES IMP _ _ XX FLOOD CDF PARCEL Xworkers' PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or atebov forwh Zfh indicave By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. / xv Da e Dafe Receipt No. 337551 235.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ..e � r 4::t � � '- .. � � �'�" _ � �� ��.� _ i � � 1 � M1 ' • 4 t � r .� ,. �. - e � ' , � � M1 • 4 �. �� � - ,� 12/96) �i�— S,n � c;oun 'Cv .f s rs.o. •.aca wra OwK �T .OM 10.7 MAl/N0 �ft :Ole nh.cnG+ ILND71 1�O EA S ZL'.0 AOoKff J+C-n ECT on Er4KEA "CKTECI OR Q40010717 WAAJNO AOOReSf �aa«o,00Ress ^ .jr No aueorvsON7NAY0 y Center Drive • Oroville. California 95965 • Telephone (530) 538-7541 }-� APPLICATION AND PERMIT 1'7 NO / — V14' - BUILDING PERMIT i Q T ~_ �'a SO. FT. OCC. BUILDING VALUATION I USEOFSTRUCTURE 10 AC— F O Duplex O Mobilehome O Other _Q� I TYPE OF WORK :ew kAddition O Remodel O LAhes O Installation O Other O Describe Work: P's' = X) I CS0 C-- �l%ecl p16d - e la.,� 410-� Self- A -c v7 (-s1h [- z9 • o 2 rnc, "PERMIT FEE PAID SRA • . SHERIFF OTHER AAiIOVNT RECEIVEb E TO I8 SVT INTO COMhRER Fire lace Total Valuation = Filing Fee f Permit Fee = Plan Checkina Fee S Energy Plan Checking Fee i t PLUM Each Trap Solar or hea Waterpiping= Each as w Gag I in stem I • 5 outlets Building sewer Mobile Home S G W PERMIT FEE I i ELECTRICAL PERMIT in Service •0ON OR LE Me 700A U:SS Mein Service MnA To IO -WA rtW CONST. / OWE311q OCCuO. OR IRONS. 1 00 20.00 7.00 23.00 FS —00 1 5.00 IS -00 15.00 X20.00 ng Fee20.00 23.00 48.00 3.Strr ,V7.50 Ex. Occup. OVRET on :CrnAES 7 ''O0 au. Ex. OCCU r1XEo �". OA OUTUEn Esso EA .fo 5.00 Temporary Service 23.001 Mobile Home Facilities 20.00 Misc. Wiring 23.001 PERMIT FEE t MECHANICAL PERMIT Filing—F—"—j- 20.00 Heatin Coolina I 8.50 Ventilation PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fee i oxe `c" TO AL FEE t ( '��(�o-.1►eEs sego cor�o bsu X W This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date �-- PERMIT EXPIRES ON COUNTY OF BUTTE 337551 FFICIAL ffX.UPT OFFICE OR DEPARTMENT �ISSUING RECEIPT ZO T Received from The Sum of For EEA- �!LS eA A124 6e;Z- I M -U W1 A Received: Received 8 CASH Title CHECK 2 sy DAVCO BUSINESS FORMS • (916) 7436511 COUNTY OF BUTTE -DEPARTMENT OIC DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: LLII��ASSESSOR PARCEL NUMW��Date: Proposed Building Use: Counter Technician: Items required in ordet to apply for a p rmit. All boxes MUST be checked OR marked NA in or er to pply. ❑ 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. A ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down dr foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he en ig neer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. HaidFdous Material Form............................................................................... .� '❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑'. ❑ City of Chico Plumbing permit ......................../ .. .......... Zqd Z (� 18. California Department of Forestry plan approval paid. Sent by: ❑ 19. Planning approval for A Use:(B)Parking: (C) Parcel Cvc -OrZ ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement: ................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Stat ment of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 94331. Other: 5 When issued Teleph ne _ and hold for pickup. I have been inform�f th ®aye-items-xnd-requirements for obtaining a building permit. Applicant: Date: 1. Index permit a(iplication fortheabove items numbered: Plan Check Letter 2. Additional 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: Plans reviewed by: YV c, Date: 0 2. Plans approved by: jWc., Date: j Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division >, TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sant to B.D. C M43 _ 7� Owner Location AP# Plan Approved for: Sewage Disposals Water Supply: Public Private Wel\ Clearance for dwelling. Other -:)-0 XQ ' ) AL,b 64P-- L �b Y-Y\I----,,) is r, Hold final for: Final clearance O.K. for: NOTE: Environmental He Ith Specialist Date 8/96 'i " I - . t "; e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASDSSOR P RCE N MBER ZONIN BUILDING PERMIT owN /u!'5 T �E Hoy e SO. FT. OCC. BUILDING VALUATION ("!—/T7 OWN E 'S M ILI AD, RE 5� by,v e � t� D CO TR ACTOR'S NAME TELEPHONE Lt r CUNT WA4'3 MAILING ADDRESS Fireplace CON RUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ .LR 119TECT OR ENGINEER LICENSE NO. Plan Checking Fee C $ O - Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ S n p PLUMBING PERMIT Filing Fee 10.00 7 Each Trap 2.00 I/ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF❑ Duplex[] MobilehomeNJ Other Building sewer 5.00 SPECIFY Mobile Home JSFG W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 1 stallationx Other ❑ Permit Fee $ Describe work: - t Contractor ELECTRICAL PERMIT Filing Fee 10.00 �+ 'Main service 600V OR LESS 100 AMP OR LESS 10.00 J Main service EA. ADD'L 100 AMP 2.50 CONTRACTORi LICENSE LAW NEW CONST. DWELLINGoCCUP.. , /20sgft I declare under penalty of perjury (check one): New C .ONS. ACC, a MULTI -OUTLET 2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESICIBRA CH CIRC 3 POWER APPARATUS e (SINGLE CIR. I and Professions Code and my license is in full force and effect. OUTLET License No. Classification Ex. Occup OUTLETS OR FIXTURES 20050* eA D30.t— 1, as the owner, or my employees With wages as their sole compen- FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring 9 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating' ❑ 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. Cooling g NZX I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. taws of California. I Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor 1 certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating I�RInspection Fee $ to building construction, and hereby authorize representatives of the COuntyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ 1 also agree to save, indemnify and keep harmless the County of Butte against OCCUP. CONST.T•P[ SCHOOL FLOOD PARCEL P13 ND ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue I against said County in o que a of the granting of this permit. S^ This permit is hereby issued under the applicable provi- Date sions of the Butte County Code and/or resolutions to do Signature of Applicant – Owner Co t tar ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required For excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. By Date WNITt-D.P.W.. TKI.LOW-ASeCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ' PERMIT EXPIRES Date /ao A- /Jb br-es Wad -r Sew ems- b )C Selo cz�L - v, -'a -a 10 11 U 'NOT COMPARED WITH RRR�G OFFICIAL DOCUMENT RECORDED BUTTE COUNTY Return to DPW AGRICULTURAL, S�ATFMENT OF ACKNOWLEDGEMENT RECORDS BY FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 6 1981 OCT '!2 PM 12: 48 -- 8'7-37689Fi The property described herein is adjacent to land or included CANDACE J,GRUBBS within an area zoned for agricultural purposes, and residents of thitLERK-RECORDER FEE property may be subject to inconveniences or discomfort arising 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 limii:ed to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust., smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be.prepa.red to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date : 1C`- - j PROPERTY OWNERS: State of \Ca�� ,����.. �� ) On this the day of �'�00��:'� before g y SS. me the undersigned Notary Public, personally appeared County o f C�.�C:�v�.E= CLc�:, ) Z Personally known to me. /►' Proved to me on the basis �I1111eretata11111�enn11�o1una1nu1e111111,� of satisfactory evidence. THELMA R. DANIEL to be the .person(s) whose name(s) subscribed to _m ~ NOTARY PUBUC-CALIFORNIA the within instrument and acknowledged that h ALAMEDA COUNTY Z executed the same for the purposes therein contained. My Comm. Exp. Aug. 27, 19915 IN WITNESS WHEREOF, I hereunto set my hand and official .seal . 1/10111111111641 V111116% i1"1111111/11111111i11ia Notary Public Present A:P. No. F ' S "EnIUBIT A" F -rne land referred to herein is described as follows: _ All that certain real property situate in the County of�Butte, State 1- of California. described as follows: ---- "1 The Southeast quarter of the Northeast quarter of Section 11, Township 18 North, Rpn;e 5 East, H.D.B. & M. TOGET"HE2 WITH AND RESERVING THEREFROM a 60.00 foot easement for road and public utility purposes located in Sections 2 and 11, Township 18 North, Range 5 East, M.D.B. & M., Butte County, California, more I' particularly described as follows: i A strip of land 60.00 feet in width lying 30.00 feet or, each side of i the following described centerline: i Beginning at a point in the centerline of Swede's Flat Road (County I Road) that bears South 30 50' 27" Fast, 688.68 feet from the center of said Section 2; thence from said point, the following courses: I South 190 40' 49" East, 172.61 feet; South 320 23' 53" -West, 206.42 feet; South 50 41' 50" East, 325.51 feet; South 10 05'-22" East, i 1348.46 feet; South 00 36' 18" Nest, 1323.87 feet; thence North 890 17' 59" _.ast, 1109.37 feet to a paint hereinafter known,as Point and .the end of said line. ALSO TOGETHER IIITH AND RESERVING THEREFROM and easement for road and public utility purposes.60.00 feet in width, lying ,30.00 feet on each side of the following described centerline: BEGINNING at the above-mentioned Point "B" and running,South 42.92 feet; thence South 650 17' 47" fast, 142.99 feet to a point in the West line of the Southeast quarter of the Northeast quarter of said 1 Section 11, being the point of termination of this line. ALSO TOGETHER 'KITH AND RESERVING THEREFROM 60.00 foot easement for road and public utility purposes located in Sections 2.and 11, Township 18 North, Range 5 Enst, M.D.B. & M., Butte County, �. California, more particularly described as follows: A strip of land 60.00 feet in width lying 30.00 feet on each side of the following described centerline; BEGINNING at a point in the centerline of Swede's Fl.nt.Road (County pip i Rond) that bears South 30 50' 27" E-st, 688.68 feet from the center of i said Section 2; thence from seid noint the following courses: South - 19° 40' 49" East, 172.61 feet; Scuth 320 23' 53"West ,.206.42 feet; South 50•41' 50" East, 325.51 feet; South 10 05' 22" List, 1348.46 C11 I feet; South 00 36' 18" West, 2647.74 feet; thence North 890 05' 42" C Eist, along., the Southerly boundary line of said Northenst quarter, 1244.00 feet; thence North 800 36' 06" East, 884.04 feet; thence South 1110 47' 34 East, 210.74 feet •ind North 890 50-40" East, - 215 -.73 feet to -i point on the Easterly boundary line of said Section 11, and the end of s-iid .tine. i GID OF DOCUMW41 •; 06- PErmit#3407-87E ` t ` .MANUEL 'GAMEZ x.9.7` Gold Mtn Rd,, ORoville k • « 3XI , I J� �r�'' ' �r • r OFFICE COPY Address Aj B Date--- . ELECTRIC late- - Meter By J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS v 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLIC4TION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 2 V /-7 _ [pC., I ZONING BUILDING PERMIT OWNER,/,� I�%y�/ /✓/ ,51, /7.. _ 4f 5- /�j TELEPHONE Z >'y SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRA TOR'S NAME `• TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each, Trap, 2.00 z�- r t r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 US, OF STRUCTURE SF ❑ Duplex[] Mob Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea New fI'd TYPE OF WORK Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Desc ri be work: fC`i�lr/� F1712 F��ST�Nf�(i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 �d • %'' Main service EA. ADD'L 100 AMP 2.50 N v CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (Check One): F -1I 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 I, as the ownNEA er, 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 - OCCUP.a\ +/:2sgft NEW CONST. DWELLING OR ADDNS. ACC. BLOGS. / NEW CONSTR. TI -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS e1 SINGLE OUTLET CIR. I Ex. OCCup(OUTLETS OR FIXTURES SALO 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Pee ` * $ i lu Contractor WORKMEN'S COMPENSATION ,INSURANCE I declare under penalty of perjuryI (check'one): '1 ❑ 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 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, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. +, X' r r �n s .t .n. ter` r Date f Q -' �r.: Signature of Applicant — OwnerZ Contractor ElAgent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRECTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ SU TOTAL PERMIT FEE $ �j 7_'C, occu P. CONST.TYPIJ ISCIIOOLIFLOODIPARerLI PD ND S9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which _ OF PUBLIC'WORKS / / By, r' ! :.' / /� ,r ! PERMIT EXPIRES Date`-r'- the applicable provi- resolutions to do fees have been aid. A p " Date /i - -/ �1 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE i7 W DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phorie: 538-7641 747 Elliott Road, Paradise— Phone: 872-6307 CITICE OWNER PERMIT NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. 1 Inspector Date__ /) ! % COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS T *County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND. PERMIT /I PERMIT NO/ v d ASSESSOR PARCEL MBER20NING L& BUILDING PERMIT WNER U116L, 111115-z TELEPHONE l q SQ. FT. OCC, BUILDING VALUATION WNE 'S MAILING ADDRESS F0CON1-RA_gT,OR'X NAME ell &1v tr _ Q,TELEPHONE _ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS G D knd ZO Permit fee $ PLUMBING PERMIT Filing Fee 10.00 L _Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USf, OF STRUCTURE SF [_1Duplex[:]Mo6ilehome] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New Addition ❑ Remodel ❑ Uti ities ❑ Installation[] Other ❑ Describe work: ��lQl FOIZ/S�`/NG Si1�- Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 100 AMP OR LESS 10 00 �a 1 Main service EA. ADD'L 100 AMP 2.50 7j CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification • 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.81 +/Z�sgft OR ADONS. ACC. SLOGS. NEW CONSTR TI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS e SINGLE OUTLET CIR. zoeDoe EX. OCCUp OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESI D.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 y Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult 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 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. !�� �y �11r1 X Date 1+ J ! Signature of Applicant — Owner , ntr or ❑ 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 $ Energy Inspection Fee $ 5_0Butte TOTAL PERMIT FEE $ occUP. CONST.TYPE ISCNOOLIFLOO111PARCELI PD No 59UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which RECT PUB BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS r Date Receipt No. © WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD-AP►LI CANT T 1..LYj K fti4' v t ' ':'o tr`iE i`''C 'tT`9' a .� d��,-�. y{`r'7�' y,, Yr yTt►'ija �` ;�. �.' t qtr t COUNTY OF BUTTE - DEPARTMENT .OF�PUBLIC WORKS- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE: CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATIOW DATA SHEET n ) Permit No. OWNER///��li n� A. P. No. Proposed Building Use-6b�_JLir/ Building Inspector Date - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED 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. Plans with Energy Design Compliance Statement. . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9 Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . X13. Contractor's License Information (no., name style, classif.) 44. Owner -Builder Verification (Given to owner0, Mail to ownerZ) __15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for ... _ ..._._.__ _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — 20. Plot plan approval from city of 21. 22. When, you issue the permit, process as follows: M ' o ow er, Mail to contractor. Telephone and hold for pickup at office Deliver w/inspector. Other � r Appl ica Copy of plans sent Health Dept., Fire Dept., 10ther Date The following data must be submitted prior to permit issuance (Circle new item riot checked above). r 1. Index permit for above items No. 2. Additional items required: Contactoi,designer, owner, was advised of above required data by_phone_-jnail—counter by date Contractor, designer, owner, was advised ct above required data by—phone _mail—counter by date Plans checked by Copy—DPW Date Sets of plans on hold in File cabinet Plans approved by AP folder l' Date COUNTY OF BUTTE - Departme'nC of Public Works 7 County Center Drive,.Oroville., CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will.be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement es or no) _.. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: ,Name Z 4 - Address City Phone Contractors License No. 4.. I plan to provide portions of this.work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work -- Signed: Property Owner. Social Security Date /eq— NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832.of the California Health and Safety Code. c This verification must be completed and returned to our office before we are per- mitted to issue the permit. -3 l� �,o NOTICe H ti- Q KS vilCI(�y4T[D�~, 9-�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, Callfornia 95965 - Telephone: 916/538-7541 ... _ APPLICATION AND PERMIT ASDSSOR % RCE N MB ER ZONIN BUIL G PERMIT _ owN /► T �E _oy (7 , (-/ / OWN E 'S M ILI AD RESS ` F f)a SO. FT. OCC. t BUILDING VALUATION CO TRAC TORS NAM TELEPHONE 1l� C NTRACTOR•S MAILING ADDRESS F pl CON RUCTION LENDER il r— UNKNOW I C11 otal uation Is Fee Ln $ 10.00 LENDER'S MAILING ADDRESS � P rmi Fee $ AR TELT OR ENGINEER LICENSE N Plan Checking Fee $ (✓ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS In. a Penalty $ BUILDING ADDRESS Permit fee $ S PLUMBING PERMIT Filing Fee 10.00 pf 7 Each Trap 2.00 Oro ' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome& Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobi le Home S G W .00 ea 4Ek TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtIIitiesJ8 UtilitiesI stallationx Other ❑ Describe work: - t Z2 Al I Permit Fee_ $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. OR AODNS. \ ( DWELLING OCCUP.51) ACC. BLDGS. y2¢sgft NEW CONSTR NON•RESID .BRA CH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. 206506 Ex. Occup(ouTLETs OR FIXTURES eALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 ' 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 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 relatingInspection 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 said County in,4o que a of the granting of this permit. Date�" Signature of Applicant - Owner Co Oro. ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 in height. Mobile Home Installation Fee $ Fee $ TOTAL PERMIT FEE $ OCCu P.CON ST.TYPC SCHOOL FLOOD PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date //short�ies Receipt No. 1,-1.9 i WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ��������/^��c�<w���� ��`�4,' ' ' ' ' '' COUNTY OF BUTTE DEPART BUILDING DIVISION ' roouwrvoswrsnonms,onovuLs�oAL/ponwmo�n TELEPHONE: 916/538-7541 ^ +~ � - ���&8� |� � DATA ����T . ^ ,�° �^°,`^"=. ~'`. SHEET ^ � Permit No. Proposed Building Use IVAOLey;Lto SifC Building Inspector Date At time of permit application, I was advised the following data mdst be s'Ubmitted prior to permit processing and/or issuance:. '. k I DATE RECEIVED APPROVED 2. Plot plans iT'�d�uplica /triplicate, signed by preparer of p I lans. 3. Complete plans in duplicate/triplicate, signed by oreparer of plans. ------ 4. Complete engineered plans and oo|oo, with wet signature on plans. --___ 5. Plans with Energy Design Compliance Statement . . , . , . --___ G. School District "Fees Paid^ Stamp on Floor Plan. -----' 7 Statement of Intent for Non -Heated and AC Buildings. . . . . --_-_ 8. Fees of $ . . , . , . . . . . Letter of signature a . , , . 1U. Sanitation approva|hmn Hoo|���opt' 11. Planning approval for (A) Use: __----_.(B) Parking: - 12. Certificate of Workmen's Compensation |nau:onoo. . . . . . 13. Contractor's License Information (no., name style, o|uaait) . _14, Owner -Builder Verification (Given to wvne/[]. Mail to owner�l) fImprovements may borequired . . . . .. . ' . . . ^ . Mobi|ehomo |noto||oU , ' . . . . . , . , . . ' 7. Pre-Inspectionfm '/�? Requi�d, p=""""/�"p""� requestrequest^" o"*>- �."~��, Recorded copy of Agricultural Acknowledgment Statement. /4(-'/t7 10. Driveway Pormit._-__------_ -------__--_--_ --,'?-0.P f e (-(�Q 0 1 P1_Q 6�)e 1, , Y"Ico. When you issue the permit` process as fol lows: Mai| to mmnar.,f ---__ Mai \ to contractor. —Telephone and ho|d'for pickup at—off ice, —Deliver w/inapentnc ° Other - C opy ofp|an000n\ Hea||hOeptFiroOopu Other Cmto The following data must be submitted prior to permit issuan�,.&: (9�frcl checked above). 1. Index permit for above items No. A(� 2. Additional items required: ` Contractor, design err,Yy-er""nadvised v. """"° "+"=""a "x---p"""e-k""''--^"u'e' ",----- "="` cvntmom,, oeo/nne,, vmme,, was advised c! above required data uv—phone ---ma//—counter by— date Plans checked bv_40! ?ft,4.,f,,Pate Plans approved by Date —Sets of plans on hold in —File cabinet _AP folder Copy -DPW TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance I 01Owner � -z---% Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom bil home. Other NOTE *** /_ C Sanitarian Date 9-�5-87 ��"�� o"�� vim= ��� COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,.Oro�rille., CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: .An 'owner -builder'.' building permit has been applied for in your name and bearing your signature. ,Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will.be issued until this verification is received. 1. I personally plan to provide the.major labor and materials for construction of the proposed property improvement ye or no) S 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: �Z* Name Address City Phone Contractors License No. M I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name i C Address City Phone Contractors License No. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Dateb�_ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Manuel Gamez P.O. Box 25 Bangor, CA 95914 With reference to the above subject: Attached is: WMKIM=•: RE: Building Permit Application for Mobile A. P. # 28-17-66 Application for permit Mobilehome Utilities Installation Sheet Building Plans X Mob.ilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER L1 We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in , including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise (DPW). Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy.of agricultural acknowledgement statement. •�• 1_ • u•* -T1•u- Should you have any questions concerning the above, please contact this office. Yours very truly, William Cheff Director of Public Works .F. Glander JFG/aj Chief Building Inspector w �eG X isZ,'Alf c'a-�i A) 0 /X11's '(S ;!�,o /,4/g-eOR" 'Works 0,,( oleoll;zze- fixa f ropo R i� /-�'IPA141Pl PAII ae.lcto 4 57`o 7 6' /'� c _74- A `A N w L L F Lkc As o4lfl�` ooL �� �d �o c `ccr��� r�L � AadL . l Loe �P,�e ,�s ..� G•RIO �sn.�Z o� 7tKa 7' o ris / Die s °� L Fc) tZ- w a �'P �- ; .vJ .�' �o c k • ��� �� �o� °'� �� o�� w� o �d L?o 4.0 7v ri 41- L4. I J L4. I L?o 71C S`6 cn MH util. PERMIT NO. 8— P ,E M QMH UTIL. ',PERMIT NO. nPERMIT EXPIRES �� — / L }OWNER Lewis Morgan ' CONTR. 'LOCATION (A.P. 28-17-66 ) e7'F sw --s r tea. 16001 W. of.Hurleton Swedes Flat Rd., then S. } on private rd., to end of rd., Oroville +y Ij . n. Y f' d l i 6. Temp. Power Pole + Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E I J JOB �j FINALED /—/— 7S (Date (Signal e) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING. Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Pipingli 3 Piers Roofing Sewer — �U Garage Fdn. Verfts Fixtures Footings Garage Vents Water Htr. StemwalI Prov. for physically ` , Heaters Slab handicapped Appliances Carport Conformance,of ex. Gas Piping & Test ' Footings structure Temp. Gas Slab Final- Sanitation Patio FIREPLACE Final Footings. Footing - ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS A71 fA -1r u Gr p 0"t -11-96 Mom- ��.� e enough to provide adequate amperage to mo-bilehQme (must equal.ra of, Ae with a minimum of 100 ampy and/other facilities on lot, i.e., water pumps, \ age cabana, etc.? Yes No B. Is there proper clearances around panels?LLL Yes No C. Is power supply cord or feeder -assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes_ No De -energize electrical wiring system of the mobilehome at the pedestal.. v2.. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. L/3. Switch all breakers and switches in the.mobilehome to the "on" position. (/ 4. Connect one lead of a test instrument 'to the mobilehome grounding conductor and apply the other lead to each mobilehome supply -conductor, including neutral. (V/5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? Z5:-� f•' 11: If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle c212Q=<E_O Length. Width % 2 -- Vehicle Serial No. State Identification No. Additional Information or Comments: 0 �9. 11N, ""NNW MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit required separation from lot lines and buildings and generally conform to plot plan? Yes No / 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes O No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes' No 4. Is the mobilehome level? (Sec. 5088) Yes`�No 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes o 6. Water A. Is flexi connector of adequate size and properly installed (1/2" ID min.)? (Sec. $566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yesz°!�o C. Backflow If coach is not State of California a p oved, does station have backflow device. and pressure -relief valve? Yes_ No / 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end?'YesZ, No Does it have,minimumk" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?- .Yes_K No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents " A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as. large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes �o 1. Open all appliance connector valves. Shut off appliance burner and pilot valves. !A3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments Test for 10 min. without drop. (/ 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? YeVL\ No COUNTY OF BUTTE — DEPARTMENT OF KS PUBLIC WO 7 County Center Driye — Croville, California 95965" Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. %� X2Date Z 7S DIRECTOR PUBLIC WORKS Signature of Permitee or A nt r B Date J ""' % l Receipt No. 133d8 -Z_ /o White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant wilding permit expires Date (� t� BUILDING Owner �UJ r SQ. FT. OCC. BUILDING VALUATION Mailing Address Por d x Z 69- Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ Building Address�%o ' 7 oF.Yo btJ 5�/ ' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 o Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 /pzyo Each gas water heater or vent 1.50 A. P. No. 7 —�G �'fZol\ P n Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees tion FireDept. FireZone Use Permit Building sewer 5.00 1&,g,0 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im r p ove ents Lawn sprinkler system 2.00 -B4dg. Plans Recd Parcel Aproyal Plays Approval Permit Fee $ 6c NEW ❑ ADDITION ❑ UTILITIES ❑X OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3O-0 Main service incl. 1 meter 3.4-0 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbo(d�2 Receps., switches & fix outlets 1201,12-1 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1_00 Air conditioner or heat pump Water pump he� J o� Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring r,Arb ,So -O I am exempt from the Contractors License Laws of the State of California. Permit Fee $ a-7.00$ o?% OC WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. placed on file with the County of Butte a certificate of [z] 'Workmen's Workmen's Compensation Insurance. = I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ O authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. %� X2Date Z 7S DIRECTOR PUBLIC WORKS Signature of Permitee or A nt r B Date J ""' % l Receipt No. 133d8 -Z_ /o White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant wilding permit expires Date (� t� 0 r F 3:2� 0 This set of plans and sDec;fir-•f;ons MU91 e.ken+ on the io6 at all +1mes and it is unIaw'fd M4- cnv comm es or alfernflons on same wit •• written permission from the Department of'P Vii -V-* Works, County of Butte. All utility connecfiqn's sly located within 4 ff. outside' iide" *-3 third section of the Mobil o on the left (road) side of A home. 60 'J A % 0-3;'9 —A P6rmif 'will be required for -installoflon of thb -mio'bilehomo She LY ' 4 A Sept- Ic Ysfem,and.6c -of ion 7r r t 7.The *Rj Se't6ack shall be 5 ft.- from to b6*' as :per..,. 'eity line, a�d 50 ff. from County Health Dept,Re.. jl-a side prop Quite -- t f -M The centerline of the road, Ormitting;quirt a MCX!MUM of a 2. ff.., eaY6 overhc;ng;'. BUTTE 'bEPANSO "BUILDING APP ROVED+ IL- %A 41 4' 44, ff 10 61 k AT, t. � \ MAKI- 1 1%- 't* — a I' ' " - . . I - f be M -R MOBItEHOME'INSTALLATION INFORMATION SHEET Street or Driveway. �3. Wi th 51 _._1 n Ln Width i •o til >� �? , as rl ri . cJ (n N44 u O t t1 C) N N u O I ;; � by a 5 N 441 >, "Ju rr u Q O O N w G I G 0) N 0 I•r) E0rq cl 1.1 •r( •(n .,-j In UU )•( to F r -4f•, A(n (Un 0 a) ca 41 O O a) - iJ R. = N Ir O U) a i a) b • z 8 L b b' O (n 0 3 z r-( (d •� M •H �,a) o o >, o G N i a) r -I p r -I U 'a) G O O cn 'V • i O'% (n 04 -1 cd u p N O 1j u b N ,n r -I - I n ¢, •ri }4 •ri G -4) >% -HU U u N O O P. O rn a) N O a) N 1--i (n ar-I : ) a) O fy a( 7 j Z 7 O O P a) U (n •rz En rl 'M 0) G G r -A 14 :j v] m to P� 1.1 E3 G G a1 L3 }4 H u (d cd B O O i, O .0 10 > cd O 1-4 u i [� U a) •H u (n i -•I 4 u U U a) •H 0 4-4 a) U tr ca rt 0 $4 -H: a) •rl G r� r-! ,n cd 1.1 44 u 00 G) ' O $4 -H11 U G f 4 to . �+ 0 4-! N. .—+ cid b0 •rl •rl U b a) H N .•rl j(n O � u 0 *-H44 "O •-•i u r ri d a) H ca 0 G G .>r a w G 3 (n •a m cd � GG G v. O o cd o N p N v O •ri O 0 co a) H a �.(D r U w 0 z Ura 3 ca x 7 r-Iu N c'I �.111 � ' n 00 `� U •ri cn 0j i O v rl (. cd .n 41 a} 4J P+ H rl 0 u J:=1O U 04 0 LTA 44 V 1j z r:3 Cd W O c 1 O I N N� •' N •U Z O r-( ra 'ri 11 a) I to 1J v •r -I H 1•) 1-) L) 0 O N> 1 v PQ N G G •:-I 0 U C. a; 0 ,44 0 Po Q) 0 u u o •u a o v >{ ro , o a) 0 P cd r L, 0 0 •ri' .a H -4 cd rC) 4 cn ri ij 4 r•i (n. cd d-) cn o ,.O r -I v 0 z •H 0) G O r I G; a) cd N d.J 'rl C) til 0 a• u G 0 .G '0 r-( u >+ o 3 ti 4J G 41 a) A.' O �. N ~ ,n' U r.l C'. ccd.G -HO U QI U — (J .G 1J G' 4) cn O Z U 1 . U G G 0 N N . 4•, H •�' 0 N 3na) O a) -H a•rl •rO O 'd ( a) G w ,+ N l� 0) a .n r -I cn O x 7 �,Zn ch cd •r.r4 rC (n w .0 0 0 NrO u v sN 11 4.1 o� ri> r+ cd o o ri 7 f 7 G ri 0 ,n L . r� +J N H v) •ri 44 fl), 0 4 j U(fid 04cd r -i U G >, U Cl a) G -Hr-i '14 o . ; El H •riH iJ ` u . of �� •ri ' P •,I cd 4 I )) r 1 O. 1) I'Q HG() (n •H u u ari' - ) 11 1J N o-4-3 o.. N u. a. P G N ;J>4 a) O -Z X '1J (J g (d a) •ri 0) a) G •u U r-( >> W • J (n ,- 0 'u cn 41 P {� 0. u (a N N .0 0 N 44cd r! 0 m (n. H l; a) r -I •ra a) p a) (d N )•) cd f•+ •n 44'(1) a) u O t-) G a) 4I r -I N ,K1 may" (n ,� tW LOAD BZaRING snpbfT ADDITIONAL CM1.7',TS Drain Connector, Dessribe_�_ Water.Connector, Describe LOAD MjZING SUPPORT AND i00TING INFOr^,MATJON , Pier Spacing Used,. Maximum Pier Load_ Maximum Column Load (multi -units only) now. 1 In Soil Bearing Capacity, Footing Dimension dsed 1 ���► TYPE OF PIER. USED Steel Concrete_X Concrete Block Other 1 TYPE OF FOOTING MATERIAL USED Pressure Treated Wood Concrete ''Redwood (Grade) Other Approved Type d WA4 8 et-'TTE COUNTY . .DEPARTMENT APP -ROVED I Tics UT 1L, CLEARED DATE sun. T it STRUC TEST REQ IA. P. IIO. - --- fJ ELEC. -A5 . ..1I Xis lqo ' YDS iyci .� _ r �, t i '� i.� G� COUNTY OF BUTTE — DEPA,R`TMENT OF PUBLIC W RK 7 County Center Drive, — Urovilie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize BUILDING Owner p SQ. FT. OCC. BUILDING VALUATION Mailing Address ©, l� Z Telephone No. Fireplace Contractor e3 UJ JJav_' Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee I Building Address k 6 ' lrlF T o v Lz;7O.v PLUMBING No. @ FEE PERMIT FILING FEE $3.00 i UIP M8,111-67 Each Trap 1.50 AJD _ O Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. —J `� �� (� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FLfes W. . SanLta.ti.na I Fire Dept. I Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parce a P 60' R/W Im r p ovem is Lawn sprinkler system 2.00 Bldg. Plansec'd I Parc Approval Plan Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 DD ;j-re o� HiT i7_ Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home Q Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b 2 Receps„ switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner_ or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 00 TOTAL PERMIT FEE $ O - 3D lot- authorize representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. A X r Date .5`1 - Signature off Permit kor lynt Receipt No. / 3c3O White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI OR OF ROBLIC WORKS 7 BY 41 ` Date_Z—,4 7s Jbxidd*ng permit expires Date%(� Building Permit Number: OIL Owner Name: (�(j ��•�� 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 1998 California Building Code (1997 U.B.C), 1998 California Plumbing Code ( 1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, El 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. Paget of 2 s r. Building Permit Number: �� (p Owner Name: i:Z 2,--- I Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. ❑ Fire sprinklers are required in this structure. ❑ The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of _!�D_ feet from the side and ;�n feet from the rear.property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Page 2 of 2 c. 7 0 s z %A NOT E ti ie attached ON�I<tirel�ents Pages c 0 tv -i_ + � J L D��, BUTTE CO. FIRE DEPT. CALIF. DEPT: of FORESTRY f•Dn E] approved as submi"Lt ed [ approved with conditions oer attac ed c heet. Llic s1 -mat ueee Date ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF 3 FT. FROM THE SIDE AND -- �30FT. FROM THE REAR PROPERTY LINES AND — � — FT. FROM THE ROAD CENTERLINE SHALL BB CLEAR. OF STRUCTURES AND EQUIPMENT EXCEPT c:OR.A 2 FT, EAVE OVERHANG. 1• L IV �j CDF FIRE SAFE REQUIREMENTS Q Z '0 1 ((/ � IL� % OPE Z d AJy AP# PERMIT # NAM E Under authority of PRC.4290, the following checked items are required by the Butte County Fire Department and are made apart 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. [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [ 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [� 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [� 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added 'to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�(] 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. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [`P 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [`F1 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of ? . . I 1 AP # PERMIT # NAME [kj 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. C�] 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. k 1273.11 Gates [/] 1;. Gate entrances shall be at, least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [�] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. } 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r f__lal inspection of a building permit. Page 2 of 3 --7� — 17 t AP # . I t d2, 0/1� LoP�2- `z�,✓y PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3a, of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10$ of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials �-2_5? o 2 - Date Signature Page 3 of 3 J T IN &1 try -1 PP PLANNING DIVISION -BUILDING PLAN APPROVAL Use: Cr Date: Parking: Landscaping: Other: Signature- oz,-- o l[ Q du ITE Com"t N,.'-VaUM DEPARTMW APPROV F -D ............ I,, I rA FOUNDATION PLAN 0 4" SLAB 0 12 X 12 FOOTING 06X6X gAR2 RjNSESH 1/2" RE BRACED WALL PANEL 5/8" 8" O.C. DURA. -TEMP SIDING 12 o.aPtic( 94 commohs or jroxrai td 4--,` ¢ _ :. -AF X 3Q' WINDOW 14 16'X 7' SECTIONAL DOOR ( �" rrE .� C�o] 4" X 12" HEADER W FLOOR PLAN Val � ro O m w 1/2" x 10" FDT BOLTS V O.C. AND NO MORE THAN 9 FROM PLATE 4TOR USE SIMPSO ANCHORS 31/2" X 131/2" GLUE LAM 14 16'X 7' SECTIONAL DOOR ( �" rrE .� C�o] CA -V&4& 4 AI fro llljjjoj#l�� 1/2"-x 10".FDT BOLTS 6'0.C. AND NO MORE THAN 90 FROM PLATE ENDS OR USE SIMPSON MAS FDT. ANCHORS *11-tE C�o k&,Qj)V(3 UN7 "'EAARNa6 ROOF PLAN 2" X 6" RAFTERS 24" O.C. 2!, X fI�A44- 7 -J -s 'll y ILIO CGi 1 �%t 6Shee�cr) 2" X 4" OUTRIGGERS 24" O.C. AT BOTH GABLE ENDS r> . �5rn�ps�� ff� T� mss oc� ,oma durt ops 717e bSB SHEETING � STAGER D 15# 6" FET 20 YIR CLAS A �OOFI�G � 2" X " HIDGE LIN f T � �5rn�ps�� ff� T� mss oc� ,oma durt ops RIGHT ELEVATION y SID NPA L -� 1 x 3 RESAWN TRIM 7/16 OSB SHEETING STAGGERED 15# 36° FELT 20 YR CLASS A ROO ii If / . FRONT.-- ELEVATION71 = _ J. - SIDING P I�7 16 X 7' SECTIONAL DOOR " - 1 x 3 RESAWN TRIM rrEC �jm.-,v &* . IT-rl U �I ox If / . FRONT.-- ELEVATION71 = _ J. - SIDING P I�7 16 X 7' SECTIONAL DOOR " - 1 x 3 RESAWN TRIM rrEC �jm.-,v &* . LEFT F ELEVATION SIDING P ,AN EL 1 x 3 RESAW' 7/16 OSB SHEETING STAGGERED 15# 36" FELT 20 YR CLASS A RO( REAR ELEVATION Si ING rZA-..- CC X 3 ESAWN TRIM; fn h-,� Al u, i i SITE PLAN ---------------....... ------- �..�.. =.. : :._ .........:: : = DBUILDINGPERMIT# 5 C FBu�e COCoU" Hre . I'� Z ASSESSOR'S PARCEL '� -' � I Y,j% ........... _ : � •IID _ . � • neer iq�S� aAe.....� uirtid �I't� :.............,.....,...._...................................:. ..:.... :.. _.: ... � � oesg•�wea�e�ii� .. ... .. .. ... .. : .. .. .. ... . s�•Y� ...: _.....: ...:................... d kaves/deb� 1 �t IW11�'� t 1/4 irr�m RSIstB :-•:, ...:.....:..:.. . 6 V ��CQ.�1A Ft.L/� _ •. D - ..............._..... :......:..... ............:..............:.... .. .. ODE of REGULATIONSTITLE . R. %-_ ... �• (?►f : : S :c : Q ...............••---- --•------'•------... •---..._.. � `.. ..... • _-- -._ .. ..RElU1REMENTS AS AMENDE.................... :. �- - :...........:.... BY THE JURAPPLY po - ...... :...... .... ............ .. . ...... . .� :.. ..:,.. .D . : --------------------- - ---: •TO — THIS - 1S —P ROD -C-T .:.. ._1. ...... ­ .: ............ --- ._........ .- -- . .. ._ .. - - •: ; -_ ------••---- ------ ------ .... . :. . THE 2001 CMC, CPC, AND 2005 . . . 24 CE H:.... = i CALIFORNIAENERGYSTANDARDS J .. YTHE :��%"• : AS 'AMENDED'BY - ura = ".; ,�: : : /�lLAj_f-� JURISDICTION APPLY TO THIS _ .. FI{ _ -. .. .. .. .. .. . - --- Sig at ;(l PROJECT. I : — .. .. ... .. .............. ROJ .. •• : . l� . . . . . . . . . . n.! . . . . . . .....::.. -_- : : : = : : : - ...---T�d-tothe ------ �:�e-�s-�eati�e ------------ -el°s---...:-- idive .�am�-vactica ed......:......;.................. .------ ............-- --............ .. : : : : - � Q r: Assessor's Parcel Number. OQ ®®-' 0 0 ®- a a a Scale: 1-,= �_ Owner Name Add sass / Phor Site Location` Contact Name IIL7�10 R rl /� .Phone sZ 5­`� Odcbw A MM ' -NOTE .i - � SITE CONDITIONS i ti: - ENGINEERING MAY, BE REQUIRED IF ANY OF THE FOLLOWING SITE CONDITIONS'ARE OBSERVED AND NOT SHOWN ON THE APPROVED - PLANS:, A,Y - -- EXCESSIVE SLOPES- - •---EXPANSIVE SOILS" - - -.-'-EXCESSIVE CUTS OR FILLS`- • ALTERATIONS TO NATURAL DRAINAGE-- • OTHER UNUSUAL SOIL OR GEOGRAPHICAL CONDITIONS L___ - - - I PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: r r'��,/ ., ,,. , , ., .,.:. . �.»ww.,.,..�.... ..�� _, ,� ,T, _ , — n.�,�. —