Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
028-180-048
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061329 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty, of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/05/2006 APN: 028-180-048-000 the Business and Professions Code, and my license is in full force and effect. ' License Class : License Number: Site Address: 601 UPHAM RD BAN Map Index: Date: Contractor: Description:. MHI (720) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MAYFIELD, JIMMY & DAWN permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 4588 PACIFIC HEIGHTS RD signed statement that he or she is licensed pursuant to the provisions of OROVILLE CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any (530) 534-5523 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).): 1k 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: MAYFIELD, JIMMY & DAWN Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 4588 PACIFIC HEIGHTS RD such work himself or herself or through his or her own employees, OROVILLE CA provided that such improvements are not intended or offered for 95965 sale. If however, the building or improvements are sold within one year' of completion, the owner -builder willhave the burden of (530) 534-5523 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a.contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 amExempt under Article 3 of the Business and Professions Code Date: 2! Z- Owner. License M WORKERS' COMPENSATION DECLA ON I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers'. compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 720 S.F. Policy Valuation: $46,800.00 I certify that in the performance of the work for which this permit is Census Code: 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 Ishould become subject to the workers'# compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure work ompensation coverage is unlawful, and shall subject an employer to criminal penalties and one • hundred thousand dollars ($100,000), in addition to the cost of ,,yy �//�/ �^ compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This pe 't is h � eby issued undea plicablb provisions of'ttie BufteCoarity``Code and/or "- 1 hereby affirm that there is a construction lending agency for the Resol tions to o work indicat abov for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) / _ ke Name: By: Date: 9 -� " Address: PER EXPIRES ON: `J / Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,. handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all couhty and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document. of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. / ZU Print Name: a,- 4 /�-f�i /l� Signature: d ' Date: a• Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 i o_ o 1 0 8t .per. r O I r i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND. SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE 9: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.neUdds "PLEASE PRINT CLEARLY* OWNER INFORMATION Last Name c2 �L Name e Firs�Nam Address r e(,5`l5go U i ` Slate/ Z 5 c� 65 73 05023 Fax E-mail Phone APPLICANT INFORMATION CONTRACTOR Name CityState U re, Address 5 City Fax State Zip Phone Book Fax E-mail Planner L'ic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name CityState U re, Address ,'_; 5 City Fax State Zip Phone Book Fax " E-mail Planner State License Number APPLICANT INFORMATION Name mm CS t fL� Addres- cz CityState U re, G aL 5 Phone 3 Fax E-mail APPLICANT Fo ffice use only: Zoning S Flood Zone Cross Street SRA es No' Occ. Type Const. V Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. j�-13�� RP BIN # PROJECT LOCATION Properly Addr ss Cross Street WORKER'S COMPENSAT40N Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Descriptionr Scope of Work: I Sq FT- Wing Garage Open Cov ❑ Structure Built without Permits ❑ 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 required. 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 tFre expiration of the permit and 'no construction work has been done. ".Filing fees, plan check fees for work plan checked and other department costs are not refundable. 0- 1 nV> Received bn /Amo�Lnt: 4 q_ ` Bldg SRA Receipt #: 2,6 Sheriff � SMIP Other Dale: RFV R-1 12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to'the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . - ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractors license information. (Number, Name Style, Classification). . El 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ' ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy.of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 BUTTE COUNTY DEPARTMENT .�F'DEVr LOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner MAYFIELD, JIM & DAWN APN No: 028-180-048 Permit Type: Subtype: App Date: 6/5/2006 Permit No: BP 06-1329 Permit Desc:� 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $549.90 Plan Check portion of Permit Fee $219.96 $329.94 Balance of Building Permit Fee 2 FEMA Res Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 $95.00 _ (State Responsibility Area) Building Inspection $109.98 $109.98 - $204.98 NON-REFUNDABLE portion of fees due at application $314.96 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $424.94 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT (R(D-$WZ.34 RECEIPT DATE Tech/Asst 455620 6/5/06 Tammie a- Chico Urban Area 4 Balance of Building Permit Fees (from No. 1 above) $329.94 0.L 5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) U4 S* -$*W 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 Other*: 7a Other*: 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Applications After 04/15/06 DRAINAGE FEES* 10 CHICO STORM DRAINAGE MASTER PLAN New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 770 Butte Creek 771 Comanche Creek 772 Little Chico Creek 773 Big Chico Creek 774 Lindo Channel 775 SUDAD Ditch 776 Mud -Sycamore Creek 777 PV Ditch Per MH 3238.72 5648.44 2422.68 8486.40 8582.40 8075.40 7289.40 RECEIPT 4D TE Tech/Asst $100.00 $3,338.72 If SC��a3 $200.00 $7,211 $6,275 RECEIPT DATE Tech/Asst $8,893 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* I Oroville i 12a RECREATION DISTRICT FEES* Oroville --u��� G At the time of permit application, I was advised the above fees are required to be paid prior to issuance of/the ,per Ath�/falpmay be changed during the plan checking process. Applicant:A"f"Date: 5 Pursuant to Gove&mentcode Sectio 602 ar h`e y notified those Items followed by an " " may have been impose on yo lr project. You have 90 days from the date of a of the porj or from t e i is ' n of the above referenced items during which you may protest. a requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 County 4249.11 3183.54 Chico Urban Area 6146.23 4538.82 EI Medio Fire District 3249.97 2385.76 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 8801.091 7395.04 R-1 8897.09 7491.04 X00 R-2 8390.09 6984.04 R-3 7604.09 6198.04 Processing Fee is automatically added to impact fee total 9 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bet.# DRAINAGE FEES* 10 CHICO STORM DRAINAGE MASTER PLAN New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 770 Butte Creek 771 Comanche Creek 772 Little Chico Creek 773 Big Chico Creek 774 Lindo Channel 775 SUDAD Ditch 776 Mud -Sycamore Creek 777 PV Ditch Per MH 3238.72 5648.44 2422.68 8486.40 8582.40 8075.40 7289.40 RECEIPT 4D TE Tech/Asst $100.00 $3,338.72 If SC��a3 $200.00 $7,211 $6,275 RECEIPT DATE Tech/Asst $8,893 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* I Oroville i 12a RECREATION DISTRICT FEES* Oroville --u��� G At the time of permit application, I was advised the above fees are required to be paid prior to issuance of/the ,per Ath�/falpmay be changed during the plan checking process. Applicant:A"f"Date: 5 Pursuant to Gove&mentcode Sectio 602 ar h`e y notified those Items followed by an " " may have been impose on yo lr project. You have 90 days from the date of a of the porj or from t e i is ' n of the above referenced items during which you may protest. a requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 COUNTY OF BUTTE-DEPARTMI;7NT OFA*)EVELOPMENT SERVICES -BUIL _NG DIV1910 -1 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: MmLldlll /IYY7!V(4 ASSESSOR PARCEL NUMBER //R Proposed Building Use: - "- Permit Technician: —Date: � 7�0 1 s required in order to apply fora permit All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8.Manufactured homes: (A) Installation manual, including marriage line info, Floor Plan, gr fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other M s needed to issue the permit (May require additional plan review upon receipt of the following items.) . C ®CD Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ErC roville, as applicable 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 1A, Erosion Control Plan Required........................................................................ �+ 1Fees as shown on the attached Schedule of Fees Due Sheet .............................. 9 0 City of Chico Plumbing permit........................................................................ ❑ Site plan and business license approval from the Cid of Biggs ......... y California Department of Forestry plan approval 0 -paid. Sent by: �... Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............G 0 #4.Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... JVVPDES Form............................................................................................ ncroachment Permit for driveway from the Public Works Dept ...........................� ' ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier a�ad Policy Number .......................................... 3 .Owner -Builder Verification ( given to owner, _Mailed to owner) ..................... ❑ Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ FElng isviolations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, 1144H. Title, title search, registration or MCO ......................... ❑ 36. Other. ❑ 37. Other. When issued Telephone �� ��' �s� 3-( oJnP r and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index pe appl�ation for abov s um ` - Z Ian Check tter 2. Additional requir %2 tla Contractor, designer, n ,was advised of the above data by one, ❑mail, ❑ counter, by te: Y �( / ��� ei , ✓-W Contractor, designer as advised of the above data by one q mail, ❑ counter, by ate: Contractor, design: ner a dvised of the abov to by pKon� mail, ❑ counter, by Date: - Plans reviewed by Date: �' Plans approved by: ,Date: Structural reviewed by: Date: Structural approved by' Date: Note transfer by: Date: Yellow: Building Division TO: Building Division = Development Services JE.H. USE ONw Plot Plan Attached Floor Plan Attached Sent to BD/DS FROM: Environmental Health l s SUBJECT: Sanitation Clearance Ow er Location AP# Plan Approved for: Sewage Disposal: Clearance for Hold final for: NOTE: dwelling. Other X. for: Environmental Health Specialist Building Clearance 9/2005 Water SUDDIv: Public Private Well\ Date OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary 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 material for construction of this proposed property improvement: YES [ DC] NO [ ]. 2. I HAVE [yQ HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. • I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME . ADDRESS PHONE TYPE OF WORK SIGNED: I PROPERTY OWNER: DATE: -A / h NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION' BUILDING t GIS t PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. - If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. - ku ._ SITE PLAN REVIEW APPLICATION Date �\ 4 � AP# �`1U _N% -Q) a Permit Number a applicable) Bin Number APPLICANT INFORMATION t Parcel Size: Owners Name. �� y Owners Address: Telephone No.: Site Address: Proposed Use: Zone: Residential GP: �. New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trazler ❑ Multi -family Non-residential ❑ New Commercial El Commercial Addition ❑ New Industrial ❑ Industrial Addition Other - Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel MWell ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use) �, Approv Elonditionally Approved El Resolve Problems Prior to Approval El Resolved By Date 1 2006 t ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Miriimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone VSRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: Flood Zone: • Flood Panel No.: Index Date: M. Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: General Plan: Applicable Building Setbacks: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 2006 Zoning Code Streets & Highways Fire Prevention Subdivision Map Frontp Side i Side Street Rear f Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 2006 Parcel Created By: Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:[—] No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements subdivision Map/Pazcel Map: Map Date of Recording: S % Lot: Book: Page: I 3 2006 of 2006-0028523 AND WHEN RECORDED MAIL TO:rr _. Recorded ! Rye KE 10.90 _Efffaci_l Records I county of I ;1uuiEs sn BUTTE COUNTY BUILDING DIVISION unti I 7 COUNTY CENTER DRIVE J=!i ` J. LKiIBI{` I OROVILLE, CA 95965 Coon ly Clerk-Recot-+eri I • I hiL I Face 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building / permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, (/ and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 1F, "*z' L1A Date ` (0 • �5 - o co PROPERTY OWNERS: State of California County of � 71 -Z:� On �J • S Q % before me, C - C O ST- P(,%LI personally appeared s1 E r No DA-0ro — (t/M MFi Zj� personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrume 't. WITNESS my hand do offir" k i Signature_ l �� �l�/�_ Seal: -0 C. Costa ' UCommission #1517479 v Notary Public -California co Butte County -• A.P. #�oC �' / ,�� My Comm. Exp. Oct. 30, 2008 --T Esaow No.: 05 -108575 -CC Lombe No.: CAFAR0958-0958-0001-M108575 Title No.: 06-108575�81) THE LAND REFERRED TO HEREIN BELOW IS SITUATED UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF AND IS DESCRIBED AS FOLLOWS: Parcel 2, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State- of California, on October 15, 1979, In Book 73 of Maps, at Page(s) 50. Butte Coy ,,2ty Departrrmelzt of -Development Scl-rices TrF° 7 County Center Drive ' o Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile' cUUF1�y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledgd: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for'disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). , Please print: Applicant Name: r a Building site address: L, 6 U t L APN: Permit No.iJk.. I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: 7l, T &TT TR F A P�T�A DA kE O�QpSTMENT oc OTT fo O O A�@C!C WOP�S Department C o u n t i J. Michael Crump, Director Works o f B u t i LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530)538-7266 (FAX) 538-7171 National Pollutant Discharge. Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: �m --L— '�L�� 'I -a " / 3 112 `/ Project Location and/or Parcel Number: By signing below, I, the project owner/owner's 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 build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: ' O6 Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 �uTT 4 ENCROACHMENT PERMIT 00 o { County of Butte Department of Public Works 7 County Center Drive Oroville, CA 95965 �L/C W�9 Phone: (530) 538-7681 Fax: (530) 538-4356 All information except sinature must bet ed or legibly printed Permit#: ©6 0 717ti NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE STARTED Assessor's Parcel Number (Required): 1 -� L Property Owner's Name: "r PROPERTY Phone: lj (j J S �� ✓ Property Address: _ ,, OWNER L.�\� Loa ` U `� ' I Y Y I ' Mailing Address () Different): C3rov115-1) (f $_ Work will be . performed by: Contractor ❑ Property Owner Contractor's Name: Phone: Address: 2590 South 5th Avenue Fax: 2590 South 5th Avbnue Oroville, CA 95965 WORK PERFORMED BY contractors LiUMV1110,UA 95965 Number 91.1 Certificate of Insurance currently on file with DeoartmentT, Yes ❑ No Applicant is: w Property Owner ❑ Property Owners Agent ❑ Contractor ❑ Other. I / WE, the undersigned, hereby apply to the County ofButte for an encroachment permit to do the following work under or over the County roads and highwaiq al in accoulance with County ordinances and general laws. Signatur :/ e Date Signed: [toad affected: Time and Duration of Encroachment: Q-<manent Encroachment ❑ Temporary: From To LOCATION Type of Entaoachmenv ❑ Driveway ❑ Roadway ulvert - ❑ Fence ❑ Pipe/Pipeline ❑ Sign/Billboard ❑ Other LQ e k%1Q Site Plans Attached: R-�es ❑ No PERMIT IS: ❑ GRANTED ❑ DENIED Conditions: In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) andspecial conditions written below, permission is hereby ted. 1. ❑ Underground Service AJert (U.S.A.) must be notified two working days prior to any excavation. 800-227-2600 2. ❑ All work shall conform to accompanying: ❑ Detail ❑ Plans ❑ Special Conditions 3. Other Conditions: ��,� ✓e c _ �/ J PERMIT . � r 2 2-e CONDITIONS n1 (To be filled in by County) Date _ Q / lisued: cf Expiration � _ Date: 7 S urety: of Date Amount �/ ' , Paid: Paid/��jChcck BY �'!// ZY Mike Crump, Director of Public Works By: Road District: Inspected By: Insp o ❑ C m leted - OKResults: p ompleted —Not OKi+or County dditional Comm Use Only Comments: vote: It permits are faxed to any number besides (530) 538-4356, they can be delayed up to one week Form 200506EP Page 1 of 2 Z)VUTTT Fokl Depart ent of Public Works 0 �0 C® u n f y o f B u f t e 0 0 7 County Center Drive 0 0 Oroville, CA 95965 c�U14-( J. Michael Crump, Director (FAX)538-7691 538-7171 pvecrc WOF�y Shawn H. O'Brien, Assistant Director Assessors Parcel Number: 02 S/- / fD - a`! f( Building permit # Owners Name: J, -_Ilton V 10C le!:�` Owners Mailing Address: ld Property Address: - & D ENCROACHMENT PERMIT ACCEPTED: ENCROACHMENT PERMIT EXEMPTION: - Reason for exemption: F] Not a County maintained road F] Existing driveway conforms to County S-31 standard (] Other Approved by Printed Name Title Date CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. .,. .1 ..,,.. .arw --j•. sw :c��se a�.. yam. _ � .....rte,,.. -y.. � :�C'h ^°H. �r • � _. , � ,n". • .. ..tom � • � .R.. t '�.;' '>.., ' ' /��" ..rte• ,,, BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One form per Building) School District I/IA C1 h fi3a1)aor4fn 05ZBuilding Department No. �(Q' A3 o A.P. Number (�.g' �fV7 Jurisdiction: 0 City // County t Property Owner Property Location Subdivision Lot No. Residential Development :: Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group_ . R) Units Installation Conversion Permit # ' Commercial/Industrial 0 0 New ? Addition Department z •(No foundation inspection) ....................................................................................... . Deed Restricted Sq. Footage (Attach a signed copy of Deed RBstriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior • // Roofed Areas) �} M Date Identification No. 070004 lel f*yu School District certifies that OI (Skeet Address) 126Vi I (City) has complied with the requirements of Resolution No. representing,,' square feet. ^ School District Representative Paid by Check # Remarks: (State) 0111 (Applicant) V 523 • . (Phone Number) qg�q (Zip Code) .f /05--50 by payment of $ II I q3• "Pd rULBL2926 $ MITIGATION $ Date Nodca: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Govemment Cods 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 cat rt action. H, subsequent to the School District Representative signing this Butte County Schools Impact Fee Cer0cadon Form, the School Dis&W is notified by the applicable Local Planning Agency that this project Is being reviewed under the Callfomis E nrlronmantal clue ty Act (CEQA), this project may be subject to additional school fess to roily mitigate Its Impact an the school disti Ws schools. White (school district), Yellow (building department), Pink (applicant). fedormm x!e (305*mm BUTTE -- COUNTY DEVELOPMENT FEE CERTIFICATION FORM C�'FGTHER 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 Nuinber (s) V Property Owner (s) Project Location /Address Subdivision Name /U(JJ Building Pen -nit Number Assessable Sq. Ftge Type of Residential Development (check one) 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 DemoPermit (date issued /verified by Building Department Comments: `Y7k_Y /0, 'AWO Jn A4-61 bt Lnne 1 11A,11 .4A 17,4 ❑ FRRPD 0 CARD 0 PRPD ❑ DRPD certifies that: Applicant Name Phone Number All - ailing Address V City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: per unit fora total of $ per sq foot for a total of $ Paid by Check No: Paid by.;.a<i: Receipt No: / Rd ation and Park District Representative r 2006-0028523 Recorded I REC FEE 10.00 AND WHEN RECORDED MAIL TO: Official Records I County of I COPIES 2,50 BUTTE COUNTY BUILDING DIVISION Butte 1 7 COUNTY CENTER DRIVE ON ACE J. 6RUBBS I OROVILLE, CA 95965 County Clerk-Recorderl I I MZ 011:52AM 05 -Jun -2006 I Page 1 of 2 Illi 111 111 l Illi l 111 111 l 11 111 l illll AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, M and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: j /i 4 A n t Date PROPERTY OWNERS: y State of California ) County of -'9-Urqz:� ) On & ' S (e7 before me, C. C O S7 -A , NOlr; 9-y Pt, &-i e - personally appeared J iMAII-Y � ILtl�y rl j t SAN DAN MMPI EL P) - personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrume t. WITNESS my hand fl of c -A- Sign ature ►) Seal: C. Costa C U) ommission #1517479 v Notary Public -California �/ Butte County A.P. #d4 �� Q�lf My Comm. Exp.'Oct. 30, 2008 ESQAw MW 06-108575OC L Aram no.: cARmo4ot-08575 Title No.: 06-108575 - - - - EXH�1T-•'fir`.:. - .THE LAND REFERRED TO HEREIM BELOW IS SrTUATED UMNOORPORATED AREA, COUNTY OF BUTTE, STATE OF AND IS DESCMED AS FOLLOWS: Parcel 2, as shown on that certain Parcel Map, fled in the Office of the Recorder of the County of Butte, Stabe of California, on Odober 15, 1979, in Boots 73 of Maps, at Page(s) 50. California Department of Forestry and Fire Protection Butte County Fire Department Fire Safe Requirements Permit# 06 _132a Under authority of Public Resources Code Section 4290, the following checked items are required by CDF/Butte County Fire Department and made part of this permit These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. 1272.00 Maintenance of Defensible Space Measures [X] 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. Public Resources Code 4291 information will be provided. 1273.10 Driveways [X] (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] (b) All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length [X] (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 [X] (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. 1273.02 Roadway Surface [X] 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 [X] The grade for all driveways shall not exceed 15 percent. Grades above 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 [X] (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. [X] (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 [X] Turnarounds are required on driveways and dead-end roads as specified in tins -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 —17' shall be a minimum of 60 feet in length- 1273.06 ength 1273.06 Roadway Turnouts [X] Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. Revised 02/28/06 LJ��w_J. f%•.. ���. •- dery _� C F Is Q U I R E M E N T S 1273.07 Roadway Structures [X] (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. [X] (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. [X] (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. 1273.11 Gate Entrance [X] (a) Crate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving that gate. [X] (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. [X] (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. 1274.08 Addresses for Buildings [X] 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 [X] Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke, reflectorized, contrasting with the background color of the sign. 1274.10 Installation. Location and Visibility of Addresses [X] (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. [X] (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. [X] (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. [X] (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. 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. [ ] Your parcel is larger then 1 acre but your minimum setback for buildings and accessory buildings is less then 30 feet from all property lines and/or the center of the road. You are required to meet the same practical effects requirements listed on page three. [ ] (b) For parcels less than 1 acre, the local jurisdiction shall provide for the same practical effect. See page three for same practical effect requirements. Revised 02/28/06 f Same Practical Effect 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 • 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 Hardi-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 Pq 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. Other Requirements- Installation of Residential Fire Sprinklers [X] If your property was part of a parcel split after January 1, 1991, you are required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. .. JUN 0 7 2006 Date Revised 02/28/06 3 Darren Read Fire Protection Planning Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name: -,-,"i �-nML, /' aV (cl A.P.#�_- rib - D q B' Home Manufacturer: l f3 VACQ �1 Manufacture Year: I Z Model Number/ Name: Width: 1 a (ft.) - Length: 60 (ft.) FOOTINGS: Wood - pressure treated or foundation grade ,M Other:[ ] SUPPORTS: Concrete block KOther:[ ] Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. Pier Footing Sizes and Locations SINGLE WIDE MULTI -WIDE Line1 ------------------------------------------------------------- Line 1 Line 2 Section 1 Line 2 Line1 ------------------------------------------------------------ � Line 3 ------------------------------------------------------------ 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: Minimum 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): )'-2—, -)(30,, Snow Load: psf 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: Minimum size pier: Required at each side of openings over f wide. 'JU I I E �� �.�NTY 7 UILDING- DIVISION r MOBILEHOME / MANUFACTURED HOME SUPPORT SPACING AND S12 ,: HOME WIDTH 12" X 24" PADS ( P = 2000 lbs) 12" X 30" PADS ( P = 2500 lbs) 24" X 24" PADS ( P = 4000 lbs) 10' 5'-4" 6'-8" 10'-8" 12' 4' - 5" 5'- 6" 8' - 10" 13' 4'-1" 5'-1" 81.2" 14' 3'-9" 4'-9° T_7- t t>E- ABESCO EN G l -N E ERE COMBINATION., T -1 -E ---DOWNS MANUFACTURED HOME TIE—DOWN CALCULATIONS At SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES DESI N LaAD DESIGN &• GENERAL NOTES WIND --------- 15 PSF SOIL BEARING---- 1000 PSF *TIE DOWN STRAPS— 3150# WORKING LOAD TIE—DOWN STRAPS MEETS FEDERAL SPECIFICATION 00—S-781 H FOR TYPE 1, CLASS B, GRADE I STRAPPING AND BE AT LEAST 1 1/4" x .035 ZINC PLATED. • EARTH AUGERS -------- 2962# TESTED TO 4750# MIN. # CROSS DRIVES -------- 2962# TESTED TO 4750# MIN.) # CONCRETE SLAB ANCHORS — 1390# CALCULATED) GENERAL NOTES, 1. THE CHARTS SHOWN HEREON ARE THE REQUIRED NUMBER OF TIE—DOWNS ON THE SIDES OF THE MANUFACTURED HOME. 2. TIE—DOWNS. ARE REQUIRED AT EACH CHASSIS BEAM. EACH END OF . EACH TRANSPORTABLE SECTION OF THE. MANUFACTURED .HOME AND CAN BE ANY OF THE TYPES SHOWN, HEREON. 3. COMBINATIONS OF THE DIFFERENT TYPES OF TIE—DOWNS CAN BE USED. 4, IN THE EVENT AN EARTH AUGER CANNOT BE INSTALLED DUE TO AN OBSTRUCTION. USE Of CROSS DRIVE ANCHORS IS PERMITTED. PROVIDED THAT (2) CROSS DRIVES ARE INSTALLED FOR EACH EARTH AUGER THAT CANNOT 'BE INSTALLED. SEE PAGE #3. 5. FOR ALL TIE—DOWN INSTALLATIONS, THE MFG'D. HOME CHASSIS MEMBERS ARE SHOWN AS "I" BEAMS, (FOR ILLUSTRATION PURPOSES 60LY) CHASSIS BEAMS 'CAN 'ALSO BE -"C" SHAPED OF RFC - SHAPED. 6. END TIE -DOWNS CAN BE LOCATED WITHIN 24" OF EITHER SIDE OF CHASSIS 'BEAM AXIS AS SHOWN. v CHASSIS BEAM ! N (ONE END TIE—DOWN MANDATORY AT EACH END OF "I" BEAM) N i 8"MIN—j 7. THE SIZES, TYPES, LENGTHS, ETC. OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY ABESCO MAY BE USED AT - THE SAME --SPACING & LOCATIONS SHOWN. ENGINEER- AP-PR.OVAL • ..,. 011 e W F 0 v ' w THIS TIEDOWN SYSTEM 'MEETS THE �REOUIREMENTS OF SECTION 1336.3.. SUBSECTION .,o) PACIFIC CONSULTING ENGINEERS 2150 BELL AVE. SUirE 14 SAC. CA. 95838 PH: 916-P64-6028 STATE APPROVAL I ENGINEERED TIEDOWN SYSTEM APP.RO.V.ED St"crTO cm EcnoNSR= Appmd does trot w1bori ivar appose arty wisdoo.or de&tkm irom'm*emwb of .Stab iters and momm• State of comia Department of Housing ani Commu* Develloprad DMSION OF CODES AND STANDS SPA NO M1 -'S ! ! > [ r+ "..ro. Us fbn.Approval Expires �0`07_ ABESCO 5851 FLORIN-PERKINS ROAD SAC. CA. 95828 PH: 916-383-8831 STA'L'E OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 'REGISTRATION CARD Manufactured Home Decal No: ABJ2598 Manufacturer ID/Name Trade Name BUDDY . Model DOM 00!00/1978 DFS 10/19/1977 RY 1977 Exp, Date QM 31, 2005 Serial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use Type 04740496L CAL061915 60' 12' ACR 04 $FD ILT Issued Total Fees Paid Mor 23, 2008 $142,00 Addressee JIMMY D MAYFIELD 4588 PACIFIC HEIGHTS RD 5A: OROVILLE, CA 95965 " • Registered Owner(s) JIMMY D MAYFIELD DAWN E MAYFIELD Joint Tenants with Right of SLirvivorship 4.588 PACIFIC HEIGHTS RD 5A OROVILLE, CA 95965 Situs Address 601 UPHAM RD BANGOR, CA 95914 .r_1Nfl, ATTENTION OWNER: THIS IS THE REGISTRATION CARD FOR THE UNIT DESCRIBED ABOVE. PLEASE KEEP THIS CARD IN A SAFE PLACE WITHIN THE UNIT. INSTRUCTIONS FOR RENEWAL: REGISTRATION FOR THIS UNIT EXPIRES ON THE DATE INDICATED ABOVE IN THE BOX LABELED "Exp. Date". THERE ARE SUBSTANTIAL PENALTIES FOR DELINQUENCY. IF YOU DO NOT RECEIVE A RENEWAL NOTICE WITHIN 10 DAYS PRIOR TO THE EXPIRATION DATE, CONTACT H.C.D. FOR RENEWAL INSTRUCTIONS. . "� E of REVIEWED BY REGIULATIIONSOT TLE 25 S I G P Lf'1! V - A _ Fre- Protection Planning Otficgr.: � ' • ....._...-.......__._....._..._......._....._.._.............._.--•......._...... R _ ... _ .. .. .. _ :CDF, Bunte County Fire - - - - - - - 7".... 1 ct Requirements as amended by the Thls project i r grist ••••_ 4• • - ,._ .. 'urisdiction ap ly to this roe I' d .me�t h }. i ;. J p P J .. .. .. .. - .. .. .. .. .. .. . ............. i�nth c m 1'laace -- ` hls r0-eCt is 8 � r01��d � c � - f x (i - same Tactical ett ct uide� Ise _ _ _ � i�an tin #taah� - .. _ . ...... - . .e..... ... .. _. p e g ............. The 2001 CBC CM CJ; CPC, 2004 y,- h~ . ' :'� ." _.......................... >F 4 outlined in the attached �PR. ff. 0 CEC; and 2005 California Energy j. ............ -• .. .. .... _ Stan` _ i.. d ar ds •_- -;.. as amend _. .. .. .-----...._. ._.. .. .. ............. nl�tas;rsa ed by the r—' _ Re uirements. "� jurisdiction apply to this ++ q .. .. .. .. .. .. project dC n. l _ .. .. .. .. .. .. .... __ v1 _ APM 1. •) JF• PR ND O VE D PLANS S A AP ...... .._.... Iutte.G`pl�nf.. = = .. .. = _. ................r. ..... _..... E ��irortmerFtal I alth PERMIT SHALL BE ON SITE -- ••-<•.................. }_.....: TIONS .. .............f.. .. EC INP . - L .. .- S• - f . -- •• . .. � e •• ... „`. 1 - •. .f. '. }. a :: :\� :"��: ...:............................ !._. i/ L �. ;. • i of ST•:............ : .... ........... ...... 9 ....... ] ..... ...... .................! ..'Y- Y •I • : : • • :! .. .. .. .. ..— ._ .. .. .._ .. .._ ._ .. .. .. .._ .._ _ ..__. ._ .. .. .. .. _ _. .. .. _. \. �.' 0 ....... _ .. .. .. .. .. .. ._ .. .._.... .. __ .. .. .. .. .�� .......... ........... .. .. _ _ ......._ .. L ' • . . . . . . . . . . . . . ..............._ .. ..... .. ..... .. .. .. .. .. ._ .. .. -. .. _ .. .. .: .. .. _. ._ .. _. .. ..::r.. .. _ _ 1.. _ d y L •r �......} .. .. _ _ . . . . . . . . . . . . :, c5• . . . . . . . . . . . . : . . . . . . ... . . . . . . . . . . . . . . : \i Pr _ � .,-� • \ .............. _ _ - .. .. - - . I 7 •P ..... .. . .. .... ..... . . . . . . . . . . . . . . . .: : : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :....5.....c� REQUIRED AT FINAL INSPECTION _ _ _ .. _ —� . _ _ -- _ �.. _ _ _ . n�,�Y, ILD •. _ . ...••----_......._..... c. Butte County Mobilehome/Manufactured I r i F = ' - -- ' "" •,, t.Aa }......z.....;:: .. .. .. .. .. .. Home Acceptance Certificate. Form 513: r .....:......: i �i• ••w 3w4R�ll �fllitl�INGR AP.PR ..• .. BUILDING PERK UT # 06 - M1 : . Form to be completed by Field inspector. Health i r fifi ... l.' .... f .. .. • •. and Safet Code Section 18613 orl8551 b ASSESSOR'S PARCEL # ®2e a�Q`� !. �.. 9�:... _ •--©ate • •• y �) �tt AA�'� iiia -�: c�... _ - ---�,l�h .. ...�. ar...ihi .... '.... :Padang:,, ,Y, l�paR!p ......._ . _ .. _ ............ .. i- a a('( �,• i �; 'Othe u : . . . . . . . . . ,�.. ice= s►9 ------.._..---.....---------•• _.... - _.................._..._� _.....- P . - ......... N _.... - - I - ..... Assessor's Parcel Number ©Q ®— I❑ ® a - a a o Scale: 1" — - -- o �� T TFo FOR OFFICE USE. ONLY Owner Name M wv,t -A,; I ,�, 'cam y E: �P � *.a � � o o Zoning: Address/ Phone No. `l.5 �0' k 'o - o General Plan Desig: Site Location t UP h is m N�� Size, Acres Contact: Name 73;t,•, 6-r�n.�,�, °int `iF1` �t a� Phone 530 --5-3 `�'_ �- j- j 4.0(r nr.�:�7a xn� _ PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: Z -90 #d9 ZO Nom'' iaumo Xdoo 3113