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HomeMy WebLinkAbout028-200-042i 028-200-042 99-1703 CAMPBELL, Dale & Cheryl 799 Dunstone Drive, Oroville Contr: Madison Mobile Home Sales MH on Perm Fnd. F=ipLil //IIAA/ % ' 028-20-0-042 99-2374 B CAMPBELL, Dale 799 Dunstone Dr, Oroville (new open deck)MH 028-20-0-042 00-0785 CAMPBELL, DALE 799 DUNSTONE DR., OROVILLE NEW DECK Fl"4 9-/4-00 028-200-042 02-1459 CAMPBELL, DALE 799 DUNSTONE, OROVILLE �E NEW DECK 028-200-042 06-1565 CAMPBELL, DALE 799 DUNSTONE DR, OROVILLE /o •Ib •ob Cont: OWNER Cl M/H PERM fN5-(N&Wj _5 i 028-200-042 LAND DEVELOPMENT SHEET 028-20-0-042 00-44 AG CAMPBELL, DALE 799 DUNSTONE RD., OROVILLE AG. EX PERMIT— HAY STORAGE 028-200-042 03AG 121 CAMPBELL, DALE 799 DUNSTONE DRIVE, OROVILLE Cont: OWNER AG BLDG -FEE TRACTOR DDDR 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.buttecounty.netldds ADMINISTRATION * BUILDING * PLANNING February 3, 2006 Dale and Cheryl Campbell 799 Dunstone Drive Oroville, CA 95966 CERTIFIED MAIL Re: Administrative Permit, ADM 06-14 A.PN 028-200-042 Dear Dale and Cheryl Campbell: Enclosed is your validated Administrative Permit No. ADM 06-14 to allow a temporary mobile home on property zoned A-5 (Agricultural, 5 -acre parcels). The property is located on the east side of Dunstone Drive, three quarters of a mile south of Avacado Road (799 Dunstone Drive). Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, �e U Sherry Viemes Office Specialist,. Senior Enc. cc: Land Development Division (g) Building Division(y)—j Environmental"Health-(p) Department of Forestry (gld) GIS (vi) J_.. ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Dale and Cheryl Campbell FROM: Paul Macintosh, Director - Development Services DATE: January 30, 2006 FILE #: ADM 06-14 PURPOSE: Administrative Permit for Dale and Cheryl Campbell on APN 028-200-042 for a temporary second dwelling to be located on the east side of -Dunstone Drive, three quarters of a mile south of Avacado Road (799 Dunstone Drive), on property zoned A-5 (Agricultural, 5 -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to . An affidavit attesting to the relationship of the involved parties was submitted with the permit application. No rent is to be charged to the occupant of the mobile home. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of"the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. 2-3 ,c Permittee Signature DatePete Calarco Date Assistant Director �a�no-uia ?SIUI f t R� 1 1 ': tom` 'L+1 .. �p-...\•_.—�) ,/ .__ .. ` cjo VON pt ry L:• f:: i'.t I�R..l}" �' ti .t .�I� ±. ., •1;'11 �i, it L � 3 -1r> �000 � _. 7',. :r ~.iT is o'ta-^ • ,,. - _......... _ . ZZE OR N NJZ SV California Department of Forestry and Fire Protection Butte County Fire Department Fire Safe Requirements Permit# 061 - t S6r 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 Tumarounds [X] 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 —17' shall be a minimum of 60 feet in length. 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. 6 COLN TY Revised 02/28/06 C IC F IN Q U I R E M E N T S 1273.07 Roadway Structures [X] ' (a) All driveway, road, street, and private lane roadway structuree(Bridges, culverts, and other appurtenant strictures 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) Gate 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 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 [XJ 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 [XJ 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. JUL 0 6 2006 Date Revised 02/28/06 Darren Read Fire Protection Planning Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name: lea G�� L e A.P.# o z g_ 2-00 - o Y Z Home Manufacturer: k 4 iw 2 is 1"Manufacture Year: / 9 7 Model Number I Name: z3 90 Width:�(ft.) Length: N 5 (ft.) FOOTINGS: Wood - pressure treated or foundation grade[ ] Other:[ 1% A SUPPORTS: Concrete block bd Other:[ 1 Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. Fier ruvuny %J1LG.7 021LM 1.va.aa1v11a SINGLE WIDE Line 1 Line 2 �� Section 1 Line 1 I Section 2 Section 3 Line 1 Piers: Minimum size piers: [.gq [.g ] X D-1 ] Spacing maximum: " From ends maximum: Z7 z.3" Line 2 Piers: Minimum size piers: [z y ] X [,Z q] Spacing maximum: D From ends maximum: E/CL " 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): MULTI -WIDE Line 1 Line 2 Line 3 Line 2 Line 4 (triple wide only) Line 2 Snow Load: -9- psf e R . Snow Load requirements may be obtained at httplhvww.upstate-ca.com/butte/butte—county/ Insert AP #, view snow load in lower right comer. Line 1 Openings: Minimum size pier: [ :z L(] X[ �- ] Required at each side of openings over 31 ' " wide. W 1-3ULDING DIVISION E—Z" TIE DOWN SYSTEM IDESIGN LOADS: 8 *WIND LOAD -- 15 PEF SEISMIC ZONE 4 1. THIS TIE DOWN SYSTEM 15 DESIG14ED TO BE CONSTRUCTED _ Z FAIRLY' LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. IAINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM SO4l RE_AR!NC- f:APAf'.rTY OF 16n0 PSF. 2. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE :LOADS aS SHUNN IN THE ' �MANUFAC-URED HOME INSTALLATION INSTRUCTIONS". 3, N AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) CAN OCCUR, 'AANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 4. THIS P -'-AN IS INTENDED TO BE USED FOR MANUFACTURED 140MES UP TO (3) SECTIONS IN WIDTH. CONTACT THE DESIGN ENGINEER FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE, 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO ,USC SPECIFICATION. NEW ACCORDING TO AWS SPECIFICATIONS. ELECTRDD_S-370 PLATED -ASTM A36. BOLTS=ASTM A307. 6. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING LOADS: HEIGHT HORIZONT66L VERTICAL UPLIFT 1.8" 2CY0 Ib) 6000 (b 891 (:b) 21 " 1225 Ib) 6000 (b 801 ( b 25" 1 '510 Ib) 6000 ( b) 664 ( b 28" 1419 Ib 6000 (lb) 629 (•b 36" 867 Ib� 6000 (lb) 385 (ib) 7. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE COATED. 4 B. YMERE STAND IS PLACED ON A CONCRETE S_1B, USE 1 12' CONCRETE E <PA SIOIN 4,CHORS TO SECURE THE STEEL FRAME TO THE SLAB. THE PLASTIC BASE PADS ARE `JOT REQUIRED. . 4 9. ATTACHMENT METHODS FOR "C" & "J" BEAMS SHOWR ON SHY. #2. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' H114. / 3' MAX, E= 2' MIN. / 1 V MAX. VARIES 10"40' EVENLY SPACED BETWEEN �{ � OF C N RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER 0 D (TYPICAL) 0 r3 A (1 D 0 10. THE LONG DIRECTION OF THE E -Z TIE PAD (37") MUST BE INSTALLED PERPENDICULAR TO THE CHASSIS BEAM - EXCEPTION: AT 10' WIDE MODULES WITH 100" CHASSIS BEAM CENTERS, THE E -Z TIE A3ESCO-C US GUARD CONIPANY PAD MAY BE PLACED PARALLEL WITH THE 5851 FLO.UN-PBUUNS ROAD CHASSIS BEAM SACRAMENTO, CA 95823 P+ (800), 382-8831 FAX: (916} 383-520' E -Z TIE SUPPORT PAD—,,. A L__)(TYPICAL) r-, � i 1 0 L - L -J CHASSIS BEAM SUPPORT PIERS --SIZE AND SPACING AS REQUIRED BY THE HOME MANUFACTURER. LENGTH OF HOME 18° HT NUMBER 21 " TIT OF E -Z 25" HT TIES 28" HT 36" HT 40' 4 4 4 4 5 50' 4 4 4 4 5 60' 4 4 4 6 3 66' 4 4 4 6 3 70' 84' 4 4 5 b 6 6 6 6 10 10 ATE APPROVAL ,.. I I I 7_ 71VT :'r,.., .. SUBJECT TO CORRECT;Os•S NOTED Approval dm not altthorize or approve any omission or aviation from requirements of applicable State laws and ftg"M tate of California - Cepartment of Housing asd Comnunity Dweloprrreot WASION OF CODES AND STANDARDS Dat z SFA (0 ter✓ / - / 1�C� _ fi ft Nen. AP d Expires TE?IS TIE DOWN S'fSTF�A MEl TS THE RE01d1P.EMCv OF SECTION 133E•.3 SUBSECTION (a). WAYNE T POLVADQ, PE -LISTING NO. 99001 _9014UM-UIVISION n �L m W co cn ClrQ I> w M 0 H 0 2"xVx3/16" STL. ANGLE r- 1/2" DIA. HOLE (8) PLACES - 3/8" CAO PLATED BOLT, HUT & WASHER COLNTER BORED FLUSH WITH BOT -OM (8) REQUIRED t/4" STAND BASE �- ABESCO ABS PAC #503 1 3/4" DIA, x 18" LG. (4) REQUIRED DETAIL "A" . CHASSIS FRAME 1/1" GRIPPER PLATE (2) REQUIRED i%4" GRIPPER BASE 1/2-t3UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED i O.5a + 3.3.00 STEEL FRA�1E TOP VIEW \\11 I I/2"il 1/2"x3/16 s2" T.S. (4) S' �- / I / (4) REQUIRED 36" MAX / TO BOTTOM OF PAD , -- ----- ---- - --- - --------------- / SIDE `IIE'AV Y� �'Y �--- 1 a.oa pp t ,00�=, rye? (� {� LOCK 3" C.R. �, ILDINr2c U� 0.0 LOCK PIN BRIDGE °� ° / PIN BRIDGE .� er'iPi�D "PIN - FD' 15.00 41 1/2' SCH 40 PIPE RISER *PITH o 41/2" ADJUSTER ;TOLES AND 5/8" � � � i 0 THICK TOP PLATE a 49/16 HOLE (TYP) -- 02" SCH 40 PIPE STAND WITH TWO J �' STAND. EASE 41/2'' ADJUSTER HOLES i TOP VIEW ABESCO ABS PAD #533 STEEL FRAME 37" ABESCO 5351 FLORIN - t SACRAMENTC 1/4"x1 -i/4 TEK STS (2) REOLIREI 1/4" GR1P?ER BASE t/2' A307 80L (4;- REOUIRED " H "C" FRAME C-3EAM ATTACHMENT /r COACH '•J" FRAME 1/t"x1-1/4,. ;RIPPER / TEK STS ATE (4) REQUIRED iAJNEL , r — 1/2" A307 BOLT (2) REQUIRE) /4" G -SIPPER BASE '-1/2"-A307 BOLT (2) REQUIRED J—BEAU -ATTACHMENT E -Z TIE DOWN SYSTEM. WAYNE T. POLVAD0, PE—LISTING NO. 99001 SHEET 2 of 3 r Lo ro rJ CD —J D 0:1 0 7 'J m INSTALLATION INSTRUCTIONS E -Z TIE DOWN SYSTEM f . PIERS MUST BE PLACED ON 6EAM WITHIN 24" OF AN OUTRIGGER OR CROSS MEM8ER, OTHERWISE INSTALL WEB STIFFENER ON CHASSIS BEAM. 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, DOWN TO UNDISTURBED SOIL. 3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER. THE HOLES IN THE BASE PLATE i'iLL LII\L vii ii ilii TI It �iTvu OvLij. REPLACE IrIL IVU IJ fi11V YYHdf7GR] HIIVnILl1 VV'f1{V. I -BEAM S. REMOVE THE TWC (2) GRIPPER PLATES ON THE TOP OF fHE PIER. S -ART THE HEISHT AEJUSTMENT BY REMOVING THE COTTER AND -ADJUSTMENT PINS, PIERS CAN THEN TELESCOPE. RAISE THE TOP OF THE PIER UVTIL THE PLATE IS AS CLOSE TC THE BOTTOM OF THE CHASSIS BEAM AS POSSIBLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE WITH THE COTTER PIN. S. RAISE THE TOP PLATE JSING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT AGAINST THE BOTTOM OF THE CHASSIS BEAM. 7. PLACE THE GRIPPER PLATES OVER THE FLANGE OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. C -BEAMS AND 1 -BEAMS 3. HEAD OF HERS REQUIRES THAT TWO (2) TEK SCREWS 3E PLACED THRU THE SID= OF THE BEAM IN ADDITION TO ONE GRIPPER PLATE. 9. FOLR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIVEN THRU GUIDES INTO SOIL UNTIL STOPS ARE FLUSH WITH THE GUIDE. ALTERNATIVE: (2) #12 S.M.S. OR WELD (2) #12 S.M.S.— ANGLE. .M.S.—ANGLE. [RON --� 1 j,,, ".f 1 ti2'it 3/16 1, 1. NOTE. USE STIFFNER IF OUTRIGGER OR -- CROSS MEMBER OD NOT OCCUP WITHW 24" OF STANCHION (TYP) WEB STIFFENER DETAIL ABESCO-GUS GUARD COdv1PANy 5851 FLORIN - PElYdNS ROAD SACRArvMWTO, CA 958 4 PH. (800) 382-8831 FAX_ (416) 38�-5207 BUTTE OVN SUILDIINb DIV18i �O AI"GyhRo D WAYNE T. POLVADO, PE' -LISTING No. 9900) SHEET 3 of 3 r to m cn 0 0 N _7 rt 0 -A ,; .- . � ..�s�_�.�.�a,wp1.�tF:�.,�=s+�'i�€�'ra�i�'r-.z ,�,��.,�;r,;>�S�'��*.a��:,�;�c F:F.':�'+v�ET.swn�•��./ d 028-200-042 ^ 02-1459 CAMPBELL, DALE 799,DUNSTONE, OROVILLE NEW DECK COUNTY OF B TTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County enter Drive - Oroville, California 95965 - Telephone (530) 538-7541 r PE M_ iso. (Rev. 12/96) APPLICATION AND PERMIT �� AS E40w� JM2 ZONING BUILDING PERMIT OT CWBML TELEPHONE3-24528 SQ. FT. OCC. BUILDING VALUATION 0 3703.00 Ow"9 "iiiU v vE DR, ORO ILLS 95966 CQNTwR�C�TOi�'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ M 3703,00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 40.95 BUILDING ADDRESS 799 DUNS! N , OROVIME Energy Plan Checking Fee $ $ PERMIT FEE $ 123.95 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 - US SF ❑ Duplex ❑ Mobilehome El OFSTRUCTURE Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 New ❑ Addition ❑ Remodel ❑ Describe Work: NEW DECK PE OF WORK L tilities ❑ Installation ❑ Other ❑' 46 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR IESS 23.00 LICENSED CON RACTOR'S DECLARATION I hereby affirm under penalty of perj ry 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 eff ct. License Class L No. OWNER -BU LDER DECLARATION I hereby affirm under penalty of perju 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 struc re is not intended or offered for sale. 9 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COM ENSATION DECLARATION I hereby affirm under penalty of perju y one of the following declarations: ❑ 1 have and will maintain a c rtificate of consent to self -insure for workers' compensation, as provided fo 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 F erformance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not b completed ff the permit is for work of a valuation of one hundred dollars ($100) r less.) ❑ I certify that in the performance f the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisi ns of section 3700 of the Labor Code, I shall forthwith comply with those pro isions.r •- X �, �� r= r>? �� Date to " �d Z-- _ Signature of Applicant- ❑Owner Contractor [3 Agent An OSHA permit is required for excavati ns over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00So rCU000A WEE200A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BIDS. 3.5QFT. NEW CONST. MULTI -OUTLET NON-RESID. C 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU . OUTLET OR FIXTURES a4L �';� Ex. Occup. oFlxuTLEEOTSAPRE.S 6 °EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 1,�3.V TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF PARCEL PD HDa p This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By o Date PERMIT EXPIRES ON provisions to do work paid. a. y' ReceiptNo. 353866/$123.90 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .01 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE IT (Rev. ;2/96) APPLICATION AND PERMIT A,ff2!9L`1RC€LNtd►, T BONING BUILDING PERMIT TELEPHONE OVALE CAMPBELL 33-7724 SO. FT. OCC. BUILDING VALUATION 28 0 3703.00 °"'%� "bI�S°�'�i E DR, OROVILLE 95966 Cr,%M'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ XXNXXNN 3703.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 40.95 BUILDINGADDRESS 799 DUNSTONE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 123.95 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 6 Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX Describe Work: NEW DECK 12Y44 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20oAORlESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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.8 License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 'owner of the property, or my employees with wages as their sole compensation, III do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation Of one hundred dollars ($100) or less.) not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with se provisio — • X Date Signature of Applicant - ❑ ner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service To ,000A 46.00SO NEW CONST. OWE LING OCCUP. SO WE OR ADDNS. ( a Acc. BLD S. 3.5¢FT. NNO�I� R IIDDT. MULTI -OUTLET @7,50 SIPONGLOUTLET WER APPARATUS E CIR. 20 @ 1,00 Ex. Occup. OUTLET OR FIXTURES BAL Q .SO FIXI Ex. Occup. OLITLEE°TSA Ra D.°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 123.95 HAZ. I D. FEES IMP FLOOo CDF PARCEL PD HD This permit is hereby issued under the applicable provisions of the Butte County Code and/or Res lutions to do work indicated ab ve f r which fees have een paid. By Date YJ PERMIT EXPIRES ON Date ReceiptNo. 353866/$123.95 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 �]Q PERMIT APPLICATION DATA SHEET' 6 OWNER: '� ` , ASSESSOR PARCEL NUMBER Proposed Building Use: 'Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR m rk d NA in order to apply. /E\.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. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. 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 by the engineer. 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 ❑ 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 .................................. :�..................... 4, : p 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous 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 ................................... atement of Intent for Non -heated and A/C Buildings............................... ... anitation and plot plan approval from the Environmental Health Department in 01'7t. City o co umbing permit ............................ :.......................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 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 ..............:.............................. El 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded c py of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: 2L— ->When issued Telephone�7N nand hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. f , Applicant: 15�411 � `�"� Date: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: 2 Plan Check Letter p phone, ❑ mail, ❑ counter, by Date: ❑, phone, ❑ mail, ❑ counter' y Date: _ Plans approved by: Date: _Structural approved by: Date: Yellow: Building Division + y E.H. USE ONLY Plot ilea Anachad Floaa Man ACactiaA O Seat to ®.--/�� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance s rn age✓i 2� - ?,u —�'1� Owner Location AP# Plan Approved for: Sewage Disposal '' 11 Wat Sup ly: Public Private Wel Clearance for dwelling. Other f Hold final for: Final clearance O.K. for: NOTE: 94� Environmental Health Specialist Date 8/96 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D. / 0 y b'jg ��r1s-���� "-I A-- Owner Location AP# Plan Approved for: Sewage Disposal_ ] WateTLU7111 p:Public Private Well Clearance for dwelling. Other _� (tA..yz/i�--.h r Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 ._._.....-----------------....,_..._..._._.. FL&C IOOD® SUncreSt Series • Model 5603B I 1 rt: I c�� vim 3N v fu�o;, �n0 I�N I JI O � I vv m cp i j� = y' C 1 1 (D� I 1 � S 1 J • eo-v (0 3 Bedrooms • 2 Baths • 1,539 Square Feet aoeir °^' DDDR ` opt OPr. DEN L i an. s9n: :Orr. w. a V a (�N CIL !1114!.x � OIf' UTILITY , elwac . I 1 OAR M. 0008 I I 1 ATH I KITCHEN°: O OEDROOM 0 M la-rx1z. I An e ' OREA ROOM Off. OATH � 1 , � ` I *00'M uDINING AREA ' BEDROOM eerzO , � � OORYxI 1 I OPf �, EM e I- CORNER BAY % �$ BAY i WALK-IN ` a! BAY aaexr environmental Health I PLACER HOME SALES oPf ANGLED .� UL 2 6 X999 1376 Grass Valley Hwy RECESSED ENTRY 7 Count] Center urive Auburn Cal 95603 0 Oroville, Ca SW,7/FE898 ' "' 823-;;539 Fax 823-9747 - S?0 T J\ 1 ANrN0vru Butte County Environmental Health Date/ Signature well Environmental Heat JUL 2 61999 7 County Center urw6 Oroville, Ce '+ pale E, ?a na,v l e) l 79q 17N�g�oh e pr, Oro v )'I I C0. < 1 s33- -7 7,4 4 AU. WINX'f' M AM EQUIPMENT 1NOUROM, MRH*WS SHALL 6E CLEAR OF ALL EASEMENTS. A W SACK OF S" FT. FROM 711E SIDE AND S FT. PROM THE REAR PROPERTY LINE$ ARID =FT. FROM THE ROAD CENTERLINE SHALL CSAR OF SSTRUCTURES AND EOUIPMENDTT OWE" "'F, A ^ FT. EAVE 01/a*W4Q. N- /, 4*0 lvr- n d- ®'C s.� 5661 ARW X G . c y c v CA i- h cj ~3 d LiUTTE COVs ` 4 .9 fila 1M ujUILDING DEPAR1MMI 'XYW� . ?11 d1 S WIN O . C �.. i I-- Elelll�z AP%,%. . I i 1H913H lld2OlYdH,'�� I I 11 oc o „ti E i •. II II it FM. N 3 N _ O x p J m o ` LL.`S w 0 MI 'NIW ..`J0 Z a s ch �z o 9c,:2 5�- nt� or .x -.W. Q 1 jj'�Vfjl jt.w A ,T C-) UJ ce CL. k7jP .fie )1 % 9 q t2 L4 -.1 j P r. Orovill. �'aL��', 959G6 s33- -7 74 4 ' a c c - o4� 0 h /o kr - 7VYD R 44�- APPROVED llpd N .ttrt�q.. a0 44x V ftiI TE G PLYWOOD CC EXT. 'I`— —� � cq ¢ T vl FRMM G. " L i Fin ?-' x 12" STAIR STRINGER. 4B'o.c,. MAX. 12"x I?* PIE S. TOP VIE W %n 144 fF• �-, H AUDI?AIL NOT SHOWN FOR CLARITY. 4•Y V DF * 2 2.x V DECKI IJ 6 (ALT) 3/13° 1301 T GIRDERS F- IYs' TA(, PCYWOOD CC EXT. 2"x4• w MOBILE HOME =rOR DECD a MAX 48". MTL. FRMIJ — — • .001 MAX. CLIP (EA. DE 9'Mlu14 \� 4'x4' POST 2'x 12' x z — GrIJARPRAIL "2D �o z 214" PRESSURE - In 4''MAX. 8"MIN. 60LTS RFD Wooa 1i.A rF' DECKIIJG GIRDER _ PRECAST 4'x9" POST �- ER ApFQU4TE DIACONAL NI►�I3RFICING. TYPICAL RE-51DOM111_' ,T��'��',o��/�D�cK COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS p r� r !'/n 7 County Center Drive — Oroviile, California 95965 I �o S 14"x14` K' N. F0o71N6 _ . NOTES ; T RESIDENTIAL PERMIT N� 028_20=0-042 CAMPBELL; Dale 99-2374 B 799 Dunstone Dr Oroville (new open deck)MH 0/z_10 6 — SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) s. Signature ' r / = OK 0 = Not OK - = Not Applicable MOBILE HOMES * = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 2. 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete 5. 4. Water; Location -Test -Easement Needed (Sketch) 6. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 7. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ PLPG 8. 7. Well Clearance & Discohnect 9. 8. Utility Clearance 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Dale 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- Enclosures- Pane lboards-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 ./= OK 0 = Not OK - = Not Applicable = Not Ready Date RESIDENTIAL (Single & Duplex) Underfloor (Pla s) OK except #'s ening-Setbacks-E sements-Flood-Slol g., Main; Soils -EI c. Grnd.-/ r Fto 3. Ftg., Garage; Soils- teel-Elec. Grnd.-/ r Ftg. Depth 4. Ftg., Porches & Deck Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; St el-Blockouts-Wrapped 6. Stemwalls, Garage; teel-Blockouts-Wrapped 6a. Hold Downs and Sp cial Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.- teel 9. D.W.V.; Fall -Fitting -T st-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size A chors - Yard Gas Piping; Size Test 11. Water Pipe; Test-Anc ors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; CIE arance-Material-Support-Ins. 14. Girders -Sills -Anchor I lolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 jDate Card B-1 Date Card B-1 jDate Card B-1 Date PLUMBING (Permo) OK except #'s 17. Water Htr.; Vent-Acce s -Combustion Air Baffle 18. Water Pipe; Test & An hor-Nail Protection 19. D.W.V.; Test Fittings & nchor-Nail Protection 20. Shower Pan; Test, Firs Floor -Tub Access 21. Test Tub & Shower, Se and Floor -Tub Access 22. Gas Pipe: Sixe & Anch Drs Date Card B-1 ate Card B-1 Date Card B-1 ate Card B-1 Date ELECTRICAL (Permit) OK except WE; 23. Fixture & Transformer learance-Ins. Protection 24. Elec. Receptacles Spa ing-Lights & Switches at Doors 25. Size Boxes & No. of Co ductors Stapled 26. Romex Installed Close Edge of Studs & C.J. 27. Equip. Ground made u w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Ritchen & Conductor Size GFI 29. Subfeed Wire Size / / ta. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga u or AI -Oven Circ. / / ga Cu or AI Insulated Neutral O s I] No 31. Service -Riser Conducto s & Ground Main Disconnect 32. Equip. Clearances Panes-Motors-Mech. Equip. 33. Clothes Closet Light-Sh wer Light -Spa Light 34. Smoke Detector Date Card B-1 D to Card B-1 Date 46. Card B-1 D to Card B-1 Date 47. MECHANICAL (Permit OK except #'s 35. A.C. Ducts Insulation & jupport 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Ove low, Size & Grade 38. Furnace -Vent Access -Co b. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Date 55. Card B-1 Da Card B-1 Date 56. Card B-1 Da Card B-1 Date 57. FRAMING (Permit) O except WE; 40. Sits Proper Materials & A chofs 41. Walls Studs -Nailing Space g & Braces -Plates -Sound 42. Bearing Walls over Girder & Floor Nailing 43. Draft Stop in Walls (rat pr( of) 44. Fire Stops, Furred Ceiling -Stairs-Chasers-Tubs 45. Headers & Beams -Size & 3earing u, Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. 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 3' -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 4 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 I 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location t 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 ] No/Walks 0 Yes 0 No/Planters 0 Yes J No i 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing S 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing t 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection I 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 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12i96) APPLICATION AND PERMIT ASSEaSSj�Af��CE�-LI11s�42 Etj9GG2S b °<, ZONING A-5 BUILDING PERMIT OWN VALE lJ j5 7 CAMPBELL TELEPHONE Ain ni SO. FT. OCC. BUILDING VALUATION �� ? /OWNEH'5,JT IL^tyG1iPPEL DRIVE, SUISUN CITY CA 94535 _ F�TORNjAME -., CONTRACTORS !N TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS - Total Valuation $ ARCHITECT OR ENGINEER '- UCEPAE NO. Filing Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 25.00 BUILD1§qD s� s,�,0 �i � ' } OROVZ�.,L `./ tJ Energy,Plan Checking Fee $ $ PERMIT FEE $ 72,00 LOT NO. k SUBONISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE DECD SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK NeZff Addition ❑ Remodel'[] Utilities ❑ Installation ❑ Other ❑ k Describe Work: NMI OPEN DECK/144 t r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G w @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A 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.FSING License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: CIU -I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO tOOOA 46.00 - NEW CONST. DWELLING OCCUP. s0 OR ADONS. U a ACC. BLDS. 3.5¢Fr. T. NOON-REESID. MULTI.OUTLET @7.50 a OUTLET OWELER APPARATUCIR.s 2O � ' 00 Ex. Occu ourLET OR FOcruREs BAL @ .50 pE� 5.00 Ex. Occup. DUTIEEDTS .) E Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 2e dby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed I the permit is for work of a valuation ((� of one hundred dollars ($100) or less.) not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �r X Date% j �9 / _ Signature of Applicant - Vrbwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE .72 .00 HAz. ... D. FEES IMP FLOOD ,,– CDF PARCEL PD HD V ISSUE Y 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 - Dais % - ReceiptNo. 2811430 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4e.� • .i• ; ,r , March 6, 2006 Tamara Robinson 71 Nora Way Oroville, CA 95966 butte 60, LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH ❑ 2b2 Mira Loma Drive 411 Main Street�%1 7 County Center Drive Oroville, CA 95965 P.O. Box 5364 roville, CA 95965 TEL: (530) 538-7282 Chico, CA 95927 TEL: (530) 538-7281 FAX: (530) 538-2165 TEL: (530) 891-2727 FAX: (530) 538-7785 FAX: (530) 895.6512 RE: Pre -Application for Temporary Second Dwelling, 4 Charles Way, APN 028-200-042 Dear Mrs. Robinson, This department has completed our pre -application review to determine if it is possible to place a temporary second dwelling on the above-mentioned property. You have indicated that you wish to install a separate sewage disposal system for the temporary dwelling and there appears to be adequate room on the pr6perty. The septic system will be sized per the number of bedrooms in the proposed dwelling, you should be prepared to install 200 feet of leach line per bedroom and at least a 1000 gallon septic tank. All parts of the sewage disposal system must be at least 5' from any property line, 50' from any drainages; seasonal streams, 100' from all wells, streams and ponds. Existing dwelling will be turned into the temporary second building and the new dwelling will be the new permanent dwelling. Provided that the application and map presented to the Development Services Department conforms to the map submitted to our office we are prepared to approve the temporary dwelling. You should be aware that other agencies will review this proposal when it is submitted to , Developmental Services. These other agencies may have conditions that would significantly alter your project to the extent that we may need to change our conditions. Our tentative approval of this pre -application must not be interpreted as approval by the County for this proposal. The entire formal review procedure must still be completed through the Developmental Services Department. If you have any questions contact this office between 8:00 am and 5:00 pm, Monday through Friday. Environmental Health Specialist Associate RCc:-Butte-C=ounty-Rianning-Department--, NOTES T RESIDENTIAL s 028-20-0-042 00-0785 t PERMIT NO. _.._CAMPBELL, DALE,____ 799 DUNSTONE DR., OROVILLE NEW DECK II SPECIAL CONDITIONS II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY V= OK 0 = Not OK - = Not Applicable . = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Size -Spacing -Marriage Line 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch `- Drain; MH Test -Fall -Flex Connector 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Gas and Electricity Tagged 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test- rap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'LPG Cert. of Occupancy 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVlg8; CARPORTS GARAGES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. EI Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Ext Ceps -Doors -Landings raced Wall Panels 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 I V=OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plas) OK except #'s 1. Zoning -Setbacks -Ea ements-Flood-Slope 2. Ftg., Main; Soils-Ele . Grnd.-/ r Ftg. Depth 3. Ftg., Garage; Soils- reel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Dec s; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; St el-Blockouts-Wrapped 6. Stemwalls, Garage; teel-Blockouts-Wrapped 6a. Hold Downs and Spe ial Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.- teel 9. D.W.V.; Fall -Fitting -T st-2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size A chors - Yard Gas Piping; Size Test 11. Water Pipe; Test-Anc ors -Regulator -Service Test r 12. Electric Underground 13. Plenums & Ducts; Cle arance-Material-Support-Ins. 14. Girders -Sills -Anchor E olts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permi) OK except #'s 17. Water Htr.; Vent-Acce -Combustion Air Baffle 18. Water Pipe; Test & An hor-Nail Protection 19. D.W.V.; Test Fittings & nchor-Nail Protection 20. Shower Pan; Test, Firs Floor -Tub Access 21. Test Tub & Shower, Se and Floor -Tub Access 22. Gas Pioe: Sixe & Anch rs Date Card B-1 qate Card B-1 Date Card B-1 liate Card B-1 Date ELECTRICAL (Permi) OK except #'s 23. Fixture & Transformer learance-Ins. Protection 24. Elec. Receptacles Spa ng -Lights & Switches at Doors 25. Size Boxes & No. of Co ductors Stapled 26. Romex Installed Close Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in itchen & Conductor Size GFI 29. Subfeed Wire Size / / ja. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga u or AI -Oven Circ. / / ga Cu or Al Insulated Neutral Q s Q No 31. Service -Riser Conductot 3 & Ground Main Disconnect 32. Equip. Clearances Pane s-Motors-Mech. Equip. 33. Clothes Closet Light-Sh wer Light -Spa Light 34. Smoke Detector Date Card B-1 D to Card B-1 Date 46. Card B-1 04e Card B-1 Date 47. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Slupport 36. Vent Fan, Exhaust abovel insulation 37. Condensate Drain & Ove low, Size & Grade 38. Furnace -Vent Access -Co b. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if lFurnace in Attic 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Date 55. Card B-1 Dat Card B-1 Date 56. Card B-1 Dat Card B-1 Date 57. FRAMING (Permit) O except #'s 40. Sits Proper Materials & ArIchors 41. Walls Studs -Nailing Spacii ig & Braces -Plates -Sound 42. Bearing Walls over Girder & Floor Nailing 43. Draft Stop in Walls (rat pr f) 44. Fire Stops, Furred Ceiling -Stairs-Chasers-Tubs 45. Headers & Beams -Size & 3earinq P ingle & Duplex) Date * FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rffr. Ties- Purl in- Roff 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 3' -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. I of i Itration- 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 I 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. 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 Q Yes 82. Following Instid./Drive Q Yes Q NoMalks Q Yes Q No/Planters Q Yes ] 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 I 93. Energy Compliance Certificate -Other Certificates 94. Address Posted f 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: 1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION �7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 �,IJ7gNO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-200-042 ZONING A5 BUILDING PERMIT OWNER DALE CAMPBELL TELEPHONE 533-7720 SO. FT. OCC. BUILDING VALUATION ,•� 600 0 `'M� 00 . OWNERS MAILING ADDRESS 799 DUNSTONE DR., OROVILLE 95966 CONTRACTOR'S NAME C.D. CONSTRUCTION TELEPHONE 589-2220 CONTRACTORS MAILING X043 EXECUTIVE AVE., OROVILLE 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation is 4200 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 46.80 BUILDING ADDRESS 799 DUNSTONE, DR OROVIT.I.E. Energy Plan Checking Fee $ $ PERMIT FEE $ 138.80 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome [X Other SPECIFY Each Trap 7.00 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: 12 X 50 OPEN DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VR LESS Main Service AORLESS 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. License Class i� Lic. No. 0,; 9� 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( s0 _ NEW CONST.MULTI-OUTLET NON-RESID. CU @7.50 POWEPPARATUS 8 SINGLER AOUTLET CR. Ex. OCCu OUTLET OR FDTTURES 20 Q 1'50 BAL p so Ex. Occu .DUTEE' A6 D °E'A, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance'of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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. DCs��i�► ��/�'�� __ Date y 7 ignature of Applicant - ❑ Owner Contractor ❑ Agefit An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 138.80 HAZ. <. D. PEES IMP FLOOD CDF PAR PD H ISSUEcompensation 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 til tDate Receipt No. $T-3-9--.80 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT / 60U`NTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION Y 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538�OnniT NO. APPLICATION AND PERMIT // JJ ASSESSORPARM NU1lf71 . """a BU I LD I NG P ER M IT -wNo, 33t SO. FT. OCC. BUILDING VALUATION ;ANSTAI/CT*N LENDER LENOEA'S ►WUNO ADORES: Fireplace i D AM,"s OR S.00 EX. Occup. o�fTLETs .M. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Total Valuation = ARCNRECT OR ENOINEER LICENSE NO. Filina Fee S 20.00 Permit Fee S -7o? WaARG(TE67 OR ENOINEERI WLLJNO ADDREsa Plan Checking Fee $ euiLMOADORESS �J - (( Energy Plan Checking Fee $ $ PERMIT FEE _ , LOT NO. SUBDNEtION'S NAME PARCEL NAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome A, Other 6°ec"r 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 rlF Describe Work: V' r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ow o�R L.Ess 23.00 ` Main Service 20" TO tOOOA 46.00 NEW CONST. DwELLP4 OCCUR 3.S¢so OR ADONS. a ACC. RDS. MULTwvTLET , @7.50 NOILRFSID. -O uru t'. -n fTc PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.501 1 PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ i occ CONST. TYPE TO 'AL FEE $ IIAZ 0. Mee WR FD COF P EL PO ND GSUE �� 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. 1 By Date ' PERMIT EXPIRES ON EX. OCCU . OUTLET OR FIXTURES ez .yo i D AM,"s OR S.00 EX. Occup. o�fTLETs .M. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Wsc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.501 1 PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ i occ CONST. TYPE TO 'AL FEE $ IIAZ 0. Mee WR FD COF P EL PO ND GSUE �� 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. 1 By Date ' PERMIT EXPIRES ON fno ;•vsc•ewrrvs :COUNTY OF BUTTE -DEPARTMENT OEDEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL•E, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT"PLICA TION DATA SHEET44 / OWNER: ASSESSOR PARC ER: o' en;z 44a Proposed Building Use: Building Inspector: Date: At time of permit applicati n, I was ad ' ed the following data must be submitted prior to permit processing and/or h Date Received 1.a iiems have been submitted .----------------------------------------------------------------------7-------------- Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be -shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!--------- E16. -------- ❑6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ----------------= 0� 118. Hazardous Material Form. ----------------------------------------------a ------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.------- 1112. ------ ❑12. California Department of Forestry plan approval/fees. KIlood elevation certificate. -----------------f- ------------------------- ------------------------------------------ �'tation and plot plan approval'D VL{ Health Department. ------------------------------------------- iChico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- 1� ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land.Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 1 ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- El 20. ---------------------------❑20. Pre -inspection for"', required Request to Building Inspector on ' (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ VA - 0 22 - ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Ventication (Given to owner ❑, Mailed to owner 0) - -------------------------------------- i ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- IL 028. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- ❑ 3 0. Other: ------- Wh you issue permit, process as follows ❑ Mail to owner, ❑Mail to contractor. C ►Telephone - as act and hold for pickup at office. ❑ Deliver with inspector. Applicant: �����vDate: % /% 00 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By. 1. Index permit application for the above items numbered: O Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building counter, by Date: Plans reviewed by: Date: Plans approved by: S Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 1' E.- H. USE ONLY Plot Plan Attached 75, Floor Plan Attacq•p —40 Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance !��� � �/t!_,:/ � � .� !e �!✓lI. ,its %� �� �� � ��/ �. Owner Location Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Spedinist Date 8/96 4 i,r 4vkOl rynvironmental` APR 17 2000 i County c;enrerunvt Oroville, Ca Z01 A7os 1/ *p 6",C. /Y -/V APPROVED Enyi cure Count nment Health Date Sig nafvre - 10 Po �W�% _ CoA 5•9 79 11 5661 XBW o Q d. j oc C CD l ,n O Li p 'v 1� 1' i • HIC I M 1 LU MIS WIN o 'XYW LU u: 'ap W W �LLJ I v' 1H913H 11U(lNYH,-' it 1 1 I w 1-1 o -7r I Liv Q 2 w V U O 3 J Q ��i 11 11 : o x V d. -i � CD l Liv Q 2 w V U O 3 J Q ��i 11 11 •y � I ,n O 1� 1' i Q v Y v W x N N C/) c W Cm Z x Z5 c.J V 3 J C% - co w 0 Aw %M Y W 0 'NIW .90 �7 [.) uj ce CL. •y � I ,n O 1 • LU u: 'ap W W �LLJ Nx ED J J Q v Y v W x N N C/) c W Cm Z x Z5 c.J V 3 J C% - co w 0 Aw %M Y W 0 'NIW .90 �7 [.) uj ce CL. 4' . i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75st,1� /MITNo. (Rev. 12/96) APPLICATION AND�PERMIT AssEn9ArMNt!Z42 ZON1 A-5 BUILDING PERMIT DIN VALE CAMPBELL TELEPHONE SO. FT. OCC. BUILDING VALUATION 160 1,120 . OWN 162A'T1ffA SL DRIVE, SUISUN CITY CA 94585 l CONTRACTOR'S�' NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 25.00 ""MTUNSTOAIE DRIVE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 72.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE DECK SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK Nev,XXX Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: NEW OPEN DECKLE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AoRLESS 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.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I'I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑.. 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLNG OCCUP. OR ADDNS. ( 8 ACC. BLD S. s0 3.5¢FT: NEW CONSTMULTI•oUTLET NON.RESID. U @7.50 b OUTLET OWER APPARATUS EX. OCCU OUTLET OR FocTUREs 20 � , 00 BAL O .50 flXED APPLNS. OR Ex. Occup. ourLETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION y affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' 11*compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: .Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed I the permit is for work of a valuation n , of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. iof X Date �/ %lr� 7 Signature of Applicant- wner ❑ Contractor [3Agent An OSHA permit is requir for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 72.00 HAZ. p. PEES IMP FLOOD CDP PAR pp e HD 55U This permit is hereby issued under the Butte County Code and/or indicated above for which fees he By PERMIT EXPIRES ON the applicable provisions Resolutions to do work a been paid. Date 77 is 2 ) (D41e) Receipt NO. 280430 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC (Rev. 12/96) APPLICATION AND PERMIT ASSesSORPARCBNU © s� ' a 71 WNW5 A. BUILDING PERMIT 0" 10 -' L— E 0 ul P �L L TELEPHONE SO. FT. OCC. BUILDING VALUATION Ow"R' Ao �w JlSvau C tQ C CONI R'S NAME ! r T L 4( /� COMRACTOR'S MAIJNO ADDRESS CONSTRUCTM LENDER LENDER'S MMUNO ADORESS Fire Ince Total Valuation S ARCHFMCT OR ENGMER LICENSE NO. Rlina Fee S 20.00 ARCHITECT OR ENWEM 3 MAAJNO ADDRESS Permit Fee S e9 Plan CheckingFee $ euaDLNOADoaEss � l✓; l Vti D Energy Plan Checking Fee E - PERMIT FEE S _ Lor No. SNaON®ONSNAJe' PARCEL WP PLUMBING PERMIT RIft Fee 20.00 USEOFSTRUCTURE SF O Duplex O Mobilehome O Other GPM"Each Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 as water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel 0 Utilities O Installation O Other O Describe Work:_d�Y /J/J / ��% r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service pw OR Lss 23.00 _ - ........._...... ' 6 Main Service 200ATo 1000A 46.00 NEW CONST. OWELLlNO OCCUP.SOL OR ADONS. 3.5¢ ( i ACC. BUJS. NEW CONST. NON-RESID. MUU}OUTLET @7.50 POWEJL APPAMT'US i SnEr OUTLET q0. EX. OCCU OLrtLJ=T OR FTJrtuREs m 0 I.00 9AL .90 Ex. OCCU PDCEOAPPLNS. ovTLETs EsID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL: S Mobile Home Installation Fee S Energy Inspection Fee $ CONST. TYPE TOTAL FEES E HA2. 0. FEES IMP I FLOOD COF PARCEL I PO NO i ISSUE 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. Q7 By Date DPERMIT EXPIRES ON r`.!:4`a•+ 2,,°.rti cy. u: ' .�I r.,{'r i_''�wl '�' .'"`' .`i��: 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT "PLICA TION DATA SHEET OWNER: C G L-- ASSESSOR PARC ELER: Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- C12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans.--------------------------------------------- -04. -----------------------------------------• -❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------- E16. ----------------- ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .-----------------= ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. --------------------- ❑ 12. California Department of Forestry plan approval/fees-------------- 3. Flood elevation certificate.--------------------------------------------- anitation and plot plan approval Health Department. 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: 1:118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. = ---------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------------- ❑ 20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22 Workers' Compensation carrier and policy number. --------------------------------------------------------==- ❑23,. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- 1324. Letter of signature authorization. ---------------------------------------- -=='----------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ------- ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check n30. Other: H.C.D $ (Date) ryou issue the permit, process as follows Mail to owner, ❑Mail to contractor. ebephone and hold for pickup at office. ❑ Deliver with inspector. Applicant: 15 11, A 4,,d� Date: /19 _/ 4 9 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Da%: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: 'By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D'vi on counter, by Date: Plans reviewed by: Date: Plans approved by:Date: / Q -) 1:77- Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division E.H. USE ONLY Plot Plan Attached r Floor Plan Attached Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other �X d ` 4&1� Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. f. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[A NO[ I. i- Y I HAVE[ -f] HAVE NOT[ ] signed an application for a budding permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following -persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: _9 SOCIAL SECURITY NUMBER: DATE: /0 M —17 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. May 1995 2.26 Dear Property Owner: An applicationj for a building permit has been submitted in your name listing yourself as the builder of property improvements cified. For your prof on, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Buil ' g permits are not required to be signed by property owners unless they are personally performing their own ork. If your work is being performed by someone other than yourself, you may protect yourself from possible li bility if that person applies for the proper permit in his or her name. Contractors ar required by law to be licensed and bonded by the State of California and to have a business license from th 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 c o your own the exception of various trades that you plan to subcontract, you should be aware of the f 110uifollmation for benefit and protection: ` 0 If you employ oro erwise ezigage any 'perso other than your immediate family, and the work (including materials and othe costs) is, 5300 or more or the entire project, and such persons are not licensed as contractors or subco 0 If you are an emplo subject to several ob workers compensati 0 There may be finan serious with respect 0 For more specific Service (and, if you obligations under Accidents. If the structure perform their work perso under limited conditions. A frequent prac building permit, erroneo personally. Building perr work personally. Information ab( Board in your community Please complete that you are aware of the; NOTE: This Owner you may -1 e an employer. yo er with the State and Federal Governments as an employer and you. are ations including state and federal income tax withholding, federal social security taxes, insurance, disability insurance costs, and unemployment compensation contributions. I risks for "you if you do not carry out these obligations,* and these risks are especially worker's compensation insurance. brmation about your obligations under Federal Law, contract the Internal Revenue ish, the U.S. Small Business Administration). For more specific information about your ite Law, contact the Department of Benefit Payments and the Division of Industrial intended for sale, property owners who are not licensed contractors are allowed to ly or through their own employees, without a licensed contractor or subcontractor, only of unlicensed persons professing to be contractors is to secure an "ownerbuilder" implying that the property owner is providing his or her own labor and material are not required to be signed by property owners unless they are performing their own it licensed contractors may be obtained by contracting the Contractors State License or at 1020 N Street, Sacramento, CA. 95814. he "Owner Builder Verification" on the reverse side of this form so that we can confirm s matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection Information is required by Section 19830 of the California Health and Safety Code. May 1995 1 2.27 - Y,CoT 47 r r Environmental Health Date Signature BUTTE COUNT* UiLDING DEPARTME?1.1-% daI- d 14 IIlI�'II'I'II�IIIII"IIII�I'I'll�l 11E`C'ORDW14G REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1999-0048GD54 Recorded I REC FEE .00 Official Records I CONFORM .00 Couunty_Df CANDACEUTJ. GRUBBS I ROSEMARYrder DICKSON 1 Assistant I Nikki 02:00PM 15 -Nov -1999 1 Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 0 ? INSTALLATION ON A FOUNDATION SYSTEM C Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DALE CAMPBELL & CHERYL CAMPBELL REAL PROPERTY OWNERILESSOR 902 PINTAIL DRIVE MAILING ADDRESS SUISUN CITY, SOLANO, CA 94585 CITY COUNTY STATE ZIP 799 DUNSTONE DRIVE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CUT coWTY STATE ]JP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 99-1703 (530)538-7541 BUI DING PE N TELEPHONE NUMBER Mr 11 f12/()() SIGNATURE OF LOCAL AGENCY O CIAL DATE MADISON MOBILE HOME SALES DEALER NAME (if not a dealer sate, write "NONE") 91147 DEALER LICENSE NO. FLEETWOOD 1999 SUNCREST MANUFACTURERS NAME DATE OF MANUFACTURE MODELNAMEMUMBER CAFLXI7A/B22699SC12 64'X 26' RAD1198464/5 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER A.P. #028-200-042 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHPii, -County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Budding Dept LEGAL DESCRIPTION A.P. #027-200-042 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: THE SOUTH HALF OF THE SOUTH HALF OF THE SOUTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 19, TOWNSHIP 18 NORTH, RANGE 5 EAST, M.D.B. & M. EXCEPTING THEREFROM ALL OIL, GAS AND OTHER HYDROCARBONS AND 1VIlNERALS HERETOFORE RESERVED TO THE GRANTOR NAMED IN THAT CERTAIN DEED FROM BANK OF AMERICA NATIONAL TRUST AND SAVINGS ASSOCIATION, A NATIONAL BANKING ASSOCIATION, TO F.H. THOMAS AND MATTIE E. THOMAS, _ HIS WIFE, AS JOINT TENANTS, DATED MAY 14, 1943 AND RECORDED JUNE 18, 1943, IN BOOK 314, PAGE 152, OFFICIAL RECORDS, TOGETHER WITH ALL RIGHTS AND PRIVILEGES OF THE GRANTOR IN SAID DEED SET FORTH, WITH RESPECT TO ALL SAID OIL, GAS AND OTHER HYDROCARBONS AND MINERALS. PARCEL H: A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 30 FEET IN WIDTH, LYING NORTHERLY OF AND ADJACENT TO THE NORTH LINE OF PARCEL I, DESCRIBED ABOVE. lj V Permit C/earaaCe ❑ APPROVED CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL Permit #: Date Genera/Information Owners Name: V b L C,P4 P e G L_ - AP #• O71 •— Z� 0" a y 2 Same as Computer Information: E] No ❑Yes Q, Address: C)Q'2— PI A)Tlzj I L. 17%Z , S U l 5 0 f\) e, l -T y C_ /A "SITtr, i9C) v Propertylnformation - '� C_ Zone District: General Plan: Use Permit: Parcel Is In: A- Date of Zoning Ordinance: Development Agreement: Variance: Land Conservation Agreement No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan ® No ❑ Yes Violation AreaIt No ❑ Yes - Specific Plan a No ❑ Yes ❑ Chico ❑ D2N Enterprise Zone ONO ❑ Yes, check use Floodplain IM No ❑Yes Zone: Watershed Protection Zone No ❑ Yes ❑ Cohasset Panel Number: 12 Proposed Use: ❑ Agriculture Building ❑ Commercial ❑ Industrial Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel InOther Q Pee `) Proposed Use Comolies With: General Plan Zoning Proposed Use Reauires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory Building Use Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown Landscaping: ❑ Landscaping Requirements are OK as Shown Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: ❑ Other ❑ Other ' Zoning Code Street & Hi hwa s Fire Prevention Subdivision Ma Front 2d P Side Side street Rear J Heiqht Perm& C/earance Environmental Health Issues: Septic Permit Review: Agriculture Affidavit Required ❑ No ❑ Yes Well Permit Review: Land Development Review: Designated Well Site ❑ No ❑ yes Drainage Plan (Com/Ind/Multi) ❑ No ❑ yes Parcel Created by: ❑ Deeds Date of Creation: s 0 A g Legal Access Provided: ❑ No �<es Deed Referen : 15169 09 5$,j Legal Access Required: ❑ No „ ❑ Yes Parcel Frontag on Publicly Maintained Road: ❑ No PKes, Road Name: DZv N S? c)N c+ rZY-) Complies with unty Standards for Deed Creation: ❑ No _ My Comments: VV /t Z Zo-3 9_. �.... _ _ .. . ❑ Map Date of Records g: Lot: Block: Book: Page: Conditions That Must be Met Prior to Issuance of Permit: AC 1 J ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condition no of conditions of approval for the ❑ Obtain a Certificate of Comr fiance (See Planning Division for application). ❑ Construction across propem, lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Meet parcel size required by zone ❑ Meet current EHD requirements. ❑ Other General Comments: 'AIO 1N3M013A30 G V1 6661 t Z 130 MUM RESIDENTIAL 028-200-042 99-1703 PERMIT NO. _CAMPBELL, Dale & Cheryl 799 Dunstone Drive, Oroville -Contr: Madison Mobile Home Sales MH on Perm Fnd % THE HCD FORM 433A FOR THIS MH CANNOT �� BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: �1) LICENSE PLATES) or DECAL" INSPECTOR MUST RETRIEVE) I k2) STATr NT OF FACTS ON NEW S) INSPECTOR TO VERIFY SERIAL & LABEL #'S SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER A CA OFFICE COPY Address GAS Meter By 1 ELECTRIC Date - Meter By 1 f ' f � JOB FINAL (Date) Signatur V= OK 7. 0 = Not OK - = Not Applicable MOBILE HOMES * = Not Ready 9. Date MO HOME UTILITIES (Plans) OK except #'s L1,111. Zo ' Requirements -Setbacks -Easements Soils pecial MH Support Sketch Ext.; Steps -Doors -Landings ewer; Location-Test-Fall-C/0•Concrete 12. er; Location -Test -Easement Needed (Sketch) i EI ricity; Location -Clearance -Grnd-/ /Amp -Concrete Gas; Location -Test -Wrap;- /��L -ft. / /'Nat. or / /"L"ft./ 'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Dat Card Date Card B-1 T ` Date Card B-11 Date Card B-1 Date MOBILE HO_W INSTALLATION (Plans) Ok except #'s- ning,eequirements-Setbacks-Easements F ings; Size -Spacing -Marriage Line G ; MH Test- Demand -Valve -Connector. 4. ctricity; MH Test -Crossovers -Breakers -Clearances Dra' ; H Test -Fall -Flex Connector Water; Test -Regulator -Connector at and Sewer Connected -C/O to Grade -HD Approval s d Electricity Tagged Downs-Tvoe-Installation Cert. 2. manent Foundation Only; License Decal e' Date � Card B-1 Date, Card B-1 Date and B-1 ate Card B-1 . r 019 -pm • D" - - 7'4— c�_3 7�( 5 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks- Easements j 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors t 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 i 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 j[ 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main 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 Date Underfloor (Plans OK 1. Zoning-Setbacks-Eas 2. Fig., Main; Soils-Elec ,,3. Fig., Garage; Soils -S . 4. Ftg., Porches & Deck 5. Stemwalls, Main; Ste 6. Stemwalls, Garage; 5 6a. Hold Downs and Spe 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-i 9. D.W.V.; Fall -Fitting -Te 10. UF, Gas Pipe; Size At 11. Water.Pipe; Test-Ancl 12. Electric Underground 13. Plenums & Ducts; CIE 14. Girders -Sills -Anchor E 15. Access & Ventilation 16. Insulation T RESIDENTIAL (; xcept #'s Flood -Slope /" Ftg. Depth 11-Elec. Grnd.-/ P Fig. Depth Soils -Steel-/ /" Ftp. Deoth Wrapped Anchors ay C/O -Sewer Test Yard Gas Piping; Size Test 3gulator-Service Test pport-Ins. Date Card B-1 Date Card B-1 Card B-1 D to Card B-1 Date Date Card B-1 D to Card B-1 Date A.C. Ducts Insulation & Sup ort PLUMBING (Permit) OK except #'s Vent Fan, Exhaust above in ulation 17. -Water Htr.; Vent -Access- ombustion Air Baffle Condensate Drain & Overflc N, Size & Grade 18. Water Pipe; Test & Anch r -Nail Protection 39. 19. D.W.V.; Test Fittings & A hor-Nail Protection Headers & Beams -Size & Be irina 20. Shower Pan; Test, First Floor -Tub Access Siding -Nailing Veneer 21. Test Tub & Shower, Seco d Floor -Tub Access Stucco Mesh -Drip Screed -Fd: Vents-Underflr. Access 22. Gas Pipe; Sixe & Anchorsl Glazing Area -Glass Protection -Skylights -Plastic 59. Date Card B-1 Da Card B-1 Date Card B-1 Dat Card B-1 Date ELECTRICAL (Permit) lZIK except #'s Infiltration -Walls -Windows 23. Fixture & Transformer Cle rancedns. Protection 24. Elec. Receptacles Spacin -Lights & Switches at Doors Card B-1 Date Card B-1 25. Size Boxes & No. of Cond ctors Stapled Card B-1 Date -Card B-1 26. Romex Installed Close to dge of Studs & C.J. FINAL (Plans) OK except #'s 27. Equip. Ground made up w Mech Fasteners -Bond Gas & Water Ext. Steps -Door & Sidelight Protection -Landings 28. 2 Appliance Circuits in Kit en & Conductor Size GFI Smoke Detector 29. Subfeed Wire Size / / ga. lCu or AI-A.C: Wire Size / / ga Cu or At Furnace Vents -clearance -Comb, Air -Connector- _ In Garage; Above Floor- Ducts-Mech: Protection 30. Range Circle / / ga Cu r AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No Bedroom Exiting 31. Service -Riser Conductors Ground Main Disconnect G.F.I. & Bath Fixtures & Tub Access -Spa 32. Equip. Clearances Panels otors-Mech. Equip. Elec. Trim & Subpanel, Breaker Sizes & Labels 33. Clothes Closet Light -Show, r Light -Spa Light Stairs & Rails 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) dK except #'s 35. A.C. Ducts Insulation & Sup ort 36. Vent Fan, Exhaust above in ulation 37. Condensate Drain & Overflc N, Size & Grade 38. Furnace -Vent Access -Comb Air -Return Air Vent 115 outlet 39. Attic Access & Platform if FL mace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK xcept #'s 40. Sits Proper Materials & Anch rs 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 -S airs -Chasers -Tubs 45. Headers & Beams -Size & Be irina jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access: Size & Romex Protection - Draft gtnn-Inc Rafflwq 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-Mech: 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-Mech. 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 O Yes 82. Following Instld./Drive a Yes 0 No/Walks Q Yes Q No/Planters 0 Yes ] 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 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street'i Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530):538-7541 CORRECTION NOTICE 99 OWNER PERMIT NO. rt �: A routine inspection indicates that the followingwiolations of butte county Ordinances exist at the above address and should be corrected. Please notice this office whencorrection of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immedia y. G (�wiv ys i �3 /? ov - 140 S i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION i 7 County Center Drive • Oroville, California 95§65 *Ablephone (53,0) 538-7541 PERMT NO. (Rev. 12/96) APPLICATION AND PERMIT W__-, ASSESSOR PARCEL NUMBER 028-200-042 ZONINGJ� BUILDING PERMIT 611 OWNER DALE & CHERYL CAMPBELL 707 T1421231 SQ. FT. OCC. BUILDING VALUATION 1 4 R 89,856 .OWNER'S MAILING ADDRESS 902 PINTAIL DRIVE, SUISUN CITY, CA 94585 CONTRACTOR'S NAME MADISON MOBILE HOME SALES TELEPHONE CONTRACTORS MAILING ADDRT75 GRASS VALLEY HWY, AUBURN, CA l CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 89,856 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 297.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDINGADDRESS 799 DUNSTONE DRIVE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 1 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other E Describe Work: MH ON PERM FND Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 1 15.00 Mobile Home I S I G I W !7@?20.00 --±]: PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service AORLESS 23.00 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. License Class Lic. No. 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. l� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation / �of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date z._24 nature of Applicant - ❑ ner ❑ Contractor ❑ Agent OSHA permit is required for excavations over 5'0" deep and demolition or construction EofAntructures over 3 stories in height. Main Service zooA To 46.00so CCU000A NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a ACC. S.3.5¢x. T. NON-RESID. MULTI -OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. .00 EX. Occup. OUTLET OR FIXWRES BAL @ �.S0 FIXED Ex. Occu . ouT Ts AEM.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43,00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTALFEF 1 1. 44$ . 25 H p, M FLOOD C P EL IS E This permit is hereby issued under of the Butte County Code and/or indicated above for hich fees have By PERMIT EXPIRES ON �/? the applicable provisions Resolutions to do work been paid. Date /� pa Ta Receipt No. 273574/$448.25 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Sr_ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96)' APPLICATION AND PERMIT �% ,Z710-5 ASSESSOR PARCEL NUMBER D 0/,�(/,e�' O �—V V ZONING BUILDINGPERMIT OWNE (� - �� SO. FT. OCC. BUILDING VALUATION OWNERS MAIIUU ADO SS t//�J,TELEP1:2NRNE ( �V _JL 1W RACTO 'S NAME`� 6uh Mo t TELEPHONE CTORS NG ADDRESS ONTRAC CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee . S y $ ..Z ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ BUILDING ADDRESS /.7/�n /(�L/('A Energy Pian Checking Fee $ $ U i PERMIT FEE _ LOT NO. SUBONISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome �( Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: Gas piping system 1 - 5 outlets 15.00 / Building sewer 15.00 /5.(j Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOVOR LIE Main Service 200A GR LESS 23.00 ,fli3. —--"--- ' tt J( / ` L IJ �` OO \ 0^ Main Service 200A TO 1000A 46.00 NEW CONST. DWElLINO OCCUR ¢SE OR ADONS. ( 8 aCC. BLDS. 3.5 NEW CONS MVLT,' 0 LET NON-RESID. @7.50 POWER MPARATUB SINGIE OLA T S OUTLET OR FDm1RES 200 1'00 EX. OCCU SAL ® .50 FULEPPLNS. O D AR Ex. Occup.ovnETs ESID. En 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEPE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE- $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PO HD ISSUE 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 Date .. . .• � w-. �. � ;r.• `��.^�•� ti .:.ry-•. ;,-M��v.-••�:��..w ,IAS:::1•+in-C' :7':, .F-l,l,:tdl: �..i ..r^�.n nr,�- . 45�f1 V�K COUNTY OF BUTTE . DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOR.ytNIA 95965 - TELEPHONE (530) 538-7541 _ SCHEDULE OF FEES DUE OWNERA.P. #T a`� PROPOSED BUILDING USE 61^ DATE RECEIPT # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees We ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ 6 SCHOOL DISTRICT FEESDM01 (paid at District Office) / ( 3. SHERIFF FEES (paid at Building Division) z Residential ........ x $360.00 — $ Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ c}zl Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) l� 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 0<� 7. SRA FIRE INSPECTION AND PLAN CHECK / $89.00 (paid at Building Division) vZ�3S� -/ 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) • + 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. t These fees may be changed during the plan checking process. - APPLICANT G.J DATE 7 15? Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned=items during which you may F protest. The requirements for a protest are specified in Government Code Section 66020(a). ..' „.• # '�' Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner .. ....-r"4�_—"+� .. �:�./7Y:'`.•1�:�+„ial�•�� f.4,,i,”�..11'�•-'a��{'►ri!+i*.';�.-..�►'fA+..�'�y.��.'..2`.T'^i�'dS�jF)tF�h�lP+�°�.i'',xt;vu�'-_:+,..�cC"p.!•'Sk�yr�a �.:a .°:`' „`aT' _..u'..? ,, +.• °.R. . to 1 COUNTS' OF,BUTTE-- DEPARTMENT. OF DEVELOPMENT SERVICES•- WILDING DIVISION r� 47 COUNTY CENTER DRIVE - OROVILLE RCALIF,.RNI/k 959�51TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: VVI I ASSESSOR PARC-�P O—Ogc;t_ Proposed Building Use: Building Inspector: Date: At time of permit application, I wAs advis d the following data must be submitted prior to pertnit p cessing and/or issuance: Date Received By ❑ 1. All items have been submitted .---------------------------------------------------------------------------- ❑ 2' Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ------------------------------------------- 1] 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- rN8 azardous Material Form. ------------------------------------------------------------------------------------------ Manufactured Home data and installation instructions including Tie4?own-Specifieat�ions.-------------=<, El10. Fees of $--------------------------------------------------------------------------------- `✓� / 1. Impact fees as shown on the attached schedule. ------------------------------------- ------ ----------------- California Department of Forestry plan app rov fees.0--- -----� - ------ — ------------------- 13. Flood elevation certificate. ----------------------- ------------------------------------------------------ X4. Sanitation and plot plan approval ! Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -------7--------------- C. Encroachment Permit for driveway (construction approval prior to occupancy). © --- `- 020. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 022. Workers' Compensation carrier and policy number. --------- -------------------------------------------------- E123. Owner -Budder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑ 24. Letter of signature authorization. -------------------------------------------------------------------------------- e25. Recorded copy of Agricultural Acknowledgment Statement.-------------------------------------------------- �4 (Date) 026. Letter of intent on building use. -------------------------------------------------------------------------------=--- ❑27. Manufactured Home utility clearance., ------------------------------------------------------------------------- ❑ Existing violations and/or expired permits. --- ---------------------------------------=------------------=----- i . ❑�a433 A, ❑Gyant Deed, ❑ M.H. Title, heck to H.C.D�$ 00 .--------------- �.-. E130. Other: ------- n you issue the ermit, rocess as follows ❑ Mail to owner, ❑Mail t contractor. =y r7o- 9x31 Osov� Telephone mmll and hold for pickup at office. C1 Deliver with inspector. � Applicant: 4—n Date: % Copy of Haz-Mat form sent❑ Health Department, ❑ Fire Department, o Air Pollution Date Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: �1. Index permit application for the above items numbered: '1, / Z ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division. counter, by Date::; ",t L Contractor, designer, owner, as advised of the above r data by ❑phone, ❑mail, ❑ BuildingDivision counter, by Date:' r Plans reviewed by: Date: /6 Plans approved by: 4.- Date' Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: `Date: `'i.. Yellow Copy - Department of Development Services, Building Division. RECORDING REQUESTED BY: 'r• r � AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 15 -Nov -1999 1999-0048054 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DALE CAMPBELL & CHERYL CAMPBELL REAL PROPERTY OWNEWLESSOR 902 PINTAIL DRIVE MAILING ADDRESS SUISUN CITY, SOLANO, CA 94585 CITY COUNTY STATE ZIP 799 DUNSTONE DRIVE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (dalso property owner, write "SAME') MAILING ADDRESS crrr couNrr STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CrrY COUNTY STATE ZIP 99-1703 (530)538-7541 0BUI DING PE N TELEPHONE NUMBER 11/17/99 SIGNATURE OF LOCAL AGENCY ObtCIAL DATE MADISON MOBILE HOME SALES DEALER NAME (Lnot a dealer sale, write 'NONE*) 91147 DEALER LICENSE NO. FLEETWOOD 1999 SUNCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAM17A/B22699SC12 64' X 26' RAD1198464/5 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #028-200-042 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHfi1 - CountyRecorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept . BUILDING PERMIT NUMBER: 99-1703 Address or location of unit: 799 DUNSTONE DRIVE, OROVILLE, CA 95966 Legal Description of Real Property: A.P. #028-200-042 SEE ATTACHED (x) Mobdehome/l%lanufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. 9 Owner's name: DALE & CHERYL CAMPBELL Owner's address: 902 PINTAIL DR., SUISUN CITY, CA 94585 INSIGNIA OR HUD NUMBER: RAD1198464/5 SERIAL NUMBER OR V.I.N.: CAFLXI7A/B22699SC12 MANUFACTURER'S NAME: FLEETWOOD YEAR: 1999 OFFICIAL APPROVING INSTALLATION: DATE: 11/12/99 PHONE: (530) 538-7541 H.C.D. 513C LEGAL DESCRIPTION A.P. #027-200-042 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: THE SOUTH HALF OF THE SOUTH HALF OF THE SOUTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 19, TOWNSHIP 18 NORTH, RANGE 5 EAST, M.D.B. & M. EXCEPTING THEREFROM ALL OIL, GAS AND OTHER HYDROCARBONS AND MINERALS HERETOFORE RESERVED TO THE GRANTOR NAMED IN THAT CERTAIN DEED FROM BANK OF AMERICA NATIONAL TRUST AND SAVINGS ASSOCIATION, A NATIONAL BANKING ASSOCIATION, TO F.H. THOMAS AND MATTIE E. THOMAS, HIS WIFE, AS JOINT TENANTS, DATED MAY 14, 1943 AND RECORDED 'JUNE 18, 1943, IN BOOK 314, PAGE 152, OFFICIAL RECORDS, TOGETHER WITH ALL RIGHTS AND PRIVILEGES OF THE GRANTOR IN SAID DEED SET FORTH, WITH RESPECT TO ALL SAID OIL, GAS AND OTHER HYDROCARBONS AND MINERALS. PARCEL H: A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 30 FEET IN WIDTH, LYING NORTHERLY OF AND ADJACENT TO THE NORTH LINE OF PARCEL I, DESCRIBED ABOVE. Record at the Request of Mid Vallek Title & Escrow Company Omer No. Escrow No. 167421 PE Loan No. WHEN RECORDED MAIL TO: DALE CAMPBELL CHERYL CAMPBELL 902 PINTAIL DRIVE SUISUN, CA. 94585 1998—M1l ae*F 98 Recorded Official Records County Of Butte CANDACE J. GRUBBS Recorder 09:111M 27 -Aug -1998 REC FEE 18.80 TAX X9.70 Vickie Page 1 of 2 SPACE ABOVE THIS UNE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $23.11 Computed on the consideration or value of properly cmweyed. OR SAME AS ABOVE _ Computed on the oonsideradon or value less Bens or encumbrances ORO -C remaining at time of sale. ThA r rndArsinned ,rant r�arps Signature of Declarant or Agent determining tax - Fkm Name GRANT DEED 028-200-042-000 FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, ROBERT CHARLES JOOST, SUCCESSOR TRUSTEE OF THE EVELYN W. JOOST REVOCABLE LIVING TRUST, WHO ACQUIRED TITLE AS EVELYN W. JOOST, AS TRUSTEE OF THE EVELYN W. JOOST REVOCABLE LIVING TRUST DATED 2-1-94 hereby GRANT(S) to DALE CAMPBELL and CHERYL CAMPBELL, husband and wife, as Joint Tenants the real property in the Unincorporated Area County of BUTTE described as SEE ATTACHED LEGAL DESCRIPTION Date } STATE OF CALIFORNIA Xs COUNTY OF PLACER } On{ before me, Z3Aiea h'el--&�/ , Notary personalty appeared Pub 1 j ek-'t.e L.L! L p srsonaly known tome (or- proved_to me on. the. basis of satisfactory evidence) to be the person(s) whose name(bjNare subscribed to the within instrument and admowledged to me thatI74Velthey executed the same Irt.er/their authorized capacity�, and that by ,ter/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS myd and official seal. Signator � e� , State of California, EVELYN W. JOOST REVOCABLE LIVING TRUST . Fly t3nr-3Ara n ;i: ;.; �r''�s 7- f+k,4ary PuWi�. �- Cp��'�•••'Y PtAcf SOUND My Comm. Ln.—i- . , . ORDER NO. BU -167921'3 DESCRIPTION. D IN THE THE LAND REFERRED TO IN THIS REPORT IS S- AS STATE OF FOLLOWS: CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED PARCEL I: OF THE SOUTH TION 19, TOWNSHIP HALF OF THE SOUTH HALF OF THE � SOUTHEAST NORTH, QRANGE �5 EAST, QUARTER OF SEC M.D.B. & M. OIL, GAS AND OTHER HYDROCARBONS AND EXCEPTING' THEREFROM ALL MINERALSST HERETOFORE RESERVED TO THE GRANTAND ANSAVID ASSOCIATION, DEED FROM BANK OF AMERICA NATIONALTOTRF. H. THOMAS AND MATTIE E• 1943 AND RECORDED A NATIONAL BANKING ASSOCIATION, DATED MAX 14, CORDS, TOGETHER THOMAS, HIS WIFE, AS JOINT TENANTS, 152, OFFICIAL RE SET JUNE 18, 1943, IN BOOK 314, IN SAID DEED WITH ALL RIGHTS AND PRIVILEGES OF THE ANDNOTHER HYDROCARBONS AND FORTH, WITH RESPECT TO ALL SAID OIL, GAS MINERALS. PARCEL II: OF A RIGD 30 FEET IN HT OF WAY FOR ROAD PURPOSES OVER AO THE NORTHI L NE OF PARCEL WIDTH, LYING ABO EERY OF AND ADJACENT I, DESCRIBE R r . , . ORDER NO. BU -167921'3 DESCRIPTION. D IN THE THE LAND REFERRED TO IN THIS REPORT IS S- AS STATE OF FOLLOWS: CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED PARCEL I: OF THE SOUTH TION 19, TOWNSHIP HALF OF THE SOUTH HALF OF THE � SOUTHEAST NORTH, QRANGE �5 EAST, QUARTER OF SEC M.D.B. & M. OIL, GAS AND OTHER HYDROCARBONS AND EXCEPTING' THEREFROM ALL MINERALSST HERETOFORE RESERVED TO THE GRANTAND ANSAVID ASSOCIATION, DEED FROM BANK OF AMERICA NATIONALTOTRF. H. THOMAS AND MATTIE E• 1943 AND RECORDED A NATIONAL BANKING ASSOCIATION, DATED MAX 14, CORDS, TOGETHER THOMAS, HIS WIFE, AS JOINT TENANTS, 152, OFFICIAL RE SET JUNE 18, 1943, IN BOOK 314, IN SAID DEED WITH ALL RIGHTS AND PRIVILEGES OF THE ANDNOTHER HYDROCARBONS AND FORTH, WITH RESPECT TO ALL SAID OIL, GAS MINERALS. PARCEL II: OF A RIGD 30 FEET IN HT OF WAY FOR ROAD PURPOSES OVER AO THE NORTHI L NE OF PARCEL WIDTH, LYING ABO EERY OF AND ADJACENT I, DESCRIBE R STATE OF CALIFORNIA aaa BUSINESS, TRANSPORTAMN AND HOUSING AGENCY ' DEPARTMENT OF HOUSING AND COM�[UNITY DEVELOPMPNT Qota'� DMSION OF CODES AND STANDARDS ° REGISTRATION AND TITLING PROGRAM STATEMENT OF FACTS This unit is a: 0 Mobilehome 0 Commercial Coach Floating Home 0 Truck Camper Decal (License) No.(s) I Trade Name Serial No.(s) I/We, the undersigned, hereby state: rFR SECTION 18551 OF THE HEALTH AND SAFETY rove. T11- UTipERStCNRb DECLARES THAT THE ,11ANUFACTURED' 110M DESCRIBED HEREIN WILL llti OR HAS BEEN PLACED ON A PERMANENT FOUNDATION SYSTEM E I/We further agree to indemnify and save harmless the Director of Housing And Community be 0loph1W, State of Califotnia, and subsequent purchasers of said unit, for any loss they may suffer resulting from teottation of the above-descnbed unit in California, or Gom issuance of a California certificate of title coVet$ig the sAtne. I/We certify under penalty of perjury that the foregoing is true and eotrect. Executed Address - (City) Printed name(s) City : State HCD 476.6 (REV 9/91) • (State) y,CoT 9',�ff/1/ 1 } 6 Btrery �o� August 15, 1999 County of Butte Department of Development Services Building Divison RE: Building Permit -Parcel 028-200-042 Enclosed is the revised specification for the home we are requesting the permit for. I believe this is the last item that was needed in order for the permit to be issued. If you have any questions or if I need to do something else, please call me at 1-800 289-9661 between the ' . hours of 7:30 — 3 PM. Thank you very much for your time and consideration. Sincerely, Dale 8�Chl mpp 902 Pintail Drive Suisun City CA 94538-1235 Wk 1-800-289-9661 Hm 707 429-9231 6 G 9'-4" 23'=1 1 3/4" NOTES: 1) This floor plan may be built as an exact mirror image about the length and/or width axis. WINDOW / DOOR SCHEDULE 6X28X11 22'-B" CUSTOM FLOOR PLAN # 5603B-13 0 RECEPT.(SEE ELECT.SPECS.) CE= ELECT. PNL BOX $ SWITCH Q 5X10 AIR REG, Z 0- LIGHT FIXTURE !� AIR SUPPLY W (DTHERMOSTAT ® CEILING REGISTER J® EXHAUST do CEIUNf. FAN 0 SHEARWALL ® SMOKE DETECTOR , [:]SUPPORT POST ® DOOR BELL 10'-9" �� Ifip -0 —q H CRESS MIN. PSS 20 L.L. 10 D.L. MAX. HT. 114' (LBS) 0 TRIB UMQ POST TZ 0. 4100 1 B 9'-0' 32 13100 2 A 3 B 1 B'—B" 15'-2" 7 6 x 6600 5800 TRANS. RAB`RETURN AIR GRILL 10'-9" �� Ifip -0 —q H CRESS MIN. PSS 20 L.L. 10 D.L. MAX. HT. 114' (LBS) 0 TRIB UMQ POST TZ 0. 4100 1 B 9'-0' 32 13100 2 A 3 B 1 B'—B" 15'-2" 7 6 x 6600 5800 4 B 13'-4" 5 o 4500 5 8 6A W-10" w 32 m • Ind ato 7' ON(919 is R*Md 8'-0 1/4" FEDERAL MANUFACTURED Za C:) HOUSING CONSTRUCTION V G SAFETY STANDARDS AUG 0 9 1999 0 WOODLAN # 17 �0 CUSTOM FLOOR PLAN of # 5503B-13 1 64'-0° MOSUNCREST A0- RFV 112'-10'x B 12'-1 OK 64'x' 56038 t 0 Pk i RECEIVED 18 1999 !COUNTY G DIVISION BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) (I �r School District �(%( '� Building Department No. A.P. Number ���- Jurisdiction: City County Property Owner ' Y l� 'K l b'e k Property Location/Address Subdivision Lot No. 52'_ ,'o 0 2 Commercial/Industrial O New „,Addition n 1 A A I A Building Department Representati��,' ` v V (Floor Plans reviewed by School District Personnel Di 'ct Identification No. O'00014 bzr+. ( le,164lly�_ I District certifies that o . i (Street Address) F 1 has complied with the requirements of Resolution No. representing l j t p �'J square feet. School District Representative Q t Paid by Che , Remarks • i (State) FOR Sq. Footage (Including Exterior Roofed Areas) a Date 7 CA(Ap'plic t) 4 J 4.7-1 _9Z.5 (Phone N//umber) .` (Zip Code) by payment of $ AB 2926 $ FULL MITI ATION $ ?: 29 A Date ,r Norice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you :from challenging the imposition of the fees iji any court action. If, subsequent to the.School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified?,by the applicable Local Planning Agency,that this project is being reviewed under the California Environmental Quality Act (CEQA). this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (schooP`district) feeform.xls (10/98)dmm r l f FL E7WGOD. SuncreSt Series • Model 5603B Off. BATH CORNER BAY I W-47 r 1 t DINING AREA r 9•T X tzr• i WMAMP ,vaik" r I r it PLACER HOME SALES 1375 Grass Valley Hwy Auburn Cal 95603 D SU/ IWFEW8 Tni giR- 823•;,535 Fax 823-9747 530 l0 3 Bedrooms - 2 Baths - 1,539 Square Feet cK. awn --------- 1 art OPf. DEN OCL t!'�•I tTr• r OGOR! DRO OR BEDROOM t r - ROOM rs-v BEDROOM t U%•raTr• t OPf. ENVY t� CORNER BAY On WALK-IN- BAY ALK-1MBAY noes i i t t i t OPT. ANGLED t RECESSED ENTRY f _ 11. Pay T.D.D. (ThermaGto Drainage District) fee In the amount of $ _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916.355-7010. 14. A traffic mitigation The for eiRi new or additional living unit shall be paid. Pay the amount of $ -- as stated In the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. —15. All new residential bt WbW shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. —16. Deer Mitigation fees are to be paid, N such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. x,18. A developrnertt impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. - _ 19. Wood stoves and fireplace irmerts shall be EPA approved and designed to most the emission requirements of the California Clean Air Act of 1988 as amended. —. —20. If any cufturai resources are encountered during ground disturbing activities, all work shag Deese In the area of the find pending examination of the site by a professional archaeologist This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. ''-22... 26. s LD 6198 FORMS%BLDG PERMIT CLEARANCE LAND DEVELOPMENT OROVIL CHICO BUILDIN / ENVIRONMENTAL EALTH - PERMIT CLEARANCE OWNERS �A l , A.P. NAME �-� NUMBE PRINT LAST M4ME ARS ADDRESS /LOCATION: a tAn,sa k)e-� U2- Bul/d/ng Penh` A oC0 COUNTY ZONING DESIGNATION: Plk FLOOD MAP:-L�-009 APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIO PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: EA O A, 8 DEED REFERENCE: 15 LEGAL ACCESS PROVIDED:YES —' NO LE ACCESS REQUIRE COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: V YES NO COMMENTS/CONDITIONS: W A 3 2 S -- Z n— 3 9 MAP INFORMATION: -NJ2— LOOD ZONE: TO APPROVAL• O A-c— YES NO DATE OF RECORDING: LOT BOOK COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PF PAGE 23): YES NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: FILL FEES 1 O 1. Maintain a 50 R bung setback from centeriine of road. —2. Maintain a R building setback from righk9-way1beM —3. Comply with Zoning code for building setback from road. —4. Maintain a 100 R leachfteld setback from all e)ddng wells. —5. Maintain a It. leachfield setback from —6. Pay water tender fees in the amount of $ to Battalion Number. of —7. Meet the F'a+e Safe Regulations of Butte County and P.R.C. 4290. —8. Conned to a public water supply. —9. Conned to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential stnxxures in i Protection Association Standard for the installation of sprinkler systems in one and two family Ch Standard 13D, unless a pressurized community water system, with hydrants that meet Fire De; parcel. _ PAGE TO BOOK 17 OF MAPS AT d current E.H.D. regllineme *L a Butte County Fire Department. = with the National Fra and mobile homes, NFPA spedficatbrro, serves ft r " CpNiRACiORS gf California 1AR IICVNSE 90ARb ACtlVE UCEN$t (ImneNunDn468529 (nm xNniv fullness Nome MADISON MOBILE NOME SALE i' r ClnsiIeMneterrr47 I bV411101 Vete 01 / 31 / 2 0 01 SIIKI'TY COMPANY the PACIFIC nw..0 -A (n-%iCe1.1.Er-Jt( gv nY Y. ►lelbr . tnCngur" • 17wr,rr•Urrr.nn rl r,pr,r lope �QIU L+U91 tr;ll'Afrrrrrt:,q�+ ,•rnr r r r r .rr r -r vul r.n[• •f.�nA l rrtn N.•r � v �r.rr ,•q . (.'VN'1'I1AC'I'0fYN ).UMN'l'11►1�'A1I0N 1.� E�t!t r.nnnllEn Aunty #Aiiu H Wit"" gn►cp I II.bg q�C7C�rIU • nr r:rr,rt nrnrnrrr�l_.rn1 ltrstin MOOR 4OR Hob I1.E 110"r sAIA rn,rnr rr►reRlvnl rrwn ler;(ry71 1�lnnnnrrwlsdirn c. `� d00 ................................................................................. . INSURED Placer Mobile Home Sales 1375 Grass Valley Highway Auburn, California CO LTR A "Il r;oR,'{Q . i ry : bi t;.<, ;>:c;,� , :.y;;: ,, : > £ <,?x'Y<;: •.,•.:<Y?' ,#;;; ;,',t..,, 1.., 9/25/1998 THIS CERtIFICATE IS ISSUED ASA MATTER OP INFO AVON ONLY AND CONFERS NO RIGHTS UPON THE CERTIMcATE NOLbEq. TNI$ CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. ...... . . .... . .. ... .... . ... .... . . COMPANIES AFFORDING COVI`pAOt TIUS IS TO CERTIry nIA.T Ta1E POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOvE FOR THE POLICY PEhIOD INDICATED, NOIWITIIStANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OCHER DOCUMENT WITH RESPFCT t0 WHICII THIS CF.RHrICAIE MAY BF ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE tERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN'MAY HAVE BEEN REDUCED BY PAID CLAIMS. .... ...... _..............., ............... ............................ . ............... 'POLICY EFFECTIVE 'POLICY E1161RATpN � rot OF MSUnANCE POLICY NUMBER DATE (MMIDDIVY) OATS (MMIDDA'V) GENERAL UABRttY ... .................... ...... ...... ..... ............ .......................... ..................... ............... .. i GENERAL AOGnEOATE ...,s.. ................................ i COMMERCIAL GENERAL LIABILITY ................................................ ` PROOUCTS•COMPIOP AAO. :1 .... ... .......... ............... :.... ...... .... . CLAIMS MADE .. ` OCCUR. i ............ i PERSONAL A ADV. IN.k* i i ... ..... :........: ... OwNER'S A CONIRACTOn'S Pnor. ;..... ............................................ ............................. ...;.... i i EACH OCCUMTNCE 3 ....... .. . . ....... ............. ........ ...... ... .. FIRE DAMAGE (My one fire) :s ................................................. i ................................. .:................................. i MED. EXPENSE (Any enb pbreon) TI ................. .......... ... ............... AUTOMOURE UARILRY ;.... ...... i COMBINED SINGLE .� :....... LIMIT i ANY AUTO ALI. OWNED AUTOS BODILY amnY ._ .` SCIIEDUI.FO AUTOS (Per person) HXIFD AUTOS : BODILY INJURY ; (Per ettldeng NON.OWNm AUTOS ... .. ... ............... GARAGE LIAMLIIY PROPERTY DAMAOE :1 EXCESS LIABILMY : EACH OCCURRENCE 1 .............................................................................. I)MMtFLLA FOnM .. ... AGGREGATE .� .... ..:: .............. .. ... .. . OnIF.n TIIAN UMBRELLA FORM . ................................... :.................................................................................................................................... .'.:.WOnKEiI'9 .... .... ..::..:.;..........:.......................... ............ . X StATUtony LIMITS. COMPEN9AT10N AND .. WCSBO592205 10/01/98 10/ 01/ 99. Enc"..ACCI 0ENI # 1, 000, 000 ............................... f ; DISEASE - POLICY LIMIt 1 1,000,000 EMPLOYEIIS' UABIUTY ..................... DISEASE - tACN EMPLOYEE 1 1000,000 :.......................... ................................................................................................................... OTHER ................................. ...........:...............................:............:............ ............. .................... ........:. OESCn." N OF OPEnATION9&oeARONSIMICLES!SPECIAL "On Location: 1375 Grass Valley Highway Auburn, California 1 Insured's Copy Attn: Jody SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLtb AEFOHE nit EXPIRATION DAZE 11-IEREOF, THE ISSUING COMPANY VvILL ENDEAVOIt t0 r > MAIL 10 DAYS WnItIEN NOTICE to THE cERnrICAtE NOLD0 NAMED to nit 3 > LEFT, BUT FAILURE MAIL SUCH NOnCE SI TALL IMPOSE NO OBLIGATION On F' LIABILITY OFKI UPON THE COMPANY! S DENTS Oh n@bhESENtAfivES. <; `' ,".AUTNO AtPII ATIve / l THIS FLEETWOOD HOME Model -�-603l3Ih CONTAINS THE SERIAL NUMBER FOLLOWING INSULATION: LOCATION CEILING EXT. WALLS FLOOR CEILING EXPANDO/T.O. .TYPE OF INSULATION THICKNESS (INCHES) r�� — tA R -VALUE* v TYPE OF INSULATION THICKNESS* (INCHES) R -VALUE * TOTAL R -VALUE *Insulation Thickness and R -Values stated as averages and may be reduced due to compression in cavities. R -values certified by manufacturers of insulation modified for thickness installed in this home. Savings vary. Higher R -Values mean greater insulation power. This insulation information was furnished by the home manufacturer and is disclosed in compliance with thederaI Trade Commission Rule, labeling and advertising of home insulation, 16CFR Section 460.16. 23-, Retailer's Signahne % Date I ACKNOWLEDGE RECEIPT OF THIS INFORMATION AND UNDERSTAND THAT A COPY OF THIS FORM WILL BE INCLUDED WITH MY SALES CONTRACT. Customer's Signature Date cc W J H W cc i ` 7 8"-O"SECT 12'-7 1 "GAS .•1;i1Z7 _trots 1 ' 1 -PC 60' OVAL hpY T/S e O � 28 � • m CPT O'HDI;_ 3280 6�1 7'-5s"- OoBtAI5 ot 7 s6D -tea I w =off I i 89 o ca S 64" 0 It W i MIRRO 60" SHELF ' - -- _ 27'-4" �Ioo OPT coot_ER _--- ---- ' ---.. . _ a '.-•� '_- _PAN L -J 01-100.4 4ST ROOM W.O. to t0 . >! GABLE DORMER l�MASTER ROOM DINING AREA � 3658 14110.1 3658 36583658 3658 77'-4' 9'-4" f l 77'-4" SW SW TOIE!!5pLj(,- -CAT ��n 1. NOSLINE DRAWING ` nn¢: NEW 1999 SUNCRESTDRAWING 2. SW �5 46'10 7-cpC T/S 6. ro 0 O �j IU N �I l 28 28 BEDROOM #3 28 0' 0 6' o I zed. \ BEDROOM #2 4658 591 H SULIWAN SCALL: MODEL Na. OF 1 I-----29'-9"ScfJER Sly o -teai oo'-a. asla _ uNEq CK0?rD • 32$0 .. _ X 60' OVAL .Qpf� w/ L�f UillD�1__`._ ® ® I 3¢ h t60C T/5 ---D - ! 9� T/S v 4 "_ OFT 0-- --- -- ------ I mz -LCL Opo_ m ---- 2jt9fIt D If W '-- _ - sa - -- - - Q t � '- -- 71- -- D I MIRROR 3-0 Sr�EIF � � m_�_ n ---- _- _ _ - --- 27'-4" o O `" M - - _ _ -- - -- -- —_ - - �- ---- - ;� ^ L10c) OPf COOLER ----- a 28 n - - 6-0 I I 28 _ . _ - -- - P �_� 28 BEDROOM #3 —28 -- -- - ? Room -. 28 30 W.D. 11 0 .•`� III x Q Q a u1.Q• tCI ZN1F�6.'•� s o ."..> � o rn / ?rD�GAB N DORMERclQ "ITER ROOM DINING AREA Ll BEDROOM #2 3680 3658 3658 3658 3658 4658 .. OSIN 1 T-4' sw 17'-4" 16'-0- svl o �gx,�o f+rnt5 NEW 1999 SUNCREST H sul.,vm s �s-=r._D +'onEL NO. SERLAL ro.. SKt 2. LINE DRAWING QA . fi-7q-QR ... _ nF RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: NAME STREET ADDRESS CITY. STATE and ZIP FOR ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such loco) agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. REAL PROPERTY OWNERAiSSOR MAKNG ADDRESS CITY COUNTY STATE ZIP NSTALLATION MAKING ADDRESS. If WHEM Cm COUNTY STATE ZIP , UNIT OWNER (e ebo pnepeoly awns Wdm-SAME'I- MAKING ADDRESS , CITY COUNTY STATE ZIP LOCAL AGENCY ISSUING PERMTr and CERTWICATE OF OCCUPANCY MAHI NG ADDRESS CITY COUNTY SIATE ZIP $111LO NG PERAU T NO. TENWONE Mumma SIGNATURE OF LOCAL AGENCY OFROAt DATE MADISON MOBILE HOME SALES 91147 DEALER LICENSE NO. UNIT DESCRIPTION _ VT.1F'FrPyjrI0n 1999 snNrRF^'^ g603A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER NUMRERIS) AM PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCELCEI NUMBER REi R inn O d 7 P�wAT Oi �c �� or �; ' •""' ��� �, NCD FORM 433(A) 2-88 * e a • a 4a " o z 0 ' yyVNlTr OEy� f .� � NOTICE TO ASSESSOR HCD 433(8) 4/86 THIS FORM MUST BE COMPLETED BY THE OWNER OF A MANUFACTURED HOME MOBILEHOME OR COMMERCIAL COACH AND FORWARDED TO THE COUNTY ASSESSOR UPON COMPLETION OF THE INSTALLATION OF THE UNIT ON A FOUNDA- TION SYSTEM PURSUANT TO SECTION 18351 HEALTH AND SAFETY CODE. u ORMNAL PURCHASE PRIG FOR: [� S7, y2 Type of Exh"Im WoU Coverinv 1. 7M task urif $ (Metal, Wood, etc.) A Uv Z. CwonaJ EquiPaxirM pproda S--� �� � Type of Roof Careri+q s. swts�d S 3 V (.. . CwPn• etc.) 4. Aaonsories & Accessory Struchrres S Type, Forced Air 0 Floor or won L Other ($Pedfy) f Air CorAfitioninp, ❑ YES NO Tons L a r sq ODD, o Evaponsfive cooler. O YES NO �j tr�hia cooldop, 0 YES NO F. TOTAL SALES poo S r c� • o0 WIMM OMu YES No tuUFin fTi+hwaslsen YES 0 No DOES THE BASIC PRICE 1 E ' tuilFin wet tor: YES � NO The Towbar(s) 0 YES NO Reffteroton ❑ NO Tiros 8 Whaeb ❑YES Roof Obrhow (Ev—e YES rNO ind�es WMAPAs a Axles 0 YES No Furniture 4rdudod, 0 YES Vohs s (LENGTH x wloTft LIST NUMBER OF ROOMS: Carport: 0 YES NO x Awrkgs 0 YEs x Bedroom � L kft Room / Pot& 0 YES rNo x Lathe �y Roam D ,�7Of'OR°t 13 Yes � �(No x storoo. Sired: 0 YES V P40 x . Uay Reom sa! / starwro= 0 YES NO UNEAI / — r�r Living Rear _.L oHrar Roam The sols price as shown sloes not include any amount for any in-place Wcaf m The Anew es Parcel Number of the insMflafTon site is Telephone N 4150 w Record at the Request of Mid Valley Title & Escrow Company Order No. Escrow No. 167421 PE Loan No. WHEN RECORDED MAIL TO: DALE CAMPBELL CHERYL CAMPBELL , 1998---0Q3659a Recorded Official Records County Of Butte CANDACE J. GRUBBS Recorder 09:01 27 -Aug -1998 REC FEE 10.00 TAX X9.70 Vickie Page 1 of 2 902 PINTAII. DRIVE I SUISUN, CA. 94585 SPACE ABOVE THIS UNE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $293.M Computed on the consideration or value of property conveyed. OR SAME AS ABOVE _ Computed on the consideration or value less liens or encumbrances ORO -C remaining at time of sale. be iinrlarsionari Granfpr deClamg Signature of Declarant or Agent determining tax - Firm Name GRANT DEED 028-200-042-000 FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, ROBERT CHARLES JOOST, SUCCESSOR TRUSTEE OF THE EVELYN W. JOOST REVOCABLE LIVING TRUST, WHO ACQUIRED TITLE AS EVELYN W. JOOST, AS TRUSTEE OF THE EVELYN W. JOOST REVOCABLE LIVING TRUST DATED 2-1-94 hereby GRANT(S) to DALE CAMPBELL and CHERYL CAMPBELL, husband and wife, as Joint Tenants the real property in the Unincorporated Area County of BUTTE described as SEE ATTACHED LEGAL DESCRIPTION Date } STATE OF CALIFORNIA COUNTY OF PLACER } On ,Z t before me, /�/1r'3,Q Q. /i�L.i .�/ , Notary personallpappeared Public personally known to me (eFIrovekt:to me on. the basis of satisfactory enddeoce) to be the person(s) whose narrie(biNare, subscribed to the within instrument and acknowledged to me tha ►e he/they executed the same lrj'T - her/their authorized capacity(ies), and that by ,fis er/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the Instrument WITNESS mynd and official seal.. Signatur - i State of Cafifornia, EVELYN W. JOOST REVOCABLE LIVING TRUST 013ERT CN-rtLES-JOOST, S4C. _I Q T'• i Notary Public ._ C:p:i!Cy-:4 PIACfA SOU, 1*V my Comm_ cx�-- '.f .. 't. '� i. •. nth.' - •i• - .y ... t�! 'r'.. .. .ti'.+ t�7 � + . ,'t♦ :� ei ,Ji ri ;� -,t ''!,s ,re r ..+,,. •„, .. 11 a•..Ss • �i F ;... �t'.I.' �. 5,... .♦ e� •„y .. \.,iV c. ,•� n� i .'... .F 1 ♦F 3 Rutte County Department of Development Services NOTES 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 www buttecounly.neVc�Qs ou I �_RESIDENTIAL______� 028-200-042 06-1565 APN:CAMPBELL, DALE ADA1 Ob- iq 799 DUNSTONE DR, OROVILLE 6A .( 0,- :owner. Cont: OWNER - M/H � rfM P A P Al 0,'(- - I "t Site Addres . l _ 1rjF_00-4n15'---- Contractor Type of Permit OFFICE COPY( Address GAS Meter By Date ELECTR Meter By Date f .55 6-3 REQUIRED AT FINAL INSPECTION Rotte Countv Mobilehome/Manufactured ; j Home Acceptance Certificate. Form 513. L Form to be completed by Field inspector. Health and Safety Code Section 18613 or18551(b) OFFICE COPY Address [�iRoUtc..�E r N GAS Meter By Date ELECTRI EAU7,97te Meter By I I -'Manufacturer_ Date of Manufacture - 5- Serial Number(s) 239 n mt 0e: 11 Z-9 f HUD Number(s)CAL Iy��q (,34 e►Z APPA 9 ZR DATE JOB FINALED: ^ I O l6 'd SIGNATURE• `�u_� G3, f ,s i , (530) 538-7601 www buttecounly.neVc�Qs ou I �_RESIDENTIAL______� 028-200-042 06-1565 APN:CAMPBELL, DALE ADA1 Ob- iq 799 DUNSTONE DR, OROVILLE 6A .( 0,- :owner. Cont: OWNER - M/H � rfM P A P Al 0,'(- - I "t Site Addres . l _ 1rjF_00-4n15'---- Contractor Type of Permit OFFICE COPY( Address GAS Meter By Date ELECTR Meter By Date f .55 6-3 REQUIRED AT FINAL INSPECTION Rotte Countv Mobilehome/Manufactured ; j Home Acceptance Certificate. Form 513. L Form to be completed by Field inspector. Health and Safety Code Section 18613 or18551(b) OFFICE COPY Address [�iRoUtc..�E r N GAS Meter By Date ELECTRI EAU7,97te Meter By I I -'Manufacturer_ Date of Manufacture - 5- Serial Number(s) 239 n mt 0e: 11 Z-9 f HUD Number(s)CAL Iy��q (,34 e►Z APPA 9 ZR DATE JOB FINALED: ^ I O l6 'd SIGNATURE• `�u_� G3, ftLL e=OK 0 = Not OK MANUF - TURED HOMES MISCELL`ANEOUS- DATE , ' ENT FOUNDATION SOFTSET Zo��gSetbacks-Easements i'Soi , Special MH Support Sketch �e r; Loan -Test; FaII/C/0-Concrete -Test-Easement Needed -Regulator ilec�Lott-Clrncs-Grnd2W • Amp -Concrete GCECTCLI C= 6 . i s; - p ' Nat —or CpQ Ft Lngth g; SzSpacing-Marriage Line 96!� est -Deman - ec MH Cntnty Test -Crossovers -Breakers -Gimes JV -159n; MH Test -Fail -Flex Cnnctr A'wtr & Sewer Connected -CIO to Grade 12 Ga nd Electricity T ged )f a Downs Foundation .El 14 Exits 15�Cert of Occupancy VAI'UD Labelflnsignla Numbers Serial Numbers DATE DECKS -COVERS -CARPORTS -GARAGES 1 Zoning4etbacks-Easements 2 Ftgs; SoilsSz-0pthSpacing-Spacing 3 Decks, Girders/Jolsts-Dcking-Brcing Stairs-GuardlHandrails 4 Wood Awn; Posts-Beams4btrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors T Electric 8 Frmg; Sills-AnchrsStuds-Rftrs Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -I andngs 12 Braced Wall pnls # DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactlonStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men-tJning 4 Elec Reptcls/Lting; Distance-GFI 5 Etec Pool Lting;15voits-GFI 6 Elec.Encisrs; Conduit Entries -Terminals -listed . 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp wl5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pntboards-lnsultn•to Main. Conduit 9 Health Dept; App' M . Pimb; Cir Test Wtr Supply Test —I 1 Lt Niche , 12 Endsr, Fencing -Alarms 13 Bonding, Diving board or Slide o to -0 -06P �s+ 66019 C dA ` le O U COUP/L-10 T ("C. Pool Drawing 0 = Not OK RESIDENTIAL (S'I'rig-Ve & Duplex) DATE JUNDERFLOO DATE IPLUMBING 7 zonmgsetbacici -Easements-Flood-Slope 2 Ftg Main; Soils lec Gmd Ftp Dpth 3 Ftg Garage; Soi Steel -Flet Grnd Ftg Dpth 4 Ftg Porches/D' ks; SoilsSteel Ftg Dpth 5 Stemwalls 141ain Steel-Blockouts Wrapped 6 Stemwalis Gara e; Steel-Blockouts Wrapped 6a Hold Downs an Special Anchrs 7 Slab, Steel Wra ped 8 Piers-FrplcFtg feel 9 DWV; Fall-Fittin -Test-2-way CIO -Sewer Test 10 UF, Gas Pipe; Anchrs-Sz Test 11 Wtr Pipe; Test- chrs-RgltrService Test 12. Elec Undrgrnd 13 Plenums & Du ; Cirnc-MaterialSupport4nsultn 14 Girders -Sills -An hr Bolts-Joists-Vnts-Cripples 15 Ace & Vntltn 16 Insulation oa mss' a DATE FRAMING 17 Silts Proper Mate. ; 18Walls Studs-Naili i 19 Bearing Walls ov 20 Draft Stop in Wall 21 Fire Stops, Fiirre 22 Headers &Beams 23 Hangers-Post•Ca 24 Ceiling Joist-Rffr 25 Frplc Ties' or, Type 26 Attic Acc; Si & 27 Bdrm Wndws or 28 Garage Fre P 29 Prprty Line Firewa 30 Ext Doors -One 3'-( 31 Stairs; Width-Hdrn 32 Plywd on Roof Ovi 33 Siding -Nailing Ven 34 Stucco Lath -Weep 35 Glazing Area-Glas 36 Shear Walls; Nailii 37 Brace Int/Ext Wall 38 insultn-Walls-Celli 39 Infiltration -Walls -V DATE ELECTRICAL - 40 Fxtr & Trnsfrmr CI 41 Elec Rcptcls Spac 42 Sz Boxes & No Of 43 Romex Installed C 44 Eqp Grnd made ul 45 Gmdng Electrode 46 2 Appinc Cires in 47 Subfeed Wire Sz_ AC Wire Sz _ 48 Range Circ _ Oven Circ _ Insulated Neutral 49 Service -Riser Cne 50 Eqp Cirncs pnis-h 51 Clothes Closet Lt. 52 Smoke Detector ils & Anchrs I Spacing & Braces -Plates -Sound Girders 4,flr Nailing (rat proof) :eilingsStairs-Chasers Tubs ii & Bearing' ids-Puriin-Roof Brac TrussShthg k Flue=Frplc Throat Clmc z .Pitcxrt-Draft Stop -Ins Baffles siting Doors.Sill Ht & Dimensions Framing -RC Channel 18 Opngs' :heck Garage 3rd Story, 2 Exits i -Rise -Run -Landing -Fire Prtctn hng-Attic Vnts-Rftr Outrgrs icreed-Fndtn Vnts-Undrflr Ace PrtctnSkyLts-Plastic . le ns Prtctn .ts & Switches at Doors Ars Stapled to Edge of Studs & CJ tech Fstnrs JGas &Wtr n & Cndctr Sz GFI W ❑CUorDAL ua ❑ CU or ❑ AL ya ❑ CU or ❑ AL ¢a ❑ CU or ❑ AL ❑ Yes ❑ No & Grnd Main Dscnnct s-Mech Eqp r Lt -Spa Lt o`er 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail Prtctn 56 Shwr Pan;: Test, First fir -Tub Ace 57 Test Tub & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas.Piping 41 DATE DATE MECHANICAL 61 AC Ducts Insulin & Support 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pltfrin if Furnace In attic 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub AccSpa 71 GFI Are Fault 72 Elec Trim & Subpni, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, CImc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr, Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clmc Drnge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frpic-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted .99 Fire Sprinkler a'° rz) 1 Routo(/ Ct2(:)S<'-0UC—fz rA Date 0 D(b Inspector (301z'q 1`1 Cp [Z I -�f A—// eff k–' REV 4/05 Phone # 53' al FOR RE -INSPECTION CAL 1: 538-7636 OR 891-2834 Z. COUNTY OF BUTTE..... BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 4 7 County Center Drive • Ciroville, CA • (530) 538-7541 CORRECTION NOTICE &5 L OWNER PERMIT NO. tions A routine inspection indicates that the following v* tions of Butte County Ordinances exist at vte the above address and should be -corrected. j ease all for re -inspection when correction of e "rt work is completed. If you have any qu on, pertaining to this matter, or need additional explanation, please contact the Buildin nspector as indicated below. 2N " -x 2t n, 0 (Z 9 (A ( r rz) 1 Routo(/ Ct2(:)S<'-0UC—fz rA Date 0 D(b Inspector (301z'q 1`1 Cp [Z I -�f A—// eff k–' REV 4/05 Phone # 53' al FOR RE -INSPECTION CAL 1: 538-7636 OR 891-2834 BUTTE COUNTY PERMIT'NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061565 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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: 07/31/2006 APN: 028-200-042-000 the Business and Professions Code, and my license is In full force and effect. License Class : License Number: Site Address: 801 DUNSTONE RD ORO Map Index: Date: Contractor: Description: new mh, new site, tie downs, (ADM- 06-14) OWNER -BUILDER DECLARATION 1 hereby affirm under penally of perjury that I am exempt from the (1100 ) Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: CAMPBELL DALE & CHERYL signed statement that he or she Is licensed pursuant to the provisions of 799 DUNSTONE DR 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 OROVILLE, CA she is exempt therefrom and the. basis for the alleged exemption. Any 95966 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).): 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 Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does Applicant: CAMPBELL DALE & CHERYL such work himself or herself or through his or her own employees, 799 DUNSTONE DR provided that such Improvements are not Intended or offered for OROVILLE, CA sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of 95966 proving that he or she did not build or improve for the purpose of (530) 533-7724 sale.). ❑ 1, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: 3 Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: License #: ❑ 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. El have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this'permil is issued. My workers' compensation insurance carrier and policy number are: Carrier:— arrier:Policy#: Policy #: Total Square Ft: 1100 S.F. Valuation: $71,500.00 *'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 I should become subject to the workers' rte; p n, compensation provisions of Section 3700 of the Labor Code, I shall 'q0 forthwith comply with those provisions. —d 6 Date:Wit' lib A Applicant: i w Z v� WARNING: Failure to secure workers' compensation coverage is and one f unlawful, and shall subject an employer to criminal penalties v hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor LI / , (U,,1! ) c -i code, interest, and attorney's fees. 'CONSTRUCTION LENDING'AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Is Issued 3097 Civ.) Resolutions tG do wor Indicated abov7 for w ich fees have been paid. — 06 performance of the work for which this permit (Sec 6y. Date: [- Name: 77 / PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I'have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. E �u t�1 D ` Signature: Print Name: ~ FZ Date: O Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor _ �......H !, , R_nA nn , �... U. d BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT'NO. BP061565 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: 07/31/2006 APN: 028-200-042-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 801 DUNSTONE RD ORO Date: Contractor: Map Index: Description: new mh, new site, tie downs, (ADM- 06-14) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the (1100 ) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: CAMPBELL DALE & CHERYL signed statement that he or she is licensed pursuant to the provisions of 799 DUNSTONE DR 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 OROVILLE, CA she is exempt therefrom and the. basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: CAMPBELL DALE & CHERYL such work himself or herself or through his or her own employees, 799 DUNSTONE DR provided that such improvements are not Intended or offered for OROVILLE CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95966 proving that he or she did not build or improve for the purpose of (530) 533-7724 sale.). ❑ I, as owner•, of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: 2:2 Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 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. Architect: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:— arrier:Policy#: Policy #: Total Square Ft: 1100 S.F. Valuation: $71,500.00 lel 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 Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' t p n compensation provisions of Section 3700 of the Labor Code, I shall •no forthwith comply with those provisions. -otoy� �G Date: Applicant: 4-7-, n n W-G�L) v� WARNING: Failure to secure workers' compensation coverage is%, unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to do wor indicated abov for w ich fees have been paid. V? 0- -O performance By: Date: Name: n r� j { �% /`i) 1- 1 f PERMIT EXPIRES ON: V Address: (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 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. • I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and slate 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 ButteCCounty to enter upon the above mentioned property for Inspection purposes. �GY e `� �� D e Signature: Print Name: -YZ Date: / Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. G. boding Fermn ui-i6-uv pg i I ,. 1 r 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" c-APPL-IC_ANT INF_ORMATIOM COWNER=INFORMA-TION- La t Name Address , n D� l i t Nafne Q� Addre City City State State Zip 5q� Phone 535 Za Fax E-mail 6114,1 e a2Q a a roct , A447 c-APPL-IC_ANT INF_ORMATIOM CONTRACTOR Name Address , n D� l Address State City Phone X33 2 State Zip Phone Type Const. Fax E-mail Map Book Lic. # Class c-APPL-IC_ANT INF_ORMATIOM ARCHITECT/ENGINEER Name Address , n D� l Address State City Phone X33 2 State Zip Phone Type Const. Fax E-mail Map Book State License Number c-APPL-IC_ANT INF_ORMATIOM Name Zoning Address , n D� l City, U I e State Zip Phone X33 2 Fax E-mail Ci a Aha hecr G , hJ ' ". v n "APP-LICAN-T-SIGNAT_URE_-� X Jock, For office use only: AN V � oZoo Zoning City alto 40-1 Flood Zone WORKER'S COMPENSATION SRA Yes I No Occ. LENDING AGENCY Type Const. Subdivision" Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS :0 PERMIT NO. BPQ 3Z BIN # PROJECT COCATION—`i AN V � oZoo Property Address 4- fin, City alto 40-1 Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address CDescription or -Scope -of Work �'Pfr S t -J�IL S dV 1A 6064'�(,e, hoen V., 52D -(n 0&-/ Sq FT- Living.t/&D Garage A Open ov O Structure Built without Permits ;9� Proposed Change of Occupancy ko (Note previous use): Saki Ldnii Dnesk_r- /u+ EXPIRATION OF APPLICATION Applications for which a permit has not beer' issued will expire one year after the date of application. In order to renew action on an application after expiration, a view application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 8-12-05 ReceiveWl� Amount: 3 -1 -f Bldg SRA 1� Receipt: Sheriff Date: p � b SMIP _Other � Total KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 8-12-05 The following drawings and permit. II ❑ 1. ❑ 2. ❑ 7. 8. 9. 10, 11. 12. Site plans, 3 or 4 s' Complete plans, 31 Engineered plans, Engineered truss d Energy compliance Statement of Inteni Manufactured hom all in duplicate Metal bldgs: (A) ME plans in triplicate. Flood Elevation Ce Site plan and busin Letter of intent for I L- , -% ,f SUBMITTAL & PERMIT REQUIREMENTS pecifications must be submitted to the Building Division in order to apply for a TTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK its, signed by the preparer of the plans. No graph paper! ►r 4 sets, signed by the preparer of the plans (No graph paper!) OR or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. tails and layouts in duplicate (if required). No faxes! design and supporting documentation in duplicate. for Non -heated and A/C for Non -Residential Buildings. �s: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, al Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor II of these must be stamped and wet-signedby the engineer. Building Permit App Hazardous Material Remaining items needed to is ue the permit. Additional items may be required after Plan Check and Planning I review (May require additional 111. Agricultural Buffer cl 1712. Impact Fees. ❑ 3. California Departmen ❑ 4. NPDES Form. ❑ 5. Encroachment Permit ❑ 6. Contractor's license ii ❑ 7. Worker's Compensai cate, wet -stamped and signed, in duplicate (if required). license approval from the City of Biggs. i -residential buildings. ration Without Required Clearances Form orm (for Commercial Buildings only). review upon receipt of the following items.) arance and site plan approval from the Ag Commissioner's office (if required). of Forestry plan approval (if required). for driveway from the Public Works Dept. (construction approval prior to occupancy). formation. (Number, Name Style, Classification). on Carrier and Policy Number. ❑ 8..Owner-Builder Verifiction (if required). 1719. Letter of Signature a thorization (if required). ❑ 10. Recorded copy of Ag icultural Acknowledgment Statement. ❑ 11. ❑ Legal description rom current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. r_112. Sanitation and site pl�n approval from the Environmental Health Department. If you have questions or i Permit Assistant at (530) Id like additional information regarding this process, please contact a -7541. EXPIRATION OF APPLICATION Applications for which a permit ha 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 ritten request by the person who paid the fee. The request must be made within two years from the.date of fee payme t on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permit refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked a d other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING FORMSOdgApplSub�gmts.doc Page 2 of 2 REV 8-12-05 j^..rte V fC ,. 'Kti `' •C. ! DV COIYNTY OF BUTTE -DEPARTMENT OP DEVEiONMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: N�''y /'� NLrG✓S/Taj %�IL` Tmit T—Snician: � Date: Items required in order to apply for a permit All boxes MUST be checked OR marked NA in order to apply. n / 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. \ O 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. //V 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 101 Flood Elevation Certificate, wet -stamped and signed, in duplicate. \ ❑ 11. Hazardous Material Form �p 1,A/ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other \ Remai Ing items needed to issue the permit (May require additional plan review upon receipt of the following items.) `❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ I 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 ........................................... Erosion Control Plan Required........................................................................ �t 9 Fees as shown on the attached Schedule of Fees Due Sheet .............................. City of Chico Plumbing permit........................................................................ \ ❑ , 1. Site plan and business license approval from the City iggs........................ .......... t California Department of ForestryIan approval aid. Sent bf to ` L �7 Planning approval for (A) Use: B) Parking: (C) Parcel Check:..L ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ �— :: ��a'• : ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... ':, A',•,:: ! jj 2 NPDES Form ....................... :y N Encroachment Permit for driveway from the Public Works Dept ........................... ;! E] 28.Contractor's license information. (Number, Name Style, Classification) ................... 9. Worker's Compensation Carrier and Policy Number .................................. ......... 1 Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits.......................................................... ❑ 34. Deed Restriction...................................:...................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, titre search, registration or MCO ......................... ❑ 36. Other. ❑ 37. Other. When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant r;. Date: / 1. Index permit application for the above items numbered: W Plan Check Letter 2. Additional items requir ' Contractor, designer wne as advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, w s advised of the abovq data y ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: � l Plans approved by: Date: ''Structural reviewed by: -11 Date: Structural approved by: Date: Note transfer by: Z,.� Date: A?� rJ Yellow: Building Division Plot Plan Attached E.H. USE ONLY Floor Plan Attad ed Sent to BD/DS TO:. Building Division — Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal: Clearance for . dwelling. Other _ Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Building Clearance 9/2005 r Supp!XL.,:.Public Private Welles Date BUTTE COUNTY DEPARTMENT OF DEVELOPMENT 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 campbell APN No: 28-200-042 Permit Type: Subtype: App Date: 6/28/2006 Permit No: BP 061565 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 Flood Elevation Review $109.98 0 3 RYes SRA* Yes Fire Plan Check - Non -Refundable $95.00 $95.00 _ - $204.98 (State Responsibility Area) Building Inspection $109.98 $109.98 NON-REFUNDABLE portion of fees due at application $314.96 RECEIPT DATE Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT flay►.'.. a+ y $ 4 Balance of Building Permit Fees (from No. 1 above) -' 2®y9� �� )Coq r-3olj 0,16L_� 5 SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) $2.88 L56q 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 Other*: 7a Other*: 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Per Dwelling Applications After 04115106 ,r SFD ,c MFD ,c MH County 4249.11 3183.54 3238.72 Chico Urban Area 6146.23 4538.82 5648.44 El Medio Fire District 3249.97 2385.76 2422.68 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 8801.091 7395.041 8486.40 �c R-1 8897.09 7491.04 8582.40 'L0 R-2 8390.091 6984.04 8075.40 R-3 7604.091 6198.04 7289.40 RECEIPT DATE Tech/Asst Processing Fee is automatically added to impact fee total 0 $100.00 9 WATER TENDER FEE )Not collected when Impact Fees Applicable) Enter Bat.# $200.00 DRAINAGE FEES* 10 CHICO STORM DRAINAGE 770 Butte Creek $7,997 MASTER PLAN 771 Comanche Creek $8,341 772 Little Chico Creek $9,088 773 Big Chico Creek $6,776 New construction, vacant 774 Lindo Channel $8,267 land, on 1 acre or less - 775 SUDAD Ditch $7,211 Enter 1 or less acre value 776 Mud -Sycamore Creek $6,275 RECEIPT DATE Tech/Asst 777 PV Ditch $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 $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* Oroville Union High School ! osZ 7AI& K.6J 12a RECREATION DISTRICT FEES* C' (r , r. _ � /R A 11 Oroville__ _ - At the time of permit application, I was advised the above fees are checking process. to issuance of the permit. These fees may be changed during the plan Applicant: Date: Pursuant to Government code Section 66020, you a hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 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 .[-;;-I 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: 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: Ir CONTRACTOR'S LICENSE NO: S. 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 DATE: is (, NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. rn.+nnlofori o -A rM irnori fn noir n{iirA }kornro lir ern _nr. ; +nri 4n inn..e fl,n Butte County ,hep ADMINISTRATION ° BUILDING ° GIS 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a build improvements specified. For your protection you permit Building permits are not work. If your work is being perf that person applies for the proper Contractors are required from the city or county. They are If you pian to do your o - aware of the following informatic o If you employ of otherwi and other costs) is $20 subcontractors, then you o If you are an employer, to several obligations in compensation insurance, o There may be financial r with respect to workers' o For more specific inforn if you wish, the U.S. Sn state law, contact the De If the structure is intend work personally orthrough the conditions. A frequent practice of permit, erroneously implying thz permits are not required to be sig Information about licen: community or at 1020 N Street, Please complete and ret of these matters. The building pe Sincerely, gal l �� Scott Rutherford Chief Building Inspector t of Development Services ��3TP o 0 o o o � o .-BUILDER INFORMATION permit has been submitted in your name listing yourself as the builder of the property .ould be aware that as "owner -builder" you are the responsible party of record on such a squired to be signed by property owners unless they are personally performing their own med by someone other than yourself, you may protect yourself from possible liability if xmit in his or her name. y law to be licensed and bonded by the State of California and to have a business license Iso required by law to put their license number on all permits for which they apply. :i work, with the exception of various trades that your plan to subcontract you should be for your benefit and protection: engage any persons other than your immediate family, and the work (including materials or more for the entire project and such persons are not licensed as contractors or iy be an employer. i must register with the state and federal government as an employer and you are subject idmg state and federal income tax withholding, federal social security tares, workers' sabihty insurance cods, and unemployment compensation contributions. cs for you if you do not carry out these obligations, and these risks are especially serious mpensation inswance. ion about your obligations under federal law, contact the Internal Revenue Service (and, 1 Business Administration). For more specific information about your obligations under rtment of Benefit Payments and the Division of Industrial Accidents. for sale, property owners who are not licensed contractors are allowed to perform their own employees, without a licensed contractor or subcontractor, only under limited alicensed persons professing to be contractor is to secure an "owner -builder" building the property owner is providing his or her own labor and material personally. Building d by property owners unless they are performing their own work personally. d contractors may be obtained by contacting the Contractors' State License Board in your cramento, California 95814. n the enclosed owner -builder verification from so that we can confirm that you are aware nit will not be issued until the verification is returned. NOIR- This nwnef-Builder Information is reauired by Section 19830 of the California Health and Safety Code. TMEI�T �UTT���\� Department of Public Works r� °0, r�'. �� \` C o u' n t y o f B u t t �e o ° LAND DEVELOPMENT DIVISION ° ° J. Michael Crump, Storm Water Management Program �V,° C D ire c for 7 County Center Drive �\ Q U tA"( // Oroville, CA &7265 poetic WO ( 1 53 (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 ect Description: �1C�r� W 1, Nov S �� _� `:- Pro* 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- ' Z. Date- & - 9 o 6a Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storrs Water Management Program Revised 5/24/04 y 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.buttecounty.net/dds ADMINISTRATION * BUILDING * PLANNING February 3, 2006 Dale and Cheryl Campbell 799 Dunstone Drive Oroville, CA 95966 CERTIFIED MAIL Re: Administrative Permit, ADM 06-14 APN 028-200-042 Dear Dale and Cheryl Campbell: Enclosed is your validated Administrative Permit No. ADM 06-14 to allow a temporary mobile home on property zoned A-5 (Agricultural, 5 -acre parcels). The property is located on the east side of Dunstone Drive, three quarters of a mile south of Avacado Road (799 Dunstone Drive). . Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Ge V Sherry Viernes Office Specialist, Senior Enc. cc: Land Development Division (g) Building Division (y) Environmental Health (p) Department of Forestry (gld) GIS (vi) ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Dale and Cheryl Campbell FROM: Paul MacIntosh, Director - Development Services DATE: January 30, 2006 FILE #: ADM 06-14 PURPOSE: Administrative Permit for Dale and Cheryl Campbell on APN 028-200-042 for a temporary second dwelling to be located on the east side of Dunstone Drive, three quarters of a mile south of Avacado Road (799 Dunstone Drive), on property zoned A-5 (Agricultural, 5 -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Acta Occupancy of the mobile home shall be limited to . An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. a 41 Wa , (0 Permittee Signature Date 4PetCalarco Date Assistant Director -T -� LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH December 12, 2005 ❑ 202 Mira Loma Drive 411 Main Street Q 7 County Center Drive Oroville, CA 95965 P.O. Box 5364 Oroville, CA 95965 TEL: (530) 538-7282 Chico, CA 95927 TEL: (530) 538-7281 FAX: (530) 538-2165 TEL: (530) 891-2727 FAX: (530) 538-7785 FAX: (530) 895-6512 Cheryl Campbell 799 Dunstone Dr. Oroville, CA 95965 RE: Pre -Application for Temporary Second Dwelling, 799 Dunstone Dr., APN 028-200-042 Dear Mr./Mrs. Campbell, This department has completed our pre -application review to determine if it is possible to place a temporary second dwelling on the above-mentioned property. You have indicated that you wish to install a separate sewage disposal system for the temporary dwelling and there appears to be adequate room on the property. The septic system will be sized per the number of bedrooms in the proposed dwelling, you should be prepared to install 200 feet of leach line per bedroom and at least a 1000 gallon septic tank. All parts of the sewage disposal system must be at least 5' from any property line, 50' from any drainages, seasonal streams, 100' from all wells, streams and ponds. Provided that the application and map presented io the Development Services Department conforms to the map submitted to our office we are prepared to approve the temporary dwelling. You should be aware that other agencies will review this proposal when it is submitted to Developmental Services. These other agencies may have conditions that would significantly alter your project to the extent that we may need to change our conditions. Our tentative approval of this pre -application must not be interpreted as approval by the County for this proposal. The entire formal review procedure must still be completed through the Developmental Services Department. If you have any questions contact this office between 8:00 am and 5:00 pm, Monday through Friday. ely, Paul o : 1Z_ Environmental Health Specialist Associate • t Cc: Butte County Planning Department /200 /0 ycp-> BUTTE COUNTY (DEVELOPMENT FEE CERTIFICATION FORM FEATHER.RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (P.RPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) �2'_ �d y�- Building Permit Number %y6l- Property Owner (s)(�f i'v1P Project Location /Address Subdivision Name 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 verifi -by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: AVA17 � /96 __/ Lr Building Department Representative Date ❑ FRRPD 0 CARD 0. PRPD ❑ DRPD certifies that: Applicant Name Mailing Address Phone Number City State Zip Has complied with requirements of the Butte County Board ofSupervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ — Remarks: Paid by ick No: and Park District Paid by Cash: per unit for a total of $ per sq foot for a total of $ Receipt No: � � �.., ,--.�� M4naw.N.+.M..-aYn...�r•4��^.t.'M'�/ M'�4.•`., �-.. ` 1+�vi.+d �' ,. .. . � � til �, e . .. ., „s" _ .. .. � .. 0 BUTTE COUNTY SCHOOLS IM'PACfFEE CERTIFICATION FORM (One form per Building) School District Building Departm ��06 n;ei�t <N. Cou A.�P.Number 6?-9—,;,>00—j0(/J?n§diction: -city County Property Owner Property Location/Address W'A Subdivision Lot No. ................ ............. : Residential Development F11 Sq. FootageMOW No of Living Mobile Home Addition/ *Supplemdhtal to (Group. R) Units Installation Conversion Pefmit # *(No foundation inspection) ............................................... 0 ... 0— ................................ T Commercial/industrial New Addition Building Department Representative Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), Sq. Footage (including Exterior Roofed Areas) Date D*tdc tiden Identification No. '070016 n School District certifies that (Applicant) I (City) vi I (State) has complied with the requirements of Resolution No. /05-50 square feet. School District Representative Paid by Check # Remarks: 63,3--7-7 (Phone Number) Q.P? 6 1z (Zip Code) - by payment of $ 4glyo, VO rB 2926 $ L MITIGATION $ Date Node@: You may protest the Imposition of the Is" Identified above by submitting a written protest.to the District, In compliance with Govemmoft Code Section 66020(a), whhIn 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fan In any court action. It, subsequent to the School District Representative signing We Butte County Schools impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this protect Is being reviewed under the California Environmer" Quaft i Act (CEQA), this project may bo*uW*Otoadditional school fees tofuHyn"gateits Impact on the school distrWAschools. White (school district), Yellow (building department), Pink (applicant). fteformids (3M5)dr= NZ� COUNTY of BUTTE Department of Development Services 7 County Center Drive Oroville, CA 95965 530-538-7601 (Phone) 530-538-2140 (Fax) www.buftecounly.net/dds Tim Snellings, Director Pete Calarco, Assistant Director tsnellinasCcDbuttecounty.net PcalarcoCa)_buttecounty.net NOTICE of CONVERSION COMPLETION February 11, 2014 The Temporary Mobile Home described below has been successfully converted to a Permanent Second Dwelling: PROJECT NUMBER: CONVERSION NUMBER: PLADMI3-0003 DATE: 2/11/2014 PARCEL NUMBER: 028-200-042 .OWNER: CAMPBELL, DALE & CHERYL LIVING ADDRESS: 799 DUNSTONE DR OROVILLE, CA i 5965 RECORDATION NUMBER:,ZZ61-4L-,0C63 � $ I DATE: 1/3()/o2 -01q ANNUAL RENEWAL PAYMENTS UP TO DATE: YES DEPOSIT REVIEW SENT: YES IL WHEREAS, Conversion Permit No. PLADM13-0003 was applied for on December 6, 2013 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and III. WHEREAS, the use allowed by Conversion Permit No. PLADM13-0003 has been reviewed and approved as a Second Dwelling unit; and IV. WHEREAS, Section 24-280(c)(2)(f) of the Butte County Zoning Ordinance conditions the occupancy of the primary and secondary dwelling units as follows: the owner of the parcel or lot must occupy either the main dwelling or the second dwelling unit; and V. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a change in use or law has occurred, either of which change allows the use otherwise restricted herein to be conducted on the real property described herein. Under either circumstance allowing such . change in use, Owner shall be entitled to have this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a subsequent document entitled Rescission of Second Dwelling Unit Deed Restriction by the Director of Development Services; and NOW, THEREFORE, with the issuance of Conversion Permit No. PLADMI3-0003 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use Peter Calarco Assistant Director . Illllllllllllllllllllllllllllllllllllllll 2014-0003281 } Recorded 1 REC FEE 28.00 Official Records I County of I CONFORMED COPY 1.00 When recorded return to: CANDACEu�. GRUBBS I County of Butte County Clerk-RecorderI I SK Department of 12:03PM 30 -Jan -2014 I Page f of 5 Development Services Building Division 7 County Center Drive Oroville, CA 95965-3397 Space above for Recorder's Use SECOND DWELLING UNIT DEED RESTRICTION I. WHEREAS, on this 10th day of December, 2013, Dale and Cheryl Campbell, hereinafter referred to as Owner(s), is the record owner of the following real property: 799 15 Dunstone Drive, Oroville, CA 95965 (APN 028-200-042), and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the L VD subject property"; and IL WHEREAS, Conversion Permit No. PLADM13-0003 was applied for on December 6, 2013 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and III. WHEREAS, the use allowed by Conversion Permit No. PLADM13-0003 has been reviewed and approved as a Second Dwelling unit; and IV. WHEREAS, Section 24-280(c)(2)(f) of the Butte County Zoning Ordinance conditions the occupancy of the primary and secondary dwelling units as follows: the owner of the parcel or lot must occupy either the main dwelling or the second dwelling unit; and V. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a change in use or law has occurred, either of which change allows the use otherwise restricted herein to be conducted on the real property described herein. Under either circumstance allowing such . change in use, Owner shall be entitled to have this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a subsequent document entitled Rescission of Second Dwelling Unit Deed Restriction by the Director of Development Services; and NOW, THEREFORE, with the issuance of Conversion Permit No. PLADMI3-0003 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use Peter Calarco Assistant Director facility, which establishes occupancy restrictions on the dwellings. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to the restrictions. This deed restriction and notice of occupancy restrictions shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in interest. This document shall be recorded and returned to the Butte County Department of Development Services, Building Division prior to the issuance of Conversion Permit No. PLADM13-0003. DATE: �D , 20_,I Owner Signature: Print or Type Namd of Ab ve Owner Signature: l Print or Tye Name of A ove—� Owner Signature: rA Peter Calarco Assistant Director Print or Type Name of Above This is to certify that the Deed Restriction set forth above is hereby acknowledged by the Director of the Department of Development Services and that Butte County consents to its recordation thereof. Dated eter Calarco, Assistant Director Department Development Services STATE OF CALIFORNIA SS. COUNTY OF BUTTE ) 0n D -c --"0,E oe a O/-4 before me, Notary Public, personally appeared Pr--rE , who proved to me on the basis of satisfactory evidence to be the person whose nameW is/are-subscribed to the within instrument and acknowledged to me that he/sheLibey executed the same in his/ber/their authorized capacitykiesl, and that by his/lw/their signature(Oon the instrument the person*, or the entity upon behalf of which the person(syacted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. t WITNESS my hand and official seal. ig ature Peter Calarco Assistant Director Le K 1L A111 Commission * 2037196 Notary Public - CaWNIdt Butte County Comm. Ex ires Ag 16 2Q (Seal) I ORDER NO. BU -167921-3 DESCRIPTION N THE THE LAND REFERRED TO IN THIS REPIRTIS SITUATED I DESCRIBED AS FOLLOWS: OF CALIFORNIA, COUNTY OF BUTTE, AND PARCEL I• EAST THE THE SOUTH HALF OF THE .SOUTH HALF OF THE OUTP 18NORTH,QRAN ER 50 EAST, SOUTHWEST QUARTER OF SECTION 19, M.D.B. & M. EXCEPTING THEREFROM ALL OIL, GAS AND OTHER HYDROCARBONS AND MINERALS HERETOFORE RESERVED TO TIONALETRUST AND TOR NAMED AVDINGS AIN SSOCIATIONr, DEED FROM BANK OF AMERICA A NATIONAL BANKING ASSOCIATION, TO F• H. THOMAS AND MAECO HIS WIFE AS JOINT TENANTS, DATED MAY 14, 1943 AND RECORDED THOMAS, CORDS TOGETHER JUNE 18, 1943, IN BOOK VIL PAGE 152, OFFICIAL IN SAID DEED SET WITH ALL RIGHTS AND PRIVILEGES OF THE GRANTOR OIL, GAS AND OTHER HYDROCARBONS AND FORTH, WITH RESPECT TO ALL SAID MINERALS. PARCEL II: A -RIGHT OF WAD 30 FEET IN Y FOR ROAD PURPOSES AND ADJACENT TO THE NORTHL WIDTH, LYING NORTHERLY OF LINE OF PARCEL i I,. DESCRIBED ABOVE. rq NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE 1 On _ () l - 3D - 20l q beforeAne, & W A � I �11� , Notary ,,— P1 ti r 4A I I— . k (K Wo Yoe t U I , who proved to me on the basis of Vatisfactory evidence to be the person(s) whose name(s) jd/are subscribed to the within instrument and acknowledged to me that pie/oe/they executed the same in hid/Uer/their authorized capacity(ies), and that by tjA/I &/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and icial seal. CARMEN BlANO 193 /' `' Comrissiun # 1938115 / a Notary Public - C311(ornia z z�r-r% • o Butte County D �'"' '- My Comm. Expires May 24, 2015' a n A (Seal) 6VTTlc BUTTE COUNTY, M FORM NO o oo DEPARTMENT OF DEVELOPMENT SERVICES 0 C : BUILDING PERMIT APPLICATION* _ IN NO: DBP -'I o _ .K o Phone: (530) 538-7601 Fax (530) 538-7785 a m ' Website: www.buttecounty.net/dds cOUN �y Payment of Fees Required at Time of Application PLEASE PRINT CLEARLY _ :• ?� �k CONTRACTOR„ .®• o o- o ," X %�1� w--- ROME Phone -- // Email Cell License No. - Class Email Cell CA State License No. _ :• ?� �k CONTRACTOR„ Name -. - Mailing Address City State .4 Zip Phone Fax Email Cell License No. - Class ARCMITECT/ENGINEE—W, =' Name First a Mailing Address , City ratio st t the city limits of Chico, Gridley, Croville or Paradise, click below for parcel information City State. Zip Phone Fax Email Cell CA State License No. .410 RL Last me First a Mailing Address City ratio st t the city limits of Chico, Gridley, Croville or Paradise, click below for parcel information City State Zip Phone Fax Email Cell APPLICANTSIGNATUREAND�I) AT _ • A ;, f Date: Print Name: "When filed, this application and all supporting material becomes subject to the Cali public inspection and will be posted on the County's website for electronic access .WORKER,SCOMPEN8AT10Nk °? Policy Number Carrier If hiring other than a licensed contractor, a certificate of workers compensation must be shown at the time of permit issuance zz..,.L_ENUINGAGENCY,d::�f<zrn APN a �• W •a-1 S 20ao DAF Prope41df `• DR. City ratio st t the city limits of Chico, Gridley, Croville or Paradise, click below for parcel information hftp://sk.chicomgg)Aorks.com/ .WORKER,SCOMPEN8AT10Nk °? Policy Number Carrier If hiring other than a licensed contractor, a certificate of workers compensation must be shown at the time of permit issuance zz..,.L_ENUINGAGENCY,d::�f<zrn Name Mailing Address City State Zip K:/Forms/Building FormsBuilding Permit Application 1109 • The automatic fee restriction and pla • The permit center that will populate are for the preparation of the deed nine review. collect the automatic fees. • The permit center twill review the existing permit for the temporary home to verify if C v I ,!,School and Park fee were paid. If not these fees will need to be collected and a school and park form.prepared and received by the permit center before approving the `Permit Center' review. ❑ The counter planner will I iandle the reviews and approvals from this point forward. Once all reviews have been approved, except `Deed Restriction', the planner will prepare t -.e deed restriction and contact the applicant when it is ready for pickup. 1 ❑ After a recorded copy of the deed restriction has been received and the counter planner verifies all revie m s are approved they will print the merge doc `Conversion Notice' for tj ie customer and change the permit status to `Approved' and set the `Approved Dae' to the date the `Conversion Notice' is printed. ❑. �..^*Pr �� will 9can and attached the deed restriction and a copy of the � `Conversion Notice' t T t: ❑ The counter planner will give a copy of the `Conversion Notice' to fiscal admin staff (current Diane) 'so that she can investigate and resolve bond/cash deposit details for the Aunt Minnie, if applicable. 1 ❑ Counter planner will note. time spent in TimeTrak. ❑ If the applicant has quest ns about placing the mobile home on a permanent foundation the counter ph riner will explain that is.a separate permit procedure is required and they can speak with the permit center for the application process and fees. Nancy Springer Manager, Building Division it:�'�'i �. ��.'���''\(1'�SQ� �(i^i?7?illc:c\'�T +'ifYt;l lila' i(1 �':r "BYHIt�j \.'�.ii1j °�.(ii{! :'1!?i:T �+�YI?;1;C' (._i?li\ rig C�:flTi&ii•: i!? li\t CH hil'__ SOP 9."M. _ 1 �• 1 1.66C Page 2 of 2 - i Standard Derating ; Department of o��urT,o Development Services Policies and rocedures ` oCOUNjyo `1 Established: Ju y 7,201 . 1 Revised: September 30, 2011 Subject: Proce ure For The Conversion Of A Policy No. 54.006.01 Temporary Mobil /Manufactured Home (Aunt Minnie) To A Per anent Second Dwelling (Aunt Minnie Con ersion To Second T welling) i Background: The zoning has bee changed to allow fecond dwellings on parcels that previously would only allow a temporary obile/manufactured home or `Aunt Minnie'. Now that more parcels can have a second dwe ing a process and �rocedure to -the conversion of these `Aunt Minnie' to a permanent second elling needed toj be .made in order to insure all fees are paid and consistency. j Policy: i Provide excellent se ice to all customer$ and to establish a consistent procedure to insure fast and efficient service Procedure: ❑ Custo er first needs to c : eck with Counter Planner to see if they are allowed a perm ent second dwellir g on the property based on the zoning of the parcel. The planner wily explain t}.e procedure for converting the home to a permanent recon j dwelling including4 the: permit process, refunds of the bond/cash deposit for the Minnie, and about the second dwelling deed restriction. They will ask fo a copy of the current recorded deed to be brought to them so it can be scanned to the RFI created by the planner. i • If eligible, custom r will go to the Permit Center to apply for a Planning Administrative Pe it* (PLADM) in PermitTrak. *The Planning Administrative Pegmit is a permit in name only. No permit is actually issued. The permit tech will email PLADM # to planner for their RFI. 1 • The permit center;wiH ll select the permit type `TEMP MTO SCND DWEL' and the subtype will be `AUNTMINNINECONVERSION'. The permit prefix will �e `PLADM'. No application will be required K:'�BU1LD1.NG,,SOP our automatic re iews will add: Planning, Deed Restriction, Permit .enter, andE Heath. The Permit Center will need to change the reviewer n `Deed Restriction' to `Counter Planner'. Also if the parcel is located rithin a sewer and/or water district the permit center will change the :view to reflect the correct sewer and/or water district. etApproted - need to be c ann:d,5 4.006.001 Aunt :N9innie Circ to P:r manenr 0% elling SOP 9.30.1 [aloe i Pagel of 2 i BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NOS. O d ^ ZONING 14-5 OWNER QE C.117 42e PHONE NO. 5 o 77z OWNER'S ADDRESS u S o m me d r. 0,-o V e- "-e"t LOCATION OF BUILDING USE OF BUILDING «cTr SIZE OF STRUCTURE .� 'X z �e = 7� SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME __Y_' STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING Ct,"4g FLOOR TYPE — Ct7ti! ?O ESTIMATED COST OF CONSTRUCTION $ r,4 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 67t) f FRONT 63 0 SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. - Date .7 _7 "--O Signature of Owner Permit Fee - $60.00 Receipt No. ,F- The above described AG Building is exempt from a b 7a�anager Buildir� By White —DPW, Yellow —Assess B. I., Goldenrod —Applicant a*m Date BUILDING DIVISION n/� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES Y Y V 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: -(530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. Q ZONING OWNED , PHONE NO. OWNER'S ADDRESS AU Ol f I � I LOCATION OF BUILDING USE OF BUILDING —S SIZE OF STRUCTURE b X� ' = 1 ��L SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING - / 7'� ROOF COVERING G FLOOR TYPE G ,,Air ESTIMATED COST OF CONSTRU &ION $ 26- 00/9 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: i `- t FRONT 2 5 dg --SIDES �/ REAR O AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date # -f 7 r ,2 6®o Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a b ' ding permit. c FLOO PAR ROOF G ISSN' Receipt No. 5J L �/ Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date 19 DD iF' '4!'.'rs:�;"y�:+_`�"i"�i•'"°"�. y�i +.."�`.f.'.'' .�•.•.r-a^`,y7pvri'.?r, nN t'i�.`�'.'+�v...��a.riMi,�,`-�.-'�y�! � . .ti; 17 `�GQUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION Z�'COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARC ER: s Proposed Building Use: Building Inspector: Date: ;•'„� 'At time of permit app9catiWil, I was idQfsed the following data must I submitted prior to pe race sing and/or issuance: r ' f Date Received By Allitems have been submitted.------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- - ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------`- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $ ------------------------------------------------------------------==----------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.---------------------------------------------------------- s ., ❑ f 3. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ----------------------------- ------------- ❑ 15. City of Chico plumbing permit.-----------------------------------------------------=----------------------------- ' ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------r---------------------- _r... r. ❑ 17. Planning approval for A Use: �) Parking: :-------------------------- -�. ' 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑----------------------- El ❑ 19. Encroachment Permit for driveway construction approval prior to occupancy) ---------------------------- --------------- -- - 020. ❑20. Pre -inspection for - required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification) ..-----------------------= ---------- ) f 1122. Workers' Compensation carrier and policy number. ------------------------------ ----------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization.`---------------------------------------------------------------------=---------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ----------------------`---------------------------- ❑26. Letter of intent on building use. ------------ -------------------=-------- �------------------------------------------ a,.,.. . 027. Manufactured Home utility clearance. ------------------------=-----------------: 028. Existing violations and/or expired permits. ---------------- =.-'----------------------------------------------- _-- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $--------------- r ' e When you issue the permit, process as follows EKMail to owner, ❑Mail to contractor. ❑Telephone s and hold for pickup at i office. ❑ Deliver with inspector. F Applicant: Date' Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date:, By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 13Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development S6wices,'Building Division. V :3 REQUIRED AT FINAL INSPECTION Butte Countl, Mobilehome/Manufactured Home Acceptance Certificate. Form 513. Form to be completed by Field inspector. Health and Safety Code Section 18613 orl8551(b) CALIFORNIA CODE of REGULATIONS TITLE 25 Requirements as amended by the jurisdiction apply to this project PRC 4290 RE )UIREMENTS The attached Fire Safe Requirements Must be completed as specified and approved by California Division of Forestry 0 "I'll, 11 P REVIEWED BY Fire Protection Planning Officer COF, Butte CountY FIM This project is approved with comillia'M of conditions on attached sheot Date 0 BOJ A3 qpp ptitt, Po ec, Olt zl/,7, oliq tA Joe 1D !� 412, 0 70; zq /oc( e 5 t cl e, V e d V) , 1"( r- c. r1 ,7 G PLAN �NPPROVAL ()Jm8ION - BUI(DIN Use: —�7 Pafking,,---. Laiidsmpirlg: /Y) P 6 6 L I-- BUILMG PERA41Y# -6(- CA ASSESSOR'S PARCEL # 0106 - M is T -- M is M cout, WILDING DEPARRAL-l" AppPovPF%" ki 9 Mobilehome Manufacturer:%�-16/-/ -Manufacture Year: other than. single wide, furi ish Setup Model Number: 3 - J& ) Width:,.ft.) Length: /6V (ft.) Tagalong or Exj-a'n1:-'doSizq—�' (ft.) )�—(ft.) On all mobilehomes ma-;uf�cture J d after October 7, 1973, fignish manufacturer's a installation manual and structural setup sheets. FOOTINGS:- Wood pressure treated or foundation gradq[.] Other: SUPPORTS: Concrete blocky] Other: Provide Tie Down Specifications for all Mobilehomes: N Pier Footings'Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 2 Main Beams Line 2 Line I .................................. .............................................................. Main Beams .......... ­ ...... ...... ....... ............. ­ ...... --L................................................. ine 5 Tag or Triple ine 4 ................................................. Eine I Line I Piers: Size minimum: X, Spacing maximum: From ends-maximum:9n, Line 2 Piers. Size minimu.rli: x [1 r Spacing maximum: ,;7 Fm roends-maximum:[:/:�— Line 3RoofLoads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line I Openings .ine I Line 2 .ine 2 Line 3 Line 2 Line 2 Line I I Size minimum: x Each side of openings with width over: Line 4 Piers: Size minimum: x Spacing maximum: From ends -maximum.± --:J o-JILDING DEPARTMEW OVER �--)V P 1. Owner's Name: xB—Pt .. 45 , 111f 7/ 2. Assessor's Parcel Number: 3. Installer's Name: 4. Is the site currently under permit? Yes[ No�>(] Permit No. 5. Is the site an existing site? Yes[K] No[ (if yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? peres. 7. What is the mobilehome site circuit breaker rating? OAmpares. 8. What is the electrical rating of the mobilehome site? Amperes. r 9. Is the main service remote from the mobilehome site? Yes[ ] Nr—] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] Not; -!_If yes, please identify the load and size: a) The mobile home site: Load- Amperes- Th.-_ main sz;�rvric�--. Load- Arhperes- Type of gas service at mobilehome site Natural[ ] Propane[ ll None[ 12. Size of , has pipe at the mobilehome site from the meter or tank: inches. - T 13. What is the gas pipe length from the meter or tank to the mobilehome? //' (ft.). -7- ' ' 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe len is"le'ss than 6 feet on natural gas or less than 50 feet on propane). May 1995 8.5 e 2_'O -�2-- »3 CSPX'C L C I A'� AP# PERMIT # NAME Under authority of PRC 4290, the.following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building -Department for compliance. [�] 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 appurtenant 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 I 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 vert it al curves in roadways exclusive of utters, 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. ] 1273.05 Turnouts. Shall. be a minimum of 10 feet. .wide and 30 25 foot taper on each end. feet long with a minimum [�] 1270.10 fot Width.ll lanedrivways shall vevide a minimum 1rtical cal clearance ofo 15 l traff� c andeunobstructed feet along its entire length. rf COUN f Page 1 ®f . W P I - DEPART M V -7-h' Q V D 2-0 NANff- r] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more. than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 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 parLels 1 acre acid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ull 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. C 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 ba completed prior to completion of road construction -)r f'_sal inspection of a building permit. 9 AP# io 3 D4 -t- PERMIT # AME [ ] Ifk is i5 to 30 Feet: - Class A or - roof Enclosed eaves [ 7 If -Building Setback is Less 'Than 15 Feet Choose any 3 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 lists Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials D,�tte Signature Page 3 of 3 I M V13 L -3ox,40 ,ell zq 1),rao IZK57- a ORE.-- �1110 -k 90 ml RA I