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030-193-025
77-7-7 030-193-025 99-1362 SCHWARTZ, Wallace Qr7S—Bonnie Lane, Orovil 164 1 L4 Comr: owner Mobile Home . Perm Fnd. 4,6 030-193-025 99-17 5K\ SCHWARTZ, Wallace �Ml 1 275 Bonnie Lane, Oro,ille A k17 C..tr: Owner 2 awnings Re: 99-1362 A THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE 2080 OROVILLE, CALIFORNIA 95965 TELEPHONE: (916) 533-0740 FAX: (916) 533-9243 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 1275 Ronnit, T,nm- Owner's Name: Wallace Schwartz Date: June 24, 1999 Address: P.O.Box 1415 Acct.No.: Chico, CA 95967 A.P.No.: Phone: New Unit: Applicant/Agent: Adding Units: Address: Fees: Phone: Permit: 30 ()0 600 00 Preliminary Review By: Date: Ext. Fe es: Remarks: * CONNECTION FEES 114111, AV THOSE APPI B1 E AT SC -OR" 1000 00 --1CA TIME OF CONNECTION To THE SEWER COLLECTOR SYSTEM LateraO 75 00 CLEM OUT UP TO GRADE REQUIRED AT PROPERTY LINE. Otherf RE -INSPECTION WILL BE $30.00 PER INSPECTION. Total Fees: 1705 100 Amount Paid: 1705 00 Collected By: EA Finaled By: Date: Location: 74 - Size Line: 4Z- jLr'0 40'��Zee e 5 7, C, IA..:Pj �2 40 e 15 fz /Z Ae Zrt:� 4: 2 7� Signature of Owner/Agent: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION Date Billed: Computer: Paid SC -OR: A.P. File: Blue Book: (R.F.C.) Meter Book: Paid SC -OR: (S/C HG's) Rev. 5/95 LAND DEVELOPMENT CROVILLE I CHICO BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit NO. 99--�1362 OWNERS SCHWARTZ A.P. 030-193-025 NAME NUMBER PRINT LAST NAME FIRST ADDRESS I LOCATION: BONNIE LANE, OROVILLE \,,LOT 14) COUNTY ZONING DESIGNATION: FLOOD MAP: FLOOD ZONE: -72 APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES `NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: — YES NO COMMENTS/CONDITIONS: �SPew 7- 6)" 66� MAP INFORMATION: DATE OF RECORDING: LbOC,&E- TgAe7- 14 -.BOOK & PAGE /C) / COMPLIANCE WITH OLDjSU?Z1VISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT N PAGE 23): _YES NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: >- C, A. Construct road to B., Meet parcel size required by zone. - C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO Bi PAID TO �HE BUILDING DMSION'UNLESS OTHERMSE NOTED. 1 . Maintain a 50 ft. building setback from centerline of road. —2. Maintain a ft. building setback from.right-of-way/centedine —3. Comply with Zoning code for building setback from road. —4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from —6. Pay water tender fees in the amount of $ to Battalion Number of the du'ft&County Fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. —8. Connect to a public water supply. A —9. Connect to a public sewer system. 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications", is'ekves the parcel. 11. Pay T.D.D. (Thermalito 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 vegetabon removal. Contact Fish & Game at 916-355-7010. —14. A traffic mitigation fee for each 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 buildings 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, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article 11 of the Butte County Code. 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. —20. If any cultural resources are encountered during ground disturbing activities, all work shall cease 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. —23. —24. —25. —26. �'3a G%V1 ma J, 11 W 3031,1101'"I"t zz�� Sz (I -Am -43031A LD 6/98 FORMS\BLDG PERMIT CLEARANCE NOTES RESIDENTIAL, 30- �25 99- 1 765 0 -193-0 NO. -SCHWARTZ, Wallace 1275 Bonnie Lgne, brCvilk Contr: Owner 2 gs Re: 99-1362 I SPECIAL CONDITIONS C ECK I H BY ED SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED --�-S�ignature I V= OK 0 = NotOK - =Not Applicable * = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except ff's . Zoning Require ments-Setbacks-Easements 1 . Zoning Requirements -S etbacks- Easements Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists-Decking-Bracifig-Stairs- Rails 3. Sewer; Localion-Test-Fall-C/0-Concrete Wood Awn.; Posts- Bea ms- Rh rs. -Connectors Shthg.-Frg-Bracing 4. Water; Location -Test- Ease me nt Needed (Sketch) Alum. Awn.; Colu mns-Co n nections-S plice- Decal- Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L 'ft. P Nat. or/ /"L"ft./ fLPG Electric 7. Well Clearance & Disconnect Frmg.; Si Ils-Anchors- Studs- Rftrs-Trusses 8. Utility Clearance Siding; Nail ing-Veneer-Stucco- Mesh - 10. Roof; Shthg-Roofing 11. 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 Require ments-Setbacks- Easements 2. Footings; S ize- S paci ng- Marriage Line 3. Gas; MH Test-Demand-Valve-Conneclor 1 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test- Regulator -Con nector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cerl. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 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 Require ments-Setbacks-Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks; Girders and/or Joists-Decking-Bracifig-Stairs- Rails 4. Wood Awn.; Posts- Bea ms- Rh rs. -Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Colu mns-Co n nections-S plice- Decal- Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Si Ils-Anchors- Studs- Rftrs-Trusses 9. Siding; Nail ing-Veneer-Stucco- Mesh - 10. Roof; Shthg-Roofing 11. Ext.; Steps- Doors- Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ff'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- Enclosu res- Panelboa rds- 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 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive * Oroville" CalifoOnia 95b65 * Telephone (530) 538-7541 PERVT NQ - (Rev. 12/96) APPLICATION ANI? PERMIT ASSESSOR PARCEL NUMBER 030-193-025 PT ZONING AR BUILDINGPERMIT Cj Z OWNER WALLACE SCHWARTZ TE f9 11f584 SO. Fr. OCC. BUILDING VALUATION 7,358 OWNEWS MAILING ADDRESS P.O. BOX 1416, CHICO, CA CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOWS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 7.358 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 99.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 64-35 BUILDINGADDRESS 1275 BONNIE LANE, OROVILLE Energy Plan Checking Fee $ PERMIT FEE $ 183.35 LOT NO. 14 1 SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20-00 USEOFSTRUCTURE SF 0 Duplex 0 Wbilehome 0 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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0 Describe Work: 2 AWNINGS / COVERED DECKS RE: 99-1362 Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I WF- @?20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800V 0 R LESS Main Service OA OR 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: 0 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. Na.1 as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST DW .��NG OCCUP. OR ADONIS. C. S. so 3.50FF =.0.014S IDT' =0 ��,�CU,Ts 97.50, POWE.RAP=US '. . C.. ) Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 SAL @ .50_ O.FMED A UNIS OR. Ex. Occup. PtPFI.,6.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 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.) .4-1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Sign'liture af Appli6ant 4�)POwner 0 Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TNYPE IST T07AL FEE $ 183.35 D aES 1/� I F!�OD __ I LOF PAVR* — PD 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 te PERMIT EXPIRES ON 44 I ReceiptNo. 273642/$183.35 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLICA NT 2 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive * Ciroville, California §5965 * Telephone (530) 538-7541 154?— PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT — 21,765 - ASSESSOR PARCEL NUMER ZONINGI /I le BUILDING PERMIT OWNER TELEF-HONE SO. FT. OCC. BUILDING VALUATION �z CA CONTRACTOR'S NAME TELEPMNE CONTRACTOR'S MAJUNG ADDRESS CONSTRUCTION LENDER UENDEI%'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filina Fee 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S IA0ULING ADDRESS Plan Checking Fee $ SULDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE LOTNO./Y I SUBMEX)NINAW PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 SF 0 Duplex 0 Mobillehome USEOFSTRUCTURE If\ Other SPECFY Each Trap 7.00 Solar or heat pump water heater 23.00 piping 15.00 —Water Each gas water heater or vent 15.00 TYPE OF WORK Now 0 Addition 0 Re;7el 13 Ublities 0 Installation 0 Other 13 Describe Work: �> '4 .1 4_�2 Z3/o 2-- Gas piping system I - 5 outlets 15.0 . 0 Building sewer 15.00 Mobile Home I S I G I W 00 PERMIT FEE PERMIT Filing Fee 20.00 —ELECTRICAL Main Service 8.00.V OR LES: 23.00 -7 -3 Cl 2— Main Service 200A TO 1000A 46.00 NEW CONST. so. OR ADDNS. %E==UP_ 3.50FT. NLW GONST, MULT)_OUTLET NON-RESID. C&7.50 POWER APPARATUS SINGLE OUTLET CIR. Ex. Occup. oun.Er OR FIXTURES 200 1.00 SAL @ .50 MO APPLNS 00 Ex. Occup. 0 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. Type TOTAL FEE $ HAZ. O.FEES I IMP I FLOOD I COF PARCEL] PD HD I SSUE 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) COUNTY OF -BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, 6LIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT APPLICA TION DA TA SHEET OWNER: 4). _Sr44_)a.-4X_f - ASSESSOR PARCEL NUMBER: n -;n -1;F7 —ZDZ Proposed Building Use: Building Inspector: 1A_ Date-- 0- 12: Zq % At time of permit appfi�ation, I was Advised the foiflowing data m mit' roCeAi6g and/or issuance: p Date Received By ,!,Pltitems have been submitted -------------------------------------------------------------------------------------- k plans, 3/4 sets, signed by the preparer of plans - ------------------------------------------------------------ Complete plans, 3/4 sets, signed by the preparer of plans. gkLt M_ ----- ---- a5 -f -i ----- C (Zf_C_CWC- V -r 4 F,' . Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - -------- El 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! 116. Energy Design Compliance and supporting documentation - ---------------------------------- El 7. Statement of Intent. for Non -Heated and A/C Buildings - --------------------------------------- El 8. Hazardous Material Form - ------------------------------------------------------------------------ El 9. Manufactured Home data and installation instructions including Tie Down Specifications. El10. Fees of $ ------------------------------------------------------------------- 0 11 Impact fees as shown on the attached schedule - ------- El 12. California Department of Forestry plan approval/fees. El 13. Flood elevation certificate - ------------------------------- 0 14. Sanitation and plot plan approval Health Department - ------------------- 0 15. City of Chico plumbing permit - ----------------------------------------------------------- 0 16. Plot plan and business license approval from the City of Biggs - ---------------------- 0 17. Planning approval for (A) Use: (B) Parking: El 18. Contact Land Development about 0 Improvements, 11 Drainage, El Legal Parcel. 1119. Encroachment Permit for driveway (construction approval prior to occupancy). ---- 0 20. Pre -inspection for required. Request to Building Inspector on El 2 1. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number - ----------------------- E123. Owner -Builder Verification (Given to owner 11, Mailed to owner 0). - E124. Letter of signature authorization - -------------------------------------------- 0 2 5. Recorded copy of Agricultural Acknowledgment Statement - ------------- 026. Letter of intent on building use - ---------------------------------------------- 0 27. Manufactured Home utility clearance - --------------------------------------- E128. Existing violations and/or expired permits - --------------------------------- 029. E1433 A ' El Grant Deed, 0 M.H. T*tl , 11 Check to H.C.D $ - --------------- Other: e- ------- When you issue the perinit, process as follows El Mail to owner, DMail to contractor. 6?lTelephone 4 and hold for pickup at 0 Aie:> office. 0 Deliver with inspector. XApplicant: L)4 #4 4 e, �awa D -a t e: Copy of Haz-Mat form sent 0 Health Department, 0 Fire Department, 0 Air Pollution Date: !AM By:. Copy of plans sent 11 Health Department, 0 Fire Department, 0 Other: Date: Bv: 1. Index permit application for the above items numbered: —0 Plan Check List 2. Additional item required: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 11 phone, 0 mail, 0 Building Division counter by Date: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter: by Date: Contractor, designer, owner, was advL-zd of the above required data by 13 phone, 0 mail, 0 Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: nj, o^ - Sets of plans on hold in 11 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. (Date) 0 40 ::l . ..... It Olive Hill Mobilehome community J �921 Wyandotte� Ave. Oroville, CA� 95966 (530) 53 -8482 - Fax (530) 533-8004 Fred & JoAnn Ercolini Managers V ED AUG'u out4v F IRTMENT BUILDING DEPAW -APPRO�ED LE - COTY ) 1_7 - -j -1 7_7 J 7i I 177- 1 T I Lau 1�6 A . . . . ... . . .... ........ it 0* 06 witla gr ni use & pl, iform j.. n L iji6 x Oode ( ......... . Alt- . . . . . . . . . . . . ... . . . . . . . . ....... ........... :7. ... .. .. .......... Ms, 'of' P)*Ia'u' 6 and 6ifteations wwlb6-. ..... . o I'm a o1b,at an t ea'and it is Uzi SWAA to .. .... I lajr�� :nL changes or al rations on -a& no m1theat J : .... ... ........ .... ... ...... .. i n1tte p rmlitk6ni h�dz the'. DJ ep*a'.r'tm-e mt bf. PUblit '. '. , I t I I : , 1-1 - 4, . . ..,;000 --H . . ........ iVity ()f BiAte. ... ..... ........ .......... .. 7 ... ... ..... ... .... . ......... .. .... ... ........ .. ..... ....... .... .... ....... . ........ .. J ....... ING. - CLUP ALL STRUCIURES -AN E CL�AR OF ALL FEAE �EM#NTS-.- bVERHANGiSISHALL-131 .............. BAC - _57 -F _FR A' S 17 0 OWTHE_016E', AND FT. F�OIVI THr pROPE�RTY AND REA13 ..... .. CE F_ T-; _F' kdM_THE` R`LINEjSMW BE. . . EQUIPMENT 'EXCEPT c OF StRUCTURES AND ... .... ... ... ... . JF0 A21FL.ItAVEOVER j " . ..... ...... . 7 r -i j ... ...... . e....... ......... . 4-- .. .... .... ..... . ............ ..... .. . ..... . 0 . ......... B . .. ..... UTTECOPRIN... ....... .. .... ...... ....... ..... .... .... ... 1BUILDING.Dr. .17 ( �5 t - __p2k., ... .. ..... r R ;C A .......... .......... ......... ..... ... ... ..... ... A August 23,1999 Wallace Schwartz P.O. Box 1.416 - Chico, CA. 95929 Assessor Parcel Number: 030-193-025pt. Building Permit Number: 99-1765 Ouffe Count L A N D 0 F NATURAL WEALTH A N D BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-i397 TELEPHONE: (530) 538-7541 .FAX: (530) 538-2140 This office reviewed the above referenced building plans. Please respond in writing to each comment by creating a response letter. Indicate which detail, specification, or calculation shows the requested information. Your complete and clear responses will expedite the re -check �nd approval of this project. Provide additional information and/or make revisions to plans, specifications and calculations as follows:. 1. Provide complete plot plans with the location of all buildin gs and the awnings shown on the plan. 2. Planreview will continue upon receipt of the above items. Additional items may be . required when plan review is resumed. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through' Friday. Sincerely, Glenn Gibbons Plans Examiner NOTES i RESIDENTIAL PERMIT-Nc-... 030-193-025 99-1362 SCHWARTZ, Wallace - - QIEBonnie Lane, Oroville Contr: Owner Mobile Hom'e Perm Fnd. THE HCD FORM 433A F bR THIS MH CANNOT -- BE RECORDED UNTIL OkE OF THE FOLLOWING HAVE BEEN TURNED INITO THE BLDG DIV: kl) LICENSE PLATEkS) or DECALkTHE INSPECTOR MIST RETRIEVE) k INSPECTOR TO VERIFY SERIAL & LABEL #'S U 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY OFFICE Copy SU Address GAS M t 4eter B ELECTRIC Meter By --------- � Date Address GAS Meter By ELECTRII C Z h a t Dat t Meter By Da e f JOB FINALED (Date) Signature Ie�IAZ� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street * Chi&, CA - (530) 891-2751 7 County Center Drive'* Oroville, CA * (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. te T -C C::'� tr OK 0 = Not OK. - = Not Applicable MOBILE HOMES * = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s I . Zoning Requirements -Setbacks- Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test- Ease me nt Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. P Nat. or / /"L"ft./ PLPG 7. Well Clearance & Discofinect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 _,' Date Card B-1 Date MOBILE INSTALLATION (Plans) OK except #'s .ezon�gw<quireme nts-Setbacks- Easements -a-rootings: Size- Spacing -Marriage Line - �Ga., MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MaT&s17- -Ell-Flex Connector L]��eat!e!,� MH Test- Regulator -Connector 4: w /0 to Grade -HD Approval )ter and 6�onnected-C - 8. Gas and El-ec-61-ci-ty Tagged 9. Tie Dowhs-Type-Installation Cert. 10. Exits; Insp.-Sketch 11. Cert,of Occupancy 1.�ermanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 C ,"7 A,L, MISCELLANEOUS � Date !)ECKS, 2OVERS, CARPORTS GARAGES (Plans) OK except #'s 1 . Zoning Requirements -Setbacks- Easements 2. Footings; Soi Is- Size- Depth -Spacing -Con necto rs-Steel 3. Decks; Girders and/or Joists- Decki ng- Bracing -Stairs- Rails 4. Wood Awn.; Posts- Beams- Rft rs. -Connectors Shthg. - Frg- Bracing 5. Alum. Awn.; Colu mns-Co nnections-S pl ice- Decal- Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps- Doors -La ndings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1 . Setbacks- Easements 2. Soils; Compaction -Structure Stability .3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- 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 RESIDENTIAL (%c Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1 . Zon ing-Setbacks- Ease ments- Flood -Slope Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng. 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Flg. Depth Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Fig. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel- Blockouts-Wrapped Garage Fire Protection Framing 6. Sternwalls, Garage; Sleel-Blockouts-Wrapped Property Line -Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One X -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width- Headroom- R ise- Run- Landing-Fi re Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall- Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 11. Water Pipe; Test -Anchors- Reg ulator-Se rvice Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -ins. Brace Interior/Exterior Wall Panels 14. Girders- S i Ils-Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulatio Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance- Comb, Air -Connector - In Garage; Above Floor- Ducts- Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, C learance- Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subleed Wire Size / ga. Cu or A]-A.C. Wire Size / / ga Cu or A] 30. Range Circle / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes C3 No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels- M olors- Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Dale Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Brace s- Plates -So und 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing P 'ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-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 X -Check Garage 3rd Story, 2 Exits 54. Stairs; Width- Headroom- R ise- Run- Landing-Fi re Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. 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 -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, C learance- 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. & Mach. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Co nstruclion- Post Caps 81. Fdn. VBenls & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following InstId./DriveQ Yes Q NoMalks :) Yes Q No/Planters C) Yes �:j No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical- Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle- U nderg round 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas-Eleclric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Dale 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: RECORDING REQUESTED BY: AND WUN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 08 -Sep -1999 1999-0038481 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBELEHOME) 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 1855 1. This docutment is evidence that such local agency has issued a certificate of occupancy for installation of the umit 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. WALLACE L. SCHWARTZ & KATHERINE SCHWARTZ-KRAMER BUTTE COUNTY BLUDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PER.Mrr and CERTIFICATE OF OCCUPANCY PO BOX 1416 7 COUNTY CENTER DRIVE MAILrNGADDPESS MAILING ADDRESS CHICO, BUTTE, CA 95927-1416 OROVELLE, BUTTE, CA 95965 CIIT COUNTY STATE ZIP crry COUNTY STATE z1'P 1275 BONNIE LANE 99-1362 (530)538-7541 INSTALLATION MAILING ADDRESS, IF DIFFEUNT B �IERMII`NO TELV"�§VBEK OROVILLE, CA 95965 4M-ze crry COUNTY STATE ZIP �tq — OF LOCAL AGEIi(dYbFPTcLAL DATE SAN1E NO vp UNIT' OWNER (ifalso property owner, write *SAME") DEALER NAME (ifnotacleal sale, write �NONV) MAILING ADDFLESS DEALER LICENSE NO. StATI ZIP UNIT DESCRIPTION BLULTMORE 1977 BLTNIR MANUFACIIJILER'S NAME DATE OF MANUFACIURE MODEL NAME/NUMBER SN712890 60'X 12' CAL050691 SERIAL NUMBER(S) LENGTH X WIDTH rNSIGNIA(LABEL NUMBER(S) FLEAL PROPERTY LEGAL DESCRIPTION ASSESSOR!S PARCEL NUMBER A.P. #030-193-025 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHn-E-CoUntYRCC0tder CANARY-HCD PrNK-Apphcant GOLDENROD - Building Dept. LEGAL DESCRIPTION A.P. #030-193-025 All that certain real property situate in the County of Butte, State of California, described as follows: LOTS 13 AND 14, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "DODGE TRACT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALEFORNIA, ON DECEMBER 12,1907, IN BOOK 6 OF MAPS, AT PAGE 102. a BUILDING PERMIT NUMBER: 99-1362 Address or location of unit: 1275 BONNIE LAI�E, OROVILLE, CA 9�965 Legal Description of Real Property: A.P. #030-193-025 SEE ATTACHED (x) Mobilehome/Manufactured Home Commercial Coach Has been affixed to the real property above by installation -on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: WALLACE SCHWARTZ & KATHERINE SCHWARTZ-KRAMER Owner's address:, PO BOX 1415, CHICO, CA 95927-1415 INSIGNIA OR HUD NUMBER: CAL050691 SERIAL NUMBER OR V.1 N.: SN712890 MANUFACTURER'S NAME: BUILTMORE YEAR: 1977 OFFICIAL APPROVING INSTALLATION(2i2el� DATE: 9/3/99 PHONE: (530) 538-7541 H.C.D. 513C .RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDEDMAIL TO: WALLACE L. SCHWARTZ P.O. BOX 1415 CHICO, CA 95927-1415 ORO -C A.P.N.:. .. pace Above This Line for Recorder's Use Only Order No.: 162630 GRANT DEED Escrow No.: 162630 THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUNIENTARY TRANSFER TAX IS: COUNTY S17.60 X ] computed on full value of property conveyed, or j computed on full value less value of liens'or encumbrances remainina, at time of sale, X ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, LOU ANNRUTP-NfLTELLER, a married -woman hereby GRANT(S) to WALLACE L. SCH)VARTZ, an unmarried man and KATHERLN-E SCHWARTZ-KRA NEER, an unmarried woman as Joint Tenants the following described property in the unincorporated area of the County of Butte State of California; LOTS 13 AND 14, AS SHOW`.N ON TILkT CERTAI�N N-LkP ENTITLED, "DODGE TRACT NO. 2", W`MCH N-LkP WAS RECORDED LN THE OFFICE OF THE RECORDER OF THE COLTNTY OF BUTTE, STATE OF CALIFORNIA, ON DECENfBER 12,1907, IN BOOK 6 OFNLkPS, AT PAGE 10-1. NN RUPP-MUELLER Document Date: June 15. 1999 STATE OF CALIFORN`L-% )SS COUNTY OF Butte On- June 16- 1999 beforeme, Michelle A. Miller, Notaxy Public personally appeared LouAnn Rupp -Mueller personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowled.oed to me that he/she/they executed the same in his[her/Lheir authorized capaciry(ies) and that by histherAheir sienarure(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the insrrume�[. WITNESS my h nd and official seal. Signame, Ne)�Z& 61 '711& Michelle A. Miller > MICHELLE A. MILLER Commlsslon #1 176414,'Aft CPS1 >or official notarial seal. Notary public Buttg County, Ccilfornia My Commhslon Exp. APR.' 3, 2002 ......... > Mail Tax Statements to: SAME AS ABOVE or Address Noted Below j DEPARTMENT USE ONLY STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM APPLICATION FOR DUPLICATE CERTIFICATE OF TITLE DEPARTMENT USE ONLY TRANS CODE NEW DECAL STICKER # SITUS CC OLD DECAL # Name of Manufacturer MFG IDS CAL050691 Trade Name BLTMR Model Name or# Date of Manufacturer 00/00/77 Calif. Dealer License # 1 --- Date of Transfer to Dealer from MFG ILT Exemption Date First Sold New 10/26/77 DECAULICENSE # MANUFACTURER SERIAL NUMBER(S) HUD LABEL OR HCD INSIGNIA# LENGTH WIDTH WEIGHT (po—d.) DATE FIRST SOLD (if different than above) SH6115 SN712890 CAL050691 12 60 10/26/77 ADD UNITS DEPARTMENT USE ONLY us TAX TYPE ORIII COST PRICE CjL+!=1 DATE CODE YR SALE PRICE PPF ILT I�L LPT I PPT RF RECEIPT NUMBER(S) RECEIPT DATE(S) CLERICS INITIALS SALE DATE ILT REGISTERED OWNER(S) [Print True Name(s)] Last Aral Mdcft 1. SAVAGE DOROTHY E. MRF 2. PEN 1 1 MAILING ADDRESS LOCATION ADDRESS OF UNIT Street aty State Zip 1537 ROSEWOOD WAY, COLUSA, CA 95932 PEN 2 Street Qt State Zip 212 ELM STREET, OROV1LLE, CA 95966-6266 LEGAL OWNER (print true name) TRF TOO MAILING ADDRESS Street city State Zip DUPT APPLICATION FOR TRANSFER BY NEW OWNERS Me request that the new Cerfificate of Title and Registradon Card to be issued as follows: IXJPR REGISTERED OWNER(S) [Print true narne(s)] Last First Ndcge SCHWARTZ WALLACE L. sual) CONF KRAMER KATHEIUNE SCHWARTZ REPO 3. RREG If applicable, check one of the following: F-1 TENCOM OR JTRS El TENCOM AND COMPRO RSF MAILING ADDRESS FUTURE MAILING ADDRESS LOCATION ADDRESS OF UNIT Street PO BOX 1415, CH1CO, CA 95927 City State Zip PLT Street aly State Zip PO BOX 1415, CH1CO, CA 95927 SIT urp RT Street State 212 ELM STREET OOVILLE, CA c1bytte CA '05966 ASF LEGAL OWNER (print true name) GRAN FAM1LY LMTED PARTNERSBO[P MHP ccP If applicable, check one ofthe following: 0 TENCOM OR JTRS El TENCOM AND 0 COMPRO MAILING ADDRESS Street city State ZIP 25442 SEA BLUFFS DRrVE #306, DANA POINT, CA 92629 FIRST JUNIOR LIENHOLDER (print true name) I If applicable. check one of the following 0 TENCOMOR 0 JTRS 0 TENCOM AND 0 COMPRO MAILING ADDRESS SI -11 city State ZIP ADD JRILH 0 NOTE: SECTION 1. 'CERTIFICATION OF MISSING TITLE'ON THE REVERSE SIDE MUST BE COMPLETED, TO COMPLETE A TRANSFER OF OWNERSHIP, BOTH THE OLD AND NEW OWNERS MUST SIGN THE APPROPRIATE LINES ON THE REVERSE SIDE OF THIS FORM. HCO 480.4 - Side 1 (REV 12/93) Reproduced by SMS, HCD Approved 11 .18-97 DECAL (LICENSE) NUMBER(S) SH6115 SERIAL SN712890 TRADE NAME SECTION 1. CERTIFICATION OF MISSING TITLE I The original HCD Certificate of Title or DMV Ownership Certificate (pink slip) was: tL ost, F-1 Stolen. If the title was lost or stolen after receiving it from a party other than the Department, enter he party's name here: E] Illegible, F-1 Mutilated. A mutilated or illegible title must be surrendered to the Department. F-1 Not Received from the Department. This box can only be checked by the Legal Owner of Record (lienholder), or if none, the Registered Owner of record. I/We certify under penalty of perjury under the laws of the State of California that there are no liens against this unit other than those shown on this application and the statements made on this application are true and correct. I/We agree to indemnify and save harmless the Director of the Department of Housing and Community Development for any loss suffered resultiqg from the issuance of said duplicate Certificate of Title. Executed Signatu at Printed Name of Person Completbid Certification \1--) \-J SECTION 2. RELEASE OF OWNERSHIP AND/OR INTEREST 1 A. RELEASE OF REGISTERED OWNER RELEASE DATE C�� CA Qt Q�-.j 9 (��- I (-� A )t -v no hQ U41 ( go// 5R,) Q 9 B. 'RELEASE OF REGISTERED OWNER RELEASt DAIT C. RELEASE OF REGISTERED OWNER RELEASE DATE > 2 A' RELEASE OF LEGAL OWNER (LIENHOLDER) DATE B. RETENTION OF LEGAL OWNER DATE C. ASSIGNMENT OF LEGAL OWNER DATE 5ECTION 3. DEALER'S RELEASE OF A QUIRED UNIT 3 A. NAME OF DEALER I DEALER NUMBER B. RELEASE OF DEALER RELEASE DATE SECTION 4. NEW REGISTERED OWNER SIGNATURE(S) 4 A. NEW REGISTERED OWNER SIGNATURE If this transfer Is the result of a sale, the sale price and sale date must be entered below. > &)C4 e- -< 2. - �� C', C. r i�� B. (NEW REGISTERED OWKR SIGNATURE P?RCrE P I > 4/4 LIZ Q C. f NEW REGISTERED OWNER SIGNATURE PU CHA A E �JeVl HCD 480.4 - Side 2 (REV 12193) Reproduced by SMS DEPARTMENT USE ONLY Street STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM APPLICATION FOR REGISTRATION DEPARTMENT USE ONLY TRANS CODE NEW DECAL # STICKER # SITUS CC OLD DECAL # Name of Manufacturer 0—'W� 0, 0 !2MP MFG ID 8 CAL050691 Trade Name BLTMR DUPR Model Name or# Date of Manufacturer 00/00/77 - Calif. Dealer License 0 1 (C�Lxty ci'ylc�k V, � �v e-- Date of Transfer to Dealer from MFG ILT Exemption re ((�� Date First Sold New 10/26/77 DECALfLICENSE 0 MANUFACTURER SERIAL NUMBEIR(S) HUD LABEL OR HCD INSIGNIA # LENGTH (inches) WIDTH (Inches) WEIGHT (pounds) DATE FIRST SOLD (If different than above) SH6115 SN712890 (lienholder) [print CAL050691 12 60 10/26/77 ADD UNITS F-1 DEPARTMENT USE ONLY USE CODE EXPIRATION DATE TAX TYPE =ORIG COST PRICE CODE YR CLERK'S INITIALS SALE PRICE PPF RF SALE DATE I ILT I EXI` PIT RECEIPT NUMBER(S) FCEIPT DATE(S) ILT IMMOFIMMIcu — OWNER(S) 1. SCHWARTZ [print true nanne(s)] 2. KRAMER (New Title Information) 3. 9 If applicable, check one of the following: [:] TENCOM OR JTRS First Ndde WALLACE L. PEN I KATHERINE SCHWARTZ PEN i [:] TENCOM AND [:] COMPRO r —TRF Current Mailing Street TOD Addres,s Dn CA� car, "" �i DUPT 0—'W� 0, 0 !2MP Future Mailing S"pn DUPR Address (If different than above) (C�Lxty ci'ylc�k V, � �v e-- t8n SUBD Ca SRUS (location) re ((�� CONF Address of unit \ C� vy� �- - 01yo COI"YN-X Vk f? �Pclk. State CA. REPO LEGAL OWNER RREG (lienholder) [print ce�o Y-c� L rvA eA k3r, t!A' Im true nanne(s)] RSF If applicable, check one of the following: [] TENCOM OR JTRS TENCOM AND COMPRO PLT MAILING ADDRESS I Streel_ aly- -LL- State Zip SIT JUNIOR LIENHOLDER (print true narne(s)] MHP If applicable, check one of the following: [] TENCOM OR JTIRS E] TENCOM AND COMPRO MAILING ADDRESS S set City State 7jp ADD JR/LH Ll il NOTE: APPLICANT, PLEASE READ AND COMPLETE THE QUESTIONNAJRE ON THE REVERSE SIDE. Me certify under ena ofperjury that the statements made in this application are true and correct. Executedon �011 !6(q at (ni ro--) (date) Signature(s) of 1 Above (* �)(-'IqMGN PQ h x Registered 2.r( tj�� m0i Owner(s) JN �' Y1 n—C* r-'� -x-n it JAN", Md� 3. 1 V f I - rill I ' 'L— HCD 480.5 - Side 1 (REV 12/93) Reproduced by SMS HCD REGISTRATION QUESTIONAIRE Use Description: The described unit on side 1 of this application is a: A. ['KManufactured Home/Mobilehome and is constructed as a [ ] Single Family Dwelling or a . [ ] Multiple Family Dwelling. B. Commercial Coach and is constructed to be used as a C. ]Floating Home D. ]Truck Camper (Office, School, Store, etc.) 2. Last Registration Information: Are you an active duty member of the U.S. Armed Forces? Yes A. Is this a new unit? /A Yes No . If "NO", enter the date the unit was first sold new 0 When this unit was last licensed, where you on active duty as a member of the B. Has this unit been registered in California or any other State? Yes No No If "YES", enter the state and date the unit was last registered in If "YES", enter the state or country where you were stationed C. Enter the month, day, and year the unit entered California. Is this unit installed on the tax free portion of a military reservation? Yes D. When the unit was last licensed, what state were you a resident of.? Are you a bonafide member of an American Indian Tribe? Yes E. Are you a resident of California? t>&Yes No t? If "YES" when did you become a residen . a I& Are you a disabled veteran? Yes F. Are you gainfully employed or in business in California? Yes d;?I�o If "YES", enter the date you became employed or entered ss. Are you requesting exempt registration? ]Yes 3. Title Information: Exempt registration is being requested based on the fact that this unit is owned or leased (the unit must b A'. Except for any accompanying titles, are there any outs tanding titles for this unit the exempt party's name) by the following exempt organization. issued by any state? Yes P�No B. Is this unit now being used as security for any lien(s) other than the lien(s) shown Civil Air Patrol Fire Department Counsul or Other Foreign Goverrunent Official (if any) on side I of this application? AYes No 4. Purchase Dates and Price: A. This unit was purchased from a dealer manufacturer ndividual B. K, Enter the date of sale Lo I � !S C. Enter the date of delivery or installation D. The purchase price or sale price of this unit was: 1) Base unit (do not include sales tax, finance charges, transportation or installation charges $ 2) Unattached accessories (skirting, awning, refrigerator, etc.) $— TOTAL $ 5. Exemption Information: A. Are you an active duty member of the U.S. Armed Forces? Yes No If "YES", and you are not a resident of California, complete form HCD 475.8. B. When this unit was last licensed, where you on active duty as a member of the U.S. Armed Forces? Yes No If "YES", enter the state or country where you were stationed C. Is this unit installed on the tax free portion of a military reservation? Yes No D. Are you a bonafide member of an American Indian Tribe? Yes No Enter the name of a Federal Indian Reservation and the date(s) the unit was located there. E. Are you a disabled veteran? Yes No If "YES", complete form HCD 475.9. F. Are you requesting exempt registration? ]Yes No Exempt registration is being requested based on the fact that this unit is owned or leased (the unit must b registered in the exempt party's name) by the following exempt organization. U.S. Government State Agency City or County Agency Civil Air Patrol Fire Department Counsul or Other Foreign Goverrunent Official Public School District Other Political Subdivision (enter the agency or organization name below) HCD 480.5 - Side 2 (REV 12/93) HCD APPROVED 10/27/97 STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT D M-SION,OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM POWER OF ATTORNEY Decal (License) Number(s) Trade Name Serial Number(s) SH6115 BLTMIR SN712890 To the Department of Housing and Community Development, and to whom it may concern:' I (print full name), SCHWARTZ WALLACE L. (Last) (First) (Middle) I (print full na me), KRAMER KATHERINE SCHWARTZ (Last) (First) (Middle) I (print full name), Q (..;4 Y k I C -C (Middle) I (print full name), L -k rh -C kLast) kFirst) (Middle) the undersigned do hereby duly appoint the following named person, Mid Valley Title & Escrow Comi)any to act as my attorney in fact, only to sign papers and documents that may., be necessary in order to secure California registration of or to - transfer my' interest in the above described unit. I further agree to guarantee and save harmless the State of California and the Director of Housing and Community Development from all responsibility which might accrue from the issuance of California registrati on or transfer of such unit. NOTE: An attorney in fact cannot make an affidavit or certificate of the truth of facts unknown to him. Signed: Date: 45�-- WALLACE L. SCHWARTZ Signed: Date:— KATHERINE SCHWARTZ KRAMER Signed: Date: Signed: Date: I HCD 475.4 (REV 5/92) Reproduction by SMS, HCD'Approved 10-27-97 STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DPVISION OF CODES AND STANDARDS REGISTRATION. AND TITLING PROGRAM POWER OF ATTORNEY Decal (License) Number(s) Trade Name SH6115 � BLTMR I Serial Number(s) SN712890 To the Department of Housing and Community Development, and to whom it may concern: I (print full name), SAVAGE DOROTHY E. (Last) (First) (Middle) I (print full name), (Last) I (print fall name), (r,asO I (print full name), (First) (Middle) kLast) (Virst) (Midale) the undersigned do hereby duly appoint the following named person, M[id Valley Title & Escrow Company to act as my attorney in, fact, only to sign papers and documents that may be necessary in order to secure California registration of or to transfer my interest in the above described unit. I further agree to guarantee and save harmless the State of California and the Director of Housing and Community Development from all responsibility which might accrue from the issuance of California registration or transfer of such unit. NOTE: An attorney in fact cannot make anaffidavit or certificate of the truth of facts unknown to him. Signed:'y Date: 'DOROTH . Y E/8X—VAGE Signed: Date: Signed: D at' e: Signed: Date: HCD 475.4 (REV 5/92) Reproduction by SMS, HCD Approved 10-27-97 I STATE OF CALIFORNIA ' BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM CERTIFICATE FOR TRANSFER WITHOUT PROBATE This unit is a: [ X ] Mobilehome Commercial Coach Floating Home )Truck Camper Decal (License) No.(s) Trade Name Serial No. (s) SH6115 BLTM[R SN712890 In compliance with Section 18102 of the California Health and Safety Code, I/We the undersigned hereby state that of the owner of the above described unit died on at (Date of Death) � o r-> i4\' (Place of Deatk City and State br Province and Country, etc. 0\z_C) 90, That said deceased left no other property necessitating probate and no probate proceeding is now being or has been conducted in this state for the decedent's estate; that said unit has not been by will bequeathed to anyone else; that the undersigned is entitled to the above-described unit as either the sole heir or heirs pursuant to 6401, and 6402 of the California Probate Code or as the sole beneficiary or beneficiaries under the decedent's last will, and that no one has a right to decedent's said unit that is' superior to that of the iindersigned; that forty (40) days have elapsed since death and that there are no creditors of the deceased whose claims remain unsatisfied. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on — laf—,4V at Az /_//� �,o W. r (Date) / . (City) (State) SIGNAY"R of.ea/ch heir o&beneficiary Address PRINTED NAME of each heir or beneficiary City A&Mw5r, State/Zip a. Statutory requirements and information pertaining to transfers without probate appears on the reverse side of this form. TIUS FORM MAY ONLY BE USED TO TRANSFER UNITS TITLED IN CALIFORNIA. UNITS TITLED BY OTHER STATES MUST CONTLY WITH THE PROBATE LAW OF THE STATE WHICH ISSUED THE TITLE. HCD 475.2 (REV -9/91) Reproduction by SMS - HCD Approved 10-27-97 - 4-- 3 79 7 1994 70 V... VR. Z ti�ijs is to oertif.y that if bearing the purp4a MW 'Of the document MW Ww office, this Is a true copy of vkh the Butte County Recorder's Office. Can Grubbs rder 4 4 dERTIFICATE OF DEATH 3-85,04- 001376 STATE OF CALIFORNIA 90CAL OWGISTRAIMN 014"W -T A.0 C60TWOCA14 04JWW!N ve-I 104.00 STATE IA. 04AMS OF DGGIKO1LNT--4rIWQT I I& MMMX m LAST XA. DATE OF OCATH PAOWM DAV. VIAP13 I ". *.0%1M Albert -Meade Samuge October 19, 1985 1948 3. sex EIICT"RW-" 111PAIVINWHISPAISC a. DATE or nini-A 7. AGO 91 UIMM. I "AM III, Umm" 24 U"S a. nAC : IND DATS Mal e iCa 73 WAS# I . Whito/Amer n KXI--....* August 4. 1912 wa- I Cw Dffczcawr� W PATINIM 10. bonsi NA&M AND ONT"FLAC, 9. NA.4 A&Ip GFMTHKJ DATA WAT4 CA rAeo -P- -MajzL n7w. I e I IA. C"vow op I on. IV DOCILASOU WAS r.V6ft �w I.IAL S""M I*. NAME Of' MMVfVl"* qPOURV 9wffM WHAT CIM- ~ART own DA�141 OP ONITH HAM" :U 19- TO, 19'' a=ieud- -Domothy-fli=rm n IS. PMMANV OCC&VATION 14L NU ;P NCLF.VUft01G% 00 STATO Ia. R.0 OP &AAMIRV OR 111.010*11:99 TWO 0 I 'Coritra tor . Pi -- I 0C. ctrw ON 1r6WW 212 Elm street LO UWAL -I go. COUNTT 20. NAME AND ^00"C311 OF IMFOP1-*--4W`L^Tw3.9-W` Butte CA Domthy Savage Wife 21A. MACII OF DUATH :21& COUN" 212 Elm Street BLACK oroville Hospital Butte Oroville, CA Cw air,. wrwz!!�,Aoomxa twimax? *jm wmaim.0a L6 -1A aim crrroR Tow DIKATH ::'61ive*'Hig oville" .2767 hway A -.Or 1 22. DEATH WAS GAV390 wTs ICPCMR OMT ONE C^$J" FM UNII FOR A. 9. AND 47.1 24. WAS TWAIN SWP4.MTWD TO "Now,,N 1. 0�114OOIATU "7) C,01-1 -3 . Yes CAUS6 04 ON IF AM. Via M oft A co"0940ROWPICA OP MATE *ffVWAL 9& WAG II-OPI&V 1`41111FOOMORDI 001 - OVOICH SAVO im" To \,k neTweem O"SXT D"TH TWO Mdkqtmll . 06� WAS AtnCFST P111WOMMO? STATO" "Ia via M on As A CANS.SaLaWA Cw AND C14ATM L"016 C"011 LAST. ' . .., , . - 1. - -.." No' 0 2 AM 7 DGATH, HOT P9LAIOD I :o.C&IM cww" IMA-% or"AlIm" rf-raqw. to" ANT. CC*dmlwm GO "2149 112 4110 BL-Tvre FC or 0-90A.10% DArff . �Fw BRA' I CrafrT THAT OGATH - OCAtJOINI? AT 704, A lift 9 26C. Owwo rso, PMUCIAW4 Ileg"No w-%~* 04TMOL. 0AT0 AHP�PLACII.IIIATVV�POW THR.Cmnwa IATSD. a 1 - 8 G 3,6 5j-- CJAWS I I LiOl PAW 00=011PICT Atnew, CJERTWICA. Irid SIM GA. 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UrEN"r No. 41 AL11F.CU-1111ATI I I -wwa LIRAR H Or F1 q. e4 A END OF DOC MENT ve-I 104.00 STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMEENT OF HOUSING AND COMMUNITY DEVELOPMEENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS - SMOKE DETECTOR' DESCRIPTION OF MOBILEHOME Decal (License) No.(s) Trade Name Serial No.(s) SH6115 BLTM1R SN712890 I/We, the undersigned, hereby state that t1le uni described above is equipped with an approved smoke detector which 'is in proper working order as of (Date) I certify under penalty of perjury that the foregoing is true and correct. Executed on at (Date) (City) A (State) Signature Address City State HCD 476.6A (REV 5/91) Reproduction by SMS, HCD APPROVED 10-27-97 STATE OF CALIFORNIA. BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION ANDTITLING PROGRAM BILL OF -SALE Decal (License) Number(s) Trade Name Serial Number(s) SH6115 BLTMR SN712890 For the sum of —Three Thousand And 00/100 Dollars ($3,000.00) and/or other valuable consideration in the amount of $N NE , the receipt of which is hereby acknowledged, I/we did sell, transfer and deliver to CARY SCHWARTZ (Buyer) on the _, my/our right, title and interest in and to the above described unit. I/We certify under penalty of perjury that: (1) I/we are the lawful owner(s) of the unit, and (2) I/we have the right to sell it, and (3) I/we guarantee and will defend the title to the unit against the claims and demands of any and all person arising prior to this date and (4) the unit is free of all liens and encumbrances, except for the lienholder shown below*, whose lien presently exists and has not been paid. Signature of Seller: Date: DOROTHY E. SAY/AGE Place of Execution Address C i t y A, �6 State/Zip 6-07, NOTE: The space below is NOT for liens created by the buyer in this transaction. Lienholder Address ' Street City State Zip HCD 475.1 (REV 9/91) Reproduction by SMS, HCD APPROVED 10-27-97 I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING eDION 1 7 County Center Drive 9 Oroville, CalVornia 495965 & Telephone (530) 5�3�8 41 PERM 0 (Rev. 12/96) APPLICATION AND PERMIT '1011 ! ?-T-' _ ASSESSOR PARCEL NUMBER 0 -in -i 9--i-ng-, ZONING AR BUILDINGPERMIT OWNER WAIIACE SCHWIARTZ TELEPHONE SO. FT. OCC. BUILDING VALUATION 852 R 45,008 OWNEWS MAILING ADDRESS P 0 BQX 1416 CHICO CIA Q5927 coNTRAcTows NAME - OWNER TELEPHONE CONTRACTOWS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE Nu. Filing Fee $ 20.00 Permit Fee 39512 $ 197.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93-00 BUILDING 'T'T7!5 BONNIE LANE, OROVILLE Energy Plan Checking Fee $ PERMIT FEE 240.50 LOT NO. 14 SUBDIVISIONS NME DODGE TRACT PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0 Describe Work: MH/PFRM EDN piping system 1 - 5 outlets 15.00 —Gas Building sewer 15.00 Mobile Home I S I G I W @20.00 6-0 PERMIT FEE Qn nn ELECTRICAL PERMIT Filing Fee �6-60 ( e00V O.R LE:: Main Service .A. 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 L:;w)or the following reason: 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 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: 0 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700ofthe Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO iOOOA 46.00 NEW CONST. D CNGffUP_ OR ADDNS. I�AU C . so 3.50FT.' Rc ",DT =LT- OygTcLuETT, 97.50 DWELL AP= U PSINO E 0 C SIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 FIXED APIP . OR Ex. Occup. . ("a _, .) F 5.00 Temporary Service 23.00 — Mobile Home Facilities 20.00 Misc. Wirina 23=23.00 - PERMIT FEE 6�.QQ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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 I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. I/X�__-� �a4l_ �15;z Date Signature of Applicant - 0 Owner 0 Contractor 0 Agent —A'n 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 TOTALFEE$ 383.50 HAZ. I D. FEES I FLOOD M4 _� PARCEL 1 !4 I po I HO I ISSUE This permit is hereby issued under the applicable provisions of the Butte �C:ounq Code and/or Resolutions to do work inclic b for w have been paid. By(W p 4 '741 '//7 PERMIT EXPIRES ON 7 41 I (Vate) Receipt No. 96947c; WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT I-, f Ir UILDV ISION COUNTYOFBUTTE' - DEPARTMENT OF DEVE, OiMENT SERVICES - B t 1.,1:1 i _)WDIV 7 COUNTY CENTER DRIVE - OROVILLQCA4�� 95965 - TELEPHONE (916) 94541 PE"IT APPLICA TION DA TA SHEET OWNER: so,� unr�= ASSESSOR PARCEL NUMBER: n-3D-1q3-QaS7 Proposed BuildiEg- Use: MIA Building Inspector: Eiite: L/Q//q!9 At time of permit application, fwas advised the following data b *es 2 m4i r" processing and/or issuance: 1c, Date Received By 0 1. All items have been submitted -------------------------------------------------------------------------------------- dw. Plot plans, 3/4 sets, signed by the preparer of plans - ------------------------------------------------------------ E13. Complete plans, 3/4 sets, signed by the preparer of plans - ----------------------------------------------------- C,6%6ngineered plans� 3/4 sets, with wet signature on plans. All engineering must be shown on plans - -------- 0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation - ---------------------------------------------------- 0 7. Statement; of Intent. for Non -Heated and A/C Buildings - --------------------------------------------------------- 08 ardous Material Form - ------------------------- �1 ------- ------- -------- j---1 --------- ---- -- 7-5�22 - ------ --------- j ---------- .... I - AMg 'T I o Mwn nst (Kanufactured Home data and installation instru�:� mc L 10 ------------------------ ----------- Fees of $ 1 ---------- Impact fees as shown on the attached ' schedule - ----------------------------------------------------------------- 0 12. California Department of Forestry plan approval/fees - --------------------------------------------------------- 0 1 3.117lood elevation certificate - ---------------------------------------------------------------------------------------- 1!ffanitation andTjgt-&n approval-riD Health Department - ------------------------------------------- - I .3C ity of Chico plumbing permit - ----------------------------------------------------------------------------------- El 16. Plot plan and business license approval from the City of Biggs - -------------------------- ------------------- 01 -------------------------- 3,Planning approval for (A) Use: (B) Parking: OV431 8. Contact Land Development about 0 Improvements, 0 Drainage, Pfegal Parcel - ----------------------- 7h /12 42 14 C31.9. Encroachment Permit for driveway (construction approval prior to occupancy) - ---------------------------- 0 20. Pre -inspection for required. Request to Building Inspector on - (Date) 112 1. Contractor's license information. (Number, Name Style, Classification) - ---------------------- ------------- E122. Workers' Compensation carrier and policy number - ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner 0, Mailed to owner EI) - -------------------------------------- Q�4. Letter of signature authorization - -------------------------------------------------------------------------------- /M5. Recorded copy of Agricultural Acknowledgment Statement - -------------------------------------------------- (0 - Z E126. Letter of intent on building use - ----------------------------------------------------------------------------------- El 27. Manufactured Home utihV clearance - --------------------- < ----------------------------------------------------- .P;8. Existing viola and/or expircidpermits.,7 --- Z7 ----------------------------------------------- .,bons e!j� _ kbeed, O?Q.00 ------- I ------- JM9. 0433 A, ffZ'a t -95 1130. Other: ------- W7hn you issue the permit process as follows 11 Mail to owner, OMail tq jontractor. T'J, Telephone 591 - S94q and hold for pickup at DWI I te office. 0 Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent 0 Health Department, 0 Fire Department, 0 Air Pollution Date: By:. Copy of plans sent 0 Health Department, 0 Fire Departrnint,,Q Oth�r:,t q I _ 1. Index permit application for the above items numbered: 0 Plan Check List 2. Additional items required: N Contractor, designer, owner, was advised of the above required data by o phorie,,o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by — Date: Contractor, designer, owner, was advised of the aboije required data by 13 phone, 13 mail, 11 Building Division counter, by _ Date: Contractor, designer, owner was advised of the above required Oata by o phone, o mail, o Building DL' i i Plans reviewed by: Date: /30 Won counter, by Date: _Plans approved by: Da—te: ;7 - Sets of plans on hold in 13 Plan Cabinet, 0 A.P.-folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ............... $ Additional Fees Due ........... $ Additional Fees Due ........... $ A. P. #. q3 - DATE RECEIPT # DATE REC -- Revised Plan Checking Fee ....... $ 2-- SCHOOL DISTRICT FEES nro (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ — x $360.00 $53(0 Units Commercial (sq.ft.). x $0.03 $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . _ I x-- = $ 5%�P 06517S- Wai lqq #Units Amt. Commercial (sq.ft.) . — x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6�/—x 6., THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTIONAND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FE�S (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER gloGOS- & 1,21 k At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the�plan checking process.� APPLICANT DATE 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 protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (R�ev. 2/97) COUNTY,QFo.B,U, TTE DEPARTMENT OF DEVELOPAENT'* SkRVICES - BUILDIN43 DIV?SY'O'N 7 COUNTY CENTER DRIVE - OROVILLE, CAOFORNIA 95965 - TELEPHONE �5_30 538-7541 SCHEDULE OF FEES DUE OWNER (A) a PROPOSED BUILDING USE A. P. # DATE_ RECEIPT # DATE REC 1. BUILDING PERAM FEES -- Balance Due ................ $ Additional Fees Due ........... $ Additional Fees Due ........... $ Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIEFF FEES (paid at Building Division) :21 Residential ......... x $360.00 $ Units Commercial (sq.ft.). x $0.03 $ Sq.Ft. ZX 4. URBAN AREA FEES (paid at Building Division) (49 Residential (per unit) . I x - $ 6D #Units Amt. Commercial (sq. ft.). x $ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) WIA 6. THERNIALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (BattalidlL# $200,00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit applicatiom, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have bee'n imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Budding Div. 2ndCopy -Applicant 3rdCopy-Owrier/ C-- /7 -(Re/v��2/9il) OVP ILI Q,,,UNTY OF BUTTE - DEPARTMENT OF DEVELOPRiENT SERVICES - BUILDING DIVISION 11 7 County Center Drive * Oroville, Cafifornia- 95965 e Telephone (530) 538-7541 PERWr NOV. (Rev. 12/96) APPLICATION AND PtRMIT �� �-My BUILDING PERMIT OWN" SO. FT. OCC. BUILDING VALUATION &VAM ADOMS Ow7g-,�r IV16 7 OXI COWRACTO" MAW OONSTUXU)NLENOCK t9WVM MANNO ADOA02 Fireplace Total Valuation AACHrMCT OR FNWNUR LIC&AC NO. Filing Fee 20.00 AACWMCY Olt 0403HEERS MOUUNG ADDAnS Permit Fee 3 Plan Checkina Fed r_7 C7 0 z Energy Pkm Checking Fee PERMIT FEE S 0 V_5� LOT NO. PARCM MAP PLUMBING PERMIT Filing Fee 20.00 USEOF TURE ome.:!,�UC SF 0 DuolegCl Wbileh or OPEC" 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 Now 0." AAd P—f"el E3 Utilities 13 Installation 0 Other 13 Describe Work: Gas pIpIng system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 C),00 PERMIT FEE S '4125"90 ELECTRICAL PERMIT Fillng Fee 20.00 Main Service = o. 23.00 ;2-3. 00 e- ReceiptNo. WHITE-O.D.S Ana Diuie.tmtPFCTnA nni ne—mA60-APPLICANT Main Service 20" TO 000m 46.00 NM COMT. OWELM Oocu $0. 001 AODNS. A ACC. SM. 3.5orr. NLW Gum 1. MULTI-OvnxT EIRANCH CfMXM @7.50 POWER APPARAna a SNOLZ OUTLAT Cut Ex. Occup. OUTLET OR FOnVAIM 20 : 1:5000 SAL MO APPIM T, r..6.06 Ex. Occup. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 2�� Msc. Wiring 23.00 PERMIT FEE S 9-3 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling io Hood 6.50 Ventilation PERMIT FEt S Wbile Home Installation Fee Energy Inspection Fee occ CONST. TYPE TOTAL FE�4 3,e je -3 Kl�p 1 0. FEM �4m P F PC 10 This permit Is hereby :—ssu--ed under the appr"ble 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 I BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Dmu Ille fli, 0/\ Building Department No. A.P. Number 030— 1673-0C Jurisdiction: city County Property Owner I I ace. Sckoor4ii I I Property Location/Address Subdivision Residential Development Commercial/Industrial I /, , �ew Addition Building Department Representative k T Lot No. .................................................................................................................... Addition/ *Supplerrien�tato Conversion Permit # *(No four�d.tion in.pe6on): ..................................................................................................... i .............. Sq. Footage . 11-1.Ain Emeriw V Roofed Areas), Ea—te . 104-010 Sq. Footage (Group R) (FId'or Plans revieW&d by School District Personnel) District Identification No. 000006 onlyttv— umoyl �141 School District certifies that (Applicant) em - 5944- . , (Street Address) (Phone Number) Only 1, tie, CA cisq(x (City) has complied With the requirements of Resolution No. hc'2, representing VIZU square feet. Representative Paid by,Check # Remarks: (State) (Zip Code) by payment of $ IAB 2926 $ FULL MITIGATION $ -7- IR Date I Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), this nroiect mav he subiect to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building, department), Pink (school district) feeform. x1s 11 0/98)dmm No of Living Mobile Home Units Installation Commercial/Industrial I /, , �ew Addition Building Department Representative k T Lot No. .................................................................................................................... Addition/ *Supplerrien�tato Conversion Permit # *(No four�d.tion in.pe6on): ..................................................................................................... i .............. Sq. Footage . 11-1.Ain Emeriw V Roofed Areas), Ea—te . 104-010 Sq. Footage (Group R) (FId'or Plans revieW&d by School District Personnel) District Identification No. 000006 onlyttv— umoyl �141 School District certifies that (Applicant) em - 5944- . , (Street Address) (Phone Number) Only 1, tie, CA cisq(x (City) has complied With the requirements of Resolution No. hc'2, representing VIZU square feet. Representative Paid by,Check # Remarks: (State) (Zip Code) by payment of $ IAB 2926 $ FULL MITIGATION $ -7- IR Date I Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), this nroiect mav he subiect to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building, department), Pink (school district) feeform. x1s 11 0/98)dmm Pk z AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 COPY of Document Recorded 22 -Jun -1999 1999-0027035 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from. the pursuit of agricultural operations including, but not limited to cultivation, plowin& spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Z �� Date- K7 PROPERTY OWNERS: jot UC4 C- C by C:Q;-L4)r4"'4A 5" 7 1410i C, e./L State of Californ' County of Su X. personally appeamd' ersonally known to me (or proved to me on the bAsis of satisfactory evidence) to be the person(s) whose name(s) —is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that -by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument WITNESE"hand and -ofh cial se..0 Signatu A A 0 evu S1. DENISE TERRIAH CO*nhslon # 1073963 Mh CPS I Notcoy PubL- Butle 00untY, CC6fbM1a A.P. #0,3n - 167,5 -Ca3- COMMIX10n EV. SEPT. 3o, 1999 1999 qL ORDER NO. BU -162630-3 DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: LOTS 13 AND 14, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "DODGE TRACT NO. 2',, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON. DECEMBER 12, 1907, IN BOOK 6 OF MAPS, AT PAGE(S) 102. OWNER -BUILDER VERIFICATION Attention Property Owner: An. "owner -builder" building permit has been applied for in your name and bearig your signat4m Please complete and return tWs information, at your earliest opportunity to avoid unnecento', in processing and issuing.your building permit. No building permit will be issdid uzltil oh, verification is received. I personally plan to provide the major labor and materials for construction of the PWp* . -X property improvement: YES 0 NO E3 -evi 2 1 HAVE E3 HAVE NOT 13 signed an application for a building permit for the Proposed W01L - ..1,44. . II have contracted with the following person (fu�m) to provide the proposed consbuctIOW-d NAME. - ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this but I have' blreid the* follo,,.�ing siipervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO.. 5. 1 will provide some of the work but I have contracted (hired) the following persons to pmyfde the work indicated - NAME ADDRESS PHONE TYPE OF WORK— SIGNED: YR0PERTY0WN_ER:___ OCIAL SECURITY NUiM3ER: DATE: NOTE: This Own er-Builder VerVication is required by Section 19831 and 19832 of W California Health and Sarfety Code. This verification must he -completed anj returnedto ourofficebefore we -are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder ofprop�erty. improvements specified. For your protection, you should be aware that as '4owner-builder" you are the responsible party ofrecord on such a permit.- Building permits are not required to be signed by property owners unless they are personally perfo rM.1ng thiir own work. If your work is being performed by someone other than yourself. you may protect yourself from possibi liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which ihey apply. -. .. '. .! . If you plan to do your own work, with the exception of various trades that you plan to sub�ont=4 you jhdW&. be aware of the following information for your benefit and protection: If you employ or otherwise eng-acre any persons other than jour immediate fhmily. and the work (including rnawi�ts and other costs) is S300 or more for the entire project, and such persons are not licensed as cont-ra or subcontractors. then you may be an employer. If you are an employer, you must register with the State and Federal Goverriments as an employer anid y6u are subject to seyer-al obligations.incluLg state and.federal income tax withhold' federal social secu t ing, riymes. workers'compensatioA insurance, disability insurance c . o9ts, and unempld*ent c9mpensation. contributi&ik * There may be financial risks for you if you do not carry out these obligations, and these risks are espectilly.s4ed6us with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific informatiori about your obligations under . t�., State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. I If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work peirsonally or through their own employees, without a licensed contractor or subcontractor, only undeilii;lied conditions. A frequent practice of unlicensed persons professing to be contractors i s to secure an "owner buildee' building permit� erroneously implying that the property owner is providing his or her own labor and material personally. Building permits arehot required to be signed by property owners unless they are performing their own work personally., Information about licensed contrac!qrs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street� Sacramento, CA. 95814. - Please complete the "Owner Builder Verification" bn the reverse side of this form so that we can confirrn that you.. are aware of these matters. The building permit will not be issued until the verification is returned. I rely, I &k--, Mic el C. Vigira, C.B.O. 4%1Y1gzeLr,iBVui01ding Inspection 0 NOTE: This 0,vner-Builder.lnformatlon is required by Section 19830 ofthe Caltrornia Health andSafety Code - OVER THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE N2 2081 OROVILLE, CALIFORNIA 95965 TELEPHONE: (916) 533-0740 FAX: (916) 533-9243 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: BONNIE LANE Owner's Name: tiallace Schwartz Date: Juan 24,1999 Address: P.O.Box 1415 Acct. No.: Chico, CA 9592 A.P. No.: 30-193-25 7,43 1 Phone: New Unit: Applicant/Agent: Adding Units: Address: Fees: Phone: Permit: 30 00 TI.D.: 600 00 Preliminary Review By: Date: Ext. Fees: Remarks: *CONNECTION FEES WITI, HE T140,qF APPLICABLE AT SC -OR: 1000 00 TIME M CONNECTION TO IIAE SEWEI COIXECT-OR Lateral: 75 00 SYSTEN . CLEAN OUT UP TO GRADE RE4UIRED AT Other: PROPERTY LINE. RE—INSPECTION WILL WE $30.00 PER.. INSPEGTION. T�t fee s: 17 Amount Paid: 1705 00 Collected By: EA Finaled By: Date: Location: Size Line: Signature of Owner/Agent: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION Date Billed: Computer: Paid SC -OR: A.P. File- (R.F.C.) Blue Book: Meter Book: Paid SC -OR: (S/C HG's) Rev. 6/9S RECORDING REQUESTED BY: 1, AND WHEN RECORDED MAU, TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 JL IE9 IE3 C3 —1010 --3 4S Z+ 4S 1 Recorded I REC FEE .00 Official Records I CONFORM .00 County Of I BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Vickie 01:13PM 08 -Sep -1999 I Page I of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBELEHOME) 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 1855 1. 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. WALLACE L. SCHWARTZ & KATHERINE SCHWARTZ-KRAMEER MAL PROPERTY OWNER/LESSOR PO BOX 1416 MAILING ADDRESS CHICO, BUTTE, CA 95927-1416 CITY COUNTY STATE ZIP 1275 BONNIE LANE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (1falso property owner, write "SAME") MAILFNGADDPESS BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILINGADDPESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE -1P 7 99-1362 (530)538-7541 BUI , PERMIT NO TELVR�JqBER ��Ggkl!MC6F—LO&L AGEf)PBF�16IAL DATE NONE DEALER NAME Cifnot a dealer sale, write "NONE") DEALER LICENSE NO. MUM W UNIT DESCRIPTION BUILTMORE 1977 BLTMR MANUFACTUHR'S NAME DATE OF MANUFFACTUP E MODEL NAMENUMBER SN712890 60'X 12' CAL050691 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA(LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR!S PARCEL NUMBER A.P. #030-193-025 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - CountY Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept LEGAL DESCRIPTION, A.P. #030-193-025 All that certain real property situate in the County of,Butte, State of California, described as follows: LOTS 13 AND 14, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "DODGE TRACT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE'OF CALIFORNIA, ON DECEMBER 12,1907, IN BOOK 6 OF MAPS, AT PAGE 102. it w 030-193-025 99-1364 SCHWARTZ, Wallice 1';�KftnnicLane, Oroville /01123 Contr: Ownei- Mobile Home Utilities ELECTRIC GAS COMPACTION TEST RE 2A' SUPPORT STRUCTURE 'Q f 030-193-025 PERMIT#99-2188 SCHWARTZ, Wailace.� ille 1285 Bonnie Ln:,' Oro\ MH on Perm Fnd NOTES _-RESIDENTIA1, - - 030-193-015 99-1364 : . SC14WARTZ, Wallace PERMIT NO. 'L,�_YY-Bonnie -Lane,- Oroville Contr: Owner 'Mobile Home Utilities 6�X -7 06 t SPECIAL CONDITIONS C ECK I I H BY ED SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOBFMOLED(Date) Signature BL Att- V= OK 0 = Not CK - = Not Applicable- MOBILE HOMES * = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1 . Zoning Requirements -Setbacks- Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Tesi-Fall-C/0-Concrete 4. Water; Location -Test- Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Lo�ation-Tesl-Wrap;-/ /" L 'ft. P Nat. or / /"L"ft./ PLPG 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 Tesi-Fall-Flex Connector 6. Water; MH Test- Regulator -Con nector 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; Soi Is- Size- Depth-Spaci ng -Con neclo rs- Steel 3. Decks; Girders and/or Joists- Decki ng- Bracing- Stairs- Rails 4. Wood Awn.; Posts -Beams- Rft rs. -Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Col u mns-Co nnect ions- S pl ice- 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.; Sleps-Doors-Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks- Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals- Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Liaht 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 RESIDENTIAL Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors I . Zon i ng- Setbacks- Easements- Flood -S lope Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection- Draft Stop -ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Sternwalls, Main; Steel- Blockouts-Wrapped Garage Fire Protection Framing 6. Sternwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One X -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width- Headroom- Rise- Ru n- Land ing-Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access 11. Water Pipe; Test -Anchors- Reg ulator-Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration-Walls-Winclows 16. Insulation Date Date Date Card B-1- Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection- Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Dale Card B-1 Date Card B-1 Dale Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 1 nsulation- Foam- Looked in Attic 29. Subfeed Wire Size / ga. Cu or AJI-A.C. Wire Size / / ga Cu or A Guard Rails & Deck Construction- Post Caps 30. Range Circle / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes QNo Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor Q Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following InstId./Drive U Yes Q No/Walks D Yes 0 No/Planters,:) Yes No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical- Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air- Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificale-Other Certificates 94. Address Posted Date Date Card B-1 Dale Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Comments at Final: FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 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-Slairs-Chasers-Tubs 45. Headers & Beams -Size & Bearina Pingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-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 X -Check Garage 3rd Story, 2 Exits 54. Stairs; Width- Headroom- Rise- Ru n- Land ing-Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. 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-Winclows 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. 1 nsulation- 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 U Yes Q No/Walks D Yes 0 No/Planters,:) 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- U nderg round 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 Certificale-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: 1,1Z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive 9 Oroville, California 95965 * Telephone (530) 538-7541 e -?q PERMIT NO. (iiev. 12/96) APPLICATION AND PERMIT ASIE116�r(TCTq _ _!T _025 ZONING AR BUILDINGPERMIT IINE 'WALLACE L SCHWARTZ TELEPHONE 589-5844 SO. FT. OCC. BUILDING VALUATION OWNERP T"WEY415, CHICO CA 95927 CONTRACTOR'S NAME TELEPHONE CONTRACTOWS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ Y-x2,9)AP Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADjESS BONNIE LANE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE LOT NO. 13 SUBDIVISIONS NAME DODGE TRACT PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome b Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities EX Installation 0 Other 0 Describe Work: MOBILEHOME UTILITIES piping system I - 5 outlets 15.00 —Gas Building sewer 15.00 Mobile Home I S G CE120.00 60.00 PERMIT FEE 80.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service *.'.Av OOR' UE:ss 23.00� �3. 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. OW UILDER DECLARATION I h/ereb under penalty of perjury that I am exempt from the Contractors License irm Law the following reason: 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 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: 0 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. 0 Vhave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, forthe performanceof workforwhich this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. OW 8!�INQ UP. OR ADONS. S. .C. agC 3.50FT. NEW T, LT1 OUTLET LTI_ RES NON-CONID. IRCVITS @7.50 OWE.RAPUPARATU P.IN. 0 T. C SIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 O.FIXED A PLNS..OR Ex. Occup. PRESID) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wirinci 23.00 PERMIT FEE $ 63.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policeumber. ZRt al ove sections need not be completed if the permit is for work of a valuation on e hundred dollars ($100) or less.) r I'Tceortify 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 th "e provisions. X Date Signature of Applicant 0 OwneT 0 Contractor 0 Agent 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 FE�� 166.96 HAZ. I D. FEES IMP FLOOPel CDF I PJnCEL I YHD L*fA -IV This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON - the applicable provisions Resolutions to do work been paid. Dat9f 71M?i 71116,b I(DaJ ReceiptNo. 265478 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROU--APP7LICANT 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive 9 Ciroville, California, 95965 * Telephone (530) 538-7541 P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESS7PARCELNUVO )0* 13 73, ZONING BUILDINGPERMIT OWNER Z 4CC Z I.AJ -z— TELEPHONE SO. FT. OCC. BUILDING VALUATION OW NO ADDRESS "IM—le --,, / /-/ Z s - - (fA, XS --2 ;7- 7 CONTRACTOR'S NAME TELEPHONE CONTRACTOWS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation ARCHITECT OR ENGINEER LICENSE NO. Filing Fee Permit Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee BUILDINGADDRESS A7 1 Z/7 Energy Plan Checking Fee PERMIT FEE LOT NO. SUBDIV7'SLE 1 0 �ARCEL MAP 11 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 1� Other Solar* or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities Installation 0 Other 0 Describe Work: Gas piping system 1 5 outlets 15.00 Building sewer , 4 I . 15.00 , 1AIA1.9-1 @20.00 —MobileHome PERMIT FEE zo, ELECTRICAL PERMIT Filing Fee 20-00 Main Service o,, 's.s 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. so OR ADONS. "Tzrc .00cUP- 3.50FT.' NEW NON-RESID. @7.50 0 APPARATU OUTL_ PSI rGLE , CSI R. Ex. Occup. OUTLET OR RMR0S 20 @ 1.00 114,1- @ .50 Ex. Occup. O,EAP,.,6.)0& 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 1 &3. PERMIT FEE $ 44-14"66 MECHANICAL PERMIT Filing �ee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt Mobile Home Installation Fee Energy Inspection Fee Occ CONST. TYPE TOTALFEE$ Uo- d L) IHAZ. 1 0. FEES I IMP I FLOOD I CDF PARCEL] PD HD 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. By Date PERMIT EXPIRES ON (Date) ZA COUNTYOFBUTTE' - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVELLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PE"IT APPLICA TION DA TA SHEET OWNER: �A/A,(—C 41!��T-ZASSESSOR PARCEL ER: Proposed Building Use: q4 /+ k— Building Inspector: Date: (0 At time of permit application, I was advised the following data must �be Vsumitted prior to permit processmiglaind/or issuance: Date Received By items submitted ------------------------------- Plot plans signed by the preparer of plans - ------ i3. Co Vlete sets, signed by the preparer of plans. 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - -------- 0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation - ---------------------------------------------------- 0 7. Statement of Intent. for Non -Heated and A/C Buildings - --------------------------------------------------------- El 8. Hazardous Material Form - ------------------------------------------------------------------------------------------ El 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------ 7 --- I --- El10. Fees of $ ------------------------------------------------------------------------------------- El 11. Impact fees as shown on the attached schedule - ------- El 12. California Department of Forestry plan approval/fees. 0 1). �lood elevation certificate - ------------------- : -------------------------- Oranitation and pl"Ian approval __r) D Meal"epar�- . il its7ity"of Chico plumbing permit - --------------------------------------- El 16. Plot plan and business license approval fro theCityofBiggs - ---------------------- 0 17 Planning approval for (A) Use. U, IL -T (B) Parking: O�-�8. Contact Land Development about tr/6provements, 11 Drainage, B/Legal Parcel. El 1.9. Encroachment Permit for driveway (construction approval prior to occupancy) - --------------------- E120. -Pre-inspection for required Request to Building Inspector on El 2 1. Contractor's license information. (Number, Name Style, Classification). 0 22. Workers' Compensation carrier and policy number - ----------------------- E123. Owner -Builder Verification (Given to owner 0, Mailed to owner 0). EIZ4. Letter of signature authorization - -------------------------------- M- Recorded copy of Agricultural Acknowledgment Statement. - 026. Letter of intent on building use - ---------------------------------- 027. Manufactured Home utility clearance - -------------------------- 1128. Existing violations and/or expired permits - --------------------- 029. 0433 A, []Grant Deed, 0 M.H. Title, 11 Check to H.C.D $ 030. Other: I/ -,- 1_�_?9 ply, (Date) . I you issue permit rpces5 a§rfollows 11 Mail to owner, OMail to contractor. T Tl, Cf elephone and hold for pickup at 490t.0 — office. El Deliver with inspector. Appheant:A)C'4a—p�t,.�6/'IkDate: Copy of Haz-Mat form sent 0 Health Department, 11 Fire Department, 0 Air Pollution Date: By: Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other: Date: By: -1. Index permit application for the above items numbered: 11 Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, 0 mail, o Building Division counter, by — Date: Contractor, designer, owner, was advised of the above required data by 13 phone, 0 mail, 13 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, 0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, 0 Building Divisj*on counter, by Date: Plans reviewed by: Date: - Plans approved by: Date: Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. % I - A�b'W-HEN RECORDED NL4JL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 CORY of Document "Recorded 22 -Jun -1999' . 1§99-;-0027035 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT 'FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance 'of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: - -Z-2 Date—C 7,>; PROPERTY OWNERS: Jact yocc Z C�&�&JdZL, /7 -7 1 P7 State of Calfforni County of personally appeared C .),Co-,, L -1 h y- ��F - ersonally —p known to me (or provedto me on the bAsis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and thaVby his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESE"hand and - official se Signatu DENISETERPIAH L 0, COMMWM 0 1073963 Mh CPS I Notclly pubpe Buft County, Ccif0mla A 1. P. # 3 r) — 167 , 5 - 02S My CDMMWon Elp. SEPT. 30, 1 M ORDER NO. BU -162630-3 DESCRIPT±ON THE *LAND -REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBEDAS FOLLOWS: LOTS 13 AND 14, AS SHOWN ON THAT CERTAIN,MAP. ENTITLED, "DODGE TRACT NO*. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 12, 1907, IN BOOK 6. OF MAPS, AT PAGE (S) 102. THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE: (916) 533-0740 FAX: (916) 533-9243 N2 2080 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 1275 Bonnip T.Anp Owner's Name: Wallace Schwartz Date: June 24,1999 Address: P.O.Box 1415 Acct. No.: Chico, CA 95967 A.P. No.: 30-193-25 #14 Phone: New Unit: Applicant/Agent: Adding Units: Address: Fees: Phone: Permit: $ 30 00 600 00 Preliminary Review By: Date: Ext. Fees: Remarks: * CONNECTTON FF.Fes WTT.T. RE THOSE A PEI - IC 6BT E AT SC -OR: 1000 00 TINE OF CONNECTION TO THE SEWER COLLECTOR SYSTEM Lateral: 75 DO— CLEAN OUT UP TO GRADE REQUIRED AT PROPERTY LINE- Other: RE -INSPECTION WILL BE $30.00 PER INSPECTION. Total Fees: 1705 00 Amount Paid: 1705 00 Collected By: EA Finaled By: Date: Location: Size Line: Signature of Owner/Agent: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION Date Billed: Computer: Paid SC -OR: A.P. File: (R.F.C.) Blue Book: Paid SC -OR: Meter Book: (S/C HG's) Rev. 5/96 -k,ep77tII0Bn8tfth Of PlanS and .Rna4e ly SJOb at all apeamoau0na mvw be it t'Mes And tt is Unl&vvful to 0 alterations 0. Bazle t Of T�Iblib 'rlw-*S. C... or the DerejtMen - w1thout Ivo 0 00 0 "4h N - A.44 0 &C, 8,q NA Ck 48" OP P7: op UC7. P -q toz� 0 ufi,,. .9, 'oe Al' V -/Y c: � eq N 'N. emorandum Intor-Deparfil,. TO: Land Development Section, DPW F ROM: Building Division, DPW SUBJECT: Improvements and St'orm Drainage Clearance' DATE: We -have recently received an application to construct a (use) by (owner and/or contractor) at (location) A. P. No. Permit Appin. No.. and he has been advised to contact your s�ction regarding requirements. .Would you please advise, by signing this memo, when you have cleared the improve- ments and storm'drainage facilities for'this project so we may issue the required permit. ��`F. Glander JFG:dd Chief Building Ins�ector improvements and drainage plans approved for construction. Improvements and drainage not required for construction. Other (specify) (signature) (date) C f With opkMallallip the 9"rril- ogr4zed rl Be lie �Ootl .T as a0d -13 ZO SPeaLt,(, and "�cii- 01-. V6 0 lee 0111, el�l 0 O*P 0. " 4 THERMALITO IRRIGATION DISTRICT 410 GkAND AVENUE NIOD 2081 C)ROVILLE,CALIFORNIA 95965 TELEPHONE: (916) 533-0740 FAX: (916) 533-9243 SEWER SERVICE APPLICATION AND CONNECTION PERMIT /A ?5 Service Address: BONNIE 1AffF Wallace Schwartz Owner's Name: f Juan 24,1999 Date: Address: P.O.Box 1415 Acct. No.: Chicol CA 95927 A.P. No.: 3D-193-25 t13 Phone: New Unit: Applicant/Agent: Adding Units: Address: Fees: Phone: Permit: 30 00 TI.D.: 600 00 Preliminary Review By: Date: Ext. Fees:, Remarks: *CONNECTION FEES WILL BE THOSP APPLTCARLP AT SC -OR -l' .1000 00 TIME 40 CONNECTION TO THE SE—WER COLLEC"R Lateraj. 75 00 SYSTEM . CLEAN OUT UP TO GRADE RE4UIREJ) AT Oth6b PROPERTY -LINE. RE -INSPECTION WILL RE $30.-00, Total Fees: 1705 DO .� \1 1705 Amount Paid. 00 Collected By: EA Finaled By:52_�_�� Date: Location: Size Line: A6024 745 ee Signature of Owner/Agent: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION Date Billed: Computer: Paid SC -OR: A.P. File: Blue Book: (R.F.C.) Meter Book: Paid SC -OR: (S/C HG's) Rev. 6/05 4. NOTES RESIDENTIAL PERMIT, 030-193-025 PERMIT#99-2188 SCHWARTZ, Wallace 1285 Bonnie Ln., Lot 13, Oroville MH on Perm Fnd q-9-lo&el THE HCD FORM 433A FOR THIS MH CANNOT BE.RECORDED-UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: ,tl) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) INSPECTOR TO VERIFY SERIAL & LABEL #'S 11 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ, SPECIAL INSP��Q-T1ION.-ITFhfi-Q-------) OFFICE COPY Address GAS D Meter By ELECTRIC Date Meter By JOB FINALED Signature V = OK 0 = NotOK - = NotApplicable MOBILE HOMES * = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except Ws 1. Zoning Require ments-S�tbacks- Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test- Easement Needed (Sketch) 5. Electricity; Location- Cleara nces-G rnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ L 'ft. P Nat. or /"L"ft./ PLPG 7. Well Clearance &'Discofinect 8. Utility Clearai666.'; 1. Zoning Requirements -Setbacks- Easements Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBI�WOW`IhSTALLATION (Plans) OK except Ws L1,11, . �ing Requ�ir�ents-Setbacks- Easements _X" Footinq.%e-!*;*ze-Spacina-Marriaqe Line � n!.eppKcity; MH Test -Crossovers -Breakers -Clearances a��rain; MH Test -Fall -Flex Connector 6. WateX;NHTest-Regulator-Connector 1,<.fe-r and Sewer Connected -C/O to Grade -HD Approval . Gas..and'Electricity Td9ged ,j,f <a Downs -Type -Installation Cert. �A�-its; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal %7?7 a ard B -k' Date Card B-1 Date bard 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-Conneclors-SteeI 3. Decks; Girders and/or Joists- Decking - Bracing -S tairs- Rai Is 4. Wood Awn.; Posts- Beams- Rftrs. -Connectors S hi hg. -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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks- Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg*. Boxes- Enclosures- Pan elboards- 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 r -I D COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Cen,ter Drive - Ciroville, California 95965 * Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 99- 2/gEr ASSESSOR PARCEL NUMBER 030-19-3-025 ZONING AR BUILDINGPERMIT OWNER WALLACE SCHWARTZ TELEPHONE 589-5844 SO. Fr. OCC. BUILDING VALUATION 784 R 42,336, OWNER'S MAILING ADDRESS P 0 BOX 1416, CHTCO CA 95927 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOWS MAILING ADDRESS CONSTRUCTION LENDER Fireplace UENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee _369/2 $ 184-50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 93-00 BUILDINGffgSS BONNIE LANE, OROVILLE Energy Plan Checking Fee $ PERMIT FEE 99 .50 LOT NO. 13 SUBDIVISIONS kvtODGE TRACT #2 PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF 0 Duplex 0 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 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other Describe Work: MH PERM FDN ---15.00 Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 99 1364 rftg ELECTRICAL PERMIT Filing Fee 20-00 Main Service '.."A oR 'S: 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: 0 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. 11ir 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 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: 0 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. 0 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. & ACC. BLOT 0. 3.50FT NEW C�O '_O ..ESIDT =H 97.50 &PON1.ELR APPARATUS E . r. CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 O.FLIED A LNS OR" Ex. Occup. PPR ES, 6.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling — Hood 6.50 Ventilation PERMIT FEL $ Policy Number (The above sections need not be completed 6 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 I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 4P X &J, a 14.1, ci / 0 - Date Signature of Applicant - .P�Dlwner 0 Contractor 0 Agent An OSHA permit is required 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 TOTALFEE$ 20/50 7 HAZ. D. FEES IV FLOOD I CDF I I tJ iriil I 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. z" y Da 9 PERMIT EXPIRES ON ReceiptNo. 'RAESSOR -D.D.S.-B.D. WHITE CANARY PINK -INSPECTOR GOLDEN ROD -APPLICANT A T j� .V4 CO UNTY OF B UTTE - DEPA R TMENT OF DE VELOPMENT SERVICES - B UILDINOD, I VISI6NI 7 COUNTY CENTER DRIVE - OROVILI5E,1qA IFORNIA 95965 - TELEPHONE (530) 538-7541 % PE"IT APPLICA TION DA TA SHEET OWNER: ASSESSOR PARC WER: Proposed Building Use: Building Inspector: en�_ Date: At time of permit application� I was adped the foHowing data must be submitted prior to pernlYprocelsing d/or issuance: Date Received By El 1. All items have been submitted --------- ---------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans - ------------------------------------------------------------ 03. 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 - -------- 0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation - ---------------------------------------------------- 117. Statement of Intent, for Non -Heated and A/C Buildings - --------------------------------------------------------- 0 8. Hazardous Material Form - ------------------------------------------------------------------------------------------ El 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- WI Q_,Fe'e's of $ -------------------- PKI. Impact fees as shown on the attached schedule. El 1,2. California Department of Forestry plan approval/fees. C1 13. Flood elevation certificate - ------------------------------- El 14. Sanitation and plot plan approval Health Department - ------------------------------------------- 0 15. City of Chico plumbing permit - ----------------------------------------------------------------------------------- i El 16. Plot plan and business license approval frIm the City of Biggs - ---------------------------------------------- 0 17. Planning approval for (A) Use: 0 V— , (B) Parking: — -------------------------- 0 18. Contact Land Development about 0 Improvements, El Drainage, 0 Legal Parcel. C3 19. Encroachment Permit for driveway (construction approval prior to occupancy). -- El 20, Pre -inspection for required. Request to Building Inspector on 0 2 1. Contractor's license information. (Number, Name Style, Classification). 1. 0 22. Workers' Compensation carrier and policy number. E123. Owner -Builder Verification (Given to owner El, Mailed to owner 0). E124. Letter of signature authorization - ------------------------------------------ El 2 5. Recorded copy of Agricultural Acknowledgment Statement - ----------- E126. Letter of intent on building use - -------------------------------------------- E] 27. Manufactured Home utility clearance - ------ : ------------------------------- El�g Existing violations and/or expired permits --- ------------------------------ e29. 0433 A, ElGrant Deed, 1:1 ME, Xh-e--c'k-t-o --- H-.-C-.D-$ ------- - --------------- E130. Other: ------- (Date) you isstietihhe4ermit 42 follows C3 Mail to owner, DMail t coptract 7as and hold for pickup at D(Z5VO i 14 ooffir* ce. El Deliver with inspector. Zlephone —E;e Applicant: UOLC-C– '!5�4WQvi7_Date: Copy of Haz-Mat form sent 0 Health Department, 11 Fire Department, 0 Air Pollution Date: By: Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other: Date: Bv: 1. Index permit application for the above items numbered: —0 Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter: by Date: Contractor, designer, owner, was advised of the above required data by 11 phone, 0 mail, 0 Buildin Di 'Sion counter, by Date: Plans reviewed by: Date: Plans approved by: Sets of plans on hold in 13 Plan Cabinet, 11 A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATIO.N FORM (One form per Building) School District omol( A.P.Number 0W-/q8-0-qV1Cl4-�&risdiction: city Property Owner 1-100 &&�- &ekUxKh Building Department No. County I 0 -DIP Property Location/Address , S Le S— ubdivision V, Lot'No. P. -f Residential Development Sq. Footage .................... .............. .......... .......................... . = -* .... .. ......... .... No of Living Mobile Home Addition/ *Supplemental to (Gloup R) Units Installation Conversion Permit # *(No foundation inspection .................................................................................................................. Commercial/Industrial I New Addition Representative Identification No. t t , A (S,Vppt Address) Sq. Footage (including Exterior qhoofed Areas) � 3 144? 4? Date N ed by School District Personnel) S�&-ol District certifies that kL-)'"l Lk (Applicant-) IPhone Number) (City) I has complied with the requirements of Resolution No. representing /1 _173 � square feet. School District Representative Paid by Check # , q/ -/l Remarks: .- 4 (StatO (Zip Code) >040 by payment of $ J[A�B 2926 IFULL Ml IGATIO-te/ $ 11*1 / /// Date / r :t- 4 ? Notice: 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(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. 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 (CEGA), 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 (school district) feeform.xis (10/981drnm COUNTY OF BUTTE 7 DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 OWNER PROPOSED BUILDING USE 3�_ SCHEDULE OF FEES DUE 1. BUILDING PERNUT FEES -- Balance Due ................ $ Additional Fees Due ........... $ Additional Fees Due ............ $ Revised Plan Checking Fee ....... $ 2.. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 Units Commercial (sq. ft.). x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) 05 Residential (per unit) . _ x : _= $ #Units Amt. Commercial (sq. ft.). . _ x = $ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 4Z 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECT109 AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE -$2500.00 (paid at Building Division) 10. OTHER DATE_q RECEIPT # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANt DATE 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 protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) COUr%,TY OF BUTTE DEPARTMENT OF DEVELOPMENT-,SERVICE.S -BUILDING DIVISIQN 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 ',,SCHEDULE OF FEESDUE OWNER Sc� A.P. # PROPOSED BUILDING USE DATE—q/0-3 e,7 T_— 7 -- RECEIPT # DATE REC 1. BUILDING PERNUT FEES -- Balance Due ................ $ Additional Fees Due ........... $ Additional Fees Due ........... $ Revised Plan Checking Fee ....... $ J /2. SCHOOL DISTRICT FEES 0 (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ......... x $360.00 1 Units .Commercial (sq. ft.)... _ x $0.03 ='$ Sq. Ft. (paid at Building Division) /4. URBAN AREA FEES Residential (per unit) $ #Units Amt. Con�mercial (sq.ft.). x Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 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. These fees may be changed during the plan checking process. APPLICANT "Al -C DATE 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 protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner //�Rev�2197) 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 ASSESSOR PARCEIL ..6 -/3 BUILDINGPERMIT OT OWNER _fELEPNONE SO. Fr. Occ. BUILDING VALUATION OWNER'S "AILING ADDRESS,,, 9Y ql( , CONTRACTOR'. NAmED ,A1 40�Po_ �[T_7ELEPHON7E CO"TRACTOA'S 44JUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ AACHfrECT OR EMNEER E NO. Filinq Fee 20.00 ARCHMECT OR ENGWEER'S MAILING ADDRESS Pe�&t Fee $ Plan Checkina Feel BUILDINGADDRESS . — — — — % — ,OA,��vr_ elvcly, LOT NO )3 SUBDIVISIOWS NAME Q,",e EL MAP USIiOFSTRUCTURE SF 0 Duplex a-Ilm"obilehome 0 Other SPECWY TYPE OF WORK New 0 Addition 0 Remodel 0 Ufifities 0 Installation C3 Other 0 DescribeWork: 1mttz,�e1_fV1 F-DIt) #- Q:::� " cz & - , .Energy Plan Checking Fee $ Ex. Occup. 0%0 APPZ..D�11. ELECTRICAL PERMIT PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system I - 5 outlets 15.001 Building sewer 15.001 Mobile Home TT �GW � 1 1 (9?20.001 Ex. Occup. OUTLET OR FIXTURES PERMIT FEE $ Ex. Occup. 0%0 APPZ..D�11. ELECTRICAL PERMIT Filing Fee 20.00 Main Service 800V OR IESS�S 23.00 Main Service 200A TO 1000A 46.00 M. UUM 1. OR ADDNS. DWELLING OCCUP. & ACC* SLOS. so. 3.50Fr. NEW CONS NON. RESID. MULTI -OUTLET BRAMH CIRCUITS (—a7.50 Ex. Occup. OUTLET OR FIXTURES 2001 00 SAL 9 50 Ex. Occup. 0%0 APPZ..D�11. 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 TOTAL FEE $ r X'? 7— HAZ. D. FEES IMP I FLOOD I CDF I PARCEL I PC) I HD I IJSSUE 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 (Data) COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street * Chico, CA - (530) 891-2751 7 County Center Drive * Oroville, CA * (530) 538-7541 CORRECTION NOTICE Sc A leTz-, OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address a�d should be corrected. Please notice this office when correction of work is completed. If yofj have any questions pertaining to this matter, or need additional explanation, please contagilthis office immediately. 6) .IV PA6 -.0- =1 ) 'E "-2 / A.,� pi /--� / - t --b _ ;�Ee , .0t Recorded I REC FEE ft RECORDING REQUESTED BY: Official Records I CONFORM .00 CountT.Of I �BUT E I WHEN RECORDED MAIL TO: CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Butte County Building Division Assistant I Maureen 7 County Center Drive 11:09AM 04 -Feb -2000 I Page I of 3 Oroville, CA 95965, NOTICE OF MANUFACTURED HOME(MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM. -THE ATTACHED DO�UMENT IS BEING RECORD I ED TO CORRECT ERROR IN THE ASSESSOR PARCEL NUMBER ON NOTICE OF -MANUFACTURED HOME (MOBILE I�OME)OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM, RECORDED ON FEBRUARY 3,2000, UNDER,SERIAL NUMBER 2000-0004227. THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. RE, CORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOMEE) 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 1855 1. 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. WALLACE L. SCHWARTZ AND KATHERINE SCHWARTZ-KRAMER REAL PROPERTY OWNER/LESSOR PO BOX 1415 MAILING ADDRESS CHICO, BUTTE, CA 95927-1415 CITY COUNTY STATE ZIP 1285 BONNIE LANE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CARL F. SOUTH & NANCH S. SOUTH UNIT OWNER (if also property owner, write "SAME") 2834 CRAIG AVENUE MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY Cou.'"ry STATE VP 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 99-2188 (530)538-7541 BUILDING PERMIT NO. eq ��LEPHONE NUMBER UE��_ 2/1/2000. SIGNATURE OF LOCAL AGENCY CrPton DATE NONE DEALER NAME (if not a dealer sale, write *NONE") DEALER LICENSE NO. SKYLINE 1982 HILLCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 02740104S 60' X 14' 240182 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED A.P. #030-193-025pt LOT 13 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY-HCD PINK - Applicant GOLDENROD - Building Dept. LEGAL DESCRIPTION A.P. #030-193-025 All that certain real property situate in the County of Butte, State of California, described as follows: LOTS 13 AND 14, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "DODGE TRACT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 12,1907, IN BOOK 6 OF MAPS, AT PAGE 102. �. , r, ` � s � � �� 1 - , �� RECZ'.NRD.ING REQUESTED BY: AND VMEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 03 -Feb -2000 2000-0004227 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 1855 1. 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� WALLACE L. SCHWARTZ AND KATHERINE SCHWARTZ-KRAMER REAL PROPERTY OWNEWLESSOR PO BOX 1415 MAILING ADDRESS CHICO, BUTTE, CA 95927-1415 CITY COUNTY STATE ZIP 1285 BONNIE LANE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVELLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CARL F. SOUTH & NANCY S. SOUTH UNITOWNER (ifalso property owner, write"SAME') 2834 CRAIG AVENUE MAILING ADDRESS OROVILLE, CA 95966 Crry coum STATT ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVELLE, BUTTE, CA 95 965 CITY COUNTY STATE Zip 99-2188 - (530)538-7541 zBLn DING P NO HONENUMBER :r, :&A� TELEP 2/1/20W SIGNATURE OF LOCAL AGENdYFFICLALL DATE NONE DEALER NAME (ifnot a dealer We, write'NONE') DEALER LICENSE NO. SKYLINE HOMES 1982 HILLCREST MANUFAC'MUR'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 02740104S 60'X 14' 240182 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #030-193-025 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY-HCD PINK -Applicant GOLDENROD- Building Dept LEGAL DESCRIPTION A.P. #030-193-025 All that certain real property situate, in the County of Butte, State of California, described as follows: LOTS 13 AND 14, AS SHOWN ON THAT CERTAIN,MAP ENTITLED, "DODGE TRACT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALrFORNIA, ON DECEMBER 12,1907, IN BOOK 6 OF MAPS, AT PAGE 102. BUILDING PERMIT NUMBER: 99-2188 Address or'location of unit: 1285 BONNEE LANE, OROVILLE, CA 95965 'Legal Description of Real Property: A.P.,#030-193-025 SEE ATTACHED (x) Mobilehome/Manufactured Home Commercial Coach Has been affixed to the real property ab6ve by installation on a foundation systim pursuant to Health and Safety Code Section 18551. Owner's name: CARL F. & NANCY S.'SOUTH Owner's address: 2843 CRAIG AVENUE, OROVILLE, CA,95966 INSIGNIA OR HUD NUMBER: 240182 SERIAL NUMBER OR V.I.N.: 02740104S MANUFACTURER'S NAME: SKYLINE HOMES YEAR: 1982 OFFICIAL APPROVING INSTALLATION.: Aelrl— DATE: 02/01/2000 PHONE: (530) 538-7541 H.C.D. 513C L)U I Kt)/ bH�' I U r4Lj V4UUnjjr4U AUMMP TRANtiVUK I A I 1UN A R 1A - 0i: CAU BUSINEW. STA op ENT . . . - == MUNITY DEVEL C D M. N FH USING AND COM d Standard3 E ()Ivl S on of ci Title SearCh 0 DatePrinted: 09/09/99 Lise Code: SFD Decal #: LAA7229 Original Price Code: ADZ, ManufaCturer: 90002 SKYLINE HOMES Rating Year: Dc- Tradename; HILLCREST Tax Type: LPT Model: -, 760 ' 5 Last ILT Amount: Manufactured Date: 06107/82 Date ILT Fee Paid: Registration Exp: iLT Exemption: NONE First Sold On, 06/10/82 2.1 Width HUD Label insignia Length Serial Number 240182 601 14' 02740104S Record Conditions: pPF Exempt Reg istered Owner: CARL FSOUTH NANCY s SOUTH JTRS 2843 CRAIG AVE OROVILLE, CA 95966 Last Title Date: 02/22/91 Last Reg Card: 031/27/91 Price $13,000.00 Transferred on 10/05/90 Sale/Tran3fer Info: Situs Address: 2843 CRAIG AVE OROVILLE., CA 95966 Situ$ County: BUTTE Legal Owner: Sel De� Tota Loan- Secor Terms TRANSAMERICA 1111 HOWE AVE SACRAMEN To, CA 95825 Lien Perfected 01"- 02/06/91 15:31-.00 END OF TITLE SEARCH 3 60 6 0' RECORDING REQUESTED BY ?v1ID VALLEY TITLE & ESCROW CO aAND WHEN RECORDEDMAIL TO: WALLACE L. SCHWARTZ P.O. BOX 1415 CHICO, CA 95927-1415 ORO -C )gad pace Above This Line for Recorder's Use Only A. P.N.: Order No.: 162630 Escrow No.: 162630 GRANT'DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY S 17.60 X ] computed on full value of property conveyed, or computed on full value less value of liens'or encumbrances remainina, at time of sale, X ] unincorporated area; City of _, and FOR A VALUA.BLE CONSIDtRATION, Receipt of which is hereby acknowledged, LOU ANNRLT-P-NfL-ELLER, a married woman hereby GRANT(S) to WALLACE L. SCH1VARTZ, an unmarried.man and KATHERLNE SCHNN*ARTZ-KRA'-\l[ER, an unmarried Nvoman as Joint Tenants the followincy described property in the unincorporated area of the County of Butte State of California; LOTS 13 AND 14, AS SHONN-.N ON TIL-kT CERTAEI;;NLkP ENTITLED, "DODGE TRACT NO. 2", NN -MCH NLkP NVAS RECORDED 1N THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEiNfBER 12,1907, IN BOOK 6 OF;NLkPS, AT PAGE 102. OU �NN RUPP-MUELLER Document Date: June 15. 1999 STATE OF CALIFORUNLok )SS COUNTY OF Butte -On - June 16, 1999 beforeme. Michelle A. Miller, Notary Public Personally appeared LouAnn Rupp—Mueller personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is,'are subscribed to the within instrument and acknowledged to me that he!she,'Ehey executed the same in his/her/their authorized capacity(ies) and that by his/herAheir signature(s) on the instrument the person(s) or the enfiD, upon behalf of which the person(s) acted, executed the instrument. WITNESS mv-hand and official seal. -AA.-.AP-AAAA^,&A,4 < MICHELLE A. MILLER > Signature 1149Whd -commlzion 0 1176414 Mtr CPS I >or official notarial seal. Michelle A. Miller Notary Public W Buttq County. Ccgfornia > < MyCcmm!s&lonExp,.AF2.3,2002 > Mail Tax S12tements to: SAME AS ABOVE or Address Noted Below RECORDING REQUESTED BY: AND WHEN RECORDED MAEL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded Official Records Count BUTTEO' CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 10:40AM 03 -Feb -2000 REC FEE .00 CONFORM .00 Nikki Page I of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTIC I E OF MANUFACTURED HOME (MOBIELEHOME) OR COMMERCIAL COACH, 65 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 1855 1. 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. WALLACE L. SCHWARTZ AND KATHERINE SCHWARTZ—KRAMER REAL PROPERTY OWNEMESSOR PO BOX 1415 BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILINGADDUSS MAILINGADDRESS CHICO, BUTTE, CA 95927-1415 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 1285 BONNIE LANE 99-2188 (530)538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. I-- nLEPHONENUMBER OROVILLE, BUTTE, CA 95965 2 1/2000 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENb-rFFICLAL, DATE CARL F. SOUTH & NANCY S. SOUTH NONE UNIT OWNER (ifalso property owner, write "SAME") DEALER NAME (ifnot a dealer sale, write "NONE") 2834 CRAIG AVENUE MAILINGADDRESS DEALER LICENSE NO. OROVILLE, CA 95966 W cm COMM SrAm UNIT DESCRIPTION SKYLINE HOMES 1982 HILLCREST MANUFA=EWSNAME DATE OF MANUFACTURE MODEL NAME/NUMBER 02740104S 60'X 14' 240182 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER A.P. #030-193-025 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -Counry Recorder CANARY-HCD PINK -Applicant GOLDENROD - Building Dept LEGAL DESCRIPTION A.P. #030-193-025 All that certami real property situate *in the County of Butte, State of California, descnibed as follows: LOTS 13 AND 14, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "DODGE TRACT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 12,1907, IN BOOK 6 OF MAPS, AT PAGE 102. I \ IC3 S -C qq LAO I el I \ IC3 S -C qq LAO I IN Mobilehome Manufacturer: Manufacture Year: If other than single wide, fumisVSetup Model Number: Width: - / Y, (ft.) Length: r(o - ft.) Tagalong or Expando Size_(ft.) x (ft-) On all mobilehomes manufactured -after October 7, 1973, furnish manufacturer's installation manual and structural setup slieets. FOOTINGS: Wood pressure trea ade[t,�Other: �p&or foundation gr SUPPORTS: Concrete block[4,-r Other - Provide Tie Down Specifications for all.'-Mobilehomesi, e r S Line I Piers: Line 1 Openings Size minimum: r 1 x r i. Size minimum: x Spacing maximu: m: Each side of openings From ends-maximum:l with width over: Line 2 Piers: Size minimum: lo -L ] x [_-7o Spacing maximum: 4:� )P-, From ends -maximum Line 3 Roof Loads: Size ff uinimu'rl Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 4 Piers: Size fffinimum: x Spaci ng maximum: 4 From ends -maximum] OVER Pier Footings Sizes and Locatiow' SINGLEWIDE NfULTI-WEDE Line 1 e I Line 2 Line 2 L ................................................................................................. Main Beams Line 2 ................................. ........... ...................... c 2 Line I Line 3 Line 2 ... . ....... Main Beaffis Line 2 Line I .............. ..................................... U' ji,5 Tag or Triple e 4 ri.e ................................................. n I Line I Piers: Line 1 Openings Size minimum: r 1 x r i. Size minimum: x Spacing maximu: m: Each side of openings From ends-maximum:l with width over: Line 2 Piers: Size minimum: lo -L ] x [_-7o Spacing maximum: 4:� )P-, From ends -maximum Line 3 Roof Loads: Size ff uinimu'rl Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 4 Piers: Size fffinimum: x Spaci ng maximum: 4 From ends -maximum] OVER At i 1. Owner's Name&t),1(,-c. 2. Assessor's Parcel Number: 0 3. Installer's Name: 5e-111 4. Is the site currently under permit? Yes[ No[-��Pennit..No. 5. Is the site an existing 5ite? Yes[ I No[,,f'- (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? /00 -Ampe"fe's. 7. What is the mobilehome site circuit breaker rating?_ZpLO Amperes. 8. What is the'electrical rating of the mobilehome site? 1&46 9. Is the main service remote from the mobilehome site? Yes[ I No[41-ff'it is, what is the rating? Amperes 10. Is there any other electric load to be spwed by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ I Nolt-rif yes, please identify the load and size: a) The mobile home site: Load- Amperes-* b) Them ain service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ Propane[ None[ 12. Size of gas pipe 'at the . mobilehome site from the,' meter. or inches. tank: 13. What is the gas pipe length from the meter or tank to the mobilehome?_2��L�(&). 14., . What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less -than 6 -feet on natural gas or less than 50 feet on propane). THE OTHER SEDE OF THIS FORM MUST BE COMPLETED MORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 LAND DEVELOPMENT OROVILLE I CHICO BUILDING I ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. OWNERS A.P. NAME ILI Vvl-� NUMBER 19 3-0 0-�� /-Or 13 PRINT LAST NAME FIRST ADDRESS / LOCATION: OMVA��7 0 ya COUNTY ZONING DESIGNATION: 1 4 FLOOD MAP: FLOOD ZONE: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP t/ DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES —NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS)CONDITIONS: MAP INFORMATION: 13 DATE OF RECORDING: ---LOT BOOK PAGE /0/ COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE23): _YES NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: &11&7- A. Construct road -to B. Meet parcel size required by zone. C. Wet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIWSION UNLESS OTHERMSE NOTED. 1 Maintain a 50 ft. building setback from centedine of road. —2. Maintain a ft. building setback from right-of-way/centedine —3. Comply with Zoning code for building setback from road. —4. Maintain a 100 ft. leachfield setback from all existing wells. —5. Maintain a ft. leachfield setback from —6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. —7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. —8. Connect to a public water supply. —9. Connect to a publ,ic sewer system. —10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler�systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. — 11. Pay T.D.D. (Thermalito 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 fee for each 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 buildings 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, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article 11 of the Butte County Code. —19. Wood stoves and fireplace inserts shali be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. —20. If any cultural resources are encountered during ground disturbing activities, all work shall cease 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. —23. —24. —25. —26. LD 6/98 FORMS\BLDG PERMIT CLEARANCE Permit clearance APPROVED CONDITIONALLY APPROVED RESOLVE PROBLEMS PR1 R TO AP O.,_..._PROVA.L.--:F Permit#: c)'C) Date: fo_ General Owners Name: VV n L -j V�AQ__r AP #: 0 C) 0 No F-1 Yes Same as Computer Information: Address: 'P, Q� J?, ox Li i cc) VIN Prolueltv.rnformation Zone'District: 6f Date Zoning Ordinance: General Plan: Development Agreement: Use Permit: Vari - a . nce: Parcel Is In: Land Conservation Agreement NNo E] Yes, check use Minimum Acreage: Nitrate Action Plan Jallo yes Violation Area *No yes' Specific Plan No E] Yes E] Chico D2N Enterprise Zone RNo Yes, check use Floodplain is No Yes Zone: Watershed Protection Zone allo F� Yes Proi)osed Use: F� Agriculture Building E] Commercial E] Industrial Mobile Home El 2nd Dwelling E] Multi -Family >2 units per parcel E1 Other Proposed Use Complies With:, 1�0 1191, General Plan &Zoning Proposed Use Requires: EJUse Permit 0 Minor Use Permit El Administrative Permit Commercial/IndusMal/Multi-Family Uses: Parking: Parking Requirements are OK as Shown Landscaping: Landscaping Requirements are OK as Shown Road and Drainage Improvements Required: 0 No El Yes Applicable Setbacks: Other Other Cohasset Panel Number: C)qgc c__ SFD E] Residential Accessory El Accessory Building Use Zonina code - Street & Highways Fire Prevention Subdivision MaD Front P/L Side Side, street ear Heiaht Permit clearance Environmental Health lssu�s: Sepbc Permit Review: Agriculture Affidavit Required No yes Well Permit Review: Designated Well Site No yes Land Development Review: Drainage Plan (Com/ind/Mulu) F] No FJ yes Parcel Created by: [] Deeds Date of Creation: Legal Access Provided: No Deed Reference: Legal Access Required: No Parcel Frontage on Publicly Maintained Road: [] No E3 Yes, Road Name: Complies with County Standards for Deed Creation: F] No Yes Comments: F1 Yes El Yes M Map Date of Recording: Lot: Block: Book: �0 Page: Conditions That Must be Met Prior to Issuance of Permit: El Verify Legal Parcel El Verify Legal Access D Provide creation Deed EJ comply with condition no. of conditions of approval for the F-1 Obtain a Certificate of Compliance (See Planning Division for application). El Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). El 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 El meet current EHD requirements. El Other General Comments: M.H.L-2 1. Owner's Name:—L4-/Ok C, / 2. Assessor's Parcel Number: 30 - P�73 3. Installer's Name: 4. Is the site currently under permit? Yesm Nov, Permit No. 5. Is the site an existing site? Yeso NoX] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? / 0 0__.,Amperes. 7. What is the mobilehome site circuit breaker rating? /,o Amperes. 8. What is the electrical rating of the mobilehome site? I o o Amperes. 9. Is the main service remote from the mobilehome site? Yes[ No[Vilif it is, what is the rating?. Amperes. 10. Is there any other electric load to be 5prved by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ I No[ 4 If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ vll-�Propanej I None[. I 12. Size of gas pipe at the mobilehome site. from the - meter or tank: ZZ, inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?--� (ft.). 14. What is the mobilehome gas demand? /4-0, 06 B.T.U.* *(This information is not required if the pipe length is less than 6 f�ef—on natural gas or less than 50 feet on propane). THE OTHER SEDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 WOR" RUILDING DEPARTMEN" ,A P P R 0 V F 9.5 M.H.L- 2 Mobilehome Manufacturer: /I; hr&i c /- e- Manufacture Year: /I 7,F If other than single wide, furnish Setup Model Number: Width: / A - ft.) Length:_.� 0 (ft.) Tagalong or Expando Size. _7(ft.) 7� On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. '40-d or foundation her: FOOTINGS:-- Wood pressure tre grade[4-110t SUPPORTS: Concrete block[ &I. Other: Provide Tie Down Specifications for aH Mobilehomes: SINGLEWME Pier Footings Sizes and Location MULTI-WIME . I " Line I i Line2, Line 2`�. .......................................................................................... Main Beams Line 2 Une 3 Line I L. Line 2 ................................................................................................ Main Beams t Lin ............................................................................................ f *2 Line I ................................................. e 5 Tag or Triple ine 4 ................................................. Line I Piers: Size minimum: r 1 x r i. Spacing ma)dmum: From ends-maximuml Line 2 Piers! Size minimum: [/";2 x Spacing maxiinum: From ends-Aaximuml Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: x I Each side of openings with width over: F Line 4 Piers: Size minimum: x 130 1 Spacing maximum: From ends-maximuml 8.4 May 1995 1 � ?`'�C3M All M.altt�rlt�ls F;? 'Fiorkmxrinhip'�he.11 Se in t110ancF with of p R ec?!nized Ctood. F: a•eticcs anti �,. � die NE uns end eprt�Stta�e'MQ31 T''be of a. 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STANDARD MER A FOOTING SPACING PER MONIZ HOME MANUFACTURER'S INSTALLATION MANUAL. CONFIGURATION SHOWN 13 THE MINIMUM NUMBER OF PADS REQUIM. SEISMIC PIER AND rouNDATMN FAD COACH I KAN 3' X 7 PLATE 4-3/B' MAX MK 11LICMT X LTS t'`SHOT TUK 14', LONG TUM: >" DIA 4 - 3/8• 3T0 PIPE TIGHTEN 3/14' TS � ' 3/16' PLy TE .` TO ISO CLAMP 3/4• THREAD TYl`� ITE LEGS Vcaecm �sary a3116' PLATE I x S/t' X 1 1/4' /OLT WITH HARDENED WASHER SEISMIC PIER Not to Scat C.P. SEISMIC PIER## PATENT PENDI I .. NOTE ;. ® 180 IN-POWDS, IS EOUIVALENT TO as ri-POIWDs 2 - 3/8' •x 1' BOLTS FIELD -DRILL HOLESOPT_I. ' ( 4 - 014 TEXNSOTS (� 1 COACH C OR J DEAN I ( 1/4'x2'x4' 3* x 3 © D ANGLE 3' VIDE • rouwPt� 4 - 112' SEISMIC BOLTS PIER i OUTUNZ SINCLJ., WIDE _TYPUCAL . TYPICAL' ^ -BEAM CONNECTJON-S-' PLAN, Not to 70ie 1.� SINGLE WIDE LOBULE COArH scale: 11 - IO' �l4IT 'rs s w ovcMx'�iRc,.wrs z _:, { �• a ease• McArter�[ STANDARD PIER A FOOTIING SPACINC PER MOBILE HOME MANUIFACTURERr: 8' INSTALLATION MANUAL CONFICURAT13M SHOWN IIS THE M1N:MUM NUMBER OF PADS REQUIIRED. rutRT r wr of 1 1/4, 117- 4. 1 . . ...• - .• .. t,.- .r �,t.. .c s .4.1 .0 v�Y n - • .. / a I: Ili 1 .w- I .. y M i N Iti>� MtM► sir a1tAMrR• svr r t Le' rLm" s��►rac:s sna Now am, 3.5' 4r4 -4r4 VW PRECAST CONCRETE F.QUNDA,T�I©N:.P, AD SCALE: 1' . = 1150 ..,: 3/4' PLYWOOD SHEETS SCREWED TOGETHER WITH 30'x32'x3/4' 12 119 .x 1 1/2' rHVS PLYWOOD HOLES FOR 1B'x3t'■3/4' r ■ r a 1e' 30' PLYWOOD r / r ■ ALTERN.ATI E%PLYWQ0D FOUNDATION. , PAD. SCALE V=1.5' set�r� • a� Jnr &&FUJIlcM: C�ALPOWILAOODBOI><BOLAAT1Ri.TTT1.t=sA OU111C. ON11DITM 1. Dr10N LOAC>s: VSRT E" im ums &AT=& Un U" � yy i' ,� MRS .a Zan '%p RO0/ i0L1R.. �R�IIAItO►1CI.: -. 3•aIf!'aM 70sMli r..4 < 6 f • 30 b x"��'�•r� ^^'•'9 4 I T. TR! DUM 1lAAD1 WALL U COfs[ATINT MTTIL 1100/ LM LOAQ MIND LMA AND NNW =6 AS � 28TARt3>4 =R BOR liR160W XXUXN0 M MWI A N CO LOCAL MIM 3. TIDE1OtNDAT10NMCON>®RLOTOCMNATW:AIUUANWTPMMAT10M. 4r ALL11110011 100RII 101' ALIS TO LIR l UMM D RY M4 U11MU ATS4 UMMTiLItiD COHNNIVE /01 MO TDM ALILL DESIMM I= IM MF TOTAL LOAD SOIL t1tBI1LU AND OWL So C1WATUS MILT11 LOCAL ROW '� POW' COI ONS. & STRLX URAL BIT= < Y � . R4iW,1,,CONPORM TO ABLY AM F - 361631 YLNWAL �F, t? _►3R1ALL>NFABRICA2IAACOORD&IOTOAMCQ3+Ctf1CAT10lM. `�` N G a #ItALL Ls.►>It�LD i1OCORLIw TO Ay RlR .AT1011B: '' -17 iL KAil.3L'T'IAODRi' !! ja ANCHM ROLTB: :A/TM Ain Imo... ' , ROf.TII: SAi Oi10ArfU A44FA1nU A331 �c T RZADCDBM COLD DRAIN LOW CA>1 W WK DAKS t A1ILIQTALC01fPONLQf11{ II4Cru><�DIONAR.3 • psMA B'Ltw. ARRTO W 111d1lL`1=Ill OQATil1. ` �, '. 6. IMPM AND OMOR SLAM /UPPORT ABMMM 3MAIL U COWTIZD WITH >L>MUM RPR L" iit-RCS O! AMROVZD RQIIAVAL WT AND WALL W L EM AND I A1iL:D BY CI*19 :D TIM M AMD OO WEXINO ua V3CSS ♦;L7m POR Tu FOLLOW= L101ADBs L` LATUA1. _ t71011a Ild" i VM&T rAL' Uw M MAW 7. THIS FOUNDAMM r POR MAC= IIA1R>IACTLR><D MLIL-0DIOIL � M!!LL � OR � L CRCit !oDi'LY..Y. ., s L TId 1OLNDATWN nM M D1i10 M 7011 CONITRLJ<.'TW CN A FARLY tM &U WI= NO Ei Wf= ROIL. •� POORt�41RTR#1NR000tarfDlN�POOtr1�.ILLs1104i>l. �:,. , � � �'< I M AnAS R►lili> X DIFMDITIAL LISTiimawr ma) CA(COCtlll.11A1RMAC11Ji>tD NCAM WAIL 1K I;�Y • , RI ADR1BTIo VAIN Lu VCM LN'. OR W10111 R W" Ativilliii.Y AnRc.T Tim In or T!a wNUFACTURSD 11014.. IR. TRW RT= ■ ADAL ALS To 0?ANDARD NI l4= A lC0*Y 31L= mmL alr! < qt It. . II. PORWWLMIUkAL,13OFilT0601N.TUMY MiMTMiiiI WAY=.'.IEDMRNTMINUMNSROfC.P. s• !S t+� rISL1lacraRsslwoIvNaNnaruN. L1aWsvra.pool►LaAMLaewsTlr0>,>lRrwYeIOssTlaua, ,�,��,�•� �.; „, OFADLYL1oNAL.CrAMARDPMA1011t/LRPL1lRARMTLLRYAM�AC'LtJLLW'RRDTMA.ATIOMMANJAL. U. FO_UNMA MN !AR NATES 1. THI POtNUTM 1'AD NIOW COi T 01 KM M A MSCART CO =M IOLNt1ATTON PAD► THR PL.YNIOOD 111OUN12ATIOM PAD MAY IS IV= AN A94=9 7t ttOtMATSWP1A=WALL=KA=CMUMWOMMUMROLL. •. 3000 MI : AT 31 DAYS A= TBRTSD AND LANtJrACLLMED RY STARIM MIOUT OONGRITL !R><lnmwmDauwrAmam MIQRE xm xtvttm .i M THAT TMs LONG ODuJi m Or m PAD= - ?'EtlEN1DICUAR TO T'iR COACH LIW1 W rllowx ON T1R LsaN> e. RiHU19 MW OONW"IS UQURE PAD NOTATION. NO MORE TRAN HALF OF THZ PADI< IN A TOAVMU.1�2�1..L.BTl1 CAN RE 10TAM B0 TLLAT TVI Lawn D11100ON OI TO PADS ALIS PARALA& TO " 364 LMC1N A.P.A. 4Vi4 D�LtiJOi 3.LI.L•'i3 OC.1Lt�0ESi 10� • QA 3L►7. LID. J • COALS STLE NOTES: 1. IL4) M JU UDIM" OlF iDKU Wl1[ COACM -WMT. L MAX" tbMnfiWs W t> R COACR • 70 LRET. z L LK= APPIIoVw iW uw A,it1R'OC.. nam To 11LDQE Lllaawr NOT Tb M •. S PIEST 10R SI)KLE MLLIs COACMB11 - rd k a LPW POR 3r DOtUS W= ODAROM - u InaTLotI3r.3r, s3rrlotl�ls MIL>sCo�ACMr 4. POR TR1KX W=Cl0A0= I MLOW a1A1R RACW IT FAT 132M AII OWN ON TM2 DOUSIX MIDR mous V 1. POR ANY COACH s= mn THAN A0 nmm ON TIM ptm OI: R==NM AWM IM PU AND PAD M LAYOUT SiLALL. LI UVRMED AND AIMOVSD BY Coma K TMANY t AMOCIATLIL � BLAM Sm a o m I. 8?AcDIw HOMIIN ON THIS n AN ARE POR OOAcn; MLTN is vcm AND I3 INCH uAw OR s v= MOD �r Ow COARMATID RNLAA48.. Ly I ANY Olr= i DCH BEAM M NOT TO CANTIL SM YORE 7110 6.0 MON SAAL END OF U04T x $ O AND QACLHO 01FI SSISIM MI S CAN NOT MMW ltici _ Py t PoAe�.+r►auc 4ww„ .. v AMIM AMB AllTli BOGLIR arlL7tw sWl , Ya,11 �. �'�. ` 4%l►1'10VE0 >^� Dow 0^�I• N1i1tA p OO�RIIflIB/i &00:; rA� 4Mrr ..r .rAwt.. 41► 1411A wr ..1.h. ' NO C i �'� 4w6wb sc.b hs.1 wWi6n. FYI iWN AfI07YA Imme 41 as"* JLT R.•••.•a ll N..rq r Cmw"Iv \* , ;L OLrLIIM11 AIKiSAIiAtri \�.0. CAIS fA SQA N0. 3A ✓,�' a�N� � 1 �� { t.I. � p, ,O1 e�M a Z6 . , mwZ" WAt. 01� ... .�R 1 � SrAn SUBMITT 3 of 1 smm • . 1 /► I_ ! n n n n NOR AMO t3 h t! t! ►„e ►; i �:� ►:;� u u u T 9 N N N r- 200. 241. to!, OR 21' _ PLAN , DOUBLE -WIDE 'MOBILE COACH scale: 1' 10' " Nom: FOR MORE THAN TRIPLE WIDE UNITS. SUBMIT LAYOUT TO THARP & ASSOC. FOR APPROVAL. STANDARD MER A FOOTING SPACING PER MONIZ HOME MANUFACTURER'S INSTALLATION MANUAL. CONFIGURATION SHOWN 13 THE MINIMUM NUMBER OF PADS REQUIM. SEISMIC PIER AND rouNDATMN FAD COACH I KAN 3' X 7 PLATE 4-3/B' MAX MK 11LICMT X LTS t'`SHOT TUK 14', LONG TUM: >" DIA 4 - 3/8• 3T0 PIPE TIGHTEN 3/14' TS � ' 3/16' PLy TE .` TO ISO CLAMP 3/4• THREAD TYl`� ITE LEGS Vcaecm �sary a3116' PLATE I x S/t' X 1 1/4' /OLT WITH HARDENED WASHER SEISMIC PIER Not to Scat C.P. SEISMIC PIER## PATENT PENDI I .. NOTE ;. ® 180 IN-POWDS, IS EOUIVALENT TO as ri-POIWDs 2 - 3/8' •x 1' BOLTS FIELD -DRILL HOLESOPT_I. ' ( 4 - 014 TEXNSOTS (� 1 COACH C OR J DEAN I ( 1/4'x2'x4' 3* x 3 © D ANGLE 3' VIDE • rouwPt� 4 - 112' SEISMIC BOLTS PIER i OUTUNZ SINCLJ., WIDE _TYPUCAL . TYPICAL' ^ -BEAM CONNECTJON-S-' PLAN, Not to 70ie 1.� SINGLE WIDE LOBULE COArH scale: 11 - IO' �l4IT 'rs s w ovcMx'�iRc,.wrs z _:, { �• a ease• McArter�[ STANDARD PIER A FOOTIING SPACINC PER MOBILE HOME MANUIFACTURERr: 8' INSTALLATION MANUAL CONFICURAT13M SHOWN IIS THE M1N:MUM NUMBER OF PADS REQUIIRED. rutRT r wr of 1 1/4, 117- 4. 1 . . ...• - .• .. t,.- .r �,t.. .c s .4.1 .0 v�Y n - • .. / a I: Ili 1 .w- I .. y M i N Iti>� MtM► sir a1tAMrR• svr r t Le' rLm" s��►rac:s sna Now am, 3.5' 4r4 -4r4 VW PRECAST CONCRETE F.QUNDA,T�I©N:.P, AD SCALE: 1' . = 1150 ..,: 3/4' PLYWOOD SHEETS SCREWED TOGETHER WITH 30'x32'x3/4' 12 119 .x 1 1/2' rHVS PLYWOOD HOLES FOR 1B'x3t'■3/4' r ■ r a 1e' 30' PLYWOOD r / r ■ ALTERN.ATI E%PLYWQ0D FOUNDATION. , PAD. SCALE V=1.5' set�r� • a� Jnr &&FUJIlcM: C�ALPOWILAOODBOI><BOLAAT1Ri.TTT1.t=sA OU111C. ON11DITM 1. Dr10N LOAC>s: VSRT E" im ums &AT=& Un U" � yy i' ,� MRS .a Zan '%p RO0/ i0L1R.. �R�IIAItO►1CI.: -. 3•aIf!'aM 70sMli r..4 < 6 f • 30 b x"��'�•r� ^^'•'9 4 I T. TR! DUM 1lAAD1 WALL U COfs[ATINT MTTIL 1100/ LM LOAQ MIND LMA AND NNW =6 AS � 28TARt3>4 =R BOR liR160W XXUXN0 M MWI A N CO LOCAL MIM 3. TIDE1OtNDAT10NMCON>®RLOTOCMNATW:AIUUANWTPMMAT10M. 4r ALL11110011 100RII 101' ALIS TO LIR l UMM D RY M4 U11MU ATS4 UMMTiLItiD COHNNIVE /01 MO TDM ALILL DESIMM I= IM MF TOTAL LOAD SOIL t1tBI1LU AND OWL So C1WATUS MILT11 LOCAL ROW '� POW' COI ONS. & STRLX URAL BIT= < Y � . R4iW,1,,CONPORM TO ABLY AM F - 361631 YLNWAL �F, t? _►3R1ALL>NFABRICA2IAACOORD&IOTOAMCQ3+Ctf1CAT10lM. `�` N G a #ItALL Ls.►>It�LD i1OCORLIw TO Ay RlR .AT1011B: '' -17 iL KAil.3L'T'IAODRi' !! ja ANCHM ROLTB: :A/TM Ain Imo... ' , ROf.TII: SAi Oi10ArfU A44FA1nU A331 �c T RZADCDBM COLD DRAIN LOW CA>1 W WK DAKS t A1ILIQTALC01fPONLQf11{ II4Cru><�DIONAR.3 • psMA B'Ltw. ARRTO W 111d1lL`1=Ill OQATil1. ` �, '. 6. 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