HomeMy WebLinkAbout030-500-0197A
7
A' —W
Cont: BIL
MH PE
LKRBy
RM FND
%
Knopf, Karen
From: fast@�titledoc's.com on behalf of akalivas@firstam.com
Sent:. Tuesday, September 22, 2009 12:09 PM
To? Knopf, Karen
Cc: Kalivas, Alexis M
�ubject: Build ing/Plann ing Request (Email Ref=U8606927)
Attachments: Pr6,liminary Report - NMH.Docs.TIFI. C
Dreliminary. Report -
,NMH Docs....
Karen,
If you can please go the Building aAd-.Planning Division �t the county, ask for Karen, and
let her know, we are needing the' Original Copy of'the 433A (copy at:Each`eU�to
it with the correct legal descripti.on. If they have any,questions, they can call Cheri or
myself. Tha�ks-so much!
,File'No.: 0402 3371166
Borrower: Paul Flores Tammy' Flores
Property Address: 56,Orchardcrest Drive, Oroville,,CA 95965
A
Alexis Kalivas
Escrow Assistant 41
mid Valle*y Titie Escrow Company
Phone: 530-877-4471
Fax: 866-879-4765
This message contains --confidential information,i . ntended:only for the use of the intended
recipient(s) and may contain information that is privileged. If you are not -,the intended
recipient, or the person responsible for delivering it to the intended recipient, you are
hereby notified that reading, disseminating, distributing or copying this message is
strictly prohibit.ed.
If you have received this message by mistake, please immediately.notify us by replying to
the message and delete the original message iinmediately . thereafter..
A
RECORDING REQUESTED BY:
Recorded .1 REC FEE 10.08
efficial Records I COWORN 1.00
Coan Of
ME
CANDRCE J. BRUBBS I
Recorder I
AND WHEN RECORDED MAIL TO: RO&MARY DICKSON I
Assistant I Ndrk -
OW6W 16-8ep�2W I Page I of 2
BUTTE COUNTY BUIMING DIVISION
7 COUNTY CENTER DRIVE,
OROVILLE CA 95965
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED ROME (MOBILEHOME) OR COMAORCL4,L COAM
INSTALLATION ON A FOU NDATION SYSTEM
Recoiding of this document at the request of the local agency indicated is in accordance with California Health and Sakety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by die 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.
WILLIAM L. JAEGER BUTTE COUNTY BUMDING DWISION
REAL PROPERTY OWNERILBSSOR LOCAL AOWXY MWO PBRWr #Ad CERTIFICATE OF 00CUPANCY
P.O. BOX 1300 COUNTY CENTER DRIVE
MAILING ADDRMS MAILINOADDRESS
YU13A CITY YUBA CA 95992 OROVILLE BUTTE CA 95965
CITY COUNTY STATE MY COUNTY STATE ZIP
56 ORCHARD CREST 03-37,88 —A530) 538-7541
INSTALLATION MAMJNO ADDRESS, IF WFURENT BUI PBRNRT N9- t I TELEPHONE NUMBER
OROVILLE BUTTE' CA 95965.
CITY COUNTY STATE VP%TCRBO1LOCWAffENCYOFF1C1AL DATE
SAME SERENITY HOMES
UNIT OWN Palm Property owa, wrfto,sAmr) DEALER NAME (d net 4 de&W uk, write WOW)
KHIOO-021146
SAME
MAILINOADDRESS DEALER LICBM8 NO.
SAME
CITY COUNTY STATE NP
UNft DESCRII)TION
FUQLA HOMES, INC. 2003, OAKHURST 4485
MANUFACTURERS NAME DATE OF MANUPACTURB MODBLNAtdWNUMRBR
189BOA/B 60X25'8" ORE 449744/45
SERTALNUMBER(S) LMNGTH X WLDTH DMGNWLABUKUMBB
REAL FRnPRRTY LEG�J. DESCRIPTION ASSESSOR-SPARCELNUMM AP#030-500-019
SEEATTACHED
Ap
HCD FORM 433(A) REV. W1
WHITE - Cowdy Recorder CANARY-HCO PTNX-AppN9W GOLDENROD- 8WIdtnS Dep.
HSCRIPTIQN
All that certain real property situated in the County of Butte, State of California, described -
as follows:
Commencing at the Southeast corner of Lot 14 ' of the Topham, Tract, as shown on that
certain map file in the office of the recorder of the County of Butte, State of California,
November 14, 1908 in book 8 of maps, at page 65; thence south Ideg 20' west, 1320 feet;
thence south Ideg 20' east 326.5 feet to the point of beginning of this parcel of land, in the
easterly -line of the County Road;. thence along easterly line of county road, south Ideg �0'
east, 1010 feet; thence south 8deg 58' west, 121.34 feet, thence south 58deg 33' west,
153.24 feet; thence south 25deg 33' west, 47. 23 feet to a point in the northerly line of lands
heretofore conveyed to Southern Pacific Company, a corporation by Deed of record in book
100 of Deeds, at page 88, records of Butte County, Californ* thence along said northerly
line, north 89deg 57' east� 585.40 feet to the southwest comer of land heretofore conveyed
to Margaret J Westwood, by deed of record in book 219 of Deeds,. at page 33 8, records of
Butte County, California; thence North along the west line of said parcel, 244.50 feet to the
south line of the old Bird Ranch; thence along said line, north 89deg 41' east, 554.5 feet, to
the northwest comer of land heretofore conveyed to Hannah 0. Nfiddlehoff, by Deed bf
record in Book 4 of Official Records, at page 70, records of Butte County, California thence
along the northeasterly line of saidparcel the following courses and distEinces: South 63deg
04' east� 64.20 feet; south2 I deg 49' east, 21.5 feet-, south 5deg 40' eaA 50.3 feet; south
15deg 13' west, 5 1.8 feet to a point in the westerly line of land heretolbre conveyed to G.E.
Middlehoff, by Deed of record in Book 4 of Official Records, at page 150, records of Butte
Couvty� -California; thence along the northwesterly line of said parcel, the following courses
and distances: north 33deg 30' east, 59.9 feet; north 38deg 19' east, 63.7 feet; north 41 deg
18' east, 55.6 feet to a point in the south Me of the old Bird Ranch; theme along said liniz,
north 89deg 41' east, 7.06 feet to the southwest comer of land heretofore conveyed'to H. J.
Webber -and Lucene A. Webber, husband and wife, by Deed of record in Book I of Official
Records, at page 60, records of Butte County, California; thence along the westerly line of
said pareel, north 48deg 41' east, 110.3 feet; north 00deg 19' west� 232.0 feet to the
southwest corner of land heretofore conveyed to Marguerita F. Ramsey, by. Deed of record
in Book -220 of Deeds, at page 425, recor& of Butte County, California thence along the
west line of said parcel, north Odeg 19' west, 220 feet to the northwest comer of said parcel;
thence continuing North 00deg 19"west, 480 feet- to a poin4 thence south 89deg 411 west
1247.2 feet, more'or less, to the point of the beginning.
EXCEPTING THEREPROM all that portion lying southerly of the old Bird Ranch,
ALSO EXCEPTING THEREFROM that pord o*n thereof lying within the property described
in Dead -to the County of Butte, by Deed from Eugene MacLean and Caroline S. MacLean,
husband and wife, recorded Apffl 3, 1937 in Book 86 of Official Records, at page 313,
records of Butte County, California.
EXHEBIT ((A"
I
RECORDING REQUESTED BY: 10 10 A4 10 ja E�S -7 E�,4 ja
Recorded I REC FEE 10.00
Official Records I CONFORM 1.00
Coun Of I
ME I
CANDACE J. GRUBBS I
AND WHEN RECORDED MAIL TO: Recorder I
ROSEMARY DICKSON I
Assistant I Mark
02:36PM 16—Sep-2004 I Page I of 2
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
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 Cod�
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
WILLIAM L. JAEGER
REAL PROPERTY OWNER/LESSOR
P.O. BOX 1300
MAILING ADDRESS
YUBA CITY YUBA
CA
95992
CITY COUNTY
STATE
ZIP
56 ORCHARD CREST
.CITY COUNTY STATE
ZIP
INSTALLATION MAILING ADDRESS, IF DIFFERENT
538-7541
BUILDr PER -MIT NQ. TELEPHONE NUMBER
OROVILLE BUTTE
CA
95965
CITY COUNTY
STATE
ZIP
SAME
DEALER LICENSE NO.
UNIT OWNER (ifalso property owner, write "SAME")
SAME
MAILINGADDRESS
SAME
CITY COUNTY
STATE
ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
OAKHURST 4485
MAILING ADDRESS
DATE OF MANUFACTURE
OROVILLE BUTTE CA
95965
.CITY COUNTY STATE
ZIP
03-37,88 (530)
538-7541
BUILDr PER -MIT NQ. TELEPHONE NUMBER
'S,LWATORE 6F LOCWA13� OrFICIAL_
DATE
SERENITY HOMES
DEALER NAME (ifnot a dealer sale, write "NONE")
KHIOO-021146
DEALER LICENSE NO.
FUQUA HOMES, INC.
2003
OAKHURST 4485
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAMEINUMBER
18980AJB
60'X25'8"
ORE 449744/45
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNLAJLABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOWS PARCEL NUMBER A? # 030-500-019
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE- County Recorder CANARY-HCD PINK -Applicant GOLDENROD -Building Dept.
DESCRIPTION
All that certain real property situated in the County of Butte, State of California, described
as follows:
Commencing at the Southeast corner. of Lot* 14..of the Topharn Tract, as shown on that
certain map file in the office of the, recorder of the, County of Butte, State of California,
November 14,1908 in book 8 of rn . aps, at page 65; thence south I deg 20' west, 1320 feet;
thence south 1 deg 20' east, 326.5 feet to the point of beginning of this parcel of land,' in the
easterly4ine of the County Road;. thence along easterly line of county road, south l deg 20'
east, 1010 feet; thence south 8deg 58' west, 121.3.4 feet; thence south 58deg 33' west,
153.24 feet; thence south 25deg 33' west, 47. 21- feet to a point in the northerly line of lands
heretofore conveyed'to Southern Pacific Company, a corporation by Deed of record in book
100 of Deeds, at page 8 8, records of Butte County, California; thence along said northerly
line, north 89deg 57' east, 585.40 feet to the southwest comer of land heretofore conveyed
to Margaret J Westwood, by deed of record in book 219 of Deeds,. at page 3 3 8, records of
Butte County, California; thence North along the west line of said parcel, 244.50 feet to the
south line of the old Bird Ranch; thence along said line, north 89deg 41' east, 554.5 feet, to
the northwest comer of land heretofore conveyed to Hannah G. Middlehoff, by Deedoif
record in Book 4 of Official Records, at page 70, records of Butte County, California thence
along the northeasterly line of said parcel the following courses and distances: South 63deg
04' east, 64.20 feet; south2ldeg 48' east, 21.5 feet; south 5deg 40' east, 50.3 feet; south
l5deg 13' west, 51.8 feet to a point in the westerly line of land heretofore conveyed to G.E.
Middlehoff, by Deed of record in Book 4 of Official Records, at page 150, records of Butte
County, - Califorrui a; thence along the northwest6rly line of said parcel, the following courses
and distances: north 33deg 30' east, 59.9 feet; north 38deg 10' east, 63.7 feet; north 41deg
18" east, 55.6 feet to a point in the south line of the old Bird Ranch; thence along said line,
north 89deg 41' east, 7.06 feet to the southwest comer of land heretofore conveyed to H. J.
Webber:and Lucene A. Webber, husband and wife, by Deed of record in Book I of Official
Records, at page 60, records of Butte County, California; thence along the westerly line of
said parcel, north 48deg 4 V east, 110.3 feet; north 00deg 19' west, 232.0 feet to the
southwest comer of land heretofore conveyed to Marguerita. F. Ramsey, by. Deed of record
in Book220 of Deeds, at page 425, record's of Butte County, California thence along the
west line of said parcel, north Odeg ' 19' west,'220 feet to the northwest comer of said parcel;
thence continuing North 00deg 19' west, 480 feet. to a point; thence south 89deg 4 V west,
1247.2 feet, more'or less, to the point of the beginning.,
EXCEPTING THEREFROM all that portion lying southerly of the old Bird Ranch,
ALSO EXCEPTING THER * EFROM that portion thereof lying within the property described
in Deed -to the County of Butte, by Deed from Eugene MacLean and Caroline S. MacLean,
husband and wife, recorded April 3,1937 in Book 86 of Official Records, at page 313,
records of Butte County, California.
EXHIBIT "A"
%
of Document Recorded
16 -Sep -2004 21004�0057242
RECORDING REQUESTED BY:`.
Has not been with
original
EUTTE COUNTY REC09DER
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
SPACE ABOVE TRIS LINE FOR RECORDEkUSE ONLY'
NOTICE OF. MANUFACTURED HOME (MOBIELEHOME) OR COMMERCIAL COACH,'
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document -at the request of the - local agen6y indicated i's in accordan'ce'with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit'
described hereon, upon the real property described with -certainty.below, as of the date of recording. When riec'orde'd, this document
shall be indexed by the county recorder to the named owner bf thi real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
t
-WILLIAM L. iAEGER BUTTE COUNTY BUMDING DIVISION
REAL PROPERTY OWNERILESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE Of OCCUPAN CY
P.O. BOX 1300 7 COUNTY CENTER DRIVE
MAILING ADDRESS MAILING ADDRESS
YUBA CITY YUBA CA 95992 OROVILLE BUTTE CA :95965
CITY -COUNTY STATE ZIP CITY COUNTY STATE ZIP
56 ORCHARD CREST, 03-37,88 (530) 538-7541
INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILD10 PERMIT NQ. TEI EPHONE NUNMER
OROVILLE BUTTE 1�,A 95965 1Z
CITY COUNTY STATE ZIP �= 16 _/ Z,(2
VOATURF OF LOCA1!AM-NM OFFICIAL DATE
SANffi SERENITY HOMES
OWNER (if also property owner, write "SAME") DEALER NAME (if not a dealer sale, write"NONE")
SAAM ' KH100-021146
MAILING ADDRESS DEALER LICENSE NO.
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
FUQUA HOMES, INC. OAKHURST 4485
MANUFACTUREWS NAME
DATE OF MANUFACTURE� MODELNAMENUNMER
1898OA/B 60'X25'8" ORE 449744/45
SERIAL NUMBER(S) LENGTH X WIDTH
INSIGNLA/LABFL NUMBER(S)
REAL PR PER;Y LEGAL DESCRIPTION 'ASSESSOR7S PARCEL NU,MBER. AP # 030-500-019
SEE ATTACHED
+
HCD FORM 433(A) REV. 8/91
-DESCRIPTION
All that certain real property situated in the County of Butte, State 6f California, described
as follows:
Commencing at the Southeast comer of Lot 14.of the Topham Tract, as shown on that
certain map file in the office of the recorder of the County of Butte, State of California,
November 14, 1908 in book 8 of maps, at page 65; thence south I deg 20' west, 1320 feet;
thence south I deg 20' east, 326.5 feet to the point of beginning of this parcel of land, in the
easterly -line of the County Road;. thence along easterly line of county road, south 1 deg 20'
east, 1010 feet; thence south 8deg 58'west, 121.34 feet; thence south 58deg 33' west,
153.24 feet; thence south 25deg 33' -west, 4 . 7. 23, feet to a point in the northerly line of lands
heretofore conveyed * to ' Southern Pacific Company, a cqrporati6n by Deed of record in book
100 of Deeds, at. page'8 8, records of Butte County, California; thence along said northerly
line, north 89deg 57' ea�t, 585.40,feet to the southwest comer of land heretofore conveyed
to Margaret J Westwood, by deed of record in book 219 of Deeds, at page 3 3 8, records of
Butte County, California; thence North along the west line of said parcel, 244.50 feet to the
south line of the old Bird Ranch; thence along said line, north 89deg 41' east, 554.5 feet, to
the northwest comer of land heretofore convey'ed to Hannah G. Middlehoff, by Deed of
record in Book 4 of Official Records, at page 70, records of Butte County, California thence
along the northeasterlyline of said'pareel the following courses and distances: Soui� 63deg
04' east, 64.20 feet; south2ldeg 48' eas . t, 21.5 feet;, south 5deg 40' east, 50.3 feet; south
l5deg 13' west, 51.8 feet to a poin t in the westerly line of land heretofore conveyed to G.E.
Middlehoff, by Deed of record in Book 4 of Official Records, at page 150, records of Butte
County, California; thence along the north�vesterly line of said parcel, the following courses.
and distances: north 33 ' deg 30' east, 59.9 �eet; north 38deg 15' east, 63.7,feet; north 41deg
18' east 5 5.6 feet to a point in the smith line of the old Bird Ranch; thence along said line,
north 89deg 41' east, 7.06 feet to the southwest comer of land heretofore conveyed to H. J.
Webber:and Lucene A. Vdbber, husband and wife, by Deed of record in Book I of Official
Records, at page 60, records of Butte County, California; thence along the westerly line of
said par�el, north 48deg 41' east, ' 110.3 feet; north 00deg 19' west,, 232.0 feet to the
southwest comer of land heretofore conveyed to Marguer�ta F. Ramsey, by. Deed of record
in Book -220 of Deeds, at page 425, records of Butte County, California thence. along the
west line of said parcel, north Odeg 19' west, 220 feet to the northwest comer of said parcel;
thence continuing North 00deg 19' west, 480 feet to a point; thence south 89deg 41' west,
1247.2 feet, more* or less, to the point of the beginning.
EXCEPTING THEREFROM all that portion lying southerly of the old Bi * rd Ranch,
ALSO EXCEPTING THEREFROM that portion thereof lying within the property described
in Deed -to the County of Butte, by Deed from Eugene MacLean and Caroline S. MacLean,
husband and wife, recorded April 3, 1937 in Book 86 of Official Records, at page 313.,
records of Butte County, California.
EXHIBIT "A"
BUILDING PERMIT NUMBER: 03-3788
Address or location of unit: 56 ORCHAkD CREST, OROVELLE CA 95965
Legal Description of Real Property: AP # 030-500-019
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:'WILLIAM L. JAEGER
Owner's address: P.O. BOX 1300, YUBX CITY CA 95992
INSIGNIA OR HUD NUMBER: ORE 449744/45
SERIAL NUMBER OR V.I.N.- 18980A/B
MANUFACTURER'S NAME: FUQUA HOMES, INC. YEAR: 2003
OFFICIA L APPROVING INSTALLATIO
DATE:
PHONE: (530) 538-7541
H.C.D. 513C
I
_TQA I lu.
OF STATE OF CALIFORNIA NUMBER:
56 BUSINESS, TRANSPORTATION AND HOUSING AGENCY'
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS 8 7.0 67 4 9
MANUFACTURED HOUSING PROGRAM
11v
MANUFACTURER CERTIFICATE OF'ORIGIN
t .y %-Y
2
�, .�NATURE OF AUTHORIZED AGENT:
DISTRIBLITIO . N ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE).
COPY i (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 958`12-1828, WITHIN FIVE (5) DAYS OF RE -LEASE.,
COPY 2 (YEL(OW) MELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION.
COPY 3 (GOLDENROD) TO BE RETAINED BY THE -MANUFACTURER.
HCD 483.0 - Side 1 - (7197)
CHECK IF THIS IS A DUPLICATE MC'O-ENTER ORIGINAL MCO NO.
MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING
%
NUMBER OF
SFD (SINGLE FAMILY 6WELbN G_ MUMH (MULTI -UNIT MANUFACTURED HOUSING
TRANSPORTABLE SECTIONS
COMMERCIAL COACH:
OCCUPANCY GROUP
MANUFACTURER NAME:
MANUFACTURER LICENSE NUMBER:
Fuqua Homes, Inc.
90157
MANUFACTURER ADDRESS:
SUGGESTED RETAIL PRICE:
20495 Murray Road Bend OR 97701
'
$90,115.00
(StreeQ (City) (State) , (zip)
MANUFACTURER TRADE NAME:
MODEL NAME AND/OR NUMBER:
DATE OF MANUFACTURE-.
Star Pointe
Oakhurst 4485
September 25, 2003
NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO):
CALIF. DEALER NUMBER, OR
DATE OF TRANSFER:
TRANSFEI&9jalfiNATION:
Serenity Homes
September 25, 2003
DEALER OR TRANSFEREE ADDRESS:
2490 Bruce Road Chico
CA 95928
(Street) (City) (State)
- (Zip)
INVENTORY CREDITOR NAME:
Commitment Letter
'NTORY CREDITOR ADDRESS:
(�treet) (City) (State)
(zip)
SECTION
MANUFACTURER SERIALNUMBER
HCD INSIGNIA OR HUD LABEL NUMBER
LENGTH
WIDTH
WEIGHT
(INCHES)
(INCHES)
(POUNDS)
18980A
ORE 449744
360
308
28,500
2.
18980 B
ORE 449745
360
308
27,233 -
TRANSPORTER NAME:
Westspan Hauling
TRANSPORTER ADDRESS:
3550 Steilacoorn Blvd. #204 Tacoma WA 98499
(Street) (City) (State)
(zip)
DESTINATION FOR UNIT DESCRIBED ABOVE:
- Gabler 12131 Blazing Star Neva�a City
CA
(NAME) (Street) (City) (State)
(zip)
I certify under penalty of perjury under the laws of the State of California that the above facts are true and correct.
September 25, 2003 Bend Deschutes OR
.---gcuted an -at
t .y %-Y
2
�, .�NATURE OF AUTHORIZED AGENT:
DISTRIBLITIO . N ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE).
COPY i (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 958`12-1828, WITHIN FIVE (5) DAYS OF RE -LEASE.,
COPY 2 (YEL(OW) MELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION.
COPY 3 (GOLDENROD) TO BE RETAINED BY THE -MANUFACTURER.
HCD 483.0 - Side 1 - (7197)
STATE OF CALIFORNIA
BUSINTESS, TRANSPORTATION AND HOUSING -.,AGENCY',..:;'
DEPARTMENT OF'HOUSING.AND COMMUNITY DEVELOP
DIVISION OF CODES AND STANDARDS
REGISTRATION AND TrrLING PROGRAM - -
STATEMENT OF FAM
This unit is a: Ea Mobilehome _0 Commercial Coach, ED Floating Home ED Truck Camper
Decal (License) No.(s) Trade Name Serial No.(s)
I/We, the undersigned, hereby state:
A
I/We further agiee to indemnify and save harmless the Director of Housing and Community Development, State
of California, and su�sequent purchasers of said unit, for any loss they may suffer resulting'from registration of
the above-described , unit -in Calif6mia-, or from issuance of a California certificate of title covering the same.
I/We certify under penalty of pe�ury that the foregoing is true and correct.
Exe�uted on— at
(Date) (City) (State)
Signature(s) Printed name(s)
S
Address.
Ci Siate CPA
BUM COUNTY.TITL8 COMPANY
fit A 11. T A X HT ATM RNT TO
I'S ame Ao Belowil"
I Rea rev 00
%VIIF.N AMI III DFII hIA11.111 V DOC 202. 30'
i
r William L. Jnog I or Recortied I Check 309.50
OfficLal Records I
04 Box 1300 County -61
MY a Yubti-City, califormin 95992 Gutt*
Cindeco'Ji Orubbe I
Recorder
8.10000 xx 2
APACK Alit I%*
DEEDUNDIVIDUAL)
pscRnw NO GRANpr
302.50
Docuntenlory Ifenif" 1%1 tit S
X11 2) c(nirdled on full value of rimmay PM%f)Vd.M so Iiiiir lit %air,
Cnntpulid.cat full �dluv tell I 4lue of Itm AW "MmIllpla; Miud"111,111
Uninearpowated Arco I . I City (it .........
030 IM11 4
FOR A VALUABLE MNSI0ERXT1'0r4' tMIrl of tahtCh b h=by 1L'%MjWjejptjI.
JOHN ll.� R=Mf wd JUDNH RMMI 120 wife Ud
CHRIM D. SARDIS, an urmarried na
herchy ORANT151 to
'41LUAM L. jAbIM aid'VATUMA A. JASDIM, kmsband'and grif 0 AS JOMf
tha followIng described mallpmperly-in ft
county dr Imin,
SPS EXRIBIT "At'. ATTACKED '11MENITH YOR, MAL
DESCRIPTICE
4
May 2, 194�j
DOW
'00
Mar1l .9. Gal ey' CrMSA A Judith Reynen'
P WA
NIA
STATP OF CAL15RRINI
cowly n(
on this L Y . lu.
Alvl tvfnry ine, i 11010MI, nNocirt liphliv in unt
toy or
n - a (Ie 0
id C"rvy and.' fwMn �Iy'opfvnivd
to unie.
'itub"bed io ox wilhip lhc Insirumenj aml taAnowicillix) dua _—excLutell the lame.
OFRM SFA
COMW L OVACH
Kam" Pkim 0 Md Itar UM, O'd Rule.
Im"An Avull
AS I 1114r.Mrl Al"WE
F11-I)AI-Received Time -Jun -10.t 3 0'3 P.M'A""—%;"
DESCRIPTION
All that certain real property situated in the County of Butte, State of California, described
as follows:
Commencing at the Southeast comer of Lot 14 of the Topham Tract, as shown on that
certain map file in the office of the recorder of the County of Butte, State of California,
November 14, 1908 in book 8 of maps, at page 65; thence south I deg 20' west, 1320 feet;
thence south l deg 20' east, 326.5 feet to the point of beginning of this parcel of land; in the
easterly line of the County Road;. thence along easterly line of county road, south I deg 20'
east, 1010 feet; thence south 8deg 58' west, 121.34 feet; thence south 58deg 33' west,
153.24 feet; thence south 25deg 33' west, 47. 23 feet to a point in the northerly line of lands
heretofore conveyed to Southern Pkific Company, a corporation by Deed of record in book
100 of Deeds, at page 8 8, records of Butte County, California; thence along said northerly
line, north 89deg 57' east, 585.40 feet to the southwest comer of land heretofore conveyed
to Margaret J Westwood, by deed of record in book 219 of Deeds, at page 338, records of
Butte County, California;. thence North along the west line of said parcel, 244.50 feet to the
south line of the old Bird Ranch; thence along said line, north 89deg 41' east, 554.5 feet, to
the northwest comer of land heretofore conveyed to Hannah G. Middlehoff, by Deed of
record in Book 4 of Official Records, at page 70, records of Butte County, California thence
along the northeasterly line of said*parcel the following courses and distances: South 63deg
04' east, 64.20 feet;,south2ldeg 48' east, 21.5 feet; south 5deg 40' east, 50.3 feet; south
l5deg 13' west, 51.8 feet to a point in the westerly line of land heretofore conveyed to G.E.
Middlehoff, by Deed of record in Book 4 of Official Records, at page 150, records of Butte
County, California; thence along the northwesterly line of said parcel, the following courses
and distances: north 33deg 30' east, 59.9 feet; north 38deg 19' east, 63.7 feet; north 41deg
18' east, 55.6 feet to a point in the south line of the old Bird Ranch; thence along said line,
north 89deg 41' east, 7.06 feet to the southwest comer of land heretofore conveyed to H. J.
Webber:and Lucene A. Webber, husband and wife, by Deed of record in Book 1 of Official
Records, at page 60, records of Butte County, California; thence along the westerly line of
said parcel, north 48deg 41' east, 110.3 feet; north 00deg 19' west, 232.0 feet to the
southwest comer of land heretofore conveyed to Marguerita F. Ramsey, by Deed of record
in Book 220 of Deeds, at page 425, records of Butte County, California thence along the
west line of said parcel, north Odeg 19' west, 220 feet to the northwest comer of said parcel;
the&e continuing North 00deg 19' west, 480 feet to a point; thence south 89deg 41' west,
1247.2 feet, more'or less, to the point of the beginning.
EXCEPTING THEREFROM all that portion lying southerly of the old Bird Ranch,
ALSO EXCEPTING THEREFROM that portion thereof lying within the property described
in Deed to the County of Butte, by Deed from Eugene MacLean and Caroline S. MacLean,
husband and wife, recorded April 3, 1937 in Book 86 of Official Records, at page 313,
records of Butte County, California.
EXHIBIT "A"
NOTES RESIDENTIAL
030-500-019� 03-3788
JA-tGER, WILLIAM
PERMIT NO.
56 OkCflAkD CREST DR, OROVILILE
Cont: BILL KIRBY
MH PERM FND
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
_Q), STATEMENT OF FACTS (ONLY ON
NEW MH'S);
INSPECTOR TO VERIFY,SERIAL & LABEL #'S.
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REO.
FIRE SPRINKLERS REQ.',
SPECIAL INSPECTION ITEMS�
VERIFY
Us
t OFFICE COPY
Address's
GASQ
A
�Sr By
Meter By DatH_'
ELECTRIC
Meter By Date
Address
GAS
Meter By—,", Date7o-o
ELECTRIS��r
-7
Meter By Date
L/
-�OB FINALED (Date)
Signature
4 = OK
0 = Not OK
- = Not Applicable
= Not Ready
Card B-1 - 'Date . Card B-1
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except Ws
1 . Zoning Requ'i rements- Setbacks -Easements*
1 .
Zoning Req uirements-Setbacks- Easements
Wood Awn.; Posts- Beams-Rftrs-Con nectors
Shthg-Frg-Bracing
2.
Soils; Special MH Support Sketch
4. Electricify; MH Test -Crossovers -Breakers -Clearances
3.
Sewer; Location -Test -Fall -C/0 -Concrete
Electric
4.
Water; Location-Test-Ea�sement Needed (Sketch)
7. Water'and Sewer Connected -C/0 to Grade -HD Approval
5.
Electri6ity; Location-Clearances-Grnd-/ /Amp -Concrete
Roof; Shthg-Roofing
6.
I
Gas; L6cation-Test-Wrap;-/ � P' L+.
/ P Nat. or/ P' L "ft./ P LPG
10. Exits; Insp.-Sketch
7.
Well Clearance & Disconnect
8. Utilitv Clearance
Date Card B-1 Date . . Card B-1
Date
Card B-1 - 'Date . Card B-1
Date
MOBILE HOME. INSTALLATION. (Plans) OK'except Ws
Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
1 . Zoning Requ'i rements- Setbacks -Easements*
Decks, Girders and/or Joists- Decking -Bracing -Stairs- Rai Is
2. Footings; Size -Spacing- Marriage Line
Wood Awn.; Posts- Beams-Rftrs-Con nectors
Shthg-Frg-Bracing
3. Gas; MH Test- Demand -Valve -Connector
Alum. Awn.; Col um ns -Con nections-Splice- Decal- Enclosures
4. Electricify; MH Test -Crossovers -Breakers -Clearances
Carports; Windows -Doors
5. Drain; MH Test -Fall -Flex Connector
Electric
6. Water; MH Test -Regulator -Connector
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
7. Water'and Sewer Connected -C/0 to Grade -HD Approval
Siding; Nailing -Veneer -Stucco -Mesh
8. Gas and Electricity Tagged
Roof; Shthg-Roofing
9. Tie Downs -Type -Installation Cert.
Ext.; Steps-Doorsr Landings.
10. Exits; Insp.-Sketch
Braced Wall Panels
11. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
,�j
YZERNJAWNT END SYSTEM:(ONLY)
1,.,Xnip
,g Requirements -Setbacks- Easements
tiq@rs�, Size -Spacing- Marriage Line
Bjp6ing
7- (5��
Gs�� Test -Demand -Valve,
,perricity; MH Test
&^ater;,MH Test
7. W
,Atg'r and Sewer Connected
lgr-irlcense Decals
1. erifyVs with_Wice
Date Card 13-16�-�,'�Date Card B-1
Dat4�/.:j//'6-/ Card B-1 A," ,oO' / � Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Ws
1 .
Zoning Req uirements-Setbacks- Easements
2.
Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3.
Decks, Girders and/or Joists- Decking -Bracing -Stairs- Rai Is
4.
Wood Awn.; Posts- Beams-Rftrs-Con nectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Col um ns -Con nections-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-Doorsr Landings.
12.
Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except Ws
1. Setbacks- Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GF1
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 Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date. Card B-1
Date
Card B-1 Date Card B-1
I
4 = OK
0 = Not OK
- = NotApplicable RESIDENTIAL (1
. = Not Ready I
Date
UNDERFLOOR (Plans) OK except #s
1 . Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall- Fitting -Test -2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or All
Insulated Neutral 0 Yes 0 No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat prooQ
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
'Oingle & Duplex)
I
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
-53. Property Line Firewall & Openings
54. Ext. Doors -One X -Check Garage 3rd Story, 2 Exits
55. Stairs; Width- Headroom -Rise -Ru n- Land ing-Fi re Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #s
64. Ext. Steps -Door & Sidelight Protection- Land i ngs
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor- Ducts-Mech. Protection
67. Bedroom Exiting
68. G.Fl. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-RR.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (FFI.)-Romex Protection
80. 1 nsulation- Foam- Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
83. Following lnstld./Dhve Q Yes 0 No/Walks 0 Yes Q No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit, Disconnect, Electrical- Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle-Underg round
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
""'BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chico, CA - (5�0)'891-2751
7 County Center Dri've - 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 addr * ess and should be corrected. Please notice this office when correction of work is
completed. It you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OIF DEVELOPMENT SERVICES
411 Main Street * Chico, CA - (5k) 891-2751
7 County Center Drive - Crovilld, CA (530) 53877541
CORRECTION NOTICE
A e-" 6
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 contac I this office immediately.
5-'Czz- C e -L-:77-'
C,
Date J?—
REV 10/'92
�a'
Date J?—
REV 10/'92
COUNTY OF BUTTE
BUILDING DIVISION
DEP4RTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538.-7541
K
CORRECTION NOTICE
/7,:r,4
OWNER PERMIT NO.
A routine i;spection indicates that the following vi6fafions of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
c . ompleted. It you have any questions pertaining to this.matter, or need additional explanation,.
please contact this office immediately.
—1- C) 6-F f. 0
W r H
it
Y1
N
Date Inspector
V -
REV 116k
A
I " j
Ile
N
Date Inspector
V -
REV 116k
A
I " j
.4
COUNTY OF BUTTE
BUILDING DIVISION
'DEPARTMENT OF DEVELOPMENT SERVICES
411 Main -Street o Chico, CA - (530) 891-2751
-7 County Center Drive * Oroville, CA - (530) 538-7541
CORRECTION NOTICE
4
SPI,
.07-47
OWNER PERMIT NO.
A routine inspec tion indicates that the following violations of butte county Ordinances ekist 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 �con�tachis office immediately.
kk!2 6� A -M, 9V 7
47*
1/2
rZ &Z _Z 6
1 41-
--moon
COUNTY OF BUTTE
BUILDING DIVISION
7- DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street e Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 5381-7541
CORRECTION NOTICE C
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
ou
completed. If y ha e an estions pertaining to this matter, or need additional explanation,
a
please contact this7,�e di�ply.
V,
yqP11Kj'1 6
Date
k' - REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chico, CA - (530) 89172751
7 County Center Drive * Ciroville, CA e. (530) 538-7541
CORRECTION NOTICE
OWNER� PERMIT NO.
A routine inspection indic
.Ates that the following violations of butte county Ordinances exist at the
above address nd h Id be corrected. Please notice this office when correction of work is
. It
completed t y:,h v any questions pertaining to this matter, or need additional explanation,
fice immeAtely.
please contact this i�
F,
1111111111F g2or —
Ea
J
VIC,
Ea
COUNTY OF BUTTE - DEPARTMENT OF, DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 4, Telephone (530) 538-7541 PERMIT NO.
(Rev.) 2/96) ' APPLICATION AND PERMIT e-3,371�
ASSESSOR PARCEL NUMBER
030-500-019
ZONING
AR
BUILDINGPERMIT
OWNER
JAEGER 682-0796
TELEPHONE
SO. FT. Occ. BUILDING VALUATION
OWNERS MAJUN& E�JAM
PO BOX 1300, VITRA CITY CA 95992
/111/2.010
7,342.00
CONTRACTORS NAME
BILL KIRBY 228-2290
TELEPHONE
CONTRACTORS MAILING ADDRESS
PO BOX 2228 PARADISE CA 95969
F_
CONSTRUCTION LENDER
LENDERS MAJUNG ADDRESS
Fireplace
Total Valuation s/3,bb4.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$261.25
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 169.85
BUILDINGADDRESS
56 ORGLARD CREST DR OROVILLE
Energy Plan Checking Fee
$
PERMIT FEE
$ 454.78
LOT NO.
11
SUBDIVISIONS NAME
1
PARCEL MAP
1
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome Other SPECIFY
Each Trap
1 7.00
Solar or heat pump water heater
1 23.00
Water piping
1 15.00.19.0()
Each gas water heater or vent
1 15.00
TYPE OF WORK
New K Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: MH PERM FOUNDATION
Gas piping sy2tem I - 5 outlets
-
15.00 1 c;
Building sewer
15. 00 is oo
Mobile Home IS I G 1
920.0 -0 -
PERMIT FEE
$ 65.00
ELECTRICAL PERMIT
I Filing Feel 20.00
R LE: s
600 a LE
Main Service ..VI, OR s
23.001 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 zz Lic. No. 656 CIF(o
OWN UILDER 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, ormy employeeswith 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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP,
OR ADONS. & ACC. UDS.
so.
3.50FT.
NEW COST.
N-RES2 =, _
97.50
( POWELR AP.PARATUSS
E C..
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL Q .50
..FIXED APP - OR"
Ex. Occup. (Ra .) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ 4-3.00
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.
I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, forthe performance of workforwhich this permitis issued.
MY work nsa on insurancZ =rrier and policy number are:
Carrier
Policy Number 2,&O,�L_
(The above sections need not bg completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 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 /)//-f //v3
Signature of Applicant - 0 Owner 0 Contractor gent'
An OSHA permit is required for excavations over 60" dAp Ind demolition or construction
of structures over 3 stories in height. All di
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Coolina
-
Hood 6.50
Ventilation
PERMIT FEE' $
Mobile Home Installation Fee s
Energy Inspection Fee s
occ
CONST. TYPE
TOTAL FEE$ 539.08
:HAZ
I D. FEES IMP/F
FLOOD
CDF
PA:AKI
PDOor
This permit is hereby issued u"nder the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
V Date
PERMIT EXPIRES ON
- '(Date)
3C)4-1697;2A/;?V 'fq
ReceiptNo. - jt:��Cf 17 5/ —X 1`7 X)
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT I
COUNTY OF BUTTE -DEPARTMENT 05`5�EVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Orovill e, CA 95965 Phone (�30)538-7541 Fax (530)538-2140
OPPLICATION DATA SHEET
40 PERMITA
,Q
OWNER: J4t ets E- L L I A -ASSESSOR PARCEL NUMBER 0:3 o -.5 66 o 1,:3
Proposed Building.Use: Per-" GSD-rk� '-Counter Technician: Date: 12
te s required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t6 apply.
1 . Site plans, 3 or 4 sets, signed by the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
of 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations.
0 4. Engineered truss details and layouts in duplicate. No faxes!
.0 5. Letter from Engineer or Architect for truss design review.
0 6. Energy compliance design and supporting documentation in duplicate.
7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
8. Manufactured homes: (A4'bata sheets and installation inst, (B�Marriage line info, ((i�'Floor Plan, (P) Tie down or fnd plans, all in
duplicate.
0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the enginee .
0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
0 11. Site plan and business license approval from the City of Biggs
0 12. Letter of intent for non-residential buildings
0 13. Detached Accessory Building Form filled out by the owner
0 14. Hazardous Material Form
15. Sanitation and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable. -r I
16. Other -
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
0 17. Fire Sprinklers ............................................................................................
0 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by-..
0 19. Soils,Report and/or Engineered Foundation required ........................................... ........
0 20. Erosion Control Plan Required ................................................................... n-... ........
.0 (rFees:as shown on the attached Schedule of Fees Due Sheet ..............................
0 22. City of Chico Plumbing permit ...................................................... . .................
0 23. California Department of Fg;,try plan approval 0 paid. Sent by: . .............
0 24. Planning approval (A) Use
-(B)Parking. _(C) Parcel Check: I :IF
PContact Land Development about - Improvements, - Drainage.,
6 NPDES Form .............................................................................................
0 7. Encroachment Permit for driveway from the Public Works Dept ...........................
0 28. Pre -inspection for required .......
0 29. Co'ntrac ' tor's license information. (Number, Name Style, Classification) ...................
0 30. Wo rker"s-Com pen sation Carrier and Policy Number ................................ * ......
0 31. Owner -Builder Verification (_ Given to owner, -Mailed to owner) .....................
0 32. Letter of Signature authorization .................................................. jr ..... .......
33. Recorded copy of Agricultural Acknowledgment Statement ..................
LAWS
0 34. Manufactured home utility clearance ...............................................................
0 35. �xisting violations and/or expired permits .........................................................
ED36. D ed Restrictio ......................................................................................
r� 37. M.H. Title/Statementof Facts, 0-lretterf%�egal-GwRer, Mbeckto H.C.D. $
0 38. Other:
0 39. Other
When issued Telephone ;2�1,6 - and hold for pickup.
I have been informed of the above i.tems and requirements for obtaining a building permit.
Applicant: - 41_� Date: 7Z�
1. Index permit applicAon fdr' the above items numbered: Plan Check Letter
2. Additional items required V A411
Contractor, designer, owner, was advised of the above data by Nf phone, 0 mail, 0 counter, by Date: 04
Contractor, designer, owner was advised of the aboye data by 0 phone, 0 mail, 0 count;jr b Date: f
Plans reviewed by: z- Date: Plans approved by. Date:
Structural reviewed by: Date: Structural approved by Date:
Note transfer by: Date: I
Yellow Building Division
I _ � .. -1
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING 61VISION*'
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
TER
OWN eoe_
PROPROSED BUILDING USE ql��-Otj
1. BUILDING PERMIT FEES :30 7, 9'0
--- Balance Due ..................... $
Additional Fees Due ........... $
A.P. # 030,500 -4n(9.
DATE 12-
R ECEIPT # DATE REC.
--- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES
(paid at School District Office) (form available after Plan Check) .12-/17/03
.3. SHERIFF FEES (paid at Building bivisionj '2 -0
Residential ............ I X $360.00 =$ 3&0 -
Units
Commercial (sq. ftg.)..... X $0.03 $
Sq.Ftg.
4. URBAN AREA FEES AIE- (paid at Building Division)
x
Residential (per unit)..... I
# Units Amt.
Commercial (Sq. Ftg.)..:. X.
Sq. Fig. Amt.
5. RECREATION DISTRICT FEES
'(paid at Recreation District Office) (form available after Plan Check)'
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid. at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone x
Zone #Units Amt.
Commercial (sq. ftg.) ......... x
Sq. Fig. Amt.
10. OTHER
At time ofpermit application, I was advised the above fees are required to be paid prior to issuance of the 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 projector from, the imposition of the above mentioned items during which you may protest. Therequiremenisfora
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner
(rev. 2/2003)
0 -
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM 104 , D31
(One for*Mi W1301ding)
J., 411,
Schad DistrO C>1124-4VILCE �41e-14 S',e HOC>L— Building Department No.
A.P. Number 4�,ao - f5 e) 40 . 0 I!j Jurisdicti6n: city County
Property Owner -�A ep, W I L, L- I A
Property LocatiordAddress 51, Ojp-- 1-4 ,q R r) Ce e s --r ORO V I L -LE
Subdivision Lot No.
--T "4,j
U.............. . ....... . .................................. .................... 4i.
fl
I
Sq Foo go
Residential Development F-vT
No of Living Mobile Home Addition/ *Supplemental to (Group R)
Conversion Permit #
Units Installation
*(No foundation Inspecdon)
............................................................................................... .
Deed Restricted Sq. Footage
'--(Attach a signed copV of Deed Restriction and Notice of Limited Use Facility document)
�rcial/industrial Sq. Footage
New /Addition (Including Exterior
R fi6t,"'as)
C;)
Department Representative Date
-114 -0 .4 0 1174
,E)istdct Identification No.
School District certifies that
F' 'N
(Street Address)
(City)
has com- plied %vith the requirements of Resolution No.
representing square feet.
FA
School District Representative
Paid by Check # Remarks:
)N
(Applicant)
I,Z-,r-I
(Stite) (Zip Code)
cs - % by payment of $ '
JAB 2926
IFULL WrIGATION $
k -z - i
Date
Naffe : You may protest the Imposition of the fen Identified! above by submitting a written piotes totheDistrickincompilancewith
Givveininent Code Section 66020(a), within 90 days from the date law we palid. Fallurato submit admoly written protest wiH'pmhM-
you from chall1wiging the Imposition of the fen In any cotirt acdwL
If. subsequent to the Schad District Repiresentallve signing #6 Butte'dounty'Schools Impact Fee Certification Forn% the District In
notifled by the appft" Local planning Agency that this p nj clisbeing 10 undw the California ErrvIronmentel Quallity Act (CEQA�
thiss m! A my be w9dedto addlillonal school few to fuOy mWade,fts Impact On go schoolS," schools.
jappijeenti, T6110W (DUnaing aepartmenti, mnK (kCnOW alSVICt.) feeform.xis (10103)dm.m
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7'County Center Drive Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
C�B- 376e
APPLICATION AND PERMIT
ZONING BUILDING PERMIT
ESSORPARCELNUMBER A - k,
TELEPHONE SQ. FT. OCC. BUILDING VALUATION
4r
OWNER Wlt-LIA ;1 07916
oWNr:R'S MAILING ADDRESS
%-R--R's NAME (7 nn
'BiL-L-
I:Z;2 0
CONTRACTOR'S MAILINU AUW�-
coNsTRucrioNLENDER
#murs MAILING ADDRESS Fireplace 5(A'(7L OU
Total Valuation $
WrECT OR ENGINEER NO. - Filing Fee $ 20.00
T - Permit Fee S 0 Z $2(011252��
ARcNrrEcT oi-ENGINEER-s MAILING ADDRESS Plan Checking Fee $
BULDINGADDRESS Energy Plan Checking Fee $
$
0QL4-AP-fz.r> /-,Qesr ux)
PE RMIT FEE
Ex. Occup. X;�(R,16171
MAP
LOT NO. SUSDIVISION'S NAME L
i
PLUMBING P ERMIT
'Each
Filing Fee
7.00
20.00
�
Trap
23.00
USEOFSTRUCTURE
Solar -or heat pump water heater
23.00
SF 0 Duplex 0�'Mobllehome 13 Other
Water piping
15.00
'15.00,
SPWIFY
Each gas water heater or vent
c
TYPE OF WORK
Gas piping system I - 5 outlets
15.00
New 13 Addition 0 Remodel 0 LJUHs Ed Installetim 0 Other 0
Building sewer
1 15.001
15—
We Home S 'I -GI W I
M L
1 @20.001_
Describe Work*
F:LVV2-.> C-
PERMIT FEE
9
657 -
-H C-JZ5-� Fib L- I yo
ELECTRICAL PERMIT
Filing Fee
20-00
Main Service ggonvr
3.00
4--2.00
7-3
L
Main Service TO 1—
PERMIT FEE PAID
SRA
SHERIFF
OTHER
23 1. 2-0
AMOUNT RECEIVED $ Z3L sS -
DATE RECEIVED
DCf CIDT 41 3q4158
EX. OCcup. OUTLErORMTURES
ail. 5 so
Ex. Occup. X;�(R,16171
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Wise. Wirinq
23.00
PERMIT FEE *3 --
MECHANICAL PERMIT Firing Fee 20.00
Heating
LICooling
Hood
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $ Aw S37, d
=c --T- TYPE ITOT
AL FEE $ 5A,:2.
wZ j(rFEjj)IT/j FIX I CDF as
PVEL P10 M1
V 11 Z3
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
-es
reni-ty' .... .... .. ..........
. ....................... .................... ............................ ... .......... ;
. ......... I.I....— .................. a i.ty
2490 Bruce Road
'Chico, CA 95928.
Ph6ne liuniber;,530 566 9480
fax numbev. 530 566 9482
fa
—XTTE NTIOM' FROM: -7.
fly:
4 DATJ E:
R:
RE.
Please roviely r.0jr yoUr. ILtforiltatiOU
U179' Ii EI'Rioly ASAP
ei
N Tfease Call �.b Please Re -Fax
Bid OU
pleme
-To.tsipsgoincliding coyej
A/
I d HDAN S3NOH AiIN183S NMI M7 '91, 1 nr
--97hS72W --09:-39 25-52-Klt
r -"%.Ir- XJLI VA
3wtv at California
gulfCjs. TranWomovinn and HoWng Agency,
DEPARTMENT OF HOUSING AND COMMUV417Y DEVELOPMENT
OVjkri of CodcS and Sta"d9rd,4
APPLICATION FOR
AlWaflori. 0 AddMon or Clonverslon. U APernate Appirorral, 0 lechnIcal Services, 13 InOgnto Ins;;"n
Not lessUffell for Joectal P%mose Cornorwraoftoonw or
I.-MNSIED CONTRACTORS DECLARATION,
I mumtry Ofr,,M utdft? V,,rorr at U"�urf tmoil am Iscrinind under W04ik6ntl
of C,hdplef 9 lCormpnemelhe -an Seclion 70001 of EsIvi0ori 3 of Me Bushess and
proletIvarg Coco, and myticense In frill force and effect.
Contractor— Date ?1�
2.'OWNER-BUILDLIR DICLARATIO . N
fharoby.011 %MdarDanotryoloo hot 11 vitarml from the
Cotirmcfarst Ucon3e to- for the too- l3ec. 703 1.51. F.kvs;r,,;n and
fir —;r Imil 10 COn"AMM,
a;—
alfer. lrvipra�e. deltnoPsh. of relm* any VIUCA90. MA issuance. also
r,quovi the appikionf for -Vrh pqrs"it to Ila 0 signed statement 'hot he at
A rconsca oursttgnt to #hr- prdv�Oonf of ft. Contravon. 1.1ceruo La-
'Cj�"hc . DWdion 3 of the SustneRy and
rvattIrtsbris Code) at inor he or she 8 exempt therefrom and trio bastl to( the
n1koev eaemnolon. Any -Vartfan, of Sectlon 7031.3 by any onpkont lot a
��emv, wboc,2 the applicant to a ci-4 oeAwiv at noi friopo lhon TIve. hundma
do 11mi:
1.011awmar of Ihs! proporty. Orem mmolayt,"WIM wogtr�oj thcIrsolo
Ica
,V=n5allon. wIN do Me work. ano Itto structure it nor intended of offered
q lsoe.70m- de�shi;i-CvmTvooton-Ucwea -- -
. ausirivs. God-ft-oles
Low OOM not croply to an cnrr iof propcIty -hu txAds or Irnpro-,Ds fliveron,
<:nd W110 does jueh work hiMINI Of herself Of 111FOU014 KIN Of ht.f own
moloyogs. effatrIded Mal such Impmvernentl 4ft not InfelldrRO Of Offered for
$ao. If. -ho arimproemim tf 161d -AAWZrie fewvt.
cormainfion. " ownti-p-b-Ador vAl have Me burden of waving that he of 3Ad
alld met lould at Onoro�e. Int thn ouppn at sole.j.
I'l-I. ds-b"gr of_tN-prop". dist, extiUsivelit,
C614ROCtOrg to CaftlIUCI IMO. Q10jeC jSec. 7044. busllhon and Profesliam Coda:
111fie C2nItniclons Lthle to- does not apply to Q� --It Of Class" -+Q
't6�0ds or Innomites (Retean. and -no conimcf, for vurh projeck with a
Ow-,uronl'lo fh9_Cn_nftE" WSKSe Lowl.
( I I orin exerw under ser. .. 0. & P.C. 'at IPth mason;
3. v�dptm' co�iftNsA7ibm-dC-cLAiZATiofq
I hpmby OMM ul%der penalty at v"ury one of ohm laffo.in� decloriallions:
I it no-ts, dP4 wal maimlao, a eneXcum of consent to sell-0swe for
Co. Gosoltim. oi bro-fdeo for by 1.010�n3700 61 irh�-. Looar� Code. for the
peflannante of th(-. -cWk for WhICh InK Permidl 12 boued.
w9I motnrah worketir comptstrisation iniurance. cu required
bf 3ocron 3ft obhe COO& Cobts. fat'ifie liefforiii0m& of fh,,.-orklor -hicri
Ins pe"If Is ktued- AAV worl,cip' cornotintIO130m 111SUMnCe Confer and pn(ICY
MM"r am:
C _,T; - --- -
L
an I
ralici, Ph)Mbof
not be co"verea IT me Peonil i,. for one tv)n0red Orfilors
IC-)rTIfy Mal In Me performanc�, of"wo7k for-M)dl I"Pstinly(sh.qued.
I'Pidft7lore7r431OV-Gnyl)eTOn,n Or -.v-m 1. bocam"Th to
work r'co-vcnyy0A"1vM- lo -,P of Cal Omits. aria agree fhas If I i�-.,Ijdelb"-corne
suv[ev to wonteri'ca ... p"noollon wovIslons of Secil" 3700 of IhP Ln"r
Cadfl, I shol) forInwIM Cool.
6ai, C# -
WAR I Al LIRE WORKEIn COMPENjAIII.Y. COVERAGE IS
UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRI -AND
'L*iNE31ff`TO_Of%_W1T!9t
ADDITION !Q.j"Lr.D-t
SECTIOI`_
'A71COK
I h- -1-NI—PLA-N
agency DRAWIt4G
(Sec.3M 0M
Landlef's CHECK
CMFICXTIOIW
I olifilhilhat I how,3 nRad Jhh ovj�&islkrn end 1atq-1hdf the trbo4e
Inkrmallontscorreci. ICV�r,.faCam V.-.th all cIty, and coun . ty of�oinanc&q
and qlalm 16-5 f9kning to vuld)nq coritsn)C.Ilon. anti n9mby oulngigt;
'48PIONT110IM" of Ifth County to enter upon f" abo,ro-frieniloned properry
(6,14,Spicillan pu"se%. . . . .
3jQMqK" at ADpliCont or Agent
R e Time Ju I'T—l.
Z ' d ON
SECTION I - UNIT INFORMATION
I IWO Are rqavqsTInq serricqj f- 1hq f#)IIt%wlng ttnills):
I'D
CO'
(Ct%ick Amonflare eux)
C.
Q Cornmerclol Coach (OCtAWnCy rIQVP_f
Decal or Llcome No.
_'_2
DATt E_
sewiNvivibarlif
-A^ NO.
Rr TO._
h4onU1OCILF@f Nomel
I
RT BY
Mods!'Narna ........ _.-. _:R4.4.
ImsbnlofHUD Label NVm%b9rft1
of momufo�,�
.:,car
11f.TICTION 2 - OWNTTR/ APpk,c&W (hItORmATION
city
(I 11-�-J 0,,vML CA-
Applir,onl -j ar!!� b
0 A
Ad
C;lv Tetevhome6 �-M� 46
SECTION 9 - CONTRACTOR. ARCIOTECT OR EN4M INFORMATION
Comtraclo.1% Name___ -Z_
9
P.
Addra
ArchlredIfEs-i atneei NaMe15_!!_!7.P" No.
Adclvrpmz 7A(P so a CA%mito— fS70W
7
SECTION 4 - OESCRIPtION Of WOffKIACTIVITY AND VALUATION
OescrIbe the proposmd -orkfo�Nlfy In detall. Arlacri a0dillonof pogn (I nocesgary. Wheye sttuefteal c[Paraftru
of addIflo"s orf, vropmeo. t*0610fe PICNIC and calcul&brs Wia rtialgIcill to be alrdWea
to Mtk fare". Proviat; Me 111110A anG madal at cry aPolionce to be Instottoo and pravido complete blectrical
CaICulP;jiOnS for any gjqCft01 allornolkitis or wollions,
- , L - ml -Lk,
no of. '.9
Ilwe hereby,
I I.
's -of
be obtai?
7 r
lot a rIA-06M& r6he Pedomied LT4��
11-111196 AND CERTIFICATION
I
Aty opollcotlon for irte servi�:r-., a,-,."qRaW dbovts, It OPPlying 101 mtplacervieno of a lost Insignia
" described in Item nit.0"b�f I Vbg�V, 11wQ Certify that lhena have been no corC,7haftn.
tdill 10 the utill hIch would affect cortmOgance w4h Cavormits or fo�.dtflro to- at the koes
09 the Droortment. (wr!%ere olterot;om of moalficavom iioe been -qd�-. an lmopection must
MC0415.308 1 fI?QvO519vj
kv - _O-NI2%Z/A"VCAW
ZI CONViTIONSIsoarovenetisr!j D (914FROVED Yoe reverse Wei
re - 10"ve. -Date
- utrrur,mlP41. wHITF - AAEA OFFICE,
SPOH AIINIHIS NMI tI007 97,1nr
NOTES RESIDENTIAL
PERMIT NO. 030-500-019 04-0004
JAEGE,A,,' lqu-04 04-UU03
R' i. " WF v T A% It
5 6� �163 "
,,,RCHARDCREST, OROVILLE
Co�NT',,KI'RBYllB"lL,L,.cfllw
BREEZEWAY,,To MH
SPECU%L CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
U
JOB FINALED (Date)
Signature
4
4 = OK
0 � Not OK
Not Appl cam
Not Ready
MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except Ws
1 .
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch I
3.
Sewer; Location -Test -Fall -C/0 -Concrete
4.
Water; Location -Test- Easement Needed (Sketch)
5.
-Electricity; Loc ation-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ L'ft.
P Nat. -or/ /" L "ft./ P LPG
7.
Well Clearance & Disconnect
Date PERMANENT END SYSTEM (ONLY)
8.
Utility Clearance
3.
Blocking
4.
Gas; MHTest-Demand-Valve
5.
Electricity; MH Test
Date
Water; MH -Test
Card B-1 Date Card B-1
Date
8.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
10.
1
. Zoning Req uirements-Setbacks- Easements
..Verify #'s with Office
2.
Footings; Size -Spacing- Marriage Line
Date
3.
Gas; MH Test -Demand -Valve -Connector
Card 134. Date Card B-1
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test- Regu lator-Connector.
7.
Water and Sewer Connected -C/0 to Grade7HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs-Type-Installation.Cert.
Date
10.
Exits; Insp.-Sketch
Date
11.
Cert. of Occupancy
Date
POOLS (Plans) OK except Ws
1 .
Setbacks- Easements
Date
Soils; Compaction -Structure Stability
Card B-1 Date Card B-1
Date
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
Card B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
2.- Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MHTest-Demand-Valve
5.
Electricity; MH Test
6.
Water; MH -Test
7.
Water and Sewer Connected
8.
Gat and Electricity Tagged
9.
Exits
10.
License Decals
11.
..Verify #'s with Office
6.-
Carports; Windows -Doors
Date
-Card B-1 Date Card 13- 1
Date
Card 134. Date Card B-1
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
I
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK excepf Ws
1.
Zoning Req uirements-Setbaclks� Easements
2.
Footings; Soils-Size-DepthrSpacing-Connectors-SteeI
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Boams-Rftrs-Connectors
. Shthg-Frg-Bracing
5.
Alum. Awn.; Col um ns -Con nections-Spl 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.; Steps- Doors- Land i ngs
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except Ws
1 .
Setbacks- Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance -GR
5. Elec.; Pool Lighting; -15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Term i nals- Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool Lghtg.
Boxes- Enclosu res- Panelboards- Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card BT1 Date Card B-1
I
4 = OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #s
1 . Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garage; Steel- Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
72. Elec. Outlets at Wood Panel, Int. & Ext.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al
Insulated Neutral El Yes 0 No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
87. Water Well, Disconnect, Electrical, Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #s
Date
41. Sills Proper Materials & Anchors
Comments at Final:
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties- Purlin- Roff Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One X -Check Garage 3rd Story, 2 Exits
55. Stairs; Width- H eadroom-Rise- Ru n- Landing-Fi re Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57, Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #s
64. Ext. Steps -Door & Sidelight Protection- Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor- Ducts-Mech. Protection
67. Bedroom Exiting
G.F. I. & Bath Fixtures & Tub Access -Spa
-68.
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance- Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing- Landing-Closu re
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector- P. R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.Fl.)-Romex Protection
80. 1 nsulation-Foam- Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following Inst1d./Drive 0 Yes EI No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical- Plumbing
86. Vents Above Roof, P[bg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 * Telephone (530) 538-7541
(Rev..1 2/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
030-590-019
ZONING
1
BUILDING PERMIT
OWNER
JAEGER 566-9480
TELEPHONE
SQ. FT. Occ. BUILDING VALUATION
OWNEWS MAIUNG ADDRESS
P0 BOX 1300 YUBA CITY CA 95991
.390.00
CONTRACTOR ' S NAME
BILL KIRBY 877-270,
TELEPHONE
CONTRACTOWS MAILING ADDRESS
PO BOX 2228 PA W ISE CA 95969
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 390.00
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee 14 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee s
23.00
BUILDINGADDRESS
56 ORCHARD CREST OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
58.00
LOT NO.
SUBDIVISIOWS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 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 13 Installation 0 Other 0
Describe Work: BREEZEWAY RERJEEN MH AND GARAGE
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
@?20.00
PERMIT FEE
—ELECTRICAL PERMIT
Filing Fee 20-00
R LESS
Main Service ".vA OR . s 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 I& Lic. No. 6 51 C/19 6
OWN UILDER DECLARATION
1 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.
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.
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 541L z 17
Main Service 200A TO 1000A
46.00
NEW CONST DW= OCCUP.
OR ADDNS. .S.
so.
3.5g!FT.
NEW CONST
NON-RESID. JM ULT 1. 0
N=111.
97.50,
PDW.E.RAP= US
IN . CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL @ .50
FIXED AP LNS OR
Ex. Occup. .. (P.,15.) 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 FEt
Policy Number 007 0 111
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 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 Da e
Signature of Applicant - 0 Owner 0 -d—oni-aictor Agert(
An OSHA permitis required for excavationsover 60" dekeand demolition orconstruction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONS �PE
TOTALFEE$ 58.00
FEES IMP
ES
DO
COF
J_
PARCB.�;
J_
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
f (Date)
ReceiptNo.
WHITE -D . D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENRO=
' one+
COUNTY OF BUTTE-DEPARTMENfxO DE�ELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (5 ' 30)538-7541 Fax (530)538-2140
PER)411 APPLICATION DATA SHEET
,�-OWNER: ASSESSOR P ARCEL NUMB
roposed Building Use: Counter Technician: Date:
t re,
liore uired in order to apply for a permit. All/boxes MUST be �hecked OR marked NA in order to apply.
�arer of the plans.
1 . Site plans, 3 or 4 sets, signed by th pYe
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations.
r_1 4. Engineered truss details and layouts in duplicate. No faxes!
0 5. Letter from Engineer or Architect for truss design review.
0 6. Energy compliance design and supporting documentation in duplicate.
0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all,iij,
duplicate.
0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the enginee .
0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
0 11. Site plan and business license approval from the City of Biggs
0 12. Letter of intent for non-residential buildings
0 13. Detached Accessory Building Form filled out by the owner
0 14. Hazardous Material Form
0 15. Sanitation and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable.
El 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
0 17. Fire Sprinklers .................. ** ........................ ** ...... ****"* ........... ** ................
0 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by-..
0 19. Soils Report and/or Engineered Foundation required ........ ................................... ........
0 20. Erosion Control Plan Required ........................................................................ ..........
0 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
0 22. City of Chico Plumbing permit ........................................................................
0 23. California Department of Forestry plan approval 0 paid. Sent by: ............. .
0 24. Planning approval (A) Use: -(B)Parking: _(C) Parcel Check:
0 25. Contact Land Development about - Improvements, - Drainage .........................
0 26. NPIDES Form ..............................................................................................
0 27. Encroachment Permit for driveway from the Public Works Dept ...........................
0 28. Pre -inspection for required .......
0 29. Contractor's license information. (Number, Name Style, Classification) ...................
0 30. Worker's Compensation Carrier and Policy Number .................................. ** .......
El 31. Owner -Builder Verification (_ Given to owner, -Mailed to owner) .....................
0 32. Letter of Signature authorization ....................................................................
0 33. Recorded copy of Agricultural Acknowledgment Statement. " ' ...... * ... * ...........
0 34. Manufactured home utility clearance ...............................................................
0 35. Existing violations and/or expired permits .........................................................
0 36. Deed Restriction .......................................................... * .........
0 37. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter , from Legal Owner, 0 Check to H.C.D. $
0 38. Other:
[-] 39. Other:
When issued Telephone L-1 hold for
/�(/,A -and pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: Date:
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contract6r, designer, owner, was advised of the above data by 0 phone, 0 mail, 0 counter, by - Date:
0 phone, 13 mail, 0 counte
Contractor, designer, owner, was,3dvised of the a�o Date: 4n,
t6det�
Plans reviewed by: Date: Plans approved by:. h�r,_Date:.
Structural reviewed by: Date: Structural approved by- Date:
Note transfer by: Date:
Yellow: Building Division
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-7541
APPLICATION AND PERMIT 4 -PM�*
2/96) BUILDINGPERMIT
SORP BUIL N V LUATION
AIA Al
ahuanONLENDER C -f 12v�
LENDOVS MMUNG ADDPMS
- I
Fireplace I i
Total Valuation
$
ELECTRICAL PERMIT
_�E_NSE NO.
Firing Fee
$
20.00
ARCWMCT OR ENCIINM
200A TO 1000A
$
NEW CONST.
OR ADDNL (
OWELLM 0 �P
& ACC. MD�
Permit Fee
ARCWMCT OR EN ;*S MAJUNr ADORM
Plan Checking Fee
Energy Plan Checldng Fee
su MIGADDRESS
PERMIT FEE
PARCEL MAP
PLUMBING PERMIT
Firing Fee 20.00
LOT NO. 1113DWISIDWS HAM
��7
7.00
Each Trap
USEoFSTRUCTURE
Solar or heat pump water heater
23.00
Water piping
15.00
SF 0 Duplex 0 Mobilehome 0 Other
SPMFY
Each gas waterAeater or vent
15.00
TYPE OF WORK
Gas piping sy m 1 - 5 outlets
.00
New E3 Addlition 0 RemAel 0 Utiffies E3 InsWation 0 other 0
Building sewe�
�w
15.00
@20.00
f'.Z.4 A
Mobile Home T:F t_
PERMIT FEE PAID
SRA
SHERIFF
OTHER
AMOUNT RECEIVED $
DATE RECE D
P,10 --c-7
Ex. Occup. OR FDMAES
PERMIT FEE
$
ELECTRICAL PERMIT
Fifing Feel 20.00
Main Service (
hAobre Home Fa�ff_rdes
23.00
Main Service (
200A TO 1000A
46.00
NEW CONST.
OR ADDNL (
OWELLM 0 �P
& ACC. MD�
3 .
Ex. Occup. OR FDMAES
EAL ga so
FDXD APPIM. OK
Ex. Occup. Otnim (REWSID.
5.00
Temporary Se�ice 11__,�
TM
23.00
hAobre Home Fa�ff_rdes
20.00
Use. Wiring
23.00
PERMIT ff�
Firing FL
L__ _e
I mEcHANICAL PERMIT 1�
I Hood I 'K 6.50 1 — I
PERMIT FEE 1
Mobile Home Installation Fee
Energy Inspection Fee $
C= CONFT. 7PE ITOTAL FEE $
I V
HAZ PD ts
I ji FEES I vAp I FLOOD I CDF I ZPARCEL-1 �S
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do -work
indicated above ior which fees have been paid.
By Date _
4
Departm'ent of Development Services
Bulildin, g Divislion
7 County Center Drive
0 1 le, CA 95965,
-2140 FAX
(530) 538-7541 (530) 538
il
k OVER
Lof 2
I
-DETACHED ACCESSORYBUILDING
OWNER'$, STATEMENT OF USE
Plan review will not be started until this *form is,clompleted, signed by -the property 6.w'neir, and,
returned to the Butte County Building Divisio*n..'Attached Acc�sso "Buildings and Additions
ry
will be checked for residential use. Exceptio'n: bariges and Carports.. i.
Owner' T Phon��,- eg.1-0-71k
MailingAddress P.D. Rof-' 130b Y"C__ Ci -4," (-4- .16-cl 21 -
SiteAddress: r
Assessor's Parcel Number: -030 Zone:
Please answer questions 1716, and. explaiii any yes answers for questions 2-14 in the space provided on page 2 of
th.is form.
GENERAL INFORMATION:
""Is there a primary dwelling on the property?,
Yes D No- FL
2. Is the structure already built,� under construction, or und ' er notice of code.violation?.
Yes. No
3. Will items produced in this building'be odered flor sale*?
'
Yes D No
Yes ED) No,
4. Will the public have access to this building?
5.' Will any advertising, on or off site. be associated with the use of this'building?
Yes No.
SITE CONDITIONS:
6. _' Is the structure foundation within 5' of s�otic tank or 10'- of leach lines?
Yes D Not&
'
7. Is any portion of the structure located closer than 20' to your front property line?
Yes No2l
8. 'Do you plan to add a driveway or modify existing access to a county maintained. road?
Yes No 131
9. Will the proposed structure encroach within any recorded easement?
Yes No
CONSTRUCTION FEATURES:
.10. Will this building have insulated floor, Walls, or ceiling?
Yes El No.W-
11. Will this bui - Iding be heated or cooled? - I
12. Will this building have a water �lbset/toilet?
Yes No [29
Yes 'No
'13. Will this building have a sink?
14. Will this building -have a w�ter heater?
Yes No
'Yes[-] No
15.' What type of floorcovering will the. building have?
16. What type of wall covering will the building have? -
il
k OVER
Lof 2
I
PROPOSED USE: (check only one box)
1 0 Residential Storage Shed — I will be storing in this building and it will
not be used for any other purpose (no bathroomand no heating or cooling).
2. ;9 Private Garage — "A building or a portion of a building not more that 1,000 squiire feet (3,000 by -
exception) in area in which only motor vehicles' used by tenants q,f the building or buildings on the premises are
stored or kept." A garage door is reguired.
3. 0 Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be
entirely open.
4. El Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport.
If you checked #4, please check the uses below which best fit Us building.
GuestHouse ' El Pool House El Studio Apartment 0 In-law quarters
Recreation Room El Game Room Study 0 Library
[3 Bonus Room ED Playroom Den C] Studio
0 Artist Studio El Hobby Room El Craft Room El Sewing Room
E3 Canning Yjtchen El Music Room E:1 Family Room D Sun Room
El Private Office El Workshop 1 Ej Home Occupancy C3 Other — Use
Describe. type of Workshop
2. Must be approved by the Butte County Planning Division.
Explanations: This area is for.explanation of any "yes" answers on questions 2-14. Please indicate the question
number before die explanation.
Additional Information:
Plan review will not be started until this form is completed and received. A Plans Examiner will contact the
owner with specific requirements per the use indicated.
I hearby affirm under perialty. of perjury that the above information is true and correct. I understand that any changes
to the use, or character of use, of this building will require permits from the permitting authority...1 understand that
Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale.
Owner's Name: Please -Print _I41.1
Owner's Signature: L,�,j
(L10- Date:
2 of 2
1
National Pollutant Discharge Elimination System (NPDES) Phase 11
Construction Storm Water Permit -and' Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement, [LESS THAN 1 ACRE
Project Title: Azc� 0 6-A) C-f—
By signing below, I, -the project owner/owner's agent,,certify that I am - aware that a construction
project that disturbs I acre or more of land requires a.Co'nstruction Stor'mVater Permit from the
State Water Resources Control Board and that it is my responsibility to submi! a Notice of Intent
(N.O.I.), a Storm 'Water Pollution Prevention Plan (SWPPP), and a'check for $700.00 made
payable to the State Water Resources Control Board ' to obtain such a permit if my project
disturbs I acre or more of land.- I, further, certify thafthis project will not disturb I acre or
more of land. I am aware that submitting false -and/or inaccurate information may result in
revocation of grading and/or other permits or other'sanctions provided by law..
Signed:
Title:
Date:
P LAN REVI
SION
7
Owner's Name: 0 _SCAO 6
AP#:
BP#: Received By:
D ate: C7 (,t
—'awContact Person & Phone Number.
PURPOSE OF RE -S, IT L OR ISION7
0 Permit Application Data Sheet Item
0 *Engineering
9R"*Plan Revision
0 '*Requested by Building Inspector's Correction N'o'tice,— Inspec or s ame:
0 Requested by Plan's Examiner — Plan Examiner's Name:
ET`�"OOther:'- qq
*If revising a plan which has already been issued, submit two (2)�drawings reflecting the revision
for plan review' along with your approved plans. If engineering is invblved in this revision, the
0
engineer must put his requirements on'thes6 drawings and wet starrip''and sign two sets of
engineered drawings. Revised -drawings must clearly show, changes proposed and locations
involved:
WHEN APPROVED' PROCESS AS. FOLLOWS:
0 Mail to,Owner/Contractor at this address:'
-2�ZOIO and hold for pick -u
P.
El Deliver with next inspection.
Minimum revised plan check fee to be 'collected' at time Of n of revision,. plans..
examiner w I
ill determine if additional plan checking -f s are ridede
cle's e
P/ Minimurn $54.99 Receipt #:' 1�y t45t on s �X isll,) -
At
0 Fee not required for revisions requested, by pl�ns exam er-i�'
..Pi�kt"suance of permit.
0 Additional Fee Amount: Receipt #:
Revised 2/04
NOTES RESIDENTIAL
PERMIT NO. -030-500�0,11 -03-3816 --F
JAEGER:, WILLIAM
ST, OROVILLE
/Xv 1 56 ORCHARD CRE
CONT: BILL KIRBY
NEW GARAGE
SPECIAL CONDITIONS
CHECKED
BY
—.SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB STANDARD HOUSING LETTER
JOB FIN ALED(D
A, Signature/-:�2
4 = OK
0 = Not OK
NotApplicable
Wot Ready
DEC!$E�p EIRS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except Vs
Card B-1 Date Card B-1
1 .
Zoning Req u irements-Setbacks- Easements
. Zoning Requirements -Setbacks- Easements
2.
Soils; Special MH Support Sketch ,
3.
3.
Sewer; Location -Test -Fall -C/0 -Concrete
Gas; MH Test- Demand -Valve
4.
Water; Location�Test- Easement Needed (Sketch)
6.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Water and -Sewer Connected.
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or / P' L "ft./ PLPG
9.
7.
Well Clearance & Disconnect
License Decals
8.
Utility Clearance
12. Braced Wall Panels
Date�,
Date
ard B-1 4 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1 r
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except Vs
1 .
1
. Zoning Requirements -Setbacks -Easements
2.
2.
Footings; Size -Spacing -Marriage Line -
3.
3.
Gas; MH Test -Demand -Valve -Connector
4.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
.5'.
5.
Drain; MH Test -Fall -Flex Connector
6.
6.
Water; MH Test- Reg ulator-Con nector
7.
7.
Water and Sewer Connected -C/0 to Grade -HD
8.
.
8.-
-Approval
Gas and Electricity Tagged
9.
Tie Downs -Type- Installation Cert:
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
11. Verify #s with Office
Date Card B-1 Date Card B-1
Date Card -B-1 Date Card B-1
AISCELLANEOUS
Date
DEC!$E�p EIRS, CARPORTS, GARAGES (Plans) OK except #'s
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
1
. Zoning Requirements -Setbacks- Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test- Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and -Sewer Connected.
8.
Gasand Electricity'Tagged
9.
Exits
10.
License Decals
11. Verify #s with Office
Date Card B-1 Date Card B-1
Date Card -B-1 Date Card B-1
AISCELLANEOUS
Date
DEC!$E�p EIRS, CARPORTS, GARAGES (Plans) OK except #'s
L��Footings;
3.
qRKg Requirements-Setbacks�Easements
Soils-Size-Depth-Spacing-Connectors-SteeI
Decks, Girders and/or Joists- Decking -Bracing -Stairs- Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Ajvr6,/Awn.; Colum ns -Connections -Splice- Decal- Enclosures
Afpo59'Wi ndows- Doors
,erric
Sills-Anchors-Studs-Rftrs-Trusses
4�.-�hg;
Nailing -Veneer -Stucco -Mesh
12"'
Roof; Shthg-Roofing .
11.
Ext.; Steps- Doors- Land i ngs
12. Braced Wall Panels
Date�,
ard B-1 4 Date Card B-1
Da42,17,_
e1q
Card B-1 Date Card B-1 r
Datd
POOLS (PlaW6-K efcept #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 Eqbip.-Pool Lghtg.
Boxes- Encl6su res- Panel6oards- Ins. to Main Conduit
9. Health De�partment Approval
10. Plumb.; Cir. Test -Water Supply Test
11. LightNichR ."
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
4 = OK
0 = Not OK
- = Not Applicable
. = Not Ready
\ RESIDENTIAL (Single& Duplex)
Date UNDERFLOOR (Plans) OK except #s
1 . Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall- Fitting -Test -2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
Date
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Date
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
Date
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes ONo
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) CK except #s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties- Purl in -Roff Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -H eadroom-Rise-Ru n- Land ing-Fi re Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration-Walls-Winclows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection- Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector- P. R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.Fl.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction- Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
83. Following lnstld./Ddve 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HO Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OFDEVELOPMENT SERVICES
411 Main Street --Chico, CA - (530) 891-2751
7 County Center Drive * Oroville, CA * (530) 538-7541
CORRECTION NOTICE
0%14E�
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.
M�K
_z_
A4
�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.-754'
CORRECTION NOTICE
193-
3� k1 6,
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
a.bove 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.
COUNTY OF BUTTE - DEPARTMENT OF DEV9LOPVENT SERVICES - BUILDING DIVISION
7 County Center Drive I, Ciroville, California' 95965 e Telephone (530) 538-75 PERMIT NO.
'b _2
(Rev. 12/96) APPLICATION ANDPERMIT >
.ASSESSOR PARCEL NUMBER
030-500-019
ZONING
BUILDINGPERMIT
OWNER
WIT-LIAM JAEGER 259-2608
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
484 U 8712.00
OWNER'S MAILING ADDRESS
2490 BRUCE ROAD CHICO CA 95928
CONTRACTOR.S NAME
BILL KIRBY 228-2290
TELEPHONE
CONTRACTOWS MAILING ADDRESS
PO BOX 2228 PARADISE CA 95967
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 8712. 0
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $ 20.00
Permit Fee $ 108.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 70,20
BUILDINGADDRESS ST DR OROVIT IF
56 ORCHARD CRE,
Energy Plan Checking Fee $
$
PERMIT FEE 99 -
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 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 Ublifies 0 Installation 0 Other 0
Describe Work: GARAGE
—
Gas piping system I - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @?20.00
:P"
PERMIT FEE
—ELECTRICAL PERMIT Filing Fee 20-00
Main Service '.*.vA 'oFRi :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. 4 54 43
OWN UILDER 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.
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
Main Service 200A TO 1000A 46.00
NEW CONST DWELLING OCCUP. 3.5,so.
OR ADDNS. A.0 S. FT. I C, Q
NEW CONST.
NO"ESID. BIM uLTH' 0
��,,U�Ts @7.50
OWE.RAP= US
PSIN. 0 CIR. )
Ex. Occup. OUTLET OR FIXTURES ) 20 @ 1.00
. BAL @ .50
O.FDIED APP . OR
Ex. Occup. E. 5.00
- Temporary Service 23.00
Mobile Home Facilities 20.00
- Misc. Wiring 23.00
I
PERMIT FEE $Qr, aq
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.
K1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, forthe performanceof workforwhich this permitis issued.
MY workers' c
,2mpensa on insuranRe carrier an policy number are -
Carrier �,� �A
MECHANICAL PERMIT 20,00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Policy Number 0610111 —��VOoL
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 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 comPlit
itnthose:,provisions.
X Date J 2— '7 / 6_21
Signature of Applicant - 0 Owner El Contractor Agent
An OSHA permit is required for excavations over ielp nd demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
0 C
U
PE
Cz7W TOT FEE $ 235. 15
�ES
2!
FLOOD
0
:1
UE
1
This permit is hereby issued rider the applicable provisions
r
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
BV 0464, Date
PERMIT EXPIRES ON YA��
I I(Date) I
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
C4.�q v
COUNTY OF BUTTE -DEPARTMENT OF 1ELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER 0130 -S00 -
\j Counter Technicianc**V�l Date: abqlo >
Proposed Building Use: S,
Item required in order to ail�ply for a 06rmit. All boxes MUST be checked OR marked NA in order to apply.
If
1 . Site plans, 3 or 4 sets, signed by the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped andsigned calculations.
4. Engineered truss details and layouts in duplicate. No faxes!
5. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate.
7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the enginee .
0. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
1-1 11. Site plan and business license approval from the City of Biggs
0 12. Letter of intent for non-residential buildings
)OP13. Detached Accessory Building Form filled out by the owner
14. Hazardous Material Form
15. Sanitation and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable.
16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
0 17. Fire Sprinklers ............................................................................................
0 18. Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by-..
0 19. Soils Report and/or Engineered Foundation required ........................................... ........
0 20. Erosion Control Plan Required ........................................................................ . . ........
0 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
0 22. City of Chico Plumbing permit ........................................................................
0 23. California Department of Forestry plan approval 0 paid. Sent by.- ..............
0 24. Planning approval (A) Use: C> K (B)Parking: _(C) Parcel Check: I
0 25. Contact Land Development about
Improvements, - Drainage .........................
0 26. NPIDES Form ............................ ...... ...... ** ....... ................. * ...........
0 27. Encroachment Permit for driveway from the Public Works Dept ........................... ----
0 28. Pre -Inspection for required .......
0 29. Contractor's license information. (Number, Name Style, Classification) ...................
0 30. Worker's Compensation Carrier and Policy Number ..........................................
0 31. Owner -Builder Verification (_ Given to owner, -Mailed to owner) .....................
0 32, Letter of Signature authorization ....................................................................
0 33. Re'Corded copy of Agricultural Acknowledgment Statement .................................
11 34. Manufactured home utility clearance ...............................................................
0 35. Existing violations and/or expired permits .........................................................
0 36. Deed Restriction .........................................................................................
E3 37. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D.
0 38. Other:
0 39. Other:
When issued Telephone a and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: Date:
/ / 71/o 3
1. Index permit application for the above items numbered: Plan Check Letter
items required X
esigner, owner, was advised of the above data by &/Phone, 11 mail, CJ counter, by ilu Date:
esigner, owner was advised of the above data by 0 phone, 0 mail, 0 count Date-
Pla�s reviewed by: (KC, Date: 0-?�Pians approved by: - U�Date*:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
A
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION JE IT NO.
1111111111111ft I . � 1�;
7 County Center Drive - Oroville, California 95965 9 Telephone (530) 538-754h-;�_f
APPLICATION AND PERMIT
-- ZONV( BUILDINGPERMIT
�O �RP A A C EIL N U M -B �E-R, 0-0
TELEPHONE SO. FT. BUILDING VALUATION
N NER 't��q_ I - I T-7
ER/1)16 .20 , — isig C1 TC7
CONSTRUCMDN LENDER
Fireplace =—
LENDUM "LING ADDRESS
Total Valuation
CENSE NO.
Filing Fee
$
20.00
ARCWMCT OR EMNEER
$
Permit Fee
ARCHrrECT OR ENCINEERS MOJUNG DRESS
Plan ChtEKN Fee
Energy Plan Checking Fee
$
SUILDNG ADDRESS
$
PERMIT FEE
$
SWDfMDNS NAM
r'w
7-�
PLUMBING PERMIT
Filing Feel 20.00
LOT NO.
Each Trap
1
7.00
USEOFSTRUCTURE
er
Solar or heat pump water heater
23.00
Water piping
15.00
SF 0 Duplex 0 Mobliehome
kSPEC"
Other
Each gas water heater or vent
1
15.001
TYPE OF WORK
rGas piping system I - S outlets
15.00
New kAddition 0 Remodel 0
Oth
Utilities 0 Installation 13 arvil'—
- Building sewer
15.00
Mobffe Home
Describe Work.
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20-00
Main Service 001R, =s ) '--T--23.00
Main Service 2OoA -ro , oom
46.00
NEW GONST. OCCU P.
OR ADDNS. EILDS.
PAID
35. 5-
Ow=13T. mum-curilf 1
BRANCH MCUM
POWER APPARATUS
@7.50
PERMIT FEE
L
& SINGLE OUTLEr CIR.
Ex. Occup. OUrLET OR MURES
1.00
BAL .50
E I x. Occup.
X
SRATemporary
Service
.
23.00
fflF1r'ngFe9
M obile Home Facilities
20.00
Usc. Wiring
23.00
SHERIFF
E
PERMIT FEE
MECHANICAL PERMIT=
I
2 0 - 03D
OTHER
AMOUNT RECEIVED $
DATE RECEIVED
I Hood 1 1 6.501 1
PERMIT FEE I S
-Mobile Home Instaflation Fee
Energy Inspection Fee
TOTAL FEE $
I I KAZ. I IX FEES I LMFY I FLOop I CDF I PMCEL IW I HD 4 -1y
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
RESIDENTIAL PLAN
RkVIEW GUIDE
SINGLE FAMLY, DUPLEXAND
AESCELLAAEO US ONLY
Owner: 1J0J-'4�j-,0jj Building Permit Number: 0-3
Plans Examiner:. Martha Christy A. P. Number: 5-60
GENIERAL:
1. - Zoning requirements - (nuluber of pormitted living units).
2. Plans signed by the designer.
3. Proper description of work on the application.
4. Existing violations on the property.
5. Recorded notice of violation.
6. Building perirruit valuation.
PLOT PLAN:
1. Complete parcel si z� and dimensions.
2. Setbacks, side yard, easements, etc.
3. Other buildings orstructures.
4. Grading, fills and/or drainage.
5. Flood hazard.
6. Special conditions on Parcel Map:
Noise E] SRA E] Fire Sprinklers E] Water Tender Traffic and Drainage fees El
7. Federal Aid Route and/or Federal Aid Secondary Route setback rc�uiremenL
8. Building or utilities across I lot lines (Lot merger'approv al .- b C
y Butte ounty Land Development.)
FLOOR PLAN:
L Plans and specifications drawn to scale with dimensions andof sufficient clarity (UBC secti6n 106.3.3).
2. 10% of natural light �nd 5% of ventilation (Urdibrin,Building Code section 1203). .
3. Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet. The minimum net
clear openable height,dimension shall be� 24 ". The minimum net clear openable wi * dth dimension shall be 20".
When windows are provided as a means of escape or rescue, they shall have a finished sill height not more than
44 " above the fl6or (Uniform Building Code section 3 10.4).
4. Skylights (Uniform Building Code section 2409 & 2603.7).
5. Glazing in Hazardous locations (Uniform,Buil ��g Code section.2406).
6. Habitable space shall have a ceiling height ' of not less than,7, feet 6 inches except as otherwise permitted in this
section. Kitchens, halls, bathrooms and toilet compartments may have a ceiling height of not lessthan 7 feet.
measured to the lowest roiection� from the ceiling (Tjnif6rm Building Code section 3 10.6. 1).
7. All habitable rooms except kitchens shall, have an area of not -less than 70 square feet and not less dian Tfeet in
any dimension (Uniform Building Code section 310.6 * 2 & 310.6.3).
8. GFCl in baths, garage, kitchen, wet bar, and exterior receptacles (NEC 210).
*9. Water heaters, which.depend on the combustion of fuel shall not be installed in a room used or.d6signed to be
used for sleeping purposes, bathroom, clothes closets or in a closet or other confined space opening into a bath
or bedroom (Uniform Plumbing Code section 509.0).
10. Fuel burning equipment shall not be installed in a' closet, bathroom or a room readily usable as a bedroom, or in
. a room, �ompartmentpr alcove opening directly into iny of these (Uniform Mechanical Code section 304.5).,
11. Garage firewall separation - required on garage side including suop6itin walls and posts (Unifo . B I
9' rm, ui ding
Code section 302.4 exception #3).
12. Under no circumstances shall a privat6 garage have any opening into a room used for sleeping purposes
(Uniform Building Code section 312.4).
13. Wood stove location. - Alcove * UMC section 205 confined space & 223 *unconfined space & 304.2).
14.- Smoke deteci�rs (U�ifbrrn Building Code section j10.9.1). k
Page'l of 2
F
15. Water closet clearances (Uniform Plumbing Code 408.5).
16. Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7).
17. Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support
all loads (Uniform Building Code section 1806.3).
STRUCTURAL DETAILS:
1. Braced wall panels shall start at not more than 8 feet from each end of a braced wall line. Braced wall panels
must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not
exceed 34 feet on center in both the longitudinal and transverse directions (UBC section 2320.4. 1.) Braced wall
lines must be continuous throughout the structure.
2. A California licensed architect or registered engineer must prepare a lateral analysis for the areas of the building
that do not comply with the Uniform Building Code. This must include the designer's "wet" stamp, signature,
registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets
of calculations.
3. Clerestory requiring balloon framing and/or engineering.
4. Foundation plans complete enough to construct building (Uniform Building Code Table 18 -I -C).
5. Floor construction details complete enough to construct building.
6. Elevations and wall construction details complete enough to construct building.
7. Roof construction details complete enough to construct building.
8. Fireplace construction details and calculations if necessary.
9. Garage door header size(s).
10. Porch header size(s).
11. Typical header size(s).
12. Stud heights.
13. High expansive soil - special foundation design required.
14. Retaining walls requiring design.
15. Gypsum wallboard nailing inspection required.
16. If the area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total
net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no
more than one foot above grade. Alternatively, certification may be provided by a registered professional
engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls.
Building must be designed and anchored to prevent floatation, collapse or lateral movement. Construction
design requirements must be shown on the building plans.
17. Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be
designed and/or located so as to prevent waterfrom entering or accumulating with the components during
conditions of flooding.
MISCELLANEOUS ITEMS:
1. Stairway details - landings, rise and nin, head clearance, handrails (Uniform Building Code section 1003).
2. Guardrails (Uniform Building Code section 509).
3. Brick or stone veneer (Uniform Building Code section 1403).
4. Exterior plaster - weep screeds (Uniform Building Code section 2506.5).
5. Roof pitch for roof covering (Uniform Building Code Table 15-B- 1& 2, 15-D-1 & 2).
6. Foam insulation - protection.
7. 36" halls and stairways (Uniform Building Code section 1004.3.3.2).
8. Two exits on three - story dwellings (Uniform Building Code section 1004.2.3.2).
9. Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7).
10. Attic access and ventilation (Uniform Building Code section 1505).
11. Sound requirements.
12. Energy design compliance and supporting documentation.
13. CDF responsible area requirements.
BUIELDING PERMIT REQUIREMENTS:
1. F-1 SRA.
2. r_1 Flood elevation certificate.
3. Ej Fire Sprinklers required.
4. El Special Inspection requirements.
5. F1 Use Permit conditions.
6. El Sub -Standard Housing letter.
Page 2 of 2 is
Nation al Pollutant bischarge Elimination- System (NPDES) Phase 11
.Construction Storm Water Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement [LESS THAN I ACRE
Project Title: 6-94t—
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs I acre or more of land requires a' Construction Storm Water Permit from the
State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent
(N.O.I.), a Storm Water Pollution Prevention Plan (SWPP), and a check f6r $700.00 made
payable to the State Water Resources Control Board to obtain such a permit if my project
disturbs I acre ' or more of land. I, further, certify that this project will not disturbA acre or
more of land. I am aware that submitting false and/or inaccurate information may. result in
revocation of grading and/or other permits or other sanctions provided by law.
�Signed:
Title:
Date:
NPDES & SWPPP Non -Compliance Certification
Butte County Storm Water Management Program
Revised 7/02/03
-a
RDED MAIL TO: 10 -
AND WHEN RECO kk� -
Recorded I REC FEE W. 00
BUTTE COUNTY BUILDING DIVISION Official Records I CONFORM .1.00
7 COUNTY CENTER DRIVE Count Of
OROVILLE, CA 95965 BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON I
Assistant I Shawnlaof
03:35PM 19-Dec�2003- I Page
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the 'Butte County Code required this acknowledgment to be'��ic"brded, prior to issuance of a building;
permit. The property described herein is adjacent to land or included within ari area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort'from the use of a'g'ricultural chemicals,
including, but not limited to herbicides, Pesticides, and fertilizers; and from the pursdit".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 Californiai dd�scribed as follows:
Date -PROPERTY OWNERS:'
_U -
State of California
County of
On U lo -:a, before me,
Eli 7exbr-VJI-) Z�C>C) lq� X�J2EW Pu -,b) I C_
personally appeared JLP4 F, ic ersona . Ily
kpowd tome (or proved tome on the basis of satisfactory, "ence) to be the person(4 whose name(j) isloee subscribed
to the within instrument and acknowledged to me that he/shefthey ;xecuted the same in his/44rAhe4r authorized
capacity(ies), and that by his/hoi;4heir signatureKon tlie instrument, the person(al'or the entity upon behalf of which
the person(sy acted, *executed the instrument.
WITNESS in hand and official seal. EUIABETH B. CONI -EY
na COMM.* # 1289728
Signature $eal:, NOTARY PUBLi&cALiFomm
SUTT.tR COUNTY
COMM. EXP.
A 030
.P. #
r, ;
.;,,- �q
DESCRIPTION
All that certain real property siWated in the County of Butte, State of California, described
as follows:
Commencing at the Southeast comer of Lot 14 of the Topham Tract, as shown on that
certain map file in the office of the recorder of the County of Butte, State of California,
November 14, 1908 in book 8 of maps, at page 65; thence south I deg 20' west, 1320 feet;
thence south I deg 20' east, 326. 5 feet to the point of beginning of this parcel of land, in the
easterly line of the County Road; thence along easterly line of county road, south I deg 20'
east, 1010 feet; thence south 8deg 58' west, 121.34 feet; thence south 58deg 33' west,
153.24 feet; thence south 25deg 33' west, 47. 23 feet to a point in the northerly line of lands
heretofore conveyed to Southern Pacific Company, a corporation by Deed of record in book
100 of Deeds, at page 8 8, records of Butte County, California; thence along said northerly
line, north 89deg 57' east, 585. ' 40 feet to the southwest comer of land heretofore conveyed
to Margaret J Westwood, by deed of record in book 219 of Deeds, at page 338, records of
Butte County, California; thence North along the west line of said parcel, 244.50 feet to the
south line of the old Bird Ranch; thence along said line, north 89deg 41' east, 554.5 feet, to
the northwest comer of land heretofore conveyed to Hannah G. Middlehoff, by Deed of
record in Book 4 of Official Records, at page 70, records of But " te County, California thence
along the northeasterly line of said parcel the following courses and distances: South 63deg
04' east, 64.20 feet; south2l deg 48' east, 21.5 feet; south 5deg 40' east, 50.3 feet; south
l5deg 13' west, 51.8 feet to a point in the westerly line of land heretofore conveyed to G.E.
Middlehoff, by Deed of record in Book 4 of Official Records, at page 150, records of Butte
County, California; thence along,the northwesterly line of said parcel, the following courses
and distances: north 33deg 30' east, 59.9 feet, north 38deg 19' east, 63.7 feet; north 41deg
18' east, 55.6 feet to a point in the south line of the old Bird Ranch; thence along said line,
north 89deg 4 l' east, 7.06 feet to the southwest comer of land heretofore conveyed to H. J.
Webber and Lucene A. Webber, husband and wife, by Deed of record in Book I of Official
Records, at page 60� records of Butte County, California; thence along the westerly line of
said parcel, north 48deg 41' east, 110.3 feet; north 00deg 19' west, 232.0 feet to the
southwest comer of land heretofore conveyed to Marguerita F. Ramsey, by Deed of record
in Book 220 of Deeds, at page 425, records of Butte County, California thence along the
west line of said parcel, north Odeg 19' west, 220 feet to the northwest comer of said parcel;
thence continui ' ng North 00deg 19' west, 480 fet to a point; thence south 89deg 41' west,
1247.2 feet, more or less, to the point of the beginning.
EXCEPTING THEREFROM all that portion lying southerly of the old Bird Ranch,
ALSO EXCE]
in Deed to the
husband and N
records of Bul
ING THEREFROM that portion thereof lying within the property described
c)unty of Butte, by Deed from Eugene MacLean and Caroline S. MacLean,
�, recorded April 3, 1937 in Book 86 of Official Records, at page 313,
County, California. -
EXHIBIT "A"
"PLAN REVIM,APPLICATION
..*SITE
Date: 4AP# 03c) - So 6
Permit Number (if applicable) 3-78 B Bin� Numb,er
APPLICANTINFOR MATION' Parce I Size:'
Owners Name: _TA C_ Grc__Q� W1 Lt-)
PO SOX. 11100-1.
Owdefs Address:
Telephone No,. - 1( :08 -!r-L- 8-7
.Situs Address: to C) C H o P, f > CQ
roposed Use:
Residential
F1 New Smi�gle Family Resid'�e'n'tial
E] Single Family Addition El ;Single Family Remodel
Mobile Home
F] Residential Accessory
F� Permanent Second Dwelling
Temporary Mobile Hoffie (Aunt Minnie)
Temporary Travel Trailer
Multi-faffifly
Non-residential y*Z
F� New Commercial A
F� Commercial Addition Comm ial Remodel' -
F -1 New Industrial
F] Industrial Addition dustriat Remodel
Other
S, tic Well
ep
F] Agricultural Exempt Building Agricultural Buffer F6rm A Applicable'[:] 'N'/A-
Other:
Brief Explanation (if necessary):
DO NOT WRITE BELOW THIS LINE
PE VEL OPMENT SER VICES INFORMA TION (For Staff Use)
Approved, Conditionally Approved E] Resolvb Problems Prior to A�proval
Site Plan Stamped ApproVed'
By Date
Page -1 of 5
I -
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
Snow Load Area:
Land Conservation Act Minimum Acreage: E] Verify residence can be built per contract
Nitrate Action Plan (See Environmental Health for standards)
EJ Watershed Protection Overlay Zone (See attached standards and requirements)
M Expansive Soils (T6st for expansive soils and if verified proper foundation design required)
Ej SRA - (CDF to determine specific requirements)
F] 100 -Year Flood Plain: (See a ed)
Flood Zone: t!3� -
Flood Panel No.: 0930 C— Index Date:
Fj Sacramento River Reclamation District (Approval must be obtained from the Califomia Reclamation Board)
Fj Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
F] North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
Ej Chapman/Mulberry (See attached standards and requirements)
Cohasset Area (See attached standards and requirements)
Grading Zone (See attached handout)
Use Requires:
El Use Permit El Minor Use Permit EJ Administrative Permit
F1 Minor Variance 0 Variance
--------------------------------------------------------------------------------------------------------------
F-1 Detached Building Use Form El Encroachment Permit
Fj Agricultural Worker Affidavit El Agricultural Acknowledgement Statement
Zoning: A -
Applicable Building Setbacks:
El Setbacks drawn on site Plan. El CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
El Setbacks drawn on site Plan. El CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Applicable Develooment Fees:
%
Standard Fees Amount Fo I rmula
F] Fire
El School
F-1 Parks/Recreation
Roads
El Sheriff
7r
F-1 Drainage
NCSP/CSA 87
Chico Urban'Arev Road
F1 Thermalitobra'miage Area
Thermalito 'Urban Area
El Other
-------------------- ---- I_-
77 ------------------------------------------- -
-- ---------
Subdivision Map Special Fees
Water Ter�der
E] Road Improvement
North,Oroville Area,',
El. Other (per map)
Check with� school district toxerifyactu�l fee if pre-appy6ation review. A final determination will be'm'ade it the time of
the building permit.
Parcel Created By.
Date of Creation: Legal Adcess Pro.vided: E]No E]Yes
IDeed of Re erence: Legal A6cess R64uired*- No El Yes
f
d- El No--EI-YeS Road Name:
'Parcel Frontage on Publicly Mairitairied R6a�
-Complies with County Standards for Deed Cfeation:E] No E-1 Yes
Comments�-
F-1 Parcel Deemed to be legal
E] Verify Legal Parcel E] '�erify Legal Access El ProvideDeed of Creation
F] Obtain a Certificate of Comphince
Obtain a Mergei bbtain'atot Line,. Adjustment
r J Comply with Old'�Subdivision Lof Ordinance imap's're'c'o`rd6d prior' to Book 17 6f Maps Page 23).
F1 Construct ro4d to: El Meet Parcel size'r6quired by zone
El Meet current Environmental Health Department requirements
------------- ---------
------------- ---------- ---------------
P�ge 3 of 5
a Subdivision ME/Parcel ME: D Q C C -f? -8S -'F VP % T �� 0 , �
Map Date of Recording:
Lot:
-�-- �L LO - 9 (,0
19 Book:
El Use PermiV`Minor Use Permit
Permit Number:
LA Page: b,
Date of Approval:
Parcel Map/Subdivision Map[Use Permit Conditions
n Comply with the following Conditions of Approval: E) Attached' Ej None
R Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
El Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, 'unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
El Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
In lieu of a pressuriz�d water system or' water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
F] Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
Fj Engineered foundations are required.
n Class A roofs are required.
EJ Property owners responsible for road 'maintenance, and stop sign maintenance.
IM]
10
Page 4 of 5
. ;4
FOUNDATION CALCULATIONS
Jaeger Residence
Or'oville, CA
Job, Number: 03 -
December 4, 2003
............... . .. .......
".", . I? F E 4 '-, -
1151, G.
k;
No. 58201
E 0 06
Cl
from the design desk of....
Russell, Gallaway Associates
-7 Sierra Nevada Court
chico� California 95928
ek 6
342-0302 fax 342-1882
w-N�.rga-chicoxom
o3,5788
BUTTE COUNTY'
BUILDING DIVISION
AP OVED
Floor Supports
Longitudinal Spacing:,
Sim
6
Lateral Spacing:
Serenity Homes
Slat
6.5
Trib Area
Job No. 03 -
Jaeger Residence
Noi of P.T. :No. of Piers &
(ft. sq.)
(lbs'.)
12/4/2003
BC
39
1,950
17
2
Input Data
Trib Length
Roof Dead Load
Footing,Width
R�l =
10 psf
(plf)
Roof Live Load
R11 =
30 psf
0.26
Floor Dead Load
Fdl =
10 PSf
Floor Live Load
F11 =
psf
Building Module Width
D=�
13.00 ft
H.C.B. SET:
P='
6500 lbs -
Soil Bearing Pressure
SB=
1000 psf
Width of P.T. Base Pad
Wp =
11.25 in
Length of P.T.,Base Pad
LP =
24.00 in
Calculations
Vertical Load at Mod -Line:
W=(Rdl+Rll)xD
W=
520 Of
Marriage Line Supports
Marriage Line #1
No. Location Loads
Footing Size
No. of RT.
No. of Piers &
(ft.) (lbs.)
(in. sq.)
Base Pads
Pier Rated Load
Wall - 10 0.00 1,344
14
1
1 5.17 4,594
26
3
2 17.67 3,942
�24
3
3 20.33 4,831
.27
3
4 36.25 6,848
32
4
2
5 46.67 5,481
29
.3
Wall - 6 57.83 2,772
.20
2,
Marriage Line #2
0
0.
0
0
0
0
0
0
"0
0
0
0
.0
0
0
0
0.1
0
0
0
Or
0
0
0
0
0
0
0.
0,
Floor Supports
Longitudinal Spacing:,
Sim
6
Lateral Spacing:
Slat
6.5
Trib Area
Load
Footing Size
Noi of P.T. :No. of Piers &
(ft. sq.)
(lbs'.)
(in. sq.)
-Base Pads Pier Rated Load
39
1,950
17
2
Perimeter Footing:
Trib Length
Load
Footing,Width
(plf)
6.5
260
0.26
Russell, Gallaway Associates Structural Engineering
Serenity Homes
Job No. 03-
-Jaeger Residence
12/4/2003'
BC
Input Data
Design Wind Pressure
(75 mph exp. C) P
20 psf
Seismic Load Factor
EQ
0.117
Roof Dead Load -
R�j
10 psf
Wall Dead Load
Wdl
19 PSf
Floor bead Load
Fdl
10 psf..
E��terior Wall Height
Ht,�
8.0 ft
Roof Height
Ht,
A.0 ft
Building Length
60.0 ft
-Building Width
W.
25.7 ft
Anchor,Bolt WorkingLoad, 1/2" x 6" "AB
831 lbs
Calculations,
-:,Wind Load
V,�, P x (Htr HQ
240 plf f
Seismic Load
V.4 EQ:x (Rd, + W�,,+ Fd1)
�4 plf
Seismic in Longitudinal
Direction Veq long Veq x L
211 Plf
No. of 1/2"
x 6" AB req'd at end Wall
4
Seismic in Transverse Direction Veq - tmns Veq X W
90 Olf
No. of 1/2"
x 6" AB req'd at side wall, �i
9
Tota I No. of Vents
Min. underfloor venting is 1i sq. ft.'of"vent for'every.
150 sq, of underfloor area.
Total underfloor area
1540 sq ft
Total No. of 67x. 14" vents
18
Russell, Gallaway Associates'
Structural Engineering
RECORDING REQUESTED BY:
WHEN RECORDED MAIL TO:
Butte County Building Divisiom
7 County Center Drive
Oroville, CA 959,65
NOTICE OF MANUFACTURED. HOME(MOBILEHOME)
OR COMMERCIAL INSTALLATION OF A
FOUNDATION SYSTEM
THE ATTACHED DOCUMENTIS BEING RECORDED TO CORRECT ERROR IN THE
LEGAL - DESCRIPTION LISTED ON NOTICE' OF MANUFACTURED HOME
(MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A, -FOUNDATION
SYSTEM, RECORDED ON SEPTEMBER 16,,2004, UNDER -SERIAL NUM13ER 2004-
0057242.
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE* FOR, RECORDING
INFORMATION.
kECORDINd REQUESTED BY.:
AND WHEN RECORDED MAIL TO:.
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
SPACE ABOVE THIS LINE FOR RECORDER USF, 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 �nd Safety Code
Section 18551. This dor
pument is evidence that such,19cal -agency has issued a certificate of occupancy for installation of the
unit described hereon, upon the real property described with cqrtainty below, as of the. date of recording. When recorded, this
document..shall be indexed by the county recQrder 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.
JAEGER, WILLIAM J
BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNER/LES$OR
LO L' XGENCY-ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
PO BOX1300
7 COUNTY CENTER DRIVE
MAILING ADDRESS
MAILING ADDRESS
YUBA CITY SUTTER CA 95992
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
CITY COUNTY STATE ZIP
56 ORCHARDCREST DR
03-3788 (530) 538-7601
INSTALLATION MAILING ADDRESS, IF -DIFFERENT
BUILDING PERMIT NO. TELEPHONE NUMBER
OROVILLE BUTTE CA 96065'
9/3/2004
CITY, COUNTY STATE ZIP
SIGNATURE OF LOCAL AGENCY OFFICIAL DATE
SAME
8ERENITY HOMES
UNIT OWNER (if also property owner, write "S - AME"
DEALER NAME (if not a dealer, write "NONE")
SAME
KHIOO-021146
MAILING ADDRESS
DEALER LICENSE NO.
M
CITY COUNTY STATE ZIP
UNU DESCRIPTION
FUQUA HOMESINC 2003 OAKHURST 4485
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
.1 890A/B 60'X 25'8"' OPE- 449744/5
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S)
REAL,PROPERTY LEGAL DESCRIPTION: SEE ATTACHED
ASSESSOR'S PARCEL NUMBER: 030-500-019
HCD FORM 433 (A) REV 8/91
RECORDING REQUESTED BY:
WHEN RECORDED MAIL TO:
Butte County Building Division
7 County Center Drive
Oroville, CA 95965
NOTICE OF MANUFACTURED HOME(MOBILEHOME)
OR COMMERCIAL COACH, INSTALLATION OF A
FOUNDAT ION SYSTEM'
THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT ERROR IN THE
LEGAL DESCRIPTION LISTED ON' NOTICE OF MANUFACTURED HOME
(MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION
SYSTEM, RECORDED ON SEPTEMBER 16, 2004, UNDER SERIAL NUMBER 2004-
0057242.
THIS- PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING
INFORMATION.
I
REC6RDING 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 MANUFACTUREDUOM.E (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the
unit described hereon, upon the real property described with certai ' nty 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.
JAEGER, WILLIAM J
BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNER/LES$OR
'LQCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
PO BOX -13 00
7 COLNTY CENTER DRIVE
MAILING ADDRESS
MAILING ADDRESS
YUBA CITY SUTTER CA 95992
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
CITY COUNTY STATE ZIP
56 ORCHARDCREST DR
03-3788 (530) 538-7601
INSTALLATION MAILINGADDRESSJFDIFFERENT
BUILDING PERMIT NO. TELEPHONE NUM13ER
OROVILLE BUTTE CA 96965
9/3/2004
CITY COUNTY STATE ZIP
SIGNATURE OF LOCAL AGENCY OFFICIAL DATE
SAME
SERENITY HOMES
UNIT OWNER (if also property owner, write "SAME"
DEALER NAME (if not a dealer, write �'NONE")
SAME
KH100-021146
MAILING ADDRESS
DEALER LICENSE NO.
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
FUQUA HOMES INC 2003 OAKHURST 4485
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
1890A/13 60'X 25'811 ORE 449744/5
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION: - SEE ATTACHED
ASSESSOR'S PARCEL NUMBER: 030-500-019
HCD FORM 433(A) REV 8/91
WHITE —County Recorder CANARY—HCD PINK—Applicant GOLDENROD— Building Dept.
Exhibit "A'
Real property in the unincorporated area of the County of Butte, State of California, described as follows:
PARCELI:
LOT 19, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "AMENDED MAP OF 6RCHARDCREST
SUBDIVISION UNIT I", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 26, 1996, IN BOOK .142 OF MAPS, -AT
PAGE(S) 1, 2, 3 AND 4.
PARCEL II.:
A NON-EXCLUSIVE RIGHT OF EASEMENT OF ENJOYMENT IN AND TO THE COMMON AREA INCLUDING
INGRESS AND EGRESS, OVER LOT A, COMMON AREA, AS SHOWN ON THAT CERTAIN MAP ENTITLED,
AMENDED MAP OF ORCHARDCREST SUBDIVISION UNIT 17, WHICH MAP WAS RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 26,-
1996, IN BOOK 142 OF MAPS, AT PAGE(S).1, 2, 3 AND 4.,
APN: 030-500-019�000