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HomeMy WebLinkAbout039-270-134�» �9_ a7-13 O391 -37, 7'70 • /3y . EUNICE CA$TWRI Hm F;-ENVIRONMENTALPerkinsRd Dayton, lot 34 LTH CLEARA,RxANCE Contr: Art Davey, Chico Permit#4414-81E(install new ele ser for MH existing site - ,,ggE��N-..��V��I NMENTAL HEALTH LEARAR 039-270-134 �� 02-3438 IN LE DATE 0 k SMITH,CARSON & CATHY _ �10 PERKINS RD., DAYTON T CONT:` SKYCREST-ENTERPRISES - .ENVIRONMENTAL NEW,MH PERM FND NEWSITE HEALTH CLEARARANCE _ DATE 039-270-134 02-3439 ,Ll -,CARSON 6z CATHY, .tINALED PERKINS RD., DAYTONp3 CONT: SKYCREST ENTERPRISE GARAGE L g(34 4 County of Butte_ Oroville, California __ GENERAL CLAIM CLAIMANT`: Sky Crest Enterprises ADDRESS: 13468 Hwy 99 East IMPORTANT: CITY & STATE: Chico, CA 95973 SEE INSTRUCTIONS ON REVERSE SIDE DATE OFCLAIM- SUBMIT CLAIM _T.O. DEP_ARTMENTRECEIVING-GOODS OR -SERVICES DATE I DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Reason for the Refund: Over charged on permit t5lag Permit App No.: 02-3439 AP No: 039-270-134 Receipt No.: 369423 Receipt Date: 12/13/02 Bldg Permit Fees: Owner's Name: Carson & Cathy Smith TOTAL FEES PAID: $2355.14 TOTAL FEES RETAINED (Breakdown Below): $188.14 Building Permit Filing Fees: Plan Checking Fee: Plumbing Permit Filing Fees: Energy Plan Checking Fee: Electrical Permit Filing Fees: Refund Processing Fee: Mechanical Permit Filing Fees: Inspection Fee: SRA Fee: $47.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated Dated this day of , 2003, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of , 2003, at _Oroville Calif. Department Head or Authorized Deputy Dept. Code 440-001 Exp. Code 4210500 PAYABLE FROM Construction Permits FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB. PROD. SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB GROSS AMT. TOR BUILDING DIVISION USE ONLY:,Z7 Receipt Information: Number: Date: Issued To: Amount: a 5 q 4 Fees Retained:Aj L, 1 3/ 0 3 BP# 7uleBP# Processing Fee: $ Processing Fee: $ Bldg Filing Fee: $ Bldg Filing Fee: $ Plbg Filing Fee: $ Plbg Filing Fee: $ Elec Filing Fee: $ Elec Filing Fee: $ Mech. Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Plan Check Fee: $ Inspection Fee: $ Inspection Fee: $ SRA P/C Fee: $ SRA P/C Fee: $ Other: $ Other: $ Total Amount Retained: $ $ TOTAL REFUND DUE:$ d $ Amount from 440-001 $ Amount from S JAMy Documents\REFUND CLAIM APPLICAMN.doc Amount from' $ Amount from S 12/17/02 NOTES T r RESIDENTIAL PERMIT NO. _i 039-270-134 02-3439 SMIT,1I, CARSON & CATHY SOUS PERKINS RD., DAYTON = CONT: SKYCREST ENTERPRISES + GARAGE t 1 f 'r II SPECIAL CONDITIONS II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY JOB FINALED (Date) Signature s� J= 0 = Not 0K . NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Water; Location -Test -Easement Needed (Sketch) Sills-Anchors-Studs-Rftrs-Trusses iding; Nailing -Veneer -Stucco -Mesh 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 11. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG Braced Wall Panels 7. Well Clearance & Disconnect Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Utility Clearance Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 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. Gas and 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 MISCELLANEOUS Date DECKS, V , CARPO S, GARAGES(plans) OK except #'s oni equirements-Set ents Date' otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Pool Structure; Steel -Connections -Thickness Dead Men -Lining I ric I.Zr2g.; Sills-Anchors-Studs-Rftrs-Trusses iding; Nailing -Veneer -Stucco -Mesh W. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date' POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards- 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 J=OK o = Not A - =Not App plicable . = Not Ready RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 1. Zoning -Setbacks -Easements -Flood -Slope 50. 2. Ftg., Main; Soils-Elec. Grnd.-/ '/" Ftg. Depth 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Garage Fire Protection Framing -RC Channel 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Property Line Firewall & Openings 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 56. 6a. Hold Downs and Special Anchors 57. 7. Slab, Steel -Wrapped 58. 8. Piers -Fireplace Ftg.-Steel 59. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 60. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 61. 11. Water Pipe; Test -Anchors -Regulator -Service Test 62. 12. Electric Underground 63. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Date 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Elec. Outlets & Receptacles at Kit. Counter 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 AI -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 proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing (Single & Duplex) .- Date FRAMING (Continued) - 47. -Hangers-Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll 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 -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. 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 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.F.I.)-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 O Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters O Yes 0 No 84. Stucco B�owri-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 -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) 538-754b PER► 0 (Rev. 12/96) APPLICATION AND PERMIT `� ASSESSOR PARCEL NUMBER !)39-270-134 ZONING BUILDING PERMIT OWNER SMITH.. CARSON & CATHY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1409 GLENi•JOOD AVE. CONTRACTOR'S NAME SCYCREST ENTERPRISES TELEPHONE 342-2694 CONTRACTORS MAILING ADDRESS 13463 HWY.99E.. CHICO CA 95973 - CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADD ESS �n j� - Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS MIME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: C -A AGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2DOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in f II Orce and effect. I �} < �/ License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. Morc,9 atiol unsu ce carrier and policy number are: Policy Number /5.Z3 83 6 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply, with those provisions. X 0__ Date Signa a of App Ic nt #0 Owner ❑ Contractor ❑ Agent An OSHA permit is requir d for excavations over 60" deep and dJ P e olition or construction of structures over 3 stories in height. Main Service ZDOA TO IOooA 46.00 NEW CONST. DWELLING OOCUP. SO OR AIDDNS.cONS ( a ACC. S.3.5¢x. 6.95 p�,pT MULTI -OUTLET 97.50 POWEA APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD(TURES BAL @ 1.OSOD Ex. Occup. oF"i,TE�°rs .a.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 36.95 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP fLOOD CDF PARCEL PID HD 5 UE 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. �-L�1y By DDat ` �3 PERMIT EXPIRES ONITE-D.D.S.-B.D. ate rReceiptNo. • L CANARY- S SSOR PINK-INSP O LDENR D -APPLICANT �+e•rgy. •t"fpr.qp'�'Yh"�Mr�l�r'��"ti.�ti'`�Cyi.'io.�i �+vti ....,n,...Vh"_""`r v'y1•^�ji�^1r�y;lvir�rr4.:i`� V,yW.iw""'►'S.vf'f COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA95�965'Plione (530)538-7541 Fax (530)538-2140 PERMIT APPyyLICATIONDATA SHEET OWNER: ASSESSOR PARCEL NUMBER ,2 Proposed Building Use: Counter Technician: Date: Items required in order to apply for emit. All boxes MUST be checked OR marked NA in order to apply. Plot plans, 3 or 4 sets, signedty the preparer of the plans. I Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate., No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate.- / • ❑ 7. Metal buildings: (A) Metal Building; Plans,B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate, WI of these must be stamped and wet -signed by the engineer. Items required for initial plan review.' If checked items have not been received, plan review cannot proceed. indexed and returned to the plan review line-up when required items are received. 0, I Date Received ❑ 8. Flood Elevation Cert fate, weft:stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs ..................................... ❑ 10. Letter of intent for nontr�sidggtial.bualc ings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other .... The.permit will be Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 15.aatement of Intent for Non -heated and A/C Buildings..........` ............................ �.. , Sanitation and plot plan approval from the Environmental Health Department in C4 C U ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: CO3(B)Parking: (C) Parcel Check: 12-1 8-d ❑ 20. Contact Land Development about ❑ Improvements, ❑•Drainage ........................:� ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for � required:...,,!......... ❑ 23. Contractor's license information. (Number, Name Style, Classification) ....................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance.,......(....f................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ Lim ■1 ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above.items d requirements for obtaining a building permit. Applicant: f �G, I Date: r O �-- 1. Indexyerrnit application for the above items numbered: Plan Check Letter 2. al items required ontracto , designer, owner, was advised cf the above data y p one, ❑ mail, ❑ counter, by Date: _ % Z or, designer, owner, was advised of the ab ve d t by ❑ ph - : ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: 3.'L ,, _/.Structural by: (L.�j, Date: DW L d Structural reviewed by: Date: -J-% /Structural approved by: Date: Note transfer by: Date: Yellow: Building Division I - , FOR BUILDING DIVISION USE ONLY: n!rf% Receipt Information: Number: 0�3 Date: Issued To: lz� k --U OA"4— Amount: 5 C Fees Retained: 7u� � BP# BP# Processing Fee: $ Processing Fee: $ Bldg Filing Fee: $ Bldg Filing Fee: $ Plbg Filing Fee: $ Plbg Filing Fee: $ Elec Filing Fee: $ Elec Filing Fee: $ Mech_ Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Plan Check Fee: $ Inspection Fee: $ Inspection Fee: $ SRA P/C Fee: $ SRA P/C Fee: $ Other: $ Other: $ Total Amount Retained: $ $ TOTAL REFUND DUE:$ `i d $ Amount from 440-001 Amount from JAMy Documents\REFUND CLAIM APPLICATION.doc Amount from Amount from 12/17/02 g11TtF o ,` Butte County Department of Development Services ° ° Y ° Building Division UN �y REFUND CLAIM APPLICATION REQUEST FOR REFUND Refunds can only be made upon written request by the person who paid the fee(s). The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked are not refundable. Fees paid to other County Departments are not covered by this claim. [Butte County Code Section 3-41(t)1 CLA MANT' S NAME: MAILING ADDRESS: ASSESSOR'S PARCEL #: BUILDING PERMIT #: RECEIPT NUMBER(S): A request for refund of fees paid on the above receipt number(s) is for the following reasons: Please refund any applicable fees in the following categories: (Check those fees which you wish to have refunded.) ( ) Building Permit Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address ( ) Please dispose of plans ( ) Sheriff Fees ( ) Other (specify): Signature Date 1 A COUNTY OF BUTTE GENERAL CLAIM FORM WILL BE MAILED TO YOU FOR SIGNATURE AFTER REVIEW BY BUILDING OFFICIAL. J:\ivly Documents\REFUND CLAIM APPLICATION.doc 12/17/02 COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: SRLf .�f' dd rl+10 ADDRESS: CITY & STATE: DATE OF CLAIM: �]- IMPORTANT.• SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT (lute( (11ladrag GD C TOTAL the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of , 19_, at _ . Calif. Signature of Claimant i, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or derroered and .hat there is a Budget Appropriation I ) or Specific Board Approval I I (Check one) for the same. Dated this day of______, 19_, at . Calif. Department Head or Authorized Deputy ept. Code ?ept. Code 'ept Code Exp. Code PAYABLE FROM FUND Exp. Code PAYABLE FROM FUND Exp. Code PAYABLE FROM FUN DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Sky Crest Enterprises ADDRESS: 13468 Hwy 99 East IMPORTANT: CITY & STATE: Chico, CA 95973 SEE INSTRUCTIONS ON REVERSE SIDE DATE OF CLAIM: SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Reason for the Over Charged on. permit Refund: blag Perm -if -App No.: 02=3.439:. AP No:039'270 '134 Receipt No.: 36:9423. Receipt Date: ; 12/.1:302; Bldg Permit Fees: Owner's Name: CarSOCI: &- athy 5Mith, . TOTAL FEES PAID: $235.14 TOTAL FEES RETAINED (Breakdown Below): $188.14 Building Permit Filing Fees: Plan Checking Fee: Plumbing Permit Filing Fees: Energy Pian Checking Fee: Electrical Permit Filing Fees: Refund Processing Fee: Mechanical Permit Filing Fees: Inspection Fee: SRA Fee: $47.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or dre�l—iveere/d, and that this claim is true and correct as stated Dated this day of /�CJ 2003, at A i�G�l�� Calif. 7'L` ^� 16&<�' Signature of llaimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered Id that there is a Budget Appropriation or Specific o prov (Ch ck one) for the same. Dated this / day of 15 2003, at _Oroville Calif. Depalient Head or Authorized Deputy Dept. Code 440-001 Exp. Code 4210500 PAYABLE FROM I Construction Permits FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB. PROJ. SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB GROSS AMT. NOTES RESIDENTIAL 039-270-134 02-3438 PERMIT NO. ITIEARSON i' CATHY � PERKINS RD., DAYTON CONT: SKYCREST ENTERPRISES NEW MH PERM FND NEW SITE SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER I-7 "7aaJ 01/60" R Sy33`13 i /(OJ .j .. v JOB FINALED (D ) ` Signature OFFICE COPY Address GAS 4D 'Meter By ELECTRIC c Meter By . Date; SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER I-7 "7aaJ 01/60" R Sy33`13 i /(OJ .j .. v JOB FINALED (D ) ` Signature P�,� �� .� • �- T J=OK . 1 0 = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; cation -Test -Easement Needed (Sketch) 5. Ele,pt icity; Location-Clearances-Grnd-/ /Amp -Concrete as; Location -Test -Wrap; -/,X / "ft. / P Nat. or/ P' L "ft./ LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 / Date Card B-1 Date MOBILEHOME INSTALLATION (Plans) OK except #'s Line ecity; MH Test -Crossovers -Breakers -Clearances 5� rain-MH,Test-Fall-Flex Connector 7._Y46ter and Sewer Connected -C/O to Grade -HD Approval 8. Gated Electricity Tagged ie Downs -Type -Installation Cert. le -Sits; Insp.-Sketch - 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERlIv3ANENT END SYSTEM (ONLY) 1 ning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 2- 13-,o,3 locking as; MH Test -De -Valve ctricity; MH t ter; MH Teof Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date L• I L ,W Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 !%pZD/f C/¢ ` -76 mvzrt a71 -G7 L/n, , ii 7� ,e ooc) oo MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures .6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings ! 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 1 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles. and Lighting, Distance-GFI i 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed j 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 1 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 J=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/O -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 T Date FRAMING (Continued) 47. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 17. Water Htr.; Vent -Access -Combustion Air Baffle Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 18. Water Pipe; Test & Anchor -Nail Protection Garage Fire Protection Framing -RC Channel 19. D.W.V.; Test Fittings & Anchor -Nail Protection 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 20. Shower Pan; Test, First Floor -Tub Access Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 21. Test Tub & Shower, Second Floor -Tub Access Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 22. Gas Pipe; Sixe & Anchors Siding -Nailing Veneer 23. Fire Sprinkler; Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Trim & Subpanel, Breaker Sizes & Labels 24. Fixture & Transformer Clearance -Ins. Protection 70. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled Fireplace or Stove, Clearance -Hearth 27. Romex Installed Close to Edge of Studs & C.J. 72. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 74. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral ❑ Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. A.C. Duct in Garage -Damper 34. Clothes Closet Light -Shower Light -Spa Light 77. 35. Smoke Detector 78. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 81. 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 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 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 41. Sills Proper Materials & Anchors 87. Water Well, Disconnect, Electrical, Plumbing 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 88. 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) Ventilation Throughout House, 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 90. 46. Headers & Beams -Size & Bearing T Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll 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 -Headroom -Rise -Run -Landing -Fire 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 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.F.I.)-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. ❑ Yes 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes ❑ 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 -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date _ - Card B-1 i Date Card B-1 Date Card B-1 Date - Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 3;'r"`"`.yfa.w7flCr'+s o;,w"r"q'f'►�'^'4�•"�545++'�p'+�iV�7i'�Y."..� COUNTY'OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE / TAS 73 � ss OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �9l //-4g-/ 1-;917 Nk-wi COUNTY OF BUTTE _ • • • . = t BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 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 i1 ve any questions pertaining to this matter, or need additional explanation, please contact this ffice immediately. �M COUNTY OF.BUTTE - DEPARTMENT OF D9VELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Califhrnia 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-3438 ASSESSOR PARCEL NUMBER 019-970-1,34 ZONING BUILDING PERMIT OWNER RS01q TRY "O SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADD ESS 1409 C�T,F,,NJJ00D T -;1 C.!4T('.O..f _L4 CONTRACTOR'S NAME SIKYCRESTE ; DT TELEPHONE _76 CONTRACTORS MAILING ADDRESS c. r, CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 545/2= $ 272.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 20.00 BUILDINGADDRESS PERKINS tRD. , DAYTON Energy Plan Checking Fee $ $ S PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.0015.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NE*iJ MH PERM FND NEW SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W Ca20.00 PERMIT FEE $ 65,00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 3r8 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 isP f ff�ce and effect. ` �/� License Class Lic. No. ` G/ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. - ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. GKII 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' en on insu ante carrier and policy number are: Carrier _ YLC4 Policy Number —0 F3 3 Irte (The above sections nee not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation p visions of section 3700 of the Labor 'Code, I shall forthwith comply with tho provisions. X Date Sign f Applicant - Own ❑Contractor ❑Agent A S permit is required for excavations over 5'0" deep and demolition or construction of ctures over 3 stories in heighP11 Main Service To 46.00So No U CCU000A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.5QFT; =RIOIDT MULTI.OUTLET @7,50 FOWER APPA U 8 SINGLE OUTLET C IR. Ex. Occup. OUTLET OR FD(TURES zo p 1.00 BAL @ .50 FIXED APPLNS. OR 5.00 Ex. Occup. oLJTLETS RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43 OC MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEQ_ CEL PD HD I ISS This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By 6 P1$7ERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date VJ la D fe Receipt No. rJ (O Led WHITE-D.D.S.-B.D. CANARY- E SOR PINK -INSPECT GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMITo. CF OWNER ;Rev. 12/96) APPLICATION AND PERMIT O � -3-.3 ASSESSOR PARCEL NUMBER /� �J ZONINO V/y — !-, �3 5�., BUILDING PERMIT TELEPHONE t 1 _SQ. FT,OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS I I. w n. .. , 7 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS ARCHITECT OR ENGINEER ARCMTECT OR ENGINEEWS 1 BUILDING ADDRESS _ 17q � IAT NO. DNIS IDN E PARCE MAF USEOFSTRUISTURE Zc'tfi� SF ❑ Duplex ❑ Mobilehome X Other sPECIFr TYPE OF WORK New X Addition ❑ Remodel ❑ Utilities 0r Installation ❑� Other )❑/ Describe Work: ����at0nIJS LfeW 5(c)'X 2_6" M) �:LqT>-b- X� oS 1 F C� Fireplace Total Valuatlon S 20.00 -0 - D' ,J 20.00 Imo, w $ & e '' $ Main Service Checking Fee $ Ot an Checking Fee $ Main Service YOGA TO IOOOA SPERMIT NEW CONST. OR ADDNS. FEE MF SMBING NON-RESID. PERMIT @7.50 Fling Fee 7.00 eat um water heater 23.00 in 15.00 Each gas water heater or vent 15.00 Gas piping system t- 5 outlets t 5.00 Buildin1 sewer 15.00 Mobile Home S GMobile Home S G WW 920.00 20.00 -0 - D' ,J 20.00 Imo, w POWER APPARATUS d sNOLE OUTLET CIR *PERMIT $ Ex. Occu . OUnzr oR FTxnmw EX. OCCU D'��• OR OUTLEr9 RESID. EA Temporary Service SRA $ Mobile Home Facilities Misc. Wiring SHERIFF $ 5.00 23.00 20.Q0 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 OTHER $ Heating Coollna AMOUNT RECEIVED $-��. *RECEIPT NUMBER 7�)6 9 *TO BE PUT INTO COMPUTER Hood6.50 PERMee� S Mobile Home Installation S Energy Inspection Fee $ occ coNST. nPE ITOT#& FEE $ HAZ. 1.. IMP Fl. —,la_ .. 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 %^9'.: PERMIT FEE S & ELECTRICAL PERMIT Filing Fee 20.00 Main Service "OV DR LES. tow OR LESS 23.00 Main Service YOGA TO IOOOA 46,00 NEW CONST. OR ADDNS. D t:LLND OCCUP. A ACC. BLDs. 3.5QF°: NON-RESID. MULTI -OUTLET CIRCI ns @7.50 POWER APPARATUS d sNOLE OUTLET CIR *PERMIT $ Ex. Occu . OUnzr oR FTxnmw EX. OCCU D'��• OR OUTLEr9 RESID. EA Temporary Service SRA $ Mobile Home Facilities Misc. Wiring SHERIFF $ 5.00 23.00 20.Q0 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 OTHER $ Heating Coollna AMOUNT RECEIVED $-��. *RECEIPT NUMBER 7�)6 9 *TO BE PUT INTO COMPUTER Hood6.50 PERMee� S Mobile Home Installation S Energy Inspection Fee $ occ coNST. nPE ITOT#& FEE $ HAZ. 1.. IMP Fl. —,la_ .. 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 %^9'.: r' A O •/01 , School District r' A.P. Number Property Owner Property Location/Address Subdivision Residential Dev? lopment Commercial/Industrial ' 1 BUTTE COUNTY SCHOOLS,IMPACT FEE CERTIFICATION FORM 1 (One rm per Building} ,w t f { Building Department No. } 107 — 3ET Jurisdiction: City '�.,�County Lot No. I- .4 O - 3 3$l S S .................................................................................................................. Sq. Footage / No of Living Mob'ome Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection; :......................................................... New Addition I dans reviewed by Scnool Uistrict Personnel) District. Identification.No. N.— Uie 44"n ON i F f E - School District certifies that 5)elcin s Sq. Footage (Including Exterior Roofed Areas) Date Ofi,e `r' -5m , �/ h , (Applicant) (Street Address) (Phone Number) (IM � M1, )l 04 f0-0 e4 1? 5-y;23 (City) (State) (Zip Code) has complied with the requirements of Resolution No.' eo ' by payment of $ 3 /45-- 8 `1 representing square feet. a School District Representative av �s AB 2926 $ FULL MITIGATION $ i Date 1-7-403 Paid by Check # Remarks: Flo -64 f T. � 1,e -f- &S'(f /0 a J SliO Wa ei Sr - 5 ele 0 C0 Y"5e,e000 a7433 gro ,be of t5e,&oev Duey;► UNIF/kms -509-floc.. DIS'rOICIc7 Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. 4 If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEGA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (budding department), Pink (school district) feeform.xis 00/98)dmm CC,3QY of Document Recorded F-7) 23=Dec-2002 2002-0070415 AND WHEN RECORDED MAEL TO: - Has not. been compared with BUTTE COUNTY BUIIAING DIVISION` original 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code require this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and order. Butte County has established agriculture purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION DateJZ2?PROPERTY OWNERS: "X4" State of California County of Butte On 6/ • 2 F. OL before me, personally appeared 4aA; L.. .pff"Helly known M-lo-(ep proved to me on the basis of satisfactory evidence) to be th rso ) whoseQgr—esubscribed to the within instrument and acknowledged to me that he(pthey executed the same in their authorized caci ies), and that by hisdaYtheir4a j; r s) on the instrument, thus) or the entity upon behalf of which the acted, executed the instrument. WITNESS my hand and official seal. Signature Seal. M. SUSAN GLA1Z COMM i 1280664 A.P. # 039-27-0-134-0 0 NOTARY PUBUC-CAUFORMtA COUNTY OF BUTTE Comm. Expires Oct. 18; 2004 An easement for the construction, use, maintenance, and replacement of a domestic water well, together with pipes and other appurtenances *necessary for the distriOution of water, also together with the rights of reasonable access to said facilities. All that certain real property situate in the County of Butte, State of California, described as follows: Being a portion of lots 23, 24 and 25 of the Town of Dayton, according to the official map thereof filed in the office of the Recorder of the County of Butte, State of California, June 25, 1868, in Map Book 1, page 3. Beginning at a point on the Northwesterly line of Lot 32, Town of Dayton, Butte County, said Town map being recorded in the office of the Recorder of the County of Butte at Book 1, pages 3 and 4, said point being at the intersection of said lot line and a line described in a deed from Central Bank T/U/W LeRoy Ford, deceased to James Foreman Trust for LeRoy Ford recorded in Book 2584 at pages 697 and 698 Butte County Offfcial Records said line being described as marking the West line of the lands of Cartwright, said point being the True Poiuit of Beginning for the herein described easement; Thence N 0° 45' E along said line a distance of 68 feet more or less to a point, said point lying westerly 9 feet from an existing water well, thence continuing along said line a distance of 10.00 feet; Thence leaving said line S 89° 45' E a distance of 20.00 feet; thence S 0° 45' W a distance of 20.00 feet; thence N 89° 45' W a distance of 10.00 feet to a point; thence S 0° 45' W, along a line 10.00 feet east of and parallel with the West Iine of Cartwright to a point Iying 10.00 north west of the north west line of lots 32 and 33; thence Northeasterly along a line parallel with the north west line of lots 32 and 33 to a point on the easterly line of Lot 24; thence continuing along said line a distance of 10.00 feet; thence leaving said line and running perpendicular to said line a distance of 10.00 feet to a point in the Northwesterly line of lot 34; thence along the Northwesterly lines of lots 34, 33 and 32 to the True Point of Beginning, ok LARRY-PANTER From: CHICO ENV. HEALTH EHS ❑ CONDITIONALLY APPROVED ,TUN 2 6 2002 ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL ., \ PERMIT CLEARANCE Permit #: C>-,�' 3 y 3 V Genera/Information wVsAddress: me: Date: r�©� AP#: 0z9 — a / V —/X Building Site Address: Prope &117formation Permit Tyne: ❑Agriculture Building ❑Commercial ❑ Industrial Mobile Home g SFD ❑Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel Septic ❑ Well ❑ Other Zone District:/ " 1 * Date of Zoning Ordinance: General Plan: n e Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement ® No ❑ Yes, check use Minimum Acreage: _ • Nitrate Action Plan ® No ❑ Yes Violation Area ® No ❑ Yes 15 If Specific Plan ® No ❑ Yes ❑ Chico ❑ D2N Enterprise Zone No ❑ Yes, check use Floodplain No ❑ Yes Zone: x_ ® No Yes ❑ Watershed Protection Zone Pr000sed Use Complies With: JX General Plan Zoning Proposed Use Reouires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: r] ❑ Cohasset Panel Number: 3 -S Is C, ❑ Accessory Building Use Zoning Conde Street & Highways Fire Prevention Subdivision Ma Front 5 D CI %—= Side 15 If Side street E 0 C — Rear Heiqht Environmental Health Issues: Septic Permit Review: Well Permit Review: Land Development Review: Agriculture Affidavit Required Designated Well Site Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes Parcel Created by: ❑ Deeds Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed Reference: Legal Access Required: ❑ No ❑ Yes Parcel Frontage on Publidy Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: • ISMap Date of Recording: Lot: —T W Block: Book: 1 Page: Conditions That Must be Met Prior to Issuance of Permit ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the • ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Meet parcel size required by zone ❑ Meet current EHD requirements. ❑ Other General Comments: • � f 416, I/ Ll FA i COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 1 . \ + ASSESSOR PARCEL NUMBER �P ^ 13V Proposed Building Use: AJ -4-2 QIAAnqCounter Technician: Date: 3 0 Items required in order to apply for a permR. All boxes MUST be checked OR marked NA in order to apply. 11.. Plot plans, 3 or 4 sets, signedty the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. "❑ 3. Engineered plans,'3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ..�%�'6�Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or 4-'1foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other V ems needed to issue the permit. (May requir di�tiionnal Ian re iew upon receipt of the following is shown on the attached Schedule of Fees Du Sheet Ch ......�... ent of Intent for Non -heated and A/C Buildin s........................................�.tion and plot plan approval from the Environm tal Department inf Chico Plumbing permit.......................................................................: ❑ 18. California Department of Forestry plan approval ❑ paid. Sent- by: ...................... ❑ 19. Planning approval for (A) Use: C> < (B)Parking: (C) Parcel Check: (nfontact Land Development about ❑ Improvements, ❑ Drainage ............................... ncroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). Pre Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 6. Letter of Signature authorization.................................................................... 7. Recorded copy of Agricultural Acknowledgment Statement .................................... a a- 28. Manufactured home utility clearance...........'.................................................... ❑ 29. E ' ting violations and/or expired permits ............................................. ......... ❑ 30. Grant Deed, P.H. Title/Statement of Facts, ❑ Letter from Legal Owner,�Gheck to H.C.D. $—�CT+- OZ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above it sand requirements for obtaining a building permit. Applicant: \I Date: �- 1. Indexra lication for he b item pmit pp numbered. Plan Check Letter al items required Contrac ,designer, owner, w s sed cf th ab ve data by IR"Phone, 0 mail, ❑ counter, by _Date: Contractor, designer, owner, was advised of thea ove d to by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: 11I— Plans approved by: Date: IZZ Structural reviewed by: Date: Structural approved by:, ': ` ' Date: Note transfer by: Date: Yellow: Buildine Division `,'• ..'" }�a"N ���s'�"GAP.`.+ i •�f " x } - •1 9[' .rd' iti t e� R la! s - ,y � � .q! .E �rt.. + - n� k, f . ti a � � � �`" f5 ,sk Y?+ { ; r -p. � '� .tt F �it ..T• f % �i s .v&r W� r �'ai •Y�•'�''���i t� �, , J' ! 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'' �' � '�'' � 13f >�a � -,�:. r„i*•� '�. v�3�r� o. ^-?,�F� y�3���a'"fir • Y� y* fT�eSa� p"r y Yti 4�S yc� c�� h� T;�* -Tca•14,e�t7y NII 11,. ks ., R ' � >�'i� .�,. �4e �. •} rxlt q• .E a. � t A -r fJ��h k�a �iRg�Y r5, A'' �� try 7"E{ .. . t �� yY "h ""�. s�� �` rs ' �! ::rt _ .�'' 3 ;;il.` t ,E + '�� Tjr+i��{•1$i��� �� is F t�R.,»''� t'3'�F n �� CZ��i�}�sF ?��•'4'`�' py� M + 1try n' + 's• (:'1fklr k,;4i'f!-,i{N� wry•. t�' >�a:w ''E�..ii.il,�'£.F ,Y.Bi'-ij J % �$ + rt" �T i :, Pik... �A iy R r v t} •_ s T A �' �( 3 ;S' e�q. ww `r y`� '�'•� F � t ! �` it ata. �. e 4 _ � � �, V �: {4 � �p #_tl>•.iE+'•��� stn 4iF� � '� i�Yrl«' A')4 . Tu� t +..#:u; ��` x�yE7..i � b+'ikayiS'..�:-...�. .�.ta.%. $� � , �} w '� i. �����e'¢+"YSy:SW'•�a' .. r. ...« Gi$ht�f.Xv�����p«S$ t'! INTER -DEPARTMENTAL MEMORANDUM TO:. BUILDING DI ISION, ROVILLE FROM: ENVIR. HEALTH, CHICO DATE: RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: 0�/�,&g6" SEPTIC: z'� WELL: AP#:923q, oXQ 43'1 ADDRESS/LOCATION: Comments: GL/memos/releasehold E.H. USE ONLY Flat plan Attached Fleas plan Attachad Sen to S.D. ' TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 0 �.�L ._ ._ ♦ ,I it owner Location Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other old final for: Fina c earance O.K. for: NOTE: el- ntal Health Specialist 8/96 Date �A E.H. USE t.d Rot Plan Attached FtL`at Plan Atvy .ad Sano to ®.D. / / TO: Building Department G U' FROM: Environmental Health SUBJECT: Sanitation Clearance :Q;.,9(/ Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearag NOTE: O.K. for: Lei Environmental Health Specialist 8/96 Date WN 12/04/200203:11 _`FAX 5308945043 CARL -:B LEVERENz A "WFUSIMIAL CO1lOLATIOM TIMOtkY D. FERRIS ATTOUMV AT LAW TRANSMITTED BYFAX 343,8496 December 4, 2002 Chip Dow C/o Cousin Gary's Homes 13468 Highway 99 Chico, CA 95973 Dear Chip: CHICO. CAUFORNIA 95929 �t:rnonts csnctesas•t6zt . Piot tsaot e9a-eos� . Thank you for the information relating to the water easement. Civil Code Section 8015 makes it quite clear that the right of taking water would be part of the easement that was granted: ,wThe language: in Exhibit A that it is an easement for the use of a domestic water.well would lie construed in any court in Butte County to allow all those uses reasonably necessary, which would include the right to the water. If you need anything further, kindly het me know. V=B. s, CRENZ v The Sewage C Size Mat( BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEPTIC SYSTEM INSPECTION CERTIFICATE P. O. BOX 5364 7 COUNTY CENTER DRIVE CHICO, CALIFORNIA 95927 OROVILLE, CALIFORNIA 95965 TEL: (530) 891-2727 TEL: (530) 538-7281 No. of lines / Rock Under Pipe inches The above dimensions meet the minimum requirements of Butte County Code, Chapter 19. Additional leaching area will be required if experience shows it to be necessary. Remarks: Date:oe I - 778R (Rev. 4/98)ENVIRONMEN AL EAL H -SPECIALIST RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 26 -Feb -2003 2003-0012020 Hes not been compered vith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. CARSON D. G. SMITH AND CATHY L. SMITH REAL PROPERTY OWNER/LESSOR 7 COUNTY CENTER DRIVE 1409 GLENWOOD AVE. # 1 MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA CHICO BUTTE CA 95926 CITY COUNTY STATE ZIP 9505 PERKINS ROAD BUIL G PERMIT NO. TELEPHONE NUMBER INSTALLATION MAILING ADDRESS, IF DIFFERENT 2-26-03 DAYTON BUTTE CA 95928 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY . COUNTY STATE ZIP 02-3,438 530 538-7541 BUIL G PERMIT NO. TELEPHONE NUMBER 2-26-03 NATURE OF LOCAL AGENCY OFFICIAL DATE SKYCREST ENTERPRISES DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO. SKYLINE HOMES INC 2003 WOODFIELD/P239-CT MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAbfflNUMBER 17 -70 -0460 -R -AB 56'X 26' ULI 543543 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNLVLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 039-270-134 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. W] BUILDING PERMIT NUMBER: 02-3438 Address or location of unit: 9505 PERKINS ROAD, DAYTON CA 95928 Legal Description of Real Property: AP # 039-270-134 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: CARSON D. G. SMITH AND CATHY L. SMITH Owner's address: 1409 GLENWOOD AVE. # 1 CHICO CA 95926 INSIGNIA OR HUD NUMBER: ULI 543543 SERIAL NUMBER OR V.I.N.: 17-70-0460-R-A/B MANUFACTURER'S NAME:SKYLINE HOMES INC YEAR:2003 OFFICIAL APPROVING INSTALLATION: DATE: 2-26-03 PHONE: (530) 538-7541 H.C.D. 513C EXHIBIT "All - An easement for the construction, use, maintenance, and replacement of a domestic water well, together with pipes and other appurtenances . necessary for the distribution of water, also together with the rights of reasonable access to said facilities. All that certain real property situate in the County of Butte, State of California, described as follows: Being a portion of lots 23, 24 and 25 of the Town of Dayton, according to the official map thereof filed in the office of the Recorder of the County of Butte, State of California, June 25, 1868, in Map Book 1, page 3. Beginning at a point on the Northwesterly line of Lot 32, Town of Dayton, Butte County, said Town map being recorded in the office of the Recorder of the County of Butte at Book 1, pages 3 and 4, said point being at the intersection of said lot line and a line described in a deed from Central Bank T/U/W LeRoy Ford, deceased to James Foreman Trust for LeRoy Ford recorded in Book 2584 at pages 697 and 698 Butte County Official Records said line being described as marking the West line of the lands of Cartwright, said point being the True Point of Beginning for the herein described easement; Thence N 0° 45' E along said line a distance of 68 feet more or less to a point, said point lying westerly 9 feet from an existing water well, thence continuing along said line a distance of 10.00 feet; Thence leaving said line S 89 ° 45' E a distance of 20.00 feet; thence S 0' 45' W a distance of 20.00 feet; thence N 89° 45' W a distance of 10.00 feet to a point; thence S 0° 45' W, along a line 10.00 feet east of and parallel with the West line of Cartwright to a point lying 10.00 north west of the north west line of lots 32 and 33; thence Northeasterly along a line parallel with the north west line of lots 32 and 33 to a point on the easterly line of Lot 24; thence continuing along said line a distance of 10.00 feet; thence leaving said line and running perpendicular to said line a distance of 10.00 feet to a point in the Northwesterly line of lot 34; thence along the Northwesterly lines of lots 34, 33 and 32 to the True Point of Beginning. 9.OF CAt�E��� 01/27/2003 17:07 5303429174 • CHICO BLDG SYSTEMS PAGE 02 _.._._.,...._.-r,:r..�:r•:::'::...•.':;:-":'�ec_::�:_:�-�-�•. ." `A�•��r..�.--_=s.:::::,.r_cr..x=- N BEii. .. ._...._...._..._ .. ' IN ATIr �t� ice.: �l.Mc". . BUSINESS. TRANSPORT Q' HO N Y�•: OEPARTMENTOF HOUSING AN LOp� p e MANUFACTURED MOUSING PROGRAM: _.MANUFA�CTURER'C [FICATE•'OF"•ORIGIN,-:'-.;;-.,.;;-;:'' C►J1 � �"� _ „ _• • of IB ORIGINAL (PINI() 'FORWARD TO THE INVENTORY CREDITOR. UNLESS THERE IS NONE,.THEN FORWARD TO "THE PURCHASER (DEALER OR TRANSFEREE), COPY / (VYMITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1826, SACRAMENTO. CA 95012.1028. WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION, COPT 7 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. MCD 483.0 - 1 - (7/97) f_apl.iCPKIFTHIELISAD.WP.L".Ii.MC;CLENT.. QWGINAL.MCO_ND, MANUFACTURED HOME OR'MIJL•7I-UNIT MANUFACTURGID jjQW SJ ING NUMBER OF EY,SFD.(SINGLE FAMILY DWELLING) �. MUMH (MULT,I-UNIT MANUFACTURED HOUSING. TRANSPORTABLE SECTIONS 2 .. OCCUPANCY 'GROUP' MANUFACTURER NAME:"""'"' , ....._......,.. , ........., ... .................._.. .......... ..... ,............._......,.. ..MANUFACTURERL'ICENSE NUMBER:.. SKYLINE HOMES INC 90002 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: EAST REAMER STREET WOOD CA 95776 ; 72.284.25 5120 Sim (zl MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: WOODFIELD P239 -CT 1/23/2003 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR 'DATE OF TRANSFER: TRANSFEREE DESIGNATION: SKYCREST ENTERPRISES/COUSIN GARY'S HOMES 91265 DEALER OR TRANSFEREE ADDRESS: 13468 HWY 99 CHICO CA 95973 Street CI (Sate) ((zip) INVENTORY CREDITOR NAME: TEXTRON- FINANCIAL - CORP . . INVENTORY CREDITOR ADDRESS: XENIA. ,AVE .-SOUTH. SUITE 300 DEN VALLEY :. ..gt�tu�i . .55l�16... S17701. SECTION td 41ANUFACTURER SERIAL NUMBER NCD INSIGNIA OR HVG LABEL NUMBER LENOTH WIDTH WEIGHT INCHES INCHES POUNDS I 17 -70 -0460 -R -B ULI 543543 672' 156 12 2 17 -70=0460 -R -A UL -1- 543544'. 672 > • 156 X65 TRANSPORTER NAME.- n JL 2 TRANSPORT TRAn&PORTER ADDRESS: ""• suem P.O. BOX 179 DURHAM CA 95938 Seta (zip) DESTINATION FOR UNIT DESCRIBED ABOVE: •• NAMEUSIN GARY'S HODS slfeel 3468 HWY 99 CO CA 95973 Sete z I can* under pefhey Of PaqunY -Raaf til. tar. Of NB State Of Ceftnflie Uhl Uro .bo.0 feels are we and eOnad. ' EttapAea on 1121,12"• 3.. .at: .. "W00DLAND" POLO 'CIA`'. ... (Date) ICq•) (County) (Stale) SIGNATURE F AUTHORIZED AGENT: ••-.� ' of IB ORIGINAL (PINI() 'FORWARD TO THE INVENTORY CREDITOR. UNLESS THERE IS NONE,.THEN FORWARD TO "THE PURCHASER (DEALER OR TRANSFEREE), COPY / (VYMITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1826, SACRAMENTO. CA 95012.1028. WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION, COPT 7 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. MCD 483.0 - 1 - (7/97) NOTICE TO ASSESSOR HCD 433(B) THIS FORM MUST BE COMPLETED BY THE OWNER OF A MANUFACTURED HOME MOBILEHOME OR COMMERCIAL COACH AND FORWARDED TO THE COUNTY ASSESSOR UPON COMPLETION OF THE INSTALLATION OF THE UNIT ON A FOUNDATION SYSTEM PURSUANT TO SECTION 18551, HEALTH AND SAFETY CODE. ORIGINAL PURCHASE PRICE FOR: The Basic Unit f, S �v / . co Type of Exterior Wall Covering: 1 �r� 1 �� �avve I � (Metal, Wood, etc.) Optional Equipment 8 Upgrades S � -7O„ _�, Type of Roof Covering: Subtotal $ ' (Metal, Wood, Composition, etc.) — Accessories & Accessory Structures $ Heating Type: ® forced Air ❑ Floor or Wall Other (Specify_ n $ S y� . DC7 Air Conditioning: ❑ YES ® NO Tons p O Q Evaporative Cooler. ❑ YES QNO Delivery 8 Installation S- r pL^7S-. Built-in Cooktop: El YES © NO C��,,-�1 �O W Built-in Oven: El YES Q NO TOTAL SALES PRICE S t J Built-in Dishwasher. ® YES ❑ NO Built-in Wet Bar. ❑ YES ® NO Refrigerator. M YES ❑ NO nn DOES THE BASIC PRICE INCLUDE: Roof Overhang(Eaves). ® YES ❑ NO d inches The Towbar(s) ® YES ❑ NO Furniture Included: ❑ YES Eff NO Value $ Tires 8 Wheels ❑ YES ® NO Wheelhubs & Axles ❑ YES NO . (LENGTH X WIDTH) Carport: DYES* ® NO x LIST NUMBER OF ROOMS: Awning: ❑ YES ® NO x Porch: ❑ YES ® NO x Bedrooms Dining Room 1 Garage: ❑ YES ® NO x Baths L3 14Storage Shed: El YES ® NO x Family Room Skirting: ❑ YES ® NO uNEALFEET Kitchen Utility Room Living Room ( Other Rooms -Fig_ The sales price as shown does not include any amount for any in-place location. The Assessors Parcel Number of the installation site is V �- t — l - Q — L 3 t-{ -0 (Signature) JAII ^^ (Address) ClCc7 Ch. ` tSQ73 S3c�- 3�3-' �"�1" (Telephone) melwwdWH Forms44338 Form.doc 10/03/2001 Order # RECORDING REQUESTED BY," i Mr. and Mrs. Wayne Cartwright AND WHEN RECORDED MAIL TO Carson D.G. & Cathy L. Smith 1409 Glenwood Ave. #1 Chico, CA 95926 IIII III III I IIII I II I IIII III III III II Recorded I REC FEE 7.00 Official Records I County Of I BUM CANDACE J. 6RUBBS I Recorder I ROSEVARY DICKSON I Assistant I Barbara 01:17PH 19 -Jun -2002 I Page 1 of 1 SPACE ABOVE THIS LINE FOR RECORDER'S USE AP# Grant Deed THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The undersigned grantor(s) declare(s): Documentary transfer tax is $ —0— (X) computed on full value of property conveyed, or ( ) computed on full value of liens and encumbrances4remaming at time of sale. ( ) Unincorporated area: ( ) ,and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, hereby GRANT(S) to Carson D.G. Smith and Cathy L. Smith the following described real property in the Town of Dayton County of Butte State of California: Lot 34 of Block 7 of the Town of Dayton according to the official Map thereof filed in the office of the Recorder of the County of Butte, State of California, June 25,1868, in Map Book 11, Page 3. Zlt State of Californrt^ ra ia l County of 15 fJ} SS. On before me, the undersigned, a Notary Public in and for said State personally appeared e A (This area for official notarial seal) personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the MICHAEL N. OBER within instrument and acknowledged to me that he/she/they executed_ Commission # 1259967 the same in his/her/theirauthorized capacity(ies), and that by his/her/ Notary Public - Cal wft y their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted executed the' trument. Butte County My Comm. E>phz Apr8,2004 WITNESS my h dCo,ffici seal. Signature f- • MAIL TAX STATEMENTS TO Carson D.G. & Cathy L. Smith 1409 Glenwood Av.##1 BTE-DED-05 (250011/96) Chico, CA 95926 EXHIBIT "A' An easement for the construction, use, maintenance, and replacement of a domestic water well, together with pipes and other appurtenances necessary for the distribution of water, also together with the rights of reasonable access to said facilities. All that certain real property situate in the County of Butte, State of California, described as follows: Being a portion of lots 23, 24 and 25 of the Town of Dayton, according to the official map thereof filed in the office of the Recorder of the County of Butte, State of California, June 25, 1868, in Map Book 1, page 3. Beginning at a point on the Northwesterly line of Lot 32, Town of Dayton, Butte County, said Town map being recorded in the office of the Recorder of the County of Butte at Book 1, pages 3 and 4, said point being at the intersection of said lot line and a line described in a deed from Central Bank T/U/W LeRoy Ford, deceased to James Foreman Trust for LeRoy Ford recorded in Book 2584 at pages 697 and 698 Butte County Official Records said line being described as marking the West line of the lands of Cartwright, said point being the True Point of Beginning for the herein described easement; Thence N 0° 45' E along said line a distance of 68 feet more or less to a point, said point lying westerly 9 feet from an existing water well, thence continuing along said line a distance of 10.00 feet; Thence leaving said line S 89* 45' E a distance of 20.00 feet; thence S 0* 45' W a distance of 20.00 feet; thence N 89° 45' W a distance of 10.00 feet to a point; thence S 0° 45' W, along a line 10.00 feet east of and parallel with the West line of Cartwright to a point lying 10.00 north west of the north west line of lots 32 and 33; thence Northeasterly along a line parallel with the north west line of lots 32 and 33 to a point on the easterly line of Lot 24; thence continuing along said line a distance of 10.00 feet; thence leaving said line and running perpendicular to said line a distance of 10.00 feet to a point in the Northwesterly line of lot 34; thence along the Northwesterly lines of lots 34, 33 and 32,to the True Point of Beginning. H.C.D. ATTACH CHECK . ........ .... ..... .. ..... ........ �f�l�Tzu�rc��-�- AS- '000 COUNTY OF BUTTE - DEPAFTTWNT OF PUBLIC WORKS PEERMI NO. ., .�-•-.. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSO PARCEL NUMBER,,E _ ,l j_ -7 ZONING .0 BUILDING PERMIT OWNER `� ..! TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS " w CONTRAC TOR'S NAME, ITELEPHONE _ CONTRACTOR'S MAILING• ADD, I;ESS ' /' i�--- Fireplace -- CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER L LICENSE NO. - Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING' ADDRESS / � PLUMBING PERMIT F111 Fee 10.00 ng Each Trap 2.00 Repair drainage or vent piping 5.00 ,i 7;, %'~ • Water piping LOT NO. s, SUBDIVISION NAME i /%U,, ��, PARCEL MAP Each qas water heater or vent 5.0.0 Gas piping system 1 - 5 outlets -InUSE OF STRUCTURE SF ❑ Duplex❑ Mobi lehome le< Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation[—] Other Describe work: A,, -; ly ll ��/.'•/H / ljC ) //iy- f J ���/i�' Permit Fee $ Contractor LECTRICAL PERMIT Filing Fee 10.00 Main service Doav OR LESS- 100 AMP OR LESS 5.00 r Main service EA. ADD'L 100 AMP 2.50 NEW CONST-( DWELLING OCCUP.y) OR ADDNS. l ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ', © I am licensed under provisions of Chapt. 9, Div. 3 of the'�Buslness and Professions Code and my license is in full force and effect. License No.') ;I �� Classification�?� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I. u L T 2,50 ea NON.RESID RANCH CIRC ITS NEW NON CONSTR POWER APPARATUS.&) 6 REST -R ESID. SINGLE OUTLET CIR Ex. OUTLETS OR FIXTURES BAL2i 00 IXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ; M• c. Wiring 7.50 7 D Permit Fe $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. t / X f .I r c` A d" � ��tA_&d a Date / �-" ��'' � pli Signature of Apcan} — Owner on`tractor 0 Agent F1g ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ oCCUP, GROUP I TYPE OF CONST, I PARCEL PD 1 NO I 15sa� �,/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR UBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS .ti Date _ _ Receipt No. S��d 7/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Pitione: 533-4541 Skywajr and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE / BUILDING OR PROPER6/Y AYDRES�j�/�/ A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter,,ot' need additional explanation, 'please contact this office immediately. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orollille, bAdifornia 95965 - Telephone 916/534-4541 APPLICATION BIND PERMIT 11 N 0/�V ASS ESSO ARCEL NUMBER _ _ 7 ONING BUILDING PERMIT-,"// OWNER { TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRAC R'S NAM ITELEPHON CONTRACTOR' MAILIN ADD SS � �« Fireplace CONSTRUCTION LENDER r' UNKNOWN Total Valuation $ Filing Fee $ 10.00 I LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ eUILDIfjI ADDRESS %V PLUMBING PERMIT Filing Fee 10.00 ' Each Trap 2.00 Repair drainage or vent piping 5.00 el l/ Water piping LOT NO.SUBDIVISION 3 NAME A J PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1- 5 outlets RUCTURE USE701 SF ❑ Duplex F-1Mobilehomeher SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑,, // Utilities ❑ Instal lation❑ Other Describe work: -td� �� A1Q,,1fi��G/`'®1'/C �£stri'"iCF Permit Fee $ 'Contractor ELECTRICAL PERMIT Filing Fee 110�.00 OR Main service 100 AMP ORSLESS 5.00 Xf Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.M� OR ADDNS. l AGC, BLDGS. 2� sq ft CONTRACTORS LICENSE LAW I declare under penaltyof perjury p f y (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. 1 y License No. 2 It 7 Classification ] ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSYR -OUTLET 2,50 ea NON-RESID BRANCH CIRC Ts NEW CONSTR / POWER APPARATUS 6� NON-RESID. SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES BALmi BALI - FIXED APPLNS, OR Ex. Occup.�p UTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mjf c. Wiring 7.50 0 Permit Fee $ 6) O Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. rX I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id Co ty in consequ a of the granting of this permit. X Date (�— 3 u - 2� Signature of Applican — Owner ❑ tractor JK Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition Or construct-DIRE ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Q,_FII Q OCCUP, GROUP TYPE OF CONST. PARCEL PD I HD IssD�, �/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ^ By �- DIRECTOR O UBLIC PERMIT EXPIRES Date the applicable resolutions to do to do fees have been paid. WORKS Date Receipt No. .S ,��i%1 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT P239CT15626 3BEDROOM -` ,314BATHS - CATHEDRAL THF b(E, e� DEN . IJoa� w�•J1 app �l U_I,n (1,456 SQ.FT.) 1 ------- ANTE I -----tw I �I I wl MASTER BEDROOM No.1 16' B W 04, AV 1 m 6w;' r' • 1 C APPROVED Butte County Environmental Health �aAY� 14i r ,e -d fo TION DEN C - C� �j GI _ a -l0 mac.�i� T w. r va0 � LU QC d 6w;' r' • 1 C APPROVED Butte County Environmental Health �aAY� 14i r ,e -d fo TION DEN C - C� �j GI _ a -l0 mac.�i� T 1 . Owner's Name: SMITH, CARSON & CATHY. 2 . Assessor's Parcel Number: 039-27-0-134-0 f 3 . Installer's Name: 'SKYCREST 9NTERPRISES� ' 4 . Is the site currently under permit? Yes [ J No [X] Permit No. 5 . Is the site an existing site: Yes [ ] No [ X ] (If yes, furnish two plot plans). 6 . What is the electrical rating of the mobilehome? 100 Amperes. M.H.L-2 7 . What is the mobilehome site circuit breaker rating? 100 Amperes. 8 . What is the electrical rating of the mobilehome site? 200 Amperes. 9 . Is the main service remote from the mobilehome site? Yes [ ] No [ X ] If it is, what is the rating? Amperes. 10 . Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage, etc.)? Yes [ X ] No [ ] If yes, please identify the load and size: a) The mobilehome site: Load - GARAGE, WELL Amperes - 30 & 20 b) The main service: Load - Amperes - 11 . Type of gas service at mobilehome site: Natural [ ] Propane [X] None [ ] 12 . Size of gas pipe at the mobilehome site from the.meter or tank: 3/4" inches. 13 . What is the gas ppe length from the meter or tank to the mobilehome? [30] (R):, 14 . What is the mobilehome gas demand? BTU.* *(This information is not required if the pipe length is.less than 6 feet on natural gas or less than 50feeton propane). . THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION Mobilehome Manufacturer: • 2 F:1 SK'YUNE,c. / Ll. ' 1'4i .� i'# N"&i Yea: 2002 If other than single wide, furnish Setup Model Number: P 239CT Width: 26' (ft.) Length: _56'_(ft.)..Tagalong or.Expaado:Siie'_ ``' ` ($) xj V` '' (ftr)`t On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation -manual• -and -structural -setup sheets.----1-�.� `�= ``-'`F`_ s ►rr;lt.Ft `71�`; 1�.� ..:+ _ FOOTINGS: Wood pressure .treated or, foundation grade Other �%EjeScy 8RV'iu�• . Paas SUPPORTS:- Concrete block Other:`- ..-. ---_....._..._._._._ ... _ .. . Provide Tie Down'Specifications for all Mobilehomes., .t;•ilr?'•if7i(��i:4f°.,. :it.��l:i13 ryti,ii� . ! n" I y 1;if{i'!';,'�'1_'.�1+1Cr �{!}Ei•`:i'!UJ ?ii ^;r�i i:� r: %r.:•t' . it}? Cif('Cyi:•:`.' i1 t. @%j a}{1t :-t <� Pier Footings Sizes and Location SINGLEMME line 1 Une 1 Line 2.. Y:..... 'S Yti'fi7iLY'aIS_!;tri ttt+ _� : •att�n. iM�s?: ji4i it line 2 _ .. .. _ ._ • Main Beams line 2 .........................................•'-----........................................._.. Line 1;JriI�ne3' ........................................................................................... line 2 Main $": _'rricl: :{t('tii::'(:i Ci3'..ii'i "�Cl:�i Lm 2 ............................................................. ...y ......................... .31"(AHI line 5 LL .. ... ... .. .. ... ... .....r ]':.rr :4 .;ji; •�1'/Y:.�►(iEf}{() 'Jtjt :1 '�.: Tag: or Triple , line a '. ...�,P;'t,", ,. ,.. _.'�::3;:r� •:� '(1 j l'i:'• � t; � .�1� �"t ar`' .:isf1C�Tjy. Line !}_ �' r�. +;Sia�111:%`. ...�.�:.) �'! ':r::iul•,L� J;'•1.1 4-117! i; :ri`:J Line 1 Piers: Line 1 Openings: Size minimum: _.___ _ x gim minimum _- — -- • - [18.5] x [18.5]""" 1 Spacing maximum: Each side of openings From ends -maximum: "'S�' ;: i ► " `"Ir{;;^TwitlLwidthover: (;14+:,0"" Line 2 Piers: T «'Line 4'Piers:I; Size minimum: Spacing maximum: From ends -maximum: Line 3 Roof Loads: Size minimum: Location (from rear) 18.5 x 18.5 Size minimum:]XI I 7' "07 {a'.Jit.•1: Spa ingmaximum:...:t1 `:-IF 2' 0" From ends -maximum: " " �.1 i'r?tltj{e'�'�.) r•.t:? ;:7Ct�7r►�.;11Y'•oAlr :C11 _'t ?I:C!�+f.•' t . .�:....•r. . �• .l ..rti• •-eai •,r els,�ri,.. r....r. •(< i. y, yr.in.. t t At nn-•.,n•��1it; ,err i 18.5x18.5 37x18.5 37x18.5 18.5x;18.5.. 18.5x,18.5 010" 174" 344" 50'6" 56'0" �.? it .'d.J i t ,g 'N, 0 Z " EE UIIA E'���It:+'i jf:•s.,, C sftsr; i{ ikt'%'.) 1 3.a. Line 5 Roof Loads- _ _ r..:__.,. _ _ _. _.. _ _._ ._, _ __. _ Size minimum: = _:�. _. �. _�.1 OL M"JV8 jftft Location (from rear): OVER s-6' 14'-5'-'-1 �t S41' I5'i 9'--� 1340f 30# CENTERLINE SUPPORT REQUIREMENTS 5 TOS SHEET IS TO BE INSERTED VNTH SUPPLEMENT TO FIELD IHSTALLATION MANUAL FOR 30g ROOF ZONE SNOW LOAD. SEE ABOVE PRINT FOR LOAD REWIREMENTS AND LOCATIONS. 30: Roota: Ww V_� _ -__ - LAVE LOAD �_5626-3CK-1 3/48 -CATH FILr , MH 9321 VOL. I wc. _-,4— ILL Al PG 6-72P DRAVAI BY : VAN DAlf: 07/11/200D Wit t OF 2 WAA P239-CT o r C, ob Lu �N �V A W N N W r FILr , MH 9321 VOL. I wc. _-,4— ILL Al PG 6-72P DRAVAI BY : VAN DAlf: 07/11/200D Wit t OF 2 WAA P239-CT No.937 01/22 '03 AM 07:58 ID:EXECUTIVE HOMES FAX:530 891 8753 •f,!" 12/04/2002 05:55- 3835207 ABESCO . �ww .1r rRORrWR Y. Vr^ur1 J I r r :IQ a� �l IT Pr d fit i to �� � d � • fl ��a �I, PAGE 7 PAGE 06 r 4 rrlr Z rn APPROVED' v p Z m rn y �l IT Pr d fit i to �� � d � • fl ��a �I, PAGE 7 PAGE 06 r 4 rrlr Z rn APPROVED'