HomeMy WebLinkAbout039-480-015039-480-015 PERMIT#97-1779
BULLOCK, Michael
1451 Pomona Ln., Chico
Cont: D & D Homes
New MH on Perm Fnd-Ex Site 6
RESIDENTIAL
039-480-015 PERMIT#97-1779
PERMIT N1 BULLOCK, Michael
1451 Pomona Ln., Chico
PERMIT E) Cont: D & D Homes
New MH on Perm Fnd-Ex Site
,.,OWNER
CONTR.
;ASSESSOR PARCEL
LOCATION
►Lq
HE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAVE
EN TURNED IN TO THE BLDG DIV:
2) STATEMENT OF FACTS (ONLY ON NEW
H's — IIV FILE
INSPECTOR MUST VERIFY SERIAL & LABEL #'S
OFFICE COPY
Address
GAS
Meter By Dat
� ELECTRI '
Meter By Date
Temp. Power Pole
Called PG&E_
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date) `— t
Signature
V=OK
O = Not OK
Notble
` = t Applicable
NoReady MOBILE HOMES
Date
MOBILE HOME UTIUTIES (Plans) OK except #'s
T st DemarKWalveConnector
1. Zoning Requirements - Setbacks - Easements
MH Test -Crossovers -Breakers -Clearances
2. Soils; Special MH Support Sketch
H Test -Fall -Flex Connector
3. Sewer, Location-Test•Fall-C)"oncrete
8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses
4. Water, Location -Test -Easement Needed (Sketch)
9. Siding; Nailing-VeneerStucco-Mesh
5. Electricity; Location-Clearances-Gmd-/ /Amp, -Concrete
10. Roof; Shthg-Roofing
6. Gas; Location -Test -Wrap; / /tlt
/ /Nat or/ /'L"ltJ /LPG
11. Ext.; Steps-Oooro-lendngs
7. Well Clearance & Disconnect
12. Braced Wall. Panels
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Setbacks Easements
tYWater; MH Test -Regulator -Connector
Z.WRITr and Sewer Connected -C/O to Grade -HD Approval
8. Gas ang�lectricity Tagged f
A,TiF��Type-Installation Cert. ;
Occupancy
License Decal
Date Card B-1 Date Card B-1 j
Date Card B-1 Date Card 13=1 {
r
G,At=Lv
i
MISCELLANEOUS
Date DECKS,, COVERS; CARPORTS, i2ARAGES (Plans) OK except #'s
� e
1. Zoning Requirements -Setbacks -Easements
2. Footings; SailsSime•DepthSpacing-CmrecOws-Steel
3. Delis; Girders and/or Joists-Decidng-BracingStairs-Rails
Size -Spacing -Marriage Line
6-�ffa-s;.M
T st DemarKWalveConnector
�ErecVg�
MH Test -Crossovers -Breakers -Clearances
ra •
H Test -Fall -Flex Connector
tYWater; MH Test -Regulator -Connector
Z.WRITr and Sewer Connected -C/O to Grade -HD Approval
8. Gas ang�lectricity Tagged f
A,TiF��Type-Installation Cert. ;
Occupancy
License Decal
Date Card B-1 Date Card B-1 j
Date Card B-1 Date Card 13=1 {
r
G,At=Lv
i
MISCELLANEOUS
Date DECKS,, COVERS; CARPORTS, i2ARAGES (Plans) OK except #'s
� e
1. Zoning Requirements -Setbacks -Easements
2. Footings; SailsSime•DepthSpacing-CmrecOws-Steel
3. Delis; Girders and/or Joists-Decidng-BracingStairs-Rails
- 4. Wood,AwrL; Posts-Beams-RRrs.-Connectors
Shthg.,Rfg.-Bracing
S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing-VeneerStucco-Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps-Oooro-lendngs
12. Braced Wall. Panels
Date
Card B-1 Date Card B-1
Date
Card 8-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pod Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Eke.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pod Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal wN-Circulating Equip. -Heater
8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards4ns. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK
O = Not OK
- = Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. ZoningSetbacks-Easments-FloodSlope
2. Ftg., Main; Soils-Elec. Gmd. / C Ftg. Depth
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /"Ftg. Depth
4. Ftg. Porches & Decks; SoilsSteel-/ )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-RegulatorService Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor BoltsJoistsa/ents-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; Sae & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #s
23. Fixture & Transformer Clearance -Ins. Protection
24. Elec. Receptacles Spacing -Lights & Switches at Doors
25. Size Boxes & No. of Conductors Stapled
26. Romex Installed Close to Edge of Studs & C.J.
27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28. 2 Appliance Circuts in Kitchen & Conductor Size GFI
29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30. Range Circ. / / ga Cu or Al -0v n Circ. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
31. Service -Riser Conductors & Ground -Main Disconect
32. Equip. Clearances Panels -Motors -Meeh. Epuip.
33. Clothes Closet Light -Shower Light -Spa Light
34. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
35. A.C. Ducts Insulation & Support
36. Vent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39. 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 (Plans) OK except #'s
40. Sits Proper Materials & Anchors
41. Walls Studs -Nailing Spacing & Braces -Plates -Sound
42. Bearing Walls over Girders & Floor Nailing
43. Draft Stop in Walls (rat proof)
44. %-ire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearing
RESIDENTIAL. (Single & Duplex)
Date FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties-Purlin-roH Brac.-TrussShting: Rfng.
48. Fireplace Ties or Type A Flue -Fireplace Throat clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51. Garage Fire Protection Framing
52. Property Line Firewall & Openings
53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits
54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56. Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58. Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61. Insulation -Walls -Ceilings
62. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
63. Ext Steps -Door & Sidelight Protection -landings
64. Smoke Detector
65. Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meeh. Protection
66. Bedroom Exiting
67. G.F.I. & Bath Fixtures & Tub Access -Spa
68. Elec. Trim & Subpanel, Breaker Sizes & Labels
69. Stairs & Rails
70. Fireplace or Stove. Clearance -Hearth
71. Elec. Outlets at Wood Panel, Int. & Ext.
72. Kit Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73. Elec. Outlets & Recepticales at Kit. Counter
74. Garage Fire Door; Swing -Landing -Closure
75. A.C. Duct in Garage -Damper
76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meeh. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79. Insulation -Foam -looked in Attic
80. Guard rails & Deck Construction -Post Caps
81. Fdn..VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83. Stucco Brown -Finish
84. A.C. Unit Disconnect, Electrical -Plumbing
85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86. Water Well, Disconnect, Electrical, Plumbing
87. Exterior Elec. Trim, G.F.I. Receptacle -Underground
88. Ventilation Throught House
89. Glass Protection
90. Corrections from Previous Inspections
91. Gas Test -Meters Tagged, Gas -Electric
92. Water & Sewer Connected -C/0 to Grade -HD Approval
93. Energy Compliance Certificate -Other Certificates
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:
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION --7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 --PHONE (916) 538-7541
APN: /
PERMIT NO.:
Owners: M } 1 %7% L 19 t/ k ( L) C
�.
Name:
,.
Owners:/ f �1 :4 /C
Address:
Mobilehome jµ� �W J� ��
Year of
Manufacturerd
Manufacture:
CAFLV p U_ Y4 S r
Serial number 1
f
Insignia or f %�
2 v /
�
or V.I.N. ,
HUD number:
Official approving installation:
Date:
If the mobilehome Is moved or relocatelf/the mobilehome installation acceptance shall become invalid. This form shall
not be used when the mobilehome is installed on a foundation system.
5138 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor
t '
V
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Califofnid 95965 - Telephone (916) 538-7541 PERMIT o.
n7
(Rev. 12/96) � ' APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
039-480-015
ZONING
A-10
BUILDING PERMIT
OWNER
MICHAEL BULLOCK
TELEPHONE
SO. FT. OCC. BUILDING VAL ON
92
1716 R 92
OWNERMAILING ADDRESS
S
A 95973
CONTRACTOR'S NAME
TELEPHONE '
532-3303
CONTRACTOR'S MAILING ADDRESS
9943 FEATIRPR RIVER BLVD., OROVILLE, CA 95965
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Film Fee
$ 20.00
Permit Fee
$ 304.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDINGADDRESS 1451 POMONA LN., CHICO
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 347.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome XX Other
SPECIFY
Each Trap.7.00
Solar or heapump water heater
23.00
Water piping
15.00 15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other PX
Describe Work: MH ON PERM FND EX SITE NEW MH
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00 15.00
Mobile Home ISI GI W1
@20.00
PERMIT FEE
s 65.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoonooRR
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. (�
License Class Lic. No. 0-U jj' q `7
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A To 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BUDS.
so
3.50FT.
ON-R S.MULTI-ORANCH UTLET
NON-RES..TS
97,50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup, OUTLET OR FIXTURES
20 00
BAS 9':50
Ex. Occup. ouiLEETAPPLNS
RS D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ (..3 , ( O
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation ins ante carrier and policy number are:
Carrier CO �M
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number _jf /��/Tc, sjry
(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
ith f]ose provisions.
X Date
Signat- ❑ Owner ❑ Contractorlo Agent
m
An OSfor excavations over 50" deep'And delition or construction
Epermit&'equired
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
T T FEE 55.00
HAZ.
�.
D. FES I
FLOOD
COF
-+_
P
PD
HD
55U
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
D to L Q /
D,e
Receipt No. Z 77
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
f
(� Y.
S.H. USE ONLY
Plot Phn Atti&W ✓
Plwr Phn Am%cW [--'
Semi to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
f::iAAzik
Owner Location AP//
Plan Approved for: Sewage Disposal r/ Water Supply: Pu1blic Private Well
Clearance for _bedroom o e home. OtheryVLAha 00K�n�
Hold final for:
Final clearance O.K. for:
NOTE:
7�,4
En uonmen Health Specialist Date
S/92 �a
d
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
`7 COUNTY CENTER DRIVE-OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
OWNER:
Proposed]
At time of
❑ 1. All it
7APPLICATIONDATA SHEET
_ ASSESSOR PARCEL ER: —
_ Building Inspector: Date:
following data mustbe submitted prior to pe t p ces ' g and/or issuance:
Date Received By
❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
03. Complete plans, 3/4 sets, signed by the preparer of plans. ------------------------r -" ---------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All en g pus belshjwn on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required priof to plan review) No faxes! -----------------
k"
❑6. Energy Design Compliance and supporting documentation.--------------------------------------------------
❑ 7. Statement of Intent for Non-Heited and A/C Buildings.
❑ 8. Hazardous Material Form.--------------------------------
❑�.. anufactured Home data and installation instructions including Tie Down ¢ pecifications.------------------
sof $---------------------------------------------- -'� -----------------------------------
pact fees as shown on the attached schedule. - --_----(4__ -'6------
012.
-----❑12. alifornia Department of Forestry plan approval/fees. ---------------------------------------------------------
❑ 1 lood elevation certificate. --------------------------------------------- ------
-----
.
Sanitation and plot plan approvalC�� Health Department. -------------------------------------------
❑ 15. City of Chico plumbing permit.-----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 17. lanning approval for (A) Use: �—� (B) Parking: --------------------------
' ( Contact Land Development about U7'lmprovements, ❑ Drainage, gal Parcel. ------------------------
El
---------------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ------------ ----------------
❑20. Pre -inspection for
required Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). -------------------------------; --I_
❑ 22. Workers' Compensation carrier and policy number. ----------------------------------------------------- - ----
❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -----------------------------------I 04---
❑ 4. Letter of signature authorization. ----------------------------------------------------------------------—`--__---
Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
❑26. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance.---------------------------------------------------------------------------
028. Existing
vio �sQr�!permi�<hecktoH.C.D$_
-------------------------------n-----------------------------------
on_
i 433A, eed, Title, V�
---------------
1__130. Other:-------
Wh you issue the permit, process as follows ❑ Mail to owner, ❑Mail to Rt
ntractor.
C7 Telephone J 30 ^ 3� �� and hold for pickup at OrO v office. ❑ Deliver with inspector.
i
_ (Date)
Q
Zr./-�
Applicant: Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date:_ By:
Copy of plans sent ❑ Health Department, ❑ Fire Dep 4nt13 Other: Date:
1. Index permit application for the above items numbered: /+1 l . ❑ Plan Check List
2. Additional items required: %
Contractor, designer, owner, was advised of theabove required by ❑ phone, ❑ mail ❑ B 'ding Division co ter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑phone, ❑mail, ❑ Bui ing Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by D
Plans reviewed by: Date: Plans approved by: Date: `7~
Sets of plans on hold in ❑ Plan Cabinet, ❑A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
.�n.�,S1J' �'+�';�"':�,,;�"�.;,•'-'�.�i',hi+PtiS�a,�'',�'J�j.�i.ij?�M+'j.?_ ��i,��'�����r.�•"�'.!'�',..ii{,�yf+i�-,�i
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95,965 TELEPHONE (916) 538-7541
SCHEDULE OV FEES DUE
OWNER -G�� A.P. #
PROPOSED BUILDING USE DATE FS •a O �-'
2p[� REC # DATE REC
1. BUILDING PERMIT FEES l ✓ 0 1.
-- Balance Due ................ $
-- Additional Fees Due ............ $
-- Additional Fees Due ........... $
-- Revised Plan Checking Fee ....... $
_2. SCHOOL DISTRICT FEES
(paid at District Office)
3. SHERIFF FEEsp d at Bu lding Divtslon)
Residential ......... x $360.00 = $
Units
Commercial (sq.ft.)... x $0.03 $
Sq.Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x $
#Units Amt.
Commercial'(sq.ft.) .. x _$
Sq.Ft. Amt..
f� 5. RECREATION DISTRICT FEES
(paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$425.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
building permit. These fees may be changed during the plan checking process.
PPLICANT Q� / i[.{}�it.,�..,,� DATE. S `
�=.--
Original -Owner Copy -Building DivO y (Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT O EVELOPMEtiT:SERVICES - BUILDING'DIVISION 4
7 County -enter. Drive - Oroville, California 9596,1M - Telephone .(916),538=7541. �PERMIT' O:
(Rev. 12/96) APPLICATION AND PERMIT.`
ASSESSORPARCEL NUMBER
v - Yo —o I
ZONING
k- t o
BUILDING PERMIT r
OWNER
H ► e F�
TELEPHONE
SO.' FT. OCC. BUILDING, VALUATION'#
i
OWNERS MAILING ADDRESS.
_
C NTRAGTOR'S NAME > _ie� TELEPHONE
3
1
�i
C NT RAc RS MAI ADDRESS
CONSTRUCTION LENDER
1
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER •
LICENSE NO.
Filing Fee
$c 20.00
Permit Fee_:
ARCHITECT OR EN31NEERS MAILING ADDRESS
Plan Checking Fee
BUILDINGAPRESS
O/ ,0 A L
Energy Plan Checking Fee
$ '
0 4r A -
$
0 PERMIT FEE
S ,( U
LOT NO.
SUBDIVISIONS NAME PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex I Mobilehome Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water iping
15.00 �, (�
Each gas water heater or vent
+ 15.00 '
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Ifl a p ?l!C Other
Describe Work:
Gas piping system 1 - 5 outlets.
15.00
Building sewer
15.00 S
Mobile Home S
920.00
I I
PERMIT FEE
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 000Y OR LES9
200' OR LESS
r] 7 f
23.00 (7'�
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.POWERAPPARATUS
License Class Lic. No. t 14
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO lOooA
46,00
NEW CONST. DWFl.LING OCCUP.
OR ADONS. ( a ACC. BLDs.
SO
v 3.5¢FT:
►NiootRalo - MULTI.OUTLET
@7.50 _
a swGLE ovrLEr CIA
Ex. Occup. OUTLET ORFDCTURES
20@ "0 '
Ex. Occu ounEEDTs g.,6.0EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S ;(O
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.
I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation i surance carrier and policy number are:
Carrier 1
Policy Number L -"(—Mobile
(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 compl 'th those provisions.
e
_ .Date _ (Z_
Signature of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for exc ations over 60" deep and demolition or construction
of structures over 3 stories in hei ht
MECHANICAL PERMIT
Fling Fee 20.00
Heating'
Cooling
Hood 6.50
Ventilation
PERMIT FES S
Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ S S • iJ�
HAZ.
D. FEES IMP
FLOOD;
COF
PARCEL
PD
HD
SSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No. o��.
WHITE•D.D.S.•8.0. CANARY•ASSESS R PIN NSPECTOR GOLDENROD•APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751
t 7 County Center Drive, Oroville, CA - (916) 538-7541
CORRECTION NOTICE s
OWNER PERMIT NO. _ s
A routine inspection indicates that the following violations of Butte County Ordinances exist at.
the above address and should be corrected. Please notify 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. +¢
.-. r
..�4
�M
i
Date ��'l3—Inspector Lz&�rxVa-'740 j
REV 10/92
7
{
' v
-
.-. r
..�4
�M
i
Date ��'l3—Inspector Lz&�rxVa-'740 j
REV 10/92
.... t' r �tf. ._,�y �•7,' IT f!�".'F,. '!ri' 'u *`1 :3F'�' •.t�'f � pwti�:.
.,.:;;4'';.1.,�s:r'.f:l;,+"X.i.,d!:•v+:i.;i'�T,!'��'cc;S'`'.. :y)r , '�•�-s+.., :E��". �i�� ..i .tyt; ..,✓7`•,-Pt9{?!^n��na:, ,'- .^C�,Ay?.��"
B.H. USE ONLY
Plat Plm Mfached c/
– - --* A M �% q Pbw Plea Amiched
/ r V ori amt to H.D.
O: Building Department ✓. -
FROM: Environmental Health
SUBJECT: Sanitation Clearance
39-gao_ 015
,—hL Q1CY
Owner Location AP#
Plan Approved for: Sewage Disposal f/ Water Supply: Public ✓ Private Well
Clearance for_ bedroom o e ome. Other _ TMLA
Hold final for:
Final
EnvGnmiiHealth Specialist
Date
MIh\ww m - :oke r --TM r
Additional leaching field will be required if experience shows it to be necessary. No part of the system may be located within
50 feet of the center line of any County Road. ., p�
NOTE: Satis ac %r inspection b e H a thrtment is quire before backfilling or putting the system into use.
Occupancy of a new building is not permitted until the system is approved.
Permit Fee $ ?���Y— Penalty Fee $,
Additional Fee $
Receipt No. �� � —
TOTAL FEE $ �(
Issued By:
ENVIRONMENTAL HEALTH SPECIALIST
S31 - 278R
.`.. r�,"c4sa.. •fps- - ��,`a'eta+�.��:-�:�•��:.�y^y^�+�n.._nt.Y:.�_.�t':,�Tis3'......_ c'.�: •;A, f .•�•,:�r;. _
:At6i.�r�iw
iw.,
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
ORO VILLE CA 95965
197-038760 197-038760 197-038760 1
97-0:387601'
Rec Fee .00
I
To-tal .00
Recorded I'
9 - 79 916
Official RecoFds I
ILD MIT
County of I
Butte I
SIGNA OF LOCAL A ENCY OFFICIAL
Candace J. Grubbs I
Recorder I''
'
2:18pm 15--Oct-97 I
COMS XX 2.
' 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 -eco-r erTa 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.
MICHAEL A. AND KATHLEEN D. BULLOCK
MANUFACTURERS NAME
1 ILLAHEE LANE #9
MAILING ADDRESS
C1 -ICO, BUTTE, CA 95973
CITY COUNTY STATE ZIP
1451 POMONA LANE
INSTALLATION MAILING ADDRESS, IF DIFFERENT -
CHICO, BUTTE, CA 95926
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write SAME*)
MAILING ADDRESS
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
CRY COUNTY
STATE TIP
9 - 79 916
538-7541
ILD MIT
TELEPHONE NUMBER
10/15/97
SIGNA OF LOCAL A ENCY OFFICIAL
DATE
NONE
DEALER NAME (if not a dealer sale, write *NONE")
DEALER LICENSE NO.
FLEETWOOD 194,T SUNCREST - 5663-A
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
20296-A, 20296-B 67'X 26' RAD 1010691/1010692
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER
SEE ATTACHED LEGAL DESCRIPTION.
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept.
„rder No. 1-178391
J
SCHEDULE C
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, DESCRIBED AS FOLLOWS:
PARCEL I•
BEING A PORTION OF SECTION 34, TOWNSHIP 22 NORTH, RANGE 1 EAST, M.D.B. &
M., ALSO KNOWN AS A FRACTIONAL PART OF LOT 2 IN ROSEDALE, MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT THE MOST SOUTHWESTERLY CORNER OF LOT 12, AS SHOWN ON THAT
CERTAIN MAP ENTITLED "HENRY'S THIRD ADDITION TO CHICO", WHICH MAP WAS
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON APRIL 1, 1924, IN BOOK 9 OF MAPS, AT PAGE(S) 28; THENCE
AL,.` GFS7tID—LOTZ2-AND 13, SOUTH 72 _DEG. 30'
EAST, 160.00 FEET; THENCE LEAVING SAID LINE SOUTH 17 DEG. 30" WEST, 6.38
FEET; THENCE SOUTH 41 DEG. 30' WEST 57.38 FEET TO THE TRUE POINT OF
BEGINNING FOR THE HEREIN'DESCRIBED PARCEL; THENCE FROM SAID TRUE POINT OF
BEGINNING AND CONTINUING SOUTH 41 DEG. 30' WEST 95.00 FEET; THENCE SOUTH
48 DEG. 30' EAST 197.54 FEET TO A POINT IN THE CENTERLINE OF LITTLE CHICO-
CREEK; THENCE ALONG THE CENTERLINE OF SAID CREEK NORTH 21 DEG. 48' EAST
100.91 FEET; THENCE LEAVING SAID CENTERLINE NORTH 48 DEG. 30' West 163.53
FEET TO THE POINT OF BEGINNING.
PARCEL II:
AN EASEMENT FOR ROADWAY AND PUBLIC UTILITY PURPOSES ALONG WITH THE RIGHT
OF USE AND MAINTENANCE FOR SAID PURPOSES DESCRIBED AS FOLLOWS:
COMMENCING AT THE MOST NORTHERLY CORNER OF LOT 8, AS SHOWN ON THAT
CERTAIN MAP "HENRY'S THIRD ADDITION OF CHICO", WHICH MAP WAS RECORDED IN
THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
ON APRIL 1, 1924, IN BOOK 9 OF MAPS, AT PAGES) 28; THENCE SOUTH 72 DEG.
30' EAST 288.70 FEET; THENCE SOUTH 17 DEG. 30' WEST, 25.00 FEET TO A
POINT ON THE SOUTHWESTERLY LINE OF POMONA AVENUE AND THE TRUE POINT OF
BEGINNING FOR THE HEREIN DESCRIBED EASEMENT;' THENCE FROM SAID POINT OF
BEGINNING AND CONTINUING SOUTH 17 DEG. -30' WEST 616.25 FEET; THENCE SOUTH
41 DEG. 30' WEST, 336.00 FEET; THENCE SOUTH 48 DEG. 30' EAST 60.00 FEET;
THENCE NORTH 41 DEG. 30' EAST 190.00 FEET; THENCE NORTH 48 DEG. 30' WEST
30.00 FEET; THENCE NORTH 41 DEG. 30' EAST 95.00 FEET; THENCE SOUTH 48
DEG. 30' EAST 30.00 FEET; THENCE NORTH 41 DEG. 30' EAST 63.76 FEET;
THENCE NORTH 17 DEG. 30' EAST 629.00 FEET TO A POINT ON THE SOUTHWESTERLY
LINE OF POMONA AVENUE; THENCE ALONG SAID LINE NORTH 72° DEG. 30' WEST,
60.00 FEET TO THE POINT OF BEGINNING.
EXCEPTING THEREFROM THAT PORTION THEREOF LYING WITHIN PARCEL I ABOVE
DRS-CRIBED----- — -
AP NO. 03? -480-015
Exec
Comp!
��vw too. 1561 79D
No.
V1MEN RECORDED MAIL TO:
f
MICHAEL A. BULLOCK
County of
•:-::,
X`D. BULLOCK
-.v , KATHLEEN . BU
Butte
: ;
l"
ONE ILLAHEE LANE #9
Candace J. Grubbo 1
-CRICO CA 95973
rpany
BtOOant 26 -Sep -96
r•::.:,, ; x;:
;
ker
1
DOG
Recorded I
Check 164-r;•,
Dfflclal Records
OWfVt#W ana
MfmR" It tiM 0l pia �....
MICHAEL A. BULLOCK
County of
•:-::,
X`D. BULLOCK
-.v , KATHLEEN . BU
Butte
: ;
l"
ONE ILLAHEE LANE #9
Candace J. Grubbo 1
-CRICO CA 95973
Recorder
BtOOant 26 -Sep -96
r•::.:,, ; x;:
;
DOCUMENTARY TRANSFEA TAX $5=
STATEMENTS
AAAIL TAX ST
X Comp„ on gm constd�r fJon a vwe d ►ertr com vv i7A
='.....
$A AS W V ci
OWfVt#W ana
MfmR" It tiM 0l pia �....
rekrt.
.. i i;' r;4 Y,t_. (•
heroby GRANT(S) to
s=':
S"tufg d D"dw mt Or Agml derefft+lnbg tmx ` FW .,....J_
Dated
. STATE OF CAUFORNA )�
QOUIM OF BUTTE ) .
r- on _ SEEMBEEt 5 txbo
0'nb apvomed . _�.�EtLL R. S
.� .. N,F!vettt_r AIdn
LINDA L. CHENAULT _
pers"W kno" to n+a (or taoved to ms an tre teals of mttafert"
r,�YT godmtce) to be tho parson(S) vft" comets) re S'Am. ted to ltnr
e ''G ° wBTMn Insing"O t and oanawk49W to me q4rixqvsnmay executed ft
wit in 11isR+drlthAlr •uthOrtied dtptrdty( ), end by h"(W.Rhofr
on vo (rrstn�nortt the Dorso^ ) or the lily uport behaM OI
`s tt,A+rcr1 e+e oersof,(� acted, axeMea ft, tnm+t.
ryrTWESS my omc+.l self.
GRANT DEED
:tiv>f
ASN a I -480-m
FOR A VALUABLE CONSIDERATION. receipt of which �s hereby achnowled9ed.Al
r•::.:,, ; x;:
;
DARELL R. CHENAULT and LINDA L C HENAULT husband and wife
- ,,C„
.
k•
heroby GRANT(S) to
s=':
A. BULLOCK and D. BULLOCK, husband and wife AS
joint It tg
°+1:
MICHAEL .KATHLEEN
UNINCORPORATED AREA
:'- -. •:-;.:;,=;
..
'
ra r" property in the CRY of
BUTTE
Staea iN CAif01t1lAj�
County of
SEE ATTACHED LEGAL DESCRIPTION
- J
i
Dated
. STATE OF CAUFORNA )�
QOUIM OF BUTTE ) .
r- on _ SEEMBEEt 5 txbo
0'nb apvomed . _�.�EtLL R. S
.� .. N,F!vettt_r AIdn
LINDA L. CHENAULT _
pers"W kno" to n+a (or taoved to ms an tre teals of mttafert"
r,�YT godmtce) to be tho parson(S) vft" comets) re S'Am. ted to ltnr
e ''G ° wBTMn Insing"O t and oanawk49W to me q4rixqvsnmay executed ft
wit in 11isR+drlthAlr •uthOrtied dtptrdty( ), end by h"(W.Rhofr
on vo (rrstn�nortt the Dorso^ ) or the lily uport behaM OI
`s tt,A+rcr1 e+e oersof,(� acted, axeMea ft, tnm+t.
ryrTWESS my omc+.l self.
:tiv>f
•'iia a:.
0911 PALMIR
rv0lr8vr?S
MI �1111►OOlA
STATE OF CALIFORNIA
BUSINESS, TRANSPORTATION AND HOUSING AGENCY -
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT .;
DIVISION OF CODES AND STANDARDS s
REGISTRATION AND TITLING PROGRAM
STATEMENT OF FACTS
This unit is a: JzrMobilehome Commercial Coach 0 Floating Home 0 Truck Camper
Decal (License) No.(s) Trade Name
I/We, the undersigned, hereby state:
Serial No.(s)
�,2_v,�2-G (e -- A-
�
THE ABOVE DESCRIBED MOBILE HOME HAS BEEN INSTALLED ON
AN APPROVED PERMANENT -FOUNDATION SYSTEM AND IS PRESENTLY
IN,ESCROW WHICH WILL CLOSE WITHIN 45 DAYS..
I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State
of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of
the above-described unit in California, or from issuance of a California certificate of title covering the same.
I/We certify under penalty of perjury that the. foregoing is true and correct. .
Executed on g1at e) <fA t
(Date) (City) (State)
Signature(s) - Printed name(s)
Address Z 3 -�'��% - - �/ VG/L 16 ! Vd
City �/�✓/ LL� State e -A_. .
HCD 476.6 (REV 9/91)
LK, USE ONLY
Plat Pim At edW
Pbw PYa Anadwd
%7 / Scotto H.D. a,/
O: Building Department / • ! —
FROM: Environmental Health
SUBJECT: Sanitation Clearance
39- o/5
h, L
Owner Location AP#
Plan Approved for: Sewage Disposal (/ Water Supply:
Clearance for Z_ bedroom go e ome. Other
Hold final . for. 5w-1, L ,;
Final
NOTE:
--4,v 4-1 �A.-L -
EnvGnrne�n—taFHeafth Specialist
Public I-- Private Well
2j'-9-7 C68C
� - /-- 1-7,
Date
• `Y��h,Y.,,, .�-� '—�..�^,(1„ t l� ! �t �i Tom, . 1�{ .hOj Yi 0
Additional leaching field will be required if experience showb it to be necessary. No part of the system may be located within
50 feet of the center line of any County Road.
gk ko �� 1TW dr -n Ith D`e . tm lx�G � �► W d r� w
NOTE: Satisfactory ory inspection b e H a th Department is quire before backfilling or putting the system into use.
Occupancy of a new building is not permitted until the system is approved.
Permit Fee $���� ; Penalty Fee $•
Additional Fee $
G. Receipt No. �)9-L
TOTAL FEE $ 7�/ O
Issued By:
ENVIRONMENTAL HEALTH SPECIALIST
S31 - 278R (Rev. 6/94)
y',
97-0325961 Rec Fee 8.00 xL MM
I IHF 2.'00
Recorded I PPG 6.00
And when recorded mail to:
Official Records I COP 1.50
Building Division County of I Cash 17.50 °
#7 County Center Drive Butte I
Oroville, Ca. 95965 Candace J. Grubbs I
Recorder I i' 7
1:53pm 2 -Sep -97 I PUBL XX '2-t
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires this acknowledgment to be recorded,prior to issuance of a building permit. The
property described herein is adjacent to land or included -within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including—but not limited to
herbicides. pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation.
plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke. noise. and odor. Butte County has established
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or l
discomfort from normal, necessary farm operations.
All that real propem situate in the County of Butte. State of California. described as follows:
SEE ATTACHED LEGAL DESCRIPTION
r
Date: PROPERTY OWNERS:pie
y s.
' - r'`'t ��Lh�•�-1 C� �'u. l loci-- l!c�.l� . � `/3u l�G��--- -. - .
State of California ) 4
County oftl
g `0.chel Cay
On g 1 before me, `'
personally appeared U'>GIC.f A -lui i- Gt,l VI�Q�.Vt Y Alpric personalh
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and
that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the-person(s) acted.
executed the instrument. _. I'
WITNESS my hand and official seal. r RACHEL COX
U
NOTARY Comm X11143719 ^�
PUBLIC CALIFORNIAY,
�. BUTTE COUNTY (�
Signature
Seal: + Comm. Exp. June 27 2001
'301/ook.
NOTE TO RECORDER: DO NOT RECORD THIS SIDE A.A• — I /
:<A RICV :TURA SATE E T.:E3 .AC E.-D� ENIE F::::.:.:.
..... .
Instructions for recording Agricultural Statement of Acknowledgement:
1. Insert the legal description of the property in the space provided on the other side of this
form. The legal description is the narrative description of the property - which will be on
your deed. If you don't have access to the deed, the Recorders Office can provide this
information. ( The description may be handwritten or typed in the space provided or attached
on a separate sheet if more space is required).
2. Property owners must sign in the presence of a Notary Public and have the form notarized.
3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25
County Center Drive, Oroville (the Administration Center building). The Recorder will
record both the original and copy. They will keep the original and return the copy to you.
'Just bring the copy back to the Building Division at 7 County Center Drive.
RECORDER'S FEES: $6.00 - 1st. Page
$3.00 - Each Additional Page
RECORDER'S OFFICE HOURS: 9:00a.m. - 3:00p.m. (Monday - Thursday).
OVER
a
order No. 1-178391.
SCHEDULE C
THE LAND REFERRED TO HEREIN IS DESCRIBED AS.FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, DESCRIBED AS FOLLOWS:
PARCEL 1:
BEING A PORTION OF SECTION 34, TOWNSHIP 22 NORTH; RANGE 1. EAST, M.D.B. &
M., ALSO KNOWN AS A FRACTIONAL PART OF LOT 2 IN ROSEDALE, MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT THE MOST SOUTHWESTERLY CORNER OF LOT 12, AS SHOWN ON THAT
CERTAIN MAP ENTITLED "HENRY'S THIRD ADDITION TO CHICO", WHICH MAP WAS
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON APRIL 1, 1924, IN BOOK 9 OF MAPS, AT PAGE(S) 28; THENCE
ALONG THE SOUTHWESTERLY LINE OF SAID LOT 12 AND 13, SOUTH 72 -DEG. 30'
EAST, 160.00 FEET;.THENCE LEAVING SAID LINE SOUTH 17 DEG. 30" WEST, 6.38
FEET; THENCE SOUTH 41 DEG. 30' WEST 57.38 FEET TO THE TRUE POINT OF
BEGINNING FOR THE HEREIN DESCRIBED PARCEL; THENCE FROM SAID TRUE POINT OF
BEGINNING AND CONTINUING SOUTH 41.DEG. 30' WEST 95.00 FEET; THENCE SOUTH
48 DEG. 30' EAST 197.54 FEET TO A POINT IN THE CENTERLINE OF LITTLE CHICO
CREEK; THENCE ALONG THE CENTERLINE OF SAID CREEK NORTH.21 DEG. 48' EAST
100.91 FEET; THENCE LEAVING SAID CENTERLINE NORTH 48 DEG. 30' West 163.53
FEET TO THE POINT'OF BEGINNING.
PARCEL II•
AN EASEMENT FOR ROADWAY AND PUBLIC UTILITY PURPOSES ALONG WITH THE RIGHT
OF USE AND MAINTENANCE FOR SAID PURPOSES DESCRIBED AS FOLLOWS:
COMMENCING AT THE .MOST NORTHERLY CORNER OF LOT 8, AS SHOWN ON THAT .
CERTAIN MAP "HENRY'S THIRD ADDITION OF CHICO", WHICH MAP WAS RECORDED IN
THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
ON APRIL 1, 1924, IN BOOK 9 OF MAPS., AT PAGES) 28; THENCE SOUTH 72 DEG.
30' EAST 288.70 FEET; THENCE SOUTH 17 DEG. 30' WEST, 25.00 FEET TO A
POINT ON THE SOUTHWESTERLY LINE OF POMONA.AVENUE AND THE TRUE POINT OF
BEGINNING FOR THE HEREIN DESCRIBED EASEMENT;' THENCE FROM SAID POINT OF
BEGINNING AND CONTINUING SOUTH 17 DEG. 30' WEST 616.25 FEET;.THENCE SOUTH
41 DEG. 30'.WEST, 336.00 FEET; THENCE SOUTH 48 DEG.. -30' EAST 60.00 FEET;
THENCE NORTH 41 DEG. 30' EAST 190.00 FEET; THENCE NORTH 48 DEG. 30' WEST
30.00 FEET; THENCE NORTH 41 DEG. 30' EAST 95.00 FEET; THENCE SOUTH 48
DEG. 30' EAST 30.00 FEET; THENCE NORTH 41 DEG. 30' EAST 63.76 FEET;
THENCE NORTH 17 DEG. 30' EAST 629.00 FEET TO A POINT ON THE SOUTHWESTERLY
LINE OF POMONA AVENUE; THENCE ALONG SAID LINE NORTH 720 DEG. 30' WEST,
60.00 FEET TO THE POINT OF BEGINNING.
EXCEPTING THEREFROM THAT PORTION THEREOF LYING WITHIN PARCEL I ABOVE
DESCRIBED. <
AP NO. 037-480-015
Exec
Comp Al
OWNER'S HANEI' lwa,4a aal-L-6ce
PROPERTY ADDRESS: e�,�W4
ASSESSOR'S PARCEL,:
SCALE: 36
RO,4E
PA
•
00
il4g ,
15;
LIM
.01
UP
r.
0
jD
0
LAND DEVELOPMENT
BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. 91-7— f ??IF /
MewlOWNE`"`
NAME: RS�� I �G�� l 1. P _ \ NUMBER:
PRINT LAST NAME FIRST '
COUNTY ZONING nn
DESIGNATION: /� —/0 FLOOD ZONE: k FLOOD MAP: ZOO
APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL:
PARCEL CREATION BY DEEDS '� OR MAP
DEED INFORMATION:
DATE OF CREATION: 9/1-9/2o DEED REFERENCE: 1626 6,2 2 ?5—
LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO
COMMENTS/CONDITIONS:
MAP INFORMATION:
DATE OF RECORDING LOT BOOK PAGE
COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED.
1. Maintain a 50 ft. building setback from centerline of road.
2. Maintain a ft.building setback from right-of-way/centerline of
3. Comply with Zoning code for building setback from road.
4. Maintain a 100 ft. leachfield setback from all existing wells.
5. Maintain a ft. leachfield setback from
6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department.
7. Meet the Fire S.Ife Regulations of Butte County and P.R.C. 4290.
_ 8. Connect to a public water supply.
9. Connect to a public sewer system.
_ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the installation of sprinkler systems in one and two .family dvvellirigs:and mobile
homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants th`at meet Fire Department
specifications, serves the parcel.
11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
_ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
_ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated
in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Pramting Division.
_ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile homes shall be constructed -on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte
County Code.
_ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California
Clean Air Act of 1988 as amended.
20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able to assess the site
significance and suggest appropriate mitigation measures.
21
22
23
24
25
26
'NO.I NUM013A30 Mr
June io AN=
1561 1 Z 9nV
®3n13338
LD 7/96
C:\WP51 TORMS.K\BLDG PERM. CLR
i
q I_ r79�i
OWNER: r Ll l l (� C� l.(..VL� aj
LOCATION: ` Ll J� U L
CONTRACTOR: t�CP.a
PRE -INSPECTION FOR: UGZ(J I Pll(,IJ
PERMIT HISTORY: E]NONE [ ]AS FOLLOWS: P -Q" -V
TYPE OF OCCUPANCY:
DATE:
A.P.#: O3q' �(BO�O I5
ZONING: A-16
i L (u 1` 1 1
DATE TO INSPECTOR:
BUILDING INSPECTOR'S REPORT
Building Description:
[ ] Commercial/Usage:
[ J Residential/# of Units:
[ ] Currently Occupied.
[ ] AbandonedNacant.
lectric:
[ J Yes [ ] No
Electric is currently : [ ] On [ ] Off
Condition of electrical?
as:
Natural[ ] Propane[ ] None[ ]
Obvious problems:
Mobile Home: Yes[ ] No[ ]
Currently On[ ] Ofd ]
sanitation:
Plumbing working Yes[ ] No[ )
Well: Yes[ ] No[ J Potable water: Yes[, ] No[ ]
Obvious Sewage Problem
►ction Recommended: [ Issue [ ]Hold for:
�J
nspector•
Date.•
May 1995 4 7
_�^'..r•^-�+rt.•"..r+.�^",TM+m+r-.....►r+w.�.`*crn-�•,,--•.r=*--�ti.-'�+in^�MY""*,'�'`�i:.�:`�.a'_�,:'�.�.�.,r''��.,;�-'�t�-.-�u^Y+ku ��r-r.kt,r-v+rrr+,..-►......,r,� ,:,-•w,.-.....,�.., � r,,�, .
BUTTE., COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District . ( ("� Building Department No.
A.P. Number ��q _ (.jig-('��°� Jurisdiction: City County
Property Owner
Property Location/Address
Subdivision Lot No.
Residential Development
No of Living Mobile Home Addition
Units Installation
Commercial/Industrial
New Addition
(door
District Identification No.
(Street Address)
(City)
ewes oy Scnool uistnct Personnel)
School District certifies that
has complied with the requirements of Resolution No
representing / 02/ & square feet.
School Di
(State)
Sq. Footage I :114a
(Group RJ
J
Sq. Footage
(Including Exterior
Roofed Areas)
i
Date
(Applicant)
(Phone Number)
(Zip Code)
&,5 7 — (O by payment of $
B 2926 $
LL MITIGATION $
9
Date
Paid by Check # / Remarks:
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the Imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm
.. -.-ti•, '�M�,�1rr"`,K^•'1(Y�'�'y*:'�' -••- «�n'+M!-.�l...rp. ...�,wyet,• ,,,,,., t•`'X41♦'y!"}ty,Kfy.�.:.�.,tj:{t?^F'P'.rfxM �,,,*"w„�Xt•"*`k•.�".'F`f"�T"�i!'r*vAv�r ••.,r -r ..��:�'tfdo.i',!t
BUTTE COUNTY PARKS DEVELOPMENT FEE CERTIFICATION FORK
CHICO AREA RECREATION AND PARR DISTRICT
Assessor Parcel Numbers) 3 -- 0- O 1 S
Property Owner CA&ow
Project Location/Address
Subdivision Lot Number(s)
` Residential Development: (check one)
New Development _Alteration/Addition / Mobilehome(s) Non -Residential
to Residential
Total Number of Dwelling Units
I Comment:
Chico Area Recreation and Park District(CARD) certifies that
(Applicant Name). (Phone Number)
)0?-e�
(Street Address)
A.
(City) (State) (Zip Code)
has complied with the requirements of Butte Co. Resolution.No. 90-140 by
payment for ',_._,..J_ dwelling units @ $1,189 for total payment of $
CARD Represen ative Date
PAID BY CHECK NO. REMARKS: — al S o Px- i3alle 6
BANK NO.
PAID BY CASH
RECEIPT NO.
Distribution: White --Applicant Yellow= -Butte Co. Building Dept.'
Pink --CARD Goldenrod -.-City of Chico Building Dept.
park. fee ( form revised. 11/90 )
And when recorded mail to:
Building Division
#7 County Center Drive
Oroville, Ca. 95965
`"
97-032596; Rec Fee 8.00
I IHF 2.00
Recorded I PPG 6.00
Official Records I COP 1.50
County of I Cash 17.50
Butte I
Candace J. Grubbs I
Recorder I
1:53pm 2 -Sep -97 I PUBL XX 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte Countv Code requires this acknowledgment to be recorded prior to issuance of a building permit. The
property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to
herbicides, pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation.
plowing, spraving, pruning, and harvesting which occasionally generate dust, smoke, noise. and odor. Butte County has established
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or
discomfort from normal. necessary farm operations.
All that real property situate in the County of Butte. State of California. described as follows:
SEE ATTACHED LEGAL DESCRIPTION
Date:
PROPERTY OWNERS:
a
-H oAC .0 / ct
State of California )
County of `�t,�•�Q )
On 1 g 1 before me,
a G�) e. Cb
>iR
personally appeared fnt (J%1Q?J 0;UJ QC' 1- ` Q I Vl�eLk �• I'�� personalh
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and
that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted,
executed the instrument.
WITNESS my hand and official seal. RACHEL COX
COMM #1143719
(9 NOTARY PUBLIC CALIFORNIA)
BUTTE COUNTY n
SignatureQSeal: Comm. Exp. June 27 2001
,.P.# - 41ka - 01,5
r✓ e
'SCHEDULE C
order No. 1-178391
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, DESCRIBED AS FOLLOWS:
PARCEL I•
BEING A PORTION OF SECTION 34, TOWNSHIP 22 NORTH, RANGE 1 EAST, M.D.B. &
M., ALSO KNOWN AS A FRACTIONAL PART OF LOT 2 IN ROSEDALE, MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT THE MOST SOUTHWESTERLY CORNER OF LOT 12, AS SHOWN ON THAT
CERTAIN MAP ENTITLED "HENRY'S THIRD ADDITION TO CHICO", WHICH MAP WAS
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON APRIL 1, 1924, IN BOOK 9 OF MAPS, AT PAGE(S) 28; THENCE
ALONG THE SOUTHWESTERLY LINE OF SAID LOT 12 AND 13, SOUTH 72 -DEG. 30'
EAST, 160.00 FEET; THENCE LEAVING SAID LINE SOUTH 17 DEG. 30" WEST, 6.38
FEET; THENCE SOUTH 41 DEG. 30' WEST 57.38 FEET TO THE TRUE POINT OF
BEGINNING FOR THE HEREIN DESCRIBED PARCEL; THENCE FROM SAID TRUE POINT OF
BEGINNING AND CONTINUING SOUTH 41 DEG. 30' WEST 95.00 FEET; THENCE SOUTH
48 DEG. 30' EAST 197.54 FEET TO A POINT IN THE CENTERLINE OF LITTLE CHICO
CREEK; THENCE ALONG -THE CENTERLINE OF SAID CREEK NORTH 21 DEG. 48' EAST
100.91 FEET; THENCE LEAVING SAID CENTERLINE NORTH 48 DEG. 30' West 163.53
FEET TO THE POINT OF BEGINNING.
PARCEL 11:
AN EASEMENT FOR ROADWAY AND PUBLIC UTILITY PURPOSES ALONG WITH THE RIGHT
OF USE AND MAINTENANCE FOR SAID PURPOSES DESCRIBED AS FOLLOWS:
COMMENCING AT THE.MOST NORTHERLY CORNER OF LOT 8, AS SHOWN ON THAT
CERTAIN MAP "HENRY'S THIRD ADDITION OF CHICO", WHICH MAP WAS RECORDED IN
THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
ON APRIL 1, 1924, IN BOOK 9 OF MAPS, AT PAGE (S) 28; THENCE SOUTH 72 DEG.
30' EAST 288.70 FEET; THENCE SOUTH 17 DEG. 30' WEST, 25.00 FEET TO A
POINT ON THE SOUTHWESTERLY LINE OF POMONA AVENUE AND THE TRUE POINT OF
BEGINNING FOR THE HEREIN DESCRIBED EASEMENT;' THENCE FROM SAID POINT OF
BEGINNING AND CONTINUING SOUTH 17 DEG. 30' WEST 616.25 FEET; THENCE SOUTH
41 DEG. 30' WEST, 336.00 FEET; THENCE SOUTH 48 DEG. 30' EAST 60.00 FEET;
THENCE NORTH 41 DEG. 30' EAST 190.00 FEET; THENCE NORTH 48 DEG. 30' WEST
30.00 FEET; THENCE NORTH 41 DEG. 30' EAST 95.00 FEET; THENCE SOUTH 48
DEG. 30' EAST 30.00 FEET; THENCE NORTH 41 DEG. 30' EAST 63.76 FEET;
THENCE NORTH 17 DEG. 30' EAST 629.00 FEET TO A POINT ON THE SOUTHWESTERLY
LINE OF POMONA AVENUE; THENCE ALONG SAID LINE NORTH 72° DEG. 30' WEST,
60.00 FEET TO THE POINT OF BEGINNING.
EXCEPTING THEREFROM THAT PORTION THEREOF LYING WITHIN PARCEL I ABOVE
DESCRIBED.
AP N0. 037-480-015
Exec
Comp!
/ -NOTE: All M86terialn & 7rbrla w)wW ).ftaLZ
0KNER' S NA.'%E �1/C�7if� �CJ.CL-I�Cl� Accordance with �'�ecogTAl zeJ. Good:P, dices and
of a Qjmlity Preocrio;ed for the i3 ectf°ie 110e
PROPERTY ADDRESS: /�,5�1 'BCW4 in the Uniform Building, Plumbing.& Mechanica:
ASSESSOR'S PARCEL ff : Q3 — c - 6/j".. i 3 ,t io 1�1 t 1C .
ALL STRUCTURES Ar1C EQUI''E,rc.NT liYC4:t1t3i3�
:®VERE��4 GS Sad LL BE CLEAR OF ALL EASEMENTS ;
.B �`
.,. A SET BACK OF � FT. FRO% THE :SDE e�C%
"'FT. FROM THE R R PRC?i'LF$7�' LINES1'�� 'i
. 4EFT. FROM THS. ROAD CE3+QUIP?, AE SHALL
.m :7 STRUCTURES AND �Qt3iP�A�NT �CE n'
+
1
' 30 Z 1 '-
Tl
C �� J
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Mobilehome Manufacturer: .fir i.��Dd Manufacture Year:
If other than single wide, furnish Setup Model Number: ,,5Z(' 6,
Width:;g6 (ft.) Length:_!L (ft) Tagalong or Expando Size (ft.) x_(ft)
On all mobilehomes manufactured after 'October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.`
FOOTINGS: Wood pressure treated or foundation grade( Other:
SUPPORTS: Concrete block[, Other:
Provide Tic Down Specifientions for all Mobilehomes:
Line 1 Piers:
Size minimum: x
Line 1 Openings
Size minimum:
x
Spacing maximum:
''
Each side of openings
From ends -maximum:
with width over:
"
4
size " 42
Line 4 Piers:
Line 2 Piers-1�14,6z°Grm
Size minimum: ] x ].
Size minimum:
[ ] x [ ].
Spacing maximum:
2- `P
Spacing maximum:
"
From ends -maximum:
From ends -maximum:
"
Linc 3 Roof Loads:,
�0 ,
Size minimumMEE
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
/?�eOVER
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