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040-610-011
h' 60 {� `0400-011 O 00-2771 SKILLIN, ROBERT 1355 MESA RD., DURHAM CA CON'I•R: OWNER REPAIR MAIN ELECT. SERV PANEL 040-610-011 05-2922 SKILLEN, ROBERT 1355 MESA RD, DURHAM Cont: REDLINE INSTALLATION. M/H INSTALL( TT �rrv. �• �1'1V "` t� 13 5-5 Mesq kd AGRICULTU ZAL A_-FIDAVIT EHPLOYER/Et"TLOYEE Please read the following carefully before signing: Section 24-21.2 Agriculture Employer/Employee (Applicable only in zones k -5, A-10, A-20, A-40 and A-160) An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty- two (32) hours per week for at least sixteen (16) ,,reeks per year, or'that his primary source of annual income is, or is anticipated to be, derived from, any of the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agricultural purposes, plowing, discing and fertilizing the soil; (b) The sowing and planting of any agricultural or horticultural : commodity; (c) The care of any agricultural or horticultural.commodity. As used in this subdivision, "care" includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning, or tieing, fumigating, spraying and dusting; ?: (d) _The harvesting of any agricultural or horticultural commodity including, but not limited to, kicking, cutting, thrashing, mowing, knocking off, field chopping, bunching, baling, balling, field packing, and placing in field containers or in the ve- hicle in w1iich the commodity will be hauled on the farm or to. the place of first processing; (e) The assembly and storage of any agricultural or horticultural commodity including, but not limited to, loading, roadsiding, banking, stacking, binning and piling; (•f) The raising, feeding and management of livestock, fur -bearing animals, fish, frogs and other aquatic animals, and bees in- cluding, but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment. C AGRICULTURAL AFFIDAVIT FAIPLO YEE ><Employee Janet _FOuL1 Ja,`n -&hone )(Employee's Address (Present) X3,5 1�Q�Cg JurV1Aw1 CI''1 15�3�5 Name of Owner Ovnaer ' s Addre Owner's Assessor's Parcel No. �4,Q- (( - (o9 aAl 40-50- 9 Building/Environmental Health Permit Description and Number Date Issued k-41110 Planning Department.Approval: Date 6� - 6 -g 6 Z.Qne A-5 Dwelling on AP# '040- -0 40- DSd- DO uIdo .declare, subject to the penalty of perjury, thaw' I am the employee of address (present) 4.41(, Dr A &m&i f2' d (�ico_C_O,_.on AP# -ll -A&40 -5Q -g and that I will be employed under Section 24-21.2 for at.least a to g) thirty-two (32) hours per geek for at least sixteen_ (16) weeks per year on )(Signed 9CDa t ed +r z AGRICULTURAL AFFIDAVIT E11lPLOYEP Emp 1 oyer Employer's Address (Present)_ L2r C•errU Vr,, (C-0 , Name of Owner Owner's Addre O,emer's Assessor's Parcel No. 40- II - L9 Building/Environmental Health-,,. Permit Description and Number'tw..�s� Date Issued B, Planning'Department Approval: Date Zone Dwelling. on AP#04U-- o--.Oaa% . Phone gql%lp( do declare, subject to the a penalty of perjury, that I am the employer of X Gil(�C�i� f'O u, o� address (present) eC, �d -bM�annM on AP, and that I will be employer under Section 24-21.2 (27' for at least —(a) to g thirty-two (32) hours per week for at least sixteen (16) weeks per year on Signed Dated RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0031442 Recorded I Official Records I County of I Butte I O DACE J. GRUBBS I County Clerk—Recorders I I 012:34PH 20—Jun-2005 I REC FEE 10.00 COMFORNED COPY 1.00 LV Page 1 of 2 IIID�I III � III I II I ��I�II I� II III II 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. SKILLIN FAMILY TRUST ROBERT H. AND SARA J. SKILLIN TRUSTEES REAL PROPERTY OWNER/LESSOR MAILING ADDRESS DURHAM - BUTTE CA 95938 CITY COUNTY STATE ZIP 1355 MESA ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT DURHAM BUTTE CA 95938 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") 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 05-29 530 538-7541 BUILD G PERMIT 0. TELEPHONEjIUMBF-L , y SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. CMH MANUFACTURING 2006 GE684K MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER ALB030305ORA/B/C 68 x 27, 62'8" x 13' 6" ORE482699/700/701 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 040-610-011 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. 15:18 FAX 530 899 4531 DS8CRIPTIONi FIDELITY NATIONAL TI', .-I/ Y� UcnM[__,_3 �D THE LAND REPERRED TO HEREIN IS SITUATED IN THE STXTE OF CALIFORNIA, COUNTY OF BUTTS, AND IS DESCRIBED AS FOLLOWS: PARC$L I - LOT11, AS SHOWN ON THAT ClIkTAIN MAP ENTITLED, "SKILLIN ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON J=E 27, 1991, IN BOOK 122 OF MAPS, AT PAGE(S) 56, 57, 58, 59 AND 60. RESERVING THEREFROM AN recEMENT FOR INGRESS, EGRESS, SUPPORT AND STORM DRAIN OVER IWARNOW -LANE AND SKILLrN ESTATES DRIVE AS SHOWN ON THE ABOVE MAP. ALSO RESERVING THEREFROM THOSE CERTAIN STORM DRAIN EASEMENTS AND IRRIGATION DITCH EASEMENTS AS SHOWN ON THE ABOVE MAP_ SAID EASEMENTS ARE FOR TH8 BENEFIT OF AND APPURTENANT TO LOTS 1 THRU 12 OP SAID SUBDIVISION. THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTH IDT THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED JULY 30, 1991, UNDER BUTTE COUNTY'RECORDER'S SERIAL NO. 91-30874, BUTTE COUNTY, CALIFORNIA. ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED 'APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLARATION. PARCEL 2S - EASEMENTS FOR INGRESS, EGRESS, SUPPORT AND STORM DRAIN OVER HEARNOW LANE AND SKILLIN ESTATES DRIVE AS SHAWN ON THAT CERTAIN MAP ENTITLED, "SKILLIN ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF TETE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 27, 1991, IN BOOK 122 OF MAPS. AT PAaE(S) 56, 57, 58, 59 AND 60. PARCELiYls EASEMENTS FOR STORM DRAIN AND IRRIGATION DITCHES OVER LOTS 1 THRU 8 AND 10 TKRU 12, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SKILLIN ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 27, 1991, IN HOOK 122 OF MAPS, AT PAGES) 56, 57, 58. 59 AND 60. �soriptiota: Satts,CA Doavcmnt-Y®ar.DcclD 1999.53432 Pago: 5 of 5 0sd4r: M -12Y con=ant: (3j 009!009 COPY of Document Recorded 20 -Jun -2006 2006-0031442 RECORDING REQUESTED BY: Has not been compared _ rith original BUTTE COUNTY COUNTY RECORDER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (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. SKILLIN FAMILY TRUST ROBERT H. AND SARA J. SKILLIN TRUSTEES REAL PROPERTY OWNER/LESSOR 8941 STANFORD LANE MAILING ADDRESS DURHAM BUTTE CA 95938 CITY COUNTY STATE ZIP 1355 MESA ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT DURHAM BUTTE CA 95938 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") 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 05-29 -;�530 538-7541 BUILD KG PERMIT 0. TELEPHONEjQUIvfEt v SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO CMH MANUFACTURING 2006 GE684K MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER _ALB030305ORA/B/C 68 X 27, 62' 8" x 13' 6" ORE482699/700/701 SERIALNUMBER(S) - LENGTH XWIDTH INSIGNWLABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 040-610-011 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - AODlicant GOLDENROD - Building Dept. 15. 18 FAX 530 899 9531 DESCRIPTION: FIDELITY NATIONAL TI-,` ..le THE LAND REPERRED TO HEREIN IS SITUATED IN THE STXTE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS pOLLdOWS: PF&RC$L I - LOT ll , AS SHOWN ON' • THAT C1WkTAiN MAP ENTITLED, "SKILLIN ESTATES16, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CA;LZFORNIA, ON JUNE 27, 1991, IN BOOK 122 OF MAPS, AT PAGE(S) 56, 57, S8, 59 AND 60. RESERVING THEREFROM AN WSEMENT FOR INGRESS, EGRESS. SUPPORT AND STORM DRAIN OVER HEARNOW LANE AND SKILLIN ESTATES DRIVE AS SHOWN ON THE ABOVE MAP. ALSO RESERVING THEREFROM THOSE CERTAIN STORM DRAIN EASEMENTS AND IRRIGATION DITCH LASEMENTS AS SHOWN ON THE ABOVE MAP - SAID EASEMENTS ARE FOR TH3 BENEFIT OF AND APPURTENANT TO LOTS i THRU 12 OF SAID SUBDIVISION. THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTH IDI THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDBD JULY 30, 1991, CINDER BUTTE COUNTY RECORDER'S SERIAL NO. 91-30874, BUTTE COUNTY, CALIFORNIA. ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND EFFrCT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED 'APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLARATION. PARCEL Zr- EASEMENTS FOR INGRESS, EGRESS, SUPPORT AND STORM DRAIN OVER HEARNOW LANE AND SKILLIN ESTATES DRIVE AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SKILLIN ESTATES", WHICh MAP WAS RECORDED IN THE OFFICE OF TETE RECORDER OF THE COUNTY OF BUTTE. STATE OF CALIFORNIA, ON JUNE 27, 1991, IN BOOK 122 OF MAPS, AT PA(3E(S) 56, 57, 58, 59 AND 60. #PARCEL Ul s EASEMENTS FOR STORM DRAIN.AND IRRIGATION DITCHES OVER LOTS 1 THRU 8 AND 10 THRU 12, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SKILLIN ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 27. 1991, IN BOOK 122 Or MAPS, AT PAGE(S) 56, 57, 5S, 59 AND 60. DBaoription' BRt"ICA D0cunts tt-Y®ar.DoalD 2999.53432 Page. 3 or 5 0rd4rr malty Conwaant. a 0091009 FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-2922 Address or location of unit: 1355 MESA ROAD, DURHAM, CA, 95938 Legal Description of Real Property: 040-610-011 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: SKILLIN FAMILY TRUST ROBERT H. AND SARA J. SKILLIN TRUSTEES Owner's address: 8941 STANFORD LANE, DURHAM, CA 95938 INSIGNIA OR HUD NUMBER: ORE482699/700/701 SERIAL NUMBER OR V.I.N.: ALB030305ORA/B/C MANUFACTURER'S NAME: CMH MANUFACTURING YEAR: 2006 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C 6 '�P� C�f(7coCU�01 � �c��-vnQc9 �� �dPy AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-0067343 Recorded I REC FEE 10.00 Official Records I County of I COPIES 2.50 Butte I Cf►RDACE J. GRUBBS I County CieA-Recorderl I I BW 012:2.04 N4-I4oy-22@5 I Page 1 of 2 1111 III 1111 IN I III I III 111111 VIII AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date/ Zl2r S' PROPERTY OWNERS: State of California County of On e, personally appeared/j71�personally known to me (pr.I 1, $t eta y--midence) to be the person(s) whose name(s)!f/are subscribed to the within instrument and acknowledged to me that;hea�W/they executed the same in his bO/their authorized capacity(ies), and that by: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. Signature Seal: •� •• J. DARYLE POLK D A.P. # ('_ ' t ' -� COMM. # 1487788 NOTARY PUBLIC -CALIFORNIA, Q ®.. COUNTY OF BUTTE Comm. Expires May 4, 2008 r- V/ / X19;!0'9^2 005 15:18 FAX 530 899 '531 DESCRIPTION: FIDELITY NATIONAL TI', --L; TETE LAND REPERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I- LOT11, AS SHOWN ON THAT CHRTAIN MAP ENTITLED, "SKILLIN ESTATES', WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALZFORNIA, ON JUNE 27, 1991, IN BOOK 122 OF MAPS, AT PAGE(S) 56, S7, 58, 59 AND 60. RESERVING THEREFROM AN FASEMENT FOR INGRESS, EGRESS, SUPPORT AND STORM DRAIN OVER HEARNOW LANE AND SKILLIN ESTATES DRIVE AS SHOWN ON THE ABOVE MAP. ALSO RESERVING THEREFROM THOSE CERTAIN STORM DRAIN EASEMENTS AND IRRIGATION DITCH EASEMENTS AS SHOWN ON THE ABOVE MAP_ SAID EASEMENTS ARE FOR THE BENEFIT OF AND APPURTENANT TO LOTS 1 THRU 12 OF SAID SUBDIVISION. THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED JULY 30, 1991, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 91-30874, BUTTE COUNTY, CALIFORNIA; ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED 'APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLARATION. PARCaL XX; EASEMENTS FOR INGRESS, EGRESS, SUPPORT AND STORM DRAIN OVER HEARNOW LANE AND SKILLIN ESTATES DRIVE AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SKILLIN ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF TETE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 27, 1991, IN BOOK 122 OF MAPS, AT PAGE(S) $6, 57, 58, 59 AND 60. PARCEL x r j s EASEMENTS FOR STORM DRAIN AND IRRIGATION DITCHES OVER LOTS 1 THRU 8 AND 10 THRU 12, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SKILLIN ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE.27, 1991, IN HOOK 122 OF MAPS, AT PAGE(S) 56, 57, 58. 59 AND 60. 1�104rvrlptl0n: BUtte,CA 00cummnt-Y0ar.D0cZD 1999.53432 Page: 5 of 5 ardwr: Molly Con:men t : a 009/009 06/20/2006 09zQl REDLINE INSTALLATION -� 5382140 ND'34? 1?02 W;;EAff FF SPORWRYD rim (SiNGLEFAMIL CIA'& N-" mum" (MULTI -UNIT MANUFACTURED HOUSIN'G''..' IMANUFA cm 'W MODEL NAME A MCI BER; Q101 6W YV&k CtATCOF MANUFAMRE. No VR MER OR TRANSFER EfOV^IERSHI;FtR_ANSFFm_, DATE 6��FFA TRANSFEREE DESIGNATIOm, = . . .. : _.,, - v .DEALER OR TRANSFER-E—EADDRESS! INVENTORY CREDITOR NAME: (ZW) K110HILLET TN (cm BFCTIOM- INCHES) (POUNDS) .32c 1 3e nF44,1M Rig, TRANSPORTER MAW THMaPORTER ADDRESS: IMAM SPORWRYD rim Butte County Department of Development Services. eu re_ as EF IN O T E S 7 County Center Drive, Oroville, CA 95965 - C (530) 538-7601 v-Avw.buttecoiintyneVdds RESIDENTIAL APN: Permit No. ' 040-610-011 05-2922 Owner — SKILLEN, ROBERT 1355 MESA RD, DURHAM Site Address: Contr: REDLINE INSTALLATION Contractor. M/H INSTALL (S P6R%n _ FOUN atTI0/4 Type of Permit: 0 0 OFFICE COPY i I Address I GAS Meter ByQOAC( DatelQ ELECTRIC Meter By ,N,,,S oat -06 CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE 1$ G-3 (')Fr 65Qk-L0N CMO(ZTH) DATE JOB FINALED: SIGNATURE: = o� MANUFAC URE© HOMES MISCELLANEOUS DATE ERMANENT FOUNDATION DATE D E C K S -C O V E R S'C A R P O R T S GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-Spacing 3 Decks, Girders/Joists-Ocking-Brcing o_Llol�g-Setbacks-Easements o' pecial MH Support Sketch Loctn-Test; Fall/C/O-Concrete ae tr; Loctn-Test-Easement Needed -Regulator &-l!Te_� octn-Clrncs-Grnd 205-- Amp -Concrete '6Rar Gas; Loctn-Test-Wra Nat Q or LP — Inch Sz O Ft Lngth Inch Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams-Rftrs-Cnnctrs -Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs Line 6 Carports; Wndws-Doors �ng; MH Test-Demand-Valve-Cnnctr "V ?,,,IH Cntnty Test Crossovers-Breakers-Clrncs rai.n• MH Test -Fall -Flex Cnnctr 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath r & Sewer Connected -C/O to Grade as and Elec�trici/ty Tagged 13 Tie Downs L� Foundation xits 10 Roof-, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls . 15 Ceo�yf Occupancy D Label/Insignia Numbers Serial Numbers °moo ° °�• c ORE -/Rzrcfg DATE POOLS 1 Setbacks -Easements (� 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed a LQ cx0 tp s 1 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg B6xes-Enclsrs-pnlboards-Insultn to Main Conduit 1 9 Health DeptApprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms /� t�t� V_6 TQ2 U�11 0A( E � / U 13 Bonding, Diving board or Slide c .P —0(o born 2--20(o Pool Drawing 0REY8Z70010RE g2270 /�I W303CLS08A8c �o �l C 2lC �tuC�f `To 0L6 o" OK = Not OK _r - RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Opth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth• 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main, Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IM E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support _ 14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrf1w, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic c` c DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE F I N A L 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & flr Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnfs-Cirnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 71 GFl Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loon 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No d 87 Stucco Brown -Finish °�• ° °tee 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C10 to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz 92 ❑ CU or ❑AL 98 Address Posted AC Wire Sz 93 ❑ CU or [:3 AL 99 Fire Sprinkler 48 Range Circ ea ❑ CU or FAL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑Yes E:1 No o` 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 01/27/2006 APN: 040-610-011-000 the Business and Professions Code, and my license is in full force and effect. //7 5 Site Address: 1355 MESA RD DUR License Class :C— License Num/ber:�� Date: t— 7"Qo Contractor: I ��C/1a.J v Map Index: Description: MH PERM FND EX SITE(2426) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SKILLIN FAMILY TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a SKILLIN ROBERT H & SARA J TRUSTEES signed statement that he or she is licensed pursuant to the provisions of 8941 STANFORD LN the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or DURHAM, CA 95938-9501 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: RED LINE INSTALLATIONS INC Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 13407 GARNER LANE provided that such improvements are not intended or offered for CHICO, CA 95973 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 895-5543 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: RED LINE INSTALLATIONS INC and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 13407 GARNER LANE ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 (530) 895-5543 Date: Owner: License #: 848025 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:nkLIC Total Square Ft: 2426 S. F. Policy#: L:76t)4405 Valuation: $157,690.00 Census Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any persons any manner so as become subject to the 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. Date: Applicant�,X WARNING: Failure to secure workers' compensation coverage is 3 unlawful, and shall subject an employer to criminal penalties and one�V�V hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte Coun Code and/or I hereby affirm that there is a construction lending agency for the Resolu ' n kwork i ate o e for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Date: Name: Y If / PERMIT EXPIRES ON: Address:(Date f ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives Countynntthe��ab�ove property for inspection p rposes. /m�entio�ned C_Q Print NamC � Signature: ��� — Date: ✓ f� ❑ Owner ❑ Contractor ❑ Agent for Owner �u y�gent for Contractor B. C. Building Permit 01-16-04 pg 1 7 qv BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE 4: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Name "stNam4e, Address City State Zlp� 3g �� WIn Phone E-mail APPLICANT SIGNATURE X �\_ bu C (:A'A -C,-) i For office use only: CONTRACTOR Narr>,e� 1 Na rAddreEss — 2 Address State e City 7—ax— State "P635515 Phone _ Fax E-mail L' . # 02 Class APPLICANT SIGNATURE X �\_ bu C (:A'A -C,-) i For office use only: ARCHITECT/ENGINEER Narr>,e� 1 Map Book rAddreEss — 2 City IL AWL, State Zip Phone 7—ax— E-mail State License Number APPLICANT SIGNATURE X �\_ bu C (:A'A -C,-) i For office use only: APPLICANT NAME Narr>,e� 1 Map Book Address t — 2 City IL AWL, State Zip Lp C-Aq - Phonemay( Fax I— -6 E-mail APPLICANT SIGNATURE X �\_ bu C (:A'A -C,-) i For office use only: Zoning - Flood Zone SRA ves o Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR 51Jt3WIll I I AL Kr_WU1r--1=1nr=r� K:\FORMS\BUILDING FORMS\BldgPpplSubRgmts.doc PERMIT NG. %6– BIN – BIN # Description or Scope of Work: Sq. Footage & aLo ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receive y: " "G ount: l `` �`� Bldg SRA Receipt #: 44 62 q2— �QSheriff eMl _ 1 SMIP Other Total Page 1 of 2 REV 2-24-ob Aero J f niO�es�->✓d 27,z,✓ 9v SUBMITTAL & PERMIT. REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and Supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in du licate. , ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the enaineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9, Site 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 (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ' Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following. items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ .2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ • 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. O Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. 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 and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS161dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 ;Fr1,nr�i •.k-, .�`�-..�.,...-r"^`"'`., .. '"+�1......,, it .+.,1 fi COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING (VISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: / Q SESSOR PARCEL NUMBER ��) ' 4IZ21 . Proposed Building Use: / / / 'Pot M /// ' Permit Technician: Date: 4�Q Items required in order to apply for a permit.. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes) ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑' 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. -It�] 8. Manufactured homes:) Installation manual, including marriage line info, (D) Floor Plan, (() Tie down or fnd Glans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate: All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. %, ❑ 11. Hazardous Material Form X- 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaini ems needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14' Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable . Fire Sprinklers............................................................................................ ❑ ❑ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by 17. Soils Report and/or Engineered Foundation required ........................................... JL Erosion Control Plan Required........................................................................ ft Fees as shown on the attached Schedule of Fees Due Sheet .............:................ 0. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. CK23. Planning approval for (A) Use: -- fB1 Parking: /(C) Parcel Check: .........ri.-8 our o.� e �L+.t �< �►S�o2 ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... r A. 26. NPDES Form............................................................................................. , PJ & 2'E'X OUT Encroachment Permit for driveway from the Public Works Dept ........................... C328. ❑ ❑ Contractor's license information. (Number, Name Style, Classification) ................... .29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorization ...........................:.... ....... ...... ........... ............ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. 33. Existing violations and/or expired permits.....`..................................................... ❑ ❑ wlim ❑ 34. Deed Restriction.......................................................................................... 35. B--Cegal description, NI-M.H. Title title search, registration or MCO ......................... 36. Other: Le+lf In of 1r.44. 37. Other: �. When issued Telephone _2� �'/- 42 171 !? and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: _ Date: r 1. Index permit application f ,t e-' numbered: Plan Check Le er 2 ' ' nal items required It 9 ontrac designer, owne , dvi t�data by p ne, ❑ mail, ❑ counter, by Date: r on ract esigner, owner, was advised of the above data by Uone, ❑ mail, ❑ counter, by Date: / Con ractor, designer, owner, was advised of the above to by ❑phone, ❑mail, ❑ counter, b Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed Date: tural approved by. Date: Note transfer by: Date: Yellow: Buildii ivision�lJ�/%S b / %��ZK/Bu ding) IaC hees page 2 9.27.05 E.HE.H. U Plot Plan Attached Floor Plan Attadiad Sent to BD/DS TO: Building Division = Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance SK 11-41AI ass 106s,-� R 60 - NO Owner Location AP# Plan Approved for: Sewage Disposal: c -- Clearance for dwelling. Other Hold final for: Final clearance O.K. for: Water Supply: Public Private Well Building Clearance 9/2005 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER AA.P. # j PROPROSED BUILDING USE M- �� DATE RECEIPT # DATE REC. - BUILDING PERMIT FEES ^ �� 4� 3 r �� --- Balance Due ..................... $ (�% c --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building" Division) Commercial (sq. ftg.)..... X $0.03 = $ bq.rig. J 4. RECREATION DISTRICT FEES Q (paid at Recreation District Office) (form available after Plan Check) ��e'_.JIOJRESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) :je 8. SMIP 4 5 . '7 /7 i 9. DRAINAGE FEE 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. DATE V IV Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) i.. u N i f BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District L-A ( 1 a YN-N- A.P. Number bxA U. (.SZ 0- G 1 ` Jurisdiction: City Property Owner Property Location/Address Subdivision Residential Development Q No of Living Moile Hom Units Installation Commercial/Industrial 0 New Building Department Representative Addition Building Department No. County Lot No. W • . 60 0 rD, a ) aa:D- Q Q Sq. Footage e Addition/ 'Supplemental to (Group. R) Conversion Pefrnit # '(No foundation inspection) :........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage. (Including Exterior Roofed Areas) j-Dat95- Date e J.. _ tf District Identification No. (0 3oZ � by "�ED G/NC /1J ST"LL/� T/ONI S ! -DU teP-A-f , UN t F/ � � School District certifies that �,5,0%e r7' / u / N (Applicant) (Street Address) _ (Phone Number) , 4 l�u,t"_lit" ! � e� � 9593 8' (City) (State) (Zip Code) has complied with the requirements of Resolution No ayaLp representing --/ 3 S 5— square feet. /1671- School District Representative by payment of $ a? •31% g.0 7 B 2926 $ ULL MITIGATION $ Date e -c Paid by Check # % S/n 9 Remarks: Ve r41 fe Cao � J&d � n e M.57;x .A r eg 5 re-aag C, t, Notice: You may protest the Imposition of the fees identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butts 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 ties to fully millo to Its Impact on the school disbiers schools. White (school district), Yellow (building department), Pink (applicant) %eform.xls (305)drbm R BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM 0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) � DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s)y' l d ' y) ` Building Permit Number a� a�- Property Owner (s)v�/�9-�� Project Location /Address Y- ^ / Subdivision Name Assessable Sq. Ftge d,L j'aC� Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: U 6 1� ;C. YDLA Building Departme t Ret nta[`ive Date F-LFRRPD ❑ CARD ❑ PRPD V DRPD certifies that: l r - Applicant Name Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. 0'4 - I o -7 by Payment of: Dwelling Units @ $ 2 to Z to Square Feet @ $ Remarks: per unit for a total of $ per sq foot fora total of $ 3 , -lUZ .L_Q U Paid by Check No: 1$q"?� Paid by Cash: Receipt No: J and Park District Representative KAFORMSTUILDING FORMS\park-rec standard form rev I.doc Date A S02001[4093: Main Physical Characteristics Dara 05, 2006 01:13 pm File Edit Images View Options System Help Asmt 140.610.011.000 Status Fee Parcel 040-610.011.000 Land Use Cat I RESIDENTIAL Owner I SKILLIN FAMILY TRUST jp Image Viewer Structure # ElIGeneral r,- 1-1 10. Exterior Code Building Type Code I Year -Built ---� = .1920-1 Frame Code f3uilding,Size�_- _ __ -_ 1310_�_� Sq Ft Garage 0 Heating Type Code Number of Residential Units 0 Conf Use ❑ Cooling Source Code Commercial Properties El Structural Plumbing Condition Code Roof Cover Code Joists Code -Roof Style Code Roof Pitch Code Roof Structure Code Foundation Code r,- 1-1 10. Exterior Code Flooring Code Floor Structure Code Frame Code Patio Code D ecks Code Heating Type Code NO N Heating Source Code Cooling Type I Code NOI N Cooling Source Code I Wiring Type Code Plumbing Condition Code Joists Code N rr- r r� Find... A S0200114093: Alain Physical Characteristics Jan 05, 2006 01:13 pm File Edit Im _ tions System Help A t 440.610.011.:0:00�:�Status [A Fee Parcel 040-610-011-000 Land Use Cat I RESIDENTIAL Owner SKILLIN FAMILY TRUST Image Viewer Structure # F —1 Unit # F 1 f ' r ► M Unit Rooms Structure # F— Unit # F— Roam # p ' - Room Type I Code Room Type # J f� fY rr- Find. , , FS ig 3 A i Date: SITE PLAN REVIEW APPLICATION Permit Number (if applicable) bS' _( 'o' Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: 5,k— k l l f:4l Y4 6--e' I— Owners Address: Telephone No.: Site Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi=family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial- Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use) XApproved ❑ Conditionally Approved GP: d15i�_ ❑ Resolve Problems Prior to Approval WZ&/=_ ❑ Resolved Date 1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone ❑ SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: General Plan: Applicable Building Setbacks: " LA) ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 01 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 0 / / Side (� Side Street Rear Height Waterway N/A N/A N/A " LA) ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 01 %I Parcel Created By: ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Subdivision Map/Parcel Mme: Map Date of Recording: Lot: 1 ( Book: 1 a 3 Page: s N. 20'00'40" E !i 32.78'�Q � B6' 5'05" E 273_ v2Ae' av RFsurveilN� FOF - �7 C--x1s_II__-�T�_--I PIBLIC UTlR1E3 PEF 6.>2 _ _ 4 I -33 :I I } B L S]O'IT09"f ]09.DE.81RA. 1•IN�QQ� 10'SOC ButE ] \\ \\\\ I ' 86.51 ] TVJ a. 4. \ I I - Ac. Gro» .\ \ B NE BB AC NO � ]f \\°• 0 5.02 At. Grove I 11 \\£ 3 4.59 Ac. NeI II 9 .4 1 S. 09e`I II o Je' 9 5J7 Ac G,... 66 { ]'S6'w 4U1l30. O III^\532:111 -. � \• O mw I, S 3. 09•e 93,9fi Jj ll] \` \�SO S.DE. B ULE c .^ m 17 ^ s.OesSy i O - 1: l 7 36.0 1 ' a'PU.E. i ( I AOI Ac 6roas 3 P.UE \ \ b b ' (TY➢] \ p "`•�]ss.0o 4.72 A.. Nat' WON PIP/•--f�].-20 SDE. I ° ^ A. 0.'2.'-9' E-__ I/]4ar 5C.00 \ \ • '.840.OSOY W. TA4GE0 8WE I 1 31 a•SOIrE LS -220 Im 1 \�<12S 4]'9011 • 1-.10 PDE. S 04'21'-9" E N. 89'54.17' E. 576.67' /i ^ nmJ zo.o I 1 _ �\ / ______________ 71� w'' Sam' L- 53- 5.08 LSW e' - i e r {� 89.35'56' w, 45i1T -- Q \�\� n 1 L1, s.nE.extE an ^ 1 1T 5.09 Ac Grose r e wE -0 SDE s 1RE. 1 w 4.42 4<. Nel I 5.78 Ac, GroAS . 3 II9 I' 5.02 A, Groe ^ • I 5.69 Ac. Net b IW 4.44 AC Nels c O X \\J �60'SD.E.e WE wJ g �Iw^li SB93J''6'w, 501.00 E Z 0.23',1 Net' u \4JJw'\ s Br n Q" w_-IISL S. 89.33'56' W. -••^-•^STosg.>r IJ� _]as_ - } >w.oa 4 - z1 .zz I �. 106.90' `\--asuoo==c1 _34 -,Da__= !S 11 1 \\ L�-D II_-__ .Y I-'1- 'PV.E N. 39.09'04' W. / r 3�1 II'a 3 f»vRl mI P A 1 i.T.:YJ3nr w. n 1%^20 j n 1 3t I 6.62 Ac Gro» o 5.75 Ac Or SSO Ac. Gross $ N 10 n I 6.53 Ac. Net w 3.51 pc. Nelo» 5.26 A<. Net c 532 Ac. Grms �I i;Eet 5.43 At. Np a\ o P 0 1 P r w 01 209.>B_ ~- SEE. C' 1l SOE-Ih ITTPI �20'SP.E.B RE N __ _, eWE. - r - A mo Ib 400.03• -.1 �•goc---a4•De'___sl lc L_____ C n N. 88.39'23' E. 5157.35' --- �iT(. REI BRA59 CAP W COICPfTE I 60' S.O.E.O I.R.E. 9TAMPfO'OURxeu STATE LNPo 1. DE]ENiOx PONDS ETILERENY, PER 63w/fi CURE DATA LINE DATA R � PO.ar h"s91G AOT. 0 L N lO 5. 3>•x02r w, 9J e' . SIAS.aa699' - s. --a- W. I- O N •26.2709' O S. B6.4lOB'Vl. ]Y110' L . SO— © R . 20.00' e • 30.00'00" L • aL4Y O R . 20.00 p • -4.24'55" O . R.Uv2455" i moo 861505" E. v 7 S. 04'36'55' E 9,150' Jt \J \ 99. R 530.00' L .19.22'12• \, l • 179J8' \_ \_ SCALE: 1- 200' \ \\ c L EGENO \\ • IE AO bOA01E1rt AS III SET 1vY WON PWf w CONCRETE TAGGED LS ll.. \\ 0 : ]/4.ONM PIPE TAGGED LS 5616 \ \• POYR. NOT- ©UND OR sn \ • \ ° CALCUJTFD EASExEx1 �P�UE PImIE uTL TO NILE E • \\\ 0 S -4 -1 -TA LS 9616 \ \ FW wITHESS OORXOi B !3.OSSS- E J \9,160 IZ \ SDE, STOP OWN EASE- TO BE RESERVED 9J• \ w DEEDS FDR TME BENEFR Di LOTS I -12 \\ 117.31 AC Gross w,E-GA-DIT0I EASEMENT TOM RESERVED `7"e\ \ w DEE09 FOP TME 9ENFEO OF LOTS 1-12 2 •-016" w ' \\\`` \ 9.62•]02-• E - 1�04.4 L I 29.BY IFp'1 ""SIF-lO s4EB WE \\\ III \ 111 60TJ5' • \/�`\1 ��ETV�(�\ 11,1711 I1E71' IIE7IIM II1E�r� C�^\�) S UOL�L�IU V 1EgrATE BEING A PORTION OF ALLOTMENT 80 AND 85 OF THE DURHAM STATE LAND SETTLEMENT AS SHOWN ON MAP BOOK 8, PAGE 24 BUTTE COUNTY CALIFORNIA for A. HAROLD SKILLIN, of al NathStar Ci,il Eqi-,, PIBN e»• DRNE Surse s 200EMRATEIN CNICO U4fi7824 85926 SHEET 4 of s ENGINEERING 916-0934600 Interactive Maps provided by UpstatoCA Please see disclaimer at Butte County wobsite 14 ♦j .ht MIEZINAD MESA RD i GSW- « z jIC Z � /• O � �i �.. 9 1 �t •:•i i 4 HEARMOW W 0 I.IOD.INO.tlI wi - Butte County Development Services Property Profile o �t Skillin Family Trust, 8941 Stanford Ln, DURHAM CA 95938 nv T APN #_ _ 040-610-011 O VQie\�;;1 0 J .. 1355 MESA RD, DURHAM 95938 O i O Zoning A-10 General Plan OFC O _F p- O O 5.09 Date 10/28/2005 Interactive Maps provided by UpstatoCA Please see disclaimer at Butte County wobsite ())J- M,5-- - _- ] KOKUYO KOKUYO QrR��r 0 o c � c o _ c \ o 0 Ac0UN�ys nuc W .Department of J. Michael Crump, Director Public f B U t \YJorks LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538.7266 (FAX) 538-7171 . National Pollutant. Discharge Elimination System (NPDES) Phase it Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement Project Description: Project Location 2nd/or Parcel Number: By signing below, 1, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre -or more of land and that 1, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: a S2— Title: Date: icp6c Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Butte County Department of -Development Services o�vT` F, o a 7 County Center Drive 0 G Oroville, CA 95965 °*� ° (530) 538-7601 Telephone C.,: _..•cwt (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: • I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name:y0 n YLt L=:,� APN: CNO—(DICT" C V1 Building site address: 3Q, VA Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: '.5S YIGNATURE OF APPLICANT DAT Copy to Applicant/EWFile K:Fonns/BldgPennitwithoutClearences 020705 710 J(14 0166 � - - i 4 "'09/"16/2005 09:07 916-374-0150 WESTLAND PAGE 01 ♦ 7 Gmnir14[hWAfM 0-nC DEPARTMENT. OF HOUSING AND COMMUNITY DEVELOPMENT �o05ING quo DIVISION OF CORES AND STANDARDS A• 't • NORTHERN AREA OFFICE w 8911 Folsom Blvd. SACRAMENTO, CA 95826 �4 (916) 255-2501 FAX(916)255-2535 From TOD Phones: 1-800-735-2929 From Vole Phones: 1-800.735-2922 September 16, 2005 Tiedwon Engineering 5901 Wheaton Drive Atlanta, GA 30336 RE: Foundation Standard Plan Approval (SPA) . SPA 99-1F Dear Sir's: The purpose of this notification is to issue you an expiration extension for the above noted foundation SPA. Effective inrmediately for SPA 99-1F the expiration date has been extended: Applicant: Design Engineer: SPA Number: New Expiration Date: Tiedown Engineering 5901 Wheaton Drive Atlanta, GA 30336 Ray Tucker 3220 E. 591h Street 'Long Beach, CA 90805 SPA 99-1F November 1, 2005 If you have any questions regarding this notification you may contact me at (916) 255-2501. Sinc , Dan Fit2gerald Northern California Field Operations Administrator 11 CC: File SPA 99-1 F BUTTE -c0UNTY BUILDING DIVISION APPROVED HIM Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 91212003 INDEX PAGE SECTION NUMBER Approval RELEASE UAWFACTUREDRIOMRiJIdORiQIBFPOIa DATE FOUNDATION SYSTEM fl aTH AND SAFETY CODE. SECTION isM APPROVED INTRODUCTION - 2 9/2/03 GENERAL INSTALLATION 3 9/2/03 PARTS LIST 4&5 9/2/03 LONGITUDINAL DEVICES 6 9/2/03 PIER HEIGHTS 7 9/2/03 SET-UP INSTRUCTIONS 8 9/2/03 FOOTER SIZES WIND ZONE I = SINGLE 9 9/2/03 - DOUBLE 10 9/2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS 16 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST TO COltU=0M lw= AffWVAL DOES NOT AUTHORIZE OR ATMMOVS CMIMONS OA DEVIATION FROM REQUMEMEN" /1MCAM STATS LAW'S AND RBWLATWn S:.te �f Q�iiforai� .ad Comer D 7 ,7p;CODES AM aTANDA>eof (om) 9 F44fs E MS��'�! N0.60245 * , 'BUTTECNIL COUNTY COUNTY BUILDING DIVISION APPROVED co Lq V) O N O O O 13'-6" CARPET LAYOUT STANDARD CARPET ------ LMNG ROOM FAMY ROOM DINING ROOM --------------- BEDRODMS 12 & 13 ; MkSIER BEDROOM LINO L WASTER BATH 13� x 66-0 HALL & WARDROBES A UNIT TOTAL 51-8314, V-2 31A* F-2 1/4' V-3 112' 51.0 1121 V-0 �14- W-0 3/4* b*.10 3V Y-3 US' IV -3114' OPTIONAL CARPET WEST BATH SCRAP 20 PSF 0 P� --------- @ 30 PSF 30 P5F @ 30 P5F 30 ps: 10 P5F 30 PSP 30 PSP 30 P5F p5F 30 p5F 13.6 6B.0 B UNIT LINO 2'.S' 4'-2 31A- 3'-$ IM V-8 3/1, 4--5- 3-411,14- Y-2- 1, 51-10315, V-3 114' 41-9112- 2'-11/2' 1, — — 2;7—p5i PEP, - — - — - — - — - — - — - — 2.-- (BEARING WALLS) 30 P5F 30 PSP 30 PSF 30 11F 30 PS: PSF g P, PV 30 PF P% 30 P5F 30 P5P 4�D 31. ----------- --------------- (CLEAR SPAN) - ------- --- 13-e, X 40�O ManufactLuqng West, Inc. Albany Division - Plant 1972 06 LINO W01) DECK 2445 S.W. PACIFIC 8M. C IT UN ALBANY. OR 97321 Phone (541) 926-8631 LINO," C= OBCK BUTTE C Fox (866) 491-6847 TR &'PIER L 0 C. DING D SR%0-9--'6J. HENRY APPRO)a" '� 6- WALLS PRODUCT GOLDEN ESTATE Woo L �O. GE 684K-05 A ER PIER l FOOTING SIZE REOUIRED (SO. IN.) i PIER PIER FOOTING SIZE REOUIRED IN.) PIER PIER FOOTING SIZE REOLDRED (SO. IN.) PIER ECII FOOTING SZE REOUIRED (SO. IN.) _ SO. F7. 2,626 DATE 9-23-04 AITTI No. CAP IDOO PST 15W PSF 2000 PSF (LBS I(SO. CAPAC TY NO- (LBS.) 1000 PSF 15W PSF 2000 PST 0. TY N -(LBS:) 1000 PSF 150D PSF 2000 PSF I 1� CWPA TY (LBS.) 1000 PSF 1500 PSF 2000 PST I 2DOO 288 192 144_ (3) 4000 576 4 38 288 5 6000 $64 576 432 1 _�D j IOOD0 _I 1440 960 720 SHEET Rwg��� I -A2 :� 2500 360 240 180 (�) 5000 720 480 360 8000 1152 768 576 _ I (�) 1 12000 1728 1152 864_ Golden West GE684K 2,426 SQ,, FT. s Due to continuing improvements, specifications and designs are subject to change without prior notice or obligation. Square footage is approximate and does not include covered porch areas. 5/05 OP 81180.1 2735/K in Golden Estate 68'-a' • 3 Bedroom • 2 Bath • Family Room • Porch Omit W94 Window wl Opt. 5112 Roof APPROVED Butte County Environ en Health Ild"127 69 ate Signa re PLAN REVISION Owner's Name: I I AP#: �' 0 BP#: ) E)2 -q Z.,,, Received By: Date: I- CJ Time: 1- r AM: Contact Person & Phone Number: Tnn 1 r- 0q i _ro n PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit'Application Data Sheet Item ❑ *Engineering ❑ *Plan Revision ❑ *Requested by Building Inspector's Correction Notice — Inspector's Name: ❑ Requested by Plan's Examiner — Plan Examiner's Name: /Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: �4 ❑ Mail to Owner/Contractor at this address: 1 1V ❑ Call and hold for pick-up. foa U A ❑ Deliver with next inspection. Minimum revised plan check fee to be collected at time of submission of revision, plans ex finer will determine if additional plan checking fees are needed: Minimum $54.99 Receipt #: C Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt 9: Revised 2/04 PLAN REVISION/RETURN Owner's Name: Sij I // n AP#: �3 //� "& //) ?,I // BP#: o S-- 2 G%Z Received By: Tp Date:// -2 R Time: Contact Person & Phone Number: //PURPOSE OF RE -SUBMITTAL OR REVISION Permit Application Data Sheet Item ❑ *EngineeringL���Lp� O� ❑ Plan Revision oe4j ❑ *Requested by Building Inspector's Correction Notice — Inspector's Name: ❑ Requested by Plan's Examiner — Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered dra�ngs. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: ❑ Call ❑ Deliver with next inspection. and hold for pick-up. Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: ❑ Minimum $54.99 Receipt #: ❑ Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt #: Revised 2/04 040-610;011 00-2771 SKILLIN:ROBERT 1355 MESA RD., DURHAM CA CONTR: OWNER REPAIR MAIN ELECT. SERV PANEL OFFICE COPY Address f -�07''f34 ✓`J2 GAS• Meter �y 4 Date®� ELECTRIC Meter By Dat r� ` od COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT' ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utllities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ".AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE 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. ❑ 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00so CCU000A W:.200A NEW CONST. DWELLNG OCCUP. SO OR ADDNS. ( DW: ACC. BLDS. 3.50FT: Fx) R61MULTI-OUTLETITS 97,50 a OUTLET CIR.OWER APPARATUS Ex. Occup. OUTLET OR FIXTURES 209 ,.� BAL @ .sa LNS Ex. Occup. oFurEitis RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 - PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ D FEES IMP I FLOOD I COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date." PERMIT EXPIRES ON ere Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - ; t 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 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. Datej_11 ' CU REV 10/92 -COUNTY OF BUTTE BUILDING DIVISION rs DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 k , 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE of) tw-r Sal LC 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. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P T NO. (Rev. 12/96) APPLICATION AND PERMIT &:Aq- � ASSESSOR PARCEL NUMBER 040-010-011 ZONING BUILDING PERMIT OWNER r ROREIRT TELEPHONE _ 0510— SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AD DRESS N41 STANFORD LN. CONTRACTOR'S NAME OWNFR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ BUILDING ADDM5 MESA RD. DURHAM CA l Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling 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: REPAIR MAIN ELECTRICAL SERVICE PANEL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service .A OR LESS 23.00 ? ? , 0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors license Law f the following reason: -- 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation �of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith comply with those provisions. X Date% — 13 O j Signature of Applicant -0070wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructio of structures over 3 stories in height. Ie/ Main Service TO ,000A 46.00 NEW CONST. DWELLSO WEE INOCCUP. so OR ADONS. ( a ACCG. BLDS. 3.50FT NOµaalo. MULTI.OUTLET 97,50 POWER APPARATUS a SINGLE OUTLET CIR. OUTLET OR FDCTURES Ex. Occup.BAL 20 Q I'50 @ .so Ex. Occup. Gu�T,E°s AFS�ID.DFRn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23. 0 re—insp. 2 3 . 0 PERMIT FEE MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE C TOTAL FEE $ _ . 00 HAz. D FEEs IMP I FLOOD I CDF PARCEL I PD HD SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work '_ indicated ab a for w h fees have been paid. PERMIT EXPIRES ON Date Receipt No. 77777-77 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 P. 01 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. kRev.12/96) APPLICATION AND PERMIT - At 9928001►MCELN MBIM Z0MN0 O BUILDING PERMIT OMiNlA T(LpNON( � O SID SO' �' OCC. BUILDING VALUATION owNlAsgwwpNo,Voo�(as /' A COMPACTOR'! NAME CONTkACTOR'S M"M ADORE22 COWTOXTION LENDOI tENDWS AWLNO AMMS8 MCNRECT ORI ENOINEEk MCNTECT ON 9NONEOIs "JUNO ACONISS (a[ONG ADOR(a2 _ LOY NO. I I SU,ONeIONS USEOFSTRUCTURE SF f/ Duplex O Mobilehome O Other 2rlcrr TYPE OF WORK New O Addition ❑ Remodel O tMiUs ❑ Instelation O Other (� Describe Work: �� c, ` ,yyJ„ : „ 2✓ v a_,z,_ RECEIPT # 3 021-7 SRA $ SHERRIF TOTAL $ n �� 3CD-d,c� o 0 Total Valuation Is Flin Fee _. MM Permit Fee Plan Checkin Fea Energy Plan Chekin PERMIT FEPLUMBING PERMIT cacn I rap 7.00 Solar or heat um water heater 23.00 Water i in 15.00 Each as water healer or vent 15.00 Gaspipings stem 1 - 5 outiets 15.00 Buildin sewer 15.00 Mobile Home S G W @20.00 Ex. Occu ovntT ok ►&crakes PERMIT FEE I S x a R.S& MAL w ELECTRICAL PERMIT Filing Fee 20.00 Mein Servlu mov OR LESS 23.00 "" CIA LESS 23.00 Main Service a*" To IOWA 48.00 NEW CONST. oR b0M• OWELLNO Of.'Car. a Aec. ans. 3.506 Ex. Occu ovntT ok ►&crakes x a R.S& MAL w Ex. Occu ov MD*s LIMS. O w 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 -) 3 aVP IF PERMIT FEE S p MECHANICAL PERMIT Fling Fee 20.0— Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee i Energy Inspection Fee $ L NOTAL FEE ! I This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By ReceipiNc.PERMIT EXPIRES ON WHITE-O.O.S.-B.O. CANART•AC3i930R PINK -INSPECTOR O;OLOENROO-APPLICANT Date t- . �. ...y. ..1-.. ,t.. � rr. rs._... `-�• ,{,, .-. t.,,,, ' .. .xy�%AL'.. .{_..per �'��,�,_.�. Y - , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: Qq 6,_,4--!5 k ASSESSOR PARCEL NUMBER:� Proposed Building Use: Building Inspector: Date: / At time of permit application, I wras advised the following data must be submitted prior to permit , ess• g and/or issuance: Date Received By ❑ 1. All items have been submitted. ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4. sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El 10. Fees of $ ---------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. 1113. Flood elevation certificate. --------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------ ❑ 15. City of Chico plumbing permit. ---------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --------------------------------------- q,i 7. Planning approval for (A) Use: (B) Parking: ---------------- ___ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- /290. - Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- Yl Pre -inspection for %%% i Al P I,P e- / See V Ie_ tP required Request to Building Inspector on ❑21. Contractor's license information. (Ntmber, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. --------------------------------------------. ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - ----------------------- 024. Letter of signature authorization. ------------------- =---------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use. ------- ❑27. Manufactured Home utility clearance. 028. Existing violations and/or expired permits. -------------------- 0 29. 0433 A, C1 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) When you issue theermit, process as follows El Mail to owner, []Mail to contractor. ElTelephone 3 q 3 - D J' l and hold for pickup at Q/ D V i -e office. ❑ Deliver with inspector. Applicant: ��+��Date: ��'' /.� C,7O Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air- Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, 11 A.P. folder. Note transfer by: Date: - ` ,, 1. __ OWNER -BUILDER ;VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES 19... NO D '2. I HAVE 0 HAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person. (Sum) to.prQyi4c the proposed const uc ion. NAME: /V Yq ADDRESS: CITY:_ . PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired -the following person to coordinate, supervise, and provide the major work: NAME: A.1)9 ADDRESS: CITY PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: -,! DATE: ,/ /-? — 0=j2 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to Issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractor are required by law to be licensed and bonded by the State of California and to have a business license Jim the city or county. They are also required by law to put their license number on all permits for which they apply. , . If you! pltid to ddj+orir own work with the exception of various trades that you plan to subcoritti , you should be aware of the following information icor your benefit and protection: ' ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (inchtding noaterials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you ifyou do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 4aggec"r.,iB y, 6k, 0. CVi ira, C.B.O. uilding Inspection NOTE: This Owner -Builder Information is required by Section 198.10 of rhe California Health and SafetyCoda OVER L OWNER: LOCATION CONTRACTOR: PRE-INSPEC kJ I C,J.iI/--e /` � 4 ION REPORT PRE-INSPETION FOR: 12e- koa DATE TO PERMIT HMTORY:( ) NONE ZONING: ( ) AS FOLLOWS: , BUII.DING INSNIC1'OR'S REPORT Building Description: Commer+ciabusage: Residential# of Units:_ Currently Occupied Abandone"acant Electric: / Yes ��� No Electric currently On Off [— Condition of Electric �1 G60 /✓G Wf 911, 7,r/ M,,V /0 AAP IV e40t1111,-- La'e"'1,6- /y lmlc� Gas: S Natural Fropane�/ None. CurrentlyOn Off Obvious Problems: Sanitation: Plumbing Working 142ae( - Well Working ��/�� PO t.. et Potable Water Obvious Sewageproblems�U R Comments: Inspector. Date Sketch buildings on reverse and indicate location on property. 4 i 73 ao' aa' • ETFI SITE PLAN ....................................... .. ........................................................ ............ .... .... . .. .l ....o ..� ..sem. .. .... .. l .,.....:.. ............ .. ........... ... .. .ter �. ...... .... .. ..... .. .. ........... .. . ...:.... ..:. .:....:.. a . . .:...:.. : : : : : : : : : : : ..:...:. .:....:.. X �o s.. .. 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