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HomeMy WebLinkAbout040-660-0290 ,94-1024B -S OYD 10116RHAM -MIDWAY,-DIJ ra JREROOF/ F 5-09 SL 2,15 0-660-029 � � � �. , ,:, .� '"r - 4; -"1 1 .,i, ;.,� , - 4. ..1 10 116 Y, I �Cont":�REDLI i ALIL. CIc. NVA-7, .. t _ � �;�, Pip � 00 o o2, r -040 -660 -029 -.-ti 06- 0101., -3 0 — 2-a)'2- rac) SJ-OAN,-ANNR,!� Re, Al. 740-660-029'-r,,-, 06-0100 §LOAN, -ANNA '—bj,j@MIDWAY','DURHAI;,p --Coht:OV,/NERy,f'.— M/H PERM FND (NEW)' 9 LVI i --4 l!m!m3" � M�A- RV,CORDING REQUESTED BY: BUTTE COUNTY BUILDING DIVISION TRUST C/O ANNA E. SLOAN REAL PROPERTY OWNER/LESSOR Recorded I REC FEE 10.80 10116 MIDWAY Official Records I MAILING ADDRESS County of I COPIES 2,00 AND WHEN RECORDED MAIL TO: COWORPED COPY 1.00 ButteGRtIBBS CITY COUNTY STATE ZIP j 10110 MIDWAY County Clerk-Recorderl BUTTE COUNTY BUILDING DIVISION I I KL 7 COUNTY CENTER DRIVE 02:Y" 08-Feb-2007 I Page I of 2 OROVILLE CA 95965 NATURE OF LOCAL AGENCY OFFICIAL DATE 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. LLOYD IVAN SLOAN TESTAMENTARY BUTTE COUNTY BUILDING DIVISION TRUST C/O ANNA E. SLOAN REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE- OF OCCUPANCY 10116 MIDWAY 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS DURHAM BUTTE CA 95938 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 10110 MIDWAY 06-0100 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT B IL ING PERMI O TELEPHONE NUMBER DURHAM BUTTE CA 95938 2/5/2007 CITY COUNTY STATE ZIP NATURE OF LOCAL AGENCY OFFICIAL DATE DOUGLAS AND CHERIE SLOAN NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") 10110 MIDWAY NONE MAILING ADDRESS DEALER LICENSE NO. DURHAM BUTTE CA 95938 CITY COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD 2004 7523L MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMF/NUMBFR CAFL417A/B/C28121 -WA 13 484" X 268" SERIAL NUMBER(S) LENGTH X WIDTH REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL.NUMBER: 040-660-029 PFS0886975/6/7 INSIGNIA/LABEL NUMBER(S) HCD FORM 433(A) REV 8/91 WHITE—County Recorder CANARY — EICD PINK —Applicant GOLDENROD— Building Dept. the lallavmg dc%a nbnl teal Pruprny m de WjinODrP=ats2d ai-ea of the a,omi, of BUtte ..u1t �f (nl�tarttu That portion of Lot 19, according to that certain M&P ehtitled, 0OFficial Map of A.F. Jones Sdbdivision of the Ferson Farm, Butter CmMty, Ccjbiforni w which was recorded in the office of the Butte County Recorder on, %7Une 8, 1911 in Book 7 of Maps, page 53, that lies within the Richt o`- Wal. for . railroad purposes conveyed to Tmvid S. Edwards by decd recorded Auguilt 11, L9013 in Book 83 of Deeds page 113, butte county Pecords. E l Situs Address Assessor Inquiry - Main Asmt: 040-660-029-000 Feeparcel: 040-660-029-000 Owner: SLOAN LLOYD IVAN TESTAMENTARY TRUST NameAddress i SLOAN LLOYD IVAN TESTAMENTARY JRUST.- j SLOAN ANNA E TRUSTEE 110116 MIDWAY DURHAM CA 95938 t Status t- s , Date ACTIVE '04/19/1994 ,...l....._..._............ Taxability Code _..................?......_. I Descr 001 __.._.. 1 BUSINESS _ TRA _._,_..._......._.. Base Date ,_ ...... _............ ' 070-002 ; 04/19/2006 tt Creating Doc# j Date 1994R017151 ,..._.,......_ ' 04/19/1994 .. ... ...................__........._... Current Doc# . � ; Date ......_.. 1997R01592 09/13/1995 G Terminating Doc# 1 Date ' Neighborhood C... } Supl Cnt i 040 2 f Asmt Description .........._ 10116 MIDWAY .....:.......... .... _......_...... . 1 _,.._..._........ Land Use 1 W.._, ( Land Use 2 i { Zoning 1 Dwell 1 1 1 Acres r S Ft 16.15 0 SSN1 SSN2 Section I Township "Range _...... ! { _.. _ _. ._ ..... D escription TPZ Ag Pres ; Etal Bonds i r. L? r........!._..._i_ Multi ..71-9110 MH i. Flag 1 Flag'2 (; µi L..' __.__._......._..w....__..,....., _ ... .__......... ............ ..._ . .-.. i Asmt PP i Tax PP ; Appeal . Split L_ ...._....................i....,............_u__....,......- ............ _._,_. Comments WAS 040 660 002 SPLIT BY GRANT DEED " 1994RO17151 (PTN CENTER LAND RR) i j M Notes j Ownership Detail Ownership History Exemptions i MfgHomes Attributes Value History Situs Sales y __ rmorgan 11/27/2006 10:42:30AM Read ���__ _ . __..=._.^.____ u _ .......—__ _ _ .__ ._._ .^__._..__ _ _ __.. -..-------- - •--- tl� ���� y. �yUt10P P•2 STATE OF CALIFORNIA NUMBER: BUSINESS, TRANSPORTATION AND HOUSWG AGENCY DEPARTMENT OF HOLISM AND COMMUNITY DEVELOPMENT . $9 s°'3 DIVISION OF CODES AND STANDARDS 44 MANUFACTURED HOUSING PROGRAM MANUFACTURER CERTIFICATE OF. ORMIN -• au.iYYG SU Vtl YZ.b.b Ci State (z INVENTORY CREDff.OR NAME . : 'TX:=0N FINANCIAL • CORP INVEWOMYSMIJINSS WRESS: '..7711 BONHOME AVE SUITE 600 rstrpl-t► ST LOUIS MO 63105 ❑ CHECK IF TENS IS A DUPLICATE MCO•ENTER ORIGINAL MCO NO. • + a�oeRA WAJNUFACTURED HOME -OR MULTI -UNIT MANUFACTURED HOLJSIN(` 33d ... NUMBER OF:3 ❑ SFD (SINGLE FAMILY DWELLING) ElMUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS cQae(Vt�RCIAL COACH: HCD INSIGNIA OR -HUD LABEL NUMBER OCCUPANCY GROUP WIDTH MANUFACTURER NAME: FLEETWOOD HOMES OF CALIFORIQIA, INC. �. MANUFACTURER LICENSE NUMBER: `' 9534 MAN C"ER10ffJMM- AVE. 1 BO% '13Ee t '� �� ,..• 77 ,_:... Ci,AT PRICEPO SUGGESTED RETAILXAW 'f :-:. •..... X n '. Street C ...,.: :: (Stake) ; MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: WATERFORD 7523L 2005 12/17/2004 NADAEOF ER O TRANSFS�EREE (OWNERSHIP TRANSFERRED TO): SL HO IBC CALIF. DEALER NUMBER OR DATE OF TRANSFER DBA: SIERRA HOME TRANSFEREE DESIGNATION: PPSO886976 532 1146729 10/28/2005 DEALER OR, TRANSFEREE ADDRESS: ._ ` i::CAFL!1 7•C28121 „WA1P�.'. . • r= ,t.. 4544 MISSOURI FLAT RD 5�0 -• au.iYYG SU Vtl YZ.b.b Ci State (z INVENTORY CREDff.OR NAME . : 'TX:=0N FINANCIAL • CORP INVEWOMYSMIJINSS WRESS: '..7711 BONHOME AVE SUITE 600 rstrpl-t► ST LOUIS MO 63105 BENNETT TRUCK TRANSPORT, INC. T d fjfB6b,�i.IAL PARRWAX P.O. 808 569 MCODROUGH QA 30251, (slna� c slave DESTINATION FOR UNIT DESCRIBED A80VE: NAME $beet) - C Slate ZO t eeniy -def ponsly of Parlay under the taws of Ute Slate of Cafdcrnie met the above facts aro true and correct 12/17/2004 WOODLAND EaaXOLO CA wled on M . (Date) i (City) (County) (Stale) SIGNATURE OF AUTHORIZED AGENT: �� _ 3`- `'-"'+�- �.✓"�, S'TRIBUTION; ORr.MAL (PINK) FORWARq���Op�THE INVE14TORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1(WHrTE) FORWARD TO THE DEPARTMENTAT P.O. BOX 1828• SACRAMENTO, CA 95812.1828• WFTHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) . : DELIVER TO THE TRANSPORTER TO ACCOMPA�IY-THE UNITTO rTS DESTiNATIOFI. COPY (GOLDENRODS y.TO BE RETAINED BYSHE MANUFACTURER' T M 483.0 - Side 1 - (7/97) • + a�oeRA SECTrON 1$ MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR -HUD LABEL NUMBER LENGTH WIDTH WEIGHT (INCHES) INCHES (POUNDS) 1 CAFL417A28121-TQA13 PP90886975 580 160 30,240 2 CAFL417B28121-WA13�` PPSO886976 532 3.60 35,180 3 ._ ` i::CAFL!1 7•C28121 „WA1P�.'. . • r= ,t.. P S088G99.7. ..:: , .., ' ., .: - 5�0 '. 160 ,. .x: ;:30.180 BENNETT TRUCK TRANSPORT, INC. T d fjfB6b,�i.IAL PARRWAX P.O. 808 569 MCODROUGH QA 30251, (slna� c slave DESTINATION FOR UNIT DESCRIBED A80VE: NAME $beet) - C Slate ZO t eeniy -def ponsly of Parlay under the taws of Ute Slate of Cafdcrnie met the above facts aro true and correct 12/17/2004 WOODLAND EaaXOLO CA wled on M . (Date) i (City) (County) (Stale) SIGNATURE OF AUTHORIZED AGENT: �� _ 3`- `'-"'+�- �.✓"�, S'TRIBUTION; ORr.MAL (PINK) FORWARq���Op�THE INVE14TORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1(WHrTE) FORWARD TO THE DEPARTMENTAT P.O. BOX 1828• SACRAMENTO, CA 95812.1828• WFTHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) . : DELIVER TO THE TRANSPORTER TO ACCOMPA�IY-THE UNITTO rTS DESTiNATIOFI. COPY (GOLDENRODS y.TO BE RETAINED BYSHE MANUFACTURER' T M 483.0 - Side 1 - (7/97) 07/02/04 10:40 FAX 530 877 3443 2005 { RacoRmHo REOu¢5TO By 9 -7151 j 94-0 171511 Rea Fee 6.00 - 1 ylpgn¢e.rLLt.O11aIDwt. rHn;plMM5 U�J% noaxr•I i DOC 3.85 P®1'. blow Uft 1.1 PA sv WPn *a Recorded I Chock 9.85 Floyd I. Sloan 01ficial Recordc I eo" County of 10116 Hidway Rd. I "--Durham, Ca. 95938 eJ, 1 a Candace Gr11Dbs 1 1 Recorder 1 v.vNP.n iJ'..Ir1 •J'n . bt,V CA 1 5-1b4 t 1 h - Ap 040-3.0-068,069. 70.871 GrInt Deed me 1.IV11LR51G�6U ollrino�,00rxl Mlksu 3. 05 ' tnrLWAINn 1ItA%M11t 1A1 11.5 Pwrl \v -- }[ na,yrayd ,a, (Po seta 4 rWra,1 m v-QVc,) r,m-W4 01 n+1�O rn loll ..fur trv.1 Wr.-.0 tavn .n rolenDrmn rem>m'N ID tan• td>,d[_ W FOR A VALCABI CONSIKKA7ION. rrelpt of which is Wcoy r_►Iwwk 1pL Center Land Company, Inc., a. California Corporation rveo$ GRAY? 15) b. Lloyd I. Sloan and Anna E. Sloan, husband and wire as Ca>=n!ty rrooerty the Ibllbvlap &-�nbri mat pwOrns 'n 1hr Unippprpprated ROW of the —ajlo Butte .,1bt..fCnIlWlnu . That portion of Lot 19, according to that certain Map entitled, "Official Map of A.F. Jones Subdivision of the Fe=son Farm, Hutto Countp, CA1iforni " which vaR recorded in the office of the Butte County Recorder on June 8, 1911 in Book 7 of Haps, page 53, that lies within the Riaht Of I'}'. for 11, railroad purposes cwnveyed to lvlvid S. Edwards by deed recorded Aegu 1905 in Book 83 of Deeds page 113, butte County Records. 1 February 4, 1994. Center Land CotinlanY_? I1PN y 51AYE OF CAIIFOMIA cour& of Bl1PI — -- � SS *an H. m,It t,'11ioe President pn F?y+bCudt� 8, 1994 Ioaloe �o -- -•-- ---- yLpA�URIEy Nf LI OA1 --- - • _ • - a17F�p]s���i- Aii/ if iiiff AAAe •titit,►a iiA1AAATt1r�'i IRhO � � �"� "� Ju�y IIII ILv 1 o. or ce71oD 1^Ov9'soNH+s�1aaetel.�wesooxnoeow'no 1 • ` a :rc....0 :; •6i1A .+no nn'��^1 am ae►ro.vtOageo to¢a utw ae-Me:.ayy o1or�+80 I• Por tw�a•rM�Ma. autnolam raptNp�Sl enl lhm by n4nq.vty. .�Y r` 1 i• • : r - r• tV%a•.'Pbf QAI.a +%vlv^q'A Ina O6'faSll P• teensy ullpn t, Pau yi Ir "1C b•r 1I 11Si - .; at APO Ino vrbo s' arw MPCtn114+O 94MPan1 !•^.-r— �•.•--a-.r�Y�' i omr.fSS ,PaMJM •ra'ur - \FA11 11\ „?A:F\II \1• Its FaYll QUM% 11\ }rR11111,1\L 11\1: L N011011 olllln%. MAIL+lp1N�N1ll i Wl,e � \rn• d.Yr. •• Description: Butte,CA Docmmemt-Y®ax-DocID 1.9.9.4.1715.1 Pago= 1 of I Ordar: =am Count: Feb. s, 2002 Butte County Building Department This letter is to confirm that Anna E. Sloan has given her permission to; Douglas & Cherie Sloan to place a permanent 2nd dwelling Mobile Home on her property. Building site address: lollo mdway, Durham,Ca. 9593$ Building permit # 060100 Parcel #040-660-02()-000 Anna E. Sloan 10116 Midway Durham, Ca. 9593$ 530-342-2203 U Z 0 U N w Rl a m (V LL7 M co m W am I 2'r. 2"x 3/16' 3/8" CAD PLATED BOLT, NUT & WASHER STEEL ANGLE COUNTER BORED FLUSH WITH BOTTOM AT 8' O.C. (8) REQUIRED � 1/4' STAND BASE DETAIL "A CHASSIS FRAME J/4" GRIPPER PLATE (2) REQUIRED 11,C GRIPPER BASE 1/2-13UNC-A307 x BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8' THICK TOP PLATE 02' SCH 40 .PIPE STAND WITH TWO 0112" ADJUSTER HOLES Q ABESCO ABS PAO #503 STEEL FRAME ou " PAO #503 Na 179110 W% 36" MAX OW TO BOTTOM OF PAD r- 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN is _u smor"L -�r 111 - P,; MIA W. y _ COACH 'C FRAME 2' CHANNEL 1/4'x1-1/4' TEK STS (2) REQUIRED 1/4" GRIPPER PLATE 1/4"BASE GRIPPER J 1/2" A307 BOLT --(2)-REQURE•D--- - - if 3/8"x 6'x 6' 'STEEL PLATE1/2"-A3Ol-8OLT (2) REQUIRED ATTACHMENT 10.00 —•�I e o 10.00 89/16 HOLE (TYP), STAND BASE TOP VIEW 3. COACH "J' FRAME 1/4x1-1/4' I'I TEK STS (4) REQUIRED' 1/4' 1' A307 BOLT (}l) REOUIRED J—BEAM ...... ' .. . i ......... . ATTACHMENT e" \- 1/2' DIA. HOLE (S) PLACES j� 30" STEEL FRAME TOP VIEW STATE APPROVAL Kffi FACTUM ROMR3f1 o=Z WMB FOWMA,ncm mTLw > a7B AND BAFM COM BBCnM IMI APPROVED " :# t111,uecr a+Q cwAltEcr�lle damn A}!E!OIVALMNTWAV71TORIMORAN UM ANT l�G=mmmORDBYiA2iQi FuxA8Q1DEiD+m"or •AIL7C1=Ir ATRIAWBATIDRDOULA3UKft J` d 8wmu1 and C1om®Id Dawlo�� 1N _ AM ,�ANDARN,�iY�a Y WAM 4v' lar WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET I of 3 10/12/2005 02:04 9163835207 ABESCO INC rraut UL i ......1I 1�1 .bnnb• D ; 'r�•j > ? •" to -4 ;i q�S Oz% �C �I'~A <yfA�17D �� �� �N O CHS o �; SSC rw c'a co rzi�i�^ `�Gp' nImrI �_� > -Fig c c c " o>r Im.,�M"� oN ip ° Z 2 y Mi A IIA YI IA In UI c m N 2 >K� oo AGr o ca c167C1 Ka Icil a�� c m�+ C an -F 'o ;�^' z g -1 =01 ccc mg o�E '" Z '4 s Se c S cc zn� 14=m ? DMZ�vmi = mom rrl ompa Fc m$ u+z A mZ o 7C m-4 I max€CIA IAQ� o.� N > ,, -C N•Oo•1 ►'� N '" ���o <N..II �` '�� *1�1�-m �z-f�+ �^ C Z Z mr+Y o �-�i 1AyZOm � CA :4 So vv2 s Z'*1r o r� sin Uf m� oov-v �r++Z xF x_�pGi Log a ( rY �1 c �'o & �o �� tt7wp m=1 p oul re.l>.�p n rx �o� In 3 sz �n c •� aCm o °°o''' 'o CD o � .� �. 11 A• Or 11� mmm 2 I C m Z IA o v� 1.1 O> CA m m y > vl "� I /A O m 1 c z� Jaz cry+ N� om pa � z a �'o$� �r O r= P1 in 'A x MM _tA L/1 � � 2 v N 1v71 O +� �_ � �_ �'+ $ r•• z m �'''' � � IAO G � SG 16o („'� Z O Ul v o� 1 N N N oN N z• xxOS ;ti 'O Ul a D N ' o�v �' it o$ R o ►— ipmQo z0NW -4; zmar0°" vl�i to ZSA Zz N �-J'"Iss a�Srz 'a r> - r" r=+zmc> of'vi s� arras Q4 Q' i cSV►,i �^' WO M C � oori o a 0 o h z m m a �'+ oral N � r•, � coo S� I � dzi '=r�, Cm, �' ~ C O 1 � -•1 `�� •g .. is c'� �•... �cm Lo "' �s o? • Z t/1 O v I I�j► E61 C O m O j C3 n a -a Zj Co rA We Q •gyp m is m zao< c n lot t;. D Na1j C rmi N co I v0 P. vI • n I . x •a z o z D z Alyy = 0 UV-'oA,IA iCW � ? � i�, � � x Y n i f•1 1 z Zz�1 ��� �8�� -D ��;� [] ❑ ❑ z zip ��' C3 [I wNrFi -Ir. n 2,50 Ah 16r �L ❑ ❑ :�. e ✓� � I IS • , v m 1/2"x 3 1/2" EXPANSION ANCHOR W (4) REQUIRED Q a. CONCRETE PAD Ifs U Z O U Ln w 10 a r m 04 uo m m m m m m ul CD W [V r. CD a 3/4- DIA. x 18- LG. i 1/2"x 8" LONG (4) REQUIRED ANCHOR BOLT 3/6- CAD PLATED BOLT. NUT A WASHER (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM AT 8' O.C. (8) REQUIRED PLACE DAi1QN�NSTAttAi 16x16x12 CONCRETE * N,_- n �4 1 - 'ION-•---------•--- —•----- ----•--- CHASSIS FRAME � No. 11916. # lEx 'la • 6 R PLATE QF CIETOBOTTCM [RED OF PAD I 1/4- GRIPPE (2) REOU 1/4- GRIPPER BASE 1/2-1SUNC-A307 x 4"� BOLT WITH NUTS (4) REQU.RED 01 1/2- SCH 40 PIPE RISER WITH 01/2- ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02° SCH 40 PIPE STAND WITH TWO 01/2- ADJUSTER HOLES ABESCO ABS PAD #503 wQ STEEL FRAME -� in 1)rz- '' r 01/2-x 3- C.R. LACK PIN WIrH 01/8- BRIDGE PIN ra- . i[�L?I-�ID=.IINilB i 1 1 Y LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION i -1 9maz T1ID)z TA1n8 [ UEENM OF 11011E 24 WI 1 26 UP 44 6 a a t2 44-1 fb w1l 12 12 1i 1, 1a is. -I. b Wl 20 2D Z• 24 f LENM OF HOME 10 WIDTH Of 1 14 i6 UP In ss' 6 6 6 8 a A 8 8 o 10 0 10 NUMBER OF Tur-1 REQUIRED NU118ER QF TUF-1 8 IRF I NOTE* SINGLE WADE UNITS WEOMM (4) E -Z TM PADS. GUS GUARD TLW-1 PIERS ARE TO K PLACED AT APPINIUMTELY EWJAL KMVALS Man EACH FRA RAIL. I. aF I Vr — 1 r-LINIVIA11LINI FOUNDATION SYSTEM ABESCO-(BUS GUARD COBeAM 5951 FWRIN - PERMS ROAD SACRAMMi1O. CA 95923 PH: (800) 3OZ-8831 FAX: (916) 383-5207 STATE APPROVAL D &WWAC7lfREDnom 1M081IIBHOM6 i FOUNDATION SYSTEM HBALTHALD 81 ym cDDa ucnaN 33mi APPROYBD 6uRw= 70 C ORREC'•11Om xomw I r AFPROVAL DOBE NOT AUTAOR= OR AFPROVB * ANY - OWSSIUM OR DSYIAtIOH FROM MUIRbFdFlM bF 1� APPLEC41ILSSTATRLAWS AND RLGULAnl) i8 �Q .,r-. 8dtoa?Llslifmafa . AND BrANpABDB s vn '6 r WAYNE T. PGLVADO. PE—USTING NO. F94249 SHEER 3 of 3 J BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060100 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 Issued Date: 02/17/2006 APN: 040-660-029-000 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. Site Address: 10110 MIDWAY DUR License Class : License Number: Map Index: Date: Contractor: Description: MH PERM FND EX SITE (1804) 2ND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the DWELLING. Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Qyy er: to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commenting with Section DURHAM, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95938 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 Code: The Contractors' State License Law does not apply to an Applicant: SLOAN, DOUGLAS & CHERIE owner of property who builds or improves thereon, and who does 10116 MIDWAY such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for DURHAM, CA sale. If however, the building or improvements are sold within one 95938 year of completion, the owner -builder will have the burden of 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: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: .9--1`7 _0 (;Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 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. Architect: ❑ 1 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: Total Square Ft: 1804 S.F. Policy #: Valuation: $117,260.00 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to 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. tly Date: / 2;, Q�o 0 Applicant: q�2 Q- :;9. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one j �✓},��% a -I '11 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 County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: Address: PERMIT EXPIRES ON: Date ' ❑ 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 of Butte County to enteruponthe above mentioned property for inspection purposes. L Print Name: A4✓/V/^} C • O 4-/✓ Signature: (� / Date: � - I (S G Y Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 NO BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION --PLEASE PRINT CLEAN!— —.4 r., /,c�/ OWNER Last Name C f O CA yl rirst Name n Y\q Address I C i I (P M'� v, G City State zip Phone SS p 3 c4a "aa -o3 Fax E-mail ARCHITECT/ENGINEER Name Address City State Zip Phone Fax E-mail State License Number PERMIT `BP BIN # APPLICANT NAME CONTRACTOR Name City () CA 'r Address Zip17513 0 City Fax State Zip PhoneFax Date Approved: E-mail Lic. # Class ARCHITECT/ENGINEER Name Address City State Zip Phone Fax E-mail State License Number PERMIT `BP BIN # APPLICANT NAME Name Y\ C I O Q Address [ 0 t` G m\ a W A City () CA 'r State Zip17513 0 Phone.5 30� _ aL, Fax E-mail APPLICANT SIGNATURE X q �,_ , , � f- I For office use only: Zoning Occ. Flood Zone � ..' SRA Yes No Type Const. N Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LENDING AGENCY Name Address Description or Scope of Work: q. Footage ❑ 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 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. E� y� `1 lion o� G `�/ . �LP Received bAmount: Bldg ' SRA Receipt/#�: �� � �l " lG� Sheriff SMIP Y`— — ? 7111� — __111 Date: //�� Ner— /- / ��(� � 2— " /, Total 11 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layout's (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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 slowed and wet -signed by the engineer. Moble, Manufactured, or Modular Homes: V 71. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. , 3. 2 Marriage line information. in / 4. 2 Floor plans. p- 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ - 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDIAlvis' 11r 6 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: /( �Q%7 / /iJ�I ASSESSOR PARCEL NUMBER�/��� Proposed Building Use: Permit Technician: Date: 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 faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: a) Installation manual, including marriage line'info, (P Floor Plan,ffi-)Tie down o fnd plans, a I in duplicate. 0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other ga g items 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 1116ico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... �J 18. Erosion Control Plan Required........................................................................ ( 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forest plan approval ❑ paid. Sent by: 23. Planning approval for (A) Use (B) Parking: (C) Parcel Check:..... ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ . 25. Fire Marshall Review (commercial projects only). Sent by: ...................... .:P 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... II�w Ute ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number....................................4..... D 30. Owner -Builder Verification (t/Given to owner, _Mailed to owner)....................Ell . 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. '❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Restriction..................................................................... 35.�egal description .H. Title, title search, registration or MCO .......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone,342- 2 o"? 6_1 r and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 011444 a Date: (1",N a �?_ O 0 1. Index permit application for the above items numbered: Plan Chdck Le er 2. Additional items r �, - Contractor, designe owne was advised of the above data by phone, ❑mail, ❑counter, Date:_ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ countby Date: Plans reviewed by: Date: Plans approved by: '.J P Date: -twj co Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: , Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner SLOAN, ANNA APN No: 040-660-029 Application Date 1/18/2006 Permit No: BP 06-0100 Permit Type: NEW MH PERM FND 2ND DWELLII\ 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA FqYes Flood Elevation Review $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application 4 5 6 7 7a 8 9 10 $549.90 $219.96 $329.94 Balance of Building Permit Fee $109.98. 00 _ $204.98 $329.94 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $329.94 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $329.94 $329.94 LtLf %tb 2i'%- Balance of Building Permit Fees (from No. 1 above) SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: IMF'AL; I t-ttb - KtblUtN I IAL" jPer DwellingPer Dwelling Per Dwelling Applications After 2114105 SFD ,� MFD ,c MH County 4096.87 3071.14 Chico Urban Area 5372.09 3995.45 EI Medio Fire District 3128.31 2297.77 North Chico Specific Plan A SR -1, SR -3, SR-1/PD �c R-1 °� R-2 R-3 7938.531 6757.08 8031.53 6850.08 7541.531 6360.08 6780.531 5599.08 Processing Fee is automatically added to impact fee total WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# DRAINAGE FEES* CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek 771 Comanche Creek New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek 773 Big Chico Creek 774 Lindo Channel 775 SUDAD Ditch 776 Mud -Sycamore Creek 777 PV Ditch 3117.43 4889.56 2326.36 7633.49 7726.49 RECEIPT DATE Tech/Asst 443498 .1/18/06 Tammie 6475.49 RECEIPT DATE Tech/Asst Kourtni 0 $100.00 $200.00 069 792 596 $6� RECEIPT DATE Tech/Asst $8,603 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Ila Temporary Dwelling 1 $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* Durham 070 Given 4-6 Owwf 2--7 12a RECREATION DISTRICT FEES* Durham /(0-f (ma, C4CAPO .-1p4- At fd- At the 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. Applicant: ,2� Date: aa' -V' / koZ ck:7 6 Pursuant to Government 6ode Section 66020, you are hereby notified those Items followed by an "*" may have been imp ed on your pro* t. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 C o �k niz BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM / (One form per Building) ?'. EIJI( )SchoohDistrict in 1 /1 ISP' "rL /:�� Building Department No. A.P. Number ����)'lQ%-l� �/% Jurisdiction: City County Property Owner / nan /A Property Location/Address o I 01111111,4 1, I Jr r'Y] 11)'/'r • Subdivision Lot No. .......................... _.... .............................. :...................................... Residential Development Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) i.......................................................................1............................� Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (including Exterior Roofed Areas) Bui ding Department Representative ;, Date District Identification No. �ij .-2 5- I d (.I D w I A t o A \/ DU 8416 -1,n,) V N ! F (� , School District certifies that 5LD o; -n n A (Applicant) �r-> X99- 3A45 (Street Address) (Phone Number) �tct2N(+ti�1 CA, qS%3� (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ a (o qcv q lm representing Igo square feet. 2926 $ (coo FULL MMGATION $ School District Representative Date Paid by Check k — Remarks: Node-: You may protest the Imposltiorh of the fess Identified above by submitting a written protest to the District, In'compliancs with Govrrnnrs d Code Section 66020(a), within 90 days from the date fess am paid. Failure to submit a timely written protest will'prohibit you from challenging the Imposition of the fess in any court action. N, subsequent to the School District Rsprsssntative signing this Butte county Schools Impact Fes Certification Form,'1:116 School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQAh this project may be subject to additional set" fess to fully mitigate. Us Impact on the school dl ftft seAools. '- - k e) (applicant), Yellow (building department), Pink (school district) feefonnads (10/03)dmm BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ P RADISE RECREATION AND PARK DISTRICT (PRPD) URHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Property Owner (s)� Project Location /Address Subdivision Name New Development Alteration/Addition(s) Mobile home _y,'*" Demo Permit (date iss Comments: Building Permit Number _6 JO K) Assessable Sq. Ftge j $� Type of Residential Development (check one) Single Family -Detached Single Family -Attached Non -Residential to Residential Multi -Family Dwelling Mobile home replacement k -"verified by Assessor Department ,,d /�) — verified by Building Department 0 FRRPD ❑ CARD ❑ PRPD L( DRPD certifies that: Douqras S/00M i53G) alq- 32z/S Applicant Name Phone Number /0//o CA 9Sg3g Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. Gy - I G -7 by Payment of: Dwelling Units @ $ 2 04 Square Feet @ $ _ Remarks: t4-1 Paid by Check No: % Paid by Cash: iJ ii . and Park District VAT:nv),ec%ornr nMlf- . --A-,1 F- ­ 1 rinr. per unit for a total of $ per sq foot for a total of $ 16,9-7,&q . Receipt No: 2 /7/0 Date �Dd 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 material for construction of this proposed property improvement: YES [ ] NO [ �. 2. I HAVE [ J HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: ' NAME: _ ADDRESS: 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 o -- SIGNED: PROPERTY OWNER: DATE: 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. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the 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. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact 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 perforin 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 contractor 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 contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. CONSTRUCTION RECORD IEFFEC. APPR. NORMAL GOOD RATING .(E,G,A,FP Permit YEAR YEAR Remain Arch. Func. Con- Stora espoe �. For Amount Dole Age g Table % Cond. Life q tt r Plan form. upb'd C/osr - /971 Z a Cd v I So V P COMPUTATION _ BATH DETAIL Fl. INo. FINISH FIXTUR S Floors No/ls WC. Lo. ub Type G 'SPECIAL FEATURES n Blinds sh Appraiser B Dole FOUNDATION Adobe RESIDENTIAL BUILDING RECORD Many Special Ile— Dining j Double _ Concrete F/oor.Jofsl: B.&B. T. ¢G. PARCEL Cost nit Cost Central,, Unit I !' Duplex _ Reinforced ° F 0 PLUMBING Bed - Apart/nent —ADDRESS—:-, ;1 ! tJ .i� r, : r,,�Stf SHEET Poor 1-16000, OF TS Bed t Flof_-_ Wood X Sub Floor Slone Shake 0/7 Burner Court Piers _ WINDOWS Tile Fixtures DESCRIPTION OF BUILDING DH. I lCosement Tile Trim MeterHeoter CLASS SHAPE CONSTRUCTION STRUCTURAL EXTERIOR ROOF LIGHTING AIR CONDITION ROOM AND FINISH DETAIL Composition Light Frame Stucco on Flot / Pitch Wiring IHeatiq I lCoolingROOMS FLOORS FLOOR FINISH INTERIOR,FINISH Compo. Shin le Sub - Standard - �� Goble 1 KT.1 lConouit I Forced I leoni TRIM 8 / • 2 1 Maferio/ Grode I Walls Ceilings ARCHITECTURE Stan rd Sheothinq Siding Nip /q V1 B K I jCdble Gravity Numid A// Above -Standard Concrete Block Shed Fixtures Wal/Unit Stories Specio/ B.'s B. T.'s G Cul Up few Cheap Ent. Hatt USE TYPE Brick Shinolns nnrmor� x' CONSTRUCTION RECORD IEFFEC. APPR. NORMAL GOOD RATING .(E,G,A,FP Permit YEAR YEAR Remain Arch. Func. Con- Stora espoe �. For Amount Dole Age g Table % Cond. Life q tt r Plan form. upb'd C/osr - /971 Z a Cd v I So V P COMPUTATION _ BATH DETAIL Fl. INo. FINISH FIXTUR S Floors No/ls WC. Lo. ub Type G 'SPECIAL FEATURES n Blinds sh Appraiser B Dole FOUNDATION Adobe Shakes Rx. Many Special ZoneUnif Dining j Double _ Concrete F/oor.Jofsl: B.&B. T. ¢G. Gutters Cost nit Cost Central,, Unit I - Duplex _ Reinforced /st r X;, • - F 0 PLUMBING Bed - Apart/nent Brick 21d: "X Brick Shingle Poor 1-16000, gr Bed t Flof_-_ Wood X Sub Floor Slone Shake 0/7 Burner Court Piers _ WINDOWS Tile Fixtures Molel _ _ DH. I lCosement Tile Trim MeterHeoter -- - -- — /nsuloled Ceilin s Sleel Josh Composition ki Automatic FireP/ace Kitchen i _ ✓Nits Li hf Heovy /nsu/ofedNo//s Screens Compo. Shin le '.' GasElect.DroinBd. Molerio% Lgfh: ft. Splash: CONSTRUCTION RECORD IEFFEC. APPR. NORMAL GOOD RATING .(E,G,A,FP Permit YEAR YEAR Remain Arch. Func. Con- Stora espoe �. For Amount Dole Age g Table % Cond. Life q tt r Plan form. upb'd C/osr - /971 Z a Cd v I So V P COMPUTATION _ BATH DETAIL Fl. INo. FINISH FIXTUR S Floors No/ls WC. Lo. ub Type G 'SPECIAL FEATURES n Blinds sh Appraiser B Dole .`�/ �% -� Rx. C /Ca / / )S4 V3 71, ®� Unit Area Unit Cost Cost Unit" Cost Unit Cost Cost Cost nit Cost Cost Unit I Cost nil Cost / nit Cost Cost Unit Cost F 0 S °.o .30 D d 137; gr '16 l.0718 — ,A1) PP /q717 ?4K;--' a/)3!-: TOTAL 3p J /'_ij U r� `f3S"D`. 15- NORMAL % GOOD r�' ` , t �� S—V (t R.C.L.N.D.1 7,5' AH 530-A . ::J 4 r� f <r / 1, Butte County Assessor 4 2005 ®rovins, CA T AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-0034612 Recorded: i cEC ; Y ifficiai Records i County of i P DTCG - � C. 5 Bette i r"POAH J. S tLIf;Hg i County Clerk-necoreer i i VIP 03'1' ':,N ;f—Jun-25095 i Pape ? of P INI III III ILII I II I Dill I IN III II 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.t�� _ �$�c,G��� PROPERTY OWNERS: (G ct V-, State of California ) County of dj u,4 -W, t°, ) On 1(.te'�_ 1 �"' before me, personally appeared Rill n( .— C.,(- personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(p' Ware subscribed to the within instrument and acknowledged to me that Ire/she/they executed the same in.Iris/her/their authorized capacity(ies7, and that by-bis/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(rv4-acted, executed the instrument. WITNESS my handand �� seal. ` Signatur �' " �` Sell SIMONE COURTAIN WILLIAMS? v;w COMM. # 1572280 NOTARY PUBUC-CALIFORNUBUTTL 0 A. P. # � � 0 --� G`Q U (v COMM. EXP. PPRIL'23, 209 n 07,02/04 10:40 FAX 530 877 3443 �N 9 -17151 RECOROIHO REOUMTO aY p / 15 7�1-017 151 1 Rea Fee 6.00 1,.. .. ermmttenteArmlAwl. r/••StAt'o� 1 DOC 3.85 IA140nnark/ 6.g' Glow U" lµ Pe'! WJn ro Recorded 1 Check. 9.85 w�- Floyd I. Sloes Official Records 1 9,w 10116 Midway Rd. Goof euttc County 1 *° Durham, C8. 95938 Ij1 Candace J. Grubbs 1 Recorder - •S: his i�, 7N i S-1b4Glk! 7.0 mart l. AP 040-350-0613,069. 7e.971 Grant Deed Tnb LN0LR51GNbV WR1OPIJDb[LV42U. 3.85 mY�1ti.�IAltl li{q]p11k 7A\ IS$ .. . il.hal \v, �,+VqMd ,a. fall vett 4P.Pcr') vm.nN at o+IrpetO.A lull..tue 4v..tlw•.nl¢tn.{rn�C11Dr.eea.to�lljmtah•tdvh_100 FOR A VALCAbLE COFSIDkRA710N. rrmpt of which is hcreDr a:kwwkdpd- Center Land Company, Inc., a California Corporation Mrtb) GRANT IS) It• . Lloyd 1. Sloan and Anna E. Sloan, husband and wire as Cc mun!ty rrooerty ax lonarltl, dM nbri .cal p wn) m Ib! unirCOL =StEd MW of the avaal) of Butte .,uat..fCdllonll� That portion of IAt 19, according to that certain Map ehtitled, "OFficia Map of A.F. Jones Subdivision of the Fergon Farm, Autto County, Cdbiforn which vas recorded in the office of the Butte County Recorder or June 8, 1911 in Hook 7 of Nape, page 53, that lies within the Richt of W37 for railroad purposes conveyed to T)yvid S. Edwards by deed recorded Attgnitt 1 1905 in Book 83 of Deeds page 113, Butte County Fccords. 1- o February 4, 1994 Center Land Cony_ Inc. w 11nN 1r,�` 5f AIF OF CALIFORNIA liul`li-_ i S 5 I1Pdn 88. 17USL C. •+01" Pre5lident COUNTY OF __ 0. Fmov&iEr 6, 1994 bdb•a mo -- -..--�-- "- Lmpm- 6i7F�pli- t��slt�5lfilif�*ts>rr}ifi►Ik4}f1*iRt1R or WiIo i�'-rs. . ' •1 fl}..II 1�y1..CLis •y-. •4r..Wl In nv nv aW I.,�. nl ttlKt]f ln.y I •.'I1t4 Hi "s I I0.-oeNgj tplr Ike p9.Sot4N AhW NjM?,).V" SabWabeo ro'ho : I..• r.�'�G.., ..tnr•'Wa• Y�r am AC klro lgdoo loco" U VW".3" ala+JtBD a+a the. b1+.bnOr.tllo.. r•' ,y { y/r. t.,. Isar ee.6 d+noll;.*" WrlawoncimoveSr .1 - •tr :i IllNonrnd'K�ryn'� tr4 WA.L51 0• lac earnY Upon o00Brr - 3--,••r 01 NItzh IIU 101=3. arw ftKuhi Bal ASauatota 7 vmLf55 ,atb1141 tl�31ser ---NAfI. tct dna\II \I• m PtY11 Nh)t5� tN Illl)�Ittl\v I l�?: L \IiPq}eN tdlllt\t HAIL fnpVit NT —OC Desoription: Butte,CA Documant-S'®ar_DocjD 1991.17151 Pago: I of I I Order: — C07MAQTtt: Q005, I Y SITE PLAN REVIEW APPLICATION Date: f:C63 . Lq 2,oy6 AP# Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name:N�� Owners Address: Telephone No.: Site Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home — kf ❑ 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: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form Zone:' t!t GP: C>pe-- Brief Explanation/Issue: ( E cA PkQLc A N P€ A16 DEVELOPMENT SERVICES INFORMATION (For Staff Use) ak Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By Date r -E B. 26a 1 N 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: r • Flood Zone: Ti • 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: 'OPG Applicable Building Setbacks: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Z Side Street Rear 2 Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 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:�Tf ❑ 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 Map: Map Date of Recording: Lot: Book: Page: 3. Department C. n it n t v J. Michael Crump, Director of Public Works o f B iu.t• t o LAND DEVELOPMENT DIVISION Storm Water Management Procrzm 7 C6unty Center Drive Oroville, CA 95965 (530) 538-7266 (FA.") 538-7171 National Pollutant Discharge Elimination System/ (NPDES) Phas11 Construction Storm Water Permit and Storni Wafer C llflon P Plan (SWPPP) Acknowledgement jLESS THAN I ARE Project Description: Project Location andlor Parcel Number: %j �4 �6—d 2a By signing below, L the project owner/owner's agent, certify that this project WELL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit frcn 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 Pemait from the State of California Regional Water Quality Control Board - 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:?-��, , Title: Date: fhb TO: , Building Division - Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance Plan Approved for: Sewage Disposal: Clearance for dwelling. Other _ Hold final for: Final ceara9ce O.K. for- NOTE: or NOTE: h!s/ W/ Environmental Health Specialist Building Clearance 9/2005 Plot Plan Attached —I Floor Plan Attached ✓ Sent to BD/DS 'p— Water Supply: Public Private Well c-1— Dafe APPROVED Butte County Environmenthl Health r , Da Signature ENTRY _^ g_ - OPT. -- ,�-__FULL PORCH -f2'-(r x 40'.0•- -_ Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's polity of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in fioorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SRECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. WD/17/MAR04 Waterford Series tilt®del 7523L 3 Bedrooms,• 2 Baths • 1,304 Square Feet .:.-, .�.__, ,..;1:.... .:,.., l..lii ... ....J-..: _. .. _. __..... . _. ,I .. -.." _ µ,:..,::5....:.,YIEIIt li;'_ ....., u.. .-,._x...nidi...u,.:__-._..:!L,..,F.�....i.stnl•}(r:, •,_:.-.,•,rRo �r..:: ...n:,. sr. ._...r;, ..,..�.r (--.��a.�a�-.c-t k.3n11I 1 ,-..,..lf4dq lk� f. _,--,�•Is y}((q s a r 1 k ;w ,p.:,Lffi ], r,....t•...1 ... . , _ .... •e� _"'�l' !' Y$. YE� i I nr.�...., .i i•• .''^ - �9d.-`:--- • ..:..,a_.::: . .�{`A_.....i�. _.I• �...,. :;-...'� . ( 6I1 a �t,±t::;t:}` • .,_n., !� f'�'�1 ,-....i,: , :..-- _'-- •.•,:r• .kt1111 � "t._ .._.:._ .- --:/: " _ I7" ..-s "rk::. ",-- fUli>:. i_ u� 1kaySl��lC1i. Z�• ' kkl `s�li�.iirl.. t' _ _�-k�- 'Y3?l :. 1 i� j1# '�-=ti l'i " ,0'L •:L�2: ��F� - - vi«Ject•L.-_1" - �f(. p ,1,-.-:a. ::� I ��;�I � � Mvs���fllllti�k.7.�."-..:._...:[::rEr-�allii�irs`-io:ii«v.•.�L ;,, � � '"• -- �'::4rf.,). 1 k 3 APPROVED Butte County Environmenthl Health r , Da Signature ENTRY _^ g_ - OPT. -- ,�-__FULL PORCH -f2'-(r x 40'.0•- -_ Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's polity of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in fioorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SRECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. WD/17/MAR04 i,—' -.. a 26'-2 V4' 34 V4' 25-8 1/q m ql-2 ENTRY BEE GRAIN DOOR PANEL BO% OUTLET ION 25-5 5/B - 'o m WATER INLET — ; r7 -�-----n---F-------- r,---- n -------(–I �I u u RI----------- ------ LJ 22-0" ml 23'-4'RI-- ~FURNACE DUCT ` LFURNACE DUCT ❑ B-LNIT ADOITOM mmfTEe FOD7IN3 U,M RORq ROS1S wy-BE REWIRE FLEAS, SEE INSTALLATION NNAIA: u u RI----------- ------ _j ��------� --------------D---�-�------- 1 56 3/4' 94 V2" E IN NTR -grMALL Y WINDOW DOOR a'-311 '-3 4' 20'-0' Ar -W ALL G -STRAP 00 66 o/oa BUTTE co -,t BUILDING DIVISION APPROVED CHASSIS INFO M.R, SPACING I -BEAM SIZE D L E G E N D 1:1STANDARD FOOT ING RJIt]: THIS DRAWING IS TO EUSED IN CONJUNC- 'CN WITH THE INS- 'ALLATICN MANJAL AND TS SUPPLEMENTS. FOOTINGS ARE 910WN OR EXAMPLE CALY. RIANT IT Y AND SPACING AAY VARY BASED ON PAI 'YPE. SOIL COND17IONS WOODLAND 17-1 UrT NATE WATERFORD 7523L PIER LAYOUT 30s ROOF LOAD Dam By. AIVAR K. DATE 01/I3/104 LL 30 _ SP,TE,1 M'.1. REV ALL LJ 22-0" ~FURNACE DUCT C -UNI _j ��------� --------------D---�-�------- 1 56 3/4' 94 V2" E IN NTR -grMALL Y WINDOW DOOR a'-311 '-3 4' 20'-0' Ar -W ALL G -STRAP 00 66 o/oa BUTTE co -,t BUILDING DIVISION APPROVED CHASSIS INFO M.R, SPACING I -BEAM SIZE D L E G E N D 1:1STANDARD FOOT ING RJIt]: THIS DRAWING IS TO EUSED IN CONJUNC- 'CN WITH THE INS- 'ALLATICN MANJAL AND TS SUPPLEMENTS. FOOTINGS ARE 910WN OR EXAMPLE CALY. RIANT IT Y AND SPACING AAY VARY BASED ON PAI 'YPE. SOIL COND17IONS WOODLAND 17-1 UrT NATE WATERFORD 7523L PIER LAYOUT 30s ROOF LOAD Dam By. AIVAR K. DATE 01/I3/104 LL 30 _ SP,TE,1 M'.1. REV ALL APPROVED PFS Corporation j Madison - 4 1127104 HUD Manufactured Home Construction & Safety Standard NOTES. I. PERIMETER PIERING REQUIRED WHEN ROOF LIVE LOAD X 20 pef 2.ACTUAL SHEARWALL TRIBUTARY HAS BEEN INCREASED PER PORCH DESIGN CONFIGURATION. 3.TRAVEL DISTANCE FROM FARTHEST BEDROOM TO ENTRY = 32.3 LF. c.THIS FLOOR PLAN MAY BE BUILT IN AN EXACT MIRROR IMAGE ABOUT ITS LENGTH (SIDE TO SIDE) AND/OR WIDTH (END TO END) AXIS. POST AND SPLICE RANGE DIMENSIONS (FROM THE CHARTS) ARE TO BE Sl ARTED AT THE REAR OF END-TO-END MIRROR IMAGES. THIS FLOOR PLAN AAO ATTACHED OPTION DETAILS (IF APPLICABLE) IS DES0ED TO MEET THE FOLLOWING STRUCTURAL REQUIREMENTS: WIND ZOIC -0 I ROOF LOADS) 30 lbs. Ac ZI 71 29-0' CNE NOW W -0,M11 NM 12) v$ w�srsiL riasrw L E G E N D dRECEPTACLE SWITCH O THERMOSTAT ® SMOKE ALARM SMOKE ALARM W/ K)94 UUTTCN LIGHT FIXTURE ® EXHAUST FAN VDCP VIDEO DIGITAL CABLE PANEL BC ® VIDEO DIGITAL CABLE OUTLET FAN FAN W/LIGH LPANEL BOX = RAG RETURN AIR t GRILLE C� 0 FLOOR m REGISTER CROSS-OVER LOCATION / AIR SUPPLY )cD SUPPORT POST QSHEARWALL QA 160 � ag-0' QB I60 � 52'-0' WOODLAND 17 PRODUCT N" WATERFORD YODEL ND. 7523L FLOOR PLAN DRAWN BY. AIVAR K. DATE OV13/04 sn �v FP.1 :OF SCHEDULE SYMBOL SIZE I DESCRIPTIONGLAZ VENT U VALUE 77P 32 79 BLANK -INSWING 0.19 ;7B 36. 79 BLANK -INSWING O.IB :76 32 IB COTTAGE- INSWING 1 7.951 0.31 N 3015Pw 30 , IS PICTURE WINDOW 36?IOIPL 36,?117 PICTURE AL R 362101PL 136,21,7 IPICTURE POLTGO 3027PYY 130 , 27 (PICTURE WINDOW LIVE LOAD- 30 LBS. FROM TO UNIT MATE 0• - Il• -i• A B 18-1• - 22'-0• A B 24'-3• - 27•-9" A B 35'-2• - 35'-1' A B 17•-1• - 17'-6• A B 0' - 7'-8• B A 81-1' - 21'-0• B A 22'-1' - 25'-11" B A 28"-1• - 31'-11' B A 39-0" - 30-6' B A 5'-0• - B'-3' e C 13'-0' - IS -01 B C 23-9• - 25-1• B C 29-10• - 37•-3• B C 11'-0• - 42'-B• B C 51'-0' 52'-0• B C 0' - 1'-0' C B 8'•10' - IO• -B" C - B 111 5' - 21'-3' C B 251-11• - 33'-5" C B 36'-10' - 38'-8' C B 16'-10' - 18'-0" C B - SFEARWALL G -STRAP APPROVED PFS Corporation Madison -4 1127104 HUD Manufactured Home j Construction & Safetv Standard CHASSIS INFO A.R. SPACING 99 I, 1 -BEAM SIZ' 12• )RAWBAR LENGTH 39" FLOOP INFO JOIST SIZE J=� JOIST MATERIAL JOIST SPACING WALL INFO SIDEWALL HGT. 00' EXT WALL SIZE 2,1 EXT SIDING MAIL NAPDIE CEMENT CEILING/ROOF INFO RAFTER CODE ICATHI LCT-I60-3AI17 RAFTER SPACING 21" CEILING THICKNESS 1/2• CEILING MATERIAL US GIP FRONT EAVE O'HANG 6• REAR EAVE O'HANG 6• FRONTGABLE 0'HG 17' REAR GABLE 0'MC 12" II - In •I •��1 11 WATERFORD 7523L DRAWIM T 1TLE BUTTE COUNTY SPEC DRWG BUILDING DIVISION DRAWN BY: AIVARK. APPROVED DATE: 01/13,04 90 REV 27/,C - SPEC.1 FRONT REAR m WOODLAND 17 oaoxcr Yule WATERFORD KIM YD. 7523L J11ilY; rl .Lt EXTERIOR ELEVATIONS Dae' Ir' AIVAP. K. aan, Q -• Olav 44��� car uv -1 EE.4 �a fir''^, < ,t. !!t►'a�fl K1i -. G.",{��i✓i�\.\.✓ ._y Y L' �i.s-it i•.-[ i 171NA 7527E /-2 HITCH END REAR D6 - 6,/pp BUILDING DIVI ' -,�4 APPROV,',.--D 11-71C. Auff""x v WOODLAND 17 PIPJC[i was WATERPORD MLL YJ. 7523L EXTERIOR ELEVATIONS Jlla V, AIVAR R. JAi[i P:1T ltv EE.5 3L WOODLAND 17 WATERFORD 07149 EXTERIOR 06 ELEVATIONS 07149 3 0 O N' N O D R `� V).s o ms. o = s m N WN U O u Ocr S y o C� =L =LO CO ((DD W Y S co ?. D 3 U 9 O � ID U = WN N nQ N R N N �'n S i $ O o• D � � � � 3 LU N F N 3 co D (3- N x mor U 3 �s CO c o- ID N 3 wN (D O (D pcoj = O C �o x N b m v O 0 c� 3 N EL � � � N_ (D N 0cr CD 1D = O ID ID cDw 7 3 u 7. CD—; O O V (D = N C O 2. CD MED CO V N, 3=L w O � (D fO O 3 fD =L _• N (D (� (D (D EDZ O rc 0 ED � 3 � O Q _ IN w9 CT coco O N �. S Dj (D O 'o (D C JJ ,9: u No �� W DOKWEK W �-F _u L cD M -0 .� N O =T ,p 0 N N V:) N Y co 30 0 0 (D 0 I M e 4� Butte County Department of Development Services. ouTre �R� I O T E S 3 7 County Center Drive, Oroville, CA 95965 'x'.(530)538-7601 V,vw ELcovnty neVdds } RESIDEN'TIAL AP N: -040-660-029— - ' •,""" " —06-0100 Owner. _ SLOAN, ANNA 10110)MIDWAY," DURHAM- Site Address: _1 Cont: OWNER _ (�M/H PERM FND (NEW) Contractor. 'f.. I Type of Permit: oA , %OFFICE COPY �/� t Address GAS �6 Meter By---- _ Dat ELECTR err�B,yy Dat SPECIAL 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 om y DATE JOB FINALED: Z- 57 • O T _ 4 S} SIGNATURE: ~ C (''y +�= OK ra.,r nu MANUFACTURE© HOMES MISCELLANEOUS. DATE I PERMANENT FOUNDATION SOFT -SET ' oning-Setbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 lec Loctn Clrncs-G d _Amp Concrete �,(o . O (� and Gas; Loc es rap . Nat Q or LP Inch , Ft Lngth 1 ng; Sz-Spacing-Marriage Line 6oGgAIMH Test-Demand-Valve-Cnnctr MH Cntnty Test-Crossovers-Breakers-Clrncs a0 D-�n; MH Test -Fall -Flex Cnncir �XI�� & Sewer Connected -C/O to Grade Vand Electricity Tagged iXwns Q Foundation x I Z. 1 'Exits 15 Ce Occupancy UD Label/insignia Numbers Serial Numbers ► DATE: D E C K S`C O V E R S`C A R P O R T S `GARAGE S f 1 Zoning -Setbacks -Easements 1 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs j 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills -An chrs-Stu ds-Rftrs-Trusses . ; 9 Siding; Nailing -Veneer -Stucco Lath 10 Roof; Shthg-Roofing f 11 Ext; Steps -Doors -Landings i 12 Braced Wall pnls L j °��� ° °�• DATE IPOOLS 1 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcis/Lting; Distance-GFI 5 Elec Pool Lting; 15volts-GFl 6 Elec Enclsrs; Conduit Entries=Terminals-Listed 7. Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg B6xes-Enclsrs-pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide I _ l c ®% 12, r 1 ( 1 t� 43 5 ZZ"aCo EuFCT(z-«L_ r_H Ole._ TO COvE,-Q � ` F CL S a e(J• f C:i / q / , l o f r e l Pool Drawing .45z�-oZgg f f jl OK = Not OK RESIDENTIAL (SingIe & Du DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 69 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test tl Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 GirdersSills-Anchr Bolts Joists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation c` \ DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties -Pu rlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc, Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc 35 Glazing Area -Glass Prtctn-Skylts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Ins u ltn -Walls-Ceilings 39 Infiltration-Walls-Wndws c` ISO 0 0'• v? DATE JELECTkICAL 40 Fxtr & Trnsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up wlMech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or ❑AL AC Wire Sz ga ❑ CU or ❑ AL 48 Range Circ ga ❑CU or ❑AL Oven Circ ga :ICU or ❑ AL Instjlated Neutral ❑Yes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clmrs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector I e xj PLUMBING .. 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First Hr -Tub Acc 57 Test Tub & Shwr, 2nd flr - Tub•Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping UAIt IMECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 0 FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-fir-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Lottn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 CImc Drnge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted .99 Fire Sprinkler kv.,. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, -CA • (530) 538-7541 CORRECTION NOTICE I:- 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 call for re -inspection when correction of work is completed. If you have any questions .pertaining to this matter, or -need additional explanation, please contact the Building Inspector'as indicated below. I F r... c O {tea Jr O tJ .n L.�• LAA LL Ft bfrY i- aj FOR RE -INSPECTION CALL: 538-7636 OR 891-2834` Date r Inspector 11fC- REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834` COUNTY OF BUTTE = BUILDING DIVISION "R DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE UWNtH PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at + �' the above address and should be corrected. Please call for re -inspection when correction of -.;r; work is completed. If you have any questions pertaining to this matter, or need additional , ,;:; exp nation, please contact the Building Inspector as indicated below."c `I t vl) ii v U V P � ttYd '4 g�c r r 'Vrf ti �X i Z 3 �s Date 1 I r O Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION •^ N w _ .` .. DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 v'=4 CORRECTION NOTICE �,' OWNER - PERMIT NO. A'routine inspection indicates that the following violations of Butte County Ordinances exist at Ahe above address and should be corrected. Please call for re -inspection when correction of ,..-work is completed. •If -you haveany questions pertaining to this matter, or need additional ' explanation, please contact the Building Inspector as indicated below. Zr EllS�' I l b ,Y Date Inspector VZ REV 4/05 •Phone # ''` ' FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 M2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By 'Tie Down Engineering Part #59307 X12 Concrete System F�i CU 016,0 F guTTE�CUNTY �, I,SJL� Engineer Approval W. State Approval *0MWMbft%3WkM � ;dr 14:.30336 TIF 49 0401.. DO W-GINFMINr.* 09/15/05 THU 08:31 (T%/R% NO 92861 la001 XW Foundation System Installation instructions for California for Ground & Concrete Systems HUD Wind Zone i, 15 PSF Wind toad Seismic 41 By Tie Down Engineering Updated: 8/29/2005 REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.511- 99.5" • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the 42 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. Contact Tie Down if piers exceed these heights. HUD approval required. • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possibie, no more than 10' from end of home. - Additional systems may be needed for roof slopes greater than 20 degrees, (4.37" in 12" Pitch ) See page 7. Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deop. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. K2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 -of 8 Am i 09/15/05 THU 08:31 CTX/R% NO 92861 X1002 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Installation of Xi2 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes In pan provided. Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) Install a minimum of four.(#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral .strut so that the two tubes are connected together. (Figure 1) Figure 1 6rBCJtet J -Bolt Nut & Washer 111) 01grg end) f -Beam Figures 2 .5P9'k N.A.— I. 09/15/05 THU 08:31 ;am on in > at this time. n pan using ip, attach with ne, he fastened rs and = FIE: DOWN E-WiMNEDUNG V;�C7P�' [T%/R% NO 92861 Q003 Xi2 Ground Parts Detail X12 Ground System Includes: 5' Strut, pad & hardware. Part Number 59306 LSD Hardware Kit Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Part Number 59331 Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-30 30" 2 Blocks or 18" 59330-39 39" 3 Blocks or 24" 59330-44 44" 4 Blocks or 32" 59330-53 53" 5 Blocks or 40" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit - X12 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut X12 Stabilization Pier Placement for Ground or Concrete 30" Anchor w/vertical strap or frame tie w/stabilizer plate, Additional System for a within 10' of end of home • homes over 80' Xi2 Pier Placement Single Section Home 0 -80' (76' Box) 2 X12 Systems (1) Over 80' (76' Box)3 X12 Systems Double Section Home 0 -80' (76' Box) 3 Xi2 Systems* (1) Over - 80' (76' Box) 4 X12 Systems Triple Section Home 0 -80' (76' Box) 4 Xi2 Systems (1) Over - 80' (76' Box) 5 X12 Systems NOTE: Diagram represents single section up to 16' width, double section up to 31' width, and triple section homes up to 46.5' width. Single section homes have an "overturning moment" in high winds, requiring two anchors per side. 2 X12 systems can be placed at either and of the home. N iti­ iF 09/15/05 THU 08:31 1TX/RX NO 92861 2004 Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to ' concrete pad using 3/8"x3-112" wedge anchors .......... !�i' � provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure t next page) 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together (Figure 2 next page), S. Install frame bracket clamps on I-beam on the inside of block/pier, 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 1 p. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. 09/15/05 THU 08:31 (T%/R% NO 92861 Z005 X12 Longitudinal Concrete Installations- Han'e Fnd of Lone lut & Washer Seam Clamp Bracket F(eure 1 X12 Installation Placement Page 6 D18 M SM. 17-1 - If 09/15/05 THU 08:31 Beam (T%/R% NO 92861 Q006 30" Anchor w/vertical strap • or frame tie w/stabilizer plate, within 10' of end of home Offset Placement Additional System for homes over 80' X12 Pier Placement i -win Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 System Requirements for Roof Pitches Higher than 20 degrees Roof Pitch/Degree of Slope Length of 5:12 Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 System Requirements for Roof Pitches Higher than 20 degrees 5M 17.1. If 09/15/05 THU 08:31 Page 7 of 8 (T%/R% NO 92861 Z007 Roof Pitch/Degree of Slope Length of 5:12 6:12 7:12 .9:12 Building 23.6° 26.6° 30.36 36.9° S D T S D T SOT S D T 34' 36' 38' 334 40' 334 42' 334 334 44' 1 334 33 4 46' 3 34 334 3 3 4 48' 334 334 334 50' 334 334 334 334 52' 334 334 334 334 54' 334 334 334 334 56' 1 334 1 334 334 334 5M 17.1. If 09/15/05 THU 08:31 Page 7 of 8 (T%/R% NO 92861 Z007 Vft- Installation Notes �M�y 09/15/05 THU 08:91 [T%/R% NO 92861 Ia008 T.2 ire. R.2.E M.D.B.&M. F30] .. . .... ..................... " S.9wcho . Z.- .40 ............ w ----------fix65 .. ........ ---------------------- N 4, ............ . 4 I P4---------- 3 1 Ar :1 ...-SAW ...... ...... ...... ....... ...yam .... .... . 5. ?A c .... . .... . .... . .... .... x -A 8w, 22 (YOCUM AM A.F. ,`,iXS SUMIMS.V14 OF :-W%F "I RAN-M.AK; ACPn .56 M. 0, T.2 ire. R.2.E M.D.B.&M. F30] .. . .... ..................... " S.9wcho . Z.- .40 ............ w ----------fix65 .. ........ ---------------------- N E 40-66 Butte County Assessor's Mop Book 40, Page 66 MUM. fly.—C mtes cr�, for Orsc,-nt PT"=S Dray V.-4 •")q., ,W VW.6!5. .............. .... ....................... fftm*%Z 11FA............. 4, ......... . ........... . ....... ... I P4---------- 3 1 Ar :1 E 40-66 Butte County Assessor's Mop Book 40, Page 66 MUM. fly.—C mtes cr�, for Orsc,-nt PT"=S Dray V.-4 •")q., ,W VW.6!5. .............. .... ....................... fftm*%Z 11FA............. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER• ENCROACHMENT PERMIT REINSPECTION FEE PAID MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fal[/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . NatE] or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE. ID E C K S'C O V E R S`C A R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; S ills-Anchrs -Stu ds-Rftrs -Trusses 9 Siding; Nailing-Veneer-Stucco4-ath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls s` DATE JPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel -Cnnctns-Th ickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Encisrs; Conduit Entries -Terminals -Listed 7. Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w15' CrcItng Eqp-Pool Ightg Bones-Encisrs-pniboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr, Fencing -Alarms 13 Bonding, Diving board or Slide O'er c A a` o"a 0 a 0 Pool Drawing y OK = Not OK RESIDENTIAL (Sing[& & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 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; Tess, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 64 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 oso o� e* o tt Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16.Insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run -Landing -Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 lnsultn-Walls-Ceilings 39 Infiltration-Walls-Wndws s 150 m DATE JELECTRICAL 40 Fxtr & Tmsfrmr CImc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz 9 ❑ CU or ❑AL AC Wire Sz ga ❑ CU or ❑ AL 48 Range Circ ga ❑ CU or ❑ AL Coven Circ ya Q CU or ❑ AL Insulated Neutral QYes ❑No 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' e DA FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-CImc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sis & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Apptnc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Locin 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic .84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth .86 Clrnc Dmge Planters Q Yes ❑ No 87 Stucco Brown -Finish .88 AC Unit Dscnnct, Elec-Plmb _ 89 Vnts abv Roof, Plmb-Apptnc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntitn thru House 93 Glass Prtctn _ 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060101 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: 01/18/2006 APN: 040-660-029-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 10110 MIDWAY DUR Date: Contractor: Map Index: Description: DEMO CABIN 600 SQ.FT. PER ASSESSOR OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the RECORDS Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: ANNA E. SLOAN signed statement that he or she is licensed pursuant to the provisions of 10116 MIDWAY 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 she is exempt therefrom and the basis for the alleged exemption. Any 95938 violation of Section 7031.5 by any applicant for a permit subjects the five hundred dollars (530) 342-2203 applicant to a civil penalty of not more than ($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 Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: SLOAN, ANNA E. such work himself or herself or through his or her own employees, 10116 MIDWAY provided that such improvements are not intended or offered for DURHAM, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95938 proving that he or she did not build or improve for the purpose of sale.). 1, 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, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy#: Valuation: $0.00 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 Census Code: 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: (L - f , 6 Applicant:7 7 - WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one 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 and applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the R olution to do work indicat d abo a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Date: Name: PERMIT EXPIRES ON: Address: Date ❑ 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 of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: A., A,,- 51 hal-/i- Signature:�/Yt �, Date: kq"Dwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION **PLEASE PRINT CLEARLY** OWNER Last NameQ Name irst men Address 0 t I t 0 WA City vY\ State Cq Zip 1 j5 � / 3 PhoneS30 _3 24 a Pa03 Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name Y� 'S O o v-� Address M \ A w q City u v- kG vrV'-,� 4Fax State Zip Phone Type Const. Fax E-mail Map Book Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Y� 'S O o v-� Address M \ A w q City u v- kG vrV'-,� 4Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Y� 'S O o v-� Address M \ A w q Cit u v- kG vrV'-,� 4Fax State Zip 2 .J Phone Type Const. Subdivision Name E-mail Map Book APPLICANT SIGNATURE X For office use only: (� API C1_10 60�Oa1 Zoning City Flood Zone SRA Yes No Occ. LENDING AGENCY Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT O�_ BP( �"O ! ol BIN # LOCATION (� API C1_10 60�Oa1 Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier . If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Zl�ffZ'l (�14 i�)n Sq. Footage j ❑ Structure -Built without ermits ❑ Proposed Change of Occupancy (Note previous use): OVER FOR SUBMITTAL REQUIREMENTS KAFORMSMILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 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 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. c� Received by: l � Amount: Bldg SRA Receipt #: �� / Sheriff SMIP Other Total REV 6-16-04 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 manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, 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 KA\FORMS\BUILDING F0RMS\81dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 all in duplicate ❑ 7. Metal bidgs: (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. ❑ 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. Building Permit Application Without Required Clearances Form ❑ 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. ❑ Legaldescription from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer , or MCO. ❑ 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 KA\FORMS\BUILDING F0RMS\81dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 ' ENCROACHMENT PERMIT % oo ° °\ 1 °ocGu County of Butte Department of Public Works ° e \y 7 County Center Drive Oroville, CA 95965 ��re wee Phone: (530) 538-7681 Fax: (530) 538-4356 All information except signature must be typed or legibly rinted Permit N: NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE STARTED Assessor's Parcel 9\ C� �(j �O oa Property Owner's Name: Anna a• S I Number (Required): 1,J l oa PROPERTY Phone: �O — 3 Li �- - 2-ao Property Address: l i d' V� a Mailing Address (If Different): q JD�h� C u'�sg3� OWNER y T)tAi(l�a� ca-95i3S Work will be f performed by: ❑ Contractor ❑ Property Owner Contractor's Name: Phone: Address: Fax: WORK Contractor's License Certificate of Insurance currently ❑ Yes ❑ No PERFORMED BY Number: on file with Department? Applicant is: ❑ Property Owner ❑ Property Owner's Agent ❑ Contractor ❑ Other: I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. Signature: Date Signed: Road affected: ° C�/`� Time and Duration of Encroachment: Permanent Encroachment ❑ Temporary: From To . LOCATION Type of Encroachment: 19 Driveway ❑ Roadway ❑ Culvert ❑ Fence ❑ Pipe/Pipeline ❑ Sign/Billboard ❑ Other Site Plans ❑ Yes C3 No Attached: PERMIT IS: ❑ GRANTED ❑ DENIED Conditions: In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) andspecial conditions written below, permission is hereby ranted. 1. ❑ Underground. Service Alert (U.S.A.) must be notified two working days prior to any excavation. 800-227-2600 2. ❑ All work shall conform to accompanying: ❑ Detail ❑ Plans ❑ Special Conditions 3. ❑ Other Conditions: PERMIT CONDITIONS ' r` 'L zS ( S—rps be filled (To in by County) Date , 2j Expiration Surety: Issued: trt�' Date: 3/0 Date Paid: �p ti Amount Paid: Cq_ DO Paid , �3 By: SC.cAI,.; Check�/ o: 7J l Receipt No.: f/,37�j Mike rump, Director of Public Works By: Road District: Inspected By: Inspection Completed - OK ❑ Completed - Not OK For County Z7_ Results: ❑Additional Comments Attached Use Only Comments: Note: If permits are faxed to any number besides 530) 538-4356, they can be delayed up to one week. Form: 200506EP Pagel of 2 r•7�i t"�-91i#,;� ':i"�.�. �;t n', , � a� yllty �.� , t "' � '*,.-- � ,.. VOK x Zq 040 300-069, Z� x' 94=1024B,, SLOAN-=,LLOYD e? `�`" z. h • ;Y - „ , tet' yi. 10116'MIDWAY, -DURHAM {' �# } REROOF/SF 4 t .i � ���.��� t ti n •t ti r f r _ a L • r r . r , i r i L COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-300-069 ZONING A20 —14MILDING PERMIT OWNER LLOYDS N - - TELEPHONE 342-2203 SO. FT. OCC. BUILDING VALUATION 58 SQ C0; T 3490 OWNER'S MAILING ADDRESS 10116 MIDWAY DURHAM 95938 CONTRACTOR'S NAME OEdNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 10116 MIDWAY DURHAM PERMIT FEE $ 83 X00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF 8 Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20'00 TYPE OF WORK New ❑ Addition ❑ Remodel 1:1Utilities ElInstallation ElOther rai Describe Work: RERROOF WITH COMP PERMIT FEE J$ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 2OOA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) 3.5C S0. FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. V,Ishall not employ any person inanymannerso asto become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in��""consequenceof the granting of this permit. Q X r � 11 lo• Date �— 3 ` -/ Signature of Applicant - JkOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 83. HAZ• 1 D. FEES IMP I FLOOD I CDF PARCEL I PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated bove for which fees have been paid. i 4k�iV r � By Date T PERMIT EXPIRES ON / f /� 3 f (Date) 7 Receipt No. 156783 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOFiMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754PE1T NO. APPLICATION AND PERMIT IDHM ASSESSOR PARCEL NUMBER 040-300-069 ZONING A20 ILDING PERMIT O MOWN YADuSLOAN TELEPHONE 342-2203 SO. FT. OCC. BUILDING VALUATION �S - DURHAM 95938 W 58 S COP 3480 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 63.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS WAY DURHAM PERMIT FEE $ 8 3.001 -il PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF NDuplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New 1:1Addition ❑ Remodel ❑ Utilities C3Installation ElOther Describework: RERROOF WITH COMP PERMIT FEE J$ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 DWELLING OCC UP. NEW CONST. DW8, ) OR ADDNS. I ACC. BLOS. SO . 3.50 FT. CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXED APPLNS.I E I OUTLETS HRESID.1 EA. ) 5.oO Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. %Ishall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X q:2� !ceDate _ � % .3 ' & Sigg t re of Applicant-XOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 83.0 HAZ• I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica a ve for whic as have been paid. BY Date PERMIT EXPIRES ON 463 lDetel Receipt No. 196783 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY QF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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 or no) . 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name 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 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: Property Owner, Social Security Number Date f/ /3 9f NOTE: This Owner -Builder Verification is sent to you as required by Sections 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. COUNTY OF BUTTE - DEPARTMENT OF DEV.FLOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER j UL ZONING /1 BUILDING PERMIT OWNER TELEPH N/E7 220.3 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAID ADD ' VBG CONTRACTOR'SNAME .�' TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ Fling Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 3, 00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /0//(o laiv 4-� 412-1 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SOL Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition ❑ em del ❑ Utilities O Installation O Other 1 Describe Work: �Tv �l/ ��� PERMIT FEE $ Contractor 'ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( 200AORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AGNS. ( & ACC. BLOS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONS. •NON ESIDT ( BRANCH CIIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1 .w Ex. Occu FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in.any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $� ops' HAz• 1 D. FEES IMP I FLOOD COF PARCEL PO NO 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 (Oetel Receipt No. 7 Q� V(9 !J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALA N IRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Facsimile www.buttecounty.net/dds ADMINISTRATION'' BUILDING " PLANNING July 31, 2006 Goldenwest Homes Redline Installations 13407 Garner Lane Chico, CA 95973 Re: Permit Number: 05-0259 APN: 040-660-029 Owner: Douglas and Cherie Sloan Upon review of the above -referenced permit file by the County Building Official, it has been determined that a refund cannot be processed for the following reason(s): ❑ Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. ❑ The request is over two years from the date of the fee payments on this non -issued permit. ❑ The request is over two years from the date of permit issuance and construction work has been done. — — ---- - ----- ---- -- X Filing fees and plan check fees for work plans checked are not refundable. - The above determinations have been made in accordance with Butte County Code 3-41(t). You may view Butte County Code online at http://municipalcodes.lexisnexis.com/codes/butteco/. ❑ Other reason: Should you have further questions about this matter, please contact this office between 8:00 am and 4:00 pm, Monday through Friday. Sincerely, Gwyn Benedict Office Specialist, Senior Administrative Division cou Nty Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530).538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on t he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim w' I b generated for any fees to be refunded and sent to the address below for signature (by the hose name is on receipt) and return to Development Services for payment processing. CLAIMANT'S NAME:! d MAILING ADDRESS: PHONE: (5 1 _ ASSESSOR'S PARCEL NO.:.. - CQ.C2 - Q 1 [Please use one claim form per permit.] BLDG PERMIT NO.: Receipt No. 1 Receipt No. 2 Receipt No. 3 RECEIPT NO.:._�-..� RECEIPT DATE: OLflo (p RECEIPT AMOUNT: REASON FOR REFUND REQUEST: �*4111c : Check those fees which you wish to have considered for r nd: Building Permit Fees OSheriff Fees OSRA Fees(CDF Fire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. ignature Date K:/Forms/Refund Application 082203 r - n _. !m" OF BUTr' 41-9383 OFF ARTMEN SU dcE-W-T— Received from/_ �; % .� ...ice /� ,ii% . l.✓ %•: �L .LG '� Received: —6pq..ived CASH /fl ; ►. �' ■ Title �r — CHECKG r , i Y a OF BUTr' 41-9383 OFF ARTMEN SU dcE-W-T— Received from/_ �; % .� ...ice /� ,ii% . l.✓ %•: �L .LG '� Received: —6pq..ived CASH /fl ; ►. �' ■ Title �r — CHECKG r , COUNTY OF BUTTE OFFICIAL RECEIPT i_4.19381 7Iu Z�­ OFFICE OR DEPARTMENT ISSUING RECEIPT ✓ 20 -11 Received from --- 'TheOf Sum For Received- _p Received By "CASH Aw 'Title CHECK By •�;ppyCp BUSINESS FORMS • (530) 3-8511 Form 75702 Ark. - COUNTY .OF -BUTTE--'. .419382 OFFICIAL RECEIPT OFFICE OR DEPARTMENT ISSUING RECEIPT 20 Received from !'S of For Received: Received By - CASH ❑ Title -CHECK By DAVCO BUSINESS FORMS - (530) 74343511 FDrM 75702 hI Received from—, ne Surn.-6f L2 ./COUNTY OF -BUTTE OFFICIAL RECEIPTK�,419383�' OFFICE. -OR DEPARTMENT ISSUING RECEIPT 1 J 20 Received: C Received CASH Title CHECK 0 By- UAVCO BUSINESS FORMS • (530) 743-8511 Form 75702 a. - y -COUNTY OF BUTTE 419384 OFFICIAL RECEIPT OFFICE OR DEPARTMENT ISSUING RECEIPT 20 Received from: Sum of for BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION APPLICANT NAME t .3 ON .. !�/ [..� NEW . i ! �Vi ill�r m i ,City, oja�Stat Fax 7 APPLICANT NAME CONTRACTOR Name ZQ(Lap City Address m i ,City, oja�Stat Fax 7 Zip 9.53A- Phone L719 Fax . l_ & X20 E-mail E-mail Lic.# Z 'V -47 APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax 7 State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address Z u City State Zip Phone ,42 7 13 Fax 7 E-mail -� APPLICANT SIGNATURE X LkAn� For offices only: Zoning Cross Street fimll Flood Zone . SRA I Yes Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERIMIT NO. /1 BY ^v OC TIO AP# i Property Address lulep Cross Street fimll WORKER'S COMPENSATION Policy Number w f SJ 6 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: ha Mw 4'r Sq. Foo ge ❑ Struc re Built without Permits ❑ Propo d Change of Occupancy (Note p vious use): EXPIRATION\expi PLICATION Applications for a permit has not been issued will expire one year after the dapplication. In order to renew action on an application aftertion, a new application, plans and fee will be REQUEST FORREF S Refunds can only be ma upon written request by the person who paid the fee. The request ust be made prior to the expiration of the permit and no construction ork has been done. 'Filing fees, plan check fees for work plan the ed and other department costs are not refundable. Received by: Receipt #: 411R3wS CLl I Ys7 Date: S Bldg Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 \REV 4-30-04 / V SUBMITTAL 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. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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 eneer Mobile, Manufactured, or Modular Homes: ❑ L 3 Site Plans, signed by the preparer. NO GRAPH PAPER!' ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans.. . ❑ 5. 2 Engineered Tie Downs or Foundation plans. - ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required)., - Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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-si ied b the en 'neer ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. t. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION r 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION.DATA SHEET OWNER: ,/ rl hASSESSOR PARCEL NUMBER "/ -(p(��1"��� Proposed Building Use: 1f/�//I �I.( �r�P ,�C�ounter Technician: Date:%��_ 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. en ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ , , 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. anufactured homes: (A) Data sheets and installation inst,{Marriage line i loor Plan, Tie down or fnd plans, all in duplicate ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate,,. C Elevations in triplicate, (D) Floor plans in triplicate. All of these ��be stam ed and wet-si ned b the en ineer. r � F d Elevation Certificate, wet stamped and signed, in duplicate ►�► ��'�.� Q�,..�1- COi✓e 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings r ❑ 13. Detached Accessory Building Form filled out by the owner _ �JOI�/iiolle. 14. Hazardous Material Form,te15. anitation and site plan approval from the Environm�e al'I�`ealth Department in ❑Chicas applicable.z e ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................. ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 0. Erosion Control Plan Required......... 2VFees as shown on the attached Schedule of Fees Due Sheet .................:............ 2. City of Chico Plumbing permit............................................................:........... EL 3 _California Department of Fores ry plan approval ❑ paid. Sent by: 24. nning approval (A) Use: 4(B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................... . i26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................ . p,*' 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance.....................................................:......... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37.1),Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone r - nd hold for pickup. r� I have been in ormed of the above items and requirements for obtaining a building permit. Applicant: 1. Index permit jpplicat on for the above ite � numbered: 2. Additional items recludi �.1 Date: nS Plan Check Letter ' Contracto designel, ner, was advised of the above data by liI��one, ❑ mail, ❑ counter, by Date: S rep.-��o0 Oans r, owner w advised of the abo dat - by 0 -phone, ❑ mail, ❑ counter, b Date:9 eviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: o Note transfer by: Date: Yellow: Building Division OWNER PROPOS COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE A. P. #� P�(% DATE 2-3-42S art Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x =$ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 6_S61 RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) /y 10. OTHER [�MA 19 /40 a9F At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE /0 Pursuant to Governmt Co e Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) RECEIPT # DATE REC. 1. BUILDING PERMIT FEES Due $ --Balance ........................................................ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .......................... :...... $ '►�-evt S-�r9�S'p �osc� 2. SCHOOL DISTRICT FEES of j (paid at District Office) e SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x =$ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 6_S61 RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) /y 10. OTHER [�MA 19 /40 a9F At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE /0 Pursuant to Governmt Co e Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Butte County Department ofDevelopment S'ervrces YVONNE CHRISTOPHER, DIRECTOR ° o. 7 County Center Drive ° Oroville, CA 95965 ° (530) 538-7601 Telephone (530) 538-7785 Facsimile Building Permit Application Acknowledgment I hereby acknowledge that I. am voluntarily applying for a building permit without pre -approval from the Butte County Environmental Health Department. I acknowledge that I have submitted a septic and/or well application to the Butte County Environmental Health Department. I have been informed that the County of Butte has made no determinatiori.of °w.hether.-or not the property on which the proposed development is to be located is considered to be a developable lot. Finally, I have been informed that no building permit will be issued without the Environmental Health Department clearance, and understand that compliance with Environmental Health requirements is. required prior to.clearance. Permittee Name S1 oo-n- Address -ot wa Lj�__ AP Number d Permit Number I have read and understand the above acknowledgment: Signature of Permittee Date C Acknowledgment form.doc (6/04) Acknowledgment Form Procedure THIS PROCESS IS FOR MOBILE HOMES AND SINGLE FAMILY DWELLINGS ONLY 1. The project must be proposed on a lot created by one of the following: a. A parcel map (TPM) after March 4, 1972. b. A subdivision map (TSM) after July 1, 1949. 2. The project must be fully engineered by a California -licensed architect or engineer (See Submittal Documents). 3. ALL applicable Submittal Documents must be completed and included in submission. 4. A separate, concurrent application for this project is made with the Department of Environmental Health (EH). Applicant is responsible for notifying Development Services -in writing should EH subsequently deny clearance. EH WILL PROVIDE AN ENVIRONMENTAL HEALTH CLEARANCE WITH AN APPROVED SITE PLAN TO THE.APPLICANT - 5.' ApplicanYis required, to bring the approved EH site plan to Dept. of Dev. Services. . p�QP•RTMENT Dc 1 0 _ C �\ o o, A moo" S (Jec/c WoOc -Department County J. Michael Crump, Director Public Works 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 II Construction Storm Water Permit and Storm Water Pollution Prevention Pian (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 u5Q/)S- Project Description: Project Location and/or Parcel Number: MJff) Yf)�_7 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, 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: aa�� Title: 4 UAA(JYl Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 07/02/04. 10:40 FAX 530 877 3443 nCco=Na MWESTIM BY r^^• i^T'.e1V afDTpAM1 M WPOfL vA4 THIS MVO AIA Ihl$ UMMWJ SZ, Xnew We IO SIARupsw To n"• €:loyd 1. Sloan O.r 10116 Midway Rd. l Durham, Co. 95938 5-169 t 1 !! AP 040-350-068,069. 7C.8 94-17151 74"'0 17151 I Rec FeO 94-017151: 6.00 I Doc 3.85 Recorded 1 Check 9.85 -- Official Records I County of 1 Butte I Candace J. Grubbs I Recorder i 1 I v.vJQ,n SS-Al.a •S4 . bslb _ f A • TIM LXL*X31G1%O C,AAIRDFj%)U CL NFUu 3.65 mirl WIMAR1 MAN511 It 1A\ 115 .. -- P.I,rr �v )r .WW m 101 m proprr') r..%ge4 aT "yI1yl�y,q h1l,.Wr 1r.I,ia-.'TF¢o.,•rrnlCllb,.ee. pnrQmlat DtOl.'Id liif. tl0 FOR A VALUABLE CONSIPkHA•f10N, rr^elpl of shlch n hEICOY F:f.Wwk'dFL center Land Company, Inc., a California Corporation Peal» GRAM 15) w Lloyd 1. Sloan and Anna E. Sloan, husband and wire as Carmunity nrooerty Nr IOnwlup deanbnl nal p wft ."IEr unircorPOr3" dlma of the .vow, ,d Butte ..anr r calllamu That portion of toot 19, according to that certain Map entitled, "Officia Map of A.F. Jonee Subdivision of the FOrson Farm, Hutto Countp, C" forn which vas recorded in the office of the Butte County Recorder on 3Une 8, 1911 in Book 7 of 14aps, page 53, that lies within the Riobt of W31. for . railroad purposes conveyed to avid S. Edwards by deed recorded AUgUalt 1 1905 in Book 83 of Deeds page 113, Butte County Accords. 1 I February 4, 1994 Center Land Col$1any. Inc. 51ATE OF CAIIFOMIA.� 001MYOF ._ .—. 1 5S LIPdn 1i. 11Uit(.'VlOt± i 91dE41t C. FnLVv EEy 8, 1994_ -- LAURIE KFLTON -- _ • _ •— -•" %�9Aii+$'i°YiyPir�° _ s•.+ bAefaffw.�s •tAsi�,a H»11eRtsftint wl o .. �"" ��.� l:'54 ---�--•— -i... I � �. ti fiF I IAi. TCTr,i��•:al. A ..p .yrydl In ns .m lAP ear. nl .Y1KIYVI.y I •.•a,1 B[I W@ I o"*%el ro tr II,O v9,SOAM where SubW6009 To'np : ? .Ann.mA'1�^I dAo aaarow10Qgc01OPe Ole 1p'bA0•`•aeR oaocule0 I. - ff•' f.�:TG.., ,4 :: •6i1A Pm aa�.T rl'T'�Mbe &NIO�rW [aAaY1T�S1 a.p Ina, DYnbnerllm.. ` SI�-v � f� I (..: • I. &Vrqv.q46,j cmna —.v~ trooe'we11 o'IeeeawYuvonWall ,11I 'rCr�-1.:•e: �N7f11:S :i al Argh IRe larbox1. ORES eleMel gO AAmuAl . -"�^� � ^•r"—�+•r�Y� T VAI I'M I.y.Q aM •c•Y kt' - _ I"%TA•:FVIS1%it. FILM .1efN♦n\ L\I)PA&HbRUri%.f1AIL4%auzal11: %W%L _ op Description: Butte,CA Doaump rt—YoaF.DoCID 199.4.1715.1 Page: 1 of 1 I Ordar: — Co1a =rxt: I THE ENGINEERING GROUP, INC ofv-��o-a39 DOCUMENT TRANSMITTAL SHEET TO: FROM: Russell Bloomfield Tim Wood, P.E. COMPANY: DATE: Butte County Building 2/24/04 FAX NUMBER: TOTAL NO. OF PAGES INCLUDING COVER: 1 + 2 flood certs PHONE NUMBER: RE: Sloan #05-0259 ❑ URGENT ❑ FOR REVIEW ❑ PLEASE COMMENT ❑ PLEASE REPLY ❑ PLEASE RECYCLE NOTES/COMMENTS: Please find revised Certificate. Sincerely, 4 CO IN Y Tim Wood, P.E. FEB Z 5 2N5 53 1250 EAST AVENUE, SUITE 10 CHICO, CA 95926 ~ PHONE:530-899-0409 FAX:530-899-0943 THE ENGINEERING GROUP, INC DOCUMENT TRANSMITTAL SHEET TO: FROM: Russel Bloomfield Tim Wood, P.E. COMPANY: DATE: Butte County Building 2/15/05 FAX NUMBER: TOTAL NO. OF PAGES INCLUDING COVER: 1 + 2 Elevation Certificates PHONE NUMBER: RE: Sloan 05-0259 MH Permit ❑ URGENT ❑ FOR REVIEW ❑ PLEASE COMMENT ❑ PLEASE REPLY ❑ PLEASE RECYCLE NOTES/COMMENTS: Russel, Please find the revised flood certificate for Sloan Permit # 05-0259. Thank you for your assistance in this matter. Please call if you have any additional questions (899-0409). Sincerely, Tim W E. COUNTY FEB 15 2005 UVEWPROM sn"Ca 1250 EAST AVENUE, SUITE 10 CHICO, CA 95926 PHONE:530-899-0409 FAX:530-899-0943 C k NOTES RESIDENTIAL PERMIT NO.__040-660-029 05-0259 i SLOAN 10116 MIDWAY, DURHAM 1 Cont: REDLINE INSTALLATION I I NEW MH PERM FND 11 SPECIAL CONDITIONS 11 VFA LOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY J=OK 0 = Not OK able Not • = otReady 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except Ws 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/O -Concrete Roof; Shthg-Roofing 4. Water; Location -Test -Easement Needed (Sketch) Ext.; Steps -Doors -Landings 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Braced Wall Panels 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect Card B-1 Date Card B-1 8. Utility Clearance Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements Date 2. Card B-1 Date Card B-1 Date 3. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Elec.; Receptacles and Lighting, Distance-GFI 1. Zoning Requirements -Setbacks -Easements Elec.; Pool Lighting; 15 Volts-GFI 2. Footings; Size -Spacing -Marriage Line Elec.; Enclosures; Conduit Entries -Terminals -Listed 3. Gas; MH Test -Demand -Valve -Connector Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 4. Electricity; MH Test -Crossovers -Breakers -Clearances Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel boards- Ins. to Main Conduit 5. Drain; MH Test -Fall -Flex Connector Health Department Approval 6. Water; MH Test -Regulator -Connector Plumb.; Cir. Test -Water Supply Test 7. Water and Sewer Connected -C/O to Grade -HD Approval Light Niche 8. Gas and Electricity Tagged Enclosure; Fencing -Alarms 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Card B-1 Date Card B-1 11. Cert. of Occupancy Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Ws 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 54. 5. Stemwalls, Main; Steel -Blockouts-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 57. 6a. Hold Downs and Special Anchors Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 7. Slab, Steel -Wrapped 60. 8. Piers -Fireplace Ftg.-Steel Brace Interior/Exterior Wall Panels 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date 78. Card B-1 Date Card B-1 Date 79. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Insulation -Foam -Looked in Attic 17. Water Htr.; Vent -Access -Combustion Air Baffle Guard Rails & Deck Construction -Post Caps 18. Water Pipe; Test & Anchor -Nail Protection Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 19. D.W.V.; Test Fittings & Anchor -Nail Protection Clearance Looked under Floor ❑ Yes 20. Shower Pan; Test, First Floor -Tub Access Following Instld./Drive ❑ Yes O No/Walks O Yes ❑ No/Planters ❑ Yes ❑ No 21. Test Tub & Shower, Second Floor -Tub Access Stucco Brown -Finish 22. Gas Pipe; Sixe & Anchors A.C. Unit Disconnect, Electrical -Plumbing 23. Fire Sprinkler; Test Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 90. 24. Fixture & Transformer Clearance -Ins. Protection 91. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 92. 26. Size Boxes & No. of Conductors Stapled 93. 27. Romex Installed Close to Edge of Studs & C.J. 94. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 95. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 96. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes O No/Walks O Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: County 110, LAND OF NATURAL W E A L T H AND BEAUTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH E] 202 Mira Loma Driveln 11 Main Street 7 County Center Drive Oroville, CA 95965 P.O. Box 5364 Oroville, CA 95965 June 16, 2005 TEL: (530) 538-7282 Chico, CA 95927 TEL: (530) 538-7281 FAX: (530) 538-2165 TEL: (530) 891-2727 FAX: (530) 538-7785 FAX: (530) 895-6512 Redline. Installations, Inc. 13407 Garner Lane BUTTE Chico CA 95973 COUNTY JUN 2 0 2005 DEVELOPMENT SERVICES Dear Jennifer: The application that you recently submitted to this department to obtain a clearance for a new mobile home and for a permit to construct a sewage disposal system on the property located at 10116 Midway, AP# 040-660-029, has been reviewed. A clearance cannot be issued at this time for the following reasons: Domestic Water Source: In the process of reviewing this application we were informed that the owner wished to use an existing well for the domestic water supply for the new dwelling. Since we have no record of certification of the well, we require that the well be sampled for potability prior to issuing a clearance for the new dwelling. The first sampling on April 12, 2005, indicated the presence of Coliform such that we then required that two consecutive passing samples (absence of Coliform) be conducted, after the owner disinfected the well. Subsequently, a sampling on May 16 indicated the absence of Coliform; however, a sampling on May 23 indicated the presence of Coliform and another sampling on June 8 indicated the presence of Coliform and fecal Coliform. Due to the results indicated above, we are unable to issue a clearance for the new dwelling. Further, we recommend that the well water not be consumed unless the water is disinfected by first boiling it for at least 10 minutes. Page 2, Redline, June 16. 2005 As we are unable to issue a clearance per the above situation, we will not issue the new septic system permit until the domestic water issue is resolved. Further disinfection may result in passing samples (of which 2 consecutive passes are still required). If not, a new permitted well may be necessary. If you have any questions, please contact me at the Chico office between 8:00 and 10:00 a.m., weekdays. Sincerely, f� Tom Loushine, R.E.H.S. Division of Environmental Health TL/gl/septic/cants/Midway 10116 Sloan(2) cc: Anna Sloan Doug & Cherie Sloan Planning Division (Chris or Lana) ' r'vThursday, July zo, zoosr j Development Services- I ' r; BUILDING DIVISION Ver. 1.0 _ - Counter' I A Tammie -Fund 10 (Bldg Permits) $219.96 Person ,� SRA Fees (Fire) $0.00 I ' Payment•Date 02/03/2005 I SHR Fees (Sheriff) $0.00• Permit Number• 05-0259 �: •'SMIP ME] - • Receipt Number 419383: I Copies/Document Sales $0.00 + , Check Number or Cash 1857. I CUA (Chico Urban Area)-$0.00 j , Parcel Number-660-029 { ' �TUA (Therm. Urban Area) $0.00 • Applicant { _ $LOAN, DOUGLAS & CHERIE I Water Tender 'Btln #= $0.00,1 _. West Chico Fire Station $0.00 r Received From ' . GOLDENWEST HOMES OF CHICO I Witness Fees Total Received Recorders Fees (N.O.C) $0.00 - 2 9.F6-1 Thermalito Drainage $0.00 " Total Fees'To Collect $2 9 96 Oroville Area Traffic $0.00 ,•, NSF (Non Sufficient Funds) _ $0.00 Notice of Violation $0.00 I . r - NCSP Trails System $0.00 y . NCSP Roads/Bridges ' $0.00 NCSP Storm Drainage $0.00 ~ NCSP Fire Station $0.00 • NCSP Parks Type $0.00 `' _ - Value -$0. 00 .. ;..u._ .....: . .... .. SITE .._........ l ` g- -......_........... ._ ............ .- _ - . may... r.. •• .i .. . .................................... - ............ .. .. .. f ............ ;i..................... ................. >'Wi° .. .. riownt .. .. ._.................... j... .. .. - '1 IIS•: _ ' --•••. M,r -• • ... 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