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041-420-012
0 r v v 'c o 041-420-012 HOWELL, TINA �yOI 7 3116 CLARK RD., OROVI LE(� D CONTR: OWNER L ELECT METER UPGRADE 041-420-012 06-0709 BEITHARD, BUD DD^^ nn � 3116 CLARK RD, OROVILLII�j�u�^' CONT: REDLINE INSTALLATION M/H PERM FND(NL-W) 041-420-012 06-0838 ' BETHARD, WILLIAM 3116 CLARK RD, BUTTE VALLL-Y- � Cont: RED LINE INSTALL �w�A4 DEMO 4'�` %•7�t7�I X14 pwd . mat. Soles County of Butte Oroville, California GENERAL CLAIM NAME: Redline Installations ; h 1 g/ o G ADDRESS: 13407 Garner Lane IMPORTANT: CITY & STATE: Chico CA 95973 SEE INSTRUCTION: ON REVERSE SIDE n ATC flC f`I Alnn• u_u_na SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY) Reason: Replacement home, no impact fees should have been aid. APN: 041-420-012 JAddress: FUND CODE ACCT CODE CASH CODE AMOUNT Sheriff Jail 1800 280 1011811 $ 257.00 Gen Gov Facilities 1808 280 101001 $ 489.89 Gen Gov Equipment 1810 280 101001 $ 225.94 Library Facilities 1825 280 1011826 $ 177.51 Library Materials 1825 280 1011827 $ 119.41 Library Veh & Equip 1825 280 1011828 $ 3.56 Roads & Brid es 1831 280 1011001 $ 709.87 Sheriff Facilities 1840 280 1011841 $ 230.64 Sheriff Veh & Equip 1840 280 1011842 $ 112.54 Fire Facilities 1851 280 1011852 $ 269.96 Fire Veh & Equip 1851 280 101853 $ 521.10 Processing fee DDS 0010 4617999 101001 $ 50.00 Processinq fee Auditor 050 4617998 101001 $ 50.00 TOTAL $ 3,217.42 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of 0C+ 2006, at C Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget A(p�ppprropriation r, or Specific Board Approval 1- (Check one) for the same. Dated this t day of Git 2006, at Oroville Calif. I Department Head or Authorized Deputy Dept. Exp. Code See Breakdown Code PAYABLE FROM DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB. PROJ SUB.OBJ CLAIM NO. INV. NO. INV. DATE ENCMB. GROSS AMT. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0042732 Recorded I REC FEE 10.00 Official Records I County of I COWORMED COPY 1.00 Butte I CMDACE J. 6RUBB5 I County Clerk-Recorderl I I MI 011:5M 18—Aug-2006 I Page 1 of 2 1111-111 111-1 IN 1111111111111111111 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 1/ 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. WILLIAM L. BETHARD REAL PROPERTY OWNER/LESSOR 3116 CLARK RD. MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (ifalso property owner, write "SAME") SAME MAILING ADDRESS SAME CITY - COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0709 , (530) 538-7541 BUILDIN "SIT N0. TELEPHONE NUMBER -IL, aP SIGNATURE UAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GOLDEN WEST HOMES 2006 72PER28684AH06 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMB/NUMBER ALB0307090RA/B 58'X 27' ORE487399/400 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 041-420-012 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. t Being a portion of the Northeast quarter of the Northwest quarter of Section 22, Township 21 North Range 3 East, M.D.B. & M., and more particularly described as follows: Commencing at the Southeast corner of said Northeast quarter of the Northwest quarter of Section 22, thence along the East line thereof, North 00 49110" East, 172.00 feet to the true point of beginning for the parcel herein described; thence from said true point of beginning, North 80 57'05" West, 144.79 feet to the East line of Clark Road; thence along said East line, along the arc of a 5530.00 foot radius curve to the left, whose tangent at this point bears North 10 32153" East, through a central angle of 00 16123", an arc distance of 26.33 feet; thence continuing along said East line, North 10 16130" East, 313.31 feet; thence North 89 20'54" East, 87.46 feet to the East line of said Northeast quarter of the Northwest quarter of Section 22; thence along said East line, South 00 49'10" West, 358.00 feet to the point of beginning. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 18 -Aug -2006 2006-0042732 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. WILLIAM L. BETHARD REAL PROPERTY OWNER/LESSOR 3116 CLARK RD. MAILING ADDRESS OROVMLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME') SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0709 (530) 538-7541 BUILDINg2.gRM1T NO. TELEPHONE NJJUMBERR Q SIGNATURE AGENCY OFFICIAL. DATE NONE ZT DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GOLDEN WEST HOMES 2006 72PER28684AH06 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER ALB030709ORA/B 58'X 27' ORE487399/400 SERIAL. NUMBER(S) LENGTH X WIDTH _ INSIGNIA/LABEL NUMBER(S) :»"4Lis) iR;iIva rl,SEE ATTACHED � ASSESSOR'S PARCEL NUMBER 041-420-012 HCD FORM 433(A) REV. 8/91 Being a portion of the Northeast quarter of the Northwest quarter of Section 22, Township 21 North Range 3 East, M.D.B. & M.., and more particularly described as follows: Commencing at the Southeast corner of said Northeast quarter of the Northwest quarter of Section 22, thence along the East line thereof, North 00 49110" East, 172.00 feet to the true point of beginning for the parcel herein described; thence from said true point of beginning, North 80 57105" West, 144.79 feet to the East line of Clark Road; thence along said East line, along the arc of a 5530.00 foot radius curve to the left, whose tangent at this point bears North 10 32153" East, through a central angle of 00 1612311, an arc distance of 26.33 feet; thence continuing along said East line, North 10 16'30" East, 313.31 feet; thence North 89 20'54" East, 87.46 feet to.the East line of said Northeast quarter of the Northwest quarter of Section 22; thence along said East line, South.00 49110" West, 358.00 feet to the point of beginning. ;f -T FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-0709 Address or location of unit: 3116 CLARK RD. OROVILLE CA 95965 Legal Description of Real Property: 041-420-012 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: WILLIAM L. BETHARD Owner's address: 3116 CLARK RD. OROVILLE CA 95965 INSIGNIA OR HUD NUMBER: ORE487399/400 SERIAL NUMBER OR V.I.N.: ALB0307090RA/B MANUFACTURER'S NAME: GOLDEN WEST HOMES YEAR: 2006 OFFICIAL APPROVING INSTALLATION: DATE: 0 - � Le " It::, PHONE: (530) 538-7541 H.C.D. 513C "041-420-012 06-0709 BESTHARD, BUD E 3116 CLARK RD, OROVI1,[- 0_rE aara 1 N O T E S ' �CON T-. REDLINE=INSTALLATION I M/H PERM.END -NEW RESIDENTIAL APN: Permit No. / Owner- Site wnerSite Address- Contractor. [J Type of Permit: - l� Bio • i fy I� OFFICE COPY Address GAS Dat Meter By _ / ELECTRIC /J/G Meter By Date e SPECIAL C 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 CHECKED BY 31 Q-1 NEAR CCEA f CEpW67 F r DATE SOB FINALED: _ SIGNATURE: = OK Vv MANUFACTURED HOMES MISCELLANEOUS DATE j PERMANENT FOUNDATION Lj SOFT -SET ] DATE D E C K S•C O V E R S'C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements t 2 Ftgs; Soils-Sz-DpthSpacing-Spacing 3 Decks, Girders/Joists-Dcking-Brcing Zoning -Setbacks -Easements 2 Soi pecial MH Support Sketch ewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator Elec Loctn-DIrncs-Grnd Amp -Concrete - 5gWra, Gas; Loctn-Test-Wrap . Nat Q or LP Inch Sz 45 Ft Lngth g; z-Spacing-Martiage Line„z„q?Y--6 Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs Carports; Wndws-Doors - H Test-Demand-Valve-Cnnctr }% 7 Electric c MH Cntnty Test-Crossovers-Breakers-DIrncs 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr ( 9 Siding; Nailing-Veneer-Stucco4-ath ' 11 Wtr & Sewer Connected -C/O to Grade I 10 Roof; Shthg-Roofing 1Z—gas and Electricity Tagged i j ( -Downs Q Foundation 14 Exits s�/l gc� . /•� —I 1 Ext; Steps-Doors-1-andings I 12 Braced Wall pnls IS Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers i DATE POOLS 1 Setbacks -Easements ' 2 Soils; CompactionStructure Stability { 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries Terminals -Listed r 7 Elec Bonding; Metal w/5'-Drcltng Egp-Htr } 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Endsrs-pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl i 10 Plmb; Cir Test-Wtr Supply Test 1 11 Lt Niche r1 12 Enclsr-, Fencing -Alarms j v _ �� �r 13 Bonding, Diving board or Slide G Pool Drawing ii 1 i OK = Not OK _ RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATEPLUMBING - 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Fig Main; Soils-Elec Grnd Fig Opth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test First fir -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 o i.t Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support 14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16• Insulation 64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic �c �c o` C 4 0 O' 0 DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Cimc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cime 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter ' 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndb Vnts-Undrflr Acc Mech Prtctn; IPG Appince Undr House 3- drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Lottn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cirnc Dmge Planters ❑Yes ONO s` 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appin c-Frplc-CImc to Opngs DATE ELECTRICAL 90 Wtr Well, Dscnnck Elec, Plmb ! 40 Fxtr & Tmsfrmr CImc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntlln thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-OIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GF1 97 Energy Cmpinc Cert -Other Certs . 47 Subfeed Wire Sz ga ❑ CU or ❑AL 98 Address Posted AC Wire Sz ga ❑CU or ❑AL 99. Fire Sprinkler 48 Range Circ ga 0 C or❑AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑Yes F-1 No oma' o� o,' v e` 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cimc-s pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector COUNTY OF BUTTE ' BUILDING DIVISION f.- DEPARTMENT OF DEVELOPMENT SERVICES L 7 County Center Drive • Oroville, CA • (530) 538-7541 f,. CORRECTION NOTICE STHA0-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. _\L_f_j-Z( --0k40 OAO m01111111=116� �F N N D 9 (4c, P ER D--7-b(o Date Inspector . REV 4/05 Phone # _ !7—;3'z —(rk2 Z FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 �ji^'1+Y� _'��. -�". •. ��y�.+�'�..-i__v..8�» � t �rsy�rT_:.�.y.e�—t.q--�I`Ilr..w'. �..5'9'i�'.r'Y^,'+ay+„w f+l�-ir`"1, COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 < CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please 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. bj Ccv Che reel _ • 2 i Oiv /'5/ Dd � k -e. C" Co'jCn.a're S DateZ- Inspector ' `/C APJ' 1 �l C ,004 i -� f k REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 A � XJ . _ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ;- T� S-r#wl) OWNER PERMIT NO. 4 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 r explanation, please contact the Building Inspector as indicated below. Y'X 411,111 f-619 7 04 Date Inspector REV 4/05 Phone # l y O FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 CORRECTION NOTICE ER MIT NO. A routine inspection indicates that the following violati of Butte County Ordinances exist at r the above address and should be corrected lea c II for re -inspection when correction of work is completed. If you have any qu do ert ing to this matter, or need additional explanation, please contact the JR'uildin nspe r as ' dicated below.' „n . . . :.:... . ... COUNTY OF . . ......- TE BUILDING DIVIS DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER MIT NO. A routine inspection indicates that the following violati of Butte County Ordinances exist at r the above address and should be corrected lea c II for re -inspection when correction of work is completed. If you have any qu do ert ing to this matter, or need additional explanation, please contact the JR'uildin nspe r as ' dicated below.' „n a ' . � � `� Date inspector ..^ REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ' 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. BP060709 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: 05/16/2006 APN: 041-420-012-000 the Business and Professions Code, and my license is in full force and effect. License Class - License Number: Site Address: 3116 CLARK RD BTV Date.5-tto- a Contractor: uC�itP.a�� Map Index: Description: new mh,eX Site, prm fnd (1566) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BETHARD WILLIAM L to its issuance, also requires the applicant for such permit to file a 3116 CLARK RD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95965 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).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: RED LINE INSTALLATIONS INC pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 13407 GARNER LANE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one CHICO, CA 95973 year of completion, the owner -builder will have the burden of (530) 895-5543 proving that he or she did not build or improve for the purpose of sale.). ❑ 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, Contractor: RED LINE INSTALLATIONS INC and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 13407 GARNER LANE ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 (530) 895-5543 Date: Owner: License #: 848025 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 Architect: is issued. Je I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: .� Carrier: C.1 Total Square Ft: 1566 S.F. Policy#: ���t�%��� Valuation: $101,790.00 ❑ 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. Date: ( 14P Applicant: -AL.Ivt-k-c4. 2, WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and onei-}-`,- 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. (�✓� issued CONSTRUCTION LENDING AGENCY This permit is hereYv under the applicable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the the for this is issued (Sec 3097 Civ.) Resoluti s work indic d above for which fees have been. paid. , C— performance of work which permit B � Date -V� Name: Name: y . V Address: PERMIT EXPIRE 0 ` Date El I 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 Namme�ek)- l_q1_���>/t lzz _Signature:�SW /1 (LLJtr/ Date: ❑ Owner ❑ Contractor ❑ Agent for Owner gent for Contractor B. C. Building Permit 01-16-04 pg 1 FIRE SAFE REQUIREMENTS Butte County Fire Department California Department of Forestry and Fire Protection 176 Nelson Avenue, Oroville, California 95965 • (530) 538-7888 Property Owners Name: 63i%hy Inspection Date: ?— 7' a k Building Permit a20 Property Location: -31M (249{ 9/2 City: 67114�/ Phone: �.:� �1aa.ool�IAuvTENArtcR:oK.n>�Fays�t:EsrAcswi►sEAszxEs=:t�::.� To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access, and utilization of the defensible space provided for these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or shall be provided as a condition of the permit, parcel or map approval. It is the property owner responsibility to annually provide defensible space measures around struchmes on this as law (PRC 4291 PRC 4291 information will be provided at the counter when the permit is issued. • , x;12?J.10 DRIVE . A,YS �.,`> �"x' . k� � Yom: � % ... All new driveway construction or an extension of an existing driveway shall comply with Public Resources 0 to La requirements. Is the driveway' new or was Yes ❑ No ❑ (b) All driveways shall provide a minimum 10' traffic lane and unobstructed vertical clearance of 15' along its entire length. ' Driveway width: Vertical Clearance: (c) Driveways exceeding 150' in length, but less than 800' in length, shall provide a turnout near the midpoint of the driveway. Where the driveway exceeds 800', turnouts shall be provided no more than 400' apart. Driveway length: (d) A turnaround shall be provided to all building sites on driveways over 300' in yid ' length, and shall be within 50' of the building. Turnaround distance from b= ._OADWAYBE,x,,, The Wace shall provide unobstructed access to conventional drive vehicles, ivKding sedans and fire engines. Surfaces should be established in conformance th local ordinances, and be capable of supporting a 40,000 pound load. 4" of class 2 aggregate base shall be required for all driveways, turnouts and turnarounds. of to base: 73.03 "ROM True grade for all roads, streets, private lanes and driveways shall not exceed 15%. All grades over 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. P of >. 1273 04 'ROADtiVAY (a) No roadway shall have a horizontal inside radius of curvature of less than 50' and additional surface width of 4' shall be added to curves of 50-100' radius; 2' to those from 100-200'. <� Questionable horizontal curve radius: (b) The length of vertical curves in madways, exclusive of gutters, ditches, and drainage structures designed to hold or divert water, shall be not less than 100'. 'onable vertical curve length � ✓xrr :1273x05_ IOAI/WAY"_717RNAR011NDS''` :r , x. SIk-' �T ? .4 i?r�'A�6'r4 /Turnarounds are required on driveways as specified in this article. The minimum taming radius for a turnaround shall be 40' from the center line of the road. If a i ✓ hammerhead -T is used, the top of the "T" shall be a minimum of 60' in lengtbL Type ofroadway turnaround used? Measurements? ✓a$� '1273. ?ROADWAY TQRNOi7T3 *« "T'k t `'h 4 , �..TW �Turnouts , shall be a minimum of 10' wide and 30' long with a minimum 25' taper on each end. Roadway turnout measurements and location: 4✓r; 1273.0fBOADWAY31R1?CCTURF�,'si;.Y" wstS; _ 7 "S? (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant structures which supplement the roadway bed or /1 shoulders) shall be constructed to carry at least the maximum load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550, 35750 and 35250. Bride certified by aregistered Civil Engineer? Yes ❑ No ❑ (b) Appropriate signing, including but not limited to weight or vertical clearance " !t7 limitations, one-way road or single lane conditions, shall reflect the capability of each bridge. Correct signs installed? Yes ❑ No ❑ (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. Turnout measurements on each end �a - ` 1273.11rGATE- CES "" zsra.r.r.�± r "`". .�'*�'i"�.`> s •y> � t'a• w' (a) Gate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving the gate. Gate measurements on ends: (b) All gates providing access from a road to a driveway shall be located at least 30' from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. Gate distance on driveway from road: (c) Where a one-way road with a single traffic lane provides access to a gated entrance, a 40' turning radius shall be used. T radius measurements : 1274:Og'ApDRESSESFOR BUII:DINGSti All buildings shall be issued an address by the local jurisdiction, which conforms to that jurisdiction's overall address system Accessory buildings will not be required to have a separate ad ; however, each dwelling unit within a building shall be separatelyidentified Is address correct? Yes CKNo ❑ 1274.09 SIZE OF. LE . NUMBERS"AND;SYMBOLS FOR ADDRESS'' Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke, reflectorized, contrasting with the background color of the sign. Letters, Numbers and Symbols correct? Yes No ❑ yid ' :'1274,10INST __TION :L OCATION ANDy1Simirr OF`WDRESS ,: (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible from both directions of travel along the road. In all cases, the address shall be posted at the begiming of construction and shall be maintained there r, and the address shall be visible and legible from the Load on which the is located. Correct? Yes No ❑ (b) Address signs along one-way roads shall be visible from both the intended direction of travel e Opposite direction. Correct? Yes o ❑ (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. Correct? Yes ❑ No ❑ (d) Where a roadway provides access solely to a single commercial or industrial business, the address sign shall be placed at the nearest road intersection providing access to that site. Correct? Yes ❑ No ❑ <� ,#' 76.01 SETB -'CK FOR STRUCTURE DEFMNSD1LE SPACE 0? * C. (a) All parcels I acre and larger shall provide a minimum 30' setback for buildings and accessory buildings from all property lines and/or the center of the ro. For parcels less than I acre, the local jurisdiction shall provide for the same practical effect. i ✓ .,SAME PRACTICAL EFFECT RE UIItEMENTS If a Building Setback is less then 30' from all property lines and/or the center of the road, the following shall apply: • Class A roof -Correct? Y No ❑ • Fully enclosed eaves on entire structure - Correct? Yes o ❑ • Metal doors toward property line with insufficient setback YesTT No ❑ • Siding on entire structure from the following list: (a) Stucco -3 coat (b) Non combustible Hardi-Board, Plank or similar siding (c) Masonry (d) Me 011ter Butte County Fire Department approved materials Correct siding used on entire structure? Yes ❑ No ❑ " !t7 "1276.02 DISPOSAL OF FT AMMABI Is VEGETATION N Disposal, including chipping, burrying, burning or removal to a landfill site approved by the local jsdi tion, of flammable vegetation and fuels caused by site development and curion, road and driveway construction and fuel modification shall The co rated prior to completion of road construction or final inspection of a buildi mtit Completed? Yes No ❑ 4,£ A'+ �WTHER nQUIRRdENrS - INSTALLATION 9F )RESIDENTIAL'FIltir4 " ¢ u PItI1�fICi ERS -'':L j r 5 - .L� `rd ' a'urai r S sS 4 Tu9 a .. If your property was part of a parcel split after July 1991, you are required to install residential fire sprinklers. It is the proowners responsibility to review the official parcel m to confirm ifs rs are r. Aresprinklers required? Yes ❑ No ET Aresprinklers installed? Yes ❑ No No. Violation/Remarks Cleared Distribution: White - Building department Yellow - Fire Prevention Pick -Property Owner C' 08/09/2006 08:51 REDLINE INSTALLATION 4 5382140 NO.833 1701 Redline Installations, Inc 13407 Garner Lane Chico, Ca 95973 530-891-6719 530-891-6720 (fax) Tate: 1c) To: rTU1N-P---.1 From: RE: lacno � Number of pages: (including cover) OZ <R -7 �qa 4l R 7u� n U � ' � i .rte E i� _• i 2-e_ 0-7)('EA Dai- o -F U 08/09/2006 08:51 REDLINE INSTALLATION 4 5382140 ND.833 D02 �TOt STATE OF CALIFORNIA NUMBER: 8USINESS, TRANSPORTATION AND MOUSINO AGENCY / DEPARTMENT OF HOUSiNO AND COMMUW" OEVELOPMeW / • A ' OMWON OF COULD AND STANDARDS 875'12'- 6 MANUFACTURED MOUSING PROGRAM P.1-71)xz R MANUFACTURER CERTIFICATE OF ORIGIN Fri CHECK IF TM1615 A DUPLICATE VC&ENTER ORIO)NAL MCO NO. MAMEACTugpn ►fQME OR MULTI -UNIT MANUFACTURED yOUSING NUMBER OF �,�I}�yQ)NELigJNG) ❑ MUM" (MULTI -UNIT MANUFACTURED MOUSING TRANSPORTABLE SECTIONS_�;� COMMERCIAL COACH 0_Z'744, 4Q13 Ob LVr, eJ- AI ►�r�iv+:.�'1T7LL - .. 'MANUFACTURER NAME: �� AMNUFACTURER LICENSE NUMBER: �C: t , :. • ...... Rpt ;,TVr2@E MANuFAGTURER AODRESS: SUGGESTED RETAIL PRICE S sI.I N PCIFIC-C41M Kt,/23i% MANUFACTURER TRADE NAME: - cStab i�ea- 1 MODEL NAME ANQ/0R NUMBER: . DATE OF MANUfACTURE: " '13W, EAR WR LM,' 00 --CD, CF+ 96�i3 NAME OF DEALER OR TRANSFEREE (OVIMERSMIP TRANSFERRED TO): - CALIF.'DEALER NUMBER OR DATE OF TRANSFER: IIaaoo�� TRANSFEREE DESIGNATION: ?15T .1T.d.I _.-AT S �I te�il�l• . ::i .t i.•'.i`:; •.±: H^ .: 1_ :. �'r:, ''. �_:� �•.�: .�,t.,;:, , DEALER OgTRANSFEREE ADDRE98:,AS w MAfli(ET SUM, SWITE IN, ATIN; ANSTC Tj:WN, MILL" UE, TN SMI INVENTORY CREDROR NAME: Sam ) INVENT RY CREDITOR Atul it.- SECTION �I1Ia�784UA lI ._... •_ __`,.....�-... iw.�� _...�..-•:1 ___... --- •--' •-• .-•^-.-..--.._.�._... • . �...,• stole 6:rt.• ..'.... -tG2 . _:.:.'.25.3 76 MANUFACTURER SERIAL NUWeERINSIGNIA OA HUD LABEL NUI IIEA :....-. LEHGTH INCHES INCHES (POUND) TRANSPORTER NAME: •---• 'p .YfI` 1tI �di411�P,'J�L�R1fC0"CP•95973� —-•=--,•- — - :': ._.._..-_....._._.._.. _ -._ .��-.. TRAAISPORTER ADDRESS: OESTtNATTON FOR UNIT DESCRIBED ABOVE; r.. - ... _ �;�:'i� ' C 48, �_.... _._.:•::�� >...'.' I'' - Stew •. - .. - af 4Y Palen v'm Or Ian d ao SIM a GIT411Ya am ar ALaye tab ti OW &V Correa )art vdv varlet a ' 221 SI(�NATUR20PAUTHOAU.EDAtSt:NT - - I "'j Seu :-"'"'••"i—T I 1 " , I h1t.- B a'R(01NAL WINK) FORWAAO 10 THE INVENTORY CREDITOR UNLESS THERE IS NONE THEN FORWrwD TO THE PURCILA9ER (DEKER OR TtLW6FEREE). COPY 1 MMITE) FORV"D TA THE DEPARTMEW AT P.D. BOX IM, SACR/WeNTO, CA gW12.1Qa. YMTNIN fArE (7) DAYS OF R91 FA COPY Z (YELLOfA'j DELNER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO Re DESTWATION. - . ,....,..._:..._..„._ '.COP.YSl001DEgRO01 .T06E RETA1NE08V fHE MANUPAOTVAE1t MCD aBS,O. Sllte T .17,97) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO.' BP060709 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: 05/16/2006 APN: 041-420-012-000 the Business and Professions Code, and my license is in full force and effect. License Class - License Number:i&2 Site Address: 3116 CLARK RD BTV Date5-11,0, a Contractor:MACLA-mi � Map Index: Descriptiont new mh,ex site,7rM fnd (1566)'l OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 — -- Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BETHARD WILLIAM L to its issuance, also requires the applicant for such permit to file a 3116 CLARK RD signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965 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).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: RED LINE INSTALLATIONS INC pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 13407 GARNER LANE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one CHICO, CA 95973 year of completion, the owner -builder will have the burden of (530) 895-5543 proving that he or she did not build or improve for the purpose of sale.). ❑ 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, Contractor: RED LINE INSTALLATIONS INC and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 13407 GARNER LANE ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 (530) 895-5543 Date: Owner: License #: 848025 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. 1< I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrieer and policy number are: Carrier:5 Total Square Ft: 1566 S.F. Policy#: ���c`7���J Valuation: $101,790.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: X / 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 r forthwith comply with those provisions. (� 0 Date: 5- IL OW Applicant: -i L A iieg4 2 WARNING: Failure to secure workers' compensation coverage 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 ja here issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the for this is issued 3097 Civ.) Res o11utie s 0 work Indic d above for which fees have been paid. a 6 -OL performance of work which permit (Sec Name: BY: //11Date-l V �7 Address: PERMIT EXPIRE O 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 Signature: rr�� Date: !J ' 1.0 ' C)C Ay ❑ Owner ❑ Contractor ❑ Agent for Owner gent 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#: OROVELLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Nam Address City` State I Zip Phone Fax E-mail APPLICANT NAME CONTRACTOR Name City NAii Addr L... '62Phone Cf City Fax COW -n State Zip �1 Book — • � E-mail Planner rt : • M -R APPLICANT NAME ARCHITECT/ENGINEER Name City NAii Address Zip City Fax COW -n State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name - Addres City NAii State Zip Phone g _ Fax COW -n E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP0607o9 BIN # LOCATION AP# 04 — uD— Property Address ��VI FOSS Street WORKER'S COMPENSATION Policy Number Carrier � g 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: _ Sq. Footage 0 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 ftpartment costs are not refundable. I . 'n '-, <-I ed by, Amount: Receipt #: I V� �l Date r'9 ' O v 2l /tib Bldg 0 f SRA Sheriff SMIP 2Y Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS - r. 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 GRAPHPAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets calculations. of stamped and signed ❑ '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. 8. 2 Flood Elevation Certificate, wet -stamped and signed (if required). 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-si ned by the en eer Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line'information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation ❑ 6. 7. plans. Sanitation and site,plan approval from the Environmental Health Department. ❑ 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 -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 FORMS\BldgApplSubRgmts.doc Page 2 of 2 REV 4-30-04 TO: Building Division — Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance 3e- --h F} 2,6 Owner Plan Approved for: Sewage Disposal Clearance for ,�' dwelling. Other, Hold final for: Final clearance O.K. for: Location Water Supply: Public Plot Plan Attached _ Floor Plan Attached Sent to BD/DS, y-17.'0 � /al << AP# Private Well ✓ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER LO!� C/ r C� 2'0 ^ / Proposed Building Use-)V1__JAJ M 14 1-1 S P/A�yk `P�eni Technician: � 5 Date: 2 6 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. / N 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ! rl 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. I IJ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form �❑ I PJ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other maining items needed to issue the permit. (May require additional plan review upon receipt of the ;il lowin to 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico�6b (�a e ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 4 18. Erosion Control Plan Required........................................................................ �❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ i 20. City of Chico Plumbing permit........................................................................ \ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ` _ 22. California Department of Forestry Ian approval ❑ paid. Sent by: �e 23. Planning approval for (A) Use: T (B) Parking: (C) Parcel Check:.-..... ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... i �j 114 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... CI 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization .......................................... 32. Recorded copy of Agricultural Acknowledgment Statement....., ........... 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction......................................................... 35. J&!p Legal desc iption, ❑ M.H. Title,(itle earch, registration MCO ....................... 36. Other: ey- ❑ 37. Other: q, When issued Telephone r r.,w t r"Z-iz-. 8 ` G / and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 6' Z 9 1. Index permit application for thea ove i ems nu bered: Plan Check Lett r Sracl?or, l items required designer, owner, was advised of the above data by 4 -pone, ❑ mail, ❑ counter, by Date: 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, ❑ counter, by Date: Plans reviewed by: 4242 Date: Plans approved by: Date: Structural reviewed by: Dat Structural approved by:' Date.- Note ate: 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 bethard APN No: 41-420-012 Application Date 3/29/2006 Permit No: BP 06-0709 Permit Type: new mh, ex site, prm fnd 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA RYes 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 $549.90 $219.96 $329.94 Balance of Building Permit Fee 0 $95.00 $204.98 $109.98 $314.96 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION i $424.94 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $3,557.55 4 Balance of Building Permit Fees (from No. 1 above) RECEIPT �pATE Tec $3,217.43 Kourtni RECEIPT DATE Tech/Asst $329.94 5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) $10.18 6 Additional Plan Check Fees (NON-REFUNDABLE) 771 Comanche Creek $8,069 New construction, vacant land, on 1 acre or less Enter 1 or less acre value 7 Other*: 77q Lindo Channel $8,139 775 SUDAD Ditch $6,975 7a Other*: More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 8 IMPACT FEES - RESIDENTIAL* 1per Dwelling IPer DwellingPer Dwelling Applications After 2114/05 u SFD x MFD MH County 4096.871 3071.141 1 3117.43 Chico Urban Area 1 5372.091 3995.451 4889.56 RECEIPT ��DAT,,E�� Tech/Asst u�� `� C • 9 10 10a A SR -1, SR -3, SR-1/PD 7938.531 6757.081 7633.49 RECEIPT �pATE Tec $3,217.43 Kourtni RECEIPT DATE Tech/Asst coo R-1 8031.53 6850.08 7726.49 ° R-2 7541.531 6360.081 7236.49 R-3 6780.531 5599.081 6475.49 Processing Fee is automatically added to impact fee total 1 $100.00 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200,00 DRAINAGE FEES* CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,736 771 Comanche Creek $8,069 New construction, vacant land, on 1 acre or less Enter 1 or less acre value 772 Little Chico Creek $8,792 773 Big Chico Creek $6,596 77q Lindo Channel $8,139 775 SUDAD Ditch $6,975 776 Mud -Sycamore Creek $6,070 777 PV Ditch $8,603 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 1 $652 IMaximum Per each new living unit on existing lots where full drainage fees have not been paid 11a 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 8� �cc 12a RECREATION DISTRICT FEES* t Durham ✓l l n N'\ 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: Date: z )_- 2_2• ex, Pursuant to Government code Section 6 are ereby notified those Items followed by an "*" may have been imposed on your project. 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 Z T Butte County Depar-tmentof-DevelopinentServlces 0,TrF 7 County Center Drive o \tiV�°° Oroville, CA 95965 ° ° (530) 538-7601 Telephone o -=�"'_ :o . o (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental. Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application .through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building_plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: �, _ r�,(' APN: 0<41 Wo " CD (Z Building site address: L10(a Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: k I U �E) - Zi 6Ko SIGNATURE OF APPLICANT DATE Copy to Applicant/EH/File K:Forms/B1dgPermitwithoutClearances 020705 aQe pSTMIENr �vTT� ° �°��- O \° � c�UN'` A�eCIC WOF oA, Department ®f Public Works C o u n it o f B u t t e O \ ° J. Michael Crump, Director LAND DEVELOPMENT DIVISION ° Storm Water Management Program / 7 County Center Drive �y 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 9 ACRE] Project Description: bcoC O ill-+ on on & -3 ,c Project Location and/or Parcel Number: 2N Ua 0 Q x -V— PeA C� (= ZO- Cit 2 - By 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: % ,Qi► . p Title: Date: 22 n -�M Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 y+ „r :rX��w..1-*s+�-ire.. s... —v.r ..—r.----...t..r.... ... � _ ... .. y -;r �1�;e,=.�y-.max �..;�..-�� . _ .. .a .�y�•,- � a .. �w< BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM r� (One form per Building) School District Building Building Department No. 64 - 6 Toa A.P. Number )/2- Jurisdiction: City OCounty Property Owner y�U (� 16 ` Property Location/Address 3��lO �/ ��� ►/'il��% �/ �J ( _ I 1 , Ji �J�Y /. / [� ./J Subdivision Lot No. Residential Development 0 •. ET I Q Q Sq. Footage CO No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # E........................................................................................ .(No foundation inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 V , Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Kepresentative . Date Di tact Identification No. 4,30 5 School District certifies that 2ecIL&P ly),01-d1a.-fic"-s CUM (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing square feet. School District Representative 64-14;v 14;v 'L ' by payment of $l L� F" B 2926 $ ULL MITIGATION $ Date', Paid by Check # `"I Remarks: u 4 Nofte: You.may protest the Imposition of the fees Identified above by submitting a written prowal.to the District, In compliance with GovemmeM Cods Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. M, subsequent to the School District Representative signing this butte County Schools Impact Fee Certification Form, tha School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental QuWty Act (CEPA), this project may be subject to additional school fans to fully miggah Its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant). festa mids ("5)drnm ,Dacl.,_a2 03 12:26p AND WHEN RECORDED MAILTO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 28 -Apr -2006 2006-0021690 Has not been compared vith original BUTTE COUNTY COUNTY RECORDER 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 / PROPERTY OWNERS: State of California County of On before C, — ersonalty ., ., _ - - personally appeare lu �l�l��kwAp known to me (or proved to me on the basis of satisfactory evidence) to be the person($) whose name(y) is/are subscribed to the within instrument and acknowledged to me that he/sbeLthq executed the same in his/he Aheir authorized capacity(ies), and that by his/heFA4K4r signature) on the instrument, the person(A or the entity upon behalf of which the person() acted, executed the instrument. WITNESS my h and official seal. Signatur eal: OOWD H. we uEE ow1W com�.#147ml NOTARY CMJF0014 W A.P. t ' q 2-1' ' © ZCW----9y �Coln �� - BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM O FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) D CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) a DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) () - %/,26 " 012, Building Pen -nit Number 6 6 - y 7 o- q Property Owner (s) Project Location /� Subdivision Name Assessable Sq. Ftge /S(�C1 Type of Residential Development (check one) gess i31 z 4 b� der,110 Z � -fit New Development Single Family -Detached Single Family-Attac ed Alteration/Addition(s) Non -Residential to Residential 1/ Mobile home __zMobile home replacement Demo Permit (date issued ) Comments: L -Mr b l/ � Multi -Family Dwelling verified by Assessor Department verified by Building Department PD ❑ CARD ❑ PRPD X DRPD certifies that: ApplicantName Phone Nui Address — city State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. N O� by Payment of: Dwelling Units @ $ _ 2 99 Square Feet @ $ 1 • H 1 Remarks: per unit for a total of $ �q per sq foot for a total of $5� • , Paid by Check No: Paid by Cash: Receipt No: `% 5 lq Date Recr anon and Park District Representative i SITE PLAN REVIEW APPLICATION Dater-�f 2 -2 6 AP# D�l ' qZ d Permit Number (if applicable) 06-0707 Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: gc—.D 4�,07.1,7 � Owners Address: Telephone No.: Site Address: �� C-LA_79_k Proposed Use: Zone: fI V2 Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form GP: DEVELOPMENT SERVICES INFORMATION (For Staff Use) fm Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By Date 1 It ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract 6 Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: Y • 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: 2, General Plan: 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 Side Street Rear 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 Cj Parcel Created By: ap Deeds: Date of Creation: Legal Access Provided: ❑ No [S Yes Deed of Reference: / 37 7 3 - q27 Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No M Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: l ??Z - 19 73 J*WZ9,Q Y rlN & ❑ 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: 3 Page: Mobilehome Manufacturer:L OjGt2/! l•UeS7 Manufacture Year: If other than single wide, furnish Setup Model Number: . (( I r_" Width:a_(ft.) Length: (o8 (ft.) Tagalong or Expando Size (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[ ] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location Line 1 MMTr-WIDE Line 2L iae 1 Line 2 Line 2 Main Beams in Line 1 Line 3 ..... ..........--................................................................... Line Main Beam! - ......................................................................................... Line 2 Line 1 Eie e 5 Tag or Triple e 4 l Line 1 Piers: Size minimum: /,2� x raol Spacing maximum: ` p From ends -maximum: � ` 077d: Line 2 Piers: Size minimum: [ jo2 ] x [,Z Y ]. Spacing maximum:.. ` p From ends -maximum: / p Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): May 1995 Line 1 Openings Size minimum: [ ] x [ Each side of openings ] with width over: ` Line 4 Piers: Size minimum: [ ] x [ Spacing maximum:` From ends -maximum• '?Yxs L; `V 8.4 b3!Ddd V I 0 600/�00�1 S39dd 0 29SE22.L£0S 31inf 02:SI 9002-9I-20 otic, o� s BUTTE COUNTY Bt U NC DEPARTMENT APPROVED oD t UD Rio SIS BRNO i ISHA NF 01M 9i. ; its I xvcl 90 : 9 t 90/Wu -' 1i w � r �n r . n -u .n. , i r•-... .lin �n.•• 29=22. -20S 3I-inf� 22:2T 9002 -IT -20 z voet or ®ynamics "Foundation System" by TIE DOWN ENGINEERING, Inca Installation Instructions for the State of California, Wind Zone 1, 15 PSF Wind, Seismic Zone 4 Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. General The Vector Dynamics Foundation System resists lateral & longitudinal wind loads by anchoring the two longitudinal main rails. The system is approved to be.used on single or multi section homes: • These plans and specifications meet the requirements of Title 25 section 133$ and ! G6c requirements. Maximum eave width (roof overhang of sidewall) of 12" for Zone I. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. 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, end frame ties and rim plates. -..' BUTTE COUNTY BUILDING DIVISION APPROVE[? ODES V26 AR 312006 /f CIV11, r 4LY7 Engineer Approval State Approval MANUFACTURED HOMEIMOHILE HONZ FOUNDATION SYSTEM HEALTH AND SAFETY CODE. SEMON 18331 APPROVED BUBJBCT TO OORRECnDNs NOTED APPRWAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS sh" of Califorols VVffft d K Hmie= @ad Commnaiq, Derdopsaot AOF 90DES AND STANDARDS � ST A73 EP _ w ) Thh Plan Approval &Vim re • Atlanta GA, 30336 t --TIE • Fax (404) 349.0401 DOWN ENGINEERING AW f —GENERAL INSTALLATION`INSTRUt.TIONS-7_ Site Preparation It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. Footings and Frost Lines The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete to comp',' .-.pith local requirements for footer depth. Foundation/Footing Specification for Vector Pads Vector Pads are used in place of conventional foundation pads. One Vector pad provides 2 sq. ft. on single block and 3 sq ft. double block pads of bearing support. Vector Systems should be spaced as symmetrically as possible within 10' of end of home. For pier locations in between the Vector Systems, use the normal foundation pads. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 36 inches under one or both main rail(s). Multi -section homes limited to 50 inches. Unequal Pier Heights Multi -section homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". Vector Dynamics Foundation Systems Component Parts List 90> ✓1 ® �1 A Vector Foundation Systems for the State of California ` pag_ '2 . Vector System Single piece pads with straps and slotted bolts Vector/LSD Kit Part # 59013K for single block pads 13'-6° CARPET LAYOUT STANDARD CARPET I __? •.F- ._ _ __ - :-, •'i% � LNO 0 0 _ ':;. LNOLEND f__._______I LWD LND U�6 z 3J-0 �� Q UMIO ROOK FAMILY ROOM MASTER BEDROOM/RETREAT BEDROOMS 02,13 @ J4 HAII _ OI---------- OU-�� Al V/ OPT. GLAMOUR BATH ADD I1'-0' LNO J'-5' 2'-8' 3'-1 U4' p. A'-11' 3'.4 3/4' 4'-R 4'-I1 4'-0' 6'-3 Vi' 5'-5 1O' V-5 14' 1'-5 V4' 3'-5 V7' 3'-11/8' 5f6' 3'-7' OPTIONAL CARPET MASTER BATH It -0• DNWO BOON I l•-0' GUEST G BATH OO SCRAP �/�3'-9 PSF 1 70 F'5F_-- 170 1 TOPS /W/��-- OI 3P. P°.FOI 90 F5F O7 30 PS O3 b PSF 030 F 7F O 90 PV O3 30 PSF 3 30 PSF O3 30 PSF 3 30 FSF O3 30 PSF O 30 FBF 3 30 PSF 3 30 P%030 J OI 30 PSF --------------- it I I I --------------- ------ ® (BEARING WALLS) (CLEAR SPAN) Manufacturing West, Inc. Albany S.W.n - P ®972 2445 S.WPACIFIC BLVD. ALBANY, OR 97321 744 Phone (541) 926-8631 - 13�6rIF0 + , Fax (866) 491-6847 DRAW NG TlilC CARPET & PIER LOC. OE O - - . ORIOINAL DRAWING BY S. FINSTER SIDEWALL: 4" OR 8" PRODUCT GOLDEN ESTATE MODCL NO. OE 881E NORPIER �(LPBS.m FOOTING SIZE REQUIRED (SO. 1000 PSf 1500 PSF IN.) 2000 PSF PIER PIER NO' G(LBS) FOOTING 1000 PSF SIZE REQUIRED (SO. 1500 PSF _ IN.) 2000 PSF PIER �' PIER FOOTING SIZE REOUIREO (SO. IN.) C(IBSI) 1000 PSF 15W PSF 2000 PSF PIER NO' PIER FOOTING G(LBS.m 1000 PSF SIZE REOUIRED (SO. IN.) 1500 PSF 2000 PSF sa 1,836 DATE 1L--14-03 1 �) 2000 288 -x-'192-1 144 3 j 4000 516 t 384,,E 288 5 6000 864 576 432 7 10000 1440 - 960 720 SNEET, J REVISED 2 2500 360. t 240 - JII I80 Q 5000 720 480 360 © 8000 1152 166 576 8 12000 1728 1152 1 864 _� ;2r California Department of Forestry and Fire Protection Butte County Fire Department C Fire Safe Requirements Permit# O6 - D ing checked items are required by CDF/Butte Under authority of Public Resources Code Section 4290, the follow County Fire Department and made part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. 1272.00 Maintenance of Defensible Space Measures pq To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access, and utilization of the defensible space provided for these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or shall be provided as a condition of the permit, parcel or map approval. Public Resources Code 4291 T information will be provided when the final inspection is completed. 1 1273.10 Driveways R [X] (a) All new driveway construction or an extension of an existing driveway shall comply with Public 1` Resources Code 4290 roadway requirements [X] (b) All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 E feet along its entire length. [X] (c) Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where the driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart [X] (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be within 50 feet of the building. 1273.02 Roadway Surface [X] The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire engines. Surfaces should be established in conformance with local ordinances, and be capable of supporting a 40,000 pound load 4" of class 2 aggregate base shall be required for all driveways, turnouts, and j T turnarounds. v 1273.03 Roadway Grades I [X] The grade for all driveways shall not exceed 15 percent Grades above 15% shall have V of class 2 1 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. R 1273.04 Roadway Radius i [X] (a) No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] (b) The length of vertical curves in roadways, exclusive of gutters, ditches, and drainage structures designed to hold or divert water, shall be not less than 100 feet. 1273.05 Roadway Tumarounds [X] Turnarounds are required on driveways and dead-end roads as specified in this article. The minimum turning radius for a turnaround shall be 40 feet from the center line of the road If a hammerhead -T is used, the top of the "T" shall be a minimum of 60 feet in length N 1273.06 Roadway Turnouts 1 [X] Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. T Revised 02/28/06 0 1273.07 Roadway Structures [X] (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant structures which supplement the roadway bed or shoulders) shall be constructed to carry at least the maximum load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550, 35750 and 35250. [X] (b) Appropriate signing, including but not limited to weight or vertical clearance limitations, one-way road or single lane conditions, shall reflect the capability of each bridge. [X] (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. 1273.11 Gate Entrance [X] (a) Crate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving that gate. [X] (b) All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. [X] (c) Where a one-way road with a single traffic lane provides access to a gated entrance, a 40 foot turning radius shall be used 1274.08 Addresses for Buildings [X] All buildings shall be issued an address by the local jurisdiction which conforms to that jurisdiction's overall address system. Accessory buildings will not be required to have a separate address; however, each dwelling unit within a building shall be separately identified. 1274.09 Size of Letters. Numbers and Symbols for Addresses [X] Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke, reflectorized, contrasting with the background color of the sign. 1274.10 Installation. Location and Visibility of Addresses [X] (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible -from both directions of travel along the road. In all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible from the road on which the address is located. [X] (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. [X] (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. [X] (d) Where a roadway provides access solely to a single commercial or industrial business, the address sign shall be placed at the nearest road intersection providing access to that site. 276.01 Setback for Structure Defensible Space (a) All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road [ ] Your parcel is larger then 1 acre but your minimum setback for buildings and accessory buildings is less then 30 feet from all property lines and/or the center of the road You are required to meet the same practical effects requirements listed on page three. [ ] (b) For parcels less than 1 acre, the local jurisdiction shall provide for the same practical effect. See page three for same practical effect requirements. Revised 02/28/06 Same Practical Effect for Buildings less then 30 feet from property line: [ ] If the Building Setback is less then 30 Feet from all property lines and/or the center of the road, the following shall be required; • Class A roof • Fully enclosed eaves on entire structure • Fine rated metal doors on side toward property line with insufficient setback • Siding from the following list: (a) Stucco -3 coat (b) Non combustible Hardi-Board, Plank or similar siding (c) Masonry (d) Metal (e) Other Butte County Fire Department approved materials 1276.02 Disposal of Flammable Vegetation and Fuels [X] Disposal, including chipping, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction, and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Reuuirements- Installation of Residential Fire Sprinklers [X] If your property was part of a parcel split after January 1, 1991, you are required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. 03/30/2006 Date Revised 02/28/06 Darren Read Fire Protection Planning 02-17-2006 12:23 JULIE 5037723562 PAGE5- - • t.Vw 1 N I{-../ . / VL 1 L. 1 IVJ. IL v 02/10/00 15:08 PAX 1 541 i •18 CQLDEN WEST HONES SLS ! GAH CATCO 10004/004. O o C.,- � . • i O L 0 tQ _ o d p A uj � n was a Z N U Z Q L Z C.)o U. r (7 - ~ -• emmeu ft ele(] j a}� We18JU ua,�3 , dv I I 02-16-2006 15:20 JULIE 5037723562 PA,GE4 REMARKS: SQ. FT./ ACRES UNIT VALUE VALUE ADDED SUPPLEMENTAL ROLL n1o�r c �ir, c-ri. ` Cmvs—ror•ctmn. r.�o_, c�\nsu\�SCRU.cSL. Q.oTte�` si�i� q Priv-a \ow ��n tt-t1 c1 �� YEAR NO. DATE LAND - �A,\\.•;c U e�ov crag. n eu 1xo.�C- „ pooY cn�;.i _ m4c,� svti5ec� rro' r �ea,r.�. ��ca.�(;c V�-Q Ee La J_ c, K) we C, 9-e0:.A.Qa cr'v, •�n�0.alcea:-lCjpkSG.CTI d� �,er',��e.� �e�r��.-veS. �e)�Il vS.e revnne-Cts �a.��e• �.d1r�`•• PRIMARY LAND VALUE COMPUTATION SFCONOA RY IMPS. ASSMT. PRIMARY LOT H/S YEAR BASE YEAR VALUE SQ. FT./ ACRES UNIT VALUE VALUE ADDED TAXABLE VALUE ASSMT. SECONDARY YEAR BASE YEAR LOT HA VALUE SQ. FT./ ACRES UNIT VALUE VALUE ADDED TAXABLE VALUE y000 S'Z20p 0 PARTIAL OWNERSHIP CHANGE ASSMT. YEAR EXISTING BASEYEAR EXISTINGTRE VALUETAINED PORTION RETAINED VALUE EXT.% EXTENDED i VALUE TO YEAR TRANS. DATE VALUE PORTION TRANS. TRANS. EVENT DATE VALUE VALUES LAND COMPUTATIONS X = X = X = LAND IMPROVEMENT COMPUTATIONS X = X = X = IMPS. LAND COMPUTATIONS X = X = X = LAND IMPROVEMENT COMPUTATIONS ` X = X = X = IMPS LAND COMPUTATIONS X = X= X — — LAND IMPROVEMENT COMPUTATIONS X = X = x = IMPS. LAND COMPUTATIONS X = X = X = LAND IMPROVEMENT, COMPUTATIONSX = X = X = IMPS. LAND COMPUTATIONS X = X = X = LAND IMPROVEMENT COMPUTATIONS X = X = X = IMPS. SHEET OF NAME ,4 )Z_ZT� 1' NAME PROPERTY LOCATION BUHL COUNTY PROPERTY RECORD PARCEL NUMBER Book I Page I Block I Parcel I Code ZONING Assessment Year 19 11 19 19 19 19 19 UTILITIES—SITE IMPS. Date 11) IA/),F Electricity: Yes ❑ Telephone ❑ Appraiser 162 3q (),j,,; .. 162 162 162 162 162 Gas: Public ❑ LPG El None ❑ Supp. Assessment Yes 0 No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Sanitary Swr.: Public ❑ Indiv. ❑ Use Code 1601 160 160 160 160 160 Storm Swr.: Public ❑ Natural❑ Transfer Code 124 0\ ItOO % 124 % 124 % 124 % 124 % 124 % Street: Conc. ❑ Asph. n Dirt ❑ Gravel ❑ Acreage 178 178 178 178 178 178 Street Lights: Yes ❑ No ❑ Incomplete 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 C & G: Yes ❑ No ❑ Building Class 167 -,,SC C- 167 167 167 167 167 Sidewalks: Yes ❑ No ❑ Bedrooms 168 168 168 168 168 168 SITE TOPOGRAPHY Baths 1691 169 169 169 169 169 Level Rolling ❑. Other Effective Year 170 �G� 170 1 170 170 170 170 Slopes Up❑ Down❑ S -S ❑ Area of Residence 171 317 71 171 171 171 171 At El Above ❑ Below El Grade Land Type Car Shelter 17 Homesite 3 Yes 0 No D 172 173 Lot❑Homesite❑ Yes ❑ No ❑ 172 Lot❑Homesite❑ 173 Yes ❑ No ❑ 172 173 Lot ❑Homesite❑ Yes ❑ No ❑ 172 173 Lot❑flomesite❑ Yes ❑ No ❑ 172 173 Lot❑Homesite❑ Yes ❑ No ❑ View [) Of: WATER Pool 174 Yes ❑ No El 174 Yes ❑ No ❑ 174 Yes ❑ No ❑ 174 Yes ❑ No ❑ 174 Yes [7 No ❑ 174 Yes ❑ No ❑ Quantity: Quality: Partial Complete % Complete % Complete % Complete % Complete % Complete % Complete Public ❑ Well ❑ Ditch ❑ _ P.P. Acct. Checked Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Supplier Aerial Photo Year Topo Map Year MARKET DATA Soil Name Index Acres Comparable 1 l: •.5s••1 rl Comparable 2 lot -bb -3 6A4k:ri Comparable 3 Sale Date/Price 1'F -M 1 On o t4N-MrNkc` PRIMARY BASE SECTION Base Year 140 !'1 ),. 140 140 140 140 140 Event Date 186 17 0a, 1 1 186 186 186 186 186 Land 109 1 0\0 Do 109 109 109 109 109 Avg. Soil Rating Improvements 110 2S0ou 110 110 110 110 110 LAND REMARKS: Trees and Vines 111 — 111 111 111 111 111 Personal Property 11'2 1 112 112 112 112 117 Keyed By: SECONDARY BASE SECTION Base Year 240 240 240 240 240 240 Event Date 2B6 286 286 286 286 286 Land 209 209 209 209 209 209 Improvements 210 210 210 210 210 210 Trees and Vines 211 211 211 211 211 211 Keyed By: Butte County Department of Development Services. _ou're aREA IN O T C S 7 County Center Drive, Oroville, CA 95965 _ (S30) 538-7601 vA-^v.buttecounty netidds RESIDENTIAL AP N: X041-420-012 _ 06-0838 BETHARD, WILLIAM Owner. 3116 CLARK RD, BUTTE VALLEY II Cont: RED LINE INSTALL Site Address: 1 DEMO Contractor. Type of Permit: oc„ - ® coq NE w mH 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 DATE JOB FINALED: 7— SIGNATURE: +/ OK Not OK RESIDENTIAL (SIng(e & Duplex) . DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Opth 3 Ftg Garage-, Soils-Steel-Elec Grnd Ftg Opth, 4 Ftg Porches/Decks; Soils -Steel Ftg Opth ` 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a 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 1i Wtr Pipe-, Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Baits Joists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation c DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 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 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-Undrflr Acc 3S Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-W alts -Ceilings 39 Infiltration-Walls-Wndws s` 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 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz 9 ❑CU or DAL AC Wire Sz , D CU or D AL 48 Range Circ ga D CU or DAL 'Oven Circ ga D CU or DAL Insulated Neutral D Yes D 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 uAkIt IPLUMBING 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 flr-Tub Acc 57 Test Tub & Shwr, 2nd flr _ Tub-Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping \C\C O'" O pig 0\ DATE IMECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic .`` e \� o'er o o 0 DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-DIrnc-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, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cimc 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 Clrnc Dmge Planters DYes DNo 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-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99. Fire Sprinkler = OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FalUC/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat O or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Dnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-DIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs . O Foundation O 14 Exits 15 Cert of Occupancya` 16 HUD LabeUlnsignia Numbers Serial Numbers °tee 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-DpthSpacing-Cnnctrs-Steel 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 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing-VeneerStucco-Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls tea` °� ��• 0 DATE POOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Bokes-Encisrs=pnlboards4risulth 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 o'er m` d o'er o'er e Pool Drawing a 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. BP060838 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: 04/12/2006 APN: 041-420-012-000 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 License Class : License Number: 2s� ( )7 Address: 3116 CLARK RD BTV (� Map Index: et-� Y t- Iriga / a Date: �/ Contractor: 2Lj Description: DEMO EXISTING HOUSE (1312) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BETHARD WILLIAM L permit to construct, alter, improve, demolish, or repair any structure, prior 3116 CLARK RD to its issuance, also requires the applicant for such permit to file a OROVILLE, CA signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 95965 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: RED LINE INSTALLATIONS INC pp Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 13407 GARNER LANE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for CHICO, CA 95973 sale. If however, the building or improvements are sold within one (530) 895-5543 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 Contractor: RED LINE INSTALLATIONS INC not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 13407 GARNER LANE pursuant to the Contractors' State License Law.). CHICO, CA 95973 ❑ 1 am Exempt under Article 3 of the Business and Professions Code (530) 895-5543 Date: Owner: License #: 848025 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: I have and will maintain workers' compensation insurance, as 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: � �� t --,,,d Total Square Ft: 0 S.F. �S `� Valuation: $0.00 Policy#: ©S'- Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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. 4 1 1 Z C Date: Applicant: I WARNING: Failure secure workers' compen ation 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. issue CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction fending agency for the This per rrail s`here uI der the applicable provisions of the Butte County Code and/or Resolutions t ork indica d above for which fees have been paid. ' G performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: J Name: , PERMIT EXPIRE 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 mentioned property for inspection pu se% �above nthe D 2 Print Name: t� I ! `' r tCt&:f f�: Signature: L4 Date: ❑ Owner ❑ Contractor ❑ Agent for Owner gent for Contractor B. C. Building Permit 01-16-04 pg 1 I I -041'A20-0112— HOWELL,,TINA,01-1337 !- 3116 CLARK CON OROVILLE : OWNER I ELECT METER UPGRADE OFFICE COPY Address ELECTRIC Meter by DateL- r,A L COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT - 01-1337 ASSESSOR PARCEL NUMBER - 041-420-012 ZONING BUILDING PERMIT OWNER __ IMEILL0 lINA SQ. FT. OCC. - BUILDING VALUATION OWNERS MAILIN3116G ADDRESS Clark Rd. Oroville CA 5965:4& CONTRACTOR'S NAME ', Owner :TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS ;,. Plan Checking Fee $ BUILDINGADDRESS +� ,T's. 3116 Clexk Rd., Oroville CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP mr+t PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Electrical Meter Wgrade Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W (20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Nwov oR LE Main Service 2o0A OR LEss SS 1 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( SO ¢FT: T. NON•EW R61D. MULTI.OUTLET @7,50 PSWO. OUTIET OWER APPARATUS 8 CIR. Ex. Occup. OUTLET OR FIXTURES BAS p':w Ex. Occup... s aFIXEDL D °Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 Pre Inspection 2 23. 23.0 PERMIT FEE $ 66.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. j t X ' } 1. t � 1�. ` • 4 Date I,' ' �-i - i,J) Signature of Applicant - O�Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00. Heating Cooling Hood 6.50 Ventilation PERMIT FEN= $ Mobile Home Installation Fee is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 RAZ. D. FEES IMP FLOOD CDf PARCEL Po HO ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been _ B �� ate Y , PERMIT EXPIRES ON I pg provisions to do work paid. T �1� d Receipt No. 324691 66.00$ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT T— COUNTY BUTTE BUILDING DIVISION — DEPARTMENT OF DEVELOPMENT SERVICES - 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE OONER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, , please contact this office immediatel . 1 11 W r c. in C C -o A In- aPr- C0AP1 > > s e--- ra 'Y i +i Y y t �i A ti ,E Date b , , d , Inspector REV 10/92 v COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01-1337 ASSESSOR PARCEL NUMBER 041-420-012 ZONING -2 BUILDING PERMIT OWNER HOWELL TINA 1ELEPrHONE 30---3 SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 3116 Clark Rd., Oroville CA 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.60 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 116 C k Rd •_,fro illp CA 95965 ' Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Electrical Meter Upgrade Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W (020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS 1 Main Service 200A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fooE the following reason: 110011, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A To LoOOA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.50FT. NOµgESID MULTBRANCI.OUTLET @7,50 POWERNGLE APPARATUS 8 SI OUTLET CIR. Ex. Occu ouTLEroRFIxTUREs 20'•00 BAL @ .w Ex. Occup.- DUTLEEDTS R� .) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre Inspection 1 23.0 23.0 PERMIT FEE $ 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply withth se provisions. X � �--c.�--C Date ' `) �l � — -- Signature of Applicant - ChoOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP I FLOOD CDP I PARCEL I PO HD U This permit is hereby issued under the applicable provisions in the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. By to PERMIT EXPIRES ON f(Dal Receipt No. 324691 66.00$ WHITE-D.D.S..B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I [ PRE -INSPECTION REPORT OWNER: LOCATION: CONTRACTOR:-1)rJe PRE-INSPETION FOR: DATE TO INSPECTOR: b- 7-61 PERMTPHISTORY:( )NONE Building Desleription: lieomemrcial/Usage: Residential/# of Units: Currently- Occupied_ e S _ AbandonedNacant Electric: / Yes ✓ No DATE:_ A.P. #- ' i�! - y --) -//2 ZONING: ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT x - Electric currently On Off Condition of Electric vo r - Gas: / Natural Propane None V Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector: Date Sketch buildings on reverse and indicate location on property. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01-1337 ASSESSOR PARCEL NUMBER 041-420-012 ZONING - BUILDING PERMIT OWNER _- -- HOWELL TINA TELEPHONE SO. FT. OCC. I BUILDING —t VALUATION OWNER'S MAILING ADDRESS 3116 Clark Rd., Oroville CA 959 _ I CONTRACTOR'S NAME Otaner TELEPHONE CONTRACTORS MAILING ADDRESS -- CONSTRUCTION LENDER f Fireplace LENDER'S MAILING ADDRESS Total Valuation $ _ ARCHITECT OR ENGINEER LICENSE NO. Filling Fee $ 20.00 Permit Fee $ ARCMITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS 3116 Clark Rd., Orovi 11 P CA q5969$ Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. _T_i��WS LOT NO. SUBDNIS IONS NAME CEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation O Other ❑ Describe Work: Electrical Meter Upgrade Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W � 920.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee23.00 20.00 LESS 1 Main Service 2ooA oR LEss 23.o0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law foj the following reason: l li�l, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR.SO OR ADONS. ( a ACC. SLOS. 3•5,s,. NEW T. RESID MULTI -OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. X. EOCCU OUTLET OR FIXTURES 1 X FIXED APPLNS. OR Ex. Occup. ouTLEn RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre Inspection 1 23.0 23.0 PERMIT FEE $ 66.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of .a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with th se provisions. n^ n X ak� k_ ZU Date ' `) Signature of Applicant - D'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD MD 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 ata Receipt No. 324691 66.00$ WHITE•D.O.S -B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'Uec�, 22 03 12:26p N -o .: X0'06-0021690 Recorded I FEC FEE 10.80 Official Records I Countyy of I CONFORIED COPY 1.00 AND WHEN RECORDED MAIL TO: Butte I BUTTE COUNTY BUILDING DIVISIONDACE J. 6RIBBS 1 7 COUNTY CENTER DRIVE County Clerk-Recorderl OROVILLE, CA 95965 1 I JC 011:15RM 28 -Apr -2006 tt1 Page 1 of 2 !! IIII"I�I"III��II�"I'I II'I'1'I') 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 / PROPERTY OWNERS: oy �t ot.0 State of California ) County of OnAA ktt- t 3 l % before mey "� V vV personally appeared W sU-46-ud- ;��Rey /3Gn''tMQ-D _personalty known to me (or proved to me on the basis of satisfactory evidence) to be the person($] whose name(s) Ware subscribed to the within instrument and acknowledged to me that he/sbelthay executed the same in his/beFAILoir authorized capacity(ies), and that by hislheWE"r signature) on the instrument, the person(A or the entity upon behalf of which the person() acted, executed the instrument. WITNESS my and official seal. Signatures DONALD H. YC NEE COMM.07291 1412541 3NOARY P C W A.P.ff f -Ll 2— *' © Lew L R., My Comm. Expires Ma►:h1i,20Ea 3L Being a portion of the Northeast quarter of the Northwest quarter of Section 22, Township 21 North Range 3 East, M.D.B. & M., and more particularly described as follows: Commencing at the Southeast corner of said Northeast quarter of the Northwest quarter of Section 22, thence along the East line thereof, North 00 49110" East, 172.00 feet to the true point of beginning for the parcel herein described; thence from said true point of beginning, North 80 57'05" West, 144.79 feet to the East line of Clark Road; thence along said East line, along the arc of a 5530.00 foot radius curve to the left, whose tangent at this point bears North 10 32153" East, through a central angle of 00 16123", an arc distance of 26.33 feet; thence continuing along said East line, North 10 16'30" East, 313.31 feet; thence North 89 20154" East, 87.46 feet to the East line of said Northeast quarter of the Northwest quarter of Section 22; thence along said East line, South 00 49110" West, 358.00 feet to the point of beginning, Being a portion of the Northeast quarter of the Northwest quarter of Section 22, Township 21 North Range 3 East, M.D.B. & M., and more particularly described as follows: Conunencing at the Southeast corner of said Northeast quarter of the Northwest quarter of Section 22, thence along the East line thereof, North 00 49110" East, 172.00 feet to the true point of beginning for the parcel herein described; thence from said true point of beginning, North 80 57105" West, 144.79 feet to the East line of Clark Road; thence along, said East line, along the arc of a 5530.00 foot radius curve to the left, whose tangent at this point bears North 10 32153" East, through a central angle of 00 16123",'an arc distance of 26.33 feet; thence continuing along said East line, North 10 16'30" East, 313.31 feet; thence North 89 20'54" East, 87.46 feet to the East line of said Northeast quarter of the Northwest quarter of Section 22; thence along said East line, South 00 49110" West, 358.00 feet to the point of beginning. 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. BP060838 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: 04/12/2006 APN: 041-420-012-000 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: 3116 CLARK RD BTV License Class : License Number: rr. Map Index: Date: Contractor: � V Inc I riga I I. Description: DEMO EXISTING HOUSE (1312) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BETHARD WILLIAM L permit to construct, alter, improve, demolish, or repair any structure, prior 3116 CLARK RD 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 OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95965 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any - violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: RED LINE INSTALLATIONS INC Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 13407 GARNER LANE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for CHICO, CA 95973 sale. If however, the building or improvements are sold within one (530) 895-5543 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 Contractor: RED LINE INSTALLATIONS INC not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 13407 GARNER LANE pursuant to the Contractors' State License Law.). CHICO, CA 95973 C3 I am Exempt under Article 3 of the Business and Professions Code (530) 895-5543 Date: Owner: License #: 848025 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: I have and will maintain workers' compensation insurance, as 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: ��lpd, Total Square Ft: 0 S. F. i R� © Valuation: $0.00 Policy #: ` Census Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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. 4 Z Date: Applicant: n, WARNING: Failure secure workers' compen ation 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 3708 of the Labor code, interest, and attorney's fees. �¢IF�' i%•, �q CONSTRUCTION LENDING AGENCY This per 's'here issue u der the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions t ork indica d above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) J G Name: By: Date: PERMIT EXPIRE , ' v Address: Date ❑ I 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 uponthe above mentioned property for inspection pu se . Print Name: r • r 1(J�J��/ Signature: IUV (L) Date: ❑ Owner ❑ Contractor ❑ Agent for Owner gent 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 NSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** CONTRACTOR OWNER INFORMATION Last Name first Name Address L9 C1, City i 11 -el 1 Stag 7 Zip Phone 2 2 f Q Fax��t E-mail E-mail CONTRACTOR Name f2aGi U r N<;s U I � � GAS Address Q Q:] Q;VV Lzuy"R� City C State, ,n _ Zi 5Cf.�� Phone qI _ �-� l Fax _( _-1 _0 E-mail Lic. S CI ss APPLICANT SIGNATURE X For office us ly: ARCHITECT/ENGINEER Name Flood Zone SRA I Yes No Address Address City City State Zip Phone Phone Fax E-mail E-mail State License Number APPLICANT SIGNATURE X For office us ly: APPLICANT INFORMATION Name Flood Zone SRA I Yes No Occ. Address Type Const. City If hiring anyone other than license contractors, a ertificate of worker's compensation must be shown at the time of permit issuance. State/ n Zi Phone I _ Fax I E-mail APPLICANT SIGNATURE X For office us ly: API Ot Lf -ZO _ 01 Zoning Flood Zone SRA I Yes No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, a ertificate of worker's compensation must be shown at the time of permit issuance. Map Book Page__j Lot # Planner Total Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. )�, BIN # PROJECT LOCATION API Ot Lf -ZO _ 01 Property Address City Cross Street WORKER'S COMPENSATION Policy Number C �s C10T- o Carrier If hiring anyone other than license contractors, a ertificate of worker's compensation must be shown at the time of permit issuance. SMIP LENDING AGENCY Name Address Description or Scope of Work: ®�-, e�o`i �b M Sq FT- LivingGarage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 3 REV 8-12-05 Rec ived by: Amount: (_j Bldg 10 SRA Receipt #: (l�Sheriff r J c) SMIP . � Other Total Page 1 of 3 REV 8-12-05 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, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the 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. ❑ Legal description 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 pLAN REVISION Owner's Name: BP#: 06N tl"1 Date: Contact Person & Phone Number: AP#: og I ' � Q� Received By: k W 00 Time: '—* N PURPOSE OF RE -SUBMITTAL OR REVISION �❑ Permit Application Data Sheet Item ❑ *Engineering .�{. 1 it� �(ar�C�.1 n Revision4 R64 �� " Ttans111, ......... ... . �y7:kkt tan R 1 *Requested by Building Inspector's Correction No�t!�spector'sName-. ❑ equested by Plan's Examiner — Plan Examiner's Name: '10_-Zother: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revisiun for plan review along With your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ 'Mail to Owner/Contractor at this address: ❑ Call and hold for.pick-up. ❑ Deliver with next inspection. Minimum revised plan check fee to be collected at time of submission of revision, plans examr will determine if additional plan checking fees are needed: Minimum 54.99 Receipt #: `1 O Fee not required for revisions requested by plans examiner prior to issuance of pennit. ;•_,.___, �. �,,,,t Receipt #: d BUTT; COUNTY AUG 10 2006 E.H. O Y Plot Plan Attached Floor Plan Attached Sent to BD/DS / TO: Building Division — Development Sefiie'sopl'I,9INT Sr<,irYICES d., Pjf& ��FROM: Environmental Health SUBJECT: Sanitation Clearance Owher Location AP# Plan Approved for: Sewage Disposal: Water Supply: Public Private Well Clearance for -.��dwelling. Other _Z, Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Building Clearance 9/2005 SITE PLAN ..........;............. ..................... ............................... .............. . .;.. ......................... .. ......................... ... .. .. .. f..................... ...... ...... ........... .... .... .... .. .. ...... 5 .......... ....... ...... ......................... ....�. ......................................._ .. ,.. .......... .. ...................................,........................ ....... ............................................... ........................ ...... ....... .. .. .. ....... .. .. ....... .: .... .. .... .. .. ........ .... .. .. .. .. .. .............._.. .. .._.. .y• p. :i ......:.........:.. j►; .. .. .. .. .. ... .. .. .. .. .. ... .. .. .. .. fl . . . . . . . . . : : ....:. .:....:....:. .:.. .................................. .. .. :1�. ... .. .. .. .. .. .. .. .. .. .................... .. .. ... .. .. .. .. .. . .. .. .. .. .. .. .. : : f: ............. :..... .............................................................. .. .... , . . . ... . . . : . . . . . . . . . . . . . . . a \ •ro,:,;"' �• ...... d rte.'._ .�� .. .. .. .. .. .. .. • ."" I ............................_ . sybea- ...........:.....:......•......:.....:......,......:.....:....... ....................... ... .. .. ... f .. ... .. .. .. .. Y,r' :. .. ....................... .. ......................................... ............... ..........�.; .. .. .. ... .. .. .. .. .. ... .. ... .. .. .............. .. ... .j .. .. ............. .......................... .. .. .. .. .. .. .. ... .. .........j.... ... .. j.. ..:. . ;..VYfGI ...;... ..;... . ...: .............. .. .. ............. .. .. ................ ... .. ......................................................................... .......................i...... ....... _..... ....... ....... _............ ........ _..... ....... ....... _........................................................... ....... ......... 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