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HomeMy WebLinkAbout041-430-033RECOP:; INUREQUESTED BY: t5—X014064 Recorded 1 REC FEE 10.00 Official Records I CONFORM 1.00 County Of BUTTE I CANDACE J. GRUBBS I AND WHEN RECORDED MAIL TO: Recorder I ROSEMARY DICKSON I Assistant i Travis BUTTE COUNTY BUILDING DIVISION 01:24PM 14 -Mar -2005 I Page 1 of 2 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MANUEL" & ROBIN LAJUENESSE REAL PROPERTY OWNER/LESSOR 3976 C;EAR CREEK CEMETERY RD MAILING ADDRESS OROVILLE BUTTE CA 95965-9199 CITY COUNTY STATE ZIP 3002 CLARK RD INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILINGADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-0109 530 538-7541 BUILDINIaPERMTNO. TELEPHONE N ', 1BER ASIbINA'FURE OF LOCAL AGEFI 1 L TE NONE DEALER NAME (if not a dealer sale, write "NONE') NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION KIT 1999 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER KMIR997SW273744AJB 268" X 52' IDA180408/9 SERIAL NUMBER(S) LENGTH x WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED <Xti,6,,L AP ASSESSOR'S PARCEL NUMBER AP# 041-430-033 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. ►t - - A Eecrow �''!o. 204318 -JT Title Order No. 00204318 EXHIBIT ONE All that real property situated in Section 22, Township 22 North, Range 3 East, M.D.B.& M., Butte County, California, and being a portion of Parcel 1, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, in Book 53 of Maps, at Page(s) 10 and more particularly described as follows: Beginning at a point on the North line of said Parcel 1, from which the Northwest corner of said Parcel 1 bears North 750 47' 59" West, 423.51 feet and North 730 52' 26" West, 20.00 feet; thence South 751 47' 59" East a distance of 130.00 feet; thence South 050 22' 11" West a distance of 133.24 feet to the beginning of a 100 foot tangent curve, concave to the Northeast; thence Southeasterly, along said curve, through a central angle of 620 34' 34" an arc distance of 109.22 feet; thence non -tangent to said curve, South 241 08' 38" West a distance of 169.29 feet; thence North 590 08' 52" West a distance of 86.87 feet; thence North 74° 08' 14" West a distance of 232.35 feet; thence South 331 10' 19" West a distance of 232.40 feet; thence North 56' 49' 41" West a distance of 130.00 feet; thence North 330 10' 19" East a distance of 250.00 feet; thence North 540 36' 16" East a distance of 377.28 feet to the point of beginning. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 of document Recorded 14 -Kar -2005 2005-0014064 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be ind xed 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. MANUEL & ROBIN LAJUENESSE REAL PROPERTYOWNER/LESSOR 3976 C;EAR CREEK CEMETERY RD MAILING ADDRESS OROVILLE BUTTE CA 95965-9199 CITY COUNTY STATE ZIP 3002 CLARK RD INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE LIP UNIT DESCRIPTION . BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS - OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-0109 530) 538-7541 BUIL PEANUT NO./�W11'TELEPIIO N � `//. i SIGNA URE OF LOCAL AGENtftIfF01p L DATE NONE DEALER NAME (if not a dealer sale, write NONE") NONE DEALER LICENSE NO KIT 1999 N � KN��N MANUFACTURER'S NAME DATE OF MANUFACTURE MODV UNKNOWN NAMENUMBER KMIR997SW273744A/B 268" X 52' IDA180408/9 SERIALNUMBER(S) LENGTH X WIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LrGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP# 041-430-033 HCD FORM 433(A) REV. 8/91 WHITE. County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. NAME: Z&Juv�c�s�e AP#: UVl-zl O-633 DATE: 3-115-65 lu BUILDING PERMIT NUMBER: 05-0109 Address or location of unit: 3002 CLARK RD, OROVILLE CA 95965 Legal Description of Real Property: AP#: 041-430-033 SEE ATTACHED (x) Mobilehome/Manufactured Home Commercial Coach Has been affixed to the real property above by installation on a foundation system p6rsuant to Health and Safety Code Section 18551. OwIner's name: MANUEL & ROBIN LAJUENESSE Oivner's address: 3976 CLARK RD, OROVILLE CA 95965 INSIGNIA OR HUD NUMBER: IDA180408/9 SERIAL NUMBER OR V.I.N.: KM1R997SW273744A/B MANUFACTURER'S NAME: KIT YEAR: 1999 OFFICIAL APPROVING INSTALLATION. DATE: PHONE: (530) 538-7541 H.C.D. 5130 STATE OF NEVADA DEPARTMENT OF BUSINESS AND INDUSTRY MANUFACTURED HOUSING DIVISION 2501 East Sahara Avenue, Suite 204 Las Vegas, Nevada 89104 (702) 486.4135 Fax: (702) 486-4309 TRANSFER STATEMENT (Pursuant to Nevada Revised Statute 104.9619) CONSECO FINANCE CORP. FKA GREEN TREE FINANCIAL CORgthe lienholder of record (Secured Party) and holds a security interest in the following structure: KIT MANUFACTURER: 26'8" X 52' SI?E: SERIAL # TI -e owner of record is TRAVIS J. AND SHANNON MYERS and has defaulted on his/her (Debtor) obligation secured by the above-described structure. I/We have exercised my/our post -default remedies with respect to the collateral. n By reason of the exercise of said post -default remedies, U i R I � 1''22 ie TRAVIS J. AND SHANNON MYERS (Transferee) has acquired the rights of in the structure. (Debtor) KM1 R997SW273744A/B YEAR1999 The mailing addresses for the Secured Party, Debtor, and Transferee are: CONSECO FINANCE CORP TRAVIS J. AND SHANNON MYERS I P,+- Peca, 7360 S. KYRENE RD. i EMPE, AZ 85283 Secured Party 830 E. STILLWATER #17 FALLON, NV 89406 Debtor Transferee CERTIFICATION: I attest, under penalty of perjury, that the information provided herein is true and accurate. CONSECO FINANCE CORP. BY: STEPHANIE WIESE Subscribed and sworn to before me this 21 ST ofMAY 2003 Day Month Year By STEPHANIE WIESE :devised: 0a/W01 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT 1 r State of California } County of C �i_�i' I j�� j ss. before me, �CJ 14 Date Naatec nd ale of Officer (e.g., 'Jane Doe, Notary Publi ) 1 personally appeared Names) of Signer(s) �) ❑ personally known to me roved to me on the basis of satisfactory evidence A! f ADRIENNE N. LINDSAY ' Commission * 1354122 z i Notary Public - Cal'tfomia Z Riverside County res 8, 2006 NAI Conon. 2 Expt APr to be the persoA%) whose namem is/ap subscribed to the within instrument and acknowledged to me that he/she/t y executed the same in h�s/her/th�ir authorized capacity, and that by I&/her/th�jr signature on the instrument the person'(s), or the entity upon behalf of which the person'(sl acted, executed the instrument. WIJN�SS my hand Signature of Notary OPTIONAL Though the information below is not required bylaw, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Title or Type of Doc Document Date: �. U --,-7s --' _ I f Number of Pages: Signer(s) Other Than Named Above: !�G'�1/ l� �Ji ILS tLr► 1 1 V I�JC��� Capacity(les) Claimed by Signer T Signer's Name: two YH. ❑ Individual Top of thumb here ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attorney -in -Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: ® 1999 National Notary Association - 9350 De Soto Ave., P.O. Box 2402 - Chatsworth, CA 91313.2402 - www.nationalnotary.org V , d Prod. No. 5907 Reorder: Call Toll -Free 1-B00-876-6827 STATE OF CALIFORNIA 1OF*, BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT m DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM ry STATEMENT OF FORECLOSURE/ABANDONMENT SECTION 1. DESCRIPTION OF UNIT This unit is a (check one): ® Manufactured Home, Mobilehome, Multi -unit Manufactured Housing ❑ Truck Camper ❑ Floating Home The Deca! (License) Number(s) is: The Trade Name is: KIT The Serial Number(s) is: KM1 R997SW273744A/B SECTION 11. FORECLOSING CREDITOR INFORMATION FORECLOSING CREDITOR STATUS (Check One): IN Legal Owner ❑ Junior Lienholder ❑ Other NAME:CONSECO FINANCE SERVICING CORP ADDRESS: 7360 S KYRENE RD TEMPE --------------------- AZ 85283 Street Address or P.O. Box City State Zip SECTION III. NAME AND ADDRESS OF DEFAULTING PARTY TRAVIS J. AND SHANNON MYERS NAME: MAILINGADDRESS830 E. STILLWATER #17 FALLON NV 89406 Street Address or P.O. Box City — State Zip — SECTION IV. PUBLIC OR PRIVATE SALE INFORMATION AS A RESULT OF THE PUBLIC OR PRIVATE SALE HELD ON THE UNIT HAS BEEN (Check applicable box(es) below): 1. ❑ Sod To: (Name of Buyer) 2. eg Retained By Foreclosing Creditor (If subsequently sold, complete A or B below) A. ❑ Placed On Consignment With A Dealer And Sold To A Private Party Dealer Name and Number. Name of Buyer(s): 3. IJ ((�� Sold To.' WRIT PEER 1, (Name of Buyer) 1 at a subsequent sale on s ! S U 11 (Date) SECTION V. CERTIFICATION Check Appropriate Box: ❑ 1 verify that the fair market value of the manufactured home/mobilehome, floating home or truck camper was one thousand dollars or more at the time the security interest was created. I certify under penally of perjury under the laws of the State of California that the foregoing is true and correct and that the Notioe(s) of Default or Belief of Abandcnment, Notice(s) of Sale and Distribution of Proceeds from the sale of the described unit has been executed in the manner prescribed by Section 18037.5 of the Health and Safety Code. ❑ 1 caddy under penalty of perjury that the foregoing is true and correct and that the loan for the above named defaulting party and the described unit includes the real property tc which the unit is installed upon, and, the Notioes(s) of Default and the Notice(s) of Sale and Distribution of Proceeds from the sale of the described unit have been executed in the manner prescribed by Section 18039.1 of the Health and Safety Code. Executed 3n 0 P V11/2003 at RANCHO CUCAMONGA CA — ---------- ----------------------------- (Dat) I (City) (State) Signature ______ _ TITLINVENTORY CONTROL SPECIALIST .78.1 A Sq f?7^�'r"tl1C RPlant Number Date of Manufacture HUD Label No.(s) f� ? - IFO yo Manufacturer's erialumber and Model Unit Designation PRq -45woq Desi Approval by (D.A.P.I.A.) nn DO -0 This manufactured home is designed to comply with the federal manufactured home construction and safety standards in force at time of manufacture. (For additional information, consult owner's manual.) The factory installed equipment includes: Equipment Manufacturer Model Designation For heating �yvy%cYYr9 n') ICri��%D/fil3r�7 For air cooling For cooking F 1 [s�s03P2/A�L,�I-� Refrigerator �_T[3 k 1 `ice �(� L wt.✓ Water Heater C7�tgA-c li J • S C1!_3o A)l+m AT 9 RO Washer Clothes Dryer Dishwasher _rY �Ts 7 �n�� Garbage Disposal Fireplace HOME CONSTRUCTED FOR Zone I ❑ Zone II ❑ Zone III This home has not been designed for the higher wind pressure and anchoring provisions required for ocean/coastal areas and should not be located within 1500' of the coastline in Wind Zones II and III, unless the home and its anchoring and joundation system have been designed for the increased requirements specified for Exposure D inANS SCE 7-88. This home has_has not_been equipped with storm shutters or other protective coverings for windows and exterior door openings. For homes designed to be located in Wind Zones 11 and III, which have not been provided with shutters or equivalent covering devices, it is strongly recommended that the home be made ready to be equipped with these devices in accordance with the method recommended in manufacturers printed instruction. BASIC WIND ZONE MAP 2Oo HI'yF DESIGN ROOF LOAD ZONE MAP ZONE s 24i ZONE II O ZONE II ZONE III ZONE III North 40 PSF South 20 PSF Middle 30 PSF Other PSF of the federal manufactured me construction ano sarety stu„ - a •-•• within U/0 value zone (See map at bottom) Heating equipment manufacturer and model (See list at left). The above heating equipment has the capacity to maintain an average 70° F temperature in this home at outdoor temperatures of^ F. To maximize furnace operating economy, and to conserve energy, it is recommended that this home be installed where the outdoor winter design temperature (97 1/2%) is not higher than —23 3 degrees Fahrenheit. The above information has been calculated assuming a maximum wind velocity of 15 mph at standard atmospheric pressure. COMFORT COOLING ❑ Air conditioner provided at factory (Alternate 1) Air conditioner manufacturer and model (see list at left). Certified capacity B.T.U./hour in accordance with the appropriate air conditioning and refrigeration institute standards. The central air conditioning system provided in this home has been sized assuring at orientation of the front (hitch end) of the home facing . On this basis thr system is designed to maintain an indoor temperature of 75" F when outdoo temperatures are °F dry bulb and OF wet bulb. The temperature to which this home can be cooled will change depending upon th amount of exposure of the windows of this home to the sun's radiant heat Therefore, th- home's heat gains will vary dependent upon its orientation to the sun and any pernaner shading provided. Information concerning the calculation of cooling loads at variou locations, window exposures and shadings are provided in Chapter 22 of the 1989 editio of the ASHRAE Handbook of Fundamentals. Information necessary to calculate cooling loads at various locations and orientations i rovided in the special comfort cooling information provided with this home. Air conditioner not provided at factory ( Alternate II) The air distribution system of this home is suitable for the installation of central a conditioning. The supply air distribution system installed in this home is sized for a manufactured hom central air conditioning system of up to AS1r300 B.T.U./hr. rated capacity which a certified in accordance with the appropriate air conditioning and refrigeration institu standards, when the air circulators of such air conditioners are rated at 0.3 inch wet column static pressure or greater for the cooling air delivered to the manufactured hon supply air duct system. Information necessary to calculate cooling loads at various locations and orientations provided in the special comfort cooling information provided with this manufactured horr ❑ Air conditioning not recommended (Alternate III) The air distribution system of this home has not been designed in anticipation of its u: with a central air conditioning system. To determine the required capacity of equipment to cool a home efficiently and economical a cooling load (heat gain) calculation is required. The cooling load is dependent on the orien tion, location and the structure of the home. Central air conditioners operate most efficier and provide the greatest comfort when their capacity closely approximates the calculat cooling load. Each home's air conditioner should be sized in accordance with Chapter 22 the American Society of Heating, Refrigerating and Air Conditioning Engineers (ASHRF Handbook of Fundamentals 1989 edition, once the location and orientation are known. INFORMATION PROVIDED BY THE MANUFACTURER NECESSARY TO CALCULATE SENSIBLE HEAT GAIN "U" ,tQr40 ' l5 Walls (without windows and doors)................................................................. "U" D e(J Ceilings and roofs of light color....................................................................... v "U" Ceilings and roofs of dark color....................................................................... "U" 01 f�GJ , Floors............................................................................................................. 0.OlyC Airducts in floor.............................................................................................. "U" 1 010 1: Air ducts in ceiling........................................................................................... "U" 0 . lc Air ducts installed outside the home............................................................... "U" The following are the dud areas in this home: 9 Airducts in floor................................................................................. s, O Air ducts in ceiling s 3 9 Air duds outside the home................................................................ s U/O VALUE ZONE MAP ZONES U- 1 2 3 ED -69S ®Dec -O -Art, Inc. REV. RECORDING REQUESTED BY.- Fidelity Y:Fidelity National Title of California Escrow No. 204318 -JT Title Order No. 00204318 When Recorded Mail Document and Tax Statement To: Mr. and Mrs. Manuel La'Juenesse 3976 Clear Creek Cemetery Road Oroville, CA 95965 1111111111 I llfl I Ill! I III I! 1111 1111 2PJs2� 1--Q�0�39+QJ10 Recorded I REC FEE 10.00 Official Records I TAX 222.20 Co0E f CANDACE J. GRUBBS I ROSEMARY DICKSON i Assistant i Maureen 01:54PM 30 -Jan -2001 I Page 1 of 2 GRANT DEED Z)r"`'` "D""` i nw unc run ncuunucn var Z The undersigned grantor(s) declare(s) Documentary transfer tax Is $222.20 [ X I computed on full value of property conveyed, or [ ) computed on full value less value of liens or encumbrances remaining at time of sale, ( ) Unincorporated Area City of FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Oliver A. Jackson and Olga Jackson, Trustees of The Oliver A. Jackson and Olga Jackson Revocable Living Trust, dated hereby GRANT(S) to Manuel La'Juenesse and Robin La'Juenesse, husband and wife as Joint Tenants the following described real property In the City of County of Butte, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF DATED: January 16, 2001 STATE OF CALIFORNIA COUNTY OF Butte ON January lg , 2001 before me, J. Tunison, Notary personally appeared Oliver A. Jackson and Olea Jackson personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons) whose names) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand fficial al. i Signature FD -213 (Rev 7/96) 4� Oliver A. Jackson and Olga Jackson, Trustees of The Oliver A. Jackson and Olga Jackson Revocable Living Trust, dated 7/11/91 gy: fiver A. Jackso , Trustee Olga !flab cion, Trustee J. TUNISON O COMM. 01734872 �Inn NOTAMPUBLiC•CAUFOR— O U BUTTE COUNT`! MY COMM. EXPIRES SEPT. 18, 2003 MAIL TAX STATEMENTS AS DIRECTED ABOVE GRANT DEED NOTES RESIDENTIAL PERMIT NO. 041-;43-033 05-0109 L , MANUEL RD, OROVILLE,PLOURD D )THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS. ,BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2 STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABELW'S. t -. r SPECIAL CONDITIONS CHECKED BY /SRA' FLOOD CERTIFICATE REQ. FIRE SPRINKLERS;REQ. SPECIAL INSPECTION ITEMS, VERIFY USE PERMIT CONDITIONS .w ;SUB -STANDARD' HOUSING LETTER A Igo qDi r. �• N OFFICE COPY 3,0o� ' Address v GAS Date��/ Meter By— ELECTRIC / /�g Date3r�� Meter By l/ OB FINALED (Date) n Signature V j4. 1•.\ J=OK 0 = Not OK NApplicable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Elec.; Receptacles and Lighting, Distance-GFI 2. Soils; Special MH Support Sketch Elec.; Pool Lighting; 15 Volts-GFI 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ P' L "ft./ P LPG Light Niche 7. Well Clearance & Disconnect 8. Utility Clearance Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line ' 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -`Flex Conriector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy _. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Line v I . MH Test -Demand -Valve CV-lec; MH Test at • H Test ater.ECnd Sewer Connected se Decals #'s with Office Date3:j -h. Card B-1 C Date Card B-1 Date `� Card B-1 Date Card B-1 A rN P . V_ t� X11 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = NotApplicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 62. 15. Access & Ventilation 63. 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr; Vent -Access -Combustion Air Baffle 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 18. Water Pipe; Test & Anchor -Nail Protection Bedroom Exiting 19. D.W.V.; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper - 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door -Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At Insulated Neutral ❑ Yes ❑ No Clearance Looked under Floor ❑ Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Date 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper - 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B 1 Comments at Final: G`//ylrvG ■ Chico - 530.343.8547 Paradise - 530.872.7740 Fax - 530.872.8951 July 23, 2003 Scott Steele, President Reliance Propane Service Inc. 6434 Skyway Paradise, CA 95969 Scott Rutherford, Building Inspection Building Division,. Department of Development Services 7 County Center Drive Oroville, California 95965 a Re: Split stage propane regulation system at 3002 C11 ark Road, Butte Valley 'a Dear Mr. Rutherford: Please accept this letter as our request and reco regulation system at the Manual La Jeunesse's gues stage system is needed to supply the substantial den clothes dryer supplied through a 295 ft. undergroun polyethylene underground piping with a first stage ( regulator at the house. We would prefer to use a sp improved supply and flow, economy of installation, nendation for installation of a split stage propane )use on 3002 Clark Road, Butte Valley. The spllt id of a HVAC system, water heater, a cook stove and )iping run. We are requesting to install 1/2" tribution pressure of 10 psi to the second stage stage system for improved pressure consistency, id reduced potential for regulator freeze-up. Please respond within 7 days to advise us if this?is not acceptable, or with any further questions, comments, or requirements. I'll assume your approval if we don't hear from you otherwise. Thank you, 4 Scott Steele Reliance Propane Service r;p 4� -6 16 9 GD fill -- ,vie' 4.. Is the site currently under permit? ' Yes[ - ] N01*Xq Permit No. 5. Is the site an existing site? Yes[ J Nom (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? 106 Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of thermobilehome site? /00 Amperes. 9. Is.the main service remote from the mobilehome site? YespQ No[ ] If itis, what is the rating? JCQ Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] NoDQ If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes- . 4 ' 11. Type of gas service at mobilehome site: Natural[ ] Propane[>d :None[ ] 12. Size of as pipe at�.the mobilehome site from the meter or tank: inches.: 13. What is the gas pipe length from the meter or tank to the mobilehome?2-qs (ft.). 14. What is the mobilehome-gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION P"a May 1995 8.5 M.H.I. - 2 7yV,43 Mobilehome Manufacturer: 1 f2 �( 9 3 Manufacture Year: If other th dingle wide, furnish Setup Model Number: 7 S'_��7 Width: f�(ft.) Length:(ft.) Tagalong or Exp na do 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 SINGLE WIDE MMTI-WIDE Line 1 Line 1 Line 2 Line 2 .................................. Main Beams Line 2 ............................................................................................... e 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ............................................................................................. Line 2 Line i ..............rLinel ine 5 Tag or Triple ine 4 Line 1 Piers: Size minimum: r IR- i x r NA . Spacing maximum: `` From ends -maximum: 2 ` Line 2 Piers: Size minimum: x b q ]. Spacing maximum: 14 b,` From ends -maximum: ` 6 ` 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: j `�] x []. Each side of openings with width over: Q Line 4 Piers: Size minimum: ( ] x [ ]. Spacing maximum: ` From ends -maximum: ` 0U�eln aqx 3o ;2Y/-.1 ¢ pp r _�9' `q iau S 6b'i n V 8.4 Gf'A J�` 7, A Ai� A$ '7-Ve,� %l 4 9A 21 if R 4 �3' m '7'4 i j-' 3 4!q I 3g 8 ¢ pp r _�9' `q iau S 6b'i n V 8.4 Gf'A J�` BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO50109 B. C. Buuainp rermn u i- io-uv vsr i 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: 02/18/2005 APN: 041-430-033-000 the Business and Professions Code, and my license is in full force and effect. License Class: LicenseNumber:3q3l1 o Site Address: 3002 CLARK RD BTV Date:Z S—"Contractor: �104-2U1BV Map Index: Description: NEW MH NEW SITE PERM FNDN (1352) OWNER -BUILDER DECLARATION 1 hereby affirn 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 aLAJUENESSE Owner: MANUEL &ROBIN permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed staternant that he or she is licensed pursuant to the provisions of 3976 CLEAR CREEK CEMETERY RD the Contractoi's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exemp: therefrom and the basis for the alleged exemption. Any 95965-9199 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: LAJUENESSE MANUEL &ROBIN owner -:)f property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. F however, the building or improvements are sold within one year o, completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and P.ofessions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and vaso contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.): Contractor: PLOURD, MARVIN ❑ I am Exempt under Article 3 of the Business and Professions Code DBA PREMIER BUILDERS 1584 WAGSTAFF Date: Owner: PARADISE, CA 95969 530-872-1096 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: 343173 workers' compensation, as provided for by Section 3700 of the Labo- Code, for the performance of the work for which this permit issied. -e insurance, C'� I ha and will maintain workers' compensation as Architect: requ'red by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insuance carrier and policy number are: Carrier: -"37A—%re CDM ( ( 2 ?& Z. & — Z B 0 Policy #: Total Square Ft: 1352 S.F. eceriify that in the performance of the work for which this permit is Valuation: $87,880.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall fortiwith comply with those provisions. Date: Applicant: WARNING: Failure to- secure workers' compensation coverage is /7 �n a �� 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, in Brest, and attorney's fees. nm C' C, lJt U q// CONSTRUCTION LENDING AGENCY This permit is hereby issued under b applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Res glutio is to do work indicate abo a for which fees have been paid. /` ✓ performance of the work for which this permit is issued (Sec 3097 Civ.)/Adg ^ - - y. Date: 19 Name: PERMIT EXPIRES ON: l Address: Date ❑ I iereby 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. ❑ cttached are copies of the required E.P.A. notification forms. I herety 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 authorze representatives of Butte County to enter upon the above mentioned property for inspection purposes. .AA t W �-� C� LZ Signature: :7. 44a t� A Atex Print Name: Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Buuainp rermn u i- io-uv vsr i I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CI -ICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" 0 OWNER Last Name J__Aroeoesse iA P-Wlf,� RZ01'?_0 first Name M'4 U E, f Address ,-5 7 & � R (:�LZec- ca eTi4my Cityt�LLLS, zip 7,5%ei State DISI( '7 Phone Lic.#3�F3C�3 Fax E-mail State License Number 0 APPLICANT SIGNATURE X For office use on CONTRACTOR Name iA P-Wlf,� RZ01'?_0 Address l S W.4C_ 5 M r_F Z'D, City arzaDts e State e /A_ zip 7,5%ei -Phone a E-mail Lic.#3�F3C�3 Class 13 APPLICANT SIGNATURE X For office use on ARCHITECT/ENGINEER Name City OR001' L Address SRA No City fie State Zp Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use on APPLICANT NAME Name City OR001' L Address SRA No City fie Stat" Zip 9Si6 9 Phone Map Book Page E-mail Planner APPLICANT SIGNATURE X For office use on Zoning City OR001' L Flood Zone SRA No Occ. Carrier 5 � Type Const. Subdivision Name -Nam Map Book Page Lot # Planner Date Approved: PERMIT o5►dld`� BP BIN # LOCATION Prope Address CDPD `� &-n-rz — ��a City OR001' L Cross Street WORKER'S COMPENSATION Policy Number Carrier 5 � If hiring anyone other than ficedie contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY -Nam Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other deE rtme �sts are not refundable. n / (.r} C.j OVER FOR SUBMITTAL REQUIREMENTS K:\FORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 w Amount: /_ Bldg l SRA' Receipt Sheriff f - SMIP DateOther i � �}' b Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 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. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (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. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13—SanitheFnyironmentaLHeealthLDeparfinent_ 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7.27-p4 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: L. C; v �(� n � �� ASSESSOR PARCEL NUMBER �`�� %fir 7_9) Proposed Building Use: _%%')• }�' . �/M F�y1 Counter Technician. _-Q Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA In order to apply. L 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, E Marriage line info, (Floor Plan, @) Tie down or fnd plans, all in du licate. ❑ 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. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 0,0,11. Hazardous Material Form Sanitation and site plan approval from the Environmental Health Department in ❑ Chico to'roville, as applicable.7�tV1 ❑ 16. Other Remaining items needed to issue the permit. (May require additional. plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................. ❑ 18. Agricultural Buffer clr and site plan apr from the AgtCommissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... (� 20. Erosion Control Plan Required........................................................................ Fees as shown on the attached Schedule of Fees Due Sheet ............................. 2. City of Chico Plumbing permit ................................................ .. alifornia Department of Forestry plan approval ❑ paid. Sent b . ............ t��e�clanning approval (A) Use: (B)Parking: (C) Parcel Chec : ❑ 25. Contact Land Development about _ Improvements, - Drainage ......................... �T- -t�' 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ......................................... ..... ......... ............ -V 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ . 36. Deed Restriction......................................................................................... ❑ 37Grant Deed, L7}M.H. Title/Statement of Facts, ❑Letter from Legal Owner, ❑Check to H.C.D. $ ❑ 38 her: ---�' ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: C � j tw_\ A Date: / - I q 1. Index permit application for the above items n r • Plan Check Letter nntrac*t al items required designer, owner, was advised of the ovedata by phone, ❑mail, ❑counter, Date: �designer, owr, as advised of the ab e d a b ❑phone, ❑ mail, ❑ counter, by Date: !'bS Plans reviewed by: Date: Plans approved by: Date : S Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division i LA"Use -ONLY Plot Plan Attached Floor Plan Attached Sent to G.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ��y� � �W u ' �: �(�/rl ��1�� /� �� �/ � �`� Gam✓ Owner Location AP# Plan Approved for: Sewage Disposals Water Supp . Pu lic Private Wel Clearance for dwelling. Other 3 L jam-. Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 ' Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE i BUILDING USE BUILDING PERMIT FEES --Balance Due ..... --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ J&6 - Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 40A 1 7. SRA FIRE INSPECTION ANDPLAN CHECK (paid at Building Division)7 8. WATER TENDER FEES (Battalion $200.00 (paid at Building Division) /� �. A.P.#`� Q 33 DATE RECEIPT # DATE REC. 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building visiorll �. . OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE I— l Z-�c —_ Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Butte County Department ofDeveftment Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile - Building Permit Application Acknowledgment I hereby acknowledge that I am voluntarily applying for a building permit without pre -approval from the Butte County Environmental Health Department. I acknowledge that I have submitted a septic and/or well application to the Butte County Environmental Health Department. I have been informed that the County of Butte has made no determination of whether or not the property on which the proposed development is to be located 'is considered to be a developable lot. Finally, I have been informed that no building permit will be issued without the Environmental Health Department clearance, and understand that compliance with Environmental Health requirements is required prior to clearance. Permittee Name a ' ` A Q-1% W PLOC L Address AP Number m 0 &'6 f C� Permit Number I have read and understand the above acknowledgment: C Signature of Permittee Date �_�`F—OS Acknowledgment form.doc (6/04) Acknowledgment Form Procedure THIS PROCESS IS FOR MOBILE HOMES AND SINGLE FAMILY DWELLINGS ONLY 1. The project must be proposed on a lot created by one of the following: a. A parcel map (TPM) after March 4, 1972. b. A subdivision map (TSM) after July 1, 1949. 2. The project must be fully engineered by a California -licensed architect or engineer (See Submittal Documents). 3. ALL applicable Submittal Documents must be completed and included in submission. 4. A separate, concurrent application for this project is made with the Department of Environmental Health (EH). Applicant is responsible for notifying Development Services in writing should EH subsequently deny clearance. EH WILL PROVIDE AN ENVIRONMENTAL HEALTH CLEARANCE WITH AN APPROVED SITE PLAN TO THE APPLICANT 5. Applicant is required to bring the approved EH site plan to Dept. of Dev. Services. 1 AND WHEN RYCORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 11 -Sep -2003 2003-0063208 Has not been compared with original BUTTE 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, incl-.iding, 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: Dale4? PROPERTY OWNERS: State of California Cornty of /3,,J 4' z On -7- 5-o3 before me,r- personauy appearedRu.vuc- ��. s �, T personally known tome (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(g) is/a#@ subscribed to the within instrument and acknowledged to me that he/fie/ttrey executed the same in his/her/their authorized capacity(ies), and that by his/her/their-signature(s) on the instrument, the person(s�or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signatur Seal: JAMES LAMAR KINSER COMM. #1377185 -03Z p. NOTARY PUBLIC - CALIFOFM BUTTE COUNTY CL M. Cm. Expires Sept 28, 2006 All that real property situated in Section 22, Township 22 North, Range 3 East, M.D.B.& M., Butte County, California, and being a portion of Parcell, as shown on that certain Parcel Map, filed in the Office of the Recorder of the Countj; of Butte, State of California, in Book 53 of Maps, at Page(s) 10 and more particularly described as follows: Begiming the Northwest corner of said Parcel 1, thence South 73° 52' 26" East, a distance of 20.00 feet; thence thence South 75° 47' 59" East a distance of 423.51 feet; thence South 540 36' 16" West a distance of 377.28 feet; thence * 1332 South 33° 10' 19" West a distance of 250.00 feet; thence South 56° 49' 41 " East a distance of . feet; South 330 10' 19" West a distance of 252.11 feet; thence North 190 02' 00" East a distance of 133.22 feet to the begirming. of a 10040.00 foot tangent curve, concave to the West; thence Northerly, along said curve, through a central angle of 020 42' 55" an arc distance of 475.80 feet to the point of beginning. V MRM NATi{1XAL TIME W. RECORDING REQUESTED BY: John J. Rank, Esq. AND WHEN RECORDED MAIL TO: 2007-0033375 Officiiaal RPeords 1 AX . bt FEE % Co-�u4yy of ! IAIMAW FMB t®.E® CoMNMX unty J.4GRl�B9 ! o y C1eNHecarderl. 89.'dw 17441-M 1 �' 1 of 3 John J. Rank, Esq. C: ammey at. Bieu 5951 Almond Street Paradise. Califomia_95969_ TM &am Above ForRerarder:y Use Only A.P.N.: 041-430-033 GRANT DEED THE UNDERSIGNED GRANTOR DECLARES: BUTTE DOCUMENTARY TRANSFER TAX IS: L4 '15 COUNTY ra unincorporated area o City of Paradise Assessor's Parcel No. 041-430-033 JAN 16 2014 ® computed on full value of liens and encumbrances being paid by DEVLLt)PVIENT the grantee. ® bonafide gift from parent to child. (See Notes 1 & 2 below) SERVICES FOR NO CONSIDERATION, GERDA SEAMAN, Trustee of the GERDA SEAMAN 1995 REVOCABLE LIVING TRUST DATED JULY 3,1995, does hereby REMISE, RELEASE AND FOREVER GRANT to STEPHEN ALIEN MATZINGER and CATHERINE JANE MATZINGER, husband and wife, as community property with rights of survivorship, all her right, title and interest in and to the following described real property located in the unincorporated area, County of Butte, State of California SEE EXHIBIT "A" ATTACHED HERETO. Commonly known as 3002 Clark Road, Butte Valley, California 95965 MOTE #1: Conveyance Given for No Value. This is a bonafide gift of the grantor's equity in the subject property and grantor (quitclaimor) received nothing in return for such equity. Thus, the conveyance of the grantor's equity in the subject property is not pursuant to a sale and is exempt pursuant to Revenue and Taxation Code section 11911. Documentary transfer tax is being paid with respect to the amount of liens and encumbrances being paid by the grantee. NOTE #2: Transfer between P nt and Child: This is a conveyance between a parent (mother) and her child and son-in-law (by means of a gift from the mother's revocable living trust), and pursuant to Revenue and Taxation Code Section 63. 1, does W constitute a change in ownership and does W subject the property to reassessment. Executed on July f 2007, at Paradise, California. "Grantor" _.m� GERDA SEAMAN, Trustee MAIL TAX STATEMENTS TO: STEPHEN ALLEN MATZINGER and CATHERINE JANE MATZINGER 3002 Clark Road, Butte Valley, Califomia 95965 We, the undersigned, as the Grantees hereunder, hereby accept the form of title set forth above; to wit: husband and wife as community property with rights of survivorship. CERTIFICATES OF ACKNOWLEDGMENT State of California ) ss County of Butte ) On July 2007, before me, LYNN L. HALVORSEN, Notary Public, personally appeared GERDA SEAMAN, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. my hand and official sea]. v LYNN L. HALVORSEN (ill (0 a� 0OWFO ow BUTTECOMM Expires: October 22, 2008 1c0i"'r1' �Z008 State of California ) County ofAz- ) + On July 2007, before me,x(otary Public, personally appeared STEP. ALLEN MATZINGER an Cd ATHERINE JANE MATZING personally known to me pp � 1� Y (or proved to me on the basis of satisfactory evidence) to be the persons whose names are subscribed to the within instrument and acknowledged to me that they executed the satire in their authorized capacities, and that by their signatures on the instrument the persons, or the entity on behalf of which the persons acted, executed the instrurnent. W S my hand and official seal. NOT Y PUBLIC My mmission Expires: 2 =SLYNNL.f4SENm, a�Y2, 2009 EXHIBIT "A" ALL THAT REAL PROPERTY SITUATED IN SECTION 22, TOWNSHIP 22 NORTH, RANGE 3 EAST, M. D. B. & M., BUTTE COUNTY, CALIFORNIA, AND BEING A PORTION OF PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 53 OF MAPS, AT PAGE(S) 10 AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING THE NORTHWEST CORNER OF SAID PARCEL 1, THENCE SOUTH 73° 52-2 * 6" EAST, A DISTANCE OF 20.00 FEET; THENCE SOUTH 75° 47'59" EAST A DISTANCE OF 23.51 FEET; THENCE SOUTH 54° 36'16" WEST A DISTANCE OF 371.28 FEET; THENCE SOUTH 330 10119" WEST A DISTANCE OF 250.00 FEET; THENCE SOUTH 56° 49'41" EAST A DISTANCE OF 130.00 FEET; THENCE SOUTH 33° 10'19" WEST A DISTANCE OF 252.11 FEET; THENCE NORTH 190 02'00" EAST A DISTANCE OF 133.22 FEET TO THE BEGINNING OF A 10040.00 FOOT TANGENT CURVE, CONCAVE TO THE WEST; THENCE NORTHERLY, ,ALONG SAID CURVE, THROUGH A CENTRAL ANGLE OF 020 421550 AN ARC DISTANCE OF 475.80 FEET TO THE POINT OF BEGINNING. Assessor Parcel Number: 041430-033 3 Escrow No.: 14 -228493 -LG Locate No.: CAFNT0958-0958-0002-0000228493 Title No.: 14 -228493 -GH EXHIBIT °"A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: ALLTHAT REAL PROPERTY SITUATED IN SECTION 22, TOWNSHIP 22 NORTH, RANGE 3 EAST, M.D.B.& M., BUTTE COUNTY, CALIFORNIA, AND BEING A PORTION OF PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 53 OF MAPS, AT PAGE(S) 10 AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING THE NORTHWEST CORNER OF SAID PARCEL 1, THENCE SOUTH 73 DEGREES 52'26" EAST, A DISTANCE OF 20.00 FEET, THENCE SOUTH' 75 DEGREES 47' 59" EAST A DISTANCE OF 423.51 FEET; THENCE SOUTH 54 DEGREES 36' 16" WEST A DISTANCE OF 377.28 FEET; THENCE SOUTH 33 DEGREES 10' 19" WEST A DISTANCE OF 250.00 FEET; THENCE SOUTH 56 DEGREES 49'41" EAST A DISTANCE OF 130.00 FEET; THENCE SOUTH 33 DEGREES 10' 19" WEST A DISTANCE OF 130.00 FEET; THENCE NORTH 56 DEGREES 4941" WEST A DISTANCE OF 252.11 FEET; THENCE NORTH 19 DEGREES 02'00" EAST A DISTANCE OF 133.22 FEET TO THE BEGINNING OF A 10040.00 FOOT TANGENT CURVE, CONCAVE TO THE WEST; THENCE NORTHERLY, ALONG SAID CURVE, THROUGH A CENTRAL ANGLE OF '02 DEGREES 42' 55" AN ARC DISTANCE OF 475.80 FEET TO THE POINT OF BEGINNING. APN: 041-430-033-000 f Exhibit Page - Legal(exhlbit)(08-07) BUTTE COUNTY JAN 16 2014 DEVELOPMENT SERVICES m BUTTE COUNTY JAN 16 2014 DEVELOPMENT SERVICES I S.1 /2 SEC. 22, .21 N R. 3E M. D. B. &M. 41-43 F- l ` Rg 1'=400 S3 �o a C40.e z a .ra SURVEYOR'S CERTIFICATE ! r 5T3 sz z6 20.0 ;- This map was prepared by me or under my direction and was compiled from cor data and s based a field survey in cnformances with req&ements of. the.Subd_ivis_ion Map Act at the request of I j j gyrr��a t -' - ---- - - - on .. 70- 19.75. 1hereby certify that-It conforms to ttte ! SS3.s, p %+ i'` oppro tentative map and the conditions of approval ther,aaf; '^ 0 R- 11041 ; that all provisions of applicable state loco and local-ordinances, i S05•'12 II•w I 9nS^fY:I-W ,. nd o Y c �, hov I plied with 129.ae ' A- 0_ 235• 133.24 : K:'rz5p —.._ L: 475.6fi Ca: ro.o to°�ezi _--------•- � PA R L E L 1 i n•a)•39'z9'J ,•j Yal•.• Ilaug),n°:+4.o)2Os .ecz"__ __.:_ \/i,jf�/',� ,! '-•� 7.072 4ca a'T°rorar '«.R�r1.0_0 d-�.0_� ok``..l1T29i°5439.044Si...••._ i^ Y .'� +.�..�-r'eju cF, r ':t_C% Is. NOo ~ qu* __. o. R. ROPER 10927 R.C.E. 11 55 a ,., /F Ur CAU2CQ•• L-1 9004 5554 /R=755.0 o .2i COU SURVEYOR'S CERTIFICATE 30" iln 6 '- L=60.97 L= 2iS.56 _ 4owa L_.._. This map has been examined thisl� ,G,day of— • % i ?• N'a6B91Z'w. Imo}- 19.7.1.rr, for conformance with the requirements of Sectl6ri 66445 _ of the Government Code. M ! .go) s°• f CL AY�IGASTlEBER Y R.G.E. 14224 County Surveyor PARCEL 2 RECORDER'S CERTIFICATE !:iron Filed for record this�.Lday of_ _ __ f9_Z,•f 62.229 at. l I _ !lF at .L1_S_o.1i,m._in BooR_13 of" of page--k-L. of the request of—QC lJl E ' TERTER--- i'Ogro d my ecor er / '? • o oa$ Serial NO.Deputy � / �',+'' • , 206' %! j "•' -- /'- 0I.Eir E The Basis of Bearing for this survey is the 399.78 foot rr% N89-49V 0Y'w et31a K"(' course, estobished between twc fountl Iron Pipe and marked L.___300'61 < 10? e `%""r", LS. 2843,os S 57'3834" W, File in Bk 1597 O.R. Pg 249 Kea-aa'or"a _"..._.......� ..... .... / zzr :oral of �• - 9891 an- ty 1346.e4 (Meas.l' Sol Concrete Monument 9 Tag marked R.C.E 11553 sen°ori $z"w :ac),Ia Innen; showp thus. Seta Iron pipe BTog marked R.C.E. 11553 shown ttwe - �: ` oo Found Iron pipe shown tho -'— v gjm a4.O.E E. tanaway fad Miargar.t L. Oaeery, hafbaad and •ife, x pN as Joint tenant m inners of Lb. land of shown hcreao, do "ib Po,::.:-.Ja•: <.7..•. - o r_, boraby ovtiff that coo re the onxy P-3 whose consent Is j-•L�.._.e aim T _ _.._._- ,n �I r U, 1 199.49 07' W` to ;r pe ePasstto algin titecor4 ton of land and ae bareby "thin to the calmed b=dao and recordation of said my ea sho.n wi thta [M colored b¢dat Haat.PARCEL MAP ` 0. E.� at 4 Weniwniwy :.. rz A I F 2 ` •'; ;»°�� •- • PORTON 0 SECTION 2 T 21 N R 3 E M or,K•r a_ 15 1tlI. D. a M. BUTTE COUNTY, CALIFORNIA _ xna, �.� ..... -- PARCEL MAP! i ef.e 5°4i�. o° - g _ _ _ tp1l Dr. 0. E. Dunaway °�'0 :D D. ra,«:rr ler O tf�'4•� I • \ ori. I.... ,. > a 4 m •."+,d_...e•..«r.!___OdJ! ' C �- A.°o ee „e e.°,.,.. -...•°Ks a ,. .. 21 �• 23 D. R. ROPER f� `-wl94i _. I "d N"-•,' gip _ sURV4*VOR6 i. 4 mn+u .. wE...�•ede----•« a /j,_.kly JOYCE I L a DUMe4OSKi I ENa orae as A6 DETAIL A' fore .Ia.•,rt ._ _y,-4.6(Dw--c „ - ax,ae�1 ' fcele I". 30.a' Op• _ m,.v+r :. wrt;,'"' i •,P I _ �j ....... .. e. oo. nes _••,eu. c.ur. n,re u... 1__4em6tof�);_ �a�" — ---- - -- -?; -�- R1 ITTE_ --- Pe .lrr«a..K."a LOCATION .-_.. .,... COUNTY JAN 16 2014 DEVELOPMENT I SERVICES ov O -P D'24 4130- 0"70/03 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 —TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. AgriculturF-1 building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNER PHON 0 OWNER'S AD T,7, e 0 LOCATION OF BUILDING n1n I, USE OF BUILDING SIZE OF STRUCTURE , TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF CO E NG F OR TYPE ESTIMATED COST OF CONSTRUCTION $ 6�ls d -6A AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: S�.r 20 FRONT SIDES REAR AG Build°ngs shall be a minimum of five (5) feet from any septic tank or leach fields. AG Build ngs less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehcme, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building isde will conta a ilding Division and obtain any necessary permits, inspections, and approvals to comply with t r�_ei rements a that time efore occupancy. ,, Date " 6� 6-� Permit Fee - $60.000� Receipt No.3'7L1232 Signature of Owners The above described Manager Building By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant irfg is exempt it. Date 4 6� O�QPRTMENT ac ° 6vTrF I 0 I �i,. 0 ,' o o < 1 0 - c °A L@L/C ,�W Department Public Works Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538.7266 (FAX) 538-7111 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN 1 ACREI Project Description: 7- A- t.._L A -to 13 64-6 G-- 0` Project Location and/or Parcel Number: 7) C -D d 2 0 -1—A -1z -lc Rb , ,m 4c t -- -- a o 0 3-5 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: Title: C°® Date: Less than I Acre NPDES & SWPpp Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 t BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ` (One form per Building) School District .__� Y� Building Department No. • A.P Number V�J/ Jurisdiction:City County Property Owner Property-Location/Address(J� ,c4. r.• Subdivision ' Lot No. Residential Development � � © Sq. Footage No of Living Mob'Ye Home Addition (Group R) y �. Units Installation Commercial/Industrial Sq. Footage 1 New Addition (Including Exterior Roofed Areas) .Pro L• Building Department Repre`e tative r Date r 1 (Floor Plans reviewed by School District Personnel) District Identification No. (mss (J/(//`/L % School District certifies that '? + (Applicant) CLrzk (Street Address) (Phone Number) (City) (State) (Zip Code) has complied. with the requirements of Resolution No. by payment of $ /} a representing /-j % 3 square feet. B 2926 $ LL MITIGATION $ School District Representative Date Paid by Check # Remarks:/� 5�" j� M D%3,,L,!�7 Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the0School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is ` notified'by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school'district) feeform.xls (2/97)dmm Ott I —430 _ ar3 —_ A7C/ ■ AA // =C G1.1/�l/rVG Chico - 530.343.8547 Paradise - 530.872.7740 Fax - 530.872.8951 July 23, 2003 Scott Steele, President Reliance Propane Service Inc. 6434 Skyway Paradise, CA 95969 Scott Rutherford, Building Inspection Building Division, Department of Development Services 7 County Center Drive Oroville, California 95965 Re: Split stage propane regulation system at 3002 Clark Road, Butte Valley Dear Mr. Rutherford: Please accept this letter as our request and recommendation for installation of a split stage propane regulation system at the Manual La Jeunesse's guesthouse on 3002 Clark Road, Butte Valley. The spllt stage system is needed to supply the substantial demand of a HVAC system, water heater, a cook stove and clothes dryer supplied through a 295 ft. underground piping run. We are requesting to install''/:" polyethylene underground piping with a first stage distribution pressure of 10 psi to the second stage regulator at the house. We would prefer to use a split stage system for improved pressure consistency, improved supply and flow, economy of installation, and reduced potential for regulator freeze-up. Please respond within 7 days to advise us if this is not acceptable, or with any further questions, comments, or requirements. I'll assume your approval if we don't hear from you otherwise. Thank you, Scott Steele Reliance Propane Service o5—or67 i 4TA1 HEALTH JAN 2 4 7 COUNTY C0 DRIVE Butte 3))a A kk aorrg aq 0. r— I COM- I I 75-W-27 'Lit PrInt / Elev Monday, October 12, 1998 9:4w*AM PR I :10OR 01, Iwo -mmlj� mmi� L ModoL 75-W-27 52!-011 x 26',43P-3152 Sdluam FeetW AcuW floor Size 00- 0 G 14, 9-4 UT Wr / 4658 3058 3051 30593058 TWO- Mwtcr fgmdly —?-WM 16. bath t 7.. Master bath', WUM Roam 4659 13-4' 469 46W 30 q 3058 i 4TA1 HEALTH JAN 2 4 7 COUNTY C0 DRIVE Butte 3))a A kk aorrg aq 0. r— I COM- I I a, ro I :10OR 01, Iwo -mmlj� mmi� L -5taMardtleva'tion Elevation W/ Entry Porrner vr o nio ol." n a'l F p L 1, County C V P, Oro iii Elevation W/ 17' Double Set Back Dormer F, igna u I 0a %W kManjufaZurirng Company E)(PERIENCE 0 QUALITY .VALDE o� L43 f'Rias i STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCYti, TPF DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM M ...�� BILL OF SALE SECTION I. DESCRIPTION OF UNIT 'This unit is a (check one): X� Manufactured Home/Mobilehome Commercial Coach 11 Floating Home Truck Camper The Decal (License) No. (s) of the unit is: i f KIT The Trade Name of the unit is: The Serial No. (s) of the unit is: _ KM1R997SW273744A/B .SECTION II. STATEMENT OF FACTS For the sum of -rW -e V1+, rcx.tr-�, 0"Sc-od dollars ($_241 o _) and/or other valuable consideration in the 170- amount of , the receipt of which is hereby acknowledged, I/we did sell, transfer and deliver to NIRIT PEER . Buyer on the 11TH day of JUNE 20 2003 my/our right title and interest in and to the above - .described unit. SECTION III: SELLER'S CERTIFICATION I/We certifyunder penalty of perjury under the laws of the State of California that the following is true and correct: (1)1/we are the lawful owners) of the unit, and (2) I/we have the right to sell it, and (3) I/we guarantee and will defend the title to the unit against the claims and demands of any and all persons arising prior to this date and (4) the unit is free of at( liens and encumbrances, except for the lienho(der shown below*, whose lien presently exists and has not been paid. Executed on. 06/11/2003 1 Date at RANCHO CUCAMONGA City .Signature of Setter CO SSEC0 FINANCE SERV. CORP. Date -x--17 . r CA State :Signature of Setter Date 06/11/2003 'SECTION IV. LIENHOLDER'S INFORMATION ti NOTE: The space below is NOT for liens created by the buyer in this transaction. "Lienholder Address Strut Addres or P.O. Bar MCD 475A (11/00) City State Zip Code SITE PLAN REVIEW APPLICATION Date: /�a$ �S AP# _y 3Q 033 Permit Number (if applicable) O S ^61 Q APPLICANT INFORMATION Q Parcel Size: Owners Name: ' 'J �" S�-c Owners Address: cl02 71 &,/ n � c4 -' Telephone No.: a -t Situs Address: 200a Proposed Use: Residential ❑ New Single Family Residential Single Family Addition ❑ Single Family Remodel Mobile Home ,�i(/i�vr� /4kc� ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt _Minnie) Temporary,�,T-ravel Traile� _. kq yt.` ❑° Muiti-fanuly Non-residential _ ❑ _New ComnercaT- = — --- ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) IN Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved* By Date- �o Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X _ r/ • Flood Panel No.: 0400 05YO G 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 (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit E] Minor Variance ❑ Administrative Permit ❑ Variance ----------------------------------------------------------- - �a DDetached Building Use Form ❑ Encroachment -Permit t ❑ : Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement _ .Zoning: Applicable Building Setbacks: Front Zoning Code 0 , Streets & Highways Fire Prevention Subdivision Map Side �U , 301 Side Street Rear /(Y 3 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: fl Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By. Deeds: Date -of Creation: Legal Access Provided: ❑ No Yes Deed of Reference: S .Z Legal Access -Required No� ,❑,,yes Parcel Frontage on Publicly Maintained Road: ❑ No a Yes, Road Name: Complies with County Stl)xds for Deed Creation:❑ No ❑ Yes Comments: L L • ft 11 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 ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and, fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California.Clean Air Act of 1988, as;amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Depai-tinent of Public Works. ❑ In lieu of a pressurized water +system ,orwater . storage tank, payment into the appropriate Battalion Water TenderFund maybe required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa INK Page 4 of 5 n 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541`1;3 �1 I o (Aev.42/96) APPLICATION AND PERMIT -- �`,/% ASSESSOR PARCEL NUMBER 041-430-033 ZONING AR 21/2 BUILDING PERMIT OWNER MMM S. LA JEUNESSE JR TELEPHONE 892-9305 SQ, FT, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 3976 CLEAR CREEK CEIETARY ROAD OROVILLE CONTRACTOR'S NAMETELEPHONE MANUEL S LA JEUNESSE JR 892-9305 CONTRACTORS MAILING ADDRESS 3976 CLEAR CREEK MECARY RD, OROVILLE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 23.00 Plan Checking Fee $ BUILDING ADDRESS 3002 ICTARK RD, OROVITIF Energy Plan Checking Fee $ DEED 93-05424 2-8-93 PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME 111 -in IUSEOFSTRUCTURE PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 3.86 AC SF ❑ Duplex ❑ Mobilehome 0C Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities 9 Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200, OR LESS 23.0093-00 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 herebyIrm under ena of er u that I am exam t from the Contractors License P hY P 1 rY P Law f9r,1hegyfollowing reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 1000A 46.00 NEW CONST. DWELLING OCCUR OR corer. ( a ACC. &Ds' SO 3.5¢FT: NON - RESID. MULTI -OUTLET @7,50 POWER APPARATUS & SINGLE OUTLET CIR. TU Ex. Occup. OUTLET OR FIXTURES) 20 ��':� EX. OCCU FIXED APPWS. OR ouTLETs REslo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Policy Number one hundred dollars ($100) or less.) C�' above sections need not be completed if the permit is for work of a valuation I certify that in the performance of the work for which this permit is issued, I shall not ploy any person in any manner so as to become subject to workers' co nsation laws o a' ornia, and agree that if I should become subject to the wor a s' co ens rovisions ection 3700 of the Labor Code, I shall fo ith c p th provis' ns. AZAof X Date_ Signatu of Ap lice - ❑ wn r ❑ C r ctor ❑ Ag An OSH permit is squired f r ex vations ver 5'0" deep and demolition or construction of structu s over 3 stories in ht. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TO AL FEE $ 126.2 HAz _ .D CDF EL HD SUE This permit is here issued under the Butte Cour Code and/or indi a for whiQh fees have �,�/� By 4 — v PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. S Dattee � ~'a ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 11 a`5 � COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION *4,e7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 ti L PERMIT APPLICATION DATA SHEET OV4VER � � ASSESSOR PARCEL NUMBER 0 �I • � �J ` V 'Proposed Building Use: ti 2A, t Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to pply. , Z.,1. -Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑'44. Engineered truss details and layouts in duplicate. No faxes! e1 , W4 Energy compliance design and supporting documentation in duplicate. 3. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie clow fnd plans, all in duplicate. 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. r plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and, returned to the plan.review, line-up when required items are received. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate.. ❑ 9. Site plan and business license approval from the City of Biggs...... 0a,10. Letter of intent for non-residential buildings ............................... ❑1. Detached Accessory Building Form filled out by the owner........ -,12. Hazardous Material Form ...................................................... FireSprinklers .................................... ................................. Agricultural Buffer clr and site plan apr from the Ag Commissioner 15. Other 1 A A l l t Date Received Sent by 0+1," Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 0-16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... t291.* 1 Statem t of Intent for Non heated and A/C Buildings ................................... Sanitatlecn and site plan approval from the Environmental Health Department inG CSV .l 1. ityof Ch'ic0lumbing permit.............................................................. ` California Department of Forestry plan approval ❑ paid. Sent by: .... :. Planning approval for (A) Use: 0 K (B)Parking: (C) Parcel Check: . 01-12—c ❑ 22. Contact Land Development about ❑ Improvements, '❑ Drainage ............. I................. ❑ 23. NPDES Form............................................................................................. AA,24. Encroachment Permit for driveway from the Public Works Dept ................................. ' ❑. 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification)..,:..... .1 ............... 0,,27. Worker's Compensation Carrier and Policy Number, umber..........................:..:.............. 0; 28. Owner -Builder Verification (El Given to owner, ' ❑ Mailed to owner) ..................... ❑,P Letter of Signature authorization ....................... ................................................ 0. Recorded copy of Agricultural Acknowledgment Statement .................................... '❑ 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33.� Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, O Check to H.C.D. $ ❑ 34. Other: When issued Telephone and hold for pickup. By I have been injbrrned of the abpq items and requirements for obtaining a building permit. 1. Index perm application for the above 'tem numbered: l\ .W _I -Plan Check Letter 2. Additional it ms required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ coun r b Date: Plans reviewed by: C Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: `�" 7 Lo 0 ....- Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 .i SCHEDULE OF RECEIPT OF FEES OWNER A.P. # PROPROSED'BUILDING USE U DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ J. 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available' after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ f Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. a 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 11 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 0—e-17". SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) I r 8. WATER TENDER FEES BATTALION # $200.00 (paid, at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ .0 Zone # Units Amt. Commercial (sq. ftg.) ......... Sq. Ftg. 10. OTHER At time of permit applica , I was advised tg may be changed during lan che.6lyingp o APPLICANT X =$ Amt. fees Pursuant to Government lo ( de Section 66020, you are (eby notified that i have 90 days from the da of approval of the project or from the imposition protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner to be paid prior to issuance of the permit. These fees DATE 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You above mentioned items during which you may protest. The requirements for a (rev. 2/2003) P7OFBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION unty Center Drive ! Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC APPLICATIONAND PERMIT 1 7,/ --- nl DRP--EL-YBFR 1 C, 5 ZDH1NO BUILDING PERMIT SQ. FT. OCC. BUILDING VALUATION NO ADDRMI Rx N�� f'� TELEPHONE G 13QSf DN S W61HD Qe7/r- v /j-+�/C.� 0 DISTRUCiION LENDER Fireplace Total YaluaUon S RdHBECT �E "O' F6n Fee $ 2D.00 Permit Fee S j4CWM T'OR ENDDIEUM MQU14 ADDRESS Plan Checkin Fee & 3 Energy Plan Checking Fee S s cm -0 _j i PERMIT FEE s 3 DT AD. -•-------._....._._ rLl"IMm'S NAUE _-------- -�-'�. ��Q------------- PARCEL IMP PLUMBING PERMIT Fling Fee 20.00 Each Trap-- ---7:00 ----- 2L -I USEOFSTRUCTURE 3 j �b A23.00 ,-F ❑ Duplex C+ Mbbpehome Other 6ps=Fy Solar or haat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addifior. ❑ Remodel,13 L06es grinsfaratiion ❑ Other ❑ Describe Work_ Gas piping sptam* 1 - 5 outlets t 5.00 Building sewer 15.00 Mobile Home I S G I W @20.00 �O PERMIT FEE S B �% ELECTRICAL PERMIT Firing Fee 1 20.00 Main Service OR tEss 23.00 Z'�> pp�� !� / �n D D 6 V l✓ / C Q �� b V _', 1 /V► `' ` S �� C ,Vh ton S�tr O � 11111111111111110 "077 AwwwAUcj6,V4td — Main Servide aoo► To in" 46.001 o. OR AD�oRL ' ( D+A A=.LLM LDLDOC3.5CFT. NOfPUNS]. mo"T Ou'La @7.50 OX POMTE7i MPAR4TIS s sTNmF ouTLFT em OVnEf OR FWMVM S +'� 6c. Occup. BOL. EFD=APPLNS.OR X. �CCu S.DD Dur—M m. EA Temporary Service 23.00 Moble Home Facilities 20.00 W=. Wiring 23.DD PERMIT FEE MECHANICAL PERMIT Firing Fee 201.00 Heating Cooling Hood Ventilation PERMIT FEt S Mobile Home Installation Fee S Energy Inspection Fee s �` `DST' TM� TOTAL FEES MF.Z. ES IAtP� CD F PAPIC I HDIi WJE NkK` m"b�V4nbe. corr.PH�cY 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 iJelo) v .4 SITE PLAN REVIEW APPLICATION d Date: AN. ® Ll 1— Permit Number (if applicable) C Z 2 �� 2- Bin Number • APPLICANT INFORMATION Parcel Size: 3 + Owners Name: L; V �' N E _<6& Owners Address: �_ 7 So G L_G_4Q C 2L- G I_ C� 1 FfZX g �,�30 Telephone No.: �2_ Situs Address: SD0 Z • Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ® 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 (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ® Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By Date 12— Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: • ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: 0SSO Q-, 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 (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 2 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. - ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 • C Zoning Code Streets & Highways Fire Prevention Subdivision Map Front L Side O G Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. - ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 • C r Applicable Development Fees: Standard Fees ❑ • ❑ Fire School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ . Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount Formula * Check with school district to verify. actual fee if pre -application review. A final determination will be made at the time of the building permit. • Parcel Created By N Deeds: c: Date of Creation: 2-- (� `� Legal Access Provided: ❑ No ® Yes Deed of Reference: 4i-C�� �-I 2�1 Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No 0 Yes, Road Name: G Lta 9_*�_ OZ > _ Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ® Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 El Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Book: Page: • Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan• must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. K Page 4of5 • . BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension. is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name: S E Phone: Mailing Address: E -Mail address Assessor's Parcel Number: C 't ( - 43 V - d;,35 Reason you believe you qualify for the unusual circumstances exception: Owner or Authorized Agent's signature Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ................................................................................................................................................... Internal Dept. ContactIn o: ❑ Env. Health Planning ❑ Building ❑ Other Contact Person: Phone: FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING ......................................................................................................................................................................................... For Agricultural Commissioner office use only: (to be completed after submittal) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) Exception Recommended' ❑ Exception Granted with the Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: PZUcg_L Snc U,-�( V_ I+- 1 -L itA- L_ V4,46, Agricultural Department. Signature: Date: D tz o C 7/1/03 O.B.- OWNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete. and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit' will be issued until this verification is received. I personally plan to provide the 'or labor and materials for construction of the proposed posed (3property improvement :YES NO ❑ I HAVE ❑ HAVE NOT ❑ signed an application for a building Permit for the proposed wo rk 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: CONTRACTOR'S LICENSE NO. 5.. I 01 provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK PROPERTYO DATE:/ NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before .we are permitted to issue the permit OVER OWNER BUII.DER INTORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of time following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ . There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Intemal Revenue Service (and, ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete time "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, lvlic 1 C. Vi ira, C.B.O. er, Building Inspection NOTE: his Owner -Builder InfornuWon is required by Section 19830 of the California Health attd Safety Code. OVER M.H.L— 2 Mobilehome Manufacturer- Z q9 W -114/Z -Manufacture Year: 'If other th single wide, furnish Setup Model Number- 757 Lj 27 Width: ? 6(ft.) Length- (fi.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[ ] Other: Provide 'Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ................................................................................................ Main Beams Line 2 ine 2 Line 1 Line 3 Line 2 ..................... :............................................. :.................. .......... Main Beams Line 2 ................................................................................................ Line i .............................................. kine S Tag or Triple ine 4 ine 1 Line 1 Piers: ' Size minimum: r �N- i x r rA . Spacing maximum: ` From ends -maximum: 2 ` Line 1 Openings Size minimum: [ `�] x []. Each side of openings with width over: O ` Line 2 Piers: Line 4 Piers: Size minimum: [ 01 ] x Size minimum: [ ] x [ J. Spacing maximum: 1 4 Spacing maximum: ` From ends -maximum: ` 6 From ends=maximum: ` Line 3 Roof Loads: Xan ay Y, 30 ,;Z2Y�Xc b Size minimum -w4-(2-4 101,x` z Ai A� ' -N 2� 1k 49& -kif � 15&il Location (from front): f 5 7� 1o, Q 0' 17 4 9& ® 'Xlf .1 �� 3 6 qI 39 8 Line 5 Roof Loads: Size minimum: Location (from front): SAL D Cr i - �ILC3��a "�=P��TIVi May 1995 r !� 8.4 M.H.I.-2 2. Assessor's Parcel Number:' G J " 3. Installer's Name:, � Z'1:S Agoye- 4. Is the site currently under permit? Yes[ ) No� Permit No. 5. Is the site an existing site? Yes[ ) Nop�, (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? LO Amperes. 7. What is the mobilehome site circuit breaker rating? 10d Amperes. 8. What is the electrical rating of the mobilehome site? /DG Amperes. 9. Is the main service remote from the mobilehome site? YespQ No[ ] If it is, what is the rating?Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ) No If yes, please identify the load and size:' a) The mobile home site: Load- Amperes - b) The main service:. Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[>j 'None[ 12. Size of as pipe at the mobilehome site from the meter or tank: inches. h 13. What is the gas pipe length from the meter or tank to the mobilehome?2gL(ft.). 14. What is the mobilehome gas demand? B.T.U. * *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIRE OF THIS FORM MUST BE COMPLETED IN ORDER TO i F PROCESS THIS PERMIT APPLICATION 4UiLDING DEPAR TI'�E, � . ., . 4PPRO��� May 1995 _ - --- 8.5 1 Ifn n ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF ab FT. FROM THE SIDE AHD , ROM THE REAR PROPERTY LINES AN E S'l ROAD CE! I I Li� E, -HALU. at OF -r-STRUC T URE -s AND EQUWMZ�NT COR A 2 FT- EAVE OVERNGS 09, a pprovai-� ias, I RY, v -i-ppio ed cc' rd't:cns 5k Date utrHrcimu-41 �1 __.._.._.... . DIVISION OF CODES AND STANDARDS YJ000i REGISTRATION AND TITLING PROGRAM q BILL OF SALE SECTION I. DESCRIPTION OF UNIT •��� This unit is a (check one): D9Manufactured Home/Mobilehome ElCommercial Coach The Decal (License) No.(s) of the unit is: The Trade Name of the unit is: ElFloating Home ❑ Truck Camper The Serial No. (s) of the unit is: amount of — dollar c 001 ) and/cr other valuable consideration in the the receipt of which -is hereby acknowledged, 1/we did sell, transfer and deliv( 1 to i v )fin ay` Cil i��-�-c- Buyer on the ` day of , 20 �_, my/our right title and interest in and to the above described unit. SECTION III. SELLER'S CERTIFICATION I/We certify under penalty of perjury under the laws of the State of California that the following is true and correct: (1)1/we are tl lawful owner(s) of the unit, and (2) 1/we have the right to sell it, and (3) 1/we guarantee and will defend the title to the unit again the claims and demands of any and all persons arising prior to this date and (4) the unit is free of all liens and encum prances, exce, for the lienholder shown below', whose lien presently exists and has not: been paid. Executed on (�, lZ� U at /) �''j Dop Cih/ Signature of Date Signature of Seller Date SECTION IV. LIENHOLDER'S INFORMATION NOTE: The space below is NOT for liens created by the buyer in this transaction. 'Lienholder Address Street Address or P.O. Box HCD475.1 (11/00) City State Zip Code OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opporhinity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. i I personally plan to providethe jor labor and materials for construction of the proposed property improvement : YES NO ❑ I HAVE ❑ HAVE NOT ❑ signed an application for a building permit for the proposed work. I have con with the olio g erso (firm) to provide the prop9sed construction: SAME' t/ i�S `� �-- � . LK1:Ja: CITY: HONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: DRESS: CITY �u1vE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK PROPERTYO V NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner. az. --i - - An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their �w s work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic 1 C. Vi ira, C.B.O. er, Building Inspection NOTE. This Owner-Buflder Information is required by Section 19830 of the California Health and Safety Code �A t PROJECT PROCESSING RECORD Applicant: C(, Owner: A.P. M j p —© 3 3 Work Description: Description of Step or Status Date Lt --Y - 5 L11k rK i Ffeld, Permit #: NAME ADDREE %W- 9 BUTTE COUNTY os �G53 E:sseo,00 PLEASE POST THIS IDENTIFICATION CARD IN A CONSPICUOUS PLACE AND VISIBLE FROM THE ROAD 12/2/90 A.P.N.OS(I004/34000'D 5 � E.8. USE ONLY r Plot Pian Artschod / 2 moos Man AtiAphat 05 Sant to S.D. r Q2_ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance r �A like n Owner' Location AP# Plan Approved for: Sewage Disposa`1 - 1Water Supply: Puolic Private Well Clearance for dwelling. Hold final for: Final: clearance O.K. for: NOTE: Other Environmental Health Specialist 8/96 Date Ni I IT -04. rU_Q'Ir_0 WIV. r cLA•L4jj—,m t -4 jW1 Iz 75-W-27-Ut Print / Elev Monday, October 12, 1998 9:4.4M V Iqq 74 Modak 76-W-27 52-011 x 26 -W -3B2 S4uam FwtI397 Actual l9wr Sim 00. Cs 'pal 9-6 fT WIT -I 4655 30583058 9059906990599069r Itsie TWO - 4 fm!lI,__F_0m__ Bath Master Dath co j 't It3 Mast � ed LIVDV KOOM Mom - 46W 4658 4658 3059 3059 V_& 64" 544" APPROVED Butte County Fovironmental 14ffalth A 44" iiloo 'I IT 11 1: Standard Elevation jimmonfa'Malth SFP n. ?. no C I aunty enter Uve Orovifille, Ca - Ij N lill1i i1i.11[ Uw i I Elevation W/ 17 Potidc SevDack Dormer �l ®a1 C�c�k• :� TME3 ILDING�D.F..�M C I co4m1 Sigport Lacatla5 Nay a}teatbire dorsa to this two. '� - 9bdc_Nq locatiatj arL dairGfOed.dowt.tAmerierrlago Drawtg �� SU -1O37 :' (Kcctnestu by daaier or trolire owner) = Marriage wall bcatbns ow with a W0&kN tag d': palm mark. Pow bcatbs .101. � 41'6" Gas Inlet 42411/4' Water INet 26'-0" Cnin Outlet .tlie arrnpi.i�llr�te�lpn.4t115bfpklr la�oiit Refer tog manual for 5ianda c! lel^5 s!rwtd 6t`clirtdwtti this:clra�gingad.lf.a taA', .. . aM p m956g e6ft 6h*M ba arJ a to irictd ttn locavm irrrst be aAowed for ac tlmeof s tns! re4uired. in addition.to those shown below., down ai thig etaw.1% '13-101/4" 1 36'-9 3/4" 24'-P' �j �/ 10'-1 S/4° I beam a Pier B Only! .. 1 I Plan er6.jxt to h out notL-- � C� La ' 52'-0r' • .. � U' � It U2° Electrical bile t C I Loads At Column Support Locatlom ■ 3C 1!4" _1 Uti N —�- I beam � � 41'6" Gas Inlet 42411/4' Water INet 26'-0" Cnin Outlet '13-101/4" 1 36'-9 3/4" 24'-P' �j �/ 10'-1 S/4° I beam a I ��6- ea vz: Loads At Column Support Locatlom ■ 3C 1!4" _1 Uti q Al. HL - Mobilehome ManufacturergM l (Z q9 9 1412 1 Manufacture Year: F t If other than ngle wide, furnish Setup Model Number:_'? 2 `7 Width: 26(ft.) Length: (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[ ] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 2 ................................................................................................ Main Beams Line2 ................................................................................................ Line 1 ................................................................................................ Main Beams ................................................................................................ ............................................... ---Line S Tag or Triple >ine 4 Line 1 Line 1 Piers: Size minimum: x r til . Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: x b q ]. Spacing maximum: t4 t,dl, From ends -maximum: ` 6 Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): May 1995 .ine 1 Line 2 .ine 2 Line 3 Line 2 Line 2 Line 1 Line 1 Openings Size minimum: [ `] x Each side of openings with width over: v ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` M UILDING ®EPARTME." 4 P P R V F8.4 1 231 m 1 'i41 ►11 3 6 9 UILDING ®EPARTME." 4 P P R V F8.4 2. Assessor's Parcel Number: 6�E1 . L -Y36' U -3 3 3. Installer's Name:S G Ur/rn- 4. Is the site currently under permit? Yes[ ] No'N Permit No. 5. Is the site an existing site? Yes[ ] No[ -,J, (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? /GO Amperes. 7. What is the mobilehome site circuit breaker rating? iC7i) Amperes. 8. What is the electrical rating of the mobilehome site? /GG Amperes. 9. _Is the main service, remoie- from the mobilehome site? Yes(] No ] If it is, what is 5 the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No DQ If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[>d 'None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: inc.ies. 13. What is the gas pipe length from the meter or tank to the mobilehome?2gL(ft.). 14. What is the mobilehome gas demand? B.T.U. * *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE O.F.THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION �1 May 1995 8.5 Q C KIT MRN. HOMES DIV. Fax:455-3274 Jun 19 2003 1644 P.02 Rmwm 1, 4 OW 'B° Half °A° Mate By Date t+risn<rPacWrad Hoi sbg- R Ena GW Desigl V' Orwrt By Datc 11-2696. . Model 7riw-77 T1tle P Blocking and Utlity Locatiorto Plan 0 I 0 KIT MRN. HOMES DIV. Fax:455-3274 Jun 19 2003 16:43 P.01 76-W-27-Ut Print / Elev Monday, October 12, 1998 9:4woAM Modok 754-27 52-0" x 26,-&'-382 S4uam Fwt1387 &-tW FWr Stw U0. G! rs 113, a. G V21 46W 3059 30W9 90583058 Master 01ft Dath arm - Master Path L1YhV KOOM 4658 4658 4658 58 d Bow 64- 3) P'44% 0-C— D. Il, Standard Elevation Elevation W/ Entry Donner Elevation W/ 7 Double 5d,back Dormer 41 :4 p P a./ IT 'k - Royal nclks.-'. QD- ,Manufacturing company EXPERIENCE e QUALITY* VUUE CDF FM SAFE REQUMEMENTS 1, 30-3 3 0 3_ ybJ Z TE uAys AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. 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 provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius IN 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. IN 2. 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. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40' feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] , 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 rR �/ AP# PERMIT# NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [X] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. IN 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space 1. 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. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements on page 3. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, 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. Page 2 of 3 Y V 6 AN 3 - 24 SL PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof and Enclosed Eaves NAME [ ] If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: Metal or no doors on the side toward property line with insufficient setback Interior automatic fire sprinkler system per NFPA 13D . - Glass area not to exceed 10 % of wall area toward property line with insufficient setback Siding from the following list: Stucco — 3 coat Hardi- Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 E 03 -2563 /V#,g Building Perris Number: fi3 "-:? S'D Z /Y#-'( Owner Name j&-JQ, Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) . , COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, 4'H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required. Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. ,4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. r 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit x automatic entry and exit of floodwater. M Page 2of 2 Building Permi Number: U3 Z S Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of G7 feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. A ni Building Permit Number: 03-,25(63 IW�L Owner Name Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation Ct shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required. ` Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade or engineered design required). 3. Electrical, heating, ventilation,* plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit r� automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: ' i Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Ack- 0 -3 — 2!9& --z— Fire ZFire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of M feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. C,f 4. ti CDF FIRE SAFE REQUIREMENTS AP# ` — j �J3PERMIT # 05- NAME Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Drivewav Standards pq Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. N Grade. Not to exceed 16 percent unless paved. Driveway Radius pq 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. N 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 radius. pq Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. pq Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. pq Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. pq Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates N 1. Gate entrances shall be at least two feet wider than the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. Setback for Structure Defensible Space [q Maintenance of Defensible Space. 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 in these standards, annual maintenance must be provided for by the landowner. 1. 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. (] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements below. [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, 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. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [ ] If Building Setback is 15 to 30 Feet: ✓ Class A or B roof ✓ Enclosed eaves [ ] If Building Setback is Less Than 15 Feet — ✓ Class A or B roof with enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o. Metal - o Other Butte County Fire Department. approved materials [] Date 2 3j 1A A kk - - ;16 1-8 ' aq"0-C'- 76-W-27 Ut Print I Elev Monday, October 12, 1998 9:4"M MUNI Mo&k 75-W.-27 52!-0'x 2648",382 Square FeetW7 AcuW A.wr Sur 00- r. tr? MN WIT T 4659 3050 3098 30W 3050 Tdd— Mastrr amily Rogm Bath Master Oath Mast ed LNUtO Roam 46W. 4658 46W W55 3056 0-4 V4' 94r 3j 1A A kk - - ;16 1-8 ' aq"0-C'- Standard Elevation Elevation W/ Entry Dormer Elevation W/ 1T Double Set back Dormer IC lironmonta4 I SFP P ?. ON County Genter Orovdie, Ca ,ARTME VE V V zopl 0a 1. AV. anufacturing Company EXPERIENCE e QUALITY 9VALVE alth MUNI Standard Elevation Elevation W/ Entry Dormer Elevation W/ 1T Double Set back Dormer IC lironmonta4 I SFP P ?. ON County Genter Orovdie, Ca ,ARTME VE V V zopl 0a 1. AV. anufacturing Company EXPERIENCE e QUALITY 9VALVE alth 12 A_.0 d V -QiWIblVdW ON1011flia UU103 qLUf.1j8 Loads At ColLmn SLmm Locations /4" 14" W load 120# LL W Load A 7 It ty Cohnet Support Locators 4mllms are, antftdddm-th&mart1av aft ratl"Ooft =Maftw wall locations Drawkv WO..'. SU -103710 ra (IF&q—t- by ft dpaW.r or horns mw) wftk.O awkV.?W.tf.a ta .An W'm * AM . r*4 AW bl*lno Wbut Ref6r to setupmanual for stands piers ma-61na. a Ma glv�M bo adikd mach tha lb� 411-6*Gas Inlet: 42'L1 26- 9'Pr3ln Outlet I 1/4'Water Wet and ftm albizdfor at tbv.,6f wvto. re4uimd in addiiion.to those shown below, Shmm 01 t�b drzffi�ft- 13'-10 1/4" Fler Blocking Only! 36-9 3/4" 2+4 3/4' Pian stbject to change with out native C'1 V It VT Electrical Inlet C1 11 12 A_.0 d V -QiWIblVdW ON1011flia UU103 qLUf.1j8 Loads At ColLmn SLmm Locations /4" 14" W load 120# LL W Load A 7 It ty 301 411-6*Gas Inlet: 42'L1 26- 9'Pr3ln Outlet I 1/4'Water Wet 13'-10 1/4" 36-9 3/4" 2+4 3/4' V 1 Ream 3C I 12 A_.0 d V -QiWIblVdW ON1011flia UU103 qLUf.1j8 Loads At ColLmn SLmm Locations /4" 14" W load 120# LL W Load A 7 It ty r r i 127 �� 57r J AG- Is rip ® -Zcf W N Elt lvti A N U L. i -A .TUC- N Cssr WI-r:.iae -... `, � •• i. } � d.-.: . �l 1.Rl�l ,(C:•R^.na,rn •vP _. ..... .. ` ... � c\<:•rr '9•_- � .. SI:(t♦ n� .... e.• .�.r�..m.u..c.....-.......o �. _. n... -.n. ! v ....�. W._—__ _ APPROVED Butte County ronmental .Health ate i Una Me � o ENVIRONMENTAL HEALTH JAI 2 4 1005 7 COUNTY CENTER DRIVE -3 ®l Ics qP A> 0 0 A-, I so Eo </ -N L PLANNINQ DIVISION - BUILDING PLAN Use: 0A Date: Parking:- zMndscaping: Oftr. Signature 130( FILE COPY REVEVVED By BU, TTE CO. FIRE IDEPT. tq CALIF. DEPT. Of FORESTRY I Y d as subff �dted I 0 apprOve with conditions approved per attac d sheet. W9 �Sjgnat 101* A Ttm attachod Sre S&% raWirwykhits must be WMOMW go s and approved by C.O.F. d ME COUNTV WILDING DEPARTMBW� P P R 0 V the aftacd aid Fire Sao@� ' .e° �;"'• _`� 'rte ►Iil1S$ be ed and by C.D.F. �Qrov� Pam - a r 1,?iC'Blii�i�l;� PLAN AF OVAL Date:' �s Landscaong: IN. the aftacd aid Fire Sao@� ' .e° �;"'• _`� 'rte ►Iil1S$ be ed and by C.D.F. �Qrov� Pam - a r 1,?iC'Blii�i�l;� PLAN AF OVAL Date:' �s Landscaong: INTERIOR RIDGE SUPPORTS STANDARD PIER AS SPECIFIED AS SPECIFIED BY MANUFACTURER BY COACH MANUFACTURER � G --•I g I g I g I I F --O g 12 0 12 0 l2 4 UP TO 48 IT 4:12 8 0 8 4 e 6 �'a0KIottL� 1_J� L:J ic�[amsirw�r�Hs LJ LJ J n LIJ LiJ LU Li -1 LT.I 48 FT 4:12 4 4 4 Q 4 4 8 0 12 4 24'.28' UP TO 68 FT 4:12 12 0 12 0 12 4 26•'32' 7 �l-+ LU L7� Lig L•i.►' 16 016 4 I 4 I 4 I 4 I 4 I i 4 4 . FOLLOW ROW ACROSS TO DESIGN LOAD. READ TOTAL NUMBER OF C.P. SEISMIC PIERS & TOTAL NUMBER OF TIEDOWNS REQUIRED. SI PLAN ABOVE FOR PLACEMENT OF PEERS & TIEDOWNS. AUGER TIEDOWNS SHALL BE LISTED & INSTALLATION INSTRUCTIONS SHALL BE ON SITE AT TIME OF INSPECTION. - Mo LN Po C1Pr@LP HP HPPPDC DH.P rV 4 0- - n DIAPRECAST D PIPE 30'x32'x3/4' PLYWOOD IN FOR TH` S N P POR 3/8' BOLTS IGHTEN TO s N FOR THE 18 IN P[PEDE 80 IN"LBS ANGLHOLES 3'1/2' =Al x 4 4 4 4 Tle FOR TRIPLE WIDE 4 PLACE SEISMIC PIERS ROTS PI 4. W C HEN le PIERS --_--- - - REQUIRED PLACE IN ROTS OF 8. FOR DOUBLE WIDE PUCE SEISMIC PIER$ IN ROWS OF 4 P PER TAME OUTLINE OF MOBILE COACH 30'. 38'. 42', 48' PLAN Sa4IL- I' - 20' TRIPLE WIDE MOBILE COACH SEISMIC ZONEI 3 1 3& 4 1 3 A, a W IN H U PON h 93 a WON 13 U INSTALL 41N AY N E.4,RTH AUGERS (OR EQUIVI 2000 IDs CAPACITY WHEN REQUIRED �E.TABLE• SPACE IST ROW 2 FT ''ROM ENO THEN SPACE EVENLY. 4 4 x Q 4 i J YCOACH CH i 4:isTlw las 'may-" cnsrlHc KAP y COACH KAN1 .a a � o At I I m I I U � 1 4 4 �4 4 LIJ �4 4 d - LJ ❑� ( © W I I SEISMIC PIER & I I FOUNDATION PAD 'j PER TABLE 4 - EpLe -20', 24', 28'. 28', OR 32= PLAN SLale: I- - 10' DOUBLE WIDE MOBILE COACH 0 OF M10 IIF L9 -T T--0 COACH 0',12'.14',OR 18' PLAN Scale: -10' SINGLE WIDE MOBILE COACH UP TO 48 FT 2x:12 8 1 0 1 8 0 1 8 4 20, UP TO 78 FT 2!%:12 12 0 12 0 l2 4 UP TO 48 IT 4:12 8 0 8 4 e 6 n BE FOUNDED IN ACCORDANCE WITH H.C.D. GUIDUNES AND TITLE 25. UP TO 78 FT 4:12 12 0 12 4 12 B 24',2618' UP TO 0 E -I 336 48 FT 4:12 e 8 0 8 4 S 32' UP TO 44 FT 4:12 B 0 8 0 12 4 24'.28' UP TO 68 FT 4:12 12 0 12 0 12 4 26•'32' 7 16 0 16 0 IB 4 4t 30'.36' UP TO 60 FT 4:12 12 0 16 016 4 A7 42'.49' UP TO 7e FT 4:12 16 0 1B 0 18 4 FIND COACH SIZE, THEN ROOF PITC . FOLLOW ROW ACROSS TO DESIGN LOAD. READ TOTAL NUMBER OF C.P. SEISMIC PIERS & TOTAL NUMBER OF TIEDOWNS REQUIRED. SI PLAN ABOVE FOR PLACEMENT OF PEERS & TIEDOWNS. AUGER TIEDOWNS SHALL BE LISTED & INSTALLATION INSTRUCTIONS SHALL BE ON SITE AT TIME OF INSPECTION. - Mo LN Po C1Pr@LP HP HPPPDC DH.P rV 4 0- - n W IN H U PON h 93 a WON 13 U INSTALL 41N AY N E.4,RTH AUGERS (OR EQUIVI 2000 IDs CAPACITY WHEN REQUIRED �E.TABLE• SPACE IST ROW 2 FT ''ROM ENO THEN SPACE EVENLY. 4 4 x Q 4 i J YCOACH CH i 4:isTlw las 'may-" cnsrlHc KAP y COACH KAN1 .a a � o At I I m I I U � 1 4 4 �4 4 LIJ �4 4 d - LJ ❑� ( © W I I SEISMIC PIER & I I FOUNDATION PAD 'j PER TABLE 4 - EpLe -20', 24', 28'. 28', OR 32= PLAN SLale: I- - 10' DOUBLE WIDE MOBILE COACH 0 OF M10 IIF L9 -T T--0 COACH 0',12'.14',OR 18' PLAN Scale: -10' SINGLE WIDE MOBILE COACH kzG1vr,1%AL NVILJ: 12 IN OVERSIZED REFERENCE:CALIFORNIA CODE OF REGUTATIONS, TITLE 25 AND U.B.C. 1994 EDITION. QS -02-O 1. DESIGN LOADS SHALL BE CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED. 5/8'x3' F13R CHIPPING AND/OR 10-01-0: COMPACTED FIU. ASPHALT OR CONCRETE. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING - APPROVAL DOES NOT AUTHOIIQB OR AIROYWNR FLANGED PLASTIC CORNER BREAKAGE BE FOUNDED IN ACCORDANCE WITH H.C.D. GUIDUNES AND TITLE 25. , ANCHOR INSERTS � V) a. CONFORM TO ASTM A36 Fp - 36 KSI MINIMUM. b. SHALL BE FABRICATED ACCORDING TO AISC SPECIFICATIONS. SHALL BE WELDED E -I 336 1/2' 1� I --i Z ii. PLATES: ASTM A36 li1.BOLTS: STANDARD ASTM A307 4 5/8' It 1-3/8' FLANGED iv. THREADED ROD: COLD DRAWN LAW CARBON WELDABLE - E'-+ ` 5/8'x3' FLANGED PLASTI STAINLESS STEEL OR 5/8 x 3' FLANGED I COACH I BEAN ANCHOR INSERTS PLASTIC ANCHOR INSERT 4 - 3/8' 2 - 3/8' x V BOLTS 4x4 -4x4 VVF3.5' 3.5' 3' : 3• PLATt2; BOLT v17w VASIICR I NUT FIELD DRILL HOLES 24---J 1'1 1' 6&0V9 OPTION OF 4-114 SELF FAP SCREVS C.P. PRO PAD 4x4 -1x4 VVF PRECAST PAD N F R TH IN P o T DIAPRECAST D PIPE 30'x32'x3/4' PLYWOOD IN FOR TH` S N P POR 3/8' BOLTS IGHTEN TO 1/4'x2'x4' N FOR THE 18 IN P[PEDE 80 IN"LBS ANGLHOLES 3'1/2' FOR x 2 1/2' C$.HOLES x TUBE MUST EXTEND15 3' MIN IN TO FT -L T TORQUEWlE PLATE U IB' 24. 3/4' FOR .. _................ 1/2'x2-1/2' C.8 CLAMP3/16' BA CLAMP ENDED 4 - 3/8' kzG1vr,1%AL NVILJ: REVISIOt REFERENCE:CALIFORNIA CODE OF REGUTATIONS, TITLE 25 AND U.B.C. 1994 EDITION. QS -02-O 1. DESIGN LOADS SHALL BE CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED. . APPIHOVER 2. FOOTINGS ARE TO BE SUPPORTED BY EITHER FIRM, UNSATURATED. UNDISTURBED SOIL OR 10-01-0: COMPACTED FIU. ASPHALT OR CONCRETE. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING - APPROVAL DOES NOT AUTHOIIQB OR AIROYWNR CAPACITY- AND SHALL BE' COMPATIBLE WITH LOCAL SOIL CONDITIONS. ALL FOOTINGS SHALL 04-07-0 BE FOUNDED IN ACCORDANCE WITH H.C.D. GUIDUNES AND TITLE 25. urs AND YOIaiTJ�wCOACH 3. STRUCTURAL STEEL SHALL � V) a. CONFORM TO ASTM A36 Fp - 36 KSI MINIMUM. b. SHALL BE FABRICATED ACCORDING TO AISC SPECIFICATIONS. SHALL BE WELDED E -I x 3'PLATE>A�r c. ACCORDING TO ANS SPECIFICATIONS: i. ELECTRODES: E70 1� I --i Z ii. PLATES: ASTM A36 li1.BOLTS: STANDARD ASTM A307 71YPYapPPHwN FOR J -BEAN iv. THREADED ROD: COLD DRAWN LAW CARBON WELDABLE - E'-+ ` d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE PROTECTIVE LJ I COATED. 4. THE C.P. SEISMIC PIER SHALL BE LISTED AND LABELED BY CERTIFIED TESTING AND CONSULTING SERVICES (CTC) FOR THE FOLLOWING LOADS: a. LATERAL A -LARGE PIER. 1907 LBS. ULT. LOAD LARGE PIER: 2423 LBS ULT. 'AAD �y b. VERTICAL : 16000 LBS ULTIMATE IAAD 5. THIS FOUNDATION SYSTEM IS O W FOR PLACING MANUFACTURED BUILDINGS CONSTRUCTED WITH LONGITUDINAL OR CROSS JOISTS. U ! 6. THIS FOUNDATION SYSTEM PLAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL W SITE WITH NO EXISTING SOIL PROBLEMS. SEE TITLE 25 SECTION 1334(b) Z 7. STANDARD PIER & FOOTING SPACING PER COACH MANUFACTURER'S INSTALLATION MANUAL. WITHOUT MANUAL. SPACING OF STANDARD PIERS TO BE DETERMINED BY STATE MOBILE HOMES PARK ACT. Z 10-4 ZH Z FOUNDATION PAD NOTES x i i. FOUR FOUNDATION PADS ARE AVAILABLE FOR USE WITH THIS SYSTEM. THE U I CUSTOMER MAY CHOOSE ONE'OF THE FOUR PADS FOR THEIR COACH. ; 2. FDTN PADS SHAD. BE PLACED ON FIRM. LEVEL UNDISTURBED SOIL (SEE GEN. NOTE 2) 3. CONCRETE FO TNDA71ON PAD �y E "I A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARLITE WEIGHT CONCRETE. B. PREFERRED PAD ORIENTATION WHERE EVER POSSIBLE IS THAT THE LANG DIMENSION O W OF THE PAD BE PERPENDICULAR TO THE COACH BEAM (AS SHOWN ON THE PLAN). C. WHERE FIELD CONDITIONS REQUIRE PAD ROTATION, NO MORE THAN HALF OF THE PADS IN A TRAVERSE LINE CAN BE ROTATED SO THAT THE LANG DIMENSION OF THE PADS ARE PARALLEL. TO THE COACH BEAM. 4. PRESSURE TREATED FO TNDATION PAn A. 3/4 INCH A.P.A. 48/24 EXTERIOR P.S.I.-83 CC. PLUGGED. NER-QA397.PRP-108. 5. ATTACHMENT TO EXISTTN . -ONCRFTs THE C.P. SEISMIC PIER MAY BE ATTACHED TO AN EXISTING COMPETENT CONCRETE SLAB OR CONCRETE FOOTING ACCORDING TO THE FOLLOWING CRITERIA: . I. ATTACH WITH TWO %-DIAM. ITR RAMSET/ REDHEAD TRUBULT WEDGE ANCHORS 2. MIND4UM EMBEDMENT - 2.5' 3. MINIMUM CONCRETE THICKNESS 33A' 4. MINIMUM EDGE DISTANCE AA 2' " COACH SIZE NOTES,- 1. OTES: 1. UNLESS APPROVED BY ROCK SOLID ENGINEERING. INC.. THE . ROOF PITCH SHOULD NOT EXCEED: A. SINGLE WIDES: 3:12 OR 4:12 AS SHOWN IN TABLE B. 20 FEET VIDES: 255:12 OR 4:12 .LS SHOWN IN TABLE C. ALL OTHER DOUBLE WIDES: 4:12 D. TRIPLE WIDES: 4:12 2. FOR ANY COACH SIZE OTHER THAN AS SHOWN ON THIS PLAN OR REFERENCED ABOVE, LAYOUT SHALL BE REVIEWED AND APPROVED BY ROCK SOLID ENGINEERING. INC. INSPECTION REQUIREMENTS: 1. THE DESIGN OF THIS SYSTEM IS BASED ON STANDARD MANUFACTURED HOMES AS BUILT BY THE MANUFACTURER. SITE BUILT ADDITIONS SUCH AS GARAGES AND SECONDARY ROOFS HAVE NOT BEEN INCLUDED IN THIS DESIGN. 2. ALL DIMENSIONS INCLUDED ON THIS PLAN, INCLUDING COACH SIZE. ROOF' HEIGHT AND PIER HEIGHT. SHOULD BE FIELD VERIFIED BY THE LOCAL BUILDING OFFICIAL ANY DISCREPENCIES SHOULD BE IMMEDIATELY BROUGHT TO THE ENGINEER'S ATTENTION. 3. THE BUILDING PAD SHOULD BE INSPECTED TO ENSURE THAT PROPER DRAINAGE' PATTERNS HAVE BEEN ESTABLISHED IN *ACCORDANCE WITH TITLE 25 & MANUFACTURER. x x SE HEIGHT 3/4' TH+R ROD BOLTS SEISMIC PLYWOOD m _ I INCH SMALL PLATE LEGS I PIER IDQ A e1D. CLAVTs SUPPORT v 11.5 INCH REGULAR 3/16' PR•OISTAWTWN MANUAL 18.5 INCH EXTRA LARGE TYP OF 2 CONNECTED VITH EIGHT 1-1/2'x.120' NAILS OR 8084-1/2' FHVS ,, - 4'- 4' 32 4' Q -CAD PLYWOOD PAD F❑UNDATI❑N PADS Nn4 fn «nln PLAST CRDCN�p; S/8518,v'x2-1/2' BT OLOR PITH HARDENED 71�:�TEISMIC PIER A 1/4' PLATE FOUNDATION PA 36' MAX SLOPE� to Scale TYPICAL BEAM n �� � SEISMIC PIER Not ADE LOT PER C.P. SEISMIC PIER#1-PATVIT #5595366 CONNECTIONINSTALLATION MANUAL Not to shale E L E V A T I❑ N NOT TO SCALE U ►-a UI � Z o 00 x z�� ao�o UI .4 F _CO Ezc� W CO W U C\2 Dr. W I 0 BY YW YW YW CD %D OD UI 1 (U n Cn OD LO t` o ' In OL Q U LLI -i Z 0 Vl H Q 3 W a J 0 Its.H t1� O _ (h d Q- E- V) Cn ®a+a M.8 rLjH-V D C: DATE: 04-28- -U Aro SCALE: AS SHOWN i "I DRAWN: YMW y JOB #: W03002B SHEET: 1 OF 1 S .. .. ITAIRIAL7o1»IiOMFJIl01MJi NOAIi . POUNDATION SYSTEM ' :.-.- . 1♦M,TIAIID SAFETY CODE SECTION IW I . APPIHOVER .- ROIHCCT7000RIECTIOM1NOM - APPROVAL DOES NOT AUTHOIIQB OR AIROYWNR OMISSIONS 01 DEVIATION F10M REQUIUMENTlq urs AND YOIaiTJ�wCOACH COR J BEAN3' AA"LICAlkATE x 3'PLATE>A�r SPACER AS NEEDED 71YPYapPPHwN FOR J -BEAN x x SE HEIGHT 3/4' TH+R ROD BOLTS SEISMIC PLYWOOD m _ I INCH SMALL PLATE LEGS I PIER IDQ A e1D. CLAVTs SUPPORT v 11.5 INCH REGULAR 3/16' PR•OISTAWTWN MANUAL 18.5 INCH EXTRA LARGE TYP OF 2 CONNECTED VITH EIGHT 1-1/2'x.120' NAILS OR 8084-1/2' FHVS ,, - 4'- 4' 32 4' Q -CAD PLYWOOD PAD F❑UNDATI❑N PADS Nn4 fn «nln PLAST CRDCN�p; S/8518,v'x2-1/2' BT OLOR PITH HARDENED 71�:�TEISMIC PIER A 1/4' PLATE FOUNDATION PA 36' MAX SLOPE� to Scale TYPICAL BEAM n �� � SEISMIC PIER Not ADE LOT PER C.P. SEISMIC PIER#1-PATVIT #5595366 CONNECTIONINSTALLATION MANUAL Not to shale E L E V A T I❑ N NOT TO SCALE U ►-a UI � Z o 00 x z�� ao�o UI .4 F _CO Ezc� W CO W U C\2 Dr. W I 0 BY YW YW YW CD %D OD UI 1 (U n Cn OD LO t` o ' In OL Q U LLI -i Z 0 Vl H Q 3 W a J 0 Its.H t1� O _ (h d Q- E- V) Cn ®a+a M.8 rLjH-V D C: DATE: 04-28- -U Aro SCALE: AS SHOWN i "I DRAWN: YMW y JOB #: W03002B SHEET: 1 OF 1 S 1� S 0 A 0 H d d V c..jAiUVd3G ONIGIN(lb Y Y Y Y Y D C C C Y Y Y Y ccccccc=zc2=2aMawccczcZcz=z=3 am =8 I I 1 o 2 V N 1 C L9' o, - U LJ -G -U & lJ -e-a IJ -{j] E- � x C 'v Z D Y O Y Y Y Y �� Y� C�� Y� C O� •� Y C M x N I L1 • ,r.,r • � 41 I CO D • X X Z 284 N. THORNE pp C 'v Z D Y O Y Y Y Y �� Y� C�� Y� C O� •� Y C M x o M 0 D FOR: CENTRAL PIERS, INC. THARP &ASSOCIATES, INC.. 1. 284 N. THORNE -- M i Z f- i4i E, GEOTECHNICAL CONSULTANTS %D LA - n w FRESNO, CA. 93706 (559) 268-0828 Site Assessments Voundction Englneering0ConstrucUon Monitoring CDz o ANCHOR PIER -ENGINEERED TIEDOWN SYSTEM1347 SPRECKELS DRIVE, APTOS, CA. 95003 (831).662-8590 w Iw N :0 Z A 'r RI lockIN ill 0CC0CCz=ZC2=2Uz0=CZCzY Y Y Y C C C c Y Y Y Y O D C Y Y Y Y C 1 6 ;mz o e 0=0=222=90221 1a�cCccCc]1 lot z'.w m AA y� A 0 gkN i H b � x n r 1 ar7 c� ) z Ar �. t� H; . 0 0 z R W Y - Z N ^� � 0 i+ S 4x � r' r x N� �N x ♦ 1e�jr� Xg ppz NNN say aY :caacca aa�cc.cY YY 0 MAX 3: C C C 01on Y G G D � 0 a FOR: CENTRAL PIERS, INC. THARP &ASSOCIATES, INC.. 284 N. THORNE it z GEOTECHNICAL CONSULTANTS H M� N0 3 V) FRESNO, CA. 93706 (559) 268-0828 z Site Assessments •Foundation Engineering • Construction Monitoring S- z � ANCHOR PIER -ENGINEERED TIEDOWN SYSTEM 347 SPRECKELS DRIVE, APTOS, CA, 95003 (831).662-8590 (AM, • i r a s � r / �R APPFiUwl� Butte Ceun 0 r i ! E v!ro menti L NIL. .', Oct ii .. NOTE.- 86' OTE:8c' tr)e 2ttachod } 4 -Cc:TR►C CAVI[-CHAllCA ALL STRUCTURES AND EOUIPMt,:NT I=L CONSTHUCTIOIy , � La �C F'LUPJIRIN UDINq � iuT PLpIt, , Q)VERHANGS SHALL BE CLEAR OF ALL EASEMENTS. SHALL COMPLY GHECI:^C OF A ID CUR TION EQITi A 2SET eAul� OF �1 FT. FROM THE SIDE AND NEC, UMC U, C, j ;:R0?A THE REAR`FROPER'T`r' LINES AND J:. FROM THE ROAD CEWFERLINE SHALL Bd CLEAN OF S+'RUC I URES AND Qt1 PMENT VXGgpl rOR A 2 JT- EAVE OVEr-sliANO., fir•-•- 03' �` CO 52• /X#-6c R'I 13UTTECOUN'l CiJ1 T� ClZi. MR.,QEr-F , CALIF -;.QF -PT., -..of -FORESTRY' i BUILDING DEPARTME; E3i, approved'as subm"todA P -P / � ` pproved vvit'rt conditionsaLL . ' le y�g d Sigriatura Date I i J � � � .. .,. �.,.' • .. r �, - ... � � _--�----r--------TT----.:. _.- -. ', _r _ - __-- _ _ I i II - s r �n r , LA. , � W s r �n t� 1