HomeMy WebLinkAbout041-500-005t
4:
SINGLE FAMILY AND MH WO PERMITS
1996
641-500-005 RERMIT#96-1409
RICHINS, Robert
3973 Cherokee Rd., Oroville
COMPLAINT TO. INSPECTOR
Ele set for Well for Fire Control
1306-2440 041-500-06
'COft ENFORCEMENT.
MISCELLANEOUS Demolition
DEMO Sr 7 . 20 SQ.FT_
3973 CHEROKEE RD
30* DA -Y VIOLATION LETTER- MELVIN H. BLACK
10 -DAY VIOLATION LETTER'
B08-0002 041-500-005
SFD -Mobile Home PFS
RESIDENTIAL
CODE ENFORCEMENT OFFICER NEW MH; PERM FND'(1782)
3973 CHEROKEE RD
ABATED OR, CLOSED
BLACK, MELVIN H
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Cay BUTTE COUNTY
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DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-:'.140 Website:www.buttecounty.net/dds
wl
Permit No: B08-0002 I.; Issued: 02/22/2008
Address: 3973 CHEROKEE RD
Area: OROVILLE
Owner: NOVOTNY, MICHAEL & MARY JEAN
Applicant: SKYCREST ENTERPRISES
Permit Type: SFD-Mobile Home PFS APN: , 041-500-005
Description: NEW MH, PERM FND (1782)
AREA
2
Flood Zone: None SRA Area: Yes
Front: 20 Ultimate R/W from CL: 30
Rear: 15 SRA:
Side: 5 AG:
Other:
Total Setback from Centerline of Road:20+30
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
.,1
i
Fic±als
Inspection Type
I IVR I INSP
DATE
Do Not Insulate Until Above Signed
Env. Health Final
Wall Insulation
1 117
Ceiling Insulation
1 118
"PROJECT FINAL
. Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool ElecBonding/Light Nitch
502
Pool Fencing/Alarms/Ba rriers
503
Pre -Plaster
507
Manufactured Homes
Setbacks
132
Blocking/Underpining
612
Tiedown/Foundation Syste
611
Site Utilities/Trench Insp.
137
, a
Gas Test Yard
404
Manometer Test
605
,
Continuity Test
602
Z,
Skirting/Steps/Landings
610
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Manufactures Name:
Date of Manufacture:
Model Name/NumberlyA ti
Serial Numbers:
Length x Width:
Insignia: ip f75' 9 k Z c> SFS q6 bZ
i
Public Works Final
538-7681
Fire Department/CDF
538-6226
Env. Health Final
538-7281
Sewer District Final
"PROJECT FINAL
801
-rrolecr rma, ,s a t-ernncare or vccupancy for txeesnVnnai vmyl
'ISSUANCE. IF WORK HAS COMMEN ,YOU AY PAY FO A 1 YEAR
RENEWAL 30 DAYS PF.IOR TO EXPIRA ION D j
'Inspector Copy ([f(
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It
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._ COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
'= 7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
V v i t u- C/.
dVNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter; or need additional
explanation, please contact the Building Inspector as indipated below.
L�IZDate ` _ ( Inspector
REV 4/05 Phone #
FOR RE -INSPECTION CALL: ;-,538=7636.OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oro ville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO. "
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional -
explanation, ple a contact the Building Inspector as indicated below.
x J l i , / Re
/7/ �flD 2/C f 4. 112
Jt
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ll
Date 1-7- ' / V Inspectorf? LZA,2e
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 53877636:;OR 891-2834
i
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES -
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
SKYCREST ENTERPRISES
13468 HWY 99
CHICO, CA 95926
(530)342-2694
CWIF MH
CWIF MH
CWIFAUD Impact Processing Audi
CWIFDDS Impact Processing Fee
DBEH Building Review Fee
DBF MH Plan Check
DBFIRE Fire Inspection (SRA)
DBFIRE Fire Inspection (SRA)
SKYCREST ENTERPRISES
13468 HWY 99
CHICO, CA 95926
(530)342-2694
FEE INFORMATION
$1,663.57
$1,853.79
$50.00
$50.00
$75.70
$233.56
$102.70
$102.70
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No.'/ Class / Expires
SKYCREST ENTERPRISES 812930 / C47 / 09/30/2008
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencin ection 7000) of Divis'on 3 of the Business and Professions Code, and my license
En in f I orce and ffect.
X , _c�� _ ,._ -;) 02/22/2008
Signature
Date
I/'" WORKERS' COMPENSATION DECLARATION I
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier: State Fund Policy Number. 4761244006 Exp. Date:06/01/2008
(This section need not be completed if the permit is for one —ndred ($100) or es— s
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
U
02/22/2008
S�AR8
at
r ' I Date
NG: FAILURE TO SECURE WO ERS' COMPENSATION COVERAGE IS UNLAWFUL,
HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency fops
the performance of the work for which this permit is issued. (3097 civ. code) I
Lender's Address
City State Zip
square rootage:
Building Garage Remdl/Addn
1,782
Other Porch/Patio
DBFIRE SRA Fire Plan Review (S
DBMSC Mobile Home Permit Fee.
DBOMSCF Fire Safe Standards Re
DBSMIP Residential
Total
1.782
• 1 1
$102.70
$350.34
$115.98
$11.58
Total Charged: $4,712.62 Fees Paid: $49712.62
Balance Due: $0.00 Receipt No: B6438
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5); Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property,'who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
❑ I AM EXEMPT under Section B. & P.C. for this reason:
i 02/22/2008
Owner's Signature Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte,
ounty to enter thea ve mentioned property for inspection purposes. I hereby certify that I am the
p Pis owner or authorized to act on the property o efs behalf.
02/22/2008
Owner ontractor OR. Agent for Owner Agent for Contractor
FILE COPY
'
PROJECT INFORMATION
Site Address:
3973 CHEROKEE RD
Owner:
Permit N0: B0$-0002
APN:
041-500-005
NOVOTNY, MICHAEL & MARY
Permit type:
RESIDENTIAL
100 PENZANCE AVE #155
Issued Date: 02/22/2008 By TMP
Subtype:
SED -Mobile Home PFS
CHICO, CA 95973
Expiration Date: 02/21/2009
Description:
NEW MH, PERM FND (1782)
Occupancy: R-3 Zoning: U
SKYCREST ENTERPRISES
13468 HWY 99
CHICO, CA 95926
(530)342-2694
CWIF MH
CWIF MH
CWIFAUD Impact Processing Audi
CWIFDDS Impact Processing Fee
DBEH Building Review Fee
DBF MH Plan Check
DBFIRE Fire Inspection (SRA)
DBFIRE Fire Inspection (SRA)
SKYCREST ENTERPRISES
13468 HWY 99
CHICO, CA 95926
(530)342-2694
FEE INFORMATION
$1,663.57
$1,853.79
$50.00
$50.00
$75.70
$233.56
$102.70
$102.70
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No.'/ Class / Expires
SKYCREST ENTERPRISES 812930 / C47 / 09/30/2008
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencin ection 7000) of Divis'on 3 of the Business and Professions Code, and my license
En in f I orce and ffect.
X , _c�� _ ,._ -;) 02/22/2008
Signature
Date
I/'" WORKERS' COMPENSATION DECLARATION I
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier: State Fund Policy Number. 4761244006 Exp. Date:06/01/2008
(This section need not be completed if the permit is for one —ndred ($100) or es— s
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
U
02/22/2008
S�AR8
at
r ' I Date
NG: FAILURE TO SECURE WO ERS' COMPENSATION COVERAGE IS UNLAWFUL,
HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency fops
the performance of the work for which this permit is issued. (3097 civ. code) I
Lender's Address
City State Zip
square rootage:
Building Garage Remdl/Addn
1,782
Other Porch/Patio
DBFIRE SRA Fire Plan Review (S
DBMSC Mobile Home Permit Fee.
DBOMSCF Fire Safe Standards Re
DBSMIP Residential
Total
1.782
• 1 1
$102.70
$350.34
$115.98
$11.58
Total Charged: $4,712.62 Fees Paid: $49712.62
Balance Due: $0.00 Receipt No: B6438
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5); Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property,'who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
❑ I AM EXEMPT under Section B. & P.C. for this reason:
i 02/22/2008
Owner's Signature Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte,
ounty to enter thea ve mentioned property for inspection purposes. I hereby certify that I am the
p Pis owner or authorized to act on the property o efs behalf.
02/22/2008
Owner ontractor OR. Agent for Owner Agent for Contractor
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CITICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.netldds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name l
lFirsiName
Addre� z VC
City f . Sta
/ 14
Z'
Phone Fax
E-mail
CONTRACTOR
Name
Addres� �7
City t////t�,�D
Stat
ZiP �,7_5
Phone
FaVVA _ 9/ T
E-mail
L' 02Y&P
1 C71as�s
APPLICANT INFORMATION
ARCHITECTIENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Policy Number
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
vlzt4�� I
'F office use on
Zoning Flood Zone SRAI(Yes)l No
Occ.
I Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
UVF -K FUR 5UBMITTAL REQUIREMENTS
BIN #
(IN FILE
Description or Scope of Work:
ii/e
�e. X
Sq FT- Living Garage Open
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which' a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: Bldg
SRA
Receipt #: Sheriff
SMTP
I Other I I
Date:
Total
KAFORMSIBUILDING FORMS1BldgApplSubRgmts.doc Pagel of 2
�a ��e r �►�� r •
I10 U� Oro. C1>716o
REV 5-12-05
PROJECT LOCATION
AP4fQ 511
�O — DO
PropertyAddress
7
�' e r9Ale e
Ci
o . %/
Cross Street
WORKER'S COMPENSATION
Policy Number
C 'e
If hiring anyone ther tha license contractors, a certificate of worker's
compensation must be shown at the Gime of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
ii/e
�e. X
Sq FT- Living Garage Open
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which' a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: Bldg
SRA
Receipt #: Sheriff
SMTP
I Other I I
Date:
Total
KAFORMSIBUILDING FORMS1BldgApplSubRgmts.doc Pagel of 2
�a ��e r �►�� r •
I10 U� Oro. C1>716o
REV 5-12-05
L
BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM euTTF•.
(One form per Building)
c�J14
School District: Oroville Union High School District
Assessor's Parcel Number (s): 041-500-005
Property Owner (s): BLACK, MELVIN H
Project Location/Address: 3973 CHEROKEE RD
Project Description: NEW MH, PERM FND (1782)
Building Type:New Mobile/Modular/Manul
New/Additional Sq Ftg: 1,782
Building Permit Number: B08-0002
Tax Rate Area No
OROVILLE
Type of Development
L4�ou-iv- AWra,, -
Building- partment-Rep sentative-
District Indentification No. O O 7 7
Permit Type: SFD-Mobile Home PFS
Deed Restricted Sq Ftg:
01/02/2008
Date
5�—School District certifies that
(Payor)
(Street Address) (City) (State) (Zip Code) (Phone Number)
has complied with the requirements of Resolution No. \ I�J �jal O by payment of $ 3l� 0� a.•1 a_
representing, _� '�. 2 square feet.
AB 2926 $
FULL MITIGATION S
11
School District Representative Date ` i
Paid by Check #
Remarks:
Notice: You may protest the imposition of the fees identified above by sumitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will
prohibit you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this 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.
DDS School Fee Form rev'd 12.12.07
'BUTTE COUNTY 1DEVELOPMF.NT FEE
CERTIFICATION FORM
Feather River Recreation & Park District
Assessor's Parcel Number (s): 041-500-005 Building Permit Number: B08-0002
Property Owner (s): BLACK, MELVIN H
Project Location/Address: 3973 CHEROKEE RD OROVILLE
` Project Description: NEW MH; PERM FND (1782)
Type, of Residential Development
Permit Type' RESIDENTIAL Permit Subtype: SFD-Mobile,Home PFS
Building Type: New. Mobile/ModulaWanufai New/Additional Sq Ftg: 1,782
Certificate of Existing Square Footage
Existing.pq Ftg: MH Replacement:
Existing Construction Type: Residential - Mobile/Manufactured, Home
-Demo Permit Issued?: Demo Permit Issued Date:
Verified by Building Records: Verified by Assessment Records
Comments:
01 /02/2008
Buildi?n6 Department Repre tative Date
IBJ" ,FRRPD ❑ CARD ❑ PRPD ❑ DRPD
certifies that:
merL11n U��r✓L�-ia-
q
Applicant Name
Phone Number
v" 61t-
rcMailing
MailingAddress City
State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment of. I I Q G
Dwelling Units @ $
per unit for a total of $
Square Feet @ $
per sq foot for a total of $.
Remarks:
Paid by Che o: Pai y Cash:
Receipt No:
G
Recreation and Park District RepresentativC
Date
Butte County• Department of Developm' erat Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530)538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
**PERMIT APPLICATION DATA SHEET**
Reference Number: B08-0002 Date: 01/02/2008
Location: 3973 CHEROKEE RD By: KCG
Parcel Number: 041=500-005 Sub Type:' SFD-Mobile Home P1
Owner Name: BLACK, MELVIN H Phone:
Description: NEW,MH, PERM FND (1782)
The above permit application has the ' 'following Clearances required prior to permit issuance. Please contact each department
indicated below regarding specific requirements pertaining to your permit application.
Yes
No
DRAINAGE DISTRICTS
❑
0 ,
Thermalito .Irrigation District; 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740
❑
❑
LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000
❑
City'of'Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530)'879-6700
PARKS & RECREATION DISTRICTS
❑
❑
Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 -
❑
Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011
0
Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393
SCHOOL DISTRICTS
❑
❑
Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281
❑
0
Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006
❑
❑
Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675
❑
❑
Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
❑
❑
Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000
❑
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
Oroville Union.High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105
❑
❑
Paradise .Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
OTHER
❑
Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions.
City of Biggs. Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
❑
Other: (-)rangy . IPS ra Ourani of -
❑ ❑ Other:
*"When filed, this application and all supporting material becomes subject to the California `Public Records. Act. All. public
information related to this application is subject to public inspection and will be posted on the County's website for electronic
access.
Signature of Property Own Date: 01/02/2008
FILE
BUTTE COUNTY FFE SUMMARY Printed: 01/02/2008
7 County Center Drive 10:02 am
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Permit Number: B08=0002
Job Address: 3973 CHEROKEE RD
Contractor: SKYCREST ENTERPRISES
13468 HWY 99' CHICO, CA 95926
Fee Description Account Number Fee Amount Paid Date Pmt Amt
CWIF MH
CWIFFIREF MH 1851-0-280-1011852 $299.21
CWIFFIREVE MH 1851-0-280-1011853 $577.57
CWIFPWRDS MH 1831-0-280-1011001 $786.79
DBEH Building Review Fee
0021-540013-4614901-1010 $75.70 011102/2008 $75.70
DBFIRE Fire Insuection (SRA
0100-450001-4617240-1010
$102.70
0100-450001-4617240=1010
$102.70 01/0212008 $102.70
DBOMSCF Fire Safe Standards Re
0010-440001-4210500-1010
$115.98
DBFIRE SRA Fire Plan Review (S
0100-450001-4617.240-1010
$102.70.,- 01/02/2008 $102.70
CWIFAUD Impact Processing Audi
t
0010-050-4617998-101001
CWIFDDS Impact Processing Fee
0010-440001-4617999=1010
$50.00
DBMSC Mobile Home Permit Fee.
0010440001-4210500-1010
$350.34
DBF MH Plan Check
0010440001-4210500=1010
$233.56 01/02/2008 $233.56
CWIF MH
CWIFSHERFVE MH
184.0-0-280-1011842
$124.73
CWIFGGVE MH
1810-0-280-101001
$250.42
CWIFLBRYF MH
1825-0-280-1011826
$196.74
.CWIFLBRYM MH.
1825=0-280-1011827
$132.35
CWIFLBRYV MH
1825-0-280-1011828
$3.94. .
CWIFSHERFF MH
1840-0-280-1011841
$255.63 .
CWIFSHERFJL MH 090807
1800-0-280-1011811
$347.00
CWIFGGF MH
180870-280-101001
$542.98
DBSMIP Residential
100170-280-1011298
$11.58.
4,712.62 $514.66
Printed By: Kourtni Graham. Balance:Due: $4,197.96
At.the time of permit application, I was advised the above fees are required prior to issuance of the
permit. T see may changeding the plan c ecking process.
Signature: .Date: 01/02/2008
Pursuant to o dment code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days ~
from the date'of approval ofttie project or from the impostiomof the above referenced items during which you may request a protest. The requirments
for a. protest are specified in Government Code Section 66020(x). .'
4
1
a
F
California Department of Forestry and_ Fire Protection
Butte County Fire Department
Fire Prevention Bureau
176 Nelson Avenue, Oroville CA 95965
(530) 538-7888 Office, (530) 538-2105 Fax
Reference Number: B08-0002 Date: 01%02/2008
Location: 3973 CHEROKEE RD
Parcel Number: 041-500-005
Owner Name: .BLACK, MELVIN H
By: KCG
.Sub Type:. SFD-Mobile Home PI
Phone:
Description: NEW MH, PERM.FND (1782)
To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County
requires a pre -construction inspection to pro -actively provide the below building and site requirements to the
property owner.
Your property is located within the State Responsibility Area (SRA) of Butte County
SRA is required to meet the below requirements:
✓ Public Resources Code 4290
Public Resources Code 4291
✓ California Building Code, Chapter 7A
✓ Butte County Improvement Standards
Requirements prior to scheduling the pre -inspection:
✓ Full plan submittal to Butte County Development Services -Building Division
✓ Driveway and building pad must be identified on site
✓ Structure location must be staked out on the building site
All development within the
Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention
Bureau's 24 hour inspection line at (530) 538=6226, (When the recording comes on, enter the extension
number).
For the. pre -inspections, the property owner or authorized agent is required to meet the 'inspector at the construction
site with two hard. copies of the site plan.
I have read and understand the above pre -inspection requirements.
01/02/2008
Date
All of the Fire Safe Requirements.are posted on the Butte County Fire Department website at
http://buttefire.6rp/Fireprevention/protplan/protplan.html
Rev'd 5/7/07
FILE
Butte County' Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County, Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your .building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your.permit:
O Make sure your, application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration, an indefinite number of times, provided construction progress has been documented by the Building,Division during
each year during scheduled inspections. No changes may be made. in the original plans and specifications for such work. In.
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As .a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY"
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any
refund amount) to determine no work was done.
Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
Reference Number: B08-0002 Date: 01/02/2008
Location: 3973 CHEROKEE RD
Parcel Number: 041-500-005
Owner Name: BLACK, MELVIN H Phone:
Description: NEW MH, PERM FND (1782)
Signature of Applicant:
FILE
Date: 01/02/2008
Butte County Department of Public .Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program,
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530) 538=7171 Fax
www.buttecounty,net/dds
O.
O
0
0
0
National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm
Water. Permit and'Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN 1 ACRE 1
e+
Reference Number: B08=0002 Date: 01/02%2008
Location: 3973 CHEROKEE RD
Parcel Number: 041-500-005
Owner Name: BLACK, MELVIN H
.Description: NEW MH, PERM`FND (1782)
By: KCG
Sub Type: SFD-Mobile Home PI
Phone:
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need Io apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple. site buildouts of less.than one acre but
when cornbined 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 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 this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed:
Title: l
FILE
Date: 01/02/2008
T OFH�
C/MITY �vE`
STATE OF CALIFORNIA NUMBER:
BUSINESS, TRANSPORTATION AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
.DIVISION OF CODES AND STANDARDS 8
MANUFACTURED HOUSING PROGRAM
MANUFACTURER CERTIFICATE OF ORIGIN
�d u
A--
CHECK ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO.
MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING
NUMBER OF
D SFD (SINGLE FAMILY DWELLING) ElMUMH (MULTI -UNIT MANUFACTURED HOUSING
TRANSPORTABLE SECTIONS
COMMERCIAL COACH:
OCCUPANCY GROUP
MANUFACTURER NAME:
MANUFACTURER LICENSE NUMBER:
SKYLINE HOMES INC
90002
MANUFACTURER ADDRESS:
SUGGESTED RETAIL PRICE:
i7% EAS BEAAMER S'TREET WOOD N %A 95776
$ 96,262.75
(Street) CI State Zi
MANUFACTURER TRADE NAME:
MODEL NAME AND/OR NUMBER:
DATE OF MANUFACTURE:
�40ODFIEL.D LIMITED
7449—CT
5/10/2005
NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO):
CALIF. DEALER NUMBER OR
DATE OF TRANSFER:
TRANSFEREE DESIGNATION:
5/13/2005
SKYCREST ENTERPRISES/COUSIN-GARY'S HOMES
DEALER OR TRANSFEREE ADDRESS:
str4lt�468 HWY 99 E C; H1C0 CA (StV
973 (zip)
INVENTORY CREDITOR NAME:
GE CDF
INVENTORY CREDITOR ADDRESS:
P.C. BOX 94900 PALATINE IL
60094
(Street) (City) State
Zi
SECTION
MANUFACTURER SERIAL NUMBER
HCD INSIGNIA OR HUD LABEL NUMBER
LENGTH
WIDTH
WEIGHT
16
(INCHES)
INCHES
(POUNDS)
1
D2-70-0561—T—B
PFS 906620
792
168
27,298
2
D2-70-0561—T—A
PFS 90662.1
792
168
28,578
I �x 2
2'3,
TRANSPORTER NAME:
BENNETT TRUCK TRANSPORT
TRANSPORTER ADDRESS:
P.O. BOX 179 DURHAM CA 959.38
(Street) C' Slate
Zi
Z; ,DESTINATION FOR UNIT DESCRIBED ABOVE:
'
COUSIN GARY'S H0, 13468 HWY 99 GHICO CA 973
( S to
(NSE t (
(Zip)
I certify under penally of perjury under the laws of the State Of C8lifoms that the above tecta are Uue all correct.
Executed on 5/13/2005 at WOODLAND YOLO
CA.
(Date) `(City)__._.._ ,7 (County)
(State)
SIGNATURE OF AUTHORIZED AGENT:
DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE).
COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE.
COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION.
COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER.
HCD 483.0 - Side 1 - (7/9
8 A00Yf WdgFO� ISE
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n�puoed on fko,.wkw of jxv tj cNetreir 4 or
] atmPileed ttn fu1 valla h�ivalue d fQ or eenCumbreueoeB renwlning titn0 of sale,
tlnAwrwaw Atex C* of owook>
FOR A MAIAM! pwn H. Bleick bA unmrded
men
hore0y 6W(A9 eD lRidW L ftvMv ated Mt y Jean No Wq. hwW d and w1k as AM Wnwft
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tier 91s9 �9 90 iAe � as �OOq, Aoueell► t>f Deep, �D Of 6�O.,tAa • .
SEE 0"91T W ATTACM NO= AND MADE A PARTPIEAIaOF
DATED: Deem bw S, 2W
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bawn to nee (or primed m nee on aee of r
ryaWdanaa) m btthe pyson(e) whom nirne(s) ^�
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Sign
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COUNTY
JAN 1�4 2008
DEVELOPMENT
SERVICES,
01715/2008 09:36 '5303429174 CHICO BLDG SYSTEMS _ 'n " `PAGE 03
*1AN-14-2008 03:28 MID VALLEY TITLE & ESCROW
P.04
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n�puoed on fko,.wkw of jxv tj cNetreir 4 or
] atmPileed ttn fu1 valla h�ivalue d fQ or eenCumbreueoeB renwlning titn0 of sale,
tlnAwrwaw Atex C* of owook>
FOR A MAIAM! pwn H. Bleick bA unmrded
men
hore0y 6W(A9 eD lRidW L ftvMv ated Mt y Jean No Wq. hwW d and w1k as AM Wnwft
r }
tier 91s9 �9 90 iAe � as �OOq, Aoueell► t>f Deep, �D Of 6�O.,tAa • .
SEE 0"91T W ATTACM NO= AND MADE A PARTPIEAIaOF
DATED: Deem bw S, 2W
STAN OF,GL1Ft7
' (lim Insert . nor* and a* >r
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bawn to nee (or primed m nee on aee of r
ryaWdanaa) m btthe pyson(e) whom nirne(s) ^�
la/+tna "* saihscr®ed CP tln 0 �e ���N� f900 >
e: fwMln� hretaeansitt !nd
ti Irk t e Immumfts>trree z
�t mP!�W), and 'do by
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f. smee�etee
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Wkness lend and oN►ei�
Sign
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COUNTY
JAN 1�4 2008
DEVELOPMENT
SERVICES,
01/15/2008 09:36 5303429174 CHICO BLDG SYSTEMS PAGE 04
AIAN-14-2008 03:28 MID VALLEY TITLE & ESCROW PP.053
AOR hwd m`1K/lti�
� . V�� CAFNtW9}Q➢�01719 .
Ind i1L. 07 -twig
RXfHiBTr'A"
THE LAND Rf3iW" TO WAN NEWW b SRWITM IN THE UNMMFMIW AREA, COU M Of 8llM STATE
OF. CAUFORMU4 AND IS DESCRIBED AS fOLLOM
ftvd 1;
A poltfon d Lot 5 d SoLUm 2Br and o peftn of Lot 3 ol Soft 33. In Ta rzhtp 21 Nal, Rnp 4 � MA. 9. & 14.,
more pedadeM deKew as falk>ra
QUMNRQ?c at the Nollhea9t ON= of the SouthwRhtt Quaver or the sou*"a Quareer of No SeQtorh 28; them
South w w 14• Wpb, 81011 the Nom boi m" Of the $a&aw Qualt r of the Shhhp a t: *aw of said Sam" 280
a dtstarhae of 864.83 Bast to the ON of bomMhl for the pa1w of lend dewtball hereto; thence horn pohht of
bepinnf>q, =afro fnQ sou flrl' 46' 14" West aiorg-ald 106 bolnary, 52934 feet it , I co SM
ob 32013' 04" %1w%611.67 W tft�mhoa Sbutlh 1° OW 3r.ffWhtt V3,27 het tlhhh w south ii� 23' w wes` 20347 few' OXM South 310
s3' Sl" Wes;, 524.46 loo; HlettOa 9OIM 270 QfE 26° wast, 179.54 tort m a point Orh the WeR boundary or lot 3 of old
Section 33; thence along sell we* bwmbvy, South it 30' S0' uz 46x.78 No.. vwm with 00' 0? o0' West
103.20 0aNA; titirMoth 044 59',00' SM UM.=0 lbet; ri North 24" 23' 0W 1UL 8432 t* the- North 0018'
00' Elt,114.90 Nat; fhenoe North 160 ST Or Wtsf; 60j9 tbet; ttheth0a Here 06. 2lr or woo, 107.0 fi Nt thaw
North 430 S3' Easi, 801.45 N4 dw= MO 3r OF 00` Ealk 91.35 fila Oil= South Sr 4V OV Wt 316.91 lent;
601M W.Xh 01" 46' oor West, U.99 %ak Owu Month et►• itr sjf3" fast 87.41 feet ee the Sauthw 1 i ti homer of that
oarfatn parcel of land Oesnlbed fn f7rd h0m 6dNrard ]. cbrnpbeil, fid, tD the ThtstRes d dhsiottae asrneterl►. dathyd
May 21, 1906 and recorded i n2W 30;1907, U Book 93 of.Drssb, At pole 259; tlaa abq the Waif li bow AM of
said Omukw CdtWary parcel, the IoMowMg acuses and dweoes: NoM 04" 1S Ir EM, 126.35 Haat d nCsl North
09°35' iT F�SL 67.40 fhorhoa Nthrtt 06° Od' iT f°aet ttD.20 feat tlherh0e Nwtth 03. 44' 17" East 156.79 ram- .
tl�enoe North Q2° 4r iT f'atit 154..01 Beet m ftht Nortlwaiwyr Comae d sold faherobae CenhhRary
Pam* fhence Nam
Or 24' W EmK 231.42 fact; thence RWM B9'• 43' Or Eag 105.16 W b Hie NOrtlMfth► comer or idd Cherokee
Cenhebaty "; thence done slid NOttlh* boundary South 89' S6` 43° E@M 18.70 feat to s palm that boors &pA loo
50' 23" West, NoAh the point of bagiruft,, thaw North IV SO' 2r East, 2x0.95 feet to the point of bagM t.
VVMNG TNBWW M that porticn of Ola %"DwMp dMOd ed 0 aparby:
•; Apt h of Lots d Sat#ton 28 and tdt 3 of Seddon 33, eft h Towm Wp !1 Haft, Ran1e 4 lett: M. 0. B. & N. and
fiartlwlartt► dasadbed as tiallorrs:
0214pmNalwa at ire SaRhant an* d the Not hhie9t fJhwrttf ar the SOrdtheaR fluarEef at said Sacvon 28; thhmahj
Swth 860 qa' 14' YNed. aiahg
to SwA h hound y of the mw&weet *A tar d the Soutlhe8s< quahear d MW Seddon 28,
a dhtanoe Of 1,094.17.het l ih pout d balhrhlfhg far the 101001 Of. tsid hedn OaoQ10ad' thence fr" nm pobht d
baPp s south 32013' 04" W%*. 6"Al Post Own Sou o4" it it SK 392,09 feet to, a polrht on ft NOV fir
bourhdary Of twtceAah pared of lend dasahteed in dahrd IFOm Leonard Cdlepbefl, at U, b Lmet Law, et at Mo
November 4,1970 and lapprdaq KO m e 10, 1970, M 9ooih 1646; of Butte CmE ty oflkbl Rqm *, pale 2".. fJtienOa
abng the bouedary of setd ka Wh* tx al, pthrod, 500 430 531 Vr 581:43 >� thhtrhae 504th 0i° 26' �'
1r W ffleq Therhoe - th n WOW East 6039 flit; Hhenc�s SOO 04018' V ftit 114-00 feat; fhh M South 349 ZY
00• wait, 84,32 fear, tt>ma soup, 04° DO" Weo,125.20 hN4_tJW= %Uth W Or OV EM 103.20 ttoet to a point
on the West boundary of lot 3 Or @Md 1 ubm 33; two afonp wW WehR howWwy and the Wleit
said Smctlon 26, the Taft 9.3 towels Mo dlstanoo<: North i9' 3a' g b=Way of Lot 5 of
Wenn: 67�p �i MUM North 35.39' or � oo • pant m the Sou � boUrSie.64 !feat; H ae MatA 13° 35' Sr..
of satd Secibn 29 ffhst beers Soutlh 88',,W.27' Westa of
tie th quarter of the
46' ti' �, MOM � more or les, to the poprtt of bepNa kW �^h+o+e: ttlhtth0e Nath 8th
Prat n:
01/15%2008 09 36 530342917.4.CNICO BLDG SYSTEMS PAGE 05
--JAN-14-2008
03:29
M I D VALLEY TITLE 6 ESCROW P
.06
TOTAL P.06
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
p BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 3973 CHEROKEE RD
Owner:
Permit NO: B06-2440
APN: 041-500-005
MELVIN H. BLACK
Issued Date: 10/16/2006 By TMP
Permit type: MISCELLANEOUS
131 MORINING STARR ST
Subtype: Demolition
OROVILLE, CA 95965
Expiration Date: 10/16/2007
Description: DEMO SF 720 SQ.FT.
(530) 354-3672
Occupancy: Zoning: U
Contractor
Applicant:
Square Footage:
TERRI BREIMON
Building Garage Remdl/Addn
842 PLARMO RD
720
OROVILLE, CA 95966
Other Porch/Patio Total
(530)354-8981
720
FEE INFORMATION
Demolition $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B523
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER: DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
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
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of. Section 7031.5 by any applicant for a permit subjects
X 10/16/2006
the applicant to a civil penalty of not more than five hundred dollars [$500);
Please check one of the following:
Contractor's Signature Date
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
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work forwhich this permit is issued.
improve for the purpose of sale.).
HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE,
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
❑I as required by
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Cartier: Policy Number: Exp. Date:
(This section nee not be completed if the permit is for one a h�llars ($100) or less.
I AM EXEMPT under Section B. & P.C. for this reason:
El
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 10/16/2006
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
Owner's Signature Date
X 10/16/2006
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules; regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and properly damage caused arising out of, or in way connected with
HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION,
( )
the issuance of this permit. I hereby acknowledge thatt is issuance of this permitt does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
props owner or am author ed o act on the property owners behalf.
' 10/16/2006
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee IsiGNI Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner 1:1 Contractor OR: EkjAgent for Owner DAgent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY*
OWNER INFORMATION
Last Name 6 Gk_
irst Narne
Mailing Address 3 I raA r/I I rt5-}--r
City C' o v ..—.
I C
Zip ^159 6t5
Phon c �5 L _3
Fax
E-mail
--
CONTRACTOR
Name
1,i!
Address
U Q 4{ Z' 2-
City
City
State
Zip
Phone
Ph9530 �'J `>,4_Bob I
Fax
E-mail
Planner
Lic. #
Class
--
ARCHITECT/ENGINEER
Name
1,i!
Address
U Q 4{ Z' 2-
City
City
State
Zip
Phone
Ph9530 �'J `>,4_Bob I
Fax
E-mail
Planner
State License Number
--
- - -APPLICANT INFORMATION
Name
1,i!
Address
U Q 4{ Z' 2-
t
1
City
c6 V 1 l� 11_
State00—
1 Zi 5 I..LP
Ph9530 �'J `>,4_Bob I
Fax
E-mail((
Planner
APPLICANT SIGNATURE
X
For office use only:
AP# [// __,:sm " d OS
Zoning
1,i!
Flood Zone
SRA I Yes No
Occ.
Policy Number
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BIN #
PROJECTLOCATION
AP# [// __,:sm " d OS
Property Address
3 C) 73 Ch e coQ-e.
City
11�
Cross Street 9 Lo L? 170
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
De.}s..cription or Scope of Work:
-
r 11 Q
Sq FT- Living Garage Open Cov
Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION -
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: —Bldg w
SRA
Receipt #: _Sheriff
__SMTP
Date: Other
-Total
T bvka Wv-- tlo s Oo,1 c-o- r/i
-1—, -e-1 Ut rL 8)a-c-,L/ on Is
4o. 4.. Lc`tft, o r r z,e Bre-Ayrwnj�(O 'axd' aS m
S L n iffr L D-06e- "fs
-, ca Q % ��) 4� - -
A�ao-z�,A Loaf- k LO-P- by IL
A,
�O rla-Aa a
S-t-a..c-. on c l (��' 2-Ao
M.p--lvi n B lasj%
131 Morn
ov
TNA, (5�)O) 35q ��'12-
041-500-005 PERMIT06-4409.,
.RICHINS -Robert
3973. CherWd*6'-Rd Oroville,
Ele'serlforMell-for-Fire Control.'
..:. COUNTY OF BUTTE- DEPARTMENT OF DEVEILOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 041-500-005
ZONING U
BUILDING PERMIT
OWNER ROBERT RICHINS
TEM16410
SQ. FT. OCC. BUILDING VALUATION
OWNERS MABJNG ADDRESS 3973 CHEROKEE 0 OROVILLE
CONTRACTOR'S NAME IJYrNER
�h
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
UC SE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 3973 C'iiEROKEE RD
PERMITFEE
$
PLUMBING PERMIT
Filing Fee 20.00
OROVILLE
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW SERVICE FOR WELL FOR FIRE CONTROL
—
Mobile Home I S I GI W 1
920.00
PERMITFEE
_
Contractor
ELECTRICAL PERMIT
Filino Fee 20:00
Main Service / e00V OR LESS
200. OR LESS )
23.00 •
Main Service ( 200A TO I000A )
46.00
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
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law,for the following reason:
1. 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
NEW CONST. DWELLING OCCUP.
OR ( 8 ACC. BLDS. )
SD .
3.50 FT.
CNS.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER SINGLE AOUTLET SPPARATUS )
8
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL 9 .30
Ex. Occup. (OUFIXED APPLNS. TLETS (R S D.OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
ME INSPECT•
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION -
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit 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
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.) i
'\ I certify that in the performance of the work for which this permit islissued, I shall
` not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X ,., /_�=Date ____
Signature of `Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
1 D. FEES
I IMP I FLOOD—7
I PARCEL I PD I HD
I ISSU
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
i
By i
PERMIT EXPIRESON
the applicable provisions
Resolutions to do work
been .paid.
�`,�,�
Dane a_ / i 6
,
(Date)
Receipt No. 201949
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
19, COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT g n
ASSESSOR PARCEL NUMBER 041-500-005
U ZONING
BUILDING PERMIT
OWNER
ROBERT RICHINS
TELEPHONE
532-6410
SO. FT. OCC. BUILDING
VALUATION
OWNERS MAILING ADDRESS 3973 CHEROKEE RD OROVILLE
CONTRACTORS NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAIUNG ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS 3973 CHEROKEE RD
PERMITTEE $
PLUMBING PERMIT Filing Fee 20.00
OROVILLE
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW SERVICE FOR WELL FOR FIRE CONTROL
—
Mobile Home IS I GI W1 920.00
PERMITFEE g
Contractor
ELECTRICAL PERMIT Filina Fee 20:00
Main Service ( 200A Goa LEss )
23.00 23.00
Main Service ( 200A TO IOOOA )
46.00
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
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR NS. ( 8 ACC. )
SO.
3.5¢ FT.
CONST. MULTI -OUTLET
NEW CT
NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS
( a SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES)
BAL Q I.50
EX. Occup. FIXEDAPPLN . OR )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE INSPECT
123.00
PERMITFEE s
66.00
Contractor
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
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shallTOTAL
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo with comply with those provisions.
f !!ll
X _ W Date19 (� °l7 =�� _
Sig ature of IF Applicant - ❑ wner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
OCC
CONST. TYPE
FEE $
HA2.
1 D. FEES
I IMP
I FLOOD
I CDF
PARCEL
PD HD
ISS?
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
BY Data
PERMITEXPIRESON
ate)
provisions
to do work
d.
/
b
`
Receipt No. 201949
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
� 1 �
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.µ ,,
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the'
proposed property improvement: YESK] NO[ ].
2. I HAVE[] HAVE NOT[ ] signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAIN E:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NA�ti1E:
ADDRESS: CTI'Y:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide'the work indicated:
NAZIE ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER: LJ
SOCIAL SECURITY 3
DATE: (, ^ -.)" y — q/,
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
0- R
t_ Complaint -Date
Other -Date
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
ZONING
Owner: !/� 1/"� A.P. #
Address: //tel% Date of Inspect' n
Tenant: Inspector
Building Location:
Type of Inspection requested:
A.
B.
Housing f_[ 2. Financing " 3. Change of Occupancy to
Work W/0 Permit. / / 5. Other (specify)
Present use of building:
Sanitation (Housing)
1. Water closet: - Glu
2. Lavatory: 0C=
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities: DO
7. Natural light and ventilation:
3. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal:ef;�
12. Connection to water supply: JA)�ll
13. Rubbish and garbage facilities:
14. Stairs:(Rise, Run, Headroom, 1HR, olerances,Handrails)
15. Comments: -
Structural
1. Piers and footings:y�
2. Floor construction: r-
3. Wall construction:
4. Ceiling and roof constructio
5. Fireplaces:��
6. Comments:
C. Electrical
1. Service a
2. Receptacl
3. Fusing:
4. Comments:
A - --w.
D. Plumbing
1. Fixtures connected and, vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:
E. Other
1. Maintenance and repair-
2.
ep 2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation: U
6. Energy:.
7. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or violation (give complete description):
2. What action taken (give complete description):
3. What action recommended:
/ / A. Information only - file.
B. Hold for ten days, then write letter.
= C. Write letter.
L-1. D. Other:
Owner
Mailing Address
0�
Applicant �^
Mailing Address
Building Locati
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville,'California 95965
Telephone: 538-7541
,',
APPLICATION FOR 'SPEC! AL INSPECTION
-69S7
C�1 Yl S
kALP. No. Dq! —SQO' 0 W
Telephone No. S,32 752 3
�. -ry L + T14VR Nor Homt T') ZZ
I hereby'equest a special inspection of the following building:
1:,,,`Dwelling (if only a &rtion, specify)
2._ Apartment—Housee(iii only a portion, specify) f �.
`='-3. Commercial (specify present occupancy)
<�
r .. 4 Otter (specify)
I am -requesting a special inspection for the purpose of:
•�,1-..' Moving the building.
... i
0 2. Financing'(specify agency) Case No.
,Cf ange,_of occupancy to
4.- Other (specify) i W r►%�1 TS
I hereby certify that I will obtain the necessary permits and make any necessary. correc-
tions,'alterations, or repairs required by the County '-Of Butte, as a result of this inspec-
tion, to comply with building and housing code requirements. I also certify that prior
to, the use or. occupancy of this building, I will complete the above required corrections,
alterations, or repairs, or, if the building is presently occupied, I will complete the
above required,corrections, alterations, or repairs within 30 days.
�3 I certify that I have read this application and state the above information is correct
�j and hereby authorize representatives of the County of Butte to enter upon the above-
mentioned property for inspection purposes.
Date �—
Sil �i aO�O ture of Owner !
y
Fee Paid $ Receipt No. p�- < '7
1st-DPW/2nd-Inspector/3rd-Applicant
LAND OF NATURAL WEALTH AND BEAUTY
BUILDING DIVISION
_ DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
May 25, 2000
Wendy L. Richins
3973 Cherokee Road
Oroville, CA. 95965
RE: Special Inspection # 00-09
A.R. # 041-500-005
Dear Ms. Richins,
With reference to the above subject and your request for inspection of the single family
dwelling without permits at 3973 Cherokee Road, Oroville CA., the inspection was made
on May 24, 2000.
The dwelling was constructed without permits and inspections from this office, so we
were not able to perform the required inspections during construction. We therefore
made a reasonable visual inspection, without going on the roof, under the building, or in
the attic, and found the work appears to have structural deficiencies and code compliance
issues. The following items must be completed or -resolved:
1. Provide Environmental Health Department clearance and approval.
2. Provide as built plans including plot plan, foundation plan, floor plans, floor and
roof framing plans, and applicable cross sections.
3. Provide listing and verify proper installation of woodstove.
4. Provide verification that the entire structural system is adequate including the
foundation and anchorage, floor, wall, and roof systems.
5. Provide a source of heat capable of producing a minimum of seventy degrees,
three feet above the floor, per 1998 California Building Code.
6. Provide conforming egress in bedroom.
7. Install smoke detectors per section 310.9 9 of the 1998 California Building Code.
8. Provide conforming stairs at exit.
9. Provide verification that the entire electrical system is properly installed including
bonding and grounding at the service and receptacles, bonding of interior metal
piping, spacing of receptacles, two 20 amp small appliance branch circuits in the
kitchen, G.FC.I. protection where required, and wire and breaker size.
10. Provide a conforming water heater installation including pressure -temperature -
relief valve and discharge line to the exterior.
11. Properly drain and vent all plumbing fixtures per California Plumbing Code.
12. Comply with any items identified during plan check.
It may be in your best interest to have the building evaluated by a competent engineer or
architect to determine structural soundness prior to preparation of building plans for
permit application.
Inspection by the County of Butte does.:not act as a guarantee or .warranty as to the
internal soundness of said addition. or structure.
It is now in order for you -to submit complete plans in triplicate to this .office including
plot plans, foundation. plans, floor plans. and structural details, apply for the required
permits, -and-.pay the -appropriate -fees:The permits must be obtained rior to any work
being done, and the above listed items completed within thirty. (3 0) days ofAe date of
this letter.
Should you -have any questions-concerning.this. matter; please contact -Scott Rutherford or
David Wasney of this office at the address or phone number listed above.
Sincerely,
Scott Rutherford
Chief Building Inspector
"
' Butte County Building Division
MANUFACTURED HOME SUPPORT DATA
Owner's name:
Home Manufacturer:
Model Number/ Name: 9 -CT u/��47-Elel-
Width:(ft.) Length:_ (� (ft.)
FOOTINGS: Wood - pressure treated or foundation grade[
SUPPORTS: Concrete block [t-rOther:[ ] _
A. P.# r2,41Z -,?ZD - ".�
Manufacture Year: W
] Other: [ ] t3j t#' ;0,w S
Provide manufacturer's installation manual, support blocking requirements and state
approved or engineered foundation or tie down system specifications.
Pier Footing Sizes and Locations
SINGLE WIDE
Line1 ----------------------------
Line 2 Section 1
Line 1 ----------------
Line 1 Piers:
Minimum size piers:
Spacing maximum:
From ends maximum:
Line 2 .Piers:
Minimum size piers:
Spacing maximum.-
From
aximum:From ends maximum
Line 3 Roof Loads:
Minimum size piers:
Location (from front):
Minimum size piers:
Location (continued)
Line 4 Roof Loads:
Minimum size piers -
Location (from front)
Minimum size piers:
Location (continued)
Section 2
Section 3
[�� ] X [A ]
MULTI -WIDE
Line 1
Line 2
Line 3
Line 2
AA"� Line 4 (triple wide only)
Line 2
Snow Load: aP psf
Snow Load requirements may be obtained at
http://www.upstate-ca.com/butte/butte_county/
Insert AP #, view snow load in lower right corner.
Line 1 Openings:
Minimum size pier. [ [�
Required at each side of openings over
L_ "I wide.
BUTTE COUIN
SVAu8'
4/1XVir
VWX&4 ayxav a'/-1
X
Z&
Sof.3'D' sla iPF f
` ' 0
DEVELOPAMNT
SERVICES - --
Alf
3%
.30# CENTERLINESUPPORTREQUIREMENTS
THIS S4EET IS TO BE INSERTED WiTR SUPPLEMFt-T 71'0 Fl.[LO iNS1ALLATION MANUAL FOR.,
30 ROOF ZONE SNOWY' LOAD. SEE ABOVE PRINT FOR LOAD REOLRREMENTS ANC LOCAT".-AS
.
30j ROOF
6628 -30K -28 -CATH
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VOL. - -- 3
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CALIFORNIAALIFORNIA CODE -'OF
REGULATIONS TITLE 25
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Assessor's Parcel Numb6r
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FOR OFFICE USE ONLY
Zoning:
General Plan Desig:
Size, Acres
4.0(r
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SIZE (AC):
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GEN PLAN:
USES:
(:;JOIST @ 24" O.C. AND
_:H WITH #8 SCREWS
TAIL 3 ON SHEET A3
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MODULE
FOOTING
WIDTH .
SPACING
11'-101,
6'-01,-
12' - 10"
6' .- 0"
13'1-611
161 -Orr
1 T - 10"
51-011 .
114'--10"
5'"- 0"
14'
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- 6"
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, :• ,
Nol@: Q Supports f.1oy Have o ave
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to
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fooling sir, for 'soil
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Sidewall'
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Anchor Baits Provide Ventfintfo
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n w
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x 10 A.B. at 4
. -
SIDEWALL
_
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See Endwall Anchor Bolt
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Offset May Or a No
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AND A TO THE 'STUD, AND LATES `AS SHOWN IN THC hf ...},ILS
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O :SAID ....E _ O _. iA
HEREON., SHEATHING SHALL B INSTALLED N ENTIRE P� .1ETER
Wood l'-
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Alt 7/16
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Opt. 3/8 (Min.) APA Rated.. }
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n
P t 4•t o1 16 ¢C.
5 O FEET IN LENGTH SHEATH
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8d':: oa ' "
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End Wall AnchorBoltsfor Wind ,,
- . .
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PI wd. sheathing ,
Y 9
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on xou-2
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UNDERLAY THE EXTERIOR
1 iv.! @ 4 O.C.
^
erfi rax 10 A.B.tr �,
~\
,
?. x4 Pressure Treated Foundation Grd. Lumber 0. ONEfIr
_
: PRESSURE TREATED
`
80 MPH. EXP. C and R oof Snowloads11.
.
Less Than 35 PSF
-
• L a s A e Obtained , roln
=Rid a Beam Loads And Distances To .Support oc tion r
The Manufactured Nome S ` an Chart.: :
P
$ 12 O.C.ield. i
^ -/bor
_/8 : _�,
s/s fax 10 A.B.,a,� -- 1 M
slim Wall, All. H.C.B: .'
Cone s r
.� _ .
t0 Z •-__.M • When H.C.B.
Con Li
u a1
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ARD SIDING WITH 3/ $
HARDBOARD .
APA RATED SHEATHING 24, /0
�- ^ el
2 ..2 x 3 6
/1 Washer _
+.- n_r-iit-
+ . , - See Press.Treated Lumber Notes)(Studs of 16 o.c.)
f.:. ,.., na
See Endwali ,� .,.. � �. 1
L.
A��no. soli _.0 .. -1
12 4 tit:
LUMBER NOTES
Where lumber is cut after treatment, the , cut
surface shall be brush -coated with not less
than, 3 percent solution of the same'presery-
ative used in the original treatment; or shall be
field, treated in conformance with AWPA standard
M4-80 using a 5% solution of pentachlorophenol,
copper nophthenote containing a min, of a-2%
copper metal, a,3%1. solution `of ACA, CCA
C 5°/ I i f FLAP
types As B or s or o SO ul on o Or to Max. Spacing of Anchor Bolts is 6' -0" O.C.
ACC; or creosote In conformance with AWPA
I M4-80 paragraph 1.511, End Will Anchor Bolts for Roof Snowloads
Over 35 PSF and to 80 PSF Max .
.
l -di ed
a e stainless Steel or hot
Fasteners sh If b st t
PP
- d ed a' s 's all
d ` d o - di ed zi c cot nil h
al nize H t n
galvanized..
PP .
be coated after manufacture',to their% final form,
including pointing, .heading,. threading or
' twisting, as. applicable, Electrogalvanized or. .
mechanically plated nails, orstaples, and hot -
dipped zinc -coated staples''shaii not. be
ed der .
Staples,where erfnitt un
'
permitted. P:
this report, `shall be stainless steel types 304
`I classification. . .
and 316. as defined by the A St.
- 2"x 2"x 31161." Washer. dna; , It a XP.'i NAIL W/ 6d @ 4" O.C. Chert for u •. . '1 .
See Anchor Bolt Chart i, �.., :: �� r_ E r., ...
Number Bolts , 111
RI GE BEAM SUPPORT LOCATIONS ;Far Na. Of Bolts
AT ALL CONTACTS. Req+sired d
.
D ..
d
Req d. :.... .•.. r JZ"_.�
D
0 EL
C B , A F ONT ►e: N .00r veil. of 49 o.C.twhen H.e.e. -
:... REAR F E D R No 4»
. I, ul�d1
Cul 2 Of f B r . .
.. _-__ a - OIIomOf. dR.hnrCenl- -
..
1.
.
I I �. I � . -._.
I .
. � I �
11 I .1
. I I .
.., �
I � . ,
I I I -
.
. BEAM S� . UPPORT�.
FOOTING . SIZE - " :,
R. �I r�� I
1000 PSF
LOAD
fooling sir, for 'soil
P.S.F. .
. 1000 1500 ..:
2' - 0" Dia '
3 000
20" x 24'1
12'1x 24 $r
2'- 3" Dia
'- :4 000 ''.
, 24 s ..;..
18"x24" ..
2'- 6" Dia
3 000 "
24"X 32'l
20 x24
, r
-9 Dia
6 000 .
24.l'06"
' :
24 5
000
3' - 0" Dia',:
.,7 ,
281. x36
'24��x28"
3' = 3"
• : 6 000 .:::
32 x 36 _
2 4 x 32
_'Dia;
Dia
5" D
` 9,000-
' 36 . s •
24'i 36
,..: ,r
Dia' 3 - 7
10 000 '
-367x-4 _0
28 x 3 6 -
T-9" Did-
1 000
36 x 44 '36'06"
36,
' -11"Dia •;
' 2 000.
I
36 x 48
32 x 36
) ,
i --
r.
. , . r • _
A ROOF
. . • .
HOMES OVER 60 IN LENGTH V4'ITH
.
. SNOW LOADING O
«,R 35 TSF RE UIRE
Q
.. ..
3 �r'4 or 3 x 6 P.T. SILL PL1.ATES
Sri Nolr BUoY z: _
N
m4
z• ++ { � 1.�-_-•-- rs ;, tom/
U
/� `7/16 ;
E, I t ,.
6 •O.C: +oto to rd t. 1 --1I-
1. I_ A• .:ol l Ar
81
o+ 9 O C ., • ��``� t N
>z f .s.r.s.. 6 mn•�--
M,mD,t w 0 - .. i. i .fie'• EO 1 C y i.. ,. •. "t ...+•
GD HOMES OVER ?.�(! IP I lh�,
8d of I2 0.0 . AT ALL MF %min.) f r -.
-
• 7 _ _r,, r1,.,:•,;-, ,.
fcs• Ett To 61to'rirMCr� c Q
el sal and' 50 FEET 1N LENGTH SHEAT 1 .11a -U n - 1 r
FI d In t I. H panne) e: r n+. a u� !0 4 (6... �9 rt.
` 2,'a to 'Plotz Attach./2",' 10 &T.S• hl f'wd.
Opt. 3/8" 1Min.) APA Rated Y j A A •ri
INSIDE FACE OF STUDS OR to 5. Q�
A PI 'wd.Shesthin Pvnrrot1�2i4v o116'O.C::. ... j'y(L11Y•)Li2 �4 _ �lyti� Tor it � .F�i 1
. . . Y . 9 G
e
-A• '�"'
RIOR r
2 /
Y T EXTE �
UNDERLAY HE .r
711 Plotz i.. O
Nall w •a a" 4 liT. s a • •�
N /8d O.C. E 2 i LY .-
@ ages , ,---- r ,J s t� ) 9 s.
- . r . .. 2 x 4 Pressure Treated Foundation Gra. Lumber 0.40 W # W Q
a 12 , o,c. Field. • , S. Cont: stemwou, An. H.c..6 , HARD$OARD SIDING WITH 3/8 .x , f e „ ,...._.
.
azo .+ p
_, e �, -
Hitch --^-�^ - -e worn Ha6 avu� t. • .... +,•. �f ar__�►t� a Yea ed Lumber Notes)(Studs at 16 o.c.) ;r•�
" .. -,..l-: � 4 A.bor can f.t A RATED SHEATHING 2410, sir r !• , . 11 Coif. . .
2"x 2"x 3/18" Washer ��d Irl'i' :il S r .d Jif f I? 'i
Sea Anchor , .i y i 11 :. • �.lJ
hor Bolt Chart , - 110 f OF d
. _.... + , AT ALL CONTACTS. F . _ , ' . Ill
For No // :a•, .. , f6 C t .. •��_c.
1
Of Bolts i .,� ,o _ �✓f f , m
„ • d �1
V `
Re d k. V
q
• �..
-�7..-
t c .. _..
Iyv c u 48
o V r 1
4R
eb r 1.
`--Y
wnta H.c.6: h u, 1 P ,.. .. .
cut 2 01 Ballo Of E I.
r---7 _
r ��
C o C' a
1
4 flebot
And InUall t Bor 1 ; i,V Q
5161nq a Wool Tr rtI 1. -. t. / °,. . , '^
a / O.C.Co
V /
Il w 6d .- . .
R
,n al 4
e
3
4 e N It .�
t o 6 ,.
1
w
.. ' � ..-.. _ _ .. ._ _ _ . _.... . , ... ■ • t+• n , , ► 1 e•� w Y• 1 /1 . 1 e"1 f- A ry V P11"y `T• t r'1 A 1 ,. ,+:./�i��%� . ; .�- L.
...------------ - - _ ----•--.._.. _._ .
. LIQ wed ea For Levelin `-T /l r
„Y v 9 9 • YP. U OME:
+ Detoll .. . . .: ;WITH MFG D. H
' .1.
21 m 4 �
In. . Cont.t.
I ,• o ull r?
o P o f ual - i
ow
Simpe n T 4f► r .q 8 x 8" z ifi H.C.®,tAit. Metal Pier). T MAKE
YP rr rr
MANUF
•
ACTURED H
OMB
/Hoene
4 6 ., . _er „ n ` rl . , HOM13
+ max. ..: rr n r, ! -12 36 ,
al Each Anchor bolt �!t�- 6 .. CT .
rr, � _ X t0 . A.8 of 72 OC, D.io bRovud Go�'A r/ x P.T. Pada Alt. dbe co Br .Pad) _ .
„ 2 x 1 x 30. PT. Wood Pad ( 0 MOD
Location
# I : �r i min, max. . : , EL• ® FOUNDATION
1.
4 Ytrt, at `J8: o.c + /6 ,Dae G a el G a a Ma He Omitted 0 ttonol ,' _. •: �+
,. >r w P.ry ( rv( y P
_ 1 . HEALTH AND SAF
!" . ,
... SAFETY CODE, SBCTION 1ES51
- :.: . _ , _ , Conc ete ,,. ...: DESIGN LOADS• ,.
NAIL W/ 4 I Od AT SII L . .. , (11
• : ••, r. s .. , .When Exist q. Solt I: Frse .Draining, A� r .; ,. 2. ® .
_ 6 min. , A P V
LATE AND -19dAT Ds erm ed B Loca t3id Official " rj ,� _P RO ED
P 4 ,. 1 in Y I 9• ) ROOF LIVE LOAD. P . ,THiZ4l. _P.S,.
. r_ r--�
_. .L a
, > _ 6
Rfm JOIST _ u . s . • . . , f . .
_ ALTERNATE TO WOOD' PAD, Abetco - 0 P.a.r.
L II _ ... ,,, +�,�►fi� A 1 n n 4 ? � r. t � OR LIVE LOACi
J 2 I r . AI ___ +is . ..... FLO
i r. I m n. a.. 1. ;
_ 1 I . _ (2 (2 .. �� 5 SUBJECT TO CORRECTIONS . �. _ Bearin Pad No Gravel Re ulna .Set .. , . ., s. .,. , _ , _ NG6' CTION9NOTBD
... 12 .. . -.Ill 9 t .. q .. . .. '.r ,,. .t �� A IB X C 22,6-P.•�.F
rr r.1.
r ..... . .: WINO LO D .11<I
Detail This Sheeti
>=�? ., r.
6 t. 1-���_-_--_ ONE., 4
oil ... _ ,. ,. . :. .,, _ .. •- SEISMIC Z
11
NOTE: _ *
i EX i% APPROVAL DOES NOT AUTHORiZB OR APPRO
""�• 4 Rebar Conf. ,... :• _ �• lr6ANY
n '..: Ill._ r - u ... :.
t ( S '�
r, _ - . tk : PLACING MFG D. NOME,
Cut 2 OH Bottom of Ex,stln .$lain and _ ._ 1 � ills FOUNDATION IS FOR PLAC uMlssroNs OR DE
9 9 ,,, 12 J 4 s When 6 Dae Continuous - 3. T �' DEVIATION FROM RB UIR$MBNTS Olt
u u �i `'\ .
n!� 1�
4 Cont.Con ; • 4 Robot Vert: al 4A JOISTS. Instal! Z Bar 8 Renaii Wtt3d s 7lllt ti O.C: t ,, NOfiB 20 or 24 Foobnq la thud CtJNSTRUCTED W/ LONGITUDINAL OR CROSS J I J' APPLICABLBSTATEYAwsANDRBa
+ .. .� Round ox
12 aC.(Re d.Only'w/H.C:B. ��'
REGULATIONS
. q
q x i2 Dee Conc: Fig. .
P 9 ` State of California
n S A
�.
S e a he Footl s hown re 0 tions � : , �� n HA ' HAYE A COMPRESSIVE QF
_ - t mw tl)1.. 7 9. P 1 ALL CONCRETES t_L �r�
. (Alt. IS Wide x 6 Dae D
e a Acce ab e P q. eparhneut of Housing end Commlmr Dere1
Each Typ 1 pi I..
. Continuo r . ! STRENGTH OF 2000 P.S.I. IN 28 JAYS.
Continuous anti. Ftq.
_ i .' ..
. _ : w/ 2 . 4 s _ .
� 11
i STEEL PIER `CONCRETE BLOCK G,rt
.
A SIGNED o BE ;. .
5. THIS FOUNDATION PL NIS D.. T� DIV7ST OFCObBSANDSTANDARDtj
1 %i
.
CONSTRUCTED ON A FAIRLY LEVEL SITE WITt NO. .
.
T
11 �8Y 1'P �.. DATB
, EXITING SOIL PROBLEMS.: (eigeatt►ie),
A APPLICATIONS .
ALT. E1. TYPICAL L L IONS 3'� -
S CTIO A -A & C_C , . sPArTo.
- A. A SECTION B
. .. . , . SECTION . A B BE SHIP ED FROM THE FACTORY
.
. .. 6. MFG'D. HOME MAY P,
„ 7Lie P1sn Approveil B�cpites
" 1 E0 .
.
rT , n.ts. n.t.s. STATE APPROVED (APPROVAL , SPA 250 li WITH siallo cur BACK 2 AND is BAR INSTAL .
PA AC VE IFY AL
` DATt..N CONTR TOR .SHALL R
: � ... : T. FOUN
..
ESC
ING
C4 . - me S BEFC'tE `CONSTRUCTING FOUNOAI'ION.
. i, ; - DIMENstON .
. -
. n..s.
.1.
t iiii, _
-- -
--- -- •e._____-.�_-_ _--.-----.--------___.,:__ m_m.__-..e.... __:.. __., .. ... �___...... _ ___ n _. _:_ . - - - - - -- - - -
__ _"__-_-_ �_ - -- ��_..- _._
_- ___-- _ -. _.___- _ -
-- fir- -- ,
----
IIL i I I I � I : 1, I I li I I � t I i;