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041-500-037
WTMENr ooTlo� O O o o C O O �oU t4 AVeCIc Wo��S Department - C o u n t y j. mlcnael '.rump, Director Warner C. Phillips. Assistant Director December 13, 2001. Joel & Wendy Davisson 123 Zonalea Lane Oroville, CA 95965 Re: Certificate of Merger AP 041-500-029 & 030 Dear Mr. & Mrs. Davisson: of Public Works o f B u t t e LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 Enclosed please find the Certificate of Merger that was issued by the Butte County Department of Public Works and recorded on November 26, 2001, under Serial Number 2001-0055253, in the office of the Butte County Recorder. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday.through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Stuart`Edell � � � O Manager, Land Development Division ® [ SE/kp DEC '14 2001 Enclosure BUTTE COUNTY PLANNING DIVISION cc: - Building Division .Environmental Health Dept. Merlin McDaniel, 7602 Sycamore Drive, Citrus Heights, CA 95610-22 9 AFTER RECORDING RETURN TO: Butte County Public Works LAND DEVELOPMENT DMSION 7 County Center Drive Oroville, CA 95965 LANDS BEING MERGED: 2001-0055253 Recorded Official Records CoBU TEf CANDACBEE JJT. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:46PM 26 -Nov -2001 CERTIFICATE OF MERGER AP NUMBER(S)_ 'tip/ - so — ©Z i - U SUBDMSION / PARCEL MAP: REC FEE 16.00 CONFORM .00 Fay Page 1 of 4 BOOK PAGE BLOCK LOTS) BOOK PAGE BLOCK LOTS) As of the date of recordation, those lands noted above are merged to create parcel(s) of land as described in Exhibit(s) A 46 R attached hereto. MIKE CRUMP DATE Director of Public Works OWNERS' CONSENT TO MERGER as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into that / those parcel(s) as described in Exhibit(s) A t B attached hereto. . ALL SIGNATURESMUS TBENOTARIZED- r SIGNA E SIGNATURE DALanc Dave 0PmerAAPPNCadun Forrns\Ceruf. Of Merger -LD 1530 (2/99) DATE DATE CALIFORNIA ***** ALL-PURPOSE **** ACKNOWLEDGMENT STATE OF CALIFORNIA COUNTY OF BUTTE, On March 14, 2001, before me, Lorinda M. Spencer, Notary Public, personally appeared, Joel E. Davisson and Wendy Davisson a (or proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged to me that they executed the same in their authorized capacity(ies), and that by their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. ?LORINDA M. SPENCER U COMM. # 1256094 (� NOTARY.PUBLIC-CAUF0RN1AQ BUTTE COUNTY 0 COMM. EXP. MARCH 10, 2004' **** OPTIONAL INFORMATION **** TITLE OR TYPE OF DOCUMENT Owner's Consent to Merger only DATE OF DOCUMENT 03-14-01 NUMBER OF PAGES 1 SIGNER(S) OTHER THAN NAMED ABOVE - Mike Crump (Certificate of Merger Areal EXHIBIT A Property Description for Parcel at 186 Crystal Pines Oroville, CA 95965 Butte County Official Record Book 2117, Page 327 Assessor's Parcel Number 041-50-0-029: The land referred to herein is described as follows: All that certain real property situated in the County of Butte, State of California, described as follows: Approximately 2.5 acres described as that part of the north half of the northeast quarter of the northeast quarter of the southeast quarter of Section 28, Township 21 North, Range 4 East, Mount Diablo Base and Meridian (M.D.B.&M.), described as: Beginning at the northwest corner of the northeast quarter of the northeast quarter of the southeast quarter of Section 28, Township 21 North, Range 4 East, M.D.B.&M.; thence North 89 12' 25" East 663.9 feet; thence South 0 ° 02' 50" West 65.00 feet; thence South 89 ° 12' 25" West 277.18 feet; thence South 28 ° 34' 38" West 227.64 feet; thence South 89 ° 12' 21" West 277.18 feet; thence North 0 07' 38" West 263.40 feet, returning to the point of beginning. TOGETHER WITH and RESERVING THEREFROM a right of way for road purposes over a strip of land 60 feet in width, the centerline of which is described as follows: Beginning at the Northwest corner of the Northeast quarter of the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, MDB&M ; thence South 0 °7' 38" East 1205.22 feet; thence South 80 ° 14' 35" West 155.33 feet; thence South 50 ° 57' 03" West 174.88 feet; thence North 70 ° 01' 57" West 178.35 feet; thence South 44 ° 21' 17" West 108.02 feet; thence South 13 ° 20' 27" West 319.02 feet; thence South 88 ° 39' 43" West 480.34 feet to a point on the East line of Oroville-Cherokee Road and the end of said centerline. (VQ 41 h kQ' Z W No. 24An CIVIL .��P TF OF CA��FO� Expires 12/31/01 i it Property Description for Parcel at Crystal Pines Road Oroville, CA 95965 Butte County Official Record Book 2117, Page 327 Assessor's Parcel Number 041-50-0-030: The land referred to herein is described as follows: All that certain real property situated in the County of Butte, State of California, described as follows: Approximately 2.5 acres described as that part of the North half of the Northeast quarter of the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, M.D.B.&M., described as: Beginning at the Northwest corner of the Northeast quarter of the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, MDB&M ; thence South 0 ° 7' 38" East 263.40 feet to the Northwesterly corner of said parcel; thence North 89 ° 12' 21" East 277.18 feet; thence North 28 034' 38" East 227.64 feet; thence North 89 ° 12' 25" East 277.18 feet; thence South 0 ° 02' 50" West 263.40 feet; thence South 89 ° 12' 21" West 662.9 feet; thence North 0 ° 07' 38" West 65.0 feet, returning to the Northwesterly corner of said parcel. TOGETHER WITH and RESERVING THEREFROM a right of way for road purposes over a strip of land 60 feet in width, the centerline of which is described as follows: Beginning at the Northwest corner of the Northeast quarter of the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, MDB&M ; thence South 0 '7' 38" East 1205.22 feet; thence South 80 ° 14' 35" West 155.33 feet; thence South 50 ° 57' 03" West 174.88 feet; thence North 70 ° 01' 57" West 178.35 feet; thence South 44 ° 21' 17" West 108.02 feet; thence South 13 ° 20' 27" West 319.02 feet; thence South 88 ° 39' 43" West 480.34 feet to a point on the East line of Oroville-Cherokee Road and the end of said centerline. Expires 12/31/01 RECORDING REQUESTkb�BY?k AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 210GD-4—X060733 Recorded Official Records I REC FEE 10.00 I CONFORM 1.00 CountT Of BUTTE I I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Alyce 01:26PM 01 -Oct -2004 I Page I of 2 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. JOEL E DAVISSON AND WENDY DAVISSON REAL PROPERTY OWNER/LESSOR 123 ZONA LEA LANE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 178 CYSTAL PINES INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95966 C COUNTYCITY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME') SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 01-2884(530) 538-7541 BU DL� E T TELEPHONE NUMBER LOCAL NONE ~-J DEALER NAME (if not a dealer sale, write"NONE") DEALER LICENSE NO. SKYLINE 1981 HOMETTE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 03750334APBP 24X46 CAL217161/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 041-500-037 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. DATE a rR EXHIBIT "ONE" Parcel one: The North half of the North .hal 4 of the Northeast quarter of the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, M.D.B. & M. APN: 041-500-029 Parcel two: The South half of the North half of the Northeast quarter of the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, M.D.B.& M. APN:. 041-500-030 Parcelthree: A right of way for road purposes over a strip of land 60 feet in width, the centerline of which-is described as follows: Beginning at the Northwest corner of the Northeast quarter of the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, M.D.B.& M.; thence South 000 07' 38" East, 1205.22 feet; thence South 801 14' 35" West 115.33 feet; thence South 500 57'03" West, 1 74.88feet; thence North 70° 01' 53" West, 178.35 feet, thence South 440 21' 17" West, 108.02 feet, thence South 13° 20" 27" West, 319.02 feet; thence South 880'3§' 43" West, 480.34 feet to a point on the East dine of Oroville-Cherokee Road and the end of said centerline. Parcel four: A right of way for road purposes over the strip of land 30 feet in width lying Southerly of and adjacent to the Southerly line of the South half of the North half of the Northeast quarter of the Northeast quarter of the Southeast quarter of Section. 28, Township 21 North, Range 4 East, M.D.B. & M. 2 c .t. � NOTES RESIDENTIAL I PERMIT N0. _ 041-500-037 DAVISSON, JOEL - 05-0421 178 CRYSTAL PINES, OROVILLE CONT: OWNER ADDITION c' a t_ i y, A r SPECIAL CONDITIONS CHECKED BY SRA _ FLOOD CERTIFICATE REQ. s FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS _ SUB -STANDARD HOUSING LETTER _ 3 It - JOB FINALED (Date) ✓ r � r Signature -r �t r A r SPECIAL CONDITIONS CHECKED BY SRA _ FLOOD CERTIFICATE REQ. s FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS _ SUB -STANDARD HOUSING LETTER _ 3 It - JOB FINALED (Date) ✓ r � r Signature J=OK 0 = Not OK = Not Applicable �^ . = Not Ready Date UN R OOR (Plans) OK except #'s Hing-Setbac ks- Easements- Flood -Slope 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 Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel -9--D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation -� s 01c V9 Date Card B-1 mrte Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. 55. 56.Plywood 57. 58. 'V 59. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. BracgvFrlterior/Exterior Wall Panels 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 O Yes 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O 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: J=OK 0 = Not OK . = NotReadyable Frmg.; Sills-Anchors-Studs-Rftrs-Trusses MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Roof; Shthg-Roofing 1. Zoning Requirements -Setbacks -Easements 12. 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete Date 4. Water; Location -Test -Easement Needed (Sketch) 1. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Soils; Compaction -Structure Stability 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG Elec.; Receptacles and Lighting, Distance-GFI 7. Well Clearance & Disconnect 6. 8. Utility Clearance Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 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 Connector 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) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'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- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT.SERVICES BUILDING PERMIT BPO50421 24 HOUR INSPECTION#: (630) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (630) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/05/2005 APN: 041-500-037-000 the Business and Professions Code, and my license is In full force and effect. License Class : License Number: Site Address: 178 CRYSTAL PINES RD ORO Dale: Contractor: Map Index: Description: room addition (432) 'OWNER -BUILDER DECLARATION 1 hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law the following reason (Sec. 7031.5 -for- Business and Professions CodeAny city or county which requires a Owner: DAVISSON JOEL E &WENDY permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a 123 ZONELEA LN signed statement that he or she Is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95965-9116 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 penally of not more than rive hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Applicant: DAVISSON JOEL E & WENDY Code: The Contractors' Slate License Law does not apply to an 123 ZONELEA LN owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA provided that such Improvements are not Intended or offered for 95965-9116 sale. if however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.).' ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and PFofesslons Code. The Contractors' Slate License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code r✓ 5 Dale: Owner: License #: WORKERS' COMPifNSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: Is Issued. Engineer: ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation Insurance carrier and policy number are: Carrier: Total Square Ft: 432 S. F. Policy if: Valuation: $28,080.00 Census Code: ` I certify that in the performance of the work for which this permit Is (7P` 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 7 —-�j Applicant: WARNING; F lure to secure workers' compensation coverage Is I unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3708 of the Labor C` code, Interest, and attorney's fees. CONSTRUCTION LENDING -AGENCY sued under the applicable provisions of the Butte County Code andior This�permitffoworkl Res Icaled above fpr �yftfch fees have been paid. I hereby affirm Thal there Is a conalrucifon lending agency for the performance of the work for which this permit Is issued (Sec 3097 Clv.) Dale:4�5-6- RV.Name: . . ' U PERMIT E PIRE ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned properly for inspection purposes. Print Name: _ tiG�Z LF I�A--V 5_&y nl Signature: C^�� Dale: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor ,. �Q��ENT �Q 6VTTF �°° 1° l ���ouNti o. Department of Public Works _o County of Butte ° J. Michael Crump, Director . LAND DEVELOPMENT DIVISION C / Storm Water Management Program 7 County Center Drive A d" g Oroville. CA 95965 �L�C WD¢o (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit_ and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 9 ACRE] Project Description: AU izt/od J Project Location and/or Parcel Number: l ( 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 Boaid. 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: Date: 2��- Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT,SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (630) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally 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 : - License Number: Dale: Contractor: PERMIT NO. BP050421 Issued Date: 04/05/2005 APN: 041-500-037-000 Site Address: 178 CRYSTAL PINES RD ORO Map Index: 'OWNER -BUILDER DECLARATION Description: room addition (432) 1 hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for. the following reason (Sec. 7031.5 Business and Professions Code.- Any city or county which requires a Owner: DAVISSON JOEL E & WENDY permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a 123 ZONELEA LN signed statement that he or she Is licensed pursuant to the provisions of OROVILLE, CA the Contractors Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95965-9116 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 penally of not more than rive hundred dollars ($500).): I, as owner of the property, or my employees with wages as their License #: sole compensation, will do the work, and the structure is not I hereby affirm under penally of perjury one of the following declarations: Intended or offered for sale (Sec. 7044, Business and Professions Applicant: DAVISSON JOEL E & WENDY Code: The Contractors' Slate License Law does not apply to an 123 ZONELEA LN owner of properly who builds or improves thereon• and who does workers' compensation, as provided for by Section 3700 of the such work himself or herself or through his or her own employees, OROVILLE, CA provided that such Improvements are not Intended or offered for 95965-9116 sale. If however, the building or improvements are sold within one Is Issued. year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). • required by Section 3700 the Labor Code, for the performance of ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and PGofesslons Code. The Contractors' Slate License Law does Contractor: not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed Total Square Ft: pursuant to the Contractors' Slate License Law.). Policy It: ❑ 1 am Exempt under Article 3 of the the®BBuusiness and Professions Code Dale:Owner: WORKERS' COMPKNSATION DECLARATION License #: I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: Is Issued. Engineer: ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation Insurance carrier and policy number are: Carrier: Total Square Ft: 432 S.F. Policy It: Valuation: $28,080.00 Census Code: I certify that In the performance of the work for which this permit Is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that if I" should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant:- I J WARNING: F4 lure to. secure workers' compensation coverage Is to and one unlawful, and shall subject an employer criminal penalties hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the •�"�J ) code, Interest, and altorney's fees. .CONSTRUCTION LENDING AGENCY— This permll Is he(reby Issued under.the applicable provisions of the -Butte County Code and/or I hereby affirm that there Is a construction lending agency for the Res GilAv o'do work'l Icated above for Orch fees have been paid. performance of the work for which this permit is Issued (Sec 3097 Clv.) 5� Name: Bv: Dale: PERMIT E PR)EON: ' ) Address: (Dale ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification In accordance with Section 19627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Allached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and slate laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: g r t -e5- 108-0 S S o of Signature: Dale: 0 Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION ` AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" Name Address City Phone E-mail _'06'07" ARCHITECT/1 co, cR ST JOEL I� ADD1' .0 '11�!ES1 oRo 0 0 2 PERMIT I NO. BP©S0 BIN # LOCATION OWNER Last Name( kil SsoI nl first Na 0�L Address L Z_a,M '' L..N:. City State dip 9��(�_ Phone �Fax 3y, y E-mail c� Name Address City Phone E-mail _'06'07" ARCHITECT/1 co, cR ST JOEL I� ADD1' .0 '11�!ES1 oRo 0 0 2 PERMIT I NO. BP©S0 BIN # LOCATION CONTRACTOR Name Cityo ✓ C a Address Z-� City Policy Number State Zip Phone LENDING AGENCY Fax Licj 041 Class IDA 17 0'03 7 E-mail Phone Name Address City Phone E-mail _'06'07" ARCHITECT/1 co, cR ST JOEL I� ADD1' .0 '11�!ES1 oRo 0 0 2 PERMIT I NO. BP©S0 BIN # LOCATION APPLICANT NAME. Property Address `7 6C s r A; Cityo ✓ C a Cross Street Z-� 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. Subdivision Name Map LENDING AGENCY Name Address State Fax State License Number APPLICANT SIGNATURE X For offffe use only: APPLICANT NAME. Name a (AI Lir o Address Z-� City No State Zp Subdivision Name Map w Page Lot # Phone � r8, Z Fax E-mail , APPLICANT SIGNATURE X For offffe use only: Zoning I U Flood Zone SRA LYes No Occ. I Type Const. . Subdivision Name Map Book Page Lot # Planner Date Approved: Description or Scope of Work: 1Tl6-" (L/SG)- JUUGIUlt: DUut wIUIUUt rC1111115 Proposed Change of Occupancy j (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: Receipt #: V Date: / /! 0 S OVER FOR SUBMITTAL REQUIREMENTS L �/ K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Amount: Bldg 0 9�SRA 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 e mit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! 4. _ Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) r ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Mam�a�e 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. Sanitation and site plan approval from the Environmental Health Department. 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\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 r OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE r ©� A.P. # 0V / PROPOSED BUILDING USE D/ 716'J DATE 2=` /e RECEIPT # DATE REC. 1. BUILDING PERMIT FEES V -S - Balance Due ........................................................ $ / --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ - vised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES �(O✓� �� (Lrn (paid at District Office) A -f- 1?UUr1r 3^,),5"05 7`P- 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Com .ercial (Sq. ft.) ............. x = $ Sq. ft. EATION DISTRICT FEES 4 hP/1(hktQ5e 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion #_ ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE�-� $2500.00 (paid at 'Id' Divisio �. 10. OTHER I 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. y APPLICANT DATE '-' -//--D 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) I BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District G �QJ� X Building Department No. A.P. Number '. U ;31 Jurisdiction: �� City County Property Owner Property Location/Address Subdivision Residential Development 3 f` t Commercial/Industrial Building Department No of Living Mobile Home Units Installation Lot No. a� , .............................................................. � ......................................Sq. Footage � J� ed 'Supplemental to (Group R) i n Permit # *(No foundation Inspection) ............._..................................................... ............ ............ ...i Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage New Addition (Including Exterior 7 Roofed Areas) 5 Date District Id'entification'.No. ' l 7� Dbol SSOh School District certifies that �v �- (Applicant) Erg Sb3 Vcy\.e-c 1 (Street Address) (Phone Number) (City) (State) (Zip Code) ' has complied with the requirements of Resolution No. by payment of $ representing 3 square feet. School District 2926 $ FULL MRi"'rION $ �. Date Paid by Check # Remarks: i� (,� Q ►� 5—D O a NoMcs: You may protest the Imposition of the fess Identified above by submitting a written protest to the District. In compliance witty Government Cods Section 66020(a), within 90 days from the date fees aro paid. Failure to submit a tlmey written protest wfll'prohlbtt l you from challenging the Imposition of tiYe`fess in any court action. 1 N, subsequent to the School Distriet•Reprsserdatlw signing this Butte County Sshools Ing act Fee Certification Form, the,School ms�ptd Is mlromrsrrtal� rrotiflsd by the applicable Local Planning Agency that this project Is being reviewed under the California E�lty Ad (&;dig/C4S this pro)set may be subject to additional school fess to fully mItIgate.ks Impact on the school dist id's schools. (' White (applicant), Yellow (building department), Pink (school district) feeform.xts (10/03)dmm J BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM J FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) 041 ' 560' y Building Permit Number Property Owner (s) Project Location /Address ) �1 5? Y l Subdivision Name _ Assessable Sq. Ftge Type of Residential Development (check one) New DeveloRgient Single Family -Detached Single Family -Attached Alteratio Addition(s Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) Comments: _ f 1 cd- f'1 Building Departmen Re resentative r'- Date rr XFRRPD, 0 CARD ❑ PRPD - DRPD certifies that: Applicant Name Mailing Address Phone Number City verified by Building Department State Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ 0,00 per unit for a total of $ 0 - per -per sq foot for a total of $ Remarks: I& Paid by Check No: acid Park Di Paid by Cash: v.�rnDT RC%T21 ITT nTNIr, POT?TAC\nar4_rP.r. onndard form rev 1.doc Receipt No: g S /t7 Zip ,rk��>• '•4• L'_: '?�' •t5l::;t^.. :fit its=:°��._ 't?sc�''�!+.�a:en�:��sye•.r�--�.•nc:�.:.r.:-� �4�:;.s��ac:!+.,.�,'."..•:a=�k:x=Js��ss._ :dit:�a��.>a,av��ri°:,:�<,��:;• Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the labor and material for construction of this proposed property impp,vement: YES [ ] NO [ ]. —� 2. I HAVE HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: .2 -11 -05 - NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11 /42004 Butte County Department of Development Services ADMINISTRATION' BUILDING' GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information' for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to 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 contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. XV -__1 Mic el C. VieirJ C.B.O. Mailagger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. E.H. USE ONLY Plot Men Attached Roar Plan Attached sent to S.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance LO S Owner Location AP# Plan Approved for: Sewage Dispos ;l Water Sunly: Public rivate Wel Clearance for dwelling. Other 1+7 - Lft I'&P tg rn ) )-l", qt-) 30 z Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 - 2 - —2) Date 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:, f : VV / t - � � ASSESSOR PARCEL NUMBER h C� � - ��y Proposed Building Use: / 0 /f U / y Counter Technician: Date: _ G� Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. /N 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . n/ 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, (B) Marriage line info, (C) Floor Plan, (D) 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 \ ❑ 14. Hazardous Material Form �p f Aj 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers...................................................:........................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by `❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 20. Erosion Control Plan Required........................................................................ ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 22. City of Chico Plumbing permit ................... 23. California Department of Forestry plan approval Cl -paid. Sentr-,.i 7.--...�- 24. Planning approval (A) UseG1-L(B)Park ing: (C) Parcel Check: R \ 25. Contact Land Development about _ Improvements, P P , -Drainage ......................... ,Q IN 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 .......................................... rl 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone . r- and hold for pickup. C I have been informed of the above items and requirements for obtaining a building permit. Applicant:�� r/ , . Date: -� _ �, 1. Index permit . ication for the above items numbered: Plan Check Letter 2. Additional items re�uired Contractor, designr as advised of the above data by ph ne, ❑ mail, ❑ counter, by Date -Contractor, designee as advised of the above data by fi7-phone, ❑ mail, ❑ counter, by - ate: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: 05 Note transfer by: Date: Yellow.'Building Division y FEB 2 1 20@!i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO_UIREDAT TIME OFAPPLICATION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY** APPLICANT SIGNATURE X For offKe use only: CONTRACTOR OWNER Last Namefirst vi 5 so' Address Nae OrZ Address Z 2_10 nl ,. LE. City wilt CLtr �, Book State Tip Phone S � 2 Class Fax E-mail APPLICANT SIGNATURE X For offKe use only: CONTRACTOR Name Flood Zone. Address �r City No State Zip Phone Book Fax E-mail Phone � Lic. # Class APPLICANT SIGNATURE X For offKe use only: ARCHITECT/ENGINEER Name Flood Zone. Address �r City No State Zip Phone Book Fax E mail Phone � State License Number APPLICANT SIGNATURE X For offKe use only: APPLICANT NAME. Name Flood Zone. Address �r City No State Zip , Subdivision Name Map Book CA Lot # Phone � .^� � Fax E-mail APPLICANT SIGNATURE X For offKe use only: Zoning Flood Zone. SRAYes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP CS -0 y BIN # WORKER'S COMPENSATION. Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance: LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage O 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: Receipt #: 5-e, Amount: Bldg SRA I Date: L11 l Other/ (� Total I I Page 1 of 2 REV 7-27-04 jo REVIEWED BY !BUTTE CO. FIRE DEPT. . - w,,NING DIVISION -BUILDING PLAN APPROVAL CALIF. DEPT. of FORESTRY Use: Date: °� [] appro,,ed as submitted I Parking: Landscaping: approved with condition- Other per attac ed sheet. !� - rj Signature: Signature Date -177, Ir Al 670 0 12 Ate `i &&V�-44L.. s�iq 0 12'* Zl Afj ON LIFE to _41 v! /2 ` Z/ "64J SC,:�L s� I 64 SITE PLAN REVIEW APPLICATION Dater f 16. AP# Permit Number (if applicable) 05--0 APPLICANT INFORMATION, Parcel Size: Owners Name: _ Owners Address: Telephone No., - Situs Address: 75� Proposed Use: ar1�® 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):_ ro � 0. 5-4. a cm -,5 ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well 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 toz Date 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�,j SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) ched) • Flood Zone: • Flood Panel No.: &067C 0576G Index Date: E2 gf r ❑ 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: (/1 6P -H_2 Applicable Building Setbacks: Front Zoning Code 1 .20 Streets & Highways Fire Prevention Q Subdivision Map Side 5-1 30 ' Side Street ! r 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 A Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* - ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Formula ------------------------------------------------------------------------------------------------------ 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' permii. , Parcel Created By L1 Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference- Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with Co ty Stgndards for Deed Creation: ❑ No M1es Co ents: �C c✓ l —5-00-0 344-0 3 11 Parcel Deemed to be legal ❑ Verify Legal Parcel T❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance R. 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: ❑ Use Permit/Minor Use Permit Permit Number: :.. Date of Approval: Page: 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 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 roa E IMI Page 4 of 5 `i4 ❑ x 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 / COPY of Document Recorded RECORDING REQUESTED BY: 01 -Oct -2004 2004-0060733 Has not been compared with original BUTTE COUNTY RECORDER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JOEL E DAVISSON AND WENDY DAVISSON REAL PROPERTY OWNERILESSOR 123 ZONA LEA LANE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 178 CYSTAL PINES INSTALLATION MAILING ADDRESS, IF DffFEREN7' OROVILLE BUTTE CA 95966 CITY COUNTY STATE _ ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME - CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY C UN I Y STATE ZIP 03-2884/ (530) 538-7541 RI m nTmr Dr: xn� 777, TURE OF DEALER NAME (if not a dealer sale, write DEALER LICENSE NO. SKYLINE 1981 HOMETTE MANUFACTURER'S NAME - DATE OF MANUFACTURE MODEL NAME84UMBER 03 750334APBP 24X46 CAL217161 /2 SERIAL NUMBER(S)LENGTH X WIDTH --- --- _-- REAL PROPERTY LEGAL DE CRLpTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 041-500-037 HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK -Applicant* GOLDENROD -Building Dept. Nt NUMBtR !a'i'm ,� EXHIBIT "ONE" Parcel one: The North half of the North.half of the Northeast Quarter of the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, M.D.B. & M. APN: 041-500-020 Parcel two: The South half of the North half of the Northeast Quarter of the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, M.D.B.& M. APN: 041-500-030 Parcel three: A right of way for road purposes over a strip of land 60 feet in width, the centerline of which -is described as follows: Beginning at the Northwest corner of the Northeast quarter of the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, M.D.B.& M.; thence South 000 07' 38" East, 1205.22 feet; thence South 801 14' 35" West 115.33 feet; thence South 500 57'03" West, 174.88 feet; thence North 701 01' 53" West, 178.35 feet, thence South 440 21' 17" West, 108.02 feet, thence South 13° 20" 27" West, 319.02.feet; thence South 880 39' 43" West, 480.34 feet to a point on the East line of OrovilPe-Cherokee Road and the end of said centerline. Parcel four: A right of way for road purposes over the strip of land 30 feet in width lying Southerly of and adjacent to the Southerly line of the South half of the North half of the Northeast quarter o.f the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, M.D.B. & FJi. a rK s ; > • r`i 'fit a �t�+.-s"4 �"✓�, �`�e' a. $y i + ��Y � �.'+.. T �^;" ��,� s.�gs'�ti �"'ri"�", � °�" x �� a_� ,� • ,�r S?.r n r .'x t .x. i,. *� .�. ,��.< .J a i:.. ,i#.y:�''. � ,.,.r° �..if a`f"��•€;r.�,n.sz�{� .'.n�...-:f,.>... ., ��. M�a< BUILDING PERMIT NUMBER: 03-2884 Address or location of unit: 178 CRSTAL PINES OROVILLE CA 95966 Legal Description of Real Property: AP#041-500-037 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JOEL E DAVISSON AND WENDY DAVISSON Owner's address: 123 ZONA LEA LANE OROVILLE CA 95965 INSIGNIA OR HUD NUMBER: CAL217161/2 SERIAL NUMBER OR V.I.N.: 03750334APBP MANUFACTURER'S NAME: SKYLINE OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H:C-.D.-513 STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: LAC7939 Manufacturer ID/Name SKYLINE Trade Name HOMETTE Model HOMETTE DOM 00/00/1981 DFS 00/00/1981 RY Exp. Date Serial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use Type 03750334AP CAL217161 46' 12' 04 SFD LPT 03750334BP CAL217162 46' 12' Issued Total Fees Paid Ju103, 2003 $57.00 Addressee JOEL E DAVISSON 123 ZONALEA LN OROVILLE, CA 95965 Registered Owner(s) JOEL E DAVISSON WENDY DAVISSON Tenants in Common Or 123 ZONALEA LN 'OROVILLE, CA 95965 Situs Ad re 184 CRYSTAL PINES RD ' OROVILLE, CA 95965 IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE D i All TII ENT OF SOUSING AN C0MN.TJN1TY .DE :-11—CPP' Z NT A!:E` T�TST THE: LESiRi$ED vTNTT_ THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 3029881 07032003- 148 Recording Requested By RECORDING REQUESTED BY FIDELITY NATIONAL TITLE. CO. WHEN RECORDED MAIL TO r Records Processing Services „� 577 Lamont Road aTM U sr►n Elmhurst. IL 60126 L 212400 DEED OF TRUST If this box is checked, this Deed of Trust secures future advances. THIS DEED OF TRUST is made this 24TH day of . FEBRUARY JOEL E. DAVISSON•AND WENDY DAVISSON, HUSBAND AND WIFE rrr r�ir» rt �rii � rri� f rr�r i ur irr �r 1 999—ial�Q119r0�2 Recorded Official Records CoBUTTEOf CANDACE J. 6RUBBS Recorder ROSEMARY DICKSON Assistant 69:55AN 63 -Mar -1999 nag REC FEE 28.00 Vickie Page. 1 of a (Page 1 of 7) 8 4-5 19 99 , among the Trustor, addressis 186 CRYSTAL PINES RD, CHEROKEE, CA 95965 whose (herein "Borrower"), HOUSEKEY FINANCIAL CORPORATION, A CALIFORNIA CORPORATION. (herein "Trustee") and the Beneficiary, HOUSEHOLD FINANCE CORPORATION OF CALIFORNIA a corporation organized and existing under the laws of DELAWARE whose address is , 1950 E. 20TH STREET, SUITE 1-901, CHICO, CA 95928 (herein "Lender") The following paragraph preceded by a checked box is applicable. 0 WHEREAS, Borrower is indebted to Lender in the principal sum of $ 69, 303.50 , evidenced by Borrower's Loan Agreement dated FEBRUARY 24, 1999 and any extensions or renewals thereof (including those pursuant to any Renegotiable Rate Agreement) (herein "Note"), providing for monthly installments of principal and interest, including any adjustments to the amount of payments or the contract rate if that rate is variable, with the balance of , the indebtedness, if not sooner paid, due and payable on FEBRUARY 24, 2029 WHEREAS, Borrower is indebted to Lender in the principal sum of $ , or so much thereof as may be advanced pursuant to Borrower's Revolving Loan Agreement dated and extentions and renewals thereof (herein "Note"), providing for monthly installments, and interest at the rate and under the terms specified in the Note, including any adjustments in the interest rate if that rate is variable, and providing for a credit limit stated in the principal sum above and an initial advance of $ TO SECURE to Lender the repayment of the indebtedness, including future advances, evidenced by the Note, with interest thereon at the applicable contract rate (including any adjustments to the amount of payment or the contract rate if that rate is variable) and other charges; the payment of all other sums, with interest thereon, advance in accordance herewith to protect the security of this Deed of Trust; and the performance of the convenants and agreements of Borrower herein contained, Borrower, in Consideration of the indebtedness herein recited and the trust herein created, irrevocably grants and conveys to Trustee, in trust with power of sale, the following described property located in the County of BUTTE State of California CONTINUED ON ATTACHED EXHIBIT A which has the address of 186 CRYSTAL PINES RD , CHEROKEE (Street) California -86965 (-herein "Pro�rtriddres" j, tZIPCodel INIII�q��I��I�IIIII�I�IININIBIII 07-01-97 CA007981 ' Deed of Trust LA ORIGINAL (Page 2 of 7) TOGETHER with all the improvements now or hereafter erected on the property, and all easements, rights, . appurtenances and rents (subject however to the rights and authorities given herein to Lender to collect and apply such rents), all of which shall be deemed to be and remain a part of the property covered by this Deed of Trust; and all of the foregoing; together with said property .(or the leasehold estate if this Deed of Trust is on a leasehold) Are hereinafter referred to as the ."Property;" TO SECURE to Lender the repayment of (l) the indebtedness evidenced by the Note, with interest thereon, including any increases if the contract rate is variable; (2) all present and future advances under the Revolving Loan Agreement; (3) the payment of all other sums, with interest thereon, advanced in accordance herewith to protect the security of this Deed of Trust; and (4) the performance of the covenants and agreements of Borrower herein contained; and (5) the payment of such further sums as the then record owner of the Property hereafter may borrower from Lender, when evidenced by another note (or notes) reciting it is so secured. Borrower covenants that Borrower is lawfully seised of the estate hereby conveyed and has the right to grant and convey the Property, and that the Property is unencumbered except for encumbrances of record. Borrower covenants that Borrower warrants and will defend generally the title to the Property against all claims and demands, subject to encumbrances of record. COVENANTS. Borrower and Lender covenant and agree as follows: 1. Payment of Principal and Interest. Borrower shall promptly pay when due the principal and interest indebtedness evidenced by the Note and late' charges as provided in the Note. 2. Funds for Taxes and Insurance. Subject to applicable law or written waiver by Lender, Borrower shall pay to Lender on the day monthly payments of principal and interest are payable under the Note, until the Note is paid in full, a sum (herein "Funds") equal to one -twelfth of the yearly taxes and assessments (including condominium and planned unit development assessments, if any) which may attain priority over this Deed of Trust, and ground rents on the Property, if any, plus one -twelfth of yearly premium installments for hazard insurance, plus one -twelfth of yearly premium installments for mortgage insurance, if any, all as reasonably estimated initially and from time to time by Lender on the basis of assessments and bills and reasonable estimates thereof. Borrower shall not be obligated to make such payments of Funds to Lender to the extent that Borrower makes such payments to the holder of a prior mortgage or deed of trust if such holder is an institutional lender. If Borrower pays Funds to Lender, the Funds shall be held in an institution the deposits or accounts of which are insured or guaranteed by a Federal or state agency (including Lender if Lender is such an institution). Lender shall apply the Funds to pay said taxes, assessments, insurance premiums and ground rents. Lender may not charge for so holding and applying the Funds, analyzing said account or verifying and compiling said assessments and bills, unless Lender pays Borrower interest on the Funds and applicable law permits Lender to make such a charge. Borrower and Lender may agree in writing at the time of execution of this Deed of Trust that interest on the Funds shall be paid to Borrower, and unless such agreement is made or applicable law requires such interest to be paid, Lender shall not be required to pay. Borrower any interest or earnings on the Funds. Lender shall give to Borrower, without charge, an annual accounting of the Funds showing credits and debits to the Funds and the purpose for which each debit to the Funds was made. The Funds are pledged as additional security for the sums secured by this Deed of Trust. If the amount of the Funds held by Lender, together with the future monthly installments of Funds payable prior to the due dates of taxes, assessments, insurance premiums and ground rents, shall exceed the amount required to pay said taxes, assessments, insurance premiums and ground rents as they fall due, such excess shall be, at Borrower's option, either promptly repaid to Borrower or credited to Borrower on monthly installments of Funds. If the amount of the Funds held by Lender shall not be sufficient to pay taxes, assessments, insurance premiums and ground rents as they fall due, Borrower shall pay to Lender any amount necessary to make up the deficiency in one or more payments as Lender may require. Upon payment in full of all sums secured by this Deed of Trust, Lender shall promptly refund to Borrower any funds held by Lender. If under paragraph 16 hereof the Property is sold or the Property is otherwise acquired by Lender, Lender shall apply, no later than immediately prior to the sale of the Property or its acquisition by Lender, any Funds held by Lender at. the time of application as a credit against the, sums secured by this Deed of Trust. 3. Application of Payments. Unless applicable law provides otherwise, all payments received by Lender under the Note and paragraphs 1 and 2 hereof shall be applied by Lender first in payment of amounts payable to Lender by Borrower under paragraph 2 hereof, then to interest payable on the Note, and then to the principal of the Note. 07-01-97 CA007982 Deed of Trust CA ORIGINAL (Page 3 of 7) 4. Prior Mortgages and Deeds of Trust; Charges; Liens. Borrower shall perform all of Borrower's obligations under any mortgage, deed of trust or other security agreement with a lien which has priority over this Deed of Trust, including Borrower's covenants to make payments when due. Borrower shall pay or cause to be paid all taxes, assessments and other charges, fines and impositions attributable to the Property which may attain a priority over this Deed of Trust, and leasehold payments or ground rents, if any. 5. hazard Insurance. Borrower shall keep the improvements now existing or hereafter erected on the Property insured against loss by fire, hazards included within the term "extended coverage," and such other hazards as Lender may require and in such amounts and for such periods as Lender may require. The insurance carrier providing the insurance shall be chosen by the Borrower subject to approval by Lender; provided, that such approval shall not be unreasonably withheld. All insurance policies and renewals thereof shall be in a form acceptable to Lender and shall include a standard mortgage clause in favor of and in a form acceptable to Lender. Lender shall have the right to hold the policies and renewals thereof, subject to the terms of any mortgage, deed of trust or other security agreement with a lien which has priority over this Deed of Trust. In the event of loss, Borrower shall give prompt notice to the insurance carrier and Lender. Lender may make proof of loss if not made promptly by Borrower. If the Property is abandoned by Borrower, or if Borrower fails to respond to Lender within 30 days from the date notice is mailed by Lender to Borrower that the insurance carrier offers to settle a claim for insurance benefits, Lender is authorized to collect and apply the insurance proceeds at Lender's option either to restoration or repair of the Property or to the sums secured by this Deed of Trust. 6. Preservation and Maintenance of Property; Leasebolds; Condominiums; Planned Unit Developments. Borrower shall keep the Property in good repair and shall not commit waste or permit impairment or deterioration of the Property and shall comply with the provisions of any lease if this Deed of Trust is on a leasehold. If this Deed of Trust is on a unit in a condominium or a planned unit development, Borrower shall perform all of Borrower's obligations under the declaration or covenants creating or governing the condominium or planned unit development, the by-laws and regulations of the condominium or planned unit development, and constituent documents. 7. Protection of Lender's Security. If Borrower fails to perform the covenants and agreements contained in this Deed of Trust, or if any action or proceeding is commenced which materially affects Lender's interest in the Property, then Lender, at Lender's option, upon notice to Borrower, may make such appearances, disburse such sums, including reasonable attorneys' fees, and take such action as is necessary to protect Lender's interest If Lender required mortgage insurance as a condition of making the loan secured by this Deed of Trust, Borrower shall pay the premiums required to maintain such insurance in effect until such time as the requirement for such insurance terminates in accordance with Borrower's and Lender's written agreement or applicable law. Where the original principal amount of the Note then in effect is $10,000 or more, any amounts disbursed by Lender pursuant to this paragraph 7, with interest thereon, at the Note rate, shall become additional indebtedness of Borrower secured by this Deed of Trust. Unless Borrower and Lender agree to other terms of payment, such amounts shall be payable upon notice from Lender to Borrower requesting payment thereof. Nothing contained in .this paragraph 7 shall require Lender to incur any expense or take any action hereunder. S. Inspection. Lender may make or cause to be made reasonable entries upon and inspections of the Property, provided that Lender shall give Borrower notice prior to any such inspection specifying reasonable cause therefor related to Lender's interest in the Property. 9. Condemnation. The proceeds of any award or claim for damages, direct or consequential, in connection with any condemnation or other taking of the Property, or part thereof, or for conveyance in lieu of condemnation, are hereby assigned and shall be paid to Lender, subject to the terms of any mortgage, deed of trust or other security agreement with a lien which has priority over this Deed of Trust. 10. Borrower Not Released; Forbearance By Lender Not a Waiver. Extension of the time for payment or modification of amortization of the sums secured by this Deed of Trust granted by Lender to any successor in interest of Borrower shall not operate to. release, in any manner, the liability of the original Borrower and -Borrower's successors in interest. Lender shall not be required to commence proceedings against such successor or refuse to extend time for payment or otherwise modify amortization of the sums secured by this Deed of Trust by reason of any demand made by the original Borrower and Borrower's successors in interest. Any forbearance by Lender in exercising any right or remedy hereunder, or otherwise afforded by applicable law, shall not be a waiver of or preclude the exercise of any such right or remedy. 97 CA007983 Deed o Deed of Trust CA ORIGINAL (Page 4 of 7) 1I. Successors and Assigns Bound; Joint and Several Liability; Co-signers. The covenants and agreements herein contained shall bind, and the rights hereunder shall inure to, the respective successors and assigns of Lender and Borrower, subject to the provisions of paragraph 15 hereof. All covenants and agreements of Borrower shall be joint and several. Any Borrower who co-signs this Deed of Trust, but does not execute the Note, (a) is co-signing this Deed of Trust only to grant and convey that Borrower's interest in the Property to Trustee under the terms of this Deed of Trust, (b) is not personally liable on the Note or under this Deed of Trust, and (c) agrees that Lender and any other Borrower hereunder may agree to extend, modify, forbear, or make any other .accommodations with regard to the terms of this Deed of Trust or the Note, without that Borrower's consent and without releasing that Borrower or modifying this Deed of Trust as to that Borrower's interest in the Property. 12. Notice. Except for any notice required under applicable law to be given in another manner, (a) any notice to Borrower provided for in this Deed of Trust shall be given by delivering it or by .mailing such notice by certified mail addressed to. Borrower at the Property Address or at such other address as Borrower may designate by notice to Lender as provided herein, and (b) any notice to Lender shall be given by certified mail to Lender's address stated herein or to such other address as Lender may designate by notice to Borrower as provided herein. Any notice provided for in this Deed of Trust shall be deemed to have been given to Borrower or Lender when given in the manner designated herein. 13. Governing Law; Severability. The state and local laws of the jurisdiction in which the Property is located shall be applicable to this Deed of Trust, except where such laws conflict with Federal law in which case Federal law shall apply. In the event that any provision or clause of this Deed of Trust or the Note conflicts with applicable law, such conflict shall not affect other provisions of this Deed of Trust or the Note which can be given effect without the conflicting provision, and to this end the provisions of this Deed of Trust and the Note are declared to be severable. As used herein, "costs," "expenses," and "attorneys' fees" include all sums to the extent not prohibited by applicable law or limited herein. 14. Rehabilitation Loan Agreement. Borrower shall fulfill all of Borrower's obligations under any home rehabilitation, improvement, repair, or other loan agreement which Borrower enters into with Lender. Lender, at Lender's option, may require Borrower to execute and deliver to Lender, in a form acceptable to Lender, an assignment of any rights, claims or defenses which Borrower may have against parties who supply labor, materials or services in connection with improvements made to the Property. 15. Transfer of the Property; Assumption. If Borrower sells or transfers all or any part of the Property or an. interest therein, excluding (a) The creation of a lien or encumbrance subordinate to this Deed of Trust which does not relate to a transfer of rights of occupancy in the property: Provided, that such lien or encumbrance is not created pursuant to a contract for deed; (b) The creation of a purchase -money security interest for household appliances; (c) A transfer by devise, descent, or operation of law on the death of a joint tenant or tenant by the entirety; (d) the granting of a leasehold interest which has a term of three years or less and which does not contain an option to purchase; (e) A transfer, in which the transferee is a person who occupies or will occupy the property, which is: (A) a transfer to a relative resulting from the death of the Borrower; (B) a transfer where the spouse or child(ren) becomes an owner of the property; or (C) a transfer resulting from a decree of dissolution of marriage, legal separation agreement, or from an incidental property settlement agreement by which the spouse becomes an owner of the property; or (f) A transfer into an inter vivos trust in which the Borrower is a, and remains, the beneficiary and occupant of the property, unless, as a condition precedent to such transfer, the Borrower refuses to provide the Lender with reasonable means acceptable to the Lender by which the Lender will be assured of timely notice of any subsequent transfer of the beneficial interest or change in occupancy; Lender may, at Lender's option, declare all sums secured by this Deed of Trust to be immediately due and payable. Lender shall have waived such option to accelerate if, prior to the sale or transfer, Lender and the person to whom the Property is sold ortransferred reach an agreement in writing that the credit of such person is satisfactory to Lender and that the interest payable on the sums secured by this Deed. of Trust shall be at such rate as Lender shall request. Borrower shall cause to be submitted information required by Lender to evaluate the transferee as if a new loan were being made to the transferee. If Lender exercises such option to accelerate, Lender shall mail -Borrower notice of acceleration in accordance with paragraph 12 hereof. Such notice shall provide a period. of not less than 30 days from the date the notice is mailed or delivered within which Borrower may pay the sums declared due. If Borrower fails to pay such sums prior to the expiration of such period, Lender may, without further notice or demand on' Borrower, invoke any remedies permitted by Paragraph 16 hereof. 16. Acceleration; Remedies. Except as provided in paragraph 15 hereof, upon Borrower's breach of any covenant or agreement of Borrower in this Deed of Trust, including the covenants to pay when due any sums secured by this Deed of Trust, Lender at Lender's option, may declare all of the sums secured by -this-Deed-of-'rus"o-be-im-mediatel-y-d-ue-and-payable-without-fur-ther_demand-and-ma_y_inYoke the 001-97 I i�d�811��NIIlE�11�d111113111111111111111 111111111111I111I1i CADD79ea Deed o} Trust CA ORIGINAL (Page 5 of 7) power of sale and any other remedies permitted by applicable law. Lender shall be entitled to collect all reasonable costs and expenses incurred in pursuing the remedies provided in the paragraph 16 including, but not limited to, reasonable attorneys' fees. If Lender invokes the power of sale,. Lender shall execute or cause Trustee to execute a written notice of the occurrence of an event of default and of Lender's election to cause the Property to be sold and shall cause such notice to be recorded in each county in which the Property or some part thereof is located. Lender or Trustee shall mail copies of such notice in the manner prescribed by applicable law. Trustee shall give public notice of sale to the persons and in the manner prescribed by applicable law. After the lapse of such time as may be required by applicable law, Trustee, without demand on Borrower, shall sell the Property at public auction to the highest bidder at the time and place and under the terms designated in the notice of sale in one or more parcels and in such order as Trustee may determine. Trustee may postpone sale of all or any parcel of the Property by public announcement at the time and place of any previously scheduled sale. Lender or Lender's designee may purchase the Property at any sale_ Trustee shall deliver to the purchaser Trustee's deed conveying the Property so sold without any covenant or warranty, expressed or implied. The recitals in the Trustee's deed shall be prima facie evidence of the truth of the statement made therein. Trustee shall apply the proceeds of the sale in the following order: (a) to all reasonable costs and expenses of the sale, including, but not limited to, reasonable Trustee's and attorneys' fees and costs of title evidence; (b) to all sums secured by this Deed of Trust; and (c) the excess, if any, to the person or persons legally entitled thereto. 17. Borrower's Right to Reinstate. Notwithstanding Lender's acceleration of the sums secured by this Deed of Trust due to Borrower's breach, Borrower shall have the right to have any proceedings begun by Lender to enforce this Deed of Trust discontinued at any time within three months of the recording of default under this Deed of Trust or at any time prior to entry of a judgment enforcing this Deed of Trust if: (a) Borrower pays Lender all sums which would be then due under this Deed of Trust and the Note had no acceleration occurred; (b) Borrower cures all breaches of any other covenants or agreements of Borrower contained in .this Deed of Trust; (c) Borrower pays all reasonable expenses incurred by Lender and Trustee in enforcing the covenants and agreements of Borrower contained in this Deed of Trust, and in enforcing Lender's and Trustee's remedies as provided in paragraph 16 hereof,'including, but not limited to, reasonable attorneys' fees; and (d) Borrower takes such action as Lender may reasonably require to assure that the lien of this Deed of Trust, Lender's interest in the Property and Borrower's obligation to pay the sums secured by this Deed of Trust shall continue unimpaired. Upon such payment and cure by Borrower, this Deed of Trust and the obligations secured hereby shall remain in full force and effect as if no acceleration had occurred. 18. Assignment of Rents; Appointment of Receiver; Lender in Possession. As additional security hereunder, Borrower hereby assigns to Lender the rents of the Property, provided that Borrower shall, prior to acceleration under paragraph 16 hereof or abandonment of the Property, have the right to collect and retain such rents as they become due and payable. Upon acceleration under paragraphy 16 hereof or abandonment of the Property, Lender, in person, by agent or by judicially appointed receiver shall be entitled to enter upon, take possession of and manage the Property and to collect the rents of the Property including those past due. All rents collected by Lender or the receiver shall be applied first to payment of the costs of management of the Property and collection of rents, including, but not limited to, receiver's fees, premiums on receiver's bonds and reasonable attorneys' fees, and then to the sums secured by this Deed of Trust: Lender and the receiver shall be liable to account only for those rents actually received. 19. Reconveyance. Upon payment of all sums secured by this Deed of Trust, Lender shall request Trustee to reconvey the Property and shall surrender this Deed of Trust and all notes evidencing indebtedness secured by this Deed of Trust to Trustee. Trustee shall, upon payment of its fees, reconvey the Property without warranty to the person or persons legally entitled thereto. 20. Substitute Trustee. Lender, at Lender's option, may from time to time appoint a successor trustee to any Trustee appointed hereunder by an instrument executed and acknowledged by Lender and recorded in the office of the Recorder of the county where the Property is located. The instrument shall contain the name of the original Lender, Trustee and Borrower, the book and page where this Instrument is recorded and the name and address of the successor trustee. The successor trustee shall, without conveyance of the Property, succeed to all the title, powers and duties conferred upon the Trustee herein and by applicable law. This procedure for substitution of trustee shall govern to -the exclusion of all other provisions for substitution. 07-01-97 IN111i1ill11111111111111ill11 CA007985 Deed of Trust CA OR I C 1 NAL (Page 6 of 7) 21. Request for Notices. Borrower requests that copies of 'the notice of default and notice of sale be sent to Borrower's address which is the Property Address. Lender requests that copies of notices of foreclosure from the holder of any lien which has priority over this Deed of Trust be sent to Lender's address, as set forth on page one of this Deed of Trust, as provided by Section 2924b of the Civil Code of California. 22. Statement of Obligation. Lender may collect a 'fee not to exceed $50 for furnishing the statement of obligation as provided by Section 2943 of the Civil Code of California. 07-01-97 Deed of Trust CA ORIGINAL , 11111 1111 Hill til IIS I��I IIS � I� �I �I CA007986 lIIB Ill Ifs REQUEST FOR NOTICE OF DEFAULT AND FORECLOSURE UNDER SUPERIOR MORTGAGES OR DEEDS OF TRUST (Page 7 of 7) Borrower and Lender request the holder of any mortgage, deed of trust or other encumbrance with a lien which has priority over this Deed of Trust to give Notice to Lender, at Lender's address set forth on page one of this Deed of Trust, of any default under the superior encumbrance of any sale or other foreclosure action. E E. D VIS - Borrower WENWWW16SON - Borrower' STATE OF CALIFORNIA, R11TI'F County ss: On this 24TH day of FEBRUARY in the year 19 99 before me, the undersigned, a Notary Public in and for said State, personally appeared JOEL E. DAVI9WN—AND WENDY DAVISSON , Q personally known to me, or [� proved to me on the basis of satisfactory evidence, to be the person(s) whose name(s) ARE subscribed to the foregoing instrument, and acknowledged that THEY executed the same in kjoWftheir authorized capacity (ies), and that by kid=/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 seat. Signature. SANDRA Lt. LINVILLE—f SANDRA M. L 0 Coma. x 117f22T rR P1MRY PUBIdC.CAUFORNIA Na ne (typed or printed) mu COUNTY Myoomm.E>pltesM&Mh3,2M My Commission expires: 3/3/2001 Title Or No. Escrow Loan or Loan No. 121 i..► LIa ' dt 0 �+ �"I"'l 0 C4 3 Z 0 O � Gj•a 3 Cad t� DO HOT RECORD FOR RE^COMVEYAIJCE OF FORECLOSURE SEND TO THE NEAREST OFFICE OF HOUSEKEY FINANCIAL. CORPORATION REQUEST FOR FULL RECONVEYANCE To be uszd only when note Dee been paid. Dated To HOUSEILEY FINR.NCIAL CORPORATION, Trustee: Tho undwsigned is the lagel owner and hold*. of all indebtedness secured by the within Deed of Trust. M sums eotwed by sdid Dead of Trust Novy boon fully paid and tatifliad: oad you are hereby requested and directed, an Payment to d any soma e-1-9 to you under nm terms of said Dead al True% to eeenl A evidences of mdabtednmse, secured ley, said Dead et Trusti delivered to yoo herewith together with the ■mid Deed of Trust, and to rmeeevey, without w.rrmety, to the parties designated by the term. of amid Dead of Trust, the ..tete now held by you under .the a.mo. . I haaa RECOMYEYANCE TO: (By) (By) Do not lose or destroy this need of Trust OR THE NOTE O7-01-87lll�lQlllll�l11111111111� Hill IN 11111 la�1ff�IllNll��� CA007987 Deed of Trust CA ORIGINAL H.C.D. ATTACH CHECK ? NAI�ffi: AN: DATE: a� NOTES - RESIDENTIAL PERMIT NO. _041-500-037__ _�:___J03-28g- 4 DAVISSON, JOEL 178 CRYSTAL PINES, OROVILLE NEW MH PERM FND NEW SITE 3�,0 3 z 3Z 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 & LABEL #'S. SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER .CHECKED BY c�� 2 li P°I� �-?oo f ,'JOB FINALED (Date) Signature I J=OK 0 = Not OK NotApp . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 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 Connector 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 PER ENT END SYSTEM (ONLY) Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. 1 on Requirements -Setbacks -Easements 6. Carports; Windows -Doors _ 2 j otings; Size -Spacing -Marriage Line Electric 8. 3. Blocking Plumb.; Cir. Test -Water Supply Test 11. as; MH Test -Demand -Valve 12. Enclosure; Fencing -Alarms 5 Electricity; MH Test .6. Water; MH Test 7 ater and Sewer Connected 8. G s and Electricity Tagged xits 10. License Decals 11. Verify #'s with Office Date Date L 9-, Card B-1 Date Card B-1 Date Card B-1 Card B-1 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 1 (Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not - =Not AAppplicable . = Not Ready RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope Date 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/O -Sewer Test Date 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation (Single & Duplex) Date FRAMING (Continued) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 57. Siding -Nailing Veneer Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 70. Stairs & Rails Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound _ 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instlol./Drive O Yes O No/Walks O Yes O No/Planters 0 Yes O 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: i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT' ASS ESSOR PARCEL NUMBER 041-500-037 ZONING U BUILDING P RMIT OWNER JOEL DAVISSON TELEPHONE 534-8821 SO, FT, OCC. BUILDING VALUATION 1104 R 59 616.00 . OWNER'S MAILING ADDRESS , 123 ZONA LEA LANE, 0 CONTRACTOR'S NAME TELEPHONE , CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 229.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 178 CRYSTAL PINES OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE E72.75 LOT NO. SUBDMSION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW MH ON PERM EM. NEW SITE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S I G w 920.00 PERMIT FEE $ 50.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 23,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law �f the following reason: Fd 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. ❑ 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 hefeby 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the tabor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I2-1, certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �<J�a �i Date �� /t Sign a of Applicant - ❑ Owner ❑ Contractor ❑ Agent An HA permit is required for excavations over 60" de and demoliti r constructioLWAI of structures over 3 stories in height. 77 Receipt No. SlO (��. �� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -I S EC OR GOLDENROD -APPLICANT Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, 3 5QSa ORw c NS. ( ACC.� uBLDS. M NON•REs1D. 97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 Ex. Occup. GunEEDrs M.) E P 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE OTAL FEE $ 365.75 HAZ. O. FE IMP/ i��/ D CDF PARCEJ V/ PD D ISS This permit is hereby is ued under the applicable provisions of the a County ode and/or Resolutions to do work indic ed w ich fees have been paid. By _ Dat O PERMIT EXPIRES ON * 0 Date `COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-754103, -S ZONING BUILDINGPERMIT ASSESSORPARCELNUMBER37 — OWNER TELEPHONE SO, Fr, OCC. BUILDING VALUATION i SS 4 -tea CONTRACTOR'S NAME _ TORS MANNG ADDRESS NSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation 1 $ Cr$HITECT OR ENGINEER LICENSE NO. Rlin Fee 20.00 Permit Fee .S� Z- $ a ARCHITECT OR ENGWEERS MAILING ADDRESS Plan Checking Fee $ �3 DINGADDRESS jj Energy Plan Checking Fee $ $ PERMIT FEE $ .� LOT NO. SUBDNIS IONS NAME PARCEL PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE ,Zi S Ae_ SF ❑ Duplex ❑ Mobilehome Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Ad Remodel ❑ Utilities ❑ Installation KOth r ❑'Building Describ Gas piping system 1 - 5 outlets 15.00 sewer 15.00 S, (o Mobile Home S • G W @20.00 PERMIT FEE $ 5D. 60 ELECTRICAL PERMIT Filing Fee 20.00 eo: DR LEss Main Service zoos oR LEss 23.00 - VC (J . �./ \./ ' PERMIT FEE PAID $ �� '"-`.- v . `. '•` -- SRA-, *---� SHERIFF OTHER $ $ $ �` AMOUNT RECEIVED $ D DATE RECEIVED. RECEIPT # Main Service 200A To 1000A 46.00 NEW CONST. DWELLING ACC. LDS. SO OR ADDNS. ( &ACC. Bens. 3.5¢x: NEW CONS MULn-oun ET @7.50 NOtFRESID. RANO G POWER APPARATUS 8 SINGLE OVILEr CR OUTLET OR FD(TURES 20 @ 1.00 EX. OCCU BAL @ 00 EX. Occu 0 61D OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $4A. JU MECHANICAL PERMIT Filing Fee 20.00 Heating —Cooling Hood . 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ CCC CONST. TMPE TOTAL FEE $ P D CDF P , • HD ISSU. This permit is here y 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 (Date) r r ...na gSERVqICES-BUILDING COUNTY OF BUTTE -DEPARTMENT 0 DEVELOPMENT DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 �y PERMIT APPLICATION DATA SHEET / i• � v OWNER:_,��Ge L y1U�t� .�V1 ASSESSOR PARCEL NUMBER Proposed Building Use: y tirl • Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA,in order to apply. .I vl .. Plot 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 calcul.atops. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance de aprsupporting documentation in duplicatWarriage �/106. Manufaciured,ho es: to sheets and installation instructions(line information, loor Plan, (I,��I'ie down or (,''foundation plans, all i uplicate. ❑7:Mea'liuild'ings: (A�Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate: (D) Floor 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 IV indexed and returned to the plan review line-up when required items are -received. v Date Received By ^� ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot 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 ............... Hazardous Material Form......' .................................................. Other �j .................... l�� emaining items needed to issue the permit. (May require additional plan review upon receipt o the f Ilow' ems.) i Fees as shown on the attached Schedule of Fees Due Sheet ....................................... WA Statement of Intent for Non -heated and A/C Buildings ........................................... Sanitation and plot plan approval from the Environme al Health Department in I �1%� G% City of Chico Plumbing permit ............................................ ...%{.. q California Department,df Forestry plan approval paid. Sent by.�� l L....... � 3 19. Planning approval for (A) Use: aK (B)Parking: - (C)Varcel Check: . Contact Land Development about ❑Improvements, ❑Drainage ............................... Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 22' Pre -Inspection for required ................ 23. Contractor's license information. (Number, Name Style, Classification) ...................... i/Worker's Compensation Carrier an Policy Number ...............:.............................. . Owner -Builder Verification (❑ tiven to owner, ❑ Mailed to owner)... :� ................ Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .............. :........ ........... 28 anufactured home utility clearance ............................................... i.... .... 11 9. violatio nd/or expired permits ............................................... ....... �` p0 0. antpeed H itle/Stateme of Facts, ❑ Letter from Leg er, Check to H.C.D. $ ,� r- -2. 1. Other: !h U t /'� -� �- When issued Telephone d hold for pickup. - I have been informed of the above items and requirements for obtaining a building permit. Applicant: f Date: 1. Index permit application for the above items numbered: 2 Plan Check Letter , 2. Additional items required Contractor, designer o as advised of the above data by 8f ❑ mail, ❑ counter, by V r-$ Date: Contractor, designe wne was advised of the above data by phon , ❑, mail, b ❑ counter, by Dat Plans reviewed by: C, Date: - 25. C)3 Plans approved by: Mc Date._ Structural reviewed by: Date: Structural approved by: Date:_ Note transfer by: Date: Yellow: Building Division E.N. Ulk ONLY Or Am Plan Artjgch.d Floor Man A"gt�-Od. Sam to G.D. Cf TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance A'd Owner AP# Plan Appiroved for: Sewage Disposal"-, Water Supply: Public Private Well Clearance for dwelling. Other 4 4 Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 1 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A.P. #I PRO ROSED BUILDING USE DATE CE IP # DATE REC. 1. BUILDING PERMIT FEES Qr --- Balance Due..................... $y --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... 2. OOL DISTRICT FEES Q i S trict o f e n ®e ) ( if 3 _W� RIFF FEES (paid at Building Division) J&A Residential............ X $360.00 Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) J0.THERMALITO DRAINAGE DISTRICT FEES 510.00 (paid at Building Division) . SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid, at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER q�180�� At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. A APPLICANTl/f_. DATE%, 03 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) �1U BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM rper Building) ScFiool District Building Department/,07, No. A.P. Number Property Owner Property Locatic Subdivision t!W,-&VAric IJ Residential Development 0 56 oofed Arps / 'r 1?, No 'of Living Mobile Home Date Units Installation Commercial/Industriala �.:c�;. New AdditionA,+1I r /1 / Building Department Representative = City I (County el t^ A ire % r Lot No. rt'• .................................................................................................................. I Sq. Footage / Addition/ 'Supplemental to (Group R) Conversion Permit # '(No foundation inspection)':. ................................................................................................................... (Floor Plans reviewed by S'edhool District District Identificabon No. 0' O�.i%t G t11 1 Q 1 -School District certifies that / CKI-tkI__ (Street 41L C (City.6* `. . has.complied with the requirements of Resolution No. .ty representing School Paid by Check # square feet. Remarks: Sq. Footage (Applicant) Irnone (State) (Zip Code) — �✓ 9 c) by payment of $ p? 3 1p a J�AAB 2926 S FULL MITIGATION $ "zJ1,, 1. /,, v Date mss 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(x), 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 ICEGA), 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.xis 110/981dmm (Including Exterior 9 oofed Arps / 'r 1?, Date (Applicant) Irnone (State) (Zip Code) — �✓ 9 c) by payment of $ p? 3 1p a J�AAB 2926 S FULL MITIGATION $ "zJ1,, 1. /,, v Date mss 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(x), 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 ICEGA), 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.xis 110/981dmm O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit" will be issued until this verification is received. 1. I personally plan to_ provide the major labor and materials for construction of the proposed property improvement: YES U NO D 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired time following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted. (hired) the following persons to provide the work indicated: ' NAME - ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER DATE: NOTE' This Owner -Builder Verification is required by Section 19831 and 19832 of the California Sealth and Safety Coda 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. O.B.- I An application for a budding permit has been submitted in your name listing yourself as the builder of property improvements specified For your protmfion, 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 wow 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, wo&m 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. mfrmation about your obligations under Federal Law, contract the Internal Rave= Service (and, if you wksh, 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. Budding 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 budding permit will not be issued until the verification is returned In Mic 1 C. Vi iia, C.B.O. er, Building Inspection NOTE. Ykis Owner -Builder Dtfor madon is required by Section 19830 of the California Health and Safety Code. OVER National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BNTs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land.. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan Building Permit Number: 19 3 - Z8'$ -f Owner Name: bal-V 1 a5on 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 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 I 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 automatic entry and exit of floodwater. t . Page 2of 2 Building Permit Number: Owner Name: ba v I sson 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 gid equipment including ovg hangs shall be clear of all easements. A setback of 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. 1 • • CDF FIRE SAFE REQUIREMENTS J ' 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 [X] 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 25foot 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 ;f 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. IN 1 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. [X] 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 LI�Sod-3� AN � 3• -ate � PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof and Enclosed Eaves S6A)I&-L- L 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 q- 2- 2- -03 Date Signature Page 3 of 3 i 1 zA �^ (n MID r'1 P 4 � rY i u C®UM <. UILDING ®EPARTM �►PP 0V.rv, Mobilehome Manufacturer: 1A4dC p— Manufacture Year: If other than single wide, furnish Setup Model Number: S 70 0 ,.j Width:Len h:__ Z( .) 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[VIf Other: SUPPORTS: Concrete block[ Other: Provide Tie Down Specifications for aH Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE KULTI-WIDE Line 1 e 1 Line 2 Line 2 ................................................................................................ Main Beams Line 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ...........................................................................:.................... Line 2 Line 1 .....:....................................... ine 5 Tag or Triple e 4 Une 1 Line 1 Piers: Size minimum: x Mo I Spacing maximum: ` From ends -maximum: ` Line 1 Openings Size minimum: [ J x [ ]. Each side of openings with width over: ` Line 2 Piers: Line 4 Piers: Size minimum: [ ] x [ ]. Size minimum: [ ] x [ ]. Spacing maximum: Spacing maximum: ` From ends -maximum: From ends -maximum: ` Line 3 Roof Loads: att ;gk1r?01 Size minimum 6 Location (from front):, �. Line 5 Roof Loads: Size minimum: Locaiion (from front): May 1995 �•�i.�� 0 P * 9.4 M.H.Y.-2 " 1. Owner's Name: JD&L 6A V-, S, BCW 2. Assessor's Parcel Number: ,A P„ 1 0 s1z - Sy - O - ala OJ; 7 `. 3. Installer's Name: 6ff"--- n 4. Is the site currently under permit? Yes[ ] No[ ] Permit No. 5. Is the site an existing site? Yes[ ] No [,T (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?mac Amperes. /50 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? 2,00 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ✓j No[ ] If it is, what is the rating? 2,&o Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service . (i.e. well, garage etc.)? Yes[4No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes- 2,e o 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[ V]' 12. Size of gas 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? (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 � May 1995 8.5 21'%. � �' SSG/Z� �„ w• .: A, jd et- l)w S \ a, -j Pvves, P>. d 20 V c LtxF �4- .4n U See the aftached Resi entliqLCanstuCj01� Requirements Pages ELECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION ( NOT PLAN CHECKED SHALLCOMPLY- WITH CURRENT EDITION OF NEC, UMC� �®0. /V 610 i . REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. C3FPT. of FORESTRY i approved as submitted approved with conditions i - -; . � ; . , Debt. 6 der att ed �6lij& , ,ALL STSUC'6U�ES E CLEAR OF AL �SEI'VI OVERHANGS SHALL ®E FROM THE SIDE A A SET BAG OF � �• . , � y�-� FF30M THE REAR PROPERTY LINES F --*401F. , FROM THE fiOAD CENTERLINE SHALL: CLSTRUCK'L'RES,AND�Et.�E�41'MEI�tT EXC � iv Ce COR A 2 FT- AVE 0\'ERVlr NG. BUTTE COUN /', I =�. d e® LC E Be INTERIOR RIDGE SUPPORTSSTANDARD PIER AS AS SPECIFIED BY MANUFACTURER - SPECIFIED BY COACH MANUFACTURER PLANScale: I- _ 1o• TRIPLE WIDE MOBILE COACH u C3 93 n U n u n u n n fxlf Tl �� R r OR 13 3 jr� ►'�� 13 n O-4 0 o n n n o SEISMIC SEISMIC COKM ELMS I I w u a PIERS PIERS m FOR DOUBLE WIDE I t PLACE SSISWIC PIERS UP TO 66 FEET 12 12 7 $ 66 FT TO 76 FT 16 104 /0'/ SEISMIC ZONE 3 3 & 4 h h h n h h 30 W W W W e3 u W 4 n a o n a n FOR THE 6 IN PIPE ^� h ►^� ►^� n ��� 6 0 6 0 6 4 TUBE MUST EXTEND 16' x 60' 6 0 6 0 6 4 HOLES FDR 12' x 60' 6 4 6 4 6 6 PLANScale: I- _ 1o• TRIPLE WIDE MOBILE COACH INSTALL MINUTE MAN EARTH 12 IN OVERSIZED AUGERS (OR EQUIVALENT) ,FOR TRIPLE WIDE PUCE 9rJ31lIC Pi1729 A9 CE SEI DI ROWS OF 4 WN WIND LOAD MPH EXP 80B 70C fxlf Tl �� R r MAX. SNOW LOAD 60 40 O-4 80B 4 4 4 4I w COACH SIZE SEISMIC SEISMIC COKM ELMS I I w u a PIERS PIERS m FOR DOUBLE WIDE I t PLACE SSISWIC PIERS UP TO 66 FEET 12 12 7 $ 66 FT TO 76 FT 16 16 C.3 6 to SEISMIC ZONE 3 3 & 4 COACH WIND LOAD MPH EXP 80B 70C PLAN Soda: 1' m 104 MAX. SNOW LOAD 30 30 PER TABLE UP TO 60 FT 12 16 m 4 6 4 4x4 -4x4 VVF 1•MAX 60 FT TO 76 FT 16 16 FOR THE 6 IN PIPE OTE: I - 0 S NOT Q IRED ON PAD DOUBLE & TRIPLE WIDES. t IN FOR THE 15 IN PIPE INSTALL MINUTE MAN EARTH 12 IN OVERSIZED AUGERS (OR EQUIVALENT) ,FOR TRIPLE WIDE PUCE 9rJ31lIC Pi1729 A9 CE SEI DI ROWS OF 4 WN WHEN REQUIRED. SEE TABLE. ���,,1---1�� ^I SPACE IST ROTE 2 FT FROM END fxlf Tl �� R r Cxlf TlK �µStL FLANGED PLASTIC --11 N O-4 80B 4 4 4 4I w ® ® ® 10 40 COKM ELMS I I w u a 40 4 4 4 4 FOR DOUBLE WIDE I t PLACE SSISWIC PIERS I I I I I M Rows or 4 / PER TABLE k �T41 I k Y�/ W `t' C.3 6 to OUTLINE MOBILE 4 4T 4 COACH 0'. 24'. 28', 28'. OR 32' SEISMIC PIER & PIERS DOWNS PLAN Soda: 1' m 104 FOUNDATION PAD DOUBLE WIDE MOBILE COACH t INSTALL MINUTE MAN EARTH 12 IN OVERSIZED AUGERS (OR EQUIVALENT) 3& 4 WHEN REQUIRED. SEE TABLE. 4 SPACE IST ROTE 2 FT FROM END THEN SPACE EVENLY. FLANGED PLASTIC --11 N O-4 80B 70C d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE w o + i �ST(K, MOS0.� 40 COKM ELMS I I w u a 40 b. VERTICAL : 18000 LBS ULTIMATE LOAD or I I # OF N OF '4 4 # OF up ck tm W SEISMIC TIE- C.3 6 to I E I TIE - 5/8'x3' T� SEISMIC PIER & PIERS DOWNS PIERS FOUNDATION PAD PIERS DOWNS PER TABLE 12' x 60' 6 0 m 4 OUTLINE OF MOBILE 41315 COACH 2' 14' OR WET) PLAN Scale: 1" 10' SINGLE WIDE MOBILE COACH CONNECTED WITH EIGHT 1-1/2'x.120' NAILS OR 81184-1/2' FHVS --24' 4' 4- 32' Q- -FOUNDATION PADS Not to stole GENERAL NOTES: REFERENCE: CALIFORNIA CODE OF REGULATIONS, TITLE 25 AND U.B.C. 1994 EDITION. 1. DESIGN LOADS SHALL BE CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED. 2. ALL FOOTING TO BE SUPPORTED BY FIRM, UNSATURATED, UNDISTURBED SOIL OR FILL COMPACTED TO 90% REL. COMPACTION. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING CAPACITY. THE BUILDING PAD SHOULD CONSIST OF ONE MATERIAL TYPE. WHERE PARTIAL CONCRETE OR ASPHALT OCCUR BENEATH FOOTPRINT OF HOME IT REVISIONS BY 05-02-03 YW SHALL BE DEMOLISHED & REMOVED. 12 IN OVERSIZED SEISMIC ZONE 3& 4 3& 4 4 L ELECTRODES: E70 FLANGED PLASTIC WIND LOAD(MPH,EXP) 70B 80B 70C d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE w PROTECTIVE COATED. MAX. SNOW LOAD 40 40 (1 e 40 b. VERTICAL : 18000 LBS ULTIMATE LOAD 0 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED BUILDINGS CONSTRUCTED WITH LONGITUDINAL OR CROSS JOISTS. v # OF N OF # OF B OF # OF 9 OF Q' 36 1/2' - W SEISMIC TIE- SEISMIC TIE- SEISMIC TIE - 5/8'x3' STAINLESS STEEL OR COACH SIZE PIERS DOWNS PIERS DOWNS PIERS DOWNS E— 12' x 60' 6 0 6 4 6 4 4x4 -4x4 VVF 1•MAX HT ABOVE P. PRO PAD PRECAST FOR THE 6 IN PIPE 30*x32'x3/4' PAD 7N F T N PIPE PLYWOOD t IN FOR THE 15 IN PIPE 14' x 60' 6 0 6 0 6 4 TUBE MUST EXTEND 16' x 60' 6 0 6 0 6 4 HOLES FDR 12' x 60' 6 4 6 4 6 6 z 1/2'x2-1/2' C.B.' BASE HEIGHT PLYWOOD W o 14' x 80' 8 0 6 4 6 6 16' x 60' 6 0 6 1 4 6 1 6 CONNECTED WITH EIGHT 1-1/2'x.120' NAILS OR 81184-1/2' FHVS --24' 4' 4- 32' Q- -FOUNDATION PADS Not to stole GENERAL NOTES: REFERENCE: CALIFORNIA CODE OF REGULATIONS, TITLE 25 AND U.B.C. 1994 EDITION. 1. DESIGN LOADS SHALL BE CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED. 2. ALL FOOTING TO BE SUPPORTED BY FIRM, UNSATURATED, UNDISTURBED SOIL OR FILL COMPACTED TO 90% REL. COMPACTION. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING CAPACITY. THE BUILDING PAD SHOULD CONSIST OF ONE MATERIAL TYPE. WHERE PARTIAL CONCRETE OR ASPHALT OCCUR BENEATH FOOTPRINT OF HOME IT REVISIONS BY 05-02-03 YW SHALL BE DEMOLISHED & REMOVED. 12 IN OVERSIZED 3. STRUCTURAL STEEL: 5/8'x3' a. SHALL CONFORM TO ASTM A38 Fly - 36 KSI MINIMUM. b. SHALL BE FABRICATED ACCORDING TO AISC SPECIFICATIONS. FOR CHIPPING AND/OR C. SHALL BE WELDED ACCORDING TO AWS SPECIFICATIONS: L ELECTRODES: E70 FLANGED PLASTIC ILPLATES: ASTM A36 iii.BOLTS: STANDARD ASTM A307 CORNER BREAKAGE iv. THREADED ROD: COLD DRAWN IOW CARBON WELDABLE d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE w PROTECTIVE COATED. ANCHOR INSERTS 4 CONSULTING SERVICES (CTC) FOR THE FOLLOWING LOADS Y CERTIFIED TESTING AND w U) (1 e z b. VERTICAL : 18000 LBS ULTIMATE LOAD 0 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED BUILDINGS CONSTRUCTED WITH LONGITUDINAL OR CROSS JOISTS. v 6. THIS FOUNDATION SYSTEM PLAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL v 3' a � 7. STANDARD PIER & FOOTING SPACING PER COACH MANUFACTURER'S INSTALLATION Q' 36 1/2' - W MOBILE HOMES PARK ACT. 4 5/8' x 1-3/8' FLANGED FOUNDATION PAD NOTES: 5/8'x3' STAINLESS STEEL OR FLANGED PLASTIC 5/8 x 3' FLANGED 2. FDTN PADS SHALL BE PLACED ON FIRM, LEVEL UNDISTURBED SOIL (SEE GEN. NOTE 2) ANCHOR INSERTS PLASTIC ANCHOR INSERT E— 3.5' 3 5, r x 3• PLATE 4x4 -4x4 VVF 4' 1,1 B. PREFERRED PAD ORIENTATION WHERE EVER POSSIBLE IS THAT THE LONG DIMENSION T� W OF THE PAD BE PERPENDICULAR TO THE COACH BEAM (AS SHOWN ON THE PLAN). 4x4 -4x4 VVF 1•MAX HT ABOVE P. PRO PAD PRECAST FOR THE 6 IN PIPE 30*x32'x3/4' PAD 7N F T N PIPE PLYWOOD t IN FOR THE 15 IN PIPE l4 IN FOR THE l8 IN PIPE HOLES FOR TUBE MUST EXTEND 1/2' x 2 1/2' C.B. HOLES FDR 3' MIN IN TO CLAMP IB'x24'x3/4' 1/2'x2-1/2' C.B.' BASE HEIGHT PLYWOOD W o 7 INCH SMALL 11.5 INCH REGULAR 18.5 INCH EXTRA LARGE CONNECTED WITH EIGHT 1-1/2'x.120' NAILS OR 81184-1/2' FHVS --24' 4' 4- 32' Q- -FOUNDATION PADS Not to stole GENERAL NOTES: REFERENCE: CALIFORNIA CODE OF REGULATIONS, TITLE 25 AND U.B.C. 1994 EDITION. 1. DESIGN LOADS SHALL BE CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED. 2. ALL FOOTING TO BE SUPPORTED BY FIRM, UNSATURATED, UNDISTURBED SOIL OR FILL COMPACTED TO 90% REL. COMPACTION. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING CAPACITY. THE BUILDING PAD SHOULD CONSIST OF ONE MATERIAL TYPE. WHERE PARTIAL CONCRETE OR ASPHALT OCCUR BENEATH FOOTPRINT OF HOME IT REVISIONS BY 05-02-03 YW SHALL BE DEMOLISHED & REMOVED. j 3. STRUCTURAL STEEL: v C11 a. SHALL CONFORM TO ASTM A38 Fly - 36 KSI MINIMUM. b. SHALL BE FABRICATED ACCORDING TO AISC SPECIFICATIONS. ~L71 C. SHALL BE WELDED ACCORDING TO AWS SPECIFICATIONS: L ELECTRODES: E70 E 'i ILPLATES: ASTM A36 iii.BOLTS: STANDARD ASTM A307 (V I-11 iv. THREADED ROD: COLD DRAWN IOW CARBON WELDABLE d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE w PROTECTIVE COATED. 4 CONSULTING SERVICES (CTC) FOR THE FOLLOWING LOADS Y CERTIFIED TESTING AND w U) a. LATERAL A -LARGE PIER: 1907 LBS. ULT. LOAD LARGE PIER: 2423 LBS ULT. LOAD z b. VERTICAL : 18000 LBS ULTIMATE LOAD 0 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED BUILDINGS CONSTRUCTED WITH LONGITUDINAL OR CROSS JOISTS. T FS U 6. THIS FOUNDATION SYSTEM PLAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL v SITE WITH NO EXISTING SOIL PROBLEMS. SEE TITLE 25 SECTION 1334(b) a � 7. STANDARD PIER & FOOTING SPACING PER COACH MANUFACTURER'S INSTALLATION Q' MANUAL. WITHOUT MANUAL. SPACING OF STANDARD PIERS TO BE DETERMINED BY STATE W MOBILE HOMES PARK ACT. U FOUNDATION PAD NOTES: n II 1. FOUR FOUNDATION PADS ARE AVAILABLE FOR USE WITH THIS SYSTEM. THE CUSTOMER MAY CHOOSE ONE OF THE FOUR PADS FOR THEIR COACH. W 2. FDTN PADS SHALL BE PLACED ON FIRM, LEVEL UNDISTURBED SOIL (SEE GEN. NOTE 2) 3. CONCRETE FOUNDATION PADS E— O A. A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARLITE WEIGHT CONCRETE. B. PREFERRED PAD ORIENTATION WHERE EVER POSSIBLE IS THAT THE LONG DIMENSION T� W OF THE PAD BE PERPENDICULAR TO THE COACH BEAM (AS SHOWN ON THE PLAN). V 1 v ` C. WHERE FIELD CONDITIONS REQUIRE PAD ROTATION. NO MORE THAN HALF OF THE PADS IN A TRAVERSE LINE CAN BE ROTATED SO THAT THE LONG DIMENSION OF THE PADS ARE PARALLEL TO THE COACH BEAM. 4. PRESSURE TREATED FOUNDATION PAD A. 3/4 INCH A.P.A. 48/24 EXTERIOR P.S.I.-83 CC. PLUGGED. NER-QA397,PRP-108. r `/ M COACH SIZE NOTES: I. UNLESS APPROVED BY ROCK SOLID ENGINEERING. THE DISTANCE FROM THE BOTTOM OF THE FINISHED FLOOR TO THE HIGHEST POINT ON TH5: ROOF SHALL NOT EXCEED: A. 8 OR 10 FEET FOR SINGLE WIDES (SEE TABLE) B. 10 FEET FOR 20 FT WIDE COACHES C. 12 FEET FOR ALL OTHER DOUBLE WIDES LISTED ON PLAN D. 14 FEET FOR TRIPLE WIDES 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. INSPECTION REQUIREMENTS: L 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 RAVE 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. COACH I BEAM 2 - 3/8' x V BOLTS BOLT 3WITH FIELD DRILL MOLES VASHER 6 NUT OPTION OF 4 - 1114 TEX STS COACH C 2' DIA OR J BEAN STD PIPE 4 - 3/8' BOLTS 1/4'x2'x4' 3' x 3' Ir TIGHTEN 70 ANGLE 3' VIDE PLATE 180 IN -LBS • 415 FT -LBS) TORQUE 3/16' PLATE I CLAMP 4 - 3/8' INMWACnM= ROMSMOEVE 80MR FOUNDATION SYSTEM ._ WtTn AlO)u.eTY OOD�ETi{.'f10N IS1S1 t; 11CI=" TOOiORRECIROISl11OT1� ARNWALDOES NOT AUTHORIZE OR AFPROYE ANY OMXWm OR DEYIATWN ROM RF.QUIREMEIM OF ARfXAmA WTATE LAME AND RBOUTATwm awwwo fof Boehm d c ODM i `�-i / Or_O6 AND FiAIOLAEDF (dprr) Q�OFESSIOro AA S ,yP4O IAEA' TR1YRe ATwwd wwb.x Z yt moi. 3• c� No. 24 x CNR P Of CPLIIOK� 3/4• THREADED ROD BOLTS SEISMICNE GE Ua SM CNATSIS EUPPORt 3/16' PLATE LEGS PIER Pw _STAUAF10N MANUAL TYP OF 2 STEEL INSERT, 5/8 xl-I/2 BOLT OR PLASTIC INSERT- 5/8'x2-1/2' BOLT WITH HARDENED WASHER 1/4' PLATE SEISMIC PIER Not to Scale C.P. SEISMIC PIER#i-PATENT #5595366 t TYPICAL EISNIC PIfR A FOUNDATION PA 36' I SLOPS 10M 21[ SIOR IM -R BEAM RaOE LOT PER INSTALLATION MANUAL CONNECTION ELEVATION Not t0 Scale NOT TO SCALE U z 0 t` COz�00 WOQO U 0 a cD E— d 0 C\2 p4 zz^ Z WLc) W 000410 U C\? C=4 -- W.I 0 4. 3 W tY A N CL a J 0 CL. I O e� d a W E- 7-' V) z 0 E� Qi Q z O It, Q W W W z_ 0 z W DATE: 04-28-03 SCALE: AS SHOWN DRAWN: YMW JOB #: W03002B SHEET: 1 OF 1 SHEETS a 0 tA �3 J� v 6- 1 p G� Ol L� c� i1�1 1!�j a 0 tA �3 J� v 6- 1 p G� Ol L� SITE PLAN REVIEW APPLICATION bate:' 6 22— C 2 AP# 0 y i— 5 O o- O 3% Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: 2- '^ A C_ Owners Name: Owners Address: 123 _Z-4FQN A , L6 -A U -J . d EDV 1 LI_E C A 6 5 C S Telephone No.: 3 X82 Situs Address: �2`/STEL f�I JAS Proposed Use: Residential ' ❑ Single Family Addition IN 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 Fj Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) J1 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By LAC) Date 8 " 2- 8— 0'2 -- 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.: DS'? -5 C— 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: 1 L� ) Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front G L Side 3O Side Street Rear —5 50 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: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area - Road ❑ Thermalito Impact ❑ Other Amount Formula -----------------------------------------------------------------=------------------------------------------------------- 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 It Deeds: Date of Creation: Legal Access Provided: ❑ No Yes Deed of Reference: ?S -)D 1- 00 S S 215 ?j Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: IN No ❑ Yes, Road Name: Complies with County Standards for Peed Creation: ❑ No ❑ Yes Comments: V-,SfL C'r3 L Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance F1 Obtain eMerger ❑ 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 R 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: ❑ 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 on slopes steeper than 30%. 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. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ 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. Page 4of5 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. CAMy DocumentABuilding Permit Site Plan Reviewl.doc Page 5 of 5 t. 2001 Buitdin ,Enera Standards Pae 1 4 3 TABLE 1-Zll—ALTERNATIVE COMPONENT PACKAGES FOR CLIMATE ZONE 11 Legend: NR = Not Required NA = Not Applicable REQ = Required MIN = Minrmum See notes following Table i -Z16 PACKAGE' B C' D COMPONENT BUILDING ENVELOPE Insulation minimumsZ Ceiling R3 - R3 R49 R38 Wood -frame walls R O R29 R19 "Heavy mass" walls NA (84.76) "Light mass" walls NA NA Below -grade walls T'A R'A NA RO Slab floor perimeter R7 NR Raised floors . R30 R192 Concrete raised floors --T'T< —_ NA R8 Radiant Barrier REQ RE GLAZING Maximum U--alaefactor3 0-65 --0.65 0.40 0.65 Maximum total area -- :'zR —pro 16% 16% ---»° o — r:R NR ---NR 5 NR --N R—A SOLAR HEAT GAIN COEFFICIENV South -facing glazing---PT0 0..•.0 NRO.40 .NRO.40 West -facing glazing 00 --040' 0.40 0.40 East -facing glazing NR 0.40 0.40 North -facing glazing - =A1 R ' R NR0.40 NRO.40 THERMAL MASS3 REQ NR II 44 TD A T ON /'`ONTRO4 _ it t.�cvn baKie .---A4- i rR -NA N R NR R ---cin -1�R -N R SPACE -HEATING SYSTEM' Electric -resistant allowed e Nje Yes' No If, gas, AFUE _ -7 99Y 2780.10 78% MIN If heat pump, split system HSPI S = =- 6..$ — ( 6.8 MIN Single package system HSPF = ---6. 6.6 MIN SPACE -COOLING SYSTEM Lf -split system A/C, SEER = --4Ea44 --+0 A 10.0 MIN Thermostatic expansion valve --- . RE C REQ* If single package A/C, SEER = 9.7 MIN SPACE CONDIT.IONING.DUCTS REQ REQ* Duct sealing DOMESTIC WATER -HEATING TYPE � Any 9 Any System must meet budget, see -- T Section 151 b 1 and 98 :.ks an alternative under Packa-e D, glazing with a maximum 0.40 U-factorand maximum 0.35 Solar Heat Gain Coefficient and a 1 1 0 SEER space -cooling system can be substituted for duct sealinu and a thermostatic expansion valve. All other requirements of Package D must be met. Legend: NR = Not Required NA = Not Applicable REQ = Required MIN = Minrmum See notes following Table i -Z16 October 8, 2002 Joel Davisson 123 Zonalea Ln. Oroville, CA 95965 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 041-500-037 Building Permit Number: 02-2297 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1. Your energy calculations are incorrect. You actually have 56 square feet of glazing on the North, 64 on the East, and 12 square feet of skylight that was not included. The solar - heat gain Coefficient must be .40 for ALL glazing in this package, and must be indicated as such on the CF -1R and CF -6R. 2. This package requires a radiant barrier. All requirements for this barrier must be on the plans. 3. Please show the furnace on the plans, and show that all ducts are in conditioned space. STRUCTURAL COMMENTS: None If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Linda Simpson Plans Examiner 1 of 1 APPROVED Butte County Eviviror.mental Health Date Art Signatur Q;CIA f � � � � � � ccs L ` J � -\•�1 � . c` G C.- 01. . 06 iza J v 1 _ N of c �� J M" �z �}PA iso f iAPPROVED Butte County �. Environmental Health IYS L6 PeMate Signature - .� Ilk Fi . �jELL M0Rc c.9� l 140 o 761 �. - FN�RoR �'coU FglTy N .. J Cope* R� �F R?"ri AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 28 -Jun -2004004-0038969 original Has not bee ri inalbee co re 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, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: A-7TAC�-h -b ComP V- CSX H 6 i 6 Date_ l �� PROPERTY OWNERS: State of California County of bx#-C- ,10rL 6: /b4�ViSSo,/ On 7s ..O- a$, a oc§-, before me, personally appeared_ 1 E v1-55-62,224 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s).if/are subscribed to the within instrument and acknowledged to me that J&/We/they executed the, same in )b/her/their authorized capacity(ies), and that by bis/Wtheir 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.- WINDY HILL ln,, Signature v ` \ Seal: Q NOTARY P ELIC F�OtRNIAC) BUTTt COUNTY O COMM. EXP. DEC. 3, 2D05'� A.P. I!_ti I EXMIT B .Property Description for Parcel at Crystal Pines Road Oroville, CA 95965 Butte County Official Record Book 2117, Page 327 Assessor's Parcel Number 041-5.0-0-030: The land referred to herein is described as follows: All that certain real property situated in the County of Butte, State of California, described as follows: Approximately 2.5 acres described as that part of the North half of the Northeast quarter of the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, M.D.B.&M., described as: Beginning at the Northwest corner of the Northeast quarter of the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, MDB&M ; thence South 0 ° 7' 38" East 263.40 feet to the Northwesterly corner of said parcel; thence North 89 ° 12' 21" East 277.18 feet; thence North 28 034' 38" East 227.64 feet; thence North 89 ° 12' 25" East 277.18 feet; thence South 0 ° 02' 50" West 263.40 feet; thence South 89 ° 12' 21" West 662.9 feet, thence North 0 ° 07' 38" West 65.0 feet,. returning to the Northwesterly corner of said parcel. TOGETHER WITH and RESERVING THEREFROM a right of way for road purposes over a strip of land 60 feet in width, the centerline of which is described as follows: Beginning at the Northwest corner of the Northeast quarter of the Northeast quarter of the Southeast quarter of Section '28, Township 21,North, Range 4 East, MDB&M ; thence South 0 ° 7' 38" East 1205.22 feet; thence South 80 ° 14' 35" West 155.33 feet; thence South 50 ° 57' 03" West 174.88 feet; thence North 70 '01'.57" West 178.35 feet; thence South 44 ° 21' 17" West 108.02 feet; thence South 13 ° 20' 27 West 319:02 feet; thence South 88 ° 39'43" West 480.34 feet to a point on the East line of Oroville-Cherokee Road and the end of said centerline. 0201�t z No. 24,V4 �, m CMI ON NLC, CA-\8CP Expires 12/31!01 Ail AND WHEN RECORDED MAIL TO: 1 BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 20¢14-0038969 Recorded Official Records Count yy Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:20AN 28 -Jun -2004 REC FEE 10.00 CONFORM 1.00 Travis Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: s�e , 7TA-c*� coPV - 6X14, 61 T- 5 Date l O PROPERTY OWNERS: �ioz--L E. b",5-30,1 State of California ) County of On 7v.w� Q$, aC'a`j before me, personally appeared �c-x—1 'E)>, iS5ay%6.224 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s)X/are subscribed to the within instrument and acknowledged to me that Me^/We/they executed the same in .hid/her/their authorized capacity(ies), and that by Wss/Wtheir 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. WINDY HILL it � RPE7ISignature Seal: NOTAY LIFORNIAD BUTTE COUNTY A COMM. EXP. DEC. 3,2005-6 A. P. # 2 ISI li til �i i1i�11 ii tlil� � �1� i�I fi!� coat a�,C.0(9--.0%mwfS ��.UL4s�MOM! tmmoo C,.u.\3-al;Pl'4Y�iA't;l!,�''��:•�r, �} %x t :.._ ;�"4�O�IOJ 1 abro�eA 1si�iii0 ! iD vinuoo I 3TTU8 I 28URB A 330MR3 I ^rsbro��A 1 KlalloIQ YAAMBM aivs7T I InsfaiezA E io 14asq I A -nut -BS mAss: 8�ll ��.UL4s�MOM! tmmoo C,.u.\3-al;Pl'4Y�iA't;l!,�''��:•�r, �} %x t rt' z �-1 E;CHUBIT S Property Description for Parcel at Crystal Pines Road Oroville, CA 95965 Butte County Official Record Book 2117, Page 327 Assessor's Parcel Number 041-5.0-0-030: The land referred to herein is described as follows: All that certain real property situated in the County of Butte, State of California, described as follows: Approximately 2.5 acres described as that part of the North half of the Northeast quarter of the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, M.D.B.&M., described as: Beginning at the Northwest corner of the Northeast quarter of the Northeast quarter of the Southeast quarter of Section 28, Township 21 North, Range 4 East, MDB&M ; thence South 0 ° 7' 38" East 263.40 feet to the Northwesterly corner of said parcel; thence North 89 ° 12' 21" East 277.18 feet; thence North 28 034" 38" East 227.64 feet; thence North 89 ° 12' 25" East 277.18 feet; thence South 0 ° 02' 50" West 263.40 feet; thence South 89 ° 12' 21" West 662.9 feet; thence North 0 ° 07' 38" West 65.0 feet, returning to the Northwesterly corner of said parcel. TOGETHER WITH and RESERVING THEREFROM a right of way for road purposes over a strip of land 60 feet in width, the centerline of which is described as follows: Beginning at the Northwest corner of the Northeast quarter of the Northeast quarter of the Southeast quarter of Section 28, Township 21.North, Range 4 East, MDB&M ; thence South 0 ° 7' 38" East 1205.22 feet; thence South 80 ° 14' 35" West 155.33 feet; thence South 50 ° 57' 03" West 174.88 feet; thence North 70 ° 01' 57" West 178.35 feet; thence South 44 ° 21' 1.7" West 108.02 feet; thence South 13 ° 20' 27" West 319:02 feet; thence South 88 ° 39' 43" West 480.34 feet to a point on the East line of OroviIle-Cherokee Road and the end of said centerline. No. 24,898 r �' ClV1L �P q\OF Expires 12/31%01 Butte County Department of Development Services 7 County Center Drive Oroville, CA 95965 (530)538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * WELDING * GIS * PLANNING 11/21/03 Joel Davisson 123 Zonalea Lane Oroville, CA 95965 Re: Permit Number: 02-2297 APN: 041-500-037 Upon review of the above -referenced permit file by the County Building Official, it has been determined that a refund cannot be processed for the following reason(s): ❑ Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. ❑ The request is over two years from the date of the fee payments on this non -issued permit. ❑ The request is over two years from the date of permit issuance and construction work has been done. ❑ . Filing fees and plan check fees for work plans checked are not refundable. The above determinations have been made in accordance with Butte County Code 3-41(t). You may view Butte County Code online at h"://munici]Dalcodes.lexisnexis com/codes/butteco/ ® Other reason: On 8/23/02, a deposit was made in the amount of $555.45 of which $535.35 was retained, leaving a balance of $20.10 However after applying the refund processing charge of $25.00, there is a waived due amount of $4.90, leaving no funds to return Should you have further questions about this matter, please contact this office between 8:00 am and 4:00 pm, Monday through Friday. Sincerely, Diane Lewellen, OAIH Administrative Division enclosure 02-2297.Itr CLAIMANT: ADDRESS: CITY & STATE: DATF OF CI AIM - County of Butte Oroville, California GENERAL CLAIM Joel Davisson 123 Zonalea Lane Oroville, CA 95965 11 /2 1 /(l SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 041-500-037 Permit No.: 02-2297 PAID RETAINED REFUND Development Services $ 512.45 $ 492.35 $ (4.90 SRA $ 43.00 $ 43.00 $ - Sheriff $ _ $ - $ _ Other: Refund Processing Charge $ - $ 25.00 $ - TOTAL $ 555.45 $ 560.35 $ (4.90) .................. o• ....�,.;.:...:.. � :::BR A3{DOWN :'::::::: ........ BftiDGET : ............... ,ACCOU:NT:: .............. AMOUN.T.' ............... Development Services 440-001 4210500 $ (4.90) SRA 0100 4617240 $ - Sheriff 280 1011811 $ - Other $ _ TOTAL $ (4.90) $ (4.90) i, the unaersigneo, aeciare unaer penalty or perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of 2003, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2003, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND nn NnT WRITF RFI OW TWIC I INF - AI InlTnR'¢ I I¢F nNl v DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. I REFUND CALCULATION SHEET (CLAIMANT: Joel Davisson ADDRESS: 123 Zonalea Lane CITY & STATE: Oroville, CA 95965 DATE OF CLAIM: 11/21/03 NUMBER: 361040 DATE: 8/23/2002 ISSUED TO: Joel Davisso CHECK #: 665 AMOUNT: $555.45 PERMIT #: 02-2297 Yes PRIOR REFUNDS: FEES VERIFIED DETAIL BLDG Plu CH Ch Plumbing Electric ILDING TOTAL >RA - FIRE Fire $43 iHERIFF - $360 Sheriff HER NON-RI_n APN: 041 RECEIPT INFORMATION No _� Yes 0 $ 555.45 $ 560.35 1$ $ (4.90) APPROVAL Date Reviewed 11/21/2003 Michael Vieira Building Manager I I 440-001 4210500 CHECK: 7$4.90 DIFFERENCE: (Should be blank) SRA 0100 4617240 - 1$ - 280 1011811 REFUND BREAKDOWN BLDG SRA SHERIFF PAID RETAIN REFUND 440-001 0100 280 4210500 4617240 1011811 20.00 20.00 20.00 20.00 20.00 20.00 20.00 20.00 386.45 389.351 -2.90 -2.9011 23.00 -23.00 -23.00 46.00 46.00 512.45 25.00 517.35 -25.00 -25.00:::: -4.90.......................... -4.9:�:�:�::�:�: 43.00 43.00 SRA -FIRE SHERIFF X. ;. OTHER $ 555.45 $ 560.35 1$ $ (4.90) APPROVAL Date Reviewed 11/21/2003 Michael Vieira Building Manager I I 440-001 4210500 CHECK: 7$4.90 DIFFERENCE: (Should be blank) SRA 0100 4617240 - 1$ - 280 1011811 I. REFUND CALCULATION SHEET I CLAIMANT: Joel Davisson ADDRESS: 123 Zonalea Lane CITY & STATE: Oroville, CA 95965 DATE OF CLAIM: 11/05/03 APN: 041-500-037 RECEIPT INFORMATION NUMBER: 361040 DATE: 08/23/2003 0 ISSUED TO: CHECK #: 665 AMOUNT: $555.45 PERMIT #: 02-2297 Yes No Yes No Yes PRIOR REFUNDS: FEES VERIFIED i �o Butte County Department of Development Services o Building Division 7 County Center Drive,. Oroville, CA 95965 (530) 538-7541 REFUND* REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Develo menf Services for a mentrocessin . :;xx xax: _..........-s-- :CC7: a G.;;;;;;;;; ;C °% _xO =:rte.3xex6 %/;:.:xx;;;>x,a• :Gx.:ax ::A;,GGa.xxa ........... ..x,;� .. x: i.>!!M x.Gx..<_x-.x...0LAIMANTS NAME ..........' 4 C . ioxxG.x, MAILING ADDRESS :01 , xxx x PHONE: O c G .Ni CI ..n. ... ._..-.... ............ ..r.. Go. , .......--�_.-.._ ... .. ......_ J...0 .�..., .n �.. ..... 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C .x.xx nxaax, ,x;.x;xi;'xxx - ......... :.xaxa..xxa.xx. _........ ".C:4 Gx?G: 'Plans for cancelled permits will be disposed of within 10 working days upon submission of a� Re Request for Refund. If_ ou want_the_ lens- _ ou may ick them �up pri—of to that -time: 3. ::!.iG:G...'rxz�e::�e::::_!i:,ia!ev4:i4sii_i."+xnxxxxx:!:.x"xxF4vnnx..t�.:nxaax!ee:axe:i'r&e:F..::'ui!itixi':r:e:...;;.._-;.., t ,.xnvGy.xaxxnrx., ' C� C C f.tC C '� 4 x A.! Mi in E M age ME 2- ux.._<...a.....x..:....n6.n_n:_.xx..n.,_v--.xuxxa.:.-.x:.:.x._uv..:r.:.vn..u..un...._v.n.:..:.asxxulxu:ss,:.x...:xxxa<..n::.:�.iai:. Signa re Date K:/Forms/Refund Application 082203 't^y'+ 4 N. N AP NO.: 041-500-037 DATES: 08/22/02 OWNER: Davisson Phone: SITE ADDRESS: 178 Crystal Pines (530) 534-8821 Oroville Zoning U Acres Name/Date Flood Map/Book Page Block Lot Panel Snow Load Other SRA VALUATION CODE SQ FT $/SQ FT VALUATION Residential/ Guest House/Heated Fun Room R 1568 $54.00 $ 84,672.00 Covered Cov 452 $13.00 $ 5,876.00 Open Deck O 36 $ 7.00 $ 252.00 0 0 $ - $ - Re-Roof 200 x 300 60000 SQ 600 $ 60.00 Calculatesquares 20 ft x 30ft = 60 sf = 6 squares Fireplace A (Zero Clr): Masonry: $ _ TOTAL VALUATION $ 90,800.00 BUILDING PERMIT FEES QTY FEES FILING FEE 1 $ 20.00 $ 20.00 Permit Fee - Full 1 Permit Fee -1/2 (MH) $ 599.00 Plan Check @ 65% Permit Fee 1 $ 389.35 Plan Check Minimum/Mobile Home State Approved Plan 1 $ 23.00 $ 23.00 Plan Check MASTER PLANS ONLY $ _ Revised Plan Check $ 46.00 $ - Energy Inspection Fee 1 $ 46.00 $ 46.00 Energy Plan Check Commercial 4000+: $ _ Residential To Master: $ Mobile Home Installation Inspection $ 100.00 $ - $ - $ - TOTAL BUILDING PERMIT FEES $ 1,077.35 PLUMBING PERMIT FILING FEE 1 $ 20.00 $ 20.00 Each Trap 7 $ 7.00 $ 49.00 Solar or heat pump water heater $ 23.00 $ - Water piping 1 $ 15.00 $ 15.00 Each gas water heater or vent 1 $ 15.00 $ 15.00 Gas piping system 1-5 Outlets 1 5+ Outlets 1 $15/$3 $ 15.00 Building Sewer 1 $ 15.00 $ 15.00 Mobile Home Utilities Sewer: I I Water: I Gas: 1 $ 20.00 $ - $ - TOTAL PLUMBING PERMIT FEES $ 129.00 Q N NSITE AP NO.: 041-500-037 DATES: 08/22/021 1 OWNER: Davisson - Phone: ADDRESS: 178 Crystal Pines (530)534-8821 Oroville Q ELECTRICAL PERMIT FILING FEE 1 $ 20.00 $ 20.00 Main Service 600V or less/200A or less 1 $ 23.00 $ 23.00 200+A to 1000A $ 46.00 $ - New Construction or Addns Dwelling Occupied & Accessory Bldgs 1568 $ 0.035 $ 54.88 New Construction Non -Residential Multi -Outlet Branch Circuits $ 7.50 $ - Power Apparatus & Single Outlet Cir. $ _ Existing Occupied Outlets or Fixtures 1-20 $ 1.00 $ - 20+ $ 0.50 $ - Fixed Appliances or Outlets (Res) ea. $ 5.00 $ - Temporary Service $ 23.00 $ - Mobile Home Facilities $ 20.00 $ - Miscellaneous Wiring $ 23.00 $ - Pre -Inspection (existing MH, existing site) $ 23.00 $ - Pool Electric $ 30.00 $ - $ - TOTAL ELECTRICAL PERMIT FEES $ 97.88 MECHANICAL PERMIT FILING FEE 1 $ 20.00 $ 20.00 Heating Up to and including 100,000 BTU 1 $ 15.00 $ 15.00 Greater than 100,000 BTU $ 20.00 $ - Cooling Up to 3 HP and 100,000 BTU $ 15.00 $ - 3+ to 15 HP and Over 100,000 BTU $ 25.00 $ - Evaporative Cooler $ 15.00 $ - Extend Ducts in Additions $ 15.00 $ - Hoods 1 $ 6.50 $ 6.50 Ventilation 2 $ 4.50 $ 9.00 Gas Fireplace $ 15.00 $ - $ - MECHANICAL PERMIT FEES $ 50.50 TOTAL OF ALL BUILDING PERMIT FEES 1,354.73 Occupancy: Construction: ISSUED HAZ FEES IMP FLOOD CDF PRCL PD HD ❑ ❑ 0 0 ❑ 0 0 ❑ AP NO.: 041-500-037 DATES: 1 08/22102 OWNER: Davisson I Phone: (530) 534-8821 178 Crystal Pines Oroville AnnRFAS STATE RESPONSIBILITY AREA (SRA) _ SRA Per Structure I 1 1 $ 89.00 $ 89.0 SRA FEES $ 89.00 IMPACT FEES - SHERIFF Filing Fees $ - Sheriff Residential Per SF Livin Unit t 1 $360.00 $ 360.00 _ TOTAL SHERIFF FEES $ 360.00 DRAINAGE �ROOF OF PAYMENT REQUIRED FOR FEES BELOWReceipt Services - TOTAL BUILDING PERMIT FEES 1,354.73 Residential Per Uvina unit >CHOOL DISTRICTS - Proof of Pa ment Onl $ 510.00 I $ Therrnalito Commercial I Per Ordinance 33041 1 Is _ TOTAL DRAINAGE FEES $ STREET IMPROVEMENTS Chico Urban Commercial Per Each Single Living Uri $ 1982.00 $ Area Commercial Industrial Structures Per So. Ft. $ 1.02 $ Residential Per Each Single LivingUn' $ 595.00 $ Themn—alito Area Urban A Commercial Office Per Acre S 11924.E $ Industrial Li hl Per Acre $5962.40 $ TOTAL STREET IMPROVEMENT FEES $ - WATER TENDER Water Tender Per Parcel $ 200.00 $ TOTAL WATER TENDER FEES; $ - NORTH CHICO SPECIFIC PLAN(NCSP Residential ISR -1 I Per DU $ 3.315.000 $ - Industrial/Commercial loffice I PerSF1 1 $ 2.3z $ - $ 72.614.000 $ - tea: BALANCE TOTAL NCSP FEES $ - Filing Fees $ - 80.00 TOTAL IMPACT FEES $ 360.00 360.00 $ $ $ $ Collected by Development OTHER FEES: REQUIRED MINIMUM PAYMENT OF FEES $ 581.35 �ROOF OF PAYMENT REQUIRED FOR FEES BELOWReceipt Services - TOTAL BUILDING PERMIT FEES 1,354.73 888.28 s 466.45 >CHOOL DISTRICTS - Proof of Pa ment Onl TOTAL ALL FEES $ 1,803.73row $1,248.28 ES I $ 555.45 $ - $ - $ - PAID PAID I PAID PAID MINIMUM PAYMENT OF FEES BUILDING Filing Fees $ - 80.00 Receipt No. Date Staff Initials Receipt Name Check Number Check Amount Cash TOTAL PAID 361040 08/22/03 AM Joel Davisson 665 $ 555.45 $ 555.45 1PIan Check Fees $ 412.35 SUBTOTAL BLDG $ 492.35 SRA FEES $ 89.00 REQUIRED MINIMUM PAYMENT OF FEES $ 581.35 �ROOF OF PAYMENT REQUIRED FOR FEES BELOWReceipt tECREATION DISTRICTS - Proof of Payment Oni )hico Area Residential Per Livin unit I $ 1.189.00 1 S ❑ )urham Residential Per Sq. Ft. 1 $ 1.04 IS ❑ Is 1 ❑ >CHOOL DISTRICTS - Proof of Pa ment Onl )ro HighlPalenno Grade 092 Residential 1,5681 2.141$ 3.355.52 1 ❑ l\ CHECK (='W-) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 49 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMI No. (Rev.12/96) APPLICATION AND PERMIT 02-2297 ASSESSOR PARCEL NUMBER 041-500=037 + ZONING U BUILDING PERMIT OWNER I Joel Davisson534-8821 TELEPHONE SO. FT. OCC. BUILDING VALUATION 1968 R 84 -679 -nn . OWNERS MAILING ADDRESS 123 Zona Lea Lane, Oroville CA 95965 452 C 5;876.00 CONTRACTOR'S NAME owner TELEPHONE 36 0 252.00 CONTRACTORS MAILING ADDRESS ' 1 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $90.800.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 599.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $.389.35 BUILDING ADDRESS Crystal Pines Oroville Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 15-00 TYPE OF WORK . New NI Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: N.iF 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 zo.A OR LESS 23.00 23 00 LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, rand my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. bl"I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Mein Service Zoog TO 46.00so CCU000A NEIN CONST. DWEWNG OCCUP. SO OR ADDNS. ( 8 ACC. BLDS. 3.5¢FT_ CONST MULTI.OUTLEr @7,50 = POWER APPARATUS d SINGLE OurL.ET CIR. - 1.00 EX. Occup. OUTLET OR FIXTURES20 Ex. Occup. GFIxLIEDTSA A o oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 97.88 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 Fling Fee 20.00 Heating 1 115.00 15.00 Cooling Hood 6.50 Ventilation PERMIT FE i= $ 0.5 Policy Number (The above sections need not be completed if the permit is for work of a valuation yf one hundred dollars ($100) or less.) [ill certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. p�of X Date /� ' 2�_ QrL Signat of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories iryheight. Mobile Home Installation Fee $ Energy Inspection Fee $ oc 03 CONST. TYPE VN TOTAL FEE $1354/21 HAZ. ..-.► D. FEES IM D cD PAR c HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Date) tReceipt No. DWj 4&&1 WHITE-D.D.S.-B.D. CAN RY-ASSESSOR INK -INSPECTOR GOLDENROD -APPLICANT t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- (Rev. 12/96) ()S7 APPLICATION AND PERMIT - a` ASSESSOR PARCEL NUMBER n 4/ /—.s nin_ 2O"1NO / .Q BUILDING PERMIT OWNER OW AD5l `JC¢Oo"a"CTORY 4", COMRACTORS WUUNO ADORESS I CONSTRUCTION LENDER LENDERS LWLING ADORESS ARCHITECT OR ENOiNEEA ARCNRECT OR ENOPIEERS MAILING ADDRESS SUILDWG ADDRESS LICENSE t 211 LOT NO. SUBDIVISIONS NAME PARCEL MAP 2 -DO) fzPO S5 255 i1 -Z b-e� l USEOFSTRUCTURE G T 13 A Q� SF 93"' Duplex ❑ Mobilehome O Other cvEcsy TYPE OF WORK New p"'Addition ❑ Remodel ❑ UGGties O Installation ❑ Other O Describe Work: PQ S r qS . SQ. FT. OCC. BUILDING VALUATION T Fire lace Total Valuation b Permit Fee - ELECTRICAL PERMIT Fling Fee Plan Checkin FeeEnergy 23.00 Main Service low TD I—. Plan Checking FeePERMIT NEW C0M6T: DWELLM Acc eivsuP oR ADays. Alrin NON•RFSID. ( NULTLOIRLET -- •,•N nc � ) � , 07.50 Misc. Wirino FEE 23.00 PLUMBING PERMIT Each Trap PERMIT FEE 7.00 Solar or heat plump water heater 23.00 Water i2ing Fling Fee +7Z0-00- 15.00 Each pas water heater or vent1 5.00 Gas piping e1 stem 1 - 5 outlets 15.00 Buildingsewer Hood 15.00 _ Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee Main Service 02,OVon CO." LLEss 23.00 Main Service low TD I—. 46.00 NEW C0M6T: DWELLM Acc eivsuP oR ADays. j 3.5c" NON•RFSID. ( NULTLOIRLET -- •,•N nc � ) � , 07.50 I' Ex. DCCu O_ / ounET OR fnmmr. \ I - G 1— i NC Ex. Occup. O METS fRL o of 5.00 Temporary Service 23.00 — -�± Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee +7Z0-00- Heating�aQ Cooling Hood 6.50 Ventilation ,S PERMIT FEE S Mobile Home Installation Fee b EnergyInspectio Fee b `o TO AL FEE $ 0. FEES I COI' CEL ND 45u[ 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 tai'il��r'+�r�ieir:;svM"1�.��.,�5"�`�^"'l`=k�,-i`,•,�r,��4.y�;?�—A+QC�R'7'�Y3"t�`if�S�, 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: —<a " \ ASSESSOR PARCEL NUMBER v 1 I `JIJL� Proposed Building Use: t� 1.� VCounter Technician: Date: Items required in order to apply for a�permit. All boxes MUST be checked OR marked NA in or er to pply. ` 1.. Plot plans, 3 or 4 sets, signed%iy the preparer of the plans. . Complete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. V6.. Engineered truss details and layouts in duplicate. No faxes! . Energycompliance design and supporting documentation in duplicate. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. S 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. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 5. Statement of Intent for Non -heated and A/C Buildings ........................................... 16. Sanitation and plot plan approval from the Environmental Health Department in fQ t( I e-, VICity of Chico Plumbing permit......................................................................: . California Department of Forestry plan approval paid. Sent. by: 210-�J7�............... r ❑ 19. Planning approval for (A) Use: 312 (B)Parking: (C) Parcel Check: ❑ 0. Contact Land Development about ❑,Improvements, ❑ Drainage ............................... 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... Worker's Compensation Carrier 29d Policy Number ..............:.............................. 25. Owner -Builder Verification ([?Given to owner, ❑ Mailed to owner) ..................... ❑ . Letter of Signature authorization ..... :.............................................................. 2' T Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance.............................................................. ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone - and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: ZZ ",02-,.- 1. Index permit pplication for the above items numbered: i 7 A 7 Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by hone, ❑ mail, ❑ counter, by Date: ❑ Contractor, designer, owner, was advised of the above data by hone, ❑ mail, �❑ counter, byip—Date: 40- Plans reviewed by: Date: Plans approved by: � Date: D 2i Structural reviewed b Date: Structural approved.by: Date: Note transfer by: ., Date:'Z A f Yellow: Buildine Division • COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 / SCHEDULE OF FEES DUE OWNER S PROPOSED BUILDING USE ew o 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .... .....$ &iiRt 7�ih 2. SCHOOL DISTRICT FEESAnv3lcn t (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential 1.30 ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —X — Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. INSPECTION AND PLAN CHECK $89.00 ' at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. # OX-11—SO (J' P,01 DATE ^ Q� RECEIPT # DATE REC. 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 2-2-2-0--;' 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) ° %3 T,TFo ° ,'a o RESIDENTIAL PLAN :�.- ° REVIEW GUIDE a c SINGLE FAMILY, DUPLEXAND MISCELLANEOUS 01VZY Out 1_0vvrer. Building Permit Number: - Plans Examiner: ,-;adct 51.t-np on A. P. Number: '- �— JD GEtiERAL: `—Y", Zoning requirements — (number of permitted living units). Plans signed by the designer. :4_ G Proper description of work on the application. Existing violations on the property. ecorded notice of violation. 'Building permit valuation. PLOT PLA`: 1. Complete parcel size and dimensions. Setbacks, side card. easements. etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. Special conditions on Parcel Map: Noise Q SK -k ❑ . . Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage Sees ❑ 1 Federal aid Roust and/or Federal Aid Secondary Route setback requirement Building or utilities across lot lines (Lot merger approval by Butte County Land Development) �F OR PLA`: Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet The minimtm net r clear openable height dimension shall be 24". The minimum net clear operable width dimension Shell be 20". When vvindoa s are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the floor (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). Glaring in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ceiling height of not less than 7 feet 6 inches except as otherwise permitted in this section. Kitchens, halls, bathrooms and toilet compartments may have a ceiling height of not less then 7 Beet measured to the lowest vroiection from the ceiling (Uniform Building Code section 310.6.1 All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less then 7 Ant in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). GFCI in baths. garage, kitchen, wet bar, and exterior receptacles (NEC 210). grater heaters a hich depend on the combustion of fuel shall not be installed in a room used.or designed to be used For sleeping purposes, bathroom, clothes closets or in a closet or other confined space opening into abash or bedroom (Uniform Plumbing Code section 509.0). Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as abedroM of in a room. compartment or alcove opening directly into any of these (Uniform Mechanical Code Mcdon304 Garage fvevvall separation - required on garage side including supporting walls and posts (Unitblm D. d din$ Code section 302.4 exception #3). Under no circumstances shall a private garage have any opening into a room used for sleeping purposes • (C`nifom Building Code section 312.1). Wood stove location - Alcove — UNtC section 205 confined space & 223 unconf red space & 30 .2). moke detectors (Uniform Building Code section 310.9.1). Pagel of 2 •w , Water closet clearances (Uniform Plumbing Code 408.5). Showtir compartment minimum 1024 sq. in & 30" circle (Uniform Plumbing Code 412.7). g walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support au loads (Uniform Building Code section 1806.3). STRUCTURAL DETAILS: retraced w211 panels shall start at not more than 8 feet from each end of a braced wall line. Braced Wall panels must be in line or offset from each other by not more than 4 feat (UBC section 2320.11.3). Spacing shall not exceed 34 feet on anter in both the longitudinal and transverse directions (UBC section 2320.4.1-) Brand wall must be continuous throughout the structure. A Califomia licensed architect or registered engineer must prepare a lateral analysis for the area of the building tE o not comply With the Uniform Building Code. This must include the designees'Wei" stamp, signature, ration number and expiration date on all sheets of plans depicting the designed elements and cover sheets culations. ,. story requiring balloon framing and/or engineering. (Uniform Building Code Table 18 -I -C7. dation plans complete enough to construct building (U 01W construction details complete enough to construct building ations and Wall construction details complete enough to construct building. construction details complete enough to construct building. lace construction details and calculations if necessary'. ge door header size(s). ' h header size(s). cal header size(s). J;7n heights. h expansive soil —special foundation design required.g walls requiring design wallboard nailing inspection required.he aea abelow the lowest floor. is full)- enclosed, than a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively. certification may be provided by a registered professional engineer or architect that the design gill allow equalization of hydrostatic flood forces on exterior walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement Construction :design requirements must be shown on the building plans. eetric; heating, ventilation, plumbing and air conditioning equipment and other senice facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. MISCELLATTOUS ITEMS: Stairway details — landings, rise and run ran head clearance, handrails (Uniform Building Code section 1003). Guardrails (Uniform Building Code section 509). Brick or stone veneer (Uniform Building Code section 1403). Exterior plaster— weep screeds (Uniform Building Code section 2506.5). - Roof pitch for roof covering (Uniform Building Code Table 15-B-1 & 2, 15-13-1 & 2). Foam insulation — protection. 36" halls and stairways (Uniform Building Code section 1004.3.3.2). Tub exits on three — stor)• dwellings (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). Attic access and ventilation (Uniform Building Code section 1505). Sound requirements. Energy design compliance and supporting documentation. IUUELDING CDF responsible area requirements. PERMIT REQLIRENTE:'TS: 1. ❑ SRA. 2. ❑ Flood elevation cenificate. 3. ❑ Fire Sprirl- ers required- 4- equired4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ ,Sub -Standard Housing lever. y . . V Pzee -- 0f Q OAI LWAO lid ...... ..... ...... ....... .......... ... ............ ........... . ..... . ............. . ..... ..... ........... .................. ............ ............ ....... ............. 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