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HomeMy WebLinkAbout047-060-024�c STORM DAMAGE REPORT B06-2296. 047-060-024 MISCELLANEOUS ALE empt AG BLDG 32X55=1760 SQ.FT., 15405 CANA PINE CREEK RD SULLIVAN, LIVING REVOCABLE TR B06-2351 0.47-660-02 RESIDENTIAL `5-fb--1 bI 'Jle I-lome'SI MH AGR1("IJLTURAt: HQUSING:%- 15405 CANA P>'�,R it4ttk RD {'7J' . f SULLIVAN, LIVIT\1G REVOCABLE TR 47-06-24 10-91 SULLIVAN,.Ralph 15405 Cana Pine Creek Rd, Chico Ag Exemption Permit (farm equipment storage) 047-060-024 04-1304 SULLIVAN, RALPH 15405 CANA PINE CREEK RD, CHICO Cont: OWNER AG BUILDING C 6 11 - U r' r BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 rOUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT 4 Q PERMIT NO. (Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm lements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human itation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a e used by the public. ASSESSOR PARCEL NO. 'l� V ZONING q OWNER 1 PHONE NO..t OWNER'S ADDRESS LOCATION OF BUILDING USE OF BUILDING �C:J , ( VI YY) PIQ_ty�t:s SIZE OF STRUCTURE X _ SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING^ ROO COVE NG ` FLOOR TYPES ` r ESTIM D COST OF C2N_Nj E CTION U 00 $ AG Buildings hall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: �/1171 FRONT SIDES REARrIM G Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date %/a Signature of Owner ' Permit Fee �u- -q The above described AG Building is exempt from a buil ing permit. VD PAR L P.D ROOF GReceipt No. Manager Buildin Divis'on By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant 'DATE TIME 81-31 ESTIMATED DAMAGE 200A0 BY DAMAGE REPORT FOR INITIAL ASSESSMENT FLOOD JANUARY 1995 PUBLIC INFORMATION OFFICER 538-6947 Name Reporting Party S12LLIya,n/ Address/Location 1 - q0 C14,44 191,y:2 _ �`� e� I Co Telephone Number 8 -R:76. City County Type of Damage ,A (._m ma4&i (Note: Emergencies Refer to 911) Building Description ( ] Cbmmercial%Usage' [ ] Residential Type and # Units [ ] Currently Occupied/Use [ ] Abandoned/Vacant Electric Any electrical submerged On [ ] Off Obvious damage (failure, downed wires, arcing) Gas Natural/Propane Obvious problems (odor, leaks, leaks, propane tank floating/submerged) On ( ] Off ( ] Structure On/Off Foundation Flooding above/below floor Obvious leaning, tilting Severe Damage/Collapse Debris Hazard Sanitation Plumbing working Running water Well Flooded Obvious Sewage Problems Chemical/Fuel Wet, flooded, lost chemicals Type pesticide, fertilizer, Plher._chemica Is Amount Fuel tanks (above or below ground) Obvious hazards Agriculture Loss Crop Damage t0 Y 0 Usk S f�cllf5 [,►/,Rr�fI Livestock Lost Building Damage Roads (Public) Road Name Obvious Damage/Hazards Location/Landmarks Traversable (Sedan, 4 wheel) Involved Utilities (downed wires) Levees Public [ J Private [ J Waterway Name Location of damage/problem Obvious hazards Nearest Landmarks Overflow/freeboard conies: ( J OES [ I Agriculture ( ] Health ( J Fire ( ] Building [ 1 Sheriff COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile —'Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE C f5 T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ?___ /1 n , A- , Date -� �� Inspector r"U�l ..i �-. ; ,� , COUNTY OF BUTTE �. DEPARTMENT OF PUBLIC WORKS 196 Memorial Way,fChico — Phone: 891-2751 7 County Center Drive, .Oroville — Phone: 5%38-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. t4o,)t de- Cif D-)r1e1)- I Inspector Date 0 R` COUNTY•15F BIT -TES- DEPARTMENT bF PUBLIC WORK ` 7 County Center Drive - Oroville, CJiforrlia 195965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. .P %_ Ad ASSESSOR PARCEL NUMBER 47-06-024 ZONING A-40 ', BUILDING PERMIT . OWNER ., - Ralph Sullivan TELEPHONE 891-8769 SQ. FT. OCC. 'BUILDING VALUATION DEMO y OWNER'S MAILING ADDRESS 15405 Cana Pine Creek Rd., Chico 95926 - CONTRACTOR'S NAME x Owner TELEPHONE ) r ' CONTRACTOR'S MAILING ADDRESS 414:`• Fireplace CONSTRUCTION LENDER.. .. - d .o •� '' i UNKNOWN Total Valuation Filing Fee . $ 10.00 LENDER'S MAILING ADD14 SS ' lP Permit Fee $ 17.150 ARCHITECT OR ENGINEER �•; A; LICENSE NO. {, Plan Checking Fee ,$• Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Penalty $ BUILDING ADDRESS y Permit fee $ 27.50 PLUMBING PERMIT Filing Fee 10.00 I 15405 Cana Pine Creek Rd. Chico Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. _ SUBDIVISION NAME PARCEL MAP I Water piping -5.00 Each qas water heater or vent 15.00 yyUSE OF STRUCTURE SF ® Duplex❑ ❑ MobilehomeOther ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 JMQbile Home I S I G W 10.00e TYPE OF WORK 1 New ❑ Addition �Q+ Remodel ❑ Utilities ❑ Instal lationEl' Other il Describe work: F1FAtfi _ "Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification License ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended.or offered for sale.`(Sec. 7044) P -'I; as the owner, am exclusively contracting with licensedcontract- o.-s. (Sec. 7044)' ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&` OR ADDNS. C ACC. BLDGS. / , 2/22sq ft NEW CONSTR UL' -OUTLET NO N•RESID BRANTCH CIRC ITS 2,50 ea ( POWER APPARATUS 8 (SINGLE OUTLET CIR. EX. Occup( OR FIXTURES 50t eAL®so Ex. OCCUp. FIXED PR \\ OUTLETS IRESIO.)EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the.Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date l G Signature Sf Applicant — OwnerContractor ❑ Agent F] An OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of structureslower 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONSTTYPE TOTAL FEE $27.50 HAz CUA PARK SCHL FLD PAR PD HD IS i� This permit is nereby issued under sions of the Buttc County Code and/or work indicated above for which fees B /131RE&OA!,OF PUBLIC y PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS �( 0 Date -3-7170 _/) ' • - �/ Receipt No. J � % % WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT S S . 47-06-24 619-90 M1' SULLIVAN, Ralph 15405 Cana Pine Creek Rd, Chico (sf demo) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS h PERMIT NO. 7 County Center Drive - Oroville, California 85965 - Telephone: 916/538-7541 APPLICA_.TION AND PERMIT v ASSESSOR PARCEL NUMBER 47-06-024 ZONING A-4 - BUILDING PERMIT OWNER Ralph Sullivan TELEPHONE 891-8769 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 15405 Cana Pine Creek Rd., Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 17.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 27.50 PLUMBING PERMIT Filing Fee 10.00 15405 Cana Pine Creek Rd., Chico Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00e TYPE OF WORK New ❑ Acdition ❑ Remodel ❑ Uti lities [I Installation❑ Other k] Describe work: DFM _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BUslnes$ and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) oeI, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&` OR ADDNS. ACC. BLDGS. I , 2/20sgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS h SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES SAL@30 °"`030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ®/ishall not employ any person in any manner so as to become subject to tie W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou ty in c sequence of the granting of this permit. X r Date Signature dfApplicant — Owner GPo�Contractor ❑ Agent F1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $27.50 HAz c_A PARK SCHL FLD 'PAg� V Po Ho Iss Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees SIR TO OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date -� , 7_ c2^V 2 7 5' Receipt No. l WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - 7�_ 01'1 zONIN BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRE5S O -5' CONTRACTOR'SNyAMEq TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $7. SJ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ - �7 PLUMBING PERMIT Filing Fee 10.00 a 0 / IV" /J /i. r 6=k,J Each Trap 2.00 Cy/C Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFtV. Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK".., New❑ Addition❑ Remodel[] ,utilities[] Installation❑ Other Describe work: PerrnitFee $ Contractor ELECTRICAL PERMIT Filing Fee .10.00 Main service 1 1 00V OR LESSAMP10.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW • I declare under penalty of perjury (check one): ❑NON-RESID . I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. icense.No. Classification V I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.EI\ '/z2sgft OR AODNS. ACC. BLDGS. / " NEW CONSTR. MULTI -OUTLET 2.50 ea BRANCH CIRC ITS POWER APPARATUS e ' OUTLET CIR. _SINGLE Zoeeoa '. Ex. OCCup(OUTLETS OR FIXTURES SAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ©shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct: I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. .. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses,,which may in any way accrue against said Count in nsequence of the granting of this permi . X I -f Date G Signature of Applicant — Owner��ontroctor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct-. ion of structures over/3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ �� HAz I CUA I PARK I SERC Fro J.PAR I Po I HD 1, ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County..Code and/or resolutions .to do work indicated above for which fees have, been paid. DIRECTOR OF PUBLIC WORKS By Date rscne�tT cvplCCc Hary Receipt -No. 7 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social SM/O Numb r - Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 4— . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,_CPLIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER /'i �)y/� A. P. No. Y%- C)? - Proposed Building Use�_�,.N✓I') Building Inspector LSA Date 3 SZ5 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. AI ' ems have been submitted . .................................... Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. y 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for requiredPre-Inspec.request to ' Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: 00'Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Q Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--jnaiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in . File cabinet AP folder Date j R SI E TIAL �47-06-24 A'2311 ---90B SULLIVAN-9 Ralph 15405.Cana Pine,Creek Rd, Chico— (open hico '(open deck/MH) JOB FINALE Signature J=OK , O = Not OK Not = Not Readyable MOBILE HOMES . Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Date Card B-1 Date Card B-1 MISCELLANEOUS Date ECKS OVERS, CARPORTS, GARAGES, (Plans)OK except #'s . zoning Requirements -Setbacks -Easements �P Footings; Soils -Size -Depth -Spacing -Connectors -Steel j. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Ext.; Steps -Doors -Landings Date fi pe),qo Card B-1 47'C7 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, Distances-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-Pane Iboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 3. Sewer; Location -Test -Fall -C/0 Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date ECKS OVERS, CARPORTS, GARAGES, (Plans)OK except #'s . zoning Requirements -Setbacks -Easements �P Footings; Soils -Size -Depth -Spacing -Connectors -Steel j. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Ext.; Steps -Doors -Landings Date fi pe),qo Card B-1 47'C7 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, Distances-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-Pane Iboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable RESIDENTIAL (Single ' = Not Ready + & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive O Yes ❑ No; Walks ❑ Yes O No; Planters 0 Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi;le, California 95965 - Telephone: 916/538-7541 APPLICAT'ION ANP PERMIT PERMIT NO. Z-3 A ASSESSOR PARCEL NUMBER 47- - ZONING A-4� BUILDING PERMIT OWNER R TELEPHONE -8769 SO. FT. OCC. BUILDING VALUA ION 160 0 800.00 OWNER'S MAILI G ADDRESS 15405 Cana Pine Creek Rd., Chico Q9q26 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 800,00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 16.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $41.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFf�– Duplex[] Mobilehomex] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer -Fs—FG 5.00 Mobile Home JW I 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other] Describe work: Deck _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ADONS. ACC, BLOGS. yzQsgft NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS b (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20®50Q 9AL030 FIXED PR Ex. Occup. OUTLETS IRESID )EA,1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 5?1*'l shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in c nse uence of the granting of this permit. 1/1'- X > Date Signature 6 Applicant – Owner [9- Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 41.00 HAz cuA PARK SCHL FLo PAR D HD I s Th's permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date`s /— �� �p Receipt No. 66443 WHIT!-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENt"bF PUBLIC WORKS - BUILDING DIVISION 7�COLINTY CENTER DRIVE `ORO1�ILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPUrA-nffN DATA SHEET / , /,�.­11/ Permit No. OWNER �� l/liL� 1/ /y .� AI. P..No. Proposed Building Use_ Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ..................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13.S'cr ool District fees paid .............. ; 14. Sanitation approval from C/ CC) Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other Applicant &Z"tZ i1���� Date" ?6 Copy of Hez-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By 6 The following data must be submittedp or to permit issuance: '(Circ`le new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, o e _ . r, was advised of above required data by honemaiI—counter by&date l Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date � 6 Sets of plans on hold in File cabinet AP folder Copy—DPW S i To Buildina Department FROM Environmental Health SUBJECT: . Sanitation Clearance Owner Location. Plan -Approved for:Sewaqe Disposal Water supply Water Supply Hold. final for: Final clearance*O.K. for: Water supply Clearance for bedroom mobile home. other sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ,ASSESSOR PARCEL NUMBER 1-d6- 22BUILDING Z'ONI PERMIT OWNEs� ` `J L/. /r�'�_ 1/// LEP}i N (/ S0. FT. OCC. BUILDING VALUATION OWNER SIL No ADDRESS ��,/ 5 ` & /2-0 r/*::qx_ CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS _. Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ " Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,O ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ I Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ euiLDING ADDRESS A 001 C / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other /)r SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 5.00 Mobile Home S I G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 • Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP. 2.50 j CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. " License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ai) OR ADONS. ACC. SLOGS. '/:¢sgft ; - NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. I Ex. OCCup(OUTLETS OR FIXTURES eL9 2ALO 30FIXED EOPR) —Ex. OUTLETS (RESID ) EA. 2.00 I Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating ; Cooling Hood 3.00 P - Ventilation permit Fee $ Contractor i I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to,enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ElContractor ElAgentF] An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3 stories in height.ipt Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE /- TOTAL FEE E $ � HAZ CUA PARK SCHL PAR PC Ho IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. I WORKS Date No. -O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r V COUNTY OF BUTTE =­DeartRnent of Public Works 7 County Center Drive,'Orovilie, CA 95965 Phone: 916-538-7541 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. X' 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) X 2. I (have/have not) Asp e 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 Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors 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 k Signed: Property Owner Social Security um er Date fro NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and Safety Code. This verification must be completed and.returned to our office before we are per- mitted to issue the permit. I� vl- I �J o ( V% 33 AJ e Gl iVa�/ PSK• GS�RGu.:%aQ .J ., . I r AGo• �c, /0� a j Q, I� vl- �J i a IJ �' a.ve i�'Ne v yD AC R P -d y7- 06 -0-1 y A set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of PublI9 Works, County of Butte. NOTE:—All Materials & Workmanship Shall Be In Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes m4 the National. Electrical Code 02 S A setback of Ztt. trom tnw property lines and a setback of 50ft, from the road 1 centerline shah be clear of structures or equipment excap- ---- eave overheno s � Ex 1,5 i'ii,/ C pvG _arc O f GYN�tC G-'Rou/1'�~ I I /:10W'x - well t . BUTTE COUNTY BUILDING DEPARTMENT APPROVE[ r- 0 �J o ( V% 33 t 44 a Q, - A le a IJ �' a.ve i�'Ne v yD AC R P -d y7- 06 -0-1 y A set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of PublI9 Works, County of Butte. NOTE:—All Materials & Workmanship Shall Be In Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes m4 the National. Electrical Code 02 S A setback of Ztt. trom tnw property lines and a setback of 50ft, from the road 1 centerline shah be clear of structures or equipment excap- ---- eave overheno s � Ex 1,5 i'ii,/ C pvG _arc O f GYN�tC G-'Rou/1'�~ I I /:10W'x - well t . BUTTE COUNTY BUILDING DEPARTMENT APPROVE[ r- 0 I 1-0 , -t :BUILDING DEPARTMENT APPROVED Z - 'v.,^ 7z IDivt.;nnn Or' CVT 111 U) '.J >� — UARPRAILd 0 ccl h// MIaX_ �� I ► I r - ;S 4°x 6„ FINN b. CLIP= L 2')(12" STAIR STF HGER 4?)'o.c,. MAX. TDP VIEW HRUPVAIL NOT SHDWM F69 CLARITY. 3/81 BOLT MOBILE HOME OR DELIK -' cc MAX. 48" MR. FRMiJG L--- MAX, CLIP (EA. SIDE) ° �1"MI M. 4„X4,. POST #2Z DFs �RFfSURF� --- (2) l8” TREATED oR BrM EU�TS �RTDWOOD oLATc -:, GIRDER b MSN. �I'X4POST' - ADFc?UATE DIAGONAL 9-25-87 F -RACING. IrYD1/1A1 0 C »z.:-;. '7-//1 ; 07-cn� e.,/n/., nc-,-v t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS, i 7 County Center Drive — Oroville, California 95965 i Telephone: 538-7541 J=OK O=Not OK �(s f -=Not Applicable MOBILE HOMES ' =Not Ready ' V,Zoninq Requirements -Setbacks -Easements Soil , Special MH Support Sket h eW wer; Lo n -T -F - o W , Lo tion -Test -Easement Need!Sketch) le y; Location-Clearences -/ mp-Concrete er qt(a; Lo�fion-(aW . / /"L"ft. / /" N orP_ L"ft.Z"LPG 7414V54tv Clearance Date S Card B-1 3 % Date Card B-1 Date Card B-1 -/ 2.20 Date Card B-1 Date MOSILE-HOME INSTALLATION Plans OK except #'s Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line s; MH Test-Demand-Valve—Connector yefectricity; MH Test -Crossovers -Breakers -Clearances 5. rain; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector iter and Sewer Connected -C/O to Grade -HD Approval Ga nd Electricity Tagged dr-fxits: Insp.-Sketch 1 art. of Occupancy DateSj Card B-1 [, 5 >- Date Card B-1 Date ICard B-1 Date Card B-1 QlK Cd2>?:✓ 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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 1: : - . 4. Elec.; Receptacles and Lighting, Distances-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-Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V=OK O = Not OK -.= Not Applicable RESIDENTIAL (Single ' = Not Ready & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning-Setbacks-Easements-Flood-Slope 45. Hangers-Post Caps-Anchors-Connectors 2. Fig., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 46. Cing. Joist-Rftr. ties-Pu rlin-roof Brac-Truss-Shthng.-Rfng. 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 47. Fireplace'Ties�.or'Type A Flue-Fireplace Throat clearance 4. Fig., Porches & Decks; Soils-Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection-Draft Stop-Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors-Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage'Pire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel-Wrapped 52. Ext. Doors-One 3'-Check Garage-3rd Story, 2 Exits 8. Piers-Fireplace Ftg.-Steel 53. Stairs; Width-Headroom-Rise-Run-Landing-Fire Protection 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test 54. plywood on Roof Overhang-Attic Vents-Rafter Outriggers 10. Gas Pipe; Size-Anchors 55. Siding-Nailing Veneer 11. Water Pipe; Test-Anchor-Regulator-Service Test 56. Stucco Mesh-Drip Screed-Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area-Glass Protection-Skylights-Plastic. 13. Pienums & Ducts; Clearance-Material-Support-Ins. 58. Shear Walls; Nailing-Bolts ' 14. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples 59. Insulation-Walls-Ceilings 15. Insulation 60. Infiltration-Walls-Windows _ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent-Access-Combustion Air-Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor-Nail Protection 61. Ext. Steps-Door & Sidelight Protection-Landings 1 18. D.W.V.; Test -Fittings & Anchor-Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor-Tub Access 63. Furnace; Vents-Clearance-Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor-Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access-Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances-Hearth 22. Fixture & Transformer Clearance-Ins. Protection 69. Elec. Outlets at Wood Panel; Int.,&-Ext. 23. Elec. Receptacles Spacing-Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap-Cooking Clearance 24. Size Boxes & No. of Conductors-Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing-Landing-Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage-Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation-Foam-Looked in Attic ❑ Yes • 30. Service-Riser Conductors & Ground-Main Disconnect 78. Guard Rails & Deck Construction-Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents &Crawl Hole Door-Drainage & Wood-Earth Clearance Looked under Floor 11 Yes 32. Clothes Closet Light-Shower Light-Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks 0 Yes O No; Planters 11 Yes O No 81. Stucco; Brown-Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle-Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access-Comb. Air-Return Air Vent-115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test-Meters Tagged; Gas-Electric 90. Water & Sewer Connected-C/O to Grade-HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate-Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card 8-1- 39. Sils, Proper Material & Anchors Date Card B-1 Date . Card B-1 40. Walls Studs-Nailing, Spacing & Bracing-Plates-Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings-Stairs-Chases-Tub 44. Headers & Beam-Size & Bearing each time you visit job site) (NOTE: An entry must be made -410 rr Jr,tSIDENTIAL L&S.f p- 47-06-24 6I.R-Qo MHU r„r x� SULLIVAN, Ralph'& Margene 15405 Cana Pine Creek Rd, Chico (MHU) R Cavo. 1�1w�. o��r q 9 ,v f f• f - Cb i 9. 'IPA JOB FINALED (Date) — Signature COUNTY OFBUTTEy DEPARTMENT OF PUBLIC WORKS Y t 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi(le — Ph6ne: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 .CORRECTION NOTICE Sj//i✓o OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. lked y-jsf--- /9'9"0 j L..' I r4 , P.)e-e% Inspector COUNTY OF BUTTE. DEPARTMENT OF PUBLIC WORKS ` 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville -Phone: 538-7541 , 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE &I - X 'ERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is co feted. If you have any question pertaining to this matter, or need additional planation, please contact this office immediately. Inspector 0 Date —&` 4// 6 Oft MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. C11 ) Address or location of mobilehome �� L Prl����.�E S ��, ✓ - Owner's name yo" n 4 Owner's address f � �' Insignia or hud number f� �(r / v�L� �j �p 3 1�ILD Manufacturer's name `I lw,ffi1 &M 1033 /?B /h i/ r' i F Serial number of V.I.N. t Z Year of manufacture ��. (Official Approving Installation) r (Date) "IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO�,� 7 County Center Drive - Oroville,•California 95965 - Telephone: 916/538-7541 :�� APPLICATJON AND PERMIT ,, ASSESSOR PARCEL NUMBER 47_ _ ZONING A-40 BUILDING PERMIT OWNER 1 M eSullivan891-876 TELEPHONE SO. FT. OCC, BUILDING VALUA ION OWNER'S MAI ING ADDRE 15405 Cana Pine Creek Chico 95926. CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN 1 Total Valuation $ Filing Fee $ 44 -98 -- LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00e 30.00 TYPE OF WORK New Al Addition❑ Remodel❑ Utilities Installation❑ Other [1 Describe work: _ MHU 2 Bedroom Permit Fee $ 40,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6111 oR LESS 100 AMP OR LESS 10.00 + Main service EA. ADD'L 100 AMP 2.50 S� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. ClassificationFIXED ,-,--,� l� i, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.ei OR ADDNS. ACC. BLDGS. 2,/20sgft NEW CONSTR. ULTI-OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS S (SINGLE OUTLET CIR. I Ex. OCcup(OUTLETS OR FIXTURES 20@50t 9AL@30 5ALe30 Ex. Occup. OUTLETS IPRESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 Permit Fee $ Contractor (f WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 2t Consent to Self -Insure. Lm?", shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes.TOTAL I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coupty in nsequence of the granting of this permi . X ry' Date l% Signature f Applicant — OwnerL� Contractor ❑ Agent An OSHA permit is required for excavations over de and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE FEE / U A HAZ cuA PARK SCHL ILD, PA� PD D Issu This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees By JkICTOR F PUBLIC PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date EReceipt No. P.W.,L - S PINK• SPECTOR, GOLDENROD -APPLICANT '3`(Qt''rI '`A! Y��{/',i��►,{� ..l.�y'�e'4�����t' �i'It+t%"`•'��,�.,,."L.. T vv.yrry •�,...{��r�.s�zra-.i'Y .. .c�l'•�yja%Eri�rs�t�,R,d.'� ��N�.i? �!'�"r.e ��:'di�i"'�`�wjs��gtL. r�` S COUNTY OF BUTTE - -DEPARTMENT OF PUBLIC.WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE AQ 11 Lli�CAt - IA 95965 -.'TELEPHONE: 916/538-7541 :f PERMIT APPLICATION DATA SHEET fi Permit No. OWNER „•'` ' •` A. P. No. Proposed Building Use Building Inspector` tf 5-Je' Date 3/C If J At time of permit application, I was advised the following data must be submitted ,prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ..................... ............ 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ r 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ...................... ...................... 6. Energy Desigri Compliance and supporting documentation ......... 7. Statement' of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation -�� instructions. .......... .................................... Fees of $.G. - ........................ 'Ye 11. Chico Urban Area paid ......... , 12. Park fees paid ......................... :......................... .... �,,,. School District fees paid .............. 4.,Sanitation approval from /-18/ e- O Health Department L-2-90 0 -14A 15. Citj *of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking:— 18 Improvements may be required. Contact Land Development Section DPW X, Driveway permit (construction approval required prior to occupancy) ' 20. Pre -Inspection for required Pre-Inspec. request to ._.. Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. -wner-Builder Verification (Given to owner ❑, Mail to owner ❑) ..... - --&ecorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to cofitractor. Telephone and hold for pickup at office. Deliver w/inspectior. Other O Applicant �_ 1 Date e A0D .1 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted Rr�pr to ptrrrmit issuance: (Circle new item not checked above). 1. Index permit for above items No. — 2. Additional items required: Contractor, designer, wner, was advised of above required data by phone__nail_counter by/f 94 .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked b, DatP.?- -C1 U Plans approved by 2— Sets of plans on hold'in File cabinet LAP folder Date I- j'-- 5;y Copy—DPW 0 TO, Buf ld_na Department FROM: Hnvir.onmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Hold final for: Sewaqe Disposal Final clearance O -X- for: Clearanc$ or q bedroom mobile home. Other ) r Sanitarian oft Water Supply Water Supply f. water supply f. -?'r�/ 2- -z-Z Date pROViDE APpROVEED A.ND ADEQUATE COMBUSTION AIR FOR NEATER WOR W -H' 2- JfA- % i J Z G% 3IV-- y 7� 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ..Permits Issued 4/9/86 to 4/21/86 inc, Page -2 PERMIT NO_ OWNER CONTRACTOR A.P. NO R W. Neil Andrus Ken Brown 64-50-2'. 789-86 Terry Dowdy Adonis Pools 7-24-58 �99�96•� Robert Owen Adonis Pools 40-10-3' M -96-F- Bill Knapp Carefree Pools 42-45-01 ;9;-86.v: William Lash Owner 7-46-49 ;90-8b Don Rosseter Jessee Htg 6-06-38 '"' John Lamb Tom Hall 4-333-14 - ;95 ems Spiro Theveos Owner 33-18-0 797-86L Wanda Gilman Owner 36-72-21 rr Gordon Rhodes Jim Potestio 61-02-9' f: Randall Ross Schiedeck Const 28-17-11 F Raymond Olsen Owner 47-45-2 F Lester McDonough M & M Enuip 71-01-4! 909 F Rudolph Leemhuis Ken Young 64-48-2! oie Rebecca Steffanic Owner 58-22-11 of -"` F Delmer Proschold Owner 73-18-1' ---819 86-F Wesley Jones Owner 73-30-01 21- -006 Charles Gordon Owner 31-172-' Courtney Silva Owner 26-25-41 wA'6-"` F L Lumsden Owner 25-08-6' Q4LAV- So. Calif West Corp Owner 73-15-11 Steve Goldsmith Owner 45-081-' 8@.3F Myrl Hull Ronald McGuire 45-321-' J----9�5-BfrF Russ Rose Cal Oyler MH 69-04-2 829-86 Albert Brishane Sierra Rfg 42-14-4' Sao�' Charles Mason Owner 28-08-21 840-86 Burger King Sierra Rfg 48-05-2 841-86 Kenneth Ormiston Owner 56-09-51 Chris Johnson Owner 63-14-2 845 L Richard Roberts Owner 42-34-51 846 F Oy Vey Bagel Co Owner 42-19-21 848- RFF�3N'b Robert Murphy Owner 27-17-0' 849 86F Billy Clay Chipper Fernander. 33-32-, s"- K.C. Hendrix Owner 25-24-11 Lyle Olson Owner 40-17-01 ---858-&6-F Sam Evans R, G, Ele 7-'20-77 F Kenneth Williams Owner 65-25-3 ---869-BfrF Marie Keller Vern Hall 66-27-4' -- -84 John ,Stephens MH Center 31-171-1 ---863-8f6•F Ed Dirks Owner 69-24-3: 864 F Kenneth Jacoby Owner 31-211-! 866-86 William Noyes Bippus Rfg 39-08-4' COUNTY OF.BUTTE'- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov,il)e, California 95965 - T elephorie: 916/538-7541 APPLICATI'CN AND PERMIT PERMIT NO. ASSESSOR PARCENUMBE� �. o2 -q ZONING4.. tic) BUILDING PERMIT OWNER j /' NA L,41J�� �,� %5 J�f TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C CONTRACTOR'S NAME 6 L -w" 1L TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $� LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ •'1 '�� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ o PLUMBING PERMIT Filing Fee 10.00 3.L/O� /'.��� ���� �Qy n� 1 C_ Each Trap 2.00 /' 14ek of- C4,44 00114t MeDv,,'S_, Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping '55.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home D<5R54 TYPE OF WORK NewK Addition❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work:���� 8�� Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 - Main service 600V OR LESS 100 AMP OR LESS �J 10.00 oc� Main service EA. ADD'L 100 AMP 2.50 �� v CONTRACTORS LICENSE LAW ,r, I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ontract- ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ors. ❑ i am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr OR ADONS. ( ACC. BLDGS. I/z¢sgIt NEW CON5TR ULTI.OUTLET NON-.ESI.BRANCH CIRCUITS 2.50 ea POWER APPARATUS tr\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 200100 eAL130 FIXED ALNS. Ex. Occup. OUTLETS PIRESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 %f Permit Fee $oil� Contractor " WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 'R'I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidounty i consequence of the granting of this permit. X Date Q Signature of Applicant — Owner --Contractor❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct• ion of structures over 3 stories in height Mobile Home Installation Fee $ Energy Inspection Fee $ . occ CONST TYPE 1( TOTAL FEE v HAz I CUA PARK I SC;q FAD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By the appiicable provi- resolutions to do have been paid. WORKS Date Receipt No. 7 • 1 COUNTY OF BUTTE - Deuartment.of Public.Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER. -BUILDER. VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. _1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) ad.P 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 Contractors License No. 4. J plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors 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 - &Iewe Social Sec . tyumb r Date _3T NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Return to DPW A 90-009223 ' Rec Fee 7.00 7 .0:.' 0 _J �..��i �, ! r � Tota 1 7.00 'Recorded - � f Official Records County of Butte ' Candace J. Grubbs Recorder I ' - JK } -2 8:OOam 8 -Mar -90 1 , _ I AGRICULTURAL STA' i:,i,zni -Or ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section A-8.1 of the Butte County Code requires this acknowledgement 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 arising 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 zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept. such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows; Date: 3/5/90 PROPERTY OWNERS: 0 a p Su iva M ene Sullivan State of California) On this the 5th day of March , 19 90 before Butte ) SS. me, the undersigned Notary Public, personally appeared. County of ) Ralph Sullivan and Margene Sullivan 011++++++++'++++w+el►+11OOm+O+nmu+,++++++++++++++++++++++++++� / % Personally known to me. - )J Proved to me on the basis OFFICIAL SEAL = of satisfactory evidence. �, TAMI BA�RLOW � to be the person (s) whose names) are subscribed to PRINCIPAL OF NOfARYP PRINCIPAL IN BLIC — CALIFORNIA the within instrument and acknowledged that they - S "' BUTTE COUNTY e executed the same for the purposes therein contained. MyCommtssionExpires October24,1992 IilElltrruuue..................= IN WITNESS WHEREOF, I hereunto set my hand and official seal., . /&'Lle�-a- Notary Public TAMI BARLOW Present A.P. No. y%- aG -0a4 900273 EXNIBiT 'A' Ji The Southeast quarter of the Northeast quarter of Section t; Township 27 North, j Range 1 West. N. D. t. 6 N. EXCEPTING THRREIRON the interest which was conveyed to the County of butte h that certain Deed recorded +ty 4. 1674 to book 14 of Deeds, at page S00. records of butts County. California. TOGETHER WITH an eosement for the use, operation and maintenance of a wall, related pumping equipment, underground mainline and appurtenances for the Irrigation of the above-described land, ov4r and across the following described wellsltet . THAT PORTION of the'Northoset 1/4 of the Southeast 1/4 of Beetles t. Township 23 North, Range 1 West, N. D. S. 6 N:, described se followt BEGINNING at a pint on the North line of said Northeast 1/4 of thetowthsast 1/4 of Section S. from which the Northeast corner thereof beats East, along. said North line, a distance of 905 feet; thence, from said point of beginning. Wet, along said &bilk line, a dletance of 29 feet; thence South, parallel with the Rant line of Bald Section S. a distance of 26 feet; thence East, parallel with sold North line. a distance of 29 fest. thence North. parallel with said Rest Ilse of said settle" 6, a distance of 26 fast to the point of begin". 1122911VINO MIN TNR FORKWIING CONYRYANCE. an easement for purposes of Ingre" and egress to and ftam Ursator's remaining lands lying Westerly froe'tbe above-MetriMd land, ever and "rose the South 60 fest of the above-described land. END OF DOCUMENT COUNTY OF BUTTE - DEPARTMENT 0F 7 County Center Drive - Oroville,, California 95965 - PUBLIC WORKS Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASS SSOR PARCEL NUMBER 5XA _ t� 7 _ Q (9 -- Od2c ZON NG LO BUILDING PERMIT �� 1 � f W".. N U � � TELEPH'ON'E SO. FT. OCC. BUILDING VALUATION MAILFNG ADDRESS S_ Se ti •"stilet cock4j� A0 , rG d CON RACTOR'S AME R k s fes' o� TELEPHONE 3 45,1-2 y.2 CONTRACTOR'S MAILING ADDRESS ,/0-0-9 Fireplace CONSTRUCTION LENDER • UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ sem' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5 `' 0 CA Cc. XPi Permit tee $ l PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00e . TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation cher❑ t Describe work: >-t�1-� '�� '�' 'N _ nL ftexf- 116 90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under enalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force a'ndd effect. License No. 1/%`76,P 3- Classification C, -W / ❑Ex. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. � ACC. BLDGS. ) 1/2 Osq It NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) EX. OCCUp(OUTLETS OR FIXTURES BALO3O Occup. OUTLETS ((RESID )FIXED APPLNS. REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ Tahqpermit is for $100.00 (valuation) or less. P'lrhave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s oun in consequence of the granting of this permit. f �� �5' X y� Signature of Applicant - OwnA Contractor ❑ Agent ❑ An OSHA permit is required f excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee Energy Inspection Fee $ occ CONST TYPE w TOTAL F C/J\ HAZ CUA J_ PARK SCH FLD PAfj� Pf)/ / HD IssuE This permit is hereby issued under sions sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By / PEWIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date -3 Receipt NO. J C l WNITC-D.P.W., YELLOW-A58[$90R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE -,DEPARTMENTS P - BLI:C WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE PIORO�I L &A4IFC,PNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Q Permit No.. D B 7—" �0 OWNER A. P. No. _G17- GL �L v Proposed Building Use i T Building Inspector Date At time of permit application, Iwas advised the following data must be submitted prior to permit processing and/or issuance: r DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting,documentation ......... r 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ......... ............................. 1. Park fees paid 3. School District fees paid ............. 14. Sanitation appro al from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. ` 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 61 7/25. Letter of signature authorization 26. Cljr<z 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept--.-, Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: : (Circle new item not checked above). Co ctor, designer, owner, was advised of above required data by_phone__nail—counter byA - .date ��24 `C U Contractor, designer, owner, was advised of above required data by—phone —mai l—counter by date Plans checked by Date�Plans approved by=y �ig.-..'e—Date ?— 2-6 ---?U Sets of plans on hold in File cabinet AP folder Copy—DPW ti Hlr�oM� 4�c�i 4/7- a 6 y rils so Of Ptarte and specificaUM MUST be Job at 811 nmes and it is unismW to n*W MY Manges or alterations on same wift A \` W tter► pemwsslon front tfte pepsrtrtwnt of pift works,County of gutta. a � f4dKE—All Materials S Workmanship Shag 8e lin rdance with Recognized Goal PracdM dW f 0quality prescribed for the Specif o use M the \ Uniform Building, Plumbing & MechaftW Caft rid the/ National Electrical Code. QJ .� A setback ofxft. from the property fines and a setback of 50ft. from the road centerline shall be clear of �i structures or equipment except f i� 4 ?of le \ \ 00 K Pt .71-----J£.�o �----.._ ------ �� � o/tel 3 �u gIK Fx r'S rii•% 'pvG w_a.r�r �-,�� GCNa�sd C-Rou/v�~ 100w ex we// J pef.}o�7iC — D W 0 rr v 4-S6-7-70 70 �� r,BUTTE COUNTY BUILDING DEPARTMENT A P P R- 0 V E 77/ i 13a6 , ov BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1: Owner's Name: , �9 /1��1 �'�� °.0 AJ 2. Installer's Name: _�� �.L�Lf�.S ii�� /l • �� �, 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) 0p,�/ Is the site an existing site? Yes F-1 No D� (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes �—No (If no, clarify 5. What is the mobilehome electrical rating?---------------� Amps 6. What is the mobilehome site service rating? ------------- C�,-® C) .. Amps 0 7, What is the mobilehome site circuit breaker rating? 0,1 ----- d Amps 8. Is there any other electric load to be served by the -------------------------------- Yes No mobilehome site service? (If yes, identify the load and size: (.Load) (Amps) f�y 9. What is the mobilehome site gas pipe size? -------------- (in.) � 10. What is the YP g -------- type of as service? ----------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?-------------------=------------- (ft.) * 12. What is the mobilehome gas demand? --------------=----=-- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEROME SUPPORT DATA SAC If other -,than -single wide, Mobilehome Mfr. /J furnish Setup Model No. Year t Width (ft.) Box Length s'� (ft.) alo or Expando Size ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) E(1. Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one) 111. Concrete block. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Line 2 Main Beams —. — — — — — — — —. — — —17—Line Tag or Triple Line 1 Piers: Size -Min. ------------ 'k Spacing -Max. --------- From Endo -Max. ------- Line 2 Piers: Size-Min------------- Spacing-Max - ------------Spacing-Max---------- n i From Ends -Max .------- Line 3 Roof Loads: )gine 1 Openings: 1 Size -Min- ------------------ „x n Each Side of Openings With Width Over--------- = Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- „x Spacing -Max.--------------- FromEndo -Max .------------- Size-Mio------------- Location ------------Location (From Front)-©�� e 4 Pierre: bine 5 Piero: Under Bearing a• 010 Size -Min.------------ ,k Size -Min------------------- ,k „ Spacing -Max.--------- , „ Spacing -Max .--------------- From Ends -Max.------- �_ „ From Ends -Max -------------- '- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) From M�}_,-i le Home Venter t_HICO (916)34'-3332 J r r 13 r 34Ds De -lo G pol d � f 1, a� pol d � Frim f lab r I e Horne Center CH I CO (916) 343-3332 BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTft'ICATION FORM II !! (One Form per Building) 01 A.P. Number 6 a I- Building Department No. P02 School District ,City 0 County ro Jurisdiction Property Owner Project Location/Address �i� J (i{ VIC (��.h�r (I�p,Q , Qf, SUbdivision Lot Number Residential Development: Sq. Footage �` of FL-1VIinci 2{I Adct�.txon (G oup Units 41j1 -y Comn►ercial/Industrial: Sq. Footage New Add t on (Including Exterior - Roofed Areas) 13u�lding Department Representative nate ' t**,t*•k,t,t�*+t*,4,krr****,k**v�**,t**+r,�**rtw+t**,rr�,t**�t�A•*�****�tw**�t*�rr,t����r**� -(Floor Plans reviewed by school District personnel) District id No. qnct4'"1ohlia -LDI&A*�Lf'CZ , School District certifies that �'► �.1-rC P f 34.3 — 6 -?p / Applicant Name). (Phone Number). Stre t Address) Ci (City) (City) (State) ((Zip GCode) has complied with the requirements of Resolution No. 19 by the pa mens of Ll. o�'Y representing 45, square feet. School District Representative Date PAID BY CHECK NO. _ REMARKS: BANK NO PAID BY CASH " white --applicant, yellow -building 'department, pink -school district Q . .fiC11OOL.FEE (8/88) AP # OWNER ���1 VAS PERMIT ' # � � � co Iii UTIL.CLEARANCE DATE 3 b INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Z-00 A Other Load SO SHO P �Type �- / Pipe Size 3��a Length 3% YESI NOYES NO -aO W -d LL �-Fo 15. Rr ✓ .1�5 -N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. /0-91 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. -z47—O6O— OZ ZONING /i 40 OWNER/ �a/h PHONE NO. OWNER'S ADDRESS 1'5-y05- n" //'//-P C'/< /row LOCATION OF BUILDING l /V '�f- eo 'T'U'ex d -f /p a/{ e e USE OF BUILDING SIZE OF STRUCTURE X 3 _ 3 SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE sr{.e yr,,e ESTIMATED COST OF CONSTRUCTION $ �a v AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows -' '�`^^�—�c c / f ;� �J FRONT 6'b' SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building/permit. Receipt No. __f� /- / -3-7 White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant FLOC}D I PARCEL P.D. R00FIt� ISSUE Director of Public Works By Date ����' COUNTY OF BUTTE- DEPARTMEN 7 COlJNTY'CENT5'R DRIVE - OROVILL ~ PERMIT APPL OWNER Proposed Building Use r/ /' 4 �; OF PUBLIC WORKS - BUILDING DIVISION )ALIFORNIA 96966 - TELEPHONE: 916/638-7641 ATION DATA SHEET Permit No. A. P. -No. 'Building Inspector— 4!!!? Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: �ZAII DATE RECEIVED, APPROVED �' items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ ,M 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9: Mobilehome installation data including manufacturer's installation instructions....................................................... 10.`Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... ' 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ................................... . 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking:` ' 18. Improvements may be required. Contact Land Development Section DPW 1 _ 19. Driveway permit (construction_ approval required prior.to occupancy) 20. Pre -Inspection for required . Pre-Inspec. request to Building Inspector (Date) . 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................: 23. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... ` 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows:ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other Applicant ` :Date / Copy of Haz-Mat corm sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent -----Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: s Contractor, designer, owner, was advised of above-requir-,bd data by_phone_—nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone" mail counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet . AP folder �` Copy—DPW cz fvvd o� BUTTE COUNTY 0 rad ie S DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-76i"? (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2381 Issued: 11/15/2006 Address: 15451 CANA PINE CREEK RDCHICO APN: 047-060-024 Permit Subtype: SFD-Mobile Home Owner: SULLIVAN, LIVING REVOCABLE TR Applicant: BOB FYLER Description: MH AGRICULTURAL HOUSING MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Set ac s 132 /. q.,a Foundations / Footings 1111.4.71, Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underflbor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above_SLned T-Barw — — — — — — — _ — — Gas Tq OFFICE COPY Stucci I Stucco. -. Address I Stucco Buildi! GAS , y� Electri Meter By Date Mechi ELECTRIC Plumb Meter By 4W&I Date' �' �• k e• _ Projec� •S� � E PER ITS BECOME NULL AND VOID I YEAR FLOM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FORA 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT A routine inspection indicates that the following violations of Butte County Ordinances ekisf at the above address and should be corrected. Please call for re -inspection when correction'of. work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. �ur A 1C., C/ i Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. i 7 , I' T _ r & is o,tn E#1u, rdoAN^�4a ( �I110 o.��i IPo1J c n.0 (tiy t r S& S Ke -4- C v a a I- r 171 I. et 2 Data ! r f7 Imnartnr /��Z+t T' REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 r �."}^ .-;{�.<„_•-�--�.'`ti,..i�is,.-`.—,�.�-s-tin:�'�-.+.�:s-.«.r:x:..1-,�'3..ter`-.i.3,.�arrr�-.K•'-+�s.Far ��+.�i_�i..r-+�s'3:' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 5_6I /; vim- . T3o6- Z 3 1 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as inqj;ated below. B0 ei Co. 4,;.^ 4- eKG./v S Lo r, Date Inspector,&* REV 4/05 Phone #— FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 E COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County,Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE .0 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. r Date 4 Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 r r Date 4 Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 15451 CANA PINE CREEK RD APN: 047-060-024 Owner: SULLIVAN, LIVING REVOCAB Permit N0: B06-2381 Issued Date: 11/15/2006 By KEJ Permit type: RESIDENTIAL 15405 CANA PINE CREEK RD Subtype: SFD-Mobile Home SFT Description: MH AGRICULTURAL HOUSING CHICO, CA 95926 (530) 891-8769 Expiration Date: 11/15/2007 Occupancy: R-3 Zoning: A40 Contractor Applicant: Square Footage: STRICTLY MANUFACTURED HOMES BOB FYLER Building Garage Remdl/Addn 22770 ANTELOPE BLVD 15405 CANA PINE CREEK RD 2,311 RED BLUFF, CA 96080 (530)529-4085 CHICO, CA 95973 (530)781-3467 Other Porch/Patio Total 2,311 FEE INFORMATION County Impact - Mobile $1,548.32 Impact Processing Auditor $50.00 Impact Processing DDS $50.00 Mobile Home $329.94 Mobile Home Plan Check $219.96 Res Impact Fees - Mobile $1,690.40 SMIP -Residential $15.02 Total Charged: $3,903.64 Fees Paid: $3,903.64 Balance Due: $0.00 Receipt No: B870 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires STRICTLY MANUFACTURED H 479504 C-47 / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,. also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 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. X 11/15/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE ❑ 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number. Exp. Dale: (This section need not be completed if the permit is for one hundred dollars ($100) or less.) ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS X 11/15/2006 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. Owner's Signature Date X 11/15/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. 11/15/2006 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Name of Permittee (SIGN] Print Date ❑ Owner 1:1 Contractor OR. Agent for Owner DAgent for Contractor INSPECTOR COPY Lender's Address City state Zip I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 15451 CANA PINE CREEK RD Owner: Permit No: B06-2381 APN: 047-060-024 SULLIVAN, LIVING REVOCAB Issued Date: 11/15/2006 By KEJ Permit type: RESIDENTIAL 15405 CANA PINE CREEK RD Subtype: SFD-Mobile Home SFT CHICO, CA 95926 Expiration Date: 11/15/2007 Description: MH AGRICULTURAL HOUSING (530) 891-8769 Occupancy: R-3 Zoning: A40 Contractor Applicant: Square Footage: STRICTLY MANUFACTURED HOMES BOB FYLER Building Garage Remdl/Addn 22770 ANTELOPE BLVD 15405 CANA PINE CREEK RD 2,311 RED BLUFF, CA 96080 CHICO, CA 95973 Other Porch/Patio Total (530) 529-4085 (530) 781-3467 2,311 FEE INFORMATION County Impact - Mobile $1,548.32 Impact Processing Auditor $50.00 Impact Processing DDS $50.00 Mobile Home $329.94 Mobile Home Plan Check $219.96 Res Impact Fees - Mobile $1,690.40 SMIP - Residential $15.02 Total Charged: $3,903.64 Fees Paid: $3,903.64 Balance Due: $0.00 Receipt No: B870 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License STRICTLY MANUFACTURED H 479504 C-47 / / Law for the following reason (Sec. 7037.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) 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. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/15/2006 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). E]I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number: Exp. Date: (This section need not be completed if the permit is for one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS X 11/15/2006 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 Own Signature Date provision XV11/15/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signa re Date WARN G: FAILUR O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with t of, o HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prope owner o a ai honzed to ad on the property owner's behalf. CONSTRUCTION LENDING AGENCY VILAp �� 11/15/2006 N4T of Per [SIGN] Print Date 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) � Contractor OR: Agent for Owner Agent for Contractor FILE COPY Lender's Address city StaTOwner Zip JuJ-,. 1.3 06 0 - 8: 40a a 01 BUTTE COUNTY jkliARTIVIENT OF DEVELOPMENT SERVICES BUIO)ING PiRMIT' APPLICATION AND $UBMITTAI; REQUIREMENTS 144 HOUR FNSPECTIONU: 0116VILLE: (530) 538-7636 - CHICO: (53D) 891-2934 OFFICE 6: (530) 538-7�41 A FEE WILL BE REQUIRED A T TIME OFAPPLICA TION Wibsite- www.buttecounty! ;netIdds _q0 "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name C -1 � /e-. r -- IFIrst Name - Bob— Address t /15q0"5-("rr10" P'11) rX. Rdi City CA"Co State Z5-? 73 Phone Fax E-mail ARCHITECTIENGINEER Name CONTRACTOR city State Name 0 c4r.11 CAW Aan ULL"(_ 16W5 Address .aQ2-70 Zip '7,7173, AnAelope,-61 Fax c"/Red -91 ug MPENSATION Sla te(Ig 1&(04 pqjovo Phoqe�o) &" I( 1) FtW �gg C, _&g(74) E-mail t�j Lic. # 564 1'9r4-7 ARCHITECTIENGINEER Name Address city State zip Phone E-mail State Lic6nse Nu-Mbw I - I I APPLICANT SIGNATURE X W 1/1 For office use only: APPLICANT INFORMATION Name 90� AN - Address 1,5- q os- ro n C' P I A 'e city C k -1 t Type Const. State CA Zip '7,7173, Phone Fax E-mail bl� WORKER'S CC APPLICANT SIGNATURE X W 1/1 For office use only: V Zoning AN Floodzone SRA 00c. Pro T)' PW5 Type Const. Subdivision Name Map Book page WORKER'S CC MPENSATION IDate Approved: p-2 PERMIT NO. J� - 2 S'�'/ BP BIN N L/M D cription or, PROJECT L.00ATION AN Sq FT- Livihg Gara6e q - Pro T)' PW5 Co r�o' P iwe City ,cc WORKER'S CC MPENSATION Policy Number 1&(04 Carder fAn &" I( If hWng anyone other Man fidense c Dniractors, a certificate of w compinsatton must be shown at thi time of permit Issuance. LENDING AGENCY Name 0A Address L/M D cription or, Scope of Work: Sq FT- Livihg Gara6e Open Cov 0 Structure Built vvithout Perm 11 - Propo;dvChange f Occup (Note ious se� cy EXPIRATION OF APPLICA�fi N Applications for which a permit Ps not been issued will expire one year after the date of applicatio4. in order to renew action on an application after expinition, a ne* application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon paid'the fee. The mquest mlist b permit and no construction wori check fees for work plan checke( Received by -f Receipt #: -B - 4 / / OVER FOR SUBMITTAL REQUIREMENTS U KAFORFAMBUILDING FORMS\BIdgAppISubRqmts.doc Page I of 3 I . -L- A- Date: 5— C) (0 vritten request by the person who made prior to the expiration of the has been done. Filing fees, plan and other department costs are not t qGBldg SRA heriff SMIP REY B-12-06 AND WHEN RECORDED E'IATL'? O: 2006-0052572 l F t� - Recorded I REC FEE 10.00 BUTTE COUNTY BUILDING DIVISION Official Records I 7 COUNTY CENTER DRIVE County of I CONFORM COPY 1.00 OROVILLE, CA 95965 Butte I CIINM J. 6RUBBS I County Clerk-Recorderl I I NZ 011:13AN 66 -Oct -M I Page 1 of 2 IIIIIillllilllllllllllllllllllllll 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 17 - 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: See a+�«J 2QL REGAN N. TULLER .. COMM. # 1625557 - Y NOTARY PUBLIC • CALIFORNIA BUTTE COUNTY O COMM. EXPIRES NOV. 29, 2009 -� Date �7�j �p� PROPERTY OWNERS: State of California ) County of %k o\'•f ) On Flo before me, �F%AC 1 W personally appeared —V' flexsenally -� LO la�ewn-te-rr�e (oLO r proved to me on the basis of satisfactory evidence) to be the personN whose name() is/axe subscribed H to the within instrument and acknowledged to me that he/AteAhey executed the same in hisAmwAheir authorized Z capacity(ies.), and that by his/herhhrir signatureN on the instrument, the person( or the entity upon behalf of which ZZ the person acted, executed the instrument. r 100 WITNESS my hand and official seal. Lu tlA o: &C)Signature l Seal: NQ A.P. # 1 �` / 0 La EXHIBIT "A" The Southeast quarter of the Northeast quarter of Section 8, Township 23 North, Range 1 West, M. D. B. & M. EXCEPTING THEREFROM the interest which was conveyed to the County of Butte by •t -hat certain Deed recorded May 4, 1874 in Book 14 of Deeds, _-at _page_500, records of Butte County, California. y TOGETHER WITH an easement for the use, operation and maintenance of a well, related pumping equipment, underground mainline and appurtenances for the irrigation of the above-described land, over and across the following described wellsite: THAT PORTION of the Northeast 1/4 of the Southeast 1/4 of Section 8, Township 23 North, Range 1 -West, M. D. B. & M., described as follows: BEGINNING at a point on the North line of said Northeast 1/4 of the Southeast 1/4 of Section 8, from which the Northeast corner thereof bears East, along said North line, a distance of 905 feet; thence, from said point of beginning, West, along said North line, a distance of 29 feet; thence South, parallel with _,-the East line of said Section 8, a distance of 26 feet; thence East, parallel with said North line, a distance of 29 feet; thence North, parallel with said East line,of said Section 8, a distance of 26 feet to the point of beginning. RESERVING FROM THE FOREGOING CONVEYANCE, an easement for purposes of ingress and egress to and from Grantor's remaining lands lying Westerly from the above-described land, over and across the South 60 feet of the above-described land. AGRICULTURAL AFFIDAVIT EMPLOYER/EMPLOYEE Please read the following carefully before signing: Section 24-305.020 Agriculture Employer/Employee (Applicable only in zones A-5, A-10, A-15, A-20, A-40 and A-160) Lit Li > L Jim An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or that his primary source of annual income is, or is anticipated to be, derived from any of the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agriculture purposes, plowing, discing and fertilizing the soil; (b) The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural commodity. As used in this subdivision, "care" includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning or tieing, fumigating, spraying and dusting; (d) The harvesting of any agricultural or horticultural commodity including, but not limited to, picking, cutting, threshing, field packing and placing in field containers or in the vehicle in which the commodity will be hauled on the farm or to the place of first processing; (e) The assembly and storage of any agricultural or horticultural commodity including but not limited to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish, frogs and other aquatic animals, including but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment. This affidavit is valid only for the named employee. Any change of employee requires a new affidavit to be filed. Employer tax records may be requested as proof of employment status. Signed: Dated: �T" G AGRICULTURAL AFFIDAVIT EMPLOYER UN l► ',vt i. i� Lai Employer -�\�kMC& � nQ 6)v.W%- >a� Phone 5e3" g� 1 " g 761 Employer's Address ' I S L}fJCao-% c. J i r\e_ Cc e e K PW Ch_, Lo a GA 9 51 73 Name of Property Owner &k\1,-JC,V� Property Owner's Address 15 `AID S G A'^ Ck_ Ft n2. Gln. �.� , C .A 9 S 173 Owner's Assessor's Parcel Number C) q7 - 0 i Dy 2 y - 0 00 Parcel Size 3 9 Ac. M a /o � '5�( //,• aa .,-/ , do declare, subject to the penalty of perjury, that I am the employer of ZE—iV l n fir - address (present) 3210 Soc lo„n -r-;Lr r&ct G I eyA,0+r , C, A qq-5 t 1 and that I will be employer under Section 24-305.020 q 0 b G cL e-, for at least thirty-two (32) hours per (a) fo g) week for at least sixteen (16) weeks per year on AP# O y7-0 60 - 0 Z r 06a Signed: Dated: 1.511;er �� *************************************************************************************** Environmental Health Approval: !1 Permit Description and Number Jei (e Datelssued - Z/- 06 By C. jr Planning Approval: Date (� c Zone - L o Dwelling on AP# Crop/Commodity Produced AGRICULTURAL AFFIDAVIT EMPLOYEE Employee C Iyl i n gv%e (--1- 61R -r Phone cl 2-5 - 521-0 7t? / Employee's Address (Present) 3 2 0 Sc<,l cgn Terra c e C l L;s - n, C A `j q S l -I Name of Property Owner Ka\ p N A Mac-qg4r'5u1,V, 0a,n Property Owner's Address J S tJOS Ggn a T 1 C C; La 4 C A c157 7 3 Owner's Assessor's Parcel Number 0y7- p (oQ- 0 ? 41-000 Parcel Size Sq Ac. . I perjury, that I am the employee of -R CA , do declare, subject to the penalty of S L", Jo v\ 9S;1-73 address (present) 15 0 G. G r �C C i C�, CA and that I will be employee under Section 24-305.020 A b) G A t , c for at least thirty-two (32) hours per (a) to g) week for at least sixteen (16) weeks per year on AP# d y-7- 060-02q-000 Signed: - Dated: �j �Z5 -016 Environmental Health Approval: Permit Description and Number FJJS�t�S� DateIssued ' Planning Approval: Date Zone Dwelling on AP# By _�- &,/-� Crop/Commodity Produced i AGRICULTURAL AFFIDAVIT EMPLOYER/EMPLOYEE Please read the following carefully before signing: Section 24-305.020 Agriculture Employer/ Employee (Applicable only in zones A-5, A-10, A-15; A-20, A-40 and A-160) An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or that his primary source of annual inccme is, or is anticipated to be, derived from any of the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agriculture purposes, plowing, discing and fertilizing the soil; (b) The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural commodity. As used in this subdivision, "care" includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning or tieing, fumigating, spraying and dusting; (d) The harvesting of any agricultural or horticultural commodity including, but not limited to, picking, cutting, threshing, field packing and placing in field containers or in the vehicle in which the commodity will be hauled on the farm or to the place of first processing; (e) The assembly and storage of any agricultural or horticultural commodity including but not limited to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish, frogs and other aquatic animals, including but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment. This affidavit is valid only for the named employee. Any change of employee requires a new affidavit to be filed. Employer tax records may be requested as proof of employment status. Signed: Dated: �" V AGRICULTURAL AFFIDAVIT EMPLOYER Employer n�\p Calr� fn4 ��.\\ i G Phone 5 3 0 - g � l " � 761 Employer's Address S `}'J 5 Ca cNC�� i c\g- Cc eeK Q, C h k c:o 0 G .A 95173 Name of Property Owner go,\ r7�\ A Mac c�,_,,\,e Sv&\1;-JCV� Property Owner's Address 15 N 0 S G Af, c.,, Fk w- Cc- t.P Rk-. Gly: (.0 , CA 9 S 973 Owner's Assessor's Parcel Number C) (7 - 0 6 0 - 0 2 y - (9 0 o Parcel Size Ac. I , �� �n Su ��•' va , do declare, subject to the penalty of perjury, that I am the employer of ZE-101 n RvbP_-r }- r �r address (present) 32,0 S01C_k v\'fi_rc'Ckc,4_ G I&,NJ+0A , C, }� qq-S 11 and that I will be employer under Section 24-305.020 p� b G . d . e, for at least thirty-two (32) hours per (a) to g) week for at least sixteen (16) weeks per year on AP# O y7r C) 60 - O zq _ 60_6 f• Signed: Dated: *************************************************************************************** Environmental Health Approval: Permit Description and Number Datelssued Planning Approval: By Date b. _-, ZonDwelling on AP# C y - (2ZC — 12a Crop/Commodity Produced 'AGRICULTURAL AFFIDAVIT EMPLOYEE Employee E�"" 1 V i n 9.66-er }- Phone 25 - 521'0 70 / Employee's Address (Present) 3 2 D Scg, ,k cq\ Tec-,ra o �. Ckufoo i CA 9 4 S i� Name of Property Owner �LIII` ON A moac- Property Owner's Address J 5 ! OS Can a P r1 -e—. C f e. EC R& , C : Co , G A 157 7 3 Owner's Assessor's Parcel Number 0�77--060-02q-000 Parcel Size S-1 Ac. I, f/vi perjury, that I am the employee of R a do declare, subject to the penalty of G:,"\\ AUG v\ address (present) [ 5 Li 0 S G t- V, C ; co, (,Rand that I will be employee under Section 24-305.020 a,6) G , , 2 for at least thirty-two (32) hours per (a) to g) week for at least sixteen (16) weeks per year on AP# Signed: Environmental Health Approval: Permit Description and Number Datelssued Planning Approval: (9LI%"060--02LI--000 Dated: Cj 1 ZS� 0-& Date L� _ ((;'6� (;�, Zone -4C) Dwelling on AP# el 12 By l ' Crop/Commodity Produced Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING Agricultural Worker Housing Questionnaire 24-90 A-5 through A-160 (Agricultural) (S) Housing facilities (including mobile homes) to accommodate up to twelve (12) agricultural worker and their f amilies employed by the owner or operator of the premises or owners or operators of other agricultural lands pursuant to section 17021.6 of the California Health and Safety Code and subject to state permits. Section 24790 of the Zoning Code, noted above, allows housing facilities for agricultural workers as a permitted use for property in an agriculture zone (provided that there is adequate sewage disposal area). This questionnaire is required to determine that the proposal meets the applicable requirements. Please answer the questions as completely as possible. Please identify the following information: Employee Information • Identify the number of employees that shall reside on premises: Employed Onsite. C3 Employed Offsite (provide information about that property) Permanent Residency ❑ Seasonal Residency Parcel Information • Identify the size of proposed dwelling/modular home: ZN2� A . JFV . Single Parcel/Property Involved ❑ Multiple Properties Involved (please identify below) APNs 09-7-0 tsa0 a 2 f-.-000 Describe the agricultural operation, including the type of operation (crop or activity, time of year production takes place), and an accurate size in acres of the operation(s): Type of operation _ 1) k6' P1kM'x A DC'LV\arA year Size of operation -1 P�G Identify any Williamson Act Contract, and supply specific details regarding contract type (grazing, orchard, or field crop), minimum parcel size, and any other relevant information: M/A State the jobs and duties of the workers to reside in the building(s), and the expected time- frame for work during each year. Jobs and duties i t 4- /V . M0 W i i� A . r?c7 v.t� %tom fJ��l n r,. . r1-,1- r:RS � L 0 . Gt - 4 02--\ CA, , EE2Q;YS , Yearly work time -frame Signature of Owner/Operator: Signature of Applicant: Date: Date: Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B06-2381 Date: 10/05/2006 Location: 15405 CANA PINE CREEK RD By: TMP Parcel Number: 047-060-024 Sub Type: SFD-Mobile Home S1 Owner Name: SULLIVAN, LIVING REVOCABLE TR Phone: (530) 891-8769 Description: MH AGRICULTURAL HOUSING Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 895-4711 - (530) Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 El El Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER El Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: 04Date: 10/05/2006 FILE ,- .. �.'1�.-n.K.yr«,n...y�...�-�--�.��-r�....—.-�.�+--•..r�-.,.t.�,_,.,w„�-..�,,:•t�r�`�'T'�+�...-•��.,.!:ti.r�'�-^✓3^Y"�"�yr��+^^T".""�';y,y�4s'°^'-,...�.-;wr; r�•'••c�v'��-1ry MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: () 0 PERMIT NO.: ITR Name: Owner's ..,..� l) k 1 , V - -- C- U lac Owner's Address: Mobilehome Manufacturer: ` eo, \ q%0X C? .�` Year of Manufacture: -Z C'a Gi "�- Serial Number or V.I.N.: o • PH C Insignia or HUD Number: .544 f i lJ C. V Official ap/r%ov. g installation: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor �r AND WHEN RECORDED MAIL TO: BUTTE. COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 CMT of Document Recorded 6 -Oct -2005 2006-072 Has not been compared with original BUTTE COUNTY COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to.herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust; smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: See Q -40 C e REGAN N. TULLER U COMM. # 1625557 NOTARY PUBLIC • CALIFORNIA 17 BUTTE COUNTY n COMM. EXPIRES NOV. 29, 2009 Date PROPERTY OWNERS: State of California ) County of beforeme9 Irl �.T Y LU ersonall eared —r --� _ .. . P .........Ya...PP........ ALLY _ lamwn-te-me (or proved to me on the basis of satisfactory evidence) to be the personbQ whose name4) is/axe subscribed to the within instrument and acknowledged to me that he/AteAlw-y executed the same in hislhav4their authorized Z capacity(ies.), and that by his/ wT*heir signature on the instrument, the person( or the entity upon behalf of which Q the person acted, executed the instrument. WITNESS my hand and official seal. A.P. # i f 7 —010—(2� y EXHIBIT "A" The Southeast quarter of the Northeast. quarter of Section 8, Township 23 North, Range 1 West, M. D. B...& M. EXCEPTING THEREFROM the interest which was conveyed to the County of Butte by that certain Deed recorded May_ 4, 1874 in Book..14 of Deeds_,.at page..500, _ records of Butte County, California.. TOGETHER WITH an easement for the use, operation and maintenance of a well, related pumping equipment, underground mainline and appurtenances for the irrigation of the. above-described land, over and across the following described wellsite: THAT PORTION of the Northeast 1/4 of the Southeast 1/4 of Section 8, Township 23 North, Range 1 West; M. D.B. & M., described as follows: BEGINNING at a point on the North line of said Northeast 1/4 of the Southeast 1/4 of Section 8, from which the Northeast corner thereof bears East, along said North line, a distance of 905 feet; thence, from said point of beginning, West, along said North line, a distance of 29 feet; thence South, parallel with the East line of said Section 8, a distance of 26 feet; thence East, parallel with said North line, a distance of 29 feet; thence North, parallel with said East line of said Section 8, a distance of 26 feet to the point of beginning. RESERVING FROM THE FOREGOING CONVEYANCE, an easement for purposes of ingress and egress to and from Grantor's remaining lands lying Westerly from the above-described land, over and across the South 60 feet of the above-described land. 9 0 ' N . q,3OV7.s BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM 0 FE�,THER RIVER RECREATION AND PARK DISTRICT (FRRPD) 6'CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) (J/� �'f% Building Permit Number QXO" Property Owner (s) .Project Location /.A Subdivision Name New Development Alteration/Addition(s) Mobile home Demo Permit (d/ate Comments: Assessable Sq. Ftge Type of Residential Development (check one) Single Family -Detached Single Family -Attached Non -Residential to Residential Multi -Family Dwelling Mobile home replacement verified by Assessor Department verified by Building Department Building Department Representative Date ❑ FRRPD -(CARD 0 PRPD 0 DRPD certifies that: F_'/14Pr 72is'- 330-5-36"7 Applicant Name I Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: OD Dwelling Units @ $ per unit for a total of Square Feet @ $ per sq foot for a total of $ Remarks: #009259/27 10/05/06 -Check 2375.00 Paid by Check No: P id by h: Receipt No: _ Ralph Sullivan 15405 Cana Pine Creek Road Chico, CA 95973 1, Ralph Sullivan, trustee for Sullivan Revocable Living Trust, do give my permission for Bob and Karen Fyler to put a mobile home on the property at 15405 Cana Pine Creek Road, Chico, CA 95973. Date lee State of California County of G" 7-006 before me, 101 lfv Ir L. jntCVlL.i Property Owner kic personally appeared V-n\'DY) f -j- Q- pe sem ielown to tne (or proved to me on the basis of satisfactory evidence) to be the person N whose name) is/ate subscribed to the within instrument and acknowledged to me that he/sheAligy executed the same in his/4eg4heir authorized capacity (i*, and that by his/hen"r signature(§ on the instrument, the person(,) or entity upon behalf of which the person acted, executed the instrument. Signature eal: REGAN N. TULLER o, ` U`J COMM. # 1625557 (7 NOTARY PUBLIC -CALIFORNIA 0 BUTTE COUNTY COMM. EXPIRES NOV. 29, 2009 • J BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District A.P. Number %"��(��'"�� Jurisdiction: =-C ity Building Department No. [County Property Owner Property Location/Address /i ,�t %l. T 'i �, 4e (, Subdivision Lot No. r �� �i { iii G Jf i 't b/ fI % ........... Residential Development ® Q Q Sq. Footage ; No of Living Mobile Home Addition/ "Supplemental to (Group. R) Units Installation Conversion Permit # ..................................................................i...................... '(No foundation nspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/industrial 0 Sq. Footage w New r Addition (Including Exterior Roofed .Areas) Building Department Representative . Date ,3 n 0 I ,District Identification No. School District certifies that (Applicant) 96 (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. ��� `F%' �✓ by payment of $ representing 0 square feet. School District Representative Paid by Check # / ! Remarks: B 2926 i ULL MITIGATION $ Date iVottca : You may protest the Imposition of the tees Identified above by submitting a written protest to the District, In coi npltance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fee: In any court action. H, subsequent to the School District Representative signing this Butte County Schools impact Fee Cbrtillation Fonn, the School District is notified by the applicable Local Planning Agency that this project Is being reviewed under the California EmAromnentai Que tti Act (CEQA). this Drolect mar be sublect to additional school fees to fully mltloate Its hnpact on the school d"Ws sohoals. White (school district), Yellow (building department), Pink (applicant). feolonn.xls (3M5W= BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B06-2381 Job Address: 15405 CANA PINE CREEK RD Contractor: STRICTLY MANUFACTURED HOMES 22770 ANTELOPE BLVD RED BLUFF, CA 96080 Printed: 10/05/2006 3:05 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt County Impact - Mobile MH - Public Works - Roads 1831-0-280-1011001 $732.28 MH - Public Works - Facility 1851-0-280-1011852 $278.48 MH - Public Works - Veh/Egp 1851-0-280-1011853 $537.56 Impact Processing Auditor 1825-0-280-1011828 $3.67 MH - Gen Govt - Facility 0010-050-4617998-101001 $50.00 Impact Processing DDS 1810-0-280-101001 $233.07 MH - Sheriff Facility 0010440001-4617999-1010 $50.00 Mobile Home 1840-0-280-1011842 $116.09 0010-440001-4210500-1010 $329.94 Mobile Home Plan Check 1001-0-280-1011298 $15.02 39903.64 $219.96 Printed By: Tammie Powell Balance Due: $3,683.68 At the time of permit application, I was advised�e above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. Signature: Date: 10/05/2006 Pursuant to Government code Section 66020, you are herby notified those items listed above may been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Iz: 0010-440001-4210500-1010 $219.96 10/05/2006 $219.96 Res Impact Fees - Mobile MH - Sheriff- Jail 1800-0-280-1011811 $288.00 MH - Library Facility 1825-0-280-1011826 $183.11 MH - Library Materials 1825-0-280-1011827 $123.18 MH - Library Vehicles 1825-0-280-1011828 $3.67 MH - Gen Govt - Facility 1808-0-280-101001 $505.36 MH - Gen Govt - Veh/Egp 1810-0-280-101001 $233.07 MH - Sheriff Facility 1840-0-280-1011841 $237.92 MH - Sheriff Veh/Egp 1840-0-280-1011842 $116.09 SMIP - Residential 1001-0-280-1011298 $15.02 39903.64 $219.96 Printed By: Tammie Powell Balance Due: $3,683.68 At the time of permit application, I was advised�e above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. Signature: Date: 10/05/2006 Pursuant to Government code Section 66020, you are herby notified those items listed above may been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Iz: Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds O O 1 0 0 0 �Ic g National pollutant Disharche Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B06-2381 Location: 15405 CANA PINE CREEK RD Parcel Number: 047-060-024 Owner Name: SULLIVAN, LIVING REVOCABLE TR Description: MH AGRICULTURAL HOUSING Date: 10/05/2006 By: TMP Sub Type: SFD-Mobile Home SI Phone: (530) 891-8769 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when 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 Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Title FILE Date: 10/05/2006 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municil2alcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2381 Location: 15405 CANA PINE CREEK RD Parcel Number: 047-060-024 Date: 10/05/2006 Owner Name: SULLIVAN, LIVING REVOCABLE TR Phone: (530) 891-8769 Description: MH AGRICULTURAL HOUSING Signature of Property Owner: Date: 10/05/2006 IV FILE BU I.TE COUNTY BUILDING DIVISION Butte County Building Divis jpD APPROVED MANUFACTURED HOME SUPPORT DATA Owner's name: El V; n g Varcn e A.P.# 047 -Oleo - C.,�P`-I - UZrO0 Home Manufacturer: 1 ;� �' Manufacture Year: Model Number / Name: Width: J_, '6j' (ft.) Length: 4p (ft.) FOOTINGS: Wood - pressure treated or foundation grade[ ] Other:[X] f�, 1 Lo x °?a, S APES cv7 X SUPPORTS: Concrete block [A Other:[ ] jDd-P55c e re �e Fgfi d_ 3�0 xl�o Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. SINGLE WIDE Line 1 --�' Line 2 Line 1 Line 1 Piers: Minimum size piers: Spacing maximum: From ends maximum Pier Footing Sizes and Lor_atinn- Section 1 Section 2 Section 3 I ja ]X[a ]moi` MULTI -WIDE Line 1 Line 2 Line 3 Line 2 Line 4 (triple wide only) Line 2 Snow Load:_ psf Snow Load requirements may be obtained at hffp://www.upstate-ca.com/butte/butte — county/ Insert AP #, view snow load in lower right corner. Line 2 Piers: Line T Openings: Minimum size piers: X [0Q S1 f��S Minimum size pier: [ !to ] X [�,5 Spacing maximum:F-1- o 0 Required at each side of openings over From ends maximum: ' k) "wide. Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): IBM M Palm marbar Naml o o � F7ont View — Rrelusive Exterior 9 4/12 Roof Pitch — Entry Dormer — Secondory Dormer — Available in Oregon and Washington only Alternate Construction Approval required (AC Letter) Palm � Harbor � Homes MODEL 5V46OT5 APPROXIMATELY 25311 SQ. FT. Rev. 04/04/06 11t Standard Features and Specifications • Exterior - Cementitious panel siding (25 year warranty) 25 year shingles (Fiberglass) 3/12 roof pitch Recessed entry or porch entry (per plan) Three color exterior per model Removable hitches 30 lb roof load Full size eaves on all sides Energy Star vinyl windows w/low-e Solid I-beam chassis Patio light on all exterior doors 2" x 6" exterior walls spaced 16" on center 2" x 8" floors joists spaced 16" on center 36" insulated steel front and rear doors Full 90" sidewalls with rugged 2 x 6 top and bottom plates HUD insulation • Interior - Tape and texture drywall throughout Rounded corners in living areas Electric water heater Windows, TNT (3) sides with sill plate and apron Wide fluted door casing Carpet throughout living areas, all bedrooms and baths Ceramic tile floor in kitchen, utility room, (breakfast room) and entry 30" hollow core passage doors per print II\li.IN • Kitchens - G.E.appliances 30" range exhaust hood Color coordinated ceramic tile backsplash 9" deep porcelain sink Moen single lever white faucet Toe -kick heat vents Sink Tipouts Island cabinet per plan • Utility - Plumbed for washer Wired for dryer Freezer space per plan 200 amp electrical service Forced air electric furnace 3 -way light switches • Master Bath • Glamour bath Drop in oval soaker tub 48" 1 piece 2 -seat shower with clear door China sinks with overflow Linen cabinet per plan Elongated toilet Towel bar and tissue holder Moen faucets Toe -kick heat vents Deluxe bar light(s) • Guest Bath - Fiberglass 1 piece tub/shower China sink with overflow Moen faucet Elongated toilet Towel bar and tissue holder Toe -kick heat vents Deluxe bar light(s) • General Construction - Brass shut -offs at all sinks and toilets Circuit breaker protection on all circuits Whole house interior water shut-off valve Nailed roof shingles - high wind pattern Plumb Pex waterlines Smoke detector installed in all sleeping and living areas Structurally rated 4'x 8' tongue and groove floor decking Satin/silver interior lights, includes bedrooms and 5 -arm silver dining room chandelier Floor mounted door stops Perimeter heat vents Graduated insulated heating ducts Ceiling air returns • Popular Options - Fireplace Upgrade Exteriors / Tower Dormers Hydromassage tub New Millennium Package Satin/Silver interior hardwareAmericana porch per plan Strictlyft��facturedi �Ioll��s Gas water, heating & appliances Base board molding installed in all areas a Blvd except closets / pantries 22770 Antelope Genuine Durabuilt Alkotherm cabinets Ped R!! tff CA gf;0,9() YOU'RE INVITED TO VISIT with door over drawer construction (530) 529-4085 • Fax (530) 529-b& 0�$ OUR FACTORY NEAR ALBANY, OREGON! and 3/4" adjustable shelves, base, and FREE FACTORY TOURS overhead cabinets COPYRIGHT © 2002 BY PALM HARBOR HOMES, INC. ALL RIGHTS RESERVED 1-800-928-2083 • Because Palm Harbor Homes has a continuous product updating and improvement process, specifications are subject to change without notice or obligation. Likewise, the floor plan shown is representative only and may vary from the actual home. Square footage calculations are based on nominal widths and all room dimensions are approximate subject to industry standards. R -values may vary in compressed areas. Some transportation components may have been recycled after close inspection for safety and appearance. BL 03/24/2006 Installation instructions for the State of California, Wind Zone 1, 15 PSF Wind, Seismic Zone 4 Introduction These instructions describe the proper use of the lateral and longitudinal engineered tie down system. General The Vector Dynamics Engineered Tie Down System resists lateral & longitudinal wind loads by anchoring the two longitudinal main rails The system is approved to be used on single or multi section home'. • These plans and specifications meet the requirements of Title section 1336.3 Sub Section A and requirements. c6G The Vector Dynamics Engineered Tie Down System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. GENERAL INSTALLATION INSTRUCTIONS Specification for Vector Pads Vector Pads are used in place of conventional support pads. One Vector pad provides 2 sq. ft. on single block and 3 sq ft. double block pads of bearing support. Vector Systems should be spaced as symmetrically as possible within 10' of end of home. For pier locations in between the Vector Systems, use the normal support pads. Unequal Pier Heights Mutli-section homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". Engineer Approval State approval ENGINEERED TIEDOWN SYSTEM i APPROVED ' SUBJECT TO CORRECTIONS NOTED at does not authorize or approve any omission or m from requirements of applicable State laws and State of California ,partment of Housing and Community Development D ,I/$�ION OF CODES AND STANDARD y "'x'`-'e(,t/�', ' Dabs $� lone e A NO (,)-;-2 is Plan Approval Expires _5,:" ;-2 421-21 -7 BUTTE COUNTY BUILDING DIVISION PPROVED �?, 'a�ruln'g'sl n Ln .1 d :; ",; �� s•< /,: :u'17 .i'itl �P:'�ei>i t- ' 'id ;'.i:t :t I T' ifI .' 7m 'Ik X' IErDOWN{rENG11VEEiRING,!5,90;1,WHeaton Drive 4t/anta GA130336�t ! 7r�E:a p.:! sect®r Dynamics "Engineered Tie Down System" Component Parts List :Af „S t o ®�.<® Vector System Part # 59018 Single piece pads with straps and slotted bolts Vector/LSD Kit Part # 59013K for single block pads 11 Concrete Vector System 0— Part # 59036 (for single stack blocks) Ila MOD -0 U Concrete Vector System Part # 59049 (for double stack blocks) Vector Tie Down Systems for the State of California Page 2 11/28/2005 : Vector Dynamics "Engineered Component Parts List o > e t1 wtrrr� - Vous Tie ®®ern System" ® ftvY p.` ®%ko Struts for Longitudinal Systems Part Strut Pier 59013 44" up to 4 Blocks 59015 65" 5 to 6 Blocks Vector Tie Down Systems for the State of California Longitudinal Stabilization Hardware Kit for Concrete Part # 59023 Vector 2000 3 Sq. Ft. Pad Part # 59276 for double block sets with strap and hardware. Longitudinal Hardware Kit Part # 59026 (for use with 59271) Center Compression Strut # 48612 - 62"-108" Strut # 48613 - 34"- 60" Strut lk�o Page 3 11/28/2005 Set -Up Instructions for. Vector System . n Membe r mpre55io ..,:. Long U -Bolts, M_ Longitudinal Strut Outside Tension Bracket o Longitudinal Bracket ;.. <.. Vector 2 oq. ft. z.., Pad for Single block Set 8 ._A 1. Set Vector Pads Clear all. vegetation where pads -will rest. Place a long U -bolt in pad as shown. Attach longitudinal bracket to pan. Press or hammer pad into the ground. 2. Set Block or piers on pads.. Center support blocks or piers on pads. Place metal strut between blocks, resting on pads, centers between U - bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to outside of pads. Vector Tie Down Systems for the State of California Tie Bracket 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compression member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end 'of the strap over opposite I-beam & down to outside tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. 5. Longitudinal Install beam clamp to I-beam and attach longitudinal strut to pan using nuts and bolts provided. Pull ear clamp outward to remove any slack and tighte c nuts and bolts. Page 4 11/28/2005 j'.� Set -Up instructions for Double Stack Vector Systems Part #59276 1 -Beam Strut Longitudinal Bracket Vector Tie Down Systems for the State of California 3 5q. Ft Vector Pad for Double Block Set A 1 Jr Jr ,v y c 4 Page 5 11 /28/2005!�� •y` Beam Clap 0 � i Strut Longitudinal Bracket Vector Tie Down Systems for the State of California 3 5q. Ft Vector Pad for Double Block Set A 1 Jr Jr ,v y c 4 Page 5 11 /28/2005!�� •y` Meta Dior Cnnnnrtc For metal piers, place the piers in the center of the Vector pad. Set the strut through the piers so that it butts up against the tension bracket. Inside tie bracket mounts upside down as shown in drawing. Metal piers on Vector can only be used on level ground sets. Conventional pier adjusters must be placed under beam with head fastened to beam. Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. Vector Tie Down Systems for the State of California Page 6 11 /28/2005 ? i MIND ZONE I for Single Section Horses Using elector Dynamics Engineered Tie Down System LSD Example .of a Single Section 14'x 72' Home — — — — — — — — — — — — 50 Soil Bearing Capacity: 1,000 PSF Minimum Home Length Vector Systems Required 4 NOTES: For use on 14' & 16' wide homes. Main rail spacing on single wide must be 95" or more. Pier hieghts cannot exceed 36". Roof slope no greater than 20° (4.37 in. 12" pitch). Longitudinal Stabilization (LSD) 2 Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers instruction and/or state requirements. Two Struts =1 LSD System. Can be used on one pad or on opposite ends of home Vector Tie Down Systems for the State of California Page 7 c®� 11/28/2005 WIND ZONE I for Double Section Homes Using Vector Dynamics Engineered Tie Down System, ----------------------------------1 Ir.7 FM --1 n n n n_ 0 n n1 I LSD Example of a Double Section 25'x 72' Home I Vector System L5U i Foil n [R] �l 1 Soil Bearing Capacity: 1,000 PSF Minimum Home Length* Vector Systems Required Longitudinal Stabilization (LSD) 0 to 62' 3 2 63' to 80' 4 4 k Up to 7:12 Slope NOTES: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers instruction and/or state requirements. Two Struts =1 LSD System which can be used on one pad or on opposite ends of the home. Diagram represents example of a double section offset. Total size is determined by the length of unit plus offset. Vector Tie Down Systems for the State of California Page 8 72' �— 28' —� WIND ZONE I for Double Section Homes (High Pier Sets) Using Vector Dynamics Engineered Tie Down System Example of a Double Section 25'x 72' Home L5D Vector System Vector SyoLemS Soil Rearing Capacity: 1,000 PSF Minimum Home Length Vector Systems Longitudinal Required over 24" Stabilization (LSD) 0 to 80' 4 4 NOTES: Pier height is measured from top of the Vector Pad to the bottom of the I-beam. Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers instruction and/or state requirements. Two Struts =1 LSD System which can be used on one pad or on opposite ends of the home. Vector Tie Down Systems for the State of California Page 9 �o r 11/28/2005 WIND ZONE I for Triple Section Homes Using Vector Dynamics Tie Down System Example of a Triple Section 32'x 72' Home Vector 5yotemo LOP IJI�j IMI l- ---- — --- --—————— — — — — —� I rn rn t 0 I r.�l _ = i I I \ I I n n n n n n Tag or Full Triple — u----------------- — — —— — — —— ---I 32' Soil Bearing Capacity: 1,000 PSF Minimum Home Length Vector Systems Required Longitudinal Stabilization (LSD) Tag Or 3rd Section 0'to80' 4+2 on Tag 2 2 NOTES Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers instruction and/or state requirements. Two Struts =1 LSD System which can be used on one pad or on opposite ends of the home. Vector Tie Down Systems for the State of California Diagram represents example of a triple section offset. Total size is determined by the length of unit plus offset. k C Page 10 11/28/2005 ' Vector Dynamics System for Concrete Applications Instructions Read and follow all applicable instructions and guidelines in the Vector instructions and home instal- lation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18 round (min) x 10" deep. The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be sufficiently cured and set to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (galv. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Place a long u -bolt through the holes of the Vector pad as shown. 4. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 5. Build vector piers but do not wedge at this time. 6. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. 7. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Illustration One: Single Block Set -Up Part #59036 Double Block Set -Up Part #59049 Vector pai for concrete footer Vector Tie Down Systems for the State of California Page 11 Wood Cap and wedge Outside Tension Bracket Wedge Bolt 11/28/2005 e�� Vect®r Dynamics System f®r Concrete Applications 8. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. 9. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 10. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 11. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 12. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite 1 -beam & down to outside tension bracket. Cut strap 12 -15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. 13. Tighten inside u -bolts at this time. 14. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 15. Using a 9/16 socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 16. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns, on the slotted bolts. Illustration Two: Single Block Se Part #59036 Double Block SE Part #59049 Inside Tie Bracket Steel Compression U -bolt Strut Vector Tie Down Systems for the State of California Page 12 Vector pad for concrete Concrete footer 11/28/2005 #59018-1 Hardware Kit for #59018 & #59276 Lateral System Flat Washer 3/8-16 zinc 2 10019 Flat Washer 1/2" zinc 4 10502 Flat Washer 3/8-16 zinc 4 10624 Hex Nut 3/8-16 Grade 5 zinc 2 10646Y Hex Nut 1/2-13 Grade 5 zinc 2 10925 Carriage Bolt 1/2 x 1 Grade 5 zinc 2 59135 Slotted Bolt w/Nut 2 59232 Protecto Strap 2 59279 Diagonal Connector 2 59288 Vector Tension Head 2 83044Z U Bolt 3/8-16 x 4.06 x 4.88 zinc #10732 Hardware Kit Longitudinal 4 10804 Carriage Bolt 3/8-16 x 1 Grade 5 zinc 4 10502 Flat Washer 3/8-16 zinc 4 10624 Hex Nut 3/8=16.Grade 5 zinc #10732-1 Hardware Kit Longitudinal 8 10926 Carriage Bolt 1/2-13 x 1-1/4 full Thread 1210646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc #10733 Longitudinal Hardware for #59013 Kit 1 10732 Hardware Kit 1 10732-1 Hardware Kit 2 59282 Tension Link 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange Parts Breakdown #59036-2 Vector Sub Kit for Concrete 4 10502 Flat Washer 3/8-16 zinc 4 10530 Hardware Anchor wedge 3/8 x 3.50 4 10624 Hex Nut 3/8-16 Grade 5 zinc 3 83004Z U Bolt 3/8-16 x 4.56 x 5.50 2 59282 1-3/4 Thread zinc 2 59135 Slotted Bolt w/Nut 2 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread 2 10646Y Hex Nut 1/2-13 Grade 5 zinc 2 10019 Flat Washer 1/2 zinc Vector Tie Down Systems for the State of California #59036-1 Hardware for #59036 and #59049 Lateral Concrete System 1 59036-2 Sub Kit 2 59279 Diagonal Connector 2 59282 Tension Link 2 59232 Protecto Strap #59023 Longitudinal Hardware 4 10530 Hardware Anchor Wedge 3/8 x 3.50 1 10732-1 Hardware Kit 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 2 59282 Tension Link #59026 Longitudinal Hardware 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 2 59288 Vector Tension Head 1 10732-1 Hardware Kit #48612-1 Compression Strut Hardware 2 10999 U Bolt 3/8-16 x 4.06 x 2.75 1-3/4 Thread zinc 4 10502 Flat Washer 3/8-16 zinc 4 10624 Hex Nut 3/8-16 Grade 5 zinc 6 10556 Tek Screw #12 x 1 r Pae 13 11 /28/2005 9 �� ow 0(0- 3%1 gTATL kip trim- ANNAf Omw" 0., -DVWOP F-Wr DEPX; 'No , - y MIA -AN COMMUN" F7 MANUPACWRk'D H6ijMiij'O'O.t �8 7.5 9A 13 � 4013.6 - $Ids I - E: -d . . . . . . . . . . . DAYSW XU=l 13CS3SUI d,H, as:iri 9002 io oaa ti l Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING June 2, 2006 Ralph and Margene Sullivan 15405 Cana Pine Creek Road Chico, CA 95973 Subject: Permit (APN 047-060-024); Type Dear Mr. and Mrs. Sullivan: The Planning Department has received, approved and signed the Agricultural Affidavit and Agricultural Worker Housing Questionnaire for Elvin Robert Fyler. A building permit for agricultural worker housing is a two-step process: first Planning reviews the affidavit, and then Planning and Environmental Health review the house and site plans. We are enclosing the original affidavit and questionnaire for your records and because the affidavit will also need the approval of the Environmental Health Department at the time they review your house and site plans. When you bring in site and building plans of your agricultural worker housing for Planning and Environmental Health to review, please also bring this original copy of the affidavit for their signature upon approval. A copy of this affidavit and questionnaire has also been placed in your file. If you should have any other questions you may reach me by phone at 530-538-6706, or by email at CThomas(o,buttecounty.net. Sincerely, Chris Thomas Associate Planner Cc. AGRICULTURAL AFFIDAVIT EMPLOYER/EMPLOYEE Please read the following carefully before signing: Section 24-305.020 Agriculture Employer/ Employee (Applicable only in zones A-5, A-10, A-15, A-20, A-40 and A-160) An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or that his primary source of annual income is, or is anticipated to be, derived from any of the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agriculture purposes, plowing, discing and fertilizing the soil; (b) The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural commodity. As used in this subdivision, "care" includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning or tieing, fumigating, spraying and dusting; (d) The harvesting of any agricultural or horticultural commodity including, but not limited to, picking, cutting, threshing, field packing and placing in field containers or in the vehicle in which the commodity will be hauled on the farm or to the place of first processing; (e) The assembly and storage of any agricultural or horticultural commodity including but not limited to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish, frogs and other aquatic animals, including but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment. This affidavit is valid only for the named employee. Any change of employee requires a new affidavit to be filed. Employer tax records may be requested as proof of employment status. Signed: Dated: �T" AGRICULTURAL AFFIDAVIT EMPLOYER J U N 6 ? `�;.�; �. W 00. Employer \ph t MrAf-!! p,nQ ';1X\\ i X M IN Phone 5 30.7? � l - g 761 Employer's Address 15'+b C., Q6, C h c o G A 9 5173 Name of Property Owner n Ma r ti� ane\\ �Ju Property Owner's Address I re"y0 S C A^c, 'P► tee. Cc �,QY, ��. Gly:c,9 , C .A 9 573 Owner's Assessor's Parcel Number D N7 -- D 6 D -- 6 2 0 D o Parcel Size -3 9 Ac. I, ad , do declare, subject to the penalty of perjury, that l am the employer of lei - address (present) 320 sic-lo„�-f'R.rrC..,Lk G 1C V+0A & qq-S C1 and that I will be employer under Section 24-305.020 A b G a e. for at least thirty-two (32) hours per (a) to g) week for at least sixteen (16) weeks per year on AP# O 0 6o - O Z y — 06Za Signed: Dated: 16-111-175 �- *************************************************************************************** Environmental Health Approval: Permit Description and Number�re E//SQL �e�rn f o, Datelssued 6 -,Z/- pG By Planning Approval: Date _ -' Zone (� Dwelling on AP# By Crop/Commodity Produced AGRICULTURAL AFFIDAVIT EMPLOYEE Employee E' Iy, , n ire c- 1 �.��' Phone 125 - 52y-6 7a / Employee's Address (Present) 3 2 0 ScAg-k c.\r\ Tent a c e C1gv-bn C A 9 `# S l-7 Name of Property Owner _Rcx\ ,pin A M0Lr-qt1N,P__ 5Lk_l\7, Ja n Property Owner's Address _/ 5 q0S Gc'n 0, T 1 n -e— C re --P- k RA. C C A 157 7 3 Owner's Assessor's Parcel Number _ _11_ O k9- 0 y-000 Parcel Size Ac. 1, G / v; ,n perjury, that I am the employee of P C4 1 p do declare, subject to the penalty of V%\V QO ,n address (present) i 5 LJ p S C ,,,, 0 k 191-733 (' Ch; co, CAand that I will be employee under Section 24-305.020 a b, C ,� for at least thirty-two (32) hours per (a) to g) week for at least sixteen (16) weeks per year on AP# (% y 7" 060-0 Zq-0 o 0 Signed: Dated: Environmental Health Approval: Permit Description and Number As,�Mezq)PC,/-,nLf Datelssued ' Planning Approval: Datej (L;�, Zone - (� Dwelling on AP# 0L/ By Crop/Commodity Produced i R' - AGRICULTURAL AFFIDAVIT EMPLOYER/EMPLOYEE Please read the following carefully before signing: Section 24-305.020 Agriculture Employer/ Employee (Applicable only in zones A-5, A-10, A-15, A-20, A-40 and A-160) An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or that his primary.source of annual income is, or is anticipated to be, derived from any of the following described occupations: (a) . The preparation, care and treatment of farm land, pipelines or ditches, in leveling for agriculture purposes, plowing, discing and fertilizing the soil; (b) The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural commodity. As used in this subdivision, "care includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning or tieing, fumigating, spraying and dusting; (d) The harvesting of any agricultural or horticultural commodity including, but not, •limited.to, picking, cutting, threshing, field packing and placing in field containers or in the vehicle in which the commodity will be hauled on the farm or to the place of first processing; (e) The assembly and storage of any agricultural or horticultural commodity including but not limited to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding and management of livestock, fur=bearing animals, bees, fish, frogs and other aquatic animals, including but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g) The operation, conservation, improvement or maintenance of such farm and its . tools and equipment. This affidavit is valid only for the named employee. Any change of employee requires a new affidavit to be filed. Employer tax records may be requested as proof of employment status. Signed:�� - - ��,—mac Dated: AGRICULTURAL AFFIDAVIT EMPLOYER Employer\per i`rl�r�Q ��.�\ i a Phone 530-?� l - g 761 Employer's Address 15grj5 Co�v-%cAJi-ne_ CC'yA< Rci. Ch, cc,, GA 9 5173 Name of Property Owner &&\\:JC, Property Owner's Address. 15 LI -C) S G A� � �� �2, Cc- e,zK (��, GI\: Co , C A 9 5 9.73 Owner's Assessor's Parcel Number t) q7 0 6 D - () 2 y - 0 0 o Parcel Size 3 9 Ac. I , A4, � Su ///' . , do declare, subject to the penalty of perjury, that I am the employer of E[U i n Robe-(+ r k>r address (present) 32 o SAc„lo,^ Ile-rracA G ICkv C, i\ 9q- 511 and that I will be employer under Section 24-305.020 q b G "ale. for at least thirty-two (32) hours per (a) to g) week for at least sixteen (16) weeks per year on AP# 0 X 7_0 60 - 0- Z �Da t. Signed: Environmental Health Approval: Permit Description and Number Datelssued By Planning Approval: Dated: Date 61 Zone - L Dwelling on AP# By.ZL f Crop/Commodity Produced /�/,,,,, dam, / _/rc a AGRICULTURAL AFFIDAVIT EMPLOYEE Employee C' rf �/ i r� KV' e<-' -�-. &Ver Phone 125 -- 521-0 7y / Employee's Address (Present) 3 2 D ScAr_1 cgn -Ft -,ra c. e G1gy�n , C A 9'f S l -7 Name of Property Owner Kc tN ,ph A mom -ore-1R Sul\; Property Owner's Address J 5 BIOS Gang RL. (_ � co C A 5157 7 3 Owner's Assessor's Parcel Number 0�-7-- 0 (o©- D 2LJ-000 Parcel Size S-1 Ac. I do declare, subject to the penalty of perjury, that I am the employee of RC,�pl� �lO\r%4P SU,\\alG-V\ Q 9SI-73 address (present) S 4 0 S CcAg\k p1 re C c-ee�k C� , Ch; co (.Rand that I will be employee under Section 24-305.020 A b, G for at least thirty-two (32) hours per (a) to g) week for at least sixteen (16) weeks per year on AP# O LJ -7- 060-02q-000 v Signed: Dated:_6 2518-� Environmental Health Approval: Permit Description and Number Datelssued Planning Approval: Date & _('�� (�;�, zone - C) Dwelling on AP# 0`/2 0 By Crop/Commodity Produced i r Butte County p p Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING Agricultural Worker Housing Questionnaire 24-90 A -S through A-160 (Agricultural) (S) Housing facilities (including mobile homes) to accommodate up to twelve (12) agricultural worker and their families employed by the owner or operator of the premises or'owners"or operators of other agricultural lands pursuant to section 17021.6 of the California Health and Safety Code and subject to state permits. . Section 24-90 of the Zoning Code, noted above, allows housing facilities for agricultural workers as a permitted use for property in an agriculture zone (provided that there is adequate sewage disposal area). This questionnaire is required to determine that the proposal meets the applicable requirements. Please answer the questions as completely as possible. Please identify the following information: Employee Information • Identify the number of employees that shall reside on premises: Employed Onsite ❑ Employed Offsite (provide information about that property) YPermanent Residency Parcel Information ❑ Seasonal Residency • Identify the size of proposed dwelling/modular home: ZS ,JF , Single Parcel/Property Involved Multiple Properties Involved (please identify below) APNs Describe the agricultural operation, including the type of operation (crop or activity, time of year production takes place), and an accurate size in acres of the operation(s): Type of operation q ftG . work, Dt`Q-;r w%e-A year c iw�A , Size of operation �5- -1 pkG �►.. Identify any Williamson Act Contract, and supply specific details regarding contract type (grazing, orchard, or field crop), minimum parcel size, and any other relevant information: N/A State the jobs and duties of the workers to reside in the building(s), and the expected time- frame for work during each year. ' 11 ` Jobs and duties C,(�r nE r -C l►. at r A 1 � 01AA LAO 1 rra ! A'�'GA O CAG is►Jr. �o rv� ter. a ��elzf\ C-C,'e{�a��rS., rn�rd Yearly work time -frame Yeo',(- �_ Signature of Owner/Operator: Signature of Applicant: Date: � /g 6�—A'-- Date. C:; 6 g 1 r i AGRICULTURAL AFFIDAVIT EMPLOYER/EMPLOYEE Please read the following carefully before signing: Section 24-305.020 Agriculture Employer/ Employee (Applicable only in zones A-5, A-10, A-15, A-20, A-40 and A-160) An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or that his primary source of annual income is, or is anticipated to be, derived from any of the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agriculture purposes, plowing, discing and fertilizing the soil; (b) The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural commodity. As used in this subdivision, "care" includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning or tieing, fumigating, spraying and dusting; (d) The harvesting of any agricultural or horticultural commodity including, but not limited to, picking, cutting, threshing, field packing and placing in field containers or in the vehicle in which the commodity will be hauled on the farm or to the place of first processing; (e) The assembly and storage of any agricultural or horticultural commodity including but not limited to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish, frogs and other aquatic animals, including but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment. This affidavit is valid only for the named employee. Any change of employee requires a new affidavit to be filed. Employer tax records may be requested as proof of employment status. Signed: ���-��1 Dated: 6 AGRICULTURAL AFFIDAVIT EMPLOYER Employer �\ph k McA -rn nQ fit,.\\ i G Phone h530 - -g 761 Employer's Address 1 S �+D 5 Goan cj i r\Q_ Cc e .K Q6, Cco GA 9 51 73 Name of Property Owner Ste\\.Jam Property Owner's Address c.\, •tom%r\e_ Cr e,vd< C A 9 S 173 Owner's Assessor's Parcel Number 0 q-7 - 0 6 0 - 0 2,q - 0 0 O Parcel Size 9 Ac. I, �u //-. do declare, subject to the penalty of perjury, that I am the employer of ZE:_iV 1 n Rvbp-- '+ IQr- address (present) 32,0 So cla \ T.P_r r ckc e G Ic ,4 , C, -A qg 11 and that I will be employer under Section 24-305.020 q b G d.. e, , ` for at least thirty-two (32) hours per (a) to g) week for at least sixteen (16) weeks per year on AP# O y7-0 (,0 - 0 Z DDa Signed: Dated: *************************************************************************************** Environmental Health Approval: Permit Description and Number Datelssued Planning Approval: Date (�? 2 Zone O Dwelling on AP# L. �i % Crop/Commodity Produced .41 AGRICULTURAL AFFIDAVIT EMPLOYEE Employee E�" 1 ,V i n 9v6er -k- & A e r Phone 125 - 521'4) 70 / Employee's Address (Present) 3 2D Sc,,r1 cin Ter race- Ckufon j C A 94 S l `i! Name of Property Owner I c5,\ ,per 4 Mac - .X\1 Property Owner's Address / 5 SOS Gctn q �► C r -e-e, K &L. Cco CA -57 7 3 Owner's Assessor's Parcel Number 0 y-7- d (o 0- D 2 q- d pO Parcel Size Sq Ac. I perjury, that I am the employee of do declare, subject to the penalty of G LkA AJG V\ Q ISI -73 address (present) 5 0 S C o,% r k , C ,ico, C=Aand that I will be, employee under Section 24-305.020 a,6) G for at least thirty-two (32) hours per (a) to g) week for at least sixteen (16) weeks per year on AP# Signed: Environmental Health Approval: Permit Description and Number Datelssued Planning Approval: Ci Ll 7- 060-'ozq -000 v Dated: 5 I ZS j a-% Date (-'2 _ �6� (��, Zone - Q Dwelling on AP# 0&/ By -.l� Crop/Commodity Produced i Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING Agricultural Worker Housing Questionnaire 24-90 A -S through A-160 (Agricultural) (S) Housing facilities (including mobile homes) to accommodate up to twelve (12) agricultural worker and their families employed by the owner or operator of the premises or owners or operators of other agricultural lands pursuant to section 17021.6 of the California Health and Safety Code and subject to state permits. Section 24-90 of the Zoning Code, noted above, allows housing facilities for agricultural workers as a permitted use for property in an agriculture zone (provided that there is adequate sewage disposal area). This questionnaire is required to determine that the proposal meets the applicable requirements. Please answer the questions as completely as possible. Please identify the following information: Employee Information • Identify the number of employees that shall reside on premises: j A Employed Onsite ❑ Employed Offsite (provide informationabout that property) Permanent Residency ❑ Seasonal Residency Parcel Information • Identify the size of proposed dwelling/modular home: Single Parcel/Property Involved ❑ Multiple Properties Involved (please identify below) APNs D��-0(o0-D24'�000 Describe the agricultural operation, including the type of operation (crop or activity, time of year production takes place), and an accurate size in acres of the operation(s): Type of operation�� �G �111�y1oe�c� tl�if flu �' ©iLV1a r i w0l(' �- Drw%ed year 004\a Size of operation 1 NG - Identify any Williamson Act Contract, and supply specific details regarding contract type (grazing, orchard, or field crop), minimum parcel size, and any other relevant information: t /A State the jobs and duties of the workers to reside in the building(s), and the expected time- frame for work during each year. Jobs and duties i / (`n0 W i » 0. ; �r v.t� ►� � J t"G �i A c. �OSES1:�z� �✓��rnu � a-f�2nP�✓ L-Ppa s. Yearly work time -frame 'Yen t - pv--�VVN L Signature of Owner/Operator: Signature of Applicant: Date: Date: I I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 15405 CANA PINE CREEK RD Owner: APN: 047-060-024 SULLIVAN, LIVING REVOCA Permit type: MISCELLANEOUS 15405 CANA PINE CREEK RD Subtype: Ag Exempt CHICO, CA 95926 Description: AG EQUIEPMENT STORAGE, TRAC (530) 891-8769 NORTH VALLEY BUILDING: #9 THREE SEVEN LANE SUF CHICO, CA 95973 (530) 345-7296 I FEE INFORMATION I Ag Exemption Permit $109.98 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I 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, and my license is in full force and effect. X 10/17/2006 Contractors Signature Date WORKERS'COMPENSATION�DECLARA-TION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. rI HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permitTs —for one hundred dollars ($1100 �ERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 111CsUED, 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. — 10/17/2006 Signiture f Date WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for 'he performance of the work for which this permit is issued. (3097 civ. code) Lender's Address city State Zip Permit No: B06-2296 Issued Date: 10/17/2006 By KEJ Expiration Date: 10/17/2007 Occupancy: Zoning: A40 Square Footage: Building Garage RemdUAddn Other Porch/Patio Total Total Charged: $109.98 Fees Paid: $109.98 Balance Due: $0.00 Receipt No: B269 OWNER I BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (See. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: F1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE DCOMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion. the owner -builder will have the burden of proof that he or she did not build or I f th prove or a purpose of sale.). AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED 113 �,'IoINTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). F� I AM EXEMPT under Section B. & P.C. for this reason: I Owners 10/17/2006 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pprerty7yfam riz d I ct i tl�e property owner's behalf. ;P,,Z/5,,,,/�,_40/17/2006 [pZ'wner El Contractor OR: 11 Agent for OwnerOAgent for Contractor I FILE COPY BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other'horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a p ce used by the public. ASS SOR PARCEL NO. ZONING OWNER ... PHONE NO: L t4 OWNER'S ADD S LOCATION OF BUILD G (1�CSPL' fisi7c 9 ' 66o USE OF BUILDING , SIZE OF STRUCTURE X'=�SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL NCRETE OTHER (Specify) TYPE OF SIDING ROOF CO RING FLOOR TYPE - O ESTIMATED COST OF CONSTRUCTION $ -;Q mo— AG Buildings shall comply with the minimum front, side, and rear yasetback requirements of the applicable County Ordinances as follows: t t FRONT SIDES-2drhlm�REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leech fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimumo 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 2 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purp ed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact a Building Division and obtain any.necessary permits, inspections, and approvals to comply with the requirements in effe at that time and before occupancy. Date ��` �� Signature of Owner - &;0Xz - 0�� Permit Fee -$109.98 The above described AG Building is exempt from a bui % PARC Receipt No. 13- -2 bq L 1 Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hqp://municit)alcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2296 Location: 15405 CANA PINE CREEK RD Parcel Number: 047-060-024 Date: 09/26/2006 Owner Name: SULLIVAN, LIVING REVOCABLE TR Phone: (530) 891-8769 Description: AG EQUIPMENT STORAGE, TRACTORS & MATERIALS Signature of Property Owner: Date: 09/26/2006 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National pollutant Disharche Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B06-2296 Date: 09/26/2006 Location: 15405 CANA PINE CREEK RD By: TMP Parcel Number: 047-060-024 Sub Type: Aa Exempt Owner Name: SULLIVAN, LIVING REVOCABLE TR Phone: (530) 891-8769 Description: AG EQUIPMENT STORAGE, TRACTORS & MATERIALS .By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of Tess 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 Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Title: Qw�IQ� FILE Date: 09/26/2006 BUTTE COUNTY FEE SUMMARY Permit Number: B06-2296 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Job Address: 15405 CANA PINE CREEK RD Contractor: Printed: 10/13/2006 10:06 am Fee Description Account Number Fee Amount Paid Date Pmt Amt Ag Exemption Permit 0010-440001-4210500-1010 $109.98 09/26/2006 $109.98 109.98 $109.98 Printed By: Karen Jones Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. Signature: Date: 10/13/2006 Pursuant to Government code Section 66020, you are herby notified those items listed above may been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). IIID'l II' I III' I'II' II'lI I' (I') "I RECORDING REQUESTED BY: 2 0 4— 0 0 4 1 4 4 9 Recorded I REC FEE 10.00 Official Records I CONFORM 1.00 Count BUTTE yyf I CANDACE J. GRUBBS I Recorder I AND WHEN RECORDED MAIL TO: ROSEMARY DICKSON I Assistant I Jason 03:23PM 08 -Jul -2004 I Page 1 of 2 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. RALPH SULLIVAN AND MARGENE SULIVAN TRUSTEES BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 15405 CANA PINE CREEK RD. MAILING ADDRESS CHICO BUTTE CA 95926 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1285 530 538-_7541 BUI ING PERMIT N0. TELEPHONE N BER t ,,,Q UONATMZ1516F COCAC AGEN ffOFFICIAL E INTEGRITY HM4ES DEALER NAME (if not a dealer sale, write "NONE") 1067714 DEALER LICENSE NO. DELAWARE WEST HOMES 2002 SILVERCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME(NUMBER 17309478A/B/C 61'4"x13'6"/62'4"x12'8"/27'x12'8 HWC327227/8/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 047-060-024 y SEE ATTACHED A -" _ - - HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. EXHIBIT "A" THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 8, TOWNSHIP 23 NORTH, RANGE 1 WEST, M. D. B. & M. EXCEPTING THEREFROM THE INTEREST WHICH WAS CONVEYED TO THE COUNTY OF BUTTE BY THAT CERTAIN DEED RECORDED MAY 4, 1874 IN BOOK 14 OF DEEDS, AT PAGE 500, RECORDS OF BUTTE COUNTY, CALIFORNIA TOGETHER WITH AN EASEMENT FOR THE USE, OPERATION AND MAINTENANCE OF A WELL, RELATED PUMPING EQUIPMENT, UNDERGROUND MAINLINE AND APPURTENANCES FOR THE IRRIGATION OF THE ABOVE-DESCRIBED LAND, OVER AND ACROSS THE FOLLOWING DESCRIBED WELLSITE: THAT PORTION OF THE NORTH 1/4 IF THE SOUTHEAST 1/4 OF SECTION 8, TOWNSHIP 23 NORTH, RANGE I WEST, M. D. B. & M., DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE NORTH LINE OF SAID NORTHEAST 1/4 OF THE SOUTHEAST 1/4 OF SECTION 8, FROM WHICH THE NORTHEAST CORNER THEREOF BEARS EAST, ALONG SAID NORTH LINE, A DISTANCE OF 905 FEET; THENCE, FROM SAID POINT OF BEGINNING, WEST, ALONG SAID NORTH LINE, A DISTANCE OF 29 FEET; THENCE SOUTH, PARALLEL WITH THE EAST LINE OF SAID SECTION 8, A DISTANCE OF 29 FEET; THENCE SOUTH, PARALLEL WITH THE EAST LINE OF SAID SECTION 8, A DISTANCE OF 26 FEET; THENCE EAST, PARALLEL WITH SAID NORTH LINE, A DISTANCE OF 29 FEET; THENCE NORTH, PARALLEL WITH SAID EAST LINE OF SAID SECTION 8, A DISTANCE OF 26 FEET TO THE POINT OF BEGINNING. RESERVING FROM THE FOREGOING CONVEYANCE, AN EASEMENT FOR PURPOSES OF INGRESS AND EGRESS TO AND FROM GRANTOR'S REMAINING LANDS LYING WESTERLY FROM THE ABOVE-DESCRIBED LAND, OVER AND ACROSS THE SOUTH 60 FEET OF THE ABOVE -DESCRIBED LAND. 17#4 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 08 -Jul -2004 2004-0041449 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be 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. RALPH SULLIVAN AND MARGENE SULIVAN TRUSTEES REAL PROPERTY OWNER/LESSOR 15405 CANA PINE CREEK RD. MAILING ADDRESS CHICO BUTTE CA 95926 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1285 530 538-_7541 BXING PERMIT N0. TELEPHONE ER A OF LOCA AGEN . OF CIAL E INTEGRITY H ES DEALER NAME (if not a dealer We, write "NONE") 1067714 DEALER LICENSE NO DELAWARE WEST HOMES 2002 SILVERCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 17309478A/B/C 61'4"X13'6"/62'4"X12'8"/27'X12'8 HWC327227/8/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 047-060-024 SEE ATTACHED EX 0 I S (`1� I/ TJrn F(1RM A'AVAN RFV R/91 <'4 EXHIBIT "A" THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 8, TOWNSHIP 23 NORTH, RANGE 1 WEST, M D. B. & M. EXCEPTING THEREFROM THE INTEREST WHICH WAS CONVEYED TO THE COUNTY OF BUTTE BY THAT CERTAIN DEED RECORDED MAY 4, 1874 IN BOOK 14 OF DEEDS, AT PAGE 500, RECORDS OF BUTTE COUNTY, CALIFORNIA TOGETHER WITH AN EASEMENT FOR THE USE, OPERATION AND MAINTENANCE OF A WELL, RELATED PUMPING EQUIPMENT, UNDERGROUND MAINLINE AND APPURTENANCES FOR THE IRRIGATION OF THE ABOVE-DESCRIBED LAND, OVER AND ACROSS THE FOLLOWING DESCRIBED WELLSITE: THAT PORTION OF THE NORTH 1/4 IF THE SOUTHEAST 1/4 OF SECTION 8, TOWNSHIP 23 NORTH, RANGE 1 WEST, M. D. B. & M., DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE NORTH LINE OF SAID NORTHEAST 1/4 OF THE SOUTHEAST 1/4 OF SECTION 8, FROM WHICH THE NORTHEAST CORNER THEREOF BEARS EAST, ALONG SAID NORTH LINE, A DISTANCE OF 905 FEET; THENCE, FROM SAID POINT OF BEGINNING, WEST, ALONG SAID NORTH LINE, A DISTANCE OF 29 FEET; THENCE SOUTH, PARALLEL WITH THE EAST LINE OF SAID SECTION 8, A DISTANCE OF 29 FEET; THENCE SOUTH, PARALLEL WITH THE EAST LINE OF SAID SECTION 8, A DISTANCE OF 26 FEET; THENCE EAST, PARALLEL WITH SAID NORTH LINE, A DISTANCE OF 29 FEET; THENCE NORTH, PARALLEL WITH SAID EAST LINE OF SAID SECTION 8, A DISTANCE OF 26 FEET TO THE POINT OF BEGINNING. RESERVING FROM THE FOREGOING CONVEYANCE, AN EASEMENT FOR PURPOSES OF INGRESS AND EGRESS TO AND FROM GRANTOR'S REMAR41NG LANDS LYING WESTERLY FROM THE ABOVE-DESCRIBED LAND, OVER AND ACROSS THE SOUTH 60 FEET OF THE ABOVE -DESCRIBED LAND. C14 BUILDING PERMIT NUMBER: 04-1285 Address or location of unit: 15405 CANA PINE CREEK RD., CHICO CA. 95926 Legal Description of Real Property: .047-060-024 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: RALPH SULLIVAN AND MARGENE SULLIVAN Owner's address: 15405 CANA PINE CREEK RD., CHICO CA., 95926 INSIGNiA OR HUD NUMBER: HWC327227/8/9. SERIAL NUMBER OR V.I.N.: 17309478A/B/C MANUFACTURER'S NAME: DELAWARE WESTERN HOMES CORP. YEAR: 2002 OFFICIAL APPROVING INSTALLATIO r DATE: PHONE: (530) 538-7541 H.C.D. 513C ... ... ...yc11TOf STATE OF CALIFORNIA NUMBER: BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF ' HOUMNG AND COMMUNITYDEVFLOPMEN.. ...J.4 .8-691404 DIVISION OF CODES AND RTANOAhtri MANUFACTURED HOUSING PROGRAM MAN UFACTURERCERTIFICATE OF ORIGIN'-.''.-.'' 3130 ESPLANADE, CHICO, CA 95926 TEXTRON-FINANCJAL -CORP... I..LJCHECK .lrTHIS lSADUPLICATE. MCO -ENTER ORIGINAL MANUFACTURED FIOME O'10"I'". I MANUFACTS)HOUSING NUMBER OF NVENVORY tRgDlt(DR _tl)=67 REO HOUSING .a.Afp(SINGLEFAMILY-DWELLIN mUMK.(MULTI.UNITMA - MANUFACTURED TRANSPORTABLE SECTIONS ....CCIVIMERCI&LOACK. OctupANCY43ROup" GOLDEN VALLEY,. MN 5.5416 .... .. "MANUPACTURERLICENSe NUEASER! 'wrANUFAC7MR IMe DELAWARE WESTERN HOMES CORPORATION 90096 (zip) SUGGESTED RETAIL PRICE: MANUFACTURERADDRESS:. ..... PIONES R AVENUE, WOODLAND. CA "123 (Stolle) (zip) $110,654.00 (S vo NUMUFACIURER TRADE NAME: MODEL NAME AND/OR NUMBER DAT E OF MANUFACTURE: kVIERCOR15ST WESTWOOD-CRAFTSMAN 08/2OM2 NAME C)FpMLjkR OR TRANSFIEREV(DWRERSHIP TRANSFERRED TO): CALIF DEALER NUMBER OR DATE OF TRANSFER-* DUPAR & ANGEL MANUFACTURED. HSNG. GP TRANSFEREE DESIGNATION: o8!20!02 DBA: INTEQRrrY HOMES 154" 21.880 r1rAl r -la OR TRANSFEREE ADDRESS: 824".. J 3130 ESPLANADE, CHICO, CA 95926 TEXTRON-FINANCJAL -CORP... NVENVORY tRgDlt(DR _tl)=67 701 XENIA.AVE.NUE SQLRHAW,., GOLDEN VALLEY,. MN 5.5416 .... .. MAY) (State) (zip) Stmot [) MANUFACTURER SFA AL NUMBER 14CO INSIGNIA OR HUD LABEL NUMBER LENGTH (INCHES ) WOTK VOGHT (POUNDS) 17309478 A HWC327227 736" 162" 25,20 .1:7.W78 B. 752" 154" 21.880 HW=1229 824".. J 162" 14,11 .TR`"TWMVSPORT TMNSPORTER ADDRESS: P.O. BOX 179, DURHAM, CA 95 938 (Streft) (city) slate) DE5TI!bgVgnMlfjAtn- SPLANADE, CHICO, CA 95920 I ask*.under penQI -d'I under the bm&Gt,ft&819 of 0 AN DLO, CALIFORNIA exomdod am (County} _zz SIGNATURE OF AVTHOR=O AGENT: v 4/ SS THERE IS NONE, THEM FORWAIkD.T0 THE PURCHASER.(DEALER OR TRA148FUEE). ORIGINAL (PINIQ - -FORWARD-TO-THE INVENTORY CREDITOR, LIKE COPY I (VMrTE) FORWARD TO THE DEPARTMENT At P.O. BOX,. 820, SACRAMENTO, CA 95812.182@. MTHINFIVE (5) DAYS OF RELEASE. COPY 2 (ylil.Lom DELVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (OOLOENROD) To BE RETAINED BY THE MANUFACTURER. MCD 483.0 - SWO 1 • (7191) STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a: Mobilehome Commerical Coach Floating Home Truck Camper Decal (License) No. (s) Trade Name 7►�ve-rcu. Serial No. (s) �13��iur- -6 I/ We, the undersigned, hereby state that the unit described above: 1-J pl aced n10- n�� ry c�c�e �t �-.M�o— -( c -" t�yG Ckr,cln cj �l C�v� P cLn Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above- described unit in California, of from issuance of a California certificate of title covering the same. I / We certify under penalty of perjury that the foregoing is true and correct. Executed on y --Z-1 --uA at (Date) Signature of each affiant n Address 1740 Feather River Blvd. City Oroville HCD 476.6 (Rev 11/86) Oroville ,California (City) (State) Printed name of each affiant Michelle Freel, Office Manager State California i 04/27/04 09:04 BIDWELL TITLE 4 530 821 5854 530 894 1641 03960715KJII Reuurdlny Requested by: LAW OFFICES OF JOHN M. PRESTON) 767G ilazard Center Drive #010 ) Saiz DleUv, California 92108 ) ) Mail Tax Statements to: ) Mr. end Mrs. Ralph Sullivan ) 15405 Cana [gine Creek Road ) Clileo, California 95673 When Recorded Mail to: ) Mr.. and Mrs. Re ll -h Sullivan ) 15405 Cana PLue Creek Road ) Chico, California 95673 ) 1 9G-0325401 1 Recorded I Otticisl Records 1 County of I Butte 1 Candace J. Grubbs Recorder 1 10s4Atu 3 -Sep -96 Roo Fee Chock PURL Space Above For Recorder's Use QUITCLAIM DEED N0.686 P005 12.00 12.00 XX 3 'rlte undersigned declares that the documpntary transfer tax is $_ and is a family transfer w out c ideret Signature of Agent Uetermiuing T - i ices of John M. Preston Unincorporated Area City of Tax parcel No. 047-060-024.00Q wi'rIlOU'r CONS iDI:RA9'ION, RALPH SULLIVAN and MARG6NE SULLIVAN, hereby yultel:alm to RALPH SULLIVAN and MARGENE SULLIVAN, Trustees of the Sullivan he real Trust dated tl e Count o Butte, State Iof California, Revocable described �ascfollows t property Lit Y SEE EXIIII3IT "A" ATTACHED IIERLTO AND HADD A PART HEREOF. Commonly known as: Cana NIGO,C8' 1 Deledt d ICALPW SULLIVAN C 04/27/04 09:05 BIDWELL TITLE 4 530 821 5854 NO.686 P006 530 894 1641 039607 I5KJII EXHIBIT "A" THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 8, 'rl►WNSIIIP 23 NORTH, RANGE 1 WEST, ;4. D. B. 6 M. CXCCPTING THEREFROM THE INTEREST WHICH WAS CONVEYED TO THE COUNTY OF BUTTE BY THAT CERTAIN DEED RECORDED MAY 4, 1874 IN BOOK 14 OF DEEDS, AT PAGE 500, RECORDS OF BUTTE" COUNTY, CALIFORNIA. TOGETHER WITH AN EASEMENT FOR THE USE, OPERATION AND MAINTENANCE OF A WELL, RELATED PUMPING EQUIPMENT, UNDERGROUND MAINLINE AND APPURTENANCES FOR THE IRRIGATION OF THE ABOVE-DESCRIBED LAND, OVER AND ACRC'SS THE FOLLOWING DESCRIBED WELLSITE: TIIAT PORTION OF '1-116 NORTH 1/4 OF THE SOUTHEAST 1/4 OF S' CTION 8, TOWNSHIP 23 NORTH, RANGE 1 WEST, M. D. B. & M., DESCRIBED AS POLLOWSt BEGINNING AT A POINT ON THE NORTH LINE OF SAID NORTHEAST 1/4 OF THE SOUTHEAST 1/4 OF SECTION 9, FROM WHICH THE NORTHEAST CORNER THEREOF DEARS EAST, ALONG SAID NORTH LINE, A DISTANCE OF 905 FEET; THENCE, CROM SAID POINT OF BEGINNING, WEST, ALONE SAID NORTH LINE, A DISTANCE OF 29 FELT; THENCE SOUTH, PARALLEL WITH THE EAST LINE OF SAID SECTION 0, A DISTANCE OF 29 FEET; THENCE SOUTH, PARALLEL WITH THE EAST LINE OF SAID SECTION 8, A DISTANCE OF 26 FEET; THENCE EA5T PARALLEL WtTH SAID NORTH LINE, A DISTANCE OP 29 PERT; THENCE NORTH, PARALLEL WITH SAID EAST LINE OF SAID SECTION 8, A DISTANCE OF 26 FEET TO THE POINT OF BEGINNING, RESERVING FROM THE FOREGOING CONVEYANCE, AN EASEMENT FOR PURPOSES OF INGRP,SS•AND EGRESS TO AND PROM GRANTOR'S REMAINING LANDS LYING WESTERLY FROM THE ABOVE-DESCRIBCD LAND, OVER AND ACROSS THE SOUTH 60 FELT OF THE ABOVE-DESCRIBED LAND. 04/27/04 09:05 BIDWELL TITLE 4 530 821 5854 N0.686 P007 530 894 1641 03960715KJII STATE OF Cl►LIFORNIA SS COUNTY OF ) Qn �]•'�`�- `1� , before me, personally appeared RALPH SULLIVAN ani M RGENE SULLIVAN, persona y known to me dor proved to me on the basis of satisfactory evidence) to be the persons whose names are subscribed to the within instrument and acknowledged to .me that they executed the same in their authorized capacities, and that by their signatures on the instrument the persons, or the entity upon behalf of which the persons acted, executed the instrument. WITNESS my hand and official seal. L. Auleftd COMM. 0 1073010 Notary Signature MWMY w' COUNTY of m 7a w wqr soots. �In. oa �,1viY i s NOTES RESIDENTIAL PERMIT N0. _ 047-060-024 04-1285 SULLIVAN, RALPH & MARGENE 15405 CANA PINE CREEK RD, CHICO Cont: OWNER NEW MH PERM FND EX SITE t THE HCD FORM 433A FOR THIS MH CANNOT BE I- RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). r (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). I INSPECTOR TO VERIFY SERIAL & LABEL #'S. F SPECIAL CONDITIONS 'w. k SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS �j Meter By Dat' —6' ELECTRIC Meter ETy. Date r x. i,. } JOB FINALED ' Signature ►;a CHECKED BY J=OK 0 = Not OK . = Not ReadyabApplicfe , 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. Utilitv 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 PERM ENT END SYSTEM (ONLY) 1. mg Requirements -Setbacks -Easements F otings; Size -Spacing -Marriage Line cking Ga H Test -Demand -Valve I icity; MH Test at ; MH Test ater and S er Connected 8. Gas and Electricity Tagged 2. 9.- Exits 10. License Decals 11. Verifv #'s with Office Dat , Card B-1 ( It Date Card B-1 Date Card B-1 Date Card B-1 S€'r ( _�' 11307y l k A- - 6-c Q 14 3Z7Z2?, & 6-n de- - G r 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 f 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 t 11. Light Niche 12. Enclosure; Fencing -Alarms �. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r J=OK O = Not OK RESIDENTIAL - =Not Applicable . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped (Single & Duplex) 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 6a. Hold Downs and Special Anchors 50. 7. Slab, Steel -Wrapped 51. 8. Piers -Fireplace Ftg.-Steel Garage Fire Protection Framing -RC Channel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 11. Water Pipe; Test -Anchors -Regulator -Service Test 57. 12. Electric Underground Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies G.F.I. & Bath Fixtures & Tub Access -Spa 15. Access & Ventilation 69. 16. Insulation 70. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. 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 76. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 77. 20. Shower Pan; Test, First Floor -Tub Access 78. Plb.; Elec. & Mech. Equip. Listed for Location 21. Test Tub & Shower, Second Floor -Tub Access 79. 22. Gas Pipe; Sixe & Anchors 80. 23. Fire Sprinkler; Test 81. Guard Rails & Deck Construction -Post Caps Date Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Card B-1 Date Card B-1 Date Clearance Looked under Floor ❑ Yes Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 85. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 86. 26. Size Boxes & No. of Conductors Stapled 87. 27. Romex Installed Close to Edge of Studs & C.J. 88. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 89. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 90. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 91. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 92. 32. Service -Riser Conductors & Ground Main Disconnect 93. 33. Equip. Clearances Panels-Motors-Mech. Equip. 94. 34. Clothes Closet Light -Shower Light -Spa Light 95. 35. Smoke Detector 96. Fire Sprinkler Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE r= 'f OWNER PERMIT NO. 'f A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. It you have any questions pertaining to this matter, or need additional explanation, X a- 4t ii 's. fib - s. dc' - �L' Date L Inspector x;. REV 10192 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530)!p8-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE#: (530) 538=7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041285 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN: 047-060-024-000 the Business and Professions Code, and my license is in full force and effect. / c License Class : �- License Number: [ � Site Address: 15405 CANA PINE CREEK RD CHI Date: 511:1 Contractor. `J' I r" (, 0_ws_� - Map Index: OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NEW MH PERM FND EX SITE ( 2038) Contractors' State License Law for the following reason (Sec.,7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SULLIVAN LIVING REVOCABLE TRUST to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section SULLIVAN RALPH & MARGENE TRUSTEES 7000) of Division 3 of the Business and Professions Code) or that he or 15405 CANA PINE CREEK RD she is exempt therefrom and the basis for the alleged exemption. Any CHICO, CA 95926 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: SULLIVAN LIVING REVOCABLE TRUST such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for. sale. If however, the building or 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.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: DU PAR & ANGEL INC ❑ 1 am Exempt under Article 3 of the Business and Professions Code MICHELLE FREEL 2532 SANTA ROSA AVE Date: Owner: SANTA ROSH; CA 96404 530-821-5850 530-821-5854 (fax) WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: michellef88@sbcglobal.net ❑ I have and will maintain a certificate of consent to self -insure for License #: 457364 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: 9 insurance carder and policy number are: Carrier: a�n � ind��- Total Square Ft: 0 S. F. � Policy #: MH 21 ❑ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of 4640 5 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. _ `CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code anrVor I hereby affirm that there is a construction lending agency for the Resoluti s o do work indicated above f whi ees have been paid. - - performance of the work for which this permit is issued (Sec 3097 Civ.) �-7 Q Name: BY: Date: L J DE Address: PERMIT EXPIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County ttoJenter the above mentioned property for inspection purposes. �upon `� 0 Q �G Print Name: (� �1L Signature: .0 DLII Date: Min W ❑ Owner ❑ Contractor ❑ Agent for Owner ! dle ent for Contractor ...a... _.I Iit BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP D /{- /;�55 DATE ,s ' APN. ©�, ^ v�O - �Z I ZONING: OWNER'S LAST NA E: OWNER'S FIRST NAME: HONE: 4SU I viva ) �a� P te-�te q - �_1CDC, . STREET ADDRESS: FAX CITY, ZIP: �O Ch I °I�-r�� E-MAIL: SITE ADDRESS: jr�40S Ca.nc�L R(Load CITY. ZIP: NEAREST CROSS STREET: ��e n Q TRACT/LOT t{: APPLICANT NAME: -D,,,,,,' o R C_o�s; 2ue�r,o�► PHONE: es -3a) $d.l - -5 - STREET ADDRESS: 8c1 3 vJcST i�irl srr T'f t J FAX _ C53o,�% CITY, ZIP: C -At LES -F -IQ IA 9589 ( E-MAIL: miC�tet(eFFs��SbC lNxtl CONTRACTOR NAME: PHONE: STREET ADDRESS: FAx CITY, ZIP: E-MAIL: ,5r+rnE, LICENSE NUMBER: LICENSE TYPE C -N1 - HtG ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E-MAIL' DESCRIPTION OR SCOPE OF WORK: 6; IBX co2'�211 3` '' �2 ❑ Structure Built without permits , ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only:^ �� Notes r S c5,q9 q� 2 "N23 9 I s 95 Application Received by: Date: Receipt number: Amount Received: vie+ l t 'vim r j 'e,i�e E.H. USE ONLY Rat Man AttncMd i..` Roos fta AttsoAod Sana to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance S 6 h e. 017 D Cp 0 6 Q `/ Owner Location AP# / Plan Approved for: Sewage Disposal Water Supply: Public Private Well % Clearance forwelling. Other .0 rla r e hd,& n M Hold final for: Final clearance O.K. for: NOTE: M a L� &- n/') SPA a J- ffo / t✓� t / �s� Environe a ealth Spec is co Date mW 8196 s,3 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: ,S VIIIy A n ASSESSOR PARCEL NUMBER Proposed Building Use: h ;0(,(/ W►o f r! 1 �°X P. Counter Technician: Date: Items required in order to apply for a pirmit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. �Ql 8. Manufactured homesy6ata sheets and installation instMarriage line inf , loor Plan,ie down o n plans II in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate Y ❑ 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 .W 15. Sanitation and site plan approval from the Environmental Health Department inp<&o ❑ 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 ❑ paid. Sent by: ............. 0 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑2 NPDES Form............................................................................................. ❑ 2 . Encroachment Permit for driveway from the Public Works Dept ........................... 2 . Pre -Inspection fors a ,Si l o (er ,/_1% y required....... Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ........... :......................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction............,..................................................................... ❑ `37. 0 Grant Deed, H. Title/Statement of Facts, ❑ Letter from Legal Owner, ck t H.C.D. $ 38. Other: ,2iT ❑ 39. Other: When issued Telephoneand hold for pickup. r I have been informed of the above items and requirements for obtaining a building permit. L Co Applicant: Date: 1. Index permit ap lication or the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner was advised of the above data by phone, ❑ mail, ❑ counter b i Date: Plans reviewed by: r Y 1 , Dale: 6 Plans approved by; --Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division '81'0,0'v- COUNTY 8 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 �C/ / /� V4jf j A. P. # 1/�• / �!'�,Z��C/�'1 PROPROSED BUILDING USE �r DATE RECEIPT # � A E REC. �LD� G PERMIT FEES (� �) �j Bancue..................... $� / s"I 15 _` --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $!! 1 1571 CHOOL DISTRICT FEES l (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) 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. Fig. Amt. 4@�CREATION DISTRICT FEES l '.i� 1✓1� (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. 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. Fig. Amt. 10. OTHER 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. APPLICANT DATE 51- j &/ 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) WWI Dis. A.P. Number • C Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. c4 Inci-`8 5 - Property Location/Address Subdivision Lot No. ........................... ............ ..................... ...................................... Residential Development Q Q Q Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (G p R) Units Installation Conversion Permit # *(No foundation Inspection) ........................................................................ ! ............................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial New Addition a+'' e.v# '4- e.v# Sq. Footage (Including Exterior Roofed Areas) 1-71?)4 Date I f I District Identification No. 0q0 V 69 IN �� School District certifies that V (Appliont) (.41 19J IR70 - dc;� <7) '(Street Address) (Phone Number) C� �w _ c�- �s��3 (City) has complied�%Vith the requirements of Resolution No. ,Nto -fie "e (a representing square feee School District Representative Paid by Check # Remarks: (State) (Zip Code) -'y5*—o a by payment of $ r 2926 $ FULLMM F GATION $ Date 6t - Nofte: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, In compliance with Comment Code Section 66020(a), within 90 days from the date fess; we paid. Failure to submit a timely wfften protest will'prohlbit you from challenging the Imposition of the fes In any court action. if, subsequent to the School District Representative signing this Butts County Schools Imped Fee Certification Form, the School District Is nroIN by the appilcable Local Planning Agency that this project Is being rwNwsd under the California Environmenlail Quality Act (CEQA) this pmJed may be subject to additional school fees to fullty mitigate. Its Impact on the school dh&kft schools. White -(ipplicant), Yellow (building department), Pink (school district) feeform.* (10/03)drrim A - - �i x - BUTTE COUNTY PARRS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARR DISTRICT Assessor Parce Property Owner Project Locati Subdivision I Lot Number(s) Residential Development: (check one) New Development Alteration/Addition f 11' /Mobilehome(s) _Non -Residential to Residential %B_uilding Department (RAprdsentative Date] J ;Chico Area Recreation and Park District(CARD) certifies that Bal (Applicant me) (Phone Number) 3W 0-.0r6j0k+ 43 - (Street Address) Suna (:� Cal �-�rf11Q� X91 (City) (State) (Zip Code) has' complied with the requirements of*Butte Co. Resolution No. 90-140 by payment for d�,;elling units @ $1,189 for total payment of $ -- J_/1 -7 /2 CARD Representative Date PAID BY CHECK NO.. REMARKS: Eye Q S Oar BANK NO. PAID BY CASH RECEIPT NO. Distribution: White --Applicant Pink --CARD 3 park.fec (form revised 11/90) Yellow --Butte Co. Building Dept. . ` Goldenrod --City of Chico Building Dept. 0 Im f E /Mobilehome(s) _Non -Residential to Residential %B_uilding Department (RAprdsentative Date] J ;Chico Area Recreation and Park District(CARD) certifies that Bal (Applicant me) (Phone Number) 3W 0-.0r6j0k+ 43 - (Street Address) Suna (:� Cal �-�rf11Q� X91 (City) (State) (Zip Code) has' complied with the requirements of*Butte Co. Resolution No. 90-140 by payment for d�,;elling units @ $1,189 for total payment of $ -- J_/1 -7 /2 CARD Representative Date PAID BY CHECK NO.. REMARKS: Eye Q S Oar BANK NO. PAID BY CASH RECEIPT NO. Distribution: White --Applicant Pink --CARD 3 park.fec (form revised 11/90) Yellow --Butte Co. Building Dept. . ` Goldenrod --City of Chico Building Dept. 0 Im f �y BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (5 0) 5 8-7741 �► A ? (9L� ON kk PERMIT NO. BP 0/V- �a�s DATE f APN: ZONING: OWNER'S LAST NAME: OWNER'S FIRST NAME: HONE ,'����,� STREET ADDRESS: ��c,� Ccc- Pk 0 C.r�� �cacl FAX CITY, ZIP: C 1yl'1 1 1`J ,��1 E-MAIL' SITE ADDRESS: Vb�401� (anct. Pme- -eV_ U)Ccd cmr. ZIP: C -V k Z C A NEAREST CROSS STREET; TRACT/LOTS: APPLICANT NAME: R C_OniS� 2uLGnl PHONE. CS3c) $dl- S�S� STREET ADDRESS: S(v�, vJc:ST Grl sTz; n -17 FAX Cs3o, &-4I -- S�S� CITY, ZIP: �uQ>a C,--� I C -AL Lrv2,N,a 9`6991 E-MAIL• rn�chel(tF�s�C3? xc ldn( , CONTRACTOR NAME: PHONE STREET ADDRESS: FAX �rnc CITY, ZIP: EMAIL ��rnE LICENSE NUMBER: L-i5-1-ISU' I LICENSE TYPE CNS - HlC ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY. ZIP: LICENSE NUMBER E -MAIL - DESCRIPTION OR SCOPE OF WORK: ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) X 052`5 C EXPIRATION OF PLICATION 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 fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes 7q• IS Application Received by: Date:(�c Receipt number:li �,,/ Amount Received: ''D .. - FJ ne PRE -INSPECTION REPORT OWNER:1 010C5U(1 IiC�.K DATE: MaL/' 5, LOCATION: 5 �EOS C,�/���� (��P�� �(� A.P. # CONTRACTOR: _ �'s /In ZONING: REASON FOR PRE -INSPECTION l DATE TO INSPECTOR: S - b- PERMIT HISTORY ( ) NONE (yam ATTACHED S BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: _ Residential # of Units: Currently Occupied ( ) Yes (-rgo Abandoned/Vacant: Electric: Electric Currently Off Condition of Electric Gas: Currently ( On () Off Condition Sanitation: Plumbing Working (-I-Y'es () No Obvious Sewage Problems ( ) Yes ( To ACTION RECOMMENDED: ISSUE Hold for permits or verify: Inspector• �k — Mobile home # of Units: n Date: J - �6 ne CKFTC ]4 R1TT1,DTNG,9 ON REVERSE AND INDICATE LOCATION ON PROPERTY: COUNTY OF BUTTE t� BUILDING DIVISION L DEPARTMENT OF DEVELOPMENT SERVICES - '_.y_ _ 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 53877541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection 'ndicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is ' completed. If you have any questions pertaining to this matter, or need additional explanation, please -6 ntact this office";immediately. Ct vz� r Date Inspector REV 10/92 r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP a/�- �a�s DATE ! APN: C)H--� - c -I, -0c, - (::5 -LA ZONING: I A:1::q6 LAST NAME: OWNER'S FIRST NAME: HONE OWNER'S 1�Icx1 PIA � �'�� u-cw-fle- �' ill - �S-IUri STREET ADDRESS:FAX �Li� CCL( -\C" -Po>" Crm- -t2cad CITY, ZIP: , Ch l L� E-MAIL: E-MAIL' SITE ADDRESS:�", "�� C, 40,E C C nn- -et- (Locck- CITY. ZIP- IPNEAREST NEARESTCROSS STREET: TRACTILOT t APPLICANT NAME:- n An10 A CABS 2uc�r �Gn! PHONE CG -So') STREET ADDRESS: 6(vb VJGST CSI "Tu T -r -i= J FAX _ 'I CS-3c� K-4 CcSS`t CITY, ZIP: / C -AL LFE , l\I IA 91S99( E.MAIL; MlChAe(Le ;s -'i -S CONTRACTOR NAME: PHONE STREET ADDRESS: FAX: �nlG CITY, ZIP: E-MAIL: 15�rnE LICENSE NUMBER: 4x-1310�i LICENSE TYPE: d -LI -1 - HlL ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER E-MAIL: DESCRIPTION OR SCOPE OF WORK: �vt>A z t wyn-e-at) rnCrh V\t 2 heli a vo -h to - ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: 23PFees 61- c7D Application Received by: I-` Date: Receipt number: Amount Received: .. 1'-) ne.4 Ica sr� Zb• A I S nod r� W - C V \ BUTTE COUNTY BUILDING DIVISION APPROVED c G() - odq 40* :39, Ar A kVfNQ-.i*N a. 0, 'Ad trt-4--1 ;A Uf 6'j'-C� it SITE PLAN ............................ ...................... ......>... ._ ................... ..................... . . .. . . . ...... ..... ... ............. ............ ..... ..... . ..... ...... ...... ...... ...... % ...... : ...... ...... ..... ...... ............ ..... ...... ...... : ............ . ....... . . . . . . . . . ............. ...... ...... 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Assessors Parcel Number: F6-1 0 F21 W R� — Fol Fal 91 sc2ie- i = 110 ivMR-- Owner Name Address / Phor Site Location Contact: Name ... ........ 7 ..... — ------------ ...... 7""'7 ..... .................... ...... 7 ............ ...... 7 ............ 7 ............ .................... . ............ ............. .................................... .......................... ...... ...... ...... .......................... ............. ............ ..... . ..... ...... ..... . ............ ...... ......................... ................ ...... ..... ...... ..... ............. ............. f ...... ...... f .............. ...... ...... ...... ...... ...... ............. ..... . . ...... ...... ...... . ............. ............ ...... ....................................................... ...... ..... ------ ...... ..................... ..... . ..... ...... ..... . ..... ....... .................. . ...... ...... ...... ..... ................ ...... .............. ............ . ...... ------ ...... ................... ...... ...... ..... ...... ...... ...... ...... ...... ..... v N M ...... ..... .......... ....... ...... ..... ..... ...... .... . VA ..... ................. "TIMI-0WS0, -8-MONG-PLAN-APP .. 1q2LJ ...... . ..... ..... . ..... ..... ..... . ...... ...... 'd§pa I -- - ------------------------------------------------------------------------------- other . ...................... ...... -J-T7 ............... 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M ..... . ............ : ............ : ............. : ..... : ...... : ............ : .................... : ...... : ..... : ...... : ............. . ..... . ............ : Phone Y PAY- 3 3a 15- 3S'-' —0CWbW = 2= FOR OFFICE USE ONLY Zoning: General Plan Doesig: Size, Acres PROVIDE FOR ALL - ADJACENT PARCELS SIZE t6a'q: ZONING: GEN PLAN: USES: Alp 0 -az) - -------------- (N17, v v 'FAX T) a— duo :Buidmspuel —:BulydBd esu IIVA08ddV NYId Maine - NOISIAIO ONINNYld Ill 04 m t p", uj N U- Z, ~ • . AAAA. .. AAAA AAAA... .:AAAA - . LU N � -'..:... AAAA... .. . O Q a _ Westwood til I :a �� ^, •:: v .•-��.�{ Total: 2038 sq. ft."`r Home: 1876 sq. ft. Deck: 162 sq. ft. 1'-4.", 9'-2" 10'-2" 13'-8" 11'-0" I 12'-0" 5'-4' `� DESKEE 1; . .I u 1 1 1 O�oaTit 1. luB •� ppp KITCHEN 1 I 1 1 ( I , UTILITYiD I , OPTIONAL 1 i ®,r--- o_ i .� 'KIITCHEN IOPT.Iswm_ , DINING DEN MASTER - 1 N'f DRnR BATH 1 .------- —__. — x I O I ; DDT. -�e' u" T — J CLOSETr P—AAAA_..—. _ _ __ "—"'--- ' i yl� t: v,wmr II ' 1 I f .- 1 I O DR I MASTER BATH' BEDROOM -2 iv BEDROOM 2 RAISED CIM -C R.uw cEDIRe RAM GREAT ROOM CEMMG 6 ' -- C. Ml CEebte 1 • 1 GUEST 1 ------------------� I 1 fAAfT5Y 41 RpeDR OIKTVIAR NmOK 1 1 I 1 , 17 -4" I 5'-0" I 1 I I f wArlsuAx mlleows 0 I PORCH O ID 1 O1 Rgised Ceiling n Page 10 • Westwood WL I 27'-0" I APPROVED Butte County Environmental Health ate , Signature ,