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047-100-184
S e i NOTES RESIDENTIAL PERMIT' 047-100-184' 04=2899 SNYDER,LOREE 15041 MERIDIAN MEADOWS, CHICO Cont: OWNER NEW CARPORT & PATIO S .�� Off- SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t JOB FINALED (Date) `° OS Signature CHECKED BY J=OK 0 = Not OK = Not Rey * le MOBILE HOMES . =Not Ready " Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. • Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7., Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged - 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS OVERS, CARPORTS, GARAGES (Plans) OK except #'s o equirements-Setbacks-Easements ootings; 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. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS OVERS, CARPORTS, GARAGES (Plans) OK except #'s o equirements-Setbacks-Easements ootings; 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- 5 --Card B-1. Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable / . =Not Ready Date UNDE�t LOOR (Plans) OK except #'s oning-Setbacks-Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils-Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel-Wrapped 8. Piers-Fireplace Ftg.-Steel 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test 10. UF, Gas Pipe; Size Anchors-Yard Gas Piping; Size Test 11. Water Pipe; Test-Anchors-Regulator-Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance-Material-Support-Ins. 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation RESIDENTIAL (Single & Duplex) 46. Headers & Beams -Size & Bearing -• 1 Date FRAMING (Continued) ' Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 54. 21. Test Tub & Shower, Second Floor -Tub Access 55. '22. Gas Pipe; Sixe & Anchors 56. 23. Fire Sprinkler; Test 57. Siding -Nailing Veneer Date Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Card B-1 Date Card B-1 Date Glazing Area -Glass Protection -Skylights -Plastic Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Insulation -Walls -Ceilings 26. Size Boxes & No. of Conductors Stapled Infiltration -Walls -Windows 27. Romex Installed Close to Edge of Studs & C.J. Card B-1 Date Card B-1 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 70. Stairs & Rails Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 36. A.C. Ducts Insulation & Support Elec. Outlets & Receptacles at Kit. Counter 37. Vent Fan, Exhaust above insulation Garage Fire Door; Swing -Landing -Closure 38. Condensate Drain & Overflow, Size & Grade A.C. Duct in Garage -Damper 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 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 81, 41. Sills Proper Materials & Anchors 82. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 83. 44. Draft Stop in Walls (rat proof) 84. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing -• 1 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 O Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes Cl No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.n0dds PERMIT NO, BP042899 LICENSED CONTRACTORS DECLARATION 1 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: 11/19/2004 APN--047-100-184-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number:. Site Address: 15041 MERIDIAN MEADOWS LN CHI Date: Contractor: Map Index: Description: CARPORT(624)COV(476) OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SNYDER DENNIS & LOREE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a P.O. BOX 604 signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 95927 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).): 4 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SNYDER, DENNIS & LOREE Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Caner: Total Square Ft: 1100 S.F. Valuation: $22,592.00 Policy#: Census Code: rrr !!! yst I certify that in the performance of the work for which this permit is (` issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws'of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: 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 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby)ssued under the applic a provisions of the Bntte County Code anrUor _ I hereby affirm that there is a constructior0ending'agency for the issued 3097 Civ.) Resolution c`ro`do w 'k indicated above for hi fees have been paid. performance of the work for which this permit is (Sec By' Date: Name: PERMIT EXPIRES ON: •- l� Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposos. Print Name: 11 0 ✓ >= �. � YY`� d P� Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor Jan 27 05 02:16p Western Woods Ewp"Rick 5303431124 p.1 . q PA lc rry Certificate of Conformance r Certificate 054091 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ,a ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 —Manufacturing—. Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. •.•••p W0 Z SEAL = 3. 0 •��,,4�q S MIN G a••. b 1�++ v Thomas G. Williamson Executive Vice President I ENGINEERED WOOD SYSTEMS is a related corporation of APA — THE ENGINEERED WOOD ASSOCIATION 7011South 19th Street - P.O. Box 11700 - Tacoma, WA 96411-0700 Telephone: (253) 565-6600 - Fax Number: (253) 565-7265 ;REC(}RDING REQUEST&BY:` AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1111 III III 111111111111111111111111 2005-0004688 95927 Recorded I REC FEE 10.00 Official Records I CONFORM 1.00 County Of 1 BURL I CANDACE J. GRUBBS i Recorder I ROSEMARY DICKSON I Assistant - I Kathy 02:18PM 25 -Jan -2005 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DENNIS AND LOREE SNYDER REAL PROPERTY OWNER/LESSOR PO BOX 604 MAILING ADDRESS CHICO BUTTE CA 95927 CITY -COUNTY STATE ZIP 15041 MERIDIAN MEADOWS OROVILLE BUTTE CA INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE CHICO BUTTE CA 95927 CITY COUNTY STATE ZIP SAME 1 I OS UNIT OWNER (if also property owner, write "SAME") DTE SAME MAILING ADDRESS a 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 04-1437 530 538-7541 BUI PERMITN TELEPHONE NUMBS e—Y 1 I OS IGNATURE OF LOCAL A t Y 0 ICIAL DTE MOBILE HO S FOR LESS DEALER NAME (if not a dealer sale, write "NONE") 1062395 DEALER LICENSE NO. LIBERTY HOMES 2004 LOXAN 2870 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 09L35173X/U 66'X 26'8" ORE458133/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 047-100-184 HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. Order No. BU -219295 DT Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCELI: BEING A PORTION OF SECTION 13, TOWNSHIP 23 NORTH, RANGE 1 WEST, M.D.B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: THE WEST ONE-HALF OF THE SOUTHEAST ONE-QUARTER OF THE NORTHWEST ONE- QUARTER OF SAID SECTION 13. APN 047-100-184-000 PARCEL HEREIN IS PURSUANT TO A LOT LINE ADJUSTMENT APPROVED BY THE COUNTY OF BUTTE, SHOWN AS EXHIBIT "A", IN CERTIFICATE OF COMPLIANCE RECORDED DECEMBER 13, 2001, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2001-57000. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE EASTERLY 60 FEET OF THE WEST ONE-HALF OF THE EAST ONE-HALF OF THE NORTHWEST QUARTER OF SECTION 13, TOWNSHIP 23 NORTH, RANGE 1 WEST, M.D.B. & M. PARCEL III: A RIGHT-OF-WAY FOR ROAD AND UTILITY PURPOSES OVER AND ALONG THE NORTH 30 FEET OF THE SOUTH ONE-HALF OF SECTION 13, TOWNSHIP 23 NORTH, RANGE 1 WEST, M.D.B. & M, AND THE SOUTH 30 FEET OF THE NORTH ONE-HALF OF SAID SECTION 13. BUILDING PERMIT NUMBER: 04-1437 Address or location of unit: 15041 MERIDIAN MEADOWS, CHICO, CA Legal Description of Real Property: AP#: 047-100-184 SEE ATTACHED (x) Mob ilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: DENNIS AND LOREE SNYDER Owner's address: PO BOX 604, CHICO, CA 95927 INSIGNIA OR HUD NUMBER: ORE458133/4 SERIAL NUMBER OR V.I.N.: 09L35173X/U MANUFACTURER'S NAME: LIBERTY HOMES YEAR: 2004 OFFICIAL APPROVING INSTALLATION: nle i l DATE: X11 0 PHONE: (530) 538-7541 H.C.D. 513C FOUNDATION*,SYSTEIVI CERTIFICATE.,Of OCCLTPAl\TCY s BUILDING PERMIT NUMBER: 04-1437 Address or location of unit: 15041 MERIDIAN MEADOWS, CHICO, CA Legal Description of Real Property: AP#: 047-100-184 SEE ATTACHED (x) Mob ilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: DENNIS AND LOREE SNYDER Owner's address: PO BOX 604, CHICO, CA 95927 INSIGNIA OR HUD NUMBER: ORE458133/4 SERIAL NUMBER OR V.I.N.: 09L35173X/U MANUFACTURER'S NAME: LIBERTY HOMES YEAR: 2004 OFFICIAL APPROVING INSTALLATION: nle i l DATE: X11 0 PHONE: (530) 538-7541 H.C.D. 513C ' V STATE OF CALIFORNIA �Pt�ENTOFyNUMBER: BUSINESS, TRANSPORTATION AND HOUSING AGENCY oA yc DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 8669272 • DIVISION OF CODES AND STANDARDS o W MANUFACTURED HOUSING PROGRAM c���yM1/TYDE�MANUFACTURER CERTIFICATE OF ORIGIN DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INV EDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO THE DEPARTME T P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCD 483.0 - Side 1 - (7/97) ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING NUMBER OF ® SFD (SINGLE FAMILY DWELLING) MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS 2 COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: LIBERTY HOMES, INC: 90039 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: 888 S.E. SHERIDAN RD.,P O•BOX (Street) 188. SHERIDANState) OR (Zip) 97378 (Citi) — I $69,029.00 MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: LOXAN 2870 3B 2FB 2B ROOT DATE OF MANUFACTURE: LIBERTY ANNIVERSARY OG2Q7063 05/25/04 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OF TRANSFER: TRANSFEREE DESIGNATION: MOBILE HOMES 4 LESS 05/28/04 DEALER OR TRANSFEREE ADDRESS: (Street) 6404 CO. RD. 27 (City) State CA (Zip) 95963 INVENTORY CREDITOR NAME: NONE INVENTORY CREDITOR ADDRESS: (Street) (City) (State) (Zip) SECTION (1{) MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER LENGTH (INCHES) WIDTH (INCHES) WEIGHT (POUNDS) 1 09L35173X ORE 458133 792 160 26,000 2 09L35173U TRANSPORTER NAME: LIBERTY HOMES, INC.—. TRANSPORTER ADDRESS: (Street) P O BOX 188 (City) SHERIDAN (State) OR (zip) DESTINATION FOR UNIT DESCRIBED ABOVE: (NAME)MOBILE HOMES 4 LESS (Street) 6404 CO. RD. 27 (city) ORLAND (State) CA (zip) 95963 I certify under penalty of perjury under the laws of the State of California that the above facts are true and correct. Executed on MAY 28, 2004 at SWRIDAN (Date)(County) 0 k'Aw YAMHILL OREGON (State) SIGNATURE OF AUTHORIZED AGENT: DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INV EDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO THE DEPARTME T P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCD 483.0 - Side 1 - (7/97) rSECTION I. RELEASE OF SECURITY INTEREST THE UNDERSIGNED INVENTORY CREDITOR RELEASES ALL INTEREST IN THE UNIT DESCRIBED ON THE FRONT SIDE OF THIS CERTIFICATE _ OF ORIGIN. NAME OF INVENTORY CREDITOR: SIGNATURE OF AUTHORIZED AGENT: RELEASE DATE: [SECTION II. FIRST ASSIGNMENT INSTRUCTIONS: The dealer as shown on the front of this form shall complete the First Assignment section when ownership or interest is being transferred to another dealer For the value received, the undersigned hereby transfers this Certificate of Origin and the described unit thereon to: ADDRESS: (Street) (City) (State) (Zip) and certifies that the unit is new and has not been registered in this or any other state, he also warrants the title of said unit of time of delivery, subject to the liens and encumbrances, if any, as set out below: NAME OF LIENHOLDER: ADDRESS: (Street) (City) (State) (Zip) TRANSFEROR (FIRM NAME): DATE OF TRANSFER: TRANSFERRED AT (CITY): SIGNATURE OF TRANSFEROR OR REPRESENTATIVE: FSECTION III. SECOND ASSIGNMENT INSTRUCTIONS: The dealer as shown under the First Assignment shall complete the Second Assignment section when ownership or interest is being transferred another dealer. For the value received, the undersigned hereby transfers this Certificate of Origin and the described unit thereon to: a' ADDRESS: % (Street) (City) (State) (Zip) and certifies that the unit is new and has not been registered in this or any other state, he also warrants the title of said unit at time of delivery, subject to the liens and encumbrances, if any, as set out below: NAME OF LIENHOLDER: ADDRESS: Street) Cit State Zi TRANSFEROR (FIRM NAME): DATE OF TRANSFER: TRANSFERRED AT (CITY): SIGNATURE OF TRANSFEROR OR REPRESENTATIVE: a HCD 483.0 - Side 2 - (7/97) OSP 98 14161 y�cac ' { , �"ti'>"� -'g:uR t.�„'�,+P�'"^+�-;�,+P—c.•-�.r-,.k.^•.+.,{c..Y:'�.�•M;,.p{�„!f%, ' COUNTY OF BUTTE BUILDING DIVISION R DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico,iCA • (530) 891-2751 yx 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE' PERMIT NO. 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. If you have any questions pertaining to this matter, or need additional explanation, X na . y. ,aa �i 4 `i s:L .1 3 Yip Date 11, Z • J Inspector REV 10/92 `�'..g'7�`f-� ws7Y".r'$s."^'w++�.--�.....+r/"y�.' iAV'*try m4 '_`"""`N"` uh+r.:x.s-+,'*+rrwr''i�.-..�•.: t-' ��. 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 CORRECTI.O'N NOTICE f J/ V y f/lf�C� U7 - / 7` ill 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 9 Date / L/ REV1 2 Inspector% 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 '6WNER PERMIT NO. 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. If you have any questions pertaining to this matter, or need additional explanation, / please contact this office immediately. 9 n . .. A Date U / ' " Inspector REV 10/92 CSI INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVIISSION, OROVILLE FROM: C /���Te ��l%,� , ENVIR. HEALTH, CHICO DATE: RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: SEPTIC: ✓ WELL: AP#: (' 9— ADDRESS/LOCATION: u)/'` / SYI Qom/ J Comments:'e GL/memos/releasehold r� , BUTTE COUNTY JAN 2 0-2005 DEVELOPMENT SERVICES k l' NOTES RESIDENTIAL PERMIT NO. '047'100_J 84 04=1137` ' SNYDEl>, DEATNTS 9 1509f/ 1vfF_R DTA_NT Tv1EA.DOWS% CHICO Coi..It:0\\'NF_R Tr M\y M[-1.. P.E.[\,i FN'.D o3 or � 1 .v SPECIAL CONDITIONS CHECKED BY i a/ SRq • { . :FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY 5 Address GAS Date / Meter Byl� ��' ELECTRIG� (�(� r Meter By ` Dal"Z- _ r, 4�, 4� � OB FINALED (Date) q /,v-05 k ,'tia Signature ani-9(ld 6 . Not Rea dyable > MOBILE' HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Electric 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG Roof; Shthg-Roofing 7. Well Clearance & Disconnect Ext.; Steps -Doors -Landings 8. Utility Clearance 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed Date 7. Card B-1 Date Card B-1 bate 8. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Health Department Approval 1. Zoning Requirements -Setbacks -Easements' Plumb.; Cir. Test -Water Supply Test 2. Footings; Size -Spacing -Marriage Line Light Niche 3. Gas; MH Test -Demand -Valve -Connector Enclosure; Fencing -Alarms 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector Card B-1 Date Card B-1 6. Water; MH Test -Regulator -Connector Card B-1 Date Card B-1 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 PE ANENT END SYSTEM (ONLY) 1 ;ening Requirements -Setbacks -Easements Foratinos: Size-Soacina-Marriaae Line MH Test -Demand -Valve I ricit ; MH Test r; MH Test Ater and Sewer Connected 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ®VJ-7 IJI'l I �5d- 17 - n�v t 1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s i 1. Zoning Requirements -Setbacks -Easements 1 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails i 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 j 11. Ext.; Steps -Doors -Landings ( 12. ttraceo wan raneis Date Card B-1 Date Card B-1 (Date Card B-1 Date Card B-1 tate POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Property Line Firewall & Openings 5. Stemwalls, Main; Steel -Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Glazing Area -Glass Protection -Skylights -Plastic 8. Piers -Fireplace Ftg.-Steel Shear Walls; Nailing -Bolts 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 62. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Infiltration -Walls -Windows 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Ne Boxes & No. of Conductors Stapled °.'ddb. R6AW Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above ipsulation 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 O Yes _ 83. Following Instld./Drive O Yes O No/Walks ❑ Yes U No/Planters O Yes J 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: 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 PERMIT NO. BP041437 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: 047-100-184-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address' 1 1Tb � l YYi�r . Date: Contractor. Map Index: Description: NEW MH ON PERM FND NEW SITE (1749) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SNYDER, DENNIS & LOREE to its issuance, also requires the applicant for such permit to file a P.O. BOX 604 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95927 she is exempt therefrom and the basis for the alleged exemption. Any , violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: SNYDER, DENNIS & LOREE pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. 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.). O 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professio s Code Date: Own :G License #: WORKERS' COMPENSATION DECLARA ON I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect'' is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1749 S.F. Policy#: Valuation: $113,685.00 Census Code: I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. e NO (o o 2 Date: o e t (�v- /4y ,14gue 1'f �P�ttJ�CI • c S �7 l • ` 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 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 'cable provisions of the Butte County Coda enwor ffi I hereby arm that there is a construction lending agency for the Resolutions to work indicated ab a for hic h fees have been paid. performance of the 2for w ' h this permit is issued (Lee 307 Civ.) Name:B . Date: f0 ! (p PERMIT EXPIRES ON: Date Address. W ^ ❑ 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 duty 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 ButteCountyCountyytto enter upon the above mentioned property for inspection purposes. Print Name: Imo/ �TP +o' c, i'�yc)e- 1— Signature: /l._ ` Date: (p/ �6 Lo e-1 CIS Owner 0 Contractor 13 Agent for Owner ❑ Agent for Contractor BUTTE COCJNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION -AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name' evi in' S L Address ' Address PoO O Cityi CSO StateM Zip S Phone j axd , l Fax E-mail Fax CONTRACTOR Name 0 Address ' City State Zip Phone Fax E-mail Lic. # Class APPLICANT SIGNATURE X For o Ice use only: ARCHITECT/ENGINEER Name J Address Ci City S e State Zip Phone Fax Fax E-mail Planner State License Number APPLICANT SIGNATURE X For o Ice use only: APPLICANT NAME Name J Address , PC, Ci Y S e Occ. Ph llU Fax E-mail Lot # APPLICANT SIGNATURE X For o Ice use only: Zoning Flood Zone SRA Y No Occ. Typ6 Const. Subdivision Name Map Book Page Lot # Planner Date Apprgared: -bb . 0 OVER FOR SUBMITTAL REQUIREMENTS' K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Ae PERMIT N� �4�3% BP BIN # LOCATION API (D,4-7_ /00_ Pro erty dd ess t Cross Street KE c f-) ,' Q!u`c\( WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: w - Sq. Footage j 1 ❑ Structure BuiltMthobt Permits ❑ Proposed Change of Occupancy (Note previous use): Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: J \ j — Bldg qz�ll ` SRA Receipt #: __ S eriff USMTP a Date:� 1 1916 9 I /V � Other Total REV 4-30-04 0 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the end Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-si ied by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 430-04 r E.H. USE ONLY Plot %sn Attached Ron.- Plan Attached Sent to B.D 4 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance r wner Location AP# I / Plan Approved for: Sewage Disposal �� Water Supply: Public Private Well V Clearance for 3dbiwelling. Other Hold final for. _ �. al clearance O.K. f r: W NOTE: Environmen I H alth Specialist Date 9, 3 8/96 'C -o „'_. \ `�.�n"i.' . "�'.•. "� 1 i .7R*"" _'." e_..,i .^, Zy.."".yaps•'• '"`hbraV,.r�""►�•r- ..�. b a+.^..� �,Y.. rr sx �iq� 7�'NYV`.'*M".t.-�..-.a .., -'Yk.. � ..•-wv. -+r`- 6141. r� COUNTY bF 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: GOASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: R-64 Items required in order to apply for a permit. II boxes MUST be checked OR marked NA in orderdp apply. 1 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. 04. 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 -heated and A/C for Non-Resid uildings. Cl 8. Manufactured ho m : ata sheets and installation ini rriage line in f y) Floor Pla5,rlie down or fnd plans, all induplicate. ❑ 9.' Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ` ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑114 Hazardous Material Form ,1 Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) O17. Fire Sprinklers............................................................................................ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by . 8 )� ❑ 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 approvalopaid. Sent by: .. 24. Planning approval (A) Use:b l�(B)Parking: (C) Parcel Check: 25. Contact Land Development about _ Improvements, '_ Drainage ......................... IT26. NPDES Form............................................................................................. If''r 27. Encroachment Permit for driveway from the Public Works DeptN......................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (G Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization.................................................................... 33. Recorded copy of Agricultural Acknowledgment Statement ................................. . ❑ 34. Manufactured home utility clearance................................................................ ❑ 35 xi41 6 violations and/or expired permits......................................................... ❑ 36. d�Restriction................................................................................. Grunt Dee�M.Ho�/State` nt of acts; 0 Letter from Legal Owne> they: When issued Telephone _ _ and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index pe it a plication for the abov J ems numbered: PI Check Letter 2. Additional items required Contractor, designer, her advised of the above data by one, ❑ mail, ❑ counter, by Date: " / `- Contractor, designer, ownwas was advised of the above data by ❑ phone, ❑ mail, ❑ count by Date: Plans reviewed by: Date: D Plans approved by: Date : ' 0 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division OWNER PROPRO 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 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due......... --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form availabl�YftegP� Check) 3. SHERIFF FEES (paid at B ilding t 'sion) T Residential............ $360.00 =$_ its A.P. ! ' e)V - v DATE 15' • O RECEIPT # DATE REC. Commercial (sq. ftg.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ # Units Amt. Commercial (Sq. Ftg.).... ' X = $ Sq. Ftg. Amt. d 5. RECREATION DISTRICT FEES _ (paid at Recreation District Office) a ilable aan Check) 6. THERMALITO DRAINAGE D S RICT FEES'' v�/�[ %��V $510.00 (paid at Building Division) N,7.S:: FIRE INSPECTION AND PLAN CHECK FEE (paid at Building Division) 4f 1S:g - g 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. f1p �m� J .OTHER ` J _a_11S_6q �•z•o4 (o -s•04 - 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. DATE 5-- r/1 —e 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) 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 w,erification is received. /personally plan to provide the major labor and materials for construction of the proposed property improvement: YES � NO ❑ I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: DRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: CONTRACT'OR'S LICENSE NO. 1 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 NOTE. This Owner -Builder Verification is required by .Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION ---I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, MFelVi ira, C.B.O. M,uilding Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE Project Title: Lore, - By re -By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a. check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb I acre or more of land. I am aware that submitting false and/or. inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (OneJoM per Building) in A,), 10 School District A.P. Number () Property Owner Property Location/Address b4-, 14"04 1 Building Department No. Jurisdiction: city county Subdivision Lot No. Sq. Residential Development [-Vf Footage 1- - Commercial/Industrial Building. Department Rel No of Living Mobi a Home Addition) *Supplemental to (Group 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) Now Addition District Identification No.' C/O -7 School District certifies that ,Sq. Footage (including Exterior RoofedAM/as) . � l9.,6�/ Date tA (Applicant) 0 Coo 0 (Street Address) (Phone Number) C;7�-J' 41 1 -66 2 -2-t- (City) (State) (Zip Code) has complied with J�Pie requirements of Resolution No. representing square feet. "'; Paid by Check # Remarks: 65—q— 6 211 by payment of $ .. 3, 7/2, k& �2926 FULLMM F GATION Nogic You may protest the Imposkion of the less kl*nMW above by subnftlng a written Protest to the District. In compliance with Govemmart Code Section 66 Ma), wftMn 90 days from the date too we paid. Failure to submit a timet' written protest will'prolittitt you from challenging the Imposition of go fen In any court action M, subsequent to the School 10111strict Representative signing this Butte County Schools Impact Fee Cerfification Form, the 8ehool Dio is rrotihlsd by the applicable Local Planning Agency that this pre Q t ls baing rwiewed under the Calftmia Environmental Quality Act (CEQA) this p ol d may be subject to additional school fees to hilly ... g I As Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis 00/03)dmm � w r• X01' BUTTE COUNTY PARRS DEVELOPMENT FEE1,CERTIFICATION FORM CHICO AREA RECREATION AND PARR DISTRICT Assessor Parcel Number(s) v �i• Property Owner I Project Location/Address Subdivision Lot Number(s) 0 Residential Development: (check one) _ New Development _Alteration/Addition Xmobilehome(s) Non -Residential Y to Residential- -o - Number of DFi lling Units Co ent: av PA A I lt7.c� G' Building'DepaIrlmen Repr gen tative Date *�r�r,t�t�tx�r�rx�r�r�t�c��r,r vr��r�rvr�r,�rt�rvtrr�rx�rvr,r,r*�t,r,�xrr�r,r�r�r�r�r�r�r*,�,rye,r�rw�r�r*�r��r�r�r�r�r�r�trt,r�►�r ,Chico Area Recreation and Park District(CARD) certifies that-' � •J Lo re- 'fin (Applicant Name) (Phone Number) Me, r ► >I (Street Address) (City) (State) (Zip Code) r has complied with the requirements of Butte Co..Resoluti/on No. �90-140 by payment for dwelling units @ $1,189 for total paymenof t i S /Itk�,� -)e O CARD Representative bate PAID BY CHECK N0. REMARKS: r BANK NO. �b- PAID BY.CASH T` RECEIPT NO. 05/213 , /004 #3473 14:48AM rj,' $1189.80 Distribution: White --Applicant Yellow --Butte Co. Building Dept. r. Pink --CARD Goldenrod --City of Chico Building Dept. a park.fec (form revised 11/90) �R. AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE, V l OROVILLE, CA 95965 2004-0035422 Recorded OfficialRecords Count BUTTE" CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 10:24AN 14 -Jun -2004 REC FEE 10.00 CONFORM 1.00 COPIES 2.50 Travis Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within -an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 5e_ e 1 ' Date LU — 14 —c)4 State of California County o1-VZ-6tP_ On I/ before me, 7T3SFS'e Ylrrf'Gt Y �e►�,� i 5 n�Icier' T-- �D�ee personally appeared i_S -e�e. personally known to me (or proved to me on the basis o satisfactory evidence) to be the persons) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature���z Seal: " REBECCA L BLE DS A.P. # OC - / 8 OE 0 COMM. # 1297451 Q ® NOTARY PUBLIC -CALIFORNIA COUNTY OF BUTTE Comm. Expires April 13, 2005 Ell{�llf�lll��ll�l�iiillliilli�i Ei �.+%e&ea&--*X00S 33q 039 1 bgtmo,39N Mi03NM I 2bio219 iaioi3i0 .: 23I403 I }03 UO3 ( 20U..8 .L DAUM I ggbio,3ell 1 NWX31Q YRAPl380A z tnstailzA S io l eps4 I nffi-qut-#1 IAAS:9l ,w r- , ,-,.-5 I , oi t EXHIBIT 1W1 Order No. BU -219295 DT Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: BEING A PORTION OF SECTION 13, TOWNSHIP 23 NORTH, RANGE 1 WEST, M.D.B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: THE WEST ONE-HALF OF THE SOUTHEAST ONE-QUARTER OF THE NORTHWEST ONE- QUARTER OF SAID SECTION 13. APN 047-100-184-000 PARCEL HEREIN IS PURSUANT TO A LOT LINE ADJUSTMENT APPROVED BY THE COUNTY OF BUTTE, SHOWN AS EXHIBIT "A", IN CERTIFICATE OF COMPLIANCE RECORDED DECEMBER 13, 2001, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2001-57000. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE EASTERLY 60 FEET OF THE WEST ONE-HALF OF THE EAST ONE-HALF OF THE NORTHWEST QUARTER OF SECTION 13, TOWNSHIP 23 NORTH, RANGE 1 WEST, M.D.B. & M. PARCEL III: A RIGHT-OF-WAY FOR ROAD AND UTILITY PURPOSES OVER AND ALONG THE NORTH 30 FEET OF THE SOUTH ONE-HALF OF SECTION 13, TOWNSHIP 23 NORTH, RANGE 1 WEST, M.D.B. & M, AND THE SOUTH 30 FEET OF THE NORTH ONE-HALF OF SAID SECTION 13. I ti r• - - SITE PLAN REVIEW APPLICATION OCT 15 2002 Date: 1 Q-114 - D a AP# Permit Number (if applicable) tjd � , • APPLICANT INFORMATION Parcel Size: 2S0 A C__ Owners Name: Owners Address: �,U .X c'1 a•'% Telephone No.: Situs Address: (,� T Ra. Proposed Use: Residential ❑ Single Family Addition ❑ Single Family Remodel ® Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family • Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other Septic Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff' Use) ❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved r ; / Date ) 0--1 S'- (D '2— Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: • ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attach d) • Flood Zone: • Flood Panel No.: X31 D Index Date: H -'�-� 0`0 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout):p,:. Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A 1 Applicable Building Setbacks: C ❑ Setbacks drawn on site Plan. ❑ CDF approval neede i6 roachments into SRA setbacks. • Page 2 of 5 Zoning Code Streets & Highways /Fire Prevention Suiboivision Map Front L Side I �j Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval neede i6 roachments into SRA setbacks. • Page 2 of 5 -Applicable Developuient Fees: Standard Fees Amount Formula ❑ Fire • ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area - Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------------------------------------------------------------ Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By • 2 Deeds: • Date of Creation: 12— --s — o I Deed of Reference: 2001- e-)0 S-7 OC>O Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: 0 Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: _ ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements 4 Legal Access Provided: ❑ No 15 Yes Legal Access Required ❑ No ❑ Yes ® No ❑ Yes, Road Name: No ❑ Yes G 5 t�(' 10 4_1-a off. 6— Page 3 of 5 Q Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: :.. Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 U ❑ Automatic fire suppression sprinkler systems shall be installed in accordance. with the National Fire Protection Association Standard for installation of sprinkler systems_ in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa EJ Page 4 of 5 � R*3 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 Building Permit Number: �� �'C 3% Owner Name: Sn 0 cc Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Yout parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: o Owner Name: �5nd dt,,r- Parcel lies within the State Responsibility Area (SRA). Comply with attached ' requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of�?Q feet from the side and 5 0 feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. RKExpansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect.. MISTER BEDROOM IS -1•. 12'-r 1749 SO. FT LLLL L- ITCHEN la 1 r. i r -r L�L_._� LLLI_L. LL L _ LL I STUDY • II'•17.91-3• OMOM-L a-SEMENT ENTRY FOR OG287063 v a--STAIC.0 mor —_LLLLL n J_LLLL bB :-LLL1_ DINING ... _LL LLL L � THIRD 14'-5'x 17-101 _ L L L L I BEDROOM -1 13.1 .Iz•r lL LANG STUDY ROOM OR OPT. SECOND Dove 2z -r. 17.1(r FOURTH BEDROOM BEDROOM 101.10'=Iz•r 38R, 2BA, STUDY, CORNER OVAL TUB OPf10NN, MEN ENT ENTRY FOR OG287063 OG287063 1. Owner's Name: -e e e r 2. Assessor's Parcel Number: % _ /00 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No[� ermit No. 5. Is the site an existing site? Yes[ ] ' No[ "yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? - Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes-: 8. What is the electrical rating of the mobilehome site? 240 ' Amperes. 9. Is the main service remote from the mobilehome site? YesM No[ ] If it is, what is the rating? . Amperes. 10. Is*there any other electric load to be served by the mobilehome site .electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[ ] 12. Size of gas pipe at the mobilehome . site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.). 14. What is the mobilehorne gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 Mobilehome Manufacturer: LI iJ?,r' �_`J Manufacture Year:` 2007` If other than single wide, furnish Setup Model Number: Width: ft.) Length:__L_(ft.) Tagalong or Expando Size On all mobilehomes manufactured after October 7,1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure tr ed or foundation grade[ Other: SUPPORTS: Concrete block[ A Other: Provide Tie Down Specifications for all Mobilehomes: Pier -Footings Sizes and ......................... Main Beas . Beams......................... ocation MULTI -WIDE el _ f Line 2 Line 3 i Line 2 ................................................................. Main Beams Line 2 Line 1 .................................................. e5 Tag or Triple me 4 mel Line 1 Piers: Size minimum: r /,21 x r3d 1. Spacing maximum: n` From ends -maximum] n` Line 2 Piers: Size minimum: [ 21 x [ 3C]. Spacing maximum: 0` From ends -maximum: n ` Line 3 Roof Loads: Size minimum Location (from front): �'5 31,11 Line 5 Roof Loads: Size minimum: Location (from front): Line'l Openings Size minimum: [ / 2] x []• Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x ]. Spacing maximum: ` From ends -maximum. ` OVER 1 20 PSF SOUTH ZONE -4460 30 PSF MIDDLE ZONE - 5060 I A dd V {{ I 2: cr_ �► 0LU � 44•-T ,. 0 el _., UTILITY INLETS APPROX. FR DIM 2> kR WATER 45'—s 'U• -ELECT --_—_ -- a5'-2; 'u' GAS 44'-3 'U' ly; PIER SPACING ACROSS DIM \. WIDTH OF t NtT(S)—A I—BEAN— IDS'_ _ ISI TRANSVERSE I'LOOR JOISTS 293/4" 4V- - 4� r,..►. 3814," 821-12" LOrjGITUDINAL FLOOR JOISIS 41 -Y4' ?512" EXCEPT MANUFACTURED IN OR: 2934 991'1 86 -or ' TY'- 4d i - 371-1 1 tTj b 18' - 1 66' i :.� 3' TYP. , m _X —lg i t iw _dl ly; PIER SPACING ACROSS DIM DI IA WIDTH OF t NtT(S)—A I—BEAN— IDS'_ _ ISI TRANSVERSE I'LOOR JOISTS 293/4" 9944" EXCEPT AM. -JUFACTUREO IN wl: 3814," 821-12" LOrjGITUDINAL FLOOR JOISIS 41 -Y4' ?512" EXCEPT MANUFACTURED IN OR: 2934 991'1 PIER PIAN PIER PLAN NaIIES REFER TO USERTY H-IdES INSTALLATION INSTRUJCTKX FOR ALL OTHER 1NFORMAUON %_E. fIE—DOWnS )THER POR SPACING. 5011 CAPAGITIE_ PIER AND FOOTING DETALS. ETC---) ALL RECOMMENDED I)OTYJC SIZES ARE FOR 2000 :SF SOIL ALL SIDEWALL PIER LDCATIONS ARE BASED ON STD. %IDOW AND EXT. DOOR LOC�iIOHS. SiDEWALL PIERS MUS11',, BE RE- LOCATED AOCORDINGM F WP*)OWS AND/OR DMORS ARE MOVED OR ADDED. D 287063 ,� I� 2"x 2"x i STEEL ANGLE 0 J T L D Z n 41 r m N Ln m m m LD a4 Un DETAIL "A" CHASSJS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4- GRIPPER BASE 1/2-i3UNC-A307 x 4 BOLT WJTH KUTS (4) REQUIRED 01 1/2" SCH 40 PIPE' RISER WITF. set/2" ADJUSTER HOLES AVO 3/S" THICK TOP PLATE 02' SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 STEEL FRAME' SEE DETAIL "A' f 3/8" CAO PLA -EO BOLT, NUT do WASHER COUNTER BORED FLUSH WITH 30TTOM AT e" D.C. (8) REQUIRED 1/4- STAND BASE . ,- ABESC.Q ABS PAD #503 36" MAX TO BOTTOM OF PAD IDI/2"x 3" C-R. LOCK PIN WITH 01/8" BRIDGE PIN I J 37" 1$ Sj2" COACT "C" FRAME 2" CHANNEL 1/4"xi-1/47- TEK STS (2) REQUIRED 1/4." GRIPPER BASE 1/2" A307 BOO (2) REQUIRED 3/8"x 6'x 6" STEEL PLATE 1/2" A307 BOLT (2) REQUIRED 10.00-1 10.00 =% i— o� 09/16 HOLE (TYP) STAND BASE TOP VIEW 17918 cls OF C TUF--1 PERMANENT FOUNDATION SYSTEM AHESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95923 PH: (800) 382-8831 FAK: (916) 383-5207 COACH "J" FRAME 1/4 " /4" GRIPPER 1 TEK 1STS 4" PLATE (4) REQUIRED 1/4" GRIPPER BASE 1/2- A307 BOLT (4) REQUIRED C—BEAM J ---BEAM ATTACHMENT ATTACHMENT g" 1/2' DIA. HOLE (8) PLACES STEEL FRAME TOF VIEW STAB . . _ . �tAL11!tA1� /d1t:!'Y ODdR BBC1t>� lBIIA' - - �Zpp011#�CtlaliM0111e � • �*-k!!m'�JLL>�411�J11Mg0IK�0lJTITl1lfll111QAt!! # .:.. euniixiiiitiii caonmellod/rl10s "Quammm s� f!!�,>�AfLJL*C117ft1LA� Al®:>ll�i>f� r IMMdC aalc00�s/illa`'a ` - sr lUILDING DER WAYNE APCLOAQO; PX -' LIgTP 0.1 '94249 5HEET i of 3 P GENERAL NOTES GUS GUARD TUF-1 RESEGN LOADS: LIVE LOAD - 30 LB. FLOOR LEVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE 'C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE 115) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CCNSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAN SUPPOFTS SHALL BE LO:ATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION ENSTRUCTIOHS". IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS I/4", OR, WHEN IT WILL ADVERSELY AFFECT MOBILE HOVE UNET. 5. CARRY ALL FOOTINGS DOWN TO FIRM. UNDISTURBED SOIL FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, At{D SHALL BE COWPATEBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. E. STRUCTURAL STEEL. FABRICATED ACCORDING TO A1SC SPECIFICATION. WELD ACCORDING TO ANS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7. THE 'CUS GUARD ASSEMBLIES SHOWJI ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND A3SOCIATES FOR THE FOELOWJNG LOADS: AT,LOWABLE LOAN'S: EORIZOKTAL VERTICAL G'JS GUARD TUF-1 22001 600011 GUS GUARD MGP PAD 22001 6000# GUS GUARD E -Z TIE PAD 2200f 6000# S. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE TH9' MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 LNITS AS SHOWN OW THIS PAGE OF TYPICAL FOUNDATION 'LAMS. 10. THE CUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUE-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAIML - (SEE SHEET /3) _• 13. ALL METAL COMPONENTS FWD ATTACHMENTS ITEMS SHALL BE PPOTECIWE OOATEO. 14, WHEN CONCRETE .SLAB IS IN EQSTANCE, PAD IS NOT 16. FOUNDATION ELOCKS 16-x 15-x12' POUP.EO IN PLACE AT GROUND LEVEL LJAY BE USED AT INSTALLERS DISCRETION ALTEP.NATIVE TO PADS. SIYGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. IV MAX. S= 6` MIN. /16' MAX. S= 6' NLN_ / 22` MAX. VARIES 10'-70' (SEE TA&E ON SHEET #3) -' E- SS w I� -- S --- E u u u ❑ ❑ u STATE APPROVAL RIDGE BEAM SUPPORT AS MANUFACMIRDRO'MEJMOI9 MHMO REQUIRED BY MANUFACTURER FOUNDATION SYSTEM 0 (TYPICAL) a ❑ ❑ ❑ ABALi'nMD RATE" CODg, S1sL'OM 26361 Q � El [3 1:1❑ APPROVW ` 8' NOM. ❑ ❑ 2' NOM. PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OP. THE SUPPORT AVOID CLEARANCE PROBJ:MS_ ENGINEER. TYPICAL THROUGHOUT PAD (TYP) �. STATE APPROVAL MANUFACMIRDRO'MEJMOI9 MHMO �n FOUNDATION SYSTEM ABALi'nMD RATE" CODg, S1sL'OM 26361 APPROVW 00 � Exp.- �F JTgr� O rICPN! REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH UI --1 PERMANENT FOUR (4) 1/2% 3 tj2- EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD 7UF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNDW LOA[ TO 10C PSF WHEN INSTALLED ABFSCO-GUS GUARD 335A"_ WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORE9: SPEPYJNS-ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO l A.,`CA�9S$23- ;"-i SACRAME ONE BASIS. .e. W 8UBI8Cr TD C0XRWiIO q 2o9= ATTliOVAL DOTS$ NOTAI;FY'HOAIZH OR/LPFR� AtiT GIMISSTONS OR DEVIATION FROM RBQUMKMW iMLJi► APPLICABLE STATE LAWS AND1URitQAlMn State of C>flDirc�oda Dop Aonsisy and CC»� iDlN�dat CODES AND XT �g r >t$ /'21�% v ' SPA NO. �U ,TlisPlanAyprov I C-3 11 P{OLVADO, PE -LISTING NO. E94249 SHEET 2 of 3 6 N CS) m m m LO cn LO m CS) m m N N Lr) CD 3/4" DIA. x 18' LG. 1/2"x 3 1/2" 1/2"x 8" LONG OF NOME 2 28 44 (4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT fit' -1' to 66' 3/8' CAO PLATED BOLT, NUT & WASHER ;4) REQUIRED (4) RECUIRED 20) COUNTER BORED FLUSH WITH 60T -OM $ 1 8 • AT B" O.C. ` (8) REQUIRED 10 TO i0 10 saft of c* nye r -w-3 --a C. . gq awao�em CONCRETE PAD INSTALL4T10N POURED IN PLACE 16xl6x12 CONCRETE 1 FOUNDATION INSTALLATION CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED t/4" GRIPPER BASE 1/2-13UNC—A307 x 4' BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH �O '01/2' AD.IISTER HOLES AND 3/E" v THICK TOP PLATE 02" SCH 4.0 PIPE STAND. WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAG #503 4 / 36" MAX TO BOTTOM OF PAD 01/2"x 3" CR. j LOCK PIN WITH 4 01/19' BRIDGE PIN l i E f E - Z TIE PAD I A ( 382 FAX: (916 (800) ) ) 383— LIGH- HEAVY—WEIGHT PLASTIC PAD INSTALLATION =71--UIDB UK= MN= WIDE UNrW LENIM OFTH M014E 24 OF NOME 2 28 44 UP TO 41 B 8 8 12 fit' -1' to 66' 12 12 12 18 N'-1' to 80 20) 20 .1 24 LENGTH OF STATE APPROVAL WIDTH OF HOME HOME 10 12 14 16 UP TO 44' 1 6 1 6 .1 6 1 $ Ilw-11 to wl $ 1 8 8 a- jar—I, — 86 10 TO i0 10 NUMBER OF TUF-1 REQUIRED HUMBER OF TUF-1 REQUI� NQS; SINGLE WIDE UNITS REQU,RE (4) E -Z TE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL P(TERYAIS ALONG EACH FRAME RAR. EssI STATE APPROVAL MANUFACTURED HOMBIMODUM MOMS FCUNDAIYON SYSTJlM AMC SAFETY CODB, SBCrM 96551 �. APPROVED 061791 s SuBnm TO CORREmors NOTED EXit" APPROVAi. DOES NOT AUMORM DR APPOLDVE ANY DMISSIGMS OR DEVIATION MOM REQUIREMENTS Of ' APL:CABLB ETAT6 LAWS AND REGULATMO form .. . OF saft of c* nye r -w-3 --a C. . gq awao�em C,`C /� 06mANDSTANDAll? �G G sY 6PA?10. - .» �7]ds'F1snApprowtTixpha vsa ,i WAYNE T. POLVADO, PE—JSTING NO. F94249 SHEET 3 of 3 0 CDF FIRE SAFE REQUIREMENTS 047-100-184 BP -04-1437 Dennis Snyder AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible. Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail -ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures 1273.07 (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] 2. the length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint - of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.11 Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. • The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. 1 W I El CDF FIRE SAFE REQUIREMENTS _ 047-100-184 BP -04-1437 Dennis Snyder AP# PERMIT # NAME Fuel Modification fi 1276.01 Setback for Structure Defensible Space [X] 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements below. [X] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements [ ] If Building Setback is 15 to 30, Feet: Class A or B roof Enclosed Eaves [ ] If Building Setback is Less Than 15 Feet — Class A or B roof with enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on side toward property line with insufficient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco — 3 coat Hardi-Board or Plank Masonry Masonry Veneer Metal Other Butte county Fire Department approved materials 6-2-211 Date Signature N 047;100-184 03-0880 SNYDER, DENNIS ' . L r . �'' WILL T RD, CHICO ETCTRIC; POR WELL L r; COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PER f (Rev.12/9,6) ; :z: APPLICATION AND PERMIT V ASSESSOR PARCEL NUMBER 047-100-184 ZONING BuiLDING PERMIT OWNER $Nyder, uennis and Uis:L♦ knCll TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS PO Box 604 Ciiw eA CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Will T Road Chico CA Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: elect: FOWer for A Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 00,V OR LESS Main Service 200' OR LESS 23.0023.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. .00 /� / iJ L'IC. No. License Class 1S /6 IZ 6 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 9 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date .31 ,Signa ure of Applicant v Owner Contractor ❑ Agent An OSHA permit is require for excava 'Fr s over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200% 46.00SO NG CU00A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. Bins. 3.5Q�: .OUTLET @7,50 NODFREOSIDT MULTI1 1R POWER APPARATUS a SINGLE OUTLET CIR. za p Loo Ex. Occup. OUTLET OR FIXTURES SAL @ .50 Ex. Occup. Ouris RES p.PPLNS OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 Pre—YII3 t ion 23.00 PERMIT FEE :J 00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. 0. FEES IMP FLOOD CDF PARCEL PD HO UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above f r w ich ees have been paid. 0� ByDate// PERMIT EXPIRES ON k17 Date Receipt No. " 1, J Z / t WHITE-D.D.S.-B.D. . CANARY -ASSESSOR PINK -INSPECTOR G DENROD-APPLICANT C COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 - 541 -PD (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 047-100-184 ZONING BUILDING PERMIT OWNER Snyder,. Bennis and Loreen TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS PO Box 604 Chico CA CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAUUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Will T Road Chico CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities O Installation O Other O Describe Work: elect; power for Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service .OA OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full f0 a and effect. �� S `� A License Class Lic. No. Odd // /"/_ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA TO lOooA 46.00 NEW CONST. DW LING OCCUP. OR ADDNS. 8 ACC. S. So 3.50FT, NOWREOSID. MULTI.OUTLET 97.50 POWER APPARATUs S SINGLE OUTLET CSI R. Ex. Occup. OUTLET ORFIXTURES 20 @'.0° SAL. @ .50 Ex. Occu . oFucuT A oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre—Inspect-.i.on 23.00 PERMIT FEE $66,00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date _ Agn ure of Applicant Owner Contractor ❑ Agent An OSHA permit is require for excava ons over 5'0" deep and demolition or construction of structures over stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD SUE This permit is hereby issued under the of the Butte County Code and/or indicated above f r which ees have By �Qate, PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Q� Date Receipt No. WHITE-D.D.S.-B.D. AN RY-A ES R K -I SP OR G NROD-APPLICANT 1 N Feb 01 02 08:13a P. 1'-.. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (Rev. 12/96) APPLICATION AND PERMIT �/ (J ASSESSOR PARCEL NUMBER (2`JZ.i /0() /•_, /_ (( (/�I zONINa - - " BUILDING PERMIT owN �[ �z --• TELEPNONE SO. FT• OCC. BUILDING VALUATION ---••-- •- •-- OWNERS ADORES I a , �0� C/1jco --•" ---- — CONTRACTOR'S NAME TELEPHONE -.— CONTRACTORS MAWNO ADDRESS ' CONSTRUCTION LENDER _-- 'LENDER'S MAILJNG ADDRESS Fireplace Total Valuation $ - ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAUL ADDRESS -BUILDING Permit Fee $ Plan Checkin . Fee $ •• ADDRESS , / - / t 6160 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.001— Solar or heat pump water heater 1 23.00 Water piping 15.00 TYPE IS:'RK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other 0--- Describe Work: �(i �Gvv U YL ��j/{/L14jG4G Each as water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S 1 (31 W 1 @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 OOOV OR LESS Main Service( 200. OR LESS 23.00 o� wPERJVIIT FEE PA1D S" SHERIFF S OwER AMOUNT RECEIVED —y�� wi .3 �� `-) Toim wT s � ;��(" Main Service 200A TO 1000A 46.00 NEW CONST.OMLLIM OCGUP. 3 5¢30. 8 ACC. BLDS. FT• Ntw FUNN . IAULTI.OUTLET —" NON.RESIO. @7.501 POWER APPARATUS i -`-_ 6 SINGLE OUTLET CI0. Ex. Occup. OUTLET OR FOLTURES 20 p W. SAL .SO FIXED APPLNS. OR FAL. OCCU ountTa ESID.) EA 5.00 _ Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 A 1- -- PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee S occ CONST. TYPE TOTAL FEE $ r (� HA2. D. FEES IMP I FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable pMvrsidns " of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been`paid. By Date PERMIT EXPIRES ON eta .._•. ReceiptNo. WHITE-D.D.S.•B.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • .Jul 22 03 02:380 /�� S i x cto" (� c— Ata L PRE -INSPECTION REPORT OWNER: n 'S LOCATION: �' 1 b CONTRACTOR:_ CD p) PRE-1NSPE11ON DATE TO INSPECTOR:+% oma' p.1 -p6 - p DATE: 7 , aa -(b A.P. #_ 641 -100 • I gy ZONING: ( ) AS FOLLOWS: BUa.DING INSPMOR•S REPORT Building Description: ; Canma�c�aWsagpe: . ResidentiaY0 of Units: Currently Occupied .y Abandoned/Vacant f. Electric: ; Yes`_ NoElectric currently On Off Condition of Electric , Gas: - Natural Obvious Prot Sanitation: Plumbing Well Wa Obvious Comments; AMON I Inspector. Date — Sketch buildings on reverse and indicate location on propert % I Jul 22 03 02:38p Feb 01 02 08:13a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone 5 tRe".'2'96' APPLICATION AND PERMIT � ) 538-7541 ASSESSOR PARCEL NUMBER �d � �� OWNER ��7 7 ��J Zee BUILDING PERMIT �q TELFProne -- OWNERS w�� - SQ. FT. OCC. BUILDING VALUATION C IV CO RAIVOR'S NAME CONfAAC 10RS MAIUNO ADORES, CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHRECT OR ENGINEER ARCIO1ECi OR -;T RS µ�IUNG ADDRESS BUIIOWC ADDRESS . , 60 LOT NO, I SUBDNISION$ NAME USEOFSTRUCTURE $F ❑ Duplex ❑ Mobilehome ❑ Other ,PCCIrY TYPE O7tniRsfKallabon New ❑ Addition ❑ Remodel ❑ L)6litles ❑ Ower 0 Describe Work;Iv � t✓C 1 �/� ��� "PERJ4lIT FEE PAID SRA • . SHERIFF MTM AJ1ilCVN'i RECEZI/�p MAP S o/'57 GU " T��n' =rtro oo� IOtal Valuation $ "— Filin Fee $ --- 20.00 Permit Fee a -- Plan Checkin Fee s —"'-. Energy Plan Checking Fee $—�--' PERMIT FEE $ —'-- PLUMBING PERMIT Filing Fee 20.00 Each Tra 7,00 Soler or heat pump water heater 23.00 Water I Ing 15.00 Each as water heater or vent 15.09 Gas I in s stem 1 - 5 outlets 15.00 Buildin I sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE s ELECTRICAL PERMIT Fling Fee 2o.00 Main ServiceEOOV OR LESS — 2ow OR Wes 23.00 Mein Service 200A TO I000A 46.00 NCw carr. OR ADDNS. ` OwF31.INO OCCUP. co S C. BLOB. SO 3.5aFr, NOH.RESro.' OUTLET --._ p7.so! POWER APPARATUS 6 SINGLE OUR CIFL I Ex. Occu OU LEr oR FURURES xo D ,Soo FX FIXED APPLNS. OR FX. OCCU �L ® .10 OUr't REBID. EA 5.00 Tem orar Service --- Mobile Home Facilities 23.00 Misc. Wiring 20.00 in i— 1 23.00 PERMIT FEE I s1j PERMIT Filing Fee 20,00 6.50 rtHM1T FEE S Mobile Home Installation Fee $ Energy Inspection Fee s OCC CONST. TYPE TOTAL FEE $ HAZ• 0. FEES IMP FLOOD CDF PARCEL PD I. I ISSUE -- This permit is hereby issued under the applicable prbvisi6rls of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. - ReceiptNo. By Date WHITE •D.O.S.•8."Ji . CANggy.qSSESSOH PINK•INSPECTOR GOLDENROD•APPLICANT PERMIT EXPIRES ON mIL CD N 0 m 0 N N Name ISNYDER DENNIS & LOREE L Addr1 I P 0 BOX 604 Addr2 CHICO CA 65927-0604 Addr3 Addr4 .Comments IWAS 047-100-0561057 CO M B I N E D BY :Creating Doc# 200180057000 Date 121312001 - Current D oc# 2001 R 0057000 Date 121312001 Killing Doc# Date Asmt D esc WILL T RD S uplCnt 2 Zoning Dwell Acres/S q Ft 120 N 1C 047 OWN EXP TAX Asmt # 047-100-184-000 Fee # 047-100-184-000 Status JACTIVE Status Date 121312001 Tax 000 INORMAL OWNERSHIP -TRA 082-024 Situs r— Base D t F273-1/2002 Tirober Preserve r AgPres E tal Notes Bonds multi Situs Flag1 Flag2 i- 910 MH Asmt PP Pen Tax PP Pen r Appeal Pending j- Split Pending F ON J ATT Land( 48,500 Structure 0 Fixtures 0 G rowing 0 Total L&I 48,500 Fix. RF 0 MH PP 0 PP 0 Exempt 0 Net 46,500 R 1C# T1R Cit 31C Stale © 1 - Butte County Department ofDevelopment Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile . I October 25, 2004 Dennis & Loree Snyder PO Box 604, Chico, CA 95927-0604 RE: Building Permit #04-1437 for Mobile or Manufactured Home on a Permanent Foundation System AP#047-100-184 Dear Dennis & Loree Snyder: Prior to final of this permit and issuance of a 433A we will require a copy of your recorder grant deed, a statement of facts for the mobile or modular home and a copy of the Manufactures Certificate of Origin (MCO). We are returning your check to HCD. We will require this prior to releasing the 433A for recording. If you have any questions concerning this matter, please contact this office and ask to speak to a Plan Application Assistant. Thank you. Sincerely, Alice Mefford Supervisor, Staff Support Services • A W I LLDAN Serving Public Agencies APPLICABLE CODES 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC". • Part 3, known as the California Electrical Code and abbreviated herein as "CEC". • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as the California Plumbing Cod_ a and abbreviated herein as "CPC". • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS CODE ANALYSIS Type of Type of 1" Floor 2nd Floor Occupancy Construction Sprinklers Stories S Ft S Ft Total Sq Ft R-3 V -N N/A 1 476 N/A 476 Patio cover U-1 I V -N I N/A 1 1 624 1 N/A 1 624 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. /SSiincerely, 4:4W cas� Michael Carlin Plans Examiner CC: Alice Mefford, amefford(a,buttecounty.net Loree Snyder 10541 meridian meadows Chico, ca 95973 Page 2 of Butte County 14353--1137 W I LLDAN " Ma s Street Marysville, California 95901 Serving Public Agencies 530/749.2373 fax 530/749.2199 www.willdan.com October 20, 2004 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW. APPROVAL Willdan Project No: 14353-1187 Jurisdiction Job No: 04-2899 Assessor's Parcel No: 047-100-184 Description: Snyder Carport Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: 1. Plans: Two (2) copies dated 8/12/2004, not signed. 2. Site Plan: Two (2) copies not dated, not signed. 3. Truss Calculations: Two (2) copies, dated 8/23/2004 by Longfellow Lumber Co. Inc. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. 1 w I/ 7 Butte County Department of Development Services �v T tF YVONNE CHRISTOPHER, DIRECTOR °° /°° 7 County Center Drive 0 0 ° = 0 Oroville, CA 95965 c�UN'�y (530) 538.7601 Telephone (530) 538.7785 Facsimile N TO: WILLDAN ' FROM: Scott Rutherford (530) 538-7160 SUBJECT:. srutherford(a buttecou nty. net Plans Transmittal For Review Per Contract O z DATE: 10/6/2004 Applicant: Snyder, Loree Permit 04-2899 Project Type: Carport/Patio for MH APN: 047-100-184 100% 70% Plan Check Fees $ 213.97 $ 149.78 $ 213.97 $ 149.78 WILLDAN Fee $ 149.78 Copies Attached: Qty Chk Application Site Plan Review ` FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other BUTTE COUNTY DEPARTMENT OF-DE*ELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP042899 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: 11/19/2004 APN: 047-100-184-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 15041 MERIDIAN MEADOWS LN CHI Date: Contractor. Map Index: Description: CARPORT(624)COV(476) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SNYDER DENNIS & LOREE permit to construct, alter, improve, demolish, or repair any structure, prior , to its issuance, also requires the applicant for such permit to file a P.O. BOX 604 signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95927 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SNYDER, DENNIS & LOREE Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1100 S.F. Policy#: Valuation: $22,592.00 Census Code: .! Bbl I certify that in the performance of the work for which this permit is (` issued. 1 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, 1 shall forthwith comply with those provisions. Date: Applicant:-.?z�.e✓/ 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 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. Ay000 �S,3 CONSTRUCTION LENDING AGENCY This permit is hereby ssued under the applic a provisions of the Butte County Coda anrvor I hereby affirm that there is a constructiori leriding agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to do w indicated above for hi "'fees have been paid. By: �� Date: Name: PERMIT EXPIRES ON: //— Date Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 11 (p - Y4Signature: Date:,� ll — 1 of — C—)4 11diowner 13 Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY 9 ' DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION ° "PLEASE PRINT CLEARLY" OWNER Last Name rrst Name A dr ss I ° i S CinA State, A 'Yal.?3 Pho e �� Fax E-mail APPLICANT NAME CONTRACTOR Name Lt'S Address .- City Ph S0—cll State Zip Phone Page Fax E-mail Date Approved: Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name Lt'S Address .- City Ph S0—cll State Tp Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name Address Lt'S Cityf„ i stat Z 7_3 Ph S0—cll Fax - E-mail APPLICANT SIGNATURE For office use only: Zoning . b Flood Zone SRA ❑ Structure Built without Permits No Occ. -type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER ^FOR SUBMITTAL REQUIREMENTS PER UT NO d ° BP BIN LOCATION AP# ' 7- /©n Property Address City Cross egtJ l WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time ofpermit issuance. LENDING AGENCY Name Address Description or Scope of Work Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: NO Receipt I Date:P Amount: Bldg SRA Sheriff 12- SMIP Total DMI 7 77 r%A SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paperl) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license infomation. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS mentnds can oniy be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan :heck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION 'AFORMSOUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-nd ' - r .. . . .. - � .�. -. � .�✓"'.1 _�iMi.�T ✓�ira.pcs.. y'1Y.`I".r.- ..�.�-r.,w. .�r....l%l.�'--+.i.�Yr ryd4 '. i �' -. . � M a 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: LA n ASSESSOR PARCEL NUMBER 1 (� c')' U \ Proposed Building Use: l Counter Technician: Date: Items required in order to apply 1 r a permit. All boxes MUST be checked OR marked NA in or er o apply. C� 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. 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 15. Sanitation and site plan appioval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. �❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required ............ :.............................................. ............ . ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. fa -o' 24. Planning approval (A) Use: Ot�JB)Parking: (C) Parcel Check: I! 4?�E ❑ , 25. Contact Land Development about _ Improvements, _ Drainage ......................... �l 26. NPDES Form............................................................................................. "D 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (_,.-Given to owner, _Mailed to owner) ..................... 0 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.............................................................................1........... ❑ 37. ❑Grant Deed, ❑ M.H. Title/Statement of Facts, E) Letter from Legal Qwp} to H.C.D. $ ❑ 38. Other: ���`' ❑ 39. Other: n When issued Telephone d hold for ckup. I have been informed of the above items and requirements for obtaining a building permit. / Applicanjit Date: 1. Index ppplication r the ab ve itern numbered: Plan Check Letter 2. Additional items required ((// Contractor, designe , wne as advised of the above data by phone, ❑ mail, ❑ counter, by Date:j�--] W-4 Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: IA Date: Note transfer by: Date: Yellow: Building Division I: OB. -1 OWNER -BUILDER VERIFICATIiON 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. Ol I personally plan to provide the major labor and materials for construction of the proposed (�property improvement: YES X- NO ❑ )I I HAVE ( HAVE NOT ❑ signed an application for a building permit for the proposed work. D I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK S GNED: PROPERTYOWNE S DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.91 , OWNER BUILDER INFORMATION - I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code X05-111 � O�Qp,�tiM�T Off. .owTTF II o o o O o A�eUC l Department of Public Works C o u n t y o f B u t t e J. Michael Crump, Director Storm Water Management Program 7 County Center Drive oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES)Preve Phase 11 Construction Storm Water Permit and Storm THAN 7 ACREPollution Plan (SWPPP) Acknowledgement (LESS 11 Project Description: Project Location and/or Parcel Number: By signing below, I, the project ownerlowner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that (,.therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control I am aware that submitting false and/or inaccurate information or failure to apply for a Construction . Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date:- 10 - Un than 1 Acre NPDES & SWPPP Compliance Certification �v_._. t.Rs..un mt Pmgmm s' Butte County Department of Development Services �UTrF YVONNE CHRISTOPHER, DIRECTOR o 0 0 0 7 County Center Drive o 0 Oroville, CA 95965 0- _. 0 (530) 538.7601 Telephone 0 (530) 538-7785 Facsimile cOUN'�y ADMINISTRATION * BUILDING * GIS * PLANNING November 17, 2004 Loree Snyder 15041Meridian Meadows Chico, CA 95973 Subject: APN — 047-100-184 Dear Ms. Snyder, The Butte County Department of Development Services, Planning Department, has reviewed the submitted Building Permit Application 04-2899 for a carport and patio, and has found your application in compliance with the established planning criteria. The site plan you submitted meets the setback requirements for your zone as well as applicable map or use permit conditions. The Permit Application has now been forwarded to the Building Division for their consideration and action. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7601. Sincerely, da Adler Assistant Planner E.H. USE ONLY • o2 PlanAtt Floor Plan Attached Sent to S.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance /sag/ A*K/�✓ �� Owner Location AP# Plan Approved for: Sewage Disposal %s Water Supply: Public Private Well x Clearance for -dwe#i-g. Other n Hold final for: Final clearance O.K. for: NOTE: ,,LL Environmental Health Specialist 8/96 Date t;. ..... .... ...... .... ........... ...... .. . . . . . . . . . . . +.T.r ...... ...... ........ ..... ...... . ... ..... ...... ......... SITE PLAN ELECTRICAL, MECHANICAL, AND PLUMe4NG 00NS'FAL_1rCTIQtV' • ........ ... .... ( NOT PLAN CHECK—FD .. ..... 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