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HomeMy WebLinkAbout056-090-090�� I IIIIII� u — �N, pso-oq(O-bqO r 0 o : �o " - 056-090-085 AG00-174 056-09-0-085 00-2839 SPOKES, CU12'r R SANDRA STOKES, CURT & SANDRA 3/z.401 91 ECUA MISSION LN., CHICO 91 ECUA MISSION LANE, COHAS ET AGRICULTURAL BUILDING CONTR: EXECUTIVE HOMES NEW MH ON PERM FND QJlo-!�qD` 036 ,� dD —; 5 056-090-085 AG00-175 610KES ce j a e� �/oJ STOKES, CUR'r & SANDRA q� ,L/j ZI w �. - IC( :fJ`b �% 91 ECUA MISSION LN., CHICO / : Fox CDymIA-) y AGRICULTURAL BUILDING P -r 12ESP�&)eL_-'S, /fzo SuvP�y cY�,-CAO-Oql� :;<-unr ��0�• 1755 stokes, curt & Sandr( e q t UAA Mlsslow L%- N7C0 DECKCov 3613 bQFT.. OprN 250&gq. 090 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 02 -Apr -2001 2001-0013072 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY 4 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. CURTIS D. STOKES REAL PROPERTY OWNERILESSOR 4287 STABLE LANE MAILING ADDRESS CHICO, BUTTE, CA 95973 CITY COUNTY STATE ZIP 91 ECUA MISSION LANE INSTALLATION MAILING ADDRESS. IF DIFFERENT CHICO, BUTTE, CA 95973 CITY COUNTY STATE ZIP CURTIS D. STOKES & SANDRA STOKES UNIT OWNER (if also property owner. write "SAME") 4287 STABLE LANE MAILING ADDRESS CHICO, BUTTE, CA 95973 CIT MWrV NATE 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 00-2839 A 1530)538-7541 BUIL PLRMITNO. TELEPHONENUMBER W 03/28/2001 GNATURE OF LOCAL AGEN CIAL DATE EXECUTIVE H ES DEALER NAME (ifnot a dealer sale. write 'NONE") 92081 DEALER LICENSE NO. FLEETWOOD 2001 STONECREEK 564-2K MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMUNUMBER CAFLY 17AB24159SK 13 64'X 26' RAD 13093689/90 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA(L.ABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 056-090-085PORT SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. BUILDING PERMIT NUMBER: 00-2839. Address or location of unit: 4361 DAYTON WEST ROAD, CHICO 95928 Legal Description of Real Property: 056-090-085 SEE ATTACHED: ( X) Mobilehome/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: Owner's address: CURT AND SANDRA STOKES 4287 STABLE LANE CHICO CA 95954 INSIGNIA OR HUD NUMBER: RAD1303689/690 SERIAL NUMBER OR V.I.N.: CAFLYI7A/B 24159SK13 MANUFACTURER'S NAME: FLEETWOOD YEAR: 00/00/2001 OFFICIAL APPROVING INSTALLATION: DATE: 3/28/2001 PHONE: (530) 538-7541 H.C.D. 513C Post -it® Fax Note 9 7671- Date pa°ges .. To` � Fr Co./ Co. Phone # Phone +i Fax # Fax # ii i i To` � Fr Co./ Co. Phone # Phone Fax # Fax # LEGAL DESCRIPTION A.P. #056-090-085 PORTION All that certain real property situate in the County of Butte, State of California, described as follows: PARCELI: Parcel 2, as shown on that certain Parcel Map, recorded in the Office of the Recorder of the County of Butte, State of California, on October 3, 200, in Book 150 of Maps, at Page(s) 48, 49 and 50. RESERVING therefrom an easement for road and public service easement as shown on said Map. APN 056-090-085-000 (portion) PARCEL II: A non-exclusive easement for ingress and egress and for public utilities over a portion of the Southeast quarter of the Northwest quarter of Section 14, Township 24 North, Range 2 East, M.D. B. & M., and more particularly described as follows: A strip of land 60.00 feet in width lying 30.00 feet on each side of the following described centerline: Commencing at the Northeast corner of the Southeast quarter of the Northwest quarter of said Section 14; thence along the North and South centerline of said Section 14, being identical to the centerline of Cohasset Road, South 01 deg. 00' 24"West, 384.74 feet; thence North 81 deg. 30' 37" West, 30.26 feet to the Westerly right-of-way line Cohasset Road and the true point of beginning for the following described centerline; thence from said true point of beginning and continuing North 81 deg. 30' 37" West, 223.77 feet; thence South 85 deg. 17' 36" West, 154.25 feet; thence North 49 deg. 21'11" West, 355.15 feet; thence North 65 deg. 29'38" West, 246.58 feet; thence North 89 deg. 51'49" West, 173.40 feet. PARCEL III: A 60 foot road and public service easement, as shown on that certain Parcel Map, recorded in the Office of the Recorder of the County of Butte, State of California, on October 3, 2000, in Book 150 of Maps, at Page(s) 48, 49 and 50. EXCEPTING THEREFROM all that portion lying within the bounds of Parcel I, described herein. FILE No.369 0222 '01 PM 02:56 ID:EXECUTIVE HOMES FEB.- NI(THU) 14:05 CUSTOMER SERVICE MID VALMY'If11Ja AICA MCWW CO. Am*mmmO110Np1tA m DIIPAIftMT OF VEMANS WAIRS 1227 0 ST., NM 222 SACRANIMT0, CA 99014 A.P.N.: 166416M &M OWN No.. CPUC GRANT DEEQ FAX:53O 891 8753 PAGE 4 TEL:530 893 1853 P.002 0114111111111m aft.ft- Offl4 ° I�ordc 1 11 46.81 J. io9,UlM r 7P► iamm @ m 1 W °f 2 stein No.: isvm DMP O� •• J4 vanionam" SCLAMM? "Wwum 4: COMM W ANA nx w � � neon. amfolo+ a d m Q. 1% A VALUM" CON MMATION, t AWP of WMt h beebr od=wWsW. = D. auum 1t]Dm nv, INC., A cawovu CtMfP'OmnoN Wftommme MWAWMW (W VWrZUW ANAIY9 CW TSR WAU CW CAWOW" fe fo kn ft 401ertW P qm q to 6p City of Id4yr100tit MAMM AWA. Cmeq of Dun Sotto of CNtto %W,, Nw h011 ira�tPgor othord Mwet� oaA erwfo r girt Perot. = D. am= lammy. mc.. A CAUFOM OOItAOUMN Dmmwu am: F's' O tlmMl YW C rt ) Ir> - K rmam w 1117N 11y0 M m s dm k* of dA IMlyWm O M fY /�� %ux � Wm samsm b to W" `y� w�rro�e a�-6 A. pn h mom n►.awr.e. .e �e b eN gpo�mu) ao iIT1Ap,4 r1U d�Wf � /n�o�(p nr. nori Y tl�llr♦Iw. Tri ma tar aftld �°nrlll w1. M. Plq� /1 Mdt'11u &mmwxr=Asmo m: m Now F l L E No .369 02/22. '01 PM 02:66 I D : E*CUT I VE FI yis PEB. -22: 011THU) 14:05 CUSTOMER SERVICE OBB�slzaat dt. FAX:530 891 8753 PAGE 5 TEL:530 893 1853 P.003 oRDme etc. au -183930 DMP THE LAND MUM TO H=rU 19 OITUATIM IN THB BTAT3 OF CALIFORNIA, COMP OF BU'M'S. AND I8 MOCRIRBD AS FOLLOHBi IdiR+fffil.Zi PARCBL 3, A6 SHOWN CN THAT CERTAIN PAR= MAP, RECORDED IN THE OVVI© OF THB RBCORDER O8 TH8 COt1= OF BUTTS, BTATB OF CALIFORNIA, ODI OCIOBBR 3, 1000, IN BOOL( 150 OF MAP", AT MEW) 48, 49 AND SO. R888RVI20 TMU MMM AN EA813N1W FOR ROAD AND PUBLIC 8SRVIC3 BAOBMBDIT A0 Bvim ON BALD MAP. An 0S6.0l0-088-000 (PORTION) Elm 221 A ICON-8i<CRdiBIIIN BABDGM FOR INGROB AND =MO AND FOR PUBLIC tl UITZBO OVBR A. PORTIOV OF THN 80U7MRST QMTNR OF TTIB WORTNRRBT QWULTBR 08 88CTxON 14, TOWNSHIP 94 NORTU, RAN= 1 OUT, M.D.O. 4 X., AMD VARR PARTICU MLY DBBCRIBED A8 BOLUMB g A MIP 01 LADID 60.00 FM IN WIDTH LYING 30.00 FEET ON EACH 8I113 OF TU FOLLOWING 1180CRIBRD Csw=Lnml COtOI�ACZI I AT THE NORTBBABT ODOM OF THE SOUTRBABT QUAWM 08 THE MORTBWBBT Ql1AR'1'DjR OF SAID 88CTION 14 t TRBNCN AS To Dtwax AND SOUTH CNDPl'BRi. m OF BALD ORCTION 14, BEING rmmTICAL TO Tug CWNRLINN OF CORASM ROAD, OCUTH 01 1180. 00' 140 NW. 364.74 FWt TTIBNCB NOM 81 on. 30, 370 WEST, 30.36 ABET TO TNN It22TBRLY RIOET-07-NAY I'M COM6988T ROAD ADID TUB TRUlA POINT o8 RRIGINNINO FOR TSR 101,14WIN3 D88CRIBED CB ITIRLINBI TRMICB FROM SSD TRUE POINT OF RIGI1INIIID AND MWINDING NORTH 81 M. 30' 370 WBBT, 113.77 FtETt TRW= SOU'17t 85 M. i7' 366 WMT, 134.18 FNBTt I M NOM 49 DEO. 11' 11• HEST, 355.15 l88TJ T'HMM NORTH 65 DEG. 19' 380 W88T, 346.56 Bit TNNNCB NORTH 89 DSO. 81' 490 WEST, 373.40 VM. A 6o FOOT ROAD AND Punic 88RVICt wimaetT, A8 8ttW Get THAT CIRTAIN PARCRI, MAP, RRCOMM IN THB OFFICE OF THE RBOORDNR OF T88 =MY OF BttT7 . BUTS OF CALIFORNIA, ON OCT088R 3, 9000, IN UM 150 OF MAPS, AT PAM(B) 48, 49 AND S0. =CUT= T88R2n= ALL TI01T PORTION LY1NG WA -aa T T= BOUNDS OF PARCH to D110CItz= HRREIN. FIJ_E No -369 02i2� 101 PM 02:57 ID:EXECUTIVE F&ES FEB.-22'61(THU) 14:06 CUSTOMER SERVICE � - '�Im(EIiREaE91fD WNW RCCOFAM UAL TO CURTie D. froKee PARCEL 2 000A NUION LANE CONA9811T, CA IW3 066 - of* -oar pro/ SPACEA FAX:530 891 8753 PAGE 6 TEL:530 893 1853 P.004 8m0�—(a0t:5sai.47 RAF I AEC Fu P.0.00 I tiMJ110 I tk42mmJi -aer em i 12:11 of 3 mmDRANOuM AaRmaRT aF WL6 AND AUMi XT COMM No� THIP AGWWW lamade w erbrad itdo Ileo ML001011ONeoMieen.o BERNT AR OF KrINVANS TN AFFAffWOPEOTATECFCALWORNAe adW Il NT%74W =o��= hWwMWwAmdPo%f~ OEFARTIENT hereby aereM b od m PUMBEW ane Pu OMW I N @% QWmftl0 PuMsM Mom DOWWOK • 0I6 MW OM upon era Wnla and memawre aet IbAh In that aotw► urrramnted Oe4VW LOon Conho0. of ~ date and rd&YJW hereyrN4 aMaW No by ane baleen rIo paRw hmW and an to In N alllea of Dope Amort AM FIM COMM nal Fm OW4 Wn0 IN bdrp In the Ob el-GUMIff— and In tM CWAV d -ANN- . idle Of Cal IL Pam 4aost and aa: IIU MQi W A ATTACKED or,%" or CAUFORMA a OO&bM OF tACRAMSIM Oo..l1dM WM M Dam- Walla _ NOTARY WMJC, pwsonopy I ' I Ka 11, 101-. pehoaolyr lmoaa to me (orptored to mo an dw bale of 4wk% lmy avldwlM) to be tho pReen whom as m i1 a*mtm d ro Oo wdb taft wa and oebmarb*d to me dut hrhhe eraoetad tba owns to 1lMm ardm and aapamWandtmbyWvbwdffld teoaMobdr-Imt Opp I , er rhe balatf o[wMoh the poram . "14 mom" the bumfiLmL B my heart o ani nal. w o 10 5rJ Alf at A* ad Stdo DELOFtEB WELD B rm�ot a "m" � �arwr�p rroaourm , UWARMW OF VSIARANB AFIAMS OF 7701 STA79 OF CAUPORNIA BY A II PaFMteoa enema FaToh I,nattue Cwrtis Q 54Dkea A"GN SNT ON NEXT PAOt MAIL TAX STATMOM TO 0M. OF VRORANS AFFAIR/ ►. O. Box eaam eACRA1MI M CA 44III& at FLLE No.369 0222 '01 PM 02:57 ID:EXECUTIVE ISS FAX:530 891 8753 PAGE 7 FEB. -22' 00THU) 14:06 CUSTONER SERVICE TEL:530 893 1653 P.005 AUIQNMENT we•r i r 5 ST s , Husband, hsteby assign and grant unto oureetwas all of aur Aghd ursier Ota lblrpohtg eonb'eat and No few property ttwom Jolntly deemb" and amm" tl NI of the o"pmro Wadentgorsto. to be imahsr owned and told by us n Jolt tenants. ... Hwbend Dab 12h & Ucan 9 O I Wits SAlID11A STATE OF CALIFORNIA /d8. JCAo lu�ton nte. ft 01 Tiwr'1�IC P�NepPNA sro saaDta srertsS paeonegy kfloNRl b rtt. (or prvwsd tp me on the basis eHderlmy m *do person wham name Is N�ro�to tlts wOtdrt kNW nwnt end edo+ewledped to we ON h@Ww executed than seem to MORW eulhottad , -; - 9kl and O,et by tddlwr soutturs on the lnwt wan ttn mpmem. d tate M1anu upon o behal of wNch the person meted. wITN 0 ow hen end ofAdel sal. fi Notary RU In #W for sold County And We neo W.' ee°o0"y0ilo P U001 "" YVYYVYVVI 8461 psgleolnow FILE No.369 0222.'01 PM 02:57 ID:EXECUTIVE HSS FAX:530 891 8753 PAGE 8 - FEB. -22' 011THU) 14:06 CUSTOMER SERVICE TEL:530 8931853 P.006 PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RSOORDBD IN THH OFFICE OF TIM RRCORDER OF THE COUNTY OF BUTrB, STATZ OF CALIFORNIA, ON OCT088R 3, 2000, IN HOOK 150 OF MAPS, AT PAGR(S) 48, 49 AND S0. RNSBRVINO T=WFROM AN BASEMENT FOR ROAD AND PUBLIC SBRViCB EAGINUT AS SHOW ON SAID MAP. AFN 086-090-098-000 (PORTION) PAAOh U A NON-iiX WlIV8 BASEMENT FOR INGR$88 AND IMM29 ANA POR PUBLIC UTILITI= OVZR A PORT;ON OF THE SOUTHEAST QWUtTRR OF THE NORTHWRPT QOARTBA OP SECTION 14, TOWNSHIP 24 NORTHI, RANGE 2 BAST, M.D.H. 4 H.I AND MORE PARTICULARLY DiISCRIBED A8 FOLLOWS: A STRIP (W LAND 60.00 FM IN WIDTH LYING 30.00 FEET ON EACH SIDE OF TH8 FOZJA)NIN0 DESCRIBED CENTERLINE, COMMENCING AT THE NORTHEAST CORNER OF THE SOUTMUT QUARTBR OF THE NORTHWUT QUARTER OF SAID SECTION 141 THENCE ALONG Tsc NORTH AND SOUTH CMnRILINE OF SAID SBCTIOH 14, BEING IDMICAL TO TETT CEN?ligtL=B OF COHNSERT ROAD, AooTHH of D80. 00' 240 WNST, 384.74 PM# THIMM NORTH 81 D80. 301 370 WM, 30.26 PUT TO THS WBSTRRLY RIGHT-OF-WAY I= COHA88BT ROAD AND THE TRUE POINT OF B30INNINO PCR TIM FOLLOWING DESCRIBED CBHTERLINR; TRENCE PROM SAID TRUE POINT OF 8E0INNINO AND CMMINUING NORTH 81 DEQ. 30' 370 WEST, 223.77 FORT; THNNCR SOUTH 69 ORO. 17' 350 WEST, 154.24 PH88T1 THENCE NORTH 49 D80). 21f 11" W68T, 355.15 FXRTr THRICE NORTH 68 DEO. 29' 380 W89T, 246.58 F=T1 THiMS NORTHi 89 DRO. 51' 490 WEST, 173.40 PERT. URNIL .ZTiZL A 60 POO? ROAD AND PUBLIC SERVICR cmEM8NT, A$ SHOWN -ON THAT CERTAIN PARCEL )AF; RECORDED IN THS OPPICE OF THE RECORDER OF THHR COUNTY OF BUTTE, 9TATR OF CALIPORNIA, ON OCTOBIR 3, 2000, IN BOOK 150 OF N%P8, AT PAGE (S) 48, 49 AND So. WWRVTZN13 TH USTROM ALL THAT PORTION LYING WITHIN THS SOUND8 OF PARCEL I, D88CRIBRD HHYABIN. FILE No:369.02/22 '01 PM 02:55 ID:EXECUTIVE HOMES FAX:530 891 8753 PAGE 2 • J11\1 u. vl' \.lU..0 v.aa.. �i.uti BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT t DIVISION OF CODES AND STANDARDS,'ct REGISTRATION AND TITLING PROGRAM ST'ATEMEN'T' OF FA NEW UNITS PERMANENT FOUNDATION This unit is a: Mobilehome ED C',ommercial Coach Q Floating Home ED Truck Camper Decal (License) No -(s) Trade Name Serial No.(s) F,Ceelzjoad �-719ayl-9SKe 3 p -Droe Geea I/We, the undersigned, hereby state: DEALER REPORT or SALE # THE ABOVE DESCRIBED UNIT HAS BEEN PLACED ON AN APPROVED FOUNDATION SYSTEM IN ACCORQANCE WITH 18551 OF THE HEALTIi AND `'aAFTY CODE i We further agree to indemnify and save harinless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may sutler resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on a7 i 6 tU -'(DKIC) (City) (State) Signatures) J3 v A• Printed name(s) Address,3 o ya Zs R L,," d -c _ City C� i't tC.c� State HCD 476.6 (REV 9/91) i RLE �No . 369 02/22 '01 PM 02:55 I D :EXECUTIVE HOMES FAX :530 891 8753 PAGE. 3 y�Jr7oSTATE OF CAUfORNIA NlI4 5 [R: d - BUSINESS, 'TRAWORTATIONAND HOUSINGAGUNCt O A OEPARTMriNT OF HUUSING ANI) COMMUNITY UEVFI OPMEt:1' i'I E 1 1 �) ! ,• ( OIVISION OF CODES AND STANoAn06 , MANUFACTURED HOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN I:OPY Z (YELLOM DELIVER 10 THE TRANSPORTER TUACCOMPANY THE UNrt TO ITS DEB IINATION wilmN" rvf 1-1) DAYS OF RELEABP.. COPY :T (GOLRFNROU) TO OF nETAINrn BY IHE MANUFACTURFR. NCD 403 0 - SIde I - (Tiv) NOTES z -� 3,G1 ,1 0 f RESIDENTIAL 056-09-0-085 00:839 j STOKES, CURT & SAND 91 ECUA MISSION LANE,; COHASSET CONTR: EXECUTIVE HOMES NEW MH ON PERM FND , 00 - t THE HCD FORM 433A FOR THIS MH CANNOT; I BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUS TRIEVE) (2) STATEMENT OFF TS(ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'S- 11 SPECIAL CONDITIONS 11 CHECKED BY SRA _ %F D CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS UB -STANDARD HOUSING LETTER 6f Fee )'-Orx" lVGf-7-y ill-- �C�N/� sSE`f Goof RD S'oE Address OFFICE COPY/• GAS Mete y ELECTRIC aG By Date 'c/Meter JOB FIN AILED (Date) Signature I M J = OK & 0 = Not OK = Not Applicable 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�lear es-Grnd-/ /Amp -Concrete . as; Location- st- p;-/ /" L -ft. / P Nat. or/ /-L"H./LffPLPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B -j Date Card B-1 Date MOBILE UOfAE 1y9TALLATION (Plans) OK except #'s o ' equirements-Setbacks-Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel otings'Size-Spacing-Marriage Line 3. GP/Iv Iv H Test-Demand-Vatve-Connector lectricity; 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. s a Electricity Tagged 7. Tie owns -Type -Installation Cert. 1 its; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date _ L j', 17 Card B-14(4 Date Card B-1 Dater Card B-1 /1/J Date Card B-1 •;�'�-;d To C� 6:--67C_ C�� Y �72,<Y 1559 ✓Sly 1'3 COY HUO Rin too 3��y MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rhrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ` FINAL (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; T5 Volts-GFI . 6. Elec.; Enclosures; Cokduit 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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date , , Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 /}h ,/ = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date yrrdertloor (Plans) OK except #'s 46. ng-Setbacks- Ease ments-Flood- Slope 47. Ftg., Main; Soils -Elea Grnd.-/ jar Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- 8lockouts-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 Date f- tJ- (/ / 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 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sills Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing I& Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Rott Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access, Size & Romex Protection -Draft Stop -Ins. Battles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls, Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instid./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: 111111111777 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 •Telephone (530) 538-7541 PERMIT NO Rev.12/96) APPLICATION AND PERMIT. (�'�_';�'� ASSESSOR PARCEL NUMBER 05 1 - Oqo -0(, �(L-J [�[/ (V! (y1 \ ZONING 774 5 BUILDING PERMIT OWNER CURT & SAiIDRA <-M-{ TELEPHONE 893-1871 SO. FT. OCC. BUILDING VALUATION - a it p 1591 ti 85,914 .OWNER'S MAILING ADDRESS 4287 STABLE L41IE, CHICO 95973 CONTRACTOR'S NAME BXEC1Pi'IVE HOXES TELEPHONE 891-6992 CONTRACTORS MAILING ADDRESS 3042 ESPLANADE, CHICO CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ Rg A 14 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee576. 50 ' 91 $ 288.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ mon BUILDING ADDRESS 91 ECUA HISSION LANE# CONASSET Energy Plan Checking Fee $ $ PERMIT FEE $ 311 25 LAT NO. A , SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 - TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Insliallation ❑ Other ❑ Describe Work: IMI 1.21 011 PEW -1 RID Gas piping system 1 - 5 outlets 15.00 1 Building sewer 15.00 5 r' Mobile Home I S I G 1w 920.00 PERMIT FEE ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos oA mss 23.00 �Q LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect._ // License Class '01i � V Lic. No. Y yV � � 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. M 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 •C t �i e'c t L -i �i t r a • Policy Number /_l<��! / �- �;. " (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 131 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X- Signature of Applicant - ❑ Owner O.Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To I000A 46.00 NEW CONST. DW%NG OCCUP. 3.5QSO S. ORNEW oHs ( Mu IC-Ou�rLEr NON-RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. QCCU OUTLET OR FIXTURES 20 BAL 1.00 0 Ex. Occup. ouTLEEDrsA A� D, Aw1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE = 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 439.25 HAZ. _. Iv1 'D. FEES' IMP! FLOOD ACDF ' PARCEL PD HD f 'ISSUE This permit is hereby Issued under the applicable provisions of the Butte County .Code and/or Resolutions to do work indicated ab6i for which fees have been paid. Byl/& r71. Date PERMIT EXPIRES ON � 21 ;7 `G f Date Receipt No. JulW 1 :14J-0.Z.J I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �e gig--•,••�i, State of California ��xtor f + Business, Transportation and Housing Agency ,_.. Department of Housingtand Community Development Division of Codes and Standards m j APPLICATION FOR:"""� Alteration/Conversion❑Approval to Remanufacture ❑ Alternate Approval ❑ Technical Services ❑ Replacement Insignia ❑ Coding Inspection (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) CONTRACTOR/OWNER BUILDER DECLARATIONS Not required for Special Purpose Commercial Coaches or Recreational Vehicles 1. 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 the Business and Professions CodeZd my license is in full force and effect. '•{ rl 11 - 1 License Class r JLi.. No. �w )f"% 3 Exp. Datei3OZ Contractor tx'C C �T' ♦ F • . °TM'�S Date `Z -ZZ -oc 2. OWNER -BUILDER DECLAR,AT ON I hereby affirm under peAQPof perjury tiiat&�aam exempt from the Contractors License Law forjttte following reaso-rVSec. 7031.5), Business and Professions Code: Any city or coupty which requires a STATE OFAL:FOw Cepa+!rGan: Of I:Ousin^y ,°. ",;;^:::7ii;''..1C•VC+ .en( \ s:an +�a, Division of Cocics and StanCards ~ + ;ti , z l-INAL INSPECTION C�rL-r:FIC;,TIv"! 31. E BY: _ -ate .-A,E: 3-9-0 (Uclrici R=pre's d^.tiva: LA6oa DATA: 2EA: FEE COLLECTION Fr ES: $ _ C. K,,' - DATE_ I"i EMS ISSUED: HCD 59 G, -s clo,:tric - .G LA. i'.. ATT.LCHMENTS: L7 Ce,t.r]C] GlF.er PERIr1IT W7: � ❑✓ fly E 'CLOSED F Carrier �'^\?E(' 1 IJ (L � iT1 71'\ - Policy N bar, 3 - (This section need not be completed if the permit is for,one hundred�- dollars ($100) or less). I ] I certify that in the performance of the work for which tfiis permit is ' issued, I shall not employ. any person in any manner so as [o Become r subject to workers' compensation laws of LCalifornia, and agree that if I should become subject to workers' compensation provisions of Section 3700 of.the Labor Code, I shall forthwith comply with those provisions. Applicant _ Date• r - 'COVERAGE IS UNLAWFUL, AND SHALL SUBJECM, N EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP.TO ONE HON.PRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THECOST-OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE;+INTEREST, AND ATTORNEY'S FEES. 4. CONSTRUCTION LENDING AGENCY f l/ .�' Vi I hereby affirm under penalty of perj&y, that there is a construction., lending agency for the performance of the work for -which this pet is issued (Sei? 3097 X0v. C.). �'��Lender's Nam�s. � s Lender's.Address r .5.,CERT1 ATION •1 certify thatA have read this application and state that,the above • y information.iscoirect. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby Authorize representatives of this county to enter upon the .i ove-mentioned property for inspection purposes.\I- Signature - O >-ttw11( I- o gnature o App+cant or Agent Date HCD 415, Side 1 (02/96) DISTRIBUTION: YELLOW - DEPA SECTION 1 - UNIT INFORMATION I/We are reque's'ting services for the following unit(s): (Check Appropriate Box) Manufactured Home/Multi-Unit Manufactured Housing Manufactured Home/Multi-Unit Mfg. Hsg. Component Structure Recreational Vehicle Commercial Coach (Occupancy Group Special Purpose Commercial Coach Decal or License No, Serial Number(s)`i4r LY 1-7('tZy t 9F) SY, -N-S cA F LY�1f�ZW 1 S9 CW -113 Manufacturer NamdT : `��T C,,bt1ZY Model Name \ t..lvpi� _t T� Year of Manufacturer Zoli Insignia/HUD Label Number(s) COL N0. FEE RECD DATE AA NO. RT TO J RT BY QT Owner ���1'15 NY.111SY —Telephone No.CS3j / Address b9 City C_"-, C•^7 County SS�.tr'E Zip Is�Z� Location of Unit if Different \ L� Than Above c- �'CN,T ► V t f'T v..r. �c' S t; %>)H A's E_i Applicant i Address /�3 0,.1 Z � S 1P 1_ q Y\ a 5�, 0 [ q• City C�'1 r 1 CN Zip S�"1 Telephone No. `S� ! U99 ?- SECTION SECTION 3 - CONTRACTOR, ARCHITECT,OR ENGINEER INFORMATION Contractor's Name i C_ h T f V 1= 5 Address AY., A l7� �. Gi41 Airchitect/Engineer Name Y' License No. 7 � Address J, k SECTION 4 -'DESCRIPTION OF WORK/ACTIVITY AND VALUATION . Describe the proposed work/activity in detail. Attach, additional, pages if necessary If structural alterations or remanufacturing are proposed, complete plans, specifications; details, and calculations must accompany ,.this' i ormt Check?box O if plans accompanythis application. Provide the make and model of any appliance to�e,i�lled and provide complete electricY calculations for any electrical alterations or additions. R'_i ram mE-T�:2 'g -P< t Ind+cafe the Total Cost of the Work to be Performed $ 'SEC -ZION 5 SIGNATURE AND CERTIFICATION}K „I/We herebymake application for the services designated above. If applying for_replacementaof a lost'. insignia for the uriit.described in SECTION 1 above, I/we certify that there have been no alterations additions, or modifications to the unit that would affect the unit's compliance with California or federal,law or tie rules and regulations of the Department. (If alterations, additions, or modifications have been made, a coding inspection must be obtained.) + -c \ i VI 9 `✓ Signature \ ` G` Date (Owner of unit must sign, when a replacement insignia is beina reauested). ❑ CONDITIONS (see reverse side) Signature of Department Representative ❑ Disapproved (see avers side) Date PINK - OWNER/APPLI INSTRUCTIONS: APPLICATION FOR: Alteration or Conversion: The alteration of a unit includes the addition or deletion of square footage, and any change to the equipment or systems ofl9 unit. An inspection is required upon completion. Complete the Contractor/Owner Builder Declarations and Sections 1, 2, 3, 4, and 5. Submit the gompleted application, with plans and specifications and the required fees to the Area Office listed below that is located nearest to the location of the unit. Upon return receipt of your processed application (Pink Copy), contact the Area Office to schedule an inspection date. Approval to Remanufacture: Remanufacturing occurs when an existing unit(s) is altered in a licensed manufacturing facility. Complete Section 1, providing the serial numbers and insignia numbers of each unit; complete Section 2, including the name of the licensed manufacturing facility; complete Section 4 by providing the names of your design approval agency and your quality assurance agency; and complete section 5. Submit the completed application, with a plan filing fee (section 4044(a)(1)) to the Department of Housing and Community Development, Manufactured Housing Section.0. Box 31, Sacramento, CA 95812-0031. Receipt of your processed application (Pink Copy) indicates approval to remanufacture subject to the approval oour design approval agency and quality assurance agency. Alternate Approval: This approval is for materials, appliances, installations or methods of construction that will be 11,ised al�sternatives to those specifically prescribed by statute or regulation. Complete Sections 1, 2, 3, 4, and 5. Submit the completed application and requirePees to: Department of Housing and Community Development, Manufactured Housing Section, P.O. Box 31, Sacramento, CA 95812-0031. If you have anyuestions you may contact the Department at (916) 445-3338. Technical Services: These services are provided by departmental representatives and involve the interpretation or clarification of technical data in conjunction with the requirements of statute and regulation. Complete Sections 1, 2, 3, and 5. Submit the completed application and required fees to the Area Office listed below that is nearest to your location. Upon return receipt of your processed application (Pink Copy), contact the Area Office to schedule an appointment for services. Replacement Insignia: Complete Sections 1, 2 & 5. Mail the completed application and required fees'to: Department of Housing and Community Development, Manufactured Housing Section, P.O. Box 31, Sacramento, CA 95812-0031. If you have any questions you may contact the Department at (916) 445-3338. Coding Inspection: A coding inspection or a code compliance inspection is required for a unit that does not currently have an insignia. Complete the Contractor/Owner Builder Declarations and Sections 1, 2, 3, 4, and 5. Submit the application and the required fees to the Area Office listed below that is located nearest to the unit. Upon return receipt of your processed application (Pink Copy), contact the Area Office to schedule the inspection date. AREA OFFICES: Southern Area Office Northern Area Office 3737 Main Street, Suite 400 P.O. Box 1407 Riverside, CA 92501 Sacramento, CA 95812-1407 (909) 782-4420 (916) 255-2501 CONTRACTOR/OWNER BUILDER DECLARATIONS Contractor: A contractor proposing to engage in construction is required by state law to provide the following information: Item 1 - Licensed Contractor Declaration: Enter the contractor's license class, license number, license expiration date and the contractor's signature and date the signature is entered. Item 3 - Workers' Compensation Declaration: Place a check mark next to the declaration regarding the workers' compensation coverage that applies to the contractor. If the second declaration is marked, the contractor must also provide the carrier's name and policy number. This item must be signed by the contractor and dated. Item 4 - Construction Lending Agency: If there is a construction lending agency for the performance of the work for the service being requested, enter the name and address of the lending agency. If there is no lending agency involved, enter the word "none". Item 5 - Certification: The certification must be signed and date by the contractor or the authorized representative of the contractor. Owner Builder: If the work or activity, as described on the application, is being performed by the owner, the owner must complete the following items: Item 2 - Owner -Builder Declaration: Place a check mark next to the declaration that is a plicable. If the third declaration is marked, enter the section number from the Business and Profession Code that provides the exemption and the reason for the exemption. The owner must also sign and date this section. Item 5 - Certification: The certification must be signed and dated by the owner. --------------------------------- ----------------------------------------------------------------------- SECTION 1 - UNIT INFORMATION: Check one box to indicate the type of unit for which you are requesting services. If the unit is a Commercial Coach, also indicate the Occupancy Group Code (i.e. B2 E2, Al etc.) in the space provided. Enter the decal or license number. This number is located on the license plate issued by DMV or the decal issued 6y the Department of Housing. Enter the unit's serial number(s). The serial numbers) can be located on the Manufacturer's Certificate of Origin, on the Certificate of Title, on registration documents, or on the unit's front cross member. Enter the manufacturer's name and/or model name and enter the year the unit was manufactured. This information can be obtained from the Manufacturer's Certificate of Origin, from the Certificate of Title, from registration documents, or it may be designated on the outside of the unit itself. Enter the California Insignia Number(s) or HUD Label Number(s) that were issued for this unit, if these numbers are known. SECTION 2 - OWNER/APPLICANT INFORMATION: Enter the name(s), address, and telephone number of the owner of the unit. If the owner's address is different than the location of the unit, provideinformation describing the location of the unit where the "Location Address" is requested. If the unit is located in a mobilehome park or a special occupancy park, please provide the name of the park. If the applicant is other than the owner, enter the name address and telephone number of the applicant. The Department will contact or correspond with the party that is entered as the applicant. if the applicant is the same as the owner, provide the owner's phone number, but do not duplicate the balance of the applicant information. SECTION 3 - CONTRACTOR, ARCHITECT OR ENGINEER INFORMATION: If the activity is being performed by a contractor, enter the contractor's name and address. If the activity involves an architect or engineer (such as plans prepared by an architect or engineer) enter the architect or engineer's name, address and license number. SECTION 4 - DESCRIPTION OF WORK/ACTIVITY AND VALUATION: Provide a description of the work or activity that will be perfromed under this application (i.e., installing a new roof, installing new windows, installing a fireplace or woodburning stove, installing air conditioning or heating equipment, etc.) Enter tF a total cost of the work that will be performed (total contract price). SECTION 5 - SIGNATURE AND CERTIFICATION: The signature of the applicant is required along with the date the form is signed. If the application is for a replacement insignia, the signature must be that of the owner of the unit. DEPARTMENT USE ONLY APPROVAL OF THIS APPLICATION /S CONDITIONED TO COMPLIANCE WITH THE REGULATIONS OF THIS DEPARTMENT.- Any approval issued by the Department pursuant to this application is conditioned upon the applicant's compliance with the applicable provisions of chapter 3 of division I of Title 25 of the California Code of Regulations and with the Business and Professions Code as it relates to contracting. OSP 99 19238 HCD 415, Side 2 (06/96) 1 Rev. 12/96) T w COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovilie, California 95965 • Telephone (530) 538-7541IT NO. APPLICATION•AND . PERMIT � P � ASSESSOR PARCEL NUMBER 5 p� �O U ZONINGTrt 5 BUILDING PERMIT OWNER CURT & SANDRA STOK S TELEPHONE 893-1871 SO. FT. OCC. BUILDING VALUATION 1591 R 85,914 .OWNERS MAILING ADDRESS 4287 STABLE LANE, CHICO 95973 CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTORS MAILING ADDRESS 3042 ESPLANADE CHICO CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 7 2 $ ) p 288.25 ARCHrTECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 91 ECUA MISSION LANE, COHASSET Energy Plan Checking Fee $ $ PERMIT FEE $ 11 1-99 LOT NO.� SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW MH ON PERM FND Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15-00 Mobile Home ISI GI W1 1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VOR LE Main Service p A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / ,/ r License Class Lic. No. 1p T o s 43 '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 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR ( UDS. NRA 3.5Qso CONST. MULACC. UTLET NON-RESID. @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDMREs 20'P''00 BAL O .SO Ex. Occup. GLEE°. ao .)OER k 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE S 43.-00 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. E9 I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the perfor an of work for which this permit is Issued. My workers' com nsation insurance ca and policy nu er are: Carrier Policy NUffiber V AG14W/ oZ — (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that H I should become subject to the rkers' compensation provisions of section 3700 of the Labor Code, I shall f rth ith compl with those provisions. _ Bate /� aoZ —GQ� Signatur of Applicant - ❑ w er ontractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TO AL FEE $ , 439 . HAZ D Es IM o DF c PD HD ISSUE This permit is hereby issued under the applicable Of the utte County Code and/or Resolutions indi e v for hich fees have been By W Date PERMIT EXPIRES ON Z/7- provisions to do work paid. 4� of e ReceiptNo. 309071 / $439.25 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT MURY— OF BUTTE - DEPARTMENT OF D ,i �OPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLF;A RNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET _ OWNERS Q K_ -G, S ASSESSOR PARCEL NUMBER: © 0 J Proposed'.Building Use: 0ApA. UIV(ding Inspector:Date: At time of permit application, I was advised the following data must he., prior to permit processing and/or issuance: Date Received By ❑ . All items have been submitted .------------------------------------------------------------------------------------- _. lot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ngineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- y ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. -----------------❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ anufactured Ho data installation instructions including Tie Down Specifications ------------------- El10. Fees of $ ---------------------------------C---- ---- - --------- --------------------- Impact = 1. Impact fees as sYA hown on the attached schedule. � � `x(71- -- ------------------------ California Department of Forestry plan approval/fees. ----�----- ���,/¢�=-t________________________ F elevation certificate. ------ I-t�------------------------------------------------------------------- .tation and plot plan approva Health Department. ------------------------------------------- . City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 166 Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ►�'1 �7. Planning approval for (A) Use- (B) Parking: __________________________ OzZachment ct Land Development about Improvements, ❑ Drainage, Legal Parcel. -==---------------=--- !' i� / S;' Permit for driveway (construction approval prior to occupanc ❑ 20. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- W25 4. Letter of signature authorization. -------------------------------------------------------------------------------- . R�corded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use.----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------- ---------------------------------------------------------------- ❑ 8. Existing vi ns and/or ts--------------------{�----------------------------- W9. ❑433 A, ant Deed, M.H. Title C k to H.C.D $ ---- --�7 - 3 U. Other: Y Y �ff Nl� When you issue�p pr ce . ows El Mail to owner, io jontractor. V elephone( �rJand hold for pickup at office. ❑�)eliver with inspector. r Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Copy of plans sent ❑ Health Department, ❑ Fire Departm Air Pollution Date: 1. Index permit application for the above items n bered: ` 11 Plan Check List 2. Additional items required: Contractor, designer, owner, was adhsed of the abA required data by hone, ❑ mail, ❑ Building Division counter, by ate: L Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner' as advised of the above uired data by 13 phone, ❑ mail, ❑ Buildingcounter, by Date: Plans reviewed by: Date: • j • Plans approved by: Date: 7i Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Voll..... /'...... Tl........a�,.,• _r T--'-�---'---` d__ - - -- .-. .. .� .M. Plot�` E.H. USE ONLY an Attached Floor Plan Attached Sent to B.D ja a3w, TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ,6cua 411, y6 J`16 con Owner Location AP# Plan Approved for: Sewage Disposal >< Water Supply: Public Private Well X Clearance for 4welling. Other 2 - od,1," /t, /-/ Hold final for: Final clearance O.K. for: (VOTE: Environmental Health Specialist 8/96 /2- Zp-oo Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNERS hV4— A.P. # 0'6Rr' J PROPOSED BUILDING USE MIAMN an DATE 0 1. BUELDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ / -- Revised Plan Checking Fee.. ` $ 2. SCHOOL DISTRICT FEES .. (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ 3(ov Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x '. = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 17. SRA FIRE INSPECTION' AND PLAN CHECK _/89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # d2— ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building.Division) 10. OTHER RECEIPT # DATE REC �^FI� I I L ro At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICAN DATE ���"o�� �T�/ Pursuant to Government Code Section 66020, you are hereby notified that items 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) COON 7Y OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541P UNIT N (Rev.12/96) ,' APPLICATION AND PERMIT -- FIE, w.r.,oa► OSe—�v— Q�QLc1. .� 2O1N0 BUILDING PERMIT owuEt♦G v �T s�+.>,f; 5'ToK �S TnAr"ONC $93- lg'1 1 WO.O C. B I VA ATION OWMMs MAUNA ADOROs CONTRACTOM !MI! � CE C, V xl :v No,r•�• E s NE Sol t -HOCM -I- co,,,nAo,aLs M/LLJNO .o1oREas Es Q to r A •`- 3 .0 N4 COr@TRUCnM LEWER Fireplace LEMERs MARM ADDRESS Total Valuation 6 ARCHITECT OR0INEER UC&SENo. Filing Fee a 20.00 Permit Fee 5r1(P ti _ ET ARCWTECf oR n oNOMS WAILING AOOPMS Plan Checking Fee $ SULOe+o Fir*5 A 'M 1 Ss .1 o✓� �—� ' Energy Plan Checking Fee = $ ��a 1hA ss PERMIT FEE _ LOT NO. sum"10Nskme PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 Each Trn 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Wbilehome)k Other 'PeC� Solar or heel pump water heater 23.00 Water piping 15.00 5 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ �AdQd�"� ❑ Remodel ❑ Utilities ❑ Installation, Other ❑ Describe' INo M�A�-.v�F�yr-y" �1� a�M�G f?✓'� pe p T=.Q- *Vn -6c%A Gas piping system 1 - 5 outlets 15.00 -S— Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE ! ELECTRICAL PERMIT Filing Fee 20.00 Main Service °zo00oAv Lss 23.001;;31-73— 3.00 rMain *PERMIT FEE PAID c SRA _ �Cj SHERIFF $ OTHER $ J� AMOUNT RECEIVED $ "J *RECEIPT NUMBER * TO BE PUT INTO COMPUTER MainService aoa► To loom 46.00 CONST. owELua occuP. 3.SCso. OR AOONS. • ACC. 1LT1S. FT. =.CE0 IO. MULTI.Ov"'AT (97.50 POwFT APPARATUA i SNOIE OUTLET 010. Ex. Occup. OUTLET OR W URES e20 0 1.00 .S0 Ex. Occup. O&OSAPP1Ews,c.,F.w 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 PAsc. Wiring 23.00 PERMIT FEE _ PERMIT Fling Fee 20.00 Heating in Cooling Hood 6.50 Ventilation PERMIT FEU: t Moble Home Installation Fee : Energy Inspection Fee is occ`°NST. TTPE TOTAL FEE $ -L PEES ['wj FlA00 I COP PARCEL I PO I w ISSUE This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON r. flf-ff. :_I aML wtr■ 011 vi fffw■/r ■\wf�t■ .I�i;=w . • ff� wo Nt�AMH ■■ wrfttn/ff1 /■ MC ttl al iii trfYttttttl ttlY MtA .rif_f ■Wt■ la"A M. ■rlrwYflff/1W■ rr� tt.w ■ ■ff�� _.�C'. _� tftl .l�ftlw/1/fMrNt_ttlf. uttltAr■■tOrt■■A■■Wt/frff � 1�■MI�fftlfl�fl��ffl �r_J•/f_f/■f Y.//�/f yl//+Y tr _.'SIA /f fflw Ifrwff/fY fW/• /l /fWA 1 I/flf•\f Mr N�trt�f• •7f IfrY I I`�1 /f//f fifrr■ a N I.f�'�.P �■"'I��YL1Aw�f■ J1 " Electrical Wire in Conduit WRONNIEWrAL ttEALTii DEC 1* 9,2000M&M Equipment Chico, Caiifomia452 Mann Nolta Ridge Road Cohasse, Ca. 95973 (530) 3 1 1/2" PVC water Line LIC. #64 Electrical Main Wire 120 Amp to SbWin Conduit 3 i` Mo Ciecki C Drive ____ 1 i Proposed Manufactured Home I i �--- 1000 Gallon Septic ` Tank Tight Line 1/1/2 " PVC Water Line i � D -Box 1 I ri 1 Electrical Wire in Conduit Slope 4% i it i 175' To existing i Well From Proposed Leach Fields r i i • 4-\ Large Oak Tree Driveway �41 Slope 6% J11 '4-� Circle Drive To Cul -Da -Sac 50' Proposed Leach Field Afp,IIID 100'�opose a dlihh Field Er►�oiror N Woposed Septic System for Kurt & Sandra Stokes Ecua Mission Lane Cohasset Ca. 95973 A. P. #056-090-085 Lot #2 12/11/00 1" = 40' 1000 Gallon Concrete Tank 150' Leach Field , oz2 �.a a -e) Winter Erosion Control Plan Equa Mission Subdivision, Parcel #2 The following standards are to be used for erosion control if operations proceed during the "winter period" designated as November 1" to April 15`h. These standards are not applicable for timber harvest operations which are covered under WINTER OPERATIONS within a less than three acre exemption approved by CDF. Operations connected with construction and earthmoving for construction purposes may take place when soils are saturated unless there is likelihood that displaced soil and/or sediment may reasonably be expected to reach watercourses. If operations are to take place within 150 feet of an identified watercourse, a barrier of straw bales shall be constructed to prevent sediment from moving toward the watercourse., A shallow ditch cut into the soil at least eight inches deep shall be placed below the building pad area and shall be located so as to intercept at least 90% of drainage from the cleared area. Trenches for utilities, waterlines, and leach lines may be placed below this ditch. The ditch, above, must be in place prior to sunset if the U.S. Weather Service forecast is for a "chance"( 30% or more) of rain within the next twenty-four hours, and prior to weekend or other shutdown periods. Drainage from the ditch, above, shall be dispersed into adequate stable vegetation that reasonably assures that all sediment is filtered out prior to the drainage water reaching a watercourse. Contractors must be prepared to immediately address unusual drainage issues, such as unusually severe storms, that could allow sediment loads to reach (a) watercourse(s). "Watercourse" is defined for purposes of this Plan as: a well-defined channel with distinguishable bed and bank showing evidence of having contained flowing water indicated by deposit of rock, sand, gravel, or soil, including but not limited to, streams as defined in PRC 4528 (f). Definition -- taken from Section 895.1 of the Forest Practice Rules. I have examined the site designated above. I believe the potential for significant soil and/or sediment movement offsite on this project is low and that the above mitigations are adequate to prevent movement of soil and /or sediment offsite and into identified watercourses. &; ears RPF #1875 . PO Box 6292 Chico, CA 95927 530-893-9727 1,7vie/o ❑ APPROVED ❑ CONDITIONALLY APPROM' ,' ❑ RESOLVE PROBLEMS PRIOR TO - _ �«:...; •:�,:;,�..t�- �:«., . ,. APPROVAL PERMIT CLEARANCE Permit #: (n lQ - 'a ,d6 3q Date: _ General"A ofmadon APS: Owners Name: ► n S �rt��� \ Parcel Acreage: Owners Address: 9 �°g� `7�CA, A� rA M ' k �r Building Site Address: C} � 1=. ��E. � .� � �(��Gc-`ih� . , :.�-,-•.j �. Prwveltvinformadon + Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial Moue Home ❑ 2nd Dwelling ❑ Multl-Family >2 units per parcel ❑ Septic ❑ Well Zone District:1 ► I ` �✓ Zcnir.q Ccde Street & Hi hwa s General Plan:R Subdivision M Front Use Permit: Parcel Is In: Land Conservation Agreement I] No ❑ Yes, check use Nitrate Action Plan No ❑ Yes Violation Area No ❑ Yes Specific Plan ❑I No Yes Enterprise Zone No ❑ Yes, check use Floodplain M No ❑ Yes Watershed Protection Zone No ❑ Yes J❑ SFD ❑ ResideMlal Accessory ❑ Other Date of Zoning Ordinance: Development Agreement: Variance: Minimum Acreage: - - - ❑ Chico ❑ D2N Zone: Proposed Use Complies With; 9 General Plan LTJ Zoning Proposed Use Requires: ' ❑Use Permit..r_%- Minor Use Permit C•=Administrative Permit Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown Road and Orairage Improvements Required: ❑ No ❑ Yes Agolicabie Setbacks: E] Other 17 Cohasset VNM Panel Number: [�J Accessory Budding Use Zcnir.q Ccde Street & Hi hwa s Fre Prevention Subdivision M Front 90-,� Side r Side street Rear � 3 ©,. Hetaht Permit C/waraace� ' _ . ....... _ .. , v ..-. a. x aY»xV .wo. - m.-yv... _av-=•,a+'V.-A'+ti -. ..r+r+.n*v...wx. s � ... .A!..n.. EM&Wrttental Health eam: Septic Permit Review: AWkLd ire Affidavit Required ❑ No ❑ Yes Wed Permit Review: Designated Well Site ❑ No ❑-' Yes _ Land Development Review: Drainage Plan (Con Md/MuA j) ❑ No ❑ Yes 'arcel Created bv: ❑ Deeds Date of Creation: Legal Access Provided: ❑ No _ ❑Yes Deed Reference: Legal Access Required: ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑Yes, Road'IVame: Canpdes with County Standards for Deed Creation: ' ❑ No ❑ Yes . Conurats: _ Map Date of Recording: if ci 9111—WA 1 Lot: �i h� ,� i Block: Book: �_ per: —_— :ondibons Th ust� Met r to Im nce of Permit - ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condidcn no. of conditions of approval for the ❑ Obtain a Certiilcate of Compliance (See Planning Division for application). t ❑ Construction across property Anes is not permitted (See Land Development for a Merger Appdcation/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 anent EHt) requirements, ❑ Other eneral Comments- A� II � 11 l �` • � (n� I cacao `n1 - - `1 `1 .Q a j1\A In Al I,lA6 /ne Y W kp n/UAI,,jm I `1 `1 December 5, 2000 Curt and Sandra Stokes 4287 Stable Lane Chico, CA 95973 Department, of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Parcel Number: 056-090-085 Building Permit Number: 00-2839 This office reviewed building plans for the permit application referenced above. The plans examiner's comments are listed in Part I below. Please respond in writing to each comment in Part -I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Indicate which detail, specification or calculation shows the requested information. Additional response information is included on the response form. Your complete and clear response will expedite the recheck and approval of this project. If more than one party is responsible for plans, all party's must respond on the PLAN REVIEW RESPONSE FORM. PART -I Provide additional information and/or make revisions to plans, specifications and calculations as follows: Provide information regarding the two existing structures shown on the plot plan. We do not have permits for the construction of these two structures. Structures built before 1963 do not require permits but it is the owner's responsibility to provide proof of such exemption. Structures requiring permit; but constructed without a permit will now be required to come into compliance. Plans must be submitted and application must be made before additional permits are issued. 1. Fire sprinklers are required for this structure. Please submit plans and make application for the fire sprinklers. Permits for manufactured home and fire sprinklers will only be issued concurrently. Plan check will continue upon receipt of all of the above items. Additional comments may be generated from your response above where the plan documents were incomplete, inconsistent or not adequate to depict code compliance.. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Fridays. PART-II The items identified below must be submitted prior to permit issuance. These items were noted at the time of permit application on the PERMIT APPLICATION DATA SHEET. 1. Complete and return your school impact fee form. 2. Land Development and Planning Departments' have not signed off on this project as a result I do not, at this time, know all the requirements for this parcel. I will contact you as soon as this information is received in this department. Sincerely, Martha Whitney Plans Examiner cc: Executive Homes 1 , D BUTTE,COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM '(One form per Building) J �75 School District �,�(�/n.,( Q Building Department No. A.P. Number -jurisdiction:. City � County .'Property`Owner Property; Location/Address Subdivision Lot No. Residential Development ,. No of Living Units .Commercial/Industrial- .,„w,;, , x r t. ,r. New 1 " ................................................................................................................, r [ Sq. Footage 1s9 Mobile ome Addition/ 'Supplemental to (Group R) Installation Conversion Permit # .................................................................................................................. '(No foundation inspection): 1 � � . �j� � �• Addition .fi i ,��, ) t :�:, �:�� x., ,�-• , . Et 4Sq: Footage � :.-.: • . `: t (Including Exterior Roofed Areas) Ia.5�00 Plans reviewed by School District Personnel) .� Date District Identification No; C(( ST) School District certifies that CLA A -SRv\dyA 6 So (Applicant) 1 f (Street Address)' (Phone Number) Co SS (City) * + (State) (Zip- Code) has complied with the requirements of Resolution No.. " 1 . 00 by payment of $ 3. 25� . S D • + r representing square feet.lir�' A n 1�II 1 'B 2926 $ FULL MITIGATION $ r r' - ,� �.• _ .�s-I-�.. a. t .,:..., 2 9 2000 � ( • Jo District Representat ve J COUNTY ? ( ' Date u `# Paid by Check # Z Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), . this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls 110/98)dmm 10 Winter Erosion Control Plan Equa Mission Subdivision, Parcel #2 The following standards are to be used for erosion control if operations proceed during the "winter period" designated as November V to April 1561 . These standards are not applicable for timber harvest operations which are covered under WINTER OPERATIONS within a less than three acre exemption approved by CDF. Operations connected with construction and earthmoving for construction purposes may take place when soils are saturated unless there is likelihood that displaced soil and/or sediment may reasonably be expected to reach watercourses. If operations are to take place within 150 feet of an identified watercourse, a barrier of straw bales shall be constructed to prevent sediment from moving toward the watercourse. A shallow ditch cut into the soil at least eight inches deep shall be placed below the building pad area and shall be located so as to intercept at least 90% of drainage from the cleared area. Trenches for utilities, waterlines, and leach lines may be placed below this ditch. The ditch, above, must be in place prior to sunset if the U.S. Weather Service forecast is for a "chance" ( 30% or more) of rain within the next twenty-four hours, and prior to weekend or other shutdown periods. Drainage from the ditch, above, shall be dispersed into adequate stable vegetation that reasonably assures that all sediment is filtered out prior to the drainage water reaching a watercourse. Contractors must be prepared to immediately address unusual drainage issues, such as unusually severe storms, that could allow sediment loads to reach (a) watercourse(s). "Watercourse" is defined for purposes of this Plan as: a well-defined channel with distinguishable bed and bank showing evidence of having contained flowing water indicated by deposit of rock, sand, gravel, or soil, including but not limited to, streams as defined in PRC 4528 (f). Definition taken from Section 895.1 of the Forest Practice Rules. I have examined the site designated above. I believe the potential for significant soil and/or sediment movement offsite on this project is low and that the above mitigations are adequate to prevent movement of soil and /or sediment offsite and into identified watercourses. a ' . ears RPF # 1875 PO Box 6292 Chico, CA 95927 530-893-9727 IAA91 o S , - 6 q 0 - �9 4� 5' CHWO ENV. HEALTH EFTS Septic/ ell 1OVED ® -CONDITIONALLY APPROVED " ❑ RESOLVE PERMIT CLEARANCE Permit a: Genera/Information Owners Name: Owners Address: L�j �_� (W aLxSel— (/t ��►' Building Site Address: L �C/ (_47, 6QA, M !.S PRIOR TO APPROVAL �w Date: /D AP#: (06f� Oto —/ES7— Parcel Acreage: r2_1S - �So A <1 5,4 .A cf:z) �>'.Y�P 23 Propertylnformation Permit Tvoe: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ftSeptic AWell Zone District: General Plan: Use Permit: Parcel Is In: ❑ SFD ❑ Residential Accessory ❑ Other Date of Zoning Ordinance: LY ADevelopment Zoninq Code Street & Highways Agreement: Subdivision Ma Front �; 0.) C_ Variance: JOo Land Conservation Agreement &No ❑ Yes, check use Minimum- creage: _ Nitrate Action Plan ff No ❑ Yes Violation Area No ❑ Yes Heiaht Specific Plan le Yes ❑Chico ❑ D2N Enterprise Zone No ❑ Yes, check use gj No • ❑ Yes 1 Floodplain Zone:_ ® No E] Yes Watershed Protection Zone Proposed Use Complies With: hT General Plan 99 Zoning Proposed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑' Administrative Permit Comm_ ercial/Industrial/Multi-Famil Parking: ❑ Parking Requirements are OK as Shown Landscaping: ❑ Landscaping Requirements are OK as Shown Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: ❑ Other ❑ Other K Cohasset Panel Number: 0?_ -1S C, ❑ Accessory Building Use Zoninq Code Street & Highways Fir Prevention Subdivision Ma Front �; 0.) C_ Side JOo Side street Rear v Heiaht s Environmental Health Issues: Septic Permit Review: Well Permit Review: Land Development Review Parcel Created by: ❑ Deeds Agriculture Affidavit Required ❑ No ❑ Yes Designated Well Site ❑ No ❑ Yes Drainage Plan (Com/Ind/Multi) ❑ 'No ❑ Yes Date of Creation: Deed Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: Legal Access Provided: Legal Access Required: ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes ❑ No ❑ No ❑ Yes ❑ Yes Map Date of Recording: Lot: Block: Book: ' I Page Conditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Comply with condition no. of conditions of approval for the ❑ Provide Creation Deed ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/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 EHD requirements. ❑ Other General Comments: S82)A71LL; ? S 12/27/2000 11:09 5305330125 _ l IIII'IIII"I'lll�ll��l�lll�I'�IIIh 2100 1 —000 1 963 AND WHEN RECORDED MAIL TO: Recorded I REC FEE 7.00 BUTTE COUNTY BUILDING DenetON Official Records I CONFORM .00 7 COUNTY CENTER DRrvB j Of OROVILLIL CA tae BUTTE I I CANDACE J. GRUBBS I RecoROSEMARY rDICKSON dr I Assistant I Vickie 01:23PN 17 -Jan -2001 I Page 1 of 1 AGRICULTURAL STATEMENT OF ACK FOR RESEDINTIAL DEVELOI Section 26-8 of the Butte County Code required this acknawledgment to be re property described herein is adjacent to land or included within an area zo property may be subject to inconvemcrices or discomfort from the use of t herbicides, pesticides, and fertilizers; and from the pursuit of agricultural i p1owin8. dying, PSS, and harvesting which occasionally gammic dust, sir agricultural purposes and residents within said zones and on adjacent proper or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, des AbZc-r-l. 1 RS S110�� Ot.► T1i AZ' CE "Z�A2.�1� (e.t Tk�E oFar t C.1✓ bF THE TZE,C� p� 3uTTac t STATI~ C A L• F"o�►t a� �3o�K ba aF MP. -Ps , NT P�'E Re -\c--1 Ai,4AM -TLQ 4 State of C10MU Coup 1 _of '4�61c -J�rftm' personally appeared-WK3 ` known W we (or proved to me on Ae bash oPudisfactory evidence) to be the pe i instrument and acknowledged to we that he/she/they executed the same in i his/bm their slgnatum(s) on the instrument, the person(e) or the entity upo Instrument. WlIMSS d d official seal \ Signature Seal: , A.P. # OL40 - ago - ow a led prior to issuance of a building permit. IU for agricultural purposes, and residents of this ultural chemicals, including, but not limited to ations including, but not limited to cultivation, noise, and odor. Butte County has established could be prepared to accept such inconvenience bed as follows: Tat •v r Ap.LtrL_ �-AA�, A t ft OF TTIE CC>LJLP TY a1. C whose name(.) is/an subscribed to the within .r/their authortred capacity(les), and that by elf of which the -persons) acted, executed the B.J. GREEN COMM.# 1169480 007AAY PUSUC-CAUFORNIA rA COUNTY OF BUTTE Comm. Expires Jan. 15, 2002 a BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 10 o Q& & - &l. Agricultural building is defined as follows: Agricultural building is a structure designed -and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.ASS_ .__ . OWNER Cue r b- 1- . A D e,9 577aev-e s PHONE NO. '5 Asa- OWNER'S ADDRESS 9/ ��a sslo.v ,C.4/ /°o .fix 764IS C'Hlco 9s9o;1_7 LOCATION OF BUILDING 1 Cru% 56 /©,0 USE OF BUILDING �,4 �- hlo2sF� �i9 sT02 /� G 0-e- SIZE OF STRUCTURE � �' X _ /O OfSQ. FT. TYPE;OF CONSTRUCTION: - WOOD FRAME STEEL CONCRETE OTHER (Specify) 104-2"Lf 6L -,D 6;r - TYPE OF SIDING rne�-L- �v Lfoo ROOF COVERING ��nbce — oo 1AJ FLOOR TYPE ESTIMATED COST OF CONSTRUCTION AG Buildings dhall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 55 2 , , ;,w' ' 'Sc, �Qyj(� FRONT� (J + SIDES U REAR 0200 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 1-2 — l4— od Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a building permit. FOOD ROOFjPOG ISSU1� Receipt No. 1� �3 PAR L P.D �j Manager Building .Diivisiioon By ��Z Date 1A10 bm White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant W BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. OWNER /�� PHONE 0. OWNER'S ADf ADDRESS 76 q f (-� /y/, 7 //0D 0,4 LOCATION OF BUILDING Z' e' // ✓ /SS /O� �� L (1 �o1-9ifsse 7 - USE USE OF BUILDING C %R19 -c zoz I-1 L /'fD Td 771 -4G' -,0E— G� SIZE OF STRUCTURE &D IaOO X S0. FT. TYPE OF CONSTRUCTION: WOOD FRAME X STEEL CONCRETE OTHER (Specify) TYPE OF SIDING - -r-111 ROOF COVERING 0-0 mn FLOOR TYPE 00A)Ce `ESTIMATED COST OF CONSTRUCTION $ 113,000 , AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT "'''— SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. it. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date LV, — 14-00 00 Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a building permit. FLOOD I PARC PD � ROOFl ISS Receipt No. �J Manager Building Division �/Lp� By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant �F� AND "EN RECORDED MAIL TO: go 10 1010 Ace- C7 BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE Recorded I REC FEE 10.00 OROVILLE, CA 95%5 Official Records I CONFORM .00 CountyBUTTEOf 1 CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Q( ��Assistant I Myles Q 12:36PM 28 -Nov -2000 1 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, Bruning, 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: D. • •OO P� State of California County of Qu } ♦e✓ On NOV. aQ, 62000 before personally appeared .S fnci r -� p p S personally (mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) 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 rpy hand and official seAl. 111111111tH! IUMMWAN>.'�AMM N NOTARY PUBLIC CALIFORNIA A.P. #Cl j� d JrD _ ��� Butte County My Comm, Expires April 3, 2002 `� ;SCRIPTION ORDER NO. BU -182930 DMP THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 3, 2000,. IN BOOK 150 OF MAPS, AT PAGES) 48, 49 AND 50. RESERVING THEREFROM AN EASEMENT FOR ROAD AND PUBLIC SERVICE EASEMENT AS SHOWN ON SAID MAP. APN 056 -090 -085 -000' -(PORTION) PARCEL II• A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER A PORTION*OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 14, TOWNSHIP 24 NORTH; RANGE 2 EAST, M.D.B. & M•, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: A STRIP OF LAND 60.00 FEET IN WIDTH LYING 30.00 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE NORTHEAST CORNER OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 14; THENCE ALONG THE NORTH AND SOUTH CENTERLINE OF SAID SECTION 14, BEING IDENTICAL TO THE CENTERLINE_ OF:_COHASSET_ -ROAD,___SOUTH._0-1-DEG. 00' 24" WEST, 384.74 FEET; THENCE NORTH 81 DEG. 30' 37" WEST, 30.26 FEET TO.THE WESTERLY RIGHT-OF-WAY LINE COHASSET ROAD AND THE TRUE POINT OF BEGINNING FOR THE FOLLOWING DESCRIBED CENTERLINE; THENCE FROM SAID TRUE POINT OF BEGINNING AND CONTINUING NORTH 81 DEG. 30' 37" WEST, 223.77 FEET; THENCE SOUTH 85 DEG. 17' 36" WEST, 154.25 FEET; THENCE NORTH 49 DEG. 21' 11" WEST, 355.15 FEET; THENCE NORTH 65 DEG. 29' 38" WEST, 246.58 FEET; THENCE NORTH 89 DEG. 51' 49" WEST, 173.40 FEET. PARCEL III• A 60 FOOT ROAD AND PUBLIC SERVICE EASEMENT, AS SHOWN ON THAT CERTAIN PARCEL MAP; RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 3, 2000, IN BOOK 150 OF MAPS, AT PAGE(S) 48,.49 AND 50. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. RELORDING REQUESTED BY: L. AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:31PM 02 -Apr -2001 REC FEE .00 CONFORM .00 Kristyy 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. CURTIS D. STOKES REAL PROPERTY OWNER/LESSOR 4287 STABLE LANE MAILING ADDRESS CHICO, BUTTE, CA 95973 CITY COUNTY STATE ZIP 91 ECUA MISSION LANE INSTALLATION MAILING ADDRESS, IF DIFFERENT CHICO, BUTTE, CA 95973 CITY COUNTY STATE ZIP CURTIS D. STOKES & SANDRA STOKES UNIT OWNER (ifalso property owner, write "SAME") 4287 STABLE LANE MAILING ADDRESS CHICO, BUTTE, CA 95973 CITY COLMYSTMT. ],IP 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 00-2839 530)538-7541 BUIL I PBIRMIT N0. TELEPHONE NUMBER 03/28/2001 GNATURE OF LOCAL AGEN CIAL DATE EXECUTIVE H S DEALER NAME (if not a dealer sale, write "NONE") 92081 DEALER LICENSE NO FLEETWOOD 2001 STONECREEK 564-2K MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME(NUMBER CAFLY17AB24159SK13 64'X 26' RAD13093689/90 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 05_6sQ9_OsQ85PiQR�T SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. LEGAL DESCRIPTION A.P. #056-090-085 PORTION All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: Parcel 2, as shown on that certain Parcel Map, recorded in the Office of the Recorder of the County of Butte, State of California, on October 3, 200, in Book 150 of Maps, at Page(s) 48, 49 and 50. RESERVING therefrom an easement for road and public service easement as shown on said Map. APN 056-090-085-000 (portion) PARCEL II: A non-exclusive easement for ingress and egress and for public utilities over a portion of the Southeast quarter of the Northwest quarter of Section 14, Township 24 North, Range 2 East, M.D. B. & M., and more particularly described as follows: A strip of land 60.00 feet in width lying 30.00 feet on each side of the following described centerline: Commencing at the Northeast corner of the Southeast quarter of the Northwest quarter of said Section 14; thence along the North and South centerline of said Section 14, being identical to the centerline of Cohasset Road, South 01 deg. 00' 24"West, 384.74 feet; thence.North 81 deg. 30' 37 West, 30.26 feet to the Westerly right-of-way line Cohasset Road and the true point of beginning for the following described centerline; thence from said true point of beginning and continuing North 81 deg. 30' 37" West, 223.77 feet; thence South 85 deg. 17' 36" West, 154.25 feet; thence North 49 deg. 21'11" West, 355.15 feet; thence North 65 deg. 29' 38" West, 246.58 feet; thence North 89 deg. 51'49" West, 173.40 feet. PARCEL III: A 60 foot road and public service easement, as shown on that certain Parcel Map, recorded in the Office of the Recorder of the County of Butte, State of California, on October 3, 2000, in Book 150 of Maps, at Page(s)48, 49 and 50. EXCEPTING THEREFROM all that portion lying within the bounds of Parcel I, described herein. NOTES , RESIDENTIAL 056-090-085 00-2925 STOKES, CURT 91 MISSION LN., COHASSET CONTR: FOX COMPANY t FIRESPRINKLERS, WATERSUPPLY GC�a�3� SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER l JOB FINALED (Date) Signature ./=OK , 4. 0 = NotJOK - = Not Applicable MOBILE HOMES = Not Ready Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 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 1. MISCELLANEOUS Date 4. Water; Location -Test -Easement Needed (Sketch) 1. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 2. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / P'L"ft./ PLPG 3. 7. Well Clearance & Disconnect 4. 8. Utility Clearance 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Date Electric Card B-1 Date Card B-1 Date Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 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 Date 5. Drain; MH Test -Fall -Flex Connector Date 6. Water; MH Test -Regulator -Connector Date 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 12. Permanent Foundation Only; License Decal 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed Date 7. Card B-1 Date Card B-1 Date 8. Card B-1 Date Card B-1 1. MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 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 I Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 46. Hangers -Post Caps -Anchors -Connectors Date 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Sills Proper Materials & Anchors 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 42. 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth Draft Stop in Walls (rat proof) 5. Stemwalls, Main; Steel-Blockouts-Wrapped 45. 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 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 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AkOven Circ. / / ga Cu or At Insulated Neutral C) Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 47. Cling. Joist-Rftr. Ties.Purlin-Roff Brac.-Truss -Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes D No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: scr+r -�+'�°"''Ks�"�'��'��ay.::.. xs+r'�..1"'°; r .ri'y,.'-�e...,.� . 'ow. -✓'L'•.- . ,. _ r ��.,ti . � e0`UNTY 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 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address /nd should be corrected. Please notice this office when correction of work is completed. If ou have any questions pertaining to this matter, or need additional explanation, please cont t this office immediately. F3 5 ' ` Date Inspector REV 10/92 u14'�7+i�'i-,.r'�F'�,.. SLY .w.+. t -i. �-+Y..:�...'•/y.e�:o.-.w�:. t,4i j9._,t. ri.-:. .:d:_ ��. re..X:-..q�;,;fasx',ry�S+is+...� z r ;r...r,COUNTY OF BUTTE' r.. ... _ .. , ...... .� BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES" 411 Main Street • Chico, CA •;(530) 891-2751 F 7 County Center Drive • Oroville,tA (530) 538-7541 CORRECTION NOTICE 4 77 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. 1 r 45 S TSL j36 SPP G— S 1 k� L 1-1-7a TAL YWE Em r3LYVIn Date /— 1 d - U I Inspector REV 10/92 State of California roc Business, Transportation and Housing Agency Department of Housing and Community Development `o//� �////b Division of Codes and Standards ® r APPLICATION FOR: Alteration/Conversion❑Approval to Remanufacture ❑ Alternate Approval ❑ Technical Services ❑ Replacement Insignia ❑ Coding Inspection (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) r CONTRACTOR/OWNER BUILDER DECLARATIONS Nor required for Special Purpose Commercial Coaches or Recreational Vehicles 1. 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 the Business and Professions Code, and my license is in full force and effect. 2 Z �� License Class /5 Lic. No. 7 T / 31 c Exp. Date 03 Contractor Date 2. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors 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 to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) 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).): ST.:TE OF C aLIFORrdA, Cop; ;anent cf i lousing & C ammunit/ De.,e(opment Di.;s;cn of Codes and Stan;tards FIN"t INS:>ECTi0I4 C'ERTIFICATlOI. C C '.TE: �0 (Ois!ritl r e.Prr art ,ivei 0D No.) L. r', :rATi.: /;iA �Ka ti.❑ (57�^_th Coun!y r•!o: TRAVEL -IME SECTION 1 - UNIT INFORMATION' I/We are requesting services for the following unit(s): (Check Appropriate Box) 0016nufactured Home/Multi-Unit Manufactured Housing ❑ Manufactured Home/Multi-Unit Mfg. Hsg. Component Structure ❑ Recreational Vehicle Commercial Coach (Occupancy Group Special Purpose Commercial Coach Decal or License No. Jl�CT�3r' L/ -r:.: ":1 Priv a,. P:urei;; J 1611 PARK u FLOOR". 2— I OTA_ GOitREciIOr:C: -- — -- �' --'' -- C/O — NP_ FEE CCLLECTIGN AND OTk:_C INFORMATION: ! EES: $ CK'4 I I E -NIS ISCUED: HCD 59 07 .;as ❑ Electric ATTACHi.:ENTS: ❑ TkJ.':r,;Ce.t.❑ Oil, --r PERMIT NO: Serial CA Fl -,l /7Az-1159- 5/z/3 C+F.-Vl7 3 2171/ 51- sk13 r Manufacturer Name/ /PC_ Model Name c Year of Manufacturer Insignia/HUD Label Number(s) Z-06 COL N0. /U ZZ 3 -720 FEE RECD 7 DATE AA NO. RT TO D RT BY 2Ai0i303689 /4/4D13&3(b90 N 2 -OWNER/APPLICANNT INFORMATION (,diG s ; 7c a ` /� �6 �P 5 Telephone No. l > 3G 1 CJ /�— /G 7/ gess `` Lrelrj /1155/e -t L.^_ (Cl b 'S 55r J- County r ff e- Zip ition of Unit if Different L S A �G� C _ r Above ) 5� e - icant "ass 6y z 7ny1 ✓4 Pte,, A, SC Zip /5 /6 I Telephone No. `5-3v1 C-77- G7 / 3 - CONTRACTOR, ARCHITECT OR ENGINEER INFORMATION is Name ' e //, arc A& C %J 6 r{ LLGr. l' Name AP✓/-'(. License No7 3,d/-3/ 0 rn.t e�r�nine eeetis�as „ e - - .. DATE SECTION 4�bF fM6N O WARM I T ❑,. A. to be out. Insta�aYti Yiit,,i �,.�iAp Describe the �prgr3ose� t +� y�yfMe���t iyLIVISMY�2ky. If structural alterations or remanuf r s p ate p ans, specifications, details, and calculations must accompany this form. Check box ❑ if plans accompany this application. Provide the make and model of any appliance `3 FILE CLDSEC to be installed and provide complete electrical calculations for any electrical alterations or additions. subject to workers' —compensation of California; antl agree-tnat-iT-1 should become subject to workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Applicant Date WARNING:FAILURE R MPEN3AYUW— COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec.3097, Civ. C.). Lender's Name I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby auth6riz fepresentatives of this county to enter upon the above-mennt`Iiioed property for inspection purposes. Signature of Applicant or Agent `' Date Indicate the Total Cost of the Work to be Performed $ AND I/We hereby make application for the services designated above. If applying for replacement of a lost insignia for the unit described in SECTION 1 above, I/we certify that there have been no alterations, additions, or modifications to the unit that would affect the unit's compliance with California or federal law or the rules and regulations of the Department'(If alterations, additions, or modifications have been made, a coding inspection must be obtained.) Signature (Owner of unit must sign, when a replacement insignia is beh ° DEPARTMENT USE ONLY ❑ APPROVED []CONDITIONS (see reverse side) - Signature of Department Representative HCD 415, Side 1 (02/96) - DISTRIBUTION: YELLOW - DEPARTMENT WHITE - AREA OFFICE PINK 7 Date quested). ° ❑ Disapproved (see reverse side) Date rr' INSTRUCTIONS: APPLICATION FOR: Alteration or Conversion: The alteration of a unit includes the addition or deletion of square footage, and any change tb the equipment or systerrrs of a unit. An inspection is required upon completion. Complete the Contractor/Owner Builder Declarations and Sections 1, 2, 3, 4, and 5. Submit the completed application, with plans and specifications and the required fees to the Area Office listed below that is located nearest to the location of the unit. Upon return receipt of your processed application (Pink Copy), contact the Area Office to schedule an inspection date. Approval to Remanufacture: Remanufacturing occurs when an existing unit(s) is altered in a licensed manufacturing facility. Complete Section 1, providing the serial numbers and insignia numbers of each unit; complete Section 2, including the name of the licensed manufacturing facility; complete Section 4 by providing the names of your design approval agency and your quality assurance agency; and complete section 5. Submit the completed application, with a plan filing fee (section 4044(a)(1)) to the Department of Housing and Community Development, Manufactured Housing Section, P.O. Box 31, Sacramento, CA 95812-0031. Receipt of your processed application (Pink Copy) indicates approval to remanufacture subject to the approval of your design approval agency and quality assurance agency. Alternate Approval: This approval is for materials, appliances, installations or methods of construction that will be used as alternatives to those specifically prescribed by statute or regulation. Complete Sections 1, 2, 3, 4, and 5. Submit the completed application and required fees to: Department of Housing and Community Development, Manufactured Housing Section, P.O. Box 31, Sacramento, CA 95812-0031. If you have any questions you may contact the Department at (916) 445-3338. Technical Services: These services are provided by departmental representatives and involve the interpretation or clarification of technical data in conjunction with the requirements of statute and regulation. Complete Sections 1, 2, 3, and 5. Submit the completed application and required fees to the Area Office listed below that is nearest to your location. Upon return receipt of your processed application (Pink Copy), contact the Area Office to schedule an appointment for services. Replacement Insignia: Complete Sections 1, 2 & 5. Mail the completed application and required fees to: Department of Housing and Community Development, Manufactured Housing Section, P.O. Box 31, Sacramento, CA 95812-0031. If you have any questions you may contact the Department at (916) 445-3338. Coding Inspection: A coding inspection or a code compliance inspection is required for a unit that does not currently have an insignia. Complete the Contractor/Owner Builder Declarations and Sections 1, 2, 3, 4, and 5. Submit the application and the required fees to the Area Office listed below that is located nearest to the unit. Upon return receipt of your processed application (Pink Copy), contact the Area Office to schedule the inspection date. AREA OFFICES: Southern Area Office Northern Area Office 3737 Main Street, Suite 400 P.O. Box 1407 Riverside, CA 92501 Sacramento, CA 95812-1407 (909) 782-4420 (916) 255-2501 --------------------------------------------- ------------------ CONTRACTOR/OWNER BUILDER DECLARATIONS Contractor: A contractor proposing to engage in construction is required by state law to provide the following information: Item 1 - Licensed Contractor Declaration: Enter the contractor's license class, license number, license expiration date and the contractor's signature and date the signature is entered. Item 3 - Workers' Compensation Declaration: Place a check mark next to the declaration regarding the workers' compensation coverage that applies to the contractor. If the second declaration is marked, the contractor must also provide the carrier's name and policy number. This item must be signed by the contractor and dated. Item 4 - Construction Lending Agency: If there is a construction lending agency for the performance of the work for the service being requested, enter the name and address of the lendlnq agency. If there is no lending agency involved, enter the word "none". Item 5 - Certification: The certifica ion must be signed and dated by the contractor or the authorized representative of the contractor. Owner Builder: If the work or activity, as described on the application, is being performed by the owner, the owner must complete the following items: Item 2 - Owner -Builder Declaration: Place a check mark next to the declaration that is applicable. If the third declaration is marked, enter the section number from the Business and Profession Code that provides the exemption and the reason for the exemption. The owner must also sign and date this section. Item 5 - Certification: The certification must be signed and dated by the owner. SECTION 1 - UNIT INFORMATION: Check one box to indicate the type of unit for which you are requesting services. If'the unit is a Commercial Coach, *also indicate the Occupancy Group Code (i.e. B2 E2, At etc.) in the space provided. Enter the decal or license number. This number is -located on the Ncens plate issued by DMV or the decal issued 6y the Deartment of Housing. Enter the unit's serial number(s). The serial number(s) can be locate on, the; aifastufe�' !p to of.Origirl on the Certificate of Title, on registration documents, or on the unit's front cross member, Enter the manUfaa u N Albfiffto'QQee(rr� ambfa-M .rapnter the year the unit was manufactured. This information can be obtained frbm,the Manufacturef;s Certificate D • rigin, from the Certificate of Title, from registration documents, or it may be designated on the outside of the unit itself. Enter'the C ifom a. signia Number(s)'or�HUD Label Number(s) that were issued for this unit, if these numbers are known. SECTION 2 - OWNER/APPLICANT INFOR OhI .'.En'ter the name (s)saddress, and telephone number of the owner of the unit. If the owner's address is differen't'than.the location of the unit, rprovid.e.inforrriatron describing the location of the unit where the "Location Address" is requested. If the unit is located in a mobildhdme pa'rk,o,r.a special occup ancy-park, lease provide the name of the park- If the applicant is other than the owner, enter the name address and telephone number of tliff Appllcan€:" he Department will contact or correspond with the party that is entered as the applicant. If the applicant is the same as the owner, provide the owner's phone number, but do not duplicate the balance of the applicant information. SECTION 3 - CONTRACTOR, ARCHITECT OR ENGINEER INFORMATION: If the activity is being performed by a contractor, enter the contractor.'s name and address. If the activity involves an architect or engineer (such as plans prepared by an architect or engineer) enter the architect or engineer's name, address and license number. SECTION 4 - DESCRIPTION OF WORK/ACTIVITY AND VALUATION: Provide a description of the work or activity that will be perfromed under this application (i.e., installing a new roof, installing new windows, installing a fireplace or woodburning stove, installing air conditioning or heating equipment, etc.) Enter tge total cost of the work that will be performed (total contract price). SECTION 5 - SIGNATURE AND CERTIFICATION: The signature of the applicant is required along with the date the form is signed. If the application is for a replacement insignia, the signature must be that of the owner of the unit. DEPARTMENT USE ONLY APPROVAL OF THIS APPLICATION /S CONDITIONED TO COMPLIANCE WITH THE REGULATIONS OF THIS DEPARTMENT: Any approval issued by the Department pursuant to this application is conditioned upon the applicant's compliance with the applicable provisions of chapter 3 of division I of Title 25 of the California Code of Regulations and with the Business and Professions Code as it relates to contracting. HCD 415, Side 2 (06/96) OSP 97 90152 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center•.Drive • Oroville, California 95965 • Telephone;(530),538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �f���Z+ ASSESSOR PARCEL NUMBER(( �5t� --`, ``9/ 085 VJ�R7JV`VC7J ZONING BUILDING PERMIT OWNERTELEPHONE .alfa CUPT u�:s-1371 SO- F7, OCC. BUILDING VALUATION y� EST i Ism. on OWNERS MAILING ADDRESS i'.U. z3ox i643 a -ac i CA 95973 CONTRACTORS NAME yy nA � TELEPHONE CONTRACTORS MAIUNG ADDRESS n 3titiJ OLIVE HWY 01ROVIL3..E, CA 95oxob CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER j �- - UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 91 MISSION °' M Energy Plan Checking Fee $ $ 4101 PERMIT FEE $ %Z On LOT NO. SUBDIVISIONS NAME _,�.-'r `"�;, PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCURE f*J' SF El Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unites ❑ Installation ❑ Other ❑ Describe Work: —FIRE SF'ttllVU.l:. , VAII• k SUPPLY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200 OR,mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C— /(.3. Lic. No. , JC)- 36.S 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 200A TO lOaoA 46.00 NEw CONST. DWELLING OCCUP. OR ONS. ( 3.5¢So MU�CpU�TLS. NON-RESID. 97.50 POWER APPARATUS 6 SINGLE OLIfLET CIR. Ex. Occup. ourLEr OR PocruREs 20 ® 1.00 SAL Q .50 Ex. Occup. oFIx�LE'AR'.SDOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 S VW IF' 0V'41A1,0 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 2 72 Li" 2 3 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth Ith comply with those provisions. ° X �� Date // .2710 a Signature of Appl' div -� ,caner Contractor [3 Agent z�r An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ . TYPE 4�. /1I� TOTAL FEE $ 88 VJ ].A. D FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have r I f 1 f By '-)'"V / O{"�' PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. t f Date 17 «° C DefB Receipt No. y(7G 7yT ) ',=-.,1' / I4��•�"� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 n r' ''CORRECTION NOTICE 0 S -TvK��I �-aVIA5 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. ;) o,v iii c �rwe/.'t�f . Date PdG Inspecto z. REV 10/92zA COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE. -r 0/L t'✓ 2� 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. l' DBpartrtriet of Housing and Cant[LtatltIr or 1 t_ •?' f t. /i _ '� �ff " ' �I�i: j :'.0 l DMillion of Cedes and Standards APPLICATION, V rAltefatb„lGonversian []Approval to Rernanufecture E3 Alternate Apprt#val D TerhniCal 5raevicesi t3 Replacarlt6nt Insignia 11 Coding Inipection ISEE REVME SIDE OF FORM FOR W STRIJICT10Ns AND ADDITIONAL IRFOngtow CONTRACTOR/OYM M BUILDER DECLARATIONS +Hol mQuired for zqoeciiev moose Cammarcla! calf efs of Recrawlanal vbrercres 1. LICENSED COWMACTOKS DECLARATION : hemby atflrm under ptnalty of Periury beat I am licensed under )rovlsioero of chapter O (commencing with Seerion 70001 of DivlerDn 3 is! rhe Birairess nrd Prolesslons Cade, end my Iitllnrse is in full fvfce and f'rrl. leerse Clav% 40 16 Lit. No.,M Esp. Date j Contmrlof Dare :2. OIA'NER•BJILDER DECI ARATION I hetet v alfitin under penalty of perjury that I em exam I from the Contractors Ltim,rite Law for the fallowing fso:an ISea. 7031.61, i&,;illess and Prroess[ona Code: any city or crwrrly Witch ;as a ipltnre to construe:!, alter, improun, dtnnollsh, or rrpeif any struclune. uric: to Its .eslrartim. skit requires the dppi Merit for ttuch permit to file a 1=11i statement Ihae Ire or she is lirrrryed pursuant lu wire provisinnis ul tha�trxrrractors ticcrat Lew IChaptor 9 (commenclny with Sectirin X^.ol �r urvtalon 3 orf lute ausrrless ana Proiesa.ans Cnd^) or that ho of it•S is t,•xMMIL there!r*M at,d etre ONiS for tires alleged exemption. Any .1oletion of sreuiof. )G31,5 by any applicant freta pefmrt sahieLtsthe al,l>hca-t to a rivil penalty of mw rrture than firs, hundred dollars(eSC01•I: • 1, as awnef o1 tho pralierty, or my Llriptuyee6 %vith wegas as their sole •;gmis,n991Xin, will d:r Iht•. wo-K. a'td tiw Stf66tllro is rtui intended of STATE OF ZALa�7RNom �•� `'�� De;r»rtmont of HCuBing 7J vomMV 110Y DeVeloprrent Dimon of CDCes arttl $lar:l0�ds FJINA CER(TIFICATION OY: t•Dta1n:IReprcemnlet� IrJ::c•; catratt LABOR C0.TA: AR:1 /]WrONT 'L'•t:rIG1 :Gnj^A J4 � rRayIlrs_,_,r "d^ ASr: •"i TF?.VI:1 TIWE -. INSPEt;1t0N DATA: EalKivaja Pru'f, art; © edit PARK = 1lCglt•r!NIT_ ' LACRS ?/• — SECTION T - UNIT INFORMAZON lAve are requesting Services for the lerllDvrrng urdtial (Cheek Appropriate RoaJ manufiketured b4ame-twulti-Unit morwfarxurad lfntoJily Marmfectumd ifOmelhlulti-Unit MN. It9g. Companerpit Struawra fleCfBelMrLl1 Vnlride � ”" CommerUat Coach (ODeVpturey CROUP £peclal Purpose CommorcizJ Coach ' Decal or I [cerise No. Scrlal / y8 a 4169sK 13 Manotacwnir Madel New. COL NO. L.i l�---- a Ftt RECD J10 Year of Mara,fecturar, instpnirrllUD Label Numla:r(s) SECTION 2 - OWNEIP APPLIC T INPORMA'10N Dvrnsr ��r���.fJfm7.f+y1++�i�se Telephone NO• -71 o S 93 /8 Address 01. Aeox 76 99 City �*1V/C0 _County ,AUF]e- __7op Location of Urdl It t) 1 hats AboveA 101_e% ✓04/ .CAI,- Arpkant ��� Rddrass J0SA A,4�i J70r_ - - City C 6 23pgsgr_; fataphont No -s Q V 6M M ;ECTION 3 CONTRACfOFL AnCwTECT fq FNI;[NEER INFOnMATION :611voCtor'n Nasse: -020,r 4deress ,�4.c��/Gr of 4'.Woy/Ale eA 2f >I'd� irtlf.ATON DATA; YOTAL COPfiL•CT14NS: _ �._�—__ 1 G f�p Archittrf; Erlglnesr Nunn I.iLY•nse No.• IWS-4 P _ Ci ?C _• Nr__ > rltire ss FE F.i;QilCCTIOHANDOTtlertr-ORMATIGN: ]EcTioN4• DESCRipinuNOF'NORK,••ACTIVITYANDVALVRIIJ• LL4 _—_.-- r,;K4r1_. __ ri•.�Al� ^—. )ascribe the (rropu98d Work!artidiTy In dCtPil. AlI6Dh additional pape5 i1 n::::avxdr'y, 1` slructu►;d al!,:rrrrunls 0 ti::s J Ci?Cd1- Lu' A. C Ir remanuraciuring am ptci ruled. Comploto, plans. spri.ifie:elmrli. docile, end ceicitI�•�>r is oust a,CampM': his fnrrn. Chack box xf titans acrnnrpmty thnrr appl•;,rnlon. Pitivirin Ilse rnaka and Moth : r arty apu•rance 16IcnT'; :reErr:,r, r,Fn.L' Other o be Ireitalled and provide complete n[rel leal calg,datiano tot any clac[ri:al a•tttmlhr,s oraddir[nns. i 'ttiI1T r,o: �. �" LAS FILE M.OSEI] P�/•?� �l��,r,'t//rr't� �,�.'1'.�l �El.y��rQ.�' 170:. ul the L91�NLAWF&O.ZHNJ Wsi-AJ13JhC ply with th•asc Ili vt. s. // roilhpDliranl , ri 7abeA'r.HNItC: r,(OT!PFLCVEF•AGF 11f AN CtdIPL ERTO -WAWAL f'FN,.L :L6 ANC '.IVIL t CUES LI TO 0•14E HUMORED TI OttSANU rm.1 AIts ;91 CU OOCi. IN RJD:TION r 1'HE COST OF nriM:P_1SAIION, uoAVAitS AS PROVEAL, ron 1N SECTION 3 7011 OF f H" t A DL' H ;:13 OF. 'N TC#3t:S 1, A N7 ATTORN cv, R r EES. 4 C Rt,Trl 1CItON I FNDN U AGENCY hl••=::y elltaT Undo' pwteltV C•f prritay t►lilt tl•RM i2 a rittlstrncrtuu 16 ndrng aneut.y for 7',a :n:1 tura 9•'de of rt:lt w rK for wh•xh. Idle pCrmif is tswst•Mans- Ir4voto the Total Cast of thn 1Yur1, :4 De PeodrMed s -4*0 Q • o U - 1,,We hereby make: itio-ication rul [he stnnren drlsryrlated obove If npplyniy for replireemert rJ a hell insignia for the uf•R dUnrilimd m SECTION 1 ebowl, 11wet e:mllty 5n3t trete hov+' n::,a r.c a toraeions, eddilhum. ut modifications to tow lona :`tat would afre_t the rac.l's ;xminl[ance •.Pith Ccg'n^da :t• Iowa, tan ce the rules anti rnCula[r ni of the Depanr*e:nl• til o'leraticim. addRlgnv, m n•uod COV9112 '+a•+r. 111:1,11 maoa. S rerith Ins ectian must r. redaatnd.I St nitu•a �� � Dula � //0 G ..::•I •v t - o+ I to. ,mij CTS amilicat'sn and neat :het erg attrve DEPARTMENT USE ONiy r••t::••rro•:: - s isle-:.. I sarse coir tity 1:rtlr x11 City and CCunty ::•.Ji anCSi irnl slats, laws -clot hs t0 ou:Id[nh :.a istructieAl. and PriO of h•, ,I] C0+1D TIONS 7p::•t ruvuibi side*- ❑ Dn,i CCfovCJ 39.7 rr n -mil webv alltlrowe •e1)1eeC1ttt/11J§4 G' tnrS e.:n.11tV to anter 000.1 th4V r `• �`: r , 4.'A:? ^'rnU:4•t7 cfGDCryY faf lN9petbur•. p.a 0oses. • �• ti i��! �r .. r• • ^ ;)V, 200 Sidrndu•a .f llgpxrrr,eet fi?. ^air al,t a Datr �t,�::tre`—•a- Aril :.�•1:9r 'al era W11:TC - APA Frf F.7 FINr -V;NkK-A1PL1=a'JI — - DA Tr 1 t -b4 AA NO. Y �.A1rtirr i1g RT TO �+ RT RY ,• G Year of Mara,fecturar, instpnirrllUD Label Numla:r(s) SECTION 2 - OWNEIP APPLIC T INPORMA'10N Dvrnsr ��r���.fJfm7.f+y1++�i�se Telephone NO• -71 o S 93 /8 Address 01. Aeox 76 99 City �*1V/C0 _County ,AUF]e- __7op Location of Urdl It t) 1 hats AboveA 101_e% ✓04/ .CAI,- Arpkant ��� Rddrass J0SA A,4�i J70r_ - - City C 6 23pgsgr_; fataphont No -s Q V 6M M ;ECTION 3 CONTRACfOFL AnCwTECT fq FNI;[NEER INFOnMATION :611voCtor'n Nasse: -020,r 4deress ,�4.c��/Gr of 4'.Woy/Ale eA 2f >I'd� irtlf.ATON DATA; YOTAL COPfiL•CT14NS: _ �._�—__ 1 G f�p Archittrf; Erlglnesr Nunn I.iLY•nse No.• IWS-4 P _ Ci ?C _• Nr__ > rltire ss FE F.i;QilCCTIOHANDOTtlertr-ORMATIGN: ]EcTioN4• DESCRipinuNOF'NORK,••ACTIVITYANDVALVRIIJ• LL4 _—_.-- r,;K4r1_. __ ri•.�Al� ^—. )ascribe the (rropu98d Work!artidiTy In dCtPil. AlI6Dh additional pape5 i1 n::::avxdr'y, 1` slructu►;d al!,:rrrrunls 0 ti::s J Ci?Cd1- Lu' A. C Ir remanuraciuring am ptci ruled. Comploto, plans. spri.ifie:elmrli. docile, end ceicitI�•�>r is oust a,CampM': his fnrrn. Chack box xf titans acrnnrpmty thnrr appl•;,rnlon. Pitivirin Ilse rnaka and Moth : r arty apu•rance 16IcnT'; :reErr:,r, r,Fn.L' Other o be Ireitalled and provide complete n[rel leal calg,datiano tot any clac[ri:al a•tttmlhr,s oraddir[nns. i 'ttiI1T r,o: �. �" LAS FILE M.OSEI] P�/•?� �l��,r,'t//rr't� �,�.'1'.�l �El.y��rQ.�' 170:. ul the L91�NLAWF&O.ZHNJ Wsi-AJ13JhC ply with th•asc Ili vt. s. // roilhpDliranl , ri 7abeA'r.HNItC: r,(OT!PFLCVEF•AGF 11f AN CtdIPL ERTO -WAWAL f'FN,.L :L6 ANC '.IVIL t CUES LI TO 0•14E HUMORED TI OttSANU rm.1 AIts ;91 CU OOCi. IN RJD:TION r 1'HE COST OF nriM:P_1SAIION, uoAVAitS AS PROVEAL, ron 1N SECTION 3 7011 OF f H" t A DL' H ;:13 OF. 'N TC#3t:S 1, A N7 ATTORN cv, R r EES. 4 C Rt,Trl 1CItON I FNDN U AGENCY hl••=::y elltaT Undo' pwteltV C•f prritay t►lilt tl•RM i2 a rittlstrncrtuu 16 ndrng aneut.y for 7',a :n:1 tura 9•'de of rt:lt w rK for wh•xh. Idle pCrmif is tswst•Mans- Ir4voto the Total Cast of thn 1Yur1, :4 De PeodrMed s -4*0 Q • o U - 1,,We hereby make: itio-ication rul [he stnnren drlsryrlated obove If npplyniy for replireemert rJ a hell insignia for the uf•R dUnrilimd m SECTION 1 ebowl, 11wet e:mllty 5n3t trete hov+' n::,a r.c a toraeions, eddilhum. ut modifications to tow lona :`tat would afre_t the rac.l's ;xminl[ance •.Pith Ccg'n^da :t• Iowa, tan ce the rules anti rnCula[r ni of the Depanr*e:nl• til o'leraticim. addRlgnv, m n•uod COV9112 '+a•+r. 111:1,11 maoa. S rerith Ins ectian must r. redaatnd.I St nitu•a �� � Dula � //0 G ..::•I •v t - o+ I to. ,mij CTS amilicat'sn and neat :het erg attrve DEPARTMENT USE ONiy r••t::••rro•:: - s isle-:.. I sarse coir tity 1:rtlr x11 City and CCunty ::•.Ji anCSi irnl slats, laws -clot hs t0 ou:Id[nh :.a istructieAl. and PriO of h•, ,I] C0+1D TIONS 7p::•t ruvuibi side*- ❑ Dn,i CCfovCJ 39.7 rr n -mil webv alltlrowe •e1)1eeC1ttt/11J§4 G' tnrS e.:n.11tV to anter 000.1 th4V r `• �`: r , 4.'A:? ^'rnU:4•t7 cfGDCryY faf lN9petbur•. p.a 0oses. • �• ti i��! �r .. r• • ^ ;)V, 200 Sidrndu•a .f llgpxrrr,eet fi?. ^air al,t a Datr �t,�::tre`—•a- Aril :.�•1:9r 'al era W11:TC - APA Frf F.7 FINr -V;NkK-A1PL1=a'JI COUNTY OF BUTTE - DEPARTMENT OF, DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, C`,i-form 95965 • Telephone (530) 538-7541 P MIT N (Rev. 12/96) APPLICA SIOW AND PERMIT ASSESSOR PARCEL NUMBER 050-090-085 ZONING BUILDING PERMIT OWNER STOKES CURT TELEPHONE 893-1871 SO. FT. OCC. BUILDING VALUATION EST 1500.00 OWNER'S MAILING ADDRESS P.O. Box 7648 CHICO CA 95973 CONTRACTOR'S NAME FOX COMPANY TELEPHONE 533-2730 cD 3995 ADDRESSIOLA-N OROVILLE CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1500-00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2-1 no BUILDING ADDRESS 91 MISSION 1,94E, COHASSET. CA Energy Plan Checking Fee $ $ PERMIT FEE $ RR nn LOT NO. SUBDNSSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: FIRE SPRINIKLE 2, WATER SUPPLY Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W I@20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 800V OR UE Main Service 2o..OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ` License Class GC -' /6 Lic. No. ,50.7 3 6 S OWNER-BUILDER DECLARATION 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 TO woo. Main Service zooNG 46.00 NEW CONST. DWEWOCCP. OR ADONS. ( a ACC. BIDSU. sSO 3.5QFr: NOµHEOSID. CIRMULTI.OU CUT @7.50. POWER APPARATUS a SINGLE OUREr CSR. EX. OCCU . OUTLET OR FIXTURES 20 @ 1.00 BAL O .50 LNSI Ex. Occup. o TLETS RESID.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 S7N7E- /__U/✓,Q MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number 2 72 L) JV Z3 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fora it h comply with se provisions. X Date ///2 O a _ Signature of Appl' a wner Contractor 13 Agent/ An OSHA permit is required or excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 88.00 HAZ. D. FEES IMP FLOOD CDF PARCELPD HD ISSUE This permit is hereby issued under the applicable of the Butte Coun Code and/or Resolutions Indic e b fo v�ich fees have been By Date PERMIT EXPIRES ON I xf-w provisions to do work paid. / Z 40 AP ReceiptNo. 30 308747 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT 1`i0 (Rev.1,2/96)� APPLICATInNAND PERMIT '00 "z� ASSESSOR PARCEL NUMBER� - OGj ^ ( 'ZOA"NG 13UILDINGPERMIT ovYNeR �5 KES � R✓ TELEPHONE 8'9 SO. FT. OCC. BUILDING VALUATION -- OVINERS MAILING ADDRESS . /J /� D• 76 C, if -O — CONTiACTO NAIAE �ox �orl► y TELEPHONE -Z — - COIITRACTOWS FAILING ADDRE ci CONSTRUCTION LENDER Fireplace LENDER'S AAIUNG ADDRESS Total Valuation $o 0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2.0 OC Permit Fee $ ARCHITECT OR ENGINEERS AAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS j1n s S O,4 Y L Energy Plan Checking Fee $ $ F- C U Cif �5�� PERMIT FEE $ 8 Qo LOT NO7---7 SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 Water piping 15.00 SF ❑ Duplex ❑ MobilehomeX Other Each gas water heater or vent 15.00 SPECIFY TYPE OF WORK Gas pipings stem 1 - 5 outlets 15.00 Building sewer 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ .Other ❑ Mobile Home I S I G I W @20.00 Describe Work: PERMIT FEE. 5 ELECTRICAL PERMIT Filing Fee 20.0 Main Service ( °2°oonoas L 23.00 _ Main Service 200A TO 1000A 46.00 ' NEW CONST. DWELLING OCCUP, OR ADDNS. ( L ACC. BUDS. NEW COPS T. FIULTI OUTLET NONiIESID• BRMNCH CIRCUITS (POWER APPARATUS L SINGLE ,�.Sy, SO. FT. _ 9 7.50 Ex. Occup. OUTLET OR FIXTURES 20 Q I.00 ITIED APPLNS. OR EX. Occup. OUTLETS (REBID.) FA 5,00 .__ Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 5 MECHANICAL PERMIT Filing Fee 20-.( Heating Cooling,_ Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ Q� HAZ. D. FEES IMP I FLOOD COF PARCEL PO I hD This permit is hereby issued under the applicable provis: of the Butte County Code and/or Resolutions to do v, indicated above for which fees have been paid. By Date _--- PERMIT __ PERMIT EXPIRES ON COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (9.16) 538-7541 1112 PERMIT APIAT ICA ION DATA SHEET 9/ ECi✓/! /l%.viay.l,�/ X17 9' OWNER:cS7'�IrE_S , U �._ . ASSESSOR PARCEL kRJWER: Proposed Building Use: Building Inspector: Date: At time of permit application, I was a vi -ed the following data must be submitted prior to perm' roce sing nd/or issuance: All items have been submitted.' 02. Plot plans, 3/4 set,, signed by the preparer of plans. 03. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! 06. Energy Design Compliance and supporting documentation. 07. Statement of Intent for Non -Heated and A/C Buildings. 08. Hazardous Material Form. 09. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. O 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. 1114. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. O 17. Planning approval for (A) Use: (B) Parking: _ ❑ 18. Contact Land Development about 0 Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). 020. Pre -inspection for required. 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. 023. Owner -Builder Verification (Given to owner 0, Mailed to owner ❑). 024. Letter of signature authorization. 025. Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. 027. Manufactured Home utility clearance. 028. Existing violations and/or expired permits. 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, 0 Check to H.C.D $ 030. Other: ' When you issue the permit, process as follows ❑Mail to owner, ❑Mail to tractor. O'felephone `J'�'' c� �� and hold for pickup at �\�� ffice. O Deliver ith inspector. XV Applicant: Date: EXPIRATION OF APPLICA y Applications for which a permit has not been issued, will expire by limitation 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. FEE REFUNDS 5;e:s— /�. /a - p- Z) Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant FIRE SPRINKLER NOTES: 1. FIRE SPRINKLER INSTALLATION AND SUPPLY SYSTEM SHALL COMPLY WITH NFPA-13D. 2. TANK FLOAT SWITCH MUST BESET TO MAINTAIN -: 1D GALLONS MINIMUM USEABLE WATER STORAGE IN TANK. 3. PROVI E AN ALARM TO SOUND WHEN USEABLE WATER STORAGE IN TANK FALLS BELOW GALLONS: 4. THE FIRE SPRINKLER SUPPLY PUMP PRESSURE SWITCH SHALL BE SET TO ACTIVATE THE PUMP AT PSI. b. PROVIDE ADEQUATE PROTECTION AGAINST FREEZING FOR SYSTEM COMPONENTS OUTSIDE OR IN UNCONDITIONED SPACE. 6 THE FIRE SPRINKLER SYSTEM SHALL BE TESTED FOR LEAKEAGE AT NORMAL OPERATING PRESSURE. 7. THE C-16 CONTRACTOR IS REQUIRED TO PERFORM AN OPERATIONAL TEST OF THE SYSTEM AND CERTIFY IN WRITING TO BUTTE COUNTY BUILDING DIVISION THAT THE SUPPLY SYSTEM OPERATED PROPERLY. 8. SEE PLANS AND SPECIFICATIONS FOR OTHER REQUIREMENTS: 10 r r ; a• ., • is . �d - • Goulds µ IRRI-GATORTI" SELF•� Or /n MODELS AVAILABLE APPLICATIONS FEATURES m Powered for Continuous Specifically. designed ` ®Self- Priming'Design: Operation: Pump ratings are within the motor manu- Motlei < HP Phase followmg uses ' When pump is.primed it facturer s recommended GTo7 3i Lawa sprinkOng never needs ..pdming.Again. working limits. Can be GT10 1 •Jrrlgation'` _ :, • Air conditioning systems' even if -water level drops below end of the foot valve. operated continuously GT15 1'/s GT20 ' ' 2 1 • Heat pumps, It resumes pumping as soon without damage. GT30 3 • Water transfer as water level rises again. ■ Mechanical Seal: GT073 3i • Dewatering Gas or air in the water will Carbon/ceramic faces, BUNA GTI 03 1 i not airbind the pump. elastomers. 300 series GT153 1 i 3 ,SPECIFICATIONS m Serviceable: stainless steel metal parts. Exclusive casing design GT203 2 Pump: • Back pullout design allows prevents the seal from GT303 3 • Pipe connections.: disassembly of pump. for running dry. NF Suction service without disturbing 1 " discharge piping, Two compartment motor SELF -PRIMING Capacities: to 110 GPM:at for easy access to motor 5 foot Suction lift: • Heads: to 128 feet. wiring and replaceable" • • Reprime capabilities: to 25 components..f• o I LA foot suction lift. ®Diffuser (Guide Vane : ) G o o '&0o •Maximum working Bolt down diffuser provides pressure: 125 PSIG. positive alignment with • Maximum water impeller. Diffuser also has temperature: 160°F (71, .i stainless wear ring for g Water recirculates, but during re priming Arrows show flow of water after all air has • Rotation: right hand ie; extended performance in p operation only. been exhausted from clockwise when viewed abrasive conditions. F.D.A. Air is exhausted from suction line through suction line. from motor end. Compliant, injection molded, discharge pipe. Motor: food grade, glass filled • NEMA standard open Lexan® for durability and drip proof. abrasion resistance. 60 Hz, 3500 RPM. m Impeller: F.D.A. compli- • Stainless steel shaft. ant, glass filled Noryl • Single phase: a/a-2 HP, Corrosion and abrasion 115/230 V;.3 HP, 230 V, resistant. only. Built-in over -load ' . ■ Corrosion Resistant: ' - with automatic reset. Electro -coated paint process P • Three phase: 230/460 V.is applied inside and out, Overload protection must then baked on. be provided in starter unit. Casing:Cast iron Starterand heaters (3)_..__ -. L_„ ,. Mode G.13TS -T.07 ..',GT.15, V -.-P,'j 4 OWV.,� IN -RE GT30 --YOF XU -P –- –diffP a ring '�.. t s, 4 Diaphragm - 77 .9 5 Machine screw 6 Diffuser 7 Impeller 8 Mechanical seal 9 Foot 10 Bolt foot to adapter 11 Motor adapter 12 Bolt – casing to.adapterm 13 Bolt - 6dapter to motor; 14 Deflector Mode G.13TS -T.07 ..',GT.15, GT20 GT30 GT073 GT103 GTI53 GT203 GT303 P 44141 36 Tl 74 2 3 % 1 10. 4 '0. 0 01 2 20 :20% 21'Y32 19 19% 2 40 29 22 16 8 0 8% 20 63 59 54 49 39 GT15/ -- 30 60 55 51 46 37 Height 9/4 40 45 38 33'20 14 20 V(lhsi), 48 52 60 65 76 49 52 b5 69 1 71 Phase ` Single '-30:z 92, 90 84 75 57 1– 40;: Three mmmmmmmmmmmmmmmmmm mmmmmmmmmmmm Poll mmmmmmmmmm m mmm mmiOmm w9mmmmmmmmm mmoommm mmmmmmmmmm mmmmim mmmmmmm 0 1111112=1111111111 lonimmommimikilmm mmmmmmmmmmi=IM mimmi�imm WI111111111N mmmmaimmmmm mmmmmmmmmimmmmi MMMEIMM— m�mm mmmmmmmmmiamEff ml ==Mmimmmmimm mmmmmmmmm9 11 gill! Psi suction Lift Model Disch. -- InTeet — � P ressure 5 10 15 20 25 F 20 44141 36 Tl 74 GT07/ GT073 30 34 31 26 22'14 40 10. 4 '0. 0 01 20 53 61 49 46 41 GT110/ 30 43 41 38 36`32 GTl 03 40 29 22 16 8 0 20 63 59 54 49 39 GT15/ -- 30 60 55 51 46 37 GT153 40 45 38 33'20 14 20 N 77 76 59 46 GT20/ GT208 30 80 F,2167 57 44. 40 65 60 57 50 3' 20 76 GT -30/ GTP,q3 '-30:z 92, 90 84 75 57 1– 40;: 73 67 62 55 50 mmmmmmmmmmmmmmmmmm mmmmmmmmmmmm Poll mmmmmmmmmm m mmm mmiOmm w9mmmmmmmmm mmoommm mmmmmmmmmm mmmmim mmmmmmm 0 1111112=1111111111 lonimmommimikilmm mmmmmmmmmmi=IM mimmi�imm WI111111111N mmmmaimmmmm mmmmmmmmmimmmmi MMMEIMM— m�mm mmmmmmmmmiamEff ml ==Mmimmmmimm mmmmmmmmm9 11 gill! Mechanically-ativafed switch designed to directly control pumps and activate pump control panels, alarms, solenoids, and relays. Rteemmended 0.S.TE 273/ �r��sAVA01Aa,t~stoe Features - Pump HP e Heavy-duty contacts e►r+3 LN $424S a UL Listed for use in water and sewage ll2 rug or le» o CSA Certified 13 Rmpq o, Two-year limited warranty t UP or les -3 Pump Switch: oControls pumps up to 112 HP at 120 V and I HP at 230 V e Adjustable pumping range of 7 to 36 inches Central switehs ® Pmvides pilot duty action with on-off differential as low u.3.5 inches above or below horizontal Options Applications This switch is available: -SJE PumpMaster* pump/control switch provides a in standard cable lengths of 10, 15, 20, or 30 feet automatic control of pumps in water and sewage Pump swNehs f applications: Because this switch is not sensitive to • for pump down or pump up applications rotation or turbulence, it can be used in both calm and * with a 120 V or 230 V piggy -back plug turbulent applicatinns. The .SJE PumpMastcrs can also a without a plug for direct wiring in 120 V or be used as a pilot duty control switch to reliably 230 V applications monitor liquid levels in sewage and water applications. + with standard mounting strap Contact SJE regarding specific intrinsically safe Control SwIlths (order without plug option) applications. e for normally open or normally closed applications e with two mounting' options (mounting strap or cable weight) Cwbint flexible 15 gauge, 2 conductor 5JOW A Pump Down / Normally pp®n / OFF position (UL), SJOW (CSA), water-resistant, neoprene contacts open (CPE) Floats 3.05 inch' diameter x 3.56 inch long (7.75 tS "'r'' cm'x 9.07 cm), impact resistant, non -corrosive, PVC plastic for use in liquids up to 1400F (60°C). Pump Switch Electrical: �,}Ml�• r 3;,�.. .-;��,' S Ce+�1tAi :, •r .a,'�' Qlij4i 'y Voltage 6OHz ' ' ��t ;�, • j��, y 8nlp I Pump Up / Normally *pan / ON position M&;,Amurj pump Locked Rotor' Rteemmended Single Phase Running Current Amps - Pump HP 120 VAC 13 amps 25 &,ps ll2 rug or le» 230 VAC: 13 Rmpq _85 amps t UP or les -3 CONTROL VALVE TU 1-HKIHtZ51 3rti1n1\L-rM c.HA 'MiSs�.r• �ry i 10.5 G.P.M. EA.) SYSTEM PIPE SECTION ONE EQUIV.FT. (icf-i-AS5eT = 150 t -------------- --------- -~1 '' PIPE _ '80 FT. A PRESSURE REQUIRED = 12.25 P.S.I. _ 5 ELBOWS ° 35 FT. 0 COUPLINGS = 0 FT. 41,1d�P�7JI�E�tJ,37/ •D ./ e TEES (RUN) = 8 FT.'�.,... / I 4A` `^ DRAWN 2 TEES (BRANCH) = 10 FT. � DATEx7/o TOTALS - 133 FT. X .0719 - 9.56 22 . Q3 K , JOK NO, cr w r 1� 9 6 o. 305365 . 53.:2730 L c. N 1 (1)3 - G.P.M. - P.'S. CONVERSION FORMULA: BRAND OF HEADS - CENTRAL, #LF ,P• P ,_..r,_..-- wAreR 4 I": L-4 .k K FACTOR OF HEADS USED z 3 (G.P.M./ K FACTOR)2 = P.S.I. EQUIVALENT FEET CALCULATED @ 2 HEAD PXOJCCT �TOKGS � 21 G.P.M. FLOW i 10.5 G.P.M. EA.) SYSTEM .�ildrYlE LOSS ' C' FACTOR = 150 t ADDRESS EOA14 4$11 1.01V ZAl./0OCCUPANCY�( , flroMPANy PRESSURE REQUIRED = 12.25 P.S.I. _ C 1 i YL 41,1d�P�7JI�E�tJ,37/ _ P. AVAILABLE IN SYSTEM 22.03 S. TITLE PIPING PLAN and DETAILS / I 4A` i � t,1,; .c � . DRAWN FOX COMPANY� � DATEx7/o 3996 Olive Highway V JOK NO, Oroville, California 95966 R O 9 6 o. 305365 . 53.:2730 L c. N 1 (1)3 2<HEAD = 21 G.P.M. FLOW i 10.5 G.P.M. EA.) Ssi FRICTION LOSS ' C' FACTOR = 150 t MINIMUM PRESSURE REQUIRED = 12.25 P.S.I. _ PRESSURE _ P. AVAILABLE IN SYSTEM 22.03 S. , ,� r • , I ., 9 � I i � t,1,; .c � . ,- ,. r: ., nr.m^•'. rl •y ,:N�: , .s.;� i, . I r T ., 11:. 1i i I I I