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056-360-014
056-36-0-014 BOGLE,.JOHN 93-3771 P,E + '/4'0j? -,FOREST RA�JAY IirS/ CONTR:,GARY MARTONE.' FOREST RANCH MHU SELECT GAS LINE., COMPACTION TEST REQ o_ SUPPOR-'STRUCT REQ -056736-0-014 '93-3772 -BOGLE,`JACK.& MARTONE,� HOPKINS, HOLLY �6®-3-%FOREST RANCH WAY CONTR:-GARY MARTONE ),o FOREST RANCH MHI •' -� - .. -mow-• ��'/yi! BO E, JOHN 160037 ST RANCH RD, FOREST RANCH CONT: EXECU , HOMES M/H ON PERM FND, SITJ . � 1! 056-36-0-014 _ .001[5' BOGLE, JO to 16037 FO ST RANCH,RD. F.R. CONT . EXECUTIVE HOMES OP DECK -• 1, avoll 6 i r o � o 056-36-0-014 BOGLE,.JOHN 93-3771 P,E + '/4'0j? -,FOREST RA�JAY IirS/ CONTR:,GARY MARTONE.' FOREST RANCH MHU SELECT GAS LINE., COMPACTION TEST REQ o_ SUPPOR-'STRUCT REQ -056736-0-014 '93-3772 -BOGLE,`JACK.& MARTONE,� HOPKINS, HOLLY �6®-3-%FOREST RANCH WAY CONTR:-GARY MARTONE ),o FOREST RANCH MHI •' -� - .. -mow-• ��'/yi! BO E, JOHN 160037 ST RANCH RD, FOREST RANCH CONT: EXECU , HOMES M/H ON PERM FND, SITJ . � 1! 056-36-0-014 _ .001[5' BOGLE, JO to 16037 FO ST RANCH,RD. F.R. CONT . EXECUTIVE HOMES OP DECK -• 1, avoll NOTES (RESIDENTIAL r i rU�b-JO=U=U14 UU=fUYZ BOGLE, JOHN X } RERMIT NO. _.-160037,FOREST•RANCH,RD,-FOREST J— } RANCH iY CONT: EXECUTIVE_ HOMES M/H ON PERM FND EX� SITE i �`T-HE'aHCD"F0 433A FOR THIS MH CA OTy` BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) � (2) STATEMENT OF FACTS(ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'S SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t -7) 33 `6 �. 33, 3 410 C% fL Y/ 9 JOB FINALED (Date) Signature ✓ = OK 0 = Not OK - = Not Applicable MOBILE HOMES • = Not Ready. Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Electric 2. Soils; Special MH Support Sketch 8. 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) Siding; Nailing -Veneer -Stucco -Mesh 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Disconnect Ext.; Steps -Doors -Landings 8. Utility Clearance 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HRJME INSTALLATION (Plans) OK except #'s 1102o g Requirements -Setbacks -Easements 2. oo' gs; Size -Spacing -Marriage Line 1 as:Al� Test -Demand -Valve -Connector MH Test -Crossovers -Breakers -Clearances S. _2faim.MH Test -Fall -Flex Connector 6.1,1Nater; MH Test -Regulator -Connector 7.TNa r pTsewer Connected -C/O to Grade -HD Approval and Electricity Tagged gAie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy n 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; SiIts- 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- Enclosure s-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 V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (; = Not Ready Date nderfloor (Plans) OK except #'s 1 o ng -Setbacks -Easements lood-Slope tg. ain; Soils-Elec.d.-Y. /- Ftg. Depth Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Ftq/ Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. emwalls, Main; Steel-Blockouts-Wrapped VS!pZwalls, Garage; Steel- Blockouts-Wrapped >ingle & Duplex) Bate 6 old Downs and Special Anchors 46. 7. SI , Steel -Wrapped Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. &Aiers- Ftg.-Steel 49. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 52. 11. Water Pipe; Test -Anchors -Regulator -Service Test Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 12. Electric Underground 55. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Siding -Nailing Veneer 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 58. 15. Access & Ventilation Shear Walls; Nailing -Bolts 16. Insulation 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Date G Card B-1 U Date Card B-1 1 Date Insulation -Foam -Looked in Attic Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Energy Compliance Certificate -Other Certificates 17. Water Htr.; Vent -Access -Combustion Air Baffle Address Posted 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Card B-1 Date Card B-1 20. Shower Pan; Test, First Floor -Tub Access Card B-1 Date Card B-1 21. Test Tub & Shower, Second Floor -Tub Access Card B-1 Date Card B-1 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits 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 >ingle & Duplex) Bate FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll 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 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 ❑ Yes 82. Following Instld./Drive :1 Yes p No/Walks :1 Yes ❑ No/Planters 0 Yes ] 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI ION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- 41 0. (Rev. 12/96) APPLICATION AND PERMIT ASSU6PA�COUh��R4 �j U11 ZONING �� BUILDING PERMIT OWNER JOHN BO GLE TELEPHONE 342-6380 SO. FT. OCC. BUILDING VALUATION OW r V ILI 3 R 1 "25, FOREST RANCH, CA CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 1891-6992 co"�U402SLtii, OE, CHICO CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $wi_096 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 306.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 199.05 BUILDING ADDRESS 16037 FOREST RANCH RD.- FOREST RANCH, CA Energy Plan Checking Fee $ $ PERMIT FEE $ 525.30 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IR 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 00 Other ❑ Describe Work: M/H ON PERM FND — EX SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 7F T PERMIT FEE $ Ac; nn ELECTRICAL PERMIT Filing Feel 20.00 600V OR ESS Main Service 20.AORLESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, nd my license is i full f rceect. icense Class ��l (Lic. No. ! O l U S OWNER -BUILDER DEC ARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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 Mein Service TO 46.00So CCU000A WEE200A NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLAS. SO 3.5¢Fr. Np pcIp MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET FIXTURES BAS @' o FIXED Ex. Occup. oirTrs RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'-compensat' 1 sura a carrier and policy number are: Carrier�SLl t L0 i ill,�1c nrr Policy NumbeF — �� �y a 4-3 (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 fort it compl ith those provisions. e -1 X aDate S ' 17—iiu _ t e Applicant - ❑ Owner 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 FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $33.30 HAZ. D. FEES IpIP FLOO Co P Po H S This permit is hereby issued under of the Butte County Code and/or indicated ab v r which fees have By PERMIT EXPIRES ON 6 the applicable provisions Resolutions to do work been paid. Date S O SI7/lo j r7 — I Receipt No. 2.94533 $633.30 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -�, :e --w.. -.r a�--.-,...rr4'.r...-, w.r.�,,�.+y.Y.rv�v-wrwr...,�j'}�,s1-.�71L':.Wi,T�.spm.•::�trt.'1+'�^:.,,y,SAti.y.'Uti.1��7^%.y"`r �1'r4�.-ti'�f`+4•, -.. ... r...RY'^R�i:-: � .� -.. T:Ey?o CO wff OF BUTTE - DEPARTMENT OF DEY LOPMENT SERVICES - BUIL I2VG DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,'C RNIA 95965 - TELEPHONE (5 flI 538-7541 1 PERMIT APPLICAxTl`ON DATA SHEET 'OWNER: ASSESSOR PARC ER:t0�' Proposed Building Use. Building Inspector: Date: S At time of -permit application, I wPE the following data mdst'"� witted prior to permit rote sing and/or issuance: : Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ----------------- -"----------------------------------------- ❑ 3. 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. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116, Energ. Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- 118. --- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- 81- Impact fees as shown on the attached schedule. ----------- ----- =-�-- --- - - -- --- --- . California Department of Forestry plan approval/fees. ------- ------------ ----------- ----- - Flood elevation certificate.---------------------------------------------------------------------------------------; Sanitation and plot plan approval t LO Health Department. ------------------------------------------- -S ❑ 15. City of Chico plumbing pemrit.----------------------------------------------------------------------------------- p. . ❑ 16. Plot plan and business license approval from the City of Biggs.---------------------------------------------- 1117. --------------------------------------------- ❑17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ,❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). -----------------------F --- 020. Pre -inspection for required. Request to Building Inspector on 021. 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 E3) - -------------------------------------- 024. Letter of signature authorization. ------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. - 026. Letter of intent on building use. ---------------------------------- El 27. --------------------------------.❑27. Manufactured Home utility clearance. -------------------------- ❑ 28. Existing violations and/or expired permits. --------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title; ❑ Check to H.C.D $ 1130. Other: ?you issu�.jh��/p�,;,Mpr��;ce�s_as follows ❑ Mailto owner, ail to co tor. TZI,hone �f C! 6 0 and hold for pickup at ce. ❑ Deliver with inspector. _ Applicant:(1 2v Date: S Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: `Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:_ _ (Date)'` ,1-2. 6Z__> 1. Index permit application for the above items numbered:. ❑ Plan Check List 2. Additional items required: 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, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divi on counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil ' D ision counter, by D te: Plans reviewed by: Date: Plans approved by: - 1 Date: Z Sets of plans on hold in 11 Plan Cabinet, 11A.P. folder. ;Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT. Sanitation Clearance E.H. USE ONLY Plot Plan Attached F1 t Plan Anacited o B. 12& IgUE A> Owner Location AP# Plan Approved for: Sewage Disposal -Loo' Water Supply: Public Clearance for dwelling, Other Hold final for: Final clearance O.K. for: NOTE: Private Well Environmental Health Specialist Date 8/96 �......�,:%,.+..��s•.•......._..v.-r•...-.,tpyy�:.•.:,�....r�r,:.J„�i6y.;.}/+:..'Y:.-..rsiti..•��r•,-+'.sr^Fa�titTyac»�..,rr..at'4�r'tr..:�..�-.-.•.�:.�-..u1--t'*�e::«r:i.i�,....�'."t�':--•:iG:.�:%.r-.'�,..�r.-�-�.�5'-v..:+•r. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ,,(One form per Building) t School District Building Department No. A.P. Number �S(O- 1'2�0 Jurisdiction: City County Property Crooner Property Location/Address Subdivision Lot No. ............................... ................................... :............................... ........ ✓`� Residential Development€ Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # w� '(No foundation inspection); ................................................................................................................... Commercial/Industrial ' Sq. Footage New Addition } (Including Exterior e Y Ro • fed Areas) f Building Oepaitment RepresenaliveWDate 0 11(Fll rr Plans reviewed by School District Personnel) District Identification No. i►V !T t•. School District certifies that F"14P• e.G[,I &C-1 (Applicant) (Street Address) (Phone Number) (City) (State) (Zip• Code) ' has complied with the requirements of Resolution No. % L .0 .9 8 by payment of $ ��( t r representing ' square feet. AB 2926 S FULL MITIGATION S A4 &-k"71e)o School District Representative Date a1 Paid by Check # AZA Remarks: i Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the,School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm (Rev. 12/96) ibOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �VT APPLICATION AND PERMIT `.1 ASSESSOR PARCEL NUMBER O 019 ZONING 4. OWNER TELEPHONE SO. FT. OC C.Q. BUILDING VALUATION . OWNER'S MAILING ADDRESSff77 � ?.Q _ �x pi S �ta-(t+�sT NNW r G}1 CONTRACTOR'S METELEPHONE o -%S �� - (Rev. 12/96) ibOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �VT APPLICATION AND PERMIT `.1 ASSESSOR PARCEL NUMBER O 019 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OC C.Q. BUILDING VALUATION . OWNER'S MAILING ADDRESSff77 � ?.Q _ �x pi S �ta-(t+�sT NNW r G}1 CONTRACTOR'S METELEPHONE o -%S �� - CONTRACTOR'S MAILING ADDRESS V c ✓� F -. A+ C r r bo CONSTRUCTION LENDERJI FlreplaCe LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS bQ 'Sr) �g_*-S T Energy Plan Checking Fee _ $ 1�7--*QCT C'%4 PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeOther SPECIFY Each Trap 7.00 Solar or heat pum water heater _ 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe Wor n ✓1� ' Gas piping system 1 - 5 outlets 15.00 S (� Building sewer 15.00 15-61 Mobile Home I S I G I W @20.00 PERMIT FEE ELECTRICAL PERMIT _ Filing Fee 20.00 - Main Service ( EOOV2ooA OR oR LEss ` 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 Ci— 'Li'l Lic. No. %am O S%3 OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P tY P 1 rY P 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. ❑ Iram exempt under Sec. Business and Professions Code for this Main Service ( To ) 46.00 CCU000A NEW CONST. DWELLING OCCUP. WE.L OR ADDNS. ( 8 ACC. BLD S.FT. 3.5 ¢SO. NEW CONST. MULTI -OUTLET NON -NON ( BRANCH CIR�y1TS @7.50 POWER APPARATUS 8 SINGLE OUTLET On. Ex. Occup. ( OUTLET OR nX`rURES) 20 1.00 BAL lot .so Ex. Occup. FI%ED APPLNs.OR � ouTLErs RE( SID.IL 5.00 Temporary Service 23.00 Mobile Horne Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 113, DD 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. XI 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' compensa�1tio�rl insurance carrier and policy number are: Carrier S -.,P ��' V-tz► T3-- q`, MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt — $ Policy Number !!)19 -z— tl1 (The above sections need not be completed if the perYK 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 forthwith co ly with those provisions. X_Date Signature of Applicant - ❑ Owner t� Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ occ corJsr. TYPE TOT FEE $ c HAZ. D. FEES IMP FLOOD CDF PARC PD HD 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 ale Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINKINSPECTOR GOLDENROD -APPLICANT 1. Owner's Name: 2. Assessor's Parcel Number: ' 0 5� _ '3bo y Off' 3. Installer's Name: �c>C E G V e 4. Is the site currently under permit? Yes[ ] No [XI Permit No. 5.. Is the site an. existing site? ' Yes [>q No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? Amperes. .7. What is the mobilehome site circuit breaker rating? _ Amperes. 8. What is the electrical rating of the mobaehome site? Z Amperes. 9. Is the main service remote from the mobilehome site?. Yes K] No[ ] If it is, what is the rating? 7.00 Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- 'W Amperes- 3 b) The main service: Load- ` Amperes-' 11. Type of gas service at mobilehome site: Natural[-] Propane,] None[ 12. Size of as pipe at the mobilehome . site from the . meter or tank: -1inches. i 13. What is the gas pipe length from the meter or tank to the mobilehome? 5� (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is :not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8 S. 1� a i =353�figv_ _c'3' � t c8 i 6_ i 3658 0 w :.1:SiER C J?00;`•:. LMNG ROOM,IIP Bc ROOCtt Y II� 3cDROCO.`.' `2CD ]. I I O 1 W D ZQj GPT C RSFORY D M Q N w.0. 28 3 L J \ m t $ 28 28 m • I COOLER t`-'IRROR LA)- 0. DINING AREA O y�D1aJ o Int o 28 ZB 416' O o OOL c 28 - 54 MIRROR1 _ �Pit 30 --- o ------ o 3-D . ��- �1(�0say\UTILITYSHWR01 lu V ftiRP{ ` �G S...... 0 C� �o a NOTES: e 1. 2. , \,--4 IF ISLAlQD 1�) W.J.----� PORCH a = ENTRY ---' X_ 0 z � W 0_ 0 L� PORCH iM PEN � �. - n�i nm c^ I"01,11 I 10'-8" i 4658 3040 f -6" 10-10 z57,cc vrr\,j 1�OGL✓= T NEW 1999 SUNCREST TD LINE DRAWING - CORNER BATH q[JP i( Wij D I W/ 60' SHE F , 3040 I I - d LGAS RPROVED t� County Environmental Health sin IS c H SULLIVAN N/A MODEL N0. SERIAL NO. SHT.1 "12/15/98 REV -HS 6/14/99 7563E - OF 1 \ FNS 90NMFNTAL HFALgf \N0 1 5 1993 ,mss 3E0 oar pdo� /nor- �Go' CALIFpRN IA\ LlAfrr air-* ,a„;. / APPROVED Butte County, I / Environ nental'Health a� bS kJ �x �sT• e % /,y , , s n ure Flo • �'Ltis � S6. J. • _ - � �.•. o v-,., � gra 90 N T � S (Lc LC3/Lr \ ENVIRONMENTAt'HEALTry, cl-4,r \Nov 1"5 1993 ;E Ciz \ ACIFORN1A \ dl . � • • L!M/T o-� I a% bSr • � h S EP-6 c. 6 - ,�, G •�,� No �•R-to °n, N p VZ E . / Pft Flo LL Lc'3�/t.' Ik r Return to DPW AGZICJL U-RIL- SA=C=`7T OF AC=XCSrLZDGc -r•; s a ' o 6 2 r s FOR RFSIDE I -AL DE --" OP M`tT Section 26-8.1 of the Butte Caunc^ Coae requires this acknowledgement be recorded prior co issuance of a building pe -mi:. The property94-006275: described herein is adjacent Rec Fee 6.00 to land or included withiz an area zoned I Cash 6.00 for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals,including, Butte I but not limited to herbicides,_ pesticides, Candace J. Grubb© I and fertilizers; and from the pursuit Recorder I Of agricultural operations including, 11:48am 9 -Feb -94 I PUBL XX 1 but not limited to cultivation, plowing, spraying. pruning, and harvesting which occasional -17 generate dust, smoke, noise, and odor. Butte County has established aSricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary f3 --m operations. All shat zeal property, sinuate in the County of Butte, State of California, described z= follows: ' Parcel 1, as shown on that certain Parcel Map entitled, "Being a portion of the Vest half of the N.E. 1/4 of the S.E. 1/4 and all that portion of the South half of the S.E. IA 1pi:id Westerly of the centerline of Forest Ranch Road, all in Section 31, T.24N., R.3E., M.D.A. d M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on September 30, 1980, in Book 79 of Parcel Mapn, at Page 14. AP# 056-36-0-014-0 Dat a: ?ROPE==Y': G State of lel,:9-k1,9 On this the _'"day of 19„p�, before me, the —Z ) SS. undersigned Notary Publ c, personally appeared • County of ) �7o,�,y ne ,T1j Massa ass a ■■■■■aa■Massif BRENDA &L SCOTt ■ ❑ Personal' -7 known to me. ?.roved to me on the bas's • : =,..; NOTA FuRIa.Kff �Gu^n�fONNU ■ of satisfactory evidence. ■ + Mr camni,ew Api,,, to be the per sons) whose name(s) ■ Sam Is. '"' ■ subscribed to the within instrument and acxnowledged that ■■■■■■■a������������ executed the same for the purposes therein contained. 0 W=JW "S G'MREOF, I hereunto set my hand and official seal. ?resent A.P. No. END OF DOCv NT Notary r'ubL• c �s s n � )lo 0 , , -1->--,-S P--IC4,c 4-.3 0 O S>o — 3�,o - -0 �� WINDOW / DOOR SCHEpI�L 15,-4" 7'-4' 0 REr.EE".(SEE ELRfSPELS.) mirror irnage about the length and/or width a:. --- v 23,3 0-3 RE mq EL= PUL 801 Q LIGHT FlKTURE Il MR RM T11FAMO MT O H AM SUPPLY C EI L7<111NG REG157ER ® EXWASr a: CEILING FAR 0 314EARWALL SMOKE DETECTOR Sl1PPORr POST ® DOOR BELL 7RAT6. aw RETURU AIR CRU N2= 3 1} his floor plan may be bait' aa an exact -DIC mirror irnage about the length and/or width a:. --- v 23,3 0-3 1 CD rrt 0 0 FEDERAL MANUFACCTL;RC- =3 0 HOUSING C, 75TRUCTION • .. C 7 G SAFETY SS ANDARDS T 9 3 I= MAY 0 3 2000 c' 1� m � 0 o 0 CUSTOM -FLOOR PLAN # 7563L -0r= CD 0 MR. 13D L.L. 10' D.L. U MAX. W. n4 r;,a 0 �. o �- � 500f] t B is' -4- 32• U a VY 1y-10" L�- g" 87D0 I2 9 15 --4'z5 _ 30-10 ?�Q_g" 7500 3 If 13'-4' 7 t X Ql'(v j l _Q 4200 4 A t'-4- 1 a o QS -LO 45-�.r 420D 5 9 7'-4" 4 _ W r !r 3H00 6 A 6'-4- 32 = o -� ji ' 4000 7 8 6'-8 32 S rov tl-to rl 8900 a CIj 115-�4- zs k N 16•-8' 25 cn Q4-10 Ag-$ 7000 0B iZ-4 24 ��-O•r 4000 t,a 6-B ti • ink 2' Iraq i9 Rmi+r tm< WOODLAND # 17 rt'. CUSTOM FLOOR PLAN # 7553L-07 1 CD CM )!'-IGisr-o" yaa2 SUNCREST Rtv. rte tin ®tz'-to':Sb'-o' SIR•—[• c) -f i4l'-D 7553L F� 6 L� I 40.0)e_ � S -7 �� T o _jq, e)A. ,� 0 S�o - �o - �) NA 0 t WINDOW / DOOR SC8EO0L% t0• 7'-4" _ q J BR KFAST O EA AREA l�L LE 0 4'_3' 2_ FEDERAL l6hANUFAC T[ RF^ �] Q HOUSING CL 15 -RUCTION • . . —L" RM c 6 t 2 EL�3s a MAY 0 3 2000 'z'I O 1L' -ii" Q 9E,:)Roc)y BE•ROOM/ CD aeq »r PNL BOK IR 5xio BEDROOM Iz— 50. , ? 27.5 5Q. ST. O AM SUPPLY V REGISTER! ® DDMUSr IC MLING FAR 205.0 s0.7 4 1QIn � SUPPORT POST ® DOOR BELL TRAM. RAO, -RETURN AIR OR9.L �— Al n'-4' 32•� kFE1`( a l'-1::10" LI- a" 87CD 12 91 1.9'-4- 17 _ 3o=g" 7500 ] B 13'-4' 17 41 Al a x It 4200 4 r-4• a 1 g o 45-� qS-4 4200 5 B 7'-4• 4 - cn �1 r,�0-`t �jro`Qk 3600 6 a 6'-4' 32 6 5' 4000 7 9 6'-$ 1 132 _ CD s rov rr i �r C r' asDD 6 1s-8. H-4 C 91 15'-4' '25 cp LL � N D7tr 4 6 OP{a LNING ROOM �_ GFI s 6 HA � , r 3 ~ 2 _� O7 BATH CM A )r-16'.56-0' "°SUNCRESf Rte. N 12 OD e ,` o s oPf. 3 �i COMBINED OPr. s� Rcaa. UNEN DINING ARcpT 11 519.0 SQ_�T_ O-- 6 — Q — ----- --— MEN _ -f BATH _Umma---- MSH 9 6 4 6 s \ 3 9 i i 12 i � B7 IfEAT TAPE RrTtPf D1: UNDERSIDE OF t=R 1 �Q -- .�%A 0 t WINDOW / DOOR SC8EO0L% t0• 7'-4" _ q J BR KFAST O EA AREA l�L LE 0 104.7 SQ.FT FEDERAL l6hANUFAC T[ RF^ �] Q HOUSING CL 15 -RUCTION • . . FORC U Cr SAFETY 57ANOARDS y 3 a MAY 0 3 2000 'z'I 1=• 0 RMEPCCSEE a=SPECS.) 2 ,1 CD aeq »r PNL BOK IR 5xio Z L1CFfT 4 UGHT f7K1URE AREM 1MERNOSi1T O AM SUPPLY V REGISTER! ® DDMUSr IC MLING FAR S HEAR Q HFAR1rALL 93 SMOKE DEn=TOR � SUPPORT POST ® DOOR BELL TRAM. RAO, -RETURN AIR OR9.L 1} This floor ykn may Se buiC as an :roc: � mro irr irrage about the length oneWidth o:-�- Z3_31 l�L LE 0 FEDERAL l6hANUFAC T[ RF^ �] Q HOUSING CL 15 -RUCTION • . . a U Cr SAFETY 57ANOARDS y 3 a MAY 0 3 2000 'z'I 1=• m 2 ,1 CD CD 0 CD CUSTOM - FLOOR PLAfJ 7563L-0 7 ruL :30#L.L. 10.0. L. Z X r0 Z X ly�,pg MAX. M iti' (In) [-] ta,sI i r o �— Al n'-4' 32•� kFE1`( a l'-1::10" LI- a" 87CD 12 91 1.9'-4- 17 _ 3o=g" 7500 ] B 13'-4' 17 41 Al a x It 4200 4 r-4• a 1 g o 45-� qS-4 4200 5 B 7'-4• 4 - cn �1 r,�0-`t �jro`Qk 3600 6 a 6'-4' 32 to 4000 7 9 6'-$ 1 132 _ CD s rov rr i �r C r' asDD 6 1s-8. H-4 C 91 15'-4' '25 cp LL � N , k -i 9400 s a 16-8- zs li v, �i4-1Q0 4q-$ 7aDo 24 • Indt�r 2• amava, is Rmirr- Z� TRRLE WOODLAND # 17 • CUSTOM FLOOR PLAN of ~ # 7563L-07 1 0` CM A )r-16'.56-0' "°SUNCRESf Rte. N 12 OD �i,■•_, c 1 —� ru'Jl• 7563L RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 27 -Jun -2000 2000-0023853 ` Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBELEHOME) 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. HOLLY M. HOPKINS & JOHN H. BOGLE III REAL PROPERTY OWNER/LESSOR PO BOX 125 MAILING ADDRESS FOREST RANCH, BUTTE, CA 95942-0125 CITY COUNTY STATE ZIP 16037 FOREST RANCH ROAD INSTALLATION MAILING ADDRESS. IF DIFFERENT FOREST RANCH, BUTTE, CA 95942 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner. write *SAME*) 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 00-1092 (530)538-7541 BUILDI PERM TELEPHONE NUMBER Iyt 06/26/2000 SIGNATURE OF LOCAL AGENCY 0 IAL DATE EXECUTIVE HOMES DEALER NAME (if not a dealer sale. write "NONE") 92081 MAILING ADDRESS DEALER LICENSE NO. CITY COWRY VATE LP UNIT DESCRIPTION FLEETWOOD 2000 SUNCREST 7563L MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLY 17A/B/C23483SC 13 56' X 38'10" RAD 1261338/9/40 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 056-360-014 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. BUILDING PERMIT NUMBER: 00-1092 Address or location of unit: 16037 FOREST'RANCH RD., FOREST RANCH, CA 95942 Legal Description of Real Property: A.P. #056-360-014 SEE ATTACHED (x) Mobilehome/Manufactured Home ' O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: HOLLY M. HOPKINS & JOHN H. BOGLE III Owner's address: PO BOX 125, FOREST RANCH, CA 95942-0125 INSIGNIA OR HUD NUMBER: RAD1271338/9/40 , SERIAL NUMBER OR V.I.N.: CAFL617A/B/C2348SC13 MANUFACTURER'S NAME: FLEETWOOD YEAR: 2000 OFFICIAL APPROVING INSTALLATION: DATE: 06/26/2000 PHONE (530) 538-7541 H.C.D. 513C LEGAL DESCRIPTION A.P. #056-360-014 All that certain real property situate in the County of Butte, State of California, described as follows: Parcel 1, as shown on that certain parcelmap, recorded in the Office of the Recorder of the County of Butte, State of California, on September 30, 1980 in Book 79 of Maps, at page 14. .j K Order No 107476 -LP Lo@nNo.' WHEN RECORDED MAIL TO: HOLLY H. HOPKINS and 'JOHN- H. BOGLE III 700 West Walnut Orange, Ca 92668 89-a4270 89--034270 1 Rea Ifee 5.00 I DOC 56.63 Recorded I Total 81.85 Official Records I Y of BCountutte MIDVALLEY TITLE CO. Candacts J. Grubbs I Recorder 8100AN 11 -SOP -89 I Re SPACE ABOVE THIS LIN! FOR RECOMOKA-3 USE MAIL L TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX 9 56-65 Computed on the,dort al orwug of plopeity COWWW: oFt Same as above xxCwmutW On dfe aotfslderatlon or slue less Ilene or arimnibrances nanal" at ttme of ale. AP NO: 056-36-0-014-0 AS DECLARED BY THE UNDERSIGNED Signature of 00410rant Of Aeon deMaining to, — ill jfm Wane GRANT DEED z FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, DAVID H. ROTHE and KAROLYN R. ROTHE, husband and wife, hereby GRANT(S) to HOLLY M. HOPKINS, a single woman, and JOHN H.BOGLE III, a single man the real pmperty In the City of unincorporated area County of Butte State of California, described as Parcel 'If as shown on that certain parcel map, recorded in the office of the recorder of the County of Butte, State of California, on September 30, 1980 in.Book 79 of Maps, at page 14. Dated— 'f — "' — ff � — . I 8TATEOFCALIFORNIA . I&L COUNTY 0 HU r t P On September 6- 1989 before me• the undersigned, a Notary Public In and lot "Id SIA14L par stmally Karolyn R. Rothe David H.R the Karolyn7.*Ro ......................................... OMCIAL SEAL perso-Py known to me (of pralved to me on the be&]* of satisloctory WCY A. PERSHALL evidencel to be the Person(a) who" name(s) Were subscribed to the NOTARY ?URIC - CALIFORNIA wtIhIn-Instrumerit and acknowledged to me that helsheAtmy •••-toted BUTTE COUlm 0 my Comm. ExIL im iii. im the same, ........................................ WFTNE,sshand and official east ITh:. .," for fIjcj.j �jj signat t� 1. creel �S� 1002 (6/82) UC MAIL TAX STATEMENTS AS DIRECTED ABOVE VMr% ns: rv-ie4 tit jirsrr 0 ,z A A 7., 31AIr. Vt l t11.11'Vl�lit'� Q1�E"ory� BUSINESS, TRANSPORTATION AND HOUSING AGENCY ,�;r'="`� DEPARTMENT OF HOUSING AND COMM -UNITY DEVELOPMENT U DMSION OF CODES. AND STANDARDS ` � n E� REGISTRATION AND TITLING PROGRAM STATEMENT OF FACTS NEW UNITS PERMANENT FOUNDATION This unit is a: Mobilehome 0 Commercial Coach Floating Home 0 Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) �w C,e.�sT Cf�.y i7�e�Y�3 SC�3 I/We, the undersigned, hereby state: DEALER REPORT OF SALE THE ABOVE DESCRIBED UNIT HAS BEEN PLACED ON AN APPROVED FOUNDATION SYSTEM IN ACCORDANCE WITH 18551 OF THE HEALTH AND SAFTY CODE I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We-certify under penalty of perjury that the forego/in is true and correct. Executed on �//*00at a (City) (State) s City, HCD 476.6 (REV 9/91) Printed name(s) State O' 'e• v11r..n. McnV�n�von.v.+..✓•.A..w...v.... •. r.............. - V V. V v V v v OMsION'OP CODEB'AN0 8TANDARD8'' NIANVFACT.URFD NON61N0 PROGRAM MANUFACTURER CERTIFICATE- OF- ORIGIN . ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO: MAN tF CTL E HO 'E OR MULTIUNIT MANUIFACTURgD HOUSING NUMBER OF n FD {91N L. FAM14Y QWE{ I.I (3� ,. rL ,. , , MH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS t'IU COMMERCIAL POACH OCOUPANGYE.OIiOUR MANUPACTURER'NAM6:• - .. MANUFAMOR LIGENS!-NUMBER'• FIg%twood534 MANUFACTURER A SS: SUGGESTED RETAiL PRICE: P.O. Box 1308 woodland, CA. 95776 CINswat state MANUFACTU R DE NAME; MODEL NAME AND/OR NUMBER: DA UFACTURE: Suncrest 756.-3L 6-i2-00 NAME OP DEALER ORT F REE°:(OWNBRSMIP'TRANSPERRED'TO): CALIF. OEALER•NUMSER'. OR A OF TRANSFER: TRANSFEREE DESIGNATION: Executive Homes 92081 6-12-00 DEALER OR TR EEE ADDRESS: 3042 'tuplairiade Chico, CA 95926 N clS1ete 21 INVEN ORY CREOIYOR NAME: mail 11 TORY CREDITOR ADDRE83: 8lreel (ZIP) SECTION MANUFACTURER SERIAL NUMBER HCO INSIGNIA OR HUD LABEL NUMBER 1a LENGTH WDTH WEIGHT INCHES (INCHES) (POUNDS) stAm 721 VAR TRANSPORTER NAME: D & R Trane ort TRANSPORTER AODRESS: B C45938 slate Z DESTINATION04 UNIT DEBCR18E0 ABOVE: NAME BIMt CII Bute 1,QahNy undapnallr:4[Olgt/Y ! IM I�WO 01;0r BIeN of ClKemW thW the ttbttvw yW are u4? end oorhN. 'OK4110LAW on. SlTY C SIONATUAS OF AUT14ORIZEO AGENT: T ORIGINAL (PINI() FORWARD TO THq&&NTORY CREDITOR, UNLESS THERE IS. NONE. THEN FORWARD TO TMfiPURCHASER (�EAIIR OR TRANSFEREE). COPY 1 (NMITCI FORWARD TO TMEEDEPARTmrw AT P.O. BO% 1620, 9ACrtAMENTO, CA 96814-1826,1MTNIN (6) DAVE OF ELSASE. COPY 2 (YELLOM DELVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. NCD 483.0 -tilde 1 - (7197) NOTES A RESIDENTIAL F056�-36-0-01400-12j� 5 qPE IT NO. OLE, JOHN _ _�----�J 16037 FOREST RANCH RD., F.R. ~ CONTR: EXECUTIVE HOMES OPEN DECK GX mfr cam `Zv 11/4 DS �2 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address r GAS Meter By Date ELECTRI Meter By Date JOB FINALED (Date) Signature J=OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 6. 1. Zoning Requirements -Setbacks -Easements MOBILE HOME INSTALLATION (Plans) OK except #'s 2. Soils; Special MH Support Sketch Zoning Requirements -Setbacks -Easements 3. Sewer; Location -Test -Fall -C/O -Concrete Footings; Size -Spacing -Marriage Line 4. Water; Location -Test -Easement Needed (Sketch) Gas; MH Test -Demand -Valve -Connector 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Electricity; MH Test -Crossovers -Breakers -Clearances 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date 5. Card B-1 Date Card B-1 Date 6. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Electr01, 1. Zoning Requirements -Setbacks -Easements g.; Sills -Anchors- Studs- Rftrs-Trusses 2. Footings; Size -Spacing -Marriage Line Siding; Nailing -Veneer -Stucco -Mesh 3. Gas; MH Test -Demand -Valve -Connector Roof; Shthg-Roofing 4. Electricity; MH Test -Crossovers -Breakers -Clearances Ext.; Steps -Doors -landings 5. Drain; MH Test -Fall -Flex Connector Braced Wall Panels 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval Card B-1 Date Card B-1 8. Gas and Electricity Tagged Card B-1 Date Card B-1 9. Tie Downs -Type -Installation Cert. FINAL (Plans) OK except #'s 10. Exits; Insp.-Sketch Setbacks -Easements 11. Cert. of Occupancy Soils; Compaction -Structure Stability 12. Permanent Foundation Only; License Decal Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date CKS, MVERS,,qARPORTS GARAGES (Plans) OK except #'s 1. ng quirements-Setbacks-Easements 2 F ,ngs; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails r 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing Date Card B-1 Date Card B-1 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electr01, 8 g.; 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- Pan elboards-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 ✓ = OK 0 = Not OK - = Not ApplicableRESIDENTIAL (Single &'Duplex) = Not Ready Date FRAMING (Continued) Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 48. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 51. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Property Line Firewall & Openings 5. Stemwalls, Main; Steel-Blockouts-Wrapped 54. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6a. Hold Downs and Special Anchors 57. 7. Slab, Steel -Wrapped Glazing Area -Glass Protection -Skylights -Plastic 8. Piers -Fireplace Ftg.-Steel 60. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Insulation -Walls -Ceilings 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 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection Date 79. Card B-1 Date Card B-1 Date 80. Card B-1 Date Card B-1 Date 81. 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 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date 90. 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 Date 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Date 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes Q No Comments at Final: 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits 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 Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 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 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 -Mach. 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 Q Yes 82. Following Instld./Drive 0 Yes U No/Walks U Yes U No/Planters U Yes ❑ 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO _ 7 County Center Drive • Orovill&, California 95965 • Telephone (530) 538-75PERMIT NO. (Revl2/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 056-36-0-014 ZONING BUILDING PERMIT OWNER JOHN BOGLE TE�342-6380 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS1 P.O. .0. BOX 125, FOREST RANCH 95942 639-00 CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTORS MAIUNG ADIR2 ESPLANADE, CHICO 95973 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS 16037 FOREST RANCH ROAD FOREST RANCH Energy Plan Checking Fee $ 95942 $ PERMIT FEE $ Rh qr, LAT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome q( Other DECK 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: OPEN DECK Gas piping system t - 5 outlets 15.00 Buildina sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service aoOV OR LESS 200A 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 on with Section 7000) Business anons of Division 3 of the d Professions Code, and my license is 'n full force and effect. �/ v License Class 1 Lic. No. CQ �! U �6 9 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.Mobile ❑ 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 OCC OR ADDNS. ( & ACC. BLDUP. S. SO 3.5¢FT. NEW CONST. MULTI.OUTLET NON-RESID. 97.50 PowER APPArurus 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FUTURES j 20 BAL p 1.50 LNS Ex. Occup. ounErs .ES,D,DEA_E12 Temporary Service❑ Home Facilities Misc. Wirin PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' ompenstyoyi insyrance carrier and policy number are: Carrier rir,r Policy Numb r W41- &7LZ 4 (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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthw' h comply with those provisions. X Date U�% _ Si ature of Applicant - ❑ Owner Q Contractor ❑ Agent An OSHA permit is required for excavations over 60" 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 FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 5 HAZ. D. fEES IMP .• — X FLOOD ^� COF PARCEL X D X ISSUE X This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been ByA,0_-g—A��,,Date PERMIT EXPIRES ON provisions to do work paid. [ `t to Receipt No. 294669 $84.35 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Caunty Center Drive • OroGille, California 95965 • Telephone (530) 538-7541 PERMI NO. (PV.,. 12/96) APPLICATION AND PERMIT a ' � ASSESSOR PARCEL NUMBERoSb-3bo- n>ILl ZON S /y� BUILDING PERMIT OWNER ::5 d ►•fir O TELEPHONE SHZ,-6580 SO. FT OCC. BUILDING VALUATION . OWNEAS YNG ADDRESS�j •o 12 S Q-�isZ l�4 CONTRACTOR'S ME TELEPHONE %10% t -tiff q CONTRACTORS MAILING ADDRESS _ 'S V�1'�- NO' A•- *�fl `2i-1 `Q CONSTRUCTION LENDER LENDER'S MAILING ADDRESS FlreplflCe Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS Ndp��"1 _p1�S ` �,}>,Q Energy Plan Checking Fee $ J MA11 $ PERMIT FEE $ 3 LOT NO. SUBDIVISIONS NAME • PA CEL PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE t_ SF ❑ Duplex ❑ Mobilehome ❑ Otheryt.}� SPECIFY Each Trap 7.00 -Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service OOOV OR LESS zooA 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 G -M-) Lic. No. b %4 0 S $3' 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 t000A J 46.00 NEW CONST. DWELLINGOCCUP. OR ADDNS. ( a ACC. BLDs. s0 3.5¢FT: RESID. RANCHO CIRCUITS @7.50 PowER APPArurus 8 SINGLE OVTLEr CIR. Ex. OCCU OUTLET OR FIXTURES B20 Q 1.50 Ex. Occup.oFTL,s RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 insyr Ce carrier and policy number are: Carrier S; %0% ;L i , l -,i Ti 16, 6a \�- MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Policy Number Q -15 1 :7 -ah (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 forthwith comply with those provisions. X Date S . �� - 9'� _ Signature of Applicant - ❑ Owner ,81 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOT FEE $ HA?' D. FEES IMP FLOOD � PVA HD I�SU - This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By ate PERMIT EXPIRES ON �Z (Date) provisions to do work paid. }� 6ITE•D.D.S.-B.D. rWHReceiptNo. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT^,OF DEVELOPMENT SERVICES - BUILDING DIVISION .7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA ,SHEET OWNER: M64 ASSESSOR PARCEL NUMBER: D " S/60 -/9/1 Proposed Building Use: Building Inspector: Date: to -/) 10 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have be'en,submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, 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. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $----------------- -------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 3 '6 elevation certificate. ------------,,--!- S=---------------------------------------------------------------------- Sanitation and plot plan approvals %�#' ( C &alth Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- Ell 8. ------------------------- ❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- El 20. Pre -inspection for required Request to Building Inspector on (Date) 021. 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 13) - -------- ----------------------------- 1124. Letter of signature authorization.-------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- J ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. Other: ------- �Whyou issue the permit, process as follows 11 Mail to owner, ❑Mail 9 contractor. C�'Telephone hold for pickup at U o ce. Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: _ ❑ Plan Check List 2. Additional items required: 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, 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 Divis' n counter, by Dat Plans reviewed by: Date: Plans approved by: r Date: Sets of plans on hold in 11Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. US ONLY jt Not Wan Attached �A Floor Wan A ached Sent to a. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ---gid-i�"� 7Lt1"'� �/lkl'/ �e,i/7'V( /Y AVl r�'�V r✓(V� '—OF' Owner Location AP# Plan Approved for: Sewage Disposal t/ Water Supply: Public Private Well Clearance for Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist. Date 8/96 '5 1101 ma zw/ 7m EN�RON�Er _ . \ NTAL HEALTjI \NOV 5 1993 "-z p� �0\ AC/FpRNIq AQ sr o�4 �FWM �,R fA SET \ ©Aae Q4, a� FT S F ItAh O 64C� Pike'. rhe �f�scy, of ��'� r�rE. Psi, slog FQFlAZ "Ucr, .hOAp C� 1lV��. P S b • �A1S p Atop I? � + ,.. / Low l7 -3� . tx►ST, b .5c APPROVED Butte County Environmental Health nat _ ING .EPA p ® tl io L �fp ),5 c �4 ., TE G PLYWOOD CC EXL 4"x b„ r► I" _ _ X Imo' - - _ 1 _ -+ _ _ ¢ o Q _-r � zo FRMN G. CLIP = _ V - STAIR STRINGER. 4 e:IAX. '.-TDP VIEW U,,• HAUDIZAIL NOT SHOWN FDR CLO /"x F'� 2"y DECKING '(ALT) 3/g BOLT CL c 4 (o D 2 GIRDERS ., ,. _ Uj Ile TIG PLYWOOD CC EXT. 2"x4" MOBILE HOME OR DE(.I� I I .MAX. � MTL. FRMU 48. MAX. CLIP (EA. DE y'MIN 4.•x G" 4'x4' POST 20x IV � k z ,— CrUARPRAIL "2DF 21<4" PRESSURE" �w -- (280LTS �RFDWOOD 1IA7F j4"MAX. DECKIIJG GIRDER 8 MIw. PRECAST 4'X9" POST !4 MSN. 6 - /� -?0 IER ApFQUATE' DIAL ONA I. – t3RACING. - NIS, = T YP i cAL RFs / nLivrli'i b" COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 14" I�0 `` MIN. Foor r NG 9'� v r •M�%S �.7 County Center Drive — Oroville. California 95965 ' Talpnhnn..• ��., �- r , R 'DENTIAL 056-36-0-0� ,93-3771 P E -� BOGLE, JOHN, i ' CO �R� GOREST RANCH WAY, FOREST RANCH Y MARTONE MHU J ro I cAo-oac�-. CA 2 V=OK O = Not OK Not = Not Ready MOBILE MOBILE HOMES Date/Initials MOBI OME UTILITIES Plans OK except #'a onin equirements-Setbacks-Easements 8;_§P8GIaI MH Support Sketc 3.we ' ation-Test-Fall- Concrete 4wiliter; Location -T men ded (Sketch) 5. Electricity; Lo on -Clea ce rn / mp-Concrete 6. Gas; Location-Teat-WreP'L' . / /�t. or/ P'L"ft./ /"LPG ell Clearance & D nnect t -7X jSf • i 8. Utility Clearance 5 /7 4N i Date/ itials MO LE HOM STALLATION (Plana) OK except #'a K. Zonl equirements-Setbacks Easements ootings; Size -Spacing -Marriage Line - r ' 31. Gas; MH Test-Demand-Valve—Connector 4/ Electricity; MH Test-Crossovers-Breakere-Clearances 5, Drain; MH Test -Fall -Flex Connector , Water: MH Test-Reaulator-Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval Gas and Electricity Tagged . Exits; Insp.-Sketch 1 Cert. of Occupancy i MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Gridera and/or Joista-Decking-Bracing-Stairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs :Connectors Shthg -Rfg :Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frma: Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Stepa-Doors-Landinga I Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI S. 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-Panelboa rds-Ina. to Main in Conduit 9. Health Department Approval 10. Plumb.: Cir. Test-Water'SuoDly Test V=OK O = Not OK - = Not Applicable = Not Ready if RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd. / P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A..C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 17 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic _Date/initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) - 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanal; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes Cl No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: ✓ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califomia.,95965 - Telephone (916) 538-7541 RMIT Nom. - APPLICA'T'ION AND PERMIT ASSESSOR PARCEL NUMBER 056-360-014 ZONING TM -5 BUILDING PERMIT OWNER H011y Martone-Ho kins Jack Bogle 714 TELEPHONE 278 1961 SQ. FT. OCC. BUILDING VALU ON OWNER'S MAILING ADDRESS 3124 Dogwood Dr. Corona 91720 CONTRACTOR'S NAME Gary Martone I TELEPHONE 896-6167 CONTRACTOR'S MAILING ADDRESS Forest Ranch 95942 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome 10Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation CK Other ❑ Describe Work: PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600AORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) 3.5. -SO. FT, CONTRACTORS LICENSE LAW Idec re under penalty of perjury (check one) 40�I am a licensed under provisions of Chapter 9, Division 3 of the Business and fessions Code and my license is in full force and eff ct. License No. Z g3B0`3 Classification 7;^� ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) @ 1.000 BAL. Ex. Occup. FIXED APPLNS. OR p' (OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood H 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, gments, costs, and expenses which may in any way accrue against said County sequ ce of th!& anting of this permit. / X Date 1k7Z 9-:5 Signature of A ant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and d molition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for hich fees have DI EC OR OF PUBLIC By �—��—/ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. WORKS -ZG-� (s /Dare) S^? L Receipt No._ ! t/ �� �/✓�/i� ./6� / 4�.oJ WHITE-D.D.S.-B.D. CANARY -ASS R PINK-INSPE OR GO=D -APPLICANT N OD -APPLICANT i/ tCOUNTYOFBUTTE - DEPARTMENTOFPEVE6C)PMENT SEAION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 8-7541 PERMIT APPLICATION DATA SHEET l� OWNER o n/ J� A. P. No. Proposed Building Use 3,4 • - Building Inspector Date —4Z? L At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .......................................... . 6. Energy Design Compliance and supporting documentation . .................. 4;�7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... -19. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10 Fees of $......................................... 1. Impact fees as shown on attached schedule. .............................. alifornia Department of Forestry plan approv ees K .................... 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. os�itn9 �spedo�— (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . :;44�Qwner-Builder Verification (Given to owner Mail to owner _). 1.. . (Recorded copy of Agricultural Acknowledgement Statement . ............ r...... 25. Letter of Signature authorization ........ ................................ 26. Copy of tecorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ............... . . . Mobilehome utility clearance . .......................................... 9 ' -� 29. Documentation of legal access . ..................... :............ ..... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issu (Circle new item not checked above). 1. Index permit for above items No. Z7 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date9 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works A; 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (9-16) 538-7541 OWNER��,f/ /) /�� G/f,a l A. P. # 5% -r PROPOSED BUILDING USE DATE - L REC. # DATE REC i SCHOOL DISTRICT FEES G / C (paid at District Office) ......................... SHERIFF FEES (paid at Building Department) Residential ...... _Lx unit amt. Commercial (sgft) x _$ sq.ft, amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) _x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) .......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $0.00...... (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE /A ZZ�/ BUTTE COUNTY SCHOOtS-iMPACT FEE CERTIFICATION FORM (One Form Per Building) School District C Gy L Building Department No. L A.P. Number �b\\ • 3 - y Jurisdiction 0 City County Property Owner Property Location/Address Subdivison Residential Development 0 No. of Living Units Commercial/Industrial Bui Rep Lot No. Sq. Footage 7 Z� Addition (Group R) 0 Sq. Footage New Addition (Floor Plans reviewed by School District Personnel) (Including Exterior Roofed Areas) l� zZ Date District Identification No. 94na0J(:.-::� School District certifies that (� (App scant �a - (Street Address) hone Number) NAP1107? C— (,c 9Z7 (City) (State) (Zip Code) has complied with the requirements of Resolution No. _ `�j '0\ bay ment of $___ representing " Inr) square feet. School District Representative Paid by Check Number Bank Number Paid by Cash Remarks: Date 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.wkt (4/92) COUNTY OF BUTTE BUILDING DIVISION_ DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916).891-2751 7 County Center Drive, Oroville, CA (9'1'6) 538-7541 747 Elliott -Road, Paradise, CA - (916). 872-6307 CORRECTION NOTICE OWNER Q rtnnm i NU. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is corr.pletSOX you have any questions pertaining to this matter, or need additional explanation, p1lease_pdfitact �thiis�onffice immediately. Date /-7 Inspector REV 110192 COUNTY -OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE a OWNER PERMIT NO. Al A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify 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. r �f1 r C o 2f i Date J Inspector REV 11/91 f ELECTRIC GAS Support Struc. Compaction Test eq. ervice Other Pipe YES NO YESI NO ize Load T `pe ' ' S ize - Length 31y l' q R X 2-9, 000 D 0c) 96 Vii, ooc� MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (9916) 538-7541 PERMIT NO. (3 3-77 1 Address or location of mobi lehome / V37 /Jt ear Owner's name `) O I'/^f 5 Owner's address ` Xa ,& Insignia or hud number 0c, 15 / Manufacturer's name Q O t r Serial number o�V.N. �JA 1 l.` } 7 ` Year of manufacture—'/ .... (Official Approving'lnstallotion) (Datfe) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. OUNTY OF BUTTE - DEPARTMENT 9,F DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Cdli:ornia 95965 - Telephone (916) 538-754 APPLICATION AND PERMIT "-OR PARCEL NUMBER 056-360-014 ZONING TM -5 BUILDING PERMIT OWNER John Bogle, Etal TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3124 Dogwood Dr., Corona 91720 CONTRACTOR'S NAME Gary Martone TELEPHONE 894-6167 CONTRACTOR'S MAILING ADDRESS P.O. )Box 361, Forest Ranch 95942 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE S 23.00 / (Q 0_37 Forest Ranch Way, Forest Ranch PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. J 1 SUBDIVISION'S NAME PAR MAP -'� Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome goOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W 1 21 @20.00 40.00 TYPE OF WORK New O Addition 1:1Remodel O Utilities 10Installation O Other ❑ Describe Work: MM (3 Bedroom) PERMIT FEE $ 60 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 10V01 LESS ) 23.00 200, OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. SO - OR ADDNS. ( & ACC. BLDS. ) 3.5C FT. CONTRACTORS LICENSE LAW I e re under penalty of perjury (check one) f am a licensed under provisions of Chapter 9, Division 3 of the Business and rofessions Code and my license is in full force and effect. License No. 7_9;96?"J Classification% O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET NON.REslo. ( BRANCH) @7.SP, ( POWERER.CIRCUITS APPARATUS ) _ & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.�. Ex. Occu FIXED APPWS. OR r p' ( OUTLETS (RESIO.) EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 1 20.00 20,QQ Misc. Wiring 2300 . WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a KIsherificate of Consent to Self -insure. all not employ any person in any manner so as to become subject to the Worker's mpensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, j dgments, costs, and expenses which may in any way accrue against said Count onse nce of the ranting of this permit. X Date �� ZZ—� 3 Signature of Apcant - ❑ Owner Contractor O Agent An OSHA permit is required for 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 FEES 146.00 HAZ. D. FEES IMP/ (�i/ F100 CDF PARCEL HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abo for which fees have been paid. RE TORO P ELIC ORKS Q O JIJ By ate Z_" / _< PERMIT EXPIRES ON (Dote) ReceiptNo.5-3 3,65,_ WHITE-D.D.S. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENT;OFF1`/ ^L`OPMENTSERVICES - BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, C�AL17RNIA95965 - TELEPHaE (916) 538-7541 '® V PERMIT APPLICATION DATA SHEET OWNER D/4ni � Proposed Building Use Building Inspector Date 272 � At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: C ` DATE RECEIVED BY 1. All items,,have been submitted . ....................................... ' 2. Plot plans, 3/4 sets, signed,by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......... r ................................... 6. Energy Design Compliance and supporting documentation. ........... { .:..•,. 7. Statement of Intent for Non -Heated and A/C Buildings . ..............'......f 8. Engineered truss details and layout in duplicate (required prior to plan check). . . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ........................ 1 mpact fees as shown on attached schedule. .. ,�.. �a '^z California Department of Forestry plan approva/les. :. - --s I AQ Flood elevation letter (100 year flood)y California ngineer............... . 14. Sanitation and plot plan approval Gl Health Department. 15. City of Chico plumbing permit. .......- ........................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. anning approval for (A) Use: - (B) Parking: Contact Land Development about" (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). Preanapechon reque 20. Pre-inspection'for required. . to Building �napeao(Date) 21. ,Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given'to owner ,Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .. . . 27. Letter of intent on building use . ...................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal.,access....... ...............:.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ........... ........................................ . 33. 34. When you issue the permit, process as follows: Mail to owner Telephone and hold for pickup at Other Parcel Creation Acreage Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Copy of plans sent Health Dept. Fire Dept._ _jbther The following data must be submitted prior to permit-iss 1. Index permit for above items No. _ 2. Additional items required: - r Le Mail to contractor.* _ office. Deliver with inspector. Date Pollution Date Date By tem not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail C ter by _ Date Plans checked by c7 ';Y-- Date 4(-f p_ Plans approved by Date / -91 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works F.H. USE ONLY Hot Plan Attached j Floor Phn Attaclwd Scnt to B. l). s TO: • Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for -1 --bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE Environmental Health Specialist 8/92 2- q s Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER J o /3 v PROPOSED BUILDING USE /Vf� d 3l0 "z- 1. SCHOOL DISTRICT FEES (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) Residential...... x =$ unit amt. Commercial (sqft) x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per'sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... A. P. # �- 36 DATE 1l L SJ REC. # DATE REC 5. DRAINAGE DISTRICT FEES (Contact Land Development Division).............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $69.00 ...... Z Sj (paid at Building Department) t '1D1' At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE mr ire _urn to DPW AGZICULTtT UL SiAZENENT OF ACINOWL DG 9 4 - 0 6 2 7 S FOR ';RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte. County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 94-0062751I to land or included within an area zoned Recorded I for agricultural purposes, and residents Official Records I of this property may be subject to incon- County ec I veniences or discomfort arising from the Butte I use of agricultural chemicals, including, Candace J. Grubbs i but not limited to herbicides, pesticides, Recorder I and fertilizers; and from the pursuit 11:48am 9 -Feb -94 I Or agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. Rec Fee 6.00 Cash 6.00 PUBL XX 1 Butte Countv has established agricul- agricultural purposes, and residents prepared to accept such inconvenient= All that neat property. situate in the County of Butte, State of California, described a: follows: ' Parcel 1, as shown on that certain Parcel Map entitled, "Being a portion of the Hest half of the N.E. 1/4 of the S.E. 1/4 and all that portion of the South half of the S.E. 1/4 lying Westerly of the centerline of Forest Ranch Road, all in Section 31, T.24N., R.3E., M.D.B. & M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on September 30, 1980, in Book 79 of Parcel Maps, at Page 14. AP# 056-36-0-014-0 Date: / State of ) SS. County of �) ® ossoosessssesssnsaaa� BRENDA M.3COTT ❑ Personally known to me. Proved to me on the basis ■ NOTARY PUBLIC -CALIFORNIA Q ■ `� butte County ■ ' . My Commission .194 's ■ Sept.16.194 ® a■s■seasaaaaasaa�aaa■ Present A.P. No. Notary ublic OF pOCU NT On this the � day of undersigned Notary Public, e- , 1993, y appeared r- H. Id'Inli- i.►.) S -d- --ld�,A/ il. Ai Ie TIL of satisfactory evidence. to be the person(s) whose name(s) t subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. TM WITN S WHEREOF, I hereunto set my hand and official seal. �e, oda b� qw "1 estp4 plans 66 ur 6Oil , on uaclo _, nni61310111's�0' 1 � -tea\ 002'PAi2&.r— in#,* veA \ \ t � O 14-0/ 4,wirr o AyAlf me, 440WO� P/NOR f*ft7� t� V to !Sa �V c�rv2E 11 t�v use 401x( oO Pft Fi It r v w AL HEALTH EP Z 8 1993 CALIFORNIA lvorla a hiu Sb 011 Be III Of a Que'litu P-NIFN in tho Uraforin Codoe and the M 1 ;`� �:t �ntrflc8l Cot1r3. . � �A", vy I -7i f*ft7� t� V to !Sa �V c�rv2E 11 t�v use 401x( oO Pft Fi It r v w AL HEALTH EP Z 8 1993 CALIFORNIA lvorla a hiu Sb 011 Be III Of a Que'litu P-NIFN in tho Uraforin Codoe and the M 1 ;`� �:t �ntrflc8l Cot1r3. . � �A", vy I I .t; r' S� X34-/ �Z, r AP # r CDF'FIRE` SAFE 'REQUIREMENTS 93-377/ PERMIT # 0 AME 4 x Under authority of PRC 4290, the following checked items are required by the - Butte County Fire Department and are made a part of this', permit. These requirements are minimums and will. be superseded, b-* Butte County local regulations which equal�.or exceed these standard's. Field -inspections will be made by the Butte County Building Department'' for compliance. I] 1272.00 Maintenance'of Defensible'Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards . [�Q 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway beJE`,:or_� sWn'shoulders) shall provide unob- structed acces�t,coventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. LjG] 1273.03 Grade. Not to exceed 16 percent unless paved. Pagel of 3 t -. 1273.04 Driveway Radius. L/C.] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of -50- 100 feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of xr�--ti:cal curves .in roadways exclusive of gutters, ditc:es :and. drainage structures designed to hold or divert water shall be not less than 100 feet. [] 1273.05 Turnarounds. If required, will have a minimum turning radius of -40 feet from center of the road. [�Cl 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Pagel of 3 t -. C�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. dX] 2. The gates must be located at least 30 feet.from the / roadway and shall open to allowa vehicle to stop without obstructing traffic on that roadway. [] 3. Where a one-way.road-with a single traffic lane provides entrance; -a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parcels 1.acre and larger shall provide a mini- mum 30. foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical 'effect. See Other Requirements below. [�] ~_VT2761�02 Disposal of Vegetation and Fuels. Disposal, including 3 chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and .{;te' e' caused by site development and construction, road. ar_d driveway construction and fuel modification shall be completed prior to completion of road construction or. final inspection of a building permit. Page 2 of 3 17 q3--377 i u AP' # PERMIT# . 1 x. ANAME [X] 1273.10 .Turnouts . Driveways exceeding 150 :=f eet'inlength but�;t r} •� less than 800 ;feet in length, shall �.x.provide a turnouts„• near the midpoint of the driveway.[ "Where a driveway'H;” exceeds 800 feet, turnouts shall be 'pr'ovided no more- ° .;than 400 4feet apart.. -. • - - 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates C�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. dX] 2. The gates must be located at least 30 feet.from the / roadway and shall open to allowa vehicle to stop without obstructing traffic on that roadway. [] 3. Where a one-way.road-with a single traffic lane provides entrance; -a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parcels 1.acre and larger shall provide a mini- mum 30. foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical 'effect. See Other Requirements below. [�] ~_VT2761�02 Disposal of Vegetation and Fuels. Disposal, including 3 chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and .{;te' e' caused by site development and construction, road. ar_d driveway construction and fuel modification shall be completed prior to completion of road construction or. final inspection of a building permit. Page 2 of 3 6z - 3( —/� AP # e72— 37-7/ PERMIT # Other Requirements [ ]- If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves J-vtf A� AME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal doors on side toward property line with insufficient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 100i of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials !Z-(-93 Date a, Signature BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,. CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: vv v(!v 21 2. Installer's Name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number _23-3271 ) OR Is the site an existing site?Yes I No (If yes, furnish -.two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes .No If no, clarify 5. What is the mobilehome electrical rating? --------------- /� Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- (� Amps' 8. Is there any other electric load to be served by the -------------------------------- mobilehome site service. Yes � No (If yes, identify the load and size: (Load) (Amps) 9. What is .the mobilehom site as pipe size? -------------- 3K/ (in.) 10. What is the t yP gas e of service. ---------------- --- Natural LPG ? 11. What is the gas pipe length from meter or tank to the i� ' 9 give mobilehome?--------------------------------------------- /DV (ft.) 12. What is the mobilehome gas demand? --=-----=------------- L DJ(BTU) , '(This information not required if pipe length less than 6 ft. on�� natural gas or less than 50 ft, on LPG.) G P� MOBILE;iOME SUPPORT DATA ff L If other than single wide, �7 nobilehome Mfr. -,fIeekO� furnish Setup Model No. Year / Width (ft.) Box Length (ft.) Tagalong or Expando Size -ft. xLDft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)y1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)1. Concrete block.2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Line 2 Main Beams Tag or Triple ,. tine 4 Line 1 Line 1 Piers: - Line 1 Openings: Size -Min . k „ Size -Min. ------------------ Spacing-Max - -----------------Spacing-Max. --------- , „ Each Side of Openings From Ends -Max. ------- '_ " With Width Over ------"-- Line Z Piers: Size-Min------------- Spacing-Max - ------------Spacing-Max.--------- , From Ends -Max .------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min -------------------- Spacing-Max - --------------- Spacing-Max.--------------- From Ends -Max ------------- - _ -Line—4 Pers: Size -Min .------------ x ' Spacing -Max.--------- , From Ends -Max .------- „ Line 5 Piers: (Under Bearing Walls Unly) Size -Min .------------------ "X Spacing -Max.--------------- From Ends -Max .------------- " Line 5 Roof Loads: Size -Min. ------------ "x "x "x "x "x "x "x 1. "x I. Location (From Front)