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056-440-058
5®08-737 1090-89P,E KOSTELLO, Robert---'- w .163 Mann Ridge Rd; Cohasset y Contr: Baker Electric ELEC. (uti ) t. t.. GAS SUPPORT STRUCTURE REQ. M . Q �I COMPACTION TEST REQ. 56-08-1 92-1.30RMHI6� KOSTEL'LO, Bob 163 Mann Nolta`Ridge R� ohasset mhi 6-08-137 -92-1381 P F1KOSTELLO, Robert �Y f 63- Mann Nolta Rid d, Cohasset gas line/mh ` 56-08-137 92-1589 B -V - KOSTELLO, • Bob , 163 Man Nolta Ridge Rd, Cohasse� contr: Wade Wilson. 2 decks/mh 56-08-137 92-1919 B ' AJMAL° KOSTELLO, Bob.. 163 Mann Nolta Ridge Rd, Cohass I contr: Wade Wilson II _axni_nza/_mh ' °056-440-058 KOSTELLO, ROBERT OS -1981 163 MANN NOL A O A '} Cont:"RED L ' MM(REPLACE ER 1 D t t J! .l t � f e� 14.CORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0006235 Recorded I Official Records 1 County of I Butte • i CNK E J. BfNBBS I County Clerk-Recorderl I I 010:19M 07 -Feb -2806 I FEC FEE 10.00 COMIFORKD COPY 1.00 DD Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. Thi"s 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. ROBERT T. KOSTELLO REAL PROPERTY OWNER/LESSOR P.O. BOX 6580 MAILING ADDRESS CHICO BUTTE CA 95927 CITY COUNTY STATE ZIP 163 MANN AND NOLTA RIDGE ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT CHICO BUTTE CA 95927 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-198 530 538-7541 BUIL RMIT N TELEPHONE NUMBER / ^ SIGNATUR OF OCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. CMH MANUFACTURING 2005 72GOL42684AH06 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER ALB030026ORA/B/C 68 X 40'6" ORE478928/29/30 SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 056-440-058 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. 01- L 1),F-ScRQT1oti1 1 WEL z AS Sf WAI UN THaT CEQ�*N 1440 FLED OR, RECOO IN .&Ok' /9y of PARCEL NIFQs , 33 -�-^ nr G p pFt c E O F -FHE BUTTE C p6lAf l RECOR DgQ, Description: Butte,CA Document-Year.DocID 1998.24358 Page: 2 of 2 Order: green Comment: RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 7 -Feb -2006 2006-0006235 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ROBERT T. KOSTELLO REAL PROPERTY OWNER/LESSOR P.O. BOX 6580 MAILING ADDRESS CHICO BUTTE CA 95927 CITY COUNTY STATE ZIP 163 MANN AND NOLTA RIDGE ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT CHICO BUTTE CA 95927 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-198 530 538-7541 B RMIT N TELEPHONE NUMBER '-)"CP -o 6 SIGNA OF OCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO CMH MANUFACTURING 2005 72GOL42684AH06 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMFJNUMIIER ALB030026ORA/B/C 68 X 40'6" ORE478928/29/30 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) SEE ATTACHED' ASSESSORsPARCEL NUMBER 056-440-058 HCD FORM 433(A) REV. 8/91 �E(qL b-r-5CR%f-T IDill PW P L 2 AS 5 f fdAl 01V -rHA i C H2 7�tv HAP FILET 04 PEK-00 IN -&Ok' /yetof �f}RCEL JY,♦Ps AT -PAGES 3 I , 3-2) ..33 .�-� 'r'ttG OFFICE .11 o F -r HE $u.'T'TE C OLWII RECoR Dg4, Description: Butte,CA Document-Year.DocID 1998.24358 Page: 2 of 2 (brier • -=n rnmmmn fi : FOUNDATION SYSTEM I CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 05-1981 Address or location of unit: 163 MANN AND NOLTA ROAD, CHICO Legal Description of Real Property: 056-440-058 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: ROBERT T. KOSTELLO Owner's address: P.O. BOX 6580, CHICO INSIGNIA OR HUD NUMBER: ORE478928/9/30 SERIAL NUMBER OR V.I.N.: ALB030026ORA/B/C MANUFACTURER'S NAME:CMH MANUFACTURING YEAR: 2005 OFFICIAL APPROVING INSTALLATION: DATE: Y U PHONE: (530) 538-7541 H.C.D. 513C r Q��IITORM 4 STATE OF CALIFORNIA d 'TiJn t e� BUSINESS, TRANSPORTATION AND HOUSING AGENCY NUMBER: �'+ i rvu �• Y I 1 DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 8743797 '% �j • m _" '" '`-"` ' "- DIVISION OF CODES AND STANDARDS 8 l 4 3 7 9 7 MANUFACTURED HOUSING PROGRAM TY MANUFACTURER CERTIFICATE OF ORIGIN ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL_ MCO NO, MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING y _ NUMBER OF © SFD (SINGLE FAMILY -DWELLING) ElMUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS 3 COMMERCIAL COACH: OCCUPANCY GROUP CMH MANUFAC TURING WEST, ITNC. 2445 PACIFIC BLVD. Ski ALE S, Or 97321 Street .� (City) State Zi 1ANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: GOLDEN WEST 72GOL42684AH06 IAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR TRANSFEREE DESIGNATION: GOLDENPACIFIC—CC�ICr� 1118851-. 7 GARNER LANE CHICO, CA 95975 GE COMMERICAL DISTRIBUTION FINANCE At;'; •"" PR02ESSING, 5595 TRILLIUM BLVD 3RD(CpOOR Ha FMAN SECTION MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER 1181 TRANSPORTER NAME: TRANSPORTER ADDRESS (Street) __ - _... _ __ - —__ (City) DESTINATION FOR UNIT DESCRIBED ABOVE: GOLDEN PACIFIC-CHI.CO (NAME) -13407 GARNER LANE, rc�.m•� Nay 1126455 SUGGESTED RETAIL P RIC OF MANUFACTURE: 11108105 DATE OF TRANSFER: 11117105 TATES, LL, 60192 LENGTH INCHES 816 WIDTH INCHES WEIGHT (POUNDS 162 2624 816 ai FI 162 2624 A9 (State) (Zip) HICO_ CA 9597 r State - - - •-^.^- Zi ••_.^..• I certify under penalty of pjMurY under the laws of the State of Calilomia that the above reds are true and correct Exeeutedon .11,117105 at r= F ^• ALBAN LINK OREGON. (City) /. �. ^) (County) (state) 1. SIGNATURE OF AUTHORIZED AGENT: '� �'� ���,�...•l`• .� DISTRIBUTION: ORIGINAL (PINTO FORWARD 70 THE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE).;;^ t COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. - COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER........... HCD 483.0 - Side 1 - (7/97) _ - NOTES RESIDENTIAL PERMIT NO. 056-440-058 05-1981 KOSTELLO,ROBERT { 163 MANN NOLTA RD, COHASSET I Cont: RED LINE CONST M/H(REPLACE PER FND) SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 19 c__ 3 OFFICE COPY Address GAS —Z3� Meter By Date ELECTRIC Meter By Date JOB FINALED (Date) Signature J=OK D= Not OK . = NotReadAppliy MOBILE HOMES . =Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Specidl MH Support Sketch 3. Location -Test -Fall -C/O -Concrete $! er; Location -Test -Easement Needed (Sketch) I city; Location-Clearances-Gmd-/ /Amp -Concrete . Gas; Location -Test -Wrap;-/ /" L -ft. 4" ri / P Nat or/ /" L "ft! P LPG 6 i 7. Well Clearance & Disconnect 8. Utility Clearance Date y -3 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBJW HOME INSTALLATION (Plans) OK except #'s ng Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line as; MH Test -Demand -Valve -Connector lectricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Fgptings; Size -Spacing -Marriage Line docking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 10. License Decals 11. Verify #'s with Office Date T -3-0(Q Card B-1 IZ�zJb S , Date Card B-1 Date Card B-1 Date Card B-1 Uj1.10 .e1S���Qo2�ngl��t; MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater -7. 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = NotApplicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd. / /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P 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-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.-, Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Ught-Spa Light 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdnn. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows; Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit_ Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks O Yes 0 No /Planters 0 Yes 0 No_ 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: {{hy � �+3 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any gity or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she_did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 oMhe Business and Professions Code WORKERS' COMPEKSATION DECLARATION I hereby affirm under penalty of perjury one of the following declara i s: ❑ 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: CV/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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wit'7,s,,,-- th {see provisions. Date:4 / S0 -1 WARNING: Failure to secure workers' comrfp sation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BPOS1981 Issued Date: 08/12/2005 APN: 056-440-058-000 Site Address: 163 MANN & NOLTA RIDGE RD CHI Map Index: Description: MH REPLACEMENT ON PERM FND (2562) Owner: KOSTELLO ROBERT T P O BOX 6580 CHICO, CA 95927 Applicant: KOSTELLO ROBERT T P O BOX 6580 .CHICO, CA 95927 Contractor: RED LINE INSTALLATIONS INC 13407 GARNER LANE CHICO, CA 95973 (530) 895-5543 License #: 848025 Architect: Engineer: Total Square Ft: 2562 S.F. Valuation: $166,530.00 Census Code: CONSTRUCTION LENDING AGENCY— -" This permit is hereby issued under the applicable provisions of the Butte Cou y Cod and/or I hereby affirm that there is a construction lending agency for the Resolutions to a work indicated above for which fees have been paid. s,/ performance of the work for which this permit is issued (Sec 3097 Civ.) v Name: BY _Date: PERMIT EXPI ES N: G Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable'to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of ButteCou ty. I hereby authorize representatives of Butte County to enter �upon the above mentioned property for inspection purpose - Print Name: 1,1� Y) /d !2 1�J /D /O c� Signature: Date: 9 /�/LJ � /J v J J ❑ Owner ❑ Contractor gent for Owner ❑ Agent for Contractor ti. c. t3unaing vermn ui-it)-ug pg i ...•-�-t_.:�,�,..-,..�•. v: �...h+..r.�....:_='"ra+•'..•TiF•rr-..'�•��,-w''ti...-:.1 'f �rww+,,.. w.nr•».,r,..rrw•r...';-rn+i�"'rM.rc-..ew-v..•�.-.r..+wn.r.:T... ti �•✓-Iy`r•r..' -- COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET �s+ello 05(P_y40- 05S �. OAR: ASSESSOR PARCEL NUMBER PFOMP d uilding Use: M (2p�QCei�1 OnN P Permit Technician: a e: It required in order to apply fo a permit. All boxes MUST be checked OR marked NA in o pp y. ,0':04 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. _ ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl -- ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for No - ted and AIC for Non -Residential Buildings. `tz(�2N 8. Manufactured homes: (A) An lation manual, including marriage.line info, (C) Floor Plan, (D)Tiedown or'fn�,jc plans, all in duplicate. ❑ 9. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form \ 1I 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other aining items needed to issue the permit. (May require additional plan review upon rec ipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department i Chico ❑ Oroville, as applicable /2� S O16. Fire Sprinklers............................................................................................ .bl 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 19. Erosion Control Plan Required........................................................................ _ •�J J�1 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 21. City of Chico Plumbing permit ........................................................................ 1 �/ 22. Site plan and business license approval from the City of Biggs ........................... 23. California Department of Forest Ian approvalpaid. Sent by: U 7/.��/.0. O bS 24 Planning approval for (A) Use: 0)(__(B)Parking: (C) Parcel Check: .... b! b ❑ Contact Land Development about _ Improvements, _ Drainage ........................ NPDESForm..........................................................................................:.. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization...........'......................................................... d`IN 32. Recorded copy of Agricultural Acknowledgment Statement: ............................ ❑ 33. Existing violations and/or expired permits......................................................... ❑ / 34. De aestriction....................................................................................... •� 35. L( al description, RNA. Title, title search, registratio or MCO ....................... ❑ 36. Other: VaN 37. other: L#*y- of -tom+ . When issued Telephone i$�3 -� , i 3fi�-% 1 j and hold for pickup. a Bob - I have been informed of the above items and requirements for obtaining a building permit. Applicant: 10-7` v % Date: 05 1. Index permit applicationfor th a 't ibered: 1 P.Idd Check tetter ' 2. Additional items required Contractor, designer, owner, was advi d of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by:,, .-- (Date:. Plans approved by: Date: Structural reviewed:by: ' `'' L' bate: Structural approved by� { - fi Date: " .. Note transfer by: Date: Yellow: Building Division E.H. USE 0AIL Plot Plan AnacMd • Floor Plan Anachad Sant to G.D. TO: Building Department -F OM: Environmental Health o SUBJECT: Sanitation Clearance �,1 l Nol�� Owner Location AP# Plan Approved for: Sewageisposal Water Supply: Public Private Well Clearance for dwelling. Other �c Hold final for: !j��!°T / C- a n Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 -lY0 Date COUNTY OF BUTTE W051 `1 g DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER KSW10 PROPROSED BUILDING USE - pr} jl F6 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- FEMA Flood elevation review. A.P. # 0 5Cb- 0-0� DATE %-9_(D - f)j RECEIPT # DATE REC. A�/2� 2�-ns --- Additio 1 pl' checking Fee.... $ 2. SC"TRICT FEES _ yV� ,,� C' �1 �/2/05 r-6. / (paid at School District Office) (form available after Plan Check) SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. '�4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning J06. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) SMIP I (rp „ (A C 9. DRAINAGE FEE 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). 'Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) 44 v 4' , BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM 'TK P W?- OI . (One form per Building) Chin Sc / , School District ChiCn uni Fip r1' IlA Building Department No. wo Sig A.P. Number r�p' y� o' �S Jurisdiction: Q City County Property Owner Kosff i Io _ lznit r� ? hey �fFy. yK 1.. %1 • V. Property Location/Address lU Val �g ._P'A- - Co k mt �- V h � c Subdivision Lot No. ....................................................................................... Residential Development Q Q Sq. Footage 25(n2 No of Living Mobile Home Addition/ 'Supplemental toa (Group, R) Units Installation Conversion Permit # : • No foundation inspection) ction ................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 0 New Addition Sq. Footage; (Including Exterior Roofed Areas) '1 :XS' G 5 Date'.I,- -/_ ._ IA) , District Identificatio No. + C, U School District certifies that -- G ��-e. C (. KoA!,f) ` (Applicant) ��(Street t ksss) f(Phone Number) (City) has complied the of Resolution No. (State) ✓ O ��� .G' (Zip Code) by with requirements payment of $ representing square feet.*, B 2 226 $ ULL MITIGATION $ School District Represen ative �� Date i f. k Paid by Check # v Remarks: Nodce: You may protest the Imposition of the fees Identified above by submitting a written protest to the District. In compliance with Government Code Section 6W!0(a), �In 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imp Itl d the fees In any, court action. K, 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 On school dish 1ct'd schools. White (school district), Yellow (building department), Pink (applicant) feeform.xis (3M5)drhm saw _J PIER zHER FOOTING S12E REQUIRED (S0. IN.j PIER ILK FOOTING SIZE REQUIRED (SO. IN.) plEg r¢K FOOTING SIZE REOUIRI N0. CAPaCITY -- — No. O CAPACITY N0. CfACITY 1000 PSF 1500 PSF 2000 PSF (LBS) t00G PSf 1500 PSF 2000 PSF LBS.) 1000 PSF 1500 PSF 1 2000 288 192 144 11 30 1 4000 1 576 1 384 288 5 1 6000 1 864 576 2500 1 360 240180 4> 1 5000 1 720 1 480 1 360 1 © I 8000 1 1152 1 768 A - UNIT 8 - UNIT C - UNIT uNTY BUILDING DIVISIO IN.) PIER CAP CITY OO R 4 E6 IN.) N0. 1000 PSF TACO PSF 2000 PST 2000 PSF 432 7 10000 1440 960 720 576 ® 12000 1728 1152 864 � I3.0 x 00•C Y \ tiL CECKT. Y----------- } PIER zHER FOOTING S12E REQUIRED (S0. IN.j PIER ILK FOOTING SIZE REQUIRED (SO. IN.) plEg r¢K FOOTING SIZE REOUIRI N0. CAPaCITY -- — No. O CAPACITY N0. CfACITY 1000 PSF 1500 PSF 2000 PSF (LBS) t00G PSf 1500 PSF 2000 PSF LBS.) 1000 PSF 1500 PSF 1 2000 288 192 144 11 30 1 4000 1 576 1 384 288 5 1 6000 1 864 576 2500 1 360 240180 4> 1 5000 1 720 1 480 1 360 1 © I 8000 1 1152 1 768 A - UNIT 8 - UNIT C - UNIT 13'-6' CARPET LAYOUT STANDARD CARPET GREAT ROOM DWING RM -14 MLASTER BEDROO41 RASTER BATH ACTIVITY ROOM BEDROOMS 32. }3 @ 34 HALL. P;ARDROBES OPTIONAL CARPET GUEST EATH 8'-0• ® (BEARING WALLS) ■ (CLEAR SPAN) Manufacturing West, Inc. Albony Division - Ploni #972 2445 S.W. PACIFIC BLVD. ALBANY, OR 97321 Phone (541) 926-8631 Fox (866) 491-6847 DaAwING TITLE CARPE?' & PIER LOC. ORIGINAL DRAWING BY UCT uNTY BUILDING DIVISIO IN.) PIER CAP CITY OO R 4 E6 IN.) N0. 1000 PSF TACO PSF 2000 PST 2000 PSF 432 7 10000 1440 960 720 576 ® 12000 1728 1152 864 13'-6' CARPET LAYOUT STANDARD CARPET GREAT ROOM DWING RM -14 MLASTER BEDROO41 RASTER BATH ACTIVITY ROOM BEDROOMS 32. }3 @ 34 HALL. P;ARDROBES OPTIONAL CARPET GUEST EATH 8'-0• ® (BEARING WALLS) ■ (CLEAR SPAN) Manufacturing West, Inc. Albony Division - Ploni #972 2445 S.W. PACIFIC BLVD. ALBANY, OR 97321 Phone (541) 926-8631 Fox (866) 491-6847 DaAwING TITLE CARPE?' & PIER LOC. ORIGINAL DRAWING BY UCT MODEL NO. GOLDEN ESTATE GE 681K ,. 2,582 i2 17-04 l —A2 REVISED 3-1-05 JH Butte County Departmentof-DevelopmentSei-HCCS 103T-rF 7 County Center Drive °°° Oroville, CA 95965 538-7601 Telephone (530) (530) 538-7785 Facsimile UN�y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: • I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I an: required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. - Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: �p SEAT T. KQ 'Ste L Lb APN: Stn ` q4(C)-OSp-000 40ILTA Building site address: 1/2 MANN RIDS Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF APPLIC NT DATE Copy to Applicant/EH/File K:Fortes/BldgPertnitwithoutClearances 020705 p�QPRTMENT OT / 6vTF o O C _ ` •A �� 5 �eUo W�� Department Michael Crump, Director Public iX!®rks LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: n«�e'�r.�JC Project Location and/or Parcel Number: "g By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than• one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: 'T. /C� Title: , 0%VV%fZ. Date: "% 24 0 Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 1 =7L `3+.�'� i}.i •�. \:.�� ,�. .�_.j � �f'°"y'�.`�'•�� d•�� �w�. .��.•� ` .�� I> ..r4'� 1 ^€ jfv-�.�5")i>: - ':'t >1ti•t. _ ♦ .i +K"'_•4►..:+•r�.� !�`1, it 4. CDF FIRE SAFE REQUIREMENTS AP# 056-440-058 PERMIT # 05-1981 NAME: Kostello Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards [X] Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] Grade. Not to exceed 16 percent unless paved. Driveway Radius [X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet radius. [X] Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and • shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. 11 C D F R E Q U I R E M E N T S Setback for Structure Defensible Space C [X] Maintenance of Defensible Space. To ensure continued maintenance of D properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for T in these standards, annual maintenance must be provided for by the landowner. r [X] 1 . All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] .2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. T 1 [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building permit inspection. E Other Requirements (] If Building Setback is'15 to 30 Feet: ✓ Class A roof R ✓ Enclosed eaves [ ] If Building Setback is Less Than 15 Feet — E Class A roof with enclosed eaves and choose any 2 of the following: l`Cl ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient U setback ❑ Siding from the following list: T o Stucco — 3 coat 1 o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal o Other Butte County Fire Department approved materials E [] M E N 08/10/2005 Darren Read Date, Signature T I / BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER irstk4ne Last Name o$ -rFE 0_0 r KPISEPT Address/ M N OLTR PS0R1>4 City 0 SS ET State Zip 9 7 Phone 5 d-3 3-73 1I Fax E-mail ARCHITECTIEW Name Address +, City State Phone Fax E-mail State Lic A Na'Rbbef I Addre, City 41 Phone E-mail o wv��r rY ✓ p+ � Anse 1 O T NAME r t 0— 1 — ' _ State I Zip Fax APPLICANT SIGNATURE X For office use only: CONTRACTOR I TM -W Name'2) Cross Street Lj Lj G E OA SRA Address No Occ. Cit Subdivision Name Map Stat, Page Zi 3 Phone.R _ Date Approved: Fax rma il Lic. r .nmr) ARCHITECTIEW Name Address +, City State Phone Fax E-mail State Lic A Na'Rbbef I Addre, City 41 Phone E-mail o wv��r rY ✓ p+ � Anse 1 O T NAME r t 0— 1 — ' _ State I Zip Fax APPLICANT SIGNATURE X For office use only: Zoning I TM -W Flood Zone Cross Street Lj Lj G E OA SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # LOCATION AOS'fo-4Lla-oS8-0 Pro eny Address ANN AJ*1,T4 R. ity SSS Cross Street Lj Lj G E OA WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: j . Sq. Footage ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: K Cj . Amount: 2j q cI Bldg ll 20 cl 'i� SRA Receipt #:�{3�i`7$ l Sheriff SMIP OVER FOR SUt31V11 I I AL Kr_WU1Kr=rvrr-1V I %> U K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Other Date: 7— 9 6 -05 $ ' y9y Total 2� REV 2-24-05 SUBMITTAL & PERMIT. REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or'fnd plans, all in du licate. ❑ 7. Metal bldgs: (A) Metal Bldg Flans, (B) Fnd plans and calcs in triplicate, ' plans in triplicate. All of these must be stamped and wet -signed by the einginleer in triplicate. (D) Floor ❑ 8. 'Flood Elevation Certificate, wet -stamped and signed, In duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items maybe required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ .2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. J 4 ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. - r` ❑ 8. Owner -Builder Verification (if required). - - ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information -regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, anew application, plans and fees will be required. REQUEST FOR FEE REFUNDS 4 Refunds can only'be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KIFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 71 „' , ( 111 • y+ .1•4r��.r.> h Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9IV2003 INDEX Approval , PAGE RELEASE 34AMMACTVREDROMMOanatIOUS SECTION r NUMBER Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9IV2003 INDEX Approval PAGE RELEASE 34AMMACTVREDROMMOanatIOUS SECTION r NUMBER DATE . FOUNDATION SYSTEM JDMTH APD SAFETY CODE. SECrM IUn APPROVED INTRODUCTION 2 9/2/03 SUB1C,TOCORVY1= MNom GENERAL INSTALLATION 3 9/2/03 A"StovAL Dw NOT AUTHOMnOtAMOW PARTS LIST 4 & 5 9/2/03 "OR MIATIOPI FROM REQUMEMMM A"UCAMZ STATE LAWS APD REOUX AT ONS LONGITUDINAL DEVICES 6 9/2/03 Saw OfC�' ,f .ins as C try PIER HEIGHTS 7 9/2/03 ' CODOA, DSTAI SET-UP INSTRUCTIONS 8 9/2/03�aY �� ?Uza1Exp= FOOTER SIZES WIND ZONE I -SINGLE 9 9/2/03 - DOUBLE 10 9/2103 - TRIPLE 11 9/2103 -HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 912/03 F=•OF=ssio��. - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 t+O.60245 T V-DRIVE & PIER SYSTEMS 16 9/2/03 CNU- SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 .. 9/2/03 &ffTE C T-� COMPONENT PARTS AVAILABLE UPON REQUEST qqUILDING (EPAR`""*', Q p p R V r it I I I Ailgg.,;A ;.A ;,; _Izft- il fol" g1jifu6tw6f ,, i Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local win( load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, otht widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plate - - � • � a..�tt (t Page 2 California - _ 9/2/01 GENERAL INSTALLATION INSTRUCTION SITE PREPARATION that the home site be properly graded and sloped to prevent water and moisture from standing or Itis necessary . flowing beneath the home. _ FOOTINGS AND FROST LINES ground (or The Vector Dyn amics Foundation System _was designed to be placed directly on fo of the Concrete (see ed concrete) after.clearing all loose vegetation. In areas rvfooteith � dest pth. use Vector pages 20 & 21) to comply with local requirements fo FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PAD or three square Vector Pads are used in place of conventional nspaced as symdation ps. Ometrne ically as possible along the length of the feet of bearing support. Vector Systems should be home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE - TERMITE SHIELD center cut PVC or lumber 2 - 2x4's,1 - 4x4 or 1 adjustable steel commpression member center per Vector system) st m) fordis- tancecompression section,when using concrete blocIER ks S rmeasure center to center frame distance and add 1 E and subtract 16"• When using TREATED, GROUND CONTACT RATED. ALL WOOD MUST BE PRESSURE Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are th th in each Vector set-up. same, the'pre-cut boards will also be the same leng STRAP. INSTALLATION All frame ties and diagonal straps must go from the anchor the top of the I Beam. See illust 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to bgive olt. a minimum of five turns around the slotted 4. Thread loose end through slotted bolt so that the str� flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five ful' Page 3 California Vector Dyn amics Foundation Systems Lateral Component Parts List Vector System Lateral Stabilization Block Pads #59018 - 2 sq. ft. single/double block pads witf• hardware, swivel straps and slotted bolts Vector System Lateral Stabilization for Concrete # 59036 - Single (only) block pads with hardware, swivel straps and slotted bolts. # 59049 - Double block pads with hardware, swivel straps and slotted bolts. Vector System Lateral Stabilization For Difficult/Rocky Soils # 59287 - V Drive System Must be used with: # 59018 - Vector for single/double block pads 3 Sq. Ft. Pad Vector System # 59271 - Vector 3 sq. ff. pad (2 required) # 59024 -Vector Lateral Hardware Kit, includes PVC adapter. Strap/Swivel Strap Connectors & slotted bolts not included. �': �x C Page 4 California 9/2/03 Vector Dynamics Foundation Systems Longitudinal Component Parts List Longitudinal Stabilization Hardware Kit # 10733 - (for use with 59018 Vector System, single stack block sets only. Longitudinal struts not included) Longitudinal Stabilization Hardware Kit for Concrete # 59023 - Includes 2 beam clamps, tension brackets, nuts and bolts. (for use with #59036 & 59049, longitudinal struts not included) 3 Sq. Ft. Pad Vector Longitudinal System #'59026 - Includes 2 beam clamps, 2 tension brackets, nuts & bolts. (for use with #59271, longitudinal struts not included) :.,,• e e e m Liu Page 5 Struts for Longitudinal Systems Part No. Length Pier Height # 59016 30" up to 2 Blocks # 59012 39" up to 3 Blocks # 59013 44" up to 4 Blocks # 59014 53" up to 5 Blocks # 59015 65" up to 6 Blocks PVC Adapter Bracket # 59281 - For use with Schd 40 PVC Center Compression Strut # 48612 - Single Section, 62"-108" # 48613 - Double Section, 34"- 60" (includes short u -bolts, nuts, washer and 6 self taping screws) , California Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. LSD el Combine Vector Dynamics & LSD 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) Note: Two struts =1 L.S.D. system. 3. Longitudinal Strut (2 per system) Can be used on one pad or slipt on 4. Tie Bracket (2 per system) opposite ends of the home. Examples of Possible Placement: Wind Zone (Contact TIE DOWN for placment in other Wind Zones) I Triple 5ection Wind Zone I Single 5ection I I I I I I I I I I I I I I I I I I I I I I I l Wind Zone I Double 5ection 18 Ft. Max. 32 Ft. Max. For greater widths use triple section design. Page 6 48 Ft. Max. Wind Zone .I Tag 5ection California 0=1 912/03 50 in. Max. Maximum Pier Heiaht Vector Dynamics Foundation Systems may be used on single section hos exceed mend Z ne I whichinches require or heights (from surface of Vector pads to top of concrete or metal pier) not both main rail(s). Note that a ground anchor must be used at each Vector Wind Zone lystem a location anchor the pier height exceeds 24 inches for single section homes. On multi -section homes'in at each Vector System location with pier heights above 46" with the following exception: double See section for homes that are 24' wide, in Wind Zone 1, have a maximum pier height without anchors double section home high pier set instructions. 50 in Max. Unequal Pier Hei hes Homes with unequal pier heights are limited to 50" maximum pier height -and the shorter pier cannot exceed 26". Page 7 0aximum The difference between the taller p ov_rc— California 9/2A Set -Up Instructions for Vector System 459018 40P �v C� �'M .A�f3ox:.�� x a•' d <^ 'Sed 6.. 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 sm •'sy�A �xM�: 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. Californi= 9/2/03 t , f. Y d y�>t5 40P �v C� �'M .A�f3ox:.�� x a•' d <^ 'Sed 6.. 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 sm •'sy�A �xM�: 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. Californi= 9/2/03 I \ �`' \ E4 WINS ZONE 1, SEISMIC ZON Required for Dynamics Systems q --' Vector Dynam Y Single Section Homes d uire- me ' (Materials Req ) - '72 zf }� •< s,`i, W�Ao.• I , � ' ^ r' s.,•.tb. YS�Y i�•vi�i'S'�K' 1L�5 �'ssi,��l��t')Jt�x� � '1„ >y tQ CD A 0 Note: L.S.D = Longitudinal Stabilization Device Can Page 6. Soil Classifications: Soil Bearing Capacity: Anchors Required: Home Length 0 to 72' 73' to 90' NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' inelrnctlons and/or state requirements. 2, 3, 4A, & ats 1,000 PSF minimum Jiix anchor 30" with 2-4" he ates (59292)90954" frame ties 12" stabilizer p Vector Systems Reauired �� 4 Anchors Required Per Side or 24" Pier 2 3 24+" Piers I L.S.D. 3 4 m requires one of the foriessio n Each Vector Systemember, 1-4x4 or 2-2x4's pressure treated wood comp compression (see parts list) . Schedule 40 PVC Pipe or 1 adjustable steel comp 2 2 ector- C) w 0 w' WIND ZONE I, SEISMIC ZONE 4 Vector Dynamics Systems Required for - I \ Double Section Homes _ t (Materials Required) _ - - - " - " - " - - " - t pCl home _ ♦ `' doubXe Sec 1 _ """" �♦ 1 OL — " " �neSF i � ��t Tx1� G i F' T ♦ \ I ♦ \ \ RUM `,r$f r< rA its �_ �„• v — — — t f !''rK�Lp�k'd \ -' FiS�°Y •'£)c.: _ — � t`�u -i n�. - t? ♦ I s k ma%- t e a NOTE: Vector Systems should be spaced as symmetrically as possible along the length o home. Pier spacing must be consistent with manufacturers' Instructions and/or state requirements. No anchors required. For pier heights up to 46" for 28'-36' wide, •• 38" for 24' wide. � See Pg 12 for high pier instructions. ftn� N WIND ZONE I Soil Classifications: Soil Bearing Capacity: Anchors Required': 2, 3, 4A, & 4B 1,000 PSF minimum None ('Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' S 0 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. - ♦ 1 _ me 1 �♦I \ E I, SEISMIC ZONE 4 _ �k%0 ,sys`e ,_ , D ZONE - "_ - 6 Lm,,\t� 3t \je W I N _ ��` Required for ' Dynamics Systems R - _ {\ ac�n9 - , ,n�t,;,'�.� ♦ ` 1 � , Vector a sp p� ecaZ4,♦ 1 . . Triple Homes\e ws gen Trip Section ho (Materials Required) NOTE: When a pler heightlocations exces 4", anchor must be usedtanethe routside wall/beam atthatn approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' Instructions and/or state requirements. n w % 'g �;�s�� :���' — - �r3� ^�''•; � � ♦ ` t - Tag or--,-* full triple WW �Il cn. ft. nad 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': None ('Marriage wall anchors may be required by home manufacturer.) Vector S stems Anchors Required LSD Home Length Required Per Side Main TAG 0 2 1 0 to 48' 2 + 2 on Tag 49'to7V 3+2 on Tag 0 2 1 72' to 84' 4 + 2 on Tag 0 2 2 Q��,,,gn' 5+ 2onTag 0 I Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) tv to CD N C') V0 0 cv' WIND ZONE I SEISMIC ZONE 4 (High Pier Sets) Vector Dynamics Systems Required for 1 . Double Section Homes (High Pier Sets with Diagonal Ties) home J - ,double sect1on ` " " ' �' �' `. 14, NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. !l. ' Max. Height = See Page 7 CO c O -J li I -see W Spe1C.20 WIND ZONE I Unit Width 45' MIn. sq. ft. pad/ Home Length Vector Systems Anchors Required Reciuired Per Side L.S.D 0 to 48' 2 2 2 49'to 71' 3 .3 3 72' to 84' 4 4 4 85' to 90' 5 5 4 Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required": 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292) 1-1/4" frame tie with connector Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE II, SEISMIC ZONE 4 (Hurricane) Vector Dynamics Systems Required for, _ _ _ - ' ' t 1 `. Single Section Homes (High Pier Sets with, Diagonal Ties) ' home s. ernes' 1 1 t 1e Secve� or sy ke.0ax C3 o,; a e(a`Sp 9. me°n ta\\a��on s c s Xa(nP�ho,Ns 9e„st be to rations acIn9 m - h=; t 11Ws d sP 1 Pads- .-�<z3.. 1 1 24” con C:) WIND ZONE II (not to scale) Soil Classifications: Soil Bearing Capacity: Anchors Required`: 2,3, 4A & 4B 1,000 PSF minimum 30° with 4° helix anchor (59095), 1-1/4° vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Equired per side LSD 0 to 48' 3 5 2 49' to 60' 5 6 2 61" to 72' 6 7 2 73' to 84' 7 8 2 85' to 90' 8 9 2 Each Vector System requires one of the following: 1-n vn '„r 9-9v4'S nrPssurP treated wood compression member, NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut Is 4.000 lbs. per the K2 Engineering test report. ector •...... r, Iv to CD .1 WIND ZONE II, SEISMIC ZONE 4 _ Vector Dynamics Systems Required fors• es Double Section Homes __ -' " ib1e Seege for symanal gv+ae1�� - ;`♦` 10 of a e2ef a\ SP home %nstallat1on — , _ _ '' ♦ `� �Xatn shows gene be o X111 S ana spaoin9 tion Pas's I � I♦ � o w✓X ` 1 ` r F� — ♦ �;': ` ase J_ — 171 1 ♦ I a „ ���:<. 2 to ` 1 NOTE: Vector Systems should be spaced as symmetrically as possible along the length c home. Pier spacing must be consistent with manufacturers' instructions and/or state reqs Maximum allowable working drag load for th System with steel compression strut is 4,000 the K2 Engineering test report. Soil Bearing Capacity: Anchors Required': 1,000 PSF minimum 30' with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Nome Length Anchors Equired per side Vector Systems Required LSD 0to48' 4 4 3 49' to 60' 5 1 5 3 61" to 72' 6 6 3 73' to 84' 7 7 4 85' to 90' 8 8 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, ............... -�.__...._.._.._�. - - - - -- _-►, WIND ZONE ll, SEISMIC ZONE 4 - - - I � 1 ' homeems Vector Dynamics Systems Required for , , _ - - , seo1`o % sysk Triple Section Homes - , , , , - - - - , , - '{� mint% toy ve Oka cin9 ,� '} • (Materials Required) - - " - - ` amp\e os 9e�er 1 05 ectorr.......... j�c7rn GS \� .. F:,-ra;Sp y..I �� 3gi r n,�,�.� 3.. .,b'•= '' ft � x hp �; ��,� i .......... I \ `q y`�ti — +•��;,.rn< 1 Ste. .. NOTE: When a pierheight locations exces 4", anchor must beused tonethe routside wall/beam atthatn •0 approximate location. w CU NOTE: Vector Systems should be spaced as U, symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' Instructions and/or state requirements. Soil Classifications: 2, 3, 4A & 4B Soil Bearing Capacity: 1,000 PSF minimum � Anchors Required': 3/4" X25 Ibst mn. breaking strength. helix anchor (59095) 11/4" vertical ties w//47 oLSD Vector Systems Anchors Required Main TAG Q, Home Length Ftpnl,ired Per Side -�•- 49' to 71' 4 + 2 on Tag 6 3 2 72'to84' 4+3 on Tag 7 3 on Tag 8 3 2 x►� 't Each Vector System requires one of the following: 2 sq. it. pad n�oSSlire treated wood compression member^^ter, I rt` 2 sq. ft. pad vector Dynamics Metal Pier & V -D METAL PIER FOUNDATIONS For metal piers, place the piers in the center of the Vector pads. Set the single 44 or two 2x4's through the piers, centered in the U - bolts. Outside Tension brackets attach the same, Inside tie brackets mount "upside down" as shown in drawing. Metal piers using the Vector System can only be used on level ground sets. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. To cut lumber (2 - 2x4's or 1 - 44 per, or 1 adjustable steel commpression member, part59043 Vector system) for the center com- pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16'. Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. V - for rocky s, re used only in `ion homes. V -Drive anchors are used only in Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to be installed. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bolt. Cut the strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight. Page 16 Californi ' `° N :42/03 VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow CoD2586STM Torque Val eoil Tee(2)) 1 Sound hard rock...... NA ) NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 175-275 lbs - in 4B and silts, alluvian fill Peat, organic silts, 0-44 175 lbs - in. and lower 5 inundated silts, loose fine sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the f the go I th is theestsoil below d in thermsrface is resistance to penetration and near the anchor's helical plate. The strength o has (flow) under load by means of the torque probe and is measured in lb --in. The test probe diameter is on ine l overall length of the helical Section is 10.75 in.; the major diameter Is 1.25 , the pitch is 1.75 in. The shaft must be rbewhenth for anchor depth. distributed a ound the shaft of the (2) A measure synonymous with moment of a foe test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: _ - — 20x20 = 400 sq. in. 1 6x1 6 = 256 sq. in. - _ = 288 sq. in. or 17x25=425 sq. in. ' or 16x18 - - ,- EQUALS = `' EQUALS ' �_ - ,-- ; - 2 -Vector Pads # 59275 == �= -'- � 1 -Vector Pad # 59271 . 288 sq. in. or 432 sq. In. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used Rd ateredthe Proessional E��nee''Smea above 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by 9 \ H c •� conditons �`J 1 4 Page 17 California 9/2/03 Vector Dynamics System for Concrete Applications Instructions These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" round (min) x 10" deep. The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be sufficiently cured and set to accommodate an anchor bolt to its, full load resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (gals. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1 adjustable steel commpression member, part #59043 this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in' the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Illustration One of a Single Section Set -Up Vector pa for concretc footer Page 18 California Wood Cap and wedge Outside Tension Bracket Wedge Bolt 9/2/03 Vector Dynamics System for Concrete Applications Instructions 9. Put a washer. and nut on one of the 3/8" x 3-3/4" wedge anchors. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 17. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration Tv Inside Tie Bracket Compressit boards of PVC Pipe U -bolt J 1 Page 19 California Vector pad for" concrete Concrete footer <Etjo9/2/03 Jun 30 05 03:05 juke run�on — - - voiauiuy 13:08 FAX 1 591 8010 GOLDEN WEST HOMES SLS lao s I �. is _ .:.�..�•;� � :` `�'� �o_..�.. /� k V C7 - I ��� 1. o• - .. �_�_� �`_ r�, � �, i ; � � - 11 w.�..� i • +I • � ._J •.__ .... ..... �.". moi._......... -- 1 14 Ali . ... ... .... _........ ... ...... ^ _. • .. .e � BUTTE C.9N 6 ®EPARy �PpR0V ° e0e) i90'ON OPTE829 E S3WOH 1S3M N3Q-109 Zt:bi S00Zi9Zi2'0 Jun 30 05 03:05P ju\ A e runs®n - 503 77e 3563 P.6 ua,ou,ua !&:86 FAX 1 G81 "e016 cower, WEST notes slVViR®i01�Jii�#,r �mo s -r l • - ��E JUL 2 6 2005 I CHIC®, CALI/"ORNI', �Rr'S7 �:Dc- 1 . ` ' .n M In► .1 M ird .4. •I� T Eli i �• V-1 111> Q 1 1.1 r l I O Q tu CD V ^I III cc Q. ��✓ �� 4� i e . t 7 %- - % — -ill• I....i . 1` �..... F • � - rz v I i � I 20f] i90'ON 07IZ8ZG E S3WOH 1S3M N3Q-109 Zt 7t S00Zi9ZiL0 C RECORDING REQUESTED By FIDELITY TITLE When r6cordad mail document and taxes to: P. o. to, 65-80 Ch, -,o C -A 9 59-27 Escrow M. `` �j APO I.S6' 08 � �T ! � fC e GRANT DEED 1 996-002Ao•338 Recorded 1 AEC FEF 10.0 Official Records I CoBut, Of I CAMM J. GRUBS I Recorder I I I Mjles 14144FM 11 -Jun -1498 1 Page I of 2 TRANSFER TAX PAID TM tatdlarWVrWd Orentw(i) dacla►sls) Doarrr mtary &awfar rax Is 1 IXI computed on full value of property conveyed, or I I computed on full value less value of liens or uncumbranceS 'emrin/ng et rime al sage, fjy Unincorporated Area City of FOR A VALUABLE CONSWER4770N, receipt of which is hereby acknowledged, ,t.,;r1do- D. ecoji%' a;, n un¢rrtd W-OynarL Mraby ORANT/s/ to - �ber� T KDS�el� , an r,L yl yrs 4rl r'ec� +1 R 1 to CJty of the toRowing deetafb d real propertyn e r cowry of state of CaMfotn/e: SEE ATTACHED FOR LEGAL DESCNP770N w{ �Q C O L" T-� DATED: 4- ?'?r r �J State of C�om,e " County of I.Su�d--'Q On ra -Sr�Q p befor- me the undersigned personally appeared personally known to me for proved to me on the basis of satisfactory evidence) to be the person/$) whose nemels) is/ere subscribed to :he within initrumenr and acknowledged to me that hd/she/they executed tho same in his/her/their authorized cepecityllash and that by hisrheNthei, signature(s) on rhe instrument the personls), or the entity upon behalf of which the persons) acted, executed the instrumen WI77VFSS m=hand21(4ffiCjfiI seal a� i 111'�Bl YMI Signature ad BOR Description: Butte,CA Document-Year.DocID 1998.24358 Page: 1 of 2 Order: green Comment: 1 S f DG 42 1308 DENTIAL, I ( 92-136 . .� 56-08-137 WI v.�C KOSTELLO, Bob 63 Mann Nolta idge Rd, Cohasset N JOB FINALE Signature `- OFFICE COPY Address p ate GAS `- Meter BY pate �J ELECTRIC — - Meter L _ J=OK O = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s ' 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Supoort Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L -ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.=Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 • I 5 7. MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 f= OK O = Not OK -.s'No; Readyable RESIDENTIAL (: Date UNDERFLOOR (Plans) OK except 1f's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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 I 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK exceptg'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 -- --Card B_1 --- Date --- Card B_1 - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except t?'s 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/Mech. 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 AI 29. Range Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑Yes ❑ No ----------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------- - ----------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. --------------------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ----------------------------------------------------------------------------- -- -------------------- - - - -- 33. Smoke Detector ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 --------------------------------------------------------------------- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P'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 Card B-1 Date Card B-1 ----------------------(---------------------------- --------------------------- Date Card B-1 Date Card B-1 Date FRAMING Plans OK except t 4's 39. Sits. Proper Material & Anchors -------- --------------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing -&-Bracing-Plates-Sound 41. Bearing Walls over Girders & Floor Nailing - --- - - ------------------------- ------------------------------------ 42. Draft Stop in Walls (rat proof) - - --------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing jingle & Duplex) Date 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. Baffles 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 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 -Bolls 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -------------------------- - ---------------------- - - DateCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------- _ 63 -----------------63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ----------------------------- 64. Bedroom Exiting 65. G F.I_& Bath Fixtures & Tub Access -Spa ------------------------------ 66. Elec.-Tri m-& Sub_p_anel; 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 -Meth. Protection ---------------- ------------------- 75. Plb., Elec. & Mech. Equip. Listed for Location ------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------------------------- - 77. Insulation -foam -Looked in Attic ❑ Yes 78. -Guard -Rails & -Deck-Const ruction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; ----------Planters--O-Yes ------ ❑ No------ -- 81. Stucco: Brown -Finish 82. -A. -C. -Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plb A liance-Fire lace. -Clearance to Openings - - - - - - -- ------------------------------- --- 84. Water Well; Disconnect, Electrical, Plumbing ------------------------------------- --- -- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground -- ---------------------- - 86. Ventilation Throughout House -- - - - - -------------------- 87. -- - ----------------------------------- 87. Glass Protection - 88. Corrections om Previous Inspe ions _--_-_ 89. Gas T -Meters Tagged _ - lectric 90. Water & Sewer Connected- /O to Grade -HD App val .--------- --- - --- -- ------------ 91. En y Compliance Certificate -Other Certificates Date&-/�-9'_ Card B-1 �� Date Card B-1 Date -2Z 3 -9N-Card B-1 & Date -Card B-1 ----------------------- -------- Date Card B-1 Date Card B-1 Comments at Final: w-.. .. .r � a y .. , . ..�: — .., MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE t DEPARTMENT OF PUBLIC WORKS — 7,COUNTY CENTER DPIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7641 PERMIT N0. Address or location of mobilehome")b✓ r"►�^'Va/ �D �t� ���e trd �D�GSse,� Owner's name b0 V, KD!5+e..l lb• Owner's address / ,,3c� W 5�% a S +a.y e— Insignia or hud number ( S U IS 4,2 Manufacturer's name A ^1!�,- u S Serial number of V.I.N. Year of manufacture S (Official Approvi g Installation) (Date) ? IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC,WORKs 196 Membri al.,Way,1Ch i co —' Phone.: -89Y 2751 7 County Center D`ri, Orovi l le = .Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ER 9Z MIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. (v 57 — lglg� 37 .-27 1/Ai- ' +u .� bs Cr -�a y 1.e,ti o w �✓ - , Date 6— , �1Z Inspector eu S� �/ 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 -Telephone: 916!538-7541 APPLICATION AND -PERMIT PERMIT NO. z D ASSESSOR PAR'CEL-NUMB R 056-080-137 ZONING TM -20 BUILDING PERMIT OWNER Bob oell TELEPHONE JI SO. FT. OCC.1 BUILDING VALUATION -a43-73 OWNER'S MAILING ADDRESS 163 Mann Nolta Ridoeasset 026 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS P.O. Box 897, Hamilton City 95951 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS - Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 163 Mann Noll -A Ridge Rd -9 Cabassef Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCryE MAPF ©d— 9 0 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utiliti ❑ Installationl Ot ❑ Describe work: 2 BEdroom MHI _" ! !/LGf Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions C d and J��11"" nse is in full rceL{1 effect. License No. �fG ificatic �� [ � ❑ I, as the owner, �or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20CATO1000A, 37.50 NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. r 3.64sq.ft. NEW CONSTR.MULTI-OUTLET NON,RFS101, BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76d AL 0 461 Ex. OCCUp. OUTLETS (RES ID IFIXED APPLNSRE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s IdCou/nty I sequence of the granting of this per it �. X-�ta�Date �1 2- Signature of Applicant — Owner❑ Contractor E]Agentsions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 105.. 00 . r,Az DFEES IMP FLOOD CDF prx I PD D ISSu This permit is hereby issued under the of the Butte County Code and/or work indicate bove which fees OF PUBLIC BY PER IT XPIRES Date applicable provi- resolutions to do have been paid. WORKS ate Receipt No. 115713 :—:], WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNT Y OWNER OF BUTTE - DEPARTMEKT:OF:._PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 "TELEPHONE: 916/538-7541 A. �.; O PERMIT APPLICATION DATA SHEET t Permit No.— _/ A. P. No. 4.5b Proposed Building Use ,L/lf H7 Building Inspector 4A" Date ��-23'"9Z'• At time of permit application, I was advised the following dsatp must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 All items have ubmitted.................................ZK6:::: lot plans in uplicate/t iplicate, signed by preparer of plans. 3. Complete plans In uplicate/triplicate, signed by preparer. of plans . . r 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions .............. ............................ .4 10. Fees of $ ......................... 11. Chico Urban Area fees paid ........e:'.... .. ................... 2. Park ees laid .................r..... ...... �. (',(/1 r 3. /�e> School District fees paid ............... — 14. Sanitation approval from sy £'Health De artment �-->-7 ,', . 15. City of Chico plumbing permit4 . .� jQ�G'r�.... . 16. Plot plan and business license approvallrom'City of (see City for other requirements) I 17. Planning approval for (A) Use: - (B) Parking: ...... 18. Improvements may be required' Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) ,^s 20. Pre -Inspection for required Pr&lnspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications .. 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 5. Letter of sigllatur authorization fl � �, When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other 3— 3/l /G d Applicant Date Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fir Dept. Other Date By The following data must be submitted pro o permit ' uance: Ci a new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor designer, ow r, was advised of above required data by_phone_mail—counter bydate Contr.: fi r, designer, owner, was advised of above required data by 4-Oone_mail_counter by date Plans checked by / G Sets of plans on hold i Copy—DPW Oa&/ l z Plans approved by File cabinet AP folder Date TO Buildinc Department FROM: Envircodmental Health SUBJECT: Sanitation Clearance Owner Lccation� AP# Plan Approved for:.- Sewage Disposal Water Supply Hold final. for:. _" Water Supply Final clearance O.R. for,: 'Rater Supply � Clearance for Z--ZTedroo obile home. her 8 ,��� `-e o /o NOTS *** Data Sanitarian N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,'California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER (0 --0$-- j, ZONING TM 26 BUILDING PERMIT O'ZobWNE7R I to.3q3-2311 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIL ADDRESS 1(,P-5 (flann NbItc,dc, C omsalg CONTR CTOR'S NAME Loa Lkxl�m TELEPHONE --a-7a_7 nCONTRACTOR'S MAILING ADDRESS Y6 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING 1DSs% 101 D Permit fee $ PLUMBING PERMIT Filing Fee 10.00 v C/ oti SSe �.. Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome& Other SPECIFY Gas piping system 1 - 5 outlets 00 5EF,05.00 Building sewer Mobile Home S IS W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationfA Other ❑ Describe work: _ _ —B e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 • Main service 100 AMP OR1 OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneS$ and Professions Code �(ld my license Is In full) force and effect. License No." 1— 7� Classification til / Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 LIN OCCUP.tr\ oR ADDNSCONST DDWEACCLG S./ 2'/xQsgft NEW CONSTF ULTI.OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 0@50C Ex. OCCUp. OUTLETS ( FIXED PPRESID,)C WE.REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. 11 �q 2 %� Date t* %�1. Signature of Applicant — Owner ❑ Contractor �J Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 7 D Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ (/ S� HAZ I CUA PARK SCHL FLD I PAR I PD HO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. J t 5__?l 3 /D5-00 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 'NOTE—Materials & Workmanship Shall Be in A-cord'ance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. 3So C s acs 'R' _WXl_1N i FIX v ' ��Ff'v"camle I J This kept coiZ make S writtek Works, /o F Location of structures V equipment shall be as shown & clear of all easeyr(ents. -XT tie � ds ' /fi dj �/� � � • 43 of plans and specifications MU T be e job at all times and it is unlawfui to changes or alterations on same without emission from the Department of Public >unty of Butte. 310 C� h _ BUTTE COUNTY BUILDING DEPARTMENT A P P R O V E *12. What is the mobilehome gas demand? ---------------------- (BTU) *(This'information not required if pipe length less than 6 ft. on natural gas or.less than 50 ft. on LPG.) BUTTE COUNTY DEPART M OF PUBLIC f*f WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: `3Ob Koski 1r) 2. Installer's Name: M de. Vdasy-S Moble , how SfI -(' I , FV •3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes a NoF] (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? ----- SO.•.f.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 mobilehome site gas pipe size? -------------- 3/4(in,) 10. What is the type of gas service? ------------------- Natural • . LPG.. -E 11. What is the gas pipe length from meter or tank to the mobilehome?---------------------------------------------15 f ( t ) *12. What is the mobilehome gas demand? ---------------------- (BTU) *(This'information not required if pipe length less than 6 ft. on natural gas or.less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other' than single wide, Mobilehome Mfr. qe((,� furnish Setup Model No. Year Width _(ft.) Box Length___�� (ft.) Tagalong or Expando Size_ _ft. x_/�ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) E711. Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one)l1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations MULATJ.-WIDE � Main Beams Line 3 ' Main Beams — Line 1 Piers: Size-Min.------------ Spacing-Max - --------- , From Ends -Max. ------- 8ixe-MiT ------------ 91,x 3Un 1Spacing`,-Max. --------- 6L1_ C%�„ Liao 3 Roof Loads: Size -Min .----------- Location (From Front) fS zzg,Min-.------------ �Spacing-M---------- Froze Ends -Max.------- Line 1 Openings: Size -Min. ------------------ Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------------ RX „ Spacing -Max .--------------- From Endo -Max .------------- �_ n Size -Min. ------------------ ,k „ Spacing -Max.--------------- From Ends -Max .------------- ' Line > Knot Loans: Size -Min .------------ x u nx a 11x a ux „ „� n nx a nx n 11X ,,. Location (From Front) , „ .*.�.•.{ff.i`�"""-:yt Y4't0'�.��7'X"i�w.."'4°T�7T51 �"r'^f�/'iM�!^.ii�''M�'f'i'1M ..•�'- 7`1"w'.i/""WWI.h'Nfi,":�i�Y!'rt'F'Yi.t'1�""�iN+^Y:�'/.'L`P�'!73Y����'. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P..Number OS6-08 S 7 Building Department No. School District 64 /C o City D County [0 Jurisdiction Property Owner Project Locati Subdivision Lot Number Residential Development: Sq. Footage # of Living H Addition (Group R) Units Commercial/Industrial: Sq. Footage New- Addition (Including Exterior Roofed Areas). IJ Bui N ng DeVdrtlmjdp,y Representative --2Y-j'�2 Date (Floor Plans reviewed by School District Personnel) District Id No. �i/4 Y Sc.hool District certifies that Ppb Li -,7-L 1) 3 V3 3i/ (Applicant Name) (Phone Number) (Street Address) (City) -"�('State) (Zip Code) has complied with the requirements.of Resolution No. 706a by the payment of $ representing square feet. School'District Representative Date �. PAID BY CHECK NO. REMARKS:D 64 Q. �. BANK NO US iJ PAID BY CASH I1(0_vS y'n c)7'e9P oB,C'r'y Ci9'; z (5, white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drlve - Orovlllet Callfornla 95965 - Telephone: 916.`538-7541 - APPLICATOW AND•PERMIT 9 PER MIT N0. ASSESSOR PARCH NU B 056-080-137 ZON1 G _20 BUILDING PERMIT OWNER TELEPHONE -11 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 239 W. Shasta -Ave., Chico 95926 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap Solar or heat pump water heater LOT NO. SUBDIVISIONNAME PARCEL MAP Water piping 420.00 Each pas water heater or ventUSE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5,00 Building sewer 15.00 Mobile Home I S G W @ 15.00 TYPE OF WORK New❑ Addition[] Remodel❑ Utilities❑ InstallationY-i Other❑ Describe work: Tnstal l R Hook up Propane Service _ Permit Fee $ 27,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO 1000AI CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License ;Jo. Classification FlI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) r�Y L� I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. // _37.50 3.54sq.ft. NEW CONST FL ULTI.OUTLET NON-RESID� BRANCH CIRC ITS @ 5 00 POWER APPARATUS (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS IPRESID )ED APLNS.REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. fes?- I shall not employ any person in any manner so as to become subject J� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 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 County Ordinances and State Laws relating .to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against �said �County jin consequence of of the granting of this permit. i °��� X ���"'� f / Date �- Q- $i nature of Applicant - Owner s pa Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TV PE TOTAL FEE $ 20.00 HAz I DFEES I IMP I FLOOD I CDF PARCEL PD 1111 ISSUE This permit is hereby issued under the sions of the Butte County Code and/or c above f work indiwhich fees IR PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date 30 Q Receipt No. 115489R WHITE-O.P.W.. TEL LOW -ASSESSOR. V11 K -INSPECTOR. GOLDENROD -APPLICANT .OWNER'. r i Proposed Bu �-r-•^.+rr=a Yv'r'cp•vy�- rTr+,ryr r«'i F ,!K ^....7.tyZlr+ `? "l.r'" / .....+ .. Mf7° *:..: � ze ,.Ce'.tyf;i, • a '(�,#s�r•'*•r- Je � /;.• COUNTY OF BU_ TTE - DEPARTMENT &PUBLIC, WORKS -BUILDING DIVISION w { COUNTYCENTER gRIVE - OROV`I4 wL1k4lA 95965 ;TELEPHONE: 916/538-7541 `- PERMIT APPLICATION`DATA SHEET Building Inspector Permit No: At time of per eapplication, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) = 9. Mobilehome installation data including manufacturer's installation ., instructions....................................................... E 10. Fees of $ ! ry11. Chico Urban Area fees paid .......... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit.... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. ,.. 23. Owner Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. i 27. When,you ue_the permjt proces�,as follows:ail to owner_ MA;I to r nntrnrtnr 47 Telephone and hold for pickup at office. Deliver w/inspector. �•_ . Other Applicant �rrt { f�o—s-l0 � A) Date- Copy ate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date-------:.By— T_ he yThe following data must be submitted prior to permit issuance: (Circle new item not checked above). 1• Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by—. , date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date RE ID TIAL - �������' ` r56=08-137— - 92=1919-B KOSTELLO, Bob 163 Mann Nolta Ridge Rd, Cohasset contr: Wade Wilson i awnings/mh JOB FINALE Signature J =01< O = Not OK Not =NotReadyable MOBILE HOMES I Date MOBILE HOME UTILITIES(Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P11t. / /"Nat. or//"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK exceptg's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h'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 Card B-1 Date Card B-1 --------------------------------------------- ---- --------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------------------ ----- --------------------- --- - - 23. Dec. 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/Mech. Fastners-Bond Gas & Water - -------- ----- ----------- - - 27. 2 Appliance Circuts in Kitchen & Conductor Size/GF1 ------------ ----------------------------------------------- 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size i / ga. Cu or Al -------------- ------------------------------------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. i ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------------------- ----------------- ------------------------ -------------- - 30. Service -Riser Conductors _&_G -round-Mai-n-Discnnect - --------------------o------------------- 31. Equip Clea-rances-Panels-Motors-Mech. Equip. ----------------------------------------------- - -- -- 32. Clothes Closet Light -Shower Light -Spa Light ------------------------ --------------------------------- ------------------------------ -------------- 33. -------------- ----------------------- 33. Smoke Detector ---------------------------------------------------------------- --------------- Date Card B-1 Date Card B-1 --------------- ---- ------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ------------------------------------------------ .................. 35. Vent Fan: Exhaust above insulation ----------------------------------------------------------------------------- 36. -------------------------------- 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 Card. -B-1--- Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors - -- ---- ----------------------------------------- -- - -- 40. Walls Studs -Nailing. Spacing & Bracing-P(ates-Sound 41. Bearing Walls over Girders & Floor Nailing ----------------------------------------------------- -------------------------- 42. Draft Stop in Walls (rat proof) ----------- - -------------------------------------- -------- ------------ ------------- 43.. -F-ire --Stops;--Fur-red Furred - Ceilings -Stairs -Chases -Tub--- --------------------------------------------- --------- 44. Headers & Beam -Size & Bearing >ingle & Duplex) Date FRAMING (Continuedy 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 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 Card B-1__ Date Card B-1 --------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62..- Smoke -Detector -------------- --------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting __ 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: 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 - ------------------- 7 1. - -----------------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 -Meth. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location ----------------------------------- --- --- - 76. Elec. Receptacles in Garage: (G.F.1.) -Romex Protection ------------ ---------------------------------- 7;. Insulation -Foam -Looked in Attic ❑ 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 ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters--O-Yes ❑ 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 .. ... ...---------------------------------- --- 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: t�. COUNT`P'OF=BUTTE - DEPARTMENT OF PUBLIC WORKS County Oenter Drlve - Orovlh, Call4 rnla 96965 - Telephone: 616,`536.7541 APPLICATION AND PERMIT PERMIT NO. tt� aPARCML NUM13UR 056-080-137 ZONING TM -20 BUILDING PE IT ' OWNER Bob Kostello TELEPHONE SQ. FT. OCC, BU DING LUA O 392 C 10 OWNER'S MAILING ADDRESS 163 Mann Nolta Ride Rd., Chico 95926 CONTRACTOR'S NAME Wade Wilson TELEPHONE 826-0727 CONTRACTOR'S MAILING ADDRESS P.O. Box 857, Hamilton City 95951 Fireplace 1$5.096.00 CONSTRUCTION LENDER UNKNOWN Total Valuation LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 163 Mann Nolta Ridge Rd., Cohasset Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME PARCEL MAP 102-88 Water piping 7.00 Each Qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition i Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Aluminum Awnings (Previously Installed in MH Park) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 2 8 :c 8 10 x 8 Main service 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I d la a under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS IN and Prof essio ode Fd my license is in full rccel d effect. License No. Classification ' / r/l ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.&) OR ADONS. ACC. BLOGS. // _ 3.54 sq.f[. NEW CONS TR ULTI.OUTLET NON-RESID BRANCH CIRCUITS) @ 5 00 POWER APPARATUS Q (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 764 FIXED Ex. OCCup. OUTLETS P(RESID IRFA I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g I Hood 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, cos S, and expenses which may in any way accrue again t sald County in once ence of the granting of this permit. '/ X 7 Date Signature of Applicant — Owner j� ❑ Contractor 'f-'_ Agent ❑ An OSHA ion of structures toverr 3gstories oinehe excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 102.50 I HAz DFEES IMP I FLOOD CDF PARCEL I PD HD ISSUE i This permit is hereby issued under the sions of the to County Code and/or work �Ind' at d o or which fees E OF PUBLIC By PERMIT EXPI • ES Date L applicable provi- resolutions to do have been paid. WORKS Date LZ Receipt No. 116876 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF`B OWNER APPLICATION T.T. . aS-fC_.//0 PHONE (916) 538. No. SG- /37 �, Proposed Building Use 1'tWA1/N(s5 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED 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 . ..... :............ 7. Statement of Intent for Non -Heated and A/C Buildings. ....... ................ 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 $ ......................................... . 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flooj8)by California Engineer. . . ,. 14. Sanitation and plot plan approval (2W 16 0 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 to Building Ins `e Inspector .. to Building lnspedor (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.- 3..34. 34. Whe you issue the��rynit,-,pro ess as follows: Mail o w Mail to contractor. Telephone llvv 7 and hold for at pickup office. Deliver with inspector. Other 1 Parcel Creation �Z 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 issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date _ Plans checked by Date r Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov'Yfe, Cebltornia 95965 - Telephone 1016 '536-7541 APPLICATION AND PERMIT �0_2 (LD PERMIT NO. A SESSOR PARCEL NUMB R^ - O ~ �3 ZONING m- 20 1 BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING' DR SS ,4 5Sef�15 `2 I CONTRACTOR'S NAME TELEPHONE i 1, 6 t 2G -il,777 CONTRO O MAIL G ADORES ) e �!�/ Fire lace p .S S SAV/ ` 1 O / [ CONSTRUCTION LENDER t UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 5-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ a0, da ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS /W—S � Ulf Permit fee $ PLUMBING -PERMIT Filing Fee 15.00 v 5 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION Z_ NAME I/ PARCEL MAAPp Q - 6 Water piping 7.00 Each qas water heater or vent 7.00 °2 v USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SFE] Duplexes ff Mobilehome)Z Other Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 SPECIFY TYPE OF WORK New _ Addition N' Remodel E Utilities ❑ In allation[ Other ❑ Permit Fee $ Describe work: U WAA,6 e% U100 Contractor d fit/' ELECTRICAL PERMIT Filing Fee 15.00 1/ /` � Q �/ Q 1C Z v X /� Main service 600V OR LESS 200A OR LESS 18.501 tJ Main service 20CATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): NEW CONST. ( DWELLING OCCUP.�\ OR ADONS. ACC. BLDGS. / 3.6Qsq.ft. 1 I_ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NEI" CONSTR. ULTI.OUTLET NON•R�SID BRANCH CIRC ITS @ 5•00 and Professions Code and my license is in full force and effect. ( POWER APPARATUS 61 SINGLE OUTLET CIR. License .Jo. Classification Ex. Occup( OUTLETS OR FIXTURES R 20 76� J I, as the owner, or my employees with wages as their sole compen- Ex. Occup. OUTLETS (RESID IFIXED APPLr4S. REA.� I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. VYirin g 15.00 I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 15.00 The permit is for $100.00 (valuation) or less. Heating I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g I shall not employ any person in any manner so as to become subject Hood #6.50 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. OCC CONST TYPE ^� I also agree to save, indemnify and keep harmless the County of Butte against (TOTAL FEES 16p/` all liabilities, judgments, costs, and expenses which may in any way accrue HAz I DFEES IMP FLOOD CDF PARCEL PD HD ISSUE against said County in consequence of the granting of this permit. I X Date This permit is hereby issued under the applicable provi- Signature of Applicant — OwnerContractor ❑ Agent sions of the Butte County Code and/or resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct- `Mork indicated above for which fees have been paid. ion of structures over 3(stories in height. DIRECTOR OF PUBLIC WORKS By Date Receipt No. W PERMIT EXPIRES Date WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 3So cl"U N ' WARONMENTAL HEALTH 0 MAY 13 1992 N (')Sc pes i WPPROVED Safe County EnvikwvrmrftA HimM 14 /V�,✓ U V /"re 1// cJS�y %6 m L BUTTE COUNTY BUILDING DEPAI TMENT A PR 0 V E D -FWS set -gt�of ri.�� ,�.�Pw MUST be -'nS kept on t'ne i1 '-• ,t. ' a itts unlawful to make •.)r?s on same with- out writ= n� " ' . r., the Department of 'Public Works, Coujty of Butte. /O. v O f?f3'fcX ENRONMENTAL HEALTH o MAY 13 1992 N Cs;': -O, CALIFU11-U A r�,, . • .S i 2t� Location of structures & equipment shall be as show 8 clear of all easernents. S� b4cl- Y So' Ne -,4e y� / z �• NOTE -.—AH Materials & Workmanship Shall a In D r G 1 Accordance with Recognized Good Practices and of a quality prescribed for the Specified use hr 00 Uniform Building, Plumbing & Mechanical Code and the National Electrical Code. WPPROVM. ` SuTfe County EnviravrAmW Howlth �- /` , I ®' 0` KENTWOOD MOBILE HdkE ESTATES 123'HENSHAW AVE. 916-343-4881 CHICO. CA 95926 May 11, 1992 To Whom It May Concern: This is to make it known that the awnings on a home that was moved from space #103 was in good shape and had no known defects. Probably better than some of the newer ones that are used. Sincerely, Helen Drummond Mgr. Kentwood Mobile Estates 123 Henshaw Ave. Chico, CA. 95926 R �SIDTIAL i 308 -92 �56-08-137 CUT5�1 92-1589 B I KOSTELLO, Bob 163 Man Nolta Ridge Rd, Cohasset contr: Wade Wilson 2 decks/mh 30 �� JOB FINALE Signature J=OK O =Not OK '. NotNo Applic Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /-Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 SCELLANEOUS Date DECW, CQWRS, CARPORTS, GARAGES, (Plans)OK except #'s Zo g Re ents-Setbacks- Ease ments 0o gs; Soils -Size -Depth -Spacing -Connectors -Steel a-15ecks; Griders and/or Joists -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. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; N iling-Veneer-Stucco-Mesh 10. Roo , hthg-Roofing 1 xt.; Steps -Doors -Landings t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except 11's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h'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 Card B_1 ---- - Date - Card B-1 --------------------- - - ------------ Date Card B-1 Date Card -B- I Date ELECTRICAL (Permit) OK except ft's 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/Mech. Fastners-Bond Gas & Water -------------------------------------------------------------------------- ----- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------- - ---------------------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! / ga. Cu or At ---------------------------- ----------------------------- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect ---------------- ------------------------------- -- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ----------------------------------- ------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h'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 Card B-1 Date Card B-1 ----------------- ---- - ----- --- -------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h'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 Walls (rat proof) -.-.----- ------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- -- --------------------------------------------- ----- 44. Headers & Beam -Size & Bearing } >ingle & Duplex) Date " FRAMING (Continuedg 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 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 Card B-1 Date Card B-1 -------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings ---------------------- --- 62. Smoke Detector -------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --- ------- -------------------- 64. Bedroom Exiting -- 65. G F.I_& Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; 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-Mech. Protection ----------------------------------------- - 75. Plb.. Elec. & Mech._Equip. Listed for Location. 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ----------------- 7;. ---------------7 . Insulation -Foam -Looked in Attic ❑ Yes •-------------------------------------------- -- -- 78. Guard Rails & Deck -Const ruction- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ 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 ----------- - Gas Test -Meters Tagged; Gas -Electric ------------- -------------- ---------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval --------------------- - ------------------------- 91. Energy Compliance Certificate -Other Certificates --------------------------------- 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 PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovll ler Callfornla 95965 - Telephone: 916%538.7541 APPLICATIONAND PERMIT A69SESSOR PARCEL NUMBNUMBIZA 056-080-137BUILDING ZONING— PERMIT OWNER Bob Kostello TELEPHONE 343-731 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 163 Mann Nolta Ridge Rd., Cohasset 95926 CONTRACTOR'S NAME Wade Wilson TELEPHONE CONTRACTOR'S MAILING ADDRESS - P.O. Box 857 Hanilton City 95951 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $1.344.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 28 ARCHITECT OR ENGINEER LICENSE NO. .50 Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS _ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 " Rd Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP p� Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: 2 Decks 8 x 8 8 x 16 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ^ License No. � � Classification �_�T_ El I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 DWELLING OCCUR.&\ 3.64sq.ft. NEW CONST.OR ADDNS. l / ACC. BLDGS. / NEW CONSTR ULT I -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. / Ex.Occu / 20 764 pO FIXTURES ( A FIXED A POR R Ex. Occup. OUTLETS (RESID.)EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g EHood 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliyyles, judgments, costs, and expenses which may in any way accrueHAz against sei County in consequenceAof the granting of this permit. X A Cit — ^-) Date / Z Signature of Applicant — Owner ❑ Contractors Agent ❑ An OSHA permit is required for excavations over 5' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $63.50 0F -EES I IMP FLOOD CDF PARC PD H Iss This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do `Mork indicated Pove for vAWch fees have been paid. CT UBLIC WORKS By �— Date -f /— PERM XPIRES Date .s z L Receipt No. 116026 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT y Y a r ,j e fit;+ ,T?ii rr "yt r # ~i }w ;. �..r 1' ;r Y,,;R - A. C#1 AIA COUNTY OF BUTTE°�`'' PARTMENT OF PUBLIC O'- BUILDING DIVISION 7 COUNTY CEVTEP�-DRIVE - OF30VILLJE,1'0ALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER �S?"�IID P. No. Proposed Building Use �%eG Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ............... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design, Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$........i................................. 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. . 14. Sanitation and plot plan approval GAi/Yv Health Department. ... �Z z ram 15. City of Chico plumbing permit....... E.F .. Fsc.:011 rfo :/ io,,yy ..�vj¢, l7fc .. . 16. Plot plan and business license approval from City of Biggs/Gridley-cwA.I.Ou ..6( � 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). .. ... . Pre -Inspection request-- 20. Pre -inspection for required. . to Building Inspector (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 y u issue the permit, process as follows: Mail to_owner. Mail to contractor. Telephone and hold for pickup a if/C,U office! Deliver with inspector. Other3- 7311 _ Parcel Creation ,yam 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 issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ 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. � Datejr-l2 -9: Sets of plans on hold in File cabinet 'AP folder Copy - Department of Public Works COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center. Drive - Oroville. California 95965 - Telephone: 916.`538-7541 -. - - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER -dam- .3 ZONING BUILDING PERMIT OWNER CJ E /6 TELEPHONE 4- 73// SO. FT. OCC. BUILDING VALUATION 2 () //Z - OWNER'S MAILING ADDRESS I l/3 . r�s� ,d e 4 6,ch,4 s5,,4, CONTRACT OR'S NAME D sd TELEPHONE X46-4?L CONTRACTOR'S MAILING ADDRESS 9AA40'�OA) C1{ � S% J r Fireplace •CONSTRUCTION LENDER iUNKNOWN - Total Valuation is 3cj LENDER'S MAILING ADDRESS -.. Filing Fee _ $ _ 15.00 - Permit Fee $ _ 56 ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ aU. DU Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ 3 , sa PLUMBING PERMIT FiiingFee "-15.00= _ f*✓1/{SS>o� Each Trap I 5.00 -" = Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME - PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 - USE OF STRUCTURE SF ❑ Duplex[] MobilehomWE� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition Remodel❑ Utilities ❑ Installation❑ Other ❑ Describe work:_ — DECI4S RX� �X �(� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service SS 200A OR 00V OR LESS 18.50 Main service 200A TO 1o00A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. -Ex. License No. Classification ❑ I, as the owner,�or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for :his reason NEW CONST. ! DWELLING OCCUP.&) OR ADONS. l ACC. BLDGS. // 3.66 sq.ft. NEW CONSTR ULTI.OUTLET _NON .R ESI BRANCH CIRC ITS I @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIS. Occup(OUTLETS OR FIXTURES 20 76d FIXED Ex. Occup. OUT ETS (RESID,)APLNS.REA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Coolin 9 rHood 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — OwnerE]Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 3 So HAz DFEES I IMP FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt NO.—, WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLD ENROO-APPLICANT ------------ NOTE:= AIS Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and; . of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical .Codes and the National Electrical Code. "his set of plans and specifications MUST be )t -on the job at all times and it is unlawful to Vifte any changes or alterations on same without v,v%F eten permission from the Department of Public Q Works, County of Butte. 310 J BUTTE COUNTY BUILDING DEPARTMENT A P P R 0 V E D �� s Location of structures & �V On equipment shall be as shown & clear of all easements. d za•� D� `,� M 310 J BUTTE COUNTY BUILDING DEPARTMENT A P P R 0 V E D �� s -VARIES rTl r-7 0 :K rrl x 7q ' L. 00,1 c -b T$ ol val - M, Zi /<lHAMP,lZRlL RE16HT' It < r. -4o 0 -n 0 t MAX. 711 C rn 3G'MtN.__8-TA(R— 0-11 (D �ot m I lzj " X- -BUTTE COUNTY ° � o � y =r CD 0 r"�;_,'o3BUILDING A. P P R 0 V E' Q o> 00 0 'it E m Z 0 0 o -n, tJ_ 3 S rTl r-7 0 :K rrl x 7q o's /<lHAMP,lZRlL RE16HT' t MAX. 711 rn 3G'MtN.__8-TA(R— :10, -4 "S MIDT4 I lzj " X- -BUTTE COUNTY ° � 1pra DEPARTME r"�;_,'o3BUILDING A. P P R 0 V E' Q k04,-" ve�� ENRONMENTAL HEALTH o MAY 13 1992 N c , '0, CALlt=UNA s Dri APPROVM %, Tfe County EnvimmwntW HWM Q Butte Co . PR®�� ,. .. .. linty Enviro nrllental Mea1;lfi 0 0 56-08-137 1090-89P,E PERK KOSTELLO- Robert 3 163 Mann -dol& Ri-dge Rd� cok"Sai�'1" I PERM' Contr: Baker Electric OWNS (util, MH) travel trailer � CONTR. ASSESSOR PARCEL LOCATION ps el(IL £ Temp. Power Pole Called PG&E Temp. Elec. Service I i Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) d �` C Signature = OK 0=Not OK - = Not Applicable ' = Not Ready 1 � f MOBILE HOMES MISCELLANEOUS M - Date _ !� MOBU& HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES,_(Plans)OK except #'s o • Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements o' ; Special M upport-Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel e r;,Locati -Test-Fall-C/O-Concrete 3. Decks; Girders and%or Joists -Decking -Bracing -Stairs -Rails a Lo to 'Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- 5 ectricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing s; cation -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / "Nat. or/ /"L"it./ /"LPG 6. Carports; Windows -Doors tility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -61 Date -fib Gard -131 Date 10. Roof; Shthg-Roofing Card -61 Date S = and -B1 Date 11. Ext.; Steps -Doors -Landings Date 11010BILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements I Card -131 Date Card -61 Date 2. Footings; Size -Spacing -Marriage Line 1 Card -131 Date Card -131 , Date 3. Gas; MH Test -Demand -Valve -Connector - 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector j 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 1 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval , 3. Pool Structure; Steel -Connections -Thickness - 8; Gas and Electricity Tagged I Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy i 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'-circulatingEquip.-Pool L ht g' q p' g g' Card -B1 Date Card -B1 Date } Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -131 Date Card -131 Date ( 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -61 Date Card -B1 Date Card -131 Date I .. 4- = - = uK = Not AO plicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air•Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 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/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 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 Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -B1 Date Card -81 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -61 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date 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. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -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-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Date 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 & Subpanel; 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-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ 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 •❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 8i. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Of. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -61 Date Card -B1 Date Card -131 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) • COUNTY OF BUTTE TDEPATMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO// Q d ASSESSOR PARCEL NUMBER " o -- f ZONIN.56 G A4 10 BUILDING PERMIT O ERIO.., ca +-e_ TELEPHONE 3y37:5t l .S— FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS a+6'L, e_ Ck� q���& � CONTRACTOR'S NAME la¢i e� � TELEPHONE z1U CONTRACTOR'S MAILING ADDRESS 13 2z V& ( M o uz- LO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ &-0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS -� Penalty $ UILpING ADDRESS Ji N r GC Permit fee $ - PLUMBING PERMIT Filing Fee 10.00 3IT ` Each Trap 2,00 aNAI / eX O A5 a Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE I SF ❑ Duplex[] Mobilehome❑ OtheP a`�t ��01i�� { SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home n2 G W O.00ea O o b TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ Utilities 2/Installation ❑ Other ❑ Describe work: I )1 11 j� �"i a � / ter- Permit Fee $ &-xD Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 100 AMP OR LESS 10.00 r� Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8i , OR ADDNS. ACC. BLDGS. h¢sgft NEW CONSTR TI -OUTLET NO N.RESID .BRA C CIRC ITS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. e0050 ti Ex. OCcup(OUTLETS OR FIXTURES 2AL@30 FIXED APLNS.Ex. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 0-0 Misc. Wiring g 15.00 Permit Fee $ tj 0 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. E]I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject - to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id ounty in coZuen o he granting of this permit. L/ yr C� %� Date --( �[ i — Signature of Applicant — Ownerp< Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ a 5 c7 Occup. CONST*TYPEJ JSC;71JFL[jPA7JPO ND ISsu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PER EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS .�^ Date yA c:__1 _P__4 .3 � Receipt No. L ? / WHITE-O.P.W.. BELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER'S NAME: 6a/e:)�,xel�b RECEIVED PERMIT NUMBER: A. P. #: —dc40 —/..?)?ATE RESIDENTIAL . NON RESIDENTIAL RECEIVED BY T.II''IE ____------ --- — REQUIRED PRIOR TO PERMIT ISSUANCE FROM DATA SHEET REQUESTED BY PLAN CHECKER OTHER 1��14t ------------7-------------------------- REQUESTED BY,CORRECTION NOTICE Q YES Q NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: ' --———--———————— — — — — —— WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner (Address) WW Mail to contractor p26 — 07Z % (Name and Address) all U and hold for pickup at office. Deliver with next inspection. REVISED PLAN CHECK FEES PAID: $20.00 $40.00 CL�Additional Fees Not Required � . . .� � COUNTY OF – �� � ^ BLIC WORKS - BUILDING DIVISION rCOUNTY cswT�RDRIVE 'onovLLs'oAuponwmo5yo 'rsLsp*ows: 916/538-7541 � 4 �x � ' ERMIT APPLICATION DATA SHEET \ ) Permit OWNER A. P. No. � . Proposed Building Use M u Building Inspector OaU* -� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: nnitprouoao\ngand/oriusuanoe: DATE RECEIVED AppnOvso -----_ 1. All items have been aubmitted. .................................... -----_ 2. Plot plans in duplicate/triplicate, signed by pnsporer of plans ........ ` –_---- 3. Complete plans in duplicate/triplicate, signed by preporer of plans .� ------ 4. Complete engineered plans and oa|oo, with wet signature on plans .. - ------' 5. Energy Design Compliance and uupporihg documentation ...... v ... ' ------ G. Statement of Intent for Non -Heated and AC Buildings .............. ` ,^ 7. Engineered truss details and layout in duplicate (required prior to plan check) ------ & Mobi|ohomn installation data including man ufautuvor'�'insta||ation instructions ....................................................... � ------ & Fees of .......................... ------ 10. Chico Urban Area h*ns paid ........................................ .11 -Park h*eo paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . School District fees paid................. ' ( Sanitation approval from Health Department ... _----- 14. City of Chico plumbing permit ...................................... ` ------ 1!i Plot plan and business license approval from City of � ' (see City for other requirements) _ ^ 16. Planning approval for (A) Use: B) Parking:______-- . .. .. .. .. Improvements may borequired. . 199��Drivawuy permit (construction approval required prior to occupancy) ... � . -----_ pm'm�n»«���"«"'4v 10� Pre -Inspection for required ������ ' Building Inspector odie> -----_ 20. Contractor's license information (No, Nome E8y|o. Classification) ....... � _----- 21. Certificate of VVorkmanu Compensation Insurance ......"............0 22. ' Owner -Builder Verification (Given to owner o. Mail to owner o) ........ , Recorded copy of Agricultural Acknowledgment Statement' . . . . . . / ------ 24. Letter of signature authorization ..................................... ' __---- 25. , 26. VVha issue the permit, process as follows: ___---K�oi| �o mwner, _-------�ai| �o oon�rac�or. , ��__ To|ephono and hold'fnr pickup at office. ---_____Oe|ivervv/inopeotoc , _-_--_ Otho � Applicant O Copy of plans oort --_--Health Dept., ---_ Fire Dop\.. _---' Other— Date The following data must be submitted. 1. Index permit for above itemoNo'_ 2. Additional items required: t�anuanoo: (Circle. new item not checked above), ovntrunm,, u*s/une,, vwme,, was advised mabove required data uv–_pnune__ma/|—counter by— uau^---' Contractor, mwo|une,, owner,- was uuv/oeu of above wnuoeu data uv--_pxpne—mal / —counter by— date - Plans ohooked Copy–DPW Date Plans approved by Sets of plans on hold in —File cabinet _AP folder \ TO Buildinv Department FROM: Environmental Health SUBJECT:, Sanitation Clearance a�tiw p O er Location AP# Plan Approved for: Sewage Disposal 'Water Supply �U-406X pp Y Hold final for: Water Supply Final clearance O.K..for: Water Supply Clearance for-bedroom-vm`A4-e--home. Other NOTE * * * TO: Building Department FROM: Encroachment Permit Section 'RE: Driveway Clearance owner location AP # Driveway rermit o n Q n eedej has been issued for the above property. si ature date 4 r ' After recording return to: Robert Kostello 239 West Shasta Avenue Chico, Ca 95926 BUTTE COON RECORDER SERIAL NO. � - 13 (o � (o RECORDED A --top 1110110118 111tacourAw OATE RECOiiDM fa?R 17 1989 lima: e: D 3AM ReLur.n to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVI OPMENT SecLi.on 26-8.1 of'. Lhe Butte County, Code requires Lhi.s acknowledgement be recorded prior to .issuance of a building permit. The property described herein is adjacent to Land or :included within an area zoned for agr:i.c:u.I.Lural purposes, and residents of Lhi.s property may be subject to incon- veniences or discomfort arising from the USC Of ..If ri.culLural chemicals, including, but not 'limited to herbicides, pesticides, and ferL.i.1:irer. s; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLab] ished ;I;;ricul Lura] zones which have as a priority use for productive agricultural purposes, ;Incl rrr,idcnlr: w i.th in said zones and on adjacent property should be prepared to acccl.,L such i nc•c,nvc•u i c•nrc- or clisconform .from normal, necessary .farm operations. All. Chat. real properly situate in the County of Butte, State of Cal:i.forni;,, drscrihrd ;Is follows: —a SEE ATTACHED LEGAL DESCRIPTION Date: PROPERTY OWNERS: State of. Calif. ) On this the 14thday of April 19 89 be SS. the undersigned Notary Public, personally appeared CuunLy of Butte ) ROBERT T.KOSTELLO and LINDA D. BRADLEY nIc, X® Personally known to me. E] Proved to me on the bis is of satisfactory ev i denc:e . to be the person(s) whose name(s) are ...............••••........ subscribed to the within instrument and acknowledged Lhat the OFFICIAL SLAC : y----- . executed the same for the purposes therein conLa i ned . I N W I-TNI;ti� `11ALL ? WHEREOF, I hereunto set my hand and of f ic.i.a] seal.. i -0 -AR'( NUI!C - CALIFORNIA MY 1'31cm. lxp. Jan. 10, 1902 :.........................................r Present A.P.. No. � LUCY A. P#S�?rlY1LPLub1 i c w LARCEL II -A: Parcel 2, as shown on that certain Parcel Map entitled; "Be- a portion of the Southeast i/4 of Section 13, T 24N , R 2E M D II & ht. ' said Parcel Ma was filed in the 0 ice o the recorder of the County of Butte, State of California on February 21! 1986, in Book 102 of Maps, at Pages 87 and 88. PARCEL II -B: A portion of Section 12, Township 24 North, Range.2 East, M.D.B. & M., situate in the County of Butte, State of California, and being more particularly described as follows: Being a 60 foot wide easement lying 30 feet on each side of the following described centerline: BEGINNING at an I. P. on the South line of said Section 12 in the centerline of a County Road, per Book 76 of Maps, at Page 97, filed June 9, 1980, in the Office of the Recorder of the County of Butte, State of California, from which point the South quarter corner of said Section 12 Bears South 88 deg. 25' 14" East, a distance of 581.76 feet, said point being the true point of beginning for this description; thence leaving the true point of beginning and running the following 9 courses and distances: North 13 deg. 22' 52" i•7est, 67.77 feet; North 26 deg. 57' 43" West, 40.67 feet; North, 22.66 feet; South 82 deg. 59' 12" East, 38.17 feet; South 89 deg. 01' 26" East, 91.43 feet; North 68 deg. 02' 48" East, 141.31 feet; South 85 deg. 57' 03" East, 60.43 feet; South 50 deg. 16' 04" East, 177.80 feet; South 46 deg. 10' 27" East, 96.92 feet to a point on the South line of said Section 12 and the terminus of the herein described centerline. The sidelines of said 60 foot easement are extended or retracted as necessary to meet said Section line at the beginning and end of the centerline being described. PARCEL II -C: A portion of Section 13, Township 24 North, Range 2 East, M.D.B. & M., situate in the County of Butte,. State of California, and being more particularly described as follows: Being a 60 foot wide easement lying 30 feet on each side of the following described centerline: BEGINNING at a point on the North line of said Section 13, from which point the North quarter corner of said Section 13 bears South 88 deg. 25' 14" East, a distance of 88.39 feet, said point being the true point of beginning for this description; thence leaving the true point of beginning and running South 46 deg. 101, 27" East, a distance of 26.02 feet to a point; thence South 30 deg. 26' 32" East, a distance of 128.98 feet to a point; thence South 24 deg. 28' 40" East, a distance of 7.84 feet to a point on the North-South centerline of said Section 13 and the terminus of, the herein described centerline. . The sidelines of said 60 foot easement are extended or retracted as necessary to meet said Section lines at the beginning and end of.the centerline being described. i (continued) PARCEL II -D: A portion of Section 13, Township 24 North, Range 2 East, M.D.B. & M.'situate in the County of Butte, State of California, and being more particularly described as follows: Being a 60 foot wide easement lying 30 feet on each side of the following described centerline: BEGINNING at a point on the North-South centerline of said Section 13, from which point the North quarter corner of said Section 13 bears North 00 deg. 25' 24" East, a distance of 133.92 feet, said point being the true point of beginning for this description; thence leaving the true point of beginning and running the following 21 courses and distances: South 24 deg. 28' 40" East, 163.76 feet; South 20 deg. 35' 21" East, 150.27 feet; South 10 deg. 31' 04" East, 118.06 feet; South 21 deg. 18' 42" East, 379.14 feet; South 28 deg. 21' 15" East, 23.98 feet; South 39 deg. 10' 05" East, 64.99 feet; South 01 deg. 05' 12" East, 41.36 feet; South 14 deg. 11' 07" West, 58.05 feet; South 02 deg. 08' 24" West, 50.81 feet; South 00 deg. 50' 27" West, 616.88 feet; South 03 deg. 55' 51" East, 58.14 feet; South 09 deg. 58' 10" East, 96.97 feet;. South 05 deg. 55' 53" West, 86.89 feet; South 05 deg. 45' 55" West, 159.35 feet; South 16 deg. 55' 28" West, 89.98 feet; South 15 deg. 25' 40" West, 76.44 feet; South 03 deg. 35' 51" West, 73.80 feet; South 05 deg. 20' 51" East, 137.92 feet; South 19 deg. 03' 20" East, 53.15 feet; South 21 deg. 37' 30" East, 103.96 feet; South 25 deg. 38' 29" East, 124.11 feet to a point and the terminus of the herein described centerline. The sidelines of said 60 foot easement are extended or retracted as necessary to meet said Section line at the beginning of the centerline being described. EXCEPTING THEREFROM all that portion lying Southerly of the East- West centerline of said Section 13. PARCEL II -E: A portion of Section 13, Township 24 North, Range 2 East, M.D.B. & M., situate in the County of Butte, State of California, and being more particularly described as follows: Being a 60 foot wide easement lying 30 feet on each side of the following described centerline: (continued) AN . , 4 PARCEL II -E (Continued): COMMENCING at a point on the North-South centerline of said Section 13, from which point the North quarter corner of said Section 13 bears North 00 deg. 25' 24" East, a distance of 133.92 feet; thence leaving the North-South centerline of said Section 13 and running the following 5 courses and distances: South 24 deg. 28' 40" East, 163.76 feet; South 20 deg. 35' 21" East, 150.27 feet; South 10 deg.. 31' 04" East, 118.06 feet; South 21 deg. 18' 42" East, 379.14 feet; South 28 deg. 21' 15" East, 23.98 feet to a point, said point being the true point of beginning for this description;*thence leaving the true point of beginning and running the following 3 courses and distances: South 24 deg. 42' 44" West, 71.72 feet; South 23 deg. 45' 16" West, 396.79 feet; South 38 deg. 45' 00" West, 250.00 feet to a point and the terminus of the herein described centerline. EXCEPTING THEREFROM all that portion lying Westerly of the North- South centerline of said Section 13. PARCEL II -F: A non-exclusive easement known as Mann and Nolta Ridge Road, for ingress and egress and public utilities over Parcel 1, as shown on that certain Parcel Map entitled, "A portion of the Southeast 1/4 of Section 13, T.24N. , R.2E. , M.D.B. & M.-, said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on January 7, 1985, in Book 98 of Maps, at Pages 52 and 53. PARCEL II -G: A non-exclusive easement for ingress, egress and public utilities over that portion of Parcel 1, being that certain non-exclusive easement which forks off of the Mann and Nolta Ridge Road, as shown on that certain Parcel Map entitled, "Being a portion of the Southeast 1/4 of Section 13, T.24N., R.2E.01 M.D.B. & M.', said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on February 21, 1986, in Book 102 of Maps, at Pages 87 and 88. y T ..r � . -. v . :. f ""c ka�.l. ti� w -' � 1^ 'whs* -i:.,r 2"'S'r"'rov+�'Cr Fs+': "rym f" Yr a°is k''E'� .l6 j��T.;t;-••evr�c4'.'^"►,'.-".�.r t. ..gra-s�nr�:^'y". _'v,�-v-r BUTTE -COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM w (One Form per Building) A.P. Number 5& - OF Building Department No. School District C 4;c- p City D County jurisdiction Property Owner Project Location/Address Subdivision aN Lot Number Residential Development: a Sq. Footage 3 (� # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition.(Including Exterior Roofed Areas) \ Building Department R resentative Date (Floor Plans reviewed by School District Personnel) District Id No. N LA Lzn T.A, School District certifies that (Applicant Name) (Phone Number) 0), AS- (Street Address) N C -'c) \ �dl t - 9 S7aZ� (City)- (State) (Zip Code) has'complied with the requirements of Resolution No. by the ayme t of $representing 3,40 square feet. r q / cho 1 District Re esen tive Da PAID BY CHECK NO. 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