HomeMy WebLinkAbout058-320-02758-32-27
EARNEST BRYANT
On Hoffman' Rd W of Concow Rd inters.
Certificatle of compliance/with Gond.
-6/22/82
058-320-027 PERMIT#94-2563
CAMPBELL, CAROL & MIKE
13319 HOG RANCH RD., OROVILLE
MOBILEHOME UTILITIES a �Ci ,
ELECTRIC 000
GAS LINE LPG 3 3S
COMPACTION KCTRPEIE(Q
Q NO,
SUPPORTS no
058-320-027 PERMIT#94
CAMPBELL, CAROL & MIKE
13319 HOG RANCH, RD. , OROV LE JV
MOBILEHOME INSTALLATIO
058-320-027 J PERMIT#9 - 2
CUL•ET , Ben , S
13319 Hog Ranch Rd., Oro lle
MHI Replace BP#94-25 G'a 5 - 6i1
058-320-027 _ - 99-2446
CULET, BEN} J
13319 HOG RANCH RO
OROVII.,LE
CONTR: OWNER
REPLACES BP#94 564 & 97-1052
058-320-027 03-1813
PAGAN, JESSE
13319 HOG RANCH, CONCOW DIAL
Cont: EXECUTIVE HOMES -,'Z
NEW MH PERM FND EX SITE
1
ENVIRONMENTAL
HEALTH CLEARARANCE
DATE
0
m
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
28 -Aug -2003 2003-0058711
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.
MYRA J. PAGAN
REAL PROPERTY OWNER(LESSOR
26921 MANON AVE
MAILING ADDRESS
HAYWARD ANAMEDA CA 94544
CITY COUNTY STATE ZIP
13319 HOG RANCH RD.
INSTALLATION MAILING ADDRESS, IF DIFFERENT
OROVILLE BUTTE CA 95966
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
03-1813 530
538-7541
B GP&RM1TN0 TELEPHONE E
�a o
IGNATURE OF LOCAL AG 0 CIAL
DA
EXECUTIVE H MES
DEALER NAME (if not a dealer sale, write 'NONE")
92081
DEALER LICENSE N0.
FLEETWOOD HOMES 2003 - WOODLAND PARK 4453A
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER
CAFL317A/B 26777 -WP 13 45'X13'&44'X13' PFS0819922/3
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 058-320-027
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept.
1.
i
-s
BUILDING PERMIT NUMBER: 03-1813
Address or location of unit: 13319 HOG RANCH RD., OROVILLE CA -95966
Legal Description of Real Property: AP # 058-320-027
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: MYRA J. PAGAN
Owner's address: 26921 MANON AVE., HAYWARD CA 94544
INSIGNIA OR HUD NUMBER: PFS0819922/3
SERIAL NUMBER OR V.I.N.: CAFL317AB 26777 -WP 13
MANUFACTURER'S NAME: FLEETWOOD HOMES YEAR:.2003
OFFICIAL APPROVING INSTALLATION:
DATE:
PHONE: (530) 538-7541
H.C.D. 5130 .�
i 06/17/03 15:01 BIDWELL TITLE 4 530 891 8753 _ N0.076 P008
Order No. 101543
EXHIBIT "CINE"
BEING A PORTION OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF
SECTION 4, TOWNSHIP 22 NORTH, RANGE 4 EAST, M,D,B.&M„ AND MORE
PARTICULARLY DESCRIBED AS FOLLOWS;
COMMENCING AT THE NORTHEAST CORNER OF SAID SOUTHWEST QUARTER OF
THE SOUTHEAST QUARTER OF SECTION 4; THENCE ALONG THE NORTH LINE
THEREOF, NORTH 780 56'56" WEST, 656.06 FEET; THENCE SOUTH 00 35' 58"
WEST, 332.97 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL HEREIN
DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING SOUTH 0° 50' 05"
WEST, 326,48 FEET; THENCE NORTH 84" 14'51 " WEST, 433.61 FEET TO THE
CENTERLINE OF A 60.00 FOOT ROAD EASEMENT; THENCE ALONG SAID CENTERLINE
NORTH 39" 54'34" EAST, 314,52 FEET; THENCE NORTH 790 55' 09" EAST, 238,27
FEET TO THE POINT OF BEGINNING.
TOGETHER WITH AND RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR
ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH,
LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE.
COMMENCING AT THE NORTHEAST CORNER OF SAID SOUTHWEST QUARTER OF
THE SOUTHEAST QUARTER OF SECTION 4, TOWNSHIP 22 NORTH, RANGE 4 EAST,
M.D.B.&M„ THENCE ALONG THE NORTH LINE THEREOF, NORTH 780 66'56- WEST,
A DISTANCE OF 412.00 FEET TO THE POINT OF BEGINNING FOR THE HEREIN
DESCRIBED CENTERLINE; THENCE SOUTH 80 07' 49" WEST, 131.68 FEET,' THENCE
SOUTH 7° 02' 56" EAST, 536,55 FEET; THENCE SOUTH 36° 31' 36" EAST, 236.49
FEET; THENCE SOUTH 100 51' 24" WEST, 137.28 FEET; THENCE NORTH 810 57'
39" WEST, 222,55 FEET; THENCE SOUTH' 620 20' 19" WEST, 160.45 FEET; THENCE
NORTH 65O'16' 01" WEST, 242,88 FEET; THENCE SOUTH 71 ° 28' 19" WEST,
162,45 FEET; THENCE NORTH 200 36' 56" WEST, 395,60 FEET; THENCE NORTH 39 °
54'34" EAST, 368.88 FEET; THENCE NORTH 790 55'0911 EAST, 345.80 FEET;
THENCE NORTH 6340 01' 39" EAST, 142,89 FEET TO THE END OF THE HEREIN
DESCRIBED CENTERLINE. `
ALSO TOGETHER WITH A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND
PUBLIC UTILITY PURPOSES, OVER A STRIP OF LAND 60.00 FEET IN WIDTH, 30.00
FEET ON EITHER SIDE OF A LINE BEGINNING AT A POINT ON THE NORTH LINE OF
SAID SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 4; WHICH
POINT BEARS NORTH 780 56' 56" WEST, 412,00 FEET" FROM THE NORTHEAST
CORNER THEREOF; THENCE FROM SAID POINT OF BEGINNING, NORTH 0" 12' 12"
EAST, 479.10 FEET; THENCE SOUTH 790 39'48" EAST,
609.31 THENCE
SOUTH 800 23' 53" EAST, 290,34 FEET; THENCE NORTH 770 14' 57" AST, 163.25
FEET; THENCE SOUTH 71' 36'56" EAST, 507,65 FEET;
EAST, 181.13 FEET TO THE EAST LINE OF SAID SECTION 4;NCE THENCE SOOT° 750 1
00
00" CAST, 71.00 FEET; THENCE NORTH 80° 00'00" EAST, 299.00 FEET; THENCE
SOUTH 55" 00'00' EAST196.00 FEET; THENCE SOUTH 80' 00' 00" EAST, 200,00
FEET THENCE SOUTH 250'00'00q EAST, 392,00 FEET; THENCE SOUTH 10° 00' 00"
EAST, 200,00 FEET; THENCE SOUTH 35° 00' 00" EAST, 100.00 FEET; THENCE
SOUTH 25" 00' 00" EAST, 269.40 FEET; THENCE SOUTH 209 004 00" EAST, 300.00
FEET; THENCE SOUTH 30" 00'00" EAST, 300,00 FEET; THENCE SOUTH 73" 24'30"
EAST 107,94 FEET; THENCE~ NORTH 580 53' 15" E=AST,
170,15 FEET; THENCE
SOUTH 890 44'45" EAST164,53 FEET; THENCE SOUTH 65" 53'45" EAST, 63,25
FEE'; THENCE SOUTH 36'31'30" EAST, 292,8$ FEET; THENCE SOUTH 760 45'30#1
EAST, 137,00 FEET TO A POINT 30,00 FEET NORTH OF THE SOUTH LINE; OF ,
SECTION 3; THENCE PARALLEL WITH SAID SOUTH LINE,
SOUTH 89* 6'00512.00 FEET TO THE EAST LINE OF THE SOUTHWEST QUARTER OF SAID SECTION"
EtCEAST
TIION ,3,
2
Wbi1'riO3 15:01 BIDWELL TITLE 530 891 8753
N0.076 P009
Order No. i 01643
ALSO TOGETHER WITH A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND
PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE
SOUTH LINE OF SAID EASEMENT BEING DESCRIBED AS FOLLOWS:
BEGINNING AT THE OUARTER CORNER COMMON TO SECTIONS 3 AND 104
TOWNSHIP 22 NORTH, RANGE 4 EAST, M.D.B.& M,; THENCE RUNNING EASTERLY
ALONG THE SOUTH LINE OF THAT CERTAIN PROPERTY CONVEYED TO L.A.
SCHAGER. ET UX, BY DEED DATED JULY 5, 1955 AND RECORDED JULY 12,19 55IN
BOOK 781 OF OFFICIAL RECOR08, AT PAGE 335, A DISTANCE OF 720.00 FEET;
THENCE NORTH *110 32, EAST ALONG THE SOUTH LINE OF SAID L.A. SCHAGER
PROPERTY, A DISTANCE OF 147.00 FEET; THENCE CONTINUING ALONG SAID
SOUTH LINE, NORTH 560 18' EAST, 774.00 FEET, SOUTH 680 28' EAST, 445.54
FEET TO THE NORTHWEST CORNER OF THAT CERTAIN PROPERTY CONVEYED TO
F.S. MARSHALL DATED OCTOBER 30, 1942 AND RECORDED DECEMBER 3, 1942 IN
BOOK 306- OF OFFICIAL RECORDS, AT PAGE 473, RECORDS OF 13UTTE COUNTY,
CALIFORNIA; THENCE ALONG THE NORTHERLY LINE OF SAID F.S. MARSHALL
PROPERTY, EASTERLY TO A POINT ON THE WSSTERLY BOUNDARY OF THE
OROVILLE CONCOW ROAD AND THE END OF SAID LINE.
ASSESSOR'S PARCEL NO: 058-320-027
r
3
FILE No.465 08/11 '03 AM 08:16 ID:EXECUTIVE HOMES FAX:530 891 8753 PAGE 2
yLKTos " �" At s STATE Otr'CAI.IFORNIA NUMBER:
BUSINESS, TRANSPORTATION AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OP CODES AND STANDARDS 8706228
MANUFACTURED HOUSING PROGRAM
MANUFACTURER CERTIFICATE OF ORIGIN
J4,49,44 -1t - 0
❑ CHECK IF THIS 13 A DUPLICATE MCO -ENTER ORIGINAL MCO NO.
v
MANLIFAGT�RED HD EOR MULTIUNIT MAN IFA .T IR D HQ�13�
I
r x
❑
NUMBER OF 2
TRANSPORTAGL.E SECTIONS
lJ SFD (SINGLE FAMILY DWELLING) MUMH (MULTI -UNIT MANUFACTURED HOUSING
COMMERCIAL COACH:
OCCUPANCY GROUP'
I
MANUFACTURER NAME:
MANUFACTURER LICENSE NUMBER: '
FLEETWOOD HOMES OF CALIFORNIA, INC.
9534
MWWTUB�S& jqp
SUGOESTED RETAIL PRICE:
PO 80X 1308 WOODLAND w. SZ776
31rti CI Slat®(zip)
MANUFACTURER TRADE NAME:
MODEL NAME AND NUMBER:
DATE OF M4NUFAC,TURE:
l
.,�.::. ��04 ,:;,,1.�•..
,..Ati...,•....:�8�o1:r2.00.3... :I •>.
WOODLAND PARR
44 3A
NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO):
CALIF. DEALER NUMBER OR
DATE OF TRANSFER: '
1BCLAITI' Id/I: �i!000/liORTId., zwC .
TRANSFEREEDESIGNATION:
DBAt EXECUTIVE HOMES
92.061
08/.05/2003
DEALER OR TRANSFEREE ADDRESS:
3042 ESPLANADE CHICO
CA 95973
Street Cb state
LI
INVENTORY CREDITOR NAME:
VANCIRRBILT KORTOA®S & FINA14CE
INVENT FSC REH RADDRESS:
S0000 Cl.LCOA Tra::L
TN 37802
(Stmal) CI is 10)
ZI
SSCT40N MANUFACTURER SERIAL NUMBER I ICO INSIGNIA OR IIUD LABEL NUMBER LENGTH WIDTH WEIGHT
,'a
INCNIi® INCHES POUNDS
1
CAP'L317A26777-WP7.3 PFOOS19922
548
162 19,460
CAFL317B26777-WP13 PF90619923
532
162 16,600
r
•
TRANSPORTER NAME:
TRANSPORTER AODRE86;
0. BOX 179 DURHAM CA,
'
BIre1�1 to Stals
(state)
Z
DESTINATION FOR UNIT DESCRIBED ABOVE:
VAMP. btreat CII S191e
ZI
1 canny under permly of perjury under live Iowa of the State d California that the above facie are true and correct.
Executed an 08/01/2003 al WOODLAND YOLO
CA I
IDete) (CIIy) --IC unl
(aisle)
��
BIUNAT•URE OF AUTHORIZED AGENT: •-'•��--�•'A•
DIBTRIBUTIQN;
ORIGINAL (PINK) FORWARD TO THE IN wTOaY caeDlTop, UNLE 8 HE BNQp1 . 7�(��pp j
COPY4.(WIIITB r•ORWARDTO'THB•U�AR7tABNT'ATP:Q 'BOX IB jAC EN70. Arlidd(gKWURNPI (6j GAYS OF IIEF EAS '
COPY Z (YEI.LOW) i DELIVER TO THE TRAHSPORTEa TO ACCOMPAN IE UNIT TO ITB OEBTINATION�
COPY 3 (GOLDENROD) TO BB RETAINED BY THE MANUFACTURER.
MCD 483.o . Side I - (7107)
STATE OF CALIFORNIA
BUSINESS, TRANSPORTATION AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
REGISTRATION AND TITLING PROGRAM
STATEMENT OF FACTS
This unit is a: W- Mobilehome '❑ Commercial Coach ❑ Floating Home ❑ Truck Camper
Decal (License) No.(s) Trade Name Serial No.(s)
1/We, the undersigned, hereby state:
The above described unit has been placed on an approved foundation system in accordance
with 18551A of the Health and Safety Code.
1/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of
California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the
above-described unit in California, or from issuance of a California certificate of title covering the same.
UWe certify under penalty of perjury that the foregoing is true and correct.
Executed on ULn—, /9 D0.3 at
(Date) (City) (State)
Signature(s)
Address
Printed name(s)
&yS,-� e5; /-yZ--
Z7:?, E6� C,i1/ / / 6��
City C/�ZL�' 1//" , State &00/
HCD 476.6 (REV 12/00)
i
06/17/03 15:00
r
BIDWELL TITLE 4 530 891 8753
RECORDING REOUESTW By..
Fidelity National Title of California
Escrow No. 101643•SL
Title Order No. 00101643
When Recorded Mall Document
and Tax Statement To:
Mrs. Myra J. Pagan
26921 Memon Ave
Hayward, CA 94544
GRANT DEED
N0.076 P007
lllddlllddl9l!l�Ilddllddll!!lOddl
Recorded
official�Records
I REC FEE 13,00
I TAX 16.50
CoSuntyEOf
I MONUMEN 10.00
CANDACE ,r, GRUBBS
j
Recorder
ROSEMARY DICKSON
1
09:00AN14-Aug-2091
1 Page I of 3
The undersigned grantor(s) declare(s)
Documentary transfer tax is $16.50
I X I computed on full value of property conveyed, or
I ) computed on full value less value of liens or encumbrances remaining at time of sale,
f x J Unincorporated Area City of Oroville
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Woman Marian Culet, An Unmarried
hereby GRANTS) to Myra J. Pagan, A Married Woman as Sole and Separate Property
the following described real property in the unincorporated area of the
County of Butte, State of California:
SEE EXHIBIT "ONE" ATTACHED HERETO AND MADE A PART HEREOF
DATED! August 7, 2001
STATE OF CfQ11rFOFRN
COU TY OF '4k�
ON before me,
"MARIAN CU EV ally appeared
personally known to me (or proved to me on the basis
Of satisfactory evidence) to be the person(s) whose
nems is re subscribed to the Within instrument and
ackno ledged tome that he/ql they executed the
same in his/Iotheir authorized capacity(ies), and that
by his/ F r air signatures) on the instrument the
person( r the c.ity upon behalf of which the
persons) acted
,^discy4fd the instrument.
Witness m�h,d aWDffiaial seat.
Signature
Marian Culet
111041 CAROL 6TN STEPANCqc H
as►cn
IT 7M)07
��oCaQlanlq
�1rtnC�rryrt County �2
MAIL TAX. STATEMENTS AS DIRECTED ABOVE
X0.213 —9 "Owe:
e—ANT nern
06/17/03 15:01 BIDWELL TITLE 4 530 891 8753
EXHIBIT "ONE"
N0.076 P008
Order No, 101643
BEING A PORTION OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF
SECTION 4, TOWNSHIP 22 NORTH, RANGE 4 EAST, M,D,B.&M„ AND MORE
PARTICULARLY DESCRIBED AS FOLLOWQ-
COMMENCING AT THE NORTHEAST CORNER OF SAID SOUTHWEST QUARTER OF
THE SOUTHEAST QUARTER OF SECTION 4; THENCE ALONG THE; NORTH LINE
THEREOF, NORTH 780 56'56" WEST, 656.06 FEET; THENCE SOUTH 00 35'5811
WEST, 332.97 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL HEREIN
DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING SOUTH 0° 50'05 -
WEST, 326,48 FEET; THENCE NORTH 840 14'51 " WEST, 433.61 FEET TO THE
CENTERLINE OF A 60.00 FOOT ROAD EASEMENT; THENCE ALONG SAID CENTERLINE
NORTH 390 54'34" EAST, 314,52 FEET; THENCE NORTH 790 55'09" EAST, 238.27
FEET TO THE POINT OF BEGINNING.
TOGETHER WITH AND RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR
ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH,
LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE,
COMMENCING AT THE NORTHEAST CORNER OF SAID SOUTHWEST QUARTER OF
THE SOUTHEAST QUARTER OF SECTION 4, TOWNSHIP 22 NORTH, RANGE 4 EAST,
M.D.B.&M.; THENCE ALONG THE NORTH LINE THEREOF, NORTH 780 56'56- WEST,
A DISTANCE OF 412.00 FEET TO THE POINT OF BEGINNING FOR THE HEREIN
DESCRIBED CENTERLINE; THENCE SOUTH 80 07' 49" WEST, 131.68 FEET; THENCE
SOUTH 70 02'56" EAST, 536.55 FEET; THENCE SOUTH 360 31136" EAST, 236.49
FEET; THENCE SOUTH 100 61'24" WEST, 137.28 FEET; THENCE NORTH 810 57'
39" WEST, 222.55 FEET; THENCE SOUTH -620 20' 19" WEST, 160.45 FEET; THENCE
NORTH 650'16'01 " WEST, 242-88 FEET; THENCE SOUTH 71' 28' 19" WEST,
162.45 FEET; THENCE NORTH 200 36' 56" WEST, 395,60 FEET; THENCE NORTH 39 °
54'34" EAST, 368.88 FEET; THENCE NORTH 790 55'09" EAST, 345,90 FEET;
THENCE NORTH 6340 01'39n EAST, 142,89 FEET TO THE END OF THE HEREIN
DESCRIBED CENTERLINE.
ALSO TOGETHER WITH A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND
PUBLIC UTILITY PURPOSES, OVER A STRIP OF LAND 60.00 FEET IN WIDTH, 30.00
FEET ON EITHER SIDE OF A LINE BEGINNING AT A POINT ON THE NORTH LINE OF
SAID SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 4, WHICH
POINT BEARS NORTH 78" 56' 56" WEST, 412,00 FEET FROM THE NORTHEAST
CORNER THEREOF; THENCE FROM SAID POINT OF BEGINNING, NORTH 0" 12' 12"
EAST, 479.10 FEET; THENCE SOUTH 790 39' 48" EAST,
09.31 FEET; THENCE
SOUTH 800 23' 53" EAST, 290,34 FEET; THENCE NORTH 77° 14' 57 EAST, 163.25
FEET; THENCE SOUTH 71" 36'56" EAST, 547,65 FEET;
THECE SOUTH 650 3(3EAST, 181,13 FEET TO THE EAST LINE OF SAID SECTION 4; THENCCE SOUTH 75'° i'l 11
00'
00" EAST, 71.00 FEET; THENCE NORTH 80° 00'00" EAST, 299.00 FEET; THENCE
SOUTH 550 00'00" EAST, 196.00 FEET; THENCE SOUTH 800 00'00" EAST, 200,00
FEET THENCE SOUTH 250 00' 00" EAST, 392,00 FEET; THENCE SOUTH 10° 00' 00"
EAST, 200.00 FEET; THENCE SOUTH 35° 00' 00" EAST, 100.00 FEET; THENCE
SOUTH 250 00' QO" EAST, 269.40 FEET; THENCE SOUTH 200 00' 00" EAST, 300.00
FEET; THENCE SOUTH 30° 00'00" EAST, 300,00 FEET; THENCE SOUTH 73° 24'30"
EAST 107.94 FEET; THENCE NORTH 580 53' 15" EAST 170.15 FEET; THENCE
SOUTH 89° 44'45" EAST, 164.53 FEET; THENCE SOUTH 650 63'45" EAST, 63,25
FEET; THENCE SOUTH 36° 31'3011 BAST, 292.58 FEET; THENCE SOUTH 76°' 45' 30"
EAST, 137,00 FEET TO A POINT 30,00 FEET NORTH OF THE SOUTH LINE OF ,
SECTION 3;.THENCE PARALLEL WITH SAID SOUTH LINE,
EAST
5'12.00 FEET TO THE EAST LINE OF THE SOUTHWEST QUARTER OF SAID SESOUTH 890 CTION,
3.
2
r
WbilY103 15:01 BIDWELL TITLE 4 530 891 8753 N0.076 P009
Order No. 101643
ALSO' TOGETHER WITH A NON-EXCLUSIVE EAS15MENT FOR ROAD PURPOSES AND
PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE
SOUTH LINE OF SAID EASEMENT BEING DESCRIBED AS FOLLOWS:
BEGINNING AT THE OUARTSR CORNER COMMON TO SECTIONS 3 AND 10,
TOWNSHIP 22 NORTH,'RANGE 4 EAST, M.D.B.& K;
THENCE RUNNING E
ALONG THE SOUTH LINE OF THAT CERTAIN PROPERTY CONVEYED TO L.A TERLY
SCHAGER, ET UX, BY DEED DATED JULY 6, 1955 AND RECORDED JULY 12, 1955 IN .
BOOK 781 OF OFFICIAL RECORDS, AT PAGE 333, A DISTANCE OF 720.00 FEET;
THENCE NORTH'11 ° 32, EAST ALONG THE SOUTH LINE OF SAID L.A. SCHAGER
S
PROPERTY, A DISTANCE OF 147.00 FEET; THENCE CONTINUING ALONG AID
SOUTH LINE, NORTH 56° 18' EAST, 774.00 FEET, SOUTH 68° 28' EAST, 445.54
FEET TO THE NORTHWEST CORNER OF THAT CERTAIN PROPERTY CONVEYED TO
F.S. MARSHALL DATED OCTOBER 30, 1942 AND RECORDED DECEMBER 3, 1942 IN
BOOK 306' OF OFFICIAL RECORDS, AT PAGE 473, RECORDS OF BUTTE COUNTY,
CALIFORNIA; THENCE ALONG THE NORTHERLY LINE OF SAID F.S. MARSHALL
PROPERTY, EASTERLY TO A POINT ON THE WESTERLY BOUNDARY OF THE
OROVILLE CONCOW ROAD AND THE END OF SAID LINE;.
ASSESSOR'S PARCEL NO: 058-320-027
l
i
I
. i
H.C.Dip
ATTACH CHECK
11
FILE No.687 08/28 '03 AM 11:15 ID:EXECUTIVE HOMES FAX:530 891 8753
.'Ray Careballo 530--534-41-63
COUNTY OF BUTTE
DEPARTMENT. OF DEVELOPMENT SERVICES
BUILDING -DIVISION -
NOTICE
'N Poet this job cord In a sate, conspicuous Place. Do
not remove until all required inspections are made and
v building- Is approved for occupancy. Plans must be
available on the job site_,. -
^V1 058-320-027 03-1813
A.P. No: — PAGAN, JESSE
ll�$ ---
� ) Owner _.... 133 f 9 iTOQ RANCH, CON•C:OW -- -
Contractor
Permit No. _ Coat EXECUTIVE HOMES
U� MKW MI.1 PERM'CND LX SITE
(�
Jr PERMITTEE MUST CALL
�. FOR INSPECTIONS
INSPECTION QATE INSPECTOR
Iv Footing:
tars _
Underground Conduit _
i��� � �� � T tl'n111 Atiova'.tii •Hadi::
1 �' 1,� Y>><;:.o•Hot>Potr t:oricteta ...._—..�. ........._
UndsAloor Plumbing
Und_srllwr Eleelrleal _.....
Under(taor M®chanicat __ ____..._ -.•-. --••—
�•1Y 4 ' l Undorll_oor Fremin ._.. _. -•—_• •--
Q Slab
Do:Not ktatatt R6W-*`St56;UntII, Ab6verS
Ptumhln
l� _
_ Rougl�Elactrk .'. ..
\l� nrAinhMochanicel—_......�
�� . framing --•— ... _. ..
Shower Pan
';.; ;:. '. ;; : •po. Not:Insutitoo UntltTAbove: Sipned`:`
In�ulstlon
po Not Cover.UnitGAboVe:91' ried;:.`: `i:::'::•:'::•.'>:'i::
fir ace-Foolin
Firealeca Throat
WaterSarnto __
Pool Final _
Piumbina.Flnal _-_ ..........
FI_-ecincal Finel
Mechanical Final_
9ulfd1ng or M.H. Final
DO NOT OCCUPY UNTIL
ALL THE -ABOVE 1'S -SIGNED,
AND THE BUILDING OR MOBILE NOME
IS APPROVED EOR -OCCUPANCY-
;. . ; •;:Addrpas®s..:>:: :. "r :':.:' , 'tnformat►on:•:..: 24�Nr,;it'
Orovifle - 7 County Center Drive 538.7541 538.7630
Chico - 411 Main91reet 091-2751 691-2834
R"Iced 7194
PAGE 1
p.l
f
NOTES
RESIDENTIAL
r058-320-027 03-1813
PERMIT NO. —r]PAGAN, JESSE___ _
13319 HOG RANCH, CONCOW
Cont: EXECUTIVE HOMES
NEW MH PERM FND EX SITE
"-THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
--BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2 STATEMENT OF FACTS (ONLY ON NEW
MH' S).
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
I FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
i
OFFICE COPY
Address
GAS
'
Meter By Dat
Meter Bim— —
Y
1
i
!i
JOB FINALED (Date) ,O
t Signature
J=OK '
0 = Not Ok
NotReadyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
OF
as; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or / P' L "ft./ P LPG
7. Well Clearance & Disconnect
Utility Clearance
Date Card B-1 Date ICard 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
T
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date
Card B-1
Date
Card -1 Date
Card B-1
Date
PE ANENT END SYSTEM (ONLY)
2.
Zpvrfhg Requirements -Setbacks -Easements
3.
4,2 FooU; Size -Spacing -Marriage Line
4.
o - g
5.
as; MH Test -Dema alve
6.
ectr ; MH Test
7.
'6 er;MH
8.
.. Water an nected
9.
Gas and -Electricity Tagged
10.
-f)xxits
11.
Ext.; Steps -Doors -Landings
12.
4 -1J1 -Verify #'s with Office
Date
6,3 Card 13-1 Date
Card B-1
Dat
Card 6-1 Date .
Card B-1
Cj}rL317��
Z�C 7 7�Q-wyj�L3
r
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
'Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panel boards- Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Garage Fire Protection Framing -RC Channel
6a.
Hold Downs and Special Anchors
Property Line Firewall & Openings
7.
Slab, Steel -Wrapped
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
57.
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
58.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
59.
12.
Electric Underground
60.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
61.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
62. Insulation -Walls -Ceilings
15.
Access & Ventilation
I nfi Itration-Walls-Windows
16.
Insulation
Card B-1 Date Card B-1
Date
Date
Date
Card B-1 Date Card B-1
Date
64.
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Smoke Detector
17. Water Htr.; Vent -Access -Combustion Air Baffle
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
18.
Water Pipe; Test & Anchor -Nail Protection
Bedroom Exiting
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
G.F.I. & Bath Fixtures & Tub Access -Spa
20.
Shower Pan; Test, First Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
77.
24.
Fixture & Transformer Clearance -Ins. Protection
78.
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
27. Romex Installed Close to Edge of Studs & C.J.
80.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
81.
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
82.
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes O No
83.
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
90.
36.
A.C. Ducts Insulation & Support
91.
37.
Vent Fan, Exhaust above insulation
92.
38.
Condensate Drain & Overflow, Size & Grade
93.
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
94.
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63.
I nfi Itration-Walls-Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83.
Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No
84. Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95. Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT,OF DE;/ELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 0"�1��F.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
058-320-027
ZONING
BUILDING PERMIT
OWNER
PAG
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
26921 MANON AVE. HAYWARD
CONTRACTOR'S NAME
EXECUTIVE HOMES
TELEPHONE
8 -6
CONTRACTORS MAILING ADDRESS
3042 ESPLANADE CHICO CA.
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 64
260.
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 241.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
1331
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LAT NO.
SUBDNLSION'S NAME
rnr 923T-6() C0000
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome q Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 19-00
Each as water heater or vent
15.00
TYPE OF WORK
New ER Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: IUIRM MW NM MH PFRM F�M
REPLACING EXISTING MH
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
S
SNOW LOAD : 2 00 to 2 500 ft- m nnn• X, 0400C SRA
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 800A OR LLE
ESS
23.00 23,0
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is full J r and effect. �
G / /�
License Class �' � Lic. No. (.� (�J �
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which is permit is issued.
My works settopsiaeurance carr'er an umbo prp:
Carrier fV
Policy Number
(The above sections neeernbMi &m'pletid • e permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' ensation provisions of section 3700 of the Labor Code, I shall
forthw' co ply ;wittheprovisions.
t
X Date 0r '—
$nature of Applic - ❑ Owner ❑ Contractor Agent
An OSHA permit is required for excavatio s over 5'0" eep d emolition or constructio
of structures over 3 stories in height.
Receipt No. 3$2132 83.00
WHITE-D.D.S.-B.D. CANARY -ASSES PINK-INECTOR GOLDEN ROD -APPLICANT
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLJNG OCCUR SO
OR ( a ACC. S.3.51LFT;
CNS.
NEW CONST. MULTI -OUTLET
NoµRESID. C @7.50
POWER APPARATUS
a SINGLE OUTLET CIR.
E7(, OCCU OUTLET OR FDCTURES BAL p I:so
Ex. Occup. Dvn.EED,S q '., 6°eA,
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE t
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEi= S
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTALFEE $ 392.00
HAZ.
— --
p, F IMP
—
FLOOD
X
CDF
___
Pp
HD
ISSUE
This perm' is hereby issued under the applicable provisions
of the tte County Code and/or Resolutions to do work
Indic ed about for which fees have been paid.
f
(Date ! VV
PERMIT EXPIRES ON d �A
Date
t, COUH Y OF BUTTE- DEPARTMENT OF DEVELOP MERT SERVICES - BUILDING DMISION
i 7 County Center Drive b Oroville;:CafifoMMa 95965 ► Telephony (530),538-f-5463- Flo.
APPLI CATION AND PERW
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Nis permfl is hereby tmus:J under The appLILAs prvvesnrs
Of Hca Bum County Code andiar Ae=h&3.ss b 6D w3rk
tnfl=sSd above fir whiefi fees have beer► ?eia
�.�►''�f+�-''Orv'.�'k�er'M�.'►1�,.��n,•,�`f8i+'�++aM!„Sf'-�?:rRs;i ?r,�•`1��+�!_�"�'*�''`*�
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER:&Rk� ASSIrSSOR PARCEL NUMBER 1 O'�"'
Proposed Building Use: .Q.W71 – Counter Technician: QAM�Date: to*aply.
Items required in order to apply or a perpiit. All boxes MUST be checked OR marked NA in order
f�Y, .. Plot plans, 3 or 4 sets, signedXy the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate. .
Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate. F
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
Plot plan and business license approval from the City of Biggs ....................................
Letter of intent for non-residential buildings......................................................:..
Detached Accessory Building Form filled out by the owner .....................................
Hazardous Material Form............................................................................... _
Other
items needed to issue the permit. (May require additional plan review upon receipt th following iteZftkaining
Fees as shown on the attached Schedule of Fees Due Sheet.......................................�
:4t
:El , V5. Statement of Intent for Non -heated and A/C Buildings ............................................
16. 'Sanitation and plot plan approval from the Environmental Health Department in �1L) -1 I Lo Z 3
❑ 17. City of Chico Plumbing permit.......................................................................:
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: G> 1, (B)Parking: (C) Parcel Check:
';O 20. Contact Land Development about ❑ Improvements, ❑ Drainage ..............................
TD 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
O'22. Pre -Inspection for required ................
❑ - . Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization..................—................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement... .:..............................
❑ 28.anufac red a utili clearance...............................................................A. `
�. r'' violati n r expired permits ................................................ e.....g 3 Dee t1e/Statement of Facts, ❑ Letter from Legal Owner, eck to H.0❑ 31.
When issued Telephone and hold for pickup.
I have been informed the above items and requirements for obtaining a building permit.
Applicant
rsr'l:«
1. Index permit application for the above items numbered
2. Additional items required
Contractor, designer, owner, was advised cf the above data by
Contractor, designer, owner, was advised of the above data by
Plans reviewed by: Date:
Structural reviewed by: Date:
Note transfer by: Date:
Q
Plan Check Letter
❑ pbondl,-' f& mail, ❑ counter, by Date:
❑ phone, ?;f1f%mail, ❑ co tpr,ty; Date:
_ Plans approved by: �` Date:
_Structural approved by: Date:
Yellow Building Division
TO:
FROM:
SUBJECT:
L
Building Department
Environmental Health
Sanitation Clearance
Rout
.Plat Paan Attech�
Roos 91mn Attached
Sent to S.D.-27-7-7—
Owner
27 I r
Owner Location AP#
Plan Approved for: Sewage Disposal,_ Water Supply: Publicrivate Wel
Clearance for dwelling. Other PjAffw, "in � 0 --, &4&u
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist Date
8/96
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
pa SCHEDULE OFTEES DUE
BUILDING USE
BUILDING PERMIT FEES
Balance Due ....................... $ `
00-
Additional Fees Due ................. $
Additional Fees Due ................. $
Revised Plan Checking Fee .............$
2. SCHOOL DISTRICT FEES �� 1
(paid at District Office) (Available after Plan Check)
.3. SHERIFF FEES (paid at Building Division)
Residential ...................... � $360.00 = $
IT
Commercial (sq. ft.) ................ x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... -x-=$
# Units Amt.
Commercial (sq. ft.) ............ -x_=$
Sq. ft. Amt.
5. RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
3k
C%n
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during thean checking process.
DATE
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6100)
f
N
,
I
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Bullding)
1
School District ^'�� j/�� 1 Building Department No.
A.P. Number'�� `.Je7 v` 4'� Jurisdiction city County
Property Owner 4 M �-�7(l _ pa�, l„
Property Location/Address
Subdivision
Residential Development
No of Living
Mobile Home
Units
Installation
Commercial/Industrial
n I —.
0
New Addition
Representative
Lot No.
Sq. Footage V
Addition/ *Supplemental to (Group R)
Conversion Permit #
'(No foundation inspection):
Sq. Footage
(Floor Plans reviewed by School District Personnel)
District Identification No. w 3 o 1® 8(�ZVJ'J
lQr �..[.t' {it-kchool District certifies that
(Street Address)
9�
(Gtyl (State)
Q
has complied with the requirements of Resolution No. f ( D
representing I) 19 O . square feet. AB 3926
FUL ITIGATIt
School District Representative
0
Paid by Check rr (.,4J,[io /t Remarks:
(Including Exterior
Roofed Areas)
Date I
R-19
x'9I -- Co` 9
(Phone Number)
(Zip Code)
by payment ment of $
Date
r <�V i
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) 1./ feeform.xls (10/98)dmm
IN
058-320-027 ' -99-2446
CULET, BEN
13319 HOG RANCH ROAD,
ORO VII.LE
j CONTR: OWNER
i REPLACES BP#94-2564 & 97-1052
01
i
OFFICE COPY
Address
GAS
Meter By Datt
ELECTRI
Meter By Date
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILD G DIVISION
7 County Center Drive - Oroville, California 95965 • Telephone (530) 536--A420!9PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT - �&&/ -
ASSESSOR PARCEL NUMBER
058-320-027
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
l r
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENS
Filing Fee
$ 20.00
Permit Fee
•$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
13319 k= RM
Energy Plan Checking Fee
$
PERMIT FEE
S 43.W
LOT 140.
SUBDIVISIONS NAME
MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome & Other
sPECIFv
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
------ TYPE OF WORK
New ❑...Addition ❑ Remodel ❑ Utilities ❑ InstBllationXY. Other ❑
Describe Work: RLk'LAC,r:. BP #94-1504 &-"97-1052 -:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS IG1 W '
@20.00
PERMIT FEE
$
''�-•- •,' fi (
V
ELECTRICAL PERMIT
Fling Fee 20.00
' v OR LESS
Main Service zoOA OR LESS
23.00
. S CONTRA .TQR' }ECLARATION
` $
I` herebywafr,�u1x a Y- I erjury th I/a �nsed under provisio of Chapter
9 (com cing vh; 000 o t ' ' iop no t e Business'and Prof ` ons Code,
and my license Is in f'I act. -
-� .: ,�
License Class '
OWNER=61UIL-DE LA A,
,J..i- , '�
I hereby affirm under, penalty, of perjvey,~that I a xe pt fr the Contractors License
Law for the followinge - Z.,
I, as owner of the, 0P rtyTor ployees with wages stheir sole co�r:Lpensation,
will do the work, and the str�e is c 'n ded or offered for sale
❑ Isis owner of the property, ami exd�'�iv�ly ntrq�c>png with licensed- contractors
to construct the project.
❑ Lam exempt under Sec. B iness and Professions Code for thisp
reason
WORKERS' COMPEN TIO 1043"R ON
I hereby affirm under penalty of perjury one of the followng clarations:
❑ 1 have and will maintain a certificatq of c nsent to self -insure for workers'
compensat'q gas provid for by section 700 of the Labor Code, for the
performances t or hich this permit 's�(Ssued.
❑ 1 have and will mai s'damp ti I • s [ance, as required by Section
3700 of the Labor Code, for the performan - k;or which this permit is issued.
My workers' compensation insurance carrier an Ircc number are:
Carrier v
Policy Number i
(rhe above sections need not be co ted'ff the rmit is for work of a valuation
of one hundred dollars ($100) less.)
I certify that in the performancetthe work for ch this permit is issued, I shall
not employ any person in an an r s to become subject to workers'
compensation laws of California, agre at if I should become subject to the
workers' compensation provisionW- ' n 3700 of the Labor Code, I shall
forthwith comply with those provisi
/
Date 1l/ 9 f 9 37
Signature oL A plicant - ❑ Owner ❑ Contractor M Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 20M TO t000A
46.00
NEW CONST. ( DWELLING OCCUP. SO.
OR ADDNS., a ACC. BLDs. 3.5QF.
NON NFW REOSIp. m it MULTI -OUTLET 97,50
POwER APPARATUS
a SNJOLE OUTLET CIR.
OUTLET OR FIXTURES
Ex. Occup. Bn� Lao
FIXED APPLNS. OR 5.00
Ex. Occup.OUTLETS (R 6.) EA
Temporary Service '� 23.00
Mobile Ho . acilities 20.00
M.J7tlirin 23.00
RMIT FEE $
r EkHANICAL PERMIT Fling Fee 20.00
eating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $ 109-00
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 143.U(;
HAz.
D � IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
�r
By ,' Date
PERMIT EXPIRES ON 1G/25�LC}00
Date
Receipt No. 28047o
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7•Countly Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PE tAIT NO.
(Rev. 12/96) APPLICATION AND PERMIT=
ASSESSOR PARCEL NUMBER
_320-027 -
ZONING
BUILDING PERMIT
OWNER
B
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
PO BOX 1082, QRQVTTLI�', C4 95969
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
13319 HOG$
Energy Plan Checking Fee
$
PERMIT FEE
$ 43,00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome )0( Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑
Describe work: REPLACE BP #94-2564 & 97-1052
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
800VR LE
Main Service OA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWEPPARATUS
License Class Lic. No.
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
of3j 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service zooA To I000A
46.00
NEW CONST. DW
,"NG OCCUP.
OR ADDNS. ( 8 ACC. S.
so
3.5¢FT.
NNEW .RESD OUTLET CIRCUITS
@7,50
8 SINGLER AOUTLET CSI R.
Ex. Occup. OUTLET OR FIXTURES
20 Q 1'�
BAO .00
-ED1
Ex. Occup. oL,r S°PRa .) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X% Date /l✓
Ignature o pplicant - ❑ Owner ❑ Contractor )Q Agelint
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$ 100.00
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 143.00
HA2.
I D. FEES IMP
I FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON 10/21 f2000
the applicable provisions
Resolutions to do work
been paid.
Date 10/25/99
Date
Receipt No. 280496
WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC
(Rev. 12/96) APPLICATION AND PERMIT
ASSMOR'AW&MOAM ZONwo BUILDING PERMIT
ow►" TawwNE SO. FT. OCC. BUILDING VALUATION
Owws ADDRess C)re), l
c
CONTRACTOR'! TCUPMNE
COWWWOR7 kVAJM ADORESe
CONsTRUCnON Lzmat
LENDER•a MNUNQ ADDRESS *Energy
ation S
APA3MCT OR ENOeEM MEFiling S
20.00
ARCHn=OR 000NEERS MOUND ADDRESS S
eutawo AooREss
in Fee S
Checking Fee S
v iV�
PERMIT FEE S
LOTNa •usaysbNs rwe PARCEL MAP
PLUMBING PERMIT
USEOFSTRUCTURE Each Trap
Solar or heat pump water heater
SF O Duplex ❑ Mobilehome OX Other Water piping
evec�
TYPE OF WORK Each gas water heater or vent
Gas i in stem 1 - 5 outlets
New O Addition O Remodel O Utlities ❑ Instalation Other ❑ Building sewer
Describe Work:' ��j� Mobile Home S G I W
—`� PERMIT FEE S
ELECTRICAL PERMIT
Main Service MW OR LESS
—. ---- — •— _-- 200A OR LESS
. .. ..... _ _ Main .Service 20" TO I000A i
20.00
7.00
23.00
15.00
15.00
15.00
15.00
@20.00
Fee 20.00
23.00
48.00
Seso.
Fr.
?7.50
Ex. Occup.
jr ovn rr OR FKruAE5
20 0 1.00
SAL a .00
Ex. Occup.
� o. FA
5.00
Temporary
Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $ .60
Energy Inspection Fee $
«` COAST. TYPE TOTAL FEE $
NA2. 0. FEES -JA I FL,000 I COf I pApCEL' p0 I AO MME
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
/Dora
u.
. :�.- . -
� �+
��
�.�
{��
r.
4.
Mobilehome Manufacturer:Fi_e&7wvon Manufacture Year: /4, 7V
If other than single wide, furnish Setup Model Number:
Width:,�g (ft.) Length:_4_Z- (ft.) Tagalong or Expando Size B' (ft.) x_ F (ft.)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation gradeD4 Other:
SUPPORTS: Concrete block[ Other:
Provide Tie Down Specifications for all Mobilehomes: -kl e- i,L ul'L/
�O
Pier
SINGLE WIDE
and Location
MULTI -WIDE
Line 1
Line 2
.................................................................................................
Main Beams
Line2 ................... ........................... .........................................
Line 1
................................................................................................
Main Beams
................................................................................................
..................................................ine S
Tag or Triple ine 4
Line 1 Piers:
Size minimum: r i x
Spacing'maximum: `
From ends -maximum: `
Line 2 Piers:
Size minimum: [ /a.] x [FO ].
f
Spacing maximum:
From 'ends -maximum:
Line 3 Roof Loads•
Size minimum - -
Location (from front):'
Line 5 Roof Loads:
Size minimum: .
Location (from front):
Line 1 Openings
Size minimum: [ ] x [ ].
Each side of openings
with width over: - - `
Line 4 Piers:
Size minimum: [ /91 x [.3Z) ].
Spacing maximum:
From ends -maximum: o `
bl-
1. Owner's Name: 27erW . E77
2. - Assessor's Parcel Number: v -g - ;W - 4�? 7
3. Installer's Name: t �Y 4:2u G &--7-
4.
-T
4. Is the site currently under permit? Yes[ ] Noo Permit No.
5. Is the site an existing site? Yes[ �] No[ ] (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome?Amperes.
7. What is the mobilehome site circuit breaker rating?Amperes.
8. What is the electrical rating of the mobilehome site? ZD a Amperes.
9. Is the main service remote from the mobilehome site? Yes[ ] No[A If it is, what is
the rating? Amperes.
10. Is there any other electric load -to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes [4 No[ ] If yes, please identify the load and size:
a) The mobile home site:
Load- /e a Amperes -
b) The main service:
Load= 7, Amperes -
11. Type of gas service at mobilehome site: Natural[ ] PropaneN None[ J
12. Size of gas pipe at the mobilehome site from the meter - or
tank: 3 inches..
13. What is the gas pipe length from the meter or tank to the mobilehome?
14. What is the mobilehome gas demand? B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
--THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDEtt TO
PROCESS THIS PERMIT APPLICATION
N
at at.*= and VOOMUM NMI*
tisn= c�a3 �.
-y-p—&-i's josallMdasaM.dram t1s lwp a
All ldatmuW til WorkmdnzWD
A0ow+danoe with ROoo
ata t x4 EaB ad
p and
In the ed uaa
Modes and s-- �` B�®ob�►ni \\ W C
�t
_ a}pd --
4}�paH muawuoainu9.
/,4uno:) 94n9 .
eot�raosi Coda.
\ O �
t
.ALL --
8
. _ C�
STR.UCTV
OVEEHA , .. HES = AND
EQUIP
OS SHALL BE A4EN o"
A EET SACK CP CLEgR OF ALL INCLCk: qH
�' �' `��' HOMI T � EP'AE 'ROP 7�E S► `"� AND,
FCR A 2QP STR'UC URE.,gD CE1UT ELIN EIHES
EA VE AICD. yE
y . EHEit�E SHAD
nHANG
REv'EWED
CALIF.)CO oFIRE DPT.
aPArovr FOR
P�S7 PY
d as sUbmittod
% approved With C
Per-ttuChC orro' di ions
sheets',
v
IPt4v
A
qL - a-5-6 3
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
[x] 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the..de£ensible__spa.ce.
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
J 1273.02 S.ur£ac.e.. A11 driveway surfaces and structures (bridges,
1273..07. culvezt-s and -pp-irte-+cant Structure -s w hiCi1 supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
[)(,] 1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
1.00 feet radius; 2 feet to those from 100-200 feet.
[�] 2. Thelength of ver'.i^l curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
[�Q 1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
[/] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a.minimum 25 foot taper on each end.
] 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page ...1 of :2.,
53 - D- - aq aS� 3
AP # PERMIT # NAME
[�] 1273.10 Turnouts. Driveways exceeding 150 feet in lengtZ, but
less than 800 feet in length, shall provide a t;irnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart..
[�] 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be.within 50 feet of the building.
1273.11 Gates
[�L] 1.
Gate entrances:.shall be at least two feet wider than
the roadway it serves.
[�Q 2.
The gates must be. located at least 30 feet from the
roadway and s.haii open to allow -a -v-enic -e to stop
without obstructing traffic on that roadway.
[ ] 3.
Where a one-way road with a s -i -ng l e -tr-a-f-f i c lane
pro:*i�?es entrance, a 50 font turning rad;iis .s.ha11 be
used.
Fuel Modification
'1276.01 Setback for Structure Defensible Space.
[ 1.
All parcels 1'acre-aud larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildingsfrom 1 rroperty l.in.es 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.
qJ 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying:, burning or removal to.a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction,, -road- and driveway construction and fuel
modification shall'be completed prior to completion of
road construction :,r fi_ial inspection of a building
permit.'
Page 2 of 3`
',
5 8 -30 -a '` sq, - ���� 3 �',rM��6E , e4ebe_
AP # PERMIT # NAME
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
[ ] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors onside toward property line with insuffi-
cient setback-
- Class A or B"roof'witr enclosed eaves
- Interior automatic spri.ikler system per NFPA 13D
Glass area not to exceed i0% of wall area toward property
line with insufficient setback
Siding from the following list:
=Stucco 3 coat
Hardi-Board or Plank
Mag nn ry
Masonry veneer
Metal
Other Butte .County Fire Department approved materials
Date" Signature
Page 3 of 3
RETURN TO:
Public Works
Land Development Section
CERTIF`ICA TE OF COMPLIANCE
Issued for Earnest Bryant
P. 0. Box 574
Danville, CA 94526
r 1niY r ; Fit; 10ni
I
ELEANOR H. ,,=
COUNTY OF BUTTE'- DEPARTMENT OF DEVELOPMENT SERVICES9 BUILDING -DIVISION
7 councy center Drive, OrOville CA 95965
Phone: 916-538-7541
MIKE AND CAROL CAMPBELL _
13206 ASTORIA WAY
- OROVILLE CA 95965
RE. Permit-Appin #94-2563 (mobilehome util) DATE:-- JULY 20, 1.995.
A.P. # 058-32-0-027 - _ With reference to the 'above subject:
Attached is:
Application for permit
Building Plans
Engineered Calculations
Owner -Builder Verification Fm
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
_Typical Plan Sheet
List of Codes.Enforced
We need the following information prior to permit processing and/or issuance:
Permit application signed and completed where indicated with all copies returned.
Plot plans, 3/4 sets., signed by preparer of plans.
Complete plans, 3/4 sets, signed by preparer of plans.
Engineered plans and calcs, 3/4 sets, with wet signature on plans.
Hazardous Material Form
Energy Design Compliance and supporting documentation.
Statement of Intent for: Non -Heated and A/C Buildings.
Engineered truss details and layout in duplicate.
Mobilehome data and manufacturer's installation instructions, 2 sets.
Fees of $ , payable to Butte County Treasurer.
Impact fees paid.
California Department of Forestry plan approval/fees.
Flood elevation letter (100 year flood) by California Engineer.
Sanitation and plot plan approval Health Department.
City of Chico plumbing permit.
Plot plan and business license approval from City of Biggs/Gridley.
Planning approval for
Land Development (a) Improvements (b) Drainage.
Driveway permit (approval of construction required prior to occupancy).
Contractor's license information (No. Name Style. Class) or exemption statement.
Certificate of Workmans Co:r^ensatic.
Owner -Builder Verification Form.
77Mecordedccpy of Agricultural Acknowledgement Stace ment .
Letter of signature authorization.
Copy of recorded deed of parcel creation and 60' right of way to a public road.
Letter of intent on building use.
Mobilehome utility clearance.
Documentation of legal access.
Documentation of 50V subdivision developed or (a) Road improvements completed and
(b) Parcel meets zoning area and frontage requirements.
Existing violations/expired permits resolved.
Plan check list data and revisions.
sets of plans in accordance with changes marked in red.
Other: PLEASE OBTAIN THE ABOVE.ITEM AS SOON AS POSSIBLE SO THAT WE CAN ISSUE
Should you have any-gi.estions concerning the above, please contact Bob Keith -
of this office. —
MCV: ahb
Y rs very t ly,
/l�
1.
?I
Mid: C. ieira, C.B.O.
Man ger, Building Inspection
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUII•DING DIVISION
7 county center Drive, oroville cA 95965
Phone: 916-538-7541
MIKE AND CAROL CAMPBELL
13206 ASTORIA WAY
OROVILLE CA 95965
RB Permit Appin #94-2563 (mobilehome util) DATE: la���,��,i
A.P. # .058-32-0-027
With reference to the above subject:
Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engineered Calculations Typical Plan Sheet
Owner -Builder Verification Fm List of Codes.Enforced
We need the following information prior to permit processing and/or issuance:
Permit application signed and completed where indicated with all copies returned.
Plot plans, 3/4 sets, signed by preparer of plans.
Complete plans, 3/4 sets, signed -by preparer of plans.
Engineered plans and calcs, 3/4 sets, with wet signature on plans.
Hazardous Material Form
Energy Design Compliance and supporting documentation.
Statement of Intent for Non -Heated and A/C Buildings.
Engineered truss details and layout in duplicate.
Mobilehome data and manufacturer's installation instructions, 2 sets.
Fees of $ , payable to Butte Count- Treasurer.
Impact fees paid.
California Department of Forestry plan approval/fees.
Flood elevation letter (100 year flood) by California Engineer.
Sanitation and plot plan approval Health Department.
City of Chico plumbing permit.
Plot plan and business license approval from City of Biggs/Gridley.
Planning approval for
Land Develcpment (a) Imprcvements (b) Drainage.
Driveway permit (approval of construction required prior to occupancy).
Contractor's license information (No. Name Style, Class) or exemption statement.
Certificate of Workmans Cc.^.:pensatic.^. ;rsuranee
Owner -Builder Verification Form.
A=Recordedccry of Agricultural Acknowledgement Statament.
Letter of signature authorization.
Copy of recorded deed of parcel creation and 60' right of way to a public road.
Letter of intent on building use.
Mobilehome utility clearance.
Documentation of legal access.
Documentation of 50t subdivision developed or (a) Road improvements completed and
(b) Parcel meets zoning area and frontage requirements.
Existing violations/expired permits resolved.
Plan check list data and revisions.
sets of plans in accordance with changes marked in red.
Other:
Should you have any gt:estions concerning the above, please contact
of this office.
MCV:ahb
Bob Keith
Y rs very tr ly,
Mic.ael C. ieira, C.B.O.
Man ger, Building Inspection
Oh
_'Return.to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 3n
Building Division FOR RESIDENTIAL DEVELOPMENT 4V'
Section 26-8.1 of the Butte County Code requires this
acknowledgement be recorded prior to issuance of a building •+� •+4G�
permit. 95-024;2501'
Rec Fee 12.00
The property described herein is adjacent to land or included
I COP 1.00
within an area zoned for agricultural purposes, and residents
Recorded I Cash 13.00
of this property may be subject to inconveniences or
Official Records I
' discomfort arising from the use of agricultural chemicals,
County of I
including, but not limited to herbicides, pesticides, and
Butte I
fertilizers; and from the pursuit of agricultural operations
Candace J. Grubbs I
including, but not limited to cultivation, plowing, spraying,
Recorder I
pruning, and harvesting which occasionally generate
11 : 59 a m 24 -Ju 1-95 1 P U B L XX 3
dust,smoke, noise, and odor. Butte County has established
agricultural zones which have as a priority use for productive
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or
discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
�W CD e_:�)esc��
Date: % Z O - 9�3—
State of Calif rnia
County of ,I,rr, &
On NK b
peranalq appeared
e (or proved to me on the basis of satisfactory evidence) to be the person sO whose name(s) Ware
subscribed to the within instrument and acknowledged to me that hlsiWthey executed the same inh�their authorized
capacity(ies), and that by �N�FJtheir signature(s • on the instrument, the person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
WITNESS my hand and official Seal. 77JUDY N. BPOWNFIELD
a COMM. # 977416
Z tary Public — California
BUTTE COUNTY
Signature Seal: My Comm. Expires NOV 8, 1996
A.P. # 0,�5_V- 3 Oa7
Alf
� 6cc 7pla
Order No. 50235 -VL
DESCRIPTION
All that certain real property situate in the County of Butte,
State of California, described as follows:
Being a portion of the Southwest quarter of the Southeast quarter
of Section 4, Township 22 North, Range 4 East, M.D.B. & M., and
more particularly described as follows:
Commencing at the Northeast corner of said Southwest quarter of
the Southeast quarter of Section 4; thence along the North line
thereof, North 78' 56' 56" West, 656.06 feet; thence South 0° 35'
58" West, 332.97 feet to the true point of beginning for the par-
cel herein described; thence from said true point of beginning,
South 0° 50' 05" West, 326.48 feet; thence North 84° 14' 51" West,
433.61 feet to the centerline of a 60.00 foot road easement;
thence along said centerline, North 39° 54' 34" East, 314.52 feet;
thence North 79° 55' 09" East, 238.27 feet to the point of beginning.
'lr-)GF,'F1l.f .R WITH AND RI �'--)ERVI.NG THEREFROM a rion-exclusive e isetnel►L-
SLri
LUC fn n feP.t
.CXlt� ciilu
_y L.. �)�iri.� ?S 'Verc' E 1z17r FiO
in width, lying 30 feet on each side of the following described
cenLer.li.ne_
COMMENCING at: Lhe Nc,rLheast corner of said Southwest quar'(_er of
Lhe SouLhcast quacL-er of Section 4, Township 22 North, Prange 4 -
T;�sl_, M. D. 13. & M. ; Lhence along the North line Lhe.reof-, North 78"
56' 56" West, a dist--atice of 4.12.00 f-eeL. to the poiriL of beginning
for Lhe herein dcsci,-ibed cenL-erline; Lhence South 8" 07' 49"
West, 13.1.68 feet; Offence South 7° 02' 56" Gast, 536.55 feet;
Lhence SouLh 36° 31' 36" East, 236.49 feet; thence South 100 51'
24" West, 137.28 fe(2L; Lhence %rLh 81.° 57' 39" West, 222.55
feet; Lhence South (2° 20' 1.9" West, 1.60.45 feet; Lhence North
65`16' 01" West, 2i12.'88 feAt; thence South 71" 28' 19" West,
162.45 feet; thence North 20° 36' 56" West, 395.60 Leet; Lhence
i`1or.Lfi.39" 54' 34" i,ast, 368.88 feet; . thence North 79° 55' 09"
East, 345.90 feet; thence North 63" 01' 39" EasL, 142.89 TeeL to
Lhe end of the herein descril,�d cenLerline.
nT_SO 'iOGC,I(If:R WI`.I'[I a non-exclusive easement for road purposes arid
Public Uti-lity purposes over, a strip of land 60.00 feet in width,
30.00 feet on either side of a .tine beginning at a point on the
North line of said Sout:hweSL quarter of the Southeast quarter of
Section 4; which ,fxDint bears NOrLh 78° 56' 56" West, 412.00 feet
fro►n the Nor t-heasL. corner thereof; thence from said point of
beginning, NorLh 0* 1.2' 1.2" Last, 479.10 feel; Lhence South 79°
lil6cc 7pla
Order No. 50235 -VL
(Description continued)
39' 48'' rest, 609.31. feet; thence South 80° 2.3' 53" East', 290.34
feet; thence Nortli 77° 1.4' 57" East, 163.25 feet; thence South
71" 36' 56" L.asL, 507.65 feeL; thence South 65" 36' .l.l" LasL,
.181.13 feet Lo Elie Gast line of said Section 4; Lhence SouLh 75°
00' 00" EsL, 71.00 feeL-; . Lhence NorLh 80" 00' 00" EasL, 299.00
feeL; thence SouLh 55" 00' 00" -GasL, 196.00 feet; Lhence SouLh
UW' 00' 00" G.asL, 200.00 feet-; LI -fence SouLli 25" 00' 00" Last,
392.00 feet; hence South 10" 00' 00" East-, 200.00 feet; thence
SouLli 35" 00' 00" a-isl:, 1.00.00 feet; thence South 25" 00' 00"
i;ast, 26.9.40 C( -:.et:;! Llience SouLli 20" 00' 00" a--ist, 300.00 feet;
L-h?nce SouUli 30" 00' 00" Last, 300.00 feet; thence South 73" 24'
30" J�aSL, . 107.94 Eget; L Hence North .58° 53' 15" Vast, .170.15.
feet; Lhence Soutli' 89" 44' 45" LasL, 164.53 feet; Lhence South
53' n t, I-., 63.25 feet; Lhence South 36" 31' 30" Cast,
292.68 feet; thence SouLh 76° 45' 30" r:ast, 137.00 feeL Lo a
point 30.00 feeL North of the South 1_ine of Section 3; Lhence
parallel. with said South line, South 89" 54' 00" C=yst-, 5.12.00
feeL Lo Lhe 1 asL line oC Lhe SoutliwesL quarter oC said Section 3.
71LS0 W f.'1.'L1 a non-exclusive easement for .road purposes and
pulAic ut-itiLtes over a sLrip of land 60.0 CeeL in width, the
Soul -Ii .l. i.ne of said eascmenL being described as follows: '
1311-'GINNLNG at L -lie guar. ter corner_ common to SecLi.on 3 and. 10,
Townshi.h 22 NorLh, Range 4 17"ast, M.D.B. & M.'; Lhence r_unni.ng
GasLerly al.ong Llic- SouLli Tine of that certain property conveyed
to t,. n. Schager. , et ux, by Decd JaLe'cl July 5; 1955 and recorded
July 1.2, 1.955 in Book 781 of OC.Cicial Records, at page 333,
records of BtitLe County, CZ..1J forni.a, a distance of 72.0.0 feet;
thence North U.' 32' T,;as L , along Lhe-SouLh line of said L. A.
ScI ager }property, a distance of: 1.47.0 feet; thence continuing
11_ong saidSouLli line, No.rLlt *56° 1.8' East, 774.0 feeL-; Lbence
South 68" 28' 445.54 feeL Lo the NorLhwesL corner_ of thaL
cerLaitl properLy conveyed to F. S. Marshall, dated Oct-ot:x--r 30,
1942 and recorded Deceml)er 3, 1.94.2 in Book 305 of Or -ficial
records, =tL hage 473, records of BuLte County, California; thence
along the Northerly line of said F. S. Marshall Property,
EasLer.ly to a point on the Westerly boundary of Lhe Oroville
Concow Road arui the end of said line.
,+ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
P— 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541_ PE MIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
58-320-027
ZONING
BUILDING PERMIT
OWNER CAROL &MIKE CAMPBELL
TELEPHONE
534-7724
SO, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
13206 ASTORIA WAY OROVILLE, 95q69
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
2e—ft
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
1-3-319 HOG RANC14 RD
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFO Duplex ❑ Mobilehome CX Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G
TYPE OF WORK
New ❑ Addition O Remodel ❑ Utilities CA Installation ❑ Other ❑
Describe Work: BEDROOM
E@20.00
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
OR LESS
Main Service '00v OR LESS I
( 200A
23.00 p(
^�•
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( 8 ACC. BLDS. )
SO,
3.5C FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
4License No. Classification
as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
El am exempt under Sec. Business and Professions Code
forthis reason
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
V❑ I ave placed on file with the County of Butte Dept. of Development Services,
uIIding Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POW ER APPARATUS I
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES I
BAL. 2 @ 1.00
FIXED APPLNS. OR
EX. Occup. (OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 oZi�•t�r✓
Misc. Wiring
23.00
PERMIT FEE $31
16,1
O
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
Signature of Applicant Owner ❑ Cokftractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
• U v
HAZ• I D. FEES
IMP
I FLOo DF PARCEL PO
UE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
BY
PERMIT EXPIRES ON
/Date/
provisions
to do work
paid.
-7
Date —.0
Receipt No.
WHITE-D.D.S.-B.D. A -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,aj.°',MiTrY'f"v'"'M xLr•3iY„r..�v,,Y�'„�,.w�:,..r..rr�•�-"_'�^.c^►'•-....-, ---... t..,-..•.•r'�°rx+�T�yy7Yisryl '....�r., r: x, ..
.. r
COINYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILfDING DIVISION
OWNER
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
A. P. No. ��j"=U ' O 27
?r
Proposed Building Use & /4 IJ Building Inspector Date % qi.
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 iri duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10 Fees of $.........................................
.
1. Impact fees as shown on attached schedule.
12. California Department of Forestry plan approval�G� 9� .... .
X13. Flood elevation letter (100 year flood) by California Engineer. ........_ ..::::
LJ/ ! 14. Sanitation and plot plan approval (�) A-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: . .........
Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . • •Fre Inspection revue
20. Pre -inspection for required. . to Building Inspector `(Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
Certificate of, Workmans Compensation Insurance . ..........................
__Qa&ner-Builder Verification (Given to owner , Mail to owner ) ............ ' a
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. Mobil ehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check,list......................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation /,
Acreage Applicant"O/% ! `� 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 t er it is nce: (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, s advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by � Date 9 ZZ:9Plans approved by e Date C?_rZZ,-W
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO: Buildinb Department
FROM: E-nvironmcntal Health
SUBJECT: Sanitation Clearance
Hot Him Auaehed `
I Ir uY 11I;un Anuched�
Scitl 1') H.17,
Nro f 133 19 Ilo i, Ptck Pd _-3a -,2 7
Owner Locadon AP#
Plan Approved for: Sewage Disposal Watcr Supply: Public Private Well_�_�Xls/ray
Clearance for .�2 bedroom mobile home. Other
Hold final for:
Final clearance O.K. for:
NOTE_
/
Environments ealth Specialist
8/92
4
Date
enwron
Ho"Z Mental Healtl7.
0
OCT,
8 P994
BCD
Oro
4'
4Z.
tr 'D
gt'fy g
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
v 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER� ZONING r P
BUILDING PERMIT
OWNE �C% �•. �'. TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNES MNLING ADDRESS IF
uI
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAKING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation S
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENG&E R'S MAILING ADDRESS
Penalty $
B LDING ADDRESS
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
E OF STRUCTURE
SF ❑ Duplex O Mobilehom Other
�(SSPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑
Describe Work: Z �K�
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main ServiceBoot/ OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR AODNS. ( & ACC. BLDS. )
_ -
3.50 SFT,O-
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIN.
Ex. Occup. ( OUTLET OR FI%TURES )
20 @ 1.00
BAL. 50
Ex. Occup.FIXED APPLNS. OR
( OUTLETS (RESID.1 EA. )
S.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE S
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
GCC
CONST. TYPE
TOTAL FEE $
HAZ•
1 D. FEES
I IMP
I FLOOD
I COF
I PARCEL PD
NO
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County C•:de and/or Resolutions to do work
indicated above for whit h fees have been paid.
By Date
PERMIT EXPIRES ON
(Date)
Receipt No. �lO77i
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
•. COUNTY OF BUTTE
Department of Development Services
Building Division
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and
issuing your building permit. No building permit will be issued until this verification is received.
1. I personally Tpto provide the major labor and materials for construction of the proposed property improvement
(es or no) I
2. I ave/ ave not) signed an application for a building permit for the proposed work.
3. I have. contracted with the following person (firm) to provide the proposed construction:
Name
Address City
Phone Contractor's License No.
4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and
provide the major work:
Name
Address City
Phone Contractor's License No.
5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner ,:-,-���
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
_ •..�, ..r f` u; . _ ,... s,. � .. arms' � .... _,. ,,... � .. .. .r: h ,. ^•
- PERMIT#97-1052
F058-320-027
'' 'Oroyille
Ranch Rd.,
e BP#94'--2564qq
a ��
.4- a -S
jjj�
V'' ,
` COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-71411 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESS R ARCE UMBER
U�B-� F..27
ZONING
BUILDING PERMIT
OWNE /�
IN
TELEPHONE
SO. FT.. OCC. BUILDING VALUATION
OW ERS MAILING ADDRESS
1 OV LLE CA 5965
NT R' NA
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE No.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
13319 HOG RANCH ROAD OROVILLE
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 43.00
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome MX Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation TI Other ❑Buildin
Describe Work: mwT1a4_75fti RRPT.14rpq 04—?r,0;4
Gas piping system 1 - 5 outlets
15.00
sewer
15.00
Mobile Home TTJ GI W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
EOOY OR LESS
Main Service zoos oR LEss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for following reason:
as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service To
46.00So
CCU000A
NEW CONST. DWELLING OCCUP.
WEL
OR ADDNS. ( & ACC. BUDS.
SO
3.52 FT.
==.T. MULTI.OUTLET
QG 7.50
PowER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
��
ED APL
Ex. Occup. OUTLETSPRESID.OEA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
S
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/of
X Cl- �_/_�_______ Date
Signature of -"Applicant - ❑ Owner ❑ Contractor EleAgent
An OSHA permit is required for excavations over 5'0" dee and demolition or construction
of structurs over 3 stories in height. P
Mobile Home Installation Fee
$ 100.00
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 143.00
HAZ.
-.►
I D. FEES
"-
IMP
FLOOD
CDF
PARCEL PD
HD
ISSU '
This permit is hereby issued under
the Butte County Code and/or
indicated above for which fees have
By " N►y"r= ,/ /
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
/
Date
Da
Receipt No. 222085
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUJITY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
It County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PER IT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
058-32-0-027
ZONING
FR -10
BUILDING PERMIT
OWNER BEN CULET
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAIUNG ADDRESS
P 0 BOX 1082, OROVILLE CA 95965
CONrRACTOR'S NAME
OWNER
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation is
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
13319 H -OG RANCH ROAD OROVILLE
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 43.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome1X Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallatioXjp Other ❑
Describe Work:��/ 94—�SbA('FC t
- .�R�P�� at►-aT�
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 600V OR LESS
2ooA OR Less
23.00
LICENSED CONTRACTOR'S DECLARATION
L
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 Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for owing reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ( 200A TO tOooA
46.00
NEW CONST. DWELLING .OLOS.
OR ADONS. ( 8 ACC. BLOS.
SO
3.5¢xNEW :
NON-RESIID. =OUTLET
97,50
PowER APPARArus
8 SINGLE OUTLET S
Ex. Occup OUTLET OR FDCTURE
20 Q 1.00
BAL @ .SO
Ex. Occup. ourLEt, RESID.OEE
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X��'`�"Z_________ Date ___—___
Signature of'Applicant - ❑Owner ❑Contractorgent
1-110—
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 143.00
HA2.
--'
D. FEE IMP
I FLOOD
CDF_41PARCEL PD
�—
HD
ISS
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
�/ y
ate r
��
0a1
Receipt No. 999()25
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
'All
a COUNT-fBUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER A. P. No.
Proposed Building Use Building Inspector Date S 9
At timeofpermit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
t// 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 . ......................
Engineered truss details and layout in duplicate (required prior to plarvpeck).
9. Mobilehome data and manufacturer's installation_ instructions. 2 sets. ..T e..&4)#" 5 9�
0. Fees of $ . ................................. 6
11. Impact fees as shown on attached schedule. ..............................
2. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . .
Preanspection requ-eff--
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 you issue the permit proc ss as follows: Mail tc�.pwner. Mail to contractor.
Telephone S. - � and hold for pickup at CJ ro v office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health. Dept. Fire Dept. Air Pollution Date,
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit 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 Co nter by _Date
Plans checked by Date Plans approved by Dat '
Sets of plans on hold in File cabinet AP folder :1
Copy - Department of Public Works
' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District
A.P. Numbers Jurisdiction City
�. r -�f„
Property Owner'�Z �!
Property Location/Address
Building Department
//0-00
�
o.
s
M
Subdivison Lot No.
Residential Development
No. of Living MHI Addition
Units
Sq. Footage _
(Group R)
Commercial/Industrial Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Date
(Floor Plans reviewed by School District Personnel)
Identificafi n No. " 9 0 0 4 4
V/ V19( chool District certifies that (,-6 &-e�
_ Jr) n/I (Applicant)
!J
(City) (State)
has complied with the requirements of Resolution No.
s
representing square feet.
School District Representative
(Phone Number)
i,
(Zip Code) s .'
by payment of,$
apei
Date
Paid by Check Number 100y Remarks: _
Bank Number
Paid by CashA)d
If, subsequent to the School D' rict 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 (CEGQA), this project may be subject to
additional school fees to_fully mitigate its impact on the school district's schools..' ^l.
White (applicant), Yellow (building department), Pink (school district)
41.
feeformmkl (4/92)
0
r
kS
i ��' r o
• COUNtY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
• ' 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR MBER D O�
ZONING l?
BUILDING PERMIT
OWNER 6, 0 n I
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER NG ADORE9Vy ten/
OVJ[��r /20 L", \ `V �
CONTRACTOR'S NAME
OC u yl C- ✓
TELEPHONE '
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation Is
ARCHRERENGINEER
✓1
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS / 3 1 9
Energy Plan Checking Fee
$
$
60-0 V'
PERMIT FEE
S Q
LOT NO. SUBDIVISION'S NAME PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ MobilehomeX Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition O Remodel ❑/ Utilities ❑ Installationx1 J1Other ❑/
Describe Work: t� l Ct C C— S' / ` 7\(� T
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service z�ow oa '.S's'
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
O 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - O Owner O Contractor O Agent
An OSHA permit is required for excavations over 5'0' deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING occuP. so
OR ADONS. ( 8 ACC. BODS. 3.5CFT.
NON.gESID. =OUTLET QG 7.50
POWER APPARATUS
6 SINGLE OUTLET CIR.
I '
Ex. Occup. OUTLET OR FDrTURES BAL @:50
FDLED APPLNS. OR 5 00
Ex. Occup. ouTLETS RESID. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE t
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ CONST. TYPE
TOTAL FEE $ Li
I HAZ. I D. FEES IMP FLOOD
CDF
PARCEL
PD HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
(paro)
ReceiptNo. X0 0&37-
WHITE-D.D.S.-B.D. ' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
AP # -S-81-,S3 Z -Z
OWNER e
PERMIT
MH UTIL.CLEARANCE DATE
INSPECTOR d --------
ELECTRIC GAS
Support
Struc. ITest.
Compaction
eq..
.ce
Other
Pipe
YES NO
YES NO
Load Type
Size
[Length
V'� f ("y
Se
Si
• � _ .._M%USZ
RESIDENTIAL
058=320-027 PERMIT#94-2563 j
CAMPBELL, CAROL & MIKE
i 13319 HOG RANCH RD., OROVILLE
MOBILEHOME UTILITIES
b
f,
JOB FINALED (Date)
Signature
J=OK
O = Not OK
Not
= Not Readyable MOBILE HOMES
Date
MOB OME UTILITIES Plans OK except #'s
p,"zqRKnq Requirements -Setbacks -Easements
S ; Special MH Support Sketch
Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
ectricity; Location-Clearences-Grn - Amp -Concrete
6. s; Location- est -W / /"L" ft.
/"Nat. o��L" ft.�g,�','LPG
<IAVell Clearance & Dis o nect
tility Clearance
Date 2$ rj- Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except ft'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 Occuoancv
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
P F
,o -j t) b4 Ppl//O�_
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except N'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- Bea ms- 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 ff'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-Panelboards-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 r ,,
-=Not Applicable
Not Ready RESIDENTIAL (;
=
Date UNDERFLOOR (Plans) OK except it'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 k's
16. Water Hir.: Vent -Access -Combustion Air-Baifie
---------------- ---------------------------
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_t
--------------------- -
Date Card B-1 Date Card B-1
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.
------------------ q--p--------------p--------------------------------
26. Equip. Ground made u w Mech. Fastners-Bond Gas & Water
------ --------------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
-------------------- ------------------------------------------
----------------
22. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / / ga.
Cu or AI
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 u'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 ft'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
---------------------------------
Headers & Beam -Size & Bearing
Tingle & 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
_ 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.
--------...-------------------pp-------------
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;. 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
--------------------------- ------- ---
31. Stucco: Brown -Finish
---_-----
82. A.C. Unit; Disconnect. Electrical, Plumbing
- -- -- - ---- ------------------------ - -- --
83. Vents Above Roof: ,Plb9 APP liance-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
------------------------------------------------- --- --
Dale Card B-1 Date Card B-1
-------- ----------- ---------------------------
Date Card B-1 Date Card B-1
Comments at Final:
----------------
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION — CO,UNTY CENTER DRIVE
OROVILLE, CA 95965 — PHONE (530) 538-7541
r'
APN: ,''
PERMIT NO.:
�j
Name:
Us k.J (f (✓(, 4— C3.1
i
-5
Owner's Address:
�
`�
Z G (4 RA)
Mo,liilehome Manufacturer:
Year of Manufacture:
Serial Number or V.I.N.:
Insignia or HUD Number:
�Offi ia1',r, bing 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.
513B white -Owner; Yellow -Installer, Pink -Bldg, Gold -Assessor
` MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION — COUNTY CENTER DRIVE
OROVILLE, CA 95965 — PHONE (530) 538-7541 ,
APN:
PERMIT NO.: ('
Owners Name:
Owners Address:
1 1
Mobilehome Manufacturer:
(
Year of Manufacture:
—7()
_K.,. 'c'_ t Aj L%-6
`
Serial Number or V.I.N.:
7t,j L 7 U� ,, iSSU
Insignia or HUD (Number: r
A 3 Q-a,eC f
Official approving installation: _
Date:4.
If the mob lehome iwmoved or relocated, the mobilehome installation acceptance shall become invalid. This
form shall not be used when the mobilehome is installed on a foundation system.
513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor
COUNTY OF BUTTE
BUILDING DIVISION„
DEPARTMENT,OF DEVELOPM61T;SERVICES
411 Main Street • Chico�CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
1-1 k.
CORRECTION NOTICE
CLIA A- 1 ��- cirY4,
OWNER PERMIT NO. I
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. ou have any questions pertaining to this matter, or: need additional explanation,
please co act this office immediately.
u 6 e �--
:I=�/_���
A _
V
COUNTY OF -BUTTE '. -
BUILDING DIVISION '
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date Z6 S Inspector
REV 1019 `
Installer/Contractor Certification
I certify that I havc installed the TIE DOWN ENGITVLERINo anchoring system as per TIE DOWN's installation instructions and
that no modifications have been made to the anchoring system or building structure.
Company Name:
Date: Signa
Page 4 of 8
Contractor's Licensc #
Ir,
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Califo6da95*365 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT - - �2S
ASSESSOR PARCEL NUMBER 58-320-027
ZONING FR10
BUILDING PERMIT
OWNER CAROL & MIKE CAMPBELL
53%+oN /724
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 13206 ASTORIA WAY OROVILLE, 95965
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
2-3 Csp
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS 13319 HOG RANCH RD
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFO Duplex ❑ Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
20.00
TYPE OF WORK
New O Addition ❑ Remodel ❑ Utilities ❑ InstallationD Other O
Describe Work: 2"' e BEDROOM
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service10V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. I & ACC. BLOS. )
BO-
3.5C FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O I am a licensed under provisions of Chapter 9, Division 3 of the Business and
ofessions Code and my license is in full force and effect.
cense No. Classificationas the owner, or my employees with wages as their sole compensation, will do
V
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. I BRANCH CIRCUITS )
@7.50
( POW ER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. 50
FIXED APPws. OR
Ex. Occup. ( OUTLETS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
B ' ding Division a Certificate of Workmen's Compensation Insurance or a
ertificate of Consent to Self -insure.
VICIShall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after.making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County i nsequence of the granting of this permit.
X/ Date
Signature of Applicant Owner O Contractor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $ O
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ ,D o
HAZ•
I D. FEES
IMP
I FLOOD
C�
PARCEL PD H=
ISSUk
This permit is hereby issued under the applicable provisions
of the tte Cou ty Code and/or Resolutions to do work
indic e e f r which fees have been paid.
ll_
B Date �
^. � `
PERMIT EXPIRES ON y
/Date)
Receipt 167592
WHITE-D.D.S.-B.D.
.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
[Simi z I D•
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965-.TELEPHONE.(916)'538-7541
02
A.P. #
PROPOSED BUILDING USE / `// / DATE -7-5 C;7
REC. # DATE REC
1. SCHOOL DISTRICT FEES
(paid at District Office) .............:............
2. SHERIFF FEES
(paid at Building Department)
Residential.:.... x
unit amt.
Commercial (sgft). x _$
sq.ft. amt.
A3. URBAN AREA FEES
(paid at Building'Department)
Residential (per unit) x =$
—Fu amt.
Commercial (per sq.ft) x _$ '
sq.ft. amt.
,P(44. RECREATION DISTRICT FEES
(paid at District Office)........ ...............
&A5. DRAINAGE DISTRICT FEES
(Contact Land Development Division) ..............
6. SRA FIRE INSPECTION AND PLAN _$ .00 ..
(paid at Building. Department)
7. OTHER.
o a�•
At'time of permit application, I was advised.the above fees are required to be paid
prior to issuance of the permit. -
APPLICANT DATE
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATIOWAN6 PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER S<j -320 -02
ZoN
BUILDING PERMIT
OWNER
SQ. FT. OCC. BUILDING VALUATION
OWNER'9 MN NO ADORES �
rY// (�
CONTRACT NAME s 's
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
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 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFO Duplex O Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New O Addition O Remodel EIUtilities O Installation Other ElPERMIT
Describe Work: 72
FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
RLESS
Main Service ( 600v0LESS )
200A R
O
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( e ACC. BLDS. )
S0,
3.5C FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O lamexempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI.OUTLET
NON RESIO. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS 1
& SINGLE OUTLET CIR. I
Ex. Occup. ( OUTLET OR FIXTURES )
@ 1.5500
BAL.
Ex. Occup.FIXED APPLNS. OR
(OUTLETS IRESID.I EA. )
5.00
Temporary Service
.23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
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 - O C Nner ❑ Contractor O Agent
An OSHA permit is require i for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL PD
HO
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
BY Date
PERMIT EXPIRES ON
(betel
Receipt No.
WHITE-D.D.S.-B.D. C NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
. COUNTY OF BUTTE
Depirtment of Development Services
Building Division
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and
issuing your building permit. No building permit will be issued until this verification is received.
gonally pl to provide the major labor and materials for construction of the proposed property improvement
r no)'
2.. 1(!av;/have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name
Address City
Phone Contractor's License No.
4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and
provide the major work:
Address City
Phone Contractor's License No.
5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner e,,-
Social Security Nypzber
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
COUNTYOF BUTTE - DEPARTMENTOF DEV.ELORMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLIC TION DATA SHEET
OWNER _ _ A. R.N9.
Proposed Building Use
Building Inspector
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED 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.
6.
Hazardous Material Form . ............................................
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non-Heated.an.d.A/,C Buildings . ......................
18
L, ` X
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. -4. F1-oo.v. pf q . r -
0.
11.
Fees of $ ..........................................
Impact fees as shown on attached schedule.cy,G Hvd .&j ................ .
1 .
California Department of Forestry plan approval/fees. ....................... .
13.
Flood elevation letter (100 year flood) by California Engineer . ................. .
14.
Sanitation and plot plan approval Health Department. .......... .
15.
City of Chico plumbing permit. ........................................ .
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
A 17.
Planning approval for (A) Use: (B) Parking: ........
(-..J18.
Contact Land Development about (A) Improvements (B) Drainage. .......... .
19
Drivewa ermit (construction approval required prior to occupancy)
y p Freanspection requ_es
20. Pre -inspection foF- 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. .... .
Letter of intent on building use . .........................................
Mobilehome utility clearance . ............:•.............................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
-and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: (/ Mail to owner. Mail to contractor. V
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation -
Acreage Applicant Date y ��
Copsy/bt 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 per it issu
1. Index permit for above items No.
2. Additional items required:
not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by 3 22_5 Date
?— Sets of plans on hold in File cabinet N_ AP folder
Copy - Department of Public Works
Building Permit Nurser: 0 3 --1 g 13
Owner Name: a��
' U
Residential Construction Requirements
IMPORTANT
This set of plans and specifications MUST be kept on the job site at all times and it is
unlawful to make.any changes or alterations on same without written permission from the
Building Division, County of Butte.
All materials and workmanship shall be in accordance with recognized good practices
and of a quality prescribed for the specific use in the 1998 California Building Code
(1997 U.B.C), 1998 California Plumbing Code ( 1997 U.P.C.), 1998 California
Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.)
COMPLY WITH ITEMS CHECKED BELOW
a Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical,
H.V.A.C. equipment and services shall be a minimum of one foot above the elevation
shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate
will also be required
- - - - ------ Note: We will normally accept -the following as compliance with the flood elevation
requirements:
1. Building is anchored to concrete stemwall system with conventional anchor bolts.
2. Building plate on top of stemwall to be one foot or more above the 100 -year flood
elevation. (Plate height less than 24" above grade, or engineered design required).
r 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and
facilities located above the plate.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area of not less than 1 square inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of floodwater.
Page 1 of 2
• :r
F
Building PermiMb er:
Owner Name:
Parcel lies within the State Responsibility Area (SRA). Comply with attached
requirements.
F1 Fire sprinklers are required in this structure.
EJThe following parcel map requirements shall be met:
All structures and equipment including ovhangs shall be clear of all easements.
A setback of I) feet from the side and T feet from the rear property lines and 20
feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of
structures and equipment except for a 2 foot overhang.
Expansive soil may be encountered on this site. This condition may require the
foundation to be designed by a California registered engineer or licensed architect.
f:
Page 2 of 2
1.. Owner's Name: J Es se st YIN
2. Assessor's Parcel Number: as
3. Installer's Name:
4. Is the site currently under permit? Yes[ ] No[ -J ] Permit No.
I 5. Is the site an existing site? Yes ] No[ j (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome? a-9
Amperes.
7. What is the mobilehome site circuit breaker rating? %oo Am eyes.
8. What is the electrical rating of the mobilehome site?
r% i
9. Is the main service remote from the mobilehome site? Yes
the rating? Amperes. [ ] N0�' ] If it is, what is
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? YesN ] No[ ] If yes, please identify the load and size:
a) The mobile home site:
Load- Amperes -
b) The main service:
Load- `-1c u
Amperes- 3 0
11. Type of gas service at mobilehome site: Natural[ ] Propane[' ] None[ ]
12. Size of gas pipe at the mobilehome site from th
tank: 3) •� '" inches. e meter or
13. What is the gas pipe length from the meter or tank to the mobilehome? Zl ( )
ft. .
14. What is the mobilehome gas demand? V -441t
*(This information is not requiredif the pipe length is less than 6 feet on tutu
less than 50 feet on propane). ral gas or
May 1995
PROCESS THIS PERMIT APPLICATION
8.5
r,
Mobilehome Manufacturer:
Mal iufacture Year:
If other than single wide, fZN-)
p Model Nurrlber: 5 "319
Width?b) �'� (ft.) Length: Tagalong or Expando Size �- (ft.) x ((}_)
Ori all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade -PC] Other:
SUPPORTS: Concrete blockp<] Other:
Provide Tie Down Specifications for all Mobilehomes:
Pier Footings Sizes and Location
SINGLE WIDE
Linc 1 NIULTI-VIDE
Line 2 Line I
Line 2
..............................................
............................ Main Beants
Line I_F
ine 2
4 Line 3
F
................................... Line 2
......................................................
brain Bean ts
....................................................... Line 2
Line I
.................................................
�t.ine S
Tag or Tril)le Ane 4
4 --Line 1
mmmI
Line 1 Piers:
Size rninlimuin: r 2.`1 I x r
Spacing maximum: qi?- ` o
From ends -maximum:
Line 2 Piers:
Size nihnium: [ 1 i] x [ ]
Spacing maximumto: o '
From ends -maximum. "
Lille 3 Roof Loads:
Size Irrirrinnlln
Location (from front):
Lille 5 Roof Loads:
Size minimum:
Location (from front):
�2>
lZ+e vi y3o zy �r3�
Line I Openings
Size minimum: x ]
Each side of openings
with width over: `
Line 't Piers:
Size Inininiuln: ( x
Spacing maximum: [��From ends-maximum
OVER
CDF FIRE SAFE REQUIREMENTS
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
minimums.
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
[�] 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the. c3PfensihlP_space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
RC1 1273.02 Surf.a_ca.. All driveway surfaces and structures (bridges;
• 12 73..07 culverts and Other=pparte7iant structures. which supple-
ment the roadway bed or shoulders) shah provide unob-
structed access to conventional drive vehicles, includ-
ing sedans'and fire apparatus weighing up to 40,000
pounds.
[}� 1273.03 Grade. Not to exceed 16 percent unless paved.
!! 1273.04 Driveway Radius
[y,] 1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves. of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[,(] 2. The length of ver'=i^l curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
[� 1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
[�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a.minimum 25 foot taper on each end.
1270.10 Width. All driveways shall provide a minimum 10 foot
traf f is lane and unobstructed vertical clearance of 15
feet along its entire length.
Page...l ocf :2.,
b
AP # PERMIT # NAME
NJ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[�] 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
[�L] 1. Gate entrances.shall be at least two feet wider than
the roadway it serves.
rvi 2. The gates must be. located at least 30 feet from the
roadway and shall open to allow a venic-l-e to stop
without obstructing traffic on that roadway.
[ ]
3. Where a one - wap road with a s-i-irgl a tra-f-f i c 1 a n•e
es� ri
-rovides entrance, a 50 fent t11nng rar�"i 11s �ha1 1 be
r-
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
0 1. All parcels 1 acre and larger shall provide a mini-
mum 30 foot setback for buildings and -accessory
buildings from u11 property 1-in.es and/ -or the c.enter
of the road.'`
[ ] 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other'Requirements below.
1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying:, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction ,r fi_ial inspection of a building
permit.
Page 2 of� 3
58-3a-a�
AP. #
3
PERMIT #
Other Requirements
C ] If Buildingr Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
CAM��6ELL , e4eo(- 4 % IIC6-
NAME
[ ] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic epri_ikler system per NFPA 13D
Glass area not to exceed `0-% of wall area toward property
line with insufficient setback
Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Macnnry
Ma-sonry veneer
Meta.
Other Butte County Fire Department approved materials
Date, Signature
Page 3 of 3
AR
FLXE�TWlil�D. Woodland Park Series 4453A
• 2. Bedrooms • 2 Baths • 1,190 Square Feet
.A
9 I ,
-- 0❑ '- Q------ -----eS
Or '
t UTILITY I ` "
OP7. GARDEN TUB 3 �- 3
------- I !Lour ' ! DINING
AREA
�ooe�KITCHEN
6'-0" X 131-0"
15A.TH P -
i . ovr. ® 8� � 1 v •�� �� tai
SHOWER ; ,��� 1 , ` BEDROOM
O S LINEN - i 1 9'-6" X 13'-O" 2 — ^,^\
M• i J-L"' i i- 1 SHELF/ --� i i J� 0% L I
BATH ovr- eve .r1
owo yPi
'WALK-IN' ' OQ�i
1 , CLO$ET i BOOKCASE ---
LINEN
26'-8"
VIRQNMENTAL HEAD; i
�6EDROOM LIVING ROOM OPT. DEN � �' r t t� r�
13'4"X13'0"
" X 13' O" 1'-10" X 12'-10" (� OUN CEN. . S DI 1110 L.•
06 C: �.
ENTRY dr E
�•
<�
-/
OPT. E ECEY5ED '
Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant
updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is
floor;',Ipngth only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your, retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION.
WU17/MAR03
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LAB'-- D BY 1: AND A°SC^J.TT_$ FOP, THE FOLLOWING LOADS.I
GENERAL -NOTES GUS GUARD- TUF=!
y -
1.
DISI N LOADS• LIVE LOAD - 30 L.B.
HOP.. 1)N—'AL VE1::TCAL
_
/PADS IN ANY PAIR MAY BE �
FLOOR LIVE LOAD - 40 PSF
y
16. FOUNDATION BLOCKS 16's 16'x12' POURED IN PUCE AT GROUND LEVEL
app-
IF 6000#
WIND LOAD - 80 MPH EXPOSURE 'C'
MAY
BE USED AT INSTALLERS DSCRETION ALTERNATIVE TO PADS
GUS GUARD MGP PAD
SEISMIC ZONE '4'
OF'. TO OTHER SIDE TO
AVOID CLEARANCE
THE MANUFACTURER OR THE
* SNOW LOAD 100 PSF (SEE NOTE: jF? 5)
'
2
-
THIS FOUNDATION SYSTEM !S QE5IGNED TO BE CONSTRUCTED ON
A FAIRLY L-YLL SITE wmm NO EXISTING SOIL PROBLEMS.
SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES
E= 2' MIN. / 8' MAX, E= 2' MIN. / 11' MAX.
3.
CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND
5= 6' MIN /16' MAX, S= 6' MIN. / ZZ' MAX.
SILO FOR THE LOADS
AS SHOWN IN THE 'MOBILE HOME INSTALLATION INSTRUCTIONS'.
VARIES 10-70' (SEE TABLE ON SHEET p)
I
4.
IN AREAS WHERE DIFFERENTL4I. SETTcMENT (D.S.) CAN OCCUR,
MANUFACTURED HOME SHALL BE READJUSTED
E -� �� SS I S _ I
mo
WHEN DS EXCEEDS 1/4',
OR WHEN R WILL ADVEPS_LY AFFECT MOBILE HOME UNIT.
I I I I E
5.
CARRY ALL FOOTINGS DOWN TO FIRM, UND.'STURB,.D SOIL. FOOTINGS
ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND
r I ❑ ❑ I
RIDGE BEAM SUPPORT AS
SHALL BE COMPATIBLE WITH LOCAL SOIL CDNDMOK,,c. gMPA„"IED SAND
MAY BE USED TO FILL LOCAL VOIDS UNDER PADS,
I.._ REQUIRED BY MANUFACTURER - -
n 1 ❑ (TYPICAL) � ❑ ❑
6.
STRUCTURAL STE'! •• FABRICATED ACCORDING TO AISC SPECIFICATION.
WELD ACCORDING TO A1Y5 SPECIFICAnOHS i ,TROD` -37D PLATES-AS'TM
^
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A36 BOLTS -SAE GR �=:.ZM Aa43=ASTM ..i..5.
(
7.
THE ^5 GUARD ASS: LIES SHOWN ON THIS PAG- SHALL
I E' NOW.
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LAB'-- D BY 1: AND A°SC^J.TT_$ FOP, THE FOLLOWING LOADS.I
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HOP.. 1)N—'AL VE1::TCAL
_
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STANDARD M.H. FOUNDATION,
GUS GUARD TUF-1
app-
IF 6000#
ROTATED 90 DEGREES OR
-SET
PIERS AS RECOMMENDED BY
GUS GUARD MGP PAD
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OF'. TO OTHER SIDE TO
AVOID CLEARANCE
THE MANUFACTURER OR THE
GUS ^UARD =-Z TI- c
Le
PROBLEMS.
ENGINEER. TYPICAL THROUGHOUT
Z200A 6000E
E. DURING PR-?.IMINARY INSPErnON, THE ESTIMATOR SHA,, ENSURE THAT �
MOBIIS HOME CHAA'S BEAUS ARE OF STANDARD S"_CTION.
Jiro,
9. E:."'Si1NG COACHES tdA7 BE RtiROFTTM TO Rc^S'S7 S=.SMIC FORCES BY V%.4l
'PSTALJ'NC GUS GUARD N=-1 UNITS AS SHOWN ON TH'S PAGE OF TYPICAL
FOUNDATION PLANS. �, J
10. THE GUS GUARD TUF-1 S -FINS ARE SAFE FOR INSTALL EXCEED
IN FLOOD ; : �fr
PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT
OF THRcr Fk'T.
�r✓E: S:J
11. MULTIP',= UNIT INSTALLATION IS ACCEDTABI r' O--X-
THETHE NUMBER OF TUF -1 UNITS UNDER EACH UNIT IS -X- '
THE SAME AS SHOWN REQUIRED PER EACH UNIT.
? 2. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SH, _T p) • �c OF
13. ALL METAL C011PONDM AND ATTAOMENTS RW SHALL B_ PROTECTIVE COATED.
14. WHEN CONCRETE SLAB IS IN D=ANCL PAD IS NOT
REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH T LI r- l PERMANENT
FOUR (4) 1/2's 3 1/1' EXPANSION ANCHORS.
15. GL'S GUARD TUF-1 FOUNDATION SYSTEM PROVIDES FOUNDATION SYSTEM
ALLDWABLE SNOW LOAD TO 1 DO PSF WHEN INSTALLED AB?;SCO-GUS GUARD COMPANY
WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIIJ-P£Ri�TSROAD
MANUFACTURER OR REPLACE THEM ON A ONE TO
ONE BASIS. CA 95823
STATE APPROVAL
PVC SERIES
SUPPORT
PAD (TYP)
Ph1: (800) 382-8831
FAX: (916) 383-5207 _ WAYNE T. POLVADO, PE -LISTING' -NO. F94249 SHEET 2 of 3
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