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058 0-056 99-174
EVERG UST LTE. YEA
32� HHOMLLE
CCONTR: OWNER /v., 9
MHU TO BE PLACED ON FRONT OF JAQ'•T/
R"
ELECTRIC o26
GAS LINE `-
COMPACTION TEST REQ? / LC
1
SUPPORT STRUCTURE REQ? ,4&
058-330-056 H'la J75
EVERGREEN TRUST LTD.
324WHOFFMAN, ORO LLE
3
CONTR: OWNER
MHI (MPU 99-1974)
`
NOTES
: RESIDENTIAL
058-330-056 99-1974
PERMIT NO.. EVERGREEN TRUST LTD.
321,a HOFFMAN, OROVILLE
` CONTR: OWNTER
MHU
1
i
r
1 SPECIAL CONDITIONS
CHECKED
BY
t SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
t
SPECIAL INSPECTION ITEMS
VERIFY
' USE PERMIT CONDITIONS
I SUB -STANDARD HOUSING LETTER
c
f
7'OFF'ICE COPY
Address
t
GAS Date
Meter By
ELECTRIC DID Date
Meter By
i-- ---
JOB FINALED (Date)
Signature
✓ = OK
0 = Not OK
= Not Applicable MOBILE HOMES
= Not Ready
Date MOBIL OME UTILITIES (Plans) OK except #'s
g Requirements -Setbacks -Easements
Soils ecial MH Support Sketch
ewer; Location -Test -Fall -C/O -Concrete
Water; Location -T - asement Neea ketch)
5. Electricity; Location•Clearan /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or "L"ft./ LPG
7. Well Clearance Discohnect
tility Clearance
Date 16IZal
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
MOBILE ME INSTALLATION (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements
Zon' -equirements-Setbacks-Easements
2.
Fo9lifigs; Size -Spacing -Marriage Line
Gas; MH Test -'Demand -Valve -Connector
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
le i ity; MH Test -Crossovers -Breakers -Clearances
4.
Drain; MH Test -Fall -Flex Connector
ater; MH Test -Regulator -Connector
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
7. Water and Sewer Connected -C/O to Grade -HD Approval
6.
8. and Electricity Tagged
lie_Qws°Type-Installation Cert.
Electric
Insp.-Sketch
8.
Cert. of Occupancy
12. Permanent Foundation Only; License Decal
Siding; Nailing -Veneer -Stucco -Mesh
Date AVa4giCard
Date
B-1 . Date Card B-1
Card B-1 Date Card B-1
(,LL1 `fsZL a -s J �
7L-7 >Zz� K
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
i
4.
Wood Awn.; Posts- Beams- Rttrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
I
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
i Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -.Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance -GR
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
i
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
(
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (;
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rhr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel -Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
Infiltration -Walls -Windows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
17.
Water Hir.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets & Receptacles at Kit. Counter
23.
Fixture & Transformer Clearance -Ins. Protection
Garage Fire Door; Swing -Landing -Closure
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
A.C. Duct in Garage -Damper
25.
Size Boxes & No. of Conductors Stapled
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Romex Installed Close to Edge of Studs & C.J.
Plb., Elec. & Mech. Equip. Listed for Location
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Elec. Receptacles in Garage (F.F.1.)-Romex Protection
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Insulation -Foam -Looked in Attic
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
Guard Rails & Deck Construction -Post Caps
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral U Yes O No
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Service -Riser Conductors & Ground Main Disconnect
Clearance Looked under Floor U Yes
32.
Equip. Clearances Panels-Motors-Mech. Equip.
Following Instld./Drive Q Yes 7 NoMalks :) Yes U No/Planters Yes ] No
33.
Clothes Closet Light -Shower Light -Spa Light
Stucco Brown -Finish
34.
Smoke Detector
A.C. Unit Disconnect, Electrical -Plumbing ,
85.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Ventilation Throughout House
35.
A.C. Ducts Insulation & Support
Glass Protection
36.
Vent Fan, Exhaust above insulation
Corrections from Previous Inspections
37.
Condensate Drain & Overflow, Size & Grade
Gas Test -Meters Tagged, Gas -Electric
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
Water & Sewer Connected -C/O to Grade -HD Approval
39.
Attic Access & Platform if Furnace in Attic
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
40.
Sits Proper Materials & Anchors
Comments at Final:
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
P ingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rhr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.1.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor U Yes
82.
Following Instld./Drive Q Yes 7 NoMalks :) Yes U No/Planters Yes ] No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing ,
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
• r i
� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. .
(Rev. 12/96) APPLICATION AND PERMIT e-79II� —
ASSESSOR PARCEL NUMBER 058-330-056
FRZONING 10
BUILDING PERMIT
OWNER
EVERGREEN TRUST LTD.
PHONE
TELE534-5383
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS P.O. BOX 4003, YANKEE HILL, CA 95965
CONTRACTORS NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
_:�::[
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRE$ HOFFMAN, OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
zLA nn
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 ❑ Ulilibes 10
� Installation ❑ Other ❑
Describe Work: MHII�'1C�—���f/
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
800VOR LE
Main Service zo.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
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.)
Id—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 co ith those provisions.
�j
X Date o�i �1 k� /
Si nature 61 -Applicant ILQyvner ❑ Contractor ❑ Agent T
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. OW EWNG OCCUP. SO
OR ADDNS. ( a ACC. S.3.5¢FT:
,OµRESlo MULTI -OUTLET 97,50
POWER APPARATUS
a SINGLE OUTLET cIR.
00
Ex. Occup. OUTLET OR FIXTURES BAL @':50
RA 5.00
Ex. Occup. ounFrs EM.°E
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirin 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $ 100.00
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 143.00
RAZ.
D. FES IMP
.�
FLOOD
CDF P C PD HD
E
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Dat
PERMIT EXPIRES ON
provisions
to do work
paid.
v/
h
ate
Receipt No. 3
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY
(Rev. 12/96) _
Y+' t
BUTti;�E - DEPARTMENT'OF C
y Center Drive Oroville, Ca
APPLICATI
LOPMEN , ,' -VICES.- BUILDING DIVISION
is 95965 os;Telephone (530) 538-7541 PERMIT NO.
AND•PERMIT '!�``
ASSESSOR PARCEL NUMBER .'
058=330-056 t^r
ZONING 1: "
1L,R
... BUILDING PERMIT
OWNER
EVERGREEN TRUST LTD.-
TELEPHONE*-
,:534; 5383
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS P.O. BOX 4003, YANKEE HILL, CA',, 596k"
CONTRACTOR'S NAME
O�1NER
TELEPHONE
'
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ •
ARCHITECT OR ENGINEERS MAILING ADDRESS -
Plan Checking Fee
$
BUILOINGADDRES HOFFMAN, OROVILLE
Energy Plan Checking Fee
$
$
{
PERMIT FEE
$
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
- USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping `
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ (
11WolHI /��—/�/7� y
Describe Work: 7
Gas piping stem t - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S .
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service aoOA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencin with Section 7000 of Division 3 of the Business and Professions Code,
g )
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.
04 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.
NEW CONST. DWELLING OCCU
C P.
OR ADONS. ( & ACC. BLDS.
SO
s o
3.5QFT:
NEW CONST. MULTI.OUTLET
NON-RESID. C
@7.50
R A
8PSIoNGv+ELE OUTLET CIR.PPAruTUS
Ex. Occup. OUTLET OR FIXTURES
BAS @'.5000
Ex. Occu . OFIX S PRZ.) ERA,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 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 permitis issued.
My workers' compensation insurance carrier and policy number are:
I Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply'- ith those provisions.
X Date .24 A4 _
Siifna ure o °Applicant -� Owner ❑Contractor ❑Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $ 100.00
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 143.00
HAZ.
I D. FEES IMP
..
FLOOD
CDF PABCEL.
LV/'
PD
HD ISSUE
rip
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
B y ��
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
t
Date'
I
ate /
Receipt No. a� 7 ,�S
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
s ''+'4"i COUNTY bF BUTTE - DEPARTMENT OF DEVEtOPME VICES - BUILDING DIVISION
_ YArity Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96) APPLICATION AND PERMIT '
ASSESSOR PARCEL NUMBER 058-330-056
ZONIN R10
BUILDING PERMIT
OWNER
EVERGREEN TRUST LTD.
TELEPHONE
534-5383
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS P.O. BOX 4003, YANKEE HILL, CA 95%5.
CONTRACTOR'S NAME OWER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee $
20.00
—Filing
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS MOW=
,
Energy Plan Checking Fee $
$
PERMIT FEE S
4
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: MH1 j° 7 ` 7 - /` i �!
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service x�oo� oRR v<ss
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.PSING
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
Main Service TO
46.00so
WEE200A
CCU000A
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a AOC. BLOS.
SO
3.5¢Fr:
NOµpESlp T. MULTI.OURQUITS TLET
@7.50
LE OWER APPAOUTLET CRATUS
IR
b R.
Ex. Occup. OUTLET OR FIXTURES
20 ® 1.00
BAL ® .50
FIXED APPLNS. OR
Ex. Occup. EA
ouTLErs RESID.
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
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.)
Dr 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'd I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X �_ - L ;•%, "ti,---�---� Date r� 4 lt.ay �
Signature of'Applicant -/9_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.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $ 100.X1
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 243, 00
HAZ.
�..
D. FEES IMP
.r►
FLOOD
CDF
PARC
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
F.___� Y
By r f' i' �t� . ' ,r// Date
PERMIT EXPIRES ON F
(Date)
Receipt No.
WHITE-D.D.S.-B.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�� _ /p NO
(Rev. 12/96) APPLICATION AND PERMIT ! 7
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. Fr, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACTORS NAME
TELEPHONE
CONTACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation S
ARCHITECT OR ENGINEER
LICENSE NO.
Filln Fee
$
20.00
Permit Fee
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
S
BUILDING ADDRESS
Energy Plan Checking Fee
S
S
d�
PERMIT FEE
Gd
LOT NO.
SUBDNBIONSNAME
PARCEL YAP
PLUMBING PERMIT
Filing Fee
20.00
Each Trap
7.00
USEOFS UCTU RE
SF ❑ Duplex ❑ Mobilehome er
SPECFY
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 ❑ Installation LzYOther ❑
Describe Work: 144 14 T=
Gas piping system 1 - 5 outlets
15.00
Building sewer 15.00
Mobile Home I S I G W (920.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee
20.00
Main Service �w on LLESS
23.00
- _ ---
--
Main Service 200A TO 1000A
46.00
NEIN CONST. DWELLING OCCUR so
OR ADONS. ( & ACC. SIDS. 3.50
FT.
. ONS =Q10=NON-RESID. (97.50
POWER APPAMTUS
i SO L E OUTLET C0.
Ex. Occup. ovnir OR FIXTURES BAL ® .50
Ex. Occup. aura TSP ,,6.OFw 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 S
Mobile Home Installation Fee $ 00
Energy Inspection Fee S
occ
CONST. TYPE
TOTAL FEE $
HAZ.
O. FEES
INP
I FLOOD
I COF
PARC0.
PO
HD I 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
PERMIT EXPIRES ON
Date
i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVELLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER: U — O.S
Proposed Building Use Building Inspector: Date:
At time of permit application, I was advised the following data must be submitted prior to pe t prodeskdg and/or issuance:
Date Received By
❑ 1. All items have been submitted --------------------------------------------------------------------------------------
E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑3 . Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
0 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10 F s of $ ---------------------------,-------_----------------------------------------------------
act fees as shown on the attached schedule.--`��--- f--------�- �5-------------------
12. California Department of Forestry plan approval/fees.---------------------------------------------------------
❑ 13. Flood elevation certificate. --------------------------------------------.
❑ 14. Sanitation and plot plan approval Health Department.
❑ 15. City of Chico plumbing permit. ---------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ---
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
x
❑20. Pre -inspection for required Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). -----------------------------
❑22. Workers' Compensation carrier and policy number. ----------------------------------------- ------------
023.
----------.
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------
❑24. Letter of signature authorization.--------------------------------------------------------------------------
❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -
okan:aftured
intent on building use. --------------------------------- Home utility clearance. --------------------------
❑28. Existing violations and/or expired permits. --------------------
1129. 1143 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
W;�el�ephone
issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor.
6—J /- S 3 Pi 3 and hold for pickup at office. ❑ Deliver with inspector.
Applicant:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fir �artment, ❑ A
Copy of plans sent ❑ Health Department, ❑ Fire Dep er:
Pollution
Date:
Date: By:
Date: By:
(Date)
1. Index permit application for the above items numbere � , = ❑ Plan Check List
2. Additional items required: � I K '
Contractor, designer, owner, was advised of the above] data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divi on counter, by Date:
Plans reviewed by: Date: Plans approved by: Date: O
Sets of plans on hold in 13Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
VPllnxu (�nmr - r)Pnnr -m f ! OTiPVPIl1TYY1Pn} Q-; U ... L7:. .
I��s�+�,,;v.�.pr,.Y``Ur""�'4!,:.�:;.M">lr�,�.';i2( �;.�+hi�W..�'�+J�p'i,u�■fy�i{%'%'�`4`>3�e^t'.M�^;r»�'r.w.:l};t-'r-f'+W`,.' ,.y.._. •'s/'�",.. ..,..-,-. .,.� %�
IFE j
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
w
School District (22221/;1L Building Department No.
A.P. Number 05e6 -33 y — t 6 Jurisdiction: 0 City County
Property Owner
r
Property Location/Address�l �0i1 q vt eel
Subdivision Lot No.
..................................................................................................................,
Residential Development Sq.Footage
79,S
No of Living Mobile Home Addition! 'Supplemental to (Group R)
Units Installation Conversion Permit #
*(No foundation inspection):
Commercial/industrial
New Addition
Sq. Footage
(Including Exterior
Roofed Areas)
8
Dat
moor r7ans revlewea. Dy 3cnoot uistnct rersonnei)
V �" e
District Identification No. O,O ��
e &k:NV( Le, U.�(C� School District certifies that
(Applicant)
15-3q- alga
(Street Address) (Phone Number)
Oro -V( (I
(City) (State) (Zip Code)
t
has complied with the requirements of Resolution No. by payment of $
representing ' I - I� square feet.
School District Representative
Paid by Check # Remarks:
AB 2926 S
FULL MITIGATION $
Date
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(x), 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 frees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) I . feeform.xls (10/98)dmm
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
SCHEDULE OF FEES DUE
OWNER-11.Q,fS,3�--c��n�
PROPOSED BUILDING USE
1. BUILDING PERMIT FEES
-- Balance Due ................
-- Additional Fees Due ...........
0.
-- Additional Fees Due ........... $
-- evised Plan Checking Fee ....... $
CHOOL DISTRICT FEES�b,i,
(paid at District Office)
RIFF FEES (paid at Building Division)
esidential ........ x $360.00 =,$
Units
Commercial (sq. ft.). x $0.03 = $
Sq.Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x : = $
#Units Amt.
Commercial (sq.ft.) .. x =$_
Sq.Ft. Amt.
5. RECREATION DISTRICT FEES (paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
(Z,,SRA FRE INSPECTION AND PL 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
A.P. #,S- 8 3 3 y' 06
DATE Z G
RECEIPT # DATE REC
w M'
in 70,27,
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit.
These fees may be changed during the plan checking process.
PPLICANT �� DATE 6
Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your
project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may
protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97)
A.P. #
OWNER_
PERMIT #'�— Z Y
MH UTIL. CLEARANCE DATE ;d
INSPECTOR —�
ELECTRIC
GAS
SUPPORT
STRUCTURE
COMPACTION
TEST REQ.
SERVICE
OTHER
PIPE
SIZE
LOAD
TYPE
SIZE
LENGTH
YES NO
YES
NO
b V
L,oco
/r
a
`ice 4) �� t/ (-d - i owr. kJ -e-d o, -.L A, -<k
} ..;-.,...,p 'ti_:::rii.r'..-L_ ✓�.-'rj6r „�'�'`�,.:�Y' �+ ", .,-.n��:ti;i��-�- ;.-:"-ri`...fv �..+.'"-�y%�1•.�.:.i.,y .,.i.�i"�.�-�I��l.r�rrJ"�Wv•` `✓1_,v-�..�-. _ .✓�i'..,. _v
1"
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION — COUNTY CENTER DRIVE
OROVILLE, CA 95965 — PHONE (530) 538-7541
APN:
33 J . J is
PERMIT NO.:
Owner's Name:— f
Owner's Address:
Mobilehome Man/ tu�rer:
Year of Manufacture:
Serial Number or V.I.N.:
Insignia or HUD Number:
Official approving 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.
51313 White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
Vim -U' r i I / c -E -tom `/ /'K.�1 ! �/1 dl . ! / / / /-)
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
C
Dat�Inspector
REV 142'
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
/ - 2 2-/��
i.* OWNER PERMIT NO
A routine inspection indicates that the following violations of butte county Ordinances exist at the
r, above ad'dress�•and should be corrected. Please notice this office when correction of work is
y completedelf you have any questions pertaining to this matter, or need additional explanation,
please�ebntact�this office immediately
&L4 fes: C '2 _
/
:ta
!�. Date Inspector
REV 10/92
e'
x.
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
,r
c
I
r
r
1
Date � / Inspector
REV 10/92 /
RECORDING REQUESTED IlY
AND WHEN RECORDED MAIL TO
Evergreen Ltd.
P. 0. Box 4003
Oroville, CA 95965
X19-/�7�e
�� S
1 9c39 -100443G519
Recorded
Official Records
County Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
12:55PM 18 -Oct -1999
REC FEE 10.00
COPIES 1.50
Myles
Page 1 of 2
SPACE ABOVE '11115 LINE I' -Olt RECORDER'S USE
APN 058-33-0-056 Grant Deed
T141S FORM FURNISHED B BIDWELL TITLE & ESCROW COMPANY
The undersigned grantor(s) declare(s): ERS4 /hCb Ohly e0n,0�era740h oh kalie
Documentary transfer tax is $ - 0- ifikti clop, oo.
( x ) computed on full value of property conveyed, or
( ) computed on full value less liens and encumbrances remailung at bate of sale.
( x) Unincorporated area ( )
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
K RONALD MORGAN and DOROTHEA PRITCHETT MORGAN, TRUSTEES of ZUMAQUE LTD.
hereby GRANT(S) to the TRUSTEES in joint TENANCY K RONALD MORGAN and
DOROTHEA PRITCHETT MORGAN of EVERGREEN LTD.
the following described real property in the County Of BUTTE
State of California: SEE ATTACHED SCHEDULE C FOR LEGAL DESCRIPTION
Dated:
State of California
County ur SS.
On 061. before lite,
the undc igncd, a Notary Itli is in and for said Statc personally appeared
n1gLD mae4 4--
or2cT+lEA P,-ifiLA tt AtOa4hJ
personally known to n1e (or proved to me on IIIc basis of satisfactory evidence)
to be lite person(s) whose namc(s) is/arc subscribed to the wilhin instrument and
acknowledged to me llnat Tref Wflicy executed file same in {+isfiser/lhcir
authorized capacity(ics), and Ural by his/her/their signaturc(s) oil the instrument
lite person(s) or lite entity upon behalf of which the persun(s) acted executed the
instrument.
U EILEEN S. GRIDER
COMM. Al 1178395
0 NOTARY PUBLIC -CALIFORNIA
BUTTE COUNTY n
COMM. EXP. APRIL 24, 2002 -
WITNESS my hand and official mal.
Signature (11us arca fur official notarial scat)
MAIL TAX STATEMENTS TO Same As Above
SCUEDULL C
DESCRIPTION
All that certain real property situate in the County of Butte, State of
California, as described as follows:
DSDPVT. nMV
A portion of the Northwest quarter of Section 10 and'a portion of the
Southwest quarter of Section 3, Township 22 North, Range 4 East, M. D.
B. & M., described as follows:
Parcel One as described and set forth in the Parcel Map which was filed
in the office of the Recorder of'.Butte County,. California in Book 86 Of '
Maps at page 713) and '77, filed November 19, 1981.
TO RESERVE AND TOGETHER WITH a exclusive easement for the mutual use of
a well, waterline, and appurtenant facilities over a strip of land 10.00
feet in width, lying 5.00 feet on each side of the following described
easement centerline.
BEGINNING at the westerly corner common to parcels one and two; thence
following along the common boundary line of said parcels one and two N
770 45' 59" E for 150 feet to a point located in the common boundary
line, said point being the true point of beginning for the center line
herein described;thence.from said true point of beginning, South 22°00'
00" East, 60.00 feet to an existing well and the end of the said
described center line.
=KYCREIT
BUILDIMO SYSTEM
CONTRACTORS VERIFICATION
I certify that 1 have instilled the 1'round loc tie clown system as
per the installation instructions. 1 have made no modifications
to the tie down system or to the bui.ldina structure.
Skvcrest Building Svstems - Chico
13468 Hwy. 99
Chico. CA 95973
(916) 342-2694
Contractor's License #295412
installer
For Customer Name: _tS"�r�^
Site Address J ` � � ��� ___Ate -
Permit Number G,-G'� ,�!Ser. ial Number -Oa _'�_
State Contractors License Number 295412
13468 HWY. 99, CHICO, CA 95926 (916) 342-2694
. . I' -
AND V 11EN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
iiiIIIIiiIIIIIIiIIiIIIIIII III IIIII
1 999-0036843
Recorded
Official Records .
I REC FEE 10.00
I CONFORM
County Of
.00
I
CANDACE J. GRUBBS
I
Recorder
ROSEMARY DICKSON
I
Assistant
I Nikki
01:57PM 26 -Aug -1999
I Page l of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT 9
FOR RESIDENTIAL DEVELOPMENT t$
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The
property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to
herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation,
plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
,S'e e- ellgocX10 dlSZkllvl A
Date PROPERTY OWNERS:
State of California
County of Butte
On 8,126,/99 before me,
M
personally appeare —rte A - l_ Y RR=CH= MORGAN personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the
instrument.
WITNESS. mwhand and official seal.
Lorinda M. Spencer
Signature A Z Seal: V Comm. #1089788
NOTARY PUBLIC . CALIFORNIA)
BUTTE COUNTY 0
Comm. Exp. March 10, 200016
A.P. 4 1��� L
..DESCRIPTION
�r All that certain real property situate in the County of Butte,
State of California, described as follows:
PARCEL ONE
A portion of the Northwest quarter of Section 10 and a portion
of the Southwest quarter of Section 3, Township 22 North, Range
4 East, M. D. B. &.M., described as follows:
Parcel One as described and set forth in the Parcel Map which
was filed in the office of the Recorder of Butte County, California
in Book 86 of Maps at page 76 and 77, filed November 19, 1981.
TO RESERVE AND TOGETHER WITH a non-exclusive easement for road
and public utility purposes over a strip of land 60.00feet in
width, lying 30.00 feet on each side of the following described
road centerline, including a 50.00 foot radius cul-de-sac at the
Southerly terminus of said road centerline and also including
20.00 foot return curves on the exterior easement lines at said
cul-de-sac and at Hoffman Road:
BEGINNING at the North quarter corner of Section 10, being as
described on that certain Record of Survey Map for the Thermalito
Irrigation District, which map was'filed in the office of the
Recorder of Butte Qounty, California in Book 69 of Maps at page
33; thence North 0 52' 04" west for 30.00 feet to the Northeast
corner of -that certain parcel of land described in deed to Joseph
F. Vielbig, Jr. et ux, recorded in Book 1344 of the Official
Records of Butte County, California at page 183; thence following
along the -Northerly boundary line of said Vielbig parcel and
along the centerline of Hoffman Road South 89' OS' 07" West for
173.74 feet to the Northwest corner of said Vielbig parcel; thence
following along the Westerly boundary line of said Vielbig parcel,
South 0' 52' 04" East for 30.00 feet to a point located in the
Southerly boundary line of said Hoffman Road,• said point being the
true point of beginning for the centerline herein described; thence
from said true point of beginning, South 0' 52' 04" East along
said Westerly boundary line for 611.64 feet to the beginning of
a tangent 110.85 foot radius curve to the right; thence followin
along the.arc of said curve through a central angle of 38' 05' 34"
for an are distance of 73.70 feet; thence leaving the are of said
curve along a radial line North 52' 46' 30" West for 20.00 feet
to the end of said described centerline.
TOGETHER WITH a non-exclusive easement for road purposes and
public utility purposes over a strip of land 60 feet in width,
lying Northerly from and contiguous to the line beginning at the
line beginning at a point on the West line of said Parcel One
as described in the Parcel Map recorded above,
which point is South 1' 49' 23" West 30 feet from the Northwest
corner of said above described parcel One; thence from said point
of beginning South 76' 45' 30" East 14.39 feet more or less -to the
North line of said Section 10; thence along said line South 89'.54'
East 512.00 feet more or less to the North quarter corner of said
Section 10; thence continuing along the North line of said Section
10, South 89' 54' East 720.00 feet;.thence North 11' 32' East
along the South line of the property conveyed to L. S. Schager
et ux, by deed dated July 8, 1955 recorded July 12, 1955 a
distance of 147.00 feet thence continuing along said South line,
North 56' 18' East 774.00 feet, South 68' 28' East 445.54 feet
to the Northwest corner of that certain property described in
Deed to F. S. Marshall, dated October 30, 1942, recorded December
3, 1942 book 305 Official Records page 473; thence along the
northerly line of said F. S. Marshall property, Easterly to the
East line of said Section 3 said point being 381.50 feet Northerly
of the Southeast corner thereof.
r
0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION,,
' 7 Gtounty Center Drive • Oroville, Calif8rnia 9'5965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
qc/- /V4
ASSESSOR PARCEL NUMBER 058-330-056
FRZONING 10
BUILDING PERMIT
OWNER EVERGREEN TRUST LTD.
HOE
7534.5383
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS P.O. BOX 4003, YANKEE HILL, CA 95965
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS HOFFMAN, OROVILLE
Energy Plan Checking Fee $
$
n
!
PERMIT FEE $ 23.00
LOT NO.
SUBDIVISIONS NAME
PAFr.ELJMAP
RZ9
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome IN Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: MHU
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home W 920.00 60.00
PERMIT FEE $ 80-00
ELECTRICAL PERMIT Fling Fee 20.00
RLES
800VMain Service 2o.A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
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.
�l, 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 46.00
CCU000A
WEE200A
NEW CONST. DWEWNG OCCUP. SO
OR ADDNS. ( & Acc. BUDS. 3.50so
NOµgESlpT' MULTI.OTLETU97,50
APPARATUS
8 SINGLE OUTLET CIR.
I .00
EX. OCCU OUTLET OR FIXTURESBAL. @ so
AP 6.D.A 5.00
Ex. Occup. DurLt°rs
Temporary Service 23.00
Mobile Home Facilities 20.00 9r) nn
Misc. Wiring 23.00
PERMIT FEE $ 63,00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permitis 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.)
.1I 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
fo with c ly with those provisions.
X Date—� %
gnature o Applica wrier ❑ Contractor ❑ Agent
An OSHA permit is r quired for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee Is
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FE $
H D. FEES 111 C P Po ISA
'
I V1 IL
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 ate
PERMIT EXPIRES ON
ate
Receipt No. 2/3856/$16600
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
ii "^l+'Wl�,' 'rn�`re6k +P�i'+i•�y�' �t"T..:'iS�.y�-.�'�a��Ti�'_�,r�"�'�.ti'��ir�r,�7`�:,:7fT;`"�y'4:.' f ,P
GQ'tINTY OF BUTTE -DEPARTMENT OF DEV%L41 NIENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICA TION DA TA SHEET
OWNER: ASSESSOR PARCEL NUMBER:
Proposed Building se: Building Inspector: CIa— Date:
At time of permit application, I was advised the following data must be submitted prior to pe rocs sin d/or issuance:
Date Received By
❑ 1. All items have been submitted --------------------------------------------------------------------------------------
1:12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
El 6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
El8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $-------------------------------------------------------------------------------------
�❑ 11. Impact fees as shown on the attached schedule. -----------------------------------------------------------------
%tel. Califonzia Department of Forestry plan approval/fees. g'� -� -------------------------------
13. Flood elevation certificate. ---------------------------------------------------------------------------------------
Sanitation and plot plan approval — Health Department. -------------------------------------------
;16
City of Chico plumbing permit. -----------------------------------------------------------------------------------
Plot plan and business license approval from the City of Biggs. ----------------------------------------------
Planning approval for (A) Use: (B) Parking: --------------------------
Contact Land Development about 16 Improvements, ❑ Drainage,' Legal Parcel.-----------------------
rW 9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------
020. Pre -inspection for required. Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). -----------------------------
0 22. Workers' Compensation carrier and policy number. -------------------------------------
❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ----------------
024. Letter of signature authorization. -------------------------------
A25. Recorded copy of Agricultural Acknowledgment Statement. -
026. Letter of intent on building use. ---------------------------------
027. Manufactured Home utility clearance. --------------------------
028. Existing violations and/or expired permits. --------------------
029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor.
�§Telephone,<3 '-/ -,S:3 $ �_ and hold for pickup at 01� office. ❑ Deliver with inspector.
(Date)
Applicant: Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index pemut application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildiug)Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
VAIniv r-, - T).—t—f of Tlo.,al ,. .. e. ♦Cor... a D ... il:-.:-:__
4- VCS r 77-
TTO:TO:
Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. USE ONLY
• / - ' 9 ' Plot Plan
Attached S,-3
Floor Plan Atthe
Gsent to 9.0.
Moi&A i �m �►J I�� lq� 5 % --Sz.
Owner Location AP#
Plan Approved for: Sewage Dispo
Clearance for dwelling. Other
Hold final for:
Final clearance O.K. for:
(VOTE:
Water Supply: Public Private Wel
> i 00
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
PERMIT APPLICATION DATA SHEET
OWNER: )FrJ ASSESSOR PARCEL NUMBER: C — _33 d — c>S
Proposed Building se: Building Inspector: 0 P— Date:
At time of permit application, I was advised the following data must be submitted prior to permit proce sing d/or issuance:
111. All items have been submitted.
112. Plot plans, 3/4 sets, signed by the preparer of plans.
03. Complete plans, 3/4 sets, signed by the preparer of plans.
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!
06. Energy Design Compliance and supporting documentation.
❑ 7. Statement of Intent for Non -Heated and A/C Buildings.
❑ 8. Hazardous Material Form.
❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications.
10. Fees of $
1. pact fees as shown on the attached schedule.
VV California Department of Forestry plan approval/fees.
3.. od elevation certificate.
Sanitation and plot plan approval Health Department.
❑ 15. City of Chico plumbing permit.
1116. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
�ld 9. Encroachment Penmit for driveway (construction approval prior to occupancy).
1120. Pre -inspection for required.
021. Contractor's license information. (Number, Name Style, Classification).
022. Workers' Compensation carrier and policy number.
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑).
1124. Letter of signature authorization.
25. Recorded copy of Agricultural Acknowledgment Statement.
❑26. Letter of intent on building use.
027. Manufactured Home utility clearance.
028. Existing violations and/or expired permits.
029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor.
&Telephone_ 3 and hold for pickup at Oero office. ❑ Deliver with inspector.
Applicant: Date:
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued, will expire by limitation one year after date of application. In
order to renew action on an application after expiration, a new application, plans and fees will be required.
FEE REFUNDS "
Refunds can only be made upon written request by the person who paid the fee. The request must be made within
two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for
permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing
fees, plan checking fees for work plan checked and other department costs are not refundable.
Original - Applicant
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO
cRev.,2/96) APPLICATION AND PERMIT
��—�1��
ASSESSOR PARCEL NUMBER _
O� Q /9
3 3Irle
ZONING ®
BUILDING PERMIT
OWNER eU
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MALL/y�[O/y,1�p OR08
0"0. 6 O
ar
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAKING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fire lace
Total Valuation S
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$
—29-66-•
Permit Fee
$
2, 3.
ARCIRECT OR ENGINEERS MATING ADDRESS
Plan CheckingFee
$
'
suwINGAODREss
b
Energy Plan Checking Fee
$
$
PERMIT FEE
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome � Other
SPECFv
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
New ❑ Addition ❑ Remodel ❑
Describe Work: 04 611A
TYPE OF WORK
Utilities1d;,Installation ❑ Other ❑
Gas piping system 1 - 5 outlets
15.00
—Building sewer
15.00
Mobile Home G W
@20.00 T 0„ c{)
PERMIT FEE !
e 6�j
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service po°YW, 'ss
23.00 23 -eX
— --
�/ C
V C --IE
14
s
Main Service 100A TO 1000A 46.00
NEW CONST. DWE11R1° OCCSUP. SO
OR ADDN3. y ACC. BIDg,
NEW
ON-AE°SID. MULTI -OUTLET @7.50
POWER APPARATUS
6 SINGLE OUTLET CIR
Ex. Occup. OUTLET OR FLYTUFIES LIAL .0
Ex. Occup. DL�rr
XD .OFR, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00 2-.o, of
Misc. Wirina 23.00
PERMIT FEE 6„ l3U
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEL= S
Mobile Home Installation Fee $
Energy Inspection Fee $
CONST. TYPE TOTAL FEE $/6T76
E
HAZ.
1 D. FEES I IMP
I FLOOD
I COF
I PARCEL
PD
HD SSUE
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
PERMIT EXPIRES ON
Date
This set of ple s said spaciftaatians MM be
kept or the aoh at adl timen and
to
lllali6 F Ij% C:p,3.ri a or altera fes; on s.aiia -�
' " (Qt ,
writte -tSG_on from tb,-.) Dapartment of Public
Vynrka. 3mmty 07 BUM.
N t i VbI0M6nr 98 , y
Acc ordannk v' d PraAouces and
J of a Q'aald' ;r' . F / , .•2 •'.'IEG''!'3�t3 L1,3@
In the Un Ubm',
a
jk
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^
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I
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fir\
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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
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 defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
[,fl 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other appurtemant structures which 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
Nri -/-
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 vertical 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
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.'
Page 1 of 1.
AP # PERMIT # NAME
[�] 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
[�] 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[�] 2. The gates must be located at least 30 feet from'the
roadway and shall -open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ J 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
1. All parcels 1 acre azzd larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from ull property lines and/or the center
of* the road.
2. For parcels less than 1 acre, local jurisdiction
shall provide for the same'practical effect. See
Other Requirements below.
[�] 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 ba completed prior to completion of
road construction jr fi:ial inspection of a building
permit.
Page 2 of 3
AP # PERMIT #
other Mauirements
[ ] -if Building Setback is 15 to 30 Feet.:
- Class A or B roof
- Enclosed eaves
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 sprinkler system per NFPA 13D
- Glass area not to exceed 10% of wall area toward property
line with insufficient setback
Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
9, 3 -e7
Date
�a4
Signature
Page 3 of 3
1. Owner's Name: 0A) 6 2CA,A1,
2. Assessor's Parcel Number:
3. Installer's Name: 75 V Cit Ezs 7-15i!u%E2 P21_SJF s
4. Is the site currently underpermit? YesX No l ermit No. �l
5. Is the site an existing site?, Yes* No[% - (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome? 10-0. Amperes.
7. What is the mobilehome site circuit breaker rating? OQ Amperes.
8. What is the electrical rating of the mobilehome" site? 2G0 Amperes.
9. Is the main service remote from the mobilehome site? Yes[ -J'No[ ] If it is, what is
the rating? G a Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[ ] No[ eyes, please identify the load and size:
a) The mobile home site:
Load- G o Amperes- Z/
b) The main service:
Load- Amperes -
11. Type of gas service at mobilehome site: Natural[ ] Propane[ None[ ]
12. Size of gas pipe at the mobilehome y site* 'from , the meter or
tank: inches.
13.
13. What is the gas pipe length from the meter or tank to the mobilehome? IS (ft.).
14. What is the mobilehome gas demand? A- 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).
PROCESS THIS PERMIT APPLICATION '� �t ■■
ID
May 1995 8.5
Mobileliome Manufacturer: 5 k 'L ,vim*. Manufacture Year: q
If other thane wide, furnish S tup Model Number: S 5 � 3 - C-7-
Width: -2"T) Length:�(fi:) Tagalong or Expando Size (ft.) x (ft.)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade[V(] Other:
SUPPORTS: Concrete block[4 Oiher:
Provide Tie Down Specifications for all Mobilehomes: C S tyA� 2D
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1 e 1
Line 2 rL
ne 2
...............................................................................................
Main Beano
Line2 ....................:.....:...................................................................e 2
Line 1 ne 3
ne 2
..................... :.........................................................................
Main Bea=
ne 2
ne 1
................................................. ine S
Tag or Triple ine 4
............................
ine 1
Line 1 Piers:
Size minimum: aa -i x 39 .
Spacing maximum: `
From ends -maximum: `
Line 2 Piers:
Size minimum: [i a ] x [3 U].
Spacing maximum: ` p`
From ends -maximum] a, ` G `
Line 3 Roof Loads:
Size minimum jq,5�Q
Location'(from favat):
Line 5 Roof -Loads:
Size minimum:
Location (from front):
Line 1 Openings
Size minimum: [ 12,1 x [ 3 0].
Each side of openings
with width over: I V ` U `
Line 4 Piers:
Size minimum: [ ] x [ ].
Spacing maximum: ;N `
From ends -maximum: `
I% 36 1-'2'1,3& - o ? -3G a -3 ;2 fl -3T 1
U"
Issilf
SEP 0 8 IQ97
U N I) L: R %,v f(i I !; i i i,
LABORATORIES. INC.
.alfiv
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2940 29401
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-16'
(n (T)
FILE �21
In
vot. �i
CENTERLINE SUPPORT
LA
REQUIREMENTS -
SEC.
ILL, 51 PC. 5U
TJjt!S SHEETTO 01 INSERTED WITH SUPPLEMENT TO
FIELD INSTALLATION MANUAL
.
I
..... RA By
F 019 20# ROO,' SNOW LOAD. SEC. Ar)OVF PRINT FOR
SEE
LOAD REQUIREklf-Nf.�
DAIE- 09-04-1997
LIVE LOAD
....... m Kul
3/3'0X 1'
LOCK BOLTS
TYP. OF 3
9116'0—
HOLE TYP
GRIPPER BASE
2 1/2'
1/4`PLAic
1 /3' D==P CRIMP
1/4' PLATE
9i 16' 0_.,- 1
HOLE TYP.
GRIPPER PLATE
3116'X 2 BRACE 1 O'
R W/MIN.'3/16'
FILLET WELD
TYPICAL OF 4
GR.'PP=P. PLATE
3. 0 ^CH, -
40 PIPE
FIN, LOCK Wh i_-
113*0 COTTER PIN
3/16' FILL FT WE;D
6'0X1-1,—,,
LTS TYP, OF 4
WE
GRIPPER BAS_
SWIVEL HEAD
1'0 i H?D- ROD ADDU
1.0 HEAVY HEX NUT,
FUSSED PND'N_LDE
INTO PIPE
1-1/2'0 SCH 40 PlF=
?-'SER W17H THREE OR
;D:USTER HOLES
16 2' 0 SCH 40 PIPE
W/ 2 ADJUSTER HOLES
t
' MIN.
.__L
STEER
D
STAND - ELEVATION
!
1/2' 0 HOLES FOR ATTACHMENT
TO FP -!-HD CONC. FOUNDATION
PPD AS SHOWN ON SHEET 4 -NOTEE
1/4' PLATE
TUF - 2 STAND
TYPICAL INSTALLATION DETAIL
DESIGN LISTED AND TESTED BY BSK & ASSOCIATES
WAYNE T. P.OLVADO, PE - LISTING NO. F94249
MOBIL HOME COACH
SUPPORT GIRCER
A
IV3:-CT TO CORRECTIC`IS ;TOTED
A7prc'itl Gc r., - .,�riz_ or apo:-ve^y orl;;i:-
t a�E Ica Ir�..
cm r.,ir5.-_., -.I_ySt�ie ! ..
St3 :i C22c- .
Th:5 P!::t?_:r3':3i
F - 7 TIF n(,)wm rYCTFAA
GUS GUARD COMPANY
9/16' G
HOLE TYP..Lj
( P.O. BOX 128
TYP. _..-_.
1/2' ;(:;�J.:, , KENNETH D. REED, CIVIL ENGINEER CATHErsvALt.EY, CA 95306
I 209-966-5540 FAX 209-966-5540
STAND BASE - PLAN VIEW ��;,�:,, % 8976 SIMMONS ROAD RCE 41063 exp. 3/31/99
.REDINGj CA. 96001-9715 r 9
(530) 243-3296 SHEET l OI 4
MORE
STAND - ELEVATION
!
1/2' 0 HOLES FOR ATTACHMENT
TO FP -!-HD CONC. FOUNDATION
PPD AS SHOWN ON SHEET 4 -NOTEE
1/4' PLATE
TUF - 2 STAND
TYPICAL INSTALLATION DETAIL
DESIGN LISTED AND TESTED BY BSK & ASSOCIATES
WAYNE T. P.OLVADO, PE - LISTING NO. F94249
MOBIL HOME COACH
SUPPORT GIRCER
A
IV3:-CT TO CORRECTIC`IS ;TOTED
A7prc'itl Gc r., - .,�riz_ or apo:-ve^y orl;;i:-
t a�E Ica Ir�..
cm r.,ir5.-_., -.I_ySt�ie ! ..
St3 :i C22c- .
Th:5 P!::t?_:r3':3i
F - 7 TIF n(,)wm rYCTFAA
GUS GUARD COMPANY
9/16' G
HOLE TYP..Lj
( P.O. BOX 128
TYP. _..-_.
1/2' ;(:;�J.:, , KENNETH D. REED, CIVIL ENGINEER CATHErsvALt.EY, CA 95306
I 209-966-5540 FAX 209-966-5540
STAND BASE - PLAN VIEW ��;,�:,, % 8976 SIMMONS ROAD RCE 41063 exp. 3/31/99
.REDINGj CA. 96001-9715 r 9
(530) 243-3296 SHEET l OI 4
E - Z BRACING SYSTEM NOTES
1. DESIGN LOADS:
WIND LOAD - 80 MPH - EXPOSURE 'C'
SEISMIC ZONE - 4
2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE
\0 i�'�hi 1 NO EXISTING SOIL PROBLEMS.
3. CHASSIS BEAN, SUPPOPTS SHAIl BE LOCATED AND SIZED FOR THE LOADS AS SHOV✓N IN
THE 'MOBILE HOME INSTALLAT,ON INSTRUCT IONS'.
A. IN AFEAS VfriEERE DIFFER -9, iIAL SETTLEMENT (DS) CAN OCCUR, MANUFACTURED
HOr✓,E Sf AUL BE REA—rlj UlS EEDS ` r. XE i iy � SE
LY
�,. _r. DS FXC ./4 , „P. �� _t` R V9 ADS P _.
AFFECT MOBILE HOME UNIT.
5. CARRY AL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS ARE DESIGNED
FOR 1000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH
LOCAL SOIL CONDITIONS.
6. STRUCTURAL STEEL- FP5RICA�T=.D ACCORDING TO A!SC SPECIFICATION. VELD
ACCORDING TO AV5 SPECIFICATIONS. ELECTRODES -370 PLATED -ASTM A36 BOLTS- SAE
GR-5=ASTM A449=A-7M A325.
7. THE E - Z ASSEM.BUES AND TiiE TUFF -1 SHOWN BELOW SHL=,LL BE USTED AJ.D LABELED
Bl' ESK & iSSOCV�TES FOP THE FO!-' O` , ING LO:,DS:
ASSEMBLY LOADS HORLZ UPLI7 �`E:RT.
4400 LB 2000 LB 6000 LB
B. D'JPHNG ?r._UI✓,I:'"r,RY L:S?=lCTiDN, TH: ES 4=.TOR C.i-'i ENSURE T-L=,T
Id03!= H✓rJ.: S EA.M.S Ar;_ O' : T -NDAJRL S=^i i•ON E G)IjAi TO OF. GFS=.T-Ei,
9. THE S C -NS AIRE SAFE FOR INSTALL -,70-N IN FOOD ?LAjN AP.EAS WHERE J=r—r: OF
FLOOD,NG DOES NOT EXC:ED 3 FEET.
10. M.ULT!?LE UNIT INSTAL -143901`: IS ACC-E� iASLE PF:C'A DED THE NUMBER OF UN TS PER
J---{H4SS!SUNIT S40 N-AND7r!E-PLACEMEl4TA!tQ- -
INSTALL -TION PP.00E=DUP ES Ak` FD L 0'1 ED ??OPEP,LY.
11. A-' COr,1PC)N_NTS AND Ai �ACtir✓,=_h^ S!-lt'U E` PROTECTIu` COATED. .
12. FOP. M?G, USE' 1 1 /B' UNDEP.L-YrAENrT PLYWOOD VfTY. WO'J.i-J-,iZ=-D TREATMEh i OF
0.40 f✓DJC PCF P_ i ENrnON V✓; t H DRYING AFTER EK i?,EATM-ENT.
13. ROUND STAKES (3/4 X 141 MAY BE USED IN PLACE OF THE VX 1 /8' FLAT BAR W17IIEN
SOIL IS EX'TREME:Y HARD OR IN POCK
14. HOLES MAY PRF -DRILLED VfHEN NECESSAP,Y, WHETHER FLAT BAR OR ROUND
STAKE IS USED.
' 15. LIGHT H=AVY-WkIGHT PLASTIC AND STEEL PAD MAY BE USED IN PLACE OF PLYWOOD PAD.
. 1.6. WHERE S7NND IS PLACED ON EXISTING CONC-:7E SLAB l /2' ANCHOR BOLTS MAY BE
USED TO SECURE PIER BASE PLATE.
A 17. ATTACHMENT METHODS FOR C & J BEAMS SNowd 4W SKT B.
DESIGN LISTED AND TESTED BY BSK & ASSOCIATES
WAYNE T. POLVADO, PE - LISTING NO. F94249
SINGLE WIDE COACHES • DOUBLE / MULTIPLE COACHES
E=2'MIN. /6'MAX. E=2'tAIN./11'MAX.
Q�pFESS;p,V�
Ppb L`^
W t,: . C 051 i i 0
Exp -
J, Ci`d�t
F OF L" -'
(� ' RIDGE BEAM SUPPORT AS READ ❑ ❑
BY r✓ANLIFACT'UicER TYP.
o r� a ❑
c�
_ u
f
STANDARD W.x FOUNDATION PIERS
NOM. ARE RECOI✓J✓,ENDED SY TriE M=.NUFACTUPSR
MPG SERIES
OR THE ENGINEEFJNG.
Tt'PICAL THROUGHOUT, R:I.6&TE AS
72A
�UPPORT PAD TYP.
NECESSARY -1P.
NY RAPT MAY BE
P^TATFD 9o, OR OFFSET TO •,,
E - Z TIE DOWN SYSTEM
OTHER SIDE TO AVOID CLEARANCE
� � 1� -
PER BSK TESTING and DESIGN
PROBLEMS. ,%r•�!; 5 �i
GUS GUARD COMPANY
PO BOX 128
CATHEY'S VALLEY, CA 95306
KENNETH D ..REED, CIVIL ENGINEER - -
209-966-5540 FAX 209-966-5540
6976 SIMMONS ROAD RCE 41063 exp.'3%31/99
REDING, CA. 96001-9715
SHEET 2 of 4
(530) 243-3296
AMr,LE
9/16' DIA HOLE
Q (8) PLACES
,�1 I 6' I 8'/8'I i 8. I 6.
a-- a a 6
c mi c�iI 3/16'
N
I o TYP.
0 0 0
36'
1�1 I�I STEEL FRAME L
TOP VIEW
1 1/2'X 1 1/2' X 3/16' X 2' TS
TYP. OF 4
STEEL FRAME DESIGN LISTED AND TESTED BY BSK & ASSOCIATES
WAYNE T. POLVADO, PE - LISTING NO. F94249
SEE DETAIL 'A'
3/4'0 IRON ROUND
STAKE Q�OFESS/o
T.PO4'c'
CID v
1/16'
2'X2•X3/16'L
TYP. OF 2
LIGHT - HEAVYWEIGHT PAD
3/4" X 3/4'X 0.062' TS—
SPO T WELD ALL SIDE —
PVC PAD
(2) REQUIRED> ,,,:
1-1/2'x 1-1/2'x0.0622''
1'X 2'X1/8'
O
N
1' x 1 /8' BAR
TYP. OF 2 i
cT ; No C 051113
Exp. '6 ;
`Pr MIX
glFOr Cp''`�-
END MGP PAD
ROUND STAKE
1-1/4. .. . . .1-1/4:x1-1./4'x0.062'TS I I.
TEK STS 7/3' X 7/8' X 1' 6AR
COACH 'C' BEAM
f
COACH 'P BEAM
X2'X3/16'X6"
LONG ANGLE 2 1/2' X 6' X 3/8' /• `;� ,%
-5/8' A307
BOLTS
Gripper Plde
LLIJ 2-5/8' A307 ! '
BOLTS 3 �II
Gus -Guard 2-1/4'X1-1/4'
TEK STS » ����•
PIER. DRfVE STAKE o
GUIDE TUBE.. ��,.._ - ,
C- BEAM ATTACHMENT J - BEAM ATTACHMENT KENNETH D. REED, CIVIL ENGINEER
8976 SIMMONS -ROAD RCE 41063 exp. 3/31 /99
REDING, CA. 96001-9715
(530) 243-3296
E - Z TIE DOWN SYSTEM
PER BSK T`ES'nNG and DEIGN
GUS GUARD COMPANY
P.O. BOX 128
CATHEY'S VALLEY, CA 95306
209-966-5540 FAX 209-966-554
SHEET 3 of 4
8- 3/8' 0 X 2' CAD PLATED
MACH. BOLTS, COUNTER f
SUNK FLUSH Q BTM TYP. 7
SIDE - MGP PAD
_AV Y WEIGHT DESIGN LISTED AND TESTED BY BSK & ASSOCIATES
PAD WAYNE T. POLVADO, PE - LISTING NO. F94249
QROFESS/p�,
k��cO SET. PO4`gl��,
No. C 951110 m
Exp. of vl'
* -4 ~�
`f'I civ
lFOF
x
PLAN -MGP PAD
1
X
®®om
/ E - Z TIE DOWN SYSTEM
PER BSK TESTING and DESIGN
GUS GUARD COMPANY
2a• x 36' x 1-1/8• ` �+' „L � P.O. BOX 128
PLYWOOD PAD ,,� CATHEY'S VALLEY, CA 95306
ND - MGP PAD
I E t _` - H D. REED,__C. ENGINEER 209-966-5540 FAX 209-966-554C
8976 SIMMONS ROAD RCE 41063 60. -3/31/99 -- ._..._,.... _ ...:._
MGP UNDERLAYMENT GRADE PLYWD. P & S CCA PRESSURE TREATED REDING, CA. 96001-9715
(530) 243-3296SHEET 4 of 4
......
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01)
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S"
Z
APPROVED
Butte County
Environmental Health
Date
gnaiure
44
e ee 7--
k
/ J/ 'r
.Scile //z -
LAND DEVELOPMENT
OROVILLE / CHICO
BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE
OWNERS EVERGREEN TRUST LTD.
NAME
PRINT LAST NAME FIRST
3742 HOFFMAN, OROVILLE
ADDRESS / LOCATION:
Building Permit No. - 99-1974
A.P.
NUMBER, 058-330-056
,✓
COUNTY ZONING
DESIGNATION: FLOOD MAP: FLOOD ZONE:
APPROVED: CONDITIONALLY APPROVED: V1, RESOLVE PROBLEMS PRIO TO APPROVAL:
C
PARCEL CREATION BY DEEDS OR MAP .S
DEED INFORMATION:
DATE OF CREATION: DEED REFERENCE:
LEGAL ACCESS PROVIDED: YES NO `LEGAL ACCESS REQUIRED:` YES `;' ' NO -
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO
COMMENTS/CONDITIONS: WA -S
MAP INFORMATION:
DATE OF RECORDING: I I /1C) 8 LOT I BOOK 8i0 PAGE
COMPLIANCE WITH OLD Sl✓JSDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES ..NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED.
X1. Maintain a 50 ft. building setback from centerline of road.
—2. Maintain a ft. building setback from right-of-way/centerline
—3. Comply with Zoning code for building setback from road.
—4. Maintain a 100 ft. leachfield setback from all existing wells. - I �j ,�
>�5. Maintain a 1570 ft. leachfield setback from D r2A-f N- S M % ��� 0
—6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department.
7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
—8. Conned to a public water supply.
9. Connect to a public sewer system.
—10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordancewiththe National Fire
Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA
Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the
parcel.
_ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
—12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
_ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
_ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the
Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division.
—15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety.
Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of
the Uniform Building Code.'
16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County
Code.
_ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California
Clean Air Act of 1988 as amended.
—20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending
examination of the site by a professional archaeologist. This person would then be able to assess the site significance and
suggest appropriate mitigation measures. -
21
22.
23.
24.
25.
26.
A101N3VVd013A30 dNn
3.1181310 UN663
6661 1 E On
C13AI3031i
LD 6/98
FORMS\BLDG PERMIT CLEARANCE