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058-350-006
058-350-006 01-0862 C CKAYNE, TIM R nENISE i xI � . ut_r!(iCiCGYITIVE c�L —1%1 O�D{ MFFItQ JPRMFNDU EWSITE r1n�i' oto1 5 or 058-350-006 04AG021 . }5 DEWITT, MICHAEL 3860 SCHANDONEY LN, OROVILLE CONT: AG. BLDG. 8 5 or BUILDING DIVISION COUNTY OF BUTTE • DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. r. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm Zimplements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place,used by the public. ASSESSOR PARCEL NO. d= (0 ZONING EM OWNER —rn IGI�a�-e,I Vann tu1 PHONE O. S o- 3 d-9&6 S" n / `OWNER'SADDRESS Ko don `� & 'p LOCATION OF BUILDING 7 n as FUSE OF BUILDING � � v SIZE OF STRUCTURE I XSO. FT. TYPE OF CONSTRUCTION:' 1 WOOD FRAME STEEL CONCRETE OTHER (Specify) 4TYP_E_OF_SIDING_RO F ERING Oil FLOOR TYPE EST MATE _ COST OF CONSTRUCTION d-10AG Buildi gs shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT 63 ? liv SIDESy'� /ml/U REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the�lding Division and obtain any necessary permits, inspections, and approvals to comply with the require nts in effect at,that time and before occupancy. C Date 1 / a40 Signature of Owner Permit Fee`$60.00 The above described AGB ilding is exempt from a buNimg perm' . �/y FLO D PP915L PD ROO G ISS Receipt No. �j C 1I 71 Manager Building Division By Gsi�/�h� Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant NOTES RESIDENTIAL "058-350-006 01-0862 COCKAYNE, TIM & DENISE CONT: EXECUTIVE HUS MH PRM FND NEW SITE SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address p�„By n..ra ELECTRIC % Meter By Date s'/. JOB FINALED (Date) 3v Signature Wa, -,.,4 V= OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s t Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1: Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. ater; Location -Test -Easement Needed (Sketch) Date FINAL (Plans) OK except #'s Electricity; Location-Clearances-Grnd2�,)b/Amp-Concrete 4 Setbacks -Easements 6. Gas; Location -Test -Wrap; / /" L'ft: t / P Nat. or/ /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date I MOBILE OME INSTALLATION (Plans) OK except #'s Z,9Aing Requirements -Setbacks -Easements Foo ' ; Size -Spacing -Marriage Line LI -115-s; MH Test -Demand -Valve -Connector e city; MH Test -Crossovers -Breakers -Clearances MH Test -Fall -Flex Connector W r; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. ype- ns a ation Cent. Q+ Z tt( t Exits; Insp.-Sketch 11. Cert. of Occupancy 721Z/z, z ermanent Foundation QWW.L cer+se"Oical Date CO / Card B-1 Date Card B-1 Date p B l Card B-1 Date Card B-1 O)r 6rj-06vdL" i 3-5-7 'T,9 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5: Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Liqht Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ./ = OK 0 = Not OK - = Not Applicable = Not Readv RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 48. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 51. 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth Property Line Firewall & Openings 5. Stemwalls, Main; Steel-Blockouts-Wrapped 54. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6a. Hold Downs and Special Anchors 57. 7. Slab, Steel -Wrapped Glazing Area -Glass Protection -Skylights -Plastic 8. Piers -Fireplace Ftg.-Steel 60. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe, Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 75. A.C. Duct in Garage -Damper Date 76. Card B -t Date Card B-1 Date 77. Card B-1 Date Card B-1 Date 78. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card 8-1 Date Card B-1 Date 87. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Ramex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subieed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No Date 31. Service -Riser Conductors & Ground Main Disconnect Date 32. Equip. Clearances Panels-Motors-Mech. Equip. Date 33. Clothes Closet Light -Shower Light -Spa Light Comments at Final: 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Insild./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 0 BUILDING PERMIT NUMBER: 01-0862 Address or location of unit: 3860 SCHANDONEY LANE, OROVILLE, CA Legal Description of Real Property: A.P.058-350-006 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: TIM & DENISE COCKAYNE Owner's address: 222 COUNTRY MEADOWS LANE, DANVILLE, CA 94506 INSIGNIA OR HUD NUMBER: RAD1318357/58/59 SERIAL NUMBER OR V.I.N.: CAFL117A/B/C24570-SK13 MANUF'ACTURER'S NAME: FLEET OD YEAR: 2001 OFFICIAL APPROVING INSTALLATION: DATE: 8/30/01 PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 31 -Aug -2001 2001-0039804 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 th_ described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shali oc 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. RICHARD G. MADSEN & LOIS JEAN MADSEN REAL PROPERTY OWNER/LESSOR 3856 JEFFEREY PINE LANE MAILING ADDRESS YANKEE HILL, BUTTE, CA 95965 CITY COUNTY STATE ZIP 3860 SCHANDONEY LANE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP TIM & DENISE COCKAYNE UNIT OWNER (iraiso propeny owner, write "SAME") 222 COUNTRY MEADOWS LANE MAILING ADDRESS {, DANVILLE, CONTRA COSTA, CA 94506 Cf : Y COUNTY STATE ZIP BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS ROVILLE, BUTTE, CA 95965 ITY _ COU TY STATE ZIP 01-086 j� (530)538-7541 U11L��N� ,PE1 TELEPHONE NUMBER �:' '✓� ["� 8/30/01 SIGNATURE OF LOCAL AGENCY OFFICIAL DATE EXECUTIVE HOMES DEALER NAME (if not a dealer sale, write "NONE") 92081' DEALER LICENSE NO UNIT DESCRIPTION FLEETWOOD 2001 STONECREEK 766-3 A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL117A/B/C24570-SK13 668 X 39' FAD1318357/58/59 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #058-350-006 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. 4' LEGAL DESCRIPTION A.P. #058-350-006 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 12, 1975, IN BOOK 53 OF MAPS,. AT PAGE(S) 38 AND 39. r , RECORDING REQUESTED BY: I AND WHEN RECORDED MAIL TO: HOME STREET ADDRESS CITY, STATE, and ZIP 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 file unit described hereon, upon the real property described with certainty below, as of file date of recording. When recorded, this document shall be indexed by file county recorder to five named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons )hereafter dealing with the real property. /yCXAU-'jd' 40 � REAL PROPERLY OWNER/LESSOR C2 --z r01,,, T 4 - /1�e adog Las, e MAILING ADDRESS ,h&4 tIL l l e. !YJ 0 6 CITY COUNTY STATE ZIP INSTAIIATION MAILING ADDRESS, IF DIFFERENT COUNTY 57AIE ZIP W4111 OWNER also property ow -r, write "SAhtE'1 MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION MANUFACTURER'S NAME 5ERIAL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION LOCAL AGENCY ISSUING PERMIT and CERTIFIC E OF OC UPANCY 0 7 MAILING ADDRESS - D,! ale CITY COUNTY STATE BUIIDING PERMIT NO• TEIEPIIONE NUMBER SIGNATURE OF LOCM AGENCY OFFI IAL DATE •�X� �v e liB.vLeLS DEAIER NAME (11 not a dealer talo, writ. "NONE'l X20.? / DEALER LICENSE NO. DATE OF MANUFACTURE �6"y"X 39' �'TLxiecW- e 6 MODEL NAME/NUMBER LENGTII X WIDTH INSIGNIA/LABEL NUMBERS) ASSESSOR'S PARCEL NUMBER 0 SC - 3 -S 0 -40C) 76 u : / Of I IICO FORM 433(A) 4/66 m 0 1�, Fh lrn.WIIIIE--Coanly Recorder GRENI-ITCH BIIIE--Buildu,q Dept. YFIIOW--Applicant �pQA� EN T OF yoG�Z O � a t r- = x cow oQ1r NOTICE TO ASSESSOR HCD 433(B) 4/86 THIS FORM MUST BE COMPLETED BY THE OWNER OF A MANUFACTURED HOME MOBILEHOME OR COMMERCIAL COACH AND FORWARDED TO THE COUNTY ASSESSOR UPON COMPLETION OF THE INSTALLATION OF THE UNIT ON A FOUNDA- TION SYSTEM PURSUANT TO SECTION 18551 HEALTH AND SAFETY CODE. ORIGINAL PURCHASE PRICE FOR: :. The Basic unit t� s! / Yr s Type of Exterior wan caveringi �r l .PGY�C .✓T . sd'tj, (Mortal, Wood, etc.) '. Optional Equipment d Upgrades $ Type of Root Covering t �Ds6/l O,� ( ctal, Wood. Composition, aft.) Subtotal /a6attit 117-1- v $ 7 b j � $ �,/ Heating Types l� Forced Air El floor or Wall Accessories d Accessory tructurei Other (Specify) / S yi e2 o O Air Conditionings [DYES ❑❑-NNO Tonsa x a $ �hCt ��� Evaporative Coolers C3 YES [3 O Delivery d Installation Buih�n Cooktops ❑ YES LJ NO TOTAL SALES PRICE _ $ ��`� _5 P6 a A Buih-in Oven ❑ YES NO Buihyn Dishwasher L!S YES E3 No DOES THE BASIC PRICE I�N�C/LUDE: Buih4n Wet Bars ❑ YES LTJ NO The Towbor(s) ❑ YES ,,LT�J//NO Refrigerators Roof Overhang YES YES ❑ NO 0 NO � z" inches Tuns d Wheels ❑ YES L�1 O (Eaves): Vheelhubs d Axles ❑ YES LJ NO Furniture Included: ❑ YES 1- NO Value S (LENGTH X WIDTH UST NUMBER OF ROOMS: Carports ❑ YES ,G,�2, /No x 3 Awnings ❑ YES ,L7 O X _ WNNO Bedrooms Dining Room Pocchs C1 YES X _ X Baths �• Family Room Garoges Storage Sheds ❑ YES ❑YES ILL NO - hJNO X - IGtchen Utility Room Skirting: E]YES IQ�NO LINEAL FEET Living Room / Other Roams sly the sales price as shown does not include any amount for anyin-place location. The Assessors Parcel Number of the installation site is 6 S JD " 2,5_0 — 0 D G (53grwture) Address l5-1_7_3 Telephone u .thee 3-27 M 04/16/01 09:23 BIDWELL TITLE CUSTOMER SERVICE -� 530 891 8753 RECORDING REQUESTED BY: Fidelity National Title of California Eaerow No. 101899 -SL Title Order No. 00101999 When Recorded Mai! Document and Tax Statement To, Mr. and Mrs. Richard G. Madsen 3856 JeffeTV)Pine Lane Yankee Hill, CA 95965 GRANT DEED S NO.932 P003 Recorded Official Records Coun_ ty_ pf ECAC£ J. SALMSS Recorder ROSMRV DICKSM Assistant 091 N -ROY -2060 THIS The undersigned grantor(sl declarels) pacumentary transfer tax Is 836.30 ( X 1 computed on full value of property conveyed, or I 1 computed on full value less value of liens or encumbrances remaining at time of sale, ( X 1 Unincorporated Area I REC FEE 7.08 1 TRX 36.38 I 1 1 1 Cindy Ipage Iof1 I'S USE xl/ FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Janet K. Lantsbarger, as Trustee of the Janet K. Lantsbarger Trust, dated August 29, 1994 hereby GRANT(S) to Richard G. Madsen and (lois Jean Madsen, husband and wife, as 301rlt Tenants the following described rest property In the unincorporated area I County of Butte, State of California: Parcel 2, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on September 12, 1975, in Book 53 of Maps, at Pages) 38 and 39. DATED: November 14, 2000 The Janet K. Lantsberger Trust STATE OF CALIFORNIA COUNTY OF ON R , before me, Janet K. La sb er, Truste JMIET �: personally appeared 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 hand and official seal. T Signature J . y� r MAIL TAX STATEMENTS AS DIRECTED ABOVE FG -Zia (ROV 7/961 GRANT dEEO "' FILE No.831 08/31 '01 AM 07:31 ID:EXECUTIVE HOMES FAX:530 891 8753 PAGE 1 STATE OF CALIFORNIA NUMBER: BUSINESS, TRANSPORTATION AND HOU51NO A43ENCY . 8 G 1 I� �) /� �► DEPARTMENT OF HOV81NO AND COMMUNITY OEVHLOPMEN. V V 1 OnASION OF CODES AND STANDARDS MANUFACTUREO HOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN CO.w C/ k'4 /(% 0 CHECK IP THIS 18 A DUPLICATE MCO -ENTER ORIGINAL MCO NO. NUMBER OF 'TRANSPORTABLE SECTIONS ..- 1 SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING gQMMERCIACOAGH: OCCUPANCY GROUP WNUFACTUREER 5CEWSCNUMSEM MA MTKEf UR —ER NAME: 9534 r" - - -- HOMES Op CALIFORNIA. INC. SUGGESTED RETAIL PRICE: ho8U cTum BAVB- WOODLAND CA 95776 p0 BOX 1300 I aorUfy under paneay or Penury tndw 1119 Iwe of Ute Stale W CeNanle Inst the abovo fact• ere Into rWe Co,roU. 09/09/2001 a WOODLAM YOLO C EaoMW an , r) I n1n1Y SIGNATURG OF AUTHORIZED AGENT: 0V v — DISTRIAnON: ORIOINAL (PINK) FORWARD TO TI IE INVENTORY cmmon. UNLESS THERE 18 NONE. THEN FORWARD TO THE PURCHASER (DEALER OR TR/W BFEAF.E). CCOPY I OPY 2 IYEIL (WHITE) OW) DELIVER TO THE TRANSPORTER TO ACCOMPANTHE DFPARTMENT AT P.O. BOX Y THE VC� ITS e9TINA IONS WITHIN FIVF (6) DAYa! OF RELIIABE. COPY a (GOLDENROD) TO BE.RETAtNED BY TI IE MANUFACTURER• MCD 453.0 - Side t - (7/87) �4 N A RER TRADE NAME: MOOE1. NAME ANUIUN NVmoten. -• - - - ` 7663A 2001 05/09/2001 • STONE CAEf1C N EQf DEA(,�R O F ER I TRANSFERRED TOY M� 11 , CALIFEALEK NUMBER OR TRANSFEREE DESIGNATION: ATE OF TRAN ®BCII�I,=Y 05/13/2001 h DBAt BRRCUTZVg HOMES I • DEAL RORTRANSFEREE ADDRESS: CA 9$973 3042 ESPLANADE cHlco Steh . Stfeet Cl INVENTORY DI OR NAME: TPANG, AMMICA INS Y CE BLVD CHARLOTTE NC 29226 SUITE 350 CI State 21 Sve 8ECTtON MANUFACTURER SERIAL NUMBER ItCO INSIGNIA OR IS/O LA86L NUMBER LIEENNM 8 INCHES OUNO9 16 CATL117A14370-SK13 RAD13183S7 800 184 31,600 2 CAlL117B24570-6R13 RAD1310358 800 154 26,600 S 3 CA.FL117C24570-8X13 RAD1310339 608 184 22,500 TRANSPORTER NAME: D 9 A TURNFORT TRANSPORTER ADDRESS: P.O. BOR 179 DURHAM state CA 95938 z cn Sv" rI DESTINATION FOR UNIT DESCRIBED ABOVE: I aorUfy under paneay or Penury tndw 1119 Iwe of Ute Stale W CeNanle Inst the abovo fact• ere Into rWe Co,roU. 09/09/2001 a WOODLAM YOLO C EaoMW an , r) I n1n1Y SIGNATURG OF AUTHORIZED AGENT: 0V v — DISTRIAnON: ORIOINAL (PINK) FORWARD TO TI IE INVENTORY cmmon. UNLESS THERE 18 NONE. THEN FORWARD TO THE PURCHASER (DEALER OR TR/W BFEAF.E). CCOPY I OPY 2 IYEIL (WHITE) OW) DELIVER TO THE TRANSPORTER TO ACCOMPANTHE DFPARTMENT AT P.O. BOX Y THE VC� ITS e9TINA IONS WITHIN FIVF (6) DAYa! OF RELIIABE. COPY a (GOLDENROD) TO BE.RETAtNED BY TI IE MANUFACTURER• MCD 453.0 - Side t - (7/87) �4 f COUN)rY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01--6 kl/, ASSESSOR PARCEL NUMBER ZONING 058-350-006 TM5 BUILDING PERMIT OWNERT n�_� TELEPHONE TIM AND DENISE C'0CXA_YNE 921-964-0504 SO. FT. OCC. BUILDING VALUATION 2578 R 139.212-00 . OWNERS MAILING ADDRESS 222 COUNTRY MEADOWS LN, DANVILLE 94506 CONTRACTOR'S D EXECUTIVE HOMES TELEPHONE 6992 CONTRACTORS MAILING ADDRESS 3042 ESPLANADE, CHICO 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 3,99.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ ri nn BUILDING ADDRESS OROVILLE Energy Plan Checking Fee $ V PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome b Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation)] Other ❑ Describe Work: ME ON PERM EDUNDATIO N NEW SITE Gas piping system 1 - 5 outlets 15.00 -00 sewer 15.00 P! —Building Mobile Home S G W @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Fling Fee 20.00 800OR UE Main Service ZD.A VOR 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 0-49 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. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insur��agqce carrier and Rolicy number are: Carrier 2xYlX I l� t- i )d5p a V_ Policy Number :39 I AF � —,j 2 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'„,,Z compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X `` ��ff Date -7 Lf 6Tl Signature of Appli nt - ❑ Owner VILContractor ❑ Agent An OSHA permit is uired for excavations over 5'0” deep and demolition or construction of structures over 3 stories in height. Main Service 2000k TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( s ACC. eLnS. 3.50FT: N" ..R6Io MULTRANCI.OUTLET @7.50 POWER APPARATUS S SINGLE OUTLET CIS. OUTLET OR FIXTURES Ex. Occup. SAL @ I:50 Ex. Occup. oUTELEDTS RE�SID�Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE OTAL FEE $ 540.75 D Es IMP X FLOOD X CDF X PARCEL X PD X HD ISS 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. (� /y �( By D tte d a V PERMIT EXPIRES ON V � 0 to Receipt No. 'S SaI Q_ - q6r%, 7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PI S ECTOR GOLDENROD -APPLICANT CUUft. .I Y OF BUTTE - DEPAI;TMENT 01: DEVEI'WIMEN l SE11VIG ti - 111AI.IJ W; DIVISION ` 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT 110. Itev.12/96) APPLI CATION AND PERMIT A$ 191111011 PAACr-rAll el n :or'r/ BUILF)ING PEWIT _ t 1_ne acka Tn.[nrorle 973 - 0 O SO. FT. OCC. __w - BUILDING VALUATION - � OW�N07 AJUtid 0TTPa fflea ,Aa �Vnfyu 9�FsdC,�_ ccoo cLrL�!Ao p �w l - -- -------------- -- - rrtrV7,qnAcrone -- COrgTIM/CnOlr tKJ 4O d1 Fireplace ----- Total Valuation ------------- --- ----- . LErooYs ► ARKI Ar M46 --- - -- - -�� --------_---'-- f _ Anaurtcr on traurtoT no. ---- _ ng Fee _ Fili— $ 20.00 Permit Fee / �• — --- E AAUMCT On OJOVI ERS WILHh ro Dnl3t - -_Plan Checking Fee _b_ -------�� . eLn.aloAtmrtss Energy PlanCheckingFee--- ------•- �no _ — PERMIT FEE _ � �-� Lorca. ►AnctL Luc _ 1L�T '---- PLUMBIfIG PERMIT Fling Fee 20.00 Each Trap — 7.00 23.00 -_-- t1SEUFS-IRUcitinE SF ❑ DUPIOOX El Mlabilehorne Olher^_� c-=-eCIF= v ^ mm 'T Solar or heat purnp water heater Water pi inp _ 15.00 -�-- Each teethlt water heater cr vent 15.00 TYPE OF WORK New t 'Addition ❑ Remcrlal ❑ I-AilifiAs-L Iktstn at' t ❑ Othet ❑ _— Describe Work: fdt1 A CJ VVI—CW .-.--A) 4 ! __-- — Gas piping eyslertt 1 - 5 outlets — 15.00 _Building sewer hbbile i longe SIG _� — 15.00 X20.00 1 -- - -- PERMIT FEE -- _ -- --— ELECTRICAL PERMIT Filing Fee 20.00 lvinin Service- pwon LESS — 23.00 `J / p "'PERMIT FEE PAID SRA $ S! !ERTFF j --- ----- - - --- ----- _--___--- AMOUNTREGE:IVE[aIt "RECEIPT NUMBER TO BE PUT INTO COMPUTER ' �-, z 9 .2 // -- ('a -i v Will Service 200A To 1000A 46.00 —11cw cors. - w/Ewa occur. _on molls. _ __� • Acc. "S. ilE�v i`3MY MULTI-OUnF.T ` Non RESID. —� erwlcnrd8rVIIi-L — -- 97.50 — — --- rOWOI MPAMTUS sY/OlE OUTLET Ln _ Ex. Occup oLmEr on miunes _ 20 v 1.00 aAL a .s0 - Ex. Occu .n%ED AFPU+4. On OUTL£Ts Jn ESIO.I. EA � - 5.00 Temporary Service — _ 23.00 - lvlobile Home Facilities 20.00 lvlisc. Wiring_-_ - ------ - PERMIT FEE --- — -23.00 f -----L MECIIANICAL PERMIT Filing Fee 20.00 Meeting - -- — — _- - COOling-- - Mood -- 6.50 -- Ventilation — PERMIT FEL $ _ Mobile I longe Installation Fee`- _...__.-- Energy Inspection Fee L Occ cO"ET'� At- FEE lliis permit is hereby Issued under the applicable provisions of lire Butte County Code aridlor Resolutions to do work Indicated above for which fees have been paid. By __--- Date _ PERMIT EXPIRES ON --------.-_- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 .4 PERMIT APPLICATION DATA SHEET OWNER: CO CK ASSESSOR PARCEL • ER: Proposed Building Use: AA Building Inspector: Date: At time of permit application, was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .---------------------------------------------------------------------------- Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 0 3. 3 . Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 4n_gineered 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! --------- 06. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ 8. Hazardous Material -Eo ---------------------------------------------------------------------------------------- Manufactured om installation instructions including Tie Down Specifications.------------------ 0. Fees of S 7------------------------------------------------------------------------------ T -P b4101. Impact fees as shown on the attached schedule.----Q-`-� =�=k---------------- -------------------------------- ❑ 12. California Department of Forestry plan approval/fees. -1d_QN_NJ----j�--/"/Q-1 -------------------- ��❑ 13 ���� San. Flood elevation certificate. ---------------------------------------------------------------------------------------- �'�3l,itation and plot plan approval)Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 1 . lot plan and business license approval from the City of Biggs. ---------------------------------------------- lanning approval for (A) Use: b (B) Parking: -------------------------- !i Z�-Q .,,Contact Land Development about ❑ Improvements, ❑ Drainage,�Legal Parcel. -------------------- ' K'19. Encroachment Permit for driveway (construction approval prior to occupancy). --PILL --- _ 020. Pre -inspection for required Request to Building Inspector on (Date) ❑21. 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 0) - -------------------------------------- 0 tter of signature authorization. -------------------------------------------------------------------------------- /5. Recorded copy of Agricultural Acknowledgment Statement.--------------------------------------------------�-- 1= ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------- 028. Existing vio trons and/o p -------------------------------------------------------------------- ❑433 A, Errant D M.H. Titl Ch k to H.C. &jp --------------- 030. Other: ------- Wh you is trcf Hows ❑Mail to owner, ❑Macontractor. Telephone and hold for pickup a office. ❑ Deliver with inspector. Appli s 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:y. ❑ Plan 1. Index permit application for the above items numbered: p( Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building 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: Yellow Copy - Department of Development Services, Building Division. 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 �'� +¢—t �/ /I� A.P. # PROPOSED BUILDING USE DATE ^® j� RECEIPT # DATE REC. _t& 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ �o �� --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ -- evised Plan Checking Fee..............n.................. $ 2) SCHOOL DISTRICT FEES �%CZZ4 paid at District Office) 3. SHERIFF FEES (paid at Building Division)t Residential.................................... x $360.00 = $ -�( -Z-01 Id ' Units E Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ —x—=$ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 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 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 plan checki process. APPLICANT DATE Pursuant to Government Code Sec on 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 - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) M BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM $ '(One form per Building) School District ( %,{ (j Building Department No. A.P. Number �' -666e Jurisdiction: City County Property Crwner r! cK['. vy, e -- - Property Location/Address Subdivision Lot No. Il o-vo3 Residential Development € Sq. Footage /-' No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): i................................................................................................................... Commercial/Industrial oor Plans reviewed by School District Personnel D'strict Identification No. a— M c Z(`!(4J_JASchool District certifies that /t U - Sq. Footage (Including Exterior Roofed Areas) Date ��LLa�,e� - (Apdcant) 11-�(Street Address) e (Phone nee Number) rkoy // has complied with the requirements of Resolution No. qsquare feet. /N /UA-�I-Itk - SD - School District Representative Paid by Check # 9...C- Remarks: (State) (Zip Code) �j D .5-4?0 by payment of $ AB 2926 $ FULL MITIGATIO $ Date WE 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 ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm .GSILE No.659 08)07 '01 AM 09:38 ID:EXECUTIVE KMES TO: Building Department FROM; Environmental Health SUBJECT; Sanitation Clearance FAX:530 891 8753 PAGE 2 Pict Otan A„atAad 6� Floor Ran A hod — sent to 0.0. J1( rri aci<yne._ �4 dons 'Y- Owner Location AP# Plan Approved for: Sewage Disposal �� Water Supply: Public _ Private Well ' — Clearance forte dwefffng- Other - -V-,I Hold final. for: Final clearance O.K. for: NOTE: Environmental Sl96 e Specialist Dete Y I LE No. 659 08/07 '01 AM 0938 I D :EXECUTIVE • HOMTS r .4 r 1 J ' FAX:530 891 8753 r t3 • t r i IJdo_ d r t3 • r i IJdo_ 67 �.w re of PAGE 4 0 v In 0 E 0 F== MASTER OED t5,6x2ZF-6* wu- auser Irl tI sc-17AFM VINNG AREA -n Z 0 Stone Creek Series Model 7663A Alt. 8 3 Bedrooms • 2Y2Baths • 2,494 Square F( C) Jmi+ (ID - ---- ---- OPP. LL- —OMFAKrAsV 7AT ISL4MV BEDROOM 95 66m HeAh opt e0NUS ROOM MOW &ASS AeH I ase DEN ignMro LMNO ROOM rt WPM EMW FM IIIIIIAM WJtbT OcKkan I M W 11 -car I W tl-y C> 00 BEDROOM 02 1> M W 2 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 200 1 —0039804 Recorded OfficialRecords Count BOfUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 10:29AM 31 -Aug -2001 REC FEE .00 CONFORM .00 Fay Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing wit.h the real property. RICHARD G. MADSEN & LOIS JEAN MADSEN REAL PROPERTY OWNER/LESSOR 3856 JEFFEREY PINE LANE MAILING ADDRESS YANKEE HILL, BUTTE, CA 95965 CITY COUNTY STATE ZIP 3860 SCHANDONEY LANE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP TIM & DENISE COCKAYNE UNIT OWNER (if also property owner, write "SAME") 222 COUNTRY MEADOWS LANE BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS BUTTE, CA 95965 101-086 ITYcouyTY (530)538-7541 STATE ZIP jL i C� PE MI /fl / TELEPHONE NUMBER 8/30/01 SIGNATURE OF LOCAL AGENCY OFFICIALI) DATE EXECUTIVE HOMES I DEALER NAME (if not a dealer sale, write "NONE") 92081 MAILING ADDRESS DEALER LICENSE NO. DANVILLE, CONTRA COSTA, CA 94506 CI,: Y COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD 2001 STONECREEK 766-3 A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL I 17A/B/C24570-SK13 668" X 39' FAD1318357/58/59 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #058-350-006 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept LEGAL DESCRIPTION A.P. #058-350-006 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 12, 1975, IN BOOK 53 OF MAPS, AT PAGE(S) 38 AND 39. c -F REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ® approved as submitted approved with. conditions per attached sheet. Jo t �3P�VlAtU1e D toAll a. E ul 3,� t4,0 47�. L ` INCLUDING r LL STRUCTURES AND E OV: ALL NOS SHALL BE CLER OF ALL SIDE AND -� OVERHA FROM THE ;f A SET BACK OF - 3 '-'t PROPERTY LINES AND i //YI ��i�� /�� ��• r,/��9 % 1 e. o THE R f t FT. FROM I, CENTERLINE SHALL BE FT- FROM TIE ROAD{ \ ® OF A.4D EQUIPMENT LEAK OF HA[I�Q. it G . EAVE OVER PLANNING DIVISION -BUILDING PLAN APPROVAL I Use: D -Date: Parking: Landscaping: Other: nature:— LQ J1.0 (!o IJ 41p) Aft. fool A laur",� C( A- � ? LDING DE 0 P 9 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 [ 1273.02 _Sur -face;. ,Al-l=:driveway .surfaces. . and. structures (.bridges..,., . . 1273.07 culverts and other apparteaant 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 J 1. No roadway shall have a horizontal inside radius of I 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. IM M AP # PERMIT' # N ] 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. 3. Where- a- --one-way-road-w-3-th-a-- s-ingla--tr.a:ffi-c la-ne- provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure'Defensible Space. l 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and a.ccessory buildings from ul] 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 be completed prior to completion of road construction )r f'_:,al inspection of a building permit. Page 2 of 3 a � � 3 S� -off D l �0 8� 2 �uc�Y�✓� AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Buildinct 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 -Y --._— �- Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 _j. Installer's 1,4,11 lie: I.q the site currently under pen-mirl Yc,-ql j Nol P111"11clillit 5. Is the site an existing sitc7 Yc.,ij I Nojq (ffycs, (ill-Ilish two plot Plail-1). G. What lat iso 0700 Atilpel.o. the cleunicil rating of IIIc Illobilell at i "'it b' c:11(cl- Amperes. 7. W11, it. NVII at is the vlv(:,f.t icil I-Iti lig of the Inobilel Ionic Site'? Amperes. �j. Is the maim sm vice rcmu(c fivull, the mobilchome site? Yvi[ I Nf)[Xj If it is, what is the rating'? Amperes. 11.). In there any other clectlic load to be served by the I'lubilellonic site electric scrvicc vc�N I No[ j if yes, I)lc;ise identity the load and size: a) The mobile home site: Load - b) The main ScIvicr: Type of gas service at mobilchunic site: Nntm-nij .1 1'j-(qmi1c;44 None[ I Size of, IxAns" PIPC at (lie Illobilchunic . site fi-om the Incter ur t a i i ,3 tinches. What is the gas pipe lellp'01 [Iroill the meter or tank to the lll()IjilcllulllC? What is the mobilchonw, gas dcmand7_---!- B. -.u. U. *(This information is not required if the pipe length is less than 6 feet on natural gas ur less thati 50 feet on propane). TUE OTUER SWE OFTHIS FORM MUST BE COMPLETED IN 01WERTO PROCESS TUIS PEIUVIITAFMICATION rvt..Iy 1995 guj-m: C"" rAUILDING DtPAMMEN. -A p P, A 0 v r. :, lorr V \ _/ ort � f rr- C> V 1.1N 11t •, r.e awl--� — – SL -F, T �::•' 91N1C J �r��'+� �tJ1�1lfA�'C� AREA :s iswJ>; a ST I I SA r_ F - 1771 _ i (�•4sr,1r V 'oo, t�iJ `1 LEDFc�r�( :Ifs—'`c•� � �: — OE.S�:aT�pN Trn ��ehi s CoefS a- �i�� IPEAT NCTE-5: 4 11"CEx^..1 GL- a,C '==g 1.) This roar p(at >nraE + Iray tt colt in M i.=aG aimm --nc ��R�� wl�th avis. -- � L t �r 4 Q G:M�IN�j � res V f �AAN HALL1147- MAX %.— I `r 1 ._W� L'tJEu \^, LOAM �t>m rc�I WZ1 �o �QL� —J G*Ct '` { , A -W �n. ,sir i �i '� �Yty 3700 1 �Z � a INSTALL NOR i a, _ SSW a III -S, j M"LML vep" 1-1 . y= 90 IM-1-mP,TDN GLAZ VENT u :a _ 318.4 / / ( ZZ.• l0, eso0 3 At ,s-0 7 i 7 9 - \`_ v Sz•to " 7500 5 A i �� 7 / \ T� _3 — �--- _ C t7 0 - _ F 7 642.6. 6e g 6� ��- O O • a a Ias ( 25 95D0 ) h � � � 16 y i{ p`7. �V �V rZir / 9�. b Cr 3 f 7700' 9 8 ITS 25 1 1► 3 � I Ci33 8 25 1� 53� /Z=o'-al' Ci 106.8 T,B �� �. 67 . .. I"Id,LTtGS 2' .5c=nna IS rcquml SPF=. C >s wANDIbTf11�UTIDNPAt1Ej Fi.E�00D / SEX ELECT CtA Q SLN"t.Y AIR GFULLEIREG f-rfAswrili-C YITIE. •'f(/LJ (/�/vD-�'�' Jf� IJC:Kr F a. roTYP AAIc rL OR PLAN *g •-... SHT 1 v UG1fr osrArE 1p:. IURS/,mpLY i!•.a+.vi..- Q�iQ�((�'� ���i •� _ OF I _ IA:J ntfA�OiT�r IG+ CEIIIhG REGISTER SAUESLIME EXHALr..'T a COL- FAN p SMeARWALL CRAVM av REVx ®Y SOKE DETECTOR M.rc L._.a.- 4% G� U sr_TRLoC�HC:S a S:�ADZ '"-� OCT 0 71°96 4 �E vep" 1-1 . y= 90 IM-1-mP,TDN GLAZ VENT u :a _ 318.4 / / ( ZZ.• l0, eso0 3 At ,s-0 7 i 7 9 - \`_ v Sz•to " 7500 5 A i �� 7 / \ T� _3 — �--- _ C t7 0 - _ F 7 642.6. 6e g 6� ��- O O • a a Ias ( 25 95D0 ) h � � � 16 y i{ p`7. �V �V rZir / 9�. b Cr 3 f 7700' 9 8 ITS 25 1 1► 3 � I Ci33 8 25 1� 53� /Z=o'-al' Ci 106.8 T,B �� �. 67 . .. I"Id,LTtGS 2' .5c=nna IS rcquml SPF=. C >s wANDIbTf11�UTIDNPAt1Ej Fi.E�00D / SEX ELECT CtA Q SLN"t.Y AIR GFULLEIREG f-rfAswrili-C YITIE. •'f(/LJ (/�/vD-�'�' Jf� IJC:Kr F a. roTYP AAIc rL OR PLAN *g •-... SHT 1 v UG1fr osrArE 1p:. IURS/,mpLY i!•.a+.vi..- Q�iQ�((�'� ���i •� _ OF I _ IA:J ntfA�OiT�r IG+ CEIIIhG REGISTER SAUESLIME EXHALr..'T a COL- FAN p SMeARWALL CRAVM av REVx ®Y SOKE DETECTOR M.rc L._.a.- Mobilehorne Manu&cturer:///l7l�T�47/i V—S Manufacture Year:,��, % If other than single wide, furnish Setup Model Number.O/V/X ( 7(rico-_,j4 Width:9 'E* ft.) Length:_ /'(ft.) Tagalong or Expando Size_(ft.) On all mobilehomes nulnufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade] Other: SUPPORTS: Concrete.blockKI Other: SE?�,A-rte — Provide Tie Down Specifications for all Mobilehomes: Pier Footings 77,—a 71Location SMCLE wID9 NIIJIM-wIDB Line l Line I Line 2 Line 2 Main Beams ............................................................................................... Line Z ine 2 Line l Line 3 Line 2 ............................................................................................... Main Beanu .......................................................... Line 2 ...................................... Line 1 ................................................. rine S Tag or Triple ine 4 Line 1 Line 1 Piers: Size minimum: r I x JI. Spacing maximum: ,'11, ` m: ` Frons ends-maximu` o " Line Z Piers: Size milunlulw x Spacing maximum: b ` From ends -maximum: o . ` 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 minirnwn: x Spacing maximum: b " p " From ends -maximum: 00 Co $�3p z4x3;D Zyx3o I V43,3 3605-o -i- I IV y„ 73 7115-0 ro b7 May 1995 13U 1! E COUN I I g t RUILDING DEPARTMEI"¢ 0 V F 23' My b" S 3' - -- b $�3p z4x3;D Zyx3o I V43,3 3605-o -i- I IV y„ 73 7115-0 ro b7 May 1995 13U 1! E COUN I I g t RUILDING DEPARTMEI"¢ 0 V F yj I * I --1 1/11. i ' U 1 � � . '� �� rrr I' ��•;� Y • � rn G91 .. t t� tip, 4 r 1, ,I �z ►`� 61f�; pf t • d 1,1� 1�1 I * I --1 1/11. i ' U 1 � � . '� �� rrr I' ��•;� Y • � rn G91 .. t t� tip, 4 0 9 M'd AIJESCU ni Ll v 't AND WIZEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 06 -Aug -2001 2001-0034909 Has not been compared with original BUTTE .COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may=be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited.to cultivation, plowing, spraying, 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: 7;z//-9 %C2&.e/, 7//E dim 77/e- /eFeo",-le, d) -t- 7y -E C-ou,J11 a"t.: 16746e 77F 114, o,0 z:-5 E/1.17ir,",ee e ice, i9 7s ; i,c) �'� ,,e � ,j 3i Date PROPERTY OWNERS: ,Co<s�,�) State of California County of 911661w personally appeared C. l'1CQ 1 `' Sli'1rd P l 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. WiTNTF.CC my hand anti nfiirial a..al Signature / ! ✓•, A.P. # r Z7 WENDY M AUE Comm. A 1178379 rn N NOTARY PUBLIC -CALIFORNIA Butte County My Comm. Expires April 3, 2002 `+ SITE PLAN REVIEW APPLICATION Date: Ll - 2& - Q? AN s 8 — 35 O — D& tp Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: -2-5 A C_' Owners Name: CO Owners Address: Laj Telephone No.: �2� - (� - p 5 p c.{ `� Lis O (p Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other Cl Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ® Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval 10 Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ff Snow Load Area: -200© _T (n ce ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: O Li OCA C, Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mu I berry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------ ------------------------------------------------------ F-1 Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front S o CIL Side Side Street Rear p ?� Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact Amount ❑ Other ---------------------------------------------------------------- Subdivision Map Special Fees - Formula ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Q Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal E] Verify Legal Parcel . E] Verify. Legal Access ❑Provide Deed of Creation f-1Obtaina Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current 'Environmental Health Department requirements Page 3 of 5 9 Subdivision Map/Parcel Map: Map Date of Recording: 6� - 1-L -)S Lot: 2- ❑ Use Permit/Minor Use Permit Permit Number: Book: 5 3 Page: Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for 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 the Fire Department specifications, serves the parcel. ❑ 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. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in. any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 Summary of Specific Requirements: �Joij This information provided in this summary is based on the application information and on the best available data at the time of review. C:Wy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5