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058-500-004
Building Code Violation + ,Complaint toinspector 563v ho 30'day,violati6n letter - I 0;d4 violat&ijetter Abated or; Closed ' AP - 58-50-03 -& 041, (Application for Determination, 10/16/8513; JOHN G.'�MIAMS s Nelson --Bar Rd, 2 mi: N. of-� if i Lunt Rd, Paradise Permit# 4294-74P, util., MH) '58-19-87 ---- -- ���, contr: Twin Cities Trailer Sales, [ V/.•'"r.; a Marysville Permit #5296-76MM Issued g- ` 58-19-87 Permit #5395-76P(gas only for ex . site) !PIK 01''�� i 7 058-500-003 06-1525 KLOBAS, MICHAEL - 11401 NELSON BAR RD, OROVILLE REDLINE CONSTCont J TE POW PR OR WELL07 1 . _ L 06-1524 CHAEL N BAR RD, OROVILLE NE CONST ND(NEW)--' e j •211 q lob • �► � i :�,:. Butte County Department of Development Services ^�^ N O .T E S 7 County Center Drive, Oroville, CA 95965 ;. (530) 538-7601 www.buttecounty.net/dds R E S I_ 06-1525 oho- o M„ APN: OBAS, MICHAEL,_., t, , 111401 NELSON BAR RD, vROVILLF .o -j Owner. - Cont: Site Address: TEMP pOWER FOR WELL Contractor. Type of Permit: vt) It IWO i . OFFICE COPY Address GAS Meter By Date ELECTR�C Meter ByJ ,SIYYIWLOr/ Date S'OCo I CHFr-KFn RY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT • REINSPECTION FEE PAID ENV HLTH CLEARANCE A r-- 1-1 W V '7O 01F F— L UL /l( -T ori NEi..SOKI 1AiL i i 1 DATE JOB FINALED:-S SIGNATURE: ' r=OK 0 = Not OK MANUFACTURED HOMES MISCELLAN.EOUS- DATE PERMANENT FOUNDATION SOFTSET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Am -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat or LPO Inch Sz Ft Lngth 7 Bickng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer. Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers '-----DATE DECKS -COVERS -CARPORTS -GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handralls 4 Wood Awn; Posts-Beams-RRrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors. 7 Electric 8 Frig; Sills-AnchrsStuds4Was-Trusses 9 Siding; Nailing-VeneerStucco-Lath 10 Roof, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wail pnls DATE 1POOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining, 4 Elec Rcptcis[Ung; Distance-GFi 5 Elec Pool Lt1ng; 15 volts-GFI 6 Ele.c.Enclsrs; Conduit Entries-Terminals4Jsted 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr - 8 Elec Grndng; Eqp w/5'.Crcltng Eqp-Pool Ightg Boxes4Encisrs-pnlb6ards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche _ 12 Enclsr; Fencing -Alarms 13 Banding, Diving board or Slide dDr �� dye Pool Drawing 0 a Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING i coning-�ewacKs-easements-FlooaSlope 2 Ftg Main; Soils-Elec Gmd Ftg Dpth 3 Ftg Garage; SoilsSteel-Eiec Gmd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Wain; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Biockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test -I 1 Wtr Pipe; Test Anchrs-RgitrService Test 12. Elec Undrgrnd 13 Plenums & Ducts; Clmc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Acc & VntItn 16 Insulation �a �s` 90 Vis` DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops,'Furred CeilingsStairs-Chasers-Tubs 22 Headers & BeamsSi &' Bearing' 23 Hangers -Post Caps-Anchrs-Crmctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue=Frpic Throat Clmc 26 Attic Acc; Sz &-Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs' 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr C Argrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 infiltration Walls-Wndws o'` 0 DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Ec�P'Grnd made up w/Meth Fstnrs 4PI mdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz 9a ❑CU or DAL AC Wire Sz pa 0 CU or E1 AL 48 Range Clic Qa ❑CU or DAL Oven Circ ga ❑ CU or ❑AL ulated Neutral ❑Yes ❑No :fg,vice-Riser Cndctrs & Grnd Main Dscnnct p Clrnes pnis-Motors-Meth Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nall Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub Acc 58 Gas Pipe; Sz & Anchrs ' 59 Fire Sprinkler; Test 60 Yard Gas Piping 61 AC Ducts Insultn & Support " 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 FurnaceVent Acc-Comb Air Rtm/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Dnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpni, Breaker Szs & 73 Stairs, Guard/Handralls 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Atr-Gap-Dooklng Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Meeh Eqp Listed for Loctn 82 Elec Rcptcls In Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clmc Drnge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, PImb-Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 41`15 Elec Trim, GFI Rcptcl-Undrgmd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous 11spctns 95 Gas Test -Meters Tagged, Ga"kfL 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler e`s o'� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT'NO. BP061525 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY UR 51 A i t LAvvb. t LICENSED CONTRACTORS DECLARATION I hereby affirm under penally 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 Ilcense Is In full force and effect. License Class : _ License Number: Date: Contractor: OWNER -BUILDER DECLARATION . I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (8500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner, of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code n Date:S-UhOwn er. - WORKERS' COMPENSATION DECLARATION I hereby affirm under penally 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: t� 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: ApplicanC - Issued Date: 06/23/2006 APN: 058-500-004-000 Site Address: 11401 NELSON BAR RD CON Map Index: Description: TEMP POWER FOR WELL & CONSTRUCTION Owner: KLOBAS MICHAEL CHRISTOPHER 400 MISSION RANCH RD #50 CHICO, CA 95926 Applicant: KLOBAS MICHAEL CHRISTOPHER 400 MISSION RANCH #50 CHICO, CA 95926 (530) 899-8474 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Fte exemPhon: CoNUl Frye WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest, and attorney's fees:-" - . ---- '_ __- " _" - `` It CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) Name: Address: This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutlon7to do work indicatedipboVfor which fees have been paid. By: Date: PERMIT EXPIRES ON: (I ®• �� ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19627.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon tthhtee, above mentioned property for Inspection purposes. Print Name: l �yILC�P-/ l 'c�rJ Signalur Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE i OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at 4he above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date /e-- rZw w _ Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 Butte County Department of De,.:`*,Iopmnnt Services TT 7 County Center Drive, Oroville, �tA 85965 `Z (530) 538-7601—.buttecounly.r t/dds RESIDENTIAL r10558-500-003 06-1524 APN: BAS, MICHAEL P_-eart_:.owner. NELSON BAR RD, OROVILLE 'RED LINE CONST.�..Cpj�(�jSite Addres:.: PERM FND(NEW) _ Contractor. Type of Permit: OFFICE COPY Address - GAS Meter By Date 'ELECTRIC - Meter By Date k Jf' CFF („U "4T, hie - CHECKED BY SRA i FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS Q VERIFY Q USE PERMIT CONDITIONS Q SUB -STANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID Q ENV HLTH CLEARANCE Manufacturere -51V Date of Manufacture DI Serial Number(s)AA A j gpaq© �Df J- 61 k HUD Number(s) oRE T_CO3 f� Y DATE JOB FINALED: -SIGNATURE: Ll - f CHECKED BY SRA i FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS Q VERIFY Q USE PERMIT CONDITIONS Q SUB -STANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID Q ENV HLTH CLEARANCE Manufacturere -51V Date of Manufacture DI Serial Number(s)AA A j gpaq© �Df J- 61 k HUD Number(s) oRE T_CO3 f� Y DATE JOB FINALED: -SIGNATURE: 12-1 R -r v =OK 0 = Nat OK MANUFACTURED HOMES MISCELLANEOUS-. DATE ANENT FOUNDATION U SOFTSET Ing -Setbacks -Easements SpecialMH Support Sketch ictn-Test; FaIUC/0-Concrete octn-Test-Easement Needed -Regulator = !?rlecoctn-Clrncs-Grnd 'Am -Concrete as; Loctn-Test-Wrap Nat 7 or LP� Inch Sz Ft Lngth ,,Ttl - g; SzSpacing-Marriage Line as Test-Demand-Valve-Cnnctr �C. MH Cntnty Test-Crossovers-Breakers-CIrncs rain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/0 to Grade 12 G s and Electricity Tagged e Downs Q Foundation, ve_-'r� 5 its 15 Cert of Occupancy ZSvMdD LabeUlnsignia Numbers Serial Numbers R i 1 ----DATE D E C K S•C O V E R S•C A R P O R T S -GARAGE S 1 ZoningSetbacks-Easements 2 Ftgs; SoilsSz-DpthSpacing-0nnctrsSteel 3 Decks, Glyders/Joists-0cking-0rcing Stairs-Guard/Handrails 4 Wood Awn;Posts-Beams-Rftrs-CnnctrsShthg• Frmg-Brcng 5 Alum Awn; Columns-CnnctnsS-0 pliceecal-Enclsrs 6 Carports; Wndws-Doors T Electric 8 Fang; Sills-AndlrsStudS-Studs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext -0 Stepsoors-Landings 12 Braced Wail pnls 4& °� 0 DATE IPOOLS 1 Setbacks -Easements 2 Soils;Compaction-Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Long; 15 volts-GFI 6 EIec.Enclsrs; Conduit Entries -Terminals -Listed 7'Elec Banding; Metal w/5'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/5'.Crdtng Eqp-Pool Ightg Boxes-En61srs-pnlbaards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche ,. 12 Enclsr; Fencing -Alamos 13 Banding, Diving board or Slide �41 �---- ° z D 0 O'C_ 4P ! F ' i. Pool Drawing c III i I 4 �G • 0 = Not OK RESIDENTIAL (SI-n,gle & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ft4 DRth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; ScMl Steel-Elec Grnd Ftg Dpth 55 DWV; Test Fittings & Anchr•Nail Prtetn 4 Ftg Porches/Decks; Sails -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts Wrapped : 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas.Piping 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgmd DATE M E C H A Nl C A L 13 Plenums & Ducts; Clmc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support " 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrfiw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air RtmNent 115 Outlet 65 Attic Acc & Pltfrin If Furnace in attic DATE JPRAMING 17 Sills Proper Materials & An DATE IFINAL 18 Wails Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders.&fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr 21 Fire Stops,'Furred CellingsStalrs-Chasers-Tubs In Garage; abv-flr-Ducts-Meth Prtctn 22 Headers & BeamsSi &'Bearing" 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Ritr Tles-Purlin-Roof Brac TrussShthg 71 GFI Arc Fault 25 Frpic Ties or Type A Flue=Frpic Throat Clmc 72 Elec Trim & Subpna, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffies 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frpic or Stove, Clmc-Hearth 28 Garage Fire Prtchi Framing -RC Channel 75 Elec Outlets at Wood PnI, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper. _ 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Class PrtctnSkyLts-Plastic . 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls In Garage (GFQ Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clrnc Dmge Planters Q Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Pimb-Appinc-Frpic-CIrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE E L E C T R I. C A L 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Irispctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz , ❑ CU or ❑ AL 98 Address Posted AC Wire Sz , ❑ CU or ❑AL 99 Fire Sprinkler 48 Range Circ Qa QCU or El AL Oven Circ ya QCU or ❑AL Insulated Neutral QYes 0 N 100 4e 0 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cirncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector ,>7 I rzo Pew C-" -T/+ 1IC—PECT14W It! W C=, LC-- C TtZ- /9- e__ k16T1C-C—S 1ATC Date Inspector 1�-80RA14 LR8&AI AIE� REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE— — , 'BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive * Oroville, CA * (530) 538-7541 �* 4 CORRECTION NOTICE K�ngq S OWNERPERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of . work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. ,>7 I rzo Pew C-" -T/+ 1IC—PECT14W It! W C=, LC-- C TtZ- /9- e__ k16T1C-C—S 1ATC Date Inspector 1�-80RA14 LR8&AI AIE� REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 V COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES •7 County Center Drive - Oroville, CA - (530) 538-7541 � CORRECTION NOTICE OWNER PERMIT NO. rr A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. AMN E(-GC-rl2I C Q -c IIS 0c-0JiyFCT WITHI 0+- l'ioesILF- !AS fC2 ra, C� PROUIbE: (,tQ0C-12FL0o2 l)EtirTS ,} PRCUtrJ� "11411/U662rP t� FQ(L S-rPITP_ IZ6I LS UrQE CDF C�EAIZf�nI�C "�:�y p/20Vr�c (20ti(T//vr� rrt./ 7E Date Inspector REV 4/05 Phone # �o Z Z FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 'COUNTY OF BUTTE j r; - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 Yx CORRECTION NOTICE :' OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at - � q *the above address and should be corrected. Please call for re -inspection when correction of ; work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. rl i / F /", V Date r'7 — S ©� Inspector 1 l F1 4 H C4/?_RE/v7 2 REV 4/05 Phone # _53 8 - (f 11 Z 7Z— FOR FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES .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 call for re -inspection when correction of . - work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. s Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061524 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under -penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/18/2006 APN: 058-500-003-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 11401 NELSON BAR RD CON Date: Contractor: Map Index: Description: NEW MH, PERM FND, EX SITE (2142) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: KLOBAS MICHAEL CHRISTOPHER to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 400 MISSION RANCH BLVD #50 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95926 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: KLOBAS MICHAEL CHRISTOPHER such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 400 MISSION RANCH BLVD #50 year of completion, the owner -builder will have the burden of CHICO, CA proving that he or she did not build or improve for the purpose of sale.). 95926 I, as owner of the property, am exclusively contracting with (530) 899-8474 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State.License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: RED LINE INSTALLATIONS INC ❑ I am Exempt under Article 3 of the Business and Professions Code (r' 1 4.0 13407 GARNER LANE Dale: owner: CHICO, CA 95973 (530) 895-5543 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 848025 Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Policy #: Total Square Ft: 0 S.F. ®- 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 Valuation: $0.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j� Gan ��[ f�y� Fop �Date:� l J Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the work for which this is issued (Sec 3097 Civ.) Resoluti n to do work indicateAaoe f r which fees have been paid. performance of permit By:Date: Name: y PERMIT EXPIRES ON: Address: (Date) " ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: L�P Z�ZC�_S Signature: Date: 151: -Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION O C 2 Lf 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 �� I��� PERMIT APPLICATION DATA SHEET OWNER: iJUy - ASSESSOR PARCEL NUMBER O5 - ,JV� - 1� OO Proposed Building Use: 1�; PERM t 1 m. Ex STE Permit Technician: � Date: In Itepis required in ordeA apply for a permit All boxes MUST be checked OR marked NA in 6rder to apply. VV 1. Site plans, Ur 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑� 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. I i =o 8. Manufactured homes: (A) Installation m5eal, including manage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. �-N ZIA lv� ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑/ 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other RKe�naini 'terns needed to issue the permit (May require additional plan review upon receipt o(thhe following items.) t p4.) Sanitation and site plan approval from the Environmental Health Department in ❑ Chico IYOroville, as applicable ❑ Fire Sprinklers.................................................................... ::- ".............. ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by 0-1-417 ' 417. Soils Report and/or Engineered Foundation required .................::...:..................... 18. Erosion Control Plan Required ..................... 5...l�..i..'.;! ................................. X�m Fees as showq on the attached Schedule of Fees Due Sheet.: R ms.. � .;s�6l /P69 ❑ City of Chico Plumbing permit ............................... ❑ 21. Site plan and business license approval from theRi, of Biggs ..................... .. j3. California Department of Forest plan approval aid. Sent by:_�I2,A�a (� , Planning approval for (A) Use: ��B) Parking: (C) Parcel Check: ............ -1 L o ko ❑ Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by ...................... ' `� 6. NPDES Form............................................................................................. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ Contractor's license information. (Number, Name Style, Classification) ................... 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification (_Given to owner, _Mailed to owner) ..................... ❑ Letter of Signature authorization.................................................................... \Veln'j kg Recorded copy of Agricultural Acknowledgment Statement ................................. 0 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other. ❑ 37. Other. ' When issued Telephone �rJ� 1 Mi"7 tl rw- and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant!Date: Z..' -® 1. Index permit application for the above items num red: Plan Check etter 2. Additional items required . ontTact esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: rGonFactor, designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, ownedvised of the above d by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: 4, Date: ( ob Structural reviewed : Date: Structural approvedby: r Date: Note transfer by: Date: Yellow: Building Division Y ' Plot Plan Attadied d�d1T l Flow Plan Atted Sent to BD/DS TO: Building Division — Development Services AJG 17 2gG6 �\c� FROM: Environmental Health DEVELOPMENT SERVICES SUBJECT: Sanitation Clearance A� 0-.s R- S // -//0 /C%e- 5e Owner Location AP# Plan Approved for: Sewage Disposal: Water Supply: Public Private Well ✓ Clearance for &/ dwelling. OtherA Hold final for: Final clea n e O.K. for: NOTE: vironmental Health Speck U, Date 61. Building Clearance 9/2005 I 10 -CM3 pyTTE4COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One form per Building)` School District O r V Y) I `�� V1 im Building Department No. SN A.P. Number In FIR Jurisdiction: E-1 City County Property Owner �n h Property Location/Address II4ol VH --,nn. fRlr 12d. Nevl;Ile Cp `iSal6 Subdivision Lot No. ............................::.................................. ........................ Residential Development Q Q Sq. Footage 21142 No of Living Mobile Home Addition/ 'Supplemental to (Group ) _ Units Installation < i Conversion Permit #�W • No foundation in on w :............................................................... SP�!. ... ....... \� Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial New Addition D'sMct Identification No. 0.6 02 6 6 �P_al ,pinL School District certifies that JIAJ " 119--0 1 (S bet Address) has complied -with the requirements of Resolution No. represenUrtg , ' �1 square feet. School District Representative Paid by Check # Remarks: (State) Sq. Footage (Including Exterior Roofed Areas) Date �(APPlicant)' r > (Phone Number) 959&5" (Zip Code) by payment of $ k) A- B 2926 $ ULL MITIGATION $ t Date .s Notlw : You may protest the Imposition of the tees Identified above by submkting a written protest to the DhMct. In aonVUence with Government Coda Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely wrlltan protest will prohibit you from challenging the IrnposWon 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 revlewed under the California Emrkonn ardsi Quality Act (CEPA), this project may be subleet to additional school feesto to fy Will" Its Fmpeet on the school distrlet's`sNrools. White (school district), Yellow (building department), Pink (applicant). %etonn.xls (3M5W= .BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM 0 FEATHER.RIV.ER RECREATION AND PARK DISTRICT (FRRPD) ❑ICO AREA RECREATION AND PARK DISTRICT (CARD) PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Niimber (s) Property Owner (s) i11C Project Location /Address Subdivision Name Building Permit Number OG isn I Assessable Sq. Ftge 2E -9- -KA -1 2E - Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: Building 0 FRRPD ❑ CARD RPRPD 0 DRPD certifies that: ,/ it l S3��Zc1��z�-t Applicant Name _KA -1 - _ v Mailing Address City to Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. L(l by Payment of: Dwelling Units @ $ per unit for a total of $ 0 0� Square Feet @ $ f per sq foot for a total of $(o Remarks:cb ofd /v-eEu Paid by Check No: Paid by Cash: Receipt No: �S Butte Cour2tyDepartmei2t ofDevelopner2t ScjTlceS °�UTrF° 7 County Center Drive oroville, CA 95965 r ° (530) 538-7601 Telephone (530) 538-7785 Facsimile c0U�l1y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health Isite plan and approved sanitation clearance to the Building Division as soon as clearance is obtained a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for* disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building? permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other -entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: /�� /f /0 4L5 APN: nS'-S''S-19 LD Building site address: 4 1 I�e (� 1 _L Permit No.: l?lvts-Z I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DATE PpS7fMENT T TF M� i ° G'- �,�� ° CQ v o��, Department of Public Works °�C o u n t y o f B u t t e O �ti � J. Michael Crump, LAND DEVELOPMENT DIVISION O i� Storm Water Management Program Director 7County CenterDrive Oroville. CA 95965 ttc �S (530) 538-7266 (FAX) 538-7171 National 'Pollutant Discharge Elim.ination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 9 ACRE1 Project Description: Project Location and/or Parcel Number: ()-57F - 5-0 y - C)0 -S By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB I acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: i z4,rA Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program T -'---J C - . - A PgTME1vT O� �OTT7' De'par'tment ®f Public Works O d C o u n t y o f B u t t e 0 7 County Center Drive 0 ' Oroville, CA 95965 0 r,O"� �y 0 J. Michael Crump, Director (530) 538-7681 (FAX) 538-7171 p 5 �QLIC WOF� Shawn H. O'Brien, Assistant Director Assessors Parcel Number:ff� SDD —Dy3 Building permit # APS Owners Name: Owners Mailing Address: Property Address: ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: F] Not a County maintained road Existing driveway conforms to County S-31 standard Other 1�5 �o �,► .� Q�� �p�o � s Approved by Printed Name Title 09 BUTTE COUNTY AUG 15 2006 Date ' Q DEVELOPMENT SERVICES CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. Dec 22 03 12:26p4 , 1Nf' AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded I REC FEE 10.00 Official Records I County of I Butte I CANM J. GRUBBS I County Clerk-Recorderl I I KL 010:44AN 27 -Jun -M I Page 1 of 2 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: be -e, �x r-�b�� IN Date PROPERTY OWNERS: State of California County of On La 2-I -04-- before me, personalty personally appeared p n�H i C�nnnQ 01,0aS 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 my hand and official seal Signature ,/ 1 / Seal: CHRISTYL. HINKLE COMM. # 1493928 c 'NOTARY PUBLIC -CALIFORNIA X A.P. �s$ Q COUNTY OF BUTTE Comm. Expires June 7, 2008 AA - AR. EXHIBIT "A" The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: A portion of the Southwest quarter of the Northwest quarter of Section 33, Township 22 North, Range 4 East, N.D.B. & N., Butte County, California and more particularly described as follows: BEGINNING at the -Southwest corner of the Southwest.quarter of the Northwest quarter. of Section 33, aforementioned, which point is the true point of• beginning for this description; thence leaving the paid Southwest corner of the Southwest quarter of the Northwest quarter of said Section 33, and the true point of beginning for this description and running North 00. 26' 53' West, a distance of 1056.18 feet along the West line of said Southwest quarter of the Northwest quarter of Section 33 to a'point on said West line; thence leaving the West line -of said Southwest quarter of the Northwest. quarter of Section 33 and runhing•South 29' 59'"23• East, a distance of 697.14 feet to a point; thence South 60' 00' 37" West, a distance of 198.00 feet to a point; thence South 29. 59' 23' East, a distnace of 260.00 feet to a point; thence South 25. 09' 00" East, a distance of 162.04 feet to a point on Nelson Bar Road; thence leaving said llolson Bar Road and running North 87' 07' 10" West, a distance of 368.01 feet to the true point of beginning of this description. EXCEPTING THEREFROM all rights of the County of Butte for road purposes. AP No. 058-500-004 -PARCEL II: The real property in the Section 32, Township 22 North, Range 4 East, N.D.B. & N., County of Butte, State of California, described as: COMMENCING at the one-quarter corner common to Section 32 and Section 33, Township 22 North, Range 4 East, M.D.B. & M.; thence North O1. 08' 33" West along the East line of said Section 32, 60.00 feet to. the true point of beginning; thence leaving said Section line, South 88' .51' 27" West, 135.00 Ceet: thence North 01' 08' 33" West, 173.18 foot; thence North 74. 47' 34" East, 139.17 feet, to a point on the East line of said Section 32; thence South 01. 08' 33" West along said Section line, 207.00 feet to the point of beginning. AP Ho. 058-500-003 PARCEL III: A right of way of 60 feet in width for ogress and ingress and more ` particularly described as follows: ' COMMENCING at the Southwest corner of the•Southwest quarter of the Northwest quarter of Section 33, aforementioned; thence leaving the Point of 66mmenoement and said Southwest corner and running South 87' 07' 10" East, a distance of 368.01 feet to a point on Nelson Bar Road Which point is the true point of beginning for this description; thence leaving said point In -Nelson Bar Road and the true point of beginning for this description and running North 25. 09' 00" West, a distance of 162.04 feet to a point; thence North 53' 45' 00" East, a distance of 61.14 feet to a point; thence South 25. 09' Hast, a distance of 138.35 feet to a point in Nelson Bar Road; thence South 34. 16' West, a distance of 69.70 fact along Nelson Bar Road to the true point of beginning for this description. EXCEPTING THEREFROM all rights of the County. of Butte for road purposes.. m Omni 1 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-5366 Facsimile ADMINISTRATION * BUILDING' PLANNING July 18, 2006 Michael Klobas 400 Mission Ranch #50 Chico, CA 95926 Subject: Building Permit 06-1524 (APN 058-500-003); Mobile Home Dear Mr. Klobas, The Butte County Department of Development Services, Planning Division, has reviewed the submitted permit application, and requires the following revisions to your site plan, in order to - +U_ E]1Creation Deed ® Site Plan Resubmit — Follow Requirements ❑ Erosion Control Plan ® Setback Conformance E]Watershed Protection Zone ® Front Yard E]Cohasset Specific Plan ® Side Yard E]Subdivision Map Note E] Rear Yard Mblyllt ❑ Off -Street Parking; Development Standards E] Secial Setback or Parcel Limitation [:]Parking for Specified Use ❑ Federal Aid Road/Arterial E]Lot & Landscaping Requirements ❑ Easement ❑ Oak Tree Plan ❑ Subdivision Map Condition/Note ❑ SRA Setback* ❑North Chico Specific Plan — Erosion Control F]Fire Sprinklers* ❑ Notification Only — No Action Required Other: Site Plan shows both -003 and -004, but not as separate parcels, although they appear to be separate parcels. Therefore, the front setback of 20' is not meet for the new Mobile Home. V` J The requested information, or notification, is described on the included hand-outs. You will also be given some brief direction, on the following page, of how the information should be submitted or returned to the County. Should you have further questions please contact the Planning Division between the hours of 7:30 a.m. and 4:30 p.m. Monday through Friday at (530) 538-7601, or the appropriate Department/Division identified in the handout. Sinely, ana Adler Contract Planner ,24-110.10 FR -1 through FR -1,60 site requirements. Chapter 24 ZONING* Article III. Zone Districts" 24-110.10 FR -1 through FR -160 site requirements. (a) Areas and setbacks listed in the following table are minimum requirements unless otherwise stated or provided for in subsection (b) of this section. Zone Front Yard Side Yard Rear Yard District Lot AreaLot Width Setback Setback 11 Setback Page 1 of 1 * Lot width: Minimum required lot width shall not be less than two hundred twenty (220) feet; except when adjoining a major road or creek, the minimum frontage shall not be less than three hundred (300) feet. ** Front yard setback: Minimum front yard setback shall be twenty (20) feet from the edge of the ultimate right-of-way from all public or private roads except where the road is classified as a federal aid road, in which case the setback shall be twenty-five (25) feet from the edge of the ultimate right-of-way. (b) Flexible lot size provisions. In the FR -1 through FR -160 zone districts land divisions may be designed and processed in accordance with the flexible lot size provisions of section 24-82. In such instances, the site requirements described for this zoning district shall not apply. Land division applications proposing to use the provisions of section 24-82, shall be so identified. (Ord. No. 3176, § 1(Exh. A), 1-24-95; Ord. No. 3560, § 3, 10-12-99) Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name: Y -N k 6nG S A.P.# 05V - 50y _003 jW'j Home Manufacturer: C� dl A p n Manufacture Year:T Model Number/ Name: C �, S % i tL Width:L40' &`(ft.) Length: 5 Lp ' (ft.) FOOTINGS: Wood - pressure treated or foundation gradej�Other:[ SUPPORTS: Concrete block N Other:[ ]____ Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. rrer rvvpng aizes ana Locations SINGLE WIDE Line 1 �4---------------- Line 2 �� Section 1 Line 1 Line 1 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 2 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size ,piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Section 2 Section 3 MULTI -WIDE Line 1 Line 2 Line 3 Line 2 .�ine 4 (triple wide only) Line 2 Snow Load: -,Z0 psf (�� ] X (Z, ] Snow Load requirements may be obtained at http://www.upstate-ca.com/butte/butte_county/ ' " linsert AP #; view snow load in lower right comer: Line 1 Openings: [ ] X ( ] Minimum size pier: [ �,Lf ] X [ �, ] Required at each side of openings over t o wide. � �u I i= i:(A;- NTY : UILOHNI0 DIVISION 13'-8' CARPET LAYOUT STANDARD CARPET INY+G ROOK FAMLY R08N i EIEDR N5 /2, 13 8 14 R MAMt BMWNN70� I 1Ei / WMM 6 6 ILLLL I ^f J 1- A - UNIT = --------------------TOTAE SaraP Ff2r2'f mwwo lxx2+ , 35 ADD 12-0 W/ RDRFAT OR WIN 15 r•5 a -n• 11.1. IV -4' 12,10 In 21•e 0 r -r Y -4I4• W- OPTIONAL CARPET ------------------elm Q1 PBG ! !m 3 3m P5= r= 3m PS lm P9i©X7 PS Qlm w0 IO wGUEST 84TH SORAP ••. �.M..•. — P6FQ - - PBF 1 30PRG LWm 8I 3ILI0 3W popW 8,m1 �o U8E W/ al'T. REiTBAT i Y„ - - TLISB 2 `rte m.e I�MASTER CWFmR� - 11 (i/1��/1�►Vl LP1D 1 �1� - ,T � �6 � e ,�, B i.`" P E COUNTY O Ner L0 Lelm BU �� DgNd DI®'S p0 . 1.5 APPROVED N' N'-6 U2' L 4'-T 4'-1 114• 4'.1 U4' L W-9 !l4 4'-2 IV 4'-2 30 ---------- ----------- 0�m - - ® (BEARING WALLS) 20 1 5 im PAF PRG P0p plm PSF Ik-- Q3mP� Q3m PSF 3m PBG a 9m POG 5 3m PeF 9 ! !m w _________ (CLEAR SPAN) • i \ fwrilfacurft Wm% bm D -exdb0 I '�-- F----- C ' �T 137 Al bony Division - Plonf X972 ( 2445 S.W. PACIFIC BLVD. ALBANY, OR 97321 �I �(�1�,'A, ��J Phone (541) 926-8631 LNO 2 I LMLEIm J�� Fox (866) 491-6847 LP10 � I oluxlNt TITLE CARPET & PIER LOC. N ------ oRnnraL DRAvnND er , J. HENRY e1oEWLLL• 4• an e• 4' WALLS PRODUCT YODEL Na. GOLDEN ESTATE OE ISM -06 PIER FOOTING SIZE REQUIRED (SO. IN.) PIER I FOOTING SIZE REQUIRED (SO. IN.) PIER FOOTING SIZE REQUIRED (SQ. IN.) PIER FOOTING SIZE REQUIRED (SO. IN.) rt. 2,142 D9- 27-04 N0. � 1000 PSF 1500 PSF 2000 PSF NO' CAPACITY 1000 PSF 1500 PSF 2000 PSF N0' 1000 PSF 1500 PSF 2000 PSF N0' 8S) 1000 PSF 1500 PSF 2000 PSF 1 20DD 288 192 144 3 4000 576 384 288 5 6000 864 576 1 432 1 110000 1 1440 960 1 720 SNCET REVISE 2 4 6 8 1 A2 - 200 360 240 180 5000 720 480 360 8000 1152 1 768 1 576 1 1 12000 1 1728 1 1152 1 864 SI GE56 I K 2, 142 SQ. F7. Due to.ccntinuing improvements, specifications and designs are subject to change without prior notice or obligation. Square footage is approximate and does not include covered porch areas. 12 05 DF 84375-20 :00 K • � �� `'' � '.: -' - .:a., T� t. ,_fit+!.� 4.. -'tti: i Yr -:»a t:g.r... ..:, :v .,a ;,.:u. s �.-: Vector Dynamics "Foundation System" by TIE DOWN ENGINEERING, Inc.: Installation Instructions for the State of California, Wind Zone 1, 15 PSF Wind, Seismic Zone 4 Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. General The Vector Dynamics Foundation System resists lateral & longitudinal wind loads by anchoring the two longitudinal main rails. The system is approved to be.used on single or multi section homes: • These plans and specifications meet the requirements of Title 25 section 133$ and f mac.' requirements. Maximum eave width (roof overhang of sidewall) of 12" for Zone I. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. yy. - 1, L i� 1 . Llv' •�j`taTt "N-pi.G E .. 7 1E . 26070.;i� AR 312006 �q C1VIl- lF OF .CAL1F��`� Engineer Approval State Approval UANUFACnJRED HOM MODUS HOM3 FOUNDATION SYSTEM . HEALTH AND SAFETY CODE. SECTION IMI APPROVED BURWT TO CORRECTIONS NOTED APP'RO'VAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DEVIATION FROM REQUIREMENTS OF AMJCABLE STATE LAWS AND REOULAnONS Staao of Caltfomb Of How and Community D,nWpacd OF 1PODES AND STANDARDS By ATE Thh Plan Approval EVh% iflanta GA�,f 30336 %�E X (404 39.0401 DOWN ................. ENGINEERING - -- ENERAL INSTALLATION It Site Preparation It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. Footings and Frost Lines The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete to comp' , .-pith local requirements for footer depth. Foundation/Footing Specification for Vector. Pads Vector Pads are used in place of conventional foundation pads. One Vector pad provides'2 sq. ft. on single block and 3 sq ft. double block pads of bearing support. Vector Systems should be spaced as symmetrically as possible within 10' of end of home. For pier locations in between the Vector Systems, use the normal founda..±ion pads. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Nector pads to top of concrete or metal pier) not to exceed 36 inches under one or both main rail(s). Multi -section homes limited to 50 inches. Unequal Pier Heights Multi -section homes with unequal pier heights are limited to 50" maximum pier height.. The difference between the taller pier and the shorter pier cannot exceed 26". Vector Dynamics Foundation Systems Component Parts List ago Vector System Part # 59018 Single piece pads with straps and slotted bolts Vector/LSD Kit Part # 59013K for single block pads Vector. Foundation Systems for the State .i California Department of Forestry and Fire Protection Butte County Fire Department ' Fire Safe Requirements Permit# O 6 - / SZ"( Under authority of Public Resources Code Section 4290, the following checked items are required by CDF/Butte County Fire Department and made part of this permit These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. 1272.00 Maintenance of Defensible Space Measures [X] To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access, and utilization of the defensible space provided for these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or shall be provided as a condition of the permit, parcel or map approval. Public Resources Code 4291 information will be provided. 1273.10 Driveways [X] (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [XJ (b) All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length [X] (c) Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where the driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart [X] (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be within 50 feet of the building. 1273.02 Roadway Surface [XJ The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire engines. Surfaces should be established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. 4" of class 2 aggregate base shall be required for all driveways, turnouts, and turnarounds. 1273.03 Roadway Grades The grade for all driveways shall not exceed 15 percent. Grades above 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. 1273.04 Roadway Radius Pq (a) No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] (b) 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 Roadway Tumarounds [X] Turnarounds are required on driveways and dead-end roads as specified in this article. The minimum turning radius for a turnaround shall be 40 feet from the center line of the road. If a hammerhead -T is used, the top of the"r' shall be a minimum of 60 feet in length 1273.06 Roadway Turnouts [X] Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. Revised 02/28/06 C 1 61 01 u F F I R E Is E I R E M E N T S 1273.07 Roadway Structures [X] (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant structures which supplement the roadway bed or shoulders) shall be constructed to carry at least the maximum load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550, 35750 and 35250. [X] (b) Appropriate signing, including but not limited to weight or vertical clearance limitations, one-way road or single lane conditions, shall reflect the capability of each bridge. [XI (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. 1273.11 Gate Entrance [X] (a) Gate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving that gate. [X] (b) All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. [X] (c) Where a one-way road with a single traffic lane provides access to a gated entrance, a 40 foot turning radius shall be used. 1274.08 Addresses for Buildings [XI All buildings shall be issued an address by the local jurisdiction which conforms to that jurisdiction's overall address system. Accessory buildings will not be required to have a separate address; however, each dwelling unit within a building shall be separately identified. 1274.09 Size of Letters. Numbers and Symbols for Addresses [X] Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke, reflectorized, contrasting with the background color of the sign. 1274.10 Installation. Location and Visibility of Addresses [XI (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible from both directions of travel along the road. In all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible from the road on which the address is located. [XI (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. [XI (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. [X] (d) Where a roadway provides access solely to a single commercial or industrial business, the address sign shall be placed at the nearest road intersection providing access to that site. 1276.01 Setback for Structure Defensible Space ] (a) All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road [ ] Your parcel is larger then 1 acre but your minimum setback for buildings and accessory buildings is less then 30 feet from all property lines and/or the center of the road. You are required to meet the same practical effects requirements fisted on page three. [ ] (b) For parcels less than I acre, the local jurisdiction shall provide for the same practical effect. See page three for same practical effect requirements. Revised 02/28/06 n r Same Practical Effect for Buildias s less then 30 feet from property line: ' (J If the Building Setback is less then 30 Feet from all property lines and/or the center of the road, the following shall be required; • Class A roof • Fully enclosed eaves on entire structure • Fire rated metal doors on side toward property line with insufficient setback • Siding on entire structure from the following list: (a) Stucco -3 coat (b) Non combustible Hardi-Board, Plank or similar siding (c) Masonry (d) Metal (e) Other Butte County Fire Department approved materials 1276.02 Disposal of Flammable Vegetation and Fuels [X] Disposal, including chipping, 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 or final inspection of a building permit Other Requirements- Installation of Residential Fire Sprinklers [X] If your property was part of a parcel split after January 1, 1991, you are required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. JUN, 2, 8.2006 Date Revised 02/28/06 3 Darren Read Fire Protection Planning 09/21/2006 09:59 REDLINE INSTALLATION 4 5392140 NO.230 903 Redline Installations, Inc 13407 Garner Lane Chico, Ca 95973 530-891-6719 530-891-6720 (fax) Date: To: From: Lie, RE: Number of pages: (including cover) -663 D s.� 09/21/2006 09:59 REDLINE INSTALLATION 4 5382140 NO.230 004 �. r 4V4,0 STATE OF CALIFORNIA BUSINESS,'TRANBPORTATION AND HOUSING AGENCY NUMBER. DEPARTMENT OF HOUSING ANp COMMUNITY DEVELOPMENT DMSION OF COOES AND STANOAADS724753 MANUFACTURED HOUSING PROGRAM IRP ' • MANUFACTURER CERTIFICATE OF ORIGIN CN@CK lF THIS IS A DUPLICATE MCMNTER ORIGINAL MCO NO. MANUFAGWEn unue no MULTf UNIT MAN FAC IocD HOUSING 1 SFO (SINGLE FAMILY DWELLING) ❑ MUMM (MULTI UNIT MANUFACTURED HOUSING TRANSPORTABLE TRANSPORTABLE SECTIONS 3 COMMEfiGa -n&u_ OCCUPANCY GROUP MANUFACTURER NAME: CMH MANUPACTURING:WEST, .INC. MANuiACTURERLICENSE NUMBER, ` • MANUFACMF1126458TURERAODRES6: • • • • 2445 PACIFIC BLVD SB SW ALBANY/.OR 97321 (SUGGESTED E7AIL PRICE - R4 AH05:�/25/05 -- --•-&n&r-nnuroetR UR GOLDEN PACIFIC •,HOMES. :. TRANSFEREEDESIGWTION: ::. "1118851..(,.,:.. .. . ..,.. , ..... 2/14/05 :... IEAIER OR TRANSFEREE ADDRESS: ' �' 18116/ 13407 GARNER LABS CHICO, CAA95973 YV�GOV COcn�rnn .,...... .. _ (CiNI � � icw.w _. �. � • ... _..... 21ST MORTGAGE ......MARKET :.�STREET�' SUITE .M1.00 .._... .._ _.............. .._.._.�...,. . . . ....... ... ..... ... ._I�__:.,:�_ H® •:KNOXVIL TN 37901 _ Slate(ZIP) .55 ?: ,:.:., .. .-.'•....,,01ANUFACTUREaSERIAINU►teER �...::..... I � ' ,B•..•-...—.-..HCo1xSlUMy�ORHUOLABELNUMSER .:.LENOTN... ....WIDTM,.'„ •;;YVeioHT..�_ INCHES tNChEB ppUNpg ::::.:.-...., 672 16Z 26460 77 672.:..:. 162. 1; 26460:' S172— -162 7;16Rn TRANSPORTER NAME. z. [SIGNATURE OF AUTNDRI ZED AGENT: i/ r .T Cavy AL (vINAn ORwARDTOTHE INVENTORY CREDITOR UNLESS TNEgfi IS NONE, THEN FORwiwo TO THE PURCHASER DEALER OR TRANSFEREE) > COPT 1(Wl1RE► FORVVMD TO THE DEPARTMENT AT P.O. BOK 1020. SACRAMENTO. CA OW12•i02a. VATPOIN FIVE 10) DAYS OF RELEASE. ,lal . COPY 2 (YELLOW) DELIVER TO TME TRANSPORTER TO ACCOMPANY TK UNIT TO ITS OESTINATIOK COPY 3,(OOLOeNRG ) _, To BE akTA1NED ev TME.MANUFACTURER 0 483.0 • Side 1 • (1197) .. ..........:...... . , .. • :--;--- ...... .. .... .-. �� .dint; 1.':i RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 tXIPY of Domaent Recorded .I 5G- Deer- 2 2 - i99 Has not been coupared with original BUTTE WINTY CWNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MICHAEL CHRISTOPHER KLOBAS REAL PROPERTY OWNER/LESSOR 400 MISSION RANCH BLVD. #50 G ADDRESS CHICO -�-- BUTTE COUNTY BUILDING DIVISION IT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS -_, BUTTE ---CA--95965- CITY COUNTY STATE ZIP CITY COUN'IY S IA I h LIP 11401 NELSON BAR RD. 06-1524 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILD G PERMIT O 'IELEPHONE NUMBER CONCOW BUTTE CA 95966 ,, v 12/14/2006 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION CMH MANUFACTURING 2005 72PER42564AH05 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER ALB029081ORA/B/C 56'x 40' ORE467635/6/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 058-500-003 COPY HCD FORM 433(A) REV 8/91 CRY — HCD PINK — Anolican EXHIBIT "A" The land referred to herein is described as follows: All that certain real property situate in tho County of Butte, State of California, described as follows: PARCEL I: A portion of the Southwest quarter of the Northwest quarter of Section 33, Township 22 North, Range 4 East, H.D.B. & H., Butte County, California and more particularly described as follows: BEGINNING at the•Southwest corner of the Southwest. quarter of the Northwest quarter. of Section 33, aforementioned, which point is the true point of beginning for this description; thence leaving the ;raid Southwest corner of the Southwest quarter of the Northwest quarter of zaid Section 33, and the true -point of beginning for this description and running North 00. 26' S3" West, a distance of 1056.18 feet along the West line of said Southwest• quarter of the Northwest quarter of Section 33 to a'point on said west line; thence leaving the. West line -of acid Southwest quarter of the Northwest. quarter of Section 33 and running -South 29. 59'•23' East, a distance of 697.14 feet to a point; thence South 60' 00' 37" West, a distance of 198.00 feet to a point; thence South 29. 59' 23' East, a distnace of 260.00 feet to a point: thence South 25. 09. 00" East, a distance of 162.04 feat to a point on Nelson our Road; thence leaving said lioloon gar Road and running North 87. 07' 10" West, a distance of 368.01 feet to the true point of beginning of this description. EXCEPTING THEREFROM all rights of the County of Butte for road purposes. AP No. 058-500-004 -PARCEL 11: The real property in the Section 32, Township 22 North, Range 4 East, •H.D.B. & H., County of Butte, State of California, described as: COMMENCING at the one-quarter corner common to Section 32 and Section 33, Township 22 North, Range 4 East, M.D.B. A H.; thence North 01. 08' 33" West along the East line of said Section 32, 60.00 feet to. the true point of beginning; thence leaving said Section line, South 88'.51' 27" Wast. 135.00 Cost; thence North 01' 08' 33" West, 173.18 foot; thence North 74. 47' 34" East, 139.17 feet, to a point on the East line of said Section 32; thence South 01' 08' 33" West along said Section line, 207.00 feet to the point of beginning. AP No. 058-500-003 PARCEL III: A right of way of 60 feet in width for egress and ingrees and more particularly described as follows: ••' • COMMENCING at ilia Southwest corner of the- Southwest quarter of the Northwest quarter of Section 33, aforementioned; thence leaving the ' point of 66mmencement and said Southwest corner and running South 87• 07' 10" East, a distance of 368.01 feet to a point on Nelson Bar Rond which point is the true poiiit of beginning for this description; thence leaving said point In -Nelson Aar Road and the true point of beginning for this description and running North 25. 09' 00' West, a distance of 162.04 feet to a point; thence North 53. 45' 00" East, a distance of 61.14 feet to a point; thence South 25. 09' rest, a distance of 138.35 feet to a point in Nelson Dar Road; thence South 34. 16' West, a distance of 69.70 foot along Nelson Bar Road to the true point of beginning for this description. EXCEPTING THEREFROM all rights of tho County. of Butte for road purposes.. A FOUNDATION. SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: 06-1524 Address or location of unit: 11401 Nelson Bar Rd. Concow CA 95966 Legal Description of Real Property: 058-500-003 SEE ATTACHED (x) Mobilehome/Manufactured Home () 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: MICHAEL CHRISTOPHER KLOBAS Owner's address: 400 MISSION RANCH BLVD. #50 CHICO CA 95926 INSIGNIA OR HUD NUMBER: ORE467635/6/7 SERIAL NUMBER OR V.I.N.: ALB029081ORA/B/C MANUFACTURER'S NAME: CMH MANUFACTURING YEAR: 2005 OFFICIAL APPROVING INSTALLATION: DATE: /) - /�- O� PHONE: (530) 538-7541 H.C.D. 513 v r 670 1 BL`,TE COUNTY DEPARTMENT OF DEVELO! MENT SERVICES BUILDING PERMIT APPLICATION'. AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATIWJOyllz` OWNER Name . • � Q&D CAS Address ` to 4�$70 City_41Stat . g ZipRSyZ Phon f�tk N7 Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name Name111 rr 11 11111:11Q Ll Y1E In� Address 13uOr7 a r- State City Phone State Zips Phone -7 1 Fax Email Lic.6y-6aZ CIGas4? APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name I Flood Zone Address SRA City No State Zip Phone Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME. Name 'IILP I Flood Zone Addres�/OD SRA City `—_1_1�. No St r, ZlpTS79 ?,Ci Phoney, Stf7 Book Fax E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning -rn I Flood Zone SRA I Yes j No Occ. Type onst. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BPO Col OCATIO AP# Property Address x- o �e \ tC.�\� P CJ� Crosstr et WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name C'U.e*f.o4.%IrNVJ%A'- AJ`Q (�•d1�1 - 1Lo 14d Fe.S� 7 SS �Z Address da.-\tQt4 v!A" 1L -- q eAcicti t coon Description or Scope of Work: Sq. Footage 2 Z� ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:KG Amount: Bldg �O • o ~ SRA Receipt #: \ Sheriff SMIP ` Date:Other -23'��. Total Page 1 of 2 REV 4-30-04 SUBMITTAL RMUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER/ ❑ ❑ 2. 3. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ ❑ 7. 8. 2 Flood Elevation Certificate, wet -stamped and signed (if required). 1 Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the en ' eer Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed -by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation ❑ 6. plans. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 1 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-si gned.by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SUbRgmts.doc Page 2 of 2 REV 4-30-04 COUNTY BUTTE DEPARTMENT OF DEVELOPENTO MSERVICES — BUILDING DIVISION �pOCDi52I 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 �'. SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER IC QQ SIO U� PROPROSED BUILDING USE T w A 1. BUILDING PERMIT FEES -- Balance Due ..................... $ -- FEMA Flood elevation review ... $ A.P. # O" l Z7C7�'Ty O DATE RECEIPT # DATE REC. Additional plan checking Fee.... $ r SCHOOL DISTRICT FEES �A� 1--UIvQ)i'ro r rnv, �l��nh N c�hScJ� -1-h G129 -/o6 K.6 - (paid at School District Office) (form available after Plan Check)U 0wor 3 s, SHERIFF FEES (paid at Building Division) gmmercial (sq. ftg.)..... X $0.03 = $ Sq:Ftg. 4. RECREATION DISTRICT FEESEt,� �, _ 6,,,,,,,n to Over r f (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning $ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) I V r r 8. SMIP 9. DRAINAGE 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT , DATE 6 — Z � r b Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) November 6, 1985 Gladys M. Williams RE: AP 58-50-03 & 04 (combined 5604 Brookside Ave. as one parcel) Paradise, CA 95969 Certificate of Compliance Dear Ms. Williams! Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Public Works on October 25 ,1985, in the office of the Butte County Recorder under document number 85-34288. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Ihrector of Public Works Pshn Mendonsa sistant Director JM ds attachment cc Health �$u lding' "'. UttG LAN.D OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone --(916) 534-4681 RONALD D. McELROY Deputy Director November 6, 1985 Gladys M. Williams RE: AP 58-50-03 & 04 (combined 5604 Brookside Ave. as one parcel) Paradise, CA 95969 Certificate of Compliance Dear Ms. Williams! Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Public Works on October 25 ,1985, in the office of the Butte County Recorder under document number 85-34288. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Ihrector of Public Works Pshn Mendonsa sistant Director JM ds attachment cc Health �$u lding' ;.";0ii?�pCI ^I"IALIt�_i.O1lDc; RETURN T0: r;iT i E COUNTY. .LI 011HIIt Public Works i1 T •'; f;L .EOUEST of Land Development Section PUBLIC WORKS l a CERTIFICATE OF COMPLIANCE 105 OCT 25 AIM H: : ELEANOR M. f �Gr,_„40 Issued to: Gladys M. Wi11iam LERK-RECO81DLcR FEE �`�•E 5604 Brookside Ave. - Paradise, CA 95969 85-34248 This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel of property identified be low complies with the applicable provisions of the Wages Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: approx. 800 ft. west of Nelson Bar Rd. on a private driveway and approx. 1800 ft. south of the inter- section of Nelson Bar Rd.*'and Stage Coach Ln. 2. Assessor's Parcel Number: Concow area. 58-50-03 and 04 (combined as one parcel) Description: All that certain property located in the County of Butte, State of California, more particularly -described as follows: PARCEL ONE: A portion of the Southwest quarter of the Northwest quarter of Section 33, Township 22 North, Range 4 East, M.D.B. & M., Butte County, California and more particulary des- cribed as follows: Beginning at the Southwest corner of the Southwest quarter of the Northwest quarter of Section 33, aforementioned, which point is the true point of beginning for this des- cription; thence leaving the said Southwest corner of the Southwest quarter of the North- west quarter of said Section 33 and the true point of beginning for this description and running North 000 26' 53" West a distance of 1056.18 feet along the West line of said Southwest quarter of the Northwest quarter of Section 33 to a point on said West line; thence leaving the West line of said Southwest quarter of the Northwest quarter of Section 33 and running South 290 59' 23" East a distance of 697.14 feet to a point; thence South 600 00' 37" West a distance of 198.00 feet to a point; thence -South 290 59' 23" East a distance of 260.00 feet to a point; thence South 250 09' 00" East a distance of 162.04 feet to a point on Nelson Bar Road; thence leaving said Nelson Bar Road and running North 870 07' 10" West a distance of 368.01 feet to the true point of beginning for this description. TOGETHER WITH a right-of-way of 60 feet in width for egress and ingress and more par- ticularly described as follows: (continued on next page) Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter'20-16 and Government Code, Section 66499.35 (b), to protect the public health and public safety: - -- NONE County of Butte Subdiv' 'on Violation Committee LD 1400 CERTIFICATE OF COMPLIANCE Gladys M. Williams AP 58-50-03 and 04 (combined as one parcel) PAGE TWO Commencing at the Southwest corner of the Southwest quarter of the Northwest quarter of Section 33, aforementioned; thence leaving the point of commencement and said Southwest corner and running South 870 07' 10" East a distance of 368.01 feet to a point on Nelson Bar Road which point is the true point of beginning for this description; thence leaving said point in Nelson Bar Road and the true point of beginning for this des- cription and running North 250 09' 00" West a distance of 162.04 feet to a point; thence North 530 45' 00" East a distance of 61.14 feet to a point; thence South 250 09' East a distance of 138.35 feet to a point in Nelson Bar Road; thence South 340 16' West a distance of 69.70 feet along Nelson Bar Road to the true point of beginning for this description. EXCEPTING THEREFROM all rights of the County of Butte for road purposes. PARCEL TWO: The real property in the Section 32, Township 22 North, Range 4 East, M.D.B. & M., County of Butte, State of California, described as: Commencing at.the one-quarter corner common to Section 32, and Section 33, Township 22 North, Range 4 East East, M.D.B. & M.,, thence North 010 08' 33" West along the East line of said Section 32, 60.00 feet to the True Point of Beginning; thence leaving,said Section line South 880 51' 27" West, 135.00 feet; thence North 010 08' 33" West, 173.18 feet; thence North 740 47' 34" East, 139.17 feet, to a point on the East line of said Section 32; thence South 010 08' 33" West along said Section line 207.00 feet to the.point of beginning. Containing 0.59 acres more or less. NOTE: THE ABOVE DESCRIBED PARCELS 1 AND 2 ARE TO BE COMBINED AS ONE AND CANNOT BE SOLD SEPARATELY. END OF DOCUMENT END A";CE dT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT'NO. BP061525 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/23/2006 APN: 058-500-004-000 the Business and Professions Code, and my license is in full force and effect.Site License Class : License Number: Address • 11401 NELSON BAR RD CON Date: Contractor: Map Index: Description: TEMP POWER FOR WELL & OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the CONSTRUCTION Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a Owner: KLOBAS MICHAEL CHRISTOPHER signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 400 MISSION RANCH RD #50 she is exempt therefrom and the. basis for the alleged exemption. Any CHICO, CA violation of Section 7031.5 by any applicant for a permit subjects the 95926 applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: KLOBAS MICHAEL CHRISTOPHER provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 400 MISSION RANCH #50 proving that he or she did not build or Improve for the purpose of CHICO, CA sale.). 95926 ❑ 1, as owner. of the property, am exclusively contracting with (530) 899-8474 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed , pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Contractor: Date:4 -L2-a6Owner:'. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 License #: is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: Carrier: Policy #: QL I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: exlern h'0n Applicant -� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's_ fees. - - ---- — --- -- - - - - - - - - - CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the work for which this is issued (Sec 3097 Civ.) Resolu on to do work indicated bov for which fees have been paid. 3 • �� performance of permit BY - Date: Name: PERMIT EXPIRES ON: to •i °b� Address: (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representativesof Butte County to enter upon tthhtee, above mentioned property for inspection purposes. / d,v� Print Name: /"r INILC1 l Signature Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Na a irst Name Addres ff Address Stag Zi�s� z4 Phon�';Co AY 7 Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name Cjly Address Occ. City � State Zip Phone _91 a ^2 Fax E-mail Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Cjly Address Occ. City � State Zip Phone _91 a ^2 Fax E-mail State License Number APPLICANT SIGNATURE X For office use only: APPLICANT INFORMATION Name Cjly Address Occ. Cit � St�i� Page Phone _91 a ^2 Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone J.SRA Cjly I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. B�41525 BIN # PROJECT LOCATION AP# 05 -9 --Cm Property Address v Cjly Cross Street f— WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 ►+� (� Description or Scope of Work: 4 t KZ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:U Amount: Bldg SRA Receipt #v(yO�ro� Sheriff SMIP Date -2-.D Other _-_ - REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS - The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info,,(C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a. new application, plans and fees will be required. REQUEST FOR 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 check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 OWNER -BUILDER VERIFICATION Attention Property Owner: V An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES .['-- ,4-] NO[ ]. 2. I HAVE [v- ] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have- contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the.work, but I have hired the following person to coordinate, supervise, and -provide the major work NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons. to provide the work indicated: NAME ADDRESS PHONE- TYPE OF WORK SIGNED: PROPERTY OWNER DATE:' 6a - -7- 3 - D �a NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. Brute County Department of Development Services vjr ADMINISTRATION ` BUILDING t GIS t PLANNING o o O 6 7 County Center Drive o !� o o Oroville, CA 95965 o �.:� o (530) 538-7541 Telephone C y (530) 538-2140 Facsimile OU.µ OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself; you may protect yourself from possible Iiability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of Califbmia and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not cmy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or. through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -bider" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -wilder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned._ Sincerely, Scott Rutherford Chief Building Inspector W077- Thio Owner -Builder Information is reauired by Section 19830 of the California Health and Safety Code. W/ November 6, 1985 " Gladys M. Williams RE':..AP 58-50-03 & 04 (combined 5604 Brookside Ave. as one parcel) Paradise, CA 95969 Certificate of Compliance Dear Ms. Williams: Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Public Works on October 25, 1985, in the office of the Butte County Recorder under document number 85-34288. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Ihrector of Public Works rhn Mendonsa ssistant Director JM ds attachment cc Health - Buildin_g�^ Vo®W'W� LA.N.D OF NATURAL WEALTH AND BEAUTY -� DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4681 . RONALD D. McELROY Deputy Director November 6, 1985 " Gladys M. Williams RE':..AP 58-50-03 & 04 (combined 5604 Brookside Ave. as one parcel) Paradise, CA 95969 Certificate of Compliance Dear Ms. Williams: Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Public Works on October 25, 1985, in the office of the Butte County Recorder under document number 85-34288. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Ihrector of Public Works rhn Mendonsa ssistant Director JM ds attachment cc Health - Buildin_g�^ 85-34288 >:COROED IN OFFICIAL RECORDS RETURN T0: OF BUTTE COURTY.CALIFORHIA Public Works ATTHE REOUI:ST OF Land Development Section PUBLIC WORKS CERTIFICATE OF COMPLIANCE 195 OCT 25 AM 11: 18 ELEANOR M. ► ECKEIR Issued to: Gladys M. William�.LERK-RECORDER FEE 5604 Brookside Ave. - Paradise, CA 95969 85®34288 This Certificate of Compliance is hereby issued by the County of Butte'to certify that the land division which created the parcel of property identified be low complies with the applicable provisions of the Pages Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: approx. 800 ft. west of Nelson Bar Rd. on a private driveway and approx.:1800 ft. south of the inter- section of Nelson Bar Rd."and Stage Coach Ln. Concow area... 2. Assessor's Parcel Number: 58-50-03 and 04 (combined as one parcel) Description: All that certain property located in the County of Butte, State of California, more particularly described as follows: PARCEL ONE: A portion of the Southwest quarter of the Northwest quarter of Section 33, Township 22 North, Range 4 East, M.D.B. & M,, Butte County, California and more particulary des- cribed as follows: Beginning at the Southwest corner of the Southwest quarter of the Northwest quarter of Section 33, aforementioned, which point is the true point of beginning for this des- cription; thence leaving the said Southwest corner of the Southwest quarter of the North- west quarter of said Section 33 and the true point of beginning for this description and running North 000 26' 53" West a distance of 1056.18 feet along the West line of said Southwest quarter of the Northwest quarter of Section 33 to a point on said West line; thence leaving the West line of said Southwest quarter of the Northwest quarter of Section 33 -and -running South 290 59' 23" East a distance of 697.14 feet to a point; thence South 600 00' 37" West a distance of 198.00 feet to a point; thence South 290 59' 23" East a distance of 260.00 feet to a point; thence South 250 09' 00" East a distance of 162.04 feet to a point on Nelson Bar Road; thence leaving said Nelson Bar Road and running North 870 071. 10" West a distance of 368.01 feet to the true point of beginning for this description. TOGETHER WITH a right-of-way of 60 feet in width for egress and ingress and more par- ticularly described as follows: (continued on next page) Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-16 and Government Code, Section 66499.35 (b); -to protect the public health and public safety: _ NONE County of Butte Subdiv' 'on Violation Committee r LD 1400 CERTIFICATE OF COMPLIANCE Gladys M. Williams AP 58-50-03 and 04 (combined as one parcel) 85-34288 PAGE TWO Commencing at the Southwest corner of the Southwest quarter of the Northw.est.quarte.r of Section 33, aforementioned; thence leaving the point of commencement and said Southwest corner and running South 870 07' 10" East a distance of 368,01 feet to a point on Nelson Bar Road which point is the true point of beginning for this description; thence leaving said point in Nelson Bar Road and the true point of beginning for this des- cription and running North 250 09' 00" West a distance of 162.04 feet to a point; thence North 530 45' 00" East a distance of 61.14 feet to a point; thence South 259 09' East a distance of 138.35 feet to a point in Nelson Bar Road; thence South 340 16' West a distance of 69.70 feet along Nelson Bar Road to the true point of beginning for this description. EXCEPTING THEREFROM all rights of the County of Butte for road purposes. PARCEL TWO: The real property in the Section 32, Township 22 North, Range 4 East, M.D.B. & M., County of Butte, State of California, described as: ` Commencing at the one=quarter corner common to Section 32,.and Section 33, Township 22 North; Range 4 East East, M.D.B. & M., thence North 010 08' 33" West along the East line of said Section 32, 60.00 feet to the True Point of Beginning; thence leaving said Section line South 880 51' 27" West, 135.00 feet; thence North 010 08' 33" West, 173.18 feet; thence North -740 47' 34" East, 139.17 feet, to a point on the East line of said Section 32; thence South 010 08' 33" West along said Section line 207,00 feet to the point of beginning. Containing'.0.59 acres more or less. NOTE: THE ABOVE.DESCRIBED PARCELS 1 AND 2 ARE TO BE COMBINED AS ONE AND CANNOT BE SOLD SEPARATELY. END OF DOCUMENT END 0r �'�_.":_-'HENT BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public!!!!!!! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address Phone Number: The above information is not available to the public!!!!!!! (2) KAFORMS\Complaint Form revl.doc 9 058-500-004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile April 18, 2003 Michael C. Klobas 821 Shasta St. Susanville, Ca 96130 RE: Formal Warning Notice Butte County Code Violation 11401 Nelson Bar Rd. Concow Ca 96965 AP# 058-500-004 Dear: Michael C. Klobas Through our courtesy notice on March 18, 2003 , you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the: The keeping of junk and inoperable vehicles in public view. Your failure to eliminate the stated violations are cause for the issuance of this formal warning notice. As of this date, our records indicate that the following violations to the Butte County Code still exist: Butte Countv Code Chapter 24 Section 24-65 - Applicability of zoning regulations_ All uses of land.. _. "-- -within"a zoned distridt not specifically authoriz - --permitted by regulations are prohibited. Butte County Code, Chapter 24 Section 24-110- The FR ( Foothill Recreation) zone does not "specifically authorize" large accumulations of -junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the FR zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 114 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. Michael C. Klobas April 18, 2003 Page 2 The determination that this violation exists on the property is based on the following definition in the Butte County Code: Butte County Code, Chapter 24 Section 24-305.240 - Junk. Any wom-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones; parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: Remove all "junk' in accordance with the Butte County Code, Chapter 24, Section 24-305.240. 2 Remove all inoperable/junk vehicles from the property This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (,UO days from the date of this letter, enforcement shall. be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, 1 Rick Hamilton Code Enforcement Officer cc: Department of Development Services, Code Enforcement 1 2 3 4 5 6 7 8 9 10 11 12. 13 14 15 16 17 18 19' 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL . I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, Califomia 95965. 1 am readily familiar with the County's practice for. collection and processing - of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited, with the United States Postal Service in the ordinary course- of business on the same day. On April 18, 2003, 1 served the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. X In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. In the United States Postal Service Mail in Oroville, California. Michael C. Klobas 821 Shasta St. ___.Susanville, Ca. 96130_. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on April 18, 2003 at Oroville, California. 4A MIE PO LL I -- Butte County Department of Development Services ADMINISTRATION' BUILDING'. GIS' PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile March 18, 2003 Michael C. Klobas 821 Shasta St. Susanville, Ca 96130 RE: Butte County Code Violation: 1140LNelson Bar Rd. Concow AP# U58-500-004 Dear Michael C. Klobas The Butte County Department of Development Services, Code Enforcement section has determined by inspection and research ,that there are currently code violations present on your property at the above - referenced location. Specifically, the violations include: 1 The keeping of junk and inoperable vehicles in public view. This is an advisory notice that these uses are in violation of the Butte County Code, as follows: Butte County Code, Chapter 24, Section 24-65 - Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. Butte County Code, Chapter 24, Section 24-110- The FR ( Foot Hill Recreation ) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junkon a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the FR zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. The determination that these violations exist on the property is based on the following definitions in the Butte County Code: Butte County Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. Michael C. Klobas March 18, 2003 Page: 2 It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. If voluntary compliance with this notice is not accomplished by correction or abatement of the violation(s), enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction, violators may be fined and a Notice of Violation may be recorded which will include a description of the action necessary to abate the violation. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction action: Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-305.240. 2 Remove all inoperable/junk vehicles from the property. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions. Should you have any questions concerning this matter, please contact me at . the address or telephone number listed above. Sincerely, Rick Hamilton Code Enforcement Officer RH: cc: Department of Development Services, Code Enforcement Occupants 11401 Nelson Bar Rd. Concow, Ca 95965 B E A U T N i ' r sc i 43; 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4681 RONALD D. McELROY Deputy Director October 16, 1985 Gladys M. Williams RE: AP 58-50-03 and 04 5604 Brookside Ave. Application for Determination Paradise, CA 95969 Dear Ms. Williams: At the regular meeting of the Butte County Subdivision Violation Committee held on October 16, 1985, the committee granted a Certificate of Compliance for AP 58-50-03 and 04 combined as one parcel. There is a fifteen -day appeal period before this Certificate can be recorded unless;.the enclosed waiver is signed and returned, waiving your right to appeal the committee's decision. h If you have any questions regarding this matter, please contact this.. office. Very truly yours, William Cheff Director of Public Works r J4hn Mendonsa Assistant Director JM/ds cc Planning Health Build i ng.-../" attachment r r i PERMIT NO. P s E M MH UTIL. PERMIT NO. 4294-74P,E #, PERMIT EXPIRES 9OWNER John G. Williams CONTR. is s ;'LOCATION (A.P. 58-19-87 ) w/s Nelson Bar`Rd, app. 2 mi. N. of x Lunt Rd, 01/ �.� r -S. s -- Temp. P.-e}e Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. , Called PG&E JOB FINALED Z �� ttT (Signatu i. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORTS BUILDING INSPECTION -RECORD BUILDING BUILDING'(Cont'd) Subpanels PLUMBING Setback Firewall Soil Piping Heating Forms Parapets 1st Floor Temp. Pole Main Bldg. Restroom Finish 2nd Floor Interior Lath Footings Windows 3rd Floor Final Stemwall Siding To out Slab Roof Sheathing' Water Pipin lj Piers Roofing Sewer -7 Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping Temp. Gas & Test Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls "^ 'Throat 'Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framina Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS '►- 0 TO Building Department FROM Environmental Health RE: Sewage and/or ,later Clearance U,•;KER.. rOC .TION A.P . o Has been approved for SE 3,0E DISPOSAL d V7. TE,11 SUPPLY itarian Date COUNTY OF BUTTE — DEPARTMENT OFPU L WORKS 7 County Center Drive��►.— OroviIIe, California 9 6 elep!?une:534-4541 APPLICATION AND PERMIT QU4 WI ILC I CFl1 CJCI I LotI VCS ul II It: 1Juunly ul [full, to enter upon ine above-mentioned property for inspection purposes. X , 11(�,4 Date %0 Signature 4 Permiteeee or Agent Receipt No. /` <:�, Z Z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. . DIRECTOR OF PUBLIC WORKS o— Z r^ Building permit expires Date..................C:"—,z ...............��' Z -7 BUILD G Owner C s SQ. FT. OCC. BUILDING VALUATION Mailing Address s �— Telephone No. r C—� Contractor Fireplace Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 C> Each Trap 1.50 D r Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — l Z°Hing 8 Gas piping system 1 - 5 outlets 1.50 �v Each additional outlet .30 FeO—%+W Sanit t ire Dept. Fire Zone Use Permit Building sewer 5.00 p EQA Parking Plans Parcel Declaration parcel Ma P 6�y-DD Improvements Lawn sprinkler system 2.00 Bldg. Plo4r<ec'd P pproval Pla Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.6) Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (morethon 12) L Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal�2 10 Receps., switches & fix outlets bci CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump / Z2 P. Mobil Home Facilities 5.00 00 Temp. Power Pole 5.00 License No. Classification Misc. wiring X a am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 7\5 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ ZZ S QU4 WI ILC I CFl1 CJCI I LotI VCS ul II It: 1Juunly ul [full, to enter upon ine above-mentioned property for inspection purposes. X , 11(�,4 Date %0 Signature 4 Permiteeee or Agent Receipt No. /` <:�, Z Z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. . DIRECTOR OF PUBLIC WORKS o— Z r^ Building permit expires Date..................C:"—,z ...............��' Z -7 �,�S.�sB-�y-e� s V fh TAX COL LEC Madera, Cal Dear Property Owner: Your lending Institution has requested your property number listed below. Our records indicate you to be the recorded owner of March, 1972. The total amount of tax shown is for t 1973. Secured property taxes are due November 1st installment becomes delinquent Dec. 10th and second it The amount of taxes is determined by the tax rates tl below. The tax rates are determined by the budget re( ,Qecorded at the re%uest.of a I.A.1pa._C -omp- azy .......... Return to ............. . . ............................. .......................... Es,crow' No. __---TY 7-.n -_11664 B0114399 P�,481:. U N0P"N WESTERN TITLE' cc "'I:' lit Jmin. past M. 0,'_C'fC;AL PE'C'01'DrS (OP ptj,iTr C COUNTY, CALIFORKA TE &. C Recordee Consideration less than ,'1;100.00 Grant Deed (Joint Tenancy) 7r For value received BESSIE, D. THURSTON, a widow, GRANTO JOHN GRANT wILLIAMS AND GLADYS M. his wifell as JOINT TENANTS all that real property situate in the County of Butte State of California, described as follows: t ,�'A 'Por- Pp Qf.the Southwest quarter of the Northwest quarter of Section 1.:13;i..;,Tpwnship 22 North, Range 4 East, M.D.B. & M., Butte County, Calif- �,-0,mid' 'and ,moire particularly described as follows: Bdinn Ing at t -9 he;'Southwest'corner of the Southwest quarter of the * jItIlorthwest,quarter of Section 33, aforementioned, which point ir the . I .. `trqe,'.,point of beginning for this description; thence leaving the said ,-Southwest corner of the Southwest quarter of the Northwest quarter of .s6id',iVeLAtion 33 and the true point of beginning for thiL- description 't-�and7.running.North 000 26' 53" West a distance of 1056.16 feet along -quarter of theNorthwest -quarter of ,-,!,S�ctio_n-�'-331 to a point on. said West line; thence leaving the West line `,_Qf 6aid Southwest quarter *of the Northwest quarter of Section 33 and i. " running' South 291 59' 2311 East a distance of 697.14 feet. to a point; t,.thence.,South 60" 001 37" West a distance of 198.00 feet to a point;!. thenQ6.,$.outh 29"0 59' 2311-11 East a distance of 260.00 feet to a point; tbehve� South 25 09" 00East a distance of 162.04 feet to a point or. .,:Nelaon'-Bar Road; thence leaving said Nelson Bar Road and running North - `87? • 07,#- 10". West a distance of 368.01 feet to the true point of be- i I n I ning- for this description. !iTOGBTHRR WITH r,;Iqht of way of 60 feet in width for egress and ingress and,more par'...-11arly described as follows: C=b 7K -,Commmcinq at the' Southwest corner of the Southwest quarter of the i__k ,.Ni;)rthwest quarter of Section 33, aforementioned; thence leaving the GJ point -of commencement and said Southwest corner and running South CM 87". 07',•10" East a distance of 366.01 feet to a point on Nelson Bar CM $pad-%4hich point is the true point of beginning for this descriDti,0117 thence.,leaving said point in Nelson Bar Road and the true point of peginning for this description and running North0 09' 00" west.a 00 5 ; c _distane.of 162-04 feet to a point; thence Nort 30 45' 00" East a 0? an'cetof 61.14 feet to a point; thence South 25" 09' East a distance feet to a point in Nelson Bar Road; thence South 34' 16' 17dst;.41distance of .69.70 feet along Nelson Bar Road to the true point of beq inh iniq foi this description. ING THEREFROM all rights of the C6unty of Butte for road purposes. STATiOVCALIFORNIA jl ss. .................. . .............. County cf ......--• .... ................... U T Cf.) N y 9 ember 4M On ...... . .............................. ................ ............... 119..65 .... before me, tory Public, Wand bir said County and State, personally appeared .... ........... BFS.SIE..-D...-..Ti-iURS.T.01-N . .............. ... ..................................... .. . . ... . . ......................... .................................................................................. .............................. .......... f... ........... ............. .......................... known tame to be the person..........:. whose name ........... subscribed to the withi r ent, and acknowledged to me that s. -he the same. 4M* 'MnirniSgiOn expires . .... 19....July _.1969. ......................................... .......... . ....... Notary Public MES E. NFSM!ITH I 0 A COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drivel — Oreville, California 95965 �- Telephone: 534-4541 APPLICATION AND PERMIT - —F--, VI , V I�VU11ty UI Ou"c' lV c""" uNun uIe above-mentioned property for inspection purposes. X; Date Signature of Permitee or Agent Receipt No. /S 2 y/ 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIREC R?OF PUBLIC WORKS ? -.2 7-,7C By Date kWdg permit expires Date _ 2 - 7 7 BUILDING Owner U Cr JI'tl/4,. Je- /77S SQ. FT. 0 C. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor r— Total Valuation Mailing Address �'� Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 V r /iii L S .�/v /niQ �,f . Each Trap 1.50 Repair drainage or vent piping 1.50 7n Y19 Al — 41 i Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — 7Gas Zoning 8 Planning piping system 1 - 5 outlets 1-W Each additional outlet .30 Fe s- .C. rrrtfftfun• Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 aWo—RKrrrr9-RTe`d- I Parcel Approval Plans Approval Permit Fee $ oO $ ;h— NEW ❑ ADDITION ❑ UTILITIES,® OTHER ❑ ELECTRICAL N0.1 @ I FEE PERMIT FILING FEE $3.00 /- Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. AOD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service 1100E MP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST OR ADDNS. ( ACCLBLDGS.LING CCUP h) 20syft NONNEW.RES D CONSTR. ( BRANCH CIRCUITS) 12.50ea NEW CONSTPOWER APPARATUS & NON.RESI R. D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: E x. ,Occ4p(0 u T J, E T S OR FIXTURES) BAL@109 Ex. Occu F 11ED APP LNS. OR P•(OUtLETS (RESID.) EA) 2.00 Temporary service , 10.00 Mobile Home--Faci ljtie§' `� 15.00 License No. Classification Misc. Wiring 6.25111) _ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em ~ p to an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ /� t] - —F--, VI , V I�VU11ty UI Ou"c' lV c""" uNun uIe above-mentioned property for inspection purposes. X; Date Signature of Permitee or Agent Receipt No. /S 2 y/ 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIREC R?OF PUBLIC WORKS ? -.2 7-,7C By Date kWdg permit expires Date _ 2 - 7 7 COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS 7 County Center Driye: ,,Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT s39s .......� I+...., a.n wuvvo vi L V ounty vi Butte to enter upon the above mentioned property for inspection purposes. Date 2' Z %— %,/ Signaturd of Permitee or Agent Receipt No. X-12 Y/ 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Gol.denrod-Applicant 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. DIRECT OF PUBLIC WORKS g By Date ! —Z 7—,7C Stg permit expires Date ?—.Z 7 - 7 7 BUILDING Owner 'Z -y s SQ. FT. OCC. BUILDING VALUATION Mailing Address /3PICOK-c/Q14!;; Telephone No. '7— 7� Fireplace Contractor �✓� Total Valuation Mailing Address fl Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3. O--> 4"e_ lei. Each Trap 1.50 Repair drainage or vent piping 1.50 /� Water piping 1.50 Each gas water heater or vent 1.50 ��—�r '7 A. P. No. / Zoning & Planning Gas piping system 1 - 5 outlets 1-5F1 Each additional outlet .30 Fe —ftm'[aTlvtr Fire Dept.Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ 1-3 NEW ADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.001 C7,45 O/f✓L �v �X� T//(ice j 7 SSLESS 5.00 Main service ;$o AMP V OR OR Z o 7 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER OR LESS 25• 0 Main service EA. ADD'L 100 AMP 1.00 NEW CONSOR ADDNST ( DWELLING LDGS. "" &) 22sgft NEW CONSTR. MULTI.OUTLET NON•RESID. BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS & NON •RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@�1 Ex. Occup. ( OUT LETS(PR ESI D.)RE A) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 [al am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 21 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authori7a cnroccn ror; ..ems ..� •�.,. �........ TOTAL PERMIT FEE Is/i 0 .......� I+...., a.n wuvvo vi L V ounty vi Butte to enter upon the above mentioned property for inspection purposes. Date 2' Z %— %,/ Signaturd of Permitee or Agent Receipt No. X-12 Y/ 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Gol.denrod-Applicant 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. DIRECT OF PUBLIC WORKS g By Date ! —Z 7—,7C Stg permit expires Date ?—.Z 7 - 7 7 .'Yc,'ty',,,r,,,q..�. r 'COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS- - 7 COUNTY CENTER DRIVE OROVILLE, CALIF_- 534-4541 CERTIFICATE OF OCCUPANCY' This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number .S 9G-71 for the following location:�"7-//�S" A/ 7 Owner Owner / -,"Address � n 4"' t�a�iGT/l��Q Mobilehode Mfg. Model Years 7 Insignia'Vo.%ly/.2 Serial No.�3% lJ 4- �C It is hereby certified for occupancy at the above described location and may be occupied. Directorr of -Public Works Date—,l f� By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED j, r7..Wia-U-529(5�76%-M ' ldilliams i',Dolan 'G. w�s Nelson'Bar Rd..,2 mi. no.. of Int Rd.,i Yankee. •lull (reinstallation, for .eicisting site/Mll) ,gip. 58 19=87 '„ . • M K _ ^f 3 a.. a k r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive — Oroville, California 95965 Tpl ephone: 534-4541 APPLICATION AND PERMIT au a wiicc icNl cacnlauvca VI ulc VUUIIIY UI DUMC IU Cuter UPUFI ln6 above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receint No- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date o BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 7 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ! Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W"C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 Hq EQA Parking Plans ParcelParcel Declaration Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 I I Bldg. Plans Recd Parcel Adpfioval PledoApproval Permit Fee $--g $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �;- - Main service i°o°o AMP ORsLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil HomeE] Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD -L too AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.OCCUP. &) 22sgft NEW CONSTR. MULTI.OUTLET NO N•RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)PL@SQ BAL@1 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ au a wiicc icNl cacnlauvca VI ulc VUUIIIY UI DUMC IU Cuter UPUFI ln6 above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receint No- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date o 1 9. 'Electrical ' A. Is service large enoiiglk to provide adequate amperage to 'niobilcliome. (must equal rating of Mobi_lehome with o 100 amp.) and other faciliti_ ls. ,on; lot, i.e. , water, pumps, ara-e, cabana, etc.? YesA No 1�. Is then--� ;groper clearances around panels? YesX No �� C. Is power supply cord or feeder assembly properly fused? Yes�C No_ D. Is continuity test satisfactory as per the following procedure? Yes No+ 1'. De. -energize electrical wiring, system of the mobilehome at the r d stat. 2. Make sure that tide power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4: Connect one l::id of a test instrument to the mobilehome grounding conductor and ' supply conductor, including neuLrai. G;,p,y t't'�e oti e .Lcau to each wob'ileitiiiiie Sli � 5. . All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be c6nnected to the site service equipment.: A further continuity te:L shall then be made between the ,grounding electrode and the chassis of the mobilehome. UnOI1 satisfactory completion of the electrical tests, the' lot or site service equi.pmenL may be approved for energizing. ;.0, is jab card si ned by Health Department for water and sanitation? 1.1.. If everything okay, sign off card and ta- services. ` OBILi:M.RL•' DATA Manufacturer and/or Namestyle % '31 Length— Width Vehicle Serial No. �7�`7` / Z State Identification No. 1.d( .4tional Inform -at -Jon or Comments MOBIi-XI ME INS. 1IAL LATION INSPECTION CHECK LIST 1. Is the mobilehome located w ,l_li required separation from lot line$ and buildings and generally conform to plot plan? Y(:No� 2. Does the m )bilehome leave' 'requir<<d clearances above ground? (Sec.5085) Yes_x No 3. Are foot:i-n;s and, supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles:) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) Yes No� 5. If mo -e than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5: Water A. Is f i_ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs: air test? Ye"-�— No C. Backflow - If coach i o_t—S-ta-to--o.f California approved, does station have backflow device a _ px'essure-relief valve? Yes No 7. Wastes and Drains \/ A. Is connection made with Schedule 40 DWV and have flex connectors at each,end? YesJ� No B. Does it have minimum z;" per foot slope and is it properly supported? Ye No rT C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large 'as the mo ehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. -� 2. Shut off appliance burner and pilot valves. 3.' Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes �No COUNTY OF BUTTE — DIRiQARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi�le, California 95965 Telephone`. 534-4541 APPLICATION AND PERMIT r-�, / �76 u .vi ze iepresenLaU ves UI ule County of Butte to enter upon the above-mentioned property for inspection purposes. X `G� a Date J 7b Signature of' Permitee or Agent j Receipt No. / t'Z-Z 73 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTO PUBLIC WORKS BY Date Z3 - 7 uilding permit expires Date_ ?,3- 77 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor //jj j 2 /�� Total Valuation Mailing Address ��� ���-�� Permit Fee Plan Checking Fee &/or Penalty Telephone No. 7 2 -"S7 Permit Fee $ Building AddressPLUMBING S L S o/✓ /3�9/� No. @ FEE PERMIT FILING FEE $3.00 �- �'�/. �• ©7� Each Trap 1,50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 (, A. P. No. 1� �'� — 6 Zoning & Planning Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 F VI[< Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Plans Declarration Parcel Map 60' R/W Improve is Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel A val PI Approval Permit Fee $ $ NEWADDITION ❑ ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �� /T r^L• /�� D/� ST�itit5 Main service 600v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home XNOthers ❑ ER 60 Main service 10 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 2¢Sgft NEW CONSTR MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) '2.50ea NEWCONSTR: /POWER APPARATUS & NON .RESID. %SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Ex. c�(OUTLETS �GcJ�N Ci%7r-S Ex. Occup(OUTLETS OR FIXTURES)�� BAL@1 Occup.FIXED APPLN S. OR (RESID.) EA) 2.00 Temporary service 10.00 aa /1^ �/ License No. Classification (. Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 10 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I to an certify that in the performance of the work for which this ermit is issued I shall not em p employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby .I, a 0t' 0 TOTAL PERMIT FEE / $ DO�, u .vi ze iepresenLaU ves UI ule County of Butte to enter upon the above-mentioned property for inspection purposes. X `G� a Date J 7b Signature of' Permitee or Agent j Receipt No. / t'Z-Z 73 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTO PUBLIC WORKS BY Date Z3 - 7 uilding permit expires Date_ ?,3- 77 NOTE:—All Materials & Workmanship Shall Be in Accordance with Rte- ngnized Goad Practices and of a quality prescribed for the Specified use in the eS� Uniform Building, Plumbing & Machanical Codes and ..� the National Electrical Code. This set of plans . 'mss MUST be kept on the job at all times and it is unlawful to make any chances or alterations on some without written permission from the Department of Public Works, County of - Butte. 3 Th Setback shall be 5 ft. from fhe side property line and 50 ft. from the centerline of the road, permitting maximum of a 2 ft. eave overhang � �U'�`TE i✓��� RUIO N6 NEPARTIVIN"t A PP ko Ew l • BUTTE COUNTY DEPARTMENT.OF PUBLIC WORKS 7 County Center Drive,° Oroville, CA.. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Vah�•t/ �7_ ze/i L L S 2. .Installer's name:GA? 3. Is the site currently under permit?. Yes / / No 7-7 ' ( If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic ,tank and leach fields and clear of all setbacks and easements? Yes / / No ( If no, clarify ) . 5. What is the mobilehome electrical rating?------------------rnvI Amps 6. What is the mobilehome site service rating? ---------------- Amps 7. What is the mobilehome site circuit breaker rating? --------/Q D Amps 8. Is there any other electric load to be served by the mobil site service? --------------------------------------------------- Yes / No. /� (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipeYsize?----------------=----- %,� (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome?(ft.) 12. What is the mobilehome gas demand? ------------------------------ .(BTU). (This information not required if pipe length less than 6 ft. on natural gas or less than, ft, on LPG') ) .50 ;/1111i 3tlj�i • tom.. '—a q rr �" 5 � CC1 . r ,4 MOBILEHONE SUppon DATA Mobilehome Mfr. Setup Model No. Year 173 Width �G (ft.) Length 3 (ft.) Expando Size ft.x '—ft. (Draw support details below) On al mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation mann and structural setup sheets (if not .on .file with.the County of Butte). - Sin le —a Footings- (check: one) 1. Wood either Ceer Su port Loc tions Center Support Footing Sizes (in.) pressure treated or fdn-. grade. 2. Concrete pad. 3. Other,: specify ktt.)in. Supports (check one) / 1. Concrete block ,x y 2. Concrete piers (ft in� (in.).(in.) 3. Steel piers 4. Other, specify x Z . Typical Support -41 n.�( Footing Size in. in.). e t. in. (in.) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Max. Pier Spacing Max. - Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED �'% J. RNCORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 �ctDQ1E,-1�11®IEs57'3� Recorded 1 REC FEE 10.00 Official yyRecords I Coul of i CONFORMED COPY 1.00 CAN NU J. 6R11BBS I County Clerk -Recorder[ I I NZ 09:48AN 15 -Dec -2096 I 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 with the real property. CITY COUNTY STATE ZIP UNIT DESCRIPTION CMH MANUFACTURING 2005 72PER42564AH05 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER ALB0290810RA/B/C 56'x 40' ORE467635/6/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: ASSESSOR'S PARCEL NUMBER: 058-500-003 SEE ATTACHED HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. M, BUTTE COUNTY BUILDING DIVISION MICHAEL CHRISTOPHER KLOBAS REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 400 MISSION RANCH BLVD. #50 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS CHICO BUTTE CA 95926 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 11401 NELSON BAR RD. 06-1524 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILD G PERMIT TELEPHONE NUMBER CONCOW BUTTE CA 95966 12/14/2006 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION CMH MANUFACTURING 2005 72PER42564AH05 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER ALB0290810RA/B/C 56'x 40' ORE467635/6/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: ASSESSOR'S PARCEL NUMBER: 058-500-003 SEE ATTACHED HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. M, EXHIBIT "A" The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL 1: A portion of the Southwest quarter of the Northwest quarter of Section 33, Township 22 North, Range 4 East, M.D.B. & M., Butte County, California and more particularly described as follows: BEGINNING at the'Southwest corner of the Southwest.quarter of the Northwest quarter. of Section 33, aforementioned, which point is the true point of beginning for this description; thence leaving the raid Southwest corner of the Southwest quarter of the Northwest quarter of said Section 33, and the true -point of beginning for this description and running North 00. 26' 53" West, a distance of 1056-18 feet along the West line of said Southwest quarter of the Northwest quarter of Section 33 to a•point on said West line; thence leaving the west line -of said Southwest quarter of the Northwest. quarter of Section 33 and running -South 29. 59'•23" East, a distance of 697.14 feet to a point; thence South 60' 00. 37" West, a distance of 198.00 feet to a point; thence South 29. 59' 23" Best, a distnace of 260.00 feet to a point; thence South 25. 09' 00" East, a distance of 162.04 foot to a point on Nelson Bar Road; thence leaving said Holoon Bar Road and running North 87. 07. 10" West, a distance of 368.01 feet to the true point of beginning of this description. EXCEPTING THEREFROM all rights of the County of Butte for road purposes. AP No. 058-500-004 -PARCEL II: The real property in the Section 32, Township 22 North, Range 4 East, V.D.B. & M., County of Butte, State of California, described as: COMMENCING at the one-quarter corner common to Section 32 and Section 33, Township 22 North, Range 4 East, M.D.B. & M.; thence North 01. 08' 33" West along the East line of said Section 32, 60.00 feet to. the true point of beginnings thence leaving said Section line, South 88'.51' 271 West, 135.00 Coat; thence North 01' 08' 33" West, 173.18 foot; thence North 74. 47' 34" East, 139.17 feet, to a point on the East line of said Suction 32; thence South 01' 08. 33" West along said Section line, 207.00 feet to the point of beginning. AP No. 058-500-003 PARCEL III: A right of way of 60 feet in width for ogress and ingreas and more ` particularly described as follows: ' COMMENCING at the Southwest corner of the- Southwest quarter of the Northwest quarter of Section 33, aforementioned; thence leaving the Point of 66mmenoament and said Southwest corner and running South 870 07 10 East, a distance of 368.01 feet to a point on Nelson Bar Road which point is the true poifit of beginning for this descriptions thence leaving said point In -Nelson Bar Road and the true point of beginning for this description and running North 25. 09' 00" west, a distance of 162.04 feet to a point; thence North 53' 45' 00" East, a distance of 61.14 feet to a point; thence South 25. 09' East, a distance of 138.35 feet to a point in Nelson Dar Road; thence South 34. 16' Hest, a distance of 69.70 feet along Nelson Bar Road to the true point of beginning for this description. 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