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HomeMy WebLinkAbout058-520-052058-52-0-052 #98- 627 SMITH, DONALD U70 C7,2,�r17 BLASER MOBILE HOMES1I0' MH PERM FND NEW SITE 058-52-0-052 99-0005B SMITH, Don 11788 Capricorn Way, Oroville (open deck)MH r Y D Al 4'2 DECEMBER 8, 1999 B E A U T Y ucrAnimcmi yr ucvcLvrmtni acnvn ca 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 DON SMITH RE: Building Permit # 99-0005 P. 0. BOX 4145 Expiration Date: 1/13/2000 OROVILLE, CA 95965 A.P.# 058-52-0-052 With reference to the above subject,.our records indicate that your building permit expires on the above date and your permit falls into one of the categories marked below: [ J Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original .expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. *kX No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the OROVTT IF office. Thank you for your prompt attention concerning this matter. MCV:ahb Attachments Chico Office - 1469 Humboldt Rd/891-2751 Yours very truly, 4ceC. Vira, C.B.O. Manager, Building Inspection Paradise Office - 747 Elliott Rd/872-6307 C G/ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 g. PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-52-0-052 ZONING BUILDING PERMIT OWNER DON SMITH d 6Q& 48 TELEPHONE 343-6935 SO. Fr, OCC. BUILDING VALUATION 94n 1680 . OWNERS MAILING ADDRESS 12555 W K STREET, BENECIA CA 94510 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS OWNER CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING 1. 7198 CAPRICORN WAY, OROVILLE ll/ Energy Plan Checking Fee $ $ PERMIT FEE $ 84.35 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE „ SF ❑ Duplex ❑ Mobilehome ❑ OtherWater Solar or heat pump water heater 23.00 piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New IX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: OPEN DECK/MH Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oA LE:: 23.00 i LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.41N..WER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation on hundred dollars ($100) r less.) rl etify Iti tfiepe o of the work for which this permit is issued, I shall t e a r I any) manner so as to become subject to workers' cot sat aws rfornia, and agree that If I should become subject to the e ' c m en f visions of section 3700 of the Labor Code, I shall psS. _ Date � 9 9 gn ture of licant - Owner ❑ Contractor ❑ Agent An OSHA permit is requir for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. S.3.50FT. EW CO MULTI -OUTLET @7.50 N" APPARATUS OURET CIR. Ex. Occup. OUTLET OR FIXTURES 620 @ '.00 . 0 Ex. Occup. OuT�is R6I0.°FIXEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 84.35 IMP FIA CD PARC H ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above foZwhich ees have been paid. By Date PERMIT EXPIRES ON I If pate Receipt No. 257849 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I T•^.p.^1j'�`rs.. _-�. ��� .. .. :R'.v.. 'Ti . � �. ..1:� '° •.�, 1. .i/.��1 * "' T.'�S ��Jf'i. ����� 'i ',���-- V . (O -LINTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: 0-58(' � S z — nt/ Proposed Building Use: Building Inspector: Date: /.Z, 30- cl R At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- . ❑ 7. Statement of Intent for Non -Heated and A/C Buibings---------------------------------------------------------- 1'1O8 ' Hd M al F azar ous aten orm.-------------------------------------- ------------- T -------------------------------- Y -❑9.14manufactui' d Home data and -installation instructlons,indliiding TieDowwSpecifications =.- ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. ' Impact fees as shown on the attached schedule f --------------------- ❑ 12. California Department of Forestry plan approval/fees-------------- ❑ loud elevation certificate. --------------------------------------------- Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- �, . ❑ 17. Planning approval for (A) Use: (B) Parking: 4' ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----- ------------ 111. 9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 1120. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------ ❑22. Workers' Compensation carrier and policy number. (Date) 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 1124. Letter of signature authorization. ----------------------------------------------------------------------------=--- ❑ 25 . Recorded copy of Agricultural Acknowledgment Statement.-------------------------------------------------- E126. ---------------------------------------------=-- ❑26. Letter of intent on building use.--------------------------------------------------------------- ❑27: Manufactuced'Home'utility clearance.---------------------- - ~ d� 028. Existing violations and/or expired permits. -------------- =------------------------------------------------------ ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D+$ . --------------- 1130. other: ------- When you issue the permit, process as follo Mail to owner, ❑Mai to tractor. ❑Telephone •-��7 _�� �; 69�d hold for pickup at �� ,office ❑ Deliver_w-ith inspector. ` n 9� t Applicant: � � �. - = Date: X12 Copy 'f Haz-Mat form sent 11Health Department, ❑ Fire Department; o- : %P/odW ion Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, o Other: j Date: By: i" 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, o Buildin i • •on counter, by Dat . Plans reviewed by: Date: Plans approved by: Date: // Sets of plans on hold in ❑ Plan Cabinet, 11A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT 4 0M,5— A8808oR/ARCtL Nuasi6l WNW BUILDINGPERMIT OwNLA � F.3 SO. FT. OCC. BUILDING VALUATION OWMA'S www ADOIILS� , w f C. z S CONTRACTOR'S NMS T�NONa OONTRACTOR1 MUM ADCAM OONSTRuaWN UDC'm LMOM www AWFM Fire lace Total Valuation S ARCNRlCT OR eNmNFs ueFNse No Flin Fee $ 20.00 AMC= DMOMS MAL=ADCAM Permit Fee $ Pian Checkin Fee $', suaDMAWAM W,4 Energy Plan Checking Fee $ s PERMIT FEE 'e r uxNa sueosysa wirE FAMM YAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF O Duplex 0 Moblohcme Other Water piping 15.00 Each as water heater or vent 15.00 TYPE OF -WORK Gas piping systern 1 - 5 outlets 15.00 New 13 Addition �$' Remoddd O Ufflee dation O Other O Building sewer 15.00 13 Describe Work: f �1� lJ C� ��-- Mobile Home I S I G I W @20.00 PERMIT FEE _ ELECTRICAL PERMIT FIIIn• Fee 20.00 Win Service 20,oAo�alEZSs 23.00 Main Service 2NA TO IOWA 46.00 NEW CONS . OwELLM oocuvsm OR ADONS. a ACC. etDa 3.50M rgNfl®ID.' YU{7LOYTL ET @7.50 rower APPARI1TlA a s ounFr ca f M4M Ek. Occup. 0= OR FD 20 .00 SAL � M PL Ex. Occup.oir is ME9m. a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee 20.00 j HeatingI Cooling Hood 6.50 Ventilation PERMIT FEI! S Mobile Home Installation Fee S Energy Inspection Fee S - occ `°"sT' TrPe TOTAL FEES- NAZ O. MM WP P1000 COP PARCiL PO IO 651E Receipt This permit is hereby issued under the appil able provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date �--- I PERMIT EXPIRES ON v E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.O. / TO: Building Department Y FROM: Environmental Health SUBJECT: Sanitation Clears e Owner Location AP# Plan Approved for: Sewage Disposah Water Supply: Public Private Wel Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmen 8/96 .B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO ❑ 2. I HAVE ❑ HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYO SOCIAL SECURITY gtN&R: DATE:' 2 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER 11` 06-19983:22AM FROM BLASERHOMESSACTO 916372135700 i. 1 4 P. 2 O . $ 1NCLVp�. • r EQVIPM��i�►SaAP'�p ou ��pm -oie S ti SND pV�N ��D� pP Res VT- SV- � Ep,� �' �N��N�op CEPq �- $did ®� 0V'�RNp►N d G� �-Z b sl� r ck {}b BVEE COUNTY BUILDING D*E-PARTMENT APPR0,V ED /i 9 I I. ng, 98 02: 1 1 PM P02 6" Tyr ,�- � , T4 G PLYWOOD CC EXT. Z4'ii&;'DF*2 2'jt V DECKING (ALT) GIRDERS 1'18" T1 PLYWOOD CC EXT. -� :r -ii 4"x Us _ Lam' _ _ _si =•= OC i Zo FRMN G_ > CLI P-_ -� �' - f7- 2 "x4' - MOBILE NOME OR 9U -y-- 45- MTL. FRMu MAX. CLIP (EA. RE 4"x 4" POST 2"x 1V - z r CrUARPRAIL #IZDF.� MAX.'S OECKIIJG GIRDER xx l4l' MIN. FOOT I N6 4'x9" POST - AVFQUATF DLAC ONA L. 13RACI NG. 2' x 12" STAIR STRINGER. 48 O.G. MAX. -TOP VIEW HAU[21ZAIL NOT SHOWN FOR CU91TY. 3/S1 BOLT cc 52 MAX. • 9'MINL \may r • D In Z >G a0 21x4" PRESSURE (2) 3/s' TVATIC11 oR DOLTS �RFDWOOD Pl..A7F. 6-12-90 .i r 1091 1M1 10L 1 1001 log 109 10q 10L 10L lop LAND DEVELOPMENT OROVILLE / CHICO BUILDING / ENVIRONMENTAL HEALTH -PERMIT CLEARANCE OWNERS NAME l'1' PRINT LAST NAME FIRS Building Permit No. e9U C;26-�„ A.P. . NUMBER ADDRESS /LOCATION: C'�-Plel Co�2n/ COUNTY ZONING 177�j DESIGNATION: FLOOD MAP: FLOOD ZONE: • - APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP V1 DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES. COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: -YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING: 6a & 9 LOT 4 BOOK �� PAGE / 2 COMPLIANCE WITH OLDSU IVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: - K y., _ A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. �1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft. building setback from right-of-way/centerline —3. Comply with Zoning code for building setback from road. —4. Maintain a 100 ft. leachfield setback from all existing wells. j 5. Maintain a ft. leachfield setback from r�/�/Z/ /UG / 73 FU/2• e -OM -770I —6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. X7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. —8. Connect to a public water supply. `t —9. Connect to a public sewer system. —10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. —14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. —15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. —16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission* requirements of the Califomia Clean Air Act of 1988 as amended. —20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. fi%EYL(/l�l ��'�(n� G S/,!-,4 G � �3 �r l�3 �i�3�Y ►n�/�'z-� � �41C �fzslG f�T .T )<23. S�� �� � 73 �/� v � c /iy G 21 7-4:2- -24. 4:2- 24. 25. 26. AIO 1N3Wd013A30 GNVt 311118 30 k1N1100 9661 9 .l ZION a3AI333b LD 6/98 FORMS\BLDG PERMIT CLEARANCE MEMORANDUM TO: Martha Whitney, Building Division FROM: Steve Betts, Planning Division SUBJECT: Building Site for Don Smith on APN 058-520-052 DATE: December 4, 1998 DISCUSSION: After a review of the parcel map that created Mr. Smith's parcel (Book 11.5, Page 73), Planning staff has determined that a house can be located anywhere on the parcel. RECEIVED DEC 0 4 1998 BUTTE COUNTY BUILDING DIVISION ■ Butte County ■ Department of Development Services ■ Planning Division ■ 1 COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: OROVILLE PRODUCTS - HAROLD BALAZ ADDRESS: 6900 LINCOLN BLVD - CITY & STATE: OROVILLE, CA 95966 DATE OF CLAIM: 12/28/98 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT APPLIED YOR SAMEPERMIT. (A.P. #058-520-052; BP#98-2756, RECEIPT # 251363, DATED .11/30/98, OWNER: `DON SMITH.). TOTAL AMOUNT PAID.... ........ .... ...... ,$255.00 RETAIN•REFUND PROCESSING FEE.:.......:...........:25..00 :.$ . RETAIN PLUMBING PERMIT FILING FEE ...................$ 20.00 RETAIN TOTAL AMOUNT TO BE RETAINED.. 65.00 TOTAL AMOUNT-TO'BE".REFUNDED............................. $190.00 t j i i i I TOTAL $190. 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true I and correct as stated. It . 9 1 Dated this 28TH day of DEC. , 19� at OROVILLE , Calif. r Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles p 'fled above have een rformed or delivered and that there is a Budget Appropriation ( I or Specific Board Approval ( I (Check one) for the a i Dated this 28TH day of DEC. , 19 98, at OROVILLE Calif. ✓�' Departent Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 FOR $147PA4,BLE FROM CONSTRUCTION PERMITS FUND ` 0100 4617240 FOR 6"&PWRITE BELOW THIS LINE - AUDITOR'S USE ONLY FIRE PROTECTION GROSS AMT. DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. FOR BUILDING DIVISION USE: Receipt Information: Number: Date: Issued To: Amount: Fees Retained: I_ ✓ Processin Fee: $ Bldg Filing Fee: $ /Plbg Filing Fee: $ /Elec Filing Fee: $ DD - 6D Mech Filing Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Inspection Fee: $ SRA Fee: $ ,rte Total Amount Retained $ • Uy q0, TOTAL REFUND DUE __ _ �g $ CLAIMANT'S NAME MAILING ADDRESS REFUND CLAIM APPLICATION d -(,^,V -b I J -L-,)Q,--z-- ASSESSOR PARCEL #: 6) — Sao�0 RECEIPT NUMBER(S) a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) ( ) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of Plans: ( ) Plans returned to me at counter ` I ( ) Please mail plans to me at above address. y' ( ) Please dispose of plans. a, SIGNATURE' DATE PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM. FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. jke0S COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 1 PEEM NO. (Rev. 12/96) APPLICATION AND PERMIT '� a ASSESSOR PARCEL NUMBER 058-52-0-052 ZONING BUILDING PERMIT OWNER DON SMITH TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 6900 LINCOLN BLVD OROVIL cD�� HAROLD BALAZ TELEPHONE 1534-7670 CONTRACTORS MAILING ADDRESS 6900 LINVOLN BLVD OROVILLE CONSTRUCTION LENDER Fireplace y LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $MW Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $23 00 BUILDING ADDRESS 79f CAPRICORN WAY, OROVILLE Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome T Other SPECIFY _,O' Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities )p Installation ❑ Other O Describe Work: BURHOMF TTTTT,TTTFR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service A600V OR LESS ) OR LESS 23.00 LICENSED CONTRACTOR'S DEC RATION hereby affirm under penalty of perjury that I am licens under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the usiness and Professions Code, and my license is in full orce and effect. License Class Lic. No. y OWNER -BUILDER DECL RATION I hereby affirm under penalty of perjury that I am empt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees ith wages as their sole compensation, will do the work, and the structure is not ntended or offered for sale. ❑ I, as owner of the property, am exclusiv ly contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPEN ATION DECLARATION I hereby affirm under penalty of perjury o e of the following declarations: ❑ 1 have and will maintain a certifcate of consent to self -insure for workers' compensation, as provided for y section 3700 of the Labor Code, for the performance of the work for whi this permit is issued. ❑ 1 have and will maintain workers' ompensation Insurance, as required by Section 3700 of the Labor Code, for the erformance of work for which this permit is issued. My workers' compensation in rance carrier and policy number are: Carrier Policy Number (The above sections need 79' be completed if the permit is for work of a valuation of one hundred dollars ($1 ) or less.) j� I certify that in the perform c of the work for which this permit is issued, I shall not employ any person i any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation rovisions of section 3700 of the Labor Code, I shall forthwith comply with tho a provisions. X _ Date �-3A� i Signat re of Applicant - ❑ ontractor ❑ Agent An OSHA permit is required for�xnevr. tions over 5'0" deep and demolition or construction of structures over 3 stories in hBy Main Service TO tOooA 46. NEW coNsr. DWELLING so OCCuP. so W UP. OR ADONIS.( 8 ACC. BIDS. 3.50FT. NONRES1or. MULTI.OUFICUITS TIET @7.50 POWGLEER APPARATUS OAP= 8 SIN CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FDTTURES BAL @ .50 FIXED APPLNS. OR 5,00, Ex. Occup. ounETs RES, D. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ wi nn MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee I $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ CD HAz. D. FEES P FLOOD PARC PO SUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been Date PERMIT EXPIRES ON provisions to do work paid. ate ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIhL&, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET ` OWNER: t� �- %�' ASSESSOR PARCEL ER: Proposed Building Use: AlN w Building Inspector: -Date:-4/ —7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 111. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required priorto ppl'an review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- El8. Hazardous Material Form.7----------------------------------------------------------------------------------------- 13 9. --------- ❑9. Manufactured Home data and -installation instructions including Tie Down Specifications.------------------ 1110 iCalifornia Fees of $ ------------------------------------------------------------------------------------- ❑Impact fees as shown on the attached schedule. -------------------------------------- -------- -- - - 3 Department of Forestry plan approval/fees. "d -f ------ -------------- -- ❑ 13. elevation certificate.---------------------------------------------------------------------------------------- _ 4. Sanitation and plot plan approval 072.0 Health Department. ------------------------------------------- J ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- . Planning approval for (A) Use: , / (B) Parking: -------------------------- V8. Contact Land Development about W improvements, ❑ Drainage, Legal Parcel. ----------------------- 111. 9. ---------------------- ❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and,policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 11) - -------------------------------------- ❑24 tter of signature authorization. -------------------------------- Recorded copy ofd gncultural Aclaiowjedgment-S,gtatement. - ❑26. Letter of intent on building use. ---------------------------------- ❑27. Manufactured Home utility clearance. -------------------------- Y4 ❑28. Existing violations and/or expired permits.--------------------- `--'�� ❑29. 1143 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: (Date) �Tel ou issue the permit, rocess as follows 11 Mail to owner, ❑Mail to contractor. hone 7 6 7v and hold for pickup at 2'� office. ❑ Deliver with inspector. Applicant: &o/ Date: 07 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health -Department, ❑ Fire Department, ❑ Other: Date: By: Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: a ;(tractor, designer, owner, was advised of the above required data by hone, ❑ mail, ❑ Building Division counter, by ate, Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by V Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, El Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. r: yir,,±h'T,Sa T, rw .. , �-'i'V. ,�1 _�'•.•`r�� '�- _ '`+,.1 `. .Zz' -•}rt .i .e *_ ��, ti „ ,f• ��fJ'r'+.c'Yi,, .l,"�, 2..�. .` '..a^..'lr. �.. ^'�,--•,iii°ti ,.�+.'v'1-,(.�.'i.+�, it r • .;may COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER _D PROPOSED BUILDING USE 1. BUILDING PERMIT FEES / -- Balance Due ................ $ -- Additional Fees Due ......... $ -- Additional Fees. Due ........... $ --.Revised Plan Checking Fee ........ $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x _ $ #Units Amt. Commercial (sq. ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) • 6. THERMALITO DRAINAGE DISTRICT FEES $51.0.00 (paid at Building Division) r7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. # LO' OT Z DATE f %- RECEIPT # DATE REC I At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT Pursuant to Government Code Section 66020, you are hereby notifie project. You have 90 days from the date of approval of the project protest. The requirements for a protest are specified in Government DATE hat items 2,3,4,5,6,8,9, and 10 above may have been imposed* on your from the imposition of the above mentioned items during which you may ode Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) +i"z�+P'!. `Y�'Y!'+.•�/�-'r'�.y�"3.r �-^--+.y';"' iH''�''ir��'ri"JywN����"�'Yi�*`:Ry{ 4'�,., .� ayyd- �t� ., ^t. �4`�r++rr7,�V"'4A,� !��.r"� ��Y.� ..t�w�;.+'T? iilt -f� � Y h C&Nf OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES. -'BUILDING DIVISION 7 COUNTY -CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 5338-`7541 SCHEDULE OF�RECEIPT OF FEES OWNER .lJ�<<'� i3" I'"��^>I A.P. b L0 0 �.... PROPOSED BUILDING USE A/ G`' DATE % 6. � P'" t t RECEIPT # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ............. p$ -- Additional Fees Due ............ $ h ,Y -- Additional Fees Due ....... $ - -- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ ; .� Units U Commercial (sq.ft.)... x $0.03 =. $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT. FEES $510.00 (paid at Building Division) 4 7..SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) , $200.00 (paid at Building Division) - 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) ' 10. OTHER _ 1 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit'` These fees may be ch ged during the plan checking process. APPLICANTDATE Pursuant to Government Code Section 66020, you are hereby notified at 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 r, from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner » (�, (Rev. 2/97) ;;. i 058-52-0-052 #98-2627 RE�JDE�TIAL SMITH, DONALD f t-ff &A-Ptetcoe wl BLASER MOBILE HOMES MH PERM FND NEW SITE PERMIT NO. PERMIT EXPIRES _ OWNER CONTR. ASSESSOR PARCEL LOCATION CHECKED�E SRA BY I FLOOD CERTIFICATE REQ. ; FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY OFFICE COPY Address GAS Meter By k Date ELECTRIC Meter By Date • . �......—.moo-..a....... Called PG&E 7 ' JOB FINALED (Date) Signature V=OK 0 = Not OK Not ' = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test-Fall-CY"oncrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Ejpeffrcity; Location-Clearances-Gmd- p -Concrete i Gas; Location -Test -Wrap; / M -1t. / /Nat. or6)1L-ft.Afd PWell Clearance & D sconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBIa-HOME INSTALLATION(Plans) OK except #'s "rig Requirements- Setbacks Easements ngs; Size -Spacing -Marriage Line { G H Test Demand-Vah e -Connector i ectricity; MH Test -Crossovers -Breakers -Clearances I k5005rain; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector t 7. Water and Sewer Connected -C/0 to Grade -HD Approval Gas and ectdcity Tagged owns -Type -Installation Cert? Q 1 . Exits; Insp.-Sketch 11. Cert of Occupancy r 12. Permanent Foundation Only: License Decal Date 0 �Lard B-1 Date Card B-1 Date I Card B-1 �. Date Card B-1 f t > _S'- (-7-7(-)- a -5/t-/ -9 cv 41A, Ck 0 =- MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing-VeneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Fig. Porches & Decks; SoilsSteel-/ P Ftgq. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rf r. Ties-Purlin-roff Brac.-TrussShting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 64. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fat. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NoNValks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-FireplaceClearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COU9TY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COunty`Center Drive • 0roville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 98-2627 11 -- ASSESSOR PARCEL NUMBER 058-520=052. ZONING FR -5 BUILDING PERMIT ' OWNER SMI H . Donald ( 707) TELEPHONE 745-6935 SO. Fr, OCC. BUILDING VALUATION 1352 P 75,712.00 .OWNER'S MAILING ADDRESS 1255 111. K Street, Penecia . CA 94510 CONTRACTOR'S NAME Skvcrest Enterprises (916) TELEPHONE 372-5528 CONTRACTORS MAIUNG ADDRESS 2529 W. Ca • itol Avenue, ?:Test Sacra��lento CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 75,712.00 ARCHITECT OR ENGINEER LICENSE NO. Flip Fee $ 2 0.0 0 Permit Fee $ 265.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 11788 T� Capricorn .Jay Ener Plan Checking Fee Energy g $ $ PERMIT FEE $ 308.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome,'Q Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: N'T Oar PFPN FOUNDATION Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 65 00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 1' ,p Lic. NO. (�5 2— OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier f'--blga FaLi'le /yi. Policy Number ?J W je•� -e ' r4 � f2 if --el '_ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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 forth wit omply with those provisions. c� X--. v Date . Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLNG OCCUP. SO OR ADDNS. ( 8 Atx. BLDS. 3.50FT. NOON-ROSID. MULTI -OUTLET CIRCUITS @7,50 POWER APPARATUS 'POWER OUTLET CIR. OUTLET OR FIXTURES 20 @ t.00 Ex. Occup. BAL o .so Ex. Occu . DPurXEEDTSA g61p.OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 6.3.. 00 ' MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE OTAL FEE $ 416.75 HAZ. D. IMP FLOOD CD F PARC V/ PDHD S This permit is hereby 'ssued under of Te County Code and/or Ind' ate for hiq� fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date. 7 afe Receipt No. 251168/,$83.00// eel WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -IN PECTOR GOLDENROD -APPLICANT II COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE k, —L6Z1 PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the r•, above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. .✓y { /755 1�1- A �y. . t. zx Si. tr M2 r �•r F'. E0. F' l! Date Inspector REV '0/92 COUNTY OF BUTTE BUILDING DIVISION t DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 : _< CORRECTION NOTICEs 1 '-ZGZi PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. /f 0 t 1 a ^'t .d E« J i 4 ;.i 1 Date Inspectors/G� REV 10/92 3 i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County'Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. z APPLICATION AND PERMIT N9 23-- . ASSESSOR PARCEL NUMBER 512- ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS S NTRACTOR'S NAME /gyp f+ �Y�r'�SQ�( TELEPHONE "Cl i CONTRACTORS MALLING ADDRESS S' CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee I $ /- atps •"1S . ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2 SUILDINGADDRESS j/ 7 O C Energy Plan Checking Fee $ $ PERMIT FEE $ O LAT No. SUBONS PNS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tra 7.00 USEOFSTRUCTURE SF ❑ Duplex I� Mobilehome)% Other SPECFY Solar or heat pump water heater 23.00 Water piping 15.00 15 00 Each gas water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ other ❑ Describe Work: � r:e , J,P �I ;. vr+e� u ry � -�: �+�, . l�a....n�ir�►4 64, Gas piping system 1 - 5 outlets 15.00 Vit) Building sewer 15.00 spa Mobile Home S G W QG 20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 RLESMain Service 2ooA OR LESS Main Service 200A TO 1000A 23.00 Z 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect License Class Lic. No. -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following clclarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed N the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. /� Date %%^ /y '7 i Agent IS gnature of Applicant - ❑ Owner ❑ Contractor eop An OSHA permit is required for excavations over 5'0" dand demolition or construction tures over 3 stories in height NEW CONST. DWETIING OCCUP. 3.5QSo. OR ( M NEW CONST. MULTi ou�nEST NON-RESID. @7.50 POWER APPARATUS a SINGLE OUTLET cIR. 20 Ex, Occup. CUTLET OR FIXTURES BAL @':50 OWNER Ex. Occup. ESI& JD I E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ ' MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FETE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TO FEE $ (O HAZ. . Es IM FLOOD CDP PArL vD HD ssuE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. /e No. �� .D.S.-B.D. CANARY - ASSESSOR NK -INSPECTOR GOLDENROD -APPLICANT t L E.H. USE ONLY Rot Plan Attached Floor Plan Attached Sent to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Dispo Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist E ILRI Water Supply: Public Private Well Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CP_NTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET 46 OWNER: oCii M t ASSESSOR PARCEL NUMB : ' 5 a � �'n Proposed Building Use: 6A ij Building Inspector: Date: ( I-- t p ^Q At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 111. All items have been submitted.------------------------------------------------------------------------------------- �Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ GW. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. El 7. Statement of Intent for Non -Heated and A/C Buildings. ---- 8azardousMaterial Form. ------------------------------------------------------------------------------------------ � .Manufactured Home data and installation instructions including Tie Down Specifications .------------------ �0Fees of $ 33------------------------------------------------------------------------------------- aYl ./ Impact ees as shown on the attached schedule.-----------------------------------------i-f-------------�--------- �F orma Department of Forestry plan approval/fees. -IrE--------- ---------�-I �`�� elevation certificate. ----------------------------------------------------------------------------------------- ation and plot plan approval Health Department. ----------- --------------- .S =-6�--------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 7. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about Improvements, ❑ Drainage, Oftegal Parcel. 111. 9. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑20. Pre -inspection for required. Request to Building Inspector on 012-rContractor's license information. (Number, Name Style, Classification). ---------------------- =------ R2'.Kworkers' Compensation carrier and policy number. ---------------------------------------------------- 1123. Owner -Budder Verification (Given to owner ❑, ailed to owner ❑). -------------------------------------- `/ - 1-------_-,-�-,-��------------------------------------ � 4. Letter of signature authorization. �� 5. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- l ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- ❑28. Existing viola 'ons and/or expired permits.----------------------------------------------------------- _ �. IW33 A, t Deed, PTAH. Title, 0-Clieck to H.C.D $ �� .--------------- ---- E130. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail ton tractor. �elephone 209 -570-233Uand hold for pickup at Qy U I (r`� office. ❑ Deliver with inspector (Date) Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: 2 ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required bye, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by hone, ❑ mail, ❑ Building Division counter,,by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑phone, ❑mail, it ' `'sioirs anter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: D Yellow Copy - Department of Development Services, Building Division. r COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE. (916) 538-7541 SCHEDULE OF FEES DUE OWNER �iVl (�1 1' 1 A.P. # PROPOSED BUILDING USE '/ DATE t\_ 10 JZ1. BUILDING PERMIT FEES 22 22 -- Balance Due ................ $ J J -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised. Plan Checking Fee ....... $ �. SCHOOL DISTRICT FEES (paid at District Office) V 3. SHERIFF FEES (paid at Building Division) . — Residential ........ _ I x $360.00 $ Units Commercial (sq. ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) _0 7. SRA FIItE INSPECTION AND PLAN CHECK a L $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER RECEIPT # DATE REC At time of permit application, I was advised the above fees are required to, be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT ,� , �t >`�_, ` DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) , COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 --COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF RECEIPT OF FEES OWNER .1��t.._.�_...._.. PROPOSED'BUILDING USE RECEIPT # DATE REC 1. BUILDING PERMIT FEES , "1 -- Balance Due ................ $ �. -- Additional Fees Due ........... $ -- Addit1o4al;Fe9s Due 1.1y. �F.. • r • • $ �„ -- Revised Plan Checking Fee .. _..... $ , (, "````VVVVVV 2. SCHOOL DISTRICT FEES (paid at District Office) 11�3. SHERIFF. FE1rS (paid at Building Division) 1 If 3 Je lS Residential ...... I x $360.0. Units Commercial (sq.ft.)..., . x $0.03 = $ Sq. Ft. A.P: # rbcs — 4 1 DATE �' �- 1 4. URBAN AREA FEES (paid at Building Division) Y Residential (per unit) . �% x = $� #Units Amt. Commercial (sq.ft.) .. x =$ ` Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE..DII k.STRICT FjEES a z , $510.00 (paid at Building DivRion) -) v ' 7. SRA FIRE INSPECTION AND PLAN CHECK a .,�, LOS $89.00 (paid at Building Division) 8. WA . B TENDER FEES (Battalion # ) $200.0 aid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER 17, At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit.• These fees may be changed during the plan checking process. APPLICAN _ } DATE `� 10 9 �. Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and' 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). • . f f Original -Building Div. 2nd Copy Applicant 3rd Copy Owner (Rev. 2/9z ABTNORILITI9N, TO WHOM IT M.RV CONCERN: i60BTI11N PERMIT I authorize. D..-C.-.C-o-nsul-tl-ng,.and - theJr- agents to:-apply, 7-.��to:-apply..and- sign for anyperm.il_*application_..andtoe. -on..-my,,.behalf necessary, to"-06t4itv the permit -for my -project. located'al: BUTTE COUNTY APN*58-52-52 TH.fiNK YOU, name RUSS COCKRUM SHCRRMENTO MRRGER SKY CREST ENP phone-' (91,6)972-5528 4q! -12/0-1198- date f � DEC 709 1993 fOz L"Ot_ «� rT j 1. �r _I 1 Fj LT. Al _ , t ' 4 p a pp,�,",�_g''+. tC$ + # f I - r ► i ` , + 91t A,... t +jl @L. tQ I ,� to •P?'e�v�,,��o �• �pp=, .$�-, L .�'}__ - • . � * .. �._._. _ . _ e�t�-�" pini OZ -14 1._i. .L-L.....�, _ } -_� '�_;._.- t1_.:.-t.-..� ..+�..�.t h__.Ji.�.Of.^�/. , -� , }✓�.: r r ( r_- _� --'- �-! L +-F�9- � f ! .._._,_I ,--•-^-+-«- .- ,-�-�..•�--.._._•_ - . _� _Y _. -:--1--•-.• !lye'-- r 1 + 1 Tr 4-j',_�-._+-L-�- -j• -L Tr I 1 + f 1 r *-•_4=- i-{- — t i� ; r --•--�-1 � �. t rr�.._. _ ' ! r _ :._ _i_ �. T� �' ��_. 4_,L1_.t.��_-_ ' -_� � F�---__ IZZ I j ~ r �._� �� r--� -- +- - } � `- r �• h - - � G ( _ - � ,-rti } r t , �'� �� i 1'�—��-��� ' TIS; � ' ' y ' E1` �01- Y 1 L�r`¢�.,[�� ;rr� -}-• t_�i 1 .� r.l}--I`._'_-it- j -- _� `"j_ j--"r-(-�j�j- j i -'--T- r ----i .. i `. � .� QQl�' �'�` v.IL f 11 4' `•! ^ F t"t- « t 1 -r- 1 � + 4-f-•--- .. E� -� rfRi` .. '.��i-�`'� � fi' _� + • 1 ALE. 1 _ !. !.i I i # '— { � tr—} ,a 11 .1 S+ b.6 '6--4. 1 _ }� 1__l�_ _ R,- �- T -i ._ �� ' ' -' t "- 'i' � fl 186- - -�- � .� ; �..` _.. � �•-�i .��.._— ....y _j I ; ! t 1 -moi .._�_ 1 .L�-i- r_1 I r } +--+--t--�- fit ell NG l-�(:I' i F--,<�II. fe--'EI� NY.�s. t_.� _. -F:-� -- :_�A' SET TOACK nE ; �Z?_; �'. F �r7. ! rE lD ANI} FT. PRO! -i -T -VE -RFir-lPROPffiTYUHE�L )AND - Oz + aa GE1 #- - .- - CLEAR ;OF STRIjIOTURF-4 %l%D,EbUIPWoEffT EXCEf?Tr t� -. y \ - - S !- ` L FORWZFT. EAV EE -OVERHANG +� ;091 T L4 -1 4 1.-�.i_s _ - - �t--- COU_ ; _._r jlLDiNG DEPARTME-W-3 rr � - CDF FIRE SAFE REQUIREMENTS (l - 2'r7A � 'O'J AP# PERMIT # NAM Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [V] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [ j 1273.02 Surface. All driveway surfaces and structures (bridges, ' 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�1 1. No roadway shall have a horizontal inside radius of /I curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive ff of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 11, feet long with a minimum 25 foot taper on each end. [`] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3-*. t b t t CDF FIRE SAFE REQUIREMENTS (l - 2'r7A � 'O'J AP# PERMIT # NAM Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [V] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [ j 1273.02 Surface. All driveway surfaces and structures (bridges, ' 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�1 1. No roadway shall have a horizontal inside radius of /I curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive ff of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 11, feet long with a minimum 25 foot taper on each end. [`] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3-*. U AP # PERMIT # NAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1P1. Gate entrances shall be at least two feet wider than //-- the roadway it serves. [�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 413 property lines and/or the center of the road. [ ] 2. For parcels less than l acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�l 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall ba completed prior to completion of road construction �r fi:ial inspection of a building permit. Page 2 of 3 a AP # 9Y- z?f .�",-171L 2)ej PERMIT # NAME Other Requirements [ ]. If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves ] If Building Setback is Less T4an.15.Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 0% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials /z-7 Date Signature Page 3 of 3 S Mobilehome Manufacturer: � Manufacture Year: q If other than single wide, furnish Se&p Model Number: d2 0 Width:2&_(ft.) Length:_,.4- :— (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after 'October 7, 1973, furnish manufacturer's installation manual and structu . etup sheets. , FOOTINGS: wood pressure treate r foundation grade[ ] - Other: SUPPORTS: Concrete oc c Other: Provide Tie Down Specifications for all Mobilehomes:�� Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 2 ...................................... Main Beams ........................................................................................... Line 2 Line 1 " s ................................................................................................ Main Beams ................................................................... ............i.. «.... ................................................. _--Lie S Tag or Triple e 4 ine 1 r 1 Line 1 Piers: Size minimum: r 1 x Spacing maximum: I t` From ends -maximum: 4` -Line 1 . Line 2 .Line 2 -. Line 3 • Line 2 • Line 2 Line 1 Line 1 Openings Size minimum: [ !off ] x [94 Each side of openings with width over: ` Line 2 Piers: Line 4 Piers: Size minimum: [ ] x [ ]. Size minimum: [ ] x [ ]. Spacing maximum: • ` Spacing maximum: ` From ends -maximum. ,Z From ends -maximum: ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): OVER E COUP ;` QED �� 1. Owner's Name:- Al �� ! i' `• 2. Assessor's Parcel Number: 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No[ Permit No. 5. Is the site an existing site? Yes[ v f ' No [ J (If yes, furnish two plot plans). 6.. What is the electrical rating of the. mobilehome?—Av— Amperes. H 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. .9. Is the main service remote from the mobilehome site? Yes[ ] No[K] If it is, what is the rating? Amperes. 10. Is there any other electric load o be served by the mobilehome site electric service (i.e. well, garage etc.)? YesM of ] If yes, please identify the load and size: a) The mobile home site: Load- Rd rwt Amperes - b) The mains service: =' Load- Amperes- fr 11. Type of gas service at mobilehome site: Natural[ ] Propane[! None[ ] ' 12. Size of., gas - pipe at the mobilehome site from the meter or tank: 1 yinches. 13. What is the gas pipe length from the meter or tank to the mobilehome?j(ft.). 14. What is the mobilehome gas demand? 30, 0V�0. B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or . less than 50 feet on propane). Lam. THE OTHER SIDE OF THIS FORM MUST -BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION ri May 1995 8.5 pet I lz I. 10, lu b lu w w ag CL tu —j ca w I UJ up COUNTY r�OILDING DEPARTMENT n APO OP10 Seo 130A CC," IV" co v p vo TOTAL P.01 NOV-02-1998- 12:23 `a tp SKYLINES HOMES INC. 916 666 7962 P,02iO4 a U 0 o y p } y; V1 ,rrTT, c AG � UA b s i PRC -ECT PROCESSING RF -FORD ♦ OOi Till A1NT. AI(M l%1✓N i/N APP OWNER: X98 PERMrr #: A. P. #: WORK DESCRIPTION: DATE DESCRIPTION OF STEP 25• L, )AI.,l ,ten.- 40 20 9 572- Z33v � X •y/n �c I 6VAIO� 0� ��� w�i dl tae read-,� AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1 998-005077 1 Recorded Official Records County Of Butte CANDACE J. GRUBBS Recorder 09:49AM 23 -Nov -1998 REC FEE 10.00 COPIES 1.50 Myles Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. O' 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 ectahliched aericnithiral nurposrs �indye.sidents 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: Date State of California ) County ofJnAO-Aow-0 ) On 1101!• 1'1.19`i2i before me, S personally appeared 'DbA&(11 .) • L personally known to me (or proved to me on the basis of satisfactory evidence) to be the person 94 whose name j$) is/a)g subscribed to the within instrument and acknowledged to me that hehlpr/thy executed the same in his/lW/tl#& authorized capacity(), and that by his/*1tlfgitr signatureW on the instrument, the person§Q or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. KAREN S. TALLEY Z COMM. #1121595 ZNOTARY C LINTY A Signature j.Seal: MyComm Expires JAN fn,201t - A.P.# Sq— 32-4--2- NOTE TO RECORDER: DO NOT RECORD THIS SIDE AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT Instructions for recording Agricultural Statement of Acknowledgment: A.A. -1 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide. this information. (Th - description may be handwritten or typed in the space provided or attached on a separate sheet is more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $7.00 - 1 st Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday -Friday) ORDER NO. BU -169887-3 DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 21, 1989, IN BOOK 115 OF MAPS, AT PAGE(S) 72 AND 73. RESERVING THEREFROM A RIGHT OF WAY AND PUBLIC UTILITY EASEMENT AS SHOWN ON SAID MAP. EXCEPTING THEREFROM ALL COAL AND OTHER MINERALS AS CONTAINED IN THE PATENT FROM THE UNITED STATES OF AMERICA TO FRANK BARTON, JR. RECORDED APRIL 8, 1926, IN BOOK I OF PATENTS, PAGE 143, BUTTE COUNTY RECORDS. PARCEL II• A RIGHT OF WAY AND PUBLIC UTILITY EASEMENT AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 21, 1989, IN BOOK 115 OF MAPS, AT PAGE(S) 72 AND 73. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III• AN EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY PURPOSES OVER TWO EXISTING DIRT ROADS SITUATED ON THE PARCELS DESCRIBED AS THE WEST HALF OF THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 26 AND THAT PORTION OF THE WEST HALF OF LOT 4 OF THE NORTHWEST QUARTER OF SECTION 35, LYING NORTHERLY OF THE NORTHERLY LINE OF THOSE CERTAIN PARCELS OF LAND DESCRIBED IN PARCELS 1 AND 4 OF THE DEED OF THE STATE OF CALIFORNIA, DATED MAY 14, 1957 AND RECORDED FEBRUARY 11, 1958, IN BOOK 927, PAGE 6, OFFICIAL RECORDS, ALL IN TOWNSHIP 22 NORTH, RANGE 4 EAST, M.D.B. & M., AND ALL THAT PORTION OF THE EAST HALF OF THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 26, AND ALL THAT PORTION OF THE EAST HALF OF LOT 4 OF THE NORTHWEST QUARTER OF SECTION 35 LYING NORTHERLY OF THE NORTHERLY LINE OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN PARCEL 1 TO THE DEED TO THE STATE OF CALIFORNIA, DATED MAY 14, 1957 AND RECORDED FEBRUARY 11, 1958, IN BOOK 927, PAGE 6, OFFICIAL RECORDS, ALL IN TOWNSHIP 22 NORTH, RANGE 4 EAST, M.D.B. & M. `..7".r?*> Ln ... ,,...._ w � `"�_ v�. �T.- •"t� ��r-.� � �-�..�'n.... .�r'Jv��' ..�-•Yr.�.r.iwr`�^v.7-Y..'.��"�wTr�r,�-�vyl•+ir•�'�,,,,.. ^... . Subdivision Lot No. 5. ! �A Resideritjal6Development No of Living Mobile Home �BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION �.S �\, — a form Building) FORM �pO p.e Ll� e 14 R School District V Building Department No. A.P. Number Jurisdiction: city E]P�!Tcounty J� Donala Property Owner Property Location/Address W V t V -lam Subdivision Lot No. 5. ! �A Resideritjal6Development No of Living Mobile Home +� Units Installation Commercial/Industrial New ~' Building Department Representative Addition .................... I ............................................................................................. 0 Addition/ 'Supplemental to i Conversion Permit # '(No foundation inspection): .............................................................................................................. t . , Sq. Footage (Including Exterior Roofed Areas) 14_ tD AP Sq. Footage [-3 5Qe/ q(Group R) Date imoor dans reviewea Dy scnooi uistrict rersonnei) District Identification No. 990065 Q V It? ! / (/ � School District certifies es that (? �' G fir' �L io / (Applicant) CA (Street Address) f J tPhone,Nuniber) (City) has complied with the requirements of Resolution No representing J �� quare feet. CYJL..- School District Representative (State) (Zip Code) q0 by Payment of $ 4 ) AB 292fi >< , FULL MITIGATION S Date tgnk OF Paid by Check # AnVriCA Remarks: I C . (`n(1 Su�kt wudeswl CAt Notice: You may protest the'imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Atct (CEGA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) k: ) feeform-xls (10/98)dmm V I -T" T J J 71- A -4-L 4T! lal- I... If T ]l J I:_j_-.:.� _ _�._�.. i.-� ,i -i _'� 1� _ _I _i..i..a__ .t _.i_, ! j _;. �..!..:r�-a.!:- . f. I I jj -100 CS C14 t I Oo AFFKvv" Butte County Environmental Health Date mb"v+ TOTAL P.04 i RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 20 -Jan -1999 1999-0002777 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DONALD D.L.'SMITH REAL PROPERTY OWNEMESSOR PO BOX 1895 MAILING ADDRESS BENICIA, SOLANO, CA 94510 CITY COUNTY STATE ZIP 11788 CAPRICORN WAY INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (ifalso property owner. write'SAME*) BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 98-2627 '(530)538-7541 BUIG PE TELEPHONE NUMBER 11 SIGNATURE OF LOCAL AGENC C DATE COUSIN GARY'S DEALER NAME (tf not a dealer sale write TIONS") MAILING ADDRESS DEALER LICENSE NO. CUT MUM SUM W UNIT DESCRIPTION SKYLINE 1998 WOODBRIDGE P-202 MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAMEINUMBER S-17-70-0516-8 52'X 26' ULI480695/6 SERIAI NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #058-520-052 SEE ATTACHED HCD FORAM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Budding DepL LEGAL DESCRIPTION A.P. #058-520-052 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 21, 1989, IN BOOK 115 OF MAPS, AT PAGE(S) 72 AND 73. RESERVING THEREFROM A RIGHT OF WAY AND PUBLIC UTILITY EASEMENT AS SHOWN ON SAID MAP. EXCEPTING THEREFROM ALL CORAL AND OTHER MINERALS AS CONTAINED INT PATENT FROM THE UNITED STATES OF AMERICA TO FRANK BARTON, JR. RECORDED APRIL 8, 1926, IN BOOK I OF PATENTS, PAGE 143, BUTTE COUNTY RECORDS. PARCEL II: A RIGHT OF WAY AND PUBLIC UTILITY EASEMENT AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 21, 1989, IN BOOK 115 OF MAPS, AT PAGE(S) 72 AND 73. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: AN EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY PURPOSES OVER TWO EXISTING DIRT ROADS SITUATED ON THE PARCELS DESCRIBED AS THE WEST HALF OF THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 26 AND THAT PORTION OF THE WEST HALF OF LOT 4 OF THE NORTHWEST QUARTER OF SECTION 35, LYING NORTHERLY OF THE NORTHERLY LINE OF THOSE CERTAIN PARCELS OF LAND DESCRIBED IN PARCELS 1 AND 4 OF THE DEED OF THE STATE OF CALIFORNIA, DATED MAY 14, 1957 AND RECORDED FEBRUARY 11, 1958, IN BOOK 927, PAGE 6, OFFICIAL RECORDS, ALL IN TOWNSHIP 22 NORTH, RANGE 4 EAST, M.D.B. & M., AND ALL THAT PORITON OF THE EAST HALF OF THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 26, AND ALL THAT PORITON OF THE EAST HALF OF LOT 4 OF THE NORTHWEST QUARTER OF SECTION 35 LYING NORTHERLY OF THE NORTHERLY LINE OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN PARCEL 1 TO THE DEED TO THE STATE J PAGE 2 LEGAL DESCRIPTION PARCEL NO. 058-520-052 OF, CALIFORNIA, DATED MAY 15, 1956 AND RECORDED FEBRUARY 11, 1958, IN BOOK 927, PAGE 6, OFFICIAL RECORDS, ALL IN TOWNSHIP 22 NORTH, RANGE 4 EAST, M.D.B. & M. BUILDING PERMIT NUMBER: 98-2627 Address or location of unit: 11788 CAPRICORN WAY, OROVILLE, CA 95965 Legal Description of Real Property: A.P. #058-520-052 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: DONALD D.L. SMITH Owner's address: PO BOX 1895, BENICIA, CA 94510-1895 INSIGNIA OR HUD NUMBER: ULI480695/6 SERIAL NUMBER OR V.LN.: S-17-70-0516-8 MANUFACTURER'S NAME:SKYLINE YEAR: 1998 OFFICIAL APPROVING INSTALLATION:` DATE: 1/19/99 PHONE: (530) 538-7541 H.C.D. 513C Record at the Request of Mid VaUy TWO & Escrow Company a� Order No. Escrow No. 16OW-3 MAM Loan No. WHEN RECORDED MAIL TO: DONALD D.L SMITH P.O. BOX 1895 BENICIA, CA 94510 III IIII II II Iill 1 III"I II III I'� I �II 1 998—X049260 Recorded Official Records County Of Butte CANNICE J. GRUBBS Recorder 09:00M 13 -Nov -1998 TAX FEE 10.05 Fay Page 1 of 2 SPACE ABOVE THIS LNE FOR RECORDER$ LISE #7/ Wei MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX Sews _ Computed on the canameradon or wim of property omweyet OR SAME AS ABOVE Computed on the m amwatlon or vwus less lens or enaanbre me remshbp d tha of awls. Tt�a rrndam- janad rrardnr riae-arac CROC Sipnarre of DeckreM or Aped debrrn t tax - Fqm Name AP# 058-520-052 GRANT DEED FOR A VALUABLE CONSIDERATION, reoetpt of whkdt M hereby WknOwledped, HENRY T. RUNGE, SR. and BONITA M. RUNGE, husband and wife hereby GRANT(S) b DONALD D.L. SMITH, an unmarried man the real property in the urdnoorporated area of the County of BUTTE described an SEE ATTACHED LEGAL DESCRIFnON Dated Nevemhar 4�10M } STATE OF CALIFORNIA )s COUNTY OF Butte } on November 12, 1998 bebm 11B. Michelle A Miller. Notary Public pwmwy a, p"md Henry T Runge. Sr. pe=w* lawwn to me (a proved to me on the basis of SWIS dory evidence) to be the persons) whose nam(s) ls/are srrbsalbed to the ~ Instn n w t and adawwledged to me that hWsltOwy executed the same In hialher/d*r authorized capacity(les), and that by hislherAMr signature(s) an the insbunwt the persons) or the entity upon behalf of which do petson(s) acted, executed the,irt ftnenL WITNESS �and. State of California, I.I �.I ar r� a•l::et�`3 i1 .. 1NbV1!M;11jL"1e3 x"— "'. I.M. 7-1-1 - E MICHELLE A. MILLER Commission 81178414 Mtr CPS1 a Notary Public r%e Butte county. Coltomio My Commlulon E)V. APR. 3, 2002 ORDER NO. BU -169887-3 DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 21, 1989, IN BOOK 115 OF MAPS, AT PAGES) 72 AND 73. RESERVING THEREFROM A RIGHT OF WAY AND PUBLIC UTILITY EASEMENT AS SHOWN ON SAID MAP. EXCEPTING THEREFROM ALL COAL AND OTHER MINERALS AS CONTAINED IN THE PATENT FROM THE UNITED STATES OF AMERICA TO FRANK BARTON, JR. RECORDED APRIL 8, 1926, IN BOOK I OF PATENTS, PAGE 143, BUTTE COUNTY RECORDS. PARCEL II• A RIGHT OF WAY AND PUBLIC UTILITY EASEMENT AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 21, 1989, IN BOOK 115 OF MAPS, AT PAGE(S) 72 AND 73. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS.OF PARCEL I, DESCRIBED HEREIN. PARCEL III• AN EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY PURPOSES OVER TWO EXISTING DIRT ROADS SITUATED ON THE PARCELS DESCRIBED AS THE WEST HALF OF THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 26 AND THAT PORTION OF THE WEST HALF OF LOT 4 OF THE NORTHWEST QUARTER OF SECTION 35, LYING NORTHERLY OF THE NORTHERLY LINE OF THOSE CERTAIN PARCELS OF LAND DESCRIBED IN PARCELS 1 AND 4 OF THE DEED OF THE STATE OF CALIFORNIA, DATED MAY 14, 1957 AND RECORDED FEBRUARY 11, 1958, IN BOOK 927, PAGE 6, OFFICIAL RECORDS, ALL IN TOWNSHIP 22 NORTH, RANGE 4 EAST, M.D.B. & M., AND ALL THAT PORTION OF THE EAST HALF OF THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 26, AND ALL THAT PORTION OF THE EAST HALF OF LOT 4 OF THE NORTHWEST QUARTER OF SECTION 35 LYING NORTHERLY OF THE NORTHERLY LINE OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN PARCEL 1 TO THE DEED TO THE STATE OF CALIFORNIA, DATED MAY 14, 1957 AND RECORDED FEBRUARY 11, 1958, IN BOOK 927, PAGE 6, OFFICIAL RECORDS, ALL IN TOWNSHIP 22 NORTH, RANGE 4 EAST, M.D.B. & M. STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS dtr REGISTRATION AND TITLING PROGRAM STATEMENT OF FACTS This unit is a: Q Mobilehome 0 Commercial Coach 0 Floating Home 0 Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) ►� �� z0 z I/We, the undersigned, hereby state: Mob; k, E1 c , e J �e 7DG J (v-PvJ 1� I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on //-��-9�' at 6c— . (Date) (City) Signature(s) Printed name(s) r'U-r� --t Address 8-- "q Ci State HCD 476.6 (REV 9/91) Q -k (State) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754.1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 9 V, t fl`�'5 ASSESSOR PARCEL NUMBER 058-51—£L-0_52 ZONING BUILDING PERMIT OWNER MN .9 TELEPHONE 71143-693 SO, FT. OCC. BUILDING VALUATION A/ !!4 . OWNERS MAILING ADDRESS -12555 W K TIM... EN MIA CA 9451n CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS C00, 1.K CONSTRUCTION LENDER - Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan CheckingFee $ vs 35 BUILDING g X88 CAPRICORN WAY, OROVILLB .� 1 Energy Plan Checking Fee $ r $ k At ... i PERMIT FEE $ .,i 84.35 LOT NO" -• -� -SUBDIVISIONS NAW-- r' ++"' ""-'1PARCEL-"r-­V,- 1 ' � I?CUMBING' PERMIT ' - Filing Fee -20.00 - Each Trap 1 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other nnTr+t rr*r•*r �- spEaFv. Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑K Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: OPEN DECK/MH Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos 0. LES 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: %I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this . —�--,. 1 e -reason _. .. .�. __._: F . - �c1::'h, if: ...�- _. �WORKERS'+COMPENSATION DECLARATION' 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, -for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: ' Carrier 1 1 t ri Policy Number '` (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100),pr less.) f rel certify thaf'in the performance of the work for which this permit is issued, I shall .-,riot employ any -person in`any manner so as to become subject to workers'HA compensation'laws,of California, and agree that f I should become subject to the v work ers;-coin pensation'� provisions of section 3700 of the Labor Code, I shall l o thwifh"�comply withdhose provisions. , C^} a Date ���� J 1 Signature of A'pplicant - IXOwner ❑Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200AWEE TO 1000A 46.00 NEW CONST. DEWNGOCT SO OR ADDNS. ( & ACC. BUDS. 3.50FT. RESIOT MULTI -OUTLET @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FDRURES a4L p'.00 . 0 Ex. Occu OUTLEEDTSA R.,6.) UNIS EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 r ♦ ._, ! - - l -_ PERMI,fj:FEEt S -- .. MECHANICAL PERMIT Filing7Fee 20.00 Heating Cooling Hood 6.50 Ventilation r PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ , 84.35 D FEES IMPS j� FLo° D ,✓ CD. pgp,CE[ Y s HO � ,% SS— A�"" This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which, fees have been paid. By .% Date / PERMIT EXPIRES ON ate 44 / UNy Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i RESI©ENTIALF 058-52-0-052 99-0005B SMITH, Don 11788 Capricorn Way, Oroville (open deck)MH PERMIT,__'.. PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION -ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V - OK 0 - Noi OK =No� ea� �° MOBILE HOMES Date MOBILE HOME UT1UT1ES P" OK www is 1. Zbr*V RwAkements.0 badm asements I. Zoning Regi hmwtb - S*dmdm - Easement 2. Footings; Sols-Sbio--ftMpacirg4 necbrsSeed 2. Sacs; Special MH Support Skalfi 3. Decks; Girders and/or JdstsDe�cinp.SWnopah 3. Sewer, Location 4. Wood Awn.; Poab Beams Rftrs .Canecbn Shthg.•Rfg.-Bradnq 4. Water. location Needed (Sketch) S. Alum. Awn.; Cdwm 5. Ekcbk*. Lace /Amp•Con=M 6. Carports; W a ws•Doos S. Gas; LocaponTaslWrap; / XIP- L'fL/Nat or/ IL'R/ /LPG /Nat. 7. Electric 7. Well Clearance 3 Disoanect 6. Fang.: Sols-AnchomSaids•Rfbv-hisses 8. utr>;ty Clearance 9. Siding; Naafn AkneerS%cco-Mesh 10. Roof; Shthg•RoofkV Date Card B-1 Dais Cavi B-1 Date Card B-1 Dab Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK w=W #'s Card 8-1 Dais Card B-1 1. Zoning Req* m tt► Setbacks Ea to Card B-1 Dais Card B-1 2 Footkrgs; & SWmg-Martisge lire POOLS (Plans) OK o ept is 3. Gas; MH 1. Selbacks•Easements C Electricity, MH 2. Sols; Canpacdan-Sbucbre Stably - 5. Drain; MH Te*Fsifkx Comeeaor 3. Pool SWwbm Sisd4 m *m*-7Nd=u Dead MenAjr* g 6. Water; MH In UgulewpCon neclor 4. Elec.; Receptacles and LVs ft WmWnc&Q9 - 7. Water and Sewer Carrreeted- b Grade -HD Approval S. Elec.; Pod Lighting 15 VdW.GR 8. Gas and EkcW* Tagged S. Elec.: Enclosures; Cardtr$EimfesUmi elkisted - 9. Tie Downs-7ypearu Iatton Cert 7. Ela---. Boding: Metal w)64N=h*y Equip -hater 10. Erats; Insp.Sksldr 8 Eke.; Gmwdng Equip. w/5 Cirafaft Equip.4W lgh%;. neboardstns. b Malt in Conduit 11. Cert of Ocapancy 9. Heahh0epartrnertAppmW 12. Permanent Fourdapon Only: Lbmm Decal 10. Pkmb.: Cir. Testkllater Supply Test Date Card B-1 Data Card B-1 Date Card B-1 Daae Card B-1 MISCELLANEOUS Data DECKS, COVERS, CARPORTS, GARAGES (gym) OK woeept is 1. Zbr*V RwAkements.0 badm asements 2. Footings; Sols-Sbio--ftMpacirg4 necbrsSeed 3. Decks; Girders and/or JdstsDe�cinp.SWnopah 4. Wood Awn.; Poab Beams Rftrs .Canecbn Shthg.•Rfg.-Bradnq S. Alum. Awn.; Cdwm 6. Carports; W a ws•Doos 7. Electric 6. Fang.: Sols-AnchomSaids•Rfbv-hisses 9. Siding; Naafn AkneerS%cco-Mesh 10. Roof; Shthg•RoofkV 11. Ext: Swps•Doorslandnnps 12. Braced Wap Panels Dais Card 8-1 Dais Card B-1 Date Card B-1 Dais Card B-1 Dais . POOLS (Plans) OK o ept is 1. Selbacks•Easements 2. Sols; Canpacdan-Sbucbre Stably - 3. Pool SWwbm Sisd4 m *m*-7Nd=u Dead MenAjr* g 4. Elec.; Receptacles and LVs ft WmWnc&Q9 - S. Elec.; Pod Lighting 15 VdW.GR S. Elec.: Enclosures; Cardtr$EimfesUmi elkisted - 7. Ela---. Boding: Metal w)64N=h*y Equip -hater 8 Eke.; Gmwdng Equip. w/5 Cirafaft Equip.4W lgh%;. neboardstns. b Malt in Conduit 9. Heahh0epartrnertAppmW 10. Pkmb.: Cir. Testkllater Supply Test 11. Ught Nkhe Date Card B-1 Date Card B-1 Dais Card 8-1 Dab Card B-1 OKRESIDENTIAL Not OK Not Applicable Not Ready .a UNDF.AFLOOR (Plans) OK axupt is 1. Zon--Setbacks-Easments-F1oodSlope 2. Fig.. Main; Sods-Ekc. Gmd. / P Fog. Depth 3. Fig. Garage; SotlsSteel-Elec. Gmd/ r Fig. Depth 4. Fog. Porches 3 Dedcs; Sor7s-Steel-/ r Fig. Depth 5. Stemwads, Main; Steel•8I0Ckouts-Wrapped 6. Stemwads, Garage; Steel-Blodtorm-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Ste(t-Wrapped 8. Piers-Fueplace rw.Steel 9. O.W.V.; Fawrimng-Test•2 Way Q`O-Sewer Test 10. UF. Gas Pipe; Sias Anchors - Yard Gas Piping; Side Test 11. Water Pipe; Test Arcttors-RegulatorService Test 12. Electric Underground 13. Plenums b Duets; Clearance-MaterialSuppod4ns. 14. GirdenSils-AnchocBdtsJokt /eats-Cr%3pW (Single & Duplex) 15. Access 3 Ventilation 16. insulation are Card B-1 Date Card B-1 :ate Card B-1 Dab Card B-1 ate PLUMBING rwm4 OK n w@0 tit's 17. Water Ham; Yen Air Bafk 18. Water Pipe; Test d Andtoklai Ptolledon 19. D.W.V'.; Test Fbnp & AndwFNai Probcox 20. Shower Pan; Test. First Floor -Tub Access 21. Test Tub & ShoweL Sword F10cf-1 b Access 22. Gas Pow S'oce & Artdwrs Date Card B-1 Date Card B-1 Gate Card B-1 Date Card B-1 ata ELECTRICAL "=4 OK enwpt Ps 23. Facture b Transformer Ciearan a tm Pto4aclian 24. Elec. Receptacles Spacitg-Ligttts b Sw+VM at Doors 25. Size Braces b No. ofConduclom Stapled 26. Ramex 6tled Clare to Edge of Sbuds b CA 27. Equip. Ground made up raµech Fasl eirv%nd Gas d Water 28. 2 Appliance Cirwts in Kitchen & Conductor Size GFI 29. Subfeed Wire Sor! /ga- Cu OrX-A-C. VVke Sim/ /ga Cu or AI 30. Range Circ / / ga Cu or AFOven Cir. / / ga Cu or AI Insulated Neutral Q Yes Q No 31. Service -Riser Conductors S Gmund-Main Discaect 32. Equip. Clearances PanelsllAoto"ech. Epuip. 33. Clothes Closet CightShower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Oate MECHANICAL (Permit) OK except N's 35. A.C. Cuts Insulation b Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain 3 Overflow. Size d Grade 38. Fumarce-Vent Access -Comb. Air-Retum Air Vent I IS outlet 39. Attic Access S Platform if Furnace in Attic Date Card 8-1 Date Card 8-1 Date Card 8•1 Date Card B-1 Date FRAMING (Plans) OK except N`s 40. Sits Proper Materials d Arc!wrs 41. Walls Studs -Nailing Spacing d Braces -Plates -Sound 42. Bearing Walls aver Girders b Floor Nailing 43. Draft Stop in Wats (rat proof 44. Fire-6tops. Furred Ceilings -Stairs -Chasers -Tubs ;45. Headers S Be -ams -Size b Bearing DW FRAMING (Continued) 46. Hangers -Post Caps-AndwrsConneetors 47. Cling. Joist-Rftr. Ties-Ptuth-toff Brac.-TrussShkq.-Rfng. 48. Fireplace Ties or Type A Fkx Freplace Throat clearance 49. Attic Access; Size b Ron= Protecdon-Draft Stop•Ins. Baffles 50. Bdnn. windows or Exiting Doors -S0 Hgt b Dimensions 51. Garage Fite Protection Framing 52. Property lire Firewal 3 Openings 1 53. Ext Doors -One 3 -Check Garage 3rd Story. 2 Etdts 54. Stairs; WidtlrHeadroom•Rise-Run UrA*tg-Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-UndeAlr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: NaTng-Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation-,Naos-Cetttrgs 62. Infttration•WallsWi tdows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK axrept ft 63. Ezt Steps -Door & Sidelight Protection•Lartdrgs 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb. Ak-Canector- In Garage; Aboee Floor-0ucts•Meeh. Protection 66. Bedroom Exiting 67. G.H. b Bath Factures b Tub ACcessSpa 68. Elec. Trim 3 Subpanel, Breaker Sim it Labels 69. Stairs 3 Rads 70. Fireplace or Store. Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int b Ext 72. Kit Fat 3 Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets 3 Recepticales at Kit Counter 74. Garage Fite Door, Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. a Mech. Equip. listed fon Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -looked in Attic 80. Guard rails 3 Deck Construction -Post Caps 81. Fdn. VBents 3 Crawl Hole Door Drainage d Wood -Earth Clearance looked under Floor Q Yes 82. Following Insdd4rive Q Yes Q No#Walks Q Yes Q No/Planters Q Yes Q No 83. Stucco Brown -Fetish 84. A.C. Unit Disconnect. Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventiladon Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water d Sewer Connected-CiO to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: DECEMBER 8, 1999 BEAUTY 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 DON SMITH RE: Building Permit # 99-0005 P. 0. BOX 4145 Expiration Date: 1/13/2000 OROVILLE, CA 95965 A.P.# 058-52-0-052 With reference to the above subject,.our records indicate that your building permit expires on the above date and your permit falls into one of the categories marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 fling fee). The renewal permit will extend the building permit for an additional year from the original.expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. (X No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the OROV TT ,T ,F office. Thank you for your prompt attention concerning this matter. MCV:ahb Attachments Chico Office - 1469 Humboldt Rd/891-2751 Yours very truly, 4ceWVk C.B.O. Manager, Building Inspection Paradise Office - 747 Elliott Rd/872-6307 pow ------------------------- E� 1 1L �� Ti, Eil x ZXm"0 MOWLE ZXIMG MOISIZ M 51 T E� L.-iKi L< 04 szowc PIE" ok FOUNDmsmIC PIERS AQUINO k FOUNDATION PAN T OUTUNE ;-4 or 'WOBILZ OF iWOBILE COAI COACH f" - DOUBLE WIDE TYPICAL SINGLE WIDE TYPICALJ 20'. 24', 26' OR 28- 12'.15' PLAN DOUBLE WIDE; MOBILE COACH SINGLE WIDE MOBILE COACH S-cale: I" = 10' Scale: 1" 10' STANDARD FOOTINC SPACiN'G FOR MORE THAN TRIPLE WIDE UNITS, SUBMIT PER UOBIIX PICR HOME UANUFACTURER'S LAYCIlJIT W, THARP & ASSOC. FOR APPROVAL. INSTALLkAON MANUAL I STANDARD PIER & FOOTING SPACING CONFIGURAT13N SHOWN IS THE UINIMUIM PER MOBILE HOME WANUFACTURER'S NUMBER OF PADS ?1QUIRED. INSTALLATION MANUAL. CONFIGURATION SHOWN IS THE MINIMUM NUMBER OF P.A,DS REQUIRED. a CPACH I PEAM 3' X 3' PLATE NO EI 180 IN -POUNDS IS EQUIVALENT TQ 15 FT -POUNDS 2 - 3/8' x V BOLTS FIELD DRILL HOLES OPTION OF 4 -9114 TEX STS COACH C OR J BEAM 1/4'x2'x4'3' x 3' ANGLE 3- WIDE PLATE /�- 4 - BOLTS SEISMIC PICR TYPICAL BEAM CONNECTIONS Not to Scale 12 S9 IN MRSIZE FEW CH,,rP)Wj AND 00 rORNLR BREAKAGE INSERT F 5/6, A 1 1/4' 80 24# 36 112. 5/r x 1 3/9' FLA D-, STAINLESS AKHW INSERT 3.5- 4x4 -4x4 VWF-1 1,j P L -CAST Rr CONCRETE FOUNDATION PAD 30'x32'x3/4' PLYWOOD HOLES FOR 112' x 2 112' C.D. 18'x 32'x 3 / 4' PLYWOOD SCALE: 1' = L5' x x x -,v Yt x 3/4' PLYWOOD SHEETS SCREWED TOGETHER WITH 12 #8 x 1 112' FHWS 6# x j x x 18, 30, x I I .ELEVATION 16° NOT TO SCALE 32 - ALTERNATIVE PLYWOOD FOUNDATION P -AD SCALE: 1!0'=1,5` N- 4 - 3/8'LMLOAD 4LM1o0AD IATWL4L Mam MAX TUBE HEIGHT 8- SH13RY TUBE JOLTS 14' LONG TUBE 2' DIA :1 ..... Roor %am 4 3/0' SID PIPE 3000 70wo 4 BOLTS TIGHTEN 0 /-3/16' PLATE 6 to awk 4 TO 180 CLAW IN -POUNDS TORQUE 2, THE DUM LOAM $HALL B9 COINIUMT WrM IMF LM UMA WIND WAA ANP OMMIC Z= AS 11 0101 1 MA"1IM PM PRR9ANWTJKfflJDWQ *TIW A MOW 1=144 AR" 3/4' THREADED (CIA 3, 3/16' PLATE LEGS L4 ROD T� TYP Of 3 TM FOUNPATM 18 CONOD910 110 COWIMMU A PUMANW YMMMTION- 4. AM FOU11M3 ARE TO 19 UDI FWK UMIATM= UNDISTURM COHMVE &�-AL, F0017N(W AU DESIONRI) FOR 1000 PSY TIOTAL 1,0AP M MVIM AM SHALL BE COWA7W '*TM Lom om 4*�.` 5/16' PLATE 5, 5/e' X 1 1/4' BOLT CONDnION& WITH HARDENED WASHFF S. MuCTL4w1TEFL;1 'S. E I S M I C PIER' Not to scate L SHALL CONFOW TO AM AM F �4 KAI UMU"- �M AW SMCMCATMS.R k SHALL W FABRICATIM C.P, SEISMIC PIER#1 PATENT PENNDiNG e. SHVJL W WUDE-D TO A.WO XPECWWA710140. NO EI 180 IN -POUNDS IS EQUIVALENT TQ 15 FT -POUNDS 2 - 3/8' x V BOLTS FIELD DRILL HOLES OPTION OF 4 -9114 TEX STS COACH C OR J BEAM 1/4'x2'x4'3' x 3' ANGLE 3- WIDE PLATE /�- 4 - BOLTS SEISMIC PICR TYPICAL BEAM CONNECTIONS Not to Scale 12 S9 IN MRSIZE FEW CH,,rP)Wj AND 00 rORNLR BREAKAGE INSERT F 5/6, A 1 1/4' 80 24# 36 112. 5/r x 1 3/9' FLA D-, STAINLESS AKHW INSERT 3.5- 4x4 -4x4 VWF-1 1,j P L -CAST Rr CONCRETE FOUNDATION PAD 30'x32'x3/4' PLYWOOD HOLES FOR 112' x 2 112' C.D. 18'x 32'x 3 / 4' PLYWOOD SCALE: 1' = L5' x x x -,v Yt x 3/4' PLYWOOD SHEETS SCREWED TOGETHER WITH 12 #8 x 1 112' FHWS 6# x j x x 18, 30, x I I .ELEVATION 16° NOT TO SCALE 32 - ALTERNATIVE PLYWOOD FOUNDATION P -AD SCALE: 1!0'=1,5`