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058-690-014
- ---' ---- 058-690-014 03-0437SHIELDS, WILLIAMSI_3_ LOWER GULCH RD 0NEW MH PERM FND NEW �...C- l4t-i n ° ' 058-690-014 ^u02-20 � SHIELDS. WILLIAM / Lo�VcxcuLcxno,oxov/us AG EXEMPT - - N0ENTAL � HEALTHCLEAPARANCE' DATE ENVIRONMENTAL_ HEALTHCLEApAPIANCE DATE | [~�N� NOTES y- RES09NTIAL 058-690-014 I 03-0437 PERMIT'NO, SHIELDS, WILLIAM 53.3 LOWER GULCH RD, OROVILLE NEW MH PERM FND NEW SITE i ,'SHE HCD FORM 433A FOR THIS MH CANNOT BE ] CORDED UNTIL ONE OF THE FOLLOWING HAS 1"EEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE tI INSPECTOR MUST RETREIVE). r (2) STATEMENT OF FACTS (ONLY ON NEW MH'S)._ INSPECTOR TO VERIFY SERIAI, & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) % 3D .O a Signature /—/ a -- J=OK 0 =. Not,0K . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. E tricity; Location-Clearances-Grnd-/ /Amp -Concrete . Gas; Location -Test -Wrap; / P' L `ft. / /'Nat. or /�] ' L "ft�C% P LPG 7. Well Clearance & Disconn ct 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Easements Line 1,,' A" � ;4- Ga ; MH Test -Demand -Valve W. lectricit ; MH Test (7 i r; MH Test i / ater and Sewer Connected 8. Qlas and Electricity Tagged 1. ense cats 1 #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 (f>3- EI /- 9 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Appticable . = Not Ready 9 RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. 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/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date - Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 18. Water Pipe; Test & Anchor -Nail Protection 51. 19., D.W.V.; Test Fittings & Anchor -Nail Protection 52. 20. Shower Pan; Test, First Floor -Tub Access 53. 21. -Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 57. Card B-1 Date Card B-1 Date 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 61. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 62. 26. Size Boxes & No. of Conductors Stapled 63. 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI FINAL (Plans) OK except #'s 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 69. 35. Smoke Detector 70. Stairs & Rails Date Card B-1 Date Card B-1 Date 73. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 80. Card B-1 Date Card B-1 Date 81. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 41. Sills Proper Materials & Anchors Clearance Looked under Floor 0 Yes 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters 0 Yes O No 43. Bearing Walls over Girders & Floor Nailing Stucco Brown -Finish 44. Draft Stop in Walls (rat proof) A.C. Unit Disconnect, Electrical -Plumbing 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in- Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht.. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. • Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic - 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75410-3, ER (Rew,12/96)' APPLICATION AND PERMIT 6. ASSESSOR PARCEL NUMBER 058-690_014 IFR ZONING -40 BUILDING PERMIT OWNER SHI I TELEPHONE - SQ. FT. OCC. BUILDING VALUATION 412472. OWNERS MAILING ADDRESS 9089 BEDROCK (7 SACRAMENTO, CA CONTRACTORS NAME owmm TELEPHONE CONTRACTOR'S MAILING ADDRESS , CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 16212 $ 181-25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS �s� T k)M G[ JI CH RD RNNWXM \C� $ Energy Plan Checking Feen'ROVTT —23-00 $ I.F. PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )tX Other SPECIFY_ Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15 00— Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: NEV MH ON PM EM-NITEV SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel' 20.00 600V OR LESS Main Service 20.AORLESS 23.00 Q LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPPARATUS License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L w or 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 WEE200A CCU000A NEW CONST. DWELLING ODs. OR ADDNS. ( a Acc. BLDs. s0 3.5¢Fr: NON,L-pESID ' MULTI -OUTLET @7.50 a SINGLER AOUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAL @ I 0 Ex. Occup. oinLEEDTSA RESIDOFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: rI 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. o I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compe do laws of California, and agree that if I should become subject to the orker c m ens a' n provisions of section 3700 of the Labor Code, Ishall rthwit c m ly wi those provisions. ` to 2 - (�_ 3 Wugn o A plicant- Owner ❑ Contractor ❑ Agent An OSHA permit is required or excavations over 5'0" deep and demolition or construction of structures over 3 stories n height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE T L FEE $ 3.3,2.25,/ HAz -"— D F IMP 00 CDF pARCE pp H I S This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Aifi;*YY_ Da -4i PERMIT EXPIRES ON I Mate) provisions to do work paid. T 1 1, ® " Receipt No. �7(LQ3/ 2 S WHITE-D.D.S.-B.D. CAN R - S 80R PINK -INSPECTOR GOLDENROD -APPLICANT I Cl ol ru J t OWNER: ✓` V 'k. FY OF BUTTE -DEPARTMENT OF'EVELPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATIONDATA SHEET ( , ASSESSOR PARCEL NUMBER Propo ed Building Use: I W" v V k f' JUVU 11 rka Counter Technician: Date: 5esrequired in order to apply for permit. All boxes MUST be checked OR marked NA in order to apply. Plot plans, 3 or 4 sets, signedty the preparer of the plans. e Complete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Engineered truss; details and ayouts in duplicate. No faxes! ❑ Energy compliance dwuplicate. supporting documentation in duplica%�q � Manufactured home sheets and installation instructions, lfrt�io loor Plan (�r foundation phgn a . ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b t�gineer. , Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The perm)willbe indexed and returned to theme plan review line-up when required'items are received. Date Received By. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ` '-•❑ 9. ;Plot plan and business license approval from the".City of Biggs .................................... d' 10. Letter of intent for non-residential buildings.) ...................................................:... i ❑ 11.E Detached Accessory Building For f led ou't by�the owner ..................................... ❑ 12. Hazardous Material Form.` ..... ..:. A� • ' t � � ......:............. .................... ti ...... ❑ 13. Other .,........ -- inmg items needed to issue the permit. (May require additional plan review upon receipt of the following items.) V14ees as shown on the attached Schedule of Fees Due Sheet.:Lt%4� '.el'.....71N taiement of Intent for Non -heated and,A/C Buildings...........................anitation and plot plan approval the Environmental Health Department in ,2= 2 �3�"t. ❑ 17. City of Chico Plumbing permit.,.;; ........................ California Department of Forestry plan approval paid. Sent by � 19. Planning approval for (A) Use:i(B)Parking: (C) Par el Check: e0. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. + � 1. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 22. Pre -Inspection for required ................ ~ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner,�©,Mailed to owner) ..................... r 6. Letter of Signature authorization.................................................................... 2 . Recorded copy of Agricultural Acknowledgment�Statte. ent...............(er,,,, .......... ❑' 28. Manufactured h me uti ity clearance .................................................... ❑ 29.E sting violati an or expired permits........' .................................. i ❑J 30. (Gran Dee , H. it e/ t ment of ac eller from Legal O=Ch to H.C.D. $ b D [J 31. Other: �. ,When issued Telepho a CA and h pickup. I have been iryfprme j a ablgve items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application -for the aliovgX numbere&k, Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above datdby ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractdr, designer, owner, as advised of the abo e data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: '.Plans:approved by:Date: Structural reviewed by: Date: .rStructural approved by: Date:. -r Note transfer by: Date: -Yellow: Buildine Division ,' E.M. USE ONLY / Plot Plan AttscMd 03 .oy3� Floor Mn AttzcAod Sent to B.D.9—("t L> TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Lwel a�k4 7�0 Id, Owner Location AP# Plan Approved for: Sewage Disposals Water Su ply: ublic Private Well Clearance for dwelling. Other jv Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 CWN7IY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF S DUE OWNER A. P. # `� ✓0 Dl� PROPOSED BUILDING USE DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee ...... $ 2. SC OL DISTRICT FERS ' (p 'd i c e) ( ble �t heck) 3. S F FEES (paid at Building Division) Residential ...................... x $360.00 = $7,*� Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential .... :.............. -x-=$ # Units Amt. Commercial (sq. ft.) ...........: -x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK K8. $89.00 (paid at Building Division) WATER TENDER FEES (Battalion #-3') $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit appli may be changed d 'n� APPLICANT atiory-I.� c1rdvis� the above fees are required to be paid prior to issuance of the building permit. These fees the lan c ckin process. f DATE Z"fT7—D3 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Property Ow Property Loc Subdivision Residential Ito - "' V -1 WA. U Department Representative Sq. Footage f (Including Exterior I' R ofed Areas) Date J (Floor Plans reviewet6y School District Personnel) District Identification No. 10300 D(uv 16. U K C. Q RSchool District certifies that \ ' (Applicant) rd 14-4= (Street Address) (Phone Number) 'N. (City) has complied with the requirements.of Resolution No. representing I too square feet. School District Paid by Check # Remarks: IState) M�-170 (Zip Code) by payment of $ AB 2926 $ FULL MITIGATION $ 2 l A .oz Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. $ If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQAI, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm 4 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One.form per Building) . School District Building Department t g No. I A.P. Number D Jurisdiction: D ,� City ®County -04 Property Ow Property Loc Subdivision Residential Ito - "' V -1 WA. U Department Representative Sq. Footage f (Including Exterior I' R ofed Areas) Date J (Floor Plans reviewet6y School District Personnel) District Identification No. 10300 D(uv 16. U K C. Q RSchool District certifies that \ ' (Applicant) rd 14-4= (Street Address) (Phone Number) 'N. (City) has complied with the requirements.of Resolution No. representing I too square feet. School District Paid by Check # Remarks: IState) M�-170 (Zip Code) by payment of $ AB 2926 $ FULL MITIGATION $ 2 l A .oz Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. $ If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQAI, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm i 11 O.B.-1 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 issuingyour building permit. No building permit will be issued until this verification is received. i 1. personally plan to provide the major labor and materials for construction of the proposed \"" roperty improvement :.YES'!< NO ❑ 2• HAVE ❑ HAVE NOT ❑ signed an application for a building permit for roposed work. 3. I have contracted with the following person (firm) to provide the pro d construction: NAME: DRESS: CI PHO CONTRACTO ICENSE NO. 4. I plan to pro a portions of this work, have hired the following person to coordinate, supervise, and pro e the major wor . NAME: ADDRESS: CITY: PHONE: CON CTOR'S LICENSE NO. 5. I will provide me of the work but I have contra (hired) the following persons to provide the work ' 'cated: N ADDRESS PHONE TYPE OF WORK C PKUPERTYOWNER: 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 OWNER BUILDER INFORMATION Dear Property Owner: O.B.-1 An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own'employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. . o Yrely, MC.Vi ira, C.B.O. M, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ' 1 _ PLANNING QIVISION- BUILDING PLAN APPROVAL Use: C Date:-?-- IC) Parking: Landscaping: 667' REVIEWED BY BUTTE CO. FIRE DEPT - CALIF. DEPT. of FOREST FRY approved as submitted • ___ approved witil conditions eet. Nor atta ' .d �!n A) 3� a --" Die V Powc2 -- L�v1 Lc � The -ti ` J ph,* requlr'emerKs must be Mnp 8W as specified and APPrOved S K- 9CrZi,s�dbcX aC --rfo we -LL I 9Y'X 3� I11607E OTE: ee the attached 5E, pack I --- - I i I I \ nt�al Con�lODr� �a �6lP�� C��1 r qtrme$�ts vx �-------------------------- - - - - -- v ' ®Pages �. LN- h EdU1 p.1 -LSA MAD � P vk SIO ° A�CT�R 13e Cv, . EP°0 ti1ts�' AtJ �f Qv ��pN G °�Ft Pp`�,ERL1N�Ct� Be �Qt �K ON° Gti o? / FX-VMA'a0 . e 03-coft A-�>n* 6s4MS Low ell ; -YEAS _ E 7 tin 1, s C Pow Livt E S F:c- D-eZ4 7-0 sE��ack� 1 (4P/26x &a -o1 ; --------------------------- .Q OpROVED a su" COUNI � ; cmenta :C Off. o Qn ram E' h 1, s C Pow Livt E S F:c- D-eZ4 7-0 sE��ack� 1 (4P/26x &a -o1 ; --------------------------- .Q OpROVED a su" COUNI � ; cmenta :C Off. o Qn ram E' Feb 11 03 04:50p Dev Svcs & Env Health 53U 53U--i-IE3b P.1 /(,,.. S�. �-� EDS 9-1O APPROVED Butts CQun� Environmental e s�� La,K cam/ " 2d �� Lens idea &eLLe . ew-2cxef e AAiXK 'd o idCCOM a,:.0EID "a« i 111 Kill K! .oGw ISa Iu Iu MIT Inm ! [ I G."I� I� I� r• a U/10, 0-411/Ir ?,a 7/r to -1- s , Ir a u/,r a T/r r-/1 a/r a 13 tr . 1 I I I I 1 13 IA 17 I I I I la 1t 20 21 I I I I 22 25 24 25 ZONL I --ONLY APPROVAL STAMP T- 1 or _ w/N wu+c aQL3 « 0 + [ a DIV�J09 bm3l Or CHAMPION HOME BUILDERS CO. Corti[. 1111101711 Ft. at7DCN. yt1aGAM .calf rr a Ir 1 t -Tia 1.91 MI N0113L Im Oman 3eXTr 2 "a 0-2 WOOLS KIM twat ar.7r ] 4a ]S• INTERIM GOOD sum amm 1178 6-4 WATO KUTLA DOON 1-5 Ir 1211.(1 DONa Va". MAIL tenets I1 A -a SL,ONQ OWO DOOR .DA -7JNA 1-m Laq 0-71 3e be[a.,t D0011 V[NT. SLCA. [GALSS ICJ 0-5134' SLM4 GIDS2T DOOM VLST. ADA. — 0-01 30r son NDSB mai 2! uxmm CLOW 08 1_ 1 00 1iiSOLID .111177 OLATW a.a. 9-11 1 IMAM 911** DOOR t sr28r Vt". SLOL 9GKff I..1 I ar24e .IDN. [Cuss 171 _ mANDAAO WAZMO .te en rr To[S" mr" �� a—a a/,r W. AOL./IP •'� Dat1oDN •WALL N[IOIR T—r TO T -r • �� nOW 04 PAlw.- 221 W-1-101 • SSLUMWYM0MS110x nnwIRR NGRR (011.) • aOIOVADU Mimics W/H Accus P"Im • NGT UPS RCL►► uwimeA /1.002 AT 106ne INLET • SNML[D tow Ts Laib No C3 • R111WL. W. rLIDN, A OXER ALL PROVIDED w/OR. 2M RLC[1T. • P011CA 944" II00D Slo. lV� 2 SN. AML. 20 12/2 Wallow � MODEL 6470 6 - IV'C SIL AP►L . 10 12/2 w/GAcllx PART I FLOOR PLAN ELECTRICAL 3 WAIN[R 20 12/2 w/caWM a:o W« aT1 D. wOITL w' s/a/[[11 A!PA-nn R[TTstO« DATE R D ALV. 14ANyla[ WALLS S/10/80 atc wfcNo a OPT. O.M. IS 14/2 W/GADOND a q7. GA, IS 18/3 w/cRawo 10 w.NGTN 20 12/2 w/cNO II G[«LAAL to u/2 w/OaOYN rIMIMAa INTERIOR SHEARWALL REOUIREMENT B MIND Z014 I « WMO Zt00. n x/11 T—`�.._ T wwA$Mn -SA/ MOND s/Ir "-2 4OWO J. or 17-4 a/1r car. / 1 3 as -f r r r a•y 2/lr ---'_ I3 i t V 11•-0 a/r NASTTR ScORDON LIVIND Now 00 �o k a la/,r -t Lr d ii/fir +r -s Or Ir -O 3/Ir---�-`�� ] +3/tr — ar AUG 4 199Z I itnne Buildej I Ca Division #09 LINDSAY, CA S w- tl 1 I► I I i 2 S 4 S D 7 a a to it i 14 12! I I I I 1 13 IA 17 I I I I la 1t 20 21 I I I I 22 25 24 25 ZONL I --ONLY APPROVAL STAMP 0 0 w I. a t «b Da Oa L[ac«D LLecT R Ic.l L[GC «0 112pRtcAL wu+c aQL3 « 0 + [ a DIV�J09 bm3l Or CHAMPION HOME BUILDERS CO. Corti[. 1111101711 Ft. at7DCN. yt1aGAM .calf 1 t -Tia 1.91 MI N0113L Im Oman 3eXTr 2 "a 0-2 WOOLS KIM twat ar.7r ] 4a ]S• INTERIM GOOD sum amm 1178 6-4 WATO KUTLA DOON 1-5 Ir 1211.(1 DONa Va". MAIL tenets I1 A -a SL,ONQ OWO DOOR .DA -7JNA 1-m Laq 0-71 3e be[a.,t D0011 V[NT. SLCA. [GALSS ICJ 0-5134' SLM4 GIDS2T DOOM VLST. ADA. — 0-01 30r son NDSB mai 2! uxmm CLOW 08 1_ 1 00 1iiSOLID .111177 OLATW a.a. 9-11 1 IMAM 911** DOOR t sr28r Vt". SLOL 9GKff I..1 I ar24e .IDN. [Cuss 171 _ mANDAAO WAZMO .te en rr s ■ "'«' P.w<t �, WALL LlCltl o0►tu2 a[crPTAme oURLT aA«K/bR O ftMrtAC1c ® SMGL2 SKCILL m"S[ R[taT. .KG PumaNCT 0014. Oil Pow. fa C[Ol«0 011 O.. CAMRLim 0* 06UM0 VO/I [A« L.+ �L D[i[GfD" S S11rAi �L a O rumoAtL 14RLtosTAT =d— ,UT TAP[ KCm"" rwmctc[a Liam o•tW+ AOL./IP •'� • c +w •WALL N[IOIR T—r TO T -r • �� nOW 04 PAlw.- 221 W-1-101 • SSLUMWYM0MS110x nnwIRR NGRR (011.) • aOIOVADU Mimics W/H Accus P"Im • NGT UPS RCL►► uwimeA /1.002 AT 106ne INLET • SNML[D tow Ts Laib No C3 • R111WL. W. rLIDN, A OXER ALL PROVIDED w/OR. 2M RLC[1T. • P011CA 944" II00D Slo. 1 c[x1a1AL is I./a w/caotao 2 SN. AML. 20 12/2 Wallow S t:UIOUL to 14/2 w/a0aN0 MODEL 6470 6 - IV'C SIL AP►L . 10 12/2 w/GAcllx PART I FLOOR PLAN ELECTRICAL 3 WAIN[R 20 12/2 w/caWM • OOW[NAL ID 14/2 w/GRWXO W« aT1 D. wOITL w' s/a/[[11 A!PA-nn R[TTstO« DATE R D ALV. 14ANyla[ WALLS S/10/80 atc 7. ./Otowty IS l4/2 w/MUND a OPT. O.M. IS 14/2 W/GADOND a q7. GA, IS 18/3 w/cRawo 10 w.NGTN 20 12/2 w/cNO II G[«LAAL to u/2 w/OaOYN 12 INTERIOR SHEARWALL REOUIREMENT 210 DAT[R >e ta/aar/ueDNO VOLT 14xG[ s0 11/1-^AptOIMD "APP( --( --_ ./OL4PG,Jx57R. MIND Z014 I « WMO Zt00. n x/11 M.H.L- 2 Mob 1lehome Manufacturer: _ Manufacture Year: If other than single wide, furnish Setup Model Number: 5c- 6 11 1 C Width: (ft.) Length: ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets' FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[ -] Other: Provide Tie DownSpecifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1Line 1 Line 2 Line 2 ............................................................................. Main Beams ............................................................................................... Line 2 1 ine2 Line 1 Line 3 Line 2 ............................................:....................................................m Main Beas Line 2 Line i .................... I ............................. >;�_ine 5 Tag or Triple ine 4 ine 1 Line 1 Piers: Size minimum: r i x Spacing maximum: I` From ends -maximum: Line 2 Piers: Size minimum: [Zy ] x [.6O ]. Spacing maximum: - O` From ends -maximum: Z a ` Line 3 Roof Loads: Size minimum ' Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): May 1995 Line 1 Openings Size minimum: [/Z ] x • Each side of openings with width over: I q` Q ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: C` From ends -maximum: C` 1. .Owner's Name: 1& LL aN d 4->JaLss4k S 6 � ,a -(-As 2. Assessor's Parcel Number: (400( ©� i i 3. Installer's Name: t3, 11 4. Is the site currently under permit? Yes WA; No[" Permit No. VV 5. Is the site an existing site? Yes[ J NorVl (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? 6 D Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. S. What is the electrical rating of the mobilehome site? M5 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ J No[-AIf it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[A If yes, please identify the load and size: a) The mobile home site: Load- W It Amperes- 3 y b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ J Propane] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 3 inches. Zfl 13. What is the gas pipe length from the meter or tank to the mobilehome?AV (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 o ,) CD ' i v N GENERAL NOTES GUS GUARD TUF-1 I. UVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE "4" *SNOW LOAD 100. PSF (SEE NOTE /15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS REAM SUPPORTS SHALL BE LOCATED AND SIZED FOR. THE LOADS AS SHOWN IN THE 'MOBILE HOME INSTALLATION INSTRUCTIONS". 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED•WHEN DS EXCEEDS 1/4". OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM. UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF 'TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. - TLFCTROOES-370 PLATES -ASTM A36 BOUTS -SAE GR 5=ASTM A449=ASTM 43725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND -LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOTTABLE LOADS: • HORIZONTAL VERTICAL GUS GUARD TUF-1 2200/ 6000# GUS GUARD MCP PAD 2200# 6000# GUS GUARD E -Z TIE PAD 22001 6000/ S. DURING PREUMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE TLlA.T,.. MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9..: EXISTING COACHES MAY 48E RETROFITTED TO RESIST SEISMIC FORCES -BY •INSTALLING GUS GUARD TUF-1 UNITS AS' SHOWN' ON THIS PACE OF. TYPICAL FOUNDATION PLANS. 10. .THE GUS GUARD TUF-I SYSTEMS ARE SAFE.FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. ' 16. FOUNDATION BLOCKS 16'x 16'02' POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PAO& SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN./ 8' MAX.' £= 2' MIN. / I V MAX. S= 6- MIN. ' /16' MAX. S= 6' MIN. / 22' MAX.. VARIES 10'-70' (SEE .TABLE ON SHEET #3) S - S S I' _ 1. RIDGE BEAM SUPPORT -AS REQUIRED BY MANUFACTURER 0 O (TYPICAL) a 8' NOM• " PADS IN ANY 'PAIR MAY BE f STANDARD M.H. FOUNDATION ' ROTATED •40 DEGREES OR PIERS AS .RECOMMENDED BY '..-.PVC SERIES OFFSET TO OTHER SIDE TO `AVOI.W THE MANUFACTURER OR'THE SUPPORT CLEARANCE PROBLEMS. ENGINEER. TYPICAL THR01Y1' GROUT PAD(TYP) 11. MULTIPLE. UNIT 'INSTALLATION IS ACCEPTABLE .PROVIDED THE -NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS " 4 A. THE SAME. AS SHOWN . REQUIRE.D PER EACH UNIT. 4.p fo paq`t � ,tib 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET /3) • ��� ���,��. 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF-1 PERMANENT FOUR (4) 1/2'x 3 1/2' EXPANSION ANCHORS. FOUNDATION."SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES' ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED. AHESCOGUS WItH: EXISTING STANDARDS REQUIRED BY•.COACH 5851 FLORIN MANUFACTURER •OR REPLACE THEWON ON A' ONE TO 3ACRA�N1 ONE BASIS: r PH: (800)' FAX: ' (916) STATE APPROVAL'.:-.: .a. a 8 t 14 WAYNE-J. POLVADO, PE—LISTING'.-.:NO.- F94249 SHEET 2 of 3 lka Lu gab Ran a Ban w C CD ' Ln ca J w N a Ln Q a m co tDtD m m m CD N m m 3/4" DIA. x 18" LC. 1/2"x 3 1/2" 1/2"x 8" LONG (4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT .3/8" CAD PLATED BOLT, NUT & WASHER (4) REQUIRED (4) REQUIRED COUNTER BORED (LUSH WITH BOTTOM r ; AT 8" O.C. (8) REQUIRED CONCRETE PAD INSTALLATION I POURED IN PLACE 16x16x12 CONCRETE FOUNDATION INSTALLATION CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x BOLT WITH NUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ARESCO ABS PAD 05034 STEEL FRAME,_\� / 36" MAX TO BOTTOM OF PAD 01/2"x 3" C.R.: LOCK PIN WITH 01/8" BRIDGE_ PIN LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION MMTI-MDR imrm LENGTH OFWIDTH HOME 4 OF HOME 6 8 44 P TO "I 6 8 8 I 12 44-1 b 12 12 118 ".-1" to 60 20 - 20 20 1 24 ♦ SIMC.LR ■REQ Trupm OF E 10 WIDTH O OME 12 4 F 6 6' 6 B 10 10 10 1 �I yr wr-6 RevvjKtu NUMBER OF .TUF-1 REQUIRED . lLRIE: SINGLE WIDE UNITS REQUIRE (4) E -Z TIE PADS. GUS°GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL r MK791 •15 as Exlp �r€ OF C� TUF-1 PERMANENT FOUNDATION SYSTEM ATE A.PPRO'VA WAYNE T. POLVADO, PE—LISTING NO. 'f94249 SHEET 3 of 3 i 2'x 2"x 3/16" CD - STEEL ANGLE W' C7 Q a -.a DETAIL "A" may' HASSLS FRAME A J j 1/4" GRIPPER PLATE _ (2) REQUIRED Ln 1/4' GRIPPER BASE a 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIREO 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD J503 v STEEL FRAME SEE DETAIL 0 LD Ql 3/8' CAD PLATED BOLT, NUT & WASHER COACH "C' FRAME COUNTER BORED FLUSH WITH BOTTOM AT 8' O.C. (8) REQUIRED 2" CHANNEL 1/4" STAND BASE TEK STS . , , - ABESCO ABS PAD #503 (2) REQUIRED 1/4- GRIPPER PLATE 1/4'GRIPPER-� BASE 1/2" A307 BOLT (2) REQUIRED 3/8% 6"x 6" STEEL PLATE 1/2" A307 BOLTC BEAM (2) REQUIRED ATTACHMENT / 36"'MAX 10.00 TO BOTTOM ' Of PAD 0 0 $ � t 0.00 01/2"x 3" C.R. LOCK PIN WITH 1/2" DIA. HOLE (8) PLACES 01/8' BRIDGE o . PIN 09/16 HOLE (TYP) STAND BASE TOP VIEW' ESSIO� 51 6 M ' 37" 0 m m N . m m 17918 � r abb �L.:�Tdar,�•.,,,, or TUF=1 PERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95923 PH: 800 382-8831 FAX: 916 383-5207 COACH "J" FRAME 1/4"xl-1/4" TEK STS (4) REQUIRED 1/4" GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED J—BEAM ATTACHMENT WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET I or 3 $ T $ 8" 1/2" DIA. HOLE (8) PLACES I= - 30" STEt FRAM.. TOP VIEW STATE APPROVAL z � � ' C� s� .� �� � 8!3 D �. to OV O z ox e z l�oC WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET I or 3 AP# CDF FIRE SAFE REQUIREMENTS 3 IO 3 s L(%cL�,ymS PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made apart 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. [Y 1272.00 Maintenance of Defensible Space. To ensure continued I 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 landowner. Driveway Standards, [\k 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 [•�J 1. No roadway shall have a horizontal inside radius of Iv 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. C'(�1 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 I 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.-. AP # PERMIT # 'NAME [� 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [ 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet'in length and shall be within 50 feet of the building. 1273.11 Gates [1`J 1. Gate entrances shall be at least two feet wider than the roadway it serves. 1276.01 Setback for Structure Defensible Space. (�{�] 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings.and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal-, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 2. The gates must be located at least 30 feet from the I 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 aid larger shall provide a mini- mum 30 foot setback for buildings.and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal-, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 q-(`/ D3-og.37 AP # PERMIT # Other Recuirements If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves �i�r�Ld 5 �•(%LL/�( NAME [ If Building Setback is Less Than 15 Feet Choose any 3. of the following: Metal or no doors on side toward property line with insuffi- cient setback Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County FirelDepartmentapproved materials [l Z-2-0-03 , Date ISignature Page 3 of 3 ' SAND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 14 -Feb -20O3 2003-0009914 Has not been compared with original BUTTE COUNTY RECORDER f. AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT y FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of' e building permit'. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural `chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zona and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farn-i operations. All that real property situate in the County of Butte, State of California, described as follows: See bcl c, .� u If, L, cLIVId Date C A//10 PROPERTY OWNERS: I � 1 IIZI(N� to / J S S 5 State of California ) County ofTACAdW)a,1-1-0 ) n Fj3 �� , �Lfl('P3 before me, personally appeared W lh Ly D� aN4� C'S� _Pi�1�1b.� _ I i�! ,--HA02A �� � -1 "i proved to me on the basis of s—ei factory evidence) to be the person(s) whose name(s) ' e vb.Icribed to the within instrument and ac owledged to thatahelst�e h e ecuted the same in err utl:`�u:-ized capacity(ies), and that by4gf�k it 'gnature(s) on the instrument, the person(s) or the entity upon behalf ulgwhich the person(s) acted, executed the ins rument. WITNESS my hand and official seal. DALE E. CARRAWAY SignatureSeal: Q COMM. # 1302692 NOTARY PUBUC-CAUFO h,IA SACRAMENTO COUNTY 0 COMM. EXP. MAY 7, 200 1' A. P. -0 Iq .'RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 21010 1 1 Q186 Recorded I REC FEE 16.00 Official Records I CONFORM 1.00 CountyBUTTE f OROVILLE BUTTE CA 95965 I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON i Assistant I Barbara 02:48PM 27 -Feb -2004 I Page 1 of 4 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. WILLIAM W. SHIELDS AND HADASSAH N. SHIELDS REAL PROPERTY OWNERAMSOR. 9089 BEDROCK COURT MAILING ADDRESS SACRAMENTO, SACRAMENTO, CA 95829 CITY COUNTY STATE ZIP 583 LOWER GULCH ROAD " INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95956 CITY COUNTY STATE ZIP HADASSAH SHIELDS UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-0437 530 538-7541 B G PERMIT NO TELEPHONE NUMBER 01/30/04 G TURE OF LOCAL AG CIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. CHAMPION HM BUILDERS 1989 MEADOW CREEK/ SC647C MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 0906471434AM 32' X 24' CAL362503/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRPTTON ASSESSORS PARCEL NUMBER AP # 05 8-690-014 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Aoolicant GOLDENROD - Buildine Dern. ORDER NO.: 00195616-099 - DRK THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL A: PARCEL 2, AS SHOWN ON PARCEL MAP OF A PORTION OF SECTION 15, TOWNSHIP 21 NORTH, RANGE 4 EAST, M. D. B. & M., WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 7, 1991 IN BOOK 123 OF MAPS, AT PAGES 67 THROUGH 73. AP NO. 058-690-014 PARCEL B: A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES AND DRAINAGE PURPOSES OVER THE PRIVATE ROADWAYS SHOWN 'ON THE MAP OF, "DEER PEAK LAKE ESTATES UNIT NO. 1 ", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 28,1982, IN BOOK 85 OF MAPS, AT PAGES 80 THROUGH 86, INCLUSIVE. PARCEL C: A NON-EXCLUSIVE RIGHT OF WAY FOR ROADS, PUBLIC UTILITIES AND DRAINAGE PURPOSES AS SHOWN ON THE MAP OF "DEER PEAK LAKE ESTATES UNIT NO. 2"31 WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, FEBRUARY 13,1984, IN BOOK 91 OF MAPS, AT PAGES 79 THROUGH 93, INCLUSIVE. PARCEL D: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, SHOWN ON BOUNDARY LINE MODIFICATION BY PARCEL MAP LOT 33 OF DEER PEAK LAKE ESTATES UNIT NO.2 AND A PORTION OF THE NORTHWEST QUARTER OF SECTION 15, TOWNSHIP 21 NORTH, RANGE 4 EAST, M. D. B. & M., WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 28,1987 IN BOOK 105 OF MAPS, AT PAGES 61 AND 62. EXCEPTING THEREFROM ALL THAT PORTION OF SAID EASEMENT IN SECTION 16. PRELIM ORDER NO.: 00195616-099 - DRK SCHEDULE C (CONTINUED) PARCEL E: A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER A PORTION OF THAT CERTAIN PARCEL OF LAND, AS SHOWN ON THAT CERTAIN BOUNDARY LINE MODIFICATION BY PARCEL MAP FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 28,1987 IN BOOK 105 OF MAPS, AT PAGES 61 AND 62, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: A STRIP OF LAND 50.00 FEET IN WIDTH, LYING WESTERLY OF AND CONTIGUOUS TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE MOST EASTERLY CORNER OF SAID PARCEL OF LAND IN THE CENTERLINE OF LOWER GULCH ROAD, THENCE ALONG SAID CENTERLINE, NORTH 05° 26' 09" WEST, 533.52 FEET. PARCEL F: A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY PURPOSES OVER A PORTION OF THAT CERTAIN PARCEL OF LAND SHOWN AS RECORD, OF SURVEY OF A BOUNDARY LINE MODIFICATION, BY MAP FILED IN THE OFFICE OF THE RECORDER OF THECOUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 27,1991 IN BOOK 12WOP MAPS, AT PAGE 99; AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: A STRIP OF LAND 30 FEET IN WIDTH, LYING NORTHERLY OF AND ADJACENT -TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE EASTERLY CORNER OF SAID PARCEL OF LAND IN THE CENTER OF LOWER GULCH ROAD; THENCE ALONG SAID ROAD, SOUTH 35° 45'09" WEST, 141.65 FEET; THENCE SOUTH 43° 51'4711 WEST, 300.99 FEET; THENCE NORTH 82° 31' 21" WEST, 131.81 FEET; THENCE SOUTH 730 44'10" WEST, 158.98 FEET; THENCE SOUTH 330 48' 31" WEST, 224.35 FEET; THENCE SOUTH 60° 00' 05" WEST, 32.64 FEET; THENCE NORTH 630 27'18" WEST, 31.49 FEET; THENCE NORTH 25° 17143" WEST, 210.31 FEET; THENCE NORTH 011 52'001' EAST, 45.34 FEET; THENCE NORTHWESTERLY TO A POINT ON THE WEST BOUNDARY OF SECTION 15, TOWNSHIP 21 NORTH, RANGE 4 EAST, M. D. B. & M., THAT BEARS SOUTH 00° 33-41 WEST, 1266.83 FEET FROM THE NORTHWEST CORNER OF SAID SECTION 15 AND THE END OF THE HEREIN DESCRIBED LINE. PARCEL G: A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITIES OVER PATTON PEAK ROAD AND LOWER GULCH ROAD, -AS SHOWN ON PARCEL MAP FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 7,1991 IN BOOK 123 OF MAPS, AT PAGES 67 THROUGH 73, INCLUSIVE. PRELIM ' v ORDER NO.: 00195616-099 - DRK SCHEDULE C (CONTLNUED) PARCELH: BEING A PORTION OF PARCEL 4 AND PARCEL 5 AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARCEL MAP FOR JIM B. DISMUKES" RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 7, 1991, IN BOOK_ 123, AT PAGE 70, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: A-60 FOOT WIDE ROAD AND PUBLIC UTILITIES EASEMENT BEING 30 FEET ON BOTH SIDES OF THEFOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE MOST EASTERLY CORNER OF SAID PARCEL 5; THENCE NORTH 710,28'31" WEST, ALONG THE NORTHEASTERLY LINE OF SAID PARCEL 5, 1,097.87 FEET TO A 1/2 INCH REBAR WITH LS 3346 TAG; THENCE SOUTH 250 00' 00" WEST, 205.00 FEET TO THE TRUE POINT OF BEGINNING OF SAID ROAD CENTERLINE; THENCE NORTH 450 00'00" WEST 60.00 FEET; THENCE NORTH 170 00'00" WEST, 70.00 FEET; THENCE NORTH 040 00' 00" EAST, 140.00 FEET; THENCE NORTH 430 00' 00" WEST, 100.00 FEET; THENCE NORTH 17° 00'00" EAST, 150.00 FEET; THENCE NORTH 80° 00'00" WEST, 200.00 FEET; THENCE NORTH 820 00'00" WEST, 50.01 FEET, TO THE WEST LINE OF SAID PARCEL 4, AND END OF THE HEREIN DESCRIBED CENTERLINE. I Fum EX_07C�L er'- may, ,�a• wa:r. t, ga,y7$�' .�^ �^ r L a � y, � i � e ° _, � c H_K yY %� �+ `ts 'i�� S�•F^u4`t�'x. ya �y+�� � ,,_1 �� :. �4 f � '.`'''i$ t( r ,,5• tC. t 1 s,i-;!( ,�; �i ` �''` y e �"jE+ns .aF�F{'., -y,. - s4 .s ,-�1Mr i, �'�' +r �•''+``aPaT .;•re' C. "• �t _1 t.c� .;d"_ t'_w � + a.. `int -,t �'! w :u' 'fv t ,� • f i +n['_ .ti s F .- .� '-t -fat^ a Lty4� t ,.i "F � '•`�'�� � - x ,, . r r �.�`�°���„�,CERT��^^IFI MAT'�E;'• OF OCCUPANCY 1 �� ��:�� = _ •r _. w k:• t- t [t..; -.F: T �' -C. w..• • ? ... .. .. n ., ...r. .Yf .. r1 BUILDING PERMIT NUMBER: 03-0437 Address or location of unit: 583 LOWER GLUCH RD., OROVILLE CA 95965 Legal Description of Real Property: AP # 058-690-014 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: HADASSAH SHIELDS Owner's address: 9089 BEDROCK CT., SACRAMENTO CA 95829 INSIGNIA OR HUD NUMBER: CAL362503/4 SERIAL NUMBER OR V.I.N.: 0906471434A/B_ MANUFACTURER'S NAME: CHAMPION HM BUILDERS YEAR: 1989 OFFICIAL APPROVING INSTALLATIO . DATE: 01/30/04 PHONE: (530) 538-7541 H.C.D. 513C 01/31/2003 11:30 9166819144 HADASSAH SHIELDS PAGE 02 STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT CERTIFICATE OF TITLE Manufactured Hosie Decal No: LAR6290 Manufacturer IDName 90086 CHAMPION HM BUILDERS Serial Number 0906471434A 09064714348 1 I Addressee HADASSAH SHIELDS ' Trade Name 10/2711989 Model IISC647C MEADOW CREEK Width SPC ' LabeUlnsignia Number I Weight Length CAL362503 9,250 I 37 CAL362504 I 7,490 32' DOM DFS RY Exp. Date 10/2711989 09/01/1990 Width SPC SCC Exempt I - Use Type 14- 57 SFD LPT 1r 1 Issued • Sep 23, 2002 Total Fees Paid $194.00 _J. 9089 BEDROCK COURT SACRAMENTO, CA 95829 Registered OW60*'O HADASSAH SHIT=LDS" 9089 BEDRAK COURT SACRAMP�ITO, Ci4A5829 Situs Addltess- 715GLJIJ=AVE SP 18 �` ,. WEST.S4ACRAMENTO;:CfA..;91 ., .. .. •._ - -, ..��� _ .- -- a .:....... ,. - .::' .. . w. IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 2613031 092.32002 - 51 U 07../31/2703 11:30 9166819144 RECORDING REQUESTED BY Bidv�'cll Title &. Escrow AND WHEN RECORDED MAIL THIS DEED AND, UNLESS OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO: William W. Shields and Hadassah N. Shields 9089 Bed Rock Court Sacramento, CA 95829-0000 Title Order.No. 00195616-099 Escrow No. 10212436 -SF HADASSAH SHIELDS PAGE 03 • i{1111!!!11111{{Iillli{il{IIIIIIII 200 1 —00 1 474 Recorded I REC FEE 19.00 Official. Records I County Of I - BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Vickie 09:00AM 17 -Apr -2001 I Page 1 of 5 SPACE ABOVE THIS LINE FOR RECORDER'S USE ti J The undersigned Grantor declares: Documentary Transfer Tax: MM$55.00 X COMPUTED ON FULL VALUE OF PROPERTY CONVEYED, OR COMPUTED ON FULL VALUE LESS LIENS AND ENCUMBRANCES REMAINING AT TIME OF SALE. Tfie Undersigned Signatureof Declarant or Agent determining tax. Firm Name Grant Deed FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Butterfly Valley Corporation, a California Corporation hereby GRANT(S) to William W. Shields and Hadassah N. Shields, husband and wife the following described real property in the Of unincorporated area, County of Butte, State of California: See Exhibit "A" attached hereto and made a part hereof. Parcel Number: 058-690-014 Butterfly Valley Corporation, a Corporation By: '0' �f ►2�(f tr /Y . rY� Thomas R. VanNoord PRESIDENT Dated: April 9, 2001 C SCHEDULE C Office File No.: 00195616 Policy No. CNJP 1597 661400 THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BU'1'"11_,, S l'. , € l OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL A: PARCEL 2, AS SHOWN ON PARCEL MAP OF A PORTION OF SECTION 15, '1'0VVN8f 4.02` NORTH, RANGE 4 EAST, M. D. B. & M., WHICH MAP WAS FILED IN THE OFF10i" Gj THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON L)GU 711 1991 IN BOOK 123 OF MAPS, AT PAGES 67 THROUGH 73. AP NO. 058-690-014 PARCEL B: A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSE DRAINAGE PURPOSES OVER THE PRIVATE ROADWAYS SHOWN ON THE Mit-P 09 "DEER PEAK LAKE ESTATES UNIT NO. 1 ", WHICH MAP WAS FILED IN THE Oli-Ti'll C OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA., ON OCTOBER 28, 1982, IN BOOK 85 OF MAPS, AT PAGES 80 THROUGH 86, INCLLISIV1;. PARCEL C: A NON-EXCLUSIVE RIGHT OF WAY FOR ROADS, PUBLIC UTILITIES AND PURPOSES AS SHOWN ON THE MAP OF "DEER PEAK LAKE ESTATES UNI' WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COIJIN! F {C.%� BUTTE, STATE OF CALIFORNIA, FEBRUARY 13, 1984, IN BOOK 91 OF MAT'S. 79 THROUGH 93, INCLUSIVE. PARCEL D: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES,S110', , vlv tkil ON BOUNDARY LINE MODIFICATION BY PARCEL MAP LOT 33 OF DEER PEAK ESTATES UNIT NO.2 AND A PORTION OF THE NORTHWEST QUARTER Off' SE(.r1'K:�: �! 15, TOWNSHIP 21 NORTH, RANGE 4 EAST, M. D. B. & M., WHICH MAP WAS LED 41` THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 28,1987 IN BOOK 105 OF MAPS, AT PAGES 61 At'Jly EXCEPTING THEREFROM ALL THAT PORTION OF SAID EASEMENT IN SES.:' IF E O!" ' < PARCEL E: SCHEDULE C , CLTA Standard Coverage SCHEDULE C = (CONTINUED) Office File No.: 00195616 Policy No. CNJP 1597 661400 A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLk" UTILITIES OVER A PORTION OF THAT CERTAIN PARCEL OF LAND, AS SI e-l�,VN THAT CERTAIN BOUNDARY LINE MODIFICATION BY PARCEL MAP FILED Ind '11ik' OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIF011__' N 0 N JANUARY 28,1987 IN BOOK 105 OF -MAPS, AT PAGES 61 AND 62, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: A STRIP OF LAND 50.00 FEET IN WIDTH, LYING WESTERLY OF AND,CON'1'IG THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE MOST EASTERLY CORNER OF SAID PARCEL OF LAND ldN T!_ -i ? CENTERLINE OF LOWER GULCH ROAD, THENCE ALONG SAID CENTERLINE,, N(.11 05° 26' 09" WEST, 533.52 FEET. PARCEL F: A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UI'<L f.:' : PURPOSES OVER A PORTION OF THAT CERTAIN PARCEL OF LAND SHOWN AS RECORD OF SURVEY OF A BOUNDARY LINE MODIFICATION, BY MAP FILED IN 'a [ILC OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFI= RIN!_-_.., JUNE 27,1991 IN BOOK 120 OF MAPS, AT PAGE 99, AND MORE PARTICULAR ..,'%' DESCRIBED AS FOLLOWS: A STRIP OF LAND 30 FEET IN WIDTH, LYING NORTHERLY OF AND ADJACENT '-fi ) THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE EASTERLY CORNER OF SAID PARCEL OF LAND IN `I HLi (. 6J1 .'I"! OF LOWER GULCH ROAD; THENCE ALONG SAID ROAD, SOUTH 35'45'09 141.65 FEET; THENCE SOUTH 43° 51147 " WEST, 300.99 FEET; THENCE NORT 82" !` 21" WEST, 131.81 FEET; THENCE SOUTH 73° 44' 10" WEST,158.98 FEET; THEN Cf'. SOUTH 330 48'31" WEST, 224.35 FEET; THENCE SOUTH 600 00105" WEST, 32.64 FLR 7":' �':; THENCE NORTH 630 27' 18" WEST, 31.49 FEET; THENCE NORTH 250 17'43 " kvtI;S'1.. 210.31 FEET; THENCE NORTH 01'52'00" EAST, 45.34 FEET; THENCE NORTHWESTERLY TO A POINT ON THE WEST BOUNDARY OF SECTION 15., TOWNSHIP 21 NORTH, RANGE 4 EAST, M. D. B. & M., THAT BEARS SOUTH 00° 33'..1'! 1 " WEST, 1266.83 FEET FROM THE NORTHWEST CORNER OF SAID SECTION I -t-; ,�,,NI!, pli1E END OF THE HEREIN DESCRIBED LINE. PARCEL G: A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTIL1'_T tII;S �' -A; "�' y PATTON PEAK ROAD AND LOWER GULCH ROAD, AS SHOWN ON PARCELS SCHEDULE A CLTA Standard Coverage This Policy valid only of Schedule B is attached. SCHEDULE C = (CONTINUED) Office File No.: 00195616 , Policy No. CNJP 1597 661400 IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 7, 1991 IN BOOK 123 OF MAPS, AT PAGES 67 THW b U;' G I %::i ; INCLUSIVE. PARCEL H: :. BEING A PORTION OF PARCEL 4 AND PARCEL 5 AS SHOWN ON THAT ENTITLED, "PARCEL MAP FOR JIM B. DISMUKES" RECORDED IN THE OFFICE,'J 1 THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON ..' G'L _`!1' 7, 1991, IN BOOK 123, AT PAGE 70, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: A 60 FOOT WIDE ROAD AND PUBLIC UTILITIES EASEMENT BEING 30 FEES.' OIC 1cSt0111 SIDES OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE MOST EASTERLY CORNER OF SAID PARCEL 5; TIIE,i( ,' NORTH 710 28'31 " WEST, ALONG THE NORTHEASTERLY LINE OF SAID PAlltCEL _.� 1,097.87 FEET TO A 1/2 INCH REBAR WITH LS 3346 TAG; THENCE SOUTH 25" 001 04:;" - WEST, 205.OU FEET TO THE TRUE POINT OF BEGINNING OF SAID ROAD C:ENTER.r::-,(E; THENCE NORTH 450 00' 00" WEST 60.00 FEET; THENCE NORTH 17° 00' 00" �Nlt-�S'1', ?1;:j o FEET; THENCE NORTH 041001 00" EAST,140.00 FEET; THENCE NORTH 431 Oil' 00" WEST,100.00 FEET; THENCE NORTH 17'00'00" EAST, 150.00 FEET; THENCE NOR'll l ii. 80° 00'00" WEST, 200.00 FEET; THENCE NORTH 820 00'00" WEST, 50.01 FEET, .l'0 13.11,.'; WEST LINE OF SAID PARCEL 4, AND END OF THE HEREIN DESCRIBED CENTERLINE. SCHEDULE A CLTA Standard Coverage This Policy valid only of Schedule B is attached. 01/,31/2003 11:30 9166819144 HADASSAH SHIELDS PAGE 04 STATE OF CALIFORNIA ) COUNTYOF On 14 — 0 before me, Q 1tL7tL,Sl1�l5(F5� , Notary Public in And for said County and State, personally appeared Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. • - JEAt�TTE 3VIA8U=1( Witness my hand and official seal.= CoMK#1MW3 _ go r Notry laubAc -C� W .. EL DORADO COUNTY -' My Corm. Ejqx Oct 19, 20M N Public in and for said County and (Space above for official notarial area.) MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE b Grantee at address above Name Street Address City & State $ 6� 4� ", +k e SITE PLAN REVIEW APPLICATION Date: 2— i 3— 6 AP# Q� fs' 66)0-01 Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: Z A Owners Name: S) -d 1 1✓ 23) S , 1 LZ) Jci 1..1. Owners Address: r_t 6�Tj2C) e—1.,e-1 4sAC_ CA 9 S8 Z9 Telephone No.: b 6 0) L% 9 Situs Address: &-V L C, " 2 - Proposed Proposed Use: Residential. ❑ New Single Family Residential ❑ Single Family Addition 13 Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Single Family Remodel ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ® Approved r ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By �e Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY • i Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: (? 'S i n S Index Date: b U — J g ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: P6*21 — H-0 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front $Lt- Side 2 3 Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 f, ,-Applicable Development Fees: r� Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban. Area ❑ Other ----------------------------- : Map Special Fees Amount Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Legal Access Provided: Deed of Reference: Legal Access Required Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ No ❑ Yes ❑ No ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) ' Amount Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Legal Access Provided: Deed of Reference: Legal Access Required Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ No ❑ Yes ❑ No ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 IR Subdivision Map/Parcel Map: Map Date of Recording: &--? — g Lot: 2— ❑ Use Permit/Minor Use Permit Permit Number: Book: I2 Page: 67 7 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: 10 ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. Page 4 of 5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 E.H. USE ONLY Piot Plan Attached Real Plan Attached Seen to B.D. I C7"L TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owne`r"Location AP# Plan Approved for: Sewage Disposal, Water Sup Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date x MASTER BEDROOM II,-6"X11l-bl ter A Pei WWAU WASP" BEDROOM" LIVING ROOM BEDROOM 111-61 la -2"X IP -5" EIS W n OPT: RECESSED ENTRY WU17/OCT01 cn I 23 1-.i_ Q I Eo < I (D x MASTER BEDROOM II,-6"X11l-bl ter A Pei WWAU WASP" BEDROOM" LIVING ROOM BEDROOM 111-61 la -2"X IP -5" EIS W n OPT: RECESSED ENTRY WU17/OCT01 • 200'- i 180' 1601 120' ��__: `r . " �� O VEU APPR `_ - Butte ..L RHES , , .. r Ehvironmehtej nty- _ 2L-/- Health 100' �.__ _ `.� T bate �2 71IC c#ac K4 e k / \ ` Sighature A I _ lvoo NvP. 60' AYJ d• 1 20' - - _ -- 40' _ ... /..�60� _ 80' ' -_ - 100' 120' 140' -- - 160 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT I. . Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. %�5�, / /) D� _ ZONING rk_40 OWNER A—M Sh i�7 j� S PHONE NO.q I/_� OWNER'S D S �D (��7� O LOCATION OF BUILDING / J C� / �/ }�� � ,rpt / qjJ q 64 USE OF BUILDING © r -s— SIZE OF STRUCTURE 0 ' X _ ©C SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME —)�— STEEL CONCRETE OTHER (Specify) TYP&LJ ROOFCOV NG 66 Kt--- FLOOR TYPEI'GE Ow ESTIMATED COST OF CONSTRUCTION $ 3S (0 f!)P 0o AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT 7 SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above an the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is e, will cp ntact the Building Division and obtain any necessary permits, inspections, and approvals to comply/�ith theVqf men in effect at that time and before occupancy. ���� Date ermit Fee - 560.00 Receipt No. J I Signature of Owner The above described AG Building is exempt from a building permit. Manager Building Divisi %-2�1 A— White By Date — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant F 00 PARCEL P.D. ROOFI I U I X I X I Manager Building Divisi %-2�1 A— White By Date — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant