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058-730-014
ii Boy=iso"s' 058-730-014 ? SITE PLAN REVIEW a I RESIDENTIAL SFD-Mobilc Home PFS MOBILE HOME PERM FOUNDATION 4 'O BIG BEND RD ON,BILL ��oq 31 �•� � Vii.. ~t�.•r ia. 1�t. '� ..i;i>� `40RDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 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. TRONSON, BILL BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 5389 HIGH ROCKS CT 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 5050 BIG BEND RD 'B07-1708 (530) 538-7601 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDINP PERMIT NO. TELEPHONE NUMBER CONCOW BUTTE CA 95965 8/5/2009 CITY COUNTY STATE ZIP I A URE OF OCAL OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION GOLDEN WEST 1988 BRADBURY MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GW6CALBD7268AM 56'X 28' CAL353478/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 058-730-014 HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD —Building Dept. r Order No. 00223664-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL 1: A PORTION OF THE SOUTHWEST QUARTER OF SECTION 6, TOWNSHIP 21 NORTH, RANGE 5 EAST, M. D. B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCINGAT THE SOUTH QUARTER CORNER OF SAID SECTION 6; THENCE ALONG THE SOUTH LINE OF SAID SECTION, SOUTH 89° 02'48" WEST, 750.00 FEET; THENCE NORTH 450.00 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, NORTH 18° 40102" WEST, 210.00 FEET; THENCE NORTH 70° 19' 16" EAST, 333.89 FEET TO THE SOUTHWESTERLY BOUNDARY LINE OF THE BIG BEND ROAD; THENCE ALONG SAID SOUTHWESTERLY LINE, SOUTH 210 40' 00" EAST, 210.29 FEET TO A POINT WHICH BEARS NORTH 700 21' 12" EAST, FROM THE TRUE POINT OF BEGINNING; THENCE SOUTH 70121112" WEST, 344.89 FEET TO THE TRUE POINT OF BEGINNING. EXCEPTING THEREFROM ALL HYDROCARBONS AND MINERALS NOW OR AT ANY TIME HEREAFTER SITUATE THEREIN AND THEREUNDER AND WHICH MAY BE PRODUCED THEREFROM, TOGETHER WITH THE FREE AND UNLIMITED RIGHT TO MINE, DRILL, BORE, OPERATE AND REMOVE FROM BENEATH THE SURFACE, OF SAID LAND, AT ANY LEVEL OR LEVELS, 100 FEET OR MORE BELOW THE SURFACE OF SAID LAND FOR THE PURPOSE OF DEVELOPMENT OR REMOVAL OF ALL HYDROCARBONS AND MINERALS SITUATED THEREIN OR THEREUNDER OR PRODUCIBLE THEREFROM. AP NO'. 058-730-015 PARCEL 2: A PORTION OF THE SOUTHWEST QUARTER OF SECTION 6, TOWNSHIP 21 NORTH, RANGE 5 EAST, M. D. B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTH QUARTER OF SAID SECTION 6; THENCE ALONG THE SOUTH LINE OF SAID SECTION, SOUTH 89° 02'48" WEST, 750.00 FEET; THENCE NORTH, 450.00 FEET; THENCE NORTH 18° 40' 02" WEST, 210.00 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, CONTINUING NORTH 18° 40'02" WEST, 223.83 FEET; THENCE NORTH 70° 16' 51" EAST, 322.16 FEET TO A POINT ON THE SOUTHWESTERLY BOUNDARY LINE OF THE BIG BEND ROAD; THENCE ALONG SAID SOUTHWESTERLY LINE, SOUTH 21'40'00" EAST, 224.16 FEET TO A POINT WHICH BEARS NORTH 70° 19' 16" EAST, FROM THE TRUE POINT OF BEGINNING; THENCE SOUTH 70° 19' 16" WEST, 333.89 FEET TO THE TRUE POINT OF BEGINNING. r' Vi Order No. 00223664-001 EXCEPTING THEREFROM ALL HYDROCARBONS AND MINERALS NOW OR AT ANY TIME THEREAFTER SITUATE THEREIN AND THEREUNDER AND WHICH MAY PRODUCED THEREFROM, TOGETHER WITH THE FREE AND UNLIMITED RIGHT TO MINE, DRILL, BORE, OPERATE AND REMOVE FROM BENEATH THE SURFACE, OF SAID LAND, AT ANY LEVEL OR LEVELS, 100 FEET OR MORE, BELOW THE SURFACE OF. SAID LAND FOR THE PURPOSE OF DEVELOPMENT OR REMOVAL OF ALL HYDROCARBONS AND MINERALS SITUATED THEREIN OR THEREUNDER OR PRODUCIBLE THEREFROM. AP NO. 058-730-014 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 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 .18'551. 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. ==TRONSON, BILL BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 5389 HIGH ROCKS CT 7 COUNTY CENTER DRIVE e'MAMING ADDRESS MAMING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 'CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP '5050 BIG BEND RD •B07-1708 530 538-7601 - INSTALLATION MAILING ADDRESS, IF DIFFERENT BUELDINP PERMIT NO. TELEPHONE NUMBER -CONCOW BUTTE CA 95965 8/5/2009 CITY COUNTY STATE ZIPI A OF CAL OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION GOLDEN WEST 1988 BRADBURY MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GW6CALBD7268A/B 56'X 28' CAL353478/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 058-730-014 HCD FORM 433(A) REV 8/91 WHITE— County Recorder CANARY — HCD PINK — Applicant GOLDENROD —Building Dept. C Order No. 00223664-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL 1: A PORTION OF THE SOUTHWEST QUARTER OF SECTION 6, TOWNSHIP 21 NORTH, RANGE 5 EAST, M. D. B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING.AT THE SOUTH QUARTER CORNER OF SAID SECTION -6--'THENCE ALONG THE SOUTH LINE OF SAID SECTION, SOUTH 89° 02'48" WEST, 750.00 FEET; THENCE NORTH 450.00 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN 'DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, NORTH 180 40' 02" WEST, 210.00 FEET; THENCE NORTH 700 1911611 EAST, 333.89 FEET TO THE SOUTHWESTERLY :BOUNDARY LINE OF THE BIG BEND ROAD; THENCE ALONG SAID SOUTHWESTERLY LINE, .SOUTH 210 40' 00" EAST, 210.29 FEET TO A POINT WHICH BEARS NORTH 700 21' 12" EAST, FROM THE TRUE POINT OF BEGINNING; THENCE SOUTH 70° 21' 12" WEST, 344.89 FEET TO THE TRUE POINT OF BEGINNING. EXCEPTING THEREFROM ALL HYDROCARBONS AND MINERALS NOW OR AT ANY TIME HEREAFTER SITUATE THEREIN AND THEREUNDER AND WHICH MAY BE PRODUCED THEREFROM, TOGETHER WITH THE FREE AND UNLIMITED RIGHT TO MINE, DRILL, BORE, OPERATE AND REMOVE FROM BENEATH THE SURFACE, OF SAID LAND, AT ANY. LEVEL OR LEVELS, 100 FEET OR MORE BELOW THE SURFACE OF SAID LAND FOR THE PURPOSE OF DEVELOPMENT OR REMOVAL OF ALL HYDROCARBONS AND MINERALS SITUATED THEREIN OR THEREUNDER OR PRODUCIBLE THEREFROM. AP NO: x58430-015 PARCEL 2: A PORTION OF THE SOUTHWEST QUARTER OF SECTION 6, TOWNSHIP 21 NORTH, RANGE 5 EAST, M. D. B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTH QUARTER OF SAID SECTION 6; THENCE ALONG THE SOUTH LINE OF SAID SECTION, SOUTH 890 02'48" WEST, 750.00 FEET; THENCE NORTH, 450.00 FEET; THENCE NORTH 18'40'02" WEST, 210.00 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, CONTINUING NORTH 18° 40'02" WEST, 223.83 FEET; THENCE NORTH 70° 16' 51" EAST, 322.16 FEET TO A POINT ON THE SOUTHWESTERLY BOUNDARY LINE OF THE BIG BEND ROAD; THENCE ALONG SAID SOUTHWESTERLY LINE, SOUTH 21'-40'0013 EAST, 224.16 FEET TO A POINT WHICH BEARS NORTH 70° 19'16" EAST, FROM THE TRUE POINT OF BEGINNING; THENCE SOUTH 70° 19' 16" WEST, 333.89 FEET TO THE TRUE POINT OF BEGINNING. BUILDING PERMIT NUMBER: B07-1708 Address or location of unit: 5050 BIG BEND RD, CONCOW CA 95965 Legal Description of Real Property: . 058-730-014 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: TRONSON, BILL Owner's address: 5389 HIGH ROCKS CT, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAL353478/9 SERIAL NUMBER OR V.I.N.: GW6CALBD7268A/B MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1988 OFFICIAL APPROVING INSTALLATION: DATE: 8/5/2009 PHONE: (530) 538-7541 H.C.D. 513 BUILDING PERMIT NUMBER: B07-1708 Address or location of unit: 5050 BIG -BEND RD, CONCOW CA 95965 Legal Description of Real Property: 058-730-014 SEE ATTACHED .(x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to .the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: TRONSON, BILL Owner's, address: 5389 HIGH ROCKS'. CT, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAL353478/9 SERIAL NUMBER OR V.I.N.: GW6CALBD7268A/B MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1988 OFFICIAL APPROVING INSTALLATION: DATE: 8/5/2009 PHONE: (530) 538-7541 H.C.D. 513 SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF The Coel Family Trust under agreement dated The Coe Family Trust under agreement dated June 22, 1998 June 22, 1998 T affo d Coel,-Trustee' M. Virgin' Coel, Trus ee Document Date: August 2, 2005 State of California CountySao, Jct• ✓l. vmo -:-� SS. On 3 o -s� , before me, the undersigned, a Notary Public in and for said County and State, personally appeared Trafford H Coel 'Tru!Etee and M. Virginia Coel, Trustee Personally known to me (or proved to me on the basis of satisfactory FOR NOTARY SEAL OR STAMP 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 DEBRA K. Moop upon behalf of which the person(s) acted, executed the instrument. ";;; Comwip 1412852 Y NOTARY PUBLIC -CALIFORNIA 6 WITNESS my han -and official seal. r SAN MATEO COUNTY (� COMM, EXP, MAY 8.2207 Signature -Cbrt- - IL. M o0Y MAIL TAX STATEMENTS TO: Same as Above BTEC/GRANTDEED 'RECORDING REQUESTED BY - - Bidwell Title & Escrow Company' r'3; 'E I! _Q f1�it rJ' ( Fn ji AND WHEN RECORDED MAIL TO ;!lh� L `. 1=r ihr _; [ Name Bill Tronson Street 5389 High Rocks Ct. Address _- l/lf. _(( 09 0NMi !%�_.—;?,�L•II City, Oroville, CA 95966 l!.jj `(1 IPap Order No. 00223664-001 SPACE ABOVE THIS LINE FOR RECORDER'S USE 1� A GRANT DEED Parcel No. 058-730-014 058-730-015 THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantor(s) Declares) `:Documentary Transfer Tax is $44 . 00 ❑ City/Town of ✓ computed on iuli'value of interest or property conveyed, or` ✓ Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale 3 ❑ Monument Fee of $10.00 )� FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, f�(` Trafford H. Coel and M. Virginia Coel, Trustees of the Coel Family Trust under agreement dated June 22, 1998 hereby GRANT(s) to Bill Tronson, An Unmarried Man the following real property in the ❑ City of ✓ Unincorporated Area County of Butte, State of California: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF The Coel Family Trust under agreement dated The Coe Family Trust under agreement dated June 22, 1998 June 22, 1998 T affo d Coel,-Trustee' M. Virgin' Coel, Trus ee Document Date: August 2, 2005 State of California CountySao, Jct• ✓l. vmo -:-� SS. On 3 o -s� , before me, the undersigned, a Notary Public in and for said County and State, personally appeared Trafford H Coel 'Tru!Etee and M. Virginia Coel, Trustee Personally known to me (or proved to me on the basis of satisfactory FOR NOTARY SEAL OR STAMP 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 DEBRA K. Moop upon behalf of which the person(s) acted, executed the instrument. ";;; Comwip 1412852 Y NOTARY PUBLIC -CALIFORNIA 6 WITNESS my han -and official seal. r SAN MATEO COUNTY (� COMM, EXP, MAY 8.2207 Signature -Cbrt- - IL. M o0Y MAIL TAX STATEMENTS TO: Same as Above BTEC/GRANTDEED STATE OF CA_1FOIZ";lii-Dr.f'A►ZTivitf�'i O! 1-10!1S1IN(i AN COI/MUNIFY DEVELOPMENT — rc-rnMC DECALNO. 1 AMRjnZ MANUFTUREMRNA 1RAUE NAME MODEL AC 70M DOT DFS SPCEXPIRNION GOLDEN WEST/09248 CPADEIJF,Y E'.0567F3 06/08/88 06/08/88 09/21/88 t U SERIAL NUMBER LABEL/INSIGN A NUMBER WEIGHT 024500 LENGTH 000672 WIDTH ISSUED SCC EXEMPT USE TYPT 000168 10/27/88 104 SFO LPT T GW6CAL13D7268A CAL353478 GW6CAL607268B CAL353479 019500. 000672 000168 2 TOTAL 3 FEES a PAIO: 5 $37.00 6 A HART JACK 0 0 3173 TANGEMAN TRL o PARADISE CA 95969 R E S S E R HART JACK 0 E G M I A 3173 TANGEMAN TRL s i T L E PARADISE CA 95969 R E O o s 3173 TANGEMAN TRL W I N T E u PARADISE CA 95969 R s L E G A L J u IF N I I R O s R T L I E N S H e O C L O D N e.o ' R IMPORTANT 01-296-00037 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 .2 TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0100012 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds ' $1,663.57 PROJECT INFORMATION $1,794.79 Site Address: 5050 BIG BEND RD CWIFDDS Impact Processing Fee Owner: DBEH Building Review Fee Permit NO: B07-1708 APN: 058-730-014 DBFIRE Fire Inspection (SRA) TRONSON, BILL DBFIRE Fire Inspection (SRA) $102.70 Permit type: RESIDENTIAL 5389 HIGH ROCKS CT Issued Date: 08/06/2008 By TMP Subtype: SFD-Mobile Home PFS OROVILLE, CA 95966 Expiration Date: 08/06/2009 Description: MOBILE HOME PERM FOUNDATI (530) 589-2448 Occupancy: R-3 Zoning: FR10 Contractor Applicant: Square Footage: TRONSON, BILL Building Garage Remdl/Addn 5389 HIGH ROCKS CT 1,620 . OROVILLE, CA 95966 Other Porch/Patio Total (530) 589-2448 1 411n FEE INFORMATION CWIF MH $1,663.57 CWIF MH $1,794.79 CWIFAUD Impact Processing Audi $50.00 CWIFDDS Impact Processing Fee $50.00 DBEH Building Review Fee $75.70 DBF MH Plan Check $233.56 DBFIRE Fire Inspection (SRA) $102.70 DBFIRE Fire Inspection (SRA) $102.70 LICENSE_ D CONTRACTOR'S_ DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. . X. 08/06/2008 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred ollars ($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 the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X08t0&2@08- Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip ; DBFIRE SRA Fire Plan Review (S DBMSC Mobile Home Permit Fee. DBOMSCF Fire Safe Standards Re DBSMIP Residential Balance Due: $0.00 ' Receipt No: OWNER / BUILDER DECLARATION $102.70 $350.34 $115.98 $10.53 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001; 1 Please eck one of the following: AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: 08/06/2008 Signature Date I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the proop�y owner or am authorized to act on theme roperty owners blahalf. V" t 1�L t (/k Ir—� 1/U�- C I�f�✓ 08/06/2008 Owner Contractor OR.1:1Agent for Owner Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 5050 BIG BEND RD Owner: Permit No: B07-1708 APN: 058-730-014 TRONSON, BILL Issued Date: 08/06/2008 By TMP Permit type: RESIDENTIAL 5389 HIGH ROCKS CT Subtype: SFD-Mobile Home PFS OROVILLE, CA 95966 Expiration Date: 08/06/2009 Description: MOBILE HOME PERM FOUNDATI (530) 589-2448 Occupancy: R-3 Zoning: FR10 Contractor Applicant: Square Footage: TRONSON, BILL Building Garage RemdUAddn 5389 HIGH ROCKS CT 1,620 OROVILLE, CA 95966 Other Porch/Patio Total (530) 589-2448 1,620 FEE INFORMATION CWIF MH $1,663.57 DBFIRE SRA Fire Plan Review (S $102.70 CWIF MH $1,794.79 DBMSC Mobile Home Permit Fee. $350.34 CWIFAUD Impact Processing Audi $50.00 DBOMSCF Fire Safe Standards Re $115.98 CWIFDDS Impact Processing Fee $50.00 DBSMIP Residential $10.53 DBEH Building Review Fee $75.70 DBF MH Plan Check $233.56 DBFIRE Fire Inspection (SRA) $102.70 Total Charged: $4,652.57 Fees Paid: $4,652.57 DBFIItE Fire Inspection (SRA) $102.70 Balance Due: $0.00 Receipt No: B8151 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 08/06/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does - WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier. Policy Number: Exp. Date: ple (This section need not be cornted if the permit is forts for one hundred ($100) or less.) ❑ 1 AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 08/06/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 08/06/2008 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. _ County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 08/06/2008 CONSTRUCTION LENDING AGENCY - 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date - the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. DAgent for Owner DAgent for Contractor ASSESSOR COPY Lender's Address, City State Zip BUTTE COUNTY ���� DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION ° o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 00 = =�a�. c A FEE WILL BE REQUIRED AT TIME OFAPPLICAT10/V Website: www.buttecounty.net/dds c®0N-1 **PLEASE PRINT CLEARLY** OWNER INFORMATION L!!16' r Fi Name Mailing Address �C�.3 Z41 t 1 G , j,�� C_—t Zip StateG� Zip 406 Phone 2� g Fax E-mail NGIN P APPLICANT INFORMATION CONTRACTOR Name �C,��`,�i1�-� ',,-•' lllf��i�-,, Address Zip City Fax State Zip Phone Open ov Fax E-mail Lic. # Class NGIN P APPLICANT INFORMATION ARCHITECT y, -a Name City Address Zip City Fax State Zip Phone Open ov Fax E-mail State License Number NGIN P APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail PLICANT SIGNATURE 1( 6 -W6 p �o PERMIT NO. A� t� BIN # . PROJECT LOCATION AP# �►S� —7 ,4�— O L44 Property Address ,5 re— �„ City �A "dc, cose ✓��` WORKER'S COMPENSATION Policy Number Carrier 1" If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: O ` TAQ a (-f- �, 1_*7) L �rM• Sq FT- Living j j►G d Garage Open ov ❑Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): / fVw/ For office us only: Zoning food Zone SRA q Yes No Occ. I Type Const. r �� �� R -4-b f583,90 c) 0�0 610 pol-k '�' 'I Z? . Ts. -7o �4a4 � o� — _ 2oS .oto too Ray Dalton Inspections Consulting.Inspection.ProjectManagement 530. 519.6291 Bill of Sale Sold to Mr. Bill Tronson on this date, one double wide Bradbury/RD56773 manufactured home by Golden West Homes manufactured in 1988, HUD tag #CAL353478 & 9, Serial #GW6CALBD7268A & B, consisting of approx 1, 620 square feet including 2 bedrooms, 2 bath, laundry, office, kitchen, and living room. Home is sold in "As Is " condition with no warrantee for the sum of $15, 000.00/Fifteen Thousand Dollars. Description and condition of home are noted and accepted by buyer " Every (as initialed) in appraisal report dated June 24, 2005 by Gene B. McCarty of Magalia, endeavor Ca. with the addition of one oven/range (page 1 of 2) and the deletion of the existing shall front and rear decks. succeed The wheels and axles have been removedper Fannie Mae report or fail p p (page 1 of 2) same on the date, and removal of home is the full responsibility of buyer (by an insured mover.) The shoulders foundation is engineered pier and post (per Fannie Mae Report & "Appraiser's of its leader- Manufactured House Checklist') parts of which may be removed and reused by buyer. ship Seller, Ray Dalton -44 A/ !� Date Buyer, Bill Tronson A�_-,,-2 %- CJ Date 1 3173 Tangeman Trail, Paradise, CA 95969 e-mail: daltoninspect@aol.com Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1708 Date: 8/9/2007 Location: 5050 BIG BEND RD By: GLB Parcel Number: 058-730-014 Sub Type: SFD-Mobile Home PI Owner Name: TRONSON, BILL Phone: (530) 589-2448 Description: MOBILE HOME PERM FOUNDATION 1620' ❑ ❑ The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ E] City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ PARKS & RECREATION DISTRICTS E] Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 El Featthher�R/i r`Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 C-] E]Parac�i seUnifiieddSSchool District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 Signature of Property Owner: !/ ` t Date: 8/9/2007 FILE SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 E:] ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 0 ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 E] Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville `UnionHigh, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 C-] E]Parac�i seUnifiieddSSchool District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded Agricultural Acknowledgment Statement- See Attached ❑ copy of Instructions of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447. --CECity —tOther:I t 1 y E] E] Other: Other: Signature of Property Owner: !/ ` t Date: 8/9/2007 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment LESS THAN 1 ACRE Reference Number: B07-1708 Date: 8/9/2007 Location: 5050 BIG BEND RD By: GLB Parcel Number: 058-730-014 Sub Type: SFD-Mobile Home PI Owner Name: TRONSON, BILL Phone: (530) 589-2448 Description: MOBILE HOME PERM FOUNDATION 1620' By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: (%.� Date: 8/9/2007 Title: FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-1708 Job Address: 5050 BIG BEND RD Contractor: Printed: 8/9/2007 1:29 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt CWIF MH 1825-0-280-1011827 $132.35 CWIFFIREF MH 1851-0-280-1011852 $299.21 CWIFPWRDS MH 1831-0-280-1011001 $786.79 CWIFFIREVE MH 1851-0-280-1011853 $577.57 DBEH Building Review Fee 1840-0-280-1011842 $124.73 CWIFGGF MH - 0021-540013-4614901-1010 $75.70 8/9/2007 $75.70 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $102.70 8/9/2007 $102.70 0100-450001-4617240-1010 $102.70 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $115.98 DBFIRE SRA Fire Plan Review (S CWIFLBRYV MH 0100-450001-4617240-1010 $102.70 8/9/2007 • $102.70 CWIFAUD Impact Processing Audi 1825-0-280-1011827 $132.35 CWIFLBRYF MH 0010-050-4617998-101001 $50.00 CWIFDDS Impact Processing Fee 1810-0-280-101001 $250.42 CWIFSHERFJL MH 0010-440001-4617999-1010 $50.00 DBMSC Mobile Home Permit Fee. 1840-0-280-1011842 $124.73 CWIFGGF MH - 0010-440001-4210500-1010 $350.34 DBF MH Plan Check 0010-440001-4210500-1010 $233.56 8/9/2007 $233.56 CWIF MH CWIFS14ERFF MH 1840-0-280-1011841 $255.63 CWIFLBRYV MH 1825-0-280-1011828 $3.94 CWIFLBRYM MH 1825-0-280-1011827 $132.35 CWIFLBRYF MH 1825-0-280-1011826 $196.74 CWIFGGVE MH 1810-0-280-101001 $250.42 CWIFSHERFJL MH 1800-0-280-1011811 $288.00 CWIFSHERFVE MH 1840-0-280-1011842 $124.73 CWIFGGF MH - 1808-0-280-101001 $542.98 DBSMIP Residential 1001-0-280-1011298 $10.53 49652.57 $514.66 Printed By: Gwyn Benedict Balance Due: $4,137.91 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: L Date: 8/9/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for, a protest are specified in Government Code Section 66020(a). California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau Reference Number: B07-1708 Location: 5050 BIG BEND RD Parcel Number: 058-730-014 Owner Name: TRONSON, BILL 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Date: 8/9/2007 By: GLB Sub Type: SFD-Mobile Home PI Phone: (530) 589-2448 Description: MOBILE HOME PERM FOUNDATION 1620' To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site All development within the Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the extension *number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 8/9/2007 Date AtSignature r All of the Fire Safe Requirements are posted on the Butte County Fire Department website at htti):Hbuttefire.org/Fireprevention/protplan/protplan.html Rev'd 5/7/07 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY ' Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hgp:Hmunicipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1708 Location: 5050 BIG BEND RD Parcel Number: 058-730-014 Owner Name: TRONSON, BILL Description: MOBILE HOME PERM FOUNDATION 1620' Signature of Property Owner: /Vc FILE Date: 8/9/2007 Phone: (530) 589-2448 Date: 8/9/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible 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 $500 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 government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. QI PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. &S OR NO) `• J 40/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: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS 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 Description: MOBILE HOME PERM FOUNDATION 1620' Reference Number: B07-1708 Applicant Name: TRONSON, BILL Owner's Name: TRONSON,/BILL AP # : 058-730-014 Signature of Property Owner:%t/` Date: ��y� Building Sketch (Page - 1) Borrower/Client Dalton Property Address 3173 Tan eman Trail City Paradise County Butte State CA Tip Code 95969 Lender Butte Community Bank !4.00 - Open 60.001 Master m � Bath BR2 In J Master Den Bedroom i - Covered Porch i --------------------------------------------------------------------------� 36.501 Comments: Not Shown: 26' x26' detached garage with metal walls and ceiling; 14' x 14' detached shop. AREA:CALCULATIONSSUMMARY 'Cade -;Description:: .Size Nat Totals GLAl First Floor 1620.0000 1620.0000 P/P Covered Porch 401.5000 Open Rear Deck 95.6662 497.1662 TOTAL LIVABLE (rounded) 1620 Form SKT.BldSki °TOTAL for Windows' appraisal software by a la mode, Inc. —1-800-ALAMODE 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Installation of A2 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes in pan provided. Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) Figure 1 rnodo fNo,?1e - 1-3/4" Tube J -Bolt Nut & Washer C Ig) Lateral Struts Strut (flag end) �° 1-1/2" Tube 4-#12x1" Tek Screws 1-13eam Figure 2 U -Bolt & mounting _<: ..n Bracket A 11. Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. Page 3 of 8 i DOWN= ,s ENGINEERING Xi2 Ground Parts Detail Xi2 Ground Lateral 'System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home. 0 -80' (76' Box) 4 Xi2 Systems &� Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems "2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 4 of 8 FA TIE `DOWNS ENGINEERING Installation. of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. 0 Xi2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Figure 1 X--( J -Bolt Lone Nut & Washer BeamClamp Bracket Xi2 Installation Placement -Beam Longitudinal Strut Xi2 Concrete me end ®b o� Concrete Longitudinal Hardware Kit of H° Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 7 of 8 TIE;=,; DOWN;' ENGINEERING ;-. NCD / 2!-F' xV, �4/0] 0 LD 0 O Hardware ti Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631 Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 . Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Beam Clamp Top Flange 4 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 Hex Nut 1/2-13 Grade 5 zinc 1 Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Grade 5 zinc 1 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 10646Y Hex Nut 1/2-13 Grade 5 zinc full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS - 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 1 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 Lateral Hardware Kit 1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Carriage Bolt 1/2-13 x 1-1/4 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/.2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 s' � TIEs DOWN::' ENGINEERING 0 0 0 0 1 0 0 X12. Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Ground System Xi2 Concrete System i Thr- Engineer Approval State Approval MANUFACTURED HONIEWOSIL:E ROME FOUNDATION` SYSTEM, MALTH AND SAFETY CODE, SECTION 18551 APPROVED . SLIDIECT TO CORRECTIONS NOTED APPROVAL DOES NOT AU'ITIORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICADL8 STATE LAWS AND REGULATIONS State of California. Dwobageof Housing and Commu ft DMIOPmeaf D SI OF CO ES AND STANDARDS 2T SPANQ Tltia iPlaa Approval Expires SU1TTE: COUNT BUILDING DIVISION ZOVED Page.11 of 8 OF Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (29 - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 0 0 Li 0 0 0 Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name:-V?iL-� A.P.# G59 -`7-so - Ol Home Manufacturer: Manufacture Year: l Model Number/ Name:_;F'9*.�OE�A / Vf2`;C'?7_5 Width: 26 (ft.) Length: (oo (ft.) FOOTINGS: Wood - pressure treated or foundation grade[X] Other:[ ] SUPPORTS: Concrete block [u] Other:[ ] Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. Pier Footing Sizes and Locations SINGLE WIDE MULTI -WIDE Line1 ---------------------------------------------------------- 7 ----- Line 1 Line 2 Section 1 Line 2 Line1 ��--------------------------------------------------------------- Line 3 Section 2 Line 1 Piers: Minimum size piers: Spacing maximum: From ends maximum Section 3 Line 2 Line 4 (triple wide only) Line 2 Snow Load: 3'0 psf [�� ] X [ 3� ] Snow Load requirements may be obtained at Fhttp://www.upstate-ca.com/butte/butte county/ \' Insert AP #, view snow load in lower right corner. Line 2 Piers: Minimum size piers: X Spacing maximum: " From ends maximum: o " Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line.4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 1 Openings:. oyN lo$ tv-% )rb S Minimum size pier: [ �,P" A%A- Required at each side of openings over wide. WHO IN - N --_-- q _ME WEMNOMM� i JINIC DIVISIUAll It Building Sketch (Page - 1) 14.W mi Open Deck 6D.00 L � Master Bath BR2 In _j Kitchen Living Room Master Bedroom Den Dining re j Covered Porch j = ; l ----------- 36.50 smaeYrp.. rv^ . Canments: Not Shown: 26x 26 detached garage with metal walls and ceiling; 14'x 14' detached shop. AREA ;CALCULATIONS.. SUMMARY: Code-, NetTotalsr' GLAlFirst Floor 1620.0000 1620.0000 P/P Covered Porch 401.5000 Open Rear Deck 95.6662 497.1662 TOTAL LIVABLE (rounded) 1620 LIVING AREA BREAKDOWN Breakdown Subtotals First Floor 27.00 x 60.00 620.0000 Form SKT.BIdSId —'TOTAL for Windows' appraisal software by a la mode, ine. —1-800-ALAMODE l l- Borrower Crient Dalton Property Address 3173 Tancierrian Trail City Paradise CountV Butte State CA Zip Code 95969 Lender Butte Community Bank 14.W mi Open Deck 6D.00 L � Master Bath BR2 In _j Kitchen Living Room Master Bedroom Den Dining re j Covered Porch j = ; l ----------- 36.50 smaeYrp.. rv^ . Canments: Not Shown: 26x 26 detached garage with metal walls and ceiling; 14'x 14' detached shop. AREA ;CALCULATIONS.. SUMMARY: Code-, NetTotalsr' GLAlFirst Floor 1620.0000 1620.0000 P/P Covered Porch 401.5000 Open Rear Deck 95.6662 497.1662 TOTAL LIVABLE (rounded) 1620 LIVING AREA BREAKDOWN Breakdown Subtotals First Floor 27.00 x 60.00 620.0000 Form SKT.BIdSId —'TOTAL for Windows' appraisal software by a la mode, ine. —1-800-ALAMODE l l- Kenneth D. Reed, P.E. Registered Civil Engineer 8976 Simmons Rd Redding, Ca. 96001 Voice/Fax 530-243-3296 Structural Calculations for Bill Tronson 5050 Big Bend Road Oroville, CA 'Roof Analysis 07/31/07 i Using 1997 UBC Loads Roof Dead Load Roof Live Load Total Roof Load Gravity Loads: Rafters: L = 13.4•ft-6•in-4•in Spacing: s = 12 -in Uniform Load: w = TLr•s L—w Shear Load: V = 2 2. L Moment: M - vv 8 Section Properties: A = A26 A = 8.25 int S = S26 S = 7.56 in I = 126 1 = 20.80 in4 Shear Stress: fv = 3•V— 2•A M M Bending Stress: fb = S DLr = 12•psf LLr = 30•psf TLr = DLr + LLr TLr = 42 psf L=12.6ft w = 42 plf M = 829 lb -ft fv = 48 psi fb = 1315 psi Marriage Llne Beam: L = 18.75 -ft - 6•in - 3•in Uniform Load: w = V s Section Properties: b = 3.0.63 -in b= 1.9 in d = 19.75 -in Shear Stress: Bending Stress: Deflection: A = b•d A = 37.33in2 2 bd S= S=122.9in3 6 b•d3 I = 1=1213in4 12 3•V fv = — fv = 11 psi 2•A M fb = fb = 81 psi S 5wL4 A = 0 = 0.40 in 384•E•1 L=18.0ft w = 264 plf The roof system of this structure is adequate to withstand 30 psf snow load without any modifications. Page 3 SITE PLAN REVIEW APPLICATION Date: ,C-\` 0 AP# Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name:`���� Owners Address: .Telephone No.: Site Address: Proposed Use: Zone:���� Residential GP: ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family 11 - Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other J2 Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑'Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved ❑ Conditionally Approved Resolve Problems Prior to Approval ❑ Resolved By Date 2006 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: - • Flood Zone: • Flood Panel No.: '`' Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval -must be obiainea from the California Reclamation Board) ❑ North Chico Specific Plan }, ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: 11-2—z p General Plan: Applicable Building Setbacks: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 2006 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear O Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 2006 Parcel Created By: ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for. Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access Provide Deed of Creation ❑ Obtain a Certificate of Compliance 'K ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: 3 Page: 2006 SITE FLAN .�........ L.-.T.i—-.•-_ _...._...... :. -......:......:......:....-:......:......:..._.:...._.:� ............. ............. .. .. — - - _ - tti ./� < .: �. .. .. .. ...............l. .. ._ _ �` 1 1 .�. -/+••". •.-/'-. rte; -:..................r.............:.....:...._.,....__:"...:......:......:.....:......:............:...... moi. .. ._ ..I... . -s- .. -. .. .. .. .. t .� /: `•. 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Assessor's Parcel Number DEE] - H[j]Fo-] - ED El Scale: 1" = Owner Name Address / Phone No. Site Location Contact: Name Phone Odobw 2t =M FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres i 4.0(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: Mpro0ot" Thi 19.* Wt.- meet th uire 0 me e Came ma-c-timl affact ni didAlinne SITE 'PLAN outlined in the attached PRC4290 -•---- 7 ............ ................... ...... 7 ............. .................... ................... .................... ............ ...... ...... ..................... ......... ................... ..................... ............. C-DIF/BUM.10 . ........... Reqpwornents. 7. 7 ............. ...... ...... ................. ...... ............. ..................... .............. : ..................... ................ ...... ..... ...... ...... ..... ....... ................ ................... ...... ............ ...... ..... ...... ...... P.(xSFAardxqWm4toMvlj ...... vi .... . . . ..... josed no* fft.il ................... ..................... . ............................................ ncalihm ..... . pw .......... : ...... 7 .............. ...... ...... ...... ...... ...... ..... .............. Z ........ ...... Gt9tirseweAstctpw"nt=uftWjMb ........... ...... ....... . . . ...... ............ ...... ............ ...... .. .... ................... ...... ...... ..... ...... ...... ...... ................... ................... ............ ...... ...... ...... ...... ...... ..... ..... ..... . . ..... PRC 4290 REQUIREMENTS ............. ...... ...... ..... . The attached Fire Safe Requirements ......................... ..... I as specified and ................... ...... ..... ...... ...... ..... ........... ...... ............. ...... ..................... ...... ............ ............. I I ...... ..... Must be completed .......... . ...... ............ ...... ............ ...... ............ ............ approved by California Division of ............ ...... ...... ...... ...... ............ ...... ...... 1.-*-:--: ...... .................. ...... ...... ............ ............ :,�X ...... ............... : ...... ....... ..... Forestry ...... ........ ...... :-APPROVED PLANS AND ............. . .......... ....... ...... ......;-••. ........... . ...... ...... ...... .............. ...... ...... PERMIT SHALL BE ON .................. ... i ...... : Z -BUIL ...... ...... ....... .......... NN G bIVISKA DINO PLAN APPROVAL ................... ............. ...... ....... ....... ....... SITE_ ALL ........... ...... ...... ...................... ............ ....... ALL COVERED DECKS AND Date: -A - .... ...... .... ...... ...... ............. ...... ..... .... INSPECTIONS . ............... ............. ... ......... ... ............. * ....... ....... .... .. . ..... - .: ..... ...... OPEN DECKS EXCEEDING 36 . .. ........ ......... ...... ........ runry ..... ... ..... .. . P*W Ll�n scs ng ....... SQUARE FEET IN AREA WILL ..... ...... ...... ....... ............... ............. ....... ......... ................... ................... ............. ............. ...... ...... 11 . .......... ...... * .............. ....... REQUIRE A BUILDING PERMIT . ............ ...... Z lk� ... ...... ............ ---;4 ....... .. ........... . ............. ...... .............. * ...... ..... . . . . . . ........................... .......... ... ........ . .. .. .................. ...... ...... .... ......... ............................. ........ . • ............ .... .. ... .. ....... --r .... . ...... .............. ...... ... . ..... ..... ....... ............ ...... ...... ...... ...... ............. .................... ..................... ...... ............. ....... ............ ...... ..... : ....... .......... ...... .... ...... ...... ......................... ............. ...... * ............ ............ ........................_....._....1........_................. .... ..... . ............ ................... ............. .................. ...... ..... .... . ... . ............ .................. ...... ...... ...... ..... 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Assessor's Parcel Number. Owner Name Address / Phone No. Site Location Contact: Name ERE — EDE Scale: l"= Phone 0,4--x3 20M FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres i 4.0(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: • • , 9 NO (fr/Qal H3NMQ Acl0aoss3ss)v