Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
058-800-035
RLAN EPLEY Off'Cirby Creek Rd near Concow Rd inter CERTIFICATE OF COMPLIANCE /with condit. 4 _ 7/71/82 ` 58-80-35 92-2195P,E BE HTELL, John & Patti ' 392 High Ridge Ct, Oroville mh uti ities 058-80-0-03 92-3711P',E PETERSEN,,. Sco 3922 High Ridge t, Oroville transfer ownerfo 92::21,95, �~�q l ELEC - -- Q , (,eft 0 c��, / � Gas / 11 � 9J COMPACTION TEST RE ✓L� o l SUPPORT�STRUCT RE 58-80-35 92-2196MHI ✓ BECHTELL, ohn & Patti 3922 Hig idge Ct,Magalia mhi '058-80 -035. 92-3712P,E_V PETE EN, Scott 39 High Ridge Ct, Oroville transfer owner for 92-2196 058-80-0-035 93-715 PtTERSEN, SCOTT,. j 3922 HIGH RIDGE CT, OROVILLE / OPEN DECK/MH 058-500-035 06-0024 PETERSON, SCOTT 3922 1--IIGL-1 RIDGE CT, OR.OVIL:I E Cone: SIERRA M0131LE SERV M./H PERM 1=ND (EX) t, 058-800-035 — — 06-0024 PETERSON. SCOTT e �� 1 pUTTEa N ®TES '3922 HIGI-I'RIDGL CT; OROVILLE LtM\4/FHI IERRA MOBIL E SERV 1"�oUN�y ERivI FND (EX) RESIDENTIAL APN: Permit No. Owner. ` Site Address: Contractor. Type of Permit: SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE CAL- 1-1 g 9N CAj� 11912,1 DATE JOB FINALED: SIGNATURE: P L +=OK - .. 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE � PERMANENT FOUNDATION SOFT -SET P_ 490. 0.6 p/Z�oning-Setbacks-Easements 1-10-06 id'Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FalUC/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Elect Tagged 13� Downs Foundation Q 14 Exits 15 CerLGf-Occupancy 1 LID Label/Insignia Numbers Serial Numbers DATE IDEC K S`C O V E R S`C A R P O R T S `G A R A G ES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing . Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills -An chrs-Stu ds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls °s I DATE JPOOLS I 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed " 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pniboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing -Alarms I 13 Bonding, Diving board or Slide °q0- 0`4 Pool Drawing = OK 0 = Not OK I RESIDENTIAL (Single & DUplexj - -1 DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth ` 5 Stemwalls Main; Steel-8lockouts -Wrapped 6 Stemwalls Garage; Steel-Blockouts -Wrapped 69 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn _ 14 GirdersSills-Anchr Bolts,)oists-Vnts-Cripples 15 Acc & Vntltn 16. Insulation o'`° m o'`° e• DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 Insulin -Walls -Ceilings 39 I nfi I tra ti on -W a I is -W n dws DATE JELECTRICAL 40 Fxtr & Trnsfrmr CImc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or [:I AL AC Wire Sz ga ❑ CU or El AL 48 Range Circ ga ❑CU or DAL Oven Circ ga Q CU or 0 AL Insulated Neutral ❑Yes ONo 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector DATE PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tub & Shwr, 2nd flr - Tub�Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE MECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic a c mac` DATE FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker S2.s & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters QYes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION 9: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (536) 538-7541 PERMIT NO. BP060024 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 01/09/2006 APN:O58-800-035-000 the Business and Professions Code, and my license is in full force and effect. yJ0-7 Site Address: 3922 HIGH RIDGE CT CON License Class : Licensee Number: Date: / y Contractor: 0� E Map Index: Description: MH PERM FND EX SITE EX MH 1056 SQ.FT. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or -county which requires a Owner: PETERSEN SCOTT SAYER permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance; also requires the applicant for such permit to file a 3922 HIGH RIDGE CT signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95965-9721 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 ($500).): - ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SIERRA MOBILE SERVICE Code: The Contractors' State License Law does not apply to an BILL REID owner of property who builds or improves. thereon, and who does such work himself or herself or through his or her own employees, 466 CIRCLE DRIVE provided that such improvements are not intended or offered for OROVILLE, CA 95966 sale. If however, the building or improvements are sold within one 530-534-0599 year of completion, the owner -builder will have the burden of _ proving that he or she did not build or improve for the purpose of, sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: SIERRA MOBILE SERVICE not apply to an owner of property who builds or improves thereon, BILL REID and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 466 CIRCLE DRIVE O , CA 95966 E0599 ❑ 1 am Exempt under Article 3 of the Business and Professions Code 5300-534--534- Date: Owner: License #: 470386 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number.are: Carrier: ST/aa rf fUN D Total Square Ft: 0 S. F. qX-!�_7 Valuation: $0.00 Policy Census Code: ❑ 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. - I I f( /0 6 Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section .3706 of the Labor code, interest, and attorney's fees. 7 V /�l S An,f CONSTRUCTION LENDING AGENCY This permit is hereby Issued under t plicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti rns to Vwork indicated aVove,4or which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) _ /O lvz Date: � Name: BY �% /�/1 /—� PERMIT EXPIRES ON: / Address: a" ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the.above mentioned property for inspection purposes. Print Name: E t Signature: 1 10 6 Date: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION#: OROVILLE: (30) 538-7636 CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLIC,4TION **PLEASE PRINT CLEARLY** Last Name OWNER f [ TL-" eSa AJ Address 37 Z-7 DG'E City Of_"o U(,-cC£ Sla'2,,, Phone Fax E-mail Name Address City Phone E-mail I Name Address City Phone E-mail PERMIT &,-x-,,4 BP BIN # me T( ANLOCATION OOS-8 860 03� Co t/ 2 r Property Address City :JI EE��l -3 2� Nlc,y �fOGE OVizeE Cross Street CONTRACTOR State u` Zip Y-711 osv 9 Fax Lic. #y76s E Class d ARCHITECT/ENGINEER State Fax State APPLICANT NAME Name �C'Z' L9 Address City Phone S3 q pS-ro 6 E-mail Zp APPLICANT SIGNATURE X For office use only: Zoning EName IM!apBook !Page e -OCC. Noe ConsVM Subdivision Lot # Planner Date Approved: OVER FOR SUBMITTAL PF=ni ttQf`nn�r,tT� WORKER'S COMPENSATION Policy Number Yzs� Carrier /) / Jr hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the Bme of permit issuance. LENDING AGENCY rAddress- I Description or Scope of Work: Sq. Footage ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be -111-3 REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received bl�.o Amount S�%� 90 Bldg � SRA Receipt #: ���5� Sheriff -MIP Date: Other 1-3 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILD12kl VI"SI"ON; 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: /;%�� C�)����� ASSESSOR PARCEL NUMBER,y� Proposed Building Use: MtJ, Qn, Gd Permit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan,I,Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers.....:...................................................................................... ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 018. Erosion Control Plan Required........................................................................ f- 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. JIM Legal description J M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone �.r1S/�( i�i//p� c� and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: -4 - y� %v+n ! Date: 1. Index permito5 application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above at by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Date: Date: _7'/0 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division KBuilding/Plan ChecklData Sheets/data sheet page 2 9.27.05 BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP060024 24 HOUR INSPECTION 4: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (536) 538-7541 B. C. Building Permit 01.16.04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 01/09/2006 APN:O58-800-035-000 the Business and Professions Code, and my license Is In full force and effect. . Z y7o� 6,6 Site Address: 3922 HIGH RIDGE CT CON License Class : License Number: ` ! y 0� Contractor: Map Index: Date: Description: MH PERM FND EX SITE EX MH 1056 SQ.FT. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: PETERSEN SCOTT SAYER permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a 3922 HIGH RIDGE CT signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95965-9721 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 ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure' Is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SIERRA MOBILE SERVICE Code: The Contractors' Slate License Law does not apply to an BILL REID owner of property who builds or improves. 'thereon, and who does such work himself or herself or through his or her own employees, 466 CIRCLE DRIVE provided that such improvements are not intended or offered for OROVILLE, CA 95966 sale. If however, the building or Improvements are sold within one 530-534-0599 year of completion, the owner -builder will have the burden of _ proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: SIERRA MOBILE SERVICE not apply to an owner of property who builds or Improves thereon, BILL REID and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 466 CIRCLE DRIVE O , CA 95966 E0599 ❑ 1 am Exempt under Article 3 of the Business and Professions Code 5300-534--534- Date: Owner: License #: 470386 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation , Insurance carrier and policy number.are: /► Carrier: 5 r n rr ry.,J 0 Total Square Ft- 0 S. F. Valuation: $0.00 J(� Census Code: Policy #: y 7 ❑ 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, 1 and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall ^ n forthwith with those comply provisions. 1' /0 Date: D Applicant: t WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section .3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby Issued under t plicable provisions or the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutl rs to tj iinhdiid/ tted a ove or which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) . vwork� ey. �/ ///��L I�C,Gf Date: Name: 1 1 PERMIT EXPIRES ON: Address: (I)ate) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. 1 hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the.above mentioned property for inspection purposes/ }� Print Name: t Signature: r � , (� 1 0 E Date: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor PERWTS BECOME NULL AND VO B. C. Building Permit 01.16.04 pg 1 Butte County Department of Development Services Inspection Card ou 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX #: (530)538-2140 Visit our website at: www.buftecounty.net/dds ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Date Ground work Setbacks Foundation/Footings Piers Grade Beams Eufer Ground Hold downs Stemwalls Do Not Pour Concrete Until Above Signed Slab - Slab -Garage Gas Test Yard Pipe Blocks CMU/Logs 1 ° Lift 2" Lift T4 Lift Final Lift Under Floor/Slab Framing Shear Transfer Plumbing Mechanical Gas Piping g or Until Above S Rough Electrical Rough Gas Roof Sheathing Straps Shear Transfer Shower Pan Rough Sprinkler Do Not Insulate Until Above $ipned Wall Insulation Ceiling Insulation Do Not Cover Until Above Signed Shear Interior Shear Exterior Shear Braced Wall Wall covering T -Bar Ceiling/RC Sheet Rock -l" layer Sheet Rock -2nd layer Separation/Location Framing/Openings Gas Test House Pipe Stucco Lath Scratch + Brown Finish Inspection Type Insp. Date Final Plumbing Final Mechanical Final Electrical Final Insulation Certificate Final Sprinkler Swimming Pool Setbacks Pool Steel/Pre-Gunite Electrical Bonding Enclosures & Alarms Plumbing Electrical Gas Test Light Nitch Other Agencies Insp. Date Public Works Sewer S ec Ins ection Fire Department Underground Final Sprinkler Fire Final Temp Elect Auth Elect Authorization Gas Authorization Permit Finaled PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION. Z O ZW P LLJ CL ~ W Q (j)ya� ZCO) III �ZW O Z = Z H (9, _j F - Z CL jaOW _5 LLJ nr CL Oa>O_�p �v0l--Zu,J Z CL a W xUJ U) III W 0OU)Qy maa=Za �j>'vQw Q O W O W W LL W maWm _j?QO ==J.J _J m Q O B. C. Insp. Card 02-17-04 pg 2 rev 1-19-05 "01/03%2006 11:10 escrow No, Loan No. . REGENT COMMUNICATIONS 4 5340709 WHEN -RECORDED MAIL TO:. SCOTT SAYER PETERSEN Q r y'- L `at csLrJY'. .:t '• t F APN 058-800-035 MAIL TAX STATEMENTS TO: SAME AS ABOVE NO. 651 D02 92-43! 93 92-043193 11 Rao Fee 11,00 I PCO 20+ 00 Recorded I Check 3140 Official Records I County of I Butte I Candace J. Grubbs I Recorder G:01am 25 -Sep -92 I PURL CID 3 000UMMARY TRS TAX :�:..�...�.,..�.�...:......., I -`,, Ow conaiderwian a v" of pnw" prlvey�; mo of arw GRANT 0110 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowladgW, PATTI BECHTELL, HUSBAND AND WIFE R hereby GRANTIS) to SCOTT SAYER PETERSEN, A SINGLE MAN the real property in the City of County of BUTTE SEE ATTACRED R. JORN /BECHTELL AND � 4wnas air ship Stm*10 w F4" (Sac 480 2 t CadW &At yo mr.0 oddto� oo docvtl. •.:•r........ +:. j—', Stria of Celifarniat, dWribW �•�MI'I�r ��y��pp ppyy��'E.... '��.r� G���'..yyet,��a��^s—�-p..:......y�^_+�•:.:e•am.:�•�,..n.o.. .._.—.— .... ... ... F ��i•iMirN �8tl�L7 � �fY/Yi .. I ,. p This is s bonagide gift and grantor received nothiq�j in return, R & T 3TA'M0F C&IFORN I i 01/03/2006 11:10 REGENT COMMUNICATIONS 4 5340709 NO.651 1?03 GRANT DIED )R A VALUABLE CONSIDERATION, receipt at which is hereby acknowledged, PATTI BeCHTELL, HUSBAND AND WIFE ireby GRANT(S) to SCOTT SAYER PETERSEN, A SINGLE MAN a real property in the City of 2untV of BUTTE SEE ATTACHED 0 =$,ml I L R. JOHN AECHTELL AND ci'arw 01AP statom*' Filed. 91w- 480 1 'q. T Cade) Swo to mai(mg addma an docup-m. , State of California. dewAbod as MUM= Q1V= FOR SO VALUX This is a bonatide gift and grantor received nothiqq in return, R A T r- me ............ — Mo. the W"*roft 41 "m wft-*Fw far am sw% pw auy 'RD L Li': L 0 Z�:; Z; U - -' ! ',. wr'Wly kwAm to ma for pmad to me en me ON* of addocow C BARBARA EDGAS tl I - ft=0 tm is IN* MW 11 *"oft naw*&) b1me mAscrfind t XAMf JRYN oft NC rut; - 'in "ftwWA 00 wkmwbftW to ms' 00 ho]WWAW oxacuted mom fThb Wft 1W 9"Wm foram $ad) it 3116 AAAI AX STATEMENTS AS DIRECTED ABOVE Vector Dynamics "Foundation System" by TIE DOWN ENGINEERING, Inc. Installation Instructions for the State of California, Wind Zone 1, 15 PSF Wind, Seismic Zone 4 Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. General The Vector Dynamics Foundation System resists lateral & longitudinal wind loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: • These plans and specifications meet the requirements of Title 25 section 133$ and $ C.6G requirements. • Maximum eave width (roof overhang of sidewall) of 12" for Zone I. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. OG e!)o Z BUTTE COUNTY BUILDING DIVISION APPROVED FE T 260 0 df 312006 CIVIL �F .GAL►F���v , Engineer Approval State Approval WWWACNRm xommomm Dom FOUNDATION SYSUM SAWS AND SAFSTY CODE. ST►(.nm iem APPROVED MaCrTocommnommm AMMAL DOBE NOT AUTHORIZE OR APTRoVB ANY OMISSIONS OR DEVIATION FROM REQUIRBMMM O! APPLWAM STATE tAws AND uo A,Anwg Soft atc lifom% DWWWW St "d CvmmuoW Dwdopeaot sm or AND StAI�DA>RDS sY—,DAU er ara, - tom) PLsAppeo�lB�La RN GENERAL INSTALLATION INSTRUCTIONS Site Preparation It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. Footings and Frost Lines The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete.to comply with local requirements for footer depth. Foundation/Footing Specification for Vector Pads Vector Pads are used in place of conventional foundation pads. One Vector pad provides 2 sq. ft. on single block and 3 sq ft. double block pads of bearing support. Vector Systems should be spaced as symmetrically as possible within 10' of end of home. For pier locations in between the Vector Systems, use the normal foundation pads. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 36 inches under one or both main rail(s). Multi -section homes limited to 50 inches. Unequal Pier Heights Multi -section homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26" Vector Dynamics Foundation Systems Component Parts List e s y �® C?_ W.�03 '1® Vector Foundation Systems for the State of California Page 2 Vector System Part # 59018 Single piece pads with straps and slotted bolts Vector/LSD Kit Part # 59013K ,r.for single block pads c 11/28/2005 1111 M $� ; , . o Concrete Vector.System. Part # 59036 }n (for single stack blocks) A a m 'Concrete Vector. System 4 . Part •# 59049 , - - /• 47 •47 � ' O ' O;j � _.• art ' :. err (for.doub•le stack blocks) ------------- K -o eo r .. .Longitudinal o Stabilization s o o Hardware Kit'. ® o o �w for Concrete ���Part #59023: ® v •-•-•-•-•- -•.,- - p,= - -• •-•-•-•--............•- - -•. ....... ------------------- 1H. •- --•-•-•-•-•- - - - . Vector 2000.3 So. Ft. Pad v e„ Part # 59276 for Double Block sets with strap: and hardware OUR - Longitudinal WWAT Hardware Kit -'.. Part # 59026' .o .� -(for use with 5927.1), ' y• t 4•�Aa. t -Struts for Longitudinal Systems • Part Strut Pier No. Length Height f il U�I ' 59013' 44 up -to -4 Blocks Center Compression Strut. 59015 '.,65" 516.6 Blocks # 48612 - 62"- 108" Strut • _ # 48613 - 347_ 60" Strut It4_1 Vector,FoundationSystems for the State of California Page 3 ,... `11/28/2005 -Set -Up Instructions for Vector System Long U -Bo Tie Bracket Beam Clamp Outside A Tension Bracket 8 a Longitudinal g - Longitudinal f3racket r y Vector 2 sq. ft. �' --- Pad for single block set 1. Set Vector Pads Clear all vegetation where pads will rest. Place a long U -bolt in pad as shown. Attach longitudinal bracket to pan. Press or hammer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place metal strut between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to outside of pads. Vector foundation Systems for the State of California 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compression member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to outside tension bracket. Cut strap 12 -15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. 5. longitudinal Install beam clamp to I-beam and attach longitudinal strut to pan using nuts and bolts provided. Pull beam clamp outward to remove any slack and tight"k. nuts and bolts. Page 4 11/28/2005 Beam Clap10 A • � , ��". i r � i .. .YI 1, `y .. t r Strut A v Longitudinal Bracket ;= 3,3q. Ft Vector Pad - �M- __ 0� ` for Double Block Set r Vector, Foundation, Systemslor the State of,Califo'rnia =' -Page- 5 x 11/28/2005 Metal -Pier Foundations For metal piers, place the piers in the center of the Vector pad. Set the strut through the piers so that it butts up against the tension bracket. Inside tie bracket mounts upside down as shown in drawing. Metal piers on Vector can only be used on level ground sets. Conventional pier adjusters must be placed under beam with head fastened to beam. Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. Vector Foundation Systems for the State of California Page 6 11/28/2005 WIND -ZONE I for Single SectipHomes- Using Vector Dynamics Foundation Systems ' Example of a Single Section 14'x 72' Home 1---`A----------------------------- -------------J1 17—miI, —Y l • c.. 1 - �! 1 Vector Systems, iSD I 1 Vector Systems 1 a.< ,. _K �, ,y: 1 �rn 1 r_ — —�— — — — — — — — — — •-- — — — — — — — — — — — — + — — — — — — — — — — — — — — r LSD . Soil Bearing Capacity: 1,000-PSF Minimum "Home Length Vector Systems Longitudinal Required Stabilization (LSD) • 0 to 80' 4 2 NOT_ ES: For use on 14' & 16' wide homes: , Main rail spacing on single wide must be .95" or more. .Pier hieghts cannot exceed 36". Roof slope no greater than 20° (4.37 in. 12" pitch). Vector Systems should be spaced as symmetrically as possible along the length of the home' Pier spacing must be consistent with home manufacturers instruction and/or state requirements.,,A! A-* • , . . Two Struts =1- LSD System. Can be used on one pad or on opposite ends of home ,.. • ' ' Vector Foundation Systems for the State of California Page 7 11/28/2005 WIND ZONE I for Double Section Homes Using Vector Dynamics Foundation Systems I — -- — — — — — — — — — — — — ----------------------------- _I I LSD Example of a Double Section 26'x 72' Home I I Vector 5yetem LSD l u u u u u u u u u -- — — - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — ———— — — — — — I Soil Bearing Capacity: 1,000 PSF Minimum Home Length* Vector Systems Required Longitudinal Stabilization (LSD) 0 to 62' 3 2 63' to 80' 4 4 * Up to 7:12 Slope NOTES: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers instruction and/or state requirements. Two Struts =1 LSD System which can be used on one pad or on opposite ends of the home. Vector Foundation Systems for the State of California 28' --� Diagram represents example of a double section offset. Total size is determined by the length of unit plus 72' offset. , i _ Example: 28'x 72' Page 8 11 /28/2005 Home Length Vector Systems • Longitudinal Required over 24" Stabilization (LSD) 0 to 80' 4 4 y NOTES: Pier height is measured from top of the Vector Pad to the bottom of the I-beam. Vector Systems should be spaced as - symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers instruction and/or state requirements.. Two Struts = 1 LSD System which can be used on one pad. or on opposite ends of { the'home. Vector foundation Systems for the State`of California Page 9 11/28/2005 WIND ZONE I for'Triple Section Homes Using Vector Dynamics Foundation Systems ----------------------------------------------- Example of a -Triple Section 32'x 72' Home I Vector 5yotem5 L50 I rid J n rn n n_ rrl rn r.—i n l � I ME Fw-1 Tag or Full Triple ----------------------------------- Soil Bearing Capacity: 1,000 PSF Minimum Home Length Vector Systems Required Longitudinal Stabilization (LSD) Tag Or 3rd Section 0'to80' 4.+2 on Tag 2 2 NOTES: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers instruction and/or state requirements Two Struts =1 LSD System which can be used on one pad or on opposite ends of the home. !4-- 32' Vector Foundation Systems for the State.of California Page 10 Diagram represents example of a triple section offset. Total size is determined by the length of unit plus offset. 11/28/20 0 4— -Vector Dynamics System+ for, Concrete Applications Instructions Read and follow all applicable instructions and guidelines .in the Vector instructions and'home instal lation manual. The Vector system for concrete' pads- applies to concrete footers, runners and slabs. Minimum size of concrete per. Vector pier is 24"x24" x'4 or 18" round (min) x 10" deep: The bottom of. footers must be below the frost line or a minimum�of 4" below,finished grade whichever is* greater. , Concrete must -be sufficiently cured and set to accommodate an anchor -bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be -located: 2. Place one Vector concrete pad (galv. metal) on the concrete where.the pier will be located; centered under the I-beam of the home. Place the upturned edge towards the center,of the home -and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Place a long u -bolt through the holes of the Vector pad as shown. 4. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the ,Vector.=pads should be up against the inside of the pier blocks. 5. Build vector piers but do not wedge atithis time. 6. Using a" concrete drill bit, drill two holes into the coricrete using the two holes in the ,rear end ,of the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. 7- Place an outside tension bracket on the Vector pad as shown in Illustration one: Line up the, holesAn the bracket, Vector pad and concrete pad, -� - Illustration One: Single Block Set -Up Part #59036 <_, . Wood Ca ::0 �� , and wedge v - x Double Block Set -Up . - � �. r Insid • �, 5 Part #59049 a of ho l �( me a,�W r �Y( Outside KIWIK.,�t ,,� }' �� Tension Bracket . Vector pad for i concrete -` h Wedge . Bolt Concrete footer Vector'Foundation Systems for the State of California Pae 11 11 28/'2' 5� r . Vector Dynamics .System for Concrete. Applications. 8. Put a washer and nut on one of the 3/8" x 3-34' wedge anchors. The- nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the.outside tension-bracket,.metal Vector pad and into the concrete. r . 9.. Using a hammer, tap the. wedge bolt into the hole.' Maximum height for expansion bolt above concrete is 2". 10. Repeat forthe other hole in the outside tension bracket and the two holes on the other Vector system pier set.. 11. Place an inside tie bracket over the u -bolt so that the lipof the bracket is between the Vector plate and concrete blocks. Place washers "and nut's on each U -bolt. Do not tighten yet. 12. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down tooutside tension bracket. ° Cut strap 12 -15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. 'Repeat with opposite strap. , 13. Tighten inside u -bolts at this•time: 14. Use the outside tension'brackets.to remove any spate -between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a' hammer. . Wedge.the pier set at this time. 15. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts,`securing the outside tension bracket and Vector pad to the concrete. - 16. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration Tu Single Block; Part#59036. Double Block Part #59049' .Inside Tie Bracket weep t;ompression U -bolt Strut Vector pad for concrete Concrete footer Vector'Foundation Systems for the State, of California Page 12 11/28/200 #59018-1 Hardware Kit for #59018 & #59276 Lateral System Hardware Kit 2 10019 Flat Washer 1/2" zinc 4 10502 Flat Washer 3/8-16 zinc. 4 10624 Hex Nut 3/8-16 Grade.5 zinc 2 10646Y Hex Nut 1/2-13 Grade 5 zinc 2 10925 Carriage Bolt 1/2 x 1 Grade 5 zinc 2. "59135 Slotted Bolt w/Nut 2 59232. Protecto Strap 2 59279 Diagonal Connector' 2 59288 Vector Tension Head 2 83044Z U Bolt 3/8-16 x 4.06 x 4.88 zinc #10732 Hardware Kit Longitudinal 4 .10804 Carriage,Bolt 3/8-16 x 1 Grade 5 zinc 4 10502 Flat Washer 3/8-16 zinc . 4 10624 HexNut 3/8-16 Grade 5 zinc #10732-1 Hardware Kit Longitudinal 8 10926 Carriage Bolt 1/2-13 x 1-.1/4 full Thread 1210646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc #10733 Longitudinal Hardware for #59013 Kit 1 10732 Hardware Kit 1 10732-1 Hardware Kit 2 59282 Tension Link 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange #59036-2 Vector Sub Kit for Concrete 4 10502 Flat Washer 3/8-16 zinc 4 10530 Hardware Anchor wedge 3/8 x 3.50 4 10624 Hex Nut 3/8-16 Grade 5 zinc 3 83004Z 'U Bolt 3/8-16 x 4.56 x 5.50 2'59282 1-3/4 Thread zinc 2 59135 Slotted Bolt w/Nut 2 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread 2 10646Y Hex Nut 1/2-13 Grade 5 zinc 2 10019 Flat Washer 1/2 zinc Vector Foundation Systems for the State of California Parts Breakdown #59036.1 Hardware for #59036 and #59049 Lateral. Concrete System. 1 59036-2 Sub Kit 2 59279 Diagonal Connector 2 59282 Tension Link 2 59232 Protecto Strap #59023 Longitudinal .Hardware 4 10530 Hardware Anchor Wedge 3%8 x 3.50 1 10732-1 Hardware Kit 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 2'59282 Tension Link #59026 Longitudinal Hardware 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 2 59288 Vector Tension_ Head 1 10732-1 Hardware Kit #48612-1 Compression Strut Hardware 2, U Bolt 3/8-16 x 4.06 x 2.75 1-3/4 110999 Thread zinc 4 10502 Flat Washer 3/8-16 zinc 4 10624 Hex Nut 3/8-16 Grade 5 zinc 6 10556 Tek Screw #12 x 1 . Page 13 t�o 11 /28/2005 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0002938. Recorded I REG FEE 13.00 Official yD Records I CoButteof I CONFON COPY 1.00 CMCE J. 6RUBBS I County Clerk—Recorderl I I SA 01:52PM 19—Jan-2006 I Page 1 of 3 IIII III II{ I IIII I IIII I III II I{III III 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. SCOTT SAYER PETERSEN REAL PROPERTY OWNER/LESSOR 3922 HIGH RIDGE COURT MAILING ADDRESS CONCOW BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE - ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE CHAMPION MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0024 530 538-7541 BUILDI IT N0. TELEPHONE NUMBER SIGNATURE 01(L A ENCY OFFICIAL _ DATE NONE DEALER NAME (if nota dealer sale, write "NONE") NONE DEALER LICENSE NO. CHAMPION 1980 CHAMPION MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER ' 0901253088DA/B 44 X 24 CAL175321/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 058-800-035 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. 01/03/2006 11:53 REGENT COMMUNICATIONS 4 5340709 v DESCRIPTION 91-43 `9'3 NO. 653 D01 All that certain real property situate in the County of Butte, State of California, described as follows: Being a portion of the Northeast quarter of Section 3, Township 22 North, Range 4 East, M.D.B. & M., more particularly descr.ibed as follows: COMMENCING at the Southeast corner of Lot 4 of the Northeast quarter of said Section 3; thence along the South Line of said Lot 4, North 89 44' 34" Went, 1313.98 feet .to a point on the centerline of a 60.0C toot road easement; .hanco alnng raid centerline North 44° 53' 56" East, 67.92 feet; thence North 4" 33' 04" West, 309.50 feet; thence North 15° 32' 34" West, 159.10 feet, thence North 07' 53' 04" East, 103,97,feet; thence North 69' 14' 12" East, 109.76 feet; .thence North 279 14' 13" East, 190.0 feet to the point of beginning for the parcel of land herein described; thence North 26' 34' 33" East, 200.96 feet; thence Borth 340 01' 05" West, 170,74 feet, thence South 59" 10' 59" West, 176.21 feet; thence South 34° 11' 59" East, 279.24 feet to the point of beginning. TOGETHER WITH and RESERVING THEREFROM a non-exclusive easement for road and public utility purposes over a strip of land 60 feet in width lying 30 feet on each side of the following described centerline: BEGINNING at the Most. Easterly corner of the above described parcel; thence North 34° 01' 05" West, 214.53 feet; thence North 31" 03'. 08" West. 161.11 feet; thence South 79' 49` 05" West, 248.42 feet; thence 'South 110 30' 27" East, 392.77 feet; thence South 27" 03' 26" East, 220.89 feet,'the�{nce South 7' 53' 04" Wcct, 1132-60 feet; thence %otkt 15' 32' 3.4" hast, L59.10 feet, thence South 4° 33' 04" East, -309.50 feet; thence South 44" 53' 56" West, 67.92 feet to the Nortb line of Lot 8 -of said Section 3 to the end of said centerline. ALSO TOGETHER WITH a right of way for road purposes over a strip of land 60.0 feet in width, the centerline of which is described as follows: COMMENCING at the Southeast corner ,of Lot 8 in the Northeast quarter of Section 3, Township 22 North, Range 4 East, M.D.B, & M.,; thence North 00° 05' 54" East, along the Easterly line of said Lot 8 a distance of 660 feet to the point of beginning for. said centerline; thence North 89`, 44' 34" West, a distance of, 1315.561 feet; thence North 0° 08' 58" East, 660 feet to a point on the Northerly line of said Lot 8 and the end of said centerline. (continued) rt. 01/03/2006 11:53 REGENT COMMUNICATIONS � 5340709 DESCRIPTION: (continued) ALSO TOGETHER WITH a right of way for road purposes over the Easterly 60 feet of the Southerly 660 feet of said Lot B. Said right of way is for the benefit of and appurtenant to the East half of Section 3, Township 22 North, Range 4 East, M.D.B. & M., and shall inure to the benefit of and may be used by all persons who may hereafter become the owners of said appurtenant property or any parts or portions thereof. ALSO TOGETHER WITH a right of way for road and utility purposes over a.strip of land 60 feet in width, the centerline of which is described as followsc N0.653 P02 COMMENCING at the quarter Section corner common to Sections 2 and 3, Township 22 North, Mange 4 East, M.D.B. & M.; thence South 88' 50' West, along the Bast and west centerline of said Section 3, a distance of 95.60 feet to the point of beginning for said centerline; thence along the centerline of said 60 foot right of way, South 41' 30' Lust, 7.39 feet to a curve, concave to the Southwest, having a central angle of 9' 50', a radius of 500 feet, a tangent of 43.01 feet.; thence Southerly along the are of said curve, .85.81 feet to.its Southerly terminus; thence South 31' 40' East, 67.59 feet to a curve to the right, concave to the Southwest having a central angle of 9' 43', a radius of 500 feet, a tangent of 42.50 feet; thence Southerly along the arc of said curve, 84.80 feet to its Southerly terminus; thence South 210,57' East, 5.44 feet to a curve to the right, concave to the Southwest, having a central angle of 13'49', a radius of 400 feet, a tangent of 48.46 feet; thence Southerly along the arc of said curve, 96.46 feet to its Southerly terminus; thence South 8' 08' East, 152:69feet',to a curve to•..the left, concave to the Northeast, having ...a central angle of 38" O1', a radius of 300 feet, a tangent -of 103'.35 feet; thence Southerly 'along the 'arc of.... said curve, 199.06 feet to its Southeasterly terminus, thence South 46' 09' East, 3.35 feet to a curve to the left, concave to the Northeast, having a central angle of 12' 11' , a radius of 700 feet, a tangent of 74.70 feet; thence Southerly along the arc of said curve, 148.85 feet to its. Southeasterly terminus, thence South 25' 17' East, 283.24 feet, more or less, to the intersection of said centerline with the centerline of 'the existing County Road and the end .of said centerline. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 19 -Jan -2.00E 2006-0102938 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. . SCOTT SAYER PETERSEN REAL PROPERTY OWNERAYSSOR 3922 HIGH RIDGE COURT MAILING ADDRESS CONCOW BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OVI NER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE CHAMPION MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CrrY COUNTY STATE ZIP 06-0024 530 538-7541 BU=T NO. TELEPHONE NUMBER I� I&.66 SIGNATURE O0�1L A ENCY OFFICIAL \\)l DATE NONE 11, DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. CHAMPION 1980 CHAMPION MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER 0901253088DA/B 44 X 24 CAL175321/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 058-800-035 HCD FORM 433(A) REV. 8/91 ' 01/032006 11:53 REGENT COMMUNICATIONS 3 5340709 NO.653 !Dal 9Z-43/93 DESCRIPTION All that certain real property situate in the -County of Butte, State of California, described as follows: Being a portion of the Northeast quarter of Section 3. Township 22 North, Range 4 East, M.D.B. M., more particularly described as follows: COMMENCING at the Southsast corner of Lot 4 of the Northeast quarter of said Section 3; thence along .trie.South line of said Lot• 4, North 89 44' 34" West, 1313.98 feet to a point on the centerline of a 6^.00 toot road easement; .thanco alnng paid centerline North 44' 53' 56" East, 67.92 feet; thence North 4° 33' 04" West, 309.50 feet; thence North I5° 32' 34" West, 159.10 + feet, thence North 07' 53' 04." East, 103,97: feet; thence North 697 14' 12" East, 109.76 feet; thence North 27' 14' 13" East, 190.0 feet to the -point of beginning for the parcel of land herein described; thence North 26' 34' 33" East, 200.96 feet; thence Vorth 34" 01' 05" West, 170.74 feet, thence South 59" 10' 59" West, 176.21 feet; thence South 34" 11' 59" East, 279.24 feet to the point of beginning, TOGETHER WITH and RESERVING THEREFROM a non-exclusive easement for road and public utility purposes over a strip of land 60 feet in width lying 30 feet on each side of the following described centerline: BEGINNING at the most Easterly corner of the above described parcel; thence North 340 O1' 05 West, 214.53 feet; thence North 31' 03' OB" West. 161.11 feet; thence South 79' 49` 05" West, 248.42 feet; thence 'South 11' 30' 27" East, 392.77 feet; thence South 27' 03' 26" lEast, 220.89 feet,'thence South 7' 53' 04" Wcut, 152.60 feet,- thence Rou.Oi 15.9 321 34" East, 159.10 feet; thence South 4° 33' 04" East, 309.50 fecN; thence South 44" 53' 56" West-, 57.92 feet to the North line of Lot 8 of said. Section 3 to the end of said centerline. ALSO TOGETHER WITH a right of way.for road purposes over a strip of land 60.0 feet in width, the centerline of which is described as follows: COMMENCING at the Southeast corner of Lot 8 in the Northeast quarter of Section 3, Township 22 North, Range 4 East, M.D.B. & M.,; thence North 00° 05' 54" East, along the Easterly line of said Lot H a distance of 660 feet to the point of 'beginning for. said centerline; thence North 89�, 44' 34" West, a distance of 1315.561 feet; thence North 0° 08' 58" East, 660 feet to a point on the Northerly line of said Lot 8 and the end of said centerline. (continued) r Ot/03/2006 11:53 REGENT COMMUNICATIONS + 5340709 NO. G53 P02 431.93 DESCRIPTION: (continued) ALSO TOGETHER WITH a right of way for road: purposes over the Easterly 60 feet of the Southerly. 660. feet of said Lot S. i Said right of way is for the benefit of and appurtenant to the East half of Section 3, Township 22 North, Range 4 East, M.D.B. & M., and shall inure to the benefit of and may be used by all persons .who may hereafter become the owners of said appurtenant property or any parts or portions thereof. ALSO TOGETHER WITH a right of way for road and utility purposes over a strip of land 60 Feet in width, the centerline of which is described as.follows: COMMENCING at the quarter Section corner common to Sections 2 and 3, Township 22 North, Range 4 East, M.D.B. b M.; thence South 88' 50' West, along the Bast and. west centerline of said Section 3, a_ distance of 95.60 feet to the point of beginning for said centerline: thence along the.centerline of said 60 foot right of way, South al' 30' East, 7.39 feet to a curve, concave to the Southweat, having a central angle of 9' 50', a radius of 500 feet, a tangent of 43.01 feet; thence Southerly along the arc of said curve, 85.81 feet to its Southerly terminus; thence South 31' 40' East, 67.59 feet to a curve to the right, concave to the Southwest having a central angle of 9' 43', a radius of 500 feet, a tangent of 42.50 feet; thence Southerly along the are of said curve, 84.80 feet to its southerly terminus; thence South 21" 57' East, 5.44 feet to a curve to the right, concave to the Southwest, having a central angle of 13''49', a radius of 400 feet, a tangent of 48.46 feet; thence Southerly along.the arc of said curve, 96.46 feet to its Southerly terminus; thence South S' 08' East, 152169 feet', to a curve to. 'the left, concave to the Northeast, having ..a central Angleof 38' 01', a radius of 300 feet, a tangent -of 103.35 feet: thence.Southerly along tlfe -arc of-' said curve, 199.06 feet to its Southeasterly terminus, thence South 46' 09' East,'3.35 feet to a curve to the left, concave to the Northeast, having a central angle of 12' 11' , a radius of 700 feet, a tangent of 74.70 feet; thence Southerly along the are of said curve, 148.85 feet to its Southeasterly terminus, thence South 256 17' Fast, 283.24 feet, more or less, to the intersection of said centerline with the centerline of `the existing County Road and the end of said centerline. DATE TO THE ORDER OF -GROSS INC. TAX SOC. SEC. ST. TAX 90-2267/12113827 EXPLANATION AMOUNT SIERRA MOBILE SERVICE 19508 A� SIERRA FOUNDATION DESCRIPTION LIC NO 470386 466 CIRCLE DR 530-534-0599 OROVILLE, CA 95966 H16B ,Y IOUNT l SewMY lenW es �t DOLLARS o � a, bad a no DATE TO THE ORDER OF -GROSS INC. TAX SOC. SEC. ST. TAX MEDICARE TAX CHECK NUMBER I I D 84 n. D�r . DESCRIPTION US BANK �� IM AUTHORIZED SIGNATURE 11'01950811' 1:1211226761: III 53401403925I'm BUILDING PERMITS NUMBER: 06-0024 Address or location of unit: 3922 HIGH RIDGE COURT, OROVILLE Legal Description of Real Property: 058-800-035 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 1.8551.. Owner's name: SCOTT SAYER PETERSEN Owner's address: 3922 HIGH: RIDGE COURT, OROVIL:L:E INSIGNIA O:R EIIJD NUMBER: CAL1.75321./2 SERIAL NUMBER OR V.I.N.: 0901253088DAIB MANUFACTURER'S NAME: CHAMPION OFFICIAL APPROVING INSTALLATION: DATE: ) • ( %•b� PHONE: (530) 538-7541. H.C.D. 51.3C 01/03/2006 11:53 REGENT COMMUNICATIONS 4 5340709 { NO.653 903 STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: LAU5783 mmutacturrr ommmr Trade Name — Model DOM OFS Ry P. ®ate CHAMPION OtUUO/1880 OQlOWtaBO so" Number � LataWnslBnla NuntlNr WdgM tAnput WIM SPC Exempt ttae TYR � QW12590"A CAL.179MI 44' 12' I 04 SFO LPT =12530MO CAL1759?2 44' t7 bM ad Total Fear Paid Nov 19, 2004 512.00 Addressee SCOTT SAYER PETERSEN 3922 HIGH RIDGE CT OROVILLE, CA 95965 Registered Owner(s) SCOTT SAYER PETERSEN 3912 HIGH RIDGE CT OROVILLE, CA 95965 Situs Address 3922 HIGH RIDGE CT OROVILLE, CA 95965 Legal Owner(s) SIE®ENEICHER FAMILY TRUST DTD 112297 479 VILLAS RD CHICO, CA 95973 Lien Psn%ctad On: 11117/0409,08:12 � "'0' v4 IMPORTANT THE OWNER INFORIMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRWED IINIT. THE CURRENT TIME STATUS OF THE UNIT MAY BE CONFM MED THROUGH THE DEPARTMENT. DTN; 1662641 11192M -': 344 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Cenij-_Drive - Oroville, California,959E•5 -'Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT N0, ASSESSOR PARCEL NUMBER 58-80-35 ZONING FR 5 BUILDING PERMIT OWNER JAHN & PATTI BECHTELL TELEPHONE 534-9169 SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 13554 VISTA RIDGE ROAD OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20,00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 22HIGH RIDGE CT OROVILLE Permit tee $ 35.00 . PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New 11 Addition❑ Remodel2 Utilities_❑ Installation F4ther❑ Describe work: _6L�7 71Contractor Permit Fee $ ELECTRICAL PERMIT Filing Fee 15.00 Main service V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect.SINGLE License ;Jo. Classification 1/1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&` OR ACDNS. ACC. BLDGS. / 3.64 sq.ft. NEW OUTLET NO N•REESISIC% BRRANC.CIRC ITS @ 5.00 POWER APPARATUS IN OUTLET CIR. / Ex. Occu o p UTLETS OR FIXTURESOAL 20 76d 464 Ex. Occup. OUTLETS (RESID IAPLNS.REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate i6I Consent to Self -Insure. L2 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation �errnit Fee $ contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I al o agree to save, indemnify and keep harmless the County of Butte against a I ilities, judgments, costs, and expenses which may in any way accrue said County in onseq ence of the granting of this permit. r Date�1 Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ CONST TYPE TOTAL FEE $ 105.00 Ecc HAz .-- OFEE IMP — FLOOD %d CDP .. PARCEL ._ PD .► HD ISSu This permit is hereby issued under the sions of the Butte County Code and/or work indicated ab ve for which fees F PUBLIC BY DERMfT EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date —- Receipt No. 117206 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -.TELEPHONE (916)5387541 OWNER,n ecG� t� , A.P. N0. ss— � 3S PROPOSED BUILDING USE DIS (I f- DATE wA &W �,gk"Vl 10570REC. # DATE REC' 1. School Distric Fees ly0 UAROA Ht&(- j (paid at District Office) �/ Z _2. Sheriff Fees - " (paid at Building Department) Residential ... ....._X -s=$ 3 . Z®% 6 -2 -3 -9 2 - unit amt. Commercial(per sq.ft.) X _$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential(perunit) X _$ # units amt. Commerical(per sq.ft.) X _$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) „ ,,........ 5. Drainage District Fees (Contact Land Development) :.;.............. " 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. ' APPLI CAN ` DATE c`�^ r, COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) Y\O_C� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions.of this work, bat 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 .. _ Signed': _ Property Own r Social Security umber �- Ta t e NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832., of--the--California Hea.lth::and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. . . COUNTY OF BUTT E.1"!€ ARTMF=NT .OF PUBLft:1AlO BUILDING DIVISION 7 COUNTY CENTER DRIVE = OROVILLE, CALIFORNIA 05-965 = TELEPHONE (916) 538=7541 PERMIT APPLICATION DATA OWNER V2 eC� to f Proposed Building Use /0 H IT -1 Building Inspector_ SKEET A. P. No g -90-3 �- Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ..................... . Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . ................. . Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof$ .......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............. City of Chico plumbing permit. ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .. ... ... . Pre -Inspection requesF- Pre-inspection for required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ). .......... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ........................................ Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan checklist ..-_... ei._._-..•--------------- When/you issue the permit, process as follows: Mail to owner Telephone3YW`1 and hold for pickup at Other Parcel Creation Acreage Applic t Mail to contractor. office. Deliver with inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior er ti uance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: - Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by 6'W Date 4 2 Plans approved by &J Date R%4/ 6)e - Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA GE PHONE: 538-7541. MOBILEHOME' INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes No F-1 (If yes, furnish permit number ) OR Is the site an existing site? . Yes F-1 No (If yes, furnish two plot plans.) 4. Will the mobilehome,be located at least 5 ft, away from sepr.i tank and leach fields and clear of all setbacks and easements? Yes No L7 (If no, clarify 5. What is the mobilehome electrical rating? --------------- 6. What is the mobilehome site service rating? ------------- Amps Amps 7. What is the mobilehome site circuit breaker rating? I C11,,61y Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes L l No (If yes, identify the load and size: Wt� (Load) V_ V (Amps) 9. What is the mobilehome site gas pipe size? ------(in.) 10. -What is the:type-of gas :service? -=--==-------=---- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft. x 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information_,.not-requuired _if-pipe._length-_less_than_6.__f_t.-or C_natural,-gas-or-..less- thar..50 ft..on LPG.' I - tit. �E` C01, (i NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICAT { :ON ING DEPARTMEN1 4ppROVE® rt L_E Ca P4 MOBILEHOME SUPPORT DATA If other, than single wide, Mobilehome Mfr. 6 aYri furnish Setup Model No. a� Year��b Width Q14 (ft.) Box Length ( (ft.) Tagalong or Expando Size ft, x ft. On all mobilehomes manufac ured after October 7, 1973, furnish manufacturer's installation manual and structural set p sheets (if not on file with the County of Butte). FOOTINGS (check one)ffl. Wood -pressure treated or foundation grade.2. Other (specify) SUPPORTS (check one) Concrete block. F]2. Other (specify)'', Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 _ Line 1 tin - — — — —Vis Main Beams Line 2 Line 2 — Linea --- — —, — — — _� — — ,— —_ , Tine 2 Main Beams -----— — .r LineLine 2 Line 1 — -- — — — — — — — — ..--Line Tag or Triple i.ine 4 Line 1 Lint.1 Piers: Line 1 Openings: Size -Min. ---------•-- Size -Min. ------------------ Spacing -Max. --------- , „ Each Side of Openings From Ends -flax. ------- '_ " With Width Over --------- Line 2 Piers: Size -Min ------- Spacing -Max.--------- From, Ends -Max..------- rnAW.PbE fine 3 Roof Loads: ! L(NG Size -Min ------------- F, „x yxILX Location (From Front) _ Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- „x „ Spacing -Max---------------- From Ends -Max. ---------- N " "x "x r .Line 4 Piers: _ Line S Piers:- .(Under -Bearing Walls Only Size -Min.------------ k „ Slze-Min------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- „ Spacing -Max ----------------- From Ends -Max.------- ._ . From Enda-Max.------------- Line 5 Roof Loads: O �aY30 J 4v Erzcln. fav t wg C 1 _ S12e-Min------ „ ..x x „� .,x „x , ,�.,x �„ „x „x „ Location (From Front) _ 0;, _ ,_ _ _ - - ,_ 5o n or RilI TXPICAL BLOCKING'DIAGRAM FOR DOUBLE -SECTION HOMES Support piers are required under porch posts and under fireplaces DOOR OR OPG. and wood -burning stoves located on floor overhangs. MAIN BEAM MAIN BEAM = cr Q Z MAIN BE MARRIAGE WALL BLOCKING PIER FOOTINGS Based on a soil capacity of'1000 Ib. per square foot, a -MAIN BEAM suggested footing size for all piers is 2'8" square. – �— - —� – FRAME BLOCKING PIER FOOTINGS Based on a soil capacity of 1000 Ib.,per square foot, a suggested footing size for all piers is 2'6" square.. DOOR OR OPG. Alternate methods are acceptable if they meet with local 8' 0" 8%0" 8'-0" 8'-0" 8'-0 soil bearing capacities. It is extremely important to check with local building 40'-0" officials as to the latest local codes in your area. MINIMUM PIER CAPACITIES (lbs ) SPACING FOR _BLOCKING— ROOF LOAD ZONE :20#,,. 30# 40# 24' wide 8'0" o.c. max,;_,. _._..37.84 4248 4720 28' wide 8'0" o.c. max. 4296 4824 15360 32' wide 8'0" o.c. max. 4896 5504 NA MINIMUM PIER CAPACITIES FOR MARRIAGE WALL OPENINGS (Ibs.) CLEAR SPAN DISTANCE IN MARRIAGE WALL 20# 30# 24' 28' 32' 24' 28' 32' 40# 24' 28' 4'-1"-8'-0" 1 41304 (1496 1720 1768 2024 2328 2240 2560 _ 8'-1 " —12'0" 41956Z2244 2580 2652 3036 3492 3360.3840 12'-1"-1W-0" ` 260822992 3440 3536 4048 4656 4480 5120 t`16'=1"=20'-0" 326 740 4300 4420 5060 5820 5600 6400 NOTE: For 26' wide homes, use marriage wall pier capacities for 28' wide homes. �yUNI SV�lL o 12 K24 - PT d Q2 WnQ.fa bf�� i2 x24 24 x2¢ 2A x24 10 NOTE: Blocking of perimeter rail is required at each side of the large bow windows, recessed entries, exterior doors located in the sidewall, and any other opening in excess of 4'. For pier capacity, use 1/2 the value shown in marriage wall opening table, below. - , The diagram above shows the minimum required placement ofd blocks under the frame of a typical length and width home. It is extremely important to check with local building officials prior to blocking your home as to the latest local codes in your area. FRAME BLOCKING r Begin by placing piers at front and rear of home. Starting at front, place piers at a maximum of 8' o.c. along both main beams the entire length of home. Follow this procedure for any length of Champion -built home. Other blocking positions are also required under the center marriage walls, depending on the model. These positions are determined by the locations of the openings in the marriage wall. Clear spans may occur on each section of the home or at the•same location of both sections. There must be blocking at each end of the openings shown as A and B on diagram above and vary depending on the model. For clear span openings and pier capacities see the chart shown above. FOR 60# ROOF LOAD ZONE SEE PAGE 11 s COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Phone: 916-538-7541 Attention Property Owner: An 'owner -builder" building permit has been applied for- in your name and bearing .your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building.peimit. No building permit will be issued until this verification is received. 1. I personally plan _to provide'the major labor andat rials for construction of the proposed property improvement (yes or no.) 2'. I (have/have not) ^/F�' �If signed an application for a building permit for the proposed work. 3. I have contracted -with the following person (firm) to provide the proposed construction: Name Address City - PhoneContractors License -No. !+. I. plan -.to provide portions of this work, but. I. have hired the following_persol: to coordinate, supervise, and provide the major work: Name.- Address ame.- Address City Phone Contractors License No. 5. I will provide scme of the work but I have contracted (hired) the following persons to provide the work indicated: - Name Address Phone -Type of Work Signed: Property Owner _ Social Security T Date r NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - Department of'Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner.: Phone: 916-538-7541 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.process.ing.and issuing your building .permit. No building permit will be issued until this verification is received. . 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) &14 signed an application for a building permit X or the.proposed work.... . 3. I have contracted with .the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License -No. - 4.. -1 -plan td provide portions 'of this work;- but- I- have hired the --following per son 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 Signed Property Owner Social Securit Number Date ��-23-Qj Z_ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 92-0478761 Rec Fee 1 Cash Recorded I Official Records 1 County of I Butte I Candace J. Grubbs I Recorder I 9:40am 19 -Oct -92 I PUBL RECORDING REQUESTED BY vr and when recorded mail to GRANTEE ^<Fc.rFE 1 ' ` E21 Name F -,T car j o Drot- �� Fi,C: I �'S T.C�.nay: 1122 .._ 12 Fig 12: 4] .. Address ries+,,:.�, �... , r oc:j""1'r 0V1 '�►:�.L RCCity and State LL!. 0 o b) To ask, demand, sue for, recover, collect, receive, and hold and possess all such sums of money, debts, dues, bonds, notes, checks, drafts, accounts, C. deposits, legacies, bequests, devises, interests, dividends, stock certificates, certificates of deposit, annuities, pension and retirement benefits, insurance benefits and proceeds, documents of title, choses in action, personal and real property, intangible and tangible property and property rights, and demands whatsoever, liquidated or unliquidated, as are now, or shall hereafter become due, owing, payable, owned, or belonging to me or in which I have or may acquire an interest, and to have, use, and take all lawful ways and means and legal and equitable remedies, 'procedures, and writs in my name for the collection and recovery 'thereof, and to compromise, settle, and agree for the same, and to make, execute, and deliver for me and in my name all indorsements, acquittances, releases, receipts, or other sufficient discharges for the same; GENERAL POWER OF ATTORNEY BY THIS DOCUMENT I/we ^'ltl .XPi potnw_nn 2008V name(s) the undersigned (jointly and severally if more than one) of F.O. Pox 6rl Pori: 5c06 :if -=a Conserv .tion Center-Jnmesto:rn �Ca city state hereby appoint address A'znc1, pro T)_rov of F.O. pox !'22 name(s) address Jamestown city California state 11.00 11.00 XX 3 , my true and lawful attorney in fact for me and in my name, place, and stead, and for my use and benefit: a) To exercise, do, or perform any act, right, power, duty, or obligation whatsoever that I now have or may acquire the legal right, power, or capacity to , exercise, do, or perform in connection with, arising out of, or relating to any person, item, thing, transaction, business property, real or personal, tangible or intangible, or any matter whatsoever; c) To lease, purchase, exchange, and acquire, and to bargain, contract, and agree for the lease, purchase, exchange, and acquisition of, and to take, receive, and possess any real or personal property whatsoever, intangible or tangible, or' interest therein, on such terms and conditions, and under such covenants, as such attorney in fact shall deem proper; vUt_1154 I'Au278 C � �. C)- L LJ 0 c) To lease, purchase, exchange, and acquire, and to bargain, contract, and agree for the lease, purchase, exchange, and acquisition of, and to take, receive, and possess any real or personal property whatsoever, intangible or tangible, or' interest therein, on such terms and conditions, and under such covenants, as such attorney in fact shall deem proper; vUt_1154 I'Au278 d) To improve, repair, maintain, manage, insure, rent, lease, sell, release, convey, subject to liens, mortgage, and hypothecate, and in any way or manner deal with all or any part of*any real or personal property, intangible and tangible, whatsoever, or any interest therein, which I now own or may hereafter acquire, for me and in my name, and under such terms and conditions, and under such covenants as such attorney shall deem proper;,, e) To engage in and transact any and all lawful business of whatever nature or kind for me and in my name; and f) To sign, indorse, execute, acknowledge, deliver, receive, and possess such applications, contracts, agreements, options, covenants, deeds, conveyances, trust deeds, security agreements, bills of sale, leases, mortgages, assignments, insurance policies, bills of lading, warehouse receipts, documents of title, bills, bonds, debentures, checks, drafts, bills of exchange, notes, stock certificates, proxies, warrants, commercial paper, receipts, withdrawal receipts and deposit instruments relating to accounts or deposits in, or certificates of deposit of, banks, savings and loan or other institutions or associations, proofs of loss, evidences of debts, releases, and satisfaction of mortgages, judgements, liens, security agreements, and other debts and obligations, and such other instruments in writing of whatever kind and nature as may be necessary or proper in the exercise of the rights and powers herein granted. GIVING AND GRANTING my said attorney in fact full power and authority to do and perform all and every act and thing whatsoever requisite, necessary, and proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as I might or could do if personally present, hereby ratifying and confirming all that my attorney in fact, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. This instrument is to be construed and interpreted as a general power of attorney. The enumeration of specific items, acts, rights, or powers herein does not limit or restrict, and is not to be construed or interpreted as limiting or restricting the general powers herein granted to my attorney in fact. The rights, powers, and authority of my attorney in fact to exercise any and all of the rights and powers herein granted shall commence and be in fu" fa{&� and effect on , 19 °' , and shall remain in full force and effect thereafter until 19 94 . When the context so requires, the masculine gender includes the feminine and/or neuter, and the singular number includes the plural. Dated: !October 6 � � 9 92 Scott Sr ry r Petersen L-6, VOL 1154 PfiG M � • h OF CA77=rR`J: rOL?d "Y OF T_GOLU"^i=, On October 69 t �_== T -`z� te:c_ a me, `^ai. 2c_cE==e^. Scoot Sayer Petersen, NCtary P bi'_C, ce= $ _- j i. proved to me Von t.^_2 •^.2::s C: $E:jcfs2- =�I o�•-_CarCc t.^ �e 2 i$ ced t:, a;,� ,�_- w ir:$a„=.�_^..e_^_`. ESC c:'r_cse name s�bsc=1. he �e� ca=pc4 `.,, and t a . t:. me that e:cec•�:e? the same :^ ^_s a� :c=_ -�- - - �y ^_s s' £'at1L"e cn the J ist.UmeP_t t.'.E =e -;.SCC Cr t. 8 2.^.t_�, L'CCn-- c^ t e c acted, eY_c. :e i^st= =.e -n �N_..^_-ES y� �c^Q O wG_ .. Ye=S, .tcd �. and cf-f'ic al seal. OFFICIAL SEAL NV DENNIS F WARD NOTARY PUBLIC - CALIFORNIA epi s F. Ward TUOLUMNE COUNTY Notary PublL c My comm. expires JUL 28, 1993 5100 O'Byrnes Ferry Rd., Jamestown, QA 95327 OCT 19 1992 ,QATE This is to certify that if bearing the purple seal of this office, this is a true copy of the document filed with the Butte County Recorder's Office. Candace J. Grubbs Butte u ty lerk-Recorder By Deputy ., 1 .1 :i°A �ty'C�V` zod� END Or aQCu"ERT BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District (DRO ()A)10,0 M r 6 f� Building Department No. A.P. Number Jurisdiction City ©' County Property Owner�1 oM r� PATT I 6CC H I L L L Property Location/Address 2"), H 1 u H IR (D6iC Subdivison Residential Development Commercial/Industrial 0 No. of Living MHI Units New Lot No. Sq. Footage % Addition (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) (Floor Plans reviewed by School District Personnel) Date T District Identification No. "hSchool District certifies that (Applicant) (Street Address) (Phone Number) ctv (City) (State) (Zip Code) has complied with the requirements of Resolution No. — by payment of $ S representing -7 �p square feet. School District Rep &2,X 9, Date , Paid by Check Number Remarks: ap Bank Number /� - d Paid by Cash 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 (CEQA), 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) . feeformmkl (4/92) _ .:ry � :.'.&t"�`, � r'tta _. .. ,.� „�4.�_...rn k�. s:._ - `'se r�`f •y.x�„'' 3 r w., n. r. -.c�� r 'Y':n >.e: - . . �., •�•M.•, .., i.a,-.� 56 D Q-- ll BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM WO_ ry (One Form Per Buildinal �y- 0�� // School District �Q-_-o—(` 1�1___________-_-. A.P. Number- Jurisdiction [— J Property Own er_F_C1f_ t/ _..8ec -tet Property Location/Addres2_(G�1_ J Subdivison Residential Development U [ No. of Living MHi Units .21 Commercial/Industrial Building De,artment R _ New ntativ Building Department No. Q City r County Lot No. Sq. Footage Addition (Group R) 0 Sq. Footage Addition (Floor Plans reviewed by School District Personnel) Date (Including Exterior Roofed Areas) District Identification No. �hSchool District certifies that Wv,, j (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing _ _ square feet. School District Representative Paid by Check Number Bank Number Paid by Cash /'e" Date 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 (CEQA), 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) feeformmkl (4/92) COUNTY OF BUTTE -}DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California,95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 92-3711 ASSESSOR PARCEL NUMBER 058-80-0-035 ZONING FR5 BUILDING PERMIT OWNER Scott Saver Petersen 209 TELEPHONE 984-5310 SQ. FT. OCC. BUILDING VAL TION OWNER'S MAILING ADDRESS PO Box 1122 Jamestown 95927 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3922 High Ridge Ct, Oroville Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other KI Describe work: transfer owner for 92-2195 Permit Fee $ 15.0 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service ?OOA OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElPNON•RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. 3.6Q sq.ft. NEW CON5TRMULTI-OUTLET BRANCH CIRC ITS @ 5.00 POWER APARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APLNS. Ex. OCCUp. OUTLETS IPRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X oln0 � Date \D — `q -t Q Z— Signature of Aplicant — Owner ❑ Contractor ❑ Agent g An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection l=ee $ OCC CONST TYPE TOTAL FEE $ 30.00 HAz I DFEES IMP I FLOOD I CDF PARCEL I PD HD ISSU This permit is hereby issued under the sions Butte Co&Aave wor indi ate d DI E ORKS B PE XPIRES Date applicable provi- esolutions to do � been paid. Da e Receipt No. 126280 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE , PARTMENT OF'PIJBLIC WOFt = BUILDINC-BIV ION �. ww 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (° 538-7 t PERMIT APPLICATION DATA SHEET OWNER ca77- 7C� / v�s�� A. Proposed Building Use Z � 9 Building Inspector Date Z Att ti�of •ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ..... . Pre-Inspedion'request 20. Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... jot'2- 3. Owner -Builder Verification (Given to owner , Mail to owner _)............ /(5�7� 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation/ Acreage Applicant _V-- Date /9 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept.' Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Qroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. qO -_-3 :2�� ASSESSOR P AV E±5MBE ZONI � 41 BUILDING PERMIT OWNER TELEPHONE 9'O S 3 SO. FT. OCC. BUILDING VALUATION O R'S,pAAI LING ADDRESS IE2SCON A/vC TQ\ R•S pME� TELEPHONEI' CON RACTOR•S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDIN lK 0;7S p`/ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex ❑ Mobilehome Other Building sewer 15.00 ������"```" SPECIFY Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition El Re//m//odeIC Utilities Ins IlationE] E] Permit Fee $ �OOther Describe work: NSF E-1Z�d C —(� Contractor _ ELECTRICAL PERMIT Filing Fee I 15.00 Main service 200V OR LESS 00A OR LESS 18.50 Main service 200A TO 1000A, 37.501 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING 0CCUP.&\ 3.6C sq.fc. I declare under penalty of perjury (check one): OR AODNS. ACC, SLOGS. / I am licensed under provisions of Chapt. 9, Div. 3 of the Business NEw CONSTFt MULTI "OUTLET INON.BRANCH CIRCUITS @ 5.00 and Professions Code and my license is in full force and effect. (POWER APPARATUS el SINGLE OUTLET CIR. / License No. Classification Ex. Occup(OUTLETS OR FIXTURES 20 76d F11, as the owner, or my employees with wages as their sole compen- EX. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA.) 1 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 1 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County OT Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. DCC CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEES r �d �� all liabilities, judgments, costs, and expenses which may in a w y accrue HA2 0FEES IMP FL000 coF PARCEL Po Ho ISSUE against said County in consequence of the granting of this Perm . I I G X Date -/ 7i This permit is hereby issued under the applicable provi- Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is required For excavations over 5'0" deep and demolition or construct- work indicated above for which fees have been paid. ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS Receipt No. Z�� 2— By Date wMlT[-D.P.W., Y LLOW-♦9e[,79a R, VINK-IN9P CCTOR, GaLO EN ROD•APPLICAHT PERMIT EXPIRES Date e�'`�L9-�_ l COUNTY OF BU.TTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB R 58-80-35 ZONING FR 5 BUILDING PERMIT OWNER JOHN & PATTI BECHTELL TELEPHONE 534-9169 S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 13554 VISTA RIDGE ROAD OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3922 HIGH RIDGE CT. OROVILLE 95966 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 TYPE OF WORK �yL�I New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: MH U Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 00V OR SS 200A OR LESS 18.50 87. Main service 200A TO IOOOA, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. (cense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ADDNS. ACC. BLDGS. 3.6asq.ft. NEW CONSTR ULTI-OUTLET NON-RESI BRANCH CIRC ITS @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occu O Occup(OUTLETS OR FIXTURES AO 754 Ex. Occup. OUTLETS ((RESID IAPPLNS.OREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I al agree to save, indemnify and keep harmless the County of Butte against all is liti es, judgments, costs, and expenses which may in any way accrue �a,d County i sequence of the granting of this permit. Date a�ZUh� CS.gn of Applicant — Owner ❑ Contractor Agent ❑ An OSHAwork permit is required for excavations over 5'f)" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. 117206 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE 128.50 TOTA FEE $ HAz I DFEES I IMP F"013 CDF 7L PD D IS U o This permit is hereby issued under the applicable provi- sions of the Butte Count Code and/or resolutions to do indica a v r which fees have been paid. 1 C OF PUBLIC WORKS By DatY f� PE MIT EXPIRES Date • COUNTY OF BUTTE `EPA2TIb1ENT OF,PUBL--IC Wt = BUILDING DIVISION -7 COUNTY CENTER DRIVE = OROVILLE; CAL -IF ORNIA 95965 TELEPHONE (916) 538=7541 } c PERMIT APPLICATION DATA SH,. ,ET OWNER A--. P. No. u o '� Proposed Building Use Building Inspector d/c-- Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items F}aye been submitted . ........................................ 2. Plot plans /4 sets, signed by preparer of plans. . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ ........................................... 11. Im act fees as shown on attached schedule . ............................. . X12. alifornia Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department . ............ _ �9�� 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. t 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . =�19. Driveway permit (construction approval required prior to occupancy). .. ... ... . 20. Pre -inspection for Fre-inspection req ° t required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . ......................... . . Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . ..................:2 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the per it pro ess as follows: Mail to -owner. Mail to contractor. t:�Telephone S�(�/�( and hold for pickup at office. Deliver with inspector. Other Parcel Creation C- Acreage App cant T�' Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date . By The following data must be submitted prior o ermit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter D y ate -/ Plans checked by �1L Date 7-?s�Z Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ` TO: Building Department FROM: Encroachment Permit Section RE:, Driveway Clearance 2 2 - owner locaviron AP # Driveway permit �,e has been issued forthe' above property. si ature date TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance owner Locati AP# Plan Approved for: Sewage Disposal *Rater Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply r f Clearance for S2 bedroom mobile home. Other F t NOTE " A 4 �- Da e Sanitarian `3e�.1��-e II Ca u�-� . County Mal �)eahh 6 1q 1Qz .io j os ti O `3e�.1��-e II Ca u�-� . County Mal �)eahh 6 1q 1Qz COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,'Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit. will be issued until this verification is received: 1. -I personally plan to provide the major labor and materials for construction of -the proposed property improvement (yes or no) '2: I (have/have not) )cL_-A_0C-- signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. !+. I plan to'provide -portions of this work, but !,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 Signed..: Property Ower S- Social Securi mbeerr- Date1�-- r NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832- o -f the Ca'l'ifornia •Health and' -Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. c7oCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. nl U00 7 County Center Drive - Orovlller California 95965 -Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUM13LRZ N N�V BUILDING PERMIT ow E r e Te EPHONE Of /6 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING 111 0135 PS,ro CON R CTOR'S NAME TELEPHONE CON ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A _ c - Permit fee $ PLUMBING PERMIT Filing Fee 15.00 �• ( `� ` �C;,_ ° Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ❑ Duplex❑ MobilehomeOther SPECIFY Mobile Home XAAG&9 @ 15.00 OV TYPE OF WORK New! Addition[] Remodel El Utilities Installation❑ Other ❑ Permit Fee $ Describe work: AA d (2 _ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 -S-0200A OR LESS _ Main service 20CATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- NEW CONST./ DWELLING OCCUP.&) 3.54sq.ft. OR ADDNS. l ACC. BLDGS. NEW CONSTRI OUTLE NON-RESID BRRAANCH IRC ITS @ 5.00 CT POWER APPARATUS e - (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 76d At IRE 3.00 Ex. Occup. OUTLETS FIXED PIRESI0.) sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Temporary service 15.00 Mobile Home Facilities 15.00 Svv Misc. IVirin g 15.00 ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $128 Eso MAL 11 FEES IMP I FLOOD I COF PARCEL I PD I HD ISSUE X Date This permit is hereby issued under the applicable provi- Si nature of Applicant – Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Receipt No. / I� 7 w PERMIT EXPIRES Date WHITE-D.P.W.. YELLOW -ASSESSOR_ PINK-INSPF[TON. -1 -11T This set of Plans and speciftea iow MOT he kept on tie job at all times and it`la ur.IAWAL. to awe wny ci4&nges or arwa'uions on acme withoL vritten permission $om tlac Depwtnient of Publ Works, County of Butte. NO": All Ma .Accordance 3v Of a Quality r -j iu the IJniforr. CaftB and the N 1 I - 10 M1a I / 24 • � I Q Loc on of structures A equ�nent shall be as shown I o A clear of all easements. 1419.m r �� E . MiN- • �R-rte zoN E �' � . � � MIN 10' S(Dc-�- YARo RE4 D a� \ 0 €"WOrk= ship Shall Be In sog4L"ed Good Practices and frr the SpecifiF3 use ISUMM ing, Plumbing &:Mechanical COUNTY al Electrical c°d®• dUILDING DRARTMEN) APPROVED G1z- 2.! 4& F -t 4:1: ;�;J?icD }-!�01-� ;��'f':Ps'. �'.,;_:.. �� jV•'=rte w�.. '� Rettto I DPWW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ° 2 Z 9 l l l 3� FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 92-029771 1 Rec Fee 11.00 to land or included within an area zoned I Cash 11.00 for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of 1 use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit Recorder I of agricultural operations including, 12:00pm 6 -Jul -92 I PUBL. XX 3 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent .property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All 'that real -property.' situate in the County of Butte, State of California, described as follows: 0 V. � W, go Date: State of ) SS County o ) On this the undersigned 19 9� appeared 0 n Personally known to me. Proved to me on the basis ®AMMA EDGAR NOTARY PUBUC.CAUF+ORNIA a of satksfactory evidence. ButteCourdy 0 to be the person(s) whose name(s) IWyComm1W0nEzpJmsMamh27,1e95 s subscribed to the within instrument and acknowledged that I, @rnttie�mm�o■o■■■■■■� ■�■�®�O®� executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. Noib'�-•.��G7pj Notary Publi : 4' 1 1 lk - Order No. 4312.8VL DESCRIPTION °2.-2911 1 All that certain real property situate in the County of Butte, State of California, described as follows: Being a portion of the Northeast quarter of Section 3; Township 22 North, Range 4 East, M.D.B. & M., more particularly described as follows: COMMENCING at the Southeast corner of Lot 4 of the Northeast quarter of said Section 3; thence along the South line of said Lot 4, North 89 44' 34" West, 1313.98 feet to a point on the centerline of a 60.00 foot road easement; thence along said centerline North 44° 53' 56" East: 67.92 feet; thence North 4° 33 04 West, 309.50 feet; thence North 15° 32' 34" West, 159.10 feet, thence North 07' 53' 04" East, 103.97 feet; thence North 69° 14' 12" East, 109.76 feet; thence North 2'7° 14' 13" East, 190.0 feet to the point of beginning for the parcel of land herein described; thence North 260 34' 33" East, 200.96 feet; thence North 34° 01' 05" West, 170.74 feet, thence South 59" 10' 59" West, 176.21 feet; thence South 34° 11' 59" East, 279.24 feet to the point of beginning. TOGETHER WITH and RESERVING THEREFROM a non --exclusive easement for road and public utility purposes over a strip of land 60 feet in width lying 30 feet on each side of the following described centerline: BEGINNING at the most Easterly corner of the above described parcel; thence North 34° 01' 05" West, 214.53 feet; thence North 31° 03' 08" West. 161.11 feet; thence South 79' 49` 05" West, 248.42 feet; thence South 11° 30' 27" East, 392.77'feet; thence South 27" 03' 26" East. 220.89 feet, thence South 7- 53' 04" West, 182.60 feet; thence South 15° 32' 34" East, 159.10 feet; thence South 4° 33' 04" East, 309.50 feet; thence South 44° 53' 56" West, 67.92 feet to the North line of Lot 8 of said Section 3 to the'end of said centerline. ALSO TOGETHER WITH a right of way for road purposes over a strip of land 60.0 feet in width, the centerline of which is described as follows: COMMENCING at the Southeast corner of Lot 8 in the Northeast quarter of Section 3, Township 22 North, Range 4 East, M.D.B. & M.,; thence North 000 05' 54" East, along the Easterly line of said Lot 8 a distance of 660 feet to the point of beginning.for said centerline; thence North 89° 44' 34" West, a distance of 1315.561 feet; thence North 00 08' 58" East, 660 feet to a point on the Northerly line of said Lot 8 and the end of said centerline. (continued) i, 92-29771 Order No. 43128VL DESCRIPTION: (continued) ALSO TOGETHER WITH a right of way for road purposes over the Easterly 60 feet of the Southerly 660 fe.et of said Lot B. Said right of way is for the benefit of and appurtenant to the East half of Section 3, Township 22 North, Range 4 East, M.D.B. & M., and shall inure to the benefit of and may be used by all persons who may hereafter become the owners of said appurtenant property or any parts or portions thereof. ALSO TOGETHER WITH a right of way for road and utility purposes over a strip of land 60 feet in width: the centerline of which is described as follows: COMMENCING at the quarter Section corner common to Sections 2 and 3, Township 22 North, Range4 East, M.D.B. & M.; thence South 88° 50' West, along the East and West centerline of said Section 3, a distance of 95.60 feet to the point of beginning for said centerline; thence along the centerline of said 60 foot right of way, South X41° 30' East, 7.39 feet to a curve, concave to the Southwest, having a central angle of 9° 50', a radius of 500 feet, a tangent of 43.01 feet; thence Southerly along the arc of said curve, 85.81 feet to its Southerly terminus; thence South 31° 40' East, 67.59 feet to a curve to the right, concave to the Southwest having a central angle of 9- 43', a radius of 500 feet, a tangent of 42.50 feet; thence Southerly along the arc of said curve, 84.80 feet to its Southerly terminus; thence South 21° 57' East, 5.44 feet to' a curve to the right, concave to the Southwest, having a central angle of 13° 49', a radius of 400 feet, a tangent of 48.46 fee.t; thence Southerly along the arc of said curve, 96.46 feet to its Southerly terminus; thence South 8" 08' East, 152.69 feet.'.to a curve to the left, concave to the Northeast, having a central angle of 38" 01', a radius of 300 feet, a tangent of 103.35 feet; thence Southerly along the arc of said curve, 199.06 feet to its Southeasterly terminus, thence South 46° 09' East, 3.35 feet to a curve to the left, concave to the Northeast, having a central angle of 12° 11' , a radius of 700 feet, a tangent of 74.70 feet; thence Southerly along the arc of said curve, 148.85 feet to. its Southeasterly terminus, thence South 250 17' East, 283.24 feet, more or less, to the intersection of said centerline with the centerline of the existing County Road and'the end of said centerline. END OF DOCUMENT tlms `r be 'Thu Set I p� and $Pena t t8 d tSame o g� on-tlie job at all tem ea make espy oj�ang� or alterations tan Pau w Depar'b of written Permission from works, 0ounty of 'Butte, 3% I f---------- ZS gyp` Mtu. r` M itj - I!]r SFV-Tt.0 AAoo * ce wit"&wed Good rraatiaea q 2 2f q5 a t<Y scribed for the SPecitie9 uae Of the II orm wilding. Plumbing & lldoc Y!1 H1 �2 2.1 `( 6 Codes end the National Eleatri,oat Cede. �0P16D LQo1-� (;(2A? P =?E�-rZ Caw 24 x 4- LocabOn10(Nctures & t shall be as saw Mia equipme, & clear '(A e -` all easOm�' Z� i r` M itj - I!]r SFV-Tt.0 AAoo * ce wit"&wed Good rraatiaea q 2 2f q5 a t<Y scribed for the SPecitie9 uae Of the II orm wilding. Plumbing & lldoc Y!1 H1 �2 2.1 `( 6 Codes end the National Eleatri,oat Cede. �0P16D LQo1-� (;(2A? P =?E�-rZ Caw AP 4r`�. 014NER PERMIT MH UT IL. CLEARANCE DATE INSPECTOR�� ELECTRIC GAS Support Struc. Compaction Test eq. Service Other Pipe YES NO YESI NO Size Load Type Size Length L rO _[S 1.4 �l 1Y q2-, 7/l RESIDENTIAL il 58-80-35 92-2195P,E BE , a-4—P-a-tt.i 3922 High Ridge Ct, Oroville mh utilities SC -4 P -g1 G 3 vls-m R, -df`' 711s-lg3 q.Z - �7 / ( OFFICE COPY Address s GAS Meter By Date ELECTRIC Meter By Date JOB FINALED ate) v — _ Signature J=OK O = Not OKNot ' = Not Readyable MOBILE HOMES Date MOBLLE HOME UTILITIES (Plans) OK except #'s j,Kzc.20g Requirements -Setbacks -Easements of , pecial MH Support Sketch ewer; Location -Test -Fall -C/O Concrete A i!. ater; Location -Test -Easement Needed (Sketch) '.electricity: Location-Clearences-Grn Amp -Concrete .`'6. Gas; Location -Test- rap: / /" L -ft. / /;Nat. or�' „("LPG Clearance & Clearance �3 9 j93 — Dat Card B-1 � Date Card B-1 Date Card B-1 Date Card B-1 Date MO$iLE HOME INSTALLATION (Plans) OK except #'s 7,tiing Requirements -Setbacks Easements 1'FooUPQ-s; Size-Spacinq-Marriaqe Line (i!�Gas; MH Test-Demand-Valve—Connector 02&Lectricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector L6!�Nater MH Test -Regulator -Connector ter and Sewer Connected -C/O to Grade -HD Approval as.and Electricity Tagged S' Insp.-Sketch Cert. of Occupancy s Dat �a— Card B- Date Card B-1 Date Card B -ti Date Card B-1 loin 09L 17-S 3-2- 1 094 l z 53 z2�- 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (: = Date UNDERFLOOR (Plans) OK except If'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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except tf's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection ----------- 18. D.W.V ; Test -Fittings & Anchor -Nail Protection ----------- -- ------------------- - - --- --19. Shower Pan; Test. First Floor -Tub Access -------- -------------------- 20. Test Tub & Shower, Second Floor -Tub Access _ 21. Gas Pipe: Size & Anchors ------------------- -------------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------ -- -------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -ins. -Protection --------- - - - ------------ 23. E-lec. Receptacles Spacing -Lights & Switches at Doors ---------- - ------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled ----------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------- --------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ----------- --------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ------ - ----------------------------------- --------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! / ga. Cu or At ----------------------------------------------------------- ------------- ------------ 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - ----------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------- - ----------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. --------------------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ----- --- --- --------------- -- --------- -- - ---------------------------- - --- -- - -- 33. Smoke Detector ---------------------- ------------------------------------- --------------------------------------- Date Card B-1 Date Card B-1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft's 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation ------------- -------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ------------ --------------------------------------- - - - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --- - ----- ---- - - --------- ----- ------------------------------ 38 Attic Attic Access & Platform if Furnance in Attic ------------------------------------ --- --- ----------------------- - ----------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------- ------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except fr's 39. Sils. Proper Material & Anchors ------- ------- ------------------------------------- ---------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------- ----------------------------------- ------------------------ 41. Bearing Walls over Girders & Floor Nailing -------- -------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) ------------------------------------------------------- ----------------------- ------------- 43.. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub -- ------- --------------------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------------53.-Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------ - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------- _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -------------------- --- _ _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: -Nailing -Bolts 59.- Insulation -Walls -Ceilings -------------------- 60. Infiltration -Walls -Windows Date Card B-1__ Date Card B-1 --- ---------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector- ------ Above Floor -Ducts -Meeh. Protection ----------- -------------------- 64. Bedroom Exiting --------------------------- - - 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------------------ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- 67. Stairs & Rails --------------------- ---- -------------------__ ______ 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. ---- - - - ---------------------- ---- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ----------------- -- 71._ Elec. Outlets & Receptacles at Kit. Counter ---------- - - - ----- 72. Garage Fire Door; Swing -Landing -Closer 73. A.C._Duct in Gara e -Damper 74. Wtr. Htr_Vents-Clearance-Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------------ 7 . Insulation -Foam -Looked in Attic ❑ Yes ------------------- ------- ----------------- -- 78. Guard Rails & Deck Construction -Post Caps ---------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ---------------------------------------- 80. ------------------------------------80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Planters--D-Yes ❑ No ----------------- ----------------------- -- 81. Stucco: BrowmFinish---------- 82. A.C. Unit: Disconnect. Electrical. Plumbing -------------------------------------- --- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ----- ------------------------------ -- 84. Water Well: Disconnect, Electrical, Plumbing ------------ ---------------------- - ----- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground - - -- - - --------------------- 86. - - -- ----- - 86. Ventilation Throughout House ----------------- --------------------- 87. Glass Protection - - ------------------- 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric - ----------------------------- ------------- 90. ----- -----------------90. Water -& Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ---------------- -------- ------------------- ---- --- Date Card B-1 Date Card B-1 -------------------------------------- ----- -- -- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95-065 — TELEPHONE: (916) 538-7541 4�, PERMIT NO. .,7 Address or location of mobilehome d; -e g ;? I 'A -77— Owner's name Owner's address Insignia or hud number 7 3 2, f - 1-1 Manufacturer's name Serial purer of V I.N. --,-3 Year of manufacturd (Ofri—c��I Appro,�Ag Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. M 5136 White - Owner, Yelle%� - Installer, Pink D.P.W. COUNTY -OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE j e.7P.92-- 3 712 OWNER PERMIT NO. X—roir6m inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completediNf you have any questions pertaining to this matter, or need additional explanation, tplease contact this office immediately. / 4 S.9 Ci IJ�Qa� (A�l C . 4./� RAID 4 t s Date Z , A ,I Inspector i REV 10192 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 40 !v <Pn 712 3 % OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. v/ t / � (.t/� /. � l', e.-i�.... vt.c� ire ) ff nII 1 0- to AP f' C "-0" u .T . U P AN tdtl I / -.1 t VA Date Inspector REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7=Couhtq-Center Drive - Oroville, Califorrria 95965 - Telephone: 916/538-7541 APPLICATR)N AND PERMIT PERMIT NO. AS—SESSOR PARCEL NUMBER 058-80-0- ZONING BUILDING PERMIT OWNER Scott Sayer Petersen 209 TELEPHONE 84-5310 SQ. FT. OCC. BUILDING VA TION / OWNER'S MAILING ADDRESS S?fiKX PO Box 1122, Jamestown 95927 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3922 High Ridte Ct Orovoille Permit fee $ 15.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME --]PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome© Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: transfer owner for 92-2196 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOA, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM 3.6Q sq.ft. OR ADONIS. ACC. BLDGS. NEW CON5TRMULTI-OUTLET NON•RESID BRANCH CIRC 1T5 @ 5.00 (POWER APPARATUS 91 SINGLE OUTLET SIR. / Ex. Occup(OUTLETS OR FIXTURES 20 76d EX. OCCUp. OUTLETS FIXED APPLNS (RESID )KEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date l� �— Signature of Ap licant — wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 19-00 HAz 1 DFEES IMP I FLOOD I CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do � work indicated above for which fees have been paid. D EO F PUBLIC WORKS T EX IBES Date _ Date Receipt No. 126280PERM WHITE-D.P.W., YELLOW -ASSESSOR, PINI( -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT • OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PAFy F_rgE1_ O �� 0 UU ZONINSy� !!vv BUILDING PERMIT OWN`ER� 2-Q ...X..� TELEPHONE SO. FT. OCC. BUILDING VALUATION O R'S AI LINGX DOR EqS V q� . _\J 770' CONY AG T9R�S kL_ !!! iV/ /�✓S C/r/_ TELEPHONE CONTRACTOR'S MAILING ADDRESS F i rep I ace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ .15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDIN D 5 �( Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 - — — - — -- Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF El Duplex[] MobilehomeNOther Building sewer15.00 SPECIFY Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition! I Remodel Utiliti I tall io Other ❑ Permit Fee $ Describe work: Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200ATO1000A) 37,501 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (check one): NEW CONST. DWELLING OCCUR.&) OR ADDNS. ACC. BLDGS. / 3.6Csq.ft. I� 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business NEW CONSTR. MULTI.. NO N.RESID BRANCH CIR_" ITS @ 5.00 and Professions Code and my license is in full force and effect. POWER APPARATUS 6 (SINGLE OUTLET CIR. License No. Classification Ex. OCCUp(OUTLETS OR FIXTURES 120 76d as the owner, or my employees with wages as their sole compen- FIXED APPLNS.I, Ex. OCCUp. OU LETS 4RESID.)REA-) j 3.001 sation, will do the work,and the structure is not intended or offered Temporary service for for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor - —_ - _-) I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIirig Fee 15.00 ❑ The permit is for S100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject Ventilation to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee ;. provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee. S is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and keep harmless.the County of Butte against I TOTAL FEE. $ %Sr V 0 all liabilities, judgments, costs, and expenses which may in any way accrue HAz 0FEES IMP FLOOD COFPARCEL PO against said County in consequence of the granting of this permi . 1 I I I 13 ISSUE X Date U / This permit is hereby issued under the applicable provi- Signature of Applicant — owner ❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA pymit is required for excavations over 5'0" deep and demolition or construct- work indicated above for,which fees have been paid. ion of structures over 3 stories in height. DIRECTOROF=PUBLIC..WORKS By - Date o Z&Z_ - Receipt No. ko WNITL•O.P.W., YELLOW-AIDC33011. PINK'INSPCCTOR. GOLOCNROa-APPLICANT PERMIT. EXPIRES Date t .. RESIDENTIAL, 058=80-0=035 PETERSEN, SCOTT - 93-715 3922 HIGH RIDGE OPEN DECK/MH CT, � OROVILLE s 1 J08` FINAI 9D. -:(Daly) Signature - V= OK O=Not OK Not Readyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Solis; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ /'L"ft./ /"LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date/Initials. MOBILE HOME INSTALLATION (Plana) OK except #'a 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. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DEM, COVERS CARPORTS GARAGES Plana OK except #'s Z -ng Requirements -Setbacks -Easements F Ings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftra :Connectors Shthg :Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing xt.; Steps -Doors -Lendings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL ' = Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' 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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nasi Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Slze/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Wella (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kiffixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Lending -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Fireplace.Clearence to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comntante at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. f 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 • APPLICATION AND PERMIT ASSESSOR -PARCEL NUMBER 058-800-035 IR ZONING -5 BUILDING PERMIT OWNER TELEPHONE 984-5310 SQ. FT. OCC. BUILDING VALUATION 168 0 1 176.00 OWNER'S MAILING ADDRESS 27 CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation [$1,176.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $25.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $60.50 3999 High Ridge Ct. Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New ❑ Addition X❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 12 x 14 Open Deck Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A o°R LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Cha t. 9, Div. 3 of the Business p and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 OCCUPM NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS. / 3.64 sq.ft. NEW CONSTR. ULT"OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. OCOup(OUTLETS OR FIXTURESFIXED 20 76 APPLN S' Ex. OCCUp. OUTLETS IIRESID.)REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling LHood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against d Count in c nsequence of the granting of this permit. e a X �� Dates Signature of Applicant — Owner ❑ Contractor ❑ Agenr ® An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 60.50 HA2 DFEES IMP FLOOD `� I CDF PARCEL f PD H ISSU This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees ECT OF PUBLIC By 2Z PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date �� �£3- 13587 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ... !'lam •.'�:�..,",.�. +.T:.'"� �.. -'•� {.-v..-Y. r^r+..,°0:1,-•`„ x.,.I";C�-.,:.,F^..-, ' .CS "'� ''t;�,. .-.^"''i 'fir. -4, .,.� `..-"�•/(/L v° i� / . *. COUNTYOF BUTTE -DEPARTMENT;OF,DEVELOPMENTSERVICES - BUILDING DIVISION 7COUNTY CENTER DRIVE -OROVILLE, CALIFORNIA 95965 -TELEPHONE (916)538-7541 4 PERMIT APPLICATION DATA SHEET OWNER O 1e - fAJ A. P. No. CDkV 960 _/F,5_ Proposed Building Use ODC'N pe . Building Inspector I�U Date 9� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ..................................... . . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. �. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13 Flood elevation letter (100 year flood)_ by California Engineer . ............... . _ 14. Sanitation and plot plan approval aAQ //%/`Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .... s... 20. Pre -inspection for P,Inspe�on requ st required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. ...... 23. Owner -Builder Verification (Given to owner Mail to owner 24. Recorded copy of Agricultural Acknowledgement Statement. . ............... . 25. Letter of signature authorization . ..............................e,,e- 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. .34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation / Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. O r- Date By The following data must be submitted prior o frit issuan (Circle new item not checked above). 1. Index permit'for above items No. 2. Additional items required: r` Contractor, designer, owner, as advised of above required data by _ phone _mail Coun Contractor, designer, o r, was advised of above required data by _ phone _ mail V Counter b Date 3 3 Plans checked by Date Plans approved by' ,- Date 3-- Sets of plans on hold in File cabinet AP folder 13� Copy - Department of Public Works °46 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance r:.II.1 I I.r Phil Plan Attnahud Floor Han Anachvill i, Sunt to II.D. I S co A e se- n C-5`aa rd 5-y- Fro -35 Owner Locatj it AP# Plan Approved for: Sewage Disposal Water Suppl Public Private Well z� Li Clearance for bedroom mobile home. Other ra.—I4f" xI� Hold final for: Final clearance O.K. for: NOTE Environmental 8/92 ealth Specialist I AA," /: ,3 Date -Wis "set of plans and specifications MUST be kept ori the job, at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, County of %Butte. ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL SE CLEAR OF ALI_ EASEiWENTS. A SES' BACK OF /O 1=7FRCM THE Slut AND la Fr. rr-om 6 fit RzfaE; PROPERTY LINES AND 6 FT. FROM THE ROAD--CEN-1 ERL,INE SHALL BE CLEAR OF STRUCTURES AND EQUIPWIENT EXCEPT FOR A 2 FT. EAVE OVERHANG. Z4; rD �M%VJ . 24 Y.A4 fZ� j'2 N ��5= 'C Fje S _Zo. sE s. IL— A: � �esr uah P Environmental Health MAR 19 1993 N' Oroville, California T E.—All Materials & Workmanship Shap Be in with Recognized Good Practioes and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & MechanicalModes and the National Electrical Coda. i �PRROVED Byy��te County E -,i iroI mental Health O -•�--- to--�--- J vSig.natur ' � Z , I BUTTE COUNTY BUILDING DEPARTMENT A P P R 0 V E D 3- z f- �7 3 qi> VARIt S LN o b. z a� { �1-' O n 0 C a) m c R1 a m bi CD R; m 0 1 omo'y' 30 iFz o � Z C.M Wco f� C) - 0_ cn. 0 m n 7< 7 - GN 0 m 2Q r n 70 0 mm N Q X 3 4� r 4 MAX. ILI . O f �o N _ 4 4' Td If ill J,"'WWORAIL WEIGHT C> BUTTE COUNTY A BUILDING DEPARYME o• Y X etS 7 COUNTY OF BUTTE - Department of Public Works 0 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 C �ry OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit.has been applied for in your name and bearing your signature. Please complete and return:this information.at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit: No building permit will be issued until this verification is received. 1. I personally pian to provide the major labor and materials -for construction of .. the proposed property improvement (yes or no)._ 2. I (have/have not). signed an. app ication for a building permit for the proposed work. 3. I have contracted with the following person (firm) -to provide the proposed construction: - Name Address City Phone Contractors License No. ---• ----- 4.- �--p.lan-•to.provide. por-tions--of,this 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 Signed: Property Owner Social Security N' ber Date 3 eZ7 - i NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of, .the-,Calif.o:rnia. Health and Safety Code. _ This verification must be completed and returned to our office before we are per- mitted to issue the permit. PETERSEN AP#58=80-35 PERMIT##93-715 FleM , *2Z- 4�-' ad 4% 77 Cert c %t'_`/�1p 'C.U�1 C2.► J lis 40 f l h oJ� I sm RETURN TO: Public Works Land.Development Section CERTIFICATE OF COMPLIANCE Issued to: RE ,1up; ` 2 23 PN t9P? ELEANOR H. S=Ct EP. CLERK-RECORDtR Garlan Epley %40FEE 1143 Kimberly Dr. Yuba City, CA 95991.` '84S This Certificate of Compliance is hereby issued by the County of Butte to certify that the .land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map_Act and of Chapter 20 of the Butte County Code. 1. Property location: off Cirby Creek Rd. near Concow Rd. intersection. 2. 'Assessor's Parcel Number: 58-25-82 Description: All that certain property located in the County of 'Butte, State of California, more particularly described as follows: Being a portion of the Northeast quarter of Section 3, Township 22 North, Range 4 East, M:D.B. & M., more particularly described as follows: Commencing at the Southeast corner of Lot4 of the Northeast quarter of said Section 3; thence along the South line of said Lot 4, North 890 44' 34" West, 1313.98 feet to a point on the centerline of a 60.00 foot road easement; thence along said centerline North'.440 53' 56" East, 67.92 feet; thence North 40 33' 04" West, 309.50 feet.; thence North 150 32' 34" West, 159.10 feet; thence North 070 53'.04" East, 103.97 feet; thence North 690 14' 12" East, 109.76 feet;.thence North.270 14' 13" East, 190.0 feet to the point of beginning for the.parcel of land herein described; thence North 260 3�' 33" East, 200.96 feet;.thence North 340 01' 05" West, 170.74 feet•; thence South 59 10' 59" West, 176.21 feet; thence South 340 11' 59" East, 279.24 feet to the point of beginning. Together with rights-of-way of record.recorded in Book 2508 of Butte County Official Records at Pages 373 and 374. Together with rights-of-way of record recorded.in Book 1455 of Butte County Official Records at. Page 497. Issuance. of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-166 and Government Code; Section 66499.35 (b),.to protect the public health and public safety. None LD 1400 County of Butte Subdivision Violation Committee L END OF DOCOtvf \7T WME END OF DOCUMENT lmt%9 V `2 z3-ct r qAR � cwt-ek Yw i S R,k,&gpe / �L '� �L l/_� ,� /�/� �/�� -..� 4.39 At /4 O , C39Ac. � t `•° 1 A \ Z 1.90 Ac. `��/ /3 2.02 Ac: / o� 0 l 1.45 Ac. oo L92 Art � V' 1 9 5 i X75.10 \• N 1\ a 275.83 . ii o� 1 NOTE., These parcels vro lot assessmend purposes gab 290 w Ond may not constitute legal parcels. - \`6/r\N- A� - " 14 93 11 fr �a`\- } ` ei37 9D Qll _ 0 1.64 Ac. ' /5 �w1a11_- 8.4 `�� /.4lAc. 38 - 91 Ac. 4.4 L �, t 24 Ac. �9 - vR� 39 _ 6 . . ,�v { k3 i �� `.J ! A no �� I 46f(� 1.72 Ac� l6 � 25 10 i � � a � /'L •1 �� � �• � l - - 4ii T 1.30 A 9�/1 4812 35 '` 104.75\ 1.65 AG / 0. .39'Aa•-'�•__,': C. 168.52 `�c► �4 N N .9/ RToc 4o r�� ti�`� t 35�OZ. :` 27 a Ac. ^�. 37.68 fA t , p 16S Ac vq"' 1 Acj f L4'AC. \ A� .2580 r i r1-✓�r ._ -1 " 1.91 4i •� -,r L%Ac."tiL77AG �r � o*Ac. `'1��ry 2�0 ,��.326`Ae p 115 AC�l�1 tc � I p vI /.02 Ac 1--------,� Q6,2 .'� • b /q`,, i'' '!�'� E+... ' 'a � ,,,95 Ac. -- s :� _ � X._ 0 409 Ac llQ. Ac. - ( I �� t - �-I.Y . �f� f_/�f' _ .� k.'F"'-_'i, , +=.�. ...r -r f+ 4.•. .l �/ F_ li- 1 SIl - 6h. '1 1 •\ t. ..•;... - -.�/ c : `. D, ... �.. 4 1 4a la -23 1 �- �. l:10. Ac t , J S& Ac. F , 32 A . ` �`� 62 t. 2756 .1, �� 9i' •` T Z r . 1, Z2'2 AC w _ t/ A E. 1,31 qc: 2 c. t 2l 72.95 �: SER r Ac �" td r r .. r. >b • r } �. dt _ tic �` x t 29. AG q4 49 =. 12.03 #• .. 1 223 ac. ar or Ac. - _ § ,� -� - � x=•�� - -� � . l' 1 �� � 4 ��•;,•••�, :;;_ � ._ t -., .-r- 'i ' �' r <, ' :t - ., ' - � - t :• / its. 1. '.13' Q � ,t� � _ `.• 'r..' ' . L � LA 485 Air. r:•• _:� ���' w I,TP"AG�' �- �� 89�G. of a QB ' •1 �„''; G40 A� 1 X41 AC ,Lqd Ac V y - , 27141 220- `- . l72 COUNTY OF BUTTE a DEPARTMENT OF PUBLIC WORKS -196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 ,747 Elliott Road, Paradise — Phone: 872-6.307 CORRECTION "'NOTICE CU ' J VNC-R- PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspector �f rCc 04 P o 44 i :r Date Inspector �f COMPLAINANT ADDRL3S: PHONE NUMBER: OTHER COMMENTS: z1q' 14%&ri (Z %P&F- G o u'RT