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HomeMy WebLinkAbout061-310-055' \ � | ` ^ . / � ! . � 61-31Rock Rd.�, Berry Cr�ek -�z Herman Bankston -Permit' 10255 -*81P_, i (util. MH)._ GAS SUPP STRUCTURE REQ - TEST REQ. Permit -84B 1.8 -Star Vie i�yv,Xerry GAS t_P6 3IL4 L, COMPACTION TEST REQ' VC9 SUPPORT STRUCT REQ 061-310-055 PERMIT#96-2015 BANKSTON, Herman 18 Starview Way,Bey-ry Creek 1308-0498j 061-310-651, SFD'Mobile 14'0'm'e PFS. NEW MH,PERM FND EX SITE ^ ' RECORDING REQUESTED BY: COPY of Document Recorded 29 -Play -2008 2008-0020579 Has not been compared with original AND WHEN RECORDED MAIL TO: BUTTE COUNTY RECORDER BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. PATRICIA A. EDGEWORTH BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY P O BOX 614 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS BERRY CREEK BUTTE CA 95916 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 18 STAR VIEW WAY B08-0498 530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER BERRY CREEK BUTTE CA 95916 R&OLU 5/29/2008 CITY COUNTY STATE ZIP SIGNATURE OF CAL AGENCY OFFICIAL DATE SAME EXECUTIVE HOMES UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME DL92081 MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION CMH MANUFACTURING WEST, INC. 2008 CHATEAU SERIES CS40101A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER RAD 146114/15 40'X 24' SAC033402CA A/B SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: ASSESSOR'S PARCEL NUMBER: 061-310-055 SEE ATTACHED HCD FORM 433(A) REV 8/91 un-TrrF—r—.ft,V.—A— rANAuv—urn PINK—Annlirant r,IN.DFNROD—BuildineDent. ORDER NO. BU -160726-3 DESCRIPTION THE LAND REFERRED' TO IN THIS REPORT' IS SITUATED -IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: A PORTION OF THE WEST' HALF OF THE NORTHWEST QUARTER OF SECTION 31, TOWNSHIP 21 NORTH, RANGE 6 EAST, M.D.B. & M., BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: PARCEL I: COMMENCING AT THE SOUTHWEST CORNER OF THE NORTHWEST QUARTER OF SAID SECTION 31; THENCE NORTH 00 DEG. 131 43" EAST, A DISTANCE OF 52.69 FEET, THENCE EAST 276.97 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, NORTH 09 DEC. 511 11" WEST, 193.77 FEET; THENCE NORTH -70 DEG. 25' 41" WEST, 128.15 FEET; THENCE NORTH 43 DEG. 08' 31" WEST, 134.18 FEET; THENCE WEST, 30 FEET TO A POINT ON THE WESTERLY BOUNDARY LINE OF SAID SECTION 31; THENCE NORTH 00 DEG. 13' 4311 EAST, ALONG THE WESTERLY BOUNDARY DINE OF SAID SECTION 31, 238.92 FEET; THENCE EAST 30 FEET; THENCE SOUTH 71 DEG. 24f 01" EAST, 197.46 FEET; THENCE SOUTH 51 DEG. 301 16" EAST, 102.79 FEET; THENCE NORTH 70 DEG. 211 24" EAST, 40,17. -FEET TO 'A POINT ON THE WESTERLY BOUNDARY LINE OF A PARCEJ, OF-` LAND AS DESCRIBED IN DEED TO JAMES W. DYES, ET UX, RECORDED APRIL 23, 1971, IN BOOK 1671, PAGE 173, 'OFFICIAL RECORDS; THENCE SOUTH ALONG THE WESTERLY BOUNDARY LINE OF SAID DYES PARCEL, 453.85 FEET TO THE SOUTHWEST CORNER OF SAID DYES PARCEL; THENCE WEST, 51.31 FEET TO THE TRUE POINT OF BEGINNING. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 PEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT THAT BEARS NORTH --79 DEG. 14-1 13" EAST, A DISTANCE OF 282.16 FROM THE SOUTHWEST CORNER OF THE NORTHWEST QUARTER OF SAID SECTION 31, TOWNSHIP 21 NORTH, RANGE 6 EAST, M.D.B. & M.; THENCE FROM SAID POINT'OF BEGINNING, NORTH 9 DEG. 511 11" WEST, A DISTANCE OF 293.77 FEWN THENCE NORTH -70 DEG. 25-0 41" WEST, A DISTANCE OF 128.15 FEET; THENCE NORTH 43 DEG. 08' 3111 WEST, A DISTANCE OF 134.16 FEET: THENCE NORTH 00 DEG. 13' 43" EAST, A DISTANCE OF 238.92 FEET TO POINT "B" IN SAID CENTERLINE; THENCE CONTINUING NORTH 00 DEG. 131 4311 EAST, A DISTANCE OF 64.32 FEET; THENCE NORTH 4 DEG. 371 34" EAST, A DISTANCE OF 108.48 FEET; THENCE NORTH 59 DEG. 30' 19'1 FAST, A DISTANCE OF 333.07 FEET TO THE END OF THE HEREIN DESCRIBED CENTERLINE. CONTINUED ORDER NO. BU -160726-3 DESCRIPTION - CONTINUED PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES - PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT POINT 11A" REFERRED TO ABOVE; THENCE SOUTH 71 DEG. 24" 0111 EAST, A DISTANCE OF 1.97.46 FEET; THENCE SOUTH 51 DEG. 301 1611• EAST A DISTANCE OF '102.79 FEET; THENCE NORTH 70 DEG. 21' 2411 EAST A DISTANCE OF 30.17 FEET TO THE END OF THE HEREIN DESCRIBED CENTERLINE. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT THAT BEARS NORTH 79 DEG. 141 1311 EAST, 282.16 FEET FROM THE NORTHWEST CORNER OF THE SOUTHWEST QUARTER OF SAID SECTION 31; THENCE SOUTH 9 DEG. 511 1111 EAST, A DISTANCE OF 285.26 FEET; THENCE SOUTH 14 DEG. 27** 2,9t1 WEST A DISTANCE OF 160.14 FEET; THENCE SOUTH 27 DEG. 48• 4611 EAST A DISTANCE OF 175.21. FEET; THENCE SOUTH 51 DEC. 52" 36t1 -EAST, A DISTANCE OF 147.21 FEET TO POINT "A11 IN SAID CENTERLINE; THENCE SOUTH 32 DEG. 17' 5411 WEST A DISTANCE OF 191.39 .FEET; THENCE SOUTH 52 DEG. 131 43t1 WEST A DISTANCE OF 172.10 FEET TO A POINT IN THE CENTERLINE OF BALD ROCK COUNTY -ROAD AND THE END OF THE HEREIN DESCRIBED CENTERLINE. EXCEPTING FROM PARCELS II AND III THOSE PORTIONS LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. 4 BUILDING PERMIT NUMBER:,1108-0498 Address or location ofmnit:".18 STAR VIEW WAY, BERRY CREEK CA 95916 Legal Description'of Real Property: 061-310-055 " SEE ATTACHED (x) Mobilehome/Manufactured Home �) Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: PATRICIA A. EDGEWORTH Owner's address:P O BOX 614. BERRY CREEK CA 95916 INSIGNIA OR HUD NUMBER:SAC033402CA AB . SERIAL NUMBER OR. V.I.N.: RAD 146114/15 MANUFACTURER'S NAME: CMH. MANUFACTURING WEST, INC. YEAR: 2008 OFFICIAL APPROVING INSTALLATION: tIV DATE: 05/29/2008 _ PHONE: (530) 538-7541 H.C.D. 513-,. r RECORDING REOM ^ TM RV AICD WHEN RECORDED MAIL TO: A -Wt ns PATRICIA A P'- doh ( (q de rr'y C C,:lj . 9515Pj6 A.P.N.: 0 6 1— 3 1 0— 0 5 5 Older-iVo:: . 1111 1111111 ]1111111111111 it III 1 Il[ �IQ�L� 1—r�i01254 3ey Recorded Official Records County Of BUTTE CANDACE ,i.. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:39Ai4 14 -jun -2001 I REC FEE 19. Z0 I I I t i l I Kristyy I Page 1 of 5 Space Above This Linoffor Recorder's Use Only Escrow No.: DOCUMENTARY TRANSFER TAX $NONE (x jComputed on the consideration or value of property conveyed; OR [ J Computed on full value less value of liens or encumbrances remaining at time of sale. [x j C exempt from imposition of the Documentary Transfer Tax pursuant to Revenue and Taxation Code 11927 (a),on transferring community, quasi -community, or quasi -marital property, assets between spouses, pursuant to a (IvLP� judgement, an order,or a written agreement between spouses in contemplation of any such judgement or order. THE uNnroerrRFn nFf l aeE Signature of declaring grantor or grantee INTERSPOUSAL TRANSFER GRANT DEED (Excluded from reappraisal under California Constitution Act 13 A Let seq.) This is an Interspousal Transfer and nota change in ownership under §63 of the Revenue and Taxation code and Grantor(s) has(have) checked the applicable exclusion from reappraisal: [ J A transfer to a trustee for the beneficial use of a spouse, or the surviving spouse of a deceased transferor, or by a trustee of such a trust to the spouse of the trustor. [x J; A transfer to a spouse or former spouse in connection with a property settlement agreement or decree of dissolution of a marriage or legal separation, or [ ) A creation,transfer, or -Vermination, solely.berween the spouses; of any co -owl is interest. [ J The distribution of a leoal'eiitity's-propdity to a spous"i-rotmerspousa-in-exchange for the interest of suchspouse.in•u� c.legal enrity in connection with a property settlement agreement or a decrea of dissolution of a marriage or legal separation-. I1 Other. — ......... • ;... ., , _ ... ... ; [X l Check when creating separate:property interest in grantee spouse: 'It is the express intent of the grantor, being the sppouse.of-the:grantee, to convey a]) right• title and inteiesf.pffthe grartor;,cor mitiaity or otherwise, in and to the N&In•detcrt'bed property to dtC giaritec s hisTYter sole and sepainte property." FOR A VALUABLE CONSIDERATION, receipt of which is hereby.acimowledged, GRANTOR CLARK DAVID EDGEWORI-flEX—HUSBAND 'OF � THE''.G,RA'MTEE hereby GRANT(S) to PATRICIA ATKINS, WHO ACQUIRED TITLE AS PATRICIA A. EDGEI,tORTH the following described property in the CRtytof , County ofStateof California; /UNINCORPORATEDEAREA SEE LEGAL DESCRIPTION ATTACHED INTERSPOUSAL TRANSFER GRANT DEED CONTINUED ON NEXT PAGE tai" A •;.,t,MAil Tax'Statemenis to: AO ME A,8. ABOVV t5r ;A'ddz�ss.l k(q ci 73e1'ctty �. ' y i .; ,,,�, i •, „ A.P.N.: DEED - CONTINUED CLARK DAVID ED.GEWORTH V Document Date: Z/(J- A00/ STATE OF CALIFORNIA n .�,l,[ )SS COUNTY OF An before.. me,_ f ur 4 1� t' [4 personally appeared V^ �, �'t%a )� Aja V ?� t! P6'C V✓Oie? personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose nam -.W is/2sesubscribed to the within instrument and acknowledged to me that he/rK/they executed the same in his4aer/their authorized capaeiry(ies) and that by his/herhbeir signature(s) on the instrument the person(O or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS my hand and officiA seal. „ This area for official notarial seal. >i ,-• RUDYA.RIND8SBACHM `:`' Comm.#1iA8759 ��� '�0t2ryPUblic•CaHfotiti� r? �uhe Colifity My Gomm. 60.juiy96,200i ; ORDER NO. DU -160726-3 DESCRIPTION THE LAND REFERRED' TO IN THIS REPORT IS SITUATED. IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: A PORTION OF THE WEST HALF OF THE NORTHWEST QUARTER OF SECTION 31, TOWNSHIP 21 NORTH, RANGE 6 EAST, M.D.B. & M., BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: PARCEL, I: COMMENCING AT THE SOUTHWEST CORNER OF THE NORTHWEST QUARTER OF SAID SECTION 31; THENCE NORTH 00 DEG. 13' 43" EAST, A DISTANCE OF 52.69 FEET; THENCE EAST 276.97 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, NORTH 09 DEG. 51' 11" WEST, 193.77 FEET; THENCE NORTH 70 DEG. 25' 41" WEST, 128.15 FEET; THENCE NORTH 43 DEG. 08' 31" WEST, 134.18 FEET; THENCE WEST, 30 FEET TO A POINT ON THE WESTERLY BOUNDARY LINE OF SAID SECTION 31; THENCE NORTH 00 DEG. 13' 43" EAST, ALONG THE WESTERLY BOUNDARY LINE OF SAID SECTION 31, 238.92 FEET; THENCE EAST 30 FEET; THENCE SOUTH 71 DEG. 24' 01" EAST, 197.46 FEET; THENCE SOUTH 51 DEG. 30' 1G" EAST, 102.79 FEET; THENCE NORTH 70 DEG. 21' 24" EAST, 0.. 17 FEET TO`A POINT ON THE WESTERLY BOUNDARY LINE OF A PARCEb.OF-`LAND AS DESCRIBED IN DEED TO JAMES W. DYES, ET UX, RECORDED APRIL 23, 1971, IN BOOK 1671, PAGE 173, 'OFFICIAL RECORDS; THENCE SOUTH ALONG THE WESTERLY BOUNDARY LINE OF SAID DYES PARCEL, 453.85 FEET TO THE SOUTHWEST CORNER OF SAID DYES PARCEL; THENCE WEST, 51.31 FEET TO THE TRUE POINT OF BEGINNING. RARCEL XT: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET OK EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT THAT BEARS NORTH -79 DEG. 14' 13" EAST, A DISTANCE OF 282.16 FROM THE SOUTHWEST CORNER OF THE NORTHWEST QUARTER OF SAID SECTION 31, TOWNSHIP 21 NORTH, RANGE 6 EAST, M.D.B. & M. ; THENCE FROM SAID POINT ' OF BEGINNING, NORTH 9 DEG. 51' 11" WEST, A DISTANCE OF 193.77 FEENN THENCE NORTH 70 DEG. 25' 41" WEST, A DISTANCE OF 128.15 FEET; THENCE NORTH 43 DEG. 08' 3111 WEST, A DISTANCE OF 134.18 FEET: THENCE NORTH 00 DEG. 13' 43" EAST, A DISTANCE OF 238.92 FEET TO POINT "B" IN SAID CENTERLINE; THENCE CONTINUING NORTH 00 DEG. 13' 43" EAST, A DISTANCE OF 64.32 FEET; THENCE NORTH 4 DEG. 37' 34" EAST, A DISTANCE OF 108.48 FEET; THENCE NORTH 59 DEG. 30' 19" FAST, A DISTANCE OF 333.07 FEET TO THE END OF THE HEREIN DESCRIBED CENTERLINE. CONTINUED ORDER NO. BU -160726-3 DESCRIPTION - CONTINUED PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT POINT "B11 REFERRED TO ABOVE; THENCE SOUTH 71 DEG. 24' 01" EAST, A DISTANCE OF 197.46 FEET; THENCE SOUTH 51 DEG. 30' 1611 EAST A DISTANCE OF 102.79 FEET; THENCE NORTH 70 DEG. 21' 2411 EAST A DISTANCE OF 30.17 FEET TO THE: END OF THE HEREIN DESCRIBED CENTERLINE. PARCEL IV• A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 3A FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT THAT BEARS NORTH 79 DEG. 14' 1311 EAST, 282.16 FEET FROM THE NORTHWEST CORNER OF THE SOUTHWEST QUARTER OF SAID SECTION 31; THENCE SOUTH 9 DEG. 51' 11" EAST, A DISTANCE OF 285.26 FEET; THENCE SOUTH 14 DEG, 27' 2"911 WEST A DISTANCE OF 1:60.14 FEET; THENCE SOUTH 27 DEG. 48' 4611 EAST A DISTANCE OF 175.21 FEET; THENCE SOUTH 51 DEG. 52' 3611 EAST, A DISTANCE OF 147.21 FEET TO POINT "A" IN SAID CENTERLINE; THENCE SOUTH 32 DEG. 17' 54" WEST A DISTANCE OF 191.39 FEET; THENCE SOUTH 52 DEG. 13' 43t1 WEST A DISTANCE OF 172.10 FEET TO A POINT IN THE CENTERLINE OF BALD ROCK COUNTY •ROAD AND THE END OF THE HEREIN DESCRIBED CENTERLINE. EXCEPTING FROM PARCELS II AND III THOSE PORTIONS LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. -j-7 D. I -?- BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 2 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B08-0498 Issued:. 5/9/2008 Address: 18 STAR VIEW WAY Area: RRY CREEK Owner: EDGEWORTH, PATRICIA A Applicant: EXECUTIVE HOMES Permit Type: SFD-Mobile Home PFS APN: 061-310-055 Description: NEW MH PERM FND EX SITE Flood Zone: None SRA Area: ' Yes SETBACKS for Zonine, AG. SRA. PW Front: Ultimate R/W from CL: 30 Rear: SRA: .Side: AG: Other: Notal Setback from Centerline of Road:+30 ALL PLAN REVISIONS MUST BE APPROVE J BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 ��nals .:A Ins ection Type I IVR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 2 , ,o Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 , �. , t7, Skirting/Steps/Landings 610 7-7, Coach Info Manufactures Name:k=-=A7--S Date of Manufacture: Z Model Name/Number: Serial Numbers: S A C ®'3 3 J 0'2— C- Length x Width: Insignia: FZ A V iL4 (o 01 11 Public Works Fina 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 S G Project I, inal is aerti tcate of occupancy or esi entia Only) 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 Inspec:tot Copy M COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive * Oroville, CA * (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. 'A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. HU -t- �r-' � ( ,I fall t'A -40'/- f (Ar- II Ar- ) 41. P k;4 Date Inspector REV 4/05 Phone # r FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 FROM EXECUTIVE HOMES. (THU)MRY 29 2008 14:07/ST.14:07/No.6800798355 P 1 EXECUTIVE HOMES 3042 ESPLANADE, CA 95973 530-891-6992 / 800-346-6992 FAX: 530-891-8753 E-MAIL:tommy@executivehomeschico. com FACSIMILE TRANSMITTAL SHEET TO: FROM Gwyn Tommy Slattery COMPANY: DATE: MAY 299 2008 FAX NUMBER: TOTAL NO. OF PAGES INCLUDING COVER: 538-764+- �Z ! iA 2 PHONE NUMBER RE: M."98 ❑ URGENT ❑ FOR.REVIEW ❑ PLEASE COMMENT 0 PLEASE REPLY ❑ PLEASE RECYCLE Please get this to Rick 'Tient. We need it signed oft .right away. Is there any way we can have someone else sign off? Or maybe get a hold of Trent via cell to verify? l� t g `, V-. v ; State of California L/ Business Transportation and Housing Agency y; DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Codes and Standards HCD 415 APPLICATION FOR J Alteration ❑ Addition or Conversion ❑ Alternate Approval ❑ Technical Services CONTRACTOR/OWNER BUILDER DECLARATIONS Not required for Special Purpose Commercial Modular 1. LICENSED CONTRACTORS DECLARATION I hereby affirm under penolt/ of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectlon 7000) of Division 3 of the= and Professions Code and my license Is In full force and effect. Ucense Class ��/E Uc. No1'v.`3 �. Exp. Date / O 9 Contractor /rteX r rr/!��✓n!•/ Dote fl 8 U , 2.OWNER-BUILDER DECLARATION I hereby affirm under penal of perjury that I am exempt from the Contractors License Low for the ((allowing reason (Sec. 7031.5). Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors Ucense Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt there from 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 dollors(S500).): ( ) I, cis owner of the property. or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended of offered for sole (Sec. 7044. Business and Professions Code: The Contractors Ucense Low does not apply to on owner of property, who builds or Improves thereon, and who does such work himself or herself or through his or her own employees provided that such Improvements ore not Intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the owner -builder wiII have the burden of proving that he or she did not build or Improve for the purpose of sale.). ( 11, as owner of the propery. am exclusively contracting with licensed contractors to construct the proj act (Sec. 7044, Business and Professions Code: The Contractors Ucense Low does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a �"controctor(s) licensed pursuant to the Contractors License Law.). () I am exempt under Sec. B. & P.C. for this reason: 3. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ( )I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. �)Q I have and will malntaln workers' compensation Insurance, as required by Section 3700 of the Labor Code. for the performance of the work for which this Dermit k I.ca sari , KAI' r Department of Housing &Community Development 2 < Division of Codes and Standards I FINAL INSPECTION CERryTIFICATIOI. fJ BY 1- 4 * /lI�Q S _ V'SDATE: :F=!91 �J (District Representative) (ID No.) C LABOR DATA: AREA: QNorth 11 South County I. 1� AP PCA/ACTCODE k1b 'AC�r TR MILES N TIME: INSP/ACT TRAVEL TIME U C A SE INSPECTION DATA: *rtvate Property ❑ MH PARK 4.( # HOME/UNIT —j— FLOORS ai (S VIOLATION DATA: TOTAL CORRECTIONS: Ls S_F_E_ M_P_G/O_NP_ Le S. G FEE COLLECTION AND OTHER INFORMATION: J))ATE�� FEES: $ ( C� 33�JI Inf, ITEMS ISSUED: HCD 59 ❑ Gas ❑ Electric ❑ I. A. C. an rel: ATTACHMENTS: ❑ Tledown Cert. 13 Other for PERMIT NO: ���� Q FILE CLOSED i i Signature of Applicant or Ag6nt/ Dote ❑ Inspection To Obtain Insignia SECTION 1 - UNIT INFORMATION I/We Are requesting services for the following unit(s): ,r 1 (Check Appropriate Box) DTN W/ Manufactured Home/Mobilehome +T� #,,) cit O Multi -unit Manufactured Home Fee O Commercial Modular (Occupancy Group D Special Purpose Commercial Modular Date Decal or License No. OA) 7 r h D 1- AA No. Serial Number(s) RT TO Manufacturer Nanle/ RT BY:b Model Name Ktrt< N f f V K3 -16101A Insignia/HUD Label Number(s)A/0 7- 1,5,5 C/4 Year of Manufacture c:- C�' SECTION 2 - OWNER/ APPLICANT INFORMATION Address f • G . zwx �� l city SRF_ _/ f''FE � County ZIP Location Address -/9 _57,V.1_'✓�� Lvr .� rf e�`?Q / t'�ilc'��� Applicant �� / t^/7f/•Ls Address J %� �.� � � � � F flus `� city D� L V/4 eC ap 9.3 i� G Telephone:00-'5 -2730 SECTION 3 - CONTRACTOR, ARCHITECT OR ENGINEER INFORMATION Contractor's Name "X_nX f ' 1nW,,4AJ 5/ Address Architect/Engineer Name rtegistru�r= No. C` —/4 3c;15-36 a,, Address SECTION 4 - DESCRIPTION OF WORK/ACTIVRY AND VALUATION Describe the proposed work/activity in detail. Attach additional pages If necessary. Where structural alterations or additions are proposed, complete plans specifications, details and calculations are required to be attached to this form. Provide the make and model of any appliance to be installed and provide complete electrical calculations for any electrical alternations or odditions. O© Indicate the Total Cost of the Work to be Performed SECTION 5 - SIGNATURE AND CERTIFICATION i"� I/We hereby make opplication for the serviat3s designated above. G Signature / 1 Date !/ O / ` "DEPARTMENT USE ONLY" i OL/APPROVED O CONDITIONS (see reverse side) D DISAPPROVED (see reverse side) ;%_{ 1 ,4�',.-e(��✓= c�'L� � ter'/ Signature of District Representative Dote DISTRIBUTION: YELLOW - DEPARTMENT WHITE - AREA OFFICE PINK - OWNER/APPUCANT HCD 415 SIDE 1 (Rev 11 /2004) INSTRUCTIONS: Inspection to Obtain Insignia: Complete Sections 1. 2 3, 4. 5 and Contractor/Owner Builder Declarations. Submit the application and the required fees to one of the appropriate Area Office listed below. Upon return receipt of your processed application (White Copy), contact the designated Area Office to schedule the inspection date. Alteration, Addition or Conversion: Complete Sections 1, 2, 3, 4, 5, and Contractor/Owner Builder Declorotions. Submit the completed application and required fees to the appropriate Area Office listed below. Upon return receipt of your processed application (White Copy), contact the designated Area Office to schedule the Inspection date. Technical Services: Complete Sections 1, 2. 3, and 5. Submit the completed application and required fees to the appropriate Area Office listed below. Upon return receipt of your processed application (White Copy), contact the designated Area Office to schedule an appointment for services. Southern Area Office Northern Area Office 3737 Main Street, Suite 400 9342 Tech Center Drive #550 Riverside, CA 92501 Sacramento, CA 95826 (951) 782-4420 (916) 255-2501 Altemate Approval: Complete Sections 1. 2 3, 4, and 5. Submit the completed application and required fees to: Department of Housing and Community Development, Manufactured Housing Section, P.O. Box 31, Sacramento, CA 95812-0031. If you have any questions you may contact the Department at (916) 445-3338. SECTION i - UNIT INFORMATION: Check one box to Indicate the type of unit for which you are requesting services. If Commercial Coach, also indicate the Occupancy Group Code (i.e. B2, E2, Al, etc.) In the space provided. Enter the unit serial number(s). The serial number(s) can be located on the Manufacturer's Certifidate of Origin, the Certificate of Title, registration documents or on the front cross member of the unit. Enter the year the unit was manufactured. Enter the manufacturer's name and/or trade name. This information can be obtained from the Manufacturer's Certificate of Origin, the Certificate of Title, registration documents or may be designated on the outside of the unit itself. Enter the decal or license number. This number is located on the license plate Issued by DMV or the decal issued by the Department of Housing. Enter the California Insignia Number(s) or HUD Label Number(s) that were issued for this unit, if known. SECTION 2 - OWNER/APPLICANT INFORMATION: Enter the owner's name(s) and address of the unit. If the address for the owner is different than the location of the unit, provide that information is the "Location Address" area. If the applicant is other than the owner, enter the name, address and telephone number of the applicant. The Department will contact or correspond with the party that is entered as the applicant. If the applicant is the same as the owner, the applicant information is not required to be completed. SECTION 3 - CONTRACTOR, ARCHITECT OR ENGINEER INFORMATION: If the services are being performed by a contractor, enter the contractor's name and address. Also enter the contractor's license expiration date. If requested services involve an Architect or Engineer, enter the architect or engineer's name, address and license number. SECTION 4 - DESCRIPTION OF WORK/ACTIVITY AND VALUATION: Provide a description of the work to be performed (i.e., Installing a new roof, Installing new windows, etc.) Enter the total cost of the work to be performed (total contact price). SECTION 5 - SIGNATURE AND CERTIFICATION: The signature of the applicant Is required along with the date the form is signed. If the application is for a replacement insignia or HUD label, the signature must be of the owner of the unit. CONTRACTOR/OWNER BUILDER DECLARATIONS Contractor: Contractors proposing construction are required by state law to provide the following information: Item 1 - Llcensed Contractor Declaration: Enter the contractor's license class, license number, license expiration date and the contractor's signature and date. Item 3 - Workers' Compensation Declaration: Place a check mark next to the declaration regarding the workers' compensation coverage that applies to the contractor. If the second declaration is marked, the contractor must also provide the carrier's name and policy number. This Item must be signed by the contractor and dated. Item 4 - Construction Lending Agency: If there is a construction lending agency for the performance of the work for the service being requested, enter the name and address of the lending agency. If there is no lending agency Involved, enter the word "none". Item 5 - Certification: The certification must be signed and dated by the contractor or and agent on behalf of the contractor. Owner Builder: If the work or activity as described on the application, Is being completed by the owner, the owner must complete the following Items: Item 2 - Owner -Builder Declaration: Place a check mark next to the declaration which is applicable. If the third declaration is marked, enter the section number from the Business and Profession Code which provides the exemption and the reason for the exemption. The owner must also sign and date this section. Item 5 - Certification: The certification must be signed and dated by the owner. DEPARTMENT USE ONLY APPROVAL OF THIS APPLICATION IS CONDITIONED TO COMPLIANCE WITH REGULATIONS OF THE DEPARTMENT: Any approval issued by the Department pursuant to this application is conditioned upon the applicant's compliance with the applicable provisions of the California Administrative Code, Title 25, Chapter 3, and the Business and Professions Code as it relates to contracting. 4.4 p y 3 ;� V "• Ct HC 415, Side 2 (Rev 11 /2004) STATE OF CALIFORNIA NUMBER: BUSINESS. TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANIMM 8777-177 MANUFACTURED HOUSING PROGRAM ; jo MANUFACTURER.-CERTIFICATE OF ORIGIN ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO MANUFACTURED MOMS OR MULTI -UNIT MANI IFAC aFQ HOUSING NUMBER OF 2 SFD (SINGLE FAMILY •OwELLINO) ❑ MUMN (MULTI -UNIT MANUFACTUREO HOUSING TRANSPORTABLE SECTIONS CONMCRCIAL-QQAQM- OCCUPANCY GROUP ME NIUNUF'ACTURING WIT. -ST, INC, 0%11 P;:.ACERVIT.U.. RUA!) SACRRT4ENYT,�j_ CA 958 CL1ATE;AU SERIES I CS401.01A Seeurity Nubile Fiulne Show North, Tne. 1)L9 20A) 3042 ESPLAVADF CHICO CA 95973--0211 21ST 11ULVfGA6L'• (. NP1u\YY 620 M RKET STREET, 2WD F'1.001t RN OXVILL..E TN 37902 MANUFACTURER SERIAL NUMBER 1 SAC033402CA A SAC033462ck B MCD INSIGNIA OR HUD LABEL NUMBER RAD 1469115 TRANSPORTER NAME: 1 KNNETT TRUCK TRANSPORT TRANSPORTER ADDRESS: 1:1 0. BOX 569 h C DONOUGN ("'A 30243 sae" DESTINATION FOR UNIT DESCRIBED ABOVE: �WSMITTVE '110P ;S 304: ESPLANADE CHT.CT.I CA 95973 71F1 .1 "cF/4 7111';9. CIL' 04w 2/1—U;, WIDTH 1 WFIGHT 4';G 142 1 1(iC; 4•�0 23.60 1—fff moo. P -eft Of PerMT vOm 9r W" a w SUM 01 COft"M NSI Or abm too on wo er4 meat E7.CAoderl 04--25-02 IM S.&CRAN'ENTO S ACRAIiLNTO CA. (o«) ( ► (CamITI (Su ) SIGNATURE OF AUTHORIZED AGENT: D19TRIBUTION: ORIGINAL (PINK) FORW ND TO THE INVENTORYCREDITOL UNLESS E 16 NONE. THEN iORV4AJIO TO THE PURCHASER (DEALER OR TRANSFEREE). COPY T (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOK t910, SACRAMENTO, CA 9ei012AWS. WITHIN FIVE (5► DAYS OF RELEASE. COPr 2(rEuotM DELVER TO THE TRAUISP(91TER TO ACCOMPANV THE UNIT TO ITS DESTWAFION. COPT J (GOLDENROO) TO BE RETAINED By TME MAN(IFACTURER. HCL) 497.0 - Side 1 - (7197) Z d Z9Z8610089 '0N/5Z:9 t '1S/LZ:9 t 80OZ 6 A W (1 a3) 83WOH 3A 11(103it3 W081 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 18 STAR VIEW WAY Owner' - Permit No: B08-0498 APN: 061-310-055 EDGEWORTH, PATRICIA A Issued Date: 5/9/2008 By GLB Permit type: RESIDENTIAL P O BOX 614 Subtype: SFD-Mobile Home PFS BERRY CREEK, CA 95916 Expiration Date: 5/9/2009 Description: NEW MH PERM FND EX SITE (530) 589-0712 Occupancy: R-3 Zoning: U Contractor Applicant: Square Footage: EXECUTIVE HOMES EXECUTIVE HOMES Building Garage Remdl/Addn 3042 ESPLANADE 3042 ESPLANADE 947 CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530) 891-6992 (530) 891-6992 947 FEE INFORMATION DBEH Building Review Fee $78.90 DBF MH Plan Check $241.16 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE SRA Fire Plan Review (S $107.00 DBMSC Mobile Home Permit Fee. $361.74 DBOMSCF Fire Safe Standards Re $118.98 Total Charged: $1,127.94 Fees Paid: $1,127.94 DBSMIP Residential $6.16 Balance Due: $0.00 Receipt No:' B7285 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License EXECUTIVE HOMES 640583 / C47 / 3/31/2010 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UND ENALTY OF PERJURY that I am licensed under provisions of Chapter 9 mmencing wi Sec' n 000) of ivision 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) s i full force eff ct. 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 5/9/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: -dontrecXt"S"Signature Date —11, 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements EI HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the EMPLOYERS COMP FN031696304 7115/2008 Carrier. Policy Number: Exp. Date: Contractor's License Law.). (This section need not be competed if the permit is oris or onehundr�ed oollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not empl y any person in any manner so as to become subject to the Workers' Compensation ws of alifomia, and agree that if I should become subject to the workers'X 5/9/2008 compensati rovisj61s of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provision 5/9/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sig atur Date WARG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, aA property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this pevDft. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND treet, or subsidewalk. 1 hereby authorize representatives of Butte use or occupa%%� ATTORNEY'S FEES. County toe d property for inspection purposes. I hereby certify that I am the roperty o act on the property owner's behalf. CONSTRUCTION LENDING AGENCY 5/9/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Nam rmittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR. E]Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip j 4 . BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPL/CATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name / Lbhi,/! S irst Name��J(iG`a r Mailing Address P.O. City State n / Zip q �' 1 Phone 3' 0712- Fax _ E=mail CONTRACTOR Name 2CV 2 M eS Address 30 q 2 Fs IGnAWe city ONI co State /! A �F Zip f5 Phone Fax E-mai* Lic. # Clast 7 APPLICANT INFORMATION ARCHITECTIENGINEER 'Address 30 Z �S n City /1 / , C O (.��i1/_ Address Zip g3-9 71 City tate Zip Phone Fax E- State License Number APPLICANT INFORMATION Name � e� � � „� ►mss/ 'Address 30 Z �S n City /1 / , C O (.��i1/_ State /t ,/ ��TjJf.,— Zip g3-9 71 Phone p /!�Z- Fax E-mail For office u§p o I : Zoning I Flood Zone I ISRA(IYe I No Occ. I Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. &.0m BIN # PROJECT LOCATION AP# 06 — 3l o - 0.S S Property Address !8 576/- V,e,,, wa City 6eCt Cross Street �I/ 0 WORKER'S COMPENSATION Policy Number 0131 6 ei 6 3 oS Carrier Cm If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGEN Name Addre Description or Sc o a of Work: / 1 P14 Sq FT- Living 9y 7bq Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been. issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: � Ll 1-' �0 Bldg SRA Receipt #: Sheriff SMIP Date: Other '� rJ Total BUTTE CONY DEVELOPMENT FEE W .�UTrF. CERTIFICATION FORM Feather River Recreation & Park District �covN� Assessor's Parcel Number (s): 061-310-055 Property Owner (s): . EDGEWORTH, PATRICIA A Project Location/Address: 18 STAR VIEW WAY Project Description: NEW MH PERM FND EX SITE Building Permit Number: BERRY CREEK Type of Residential Development Permit Type: RESIDENTIAL Permit Subtype: SFD-Mobile Home PFS Building Type: New Mobile/Manufactured He New/Additional Sq Ftg: 947 Certificate. of Existing Square Footage Existing Sq Ftg: 470 MH Replacement: Yes Existing Construction Type: Residential- Mobile/Manufactured Home Demo Permit Issued?: Demo Permit Issued Date: Verified by Building Records: Building R Verified by Assessment Records: Comments: Replace ex mobile home with new mobile 44 3/21/2008 Bu' di De a ent Representative Date B08-0498 ❑ FRRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that: Applicant Name Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ per unit for a total of $ Square Feet @ $ per sq foot for a total of $ Remarks: Pai Check No: Paid by Cash: Receipt No: UAu SO -A recreation and Park District Representative Date BUTTE COL,iTY SCHOOL FEE CERTIFICAI tON FORM (One form per Building) School District: Oroville Union High School District Assessor's Parcel Number (s): 061-310-055 Property Owner (s): EDGEWORTH, PATRICIA A Building Permit Number: B08-0498 Tax Rate Area No: lot - 60 Jurisdiction: County Project Location/Address: 18 STAR VIEW WAY BERRY CREEK Type of Development Residential Development: 0 Yes 0 No Sq. Footage: 947 No of Living Units Mobile Home Addition/ *Supplemental to Installation Conversion Permit # Cr. Demo - existing 470 *(No Foundation Inspection) sq. ft. Net total sq. ft. Deed Restricted Sq. Footage: 0 Commercial/Industrial: =New Attach signed coov of Deed Restriction and Notice of Limite se as itv ocument Addition Sq. Footage: Project Description: NEW MH PERM FND EX SITE (Including Exterior o e eas ILJTA ZL� 3/21/2008 Buildi g Depart e t Representative Date District Indentification No. 0 8 0 1 18 t RCVI64, I,ihion A�,School District certifies that (Pavor) 1% S4r--?- &n (Street Address) (City) has complied with the requirements of Resolution No. O'�� (State) (Zip Code) l us - 9D £X 0-C. t-� m41 �gl-&fig a (Phone Number) by payment of $ representing (� square feet. AB 2926 $ FULL MITIGATION $ School District Repr ntative Date Paid by Check Remarks: 6 ID )a CJ Y"- K IV (i1 Notice: You may protest the imposition of the fees identified above by sumitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest'will prohibit you from challenging the imposition of the fees in any court action. Subsequent o the School Districtepresen a ive signing this Butte County SchoolsImpact eeer i ica ton k orm, 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 (School District) Yellow (Building Department) Pink (Applicant) DDS—School Fee Form rev'd 3.10.08 CERTIFICATE OF EXISTING SQUARE FOOTAGE Oroville Union High School District Building Permit Number: B08-0498 Assessor's Parcel Number (s): 061-310-055 Project Location/Address: 18 STAR VIEW WAY BERRY CREEK Existing Sq Ftg: 470 MH Replacement: Yes Existing Construction Type: NEW MH PERM FND EX SITE Demo Permit Issued?: Demo Permit Issued Date: Verified by: Building R Comments: Replace ex mobile home with new mobile Building Department Representative 3/21/2008 Date Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B08-0498 Date: 3/21/2008 Location: 18 STAR VIEW WAY Parcel Number: 061-310-055 Owner Name: EDGEWORTH, PATRICIA A By: GLB Sub Type: SFD-Mobile Home PI Phone: (530) 589-0712 Description: NEW M11 PERM FND EX SITE The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS 171 F] Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ E] City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 /�Fjee�e Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS ❑ E:] Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 171 Durham Unified School District,_4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ ❑ Marysville School District, 1,919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 OroWlle Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 lradise ❑ ❑ Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning. Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: ❑ ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access Signature of Applicant: Date: 3/21/2008 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS** Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://muniCipalcodes.lexisnexis.com/codes/butteco/ **When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-0498 Location: 18 STAR VIEW WAY Parcel Number: 061-310-055 Date: 3/21/2008 Owner Name: EDGEWORTH, PATRICIA A Phone: (530) 589-0712 Description: NEW MH PERM FND EX SITE Signature of Applicant: <7 Date: 3/21/2008 FILE California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B08-0498 Date: 3/21/2008 Location: 18 STAR VIEW WAY Parcel Number: 061-310-055 Owner Name: EDGEWORTH, PATRICIA A By: GLB Sub Type: SFD-Mobile Home PI Phone: (530) 589-0712 Description: NEW MH PERM FND EX SITE To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte . County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site All development within the Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 3/21/2008 Date Rev'd 5/7/07 Signa ure All of the Fire Safe Requirements are posted on the Butte County Fire Department website at h_ttp://buttefire.org/Fireprevention/protplan/i)roti)lan.html FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B08-0498 Job Address: 18 STAR VIEW WAY. Contractor: EXECUTIVE HOMES 3042 ESPLANADE CHICO, CA 95973 Printed: 3/21/2008 11:10 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $78.90 3/21/2008 $78.90 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $107.00 3/21/2008 $107.00 0100-450001-4617240-1010 $107.00 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $118.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $107.00 3/21/2008 $107.00 DBMSC Mobile Home Permit Fee. 0010-440001-4210500-1010 $361.74 DBF MH Plan Check 0010-440001-4210500-1010 $241.16 3/21/2008 $241.16 DBSMIP Residential 1001-0-280-1011298 $6.16 Printed By: Gwyn Benedict 19127.94 $534.06 Balance Due: $593.88 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change dur'n the plan checking process. Signature: Date: 3/21/2008 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Bautte County Department of PublicWorks J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530)538-7171 Fax www.buttecounty.net/dds Q0. d 0 0 i ono 7c S National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B08-0498 Date: 3/21/2008 Location: 18 STAR VIEW WAY By: GLB Parcel Number: 061-310-055 Sub Type: SFD-Mobile Home PI Owner Name: EDGEWORTH, PATRICIA A Phone: (530) 589-0712 Description: NEW MH PERM FND EX SITE By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the .state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 3/21/2008 Ai` rj wttEN:RECORDED mA1L-TO: r . 1 IITTE C6VNTV. BOILDINC DIVISION '7: COUNT'V COMM DRIVE. OROVILLE, CA 9..59.5 AGRICULTURAL STA CEMENT t?>± ACICNOWI EDGMENT FORRESIDENTIAL DEVELOPM>VNT Section 26-8 of the Butte County Code required this acknowlednent to be recorded prior to issuance of a building. permit, The property described herein is adjacent to land or included within an. area zoned for-agriculiural purposes; and residents ofthis property may be:subjectto inconvehknces.or discomfort from the use ofagriciiltural chen�ieals;. including, but, not limited._to herbicides, pesticides, and fertilizers;;and .from :the .purstait of a.griculturat. operations iticluding,.but not limited to,cuttivation plowing; spraying; pruning; and harvestiiig:vvhich occa finally generate dust:. smoke, noite,.and. odor. Sutte.:County hits.:estatilished.agr. cultural purpose's aiid'residents within said zbnes,and on. adjacent property: skioutd :be prepared to accept suchinconvenience or. discomfort from. normal, neecssAry.:farm .operations. All that real property.situate in theCount -of Butte,,.Statc:of. California,::described aS„follows; Date `t / O l t 8 State aiCallfornia COurtty of On. before mc, known to me::(or`proved to m:e,onahe>basis of ki to the within instrument and acknowle g capacity(ies), and that by his/her/their i' e the persons) acted, executed the ins . en WITNESS my.hand and officials,...: Signati A.P. pego n a lly. c` ' ence);to be the persons) whose na'me(s) Ware sultscribed Oat he/she/they executed the same' in.:.his/her/their authorized the: 'instrument;tfie person(s) or the entity upon behalf of ivhch Seal: Wr E'0.1'-' CA L, UFO R',N I A.ss: ,otl bC t,.o.! lie ppeac IL po,—�-ricw, who basis .-ot Sal isfiletory ev,idelle'e. 10.be the PcYspll(sj is/nre: subscib-St. to the Nvaun ittstt u11101.r. 1111d ;acl. lowl 'e!gqd tome that he/0 ex Clued the, saille 'ill 11i's.1lor/tIl6iralith0ri 'ed ta 6. -y(les), aind that byhi z Pil I t., I -A 0 llthe I t 1i 0, p e. r S`0,11 (S) 0li. c 1.1c e X C'L I edI. he.. OF I1ERRJk:V undet . the taws of,jjje. dicit 1:11C: 1rue ati& .Fo.R*,N.Q.",r.".1RY.SI7,,A'L. OR STAI.Nfl)' EXHIBIT A TI. E LAND REFERRED TOHEREIN -IS DESCRIBED, AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: APORTION OF THE WEST FIALF OF THE NORTHWEST QUARTER OF SECTION 31, TOWNSHIP 21 NORTH.. RANGE 6 EAST, M.D.B. & M., BEING MORE PARTICULARLY DESCRIBED AS: FOLLOWS: COMM ENCIN`G ATTHE SOUTHWEST CORNER OF THE NORTHWEST QUARTER OF SAID SECTION 31, THENCE NORTH 000 13'433'EAST, A DISTANCE OF 52.69 FEET; THENCE EAST, 276.97 :FEET TO THE TRUE POINT OF BEGI.NNIN*GFOR TH * H E PARCEL OF LANDER -81N DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, NORTH '43°08'.31." H 09- 5 V 1. 1" WEST, 193.77 FEET; THENCE NORTH 700 25' 41 " WEST, 128:15 FEET; THENCE NORTH 43008'. 3 1" WEST, 134.18 :FEET; THENCE WEST, 30 FEET A. POINT ON THE WESTERLY BOUNDARY LINE OF SAID SECTION 31. THENCE NORTH 00' 13' 43"EAST, ALONG THE WESTERLY BOUNDARY LINE OF SAID SECTION 31, 238.92 FEET; THENCE EAST, 3f FEET; THENCE SOUTH 710 24'01 " EAST, 1.97.46 FEET THENCE SOUTH 51 0 30' 161", EAST, 1.02.79 FEET; THENCE NORTH 70921'24"EAST, 30.17 FEET TO A. POINT ON THE WESTERLYBOUNDARY LINE OF A PARCEL OF LAND AS DESCRIBED IN DEED TO JAMES W. DYES, ETUX, RECORDED DED APRIL 23, 1971 1 N* BOOK 1671 OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 173; THENCE SOUTH ALONG THE WESTERLY BOUNDARY LINE OF DYES PARCEL, 453.85 FEET TO THE SOUT14WEST CORNER OF SAID DYES PARCEL THENCE WEST 51:.31 FEET TO TH'E. TRUE POINITOF BEGINNING. TOGETHER WITH A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING ATA POINT THAT BEARS NORTH 7901.4'13" EAST, A DISTANCE OF 282.16 FEET FROM THE SOUTHWEST CORNER OF THE NORTHWESTERN' QUARTER OF SAID SECTION 31; THENCE FROM SAID POINT OFBEGINNIING,NORTH 90 5I' 1. F' WEST, A DISTANCE OF 193.77 FEET;THENjCE NORTH, 70025, 41 "WEST, A DISTANCE OF 128.15 FEET; THENCE NORTH* 1 43' 08' 31 ", A DISTANCE OF 13 )4.18 FEET; THENCE NORTH 0010 13'43" EAST, A. DISTANCE OF 238.92 FEET TO POINT B IN'SAID CENTERLINE THENCECONTINUING NORTH, 000 13'43" EAST, A DISTANCE OF 64.32 FEET; THENCE NORTH 4' 37' 34" EAST, A DISTANCE OF 108.48 .FEET; THENCE NORTH: 590 30' 19" EAST, A DISTANCE CE OF 333.07 FEET TO THE END OF. THE liER]EINDESCRIBED CENTERLINE. ALSO TOGETHER WITH. A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE. BEGINNING AT POINT B REFERRED TO ABOVE.; THENCE SOUTH 71.0 24'01" EAST, ADISTANCE OF 1.97.46 FEET THENCE SOUTH 51.0 30' 16" EAST,, A DISTANCE OFI02.79FEET; THENCE NORTH 700 21'24" EAST, A DISTANCE OF 30.17 FEET TO THE END OF THE HEREIN DESCRIBED CENTERLINE. A.L.$G- TOGETHER WITH ANON—EXCLUSIVE EASEMENT FOR ROAD AND Pt$Ll PUR ' 'P ' L GSES'OVER A STRIP OF AND 60 FEET 1N WIDTH, LYING 30 FEET ON :EACH SIDE OF THE �5E)'.U-O-W"IN"G-'D'ES"CRI�8E.'I) 08NTERUNE. PEGINNINIG AT A—POINT THA: BEARS. NORTH. 790 I:4'J 3' EAST,. 282.1.6 FEET FROM THE ,NOWfH�AIESTCORN,E-R.*OFTHE.SQVTHWE..STQUARTER .-.FSA . JJDSECT�QN31 HENCE SOUTH 9'0' 511 11" EAST, A DISTANCE OF 28'5.26 FEET; THENCE SOUS R: 140"27' 29"' WEST, A DISTANCE OF .— 160.1.4:F:EF--T-'i'TI—fENC:E*.SOUTH: 270 4&'46" EA-ST,:A DISTANCE OF1 75.-2'1 FEET;, -THENCE SOUTH 51° -52' AST, 36? -F' 1:47.21-FFEETTOAPOINT IN SAID CENTERL.I.N.-E; THENCE SOUTH: 32 36":EAST, 11`5 4."-W E8- T, .�. A*..Dl8TA.N*C f " 0 : 1. 9139..FE.ET;T,14,ENCE.SO'UT.*H52PI3143"W.EST,.>A..DISTANCE,:OF 172.1.0 FEET TO POINT AIN . TH . E C-ENTERLINE*01713ALDROCK COUNTY ROAD MND THE END OF al"IlE HEREIN DESCRIBED CENTERLINE. AP NO. 061=310=055 Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owne'r's name:_ R41-Ic 14 j�,',� s A.P.#O� l -310 - IHSS' Home Manufacturer: Manufacture Year: 2.008 Model Number/ Name: • I a 116sqQ101A Width: Z3'- g" (ft.) Length: yn' .(ft.) FOOTINGS: Wood - pressure treated or foundation grade[] Other:[ ] SUPPORTS: Concrete block,[ Other:[ ] Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. Pier Footing Sizes and Locations SINGLE WIDE MULTI -WIDE Line1 �'------------------------------ -------------------=•------------ Line 1 Line 2 Section 1 Line 2 Line1 --------------------------------------------------•------------ � Line 3 Section 2 Line 2 --------------------------------------------------•------------ Line 4 (triple wide only) -------------------------------------------- Section 3 Line 2 Line 1 Piers: Minimum size piers: [ 2`l ] X [ 7V ] Spacing maximum: S . 0 " From ends maximum: I O " Line 2 Piers: Minimum size piers: [ 6 ] X [ 20 ] Spacing maximum: 1 6 ' From ends maximum: I D Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Minimum size piers: Location (from front): Minimum size-.iersa- continued): . Snow Load: 67-5- psf Snow Load requirements may be obtained at http://www. u pstate-ca. com/butte/butte_cou nty/ Insert AP #, view snow load in lower right corner. ine1 O enin s: Mini size pier, [ ] X[ ] Required at eangs over wide. ZN"X `i8„ 2,/„ -`IS” 2y",,2L0 2q" 'ly"xu8 24" X yj?" 2y"XZZ/" Zy"XggB 2i°XZN" 2111X2y" 0 UNDER BEARING WALLS ® SUPPORT ONLY—TABLE III . CLEAR SPAN AND BEARING WALLS SUPPORT—TABLE II PIERFOOTING SIZE REQUIRED (SQ. IN.) PIER FOOTING SIZE REQUIRED (SO. IN.) pEp E GAP FOOTING SIZE -REQUIRED SO. -IN.) PIER NO' cr FOOTING SIZE REQUIRED (SO. IN.) 1000 PSF 1500 PSF 2000 PSF 1000 PSF 1500 PSF 2000 PSF LBS '.1000 PSF 1500 PSF 2000 P.SF NO' (LS (lB .) 1000 PSF 1500 PSF 2000 PSF 2500 360 240 180 4 5000 '720 480 360 6 8000 1152 768 576 @' 12000 1728 1152 864 4000 576 384 1 5 6000 1 864 1 . 576 432 1 T 110000 1 1440 960 720 9 16 000 2535 1690 1267 DMWINO ""a' CARPET &PIER PRODVDTI CHATEAU SERIES �ODEI NO., CS40101A • �tct�s SUPPORT LOCATIONS 60 LBS. ROOF LOAD �D""` R'' g47 are 01-28-98 a98 OLD PLACERVILLE ROAD �eramento, CA. 95827 me:(9I6) J53-2681: fox; (916) 363-4537 HMO ,rNL NFONNAno : STANDARD AS OF .REVISION 'DATE DIU" el':. SN[R: KMSED, 03-18-08 v.lAe lenco.com ' Q q 4 Vilf� 2400 co Fn N 947 SQUARE FEET * 3 BEDROOM * 2 BATH 40'-0° 4 mm imprall BEDROOM 2 MASTER BEDROOM I 46x58 12'-0° MODEL KS40101A opnow 1 . 1 COFM baMG 1 1 1 1 LIVING ROOM S Y 1 II 1 , I I I . I 46x58 46.58 17'-4° OPTIONAL ENTRY 46x58 45x58 revised: 06-02-06 MAR 2 1'2008 DEVELOMMIff SE!Wfc9S Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Amy MAR 2 1 � D � ��1NT Xi2 Ground System Xi2 Concrete System a Engineer Approval State Approval MANUFACTURED HOMEIMOBTLE HOME FOUNDATION SYSTEM BBALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of Califomta Dgwtttmet of Homing and Community Dwelopmeat 8Y_ ���OF CO ES AND STANDARDS DA.� D SNO. cj' PA Tttia Plan AMptoval Exvh= Page 1 of 8 C 0 0 o 0 OF Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems OOOIW-- HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 m 0 0 0 0 " -%Umwx— 3255-81P,E PERMIT NO. PERMIT EXPIRES OWNER Herman Bankston CONTR. Owner ASSESSOR PARCEL 61-31-55 LOCATION W/S Isham Ln.,app.3/10 mi.No.of Bald Rock Rd., Berry EXUR Creek Tempa Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB. FINALED (Date) Signature V = OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS; COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors", 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams=Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except d's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, 'Elec.; Receptacles and Lighting; Distances-GFI 5.Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK O = Not OK t - = Not Applicable RESIDENTIAL r(Singte and Duplex) * = Not Ready Date UNDERFLOOR Plans OK exce tit's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Dep 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall-Fittings-Test=2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer Smoke Detector 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic _ 15. 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 63. 59. Bedroom Exiting 17. Shower Pan; Test First Floor -Tub Access 36. 60. G.F.I. & Bath Fixtures & Tub Access Card -BI Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card -BI Date Card -BI 65. Date Card -BI Date Card -BI Draft Stop in Walls (rat proof) Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Date PLUMBING (Permit) OK except q's 18. 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - _ 15. Water Pipe; Test & Anchors -Nail Protection Stairs & Rails Card -BI Date Card -BI Date In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 63. 59. Bedroom Exiting 17. Shower Pan; Test First Floor -Tub Access 36. 60. G.F.I. & Bath Fixtures & Tub Access _ 33. 34. 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails Card -BI Date Card -BI Date Card -BI -.----Date _-- Card -BI Date Card -BI Date Card -BI Date 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card -BI Date _ 38. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Draft Stop in Walls (rat proof) Date Card -BI Date _40. 66. Elec. Outlets & Receptacles at Kit. Counter Header & Beam -Size & Bearing 42. 43. _ 44. 67. Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 45. 68. A.C. Duct in Garage -Damper 46. 20. Fixture & Transformer Clearance -Ins. Protection 47. 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- (NOTE: Anentry must be made each time you visit job site) In Garage; Above Floor-Mech. Protection 21, Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic F) Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes []No; Insulated Neutral ❑Yes ❑No Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection 83. _ Corrections from Previous Inspections Date MECHANICAL (Permit) OK except it's 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. 34. Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic ---- Card -BI Date Card -BI Date Card -BI -.----Date _-- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing 42. 43. _ 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE - DFPAIRTMENT OF PUBLIC WORKSRMIT NO: 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 — / • a APPLICATION AND PERMIT � ASSESSOR PARCEL (/(�/ N�1ty]=ER�� ZONINGA � B DING PERMIT owi/��— /p�� �� ('\JS T %O�Z SO. FT. OCC. BUILDING VA UATION OWNER'S MA�LIIYN'GA/A/✓V 57 -- CONTRACTOR'S NAME ®� I� TELEPHONE CONTRACTOR'S MAILING ADDRESS F i replace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ a00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Permit fee $ BUIL-DI G ADDRESS _�� - /(�(l L��� ��� 3//D /U/L,e 5 PLUMBING PERMIT Filing Fee 10.00 aG oA, Each Trap 2.00 Repair drainage or vent piping 5.00 6C2F� Com- Water piping , oo LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets /,0.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ�ther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe work: Permit Fee $00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 5.00 •00 Main service EA. ADD•L 100 AMP 2.50 2 �Q NEW CONST'(DWELLING OCCUP.DI) OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. lcense No. Classification U J ', 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 CONSTR TI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. /POWERAPPARATUS &I NON-RESID, %SINGLE OUTLET CIR, 50 @ a¢ Ex. Occup o oR FIXTURES gpL �1 DTS FIXXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 00 Misc. Wiring 7.50 O0 Permit Fee $ 315-0 Contractor MECHANICAL PERMIT Filing Fee 10.00 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 Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I� 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. Heating Cooling Hood 3.00 Venti lation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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 aid Count2in ons quenc a granting of this permit. Date 7' Signature of Applicant — Owne 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 $ TOTAL PERMIT FEE $ g a OCCUP. GROUP I TYPE OF CONST. PARCEL / PD N 98D This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 4-17--,?7� �r �C- � �Z� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ;Return to DPW AGRICULTURAL STATEMENT -OF ACKNOWLEDGEMENT i" FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. ,UftG �. o'r,;.,ti. Health SEP 8 1981 Oroville, California The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally 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: BUM- COUNTY - By EP CLARK A. ItiE:tL. 'Osx;""'""] CLERK. -RECORDER! Date • 19.1731(;07 E .M.... WOMAN TRI WAMMMUM r State of p r4 ) On this theEight day of September 31 1 81 SS. before me, the`undersigned Notary Public-, personally ' County of ) appeared ' Herman S. Bankston and. Rose D :;..Bankston# OFFICIAL SHAY, RAE E. v rE ` io known to me to be the person(s) whose name(s) ARE subscribed to the within instrument and acknowledged that THEY executed the'same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. NO. 6/_ 31— 15-5— rM 0 0 L1: M, A C-3 rn V� i� 2, Ail that certain real property situate in the County of Butte, State of California, described as follows: .'XPi portion_ of the West half of the Northwest quarter of Section 31, :township 21 North , Range.6 East, M.D.B. & M., being more particularly ,.40-scribed as follows: ` 60MMENCING at the Southwest-corner of the Northwest quarter of said .-'Section 31; thence North 00'0 13' 43" East, a distance of•52.69 feet; thence Xast, 276.97 feet to the true point of beginning for the parcel of-land herein described ; thence from said true point of beginning, North 090 51' 11" West, 193.77 feet; thence North 70° 251, 41" West, 128.15 feet; thence North 430 08' 31" West, 134.18 feet; thence West, 30 feet to a dint on the Westerly bounda'9line of said Section 31; thence North ry 00.13' 43" East, along the Westerly boundary li-ne of said Section 31, 238.52 feet; _thence East, 30°feet-; thence South 710 241° 01" East, 147.46 feet; thence 5bu'�h 310 -3009 -16'' Fast, 10.2..79 feet; `thence_-`Nortb, 760 .4` ' -_ -- _J- fT,:- r: East, 30,17 .flet to' a{•poi1ht-­1on the Westerly boundary .line of a parcel of land as descrIbed in Deed 'to Janes W. Dyes, et ux, recorded April 23, 1971 in-Book 1671 of Butte County Official Records, at page 173; thence South along the Westerly boundary line of said Dyes parcel, 453.85 feet :�,.to-the Southwest corner of sai6 Byes parcel; thence West; 51.31'feet to the .-true point of beginning. TOGETHER WITH AND 'RESERVING THEREFROI a non-exclusive easement for road 'And public utilites purposes, beer a strip of land•60 feet in width lying ' feet on each side of the following described centerline: , BEGINNING at a point that bears North 790 14' 13" East, a distance of- - f -4}• 282.16 feet from the Southwest corner of the Northwest quarter of said Section 31; thence from.said poi-nt of beginning, North 90 51, 111"West, a distance of 193.77 feet; thence North 700 25' 41" West, a distanct. of 128.15 feet; thence,North 430 08' 31" West, a distance of 134.18 feet; thence North' 00° 13' 43'! East,a distance of 238.92 feet: to point B in $aid centerline; thence continuing :forth 000 13' 43" East, a distance y of 64.32.feet; thence North 40 37' 34" East, a distance of 108.48-feet'; .. Oence North 59°'30' 19" East, a distance of 333.07 feet to the endrof 'the herein%descr.ibed centerline.: ALSO TOGETHER,WITH"AND RESERVING THEREFROM a non-exclusive.easement for =Voad and public utilites purposes over a str:*-p of land 60 feet in width Iving '30 feet or'each side of the-following described centerline. BEGINNING at point B referred to above; thence South 710 24' 01" East, 4tdistance of 1.97.46 feet; thence South 510 30' 16" East, a distance of. • 1-02.79 feet; thende North 700,211 24" East, a distance of 30.17 feet to +.' the end.of the herein described centerline. ALSO TOGETHER WITH a non-exclus-I.ve easement for road and public utilities purposes over a -strip of land 60 feet in width, lying 30 feet on each o ..side.of the folbowing described centerline. • - '�artn C7, SEP 8 1981 -:.1... -- y.- - •A-._ ..,-- a - • ...1 f,.- +:+w++.�+.—.- .--..+=..w-- -,__•. ....._._ I'1®..�..�R'{lQ e7h' '• 00 BEGINIv'ING at a point that beats North 790 14' 13" East, 282.16 feet from the Northwest corner of the -Southwest quarter of said Section' 31; thence South 90 51' ill'East,-a distance of'285.26 feet; thence South 140 27' 29" 'West, a distance of 160.14 feet; thence South 270 48' 46" East, a distance of 175.21 feet; thence South 51-'52' 36" East, a distance of 147.21 feet }t' to point A in said centerline; thence South 320 17" 54" West, a distance of 191.39 feet; thence South 520 1,3' 43" West, a distance of 172.10 feet .-to,a point in the centerline of Bald Rock County Road and the end of the herein described centerline. r" k, i =-C ^titre C v. of _ov. Health =-C ^titre C v. of _ov. Health SEP -.81981 QM111e, Gallfomla Of DOCUM1111, O t .1® .IAS8 Sr130M 0 14 A;,S�n00 J ��I gon� NOTE:—All Materials & Workmanship Shall Be in _ Accordance with Recognized Good Practices and of. a --quality prescribed for.:the Specified use in the Uniform Building, Plumbing & Machanic.al . Codes and the National Electrical Code. A permit will be required for His installation of the , mobilehome. utilityF/1101 j it connections shme, either be in heh 4 ft. of the mobileho w, Of the �A setback of 5 ft. from the directly behind or•withifi the rear--' � .k �, 'ries and a setback half of the roadside (left) property li mobilehome. of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. r Mi 1ST This set of plans and sp ecificrt�nns he kept on the job at alt tines and i same without p changes or alterations nncclee any partment of Public written permirAioon# Butte.De Works, County 3Z�� 8l BUTTE COUNTY BUILDING DEPARTMENT APPROVED f q(7► nth:-- lids a Wokr, il�p %all Be Ir, S% of iD q"u.-:: 1 res'.-<. 689 16 "r'is I1@E Codm and 4Yc Vc �qe 2 r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538=7541 MOBILEHOME INSTALLATION SHEET 1: Owner's Name : Ci � a 1`l l(� CZ YI 11310 P? .2. Installer's Name: Ow ne (� 5. What is the mobilehome electrical rating? --------------= too Amps 3. Is the site currently under permit? Yes ® No mobilehome site service rating? ------------- Amps (If yes, furnish permit number 1 % — ) OR Is the site an existing site? Yes No Amps (If yes, furnish two plot plans.) 4. Will the,mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes F7 No F (If no, clarify APPROVED r 5. What is the mobilehome electrical rating? --------------= too Amps �OQ 6. What is the mobilehome site service rating? ------------- Amps 7'. What is the mobilehome site circuit breaker rating? ----- gq Amps 8. Is there any other electric load to be served the mobilehome uby site service? ----------------------- Yes ® No (If identify the load / yes, and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 10. What is the ------------------- type of as service? Natural El LPG 161 YP g 11. What is. the gas pipe length from meter or tank to the mobilehome? ----------------------- .---------------------- t * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length. less than 6 ft. on/I %A/P- A natural gas or less than 50 ft. on LPG.) [ �r ~ �,MEDING DEP�eltli� r - APPROVED MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. S�ah furnish Setup Model No. Year (Q J Width_ 10 (ft.) Box Length(ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)© 1. Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one)�1. Concrete block. 2. Other (specify) — f� a C 5S Pier Footing Sizes and Locations SINGLE -WIDE MULTI-W"l Main Beams Line 2 -I_—_ _ — — — — _ — __\_ Main Beams r — — Tag or Triple — — — — Line 1 Piers: Size -Min. ------------ 'k Spacing -Max - --------- - From Ends -Max. ------- Line 2 Piers: Size -Min. ------------ �v` x Spacing -Max.--------- From Ends -Max .------- 1� Line 1 Line 1 Openings: Size -Min. ------------------ „x n Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- 'k " Spacing -Max.--------------- From Ends -Max .------------- _ Line 3 Roof Loads: Size -Min.------------ „ x "x 'k 'k "x "x "x 1. 'k it Location (From Front) Line 4 Piers: Line 5 Piers: Udder Bearing a s n y Size -Min.--------- -- ,k „ Size -Min.-------- - -------- ax.--------- Spacing -Max.--------------- From Ends-MaxFrom Ends -Max. -------------S acing-M Line 5 Roof Loads: Size -Min ------------- x n „x „ ,k a nxo ,k n nx a nx n nx u Location (From Front) O1LRbING bEPiARTtiIM RESIDENTIAL f _61-31-55 `1720-90P,E I BANICSTON, Herman 18 Star View Way; Berry Creek * � (utilities, NIIi) OFFICE COPY 1 Address (J I, GAS O2f�� Date- ELECTRIC ate- ELECTRIC Date�f Meter By JOB FINALED(Date) �� Signature J=OK O=Not OK Not =Not-Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s N1" Zoning Requirements-Setbacks-Easementss" --2,.—Soils; Special MH Support Sketch 1�Sewer; Location -Test -Fall -C/O Concrete Water; Location -Test -Easement Needed.(Sketch) t,K Electricity; Location-Clearences-Grnd-/ /Amp -Concrete Gas; Location -Test -Wrap: / / L"ft. /_ /"Nat. /' L" ft.*"LPG !(! Utility Clearance 1 Date /c Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION Plans OK except #'s oning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage s; MH Test -Demand -Valve Connector 'fectricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector Wat d Sewer Connected -C/O to Grade -HD Approval . Ga elect city Tagged Exits' p. -Sketch rt. of Occupancy Date'Gf Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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-Rftrs -Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmq; 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-Pane Iboards- 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 J=OK O=Not OK = Not Applicable ' = Not Ready RESIDENTIAL (Pinglg & Duplex) - Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic, 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow: Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card 8-1- 39. Sils, Proper Material & Anchors Date Card B-1 Date Card 6-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541- 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE - U OWNER PERMIT N'O. 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. I 0 Inspector --#I/- j OP MOBJLEHOME INSTALLATION ACCEPTANCE • COUNTY OF BUTTE DEPARTMENT OF PUBLIC.WORKS• — 7 COUNTY CENTER DRIVE ' ORO.VILLE, CALIFORNIA — 534-4541 PERMIT N0. 17 Z./.d Address or local"ion of mobilehome ' Owner's name 1 C d �l %�R1-y� �Trc),� ' Owner's address�.'i'H',uJ r`Slc.�rl -�, '4� i �,�.ni%� _ up U Insignia -or hud number Manufacturer's name '- Serial number of V.I.N. Year of manufacture '7 v %(../is �/ ice✓ .fJ� 9/. - - l �l C /rf /i (Official'Appr`ovi.ng Installation) (Date) T , IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE S'MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. jt :•5138 I White - Owner, Yellow - Installer, Pink - D.P.W. sa .. Iry COUNTY OF BUTTE - 6EPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cali rnia 95965 - Telephone: 916/538-7541 APPLICTION iAAND PERMIT PERMIT NO. T--7 o- q0 i ASSESSOR PARCEL NUMBER 1-31-55 ZONING BUILDING PERMIT OWNER Herman Bankston TELEPHONE 846-0871 SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 227 W Gridley 95948 CONTRACTOR'S�g.Rlj, Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 18 Star View Dr_ Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeU Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home W I[4 O.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities D Installation❑ Other ❑ Describe work: Milli _ Permit Fee $40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS10.00 10.00 Main service EA. ADD'L too AMP 2.50 2 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 OCCUP.a OR ADDNS. ( ACC. BLOGS. ) , !z¢sgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 2ALO 30 9L® FIXED PR EX. Occup. OUTLETS IRESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 15.00 Permit Fee ; 37.50 Contractor 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. /Jr4jill 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 stall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 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 agains said County in con nce of the granting of this permit. wrg9��iU�K�C� Dated �� Signature of Applicant — Owner El 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE HA2 I CUA PARK I SCHL �� FL PAR PD Is u ..._-. Th;s permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicate ab ive for which fees have been paid. RE OR 9t PUBLIC WORKS ByDate--/7�-9a PER IT EXPIRES Date _ - Receipt No. 66347 WMITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEN 90D -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROW.L�, kiilFORNIA 86886 - TELEPHONE: 916/638-7641 ` I PERMIT APPLICATION DATA SHEET ~�- Permit No. OWNER J/1/ 61&le 57a,1(1 ' A. P. No. Proposed Building Use Building Inspector—/e?Date 6� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... ' 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 0;3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans ; . 5. Hazardous Material Form ...................................... . :�!i'C/l/ 6. Energy Design Compliance and supporting documentation ........: ` f 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation r instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 3. School District fees paid .............. 14. Sanitation approval from OX -0 Health Department 15. City of Chico plumbing permit ..................................... _ 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 9. D�� a ermit (c nstruction approval req 'red prior to occupancy) 0� Pre -Inspection for Fig?IY1 ABF, required Pre-Inspe�. request toy Building Inspector (Date) 21. Contractor's licens information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authoriz tion ....... ...... ........ . 26. � r 27. When you issue the permit, process as follows: Mal t ner. Mail to contractor. I^ Telephone and hold for pickup at 27office. Deliver w/inspector. k' Other ApplicantAW-4w ,Dat e�'1 -2r %'D 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: ( ' cl new item not checked above). 1. Index permit for above items No. 2. Additional items required: ell, YZa4- Contractor, designer, owner, was advised of above required data by_phone--nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW ��. TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance - --. Ownerc� i ioC _C . AP# e� Plan Approved for: Sewage Disposal water Supply Hold final for: water Supply Final clearance O.R. for: water, Supply Clearance !or bedroom mobile home. Other Ai'OTS * Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville„ CalQfornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ARGEL NUMBER IZONING 7 ER OW OWNER'S MAILING ADDRESS �p�p,,,{t{t����qII 42:'I 1W-) Q / 6l CRA T �ME CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILIN BUILDING ADDRESS /Sr S7a92 , LOT NO. SUBDIVISION NAME TELEPHO UNKNOWN ys,91i6 PARCEL MAP ,q,/ USE OF STRUCTURE SF L Duplex❑ Mobilehome❑ Other 'T SPECIFY TYPE OF WORK New❑ Addition[]_ Remodel❑ Utilities,Z lnstallatioqik Other❑ Describe work: 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 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. 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 Date 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 storiesinheight. Receipt No. (Igye-1 3 / ri' WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT NO. BUILDING PERMIT SO. FT. I OCC. I BUILDING VALUATION Fireplace $ x-00 Total Valuation $ Filing Fee $ aB-00` Permit Fee $ Plan Checking Fee '$ Energy Plan Checking Fee $ Penalty $ Permit fee $ b Od PLUMBING PERMIT Filing Fee 10.00 Each Trap FIXED APLNS. Ex. Occup. OUTLETS PRESID IREA.) 2.00 Solar or heat pump water heater Temporary service 20.00 Water piping Mobile Home Facilities ' 5.00 Each qas water heater or vent Misc. Wiring 5.00 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home ;' S G 0.00 e (J,OQ Permit Fee $ x-00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100VAMP OROR SLESS ' 10.00 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. II 'h¢Sgft NEW CONSTR.ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS e 1 SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20®50a SAL -30 FIXED APLNS. Ex. Occup. OUTLETS PRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities ' 15.00 _6 0 Misc. Wiring 15.00 Permit Fee $ 3 7, 5W Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Penult Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CONST TYPE TOTAL FEE $ 9OZ HA2 I CUA I PARK I SGML I FLD I PAR I PO I HO I ISSUE Th;s permit is nereby 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. DIRECTOR OF PUBLIC WORKS By PERMIT EXPIRES Date Date COUNTY OF BUTTE - Department of Public Works. 7 County Center Drive, Orovil,le, 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) 1�6_%.4 signed an application for a building permit for the proposed woik. 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, 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 i�`�i�G�l =te Social Security Number Date 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 PERMIT NO. 7 County Center Drive-Oroville, California 9596r - Teleanhone: 916/538-7541 - APPLICATION AND PERMIT 11 �� ASSESSOR PARCEL NUMBER 61-31-55 ZONING U BUILDING PERMIT OWNER Herman Bankston TELEPHONE 846-0871 SQ. FT. OCC. BUILDING VALNUAJ40N OWNER'S MAILING ADDRESS 1 Gridle 5948 CONTRACTOR NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 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 ADDRESS 18 StAr Vipw Dr- Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeEK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Instal lation [YX Other ❑ Describe work: 2 bdrm MHI _ (mu # 1-7W-90) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 DR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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.SINGLE 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 OCCUP.Bi OR ADDNS. ACC. BLDGS. 2,Y20sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 OUTLET CIR. EX. Occup( OR FIXTURES 20®50C eAL@ 30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. Notce 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 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 again t said Cou t in quence of the granting of this permit. p Date�/� Signature of Applicant — OWner Contractor EJAgentwork 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 Fee $ occ CONST TYPE E TOTAL FEE $ 70.00 HAz cuA PARK SCHL PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or indicated above for which fees DI OR OF PUBLIC � BY20 PERMIT EXPIRES ate the applicable provi- resolutions to do have been paid. WORKS ate Receipt No. 66347 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENTOFPUBLICORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OQOVILLE, CALIFORNIA 9%66'''7`&EPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET t Permit No. OWNER Hr-MAl 1�/I1eS127­1 A. . No. & —3/ ` Proposed Building Use f Building Inspector Date 7 �a At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Gomplete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) �. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... .Y12. Park fees paid ................. 13. Qle a S School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Ftecorded copy of Agricultural Acknowledgment Statement ......... 25 etter of ign ture authoriz on ................................... ) f�1 S 27. When you issue the permit'_process as follows: Mail to owner. Mail to contractor. YTelephonec6g6' % and hold for pickup at office. Deliver w/inspector. Other ApplicantDate4ffw& I d 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 p,ilor 1. Index permit for above items No. 2. Additional items required: it issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone--naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder — date Date 0100 ASSESSOy3 ARCO OWNER ,5/Z OWNER'S MAILING 0)" __2 CO T TO N CONTRACTO 'SN CONSTRUCTION L LENDER'S MAI LIh ARCHITECT OR E COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 959.55 -.Telephone: 916/538-7541 APPLICATION AND PERMIT / �IfIle S7V41 W B✓CGS%G/t� ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING�7 ESSS�'412 LOT NO. I SUBDIVISION NAME Z2 GI UNKNOWN PERMIT NO. I BUILDING PERMIT . 7) SQ. FT. I OCC. I BUILDING VALUATION PARCEL MAP USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY TYPE OF WORK Neo Addition[] Remodel❑Utilitie /IJni' stallationli Other[]//SLP✓ Describe work: /G• �,J / 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 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 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. 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 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. Receipt No.�/�� .MITE-D.P.W.. TELLOW-ASSESSOP. PINK -INSPECTOR. COLDEMP.00-APPLICANT Fireplace Total Valuation 5 Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W Permit Fee Contractor ELECTRICAL PERMIT Main service BOOV OR LESS 100 AMP OR LESS Main service EA. AOD'L 100 AMP NEW CONST. DWELLING OCCUP OR ADONS. ( ACC. SLOGS. (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES FIXED ALN5. EX. Occup. OUTLETS PIRESID IREA.) Temporary service Mobile Home Facilities Misc. Wiring Permit Fee Contractor MECHANICAL PERMIT Heating Cooling Hood Ventilation Penult Fee Contractor Mobile Home Installation Fee Energy Inspection Fee � LTi 10.00 OCC I CONST TYPE ' 0� TOTAL FEE $ % HA2 CUA PARK SCHL FLD I PAR PD HD I ISSUE Th's permit is nereby 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. DIRECTOR OF PUBLIC WORKS By PERMIT EXPIRES Date Date .- BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM ( One Form; per Bui ld'ing) " A.P. Number (tel" �j/��j'^ Building Department 'No. School District Q/2 �j City County I U11 Jurisdiction Property Owner t4 612/ 4AI 4 4AIA14 jV& Project Location/Address Cf2EEle Subdivision Lot Number Residential Development: o a a Sq. Footage 4.7 D #•.of Living MHI Addition AGroup R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior, Roofed Areas) Buil&ing Department Representative Dat .(Floor Plans reviewed by School District Personnel) 3 Dist ict Id No. ' g0-0005 School District certifies that t (Applicant Name) (Phone Number), - (Street Address) (City) (State) (Zip Code) has complied 'wfh the requirements, of Resolution No. /057--g() by the payment` of- $ I% lt4 representing `/70 square feet. School D'ptrict Representative Date PAID BY CHECK NO:,,, BANK NO PAIDy BY CASH white -applicant, yellow -building department,'pink-school district SCHOOL.FEE (8/88) r X.> 0 l y JOB FINALE[ Signature roc t, PERMIT NO.' " 862-82B,P,E4 PERMIT EXPIRES !rho /a y OWNER Herman Bankston CONTR. owner it ASSESSOR PARCEL 61-31-55 LOCATION W/S Isham Ln.,app.3/10`mi.N.of Bald Rock Rd., Berry Creek .i .p 4y J1 .a 'G ! y : I Temp. Power Poli x I OFFICE COPY at Called P G& E �—==� Address---- ss . Temp. Elec. Servi)/tiiv� GAS Called PG&E Meter B ELECTRIC l'V e Meter By Dat Temp. Gas Service _ � Called PG&E l y JOB FINALE[ Signature roc V = OK 0 = Not OK — = NofApplicable MOBILEHOMES * = Not Ready MISCELLANEO" ' Date MOBILEHOME UTILITIE9WVsOK except q's 1, Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) Oi•. except a' 1. Zoning Requirements—Setbacks—Easements 2, Soils; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Woad Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.-Rfg.--Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6, Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors" 7, Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date 'Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's Date _ POOLS (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve-Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI 4. Electricity; MH Test—Crossovers—Breakers—Clearances 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected -C/O to Grade—HD Approval .' 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8, Gas and Electricify Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes— Enc losures—Pane I boards— Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI' Date Card -BI Date Card -BI Date J = OK O = Not OK = Not Applicable �k = Not Ready RESIDENTIAL (Single and Duplex) Date UN RFLOOR Plans OK exce t#'s Date' FRAMING Continued JK Z tng requirements -Setbacks -Easements Firewall s Main; Soils-Steel-Elec. Grnd.- 6 /'' Ftg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3. - / Depth 5 trs; Wid -Headroom-Rise-Run-Landing-Fire Protection . Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. ood of Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 5 ng -Nailing -Veneer �6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab SiuGGe Drip Screed-Fdn. Vents-Underflr. Access '�-7. Piers -Fireplace Ftg.-Steel 5 zin A -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55 ---Wear Walls; Nailing -Bolts -,A9. Gas Pipe; Size -Anchors P0. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground - 12. Plenums & Ducts; Clearance -Material -Support -Ins. -t-3. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples C - Iate - Card -BI Date S tp b Card -BI Date Card -BI Date Card -BI Date Card -BI Date C d -BI Date Card -BI Date Date FINAL (Plans) OK except k's Ext. -Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's Smoke Detector _ 4. Wate ; Vent -Access -Combustion Air 58. Furna � encs -Clearance -Comb. Air-Connector- Above Floor-Ducts-Mech. Protection ater Pipe; Test & Anchors -Nail Protection V.; Test-Fttngs & Anchors -Nail Protection edroom Exiting 17. Shower Pan; Test, First Floor -Tub Access Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Accessec. qm-& Subpanel; Breaker Sizes -Labels 9. Gas Pipe; Size & Anchors 2 airs &Rails Fireplace or Stove; Clearances -Hearth t Wood Panel; Int. & Ext. C -BI Bate - Card -BI Date 65. Card -BI Date Card -BI Date 6 ec. Outlets & Receptacles at Kit. Counter Date ELEC:LRICAL Permit OK except q's 67. oor; g -Landing -Closer 68. r nurt in (araga�amrer Fixtu e & Transformer Clearance -Ins. Protection Fes. Htr.; Vents -Clearance -Comb. Air -Connector -P49- __ _ I ec. Receptacles Spacing -Lights &Switches at Doors ze Boxes & No. of Conductors -Stapled ., E & Mech. Equip. Listed for Location 7 9e;'(6'F`h)=R rotes. 23. Romex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7 sulation-Foam-Looked in Attic odyl5s liance Circuits in Kitchen &Conductor Size 7 ails & Deck Construction -Post Caps 26. CSubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 7 n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive '' E] Yes 00o; Walks ❑ Yes Planters o; Yes a4Lo ❑/. 28. Service -Riser Conductors & Ground -Main Disconnect 76. ,Stucco, - tnis 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 7� Venter Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -- 'Ag -17a -ter Well; Disconnect, Electrical, Plumbing -- 80.x,4 ie' .frim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81, entilation throughout House Card B -I Date Card -BI Date a_sfs.Protection Date MECHANICAL (Permit) OK except p's 31. A.C. Ducts; Insulation &Support 89 -'-Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric ewer Connected -C/O to Grade -HD Approv 32. Vent Fan; Exhaust above Insulation g nergy Compliance Certificate -Other Certjf' ales Condensate Drain &Overflow; Size &Grade f7/ - L� _ _33. 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet �� ZA �� 41?5 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI -- Date _ _ Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's Comments at Final: 6. s; Proper Material & Anchors _ _ I _ s -Nailing, Spacing &_Bracing -Plates -Sound 3 earl W_alls_over Girders & Floor Nailing 31._ raftn Walls (rat proof) 4 ir(X�F a St Furred ceilings -Stairs -Chases -Tub _ eam-Size & Bearing_ er - st Caps -Anchors -Connectors a _ - - ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. or `ype A Flue -Fireplace Throat Attic Access _Size & Rom_ex Protection -Draft Stop -Ins. Baffles - 46.Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534A541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE > 7Yy—' 94) ME - 6 - 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 need additional explanation, please contact this office immediately. _ 42(-l" oAZ - OEEA0XV sZX/11�5 tT/ Ar -s p 4 eCu X 37 Fib/2 c.l /Trc /- in✓.G Inspector—V Date V COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE .a UWNLH �:.:. PERMI.T 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, additional ;explanation, please contact this office immediately. to V Y �i�O ti �7ZOc scJ� pt 66, Al -14-40 ME As�ll C-1 Y � F IV,41 LS OF /I Inspector �ta� Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE- - BUILDING OR PROPERTY ADDRESS 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. Inspector / 1i �� i '-f 'r u-' Date ci « F RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY�ONS VI REGULATIONS AT 'EOX ( location) / BUILDING PERMIT NO.A;P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS'PER APPROVED,.PLANS: (Check each item or Mrite N/A if not applicable) •INSULAT ION : �y Slab Edge^/�y Fdn. Walls AIA - Floors 'P, - ( j Walls P -,t I. Ceiling/Roof J-- 2 5- Ducts Py Circulating Pipes .APPROVED HEATER t -- APPROVED WTR.HTR.I, GLAZING: Single Glazed MIA Special (Insulated). V A CERT. & LABELED"WDS. & SLIDING DRS. -e- WEATHERSTRIPPED DRS.' BACK DA_MPERED FANS INTERMITTENT IGNITION DEV ICES CERT . APPLIANCES I -- I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION'REQU IREMENTS AND.AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. ,/ Insulation Applicator Name M H/y 5, � 5 � I Signature of (please print). Insulation Applicator State'Contractors License No. General Contractor/Owner Name r-Ie1^` a4 S., EAAlk S7v A.� Signature of (please print) General Contractor/OwnDate .-1 . �o State Contractors License No. N THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. • 1 ;i, COUNTY OF BUTTE - DJ ENT 0BLIC WORKS PERMI NO R 7 County Center Drive - Oroville, California 95965 - phone 916/534-4541 APPLICATION AND" PER` , ASSESSOR PARCEL NUMBER i� /-3/-SS ZONING BUILDING PERMIT n / 1_3 O DTr AA / B441_3 T B '/O�Z SQ. FT. OCC. BUILDING VALUATION OS 71 MAI LING �.ODRE55� ./� �_ 19 [7/ UTELLEPHONE 7 CONTRACTOR'S NAME CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fee $ 10.00 LENDER'S MAILING ADDRESSFiling Permit Fee Z/ $ /D Z, 7 S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER AILING ADDRESS Permit fee $ 7 BUI I G ADDRESS�. PLUMBING PERMIT Filing Fee 10.00S Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [4`< u p I e x ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI G W 10-00e TYPE OF WORK New ❑ Addition ❑ Remode Utilities ❑ Installation❑ Other Describe work: /$ D /6L 1-4- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00v OR LESS 100 AMP OR LESS 1 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business I and Professions Code and my license is in full force and effect. i License No. Classification 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 CONSTR U TI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS. NEW CONSTR. / POWER APPARATUS &'1 NON•RESIDSINGLE OUTLET CIR./ Ex. Occup(OUTLETS OR FIXTURES 9A 030 FIXED APPLNS. OR Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. NolI shall not employ any person in any manner so as to become subject to the W. C. laws of California. o 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. Heating Cooling Hood 3.00 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 cons ence of the granting of this permit. Date Signature of Applicant — Owne Contractor El Agent An OSHA permit is required for xc vations over e d ion or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE of CONST. PARCEL PD HD IssuE Th' ermit is hereby issued under Si -ns of t e Bu a County Code and/or rk c ted above for which D ECTO OF PUBLIC B `��r�v PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 5_//_8 Receipt No. 65N/� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -IN PECTO OLDENROD-APPLICANT ' COUNTY OF BUTTE - DEP-ARTMENT OF PUBLIC WORKS PERMIT NO. it County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 191 APPL'ICATI"ON AND PERMIT - ASSESSOR PARCEL NU B R/ -31_ ONING �Z BUILDIN PERMIT k,,I,, &I 5A41Ae57V TELEPHONE 58"? -/o b SO. FT.-, OCC. BUILDING YA41JATIONow o OWNER'S 65 57--ej.62X&I/O 00e CONTRACTOR'S NAME ® - _ /� TELEPHONE CONTRACTOR'S MAILING ADDRESS ,17 Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation Is i day Filing Fee $ 10.00 LENDER'S MAILING DDRESS Permit Fee $ Sv ARCHITECT OR ENGIN LICENSE NO. Plan Checking Fee $ O Penalty $/ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ B I I G ADDRESS PLUMBING PERMIT Filing Fee 10.00 n/J�.,///L�. !%r— 1J�91�a) viG Each Trap 2.00 v� Repair drainage or vent piping 5.00 C Water piping LOT NO. SUBDIVISION NAMEP ARC EL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other - SPECIFY Building sewer , Lawn sprinkler system 5.00 TYPE OF WORK NewAddition❑ Remodel El Utilities❑ Installation❑ Other E] Describe work: Permit Fee $ fin_ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS C7 Main service EA. ADD'L 100 AMP 2.50 (� NEW CONST,( DWELLING O OR ADDNS. ACC. BLDGS. D <I ft 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 m license is in full force and effect. y License No. Classification Al"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 CONSTR. Lour ET 2.50 ea NON-RESID BRANCH CIRCUITS) NEWCONSTR (POWER APPARATUS 6\ NON -RESID, SINGLE OUTLET CIR. / 50 0 zg¢ Ex. OCCUp OUTLETS OR FIXTURES BAL@1 FIXED APPLN5. OR Ex. Occup.(OUTLETS (RESID•) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 11_ Permit Fee $ Q , Contractor MECHANICAL PERMIT Filing Fee 10.00 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 shal I be deemed revoked. Heating aleeo Cooling Hood 3.00 Q Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 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 inconsequencetfiegranting of this permit. Date Z �L Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0' eTvo demolition or construct- ion of structures over 3 stories in he' ht. -I-1 Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , OCCUP, CROUP 3 TTP OF CONST. N PARC �'/E PD HD rY/® ISSUE This permit is hereby issued under sions the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE IT 6XPIRES Date the ap i re ro i- of resolutions to do fees have been paid. WORKS Date J__11— ' � Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, INK- S ECTOR. GOLDENROD -APPLICANT A.' - GENE Voning requirements aluation. Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) It Bldg. Permit # D A.P. # (sideyards and parking). or Architect (if required). 4LAN /�`� C plete parcel size and dimensions. Setbabkq, sideyards, easements, etc. Pother buildings or structures. , ;i Grading, fills,- drainage. C. FLOOR PLAN .ai Complete to scale plan with dimensions. 1/ Required windows for light and ventilation (Sec. 1405). `3! Required windows for second exit (Sec. 1404).. f�! Allowable glazing for energy requirements (20% max. per,State law). Human impact glass (Sec. 5406). C� Required room sizes, ceiling heights (Sec. 1407). s7� G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. ' • tel. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). N-'� Fireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building.. 'Floor construction details complete enough to construct building. ' _3! Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR ,ji"CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). �i Rafter ties or bearing ridge beam. �.; Garage door or porch header sizes. y � "Adequate bracing. Living area over garage = complete 1 -hour separation required including supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). El d94 �F.t-h QMac R.00fe a -o - (�NGwBstvx�-,aNs�j w�F4 frog oa .[ro�j eo. ©ALL 4/A -f 4VJAa -TO rlIIN fPX,4r 'Tih (rt h✓!r 64V ye. � .,�..-✓ ice_ , RM [IFE OF THE BUILDING Page 6 of Form 8 (Data Sheet VI. B) Replacement Period (yrs.) c/d f. Number of Replacements 20/e g. Actual Number of Replacements (whole no.) rV7. &t-(67 Al TO ' BUILDING DATA FORM BUILDING ENVELOPE COMPLIANCE Project Title >d,4wM Location s / ®2iJy/ L fs Project Designer Form 1 'Documented by Data Checked by r '� SITE DESCRIPTION Location Code Number (from Table 2 of Appendix 1) Latitude Degree Days -heating (from Table 2 of Appendix 1) F, Solar Factor (from Fig. 4.1.17 or Table 2 of Appendix 1) &T, ASHRAE design temp — 71° (from Table 2 of Appendix 1) 'BLDG. DESCRIPTION Occupancy Type Code Number (from Table 1 of Appendix 1) Gross heated floor area, sq. ft. Number of floors Ground Floor Perimeter, ft. Longest diagonal dimension at ground floor, ft. Height, ft. Record the detailed materials data on the Materials Data Form - Form 2 1 1. 2 39.5 3 7617 4zf -7 5 8 026 7 8 Z g azo 10 11 LD r Wall Surface Areas ` waque wan 12 39�� wet t File No. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping' Transp. Land Day. Drng. /S.I. ;l t Sub. & Pcl. Maps _ Pe'rmit's l Addr. a LAND OF NATURAL WEALTH AND BEAUTY - DEPARTMENT OF PUBLIC WORKS . N )� 7 COUNTY CENTER DRIVE, OROVILLE CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (Bill) CHEFF :\ `;Director March 1.. 1985 RE: Building Permit Be Be.Aketoln A.P. # Star Rt, Aox 64-D dl• 1�5 try Cxo*k, CA 0916. Dear No. Backstan t With reference to the above subject, we have been advised by one of our building .inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: Irultailad o •obiloboft on Ya" ptop"Cy Wat" off Bald 44411t Road. �iarsy-C>I¢o>sk. - Since permits and inspections are required by both State and County laws, please contact.this office within ten (10) days of the date of this letter, submit two (2) complete sets of plans, apply for the required permits, and pay the appropriate fees. _ All work must stop until you obtain these permits and are authorized by our field. inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation.in-resolving this matter -would certainly be appreciated.' Should you have any questions concerning this matter, please contact this office. Yours very truly, %ig1TjW Lq&ftablic Works Original signed by J. F. Giander J.F. Glander "JFG:aj Chief Building Inspector cc: Building Inspector Gk /Y3- /jam//) Owner: n BU1TH COUNTY DEPARTMENT OF PUBLIC WORKS Y u Address:'- ' Aorillz 05,W6Date of Inspection' •`•' Tenant:InspeJJctor Building Location: . R. C7i ✓=� �'`` Type of Inspection requested: D� �a �dL° /Fj l 1. Housing. 2. Financing ,[2-,J3. Change f Occupancy to 4. Other (specify) "' c �%(% Present use of buildin A. Sanitation (Housiatt) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating' facilities: ` 7.- Natural light and ventilation: ' B.' -Room and space requirements: Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: "'.11. 'Connectior,to sewage disposal: 12. Connection to water -,supply: 13. Rubbish and garbage facilities: 14. .Com ents B. Structural 1. Piers and footings: 2.- -Floor construction: 3: Wall construction: 4. Ceiling and:roof construction: 5. Fireplaces:' 6. . Comments C. Electrical. l.. Service and ground:-- 2. roundcw2. Receptac: es • ' 3. Fusing: 4. Comments: D. Plumbing . 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4... Comments E. Other . 1. Maintenance and repair: '.' .,.. Z.- Fire hazards: 3., Safety hazards: , Weatl!er protection: 5. Underfloor and attic ventilation: 6� "'Comments:'- --, F. Commercial Buildings 1. Roof covering: Disrarce to property lines: 3. Physically handicapped: 4. Rest:-oom floors and walls: 5. Exits: Improvements : . 7. Zoning:_ 8. Commment.-'i- G.'­"FielT Problem,- 'or_Viol atiovs_ r ' 1. Prohl�m - -'iola icon ( ive co 1P e. d p ;s�) What action taken (give. conip?ete v. � �! .3. What action recommended: _._..... A:. ' -Information only - fill. -"V B. Hold for tea (10) days, then wri::u letter. U. Write letter. _.T7 D. other: AP L �LL OWNER !4 4 TR -I UT IL. CLEARANCE DATE INSPECT4',,,7-441vi�av-� ,'`x '•` ELECTRIC GAS Support Struc. Compaction Test Re ervice Other Pipe �r YES NO YES NO ' ize Load Type_ Size -length th L 4 } ' �r C R $ L OFFICE COPY Address Date ELECTRIC "—Date*i* Meter By COUNTY OF BUTTE -DEPARTMENT OF D&VELOPMENT SERVICES - 7 County Center Drive - Oroville, California \95965 - Telephone APPLICATIONAN6 PERMIT BUILDING DIVISION (916) 538-754 PERMIT NO. ASOb1-P310.0—OSS ZONING BUILDING PERMIT OWNER HERMAN BAIMSTON TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2279 W. BIGGS GRIDLEY RD., OROVIUE CA 9594a CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION ENDER', '' NONE U. WN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS y,�. Permit Fee $ ARCHITECT OR ENGINEER r S UC, ENO. NOIJE Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS �, �,`'' °'• f.. Penalty $ BUILDING ... ZS STARVIEW WAY BERRY PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 �. Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PAR L MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other ,,Y. SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities .IP Installation ❑ Other ❑ Describe Work: RE -TAG ELECTRIC SERIVCE — Mobile Home I S I G1 W I 1 920.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filina Fee OR ESS Main Service ( 2000A A OR ESS 20 ) �2�0.0�j0 2 23.00 -00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisior�s of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profei;sions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contra6ors License Law fo he following reason: i 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 e. ❑ I, as owner of the property, am exclusively contracting with license contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions l ode for this reason NEW CONST. DWELLING OCCUP. ( d ) OR ADDNS. ACC. BIDS. SO. 3.5d FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 WER (aps NG E OUTLETT CSR. ) Ex. Occup. (OUTLET OR FD(TURES) BAL 0 I.50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS(RESD.)EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $43.00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations) ❑ I have and will maintain a certificate of consent to self -insure !for workers' compensation, as provided for by section 3700 of the Labor code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this peimit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filin Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (.The above sections need not be completed if the permit is for work of a valuation �of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ an person in an manner so as to become subject to workers' P Y Y P Y J 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 pro v' 'o s. Date C� �/ ` Si nature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionBy� structures over 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Pesolutions to do work indicatpd bove for w0ich fees 'a a been paid. / 9/4/96of / Date PERMITEXPIRESON 91497 (Date) Receipt No. 102585 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - OrovilI6. California 95965 - Telephone (916) 538-7541 PER IT NO. APPLICA`T- ' N AND PERMIT _ ASSESSOR PARCEL NUMBER 061-310-055 ZONING U BUILIJINGPERMIT OWNER HERMAN BANKSTON TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2279 W. BIGGS GRIDLEY RD., OROVILLE CA 95948 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNW40WN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 18 STARVIEW WAY BERRY CREEK PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNtSION'S NAME PARCEL MAP ,Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY____ Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities J7 Installation ❑ Other ❑ Describe Work: RE—TAG ELECTRIC SERIVCE — Mobile Home IS I GI W I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service ( 000200A OR LESSV OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fo;Ahe following reason: Elol I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( a ACC. ) Q. CNS. UTLEBLDS NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97. 0 @7.50 POWER APPARATUS ( a SINGLE OUrLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) a4L @ 1.50 Ex. Occup. FIXED OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor 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 Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number he above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those prov' S. X�. __EKCiS•f/— f-- Date---- S nature of App'1IC nt - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ 43.00 HA2. I D. FEES I IMP I FLOOD I COF PARCEL I PD I HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicat bove for ich fees a B PERMITEXPIRESON applicable provisions esolutions to do work been paid. Date 9/4/96 (Date) Receipt No. 202589 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 majo labor and materials for construction of the m proposed property improvee t :YES NO ). 2. I HAVE[ ] HAVE NOT[signed an application fora building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the .proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER:,51L�Za SOCIAL SECURITY NUMBER: ✓£ DATE, NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinc&rel , Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Ovmer-Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE BUILDING DIVISION. 4 DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chit=o,, CA - (916) 89'1-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE b GWAW l7 41-316 - GZfs 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. An 3 5 W • Af ,ht f eJ rj '1 Date�� / �J Inspector 'Zi REV 10/9 I VIOLATION CHECK LIST A.P. # / - - — Address /V 5yar lei e,4/ 6C _ Owner Clarmna u Vol, -;e;" A- Cdg: Owner" s Address P. A. f o r t-,04 Re__ Owner's Phone No. Supe Tenant's Name Type of Violation in Detail with Code Section Phone No. Priority No. Specific Plot Plan with C/V No ed _des no Penalties Required 1st. Notice Sent �.2 2nd. Notice Sent /014R 9 0 ate ate Comments and/or Determination Disposition For Citation Citation Date Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) Clark David & Patricia A. Edgeworth P.O. Box 614 Berry Creek, CA 95916. RE: Building Code Violation 18 Starview, Berry Creek Dear Mr. and Mrs. Edgeworth: ffatte, Count LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 . FAX: (530) 538-2140 October 21, 1998 A.P.#061-31-0-055 This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent -you a courtesy notice dated June 25, 1998 notifying you that you are in violation of the BCC at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for construction of a 12' X 20' cabin in violation of the Provision of the 1994 Uniform Building Code and Sections 17822 and 18941.5 of the California Health and Safety Codes as follows: (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy The above violation shall .be corrected or abated by obtaining the necessary permits from this office to convert the building to an approved use within the zone. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s), voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary.to correct or abate the violation(s). Letter to Clark David & Patricia A. Edgeworth, RE: Code Violation A.P. #061-31-0-055 Page 2 October 21, 1998 Should you have any questions concerning this matter, please contact Scott Rutherford or Michael C. Vieira in this office at the address or telephone number listed above. MCV:dms Sin erely,. Michel C. ieira, C.B.O. Mana er, Building Inspection 1 2 3 4 5 6 7 8 9 10 i1 12 13 14 is 16 17 18 19 20 21 22 23 24 25 26 27 28 29 *PROOF OF SERVICE BY *JL I am over the age of 18 and not a party of this cause. I am a resident of and employed in the county where the mailing occurred. My business address is: I served the foregoing (A.P..#061-31-0-055) Building Division Department of Development Services 7 County Center Drive Oroville, CA 95965 SECOND NOTICE VIOLATION LETTER by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage prepaid on 21ST. OF OCTOBER, 1998 and addressed as follows: CLARK DAVID'AND PATRICIA A EDGEWORTH P O BOX 614 BERRY CREEK, CA 95916 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on 10/21/98 at OROVIIJA , California. . ) r Donna Sperling v/ Office Assistant III Clark David & Patricia A. Edgeworth P.O. Box 614 Berry Creek, CA 95916 RE: Building Code Violation 18 Starview, Berry Creek Dear Mr. and Mrs. Edgeworth: ` �utie L'Ount LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 June 25, 1998 A.P. #061=31-0-055 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for construction of a 12' X 20' cabin. Occupying the cabin without the required approvals. Since the additional living unit is not permitted in the U zone, the above violation shall be corrected or abated by obtaining the necessary permits from this office to convert the building to an approved use within the zone. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office.at the address or telephone number listed above. MCV:dms cc: Assessor Sincerely, Mic el C. tieira, C.B.O. Manger, Building Inspection Complainant: Address: Phone Number: Other Comments: 0 BUTTE COUNTY DEVELOPMENT SERVICES :. . 'he'ii&avin orneatronss::novaarie:iir�hie r�Ti.><< :::::: ,, Inspector must draw a plot plan with all building locations: Additional comments from Inspector: 2 I Assessor's Parcel Number: U ©I� _ F31 ©O — 0 Scale: 1"= SU Owner Name Address / Phone No. too L.Lox Gl `'% y Site Location 19 V'eL„ fir/,, l� _ Contact; Name �x C';Il✓z � Phone owb-21,2003 ki FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS _S_IZE_(AC): FILE COPY • f J cl `/�'a o �✓ TWN d tY -LCCA �N��N83NMO O 1; F r ' I 1 i .: I � �...� � ; ir" ?t. r I 4 .. r t ''': I r .�� � I .r ,. r i... i.� � .:.. �. '.r�':t; n r ., r ..:a.. arr t ; •: `r .;... a I I,.". iu..:,.; I�.:a .. �.. i, �, 1.�� .. � ..V... rl.. r .I.. :. 1 �. �... ..-.,,,��1 r �.... Il ;:"I: 4`. .:1 =1 ul ,: ��, � .. ,. r r, .:. r .., r .': ��.: :�� .n! 1; :�) r . .:i,i. l �': .., i.. M r „f ,.,.I I I l 1 I . I ''7. ...,.. �,� �; .. 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