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061-410-029
7 S . . . . . . . . . . SUPPORT STRUCTURE REQ COMPACTION TEST REQ. - 1 q- — - - - — F— ( 0 1 5a:0 �Lq , --- * Contr: S & H-Mobi,.le Hoge, Permit#3302-81m Issued 061-410-029 PERMIT#95-2371 PEJSA, Daniel & Stephanie ,L- 8 Outpost Rd., Berry Creek Circuit to Well & Water Line/MH B07-2659 061-410-029 RESIDENTIAL SFD-Mobile Home PFS MH ON PERM FND, EX SITE (1440) 8 OUTPOST RD - PEJSA, DANIEL C & STEPHANIE M STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT CERTIFICATE OF TITLE Manufactured Home Decal No: LAR1460 Manufacturer ID/Name 09578 HM SYSTEMS INC Trade Name BAINBRIDGE IMPE Model 924 DOM 01/25/1990 DFS 02/08/1990 RY Exp. Date Serial Number Labellinsignia Number Weight Length Width SPC SCC Exempt Use Type HSCASNB90321426 PFS208041 21,914 58' 8" 12' 04 SFD LPT HSCASNA96321426 PFS208042 21,914 5818.. 12' Issued Total Fees Paid Aug 05, 2008 $291.00 - Addressee DANIEL CHARLES PEJSA BUTTE PO BOX a16 ��, gr ' " COUNTY BERRY CREEK, CA 9591 - JUL 0 2 Alo .��° �� DEVELC2Ptvtti,+� .. SERVICES - --- DANIEL C �Fi�LES RAS,'' PO 'BOX BERRY EK, ` A,9 916 *;u'� Situs Ad ess 28 OUTRI ST R } I BERRY 'REEKtA 99G=.�A�.,�.°:.sa.< e �j 4 m 8' FI'sa"y"``"h,wme,., 11 A . ( •'tis- / S i �7q�T p s n . fi�.n�'YS`ii• f� " �JjgYC� ,yam ..!.,..:" , :s�a,:r'r.:,. - -- � s[✓ afJ fl .�'lY ,� a�� � � � S `i1!'S� "�'/ I rl"'iq uc 1 i= 1410.02°1 OEM= I� IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 5418348 08052008- 144 Record,, t the Request of Alld valley TN* & Fj 'Order t: Esc ow No. 146526-3 Loan No. WHEN RECORDED MAIL TO: DANIEL C. &, SMPHRUE M. PEJSA 627 SANTIAGO AVE. SACRAMENTO, CA 95815 crow Company 95.05427 C4)5- 0- 05 271 Recorded I Official Records I County of I Butte I (Candace J. Grubbs i Recorder I 8:00am 21 -Feb -95 I Rec Fee DOC Check MVTC 9.00 20.90 29.90 VS 2 MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $211M computed on the ""Werallon or value of p►operr 0orrvey4 OR SAME AS ABOVE is Computod on she co *Woralton or value we Nene " encurrtrrarnc" ........ Tha trndamillnad Cir ntnr danlaran --- - Signature of Declarant or Agent determlting tax - Fbm Nine GRANT DEED 061-410-027 , 061-410-028, 03c) FOR A VALUABLE CONSIDERATION, receipt of wwoh is hereby acknowledged, HENRY T. RUNGE, JR. and CYNTHIA A. RUNGE, husband -and wife hereby GRANT(S) to DANIEL C. PEJSA and W PEJSA, husband and wife, as Joint Tenants the real property In the UNINCORPORATED AREA County of BUTTE as SEEL LEGAL DESCRIPTION ATTACHED Dated } STATIE OF CAUFORNlA }ss COUNTY OF Butte } on February 14, 1995 beide M.— Michelle A. Miller pemonWIV.appoar9d Henry T. Runge, Jr. personally known to tyre (or proved to me on the basis of satisfactory - , - ._-.-evldeace)-to- bo-ttua-person(s) whose-name(e)- stare-subearibed-.:to-lho. wiitlit Irt bument and admowledged to me that hWbheAboy emcuted the came in hla}he Ahdr aulhaized capadtyW.' and that by hialherAhoIr 4nalure(s) on ltre instrument the person(s) or the entity upon behalf of whkh the persons) acted, executed the butnunentt. VN'TNESS my hand and oftidW seal. v Aft. State of CallfbrnM4 desalbed a i A. e ftI1Z(Ptf2f,d � . y e Butte County Building Division MANUFACTURED HOME SUPPORT DATA . Owner's name: i 9 A.P.#-�- Home Manufacturer: Manufacture Year:��' Model Number / Name: Width: (ft.) Length: FOOTINGS: Wood - pressure treated or foundation grade[ ] Other:(x] SUPPORTS: Concrete blockK] Other:[ ] Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. Pier rooting sizes anu Lvcatiuns SINGLE WIDE MULTI -WIDE Line1 ------------------------------------------------------------- Line 1 Line 2 Section 1 Line 2 Line1 --------------------- ------------------------------------------------- ------------- Line 3 ----------7--------------------------------- Section 2 Line 2 -------------------- --------------- -------------- ---------- Line 4 (triple wide only) Section 3 Line 2 Line 1 Piers: Minimum size piers: Spacing maximum: From ends maximumIA Line'2 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 3 Roof Loads. Minimum size piers: Location (from front): Minimum size piers: Location (continued): { Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): X[� ] no , Snow Load: psf Se -'e- eR�IL Snow Load requirements maybe obtained at I Y-73 http://www.upstate=ca.com/butte/butte_county/ T ple Insert AP #, view snow load in lower right corner. Line 1 Openings: [ ] X [ ? ] Minimum size pier: [ /,- ] X [ 2�11 Required at each side of openings over ' wi d e. _ Ide r& Ct/ et& 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 Xi2 Ground System Xi2 Concrete System )FESS�9 �CGL`..;: iN6 CIV \FBF Cpk Engineer Approval State Approval it MWACTURED HOURIMOBILE HOME FOUNDATION SYSTEM BBALTH AND SAFETY CODE, SECTION 18331 APPROVED M)DJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS Erase of Califb"ft 1>rpa UNW dHou ft od Cowzw* Deedoomsd D OF CO�AND STANDARDS Iff DATE D SPAIM Tlda?1rAapaal m Page 1 of 80 0 M o 0 ro Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (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 !2!-FAe, 041,j I c4 § 1433. Roof Live Load. (a) Except as provided in this article, every cabana installed on or after July 31, 1976 or every accessory building or structure or building component installed on or after June 10, 1979 shall have the capacity to resist the applicable minimum snow load of the region in which it is installed or as is provided by this section. TABLE 1433-1 General Roof Live Load Requirements for Accessory Buildings or Structures and Building Components Region I Region II Region III Elevation Roof Live Load Elevation Roof Live Load Elevation Roof Live Load All Elevations 20 psf 073000 ft. 20 psf 0-2000 ft. 20 psf 3001-3500 ft. 30 psf 2001-3000 ft. 30 psf 3501-5000 ft. 60 psf 3001-4000 ft. 60 psf 4001-5000 ft. 80 psf Table 1433-1 shall apply except where either greater or lesser snow loads have been established through survey of the region, and approved by the department. (1) Region I includes the following counties: ° Alameda, Butte, Colusa, Contra Costa, Del Norte, Glenn, Humboldt, Imperial, Kings, Lake, Los Angeles, Marin, Mendocino, Merced, Monterey, Napa, Orange, Sacramento, San Benito, San Diego, San Francisco, .San Joaquin, San Luis Obispo, San Mateo, Santa Barbara, Santa Clara, Santa Cruz, Solano, Sonoma, Stanislaus, Sutter, Ventura, Yolo. (2) Region II includes the following counties: Amador, Fresno, Inyo, Kern, Modoc, Riverside, San Bernardino, Siskiyou. (3) Region III includes the following counties: Alpine, Calaveras, El Dorado, Lassen, Madera, Mariposa, Mono, Nevada, Placer, Plumas, Shasta, Sierra, Tehama, Trinity, Tulare, Tuolumne, Yuba. (b) Parks that have received approval for a snow roof load maintenance program prior to July 7, 2004, shall maintain the snow roof load maintenance program, as long as accessory buildings or structures, or building components in the park do not meet the minimum roof loads for the area. Accessory buildings or structures or building components installed after July 7, 2004, must have the capacity to resist the applicable minimum roof live loads of the region in which it is installed, as set forth in table 1433-1. (c)The park owner or operator shall be responsible for the continued management of an existing snow roof load maintenance program approved for the park. (d) Roof live load requirements shall not apply to storage cabinets. (e) Accessory buildings or structures or building components may be relocated from one park to another and reinstalled under permit within another park provided the requirements for roof live load in the new park are not greater than the requirements of the park in which the accessory building or structure or building component was previously installed. NOTE:. Authority cited: Section 18300, Health and Safety Code. Reference: Section 18552, Health and Safety Code. .. �.� ,(/�l?' � Nom) �� i /8oB_ �O' leamyB' I K ;at tip Request of Aird Vaso TWO & Esrarow ConpaiW -- 95-05427 Unn No. Na. 146526-3 1.95-0054IP.71 WHEN RECORDED MAIL TO. DANIEL C. 8t . S M. PEJSA 627 SANTIAGO AVE. SACRAMENTO, CA 95815 Recorded Official Records County of Butte (Candace J. Grubbs Recorder 8:00am 21 -Feb -95 Rec Fee DOC Check KVTC 9.00 20. 90, 29.90 Vs 2 MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $20.90 CompuNd an the consideration or value of property conveyed; OR SAME AS ABOVE Zi Computed an the consideration or value Im sans or encumbrances remainhp-at.Uma�.sa��.. The undarsirana(f ran nr da iaras Signature of Declarant or Agent determining tax -.Firm tame GRANT DEED 061-410-027 061-410-028, FOR A VALUABLE CONSIDERATION, receipt of which Is hereby adtnowtedged, HENRY T. RUNGE, JR. and CYNTHIA A. RUNGE, husband and wife hereby GRANT(S) to DANIEL C. PEJSA and 5 M. PEJSA, husband and wife, as Joint Tenants Ali, the real property in the UNINCORPORATED AREA County of BUTTE , State of Califomb, described as SEEL LEGAL DESCRIPTION ATTACHED Dated } STATE OF CAt IF WA COUNTY OF Butte } On February 14., 1995 bebte ,ray Michelle A. Miller poly appmed Henry T. Runge, Jr. — do OR' - ; 12F r personally known to nm (or proved to me on the basis of satisfactory — _--evlde ) -Wbe the•-perso(s) •vahose-name(sj Jalare subscribed- to4he----. _. — ---... -- -- _ WaNn kieu anettt and aadmowledgad b the that h.WWwittey exeafed the t" �... a 0 , - as a 4' a .a me saIn NWheitmir w9mbsed cepaclyGos). and that by hisAtedttreb Wit. cv� Vis) an the knUmrtertt the persons) or the er0y upon behaa of 11111CH91EILMILM as VW'tNM ry hand and model seal. y. ,f e 04�'� —aim w e� o ?, sr • �t 4x� 05-05427 ORDER NO. BU -146526-3 bESCRIPTION, ALL THAT CERTAIN REAL PROPERTY SITUATE IN.THE STATE OF CALIFORNIA, 'COUNTY OF BUTTE,, DESCRIBED AS FOLLOWS: PARCEL 1: PARCELS 2 THRU 4, AS SHOWN ON. THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE. COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 13s 1989, IN BOOK 117 OF MAPS, AT PAGE(S) 38--AND--349,---— RESERVING THEREFROM A NON—EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY PURPOSES AS SHOWN ON SAID MAP. PARCEL 116. A NON—EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND'EGRESS AND PUBLIC UTILITY PURPOSES AS SHOWN ON THAT CERTAIN --PARCEL MAP, RECORDED IN THE OFFICE' OF THE RECORDER OF. THE COMITY OF -BUTTE, STATE-. OF CALIFORNIA, ON NOVEMBER. 13, 19898 IN BOOK 117 OF MAPS, AT PAGE(S) 38 AND 39. m August 4, 2004 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR www.buttecountV.netldds 7 County.Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile Daniel C. and Stephanie M. Pejsa PO Box 16 Berry Creek CA 95916 RE: Substandard Housing 8 Outpost Road, Berry Creek CA AP# 061-410-029 Dear Daniel C. and Stephanie M. Pejsa; This department has received a complaint alleging health and/or safety hazards at the above - referenced property. Butte County Assessor's records indicate that . you own or control the property. On June 30, 2004, an inspection was made regarding the complaint and the following conditions were observed which are in violation of the, California Health and Safety Code, Section 17920.3 (a) 10, (b) 2, 6, (d), (g) 2; which pose health and safety hazards to the occupants and render the dwelling substandard. This letter is your thirty (30) day warning letter to correct or abate the following violations. Any building or portion thereof including any dwelling unit, guest room or suite of rooms, or the premises on which the same is located, in which there exists any of the following listed conditions to an extent that endangers the life, limb, health, property, safety, or welfare of the public or the occupants thereof shall be deemed and hereby is declared to be a substandard building: 1. Inoperable light fixtures through -out mobile home. (a) 10, (d) 2. Defective and/or deteriorated flooring through -out mobile home. (b) 3. Ceiling panel in bedroom falling down. (b) 6 4. Defective electrical outlets and light fixtures through -out mobile home. (d) 5. Exposed electrical in kitchen ceiling. (d) C� Daniel C. and Stephanie M. Pejsa AN 061-410-029 August 4, 2004 Page 2 6. Broken front door. (g) P®e --,. At the time the above -referenced property becomes vacant, it shall not be occupied until all violations are corrected. The Butte County Department of Development Services, Code Enforcement section has determined by inspection and research that there are currently -code violations present on you property at the above -referenced location. Specifically, the violations include: 1. Unauthorized camping or otherwise occupying a recreational vehicle. /'©rt c This is an advisory notice that these uses are in violations of the Butte County Code, as follows: Butte County Code, Chapter 24, Section 24-65 — Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. Butte County Code, Chapter 24, Section 24-260 (a) - Camping Limitations and Prohibitions. No person shall place or park or allow the placing or parking of any trailer coach, recreational vehicles, tent trailer or tent, or otherwise occupy or allow the occupancy of any parcel (as defined in Section 24-305.310) for the purpose of camping (as defined in Section 24-305.095) on public or private property within the County for a period in excess of 9 days in any one `calendar year, except in an outdoor recreational facility, campground, recreational vehicle park, or hunting/fishingcamp, lawfully established and maintained pursuant to this Chapter. The determination that these violations exist on the property is based on the following definitions in the Butte County Code: Butte County. Code, Chapter 24, Section 24-305.095 - Camping. Occupying or maintaining for occupancy any place. for temporary living, sleeping or other human occupancy purposes. "Camping" does not include: The parking - or storage of an unoccupied and otherwise unused trailer coach, recreation vehicle, or tent trailer on a privately owned parcel, as defined in Section 24-305.31; occupying a trailer coach, or recreation vehicle, connected pursuant to county permit to permanent sewage disposal and water supply systems; or occupying a trailer coach or a recreation vehicle for any accessory use allowed in the applicable zoning district. It is the County's goal to obtain voluntary compliance with the California Health and Safety Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. A re -inspection will be made to determine compliance. If voluntary compliance with this notice is not accomplished by correction of the above -referenced violations, enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. i Daniel C. and Stephanie M. Pejsa AN 061-410-029 August 4, 2004 Page 3 In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take ,the following abatement or correction action: 1. Cease and desist camping activities on the property in accordance with the Butte County Code, Chapter 24, Section 24-260(a). Upon conviction and per Section 41-7 of the Butte County Code, violators may be fined and a Notice of Violation may be recorded which include a description of the action necessary to correct the violation. Furthermore, failure to comply will result in the Franchise Tax Board being notified of your non-compliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given to you pursuant to Section 24436.5 of the California Revenue and Taxation Code. To comply with the California Health and Safety Code, Section 17920.3 (a) 10; (b) 2,6; (d); (g) 2; you must obtain all required permits for repairs from the Butte County Department of Development Services, Building Division, 7 County Center Drive, Oroville, California. You have thirty (30) days to voluntary comply with the above -referenced directions. Should you have any questions concerning this matter, please contact me at 538-7601 Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Scot Johnson Code Enforcement Officer SJ:glb cc: Department of Development Services, Code Enforcement PER No. 3035-81P,E PERMIT EXPIRES OWNER Charles Hermann CONTR. owner AS PARCEL 6+-63-43 LOCATION NIS OroQuincy Rd.,app.k mi. G NE of Forestry Station,Brush Creek Ir ' �1 44 �i a, I 1 � f U" 1 } )y Temp. Power Pole F Called PG&E Ump. E+es. Service Called PG&E f Temp. Gas Service Calle JOB FIFA ED (Date) C �f' e Signature COUKA6r'Y 0R..BUTTE R DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-45,11 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit numberingfor the followlocation Owner Owner's Address Mobilehome Mfg. Model Year Insignia Nod`, " �'' �''' - Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works„ Date By _ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. = OK = Not OK = Not Rle = Not Readyeady RESIDENTIA4 (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., 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. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear..Walls; Nailing -Bolts 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 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels ' 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. 64. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65• 66. 67. Kit. Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Card -BI Date Card -BI Date Date ELECTRICAL Permit OK except H's 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails &Deck Construction -Post Caps _ _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75. Followinginstld.: Drive ❑Yes ❑ No; Walks El Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing Card B I Date Card BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 31. A.C: Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance -Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. 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 Comments at Final: Date FRAMING(Plans) OK except q's 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 41. Header & Beam -Size & Bearing _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. 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: An entry must be made each time youvisit jobsite) J = OK O = Not OK — = Not Applicable MOBILEHOMES ; MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s Zo ing Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements S ' s; Special MH Suppor ketch _— 2. Footings; Size—Depth—Spacing—Connectors Sew L -cat ion— T —Fall- —Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ate� Loca ' —T — 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing lectricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures a • ocation—Test—Wrap:/- /"L"ft./ /"Nat. or#:S(' L t./ LPG 6. Carports; Windows—Doors 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 H's Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except k's oning Requirements—Setbacks—Easements ! e-1. Setbacks—Easements ooti ; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability as; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining ectricity; MH Test—Crossovers—Breakers—Clearances s 7,4, Elec.; Receptacles and Lighting; Distances—GFI ain; MH.Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI er; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ter and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater ras and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xits .-Sketch 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I ate Card -BI Date Card -BI Date Card -BI Date Card B -I at % Card -BI Date Card -BI Date Card -BI Date ti COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. J County Center Drive - Orovilit, California•95965 - Telephone 916/534-4 1 Baa 8� APPLICATION ANCA PERMIT ASSES OCEL U BER pp 6 3 — ZONING ��,� BUILDING PERMIT OWNER^ k r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S t(/�'.�4ILING A RESS A `/ `T 1 \ LX NTR CTO" •S N ME TELEPH NE C TRAC O 'S MAILING DDRESS 5® 9 33 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' q,C,6 Penalty $ ARCHITECT OR ENGINE R'S MAILING ADDRESS Permit fee $ o. pc) Al G A1® a/• IGS/ kl), 10P 60© S N PLUMBING PERMIT Filing Fee 10.00 LD 7 )eD, Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MA Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF SzRUCTURE SF ❑ Duplex❑ Mobilehome '/ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti litiesF/I Installation. Other ❑ Describe work: FoR U77L PE /V% `�j�� —�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS 100 5.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. ( DWELING OR ADDNS. ACCLBLDGS.CCUP.pi) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 19�am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Co y license is in full force a d effect. ��II 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 NNEW ON -RESIT P- BRANCH .TLETITS 2.50 ea NEw NON -CONSTRESID. `R ( SINGLE OUTLET CIRPOWER APPARATUS.&) S) 50@2sa Ex. Occup OUTLETS OR FIXTURES ggL�l FIXED APPLNS. OR EX. OCCUp.�p UTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. F,r-:ILFfave 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. 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, indemni y and keep harmless the County of Butte against all 'abilities, judgme ts, c ts, and expenses which may in any way accrue agait said County i on se uence of the granting of this ermit. ., r I X Date Signature of Applicant — Owner ❑ Contractors Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DI ion of structures over 3 storiesin height. Mobile Home Installation Fee $ p, CPO TOTAL PERMIT FEE $ ci2tt 00 OCCUP. GROUP TYPE OF CONST. PARCEL PII HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which TORO UBLIC ey PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / Da '� •� Receipt No. Sc 23 a WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT A + t A + COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ` 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 -- `' APPLICATION A0P,ERMIT ASSESSOR Pg RCEL UMBE - (O/— �?_ ZON BUILDING PERMIT 0 f -s L //COAIAI I. / G�l//V tJj %H D SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ,DDR SSl7�—/� S7Ti4,e 97' eX 37,41 e c �O�/�✓�� CONTRACTOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS" Fireplace CONSTRUCTION LEN R UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking FeeAl $r 00 Penalty $ ARCHITECT OR E GINEER S LING ADDRESS Permit fee $ BU L I G ADDRESS 020- l�IA1G 2�. /app �ILC PLUMBING PERMIT Filing Fee 10.00 N P— �77oA/V. , Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping jJD LOT NO. SUBDIVISION NAME PARCEL WAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets O USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 0 Lawn sprinkler system 5.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.%) OR ADDNS. \ ACC. BLDGS. I 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F]NON 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 NEW CONSTR I.OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) NEw CONSTR ( POWER APPARATUS h -RESID. SINGLE OUTLET CIR. ' a 25¢ Ex. EX. Occup(OUTLETS OR FIXTURES BALP1 EX. OCCU FIXED APP LNS; OR p•�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 „0 Misc. Wiring 7.50 Permit Fee $ Z,,90 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 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 again sai Cou yin co u ce of the granting of this permit. -�`�`' Date 'L�'(� Signature of Applicant — Owner ❑ Contractor F]]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 $ $'Z 150 OCCUP. GROUP I TYPE OF CONST. I PARC L PD HD, ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE ,A OF ZIBLIC e By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ~J• -- Receipt No. 5 WHITE-O.P.W., YELLOW -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY. DEPARTMENT OF PUBLIC -WORKS 7 County Center Drive, Oroville,\CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: C a rkS ia INA 2. Instal,ler's name: 3. Is the site currently under permit? Yes [// No (If yes, furnish permit number 2>0 3 I ) OR' t Is the site an existing site? Yes / / No (If yes, furnish two (2).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 No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 1 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? -------------- Amps 8. Is there any other electric load�to be -served by the mobilehome site service? --------------------------------------------------- Yes No - (If yes, identify the load and size: (Load) (Amps) 9. --------------------- What is the mobilehome site gas pipe size? - `�Al (in.) 10. What is the type of gas service? =---------------------------- Natural F 1 LPG / /Y '11. What is the gas pipe length from meter or tank to the mobilehome?� 12. What is the mobilehome gas demand? ------------------------------- (BTU) (This information not required if pipe length%"ress than 6 ft. on natural gas . orj6ss.than 50 ft. on LPG.) • _ ti•,, /-.--ice tt } �%, + ,���� MOBILEHOME SUPPORT DATA ,I�`bgh'er than single wide Mobilehome Mfr. furnish Setup Model No. Year Width(ft.) Box Length u (£t.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobilehome'unless otherwise specified. Single` © -U (ft.)(in;) Center support locations* le' -O-] (ft.)(in.) (ft.)(in.) (in.) (in.) Center support footing sizes (in.) (in.) (in.) � 3a (in.) (in.) l—x_ I (in.) (in.) D Footings (check one) 1. Wood either pressure treated or foundation grade. 2. Other: (specify) Supporta (check one) E Concrete block. .2: Other. (specify) F—Tagalong or Expando,' show support details. Typical Support (in.) (in.) Footing Size 7-- Max. Pier Spacing (ft.)(in.) (�-O /-x30 if (ft.)l(in.) (in.)I(in.) (ft.)(in.) aR/q Vfl1�,w��np-�n *If center piers are other than drawn above, draw in. -locations, spacing,. and dimensions. -- Max. Overhang 3 3oZA-/ BUTTE COUNTY BUILDING DEPARTMENT P/ v r ¢iy:�,rwau-!+ w•, .. •M� P �]f : v, g� . .. f. _... ,,. .. .. _ �,.- V3ti.4�jPiyril'S` y ak r d 1� n I; COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGiVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 53 -541 PERMIT NO. APPLICATION AND PERMIT /� ' a3i/ ASSESSOR PARCEL NUMBER 9 ZONING B DING PERMIT OWNER *s utv 'v RE, VRA TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS G T, TACO { t e CONTRACTOR'S NAME - - J- _ ATrp TELEPHONE CONTRACTORS MAILING ADDRESS I Fireplace CONSTRUCTION ENDER UNMOWN A Total Valuation $ LENDERS MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDING M3 IMPOST ROAD, BERRY CRFF:K PERMITFEE $ i PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT No. SUBDIVISION'S NAME `� ( PARCEL MAP Solar or eat pump water heater 23,00 USEOFSTRUCTURE _ j SF ❑ Duplex ❑ Mobilehome ❑X10ther SPECIFY Water piping 15.00 Each gas water'he_ater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK f New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: CIPCUIT TO t,�U, ANY) WATER PIPING Mobile Home I S I G @20.00 PERMITFEE i M Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service OOOV OR ESS ( 200A OR ESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO, OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS ) @7.50 WER9 ( 8 STING E APPARAOUTLET T IC R. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL .50 FIXED APPWS. OR Ex. Occup. p• ( OUTLETS (RESID.) EA ) 5.00 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 25.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 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.) l 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 w�s' compensation provisions of section 3700 of the Labor Code, I shall forthwitk�comply with those pro " ions. X _ _ to62 —Signature of Applicant - ❑ Owner 131Kontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 65.00 HA2. I D. FEES I IMP I FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY/ ��y.. 'l Date 9�2f ��S PERMITEXPIRESON J r �12�?l fir, (Date) Receipt No. N �-, 7) 1 1� I WHITE-D.D.S.-B.D: CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDIN GSION 7 County Center Drive - Oroville, California 95965 - Telephone (916) PERMIT NO. APPLICATION AND PERMIT 15 - a6 7/ ASSESSOR PARCEL NUMBER J ZONING B ING PERMIT OWNER TT OWNERS MAILING ADDRESS D ,AMENTO CA 05815 coNT&arbR,sFiUWE7 OWNER TELEPHONE TELEPHONE SO, Fr, OCC. BUILDING VALUATION CONTRACTORS MAILING ADDRESS Fireplace LENDER UNXNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS T 8 OUTPOST ROAD, DERRY CREEP PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNSION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑XXOther SPECIFY Water piping 15.00 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 ❑ Installation ❑ Other [XX Describe Work: CIRCUIT TO T11ELL AND WATER PIPING Mobile Home I S I G @20.00 20.00 PERMITFEE $ 40.00 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service 000 OR LESS ( 200A OR . ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale.Misc. ❑ 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 SO. OR ADDNS. ( a ACC. BLDs. ) 3.50 Fr. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL .5aEx. Occup. OUTLETS PLNS..°en ( ) 5.00 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wiring 23.00 PERMITFEE $ 25.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 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 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 wSaw< compensation provisions of section 3700 of the Labor Code, I shall rthwith omply with those pro ' ions. X '� ature of Applicant - ❑ Owner ontractor ❑ Agen� Y—" 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 $ 65.00 HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fee e been paid. h BY Date 9��q5 PERMITEXPIRESON 9/26/96 I (Date) Receipt No. WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: t� .t 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 pro erty improvement: YE O[ I. 2. I HAVE HAVE NOT[ ] si ed an application for a building permit for the propos 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: CTI'Y• 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 O SOCIAL SECURITY NUMBER: DATE: —7"— (— 1, 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. half c1i ] 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 yo urbenefit 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 5300 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. Si 1rel , • r. Michail C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 8 OUTPOST RD Owner: Permit NO: B07-2659 APN: 061-410-029 PEJSA, DANIEL C & STEPHANI Issued Date: 12/24/2008 By KCG Permit type: RESIDENTIAL P O BOX 16 Subtype: SFD-Mobile Home PFS BERRY CREEK, CA 95916 Expiration Date: 12/24/2009 Description: MH ON PERM FND, EX SITE (1440) (530) 589-5047 Occupancy: R-3 Zoning: U Contractor Applicant: Square Footage: PEJSA, DANIEL C & STEPHA Building Garage RemdUAddn P O BOX 16 1,440 BERRY CREEK, CA 95916 Other Porch/Patio Total (530) 589-5047 1,440 FEE INFORMATION DBEH Building Review Fee $75.70 DBF MH Plan Check $233.56 DBFIRE Fire Inspection (SRA) $102.70 DBFIRE Fire Inspection (SRA) $102.70 DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Mobile Home Permit Fee. $350.34 DBOMSCF Fire Safe Standards Re $115.98 DBSMIP Residential $9.36 Total Charged: $1,093.04 Fees Paid: $1,093.04 Balance Due: $0.00 Receipt No: B9406 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 12/24/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATIONCOMPENSATION, I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I 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 ❑❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (T is section need not a completed if the permit is oris or one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: (,CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS _ _ _ ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' I 12/24/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those vi sons. T pro Owner s_Signatu� Date 12/24/2008 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 Signatur l Date =WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and 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 permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro any ner or am au d to act on t e prope owners beh CONSTRUCTION LENDING AGENCY :. 12/24/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for of P6rmitteeqSPN] /Print Date the performance of the work for which this permit is issued. (3097 civ. code) P-7 Owner Contractor OR: Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip r t Address City, BUTTE COUNTY PERMIT - DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION. OFFICE #: (530) 538-7541 FAX•#: (530) 538-2140 nb� r�� A FEE WILL BE REOULRED AT TIME OFAPPLICATION Y, Website: w. tw.buttecounty.netldds# *.PLEASE PRINT CLEARLY*SP( CONTRACTOR Name Address City, State . Zip Phone rVMS, VA o 71p CONTRACTOR Name Address City, State . Zip Phone Fax �l / V E-mail 71p Phone APPLICANT INF RMATION ARCHITECTIENGINEER Name City Address ' S qll city Fax �l / V state 71p Phone Fax E-mail State License Number APPLICANT INF RMATION .Name �_ s Address /-� 11 City Type Const. S qll Phone � Fax �l / V E-maf APPLICANT SIGNATURE X PROJECT LOCATION _ ell() D Property Address CRY WORKER'S COMPENSATION . Policy Number Cartier ff hHng anyone other than (cense contractors, a certificate of worker's compeniidon-hiustbe shown at the time ofpermitissuance. - LENDING AGENCY Name. Lu . Address - DESCRIPTION OR SCOPE OF WORK: R'9 Sq FT- Living Garage. Open Cov ❑ • Structure Buit without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA res No Occ. Type Const. oovi int u01,ov) Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B07-2659 Date: 12/27/2007 Location: 8 OUTPOST RD By: KCG Parcel Number: 061-410-029 Sub Type: SFD-Mobile Home PI Owner Name: PEJSA, DANIEL C & STEPHANIE M Phone: (530) 589-5047 Description: MH ON PERM FND, EX SITE (1440) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 1:1 ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ 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) 8954711 1:1 ' E] Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 `"`®®❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 ❑ E] City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ❑ Other: TAIr inn for Q TU I Other:i xo6l It, "When filed, this application and all supporting materig 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 Property Owner: Date: 12/27/2007 FILE SCHOOL DISTRICTS 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 E 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, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 E] F] Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions ❑ E] City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ❑ Other: TAIr inn for Q TU I Other:i xo6l It, "When filed, this application and all supporting materig 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 Property Owner: Date: 12/27/2007 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: fly Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at 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: B07-2659 Location: 8 OUTPOST RD Parcel Number: 061-410-029 Date: 12/27/2007 Owner Name: PEJSA, DANIEL C & STEPHANIE M Phone: (530) 589-5047 Description: MH ON PERM FND, EX SITE (1440) Signature of Applicant: Date: 12/27/2007 FILE v 10 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractor are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. -4 1. I PERSONALLY PILO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. ([YESS OR NO) 2. I OV /HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: MH ON PERM FND, EX SITE (1440) Reference Number: B07-2659 Applicant Name: PEJSA, DANIEL C & STEPHANIE M Owner's Name: PEJSA, DANI C ANIE M AP h Signature of Property Owner: Q Date: 061-410-029 �Z Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965. (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds C `—q%— ".:/ g �Br,IC W,ppp►'� 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: B07-2659 Location: 8 OUTPOST RD Parcel Number: 061-410-029 Owner Name: PEJSA, DANIEL C & STEPHANIE M Description: MH ON PERM FND, EX SITE (1440) Date: 12/27/2007 By: KCG Sub Type: SFD-Mobile Home PI Phone: (530)589-5047 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. FILE Date: 12/27/2007 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: B07-2659 Date: 12/27/2007 Location: 8 OUTPOST RD By: KCG Parcel Number: 061-410-029 Sub Type: SFD-Mobile Home PI Owner Name: PEJSA, DANIEL C & STEPHANIE M Phone: . (530) 589-5047 Description: MH ON PERM FND, EX SITE (1440) 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 V. 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. 12/27/2007 3 Date Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at httn://buttefire.org/Fireprevention/protplan/protplan.html Rev'd 5/7/07 FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-2659 Job Address: 8 OUTPOST RD Contractor: Printed: 12/27/2007 9:41 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 12/27/2007 $75.70 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $102.70 12/27/2007 $102.70 0100-450001-4617240-1010 $102.70 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $115.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 12/27/2007 $102.70 DBMSC Mobile Home Permit Fee. 0010-440001-4210500-1010 $350.34 DBF MH Plan Check 0010-440001-4210500-1010 $233.56 12/27/2007 $233.56 DBSMIP Residential 1001-0-280-1011298 $9.36 Printed By: Kourtni Graham 19093.04 $514.66 Balance Due: $578.38 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fee ma cha ge during the Ian checking process. Signature: Date: 12/27/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). V AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 is COPY of Document Recorded 7 -Feb -2008 2008-0004708 Hes not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment 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 agricultural purposes, and residents of this property may be subject to. inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said 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: S_e�.. A+kEA ecl Date � P OWNERS: State of California County of On me, personally appeared — - —� known to me (or proved to me on the bas' o' to the: within instrument and acknowled�d capacity(ies), and that by his/her/their signatuu the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signatu A -P. # itisfactory evid - ce) to be the person(s) whose mdne(s) is/are subscribed to me tha_t/he/she/they executed the same in his/her/their authorized e(s) ontK instrument, the person(s) or the entity upon behalf of which 1. Seal: M. M. STURNACLE Commission # 1672433 T;;j, Notary Public - C01110rMa rte,, Butte County My Comm. Expires Jun 4.201 b9biomA lilgmumU to AM dlkw bsisgmoo need tort PH dbnk(ilo A34RO33A YTHUO3 3TTU9 - 95-05427 t,,+�,._ .:rSt�:. _. <`- :. � .:^, . 'r -fir:•.: - ORDER NO. BU -146526-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN.THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCELS 2 THRU 4, AS SHOWN ON THAT CERTAIN PARCEL KAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE. COUNTY OP BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 13, 1989, IN -BOOK 117 OF MAPS, AT PAGE(S) - 3 8- AND 3-9-._.- - -..- - - --... _ _.._.._ RESERVING THEREFROM A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY PURPOSES AS SHOWN ON SAID MAP. PARCEL II: A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY'PURPOSES AS SHOWN ON THAT CERTAIN -PARCEL MAP, RECORDED IN THE OFFICE .OF THE RECORDER OF. THE COUNTY OF BUTTE, STATE- OF CALIFORNIA, ON NOVEMBER 13, 1989, IN BOOR 117 OF MAPS, AT PAGE(S) 38 AND 39. CALIFORNIA•ACKNOWLEDGMENT State of California County of ic On `j eb 'I op---? before me, ��r►•, c�C�2 (N 0 g Date Here Insert Name and Title of the Officer personally appeared l� ©.n �e ���.� �"d-A e �� Y, Yy1 1 e, Name(s) of Signer(s) M. M. MUIRNAM ComnMabn f 1672M Nftn Pt ft - Caftmb gutta couldy Q1MV Cam. EVku Am 1.201 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Place Notary Seal Above Signatu Si atme of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Individual ❑ Corporate Officer —Title(s): ❑ P t ❑ L' 't d❑ G I Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): ar ner — Iml a enera _ ❑ Partner — ❑ Limited ❑ General _ ❑ Attorney in Fact - ❑ Attorney in Fact - ❑ Trustee Top of thumb here ❑ Trustee Top of thumb here ❑ Guardian or Conservator _„ ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: .,n��� ,� Signer Is Representing: � ©2007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 -Chatsworth, CA 91313-2402- www.NabonalNotaryorg Item #5907 Reorder: Call Toll -Free 1-800-876-6827 ti�SCd o � r�itt�x�eo9 am":) - aftA ymtM Ytrwc? shuts, IDS A% nub ts3W .mmol y?�t THE 2001 CBC, CMC, CPC, ' • II 2004 CEO, AND 2005 �G/LY f Ct/� to/ /t/dCS CALIFORNIA ENERGY STANDARDS AS AMENDED BY THE REFER TO CALIFORNIA TITLE I JURISDICTION APPLY TO THIS 33 D TABLE APS d u".." ri Orv,5A �v ok iy�� -SECTION 14 AN -;ft. F0,$P"", �' _' I- - LP,�Pn.IFrT. �_�Y��-1 X133-1 cnR RnOF LIVE LOAD ` ^ hNir, }� INFORMATION FOR `re u���d -H t` MANUFACTURED HOME 1 � r N �^ � NOTE: � --_ pls� �'��`I (O��° PROPERTY OWNER IS RESPONSIBLE FOR l"��llUJlfl� J _ DETE RMINING LOCATIONS OF PROPERTY LINES ' G ; I AND EASEMENTS AND MAINTAINING REQUIRED 1 SETBACKS FROM PROPERTY LINES AND J EASEMENTS. A SURVEY MAY BE REQUIRED IF DETERMINED NECESSARY BY THE BUILDING 1 i> I! .t-f� OFFICIAL. I! PLANNING DIMS10N - BUILDING PLAN PROVAI / j-�, (� Use:, �= Date: d Parldng: landscaping: Other. Signature: , l 7 y. LANDING AT EXTERIOR DOORS SHALL COMPLY WIT H APPROVED PLANS AND PERMIT SHALL BE ON SITE FOR ALL INPECTIONS CBC SECTIONS BUILDING 1003.3 & 1003.3-1.7 �l,S�'l PERMIT# O�7 _ 2�D PARCEL# R�6�I y�,a..� i72� - - - Fire Suppression System permit and FINAL rIVSPE _ CTION from H.C.D. State of California REQUIRED before Butte County Building Division will final MR permit. Provide verification of H.C.D. final of fire sprinkler system. ALL COVERED DECKS AND C�- OPEN DECKS EXCEEDING 36 SQUARE FEET IN AREA WILL REQUIRE A BUILDING PERMIT NOTE SITE CONDITIONS CDF/Butte County Fire Al nlewbuftV In ORA are required to haft Fully enclosed ncpiconbusftle eaves on entire structws Gutter screens to prevent accumulation of baves/debrls C+An=wn resistant, norrcombusttble, l/a" malclrrumopenkt� 1W and attic vents 1 I I i This project is required to meet the same practical effect guidelines outlined in the attached PRC4290 Requirements. i CALIFORNIA CODE OF REGULATIONS TITLE 25 REQUIREMENTS AS AMENDED BY THE JURISDICTION APPLY TO THIS PROJECT o FILE COPY ENGINEERING MAY BE REQUIRED IF ANY OF THE FOLLOWING SITE CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED PLANS• • EXCESSIVE SLOPES • EXPANSIVE SOILS • EXCESSIVE CUTS OR FILLS • ALTERATIONS TO NATURAL DRAINAGE • OTHER UNUSUAL SOIL OR GEOGRAPHICAL CONDITIONS Y �� 1 cam(/#d 9 "� t�0 N d V