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061-550-040
AP So�- g a kens ip A (Certificate of Compliance) • S/S Michael Grove Circ Ae, app.20Qf��of �---------s,� -- -: ------ -.ter -- _ r He l l u va Rd . , B 1 oo m� r ` p Permit #3550- OPE 'i 1:�/SHOP BLDG AND METAL.BLDG W O PERMITS ELEC. — C i�/2$/97 - GAS SUPPORT RUD$RE R90 jl� v I'd /a `� ✓v im COMPACTION TEST REQ. 'D 061-550-0`.PERMIT#97-1833 MAPHET, Sanderson & Marie Berry Creek _1� Cont: Integrity Homes, Inc.l�''? MHI Ex Site - -061-'550-0-, PERMIT#97-1921 , MAPHET, Sanderson 1(�..irliulGle[ �iP�: , Berry Creek Cont: Integrity Homes, Inc. tz/! 7! i Water &Gas Line/MH �i/�. 7 061 -550 -0 -VO PERMIT#97-2079 MAPHET, Sanderson Berry Creek Cont: Integrity Homes Ele for BP#97-1921���� k2 -In 6 w �4 u n tea. I .061-550=040 - " . PERMIT .#97-135AG ,MAPHET, 'Sanderson & Marie 16 'Michael 'Grove Ct., Berry Creek Ag Ex Permit -Tractors & Hay r, 061-550-040 HENRY & VICKI MAPHET " CERTIFICATE OF COMPLIANCE 061-550-040 HENRY & VICKI MAPHET APPLICATION FOR DETERMINATION yo r11 — 5 RESIDENTIAL 061-550-039 PERMIT#97-1921 MAPHET, Sanderson 82 He-Le-Ve Rd., Berry Creek PERMIT Ni Cont: -Integrity .Homes, Inc. Water & Gas Line/MH l ' PERMIT EXPiHes FOWNER CONTR. r 1.. ASSESSOR PARCEL F LOCATION t u i° I Old -� �r r Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E y Temp. Gas Service Called PG&E JOB FINALED (Date) t` Signature r .1 V=OK 0 = Not OK Not ' = NotRepady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/0 -Concrete 5. Electricity; Location-Crances-Cmd-/ /Amp -Concrete 6. Gas; Location rep; / A -it. 7. 3K Clearance & Disobnnect /- l��ti� i.rUOlityClearance 6 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage, Line 3. Gas; MH Test DemandVahe-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date 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; Soile-Size-Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sits-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall.Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Ughting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Encbsures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 I Date Card B-1 Date Card B-1 ) _N O _, ; Not o OK RESIDENTIAL (Single & Duplex) - = Not Ap licable p * = Not Ready Date UNDERFLOOR (Plans) OK except # s . 1. ZoningSetbacks-Easments-FloodSlope_ 2. Ftg., Main; Soils-Elec. Gmd. / C Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ ' Fig. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ C Ftg. Depth 5. Stemwalls, Main;'Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors . 7. Slab, Steel -Wrapped S. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall Fitting -Test 2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Orippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral p Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits 54: Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58, Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit Fixt. & Appliance; Ground. -AW -Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mach. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instid./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT TLl ASSESSOR PARCEL NUMBER 061-550- ZONING BUILDING PERMIT 0 OWNER SH SANDERSON MAPHET TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 82 HE -LE -VE BERRY CREEK CONTRACTOR'S NAME I INTEGRITY HOMES, INC. TELEPHONE 533-9643 CONTRACTOR'S MAILING ADDRESS 1740 FEATHER RIVER BLVD OROVILLE CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 82 HE -LE -VE Ad Energy Plan Checking Fee $ BERRY CREEK $ PERMIT FEE S LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑X Installation ❑ Other ❑ Describe Work: [11A�F); & GAS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I 4Y I KV 1 920.00 W PERMIT FEE $ ELECTRICAL PERMIT I Filing Fe-ef 20.00 Main Service zoono.LEss 23.00 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 once and effect.�+ c License Class Lic. No. �D /`j Q 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. ❑ 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 Main Service 200A TO 1000A 46.00NEW CONST. DWEWNG OCCUP. So OR ADDNS. ( s ACC. S.3.50FT; NEW NON -RES DT MULTI -CUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET LIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .so Ex. Occup. ouT sCRRESlo.oeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE _ 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 workerpompensation insurance carrier and policy number are: Carrier 1,{ n j Cr� MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number Q% —/` (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 wors' compensation provisions of section 3700 of the Labor Code, I shall f h ith comply With provis' s.-- ------- ate S'gnature of Applicant - ❑ Owner ❑ Contractor ❑ 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 TOTAL FEE $ 60.00 l.A[.FE . ES IMP FLOOD COF PARCEL PD HD IS This permit is hereby issued under the applicable provisions of th utte County ode and/or Resolutions to do work in ate bo for ich fees have been paid. By Date PERMIT EXPIRES ON Date Receipt No. 224510 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I/ (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, (alfornia 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESS OREAR ELNUMBER — (//� ZQNING BUILDING PERMIT OWNER 'Q %� TELEPHONE SQ. Fr. OCC. BUILDING VALUATION OWN% LUNG ADDRESS CO�OR'S NAME` TELEPHONE ' COM TORS MAIU DRESS Ifqoc�. vd - ©r o rrl CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHRECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee S ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ a r r $ PERMIT FEE $ LOT NO. SUBDNIS NS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome y Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition 9 Remodel O Utilities Installation O Other O Describe Work: WO -4 er- Q,S Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S 920.00 PERMIT FEE $ Oo ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo.A OR LESS 23.00 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, ( g ) 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: ❑ 1, 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. O 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O 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 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.) ❑ 1 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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5'0° deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( e ACC. BLDS. 3.5QFT: NEW CONST. MULTFOUTLET NON-RESID. @7.50 POWER APPARATUS & SINGLE OUTLET CIR. _ Ex. Occup. OUTLET OR FUTURES 11A20 0 i 00o LNS Ex. Occup. xuTLETS RESID°�. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEES ' HAz D FEES IMP I FLOOD CDF PARCEL PO I HD rE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. fe Receipt No. 1)sv - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r _ /I I .iIA / / T1— �/`�l�t .S tom' '✓ v� r rC,7 �s Date G Inspector � REV 10/92/tz COUNTY OF BUTTE BUILDING DIVISION ,4 F= DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 ;aye 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE WNER PERMIT NO% _ r A routine inspection indicates that the following violations of Butte County Ordinances exist at I' the above address and should be corrected. Please notify this office when correction of work is completed. If have any to this ; you questions pertaining matter, or need additional explanation, please contact this office immediately. n 4• r _ /I I .iIA / / T1— �/`�l�t .S tom' '✓ v� r rC,7 �s Date G Inspector � REV 10/92/tz .N. • e—��.ra • ..Y sfw s=5fs.=. .. .r _SBF .- r, f+r x .-...vim-_.yam. .E +F.R�.+"�1 '.!.yF�" .u.W.. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 ` 7 County Center Drive, Oroville, CA - (916) 538-7541 =° CORRECTION NOTICE ER PERMI NO. Y 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,11 please contact this office immediately. l- P' jA^ n rol Date j0 Inspector REV 10/92 / 1 W 11-6 ' RR COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County. Center Drive, Orovilie, CA - (916) 538-7541 s ORRECTION 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 notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please c ntact this office immediately. 5 Date Z Inspector—� REV 10/92 CLAIMANT COUNTY CSF BUTTE Oroville, California GENERAL CLAIM HENRY MAPHET ADDRESS: PO BOX 1102 CITY & STATE: BERRY CREEK, CA 95916-1102 DATE OF CLAIM: 1/27/98 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES IMPORTANT. - SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER DECIDED NOT BUILD. (A.P. #061-550-040, B.P. #97-2248, RECEIPT #224888, DATED 10/20/97, OWNER: HENRY MAPHET.) v� TOTAL AMOUNT PAID.. 453.15 .................................... RETAIN REFUND PROCESSING FEE.................$25.00 RETAIN BUILDING PERMIT FILING FEE ............ $20.00 TOTAL AMOUNT TO BE RETAINED ...................$45.00 TOTAL MOUNT TO BE REFUNDED.. ............................. TOTAL 1 $408. 115 the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. 1441 hh 2 1� Dated thisx day of o�� 19 at Calif. _ �, ignature of Claimant performed or delivered and the undersigned, hereby certify that, to the best of my knowledge, the services orJartieds specifabgtrtment hat there is a Budget Appropriation I' I or Specific Board Approval [ I (Check one) fDated this 27TH day of JAN. 1998 atOROVILLE CalifDe or Authorized Deputy 440-002 4210500 CONSTRUCTION PERMITS Dept. Code Exp. Code PAYABLE FR M FUND Dept. Code Exp. Code PAYABLE FROM FUND 'Dept Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY INV. NO. INV. DATE ENCUMB. GROSS AMT. DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. CLAIMANT'S NAME MAILING ADDRESS REFUND CLAIM APPLICATION klo h r Ii AoAe ASSESSOR PARCEL #: �� l '' 5S'6 -© Yo RECEIPT NUMBER(S) �r Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) ( )` Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of Plans: ( ) Plans returned to me at counter' ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE DATE Z2-62 PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. v FOR BUILDING DIVISION USE: 1 Receipt Information: Number:��� Date: `0 � Issued To: / Amount: X41 d Fees Retained: Processing Fee: $ L) ✓Bldg Filing Fee: $ OD Plbg Filing Fee: Elec Filing Fee: Mech Filing Fee: Energy P/C Fee Plan Check Fee Inspection Fee: �WISRA Fee: Total Amount Retained TOTAL REFUND DUE $s ; $ Z/OS /S COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754el P�RMIj (Rev.12/96) APPLICATION AND PERMIT , �( ASSESSOR PARCEL NUMBER 061-550-040 ZONING U BUILDING PERMIT OWNER HENRY MAPHET TELEPHONE SQ. FT. OCC. BUILDING VALUATION 8Rn 15,840.00 OWNERS MAILING ADDRESS PO BOX 1102 BERRY CREEK, 95916 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 171.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 16 MICHAEL GROVE CT Energy Plan Checking Fee $ $ PERMIT FEE $ 451 15 LOTNO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 4Tf1RA(;F RT,T)r, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos oR mss 23.00 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.POWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License 7La or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1 ❑ 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 A.C. B.S. SO 3.5QFT, NEW NON•RESID. S=0UTCET1RUTS 97,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES 20 @''50 SAL @ .50 Ex. Occup. ouTiErs A.,6.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 LE1 PERMIT FEE _ 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) 1 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 orkers ' compensation provisions of section 3700 of the Labor Code, I shall hwith comply with those provisions. ` i Date_ gnature of Applicant - ner Contractor ❑Agent An OSHA per is required r 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 TOTAL FEE $ 453 1 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Date Receipt No.PERMIT .24 ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.Wb-70- - l TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 40 NA t T�� Jfie- //,?C) 061 ss� , Owner Location APIf Plan Approved for: Sewage Disposal Water Supply: Public Private Wejl-�( Clearance for dwelling. Other o1 d T L Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date ` NIM ''���iY� ,.,. =:r , ,. .,. .... _ r �p +•rr�.�yn+.-+war-;i:-maw+sii3�7�"y"irj�i"tcw*...r++w:v:+rr-+.n-yi.� .. - T' COUNTYOFBUTTE -DEPARTMENTOFDEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORdVILfE; CALIFORNIA95965 - TELEPHONE (916)538-754l OWNER T-7 Proposed Building Use PERMIT APPLICATION DATA SHEET /_I© P. N Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . ......................................... 2: Plot plans, 3/4 sets, signed by preparer of plans. ....................... 3. Complete plans, 3/4 sets, signed by preparer of plans. ...... ...... . �4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ....."....... . 5. Hazardous Material Form. ... ......................................... . 6. Energy Design Compliance and supporting documentation . ..............•... . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ........ . V. California Department pf Forestry plan approval/fe' 13. 'Flood elevation letter (100 year floo byAalifornia Engineer . ............. / .... . Sanitation and plot plan approval )jV Health Department . ............ i ;� > - 15. City_of Chico plumbing permit. r` 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 1.18. Contact Land Development about (A) Improvements (B) Drainage. ........... a. 19. Driveway permit (construction approval required prior to occupancy). . . Freanspection requeis 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ............................ 23. Owner -Builder Verification (Given to owner , Mail to owner _). ' ............11� Recorded copy of Agricultural Ackriowledgement Statement. . . ---� 25. Letter of signature authorization . ........................................ /0 C 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. . . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ............: .............................. 29. Documentation of legal access. ..........` ............................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... t 33 t 34. Whe ou issue the�epjt, p �,ess as follows: Mail to owner. f r f, , Mail to,cont� .ctor. `TT pickup office. `� zH Deliver with inspector. Telephone and hold for icku at . Other / Parcel Creation Acreage Applicant /J ` �`) �'. �` �/'" Date J 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 1. Index permit for above items No _ 2. Additional items required: ce: (Circle new item not checked above) Contractor, designer, owner, was advised of above required data by _ phone'_ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by,__,:- Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Wo*s _ RESIDENTIAL 061-550-039 PERMIT#97-1833 MAPHET, Sanderson & Marie 82 He-Le-Ve Rd., Berry Creek fCont: Integrity Homes, Inc. PERMIT NO. MHI Ex Site PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION ` O t l 't M 1 ^ I ' A4t, 144 a �- �Ra. Temp. Power Pole OFF CE COPY ,Tel Address-92le- /eo 1 GAS Meter By Date /% ,- ,Tei E IC Meter yT JOB FINALED (Date) Signature r V=OK 0 =Not OKNot - ' = Not Readylicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/0 -Concrete • r 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-TestaNrap; / PUL / /Nat. or/ / L°ft/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE -HOME INSTALLATION(Plans) OK except #'s Zyaing"Requirements- Setbacks Easements Fooliwg Size•Spacir*-Marriage Line !2 ; MH Tea Demand Valve -Connector t4.- "city; MH Test -Crossovers -Breakers -Clearances Draja�-M Test -Fall -Flex Connector Z,? -Water nd Sewer Connected -C/O to Grade -HD Approval /1" 2,andileeMeltyTagged / ie-DOV�ns-Type-Installation Cert. of Occupancy Only: License Decal Date ` 7 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 �L�l 37`16�G;'7 0 W 9 - 6F? �6`3Z- MISCELLANEOUS Date DECKS; COVERS; CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements dmcks-Easements F ' 2. Footings; Soils-Sine.*thSpacing-ConnectorsSteel 3 Decks; Girders and/or Joists�Deddng-BracingStairs-Rails 4. Wood Awn.; Posts-Beamoftrs.-Connectors ' Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses ' 9. Siding; Nailing-VeneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext; Stepa-Doors-Landings - 12. Braced Wall, Panels Date Card B-1 - Date Card B-1 Date Card B-1 Date Gard B-1 Date POOLS (Plans) OK except #'s- 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-LiniN' 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6•Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/8 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Fig. Depth RESIDENTIAL .(81njIe & Duplex)* 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Orippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. -•ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date Card B-1 Date Card B-1 Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Hti:; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NoMalks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN:;^� PERMIT NO.: /f / 9 7 -- Owners: Name:mil r• ,. 3 �I ff f' .Y- r ! ' t /' 1-2 Owners: . f f f o 2— Address: I .. , Mobilehome % Year of Manufacturer Manufacture: Serial number// // or V.I.N. C yf " to �� E+ 2 Insignia or /•_. HUD number. (� / r Official approving installation: Date: .y,. rr If the mobilehome,fs moved ror relocated, the mobilehome installation acceptance shall become/invalid. This form shall not be used when the mobilehome is installed on a foundation system. ; 513B White -Owner, Yellow -Installer. Pink -Bldg., Gold -Assessor COUNTY OF BUTTE- DEPARTMENT QF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 -7541 --yam PERMIT NO. (Rev. 12/965 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 061-550—x'99 ®qO U ZONING BUILDING PERMIT OWNER SANDERSON & MARIE MAPHET TE589N 4607 SD. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS PO BOX 1102 BERRY CREEK, 95916 CONTRACTOR'S NAME INTEGRITY HOMES, INC. TELEPHONE 33 4403 CONTRACTORS MAIUNG ADORE 1740 FEATHER RIVER BLVD OROVILLE, 95965 l CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 2300 BUILDING ADDRESS / I D ! A�cA ,�=L ��vp L,'- Energy Plan Checking Fee $ BERRY CREEK, 95916 P IN I $ 23.00 PERMIT FEE SWXYdIN 66.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome YO Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 6 Other ❑ Describe Work: MH INSTALLATION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200, OR LESS 23.00 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.POWER License Class C Lic. No. ( n 5 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. ❑ 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 Main Service zooA To ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a,CC. BLDs. So 3.50FT: NON-RESNDT MANLCTI OUTLET APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET FDcruREs BAL p I:so Ex. Occup. ourLEETS RES D.INS OEA _ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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' o pensation insurance carrier and policy number are: Carrier ,C.CL4--Q-- Policy Number — ) 7 (The above sections need not be completed if the permit is f r work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 rovisions. c � X _ Date g-- 96 --2'_ ,Signatur f Applicant - ❑Owner ❑Contractor Agent Ari OSHA permit is required for excavations over 60" d p and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 16 . HAZ. D. FE I P FLOOD CD PAR L PD H ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. �Y -019 Dat Receipt No. 224329 P WHITE-D.D.S.-B.D. CANARY -ASSES R PINK -INSPECTOR GOLDENROD -APPLICANT A. P. # b OWNER a. PERMIT # — MH UTIL. CLEARANCE DATE ca ' INSPECTOR ELECTRIC GAS SUPPORT COMPACTION SERVICE JOTHER PIPESTRUCTURE TEST REQ. SIZE LOAD TYPE SIZE LENGTH YES I NO YES INO 1) 1 rjl W .-rr��"'Y7^ a-r�wr�,*'-'Tr,..�+---�M�.'.»�•.J•.ic•"7r'�i�sN� '�::.r�rr=-�"�^''.�..-++v�-��,.,,r,�•fti+r1�'�'�y�•n��'Y V�t�� •�1"y"'rte,'. v 'S"w„�,.,r + •�*.•�... - ` "COUNTY OF BUTTE DEPARTMENT OPP& MENT SERVICES -BUILDING DIVISION a7... .... ..h'f, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARC ER: — So --s Building U Building Inspector: Date: At time of permit application, 11was advised the following data must be submitted prior to permit cess g a d/or issuance:. Date Received By ❑ 1. All items have been submitted .-------------------------=----------------------------------------------------------- . Plot plans, 3/4 sets, signed by the preparer of plans. ------ t --- ----------------------------------------------- 113. Complete plans, 3/4'sets, signed by the preparer of plans! ------------------------------------------------------- E14. Engineered plans, 3/4 sets, with wet signature on planjAlfengineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Complianceand supporting documentation. -------:--------------------------- ---------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------=----------------- ❑ 8 ardour Material Form. ---------------------------------------------------------------------------=-------- ----- ufactAsas om data and installation instructions including Tie Down Specifications .------------------ o Feesof ----------------------------------I------- ---- 1 act fshownon the attached schedule. <{- 2. California Department.of Forestry plan approvaUfees------4-`0 Z - ❑ 1 . Flood el ' n certificate. ----------�t-------, rm--(---------------------------------------------------------------------- S tation and plot plan approval) 1 a I.l OHealth Department. ------------------------------------------- 15. City of Chico plumbing peit.------- C-------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17..Planning approval for (A) Use: (B) Parking: ---------------- -- 0 18. Contact Cand Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- No. . Encroachment Permit for driv way( nstruction approval prior to occupancy). -'. ----------------- Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----- El 22. Workers' Compensation carver and policy number. ----------------------------- U2.3. Owner -Builder 024. Letter of signature authorization---- (Recorded copy of Agricultural Ackne 026. Letter of intent on building use. ----- Ianufactured Home utility clearance. --------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits. --------------------- ------------.---------------------'V------ ------ ❑29 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check t6H.C.D $--------------- Other: LI C(A)------- When you issue the permit, process ds follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone 4 �� and hold for pickup at office. ❑ Deliver with inspector. Applicants(' � ; Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: � r Copy of plans sent ❑ Health Department, ❑ Fire Department, they: Date: By: 1. Index permit application for the above items numbered: 13 Plan Check List - p JZ�2. Additional items required: U- Ifbi(�Sr ` mA 19th i Contractor, designer, owner, was advise& of the above required data by ❑ phone, ❑ mail, ❑ B Ulding Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was adviser) of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ B 'ldin 'd ' er, by Date: Plans reviewed by: Date: Plans approved by: Date: l' Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy -Department of Development Services, Building Division. -Lb V% t SSS "e t.t.1' sl ptapm 46r M-crsupe, owner ❑, Mailed to owner ❑). Statement. fid I (Date) (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville,� Cal fornia 95965 - Telephone APPLICATION AND PERMIT BUILDING DIVISION (916) 538-7541 PERMIT NO. ASSESSORgCkN BEER _6 ^ �� 2 6 l/+�- / ZONING BUILDING PERMIT OWNER 1 0A TELEPHONE SO, Fr. OCC. BUILDING VALUATION . OWNER IUNG ADDR S �y^" 2Q s CONTRACTOR'S NAME INTEGRITY HOMES INC. I TELEPHONE 533-4403 CONTRACTOR'S MAIUNG ADDRESS 1740 FEATHER RIVER BLVD., OROVILLE 95965 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILD G ADDRESS � Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. S ONISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 3E] Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: Gas piping system 1- 5 outlets 15.00 Building sewer Mobile Home S G W 0PERMIT C,02� FEEELECTRICAL PERMIT g 20.00 Main Service eoov OR Less zooA oR LEss 23.00 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,NON-RESIDT and my license is in full force and effect. License Class C 4 7 Lic. No. 707958 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. ❑ 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 1❑ 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, far the performance of the work for which this permit is issued. r 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 UNICARE Main Service 200A To I000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BUDS. so 3.50FT. ( BRANCH C R U s @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES 2L nO ''� �L � � Ex. Occup. OUTLETED S(RESIID.OEA _ 5.00; Temporary Service i 23.00 Mobile Home Facilities 20.00 -- Misc. Wiring _ 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number —039 /-15117 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 1 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 provisions. X_ __ Date __ Signature of Applicant - ❑ Owner ❑Contractor :6A6ent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ - ocC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLooO CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I d �l/ asf ir)a7�u t TYPE OF OCCUPANCY: ' BUILDING INSPECTOR'S REPORT ing Description: [ ] Commercial/Usage: [ J Residential/9 of Units: Mobile Home: Yes[ ] No[ ] [ ] Currently Occupied. ' [ ] Abandoned/Vacant. lectric: :es [ ] No ' Electric is currently :['--]/n [ ] Off A0 Condition of electrical? as: Natural [ ] Propane[ =None(Cur r ently On[ J Off[ ] Obvious problems: , anitation: Plumbing working Yes[ ] No[ Well: Yes[�/,rNo[ ] 'Potable water: Yes[ ] No[ ] ` Obvious Sewage Problems: ' Action Recommended: [ ]Issue [ ]Hold for: Date: [nspecto . 9 ' BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT i RMIT '7— Agricultural building is defined as follows: Agricultural building is a structure designed andp6nstructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structureall not be a place of human habitation or a place of employment where agricultural products are processed, treated, , or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.D kot ZONINGOWNE `� & J PHONE NO. _ er ar'e, / OVNNER'�AD ESS / / D� %_91 r r (� LOCATION OF BUILDING l (od on Crid r r U a - USE OF BUIL G O I0Lr- SIZE OF STRUCTURE ' 40 ' — L X _ - L� tL SO. FT. TYPE OF CONSTRUCTION: U t alp ro x 19, Y&dfs WOOD FRAME STEEL X CONCRETE OTHER (Specify) TYPE OF SIDING�� 1 ROOF COVER G fGt FLOOR TYPE CES �2 C ESTIMATED COS406 CONSTRUCTION $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT'S SIDES �0 REAR �G AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date A4 —a� —57 7 Signature of Owner c I Permit Fee $60.00 The above described AG Building is exempt from a building Dermit_ i IJnn� Receipt No. 4 i r . FLOG PARC I P.D. ROOFI ISSU Manager Building Division By Date �� White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE 4'.-f- ?17-/'617-3 OWNER PERMIT NO. l 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, FWAK-Aw;=/70-1A Inspector REV LIM-a-A d Tulvo -Rall�d'�.LC.`� •� LJC..Lk �.JL�J �\ �IAI�LI.Iu/�iA_A.IQ cuwaag- )d (U cL .� P^ —k • i AO& - -I t/ 1 04 i ill • �_ otes .on Installation .,4 - :�ra rite -Tie: wit . _ .. . uckle I.Install strap by pushin the end between the Inside of the "1" beam and the floor. 2. Position the buckle at upper end Of the "I" beam, frame. Wrapp the end of the strap: around the "I" be Thread the end of the strap thru the slot in the buckle as shown. push the end of strap in-between "l" beam and floor. 3. Pull the strap, tnaft certain the buckle stays in position. Thread loose end of strap thru slotted tensioning bolt sinning brad ofanchor. Tighten slotted tensioning bolt a minimum of 3 fuin ck strap is morns until aH ved. (Mchor mast be properly lnstelled into ground before proceeding with . Us step.) Soil . 6011 Description Class Test Value Recommended Anchors I Sound hard rock Model ! Stk # Descdpvon �•:' - � ��s �-���" : .. 41 • ;rte , i'�'�}Mltl1 ' =�'%'°`- 591105` :.• •- •. . A Cross ddvrn rock anchor 2: _ : Very Deese owl Or rands,,.' 5501,: IN coarse gravel/oo6bles, gsreioaded silts, '1 . IvE' sm..:. 59090 30" x5!8"prod, 2.4,, helix clays and total, P NYI213(4 59095. 30" OW -rod, 2-4" helix } (and those listed below) 3. Medium deasc cosrsc sands, sandy gravels, 350 to 55U very stiff silts and clays. M2/8 59080 48" x 5B"rd,1in lbs: . -6".helix2 59085 48" x 3/4" rod, 1-6" helix 4• Loose to m�diuii lease scads; firm co stiff Clays and 200 to 350 Y 8�ts. alluvial fiQ:.:... �. � � • MSB 59080$ X18 Befoarlre=e lue>< a hould be co=&'t PrRf�onal insert MI2FI3l4 59085 48 x 3!4 " rod, 1-6 bellx 5. Concrete Stab Tensioning devices for use in �� concxete pad, tuaaer, etc, shall beancors) time of concrete reinforeemeat,size.and thickness of concrete, Lid spectl'ications. as to PSI and tune atr� sad depth of bolt holed Mi mtrm dIstartce at whirl, teasionIag devlee can be in Wkd from kindof el if P edge of end of slab, pad, run shall omissible. Instalierlcontracrtor Certification 1 certify that I have installed the TIE DOWN ENoIN>?FRINo anchori that no modifications have been made to the anchorins nZ system as perTM DOWN's installation instructions and g ystem or building structure. Company Name: / e S CU ,7 :5,7', Contra ✓/ Date: ctor!s/%# U 9 Sienan�rr- Page 4 of 8 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. r I personally plan to provide major labor and materials for construction of the proposed property' rovement • YES NO'13' HAVE NOT signed an application for a building permit for the proposed work, `3. I have c o cted with the following person (firm) to provide the proposed construction:.------------ , lU A \iL` 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: PROPERTYOWNER: 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. OVER OWNER BUILDER INFORMATION I 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 parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs 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. +1rely, Viira, C.B.O. uilding Inspection NOTE. This Owner-Builder.lnformation is required by Section 19830 of the California Healtlr and Safety Code- OVER ode OVER 1-6 ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF 30 FT. FROM THE SIDE AND ?'0 FT. FROM THE REAR PROPERTY LINES AND FT. FROM THE ROAD CENTERLINE SHA: � ur_ CLEAR OF STRUCTURES AND EQUIPMENT FX PT FOR A 2 FT. EAVE OVERHANG. REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ❑ approved as submitted approved with conditions per attached--heet. o „rwk re Datq M Aj M I G t4 rlrY S G - y 13 y':�6 T 0, �- CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAM Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X� 1272.00 Maintenance of Defensible Space. To ensure continued // maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [ 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app.-,rteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. (�] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. l`1-1 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 r feet long with a minimum 25 foot taper on each end. -I" 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page `l of .3-, a AP # PERMIT # NAME Y1 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�!J 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1.' Gate entrances shall be at least two feet wider than the roadway it serves. [�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [�] 1. All parcels 1 acre azzd larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from iA1] property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r f'_zal inspection of a building permit. Page 2 of 3 AP # 2-22� PERMIT # Other Requirements 1 [ ] �If Building -Setback is 15 to�30 Feet: - Class A or B roof- - Enclosed eaves NAME ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 1_0% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials f r IDate Signature Page 3 of 3 ,or ALL STRUCTURES AND EOUtPMENT Na..Ut) NG OVERHANGS SHALL BE CLEM OF ALL EASE IENTS. A SET BACK OF ?PQ FT. FROM -n-,r:: '3►i'E : IND — - O FT. FROM REAR PROPERTY Y LIN ES AND O FT. FR `9 T 0 ROAD CEMTEFRUNIEHiALL BE CLEAR OF S i RUC RES AND FM PMENT EXCEPT FOR A 2 FT. SAVE OVERHANG. ft spit of pKftA Wd "e fication MUST ft '80 0" the job of e8 Nerves and itis: unlawful tic. -10ko ony changes or alterations on some withott. 16ti,en permission from the Depvrtenent of Ppdr Alam, CoUnh o APPROVED I 6ti##o County rnylrgnmental Health Date .222D Signature 40 • P� vj q 1 3 u';/ 9 M.H.I.- 2 Mobilehome Manufacturer: CHAMPION Manufacture Year: / P'/Z furnish If other than single wide, Setup Model Number: 699 Width: 24 (ft.) Length: 46 (ft.) Tagalong or Expando Size On all mobilehomes manufactured after October 7, 1973, installation manual and structural setup sheets. (ft-) x (ft-) furnish manufacturer's FOOTINGS: Wood pressure treated or foundation grade[x ] Other: SUPPORTS: Concrete block[x 1 Other: Provide Tie Down Specifications for all Mobilehomes: Line 1 Piers: Line 1 Openings Size minimum: r i x r i. Size minimum: 112 1 x [ 30 1• Spacing maximum: Each side of openings From ends -maximum. with width over: 4 ` 0 ` Line 2 Piers: Line 4 Piers: Size minimum: [24 1 x [30 ] Size minimum: [ ] X [ Spacing maximum: 8 Spacing maximum: ` From ends -maximum 1 0 From ends -maximum ` Line 3 Roof Loads: Size minimum Location (from ): rear Line 5 Roof Loads: Size minimum: Location (from front): �p Luvv OVER APPROVED 1. Owner's Name: 2. Assessor's Parcel Number: O (o 1 -5 56- 439 3. Installer's Name: L n + ea r-', �v I� A ,,, es _ T -n r .. 4. Is the site currently under permit? Yes[ ] No[ ] Permit No. 5. Is the site an existing site? Yes[/] No[ ] (If yes, furnish two plot plans). 6.. What is the electrical rating of the mobilehome? [ 0 D _Amperes. 7. What is the mobilehome site circuit breaker rating? L bO Amperes. 8. What is the electrical rating of the mobilehome site?(} Amseres. 9. Is the main service remote from the mobilehome site? Yes[ J No If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ 1] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: W-2-0 �, Load- W 2 [ ( Amperes- aQ 11. Type of gas service at mobilehome site: Natural[ ] Propane[X] None[ J 12. SizeCS gas . pipe at the mobilehome site from the meter or tank: Y4 inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? -0 (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 _ 8.5 ®®®� L-MENEM mom mm -mi a M. m��l MASTER . BEDROOM. LIVINj ROOM INFINITY 699 24'x 46 x� BEDROOM .. t�'•Z•�cn'•m• - DEN. �'-9-xn'-m• Af PROVED Bu a County end DOMES, INC. 1740 Feath CA 95v 965 d Oroville, }` (916) 533-4403]aA ;• Fax 533-0125 BEDROOM .. t�'•Z•�cn'•m• - DEN. �'-9-xn'-m• Af PROVED Bu a County end DOMES, INC. 1740 Feath CA 95v 965 d Oroville, }` (916) 533-4403]aA ;• Fax 533-0125 I 404349040rTi.IE..DbWN:_R4,TKK:9D -N- TIEDO ' •.r aftm G-1 . Engineerede down calculations -Down : she Manufactured home fir y m ations and schedules for sin le/d bi Design Loads g ou e/triple wldes Wind 15 •PSF Soil Bearing 1000 PSF Tie Down Straps 3150 # Working Load Seismic Zone 4 71e down straps meet federal specifications Class B, Grade 1 strapping and be at least 1-1/4,, QQx.035. zinor c plated. ype PP g Earth Augers 2962 # (meted to 4750 # minimum) Cross Drives 1727 # (Calculated) Concrete Slab Anchors 1390 k(Calculated) Note: Maximum soil presure is IoW p.S.F. without a soils report General Notes I. The charts shown herein aro for the required number of tie downs on the sides of the Mmufactured.Home. • _ �. - 2.: Te downs aae-•aegttu� t......ch chassis ' `end- " beam, each of each ' ttanspottable section of the b4ind ctgred Home and/can be any Of the types shown herein. 3. Combinations of the different types of tie downs can be used. 4. In the event an earth auger cannot be. instatied due to an obstruc . - tion, use of cross drive each= is permitted, provided 2 cross ddv ancbois are'iasta$cd.for each earth.auger that cannot be itistalled. 5. For al1•tic down installations, the Manufactured Rome chassis members are shown as "I" beams for Musty On Purposes Chassis beams can also be "C" shaped or RVC shaped. ses only. 6. End tie downs can be located widen 18" of either side of chassis beam axis as shown. One end tie down required 18" at each T beam end 18"---- Chassis Beam 7. The sizes, Mm'.C9 etc. Of materWs shown herein are minimum, fir, longer, heavier materials -supplied by Tie Down Engineering may be used at the sarn4 spacing and.. locations shown. I. Alternate devices may be substituted with engineers approvals. Page I of 8 Engineer Approval �P Eye/ f. APPROY.@.p' SUBJECT TO cpititembMsN.oTED . Ae�vb �� � "er .oatl�rtre w.._ePp�ore ,'oey . oaiadou `�s�tvf'R�ec .:virpq�entc .( appueobl•. Star, lona., OQP i -nty }b sed toela�nfy Owdopme"t alvistON.•...>CODES nr+o. STAN Y SPA NO___S rhes Plan Approval This tie dowelsystem meets section 1336.5, subsection i TIE DOW11f jW61A 6901 Wheaton I Atlanta, Goonaia Fax 404-349-0401 t - T January 2, 1996 390401; ;T I E .DOI, Nh ENG I h r I� ER�`(C1E live: Mr. Merrill Sutton Tie Down Engineering 5901 Wheaton Drive Atlanta, GA 30336 Dear Mr. Sutton: 3 I NG 318 PL06 JAN 02 �+-7� LISTING NUMBER: TIE -94.2609 Having completed the In-house audit of quality control, quality assurance procedures, etc,., Tri-State Testing Services in compliance with the rules and Department of Housing of California Lists the followingprocurement, welding regulations of the products: M—vDE� NU!�BER PART NUMBER E CR(PTION M121-15/8 59080 M12H3/45/8" X b8"' DOUBLEREAD EAD ANCHO W/6" AUGER 59085-.'..-a R MIZ25/8 . - . s DOUBLE,HEAD,ANCHOR W%6" AUGER 59090 6/8DOUBLE'HEAD ' MI223/4 ANCHOR W/24^AUGERS MI T2 59095 3/4" X 30 DOUBLE �I FAD ANCHOR W/2 -4w AUGERS 69115r. .:.-.-;... 3/40 X 8 DOUBLE HEAD THREADED ROD PATIO ANCHOR M(J2 69120. r ". ': . 5/8 -.X 12 :DOUBLE=HEAD J -ROD SLAB AN MICS2 - 69126 .. PATIO ANCHOR W/EXPANS(aN BOLT 69260 69250' y' " X 36 oOlis MRA LE HEAD�ANCHOR W16" & 4" -AUGER 69110 .-.. - -..... ;,:; _- CROSS D'R(VE ROCK ANCHOR 3l4" X30" 59292 59292 ROD. . LATERAL STABILIZER PLATE MGRB 59145 GALVANIZED ROOF BRACKET 69175 ' CRIMPING SEAL FOR 1_1!4" STRAP MBU 59140 GALVANIZED STRAP BUCKLE BUTTE c+�l wry gIS6 � 59135 SLOTTED BOLT AND NUT ;` " t MS33 � r :. �r.1 .. 59149 1-1/4" X 33' GALVANIZED STRAP e -N. A rROVED 6756 Bucru.Es COVG MEMM-ris, TN 3a 133 901 _385-1 1 99 FAx 901-386-66 14 Tie Down Engineering Page 2 January 2, 1996 MS35 MS37 M S42 MS60 MS600 MBU6 MBU7 MBU8 MBU10 MBU12 MBU16 , MLFT 1T, I 1D04AJ ENGINEERING :� � � LISTING NUMBER: TIE -942609 59150 1-1/4" X 35' GALVANIZED STRAP 59155 1-1/4" X 37' GALVANIZED STRAP 59160 .1-1/4" X 42' GALVANIZED STRAP 59165 1-1/4" X 60'G . ALVANIZED STRAP 59170 1-1 /4" X 600 GALVANIZED STRAP 59137 1-1/4" X 6' FRAME TIE W/BUCKLE 59141 1-1/4" X'7' FRAME TIE W/SUCKLE 59142 1-1/4" X 8' FRAME TIE W/BUCKLE 59138 1-1 /4" X 10' FRAME TIE W/BUCKLE 59144 1-1/4" X 12' FRAME -TIE W/BUCKLE 59143 1-1/4"X 15' FRAME TIE W/BUCKLE 59188 End Frame Tie (Approved 5-25-95) If you have any questions or If we may be of further help, please call us. Sincerely, TRI-STATE:1 NGnSERVIC .INC. William E. Jackson Manager rrC CT APPROVED TRI-STATETESTING SERVICES, INC. 59145 "Roof Bracket MIT2 Concncte Slab Anchor (pry) MU2 _ Concrate Slab Anchor (W4) Max.LengM of Marif.'Hbme M(numum No. of Side Tie Downs T« DOWN ENGINEERING Tie Down An-choring.Systern Q 0 MLFT End Frame Tie MDU/59140 59292 Strap 15Uck1e MRA Lateral Stabilizer Pllatc Rock Anchor 11MIE :1 M122 (5/8" & 3/41 30" long Anchor MBU7 1 1 13156/59135 Budde w/strap 51Mt Bob & N� M12H (5/8" & 3/4') t 45" ng Anchor 36' S4' 72' - MaX I:erigth of 32' 42' 62' 62' 73' MW.:Home 2 3 4 Minumum No. of Side Tie Downs 3 4 5 6. 7 ed at each end of "I" beam, One tle dowry Is reauirpri of pa,.ti --- 60 69 ,,..,. M34' 42' ' ' ani•Home st3' /Z�� Side Tie Oowns (See Nate Below). Gni IY 7�1��W�� ; .. -- }r s� '.'�,�h+4^'g t.. 8"' 1�, 'M iF.,T�� R'4_2 .��?i-moi .�:.ri.. R1H 7 rKti *F 1�. dne: e doVvn is wired at each end of "I" beam. ;, '�:. ' SINGLtWIDE Stile TIe.Dxm (sea Note Below) j Part" 2' .� :Side Tie Gbivrts (sea Nate Blow) " r � TRIPLE WIDE N U5 DOUBLE WIDE , (� Evenly Soacad 2' length Vari' (I — Eyanly Spaccd es 2 . 2' Leneth Yarw 2' Side tie dawns must be within 24" of the.end of the chassis beam. End tic downs' an be bca u within 18" of the center One of each chassis beam. One tic down is wired far each end of "I" b W v Nce 2 of S 'r4 . eC+� 7a. n '' a r I -C HEC FQR:UNDE 5. �STAHTING INSTAL:[:AT Beam Frame i. 2. 3. 11� Cross drive anchors are used where hard or cocky soil Occurs.If the ground surface is other than mekormini. mum 2" asphalt, encase the cross drive anchor with concrete as shown in fig. l • Drill 5B" diameter bole.5-U2" deep In center of anchor location. Insert pilot said into hole. DO. two 314" diameter holes into the rock at 450 angles, using the anchor head �as a locatin guide. �`?'moi PJace.t+od tbm a . ,, .. and cOrldsspondmg bottom web <. ilsage and fdto 4S' hole: �tive Tod Into W& Rod must be driven into rook at least 809* of lt.'s length to achieve tttlnimuta allowable -pullout resistance. UTIL W-10-CATIO.NS`5 ` -Oa^ E ( ANCHORING SYSTEM / Earth Anchor 1. Partially install anchor allowing 14" to 16" remaining above ground level using to 60° constant downward pressure to minimize soil disturbance. Ground Level 2. Utilizing oversize hammer, vertically install stabilizer sj�— \\� plate, nesting anchor rod in between formed channels �"• on outside of stabilizerlate P (between anchor and frame 3. Fully install anchor until tension head rests against stabiliser plate. _ Cross- Drive Anchor Concrete 12" square x 12" deep Concrete -anchors. MIJ2 - -• Conc=+etc must-be a 2500 PSI 4"aununum thickness and 616 :1011 m slab with s - - � i10/1 _ 0`wire:mesh _ ticcete slab nmst allow 4750 lbs of vertical Zeit= sloa on esrchor without lifting. This assuhm that the conm�ete weighs 150 Ibs per.cu. ft. -Minimum of the distance from the anchorshaft to one edge Ib is 12 in. and 5 ft: from any other edge. MU2 is designed to be installed into a concre at.the slab the time it isbeing pouted. • Slab must be g in. It, thickness at location under arty anchor to allow 5 in.embedment ori- rod anchor.NIM isdesigned to be inserted tiuough a 314" hole IT2 drilled or formed into an existing concrete slab. Page 3 of 8 MIC52 After- reviewin&- restrictions listed:to the left drill a 518 in x 3 in.:hole in the slab where -the an- chor head is to be located. bolt and ce steel ces into the drilledho e 0 • Place the washheronto the expan- sion bolt. d • Thread nut opto expansion bolt and tighten until maximum expan- sion of steel expansion sleeve has been achieved. - • Remove nut and washer and place anchor head over exposed bolt. aul- T . • Place washer and nut onto §qo to Attu onchorbead, tighteit;auti Eli am-e��-wit'_n _ ..--.-- R. e - I -Install strap by pashin tfie end between the inside u ifi111 the "I" beam and the floor. 2. Position the buckle at upper end of the "I" beam frame. Wrapp the end of the strap: around the "1" beam. Thread rile end of the strap thru the slain the buckle as shown Push the end of strap in-between "I" beam and floor. 3• Pull the strap, making certain the buckle stays nn position. Thread loose end of strap thru slotted tensioning bolt attached to ten- sioning bead of anchor. Tighten slotted tensioning bolt a minimum of 3 � turns until aU slack strap is moved. (Anchor must be property installed into ground before procxedlag frith . this step.) WORLAC very sniff silts and clays, ds, sandy gravels, 350 to 550 MI7.Ii5/8 59080 " x 5/8" rod, 1-6". helix. - �• 1�• M>r2 A 4859085 48" x 314" ind.1-6" helix 4: Loose to medium dense sands, firm to 200 to 350 ' stiff clays sad silts. "alluvial fill. � � 4 MI2H5M 59080 48' x 5/8" rod; i-6" helix • Belowrhae luex a pr USWOCnowershowbe eor 1"'d �2H3/4 59085 �ii8" x 30" rod, l-6'wheYlit°� S. Concrete Slab ! ' ". <� .,, ...s E '•/� '1 ^Sa Teasioning devices for use in C.0 A. A. Pad, tanner, etc. shall be tested s j P, time m m concrete refnforrcment,:Izeand thickness of concatc,size an depth of bolt hole, type and kind of shield if peratissible. (same as anchors) and spectfcatlons1s,,to SI and i mum distance at which teasianing devlee can be installed from edge of end of slab, pad, runner. etc. shall el specified. Installer[Contractor Certification I at 110 modifications have been made to ththat I hnvc installed the m DOWN 13NQN1? IQZl that no l ld anchoring system as per TrE DOWNS Installa e anchoring systom or building structure. tion instructions and Company Name. Contractor's I.tccnsc fi Bate• Signature: Page 4 of 8 Soil 5oll Description i - CUBS Test Recommended &Aorw Value Mode! # S tk # Descrtr�ti "'Oq Sound �hard ;rock• f �� .1.. . '� �-z�;N/A �.,� >:� �,'�I��:� ��s•.�-x591t� 10 � ,- t• . Cross drive 2 . :Very Dense aadlor cetncntM incic dacha sands, .:.. .Come,Prdoaded silts, and u .lbs Z25/s 59090 ' 30" z:sl8";rod, 2-41., helix clays sad ectal, P MI223(4 59095 30" x.314" rod, 2-4" helix (and those listed below) 3. Medium Aerie WORLAC very sniff silts and clays, ds, sandy gravels, 350 to 550 MI7.Ii5/8 59080 " x 5/8" rod, 1-6". helix. - �• 1�• M>r2 A 4859085 48" x 314" ind.1-6" helix 4: Loose to medium dense sands, firm to 200 to 350 ' stiff clays sad silts. "alluvial fill. � � 4 MI2H5M 59080 48' x 5/8" rod; i-6" helix • Belowrhae luex a pr USWOCnowershowbe eor 1"'d �2H3/4 59085 �ii8" x 30" rod, l-6'wheYlit°� S. Concrete Slab ! ' ". <� .,, ...s E '•/� '1 ^Sa Teasioning devices for use in C.0 A. A. Pad, tanner, etc. shall be tested s j P, time m m concrete refnforrcment,:Izeand thickness of concatc,size an depth of bolt hole, type and kind of shield if peratissible. (same as anchors) and spectfcatlons1s,,to SI and i mum distance at which teasianing devlee can be installed from edge of end of slab, pad, runner. etc. shall el specified. Installer[Contractor Certification I at 110 modifications have been made to ththat I hnvc installed the m DOWN 13NQN1? IQZl that no l ld anchoring system as per TrE DOWNS Installa e anchoring systom or building structure. tion instructions and Company Name. Contractor's I.tccnsc fi Bate• Signature: Page 4 of 8 r',%a °`4- 'r}� _ "�4043990401� .,T� I E D04A� p�G I NEF}� I NG . 318 P05 J ;�a `w..+�` ,5,.:�.v —,< �=.r.-.:• ��;.Yy,-.,. fi :.:�-::: _n . —. .. � : � _—r97: ; 07 TIE -DOWN ENGINEERING DEPENDENT TESTING RESULTS MODEL NO. ESC O O TRS ULTIMATE N 'PEST D mmH VERTICAL PULL-OUT IN MOIST SILTY CLAY. 6,133- (5/8"&3/4') TEST -PROBE TORQUE VALUE BETWEEN 9/15/92 200-349 INCH POUNDS. (AVG.) - M�2 VERTICAL PULL-OUT IN SILTY SAND AND GRAyFL. 5,7338 (5/8"&3/4") TEST PROBE TORQUE VALUE 550 INCH POUNDS 9115/92 AND MORE," (AVG.) MRA VERTICALP714-OUT IN LABORATORY FIXTURES 5,567// 3MJ93 FOR SavfUTATION. UNCONF2,bM ROCK WAS NOT AVAILABLE. MICS2 VERTICAL PUL.Y:-OUT IN 2500 PSI CURED CONCRETE. TEST SLOPPED AT 5,200 POUNDS. 5,200- 3-_4!94 MII2 VERTICAL PuLt OUT jN 2500 PSI CURED 5'2"CONeREZE.�3/30/949AT5,20 POUNDS. MIT2 VERTTCAL PULTrOUT W -?,?00. PSI CORED a NCRI-IT.�t, � Q � �}t�� r 5,200a 3/30194 ;4ayOUbIl)Ss VERTICAL PI1I:L:OUT72i SII.7YYirTEST PROBE 5.200; 10!6/93 (59250) TORQUE-VA200-340 INCE POUNDS ML 45 DEGREE PULL ON.STABMnnt PI:ATE IN SILTY 6,067- (59 2) CLAY. TEST PROBETORQUE .VALUE-BETWEE815192 N '20G40 INCH POUNDS _ (AVG.) Y l NOTE: 'ALL -ABOVE -TF STS WERE •CONDIIED -DY •AVEC P.SSOCTATES PRODIICT ,TESTING ' INC: AND GALLET & ASSOCVaES. THE IND . MADE 1LVAILABLE UPON l-VIDUAL TEST IIESULTS WILL BE INFORMR.TION TO: QUEST. PLEASE FORW"M YOUR REQUEST FOR THIS '1'YE DOWN EN ,,HFJm NG 5901 MIEE&TON DRly$ ATLANTA, GEORGIA 30336 BUTTE COLUN Bull.Crlwt� �� ARW Page 5 of 8 A e D .1r x;4043490401.L` .TIE DOt�! ENG I NEER I NG U -'a;? a"s-•`''� a.tit -, .'a tea'.- . •:.: DEPARTMENT C HOUSING AND COMMUNITY DEVELOPMENT DMSION OF CODES AND .STANDARDS 1800 TH1Rb STREET. Suite 260 P,O, Box 1407 r -.GAC f_1WE 08 CA . 95812-1407 - - (95:6)!{45-9471. _FAX (916.327-4712 TDD 800-735-2929 September 29, 1994 William B. Jackson, Manager Tri-State Testing Services, Inc. 6756 Buckles Cove Memphis, TN 38133 Dear Mr. Jackson; OCT 05 1994 Ties is to confirm that the California De oar Partmeilt of housing and has approved Community Development Your aPPlicativn to become an aPproved,testing and listing load' bearing suppods and structu racomponents agency for used with manufactured homes, . mobilehomes and commercial coaches.. This approval is for the listing and labell' of Structural components used in the manufactured houSina �nindustry in accordance with" he standard established by your firm. b the Please- note i)epamnent may require design calculations substaand test data be submitted t �itiate design when the fisted system or com Hent does nota o your approved standard;; We nia 'also". PPear tv. conform to monitoring or complaint-'investigtian.visionss:firtforroation. for the purpose of :routine routine listed designs may ben your approved standard as well as and/or r ut We future as a result of amendments to current statutes egalatipns. . • I Thank you for choosing to become an a I you have an t pproved listing and testing agency. If in the futura I any;"' or nee8.to dscuss.a particular Issue RQ91.0 445-9471'or ,you may contact either myself . _ _ Mke•Rosenberg at (916) 255 2501. I 1 Chris L. Anderson MobUehome Parks Pmc� Manager t :i cc• MRe Rosenberg s i $ T t r I BUTTE COUNTY SCHOOLS IMPACT FEE .CERTIFICATION FORM AO/ .► O O (One.form per Building) School District . If r I I Building Department No. A.P. Number ' JS�— jurisdiction: City �/ County. Property Owner CL 1 ► �l.X �. t� Property Location/Address p� I`te be -V e- 0J. Y r Subdivision Lot No. Residential Development . Sq. Footage 0`7 3 No of Living Mobile Home Addition (Group R) " Units Installation Commercial/Industrial New jilding Department Representative (Floor F is rict Idgntification NP. V W IV �• (Street (City) reviewed by School hool District certifies has complied with the requirements of Resolution No. representing sq are feet. School District Representative Paid by Check # Sq. Footage Addition (Including Exterior oofed Areas) �b�/- Date nel) (Appli (Phone Number) (State) (Zip Code)( by payment of $ Z -Ci B 2926 ^� ULL MITIGATION $ Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm � Iij'gf E. L TITLE & ESCROW COMPANY And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 9_5965 97-03301 S Rec Fee I IHF Recorded I COP Official Records I Check County of I O/J A , A�P4Vf Butte I i Candace J. Grubbs I Recorder I 3:08pm 4 -Sep -97 I PUBL AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT 11.00 2.00 2.50 15.50 XX 3 Section 26-8 of the Butte Count- Code requires this acknowledgment to be recorded prior to issuance of a building permit. Tile 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.- " SEE ATTACHED " Date:_2/21-9 19 -_] PROPERTY OWNERS: SANDERSON MAPHET MARIE MAPHET State of California County of -& rTE On ?-ZJ-91 beforeme, d J1,AJ /4 S 7 personally appeared —,5AGV062S O/J A , A�P4Vf 'F, PA1,7 r 6 6-. ASIA Prf� —t � personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and offi -ial seal. Signature t.P.# O(o /-5s(3— ()C CYNTHIA A. UU51A V COMW 1103301 D ` NOTARY PUBLIC -CALIFORNIA N COUNTY OF BUTTE w My Cemm, Witea OcL 30, 2000 L d •9' _:` NOTE TO RECORDER: DO NOT RECORD THIS SIDE A.A. — I ARLTRA STr1`ET O KN Instructions Instructions for recording Agricultural Statement of Acknowledgement: 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this. information. ( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $6.00 - 1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a.m. - 3:00p.m. (Monday - Thursday). OVER I sl-IG6rl ORDER NO. BU -118929-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: ENROLI" COMMENCING AT THE SOUTHEAST CORNER OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 30, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE NORTH 89 DEG. 54' 41" WEST, ALONG THE SOUTHERLY BOUNDARY LINE OF SAID SECTION 30, 330.00 FEET; THENCE NORTH 1 DEG. 19' 25",EAST, 373.45 FEET TO THE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE SOUTH 67 DEG. 31' 38" WEST, 91.20 FEET; THENCE SOUTH 32 DEG. 56' 33" WEST, 154.21 FEET TO A POINT IN THE CENTERLINE OF AN EXISTING ROAD ON A CURVE TO THE LEFT HAVING A 125.00 FOOT RADIUS CURVE; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 64 DEG. 45' 56" AN ARC DISTANCE OF 149.30 FEET; THENCE NORTH 35 DEG. 46' 52" WEST, 152.51 FEET TO THE BEGINNING OF A 300 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 30 DEG. 01' 05" AN ARC DISTANCE OF 157.17 FEET; THENCE NORTH 5 DEG. 45' 47" WEST, 8.17 FEET; THENCE NORTH 67 DEG. 46' 18" EAST, 434.69 FEET TO A POINT THAT BEARS SOUTH 1 DEG. 19' 25" WEST FROM THE POINT OF BEGINNING; THENCE SOUTH 1 DEG. 19' 25" WEST, 521.56 FEET TO THE POINT OF BEGINNING. PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT THE SOUTHEAST CORNER OF THE ABOVE DESCRIBED PARCEL I; THENCE SOUTH 67 DEG. 31' 38" WEST, 91.20 FEET; THENCE SOUTH 82 DEG. 56' 33"'WEST, 154.21 FEET TO A POINT IN THE CENTER OF AN EXISTING ROAD AND THE END OF SAID LINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE•NORTHEAST CORNER OF THE NORTHWEST QUARTER OF THE SOUTHEAST QUARTER• OF SECTION 30, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE SOUTH 1 DEG. 21' 30" WEST 248.26 FEET TO THE TRUE POINT OF BEGINNING FOR THE CENTERLINE HEREIN -. g1-16611 ORDER NO. BU -118929-3 PARCEL III: CONTINUED DESCRIBED;•THENCE FROM SAID TRUE POINT OF BEGINNING SOUTH 82 DEG. 37' 25” WEST, 69.38 FEET TO THE BEGINNING OF A 100.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 55 DEG. 18' 45" AN ARC DISTANCE OF 96.54 :FEET; THENCE SOUTH 27 DEG. 18' 40" WEST 434.95 FEET; THENCE SOUTH 22 DEG. 03' 20" WEST, 405.71 FEET; THENCE SOUTH 31 DEG. 18" 5011 WEST 169.27 FEET; THENCE SOUTH 25 DEG. 56' 43" WEST 185.84 FEET TO THE BEGINNING OF A 100.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 38 DEG. 07' 00" HAVING AN ARC LENGTH OF 66.53 FEET; THENCE SOUTH 64 DEG. 03' 43" WEST, 247.62 FEET TO THE BEGINNING OF A 60 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE .OF 118 DEG. 15' 43" AN ARC DISTANCE OF 123.84 FEET; THENCE SOUTH 54 DEG. 12' 00" EAST, 123.21 FEET TO THE BEGINNING OF A 180.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE HAVING A CENTRAL ANGLE OF 48 DEG. 26' 13" AN ARC DISTANCE OF 152.17 FEET; THENCE SOUTH 5 DEG. 45' 47" EAST, 38.13 FEET TO THE BEGINNING OF A 300.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 30 DEG. 01' 05" AN ARC DISTANCE OF 157.17 FEET; THENCE SOUTH 35 DEG. 46' 52" EAST, 152.51 FEET TO THE BEGINNING OF A .125.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 91 DEG. 30' 20" HAVING AN ARC DISTANCE OF 199.63 FEET; THENCE SOUTH 55 DEG. 43' 28" WEST, 93.32 FEET TO THE BEGINNING OF A 100 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE THROUGH•A CENTRAL ANGLE OF 46 DEG. 12' 02" HAVING AN ARC DISTANCE OF 80.64 FEET; THENCE SOUTH 9 DEG. 31' 26" WEST 159.74 FEET; THENCE SOUTH 2 DEG. 47' 33" WEST, 342.56 FEET; THENCE SOUTH 70 DEG. 32' 43" WEST, 101.28 FEET; THENCE SOUTH 30 DEG. 51' 41" WEST, 131.74 FEET; THENCE SOUTH 11 DEG. 28' 16" WEST 90.32 FEET TO A POINT IN THE CENTERLINE OF PONDEROSA WAY AND THE END OF SAID LINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. E1,40 OF r.)'0C0);`rr et! :%7.. And when recorded mail to: Building Division SEP 41997 97 County Center Drive Oroville, Ca. 9-965 PARFD VA'"f40.1 1 97 -033 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The propem' 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 cultivadon. 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 propem- situate in the County of Butte, State of California. described as follows: " SEE ATTACHED " Date: Z2-9 PROPERTY OWNERS: State of California County of -A2, On SANDERSON MAPHET MARIE MAPHET before me, d KAy-t?-f-//-}_ /4 (US% A personally appeared—,5A-AJ (20/Z.S O/J A , PA -Pt -j; % MAMCP I - personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and offikial seal. M �• CYNTHIA A COSTA �f/� M `� NOTARY PUB IN "ALLIIFORNIA Signature G /6Seal: Q COUNTY OF BUTTE d My comm. 6xpltee Oct 30, 2000 G 6 7 l--.._. _.._.._ .. ORDER NO. BU -118929-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: EACMI_ COMMENCING AT THE SOUTHEAST CORNER OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 30, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE NORTH 89 DEG. 54' 41" WEST, ALONG THE SOUTHERLY BOUNDARY LINE OF SAID SECTION 30, 330.00 FEET; THENCE NORTH 1 DEG. 19' 25" EAST, 373.45 FEET TO THE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE SOUTH 67 DEG. 31' 38" WEST, 91.20 FEET; THENCE SOUTH 32 DEG. 56' 33" WEST, 154.21 FEET TO A POINT IN THE CENTERLINE OF AN EXISTING ROAD ON A CURVE TO THE LEFT HAVING A 125.00 FOOT RADIUS CURVE; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 64 DEG. 45' 56" AN ARC DISTANCE OF. 149.30 FEET; THENCE NORTH 35 DEG. 46' 52" WEST, 152.51 FEET TO THE BEGINNING OF A 300 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 30 DEG. 01' 05" AN ARC DISTANCE OF 157.17 FEET; THENCE NORTH 5 DEG. 45' 47" WEST, 8.17 FEET; THENCE NORTH 67 DEG. 46' 18" EAST, 434.69 FEET TO A POINT THAT BEARS SOUTH 1 DEG. 19' 25" WEST FROM THE POINT OF BEGINNING; THENCE SOUTH 1 DEG. 19' 25" WEST, 521.56 FEET TO THE POINT OF BEGINNING. PARCEL II• A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT THE SOUTHEAST CORNER OF THE ABOVE DESCRIBED PARCEL I; THENCE SOUTH 67 DEG. 31' 38" WEST, 91.20 FEET; THENCE SOUTH 82 DEG. 56' 33" WEST, 154.21 FEET TO A POINT IN THE CENTER OF AN EXISTING ROAD AND THE END OF SAID LINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE NORTHEAST CORNER OF THE NORTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 30, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE SOUTH 1 DEG. 21' 30" WEST 248.26 FEET TO THE TRUE POINT OF BEGINNING FOR THE CENTERLINE HEREIN ----.�...._--._..._.__...g 1 _ 16 6 ORDER NO. BU -118929-3 PAIRCEL III: CONTINUED DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING SOUTH 82 DEG. 37' 25" WEST, 69.38 FEET TO THE BEGINNING OF A 100.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 55 DEG. 18' 45" AN ARC DISTANCE OF 96.54 FEET; THENCE SOUTH 27 DEG. 18' 40" WEST 434.95 FEET; THENCE SOUTH 22 DEG. 03' 20" WEST, 405.71 FEET; THENCE SOUTH 31 DEG. 18' 50" WEST 169.27 FEET; THENCE SOUTH 25 DEG. 56' 43" WEST 185.84 FEET TO THE BEGINNING OF A 100.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 38 DEG. 07' 00" HAVING AN ARC LENGTH OF 66.53 FEET; THENCE SOUTH 64 DEG. 03' 43" WEST, 247.62 FEET TO THE BEGINNING OF A 60 FOOT RADIUS ,CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE .OF 118 DEG. 15' 43" AN ARC DISTANCE OF 123.84 FEET; THENCE SOUTH 54 DEG. 12' 00" EAST, 123.21 FEET TO THE BEGINNING OF A 180.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE HAVING A CENTRAL, ANGLE OF 48 DEG. 26' .13" AN ARC DISTANCE OF 152.17 FEET; THENCE SOUTH 5 DEG. 45' 47" EAST, 38.13 FEET TO THE BEGINNING OF A 300.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 30 DEG. 01' 05" AN ARC DISTANCE OF 157.17 FEET; THENCE SOUTH 35 DEG. 46' 52" EAST, 152.51 FEET TO THE BEGINNING OF A 125.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 91 DEG. 30' 20" HAVING AN ARC DISTANCE OF 199.63 FEET; THENCE SOUTH 55 DEG. 43' 28" WEST, 93.32 FEET TO THE BEGINNING OF A 100 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 46 DEG. 12' 02" HAVING AN ARC DISTANCE OF 80.64 FEET; THENCE SOUTH 9 DEG. 31' 26" WEST 159.74 FEET; THENCE SOUTH 2 DEG. 47' 33" WEST, 342.56 FEET; THENCE SOUTH 70 DEG. 32' 43" WEST, 101.28 FEET; THENCE SOUTH 30 DEG. 51' 41" WEST, 131.74 FEET; THENCE SOUTH 11 DEG. 28' 16" WEST 90.32 FEET TO A POINT IN THE CENTERLINE OF PONDEROSA WAY AND THE END OF SAID LINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. i CtiM OF "0ClPrvT'rf as ......... 101 LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (LSill) C;IIL-f F, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 RONALD D. McELROY Deputy Director RB: Private Road Name Dear Property Owner: We are in the process of naming all unnamed private roads in the County with three or more residences thereon to insure proper mail delivery and to help emergency agencies (fire, ambulances, sheriff) 'locate your residence. 1 We have received a proposed road name for the private road which serves as access to -your property from one of the property owners along your road (see attached petition). Please advise if this road name is satisfactory to you. If we do not hear from you within 14 days from the date of this letter, we will assume the name is satisfactory and will assign the name to the road. ,If you have any questions, please contact this office at your convenience, Phone No. 916/538-7339, or 7 County Center Drive, Orovills, CA 95965. Very truly yours, William Cheff Director of Public Works Doug nold Street Address Coordinator DA: ss At t. o � � -s-s-n "/o J. /��, , C3 T, PERMIT NO. 3550-80P,E � T PERMIT EXPIRES N11Y 4 OWNER Bob Blankenship ik owner 1 CONTR. LOCATION (A.P. 62-53-40 ) S/S Michael Grove Circle, app.200'E.of Helluva Rd., Bloomer Mtn. i t 1 4, i I ' r , } l + Temp. Power Pole Called PG&E01 Temp. Elec. Serv. ` Calle/G&E Tem_p.,Gas Serv. ' ! Cfalled PG&E OB �� �1 FINALED (D La) (Signature) trona tsea FIRE SPRINKLERS Motors Framing Test Water Htr Stucco Final Sub an s Mebh MECHANICAL Grd. tilt Prot. Scr ch He n Sery e CCo ling emp. Pole nish D cts nder round Interior Lath entilation Permanent oor C18ser FinalI \ /1,al MOBILEHOME UTILITIES ---------------- Elec_ Service Q-ar Elec. Pedestal Water Piping Ilool, SewerGas Piping _ • rr'��fr /e BILEH )ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS q _ � -5 4�e (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Se ack ewall SoN Piping For Par ets 1 Floor Mai Bldg. Rest om Finish 2nAf Ioor Fo ins Windo 3rd or Stemall Siding To out Slab' Roof Shea'14iing Water Pi i Piers X Roofing X Sewer Garage X Fdn. Vents Fixtures Footings Stemwa I I Garage Vents X Insulation A` Water Htr. Heaters Slab Carport Footings Prov. for physicatty handicapped X Conformance of ex. V structure X Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIRE ACE Final Footings Footing Wt FrTA1r 1 trona tsea FIRE SPRINKLERS Motors Framing Test Water Htr Stucco Final Sub an s Mebh MECHANICAL Grd. tilt Prot. Scr ch He n Sery e CCo ling emp. Pole nish D cts nder round Interior Lath entilation Permanent oor C18ser FinalI \ /1,al MOBILEHOME UTILITIES ---------------- Elec_ Service Q-ar Elec. Pedestal Water Piping Ilool, SewerGas Piping _ • rr'��fr /e BILEH )ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS q _ � -5 4�e (NOTE: An entry must be made on this form each time you visit the job site.) OWNER &)3 c�Lm r�O�C SI t PERMIT MH UT IL. CL CE DATE % INSPECTOR ill2k ELE TRIC. GAS Support Compaction Str c. Test Re . service Other. Pipe YES NO YES NO ;ize Load Type Size Length COUNTY OF BUTTE - DEPARTM5NT OF, PUBLIC WORKS PERMIT NO. ' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541�� A APPLICATION AND PERMIT If\ I V ASS 5 R PANUMBER � ZO ING BUILDING PERMIT OWNE TELEPHONE SQ. FT. OCC. BUILDING VALUAT MAILING DR 55 OWNER'SAA I CONTRACTOR'S NAME r 1 TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation Is LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ON LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT ORENGINEER'S MAILING AOrDRESS Permit fee $ BUILDIN +ADD ss d� J a PLUMBING PERMIT Filing Fee 3.00 ® i I d Each Trap 2.00 Repair drainage or vent piping 2.00 13 MIh yh Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mob lehome Other SPECI FY Building sewer J0100 Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition [:]Remodel ❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONS. OR ADDNST (TACCLBLDGS.CCUP,&) 20 sq 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 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 NON -RESIT R BRANCH CTLETITS 2.SOea NEW CONSTR. ( POWER APPARATUS s) NON-RESID. SINGLE OUTLET CIR, Ex. OCCup(OUTLETS OR FIXTURES 50@250 BAL@100 EX. OCCU FIXED APPLNS. OR p'(OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 IA I Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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. FVI 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. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 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 ounty in c enc@ of the granting of this permit. X t�-�✓Date d Signature of Applicant — Owner �I`Contractor 1:1 Agent An OSHA permit is required for exca'vations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST, PA C L t/ PD, fig ND SSD This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO7 PUBLIC By PER EXPIRES Date:2--'C-- the applicable provi- resolutions to do fees have been paid. WORKS Date Z6��o Receipt No.��� WHITE-D.P.W., YEL LOW- ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t Lfo Sha\\ 8e n a V`I °c�� ood pprdc}use 0 }h a G s or a�e��a\s o�,,�1e �e Spe�I Ga\ G°de P\\ �.§� Recd \ov ; �•Iae�a'C' yt_G 'C V40 t. p`esc 1u�k,,n9 de. %r t O'C'C' qpa\��y a`�9� Q ca Go jl� ( ` the require lot will be req "t 61.1 -VCk ft% 'd:. t A per obilehome•, inst . aUatian of the m ,, jj/ 1\ be ��ttiin cornec�,o �ehome, etre peat \30 o\ the Ob oc vj �N�e N o� N Ail. 0 be to86 lines A setback of 5 ft. from the d o{ th proper lines and a setback a\i h e mob\\e °m of 50 . from the road t I' 6.11 be clear of This set of plans arid sp ecifications Mum be on.the job law$�tl to keptat all times sand it is �n , on am - make any changes or alterc� De artment of PAT written permission from the p Works, County of Butte. ten m a e s a strruuct„ des or equipment except fora 2 ft. eave overhang. 3r& -O-8° BUTTE COUNTY BUILDING DE?ARTMENT APPROVED �t J, E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D: - _12 2�_" �0 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance JA- /,_(DtV_S6t ' 1 14,6_ - Owner ,.�ocation Plan Approved f r: wa?Vi!psal Water Supply: Public Clearance for 6� —dwelling. Other Hold final fi Final clegdn-ce O.K. for: NOTE: Environmental Health Specialist '/96 AP# Private Well X%ate IL J%4 A- z • I APPROVIEL 0P Butte C, un 'un' t Environmentalealth Signat 9 -I- COUNTY OF BUTTE DEPART11,1EPdT , OF PUBLIC WORKS 7 County Center Drive Oroville, CA 95965 534-4266 may 8, 1980 Re: AP 62-53-40 Harold F. & Thelma J. Tilley c/o Ruth Sheldon Real Estate 750 Oro Dam Blvd. Oroville, CA 95965 Dear Mr. and Mrs. Tilley; Enclosed please finda copy of the Notice of Compliance on the above -identified property, filed by the County of Butte in the Office of the Butte County Recorder, on April 30, 1980 , in Book 2511 , Page .100 Should you have any questions regarding this matter, please contact this office. Very truly yours, Clay Castleberry Director of Public Works Original signed by JOHN MENDONSA John Mendonsa Assistant Director M/ddb Enc. cc: Planning Dept./w enc. Heal h Dept./w enc. ding Dept./err enc. Ruth Sheldon Real Estate, 750 Oro Dam Blvd., Oroville, CA 95965 �^ RE^URI TO: '' Public Works Department Land Development Section NOTICE OF COMPLIANCE T..-S:R1 "LIC WORKS Issued to: Harold F. & Thelma J. TillP-iiR:J'�i`c Mi 8359 Foxfire Drive FEE Orangevale, CA 95662 This Notice of Compliance is hereby issued by the County of Butte to certify that the conditions imposed cn the Certificate of Compliance.; recorded in Book 2125, Page 471, have been fulfilled to the satisfaction of the Subdivision Violation.Committee on the property identified as: a. Assessor's Parcel Number: 62-53-40 b. Description: All that certain property located in the County of Butte, State of California, more particularly described as follows: Commencing at the SE corner of the SWI of .the SET of Sec. 30, T21N, RSE, M.D.B.&M.; thence N. 89° 54' 41" W, along the southerly boundary line of said Sec. 30, 330.00 ft. to the point of -beginning; thence N. 10 19' 25" E, 373.45 ft.; thence S: 67° 31' 38" W, 91.20 ft..; thencie S. 820 56' 33" W, 154:21 ft. to a point in the centerline of an existing road ona curve concave to the west having a radius of 125.00 ft.; thence along the are of said curve through a central angle of 260 44' 14" having an arc distance. of 50.33 ft.; thence S. 55° 43' 28" W., 93.32 ft. to the beginning of a 100 ft. radius curve to the left; thence along the arc of said curve through a central angle of 46° 12' 02" having an arc distance of 80.64 ft.; thence S. 90 31' 26" W., 159.74 ft. to'a point on the southerly boundary line of said Section 30; thence S. 891 54' 41" E., 413.48 ft. to the point of beginning.. Together with rights-of-way of record. Issuance of this Notice of Compliance is pursuant to Butte County Code, Chapter 20-167 and Government Code, Section 66499.35(b), to protect r the public health and public -safety. County of Butte Subdivision Violation Committee I Lk 1 r END OF DOCUMENT c.s 94D OF 1;OCU iii 0 PETUR-N. -TO: CEP.TI.FICATE OF COMPLIANCE Plaunnirg Dent: Issue iji to: Harold F. ? Triel m a '. Tilley 8359 Foxfire Orive Orannevale, CA 95662 OFFICIAL RECORDS 1J 1.J S. 2 u3 P►11�; FEL This CQrtificate of Comoliance is hereby, issued by the County of Butte to. certify that the land division which created the parcel of property identified below complies with applicable nrovisions of ' the Subdivision. Map Act and of Chapter 20 of the Butte County Code. 1. Pronerty.location: lvinv north and east of Ponderosa 81 oomer r4ountain 2.. Assessor's Parcel Number: FSP 62.-53-40 Description All that certain aroperty located in the County of Butte, State of California., more particularly described as follows: Commencing at the SE corner of .the.SINk- of the SEy of Sec 30, 1`2111, E)5E, "108W.1; thence M1 890 54' 41" W, along the southerly boundary line of said Sec 30.., 330.00 ft. to the point of-beainninq; thence N 10 19' 25" E, 373.45 ft; thence S 670 31' 38" 1.4, 91.20 ft; thence S 820 56' 33" W, 154.21 ft. to a point in the centerline.of an existing road on a curve concave to the west having a radius of 125.011 ft; thence- along the arc of said curve through a central anaTe of 26p 44' 14" having an arc distance of 50.33 ft; thence S 550 43'"28" It1, 93.32. ft. to the .beginning of a 100 ft. radius curve to the left; thence alona the arc of said curve through a central angle of 460 12' 02" having an arc distance of 80.64 ft; thence S 90 31' 26" 14, 159.74 ft. toa point on the southerly boundary line of said Section 30; thence S 890 54' 41" E, 413.48 ft. to the point of beginning. To nether 1wi th rights-of-way of record. Issuance of this certificate is conditional upon the follow- ing conditions which have bsen inposed nursuant to Butte County Code Chapter 20-48 and Gov-rnm-nt Cod-, Suction 66499.35 (b), to protect the public health and public safety: 1. Subject to Dent. of Public 14orks approval of roads. County of Butte .Board of Supervisors F-- COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION oZQ7 7 County Center Drive - Oroville, California .95965 - Telephone (916) 538-7 41 PERMIT o. .(Rev.12/96) APPLICATION AMD PERMIT �--- ASSESSOR PARCEL NUMBER 061-550— O ZONING BUILDING PERMIT OWNER MAPHET SANDERSON TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 1102 BERRY CREEK, CA 95916 CONTRACTOR'S NAME 1 ...,.INTEGRITY HOMES TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ - -- "`-" '" 20.00 Permit Fee - $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 82 HE -LE -VE RD. BERRY CREEK Energy Plan Checking Fee $ - $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome)CX Other sPECIFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities)g Installation ❑ Other ❑ Describe Work: ELECTRICAL BP#97-1921 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @moo PERMIT FEE $- ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos OOH OR 23.00 23.00 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 i I force and effect. Clr (� License Class Lic. No. D L J I 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. ❑ 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 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. ❑ 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'�mpensation insurance carrier and policy number are: 1cQ Carrier (`Ao' Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. Bu)S. So 3.50FT. N CONS* NON-RESIDT ANCI CUIR @7.50 FOWER APPARATUS L SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD(TURES 20 @' 00 BAL Q .50 Ex. Occup. ouTLETs RE�sIo.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 s PERIT FEET M -77r77773.00 � MECHANICAL PERMIT Fling Fee '26`00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number �j ' �� I (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 fo h comply ethosp vi ions. X _ __ Date1�— S' atu f Applicant - ❑ Owner ❑Contractor YAgent T An OSHA permit is required for excavations over 5'0" dp and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee 1 $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ =.AFEES IMP I FLOOD CDF PARCEL �. 1.!D I HD I ISSUE, This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated bove for which fees have been By Date PERMIT EXPIRES ON Def �jrowsions to`.do work �pgild , it Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT W COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Ca3fornia195965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER D& /- �5 SG -03 _ ZONING BUILDING PERMIT OWN qRG TELEPH nt NE —em E DWNEA ONGL EID 0A \(oa, errV —L `J / �- SO FT OCC. BUILDING VALUATION CONTRA�CT�OR'S NAME INTEGRITY HOMES, INC. TELEPHONE 533-4403 CONTRACTOR'S MAIUN3 ADDRESS 1740 FEATHER RIVER BLVD., OROVILLE 95965 -- CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checkin Fee $ BUILT TES)4.,, � $ v 21'r Energy Plan Checking Fee $ --iUsY—dP1,—�—�' �PERMIT FEE $ .or No SUBDN510N5NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )L Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 --- TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Lkilites 9 Installation ❑ Other ❑ Describe Wcrk: j — ---- -- -- Each gas water heater or vent_ 1 5.00 .T_ Gas piping system 1- 5 outlets I 15.00 Building sewer 15.00 Mobile Home I S ��T— @20.00 I I PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service OOOV OR LE 200A OR LESSS9 23.00 � 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 _ C 4 7 Lic. No. 707958 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. fjt 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 UNICARE Mein Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( 8 ACC. B.S. 3.50T NEW CONST. MULTI -OUTLET — -- NON- RESID.1], _µCH ..i 15 @7.50 PowEa APPARATUS d SINGLE OUTLET CIR. } I _— EX. OCCU OUTLET OR FORURES 20 1.00 BAL @ .so Ex. Occup. .uLTkEDR Ts E o.)EA. } 5.00 Temporary Service 23.00 -- Mobile Home Facilities 20.00 Misc. Wiring 23.00 ---- PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number —IJ39 /—I bl 17 (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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date __ Signature of Applicant - ❑ Owner ❑ Contractor] 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 $ DCG CONST. TYPE TOTAL FEE $ HAz. D. FEES IMP FLOOD COF PARCEL Po 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 fees have been paid. By Date PERMIT EXPIRES ON I (Dale) Receipt No. - WHITE•D.D.S.-B.D. CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT I Henry A.•& Vicki H. Maphet P.O. Box 1102 Berry Creek, CA 95916 P RE: Building Code Violation 82 He-Le-Ve Drive, Berry Creek DeIar Mr. and Mrs. Maphet: i �utt� L'ount LAND OF NATURALI W E A L T H AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965.3397 TELEPHONE: (916) 538-7541 FAX: (916) 533-2140 October 20, 1997 A.P. #061-55-0-040 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as tollows, at the above -referenced location. I Failure to obtain the required permits, inspections and approvals .from this office for construction of a 22' X 40' storage building. (An application was made, but plans were not submitted). Since permits and inspections are required for the above work, please obtain the items listed on the data sheet. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County -1,s goal to obtain voluntary compliance wiLh 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. I Sincerely, MCV:dms Mich el C. ieira, C.B.O. 1 Mant r, Ouilding Inspection Icc: Assessor i ,