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061-560-021
061-560-021 ��it/it/ 94-0077P,E� - CHERNEY, FRED r CJI IYIa A�,LERRY CREEK.. O + ? •' MOBILEHOr� UTILITIES 3h 19 it !- ELECTRIC^ j 00 1 0 /✓I rl aD ter ll CERTIFICATE__ �o 061-560-210 GAS LINE _ L 7-13-92 MAX & MARY MCGEE COMPACTION TEST REQ A)o + ,3 s —SUPPORT—S-T-RUCT :.REQ wo . ' .4 i {�. ...:. .. ,.,. '��. .I :.�:: ":y ; :- .. :' .'.'.... ♦.� .�.• :. .. . w,..a�..:y'.�:..; ••..'.?.. ....-�.L .._.-n4.. 1Y..... _...... .. .,, . :�..tt. • t {:;. 1 _... _..,..... . r....t 1. s, _.. 5.��., ... r:�.ri:�...c�..-2l...'•.�.1s��..ye :^<..._..n�'8G•T4�;`.:�.k4_M JTT •iii.���,j Y�1 r .w...rstt.J_ •.;iai�lfe.✓. 5 D HCD FORM 433(A) 4/86 ENT OF &0 O ? /0 r� > I z 't, '*TV t,'*TV OE" 94--23086 AND WHEN RECORDED MAIL TO: I 94-0230861' Rec Fee . 00 t I Total .00 tdE BUILDING DIVISION Recorded I 7 COUNTY CENTER DRIVE , Official Records I 1I s1 7 AGOREss OROVILLE CA 95965 , County of .1 " Butte 1 I STATE, Candace J. Grubbs I ad ZP Recorder I �! 9 :14am 31, May{ 94 1 COMS XX 2 ;ly i , NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Heoltfi and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all per- sons thereafter dealing with the real property. FRED CHERNEY BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 2640 BLACKER ROAD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS WEST SACRAMENTO, YOLO, CA 95691 OROVILLE, BUTTE, CA 95965 CITY t COUNTY STATE ZIP CITY COUNTY STATE ZIP 41 MANN AVENUE 94-0876 (916) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDI G PE IT TELEPHONE NUMBER BERRY CREEK, BUTTE, CA 95916 5/10/94 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL A FICIAL DATE SAME NONE UNIT OWNER (If also property owner, write "SAME") DEALER NAME (If not a dealer sale, write "NONE") MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION SKYLINE 1994 Wood Manor MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 7B70-0713-GB/A 24'X52' ULI 381218/381219 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER �A'P- �—#061-560-021 SEE ATTACHED LEGAL DESCRIPTION. HCD FORM 433(A) 4/86 ENT OF &0 O ? /0 r� > I z 't, '*TV t,'*TV OE" 94-23086 LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER: A.P. 061-560-021 Description: All that certain property located in the County of Butte, State of California, more particularly described as follows: BEGINNING at a point on the North line of Section 31, Township 21 North, Range 5 East, M.D.B. & M., which point lies South 89° 54' 41" East 1546.54 feet from the North quarter corner of said Section; thence, from said point of beginning South 0° 40' 05" East 290 feet; thence, South 83° 48' 19" West 221.01 feet; thence, North 81° 39' 55" West 174.40 feet; thence, South 84° 47' 35" West 124.89 feet to the true point of beginning of the parcel of land herein described; thence, continuing South 84° 47' 35" West 109.45 feet; thence, North 87° 05' 05" West 191.22 feet; thence, South 276.44 feet to a point in the centerline. of an existing right of way; thence, along the centerline of �aie-L �-e-xist ng`right -of"`way South 89° 54'. 41" East 300.0 feet to a point that bears'South from the true point of beginning; thence, North'277:ll feet to tlie'true point of beginning. END OF DOCUMENT ttarE VIM ADDRESS cm. STATE, sed ZP /� 11EQIES>ED J¢ APD WHEN RECORDED MAIL T0: BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE NOT COMPARED WlTt°H ORIGINAL DOCUMENT NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Mm 311994 ONLY Recording of this document at the request of the locai agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to ail per- sons thereafter dealing with the real property. FRED CHERNEY REAL PROPERTY OWNER/LESSOR 2640 BLACKER ROAD MAILING ADDRESS WEST SACRAMENTO, YOLO, CA 95691 CITY COUNTY STATE ZIP 41 MANN AVENUE' - INSTALLATION MAILING ADDRESS, IF DIFFERENT BERRY CREEK, BUTTE, CA 95916 CITY COUNTY STATE ZIP SAME UNIT OWNER (If also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 94-0876 (916) 538-7541 SUILDI G IT` TELEPHONE NUMBER ?J,! 5/10/94 SIGNATURE OF LOCAL AGEACYOFFICIAL DATE NONE DEALER NAME (If not a dealer sale, write "NONE") DEALER LICENSE NO. SKYLINE 1994 Wood Manor MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 7B70-0713-GB/A 24'X52' ULI 381218/381219 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #061-560-021 SEE ATTACHED LEGAL DESCRIPTION. fNi OF hC. o, °j'`I. PPS ✓f HCD FORM 433(A) 4/86 c 0 ���•, :��`, IIVIrITr OEC LEGAL DESCRIPTION ' ASSESSOR'S PARCEL NUMBER: A.P. 061-560-021 Description:. All that certain property located in the County of Butte, State of California, more particularly described as follows: BEGINNING at a point on the North line of Section 31, Township 21 North, Range 5 East, M.D.B. & M., which point lies South 89° 54' 41" East 1546.54 feet from the North quarter corner of said Section; thence, from said point of beginning South 0° 40' 05" East 290 feet; thence, South 83° 48' 19" West 221.01 feet; thence, North 81° 39' S5" West 174.40 feet; thence, South 84° 47' 35" West 124.89*feet to the true point of beginning of the parcel of land herein described; thence, continuing South 84° 47' 35" West 109.45 feet; thence, North 87° 05' 05" West 191.22 feet; thence, South 276.44 feet to a point in the centerline. _of an existing right of way; thence, along the centerline of :said -existing right of way South 89° 54' 41" East 300.0 feet to a point that bears South from the true point of beginning; thence, North 277.11 feet.to the true point of beginning. C T AT CCU C' L_X 41 _%W . 8 RMR NO. 94-0876 41 Address or location of MANN AVENUE, BERRY CREEK. - - - - L"W Description of A . P . #061-560-021 Real Property SEE ATT HED LEGAL DESCRIPTION. A a-Mobilehome/Manufactured Home [:] Commercial Coach has been affixed to'the real property described above by installation on a foundation system pursuant to Health and Safety Code Section 18551. FRED CHERNEY Owner's name: 2640 BLACKER ROAD, WEST SCARMENTO, CA 95691 Owner's address: ULI 381218/381219 7B70-0713—G B/A INSIGNIA OR HUD NUMBER: SERIAL NUMBER OR V.I.N. MANUFACTURER'S N SKYLINE YEAR OF MANUFACTURE: 1994 5/10/94 (916) 538-7541 loffr ) "Co 5 1 ac r71e01 �— - INSTANT HOUSING OF CALIFORNIA INC: 1291 DBA THE HOUSING EXPRESS 2121 W. CAPITOL AVE. 916-372-9490 J/ `� 1 19 90-108/1211 WEST SACRAMENTO, CA 95691 PAY TO THE /' c' ( si �(T v/vo ORDER OF O C: DOLLARS ®UNION SAFE DEPOSIT BANKEa.1.1 4600 Broadwalf, Salida. CA 9571 MEMO / �: i 2 i 10 i08 21: i 29' .n 3 7 3 35 5!!'06` ;X STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a:0 Mobilehome [] Commercial Coach D Floating Home E] Truck Camper Decal (License) No.(s) Trade Namq Serial No.(s) .yu6 �_-b s�Y L,� -"is 7v — 07/3— a_ Z_ 38'1 a�80� to ��� "rcl40) I/We, the undersigned, hereby state that the unit described above: Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above -,described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on — 9V at 144 S _rbS C, /¢.. pate)(City) (State) Signature of each affiant. Printed name of each affiant o -eD e Address City Uw cT bS�f,2c State HCD 476.6 (Rev 11/86) THE HOUSING EXPRESS 916 372 9410.. P.06 S - uf. nofri� U „cn the Orn of - '..,10 r wer9 l3, .,,lyr g�alt �g `�onUi170n 'Jd Pon the exeroisg b.� n Company is brat©d t0 0 SFZFtOh UPO(y t' Payable Within 30 107 ArMfNt ALTA OWNERS POLICY POLICY NO. BU-139151-3 DH (REGIONAL EXCEPTIONS) SCHEDULE A TOTAL FEE FOR TITLE, EXAMINATION AND TITLE INSURANCE $-0— AMOUNT OF INSURANCE: $17,000.00 DATE OF POLICY: NOVEMBER 8, 1993, AT 8:00 A.M. I. NAME OF INSURED: ` FRED CH.ERNEY 2. THE ESTATE OR INTEREST IN THE LAND WHICH IS COVERED BY THIS POLICY IS: A FEE AND EASEMENT 3. TITLE TO THE ESTATE OR INTEREST IN THE LAND IS VESTED IN: FRED CHERNEY, AN UNMARRIED MAN 4. THE LAND REFERRED TO IN THIS POLICY IS DESCRIBED AS FOLLOWS: SES: EXHIBIT "A" ATTACHED HERETO. PAGE 1 E a .1 leki 18 U,-, I H T OW It'), - �r .0;1 Y:)Ij()q 401T4tilMAX73 I ,�.j , , .j r I HW k";IA, SHP rte, SAG - c PEA THE HOUSING EXPRESS 916 372 9410 P.07 HOUSING EXPRESS 52991 .0 2121 W-: Capitol Ave. West Sacramento, CA 95691 (916) 372-9490 NOTIMTHIS FORM IS COPYWRITER AND REPRODUCTION OF ALL OR PART IS STRICTLY FORRiUDEN, MANUFACTURED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STATEMENT DATE PURCHASER: HONE:_1 I '7 , ADDA SS: SkLESPERSON: ZIF: STATE: �— SubJert to tho terms and eondltlons stated on bath sidos of this agreement Seller agrees to sell and Purchaser a vs to pu►chase sl ufollowing MFR•/MBL. Hvmo� M MOOcL 13 R�JOMS AFPROX. iNOT INGL. [X}' NEW W 7 TOvv B.4RtEAJE9.) w. ��� 'I 4 B=RiAL NUt ZZ A APPROX. HUO UR, nCO NO. OT OF MFC, miL. o.A16- �-�. �� _1 C,� / 14:E r_05T OF TriE MFO./MBI. NOME XCt-VDE THE• L15TEV P lGES FOR THSSE ITE+15. 94 FT. UVINa AREA �.3'T IP.Fq.$_ � _ES Mf D. HOME PRICE O:•,TE MFD ORJ� ESC OW OPEN STKI/O7NEM7 USED t:O;AE SALES TAX. IF ANV, (1ST 3ULD Pk!�R TO•T/ l/BO} $ _:�„ ITEMIZED ACCESSORIES AND THEIR COSTS: (SEE ADDENDUMS) ,�,-�,��.,�.��.. fr s TOTAL ACCESSORIES (OUTSIDE HOME) �14v,E MODEL BED -ROOMS TOTAL MFG. HOME F ACCESSORIES r,n�G� _•_— 3`ALES TAX (ITEMS NOT INTEGRAL. TO HOME) rat i .••p SF_RiA!. tti'O _ FOUNDATION SYSTEM :,,"o, o:vu r, ' Y acc•�u:T Nc. DELIVERY SET UP TO V,JHG�✓i-F / HCD FEES ADDRES %'P' H 0 f E �--� INSURANCE PREMIUM (ONLY IF SOLD BY DEALER) ! VENTILATION IMPROVEMENT -NEW ONLY ESCROW FEES If I HAVE RECEIVED VENTILATION IMPROVEMENT INFORMATION FOR SCHOOL FEES THIS iv1FD /t,16L. HOME. OTHER BU E'R'S SIG"JATUfr_.r' L" EE (NOT A GOVERNMENTAL CHARGE.) THE MANUFACTURER STATES THAT INSULATION HAS BEEN 1. TOTAL CASH PRICE !NSTALLED IN THIS HOME l\$ FOLLCivVS; (NEW ONLY) ALLOWANCE ON TRADE-IN $ TYPE THICKNESS P,' FACTOR LESS BAL. DUE ABOVE $ E ROCIr•`; y, r L / l i NET ALLOWANCE $ `EX.TERICIR V*LLS :,. ,:t ('}�.� �- t `:�' 7 PAD HEREWITH '.M a• a .,r � 4 t ` Y, d ,;l; RESIDENTIAL 061-56-0-021 CHERNEY'Fred 94-0876.B 41 Mann Avenue, Berry Creek j (MI1/perm fdn) OFFICE COPY i. Address r� �I GAS' Meter By Date ! ELECTRIC Meter By Date JOB. FINALED (Date)— Signature =OK = Not OK = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd. / P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped, 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access ' 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Siie & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ""25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfesd Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector _Date/initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic. Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing - 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 80. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Lending -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: V=OK 0 = Not OK Not '=Not Reeaadyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES Plana OK except #'s <Z_QMfig Requirements -Setbacks -Easements I2oSSSpeclal MH Support Sketch ' _ mower, Location -Teat -Fall -C/0 Concrete 4. Water; Locatlon-Teat-Easement Needed, (Slftch) 5. Electricity; Location-Clearences-Grnd;,yAmp-Concrete 4 6. Gas; Locati n -Test -Wrap:'/ /" L"ft. - r /"Net. or , "tta/"LPG Well, Clearance & Disc nnect tility Clearance Date/Initials MOB!L"OME INSTALLATION (Plans) OK except #'a .. _C-1--,_Z9Pihg Requirements -Setbacks Easements. Fo gs; Size -Spacing -Marriage Line as; MH Test-Demand-Valve—Connector _ __- . Electricity; MH Test -Crossovers -Breakers -Clearances Dr4In; MH Test -Fell -Flex Connector LYWater_nd•Sewer Connected -C/O to Grade -HD Approval Y .t1w.- r 0 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood -Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing . 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftre-Trusses `- 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings. Date/Initials POOLS (Plans) OK except We 1. Setbacks -Easements 2.'Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit - 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test a .. y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 eMIT . APPLICATION AND PERMIT 941 ASSESSOR PARCEL NUMBER 061-560-021 U ZONING BUILDING PERMIT OWNER FRED CHERNEY TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1230 R 66,420.00 OWNER'S MAILING ADDRESS 2640 BLACKER RD W.SACRAMENTO 95691 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee HIM 491/2 $ 245.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 159.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 41 MANN AVE PERMIT FEE $ 425.00 BERRY CREEK PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome ]WOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New EIAddition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe Work: MHU #94-0077 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 PERM FOUNDATION 10101 LESS Main Service ( 00AORLESS 1 23.00 Main Service ( 200A TO 1000A ) 46.00 yy , - h NEW CONST. DWELLING OCCUP. . OR ADDNS. ( a ACC. BLDS. SO 1 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) J. I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET �NOWRESID. ( BRANCH CIRCUITS 1 @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20AL. @ 1.00 Ex. Occup. (OFIXED APPWS. OR UTLETS (RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun consequence the granting of this permit. ��55 X Date : `_ 5� / q� � 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. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. F IMP FLOOD CDF PA'=CEL PD HD I uE 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 D 'te r 7' PERMIT EXPIRES ON K /2 IDa I Receipt 162322 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L r}= COUNTY OF BU E BUILDING DIV11 ION'. DEPARTMENT OF�DEVELOPMENT SERVICES w ' 1+,1469 Humboldt Road, Chico, CA (91:6) 89T-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 .: ilk' 747 Elliott Road, Paradise, CA - (916) 8Z2-6307 ? , ii _ :ar CORRECTION NOTICE ,. O NER PERMIT.NO. A routine inspection indicates that the following violations of Butte County Ordinances.exist at x the above address and should be corrected. Please notifythis-officewhen correction of work ' is completed. If you have any questions pertaining to this matter, or need additional explanation, '=' ple a contact this office immediately. .' 4-0 eg ! d rA 171 ��`1�I�lt'c."''1G�-a+`�6J:sda.R'd"av,f:-iw.%.h.�e3n�w�.��''S'�?r+�:�F':k*1Y:�s�;��'1�..1;,�"^H�4i%4iWFTl�b'.qa'tsi!�D'ti'•sF�Rr3�a`6�'�i4.r4�Yi` +�6:y "..� �.. � �w��•�:q. COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET n A. P. No. CJI ( - Building Inspector 6&6 Date �a X 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 4a manufacturer's installation instructions, 2 sets. . r .. y 9 y 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............... . ..............4 �2 12. California Department of Forestry plan approval/fees. ......... `............. . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ...............!......................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. . . Preape nsction requesr- 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 ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ............. ........................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ................ N, :...................... . 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 perm :� . *N�.................. 32. Plan check list. ... ._.... 33. / i-►v�--�� y � Dwne fs'- -- 34. e#a When you issue the permit, process as follows: ,4 Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other _ Parcel Creation] Acreage Applicanty Date 3 ` 3 / - %{ Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (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 _ ma' ounter by _ Date Plans checked by Date Plans approved by Date XXF Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER l BOG Ch (Irv? A. P. # 0 PROPOSED BUILDING USE DATE 3 / l l REC. # DATE REC 1. 2. 3. SCHOOL DISTRICT FEES 0,0 lq S / (paid at District Office) ......................... SHERIFF FEES (paid at Building Department) Residential.* ..... x 'lo =$ unit amt. Commercial (sgft) x =$ sq.ft. amt. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. .4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division).............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER 8. OTHER Sh J/9y 4?5 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT I DATE COUNTY OF BUTTE Department of Development Services ., , Building_ Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name. Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner &kiz�e� Social Security. Number ; . Date .$ — 5/ — NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 0N JOB'FINALED (Data) Signature 4 V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /' Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrepped 6s. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 18. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled " 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga: Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Purling -roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-UndeAlr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yea 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yea ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: V=OK O=Not OK ' - ='Not Applicable '=Not Ready MOBILE HOMES,i-,4 , Date/Initials, MO ILE HOME UTILITIES Plana OK except #'a 1 M-• . ming Requirements -Setbacks -Easements'" "•, -, Soil ; Special MH Support.Sketch, 3 vier; Location -Test -Fall -C/O Concrete - Water; Location -Teat -Easement Needed (Sketch) i Electricity: Location-Clearences-Gr Amo -Concrete i 6. Gas; Location -Teat- p: / /"L"ft. / . /"Net. or 'L"ft "LPG lklall Clearance 8 Disco nect p?B t11ity Clearance' Date/Initials .MOBILE HOME INSTALLATION (Plana) OK except #'a _1. Zoning Requirements -Setbacks Easements_ 2. Footings; Size -Spacing -Marriage Line* 3.. Gas; MH Test-Demand-Valve—Connector.- 4.1 Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector,•_. " 6. Water; MH Test -Regulator -Connector, . , _,„ 7..Water and Sewer Connected -C/O to Grade -HD Approval , 8:; Gas. and. Electricity. Tagged..' 9. Exits; Insp.-Sketch 10. Cert. of Occupancy.. MISCELLANEOUS `'• 4 Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a Y. 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steep 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftra.-Connectors T " Shthg: Rfg.-Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors *d 7. Electric 8. Frmg; Slls-Anchors=Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 711i, , 11. Ext.; Steps -Doors -Landings ar -r • r' Date/Initials POOLS (Plans) OK except q's 1. Setbacks -Easements r 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel-Connections-Thicknessy * '"` Dead Men -Lining' `-. 4. Elec.; Receptacles and Lighting, Distances-GFI - 5. Elec.; Pool Lighting; 15 wits -GH - 6. 6..Elec.;Enclosures; Conduit Entries -Terminals -Listed ..� 7. Elec.; Bonding; Metal w/5' -Circulating Equip: Heaters' . 8. Elec.; Grounding;. Equip. vis Circulating Equip. -Pool Lghtg.• ,Boxes-Enclosures-Panelboards-Ins. to Main in Conduit - 9. Health Department Approval +s, . •r. 10. Plumb.; Cir. Test -Water Supply Test ,yr VX - � 7 f ti• ' f a S.44• t • X 11 x COUNTY OF BUTTE - DEPARTMENTflEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, a'liforhia 95965 - Telephone (916) 538-7RAJPERMIT N�. `---. APPLICATION AND PERMIT �02 ASSESSOR PARCEL NUMBER 061-560-021 ZONING T BUILDING PERMIT " I' ��fll L OWNER FRED CHERNEY TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2640 BLACKER RD., W SACRAMENTO CA 95691 4W4CONTRACTOR'S nO R'S NAM���© �N ' TELEPHONE - CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS BERRY CREEK PERMIT FEE $ Mann 4ve— PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping - -15.00 +N' LOT NO. SUB IVISIO 'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome 0 Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 01 36j(N @20.00 60.00 TYPE OF WORK New El Addition Addition ❑ Remodel Utilities Installation ❑ Other El Describe Work: ' PERMIT FEE $ 80. 00 Contactor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. SLOS. ) S0. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification ❑ as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) 11tam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occu FIXED APPLNS. OR p' (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a ertificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i nse ' ence of the ra ting of this permit. c X Date � / Signature of Applicant - Vbwner ❑ tractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 166.00 HAZ• D. FEES IMP FLO O F A L PD HD `� U This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been DIRECTOR OF PUBLIC WORKS BY PERMIT EXPIRES ON /Date! provisions to do work paid. Date 3 A fV Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .}Lr�"(.'�.(+r"-Jj►,r-'kir.-�')--[�'+Dc'�.+'rY+7i�''-*.s��.�y`^�✓'`r''"[1t7�"`.k`YY^+'v�`'�,,,' � � j��.(f�.�r+w"f "^'^'�r' I..' COUNTY OF BUTTE - DEPARTME ORDEVEWPMENT SERVICES -BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVIL'LE, CArCIFORNIA 95965 -TELEPHONE (916) 538-7541 hAll, PERMIT APPLICATION DATA SHEET OWNER FA ed C 4 ,2/z..l e, A. P. No. �' S O— D , Proposed Building Use 2. 6& MHU " Building Inspector i Date I / f-311 - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: - DATE RECEIVED BY items have been submitted. ..." :. Plot 94 __k6All plans,(sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... . A. 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 $......................................... Impact fees as shown on attached schedule. . . 1 . California. Department of Forestry plan approval/fees. ! '`?.... .......... 13. Flood elevation letter'(100 year -flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. "City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............ . 17. Planning approval for (A) Use: (B) Parking: - 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). . . "~ 20. Pre -inspection for required. .. oe�;� iia �speao�—(Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. ..................:... 23. Owner -Builder Verification (Given to owner , Mail to owner ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . .27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .................. 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ..................................... . 32. Plan check list . ...................................................... 33. .34. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuaWeACicde new item not checked above). 1. Index permit for above items No. 2. Additional items required: Ir 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 Counte _ Date Plans checked by Date Plans approved by Date 19 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ��Pp fa fjp111--j1- Wii.j�- �f • i i' TO: Building Dupartlllulit FROM: Snviroll III ell tal Health SUBJECT: Sanitation Clearance r 111ut Him Atlnehed Itlscie flue Atuielial Owner I_ocatiol Plan Approved for: Scwa�;c ]disposal Water Supply Public Clearance for,,�bcdroom mobile I ome. Other H(�'d final for: 1=in21 rle'arance n K tier• A Pit Private Well 8/92 ,�OPLICANT DATE COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION /yy/yy y 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 = TELEPHONE (916) 538-7541 OWNER `lI�.GQ C� ��f✓c'_� G �' S� O O 2 f A. P. # PROPOSED BUILDING USE 713,t AIH y V — DATE REC. # DATE REC 1. SCHOOL DISTRICT FEES 2. (paid at District Office)................ ......... SHERIFF FEES -- (paid at Building Department) Residential...... x _$ unit amt. " Commercial (sgft) x sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x # units amt. Commercial (per sq.ft) x _$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER ` 8. OTHER At time of 4 permit application, I was advised the above fees are required to be paid prior to issuance of the permit. ,�OPLICANT DATE COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ © ) 1I zON"G� /. �_ BUILDING PERMIT OWN R �(/Dih�r TELEPHONE SQ. FT. OCC. BUILDING VALUATION 0 r ZS J.i/]AIJJf�G`SADD a e W a e I ! S6 9 /O_ACTO-RS CO NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON$TFjUCT10N LENDER '��tV/ n 2 UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARC'�¢T OR ENGINEER ✓ ® We— ucENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ ,S BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O MobilehomeX SPECIFY Other Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G 20'00 60.0 TYPE OF WORK New O Addition O Remodel O Utilities Installation CIOther O Describe Work: �6. PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BDOV OR LESS ) 2WA OR LESS 23.00 Main Service ( 200A To 1000A ) 46.00 ' NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) SO. 3.5C FT. NEW CONST. MULTI -OUTLET .NON RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code for this reason POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B 20 @ H 0 Ex. Occu FIXESIRENS. OR p (OUTLETTS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities .20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE - I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TrPE TOTAL FEE ,$ 00 HAZ. I D. FEES I IMP FL000 COF PARCEL PO HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON (Date) Receipt No. /�3`7 Z WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT N o set of plans and AD kept o -ftusma -69 the job at Ali tftca and it is unIgvrAg t,s m4ke =y 0 S or alterst10!.q3 on mme with mt WriteP0111rliasiDll #Yom to Dapartment of Pu33io Wow County of l */ lz�,111 W tPPrmif wig 6e, required %r gtj nllafion .of the mobgelwii�e. ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF - FT. FROM THE SIDE AND FT. FROM THE REAR PROPERTY LINES AND - -CO FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. F.AVE OVERHANG. The attached Fire requirements must as specified and aj: ,bY C.D.F. N : All Materials & Worlsmanablp ONM Ds In Aced mla=e vaith Peoogniz-ad Good PMOUM and of a tar Proscribed for the Spaci$®d uee in th 9 Un form Buildtng, Plumbing & Meahanioal Cosies and the Ifational Electrical Code. REVIEWED BY BUTTE CO. {SIRE DEPT. CALIF. DEPT. of FORESTRY ❑ approved as. submitted approved with conditions per attached sheets Signature Date BUTTE COUNTY SCALDING MPARTMGN ) APPRpUEr) i w 0P. RE s 2 ( ') q - (�'i i C AP # PERMIT # NAME Under authority of PRC 4290, the following by the Butte County Fire Department and permit. These requirements are minimums Butte County local regulations which equal Field inspections will be made by the Butte for compliance. checked items are required are made a part of this and will be superseded by or exceed these standards. County Building Department (�] 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 provided for by the land owner. Driveway Standards 1 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant 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 center of the road. [)C] 1273.06 Turnouts. Shl" 1 h, a minimum of 10 feet wide and 30 feet long with a 25 foot taper on each end. [V] 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 1 of 3 II FA AP # PERMIT # NAME ] 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. [�] 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 [x] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�l 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. [i(] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback: for buildings and accessory buildings from «17 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 fiAal inspection of a building permit. Page 2 of 3 00 7 AP # PERMIT # NAME Other Requirements [ ] 'If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] 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 10*-. 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 Date Signature Page 3 of 3 AP 4r 014NER PERMIT an 2-7 MH UTIL.CLEARANCE DATE, INSPECTOR_ ELECTRIC GAS Support Struc. Compaction Test Re . service dze Other Load Pipe Size Length YESI NO YES NO lJ -Type t4 Wr / I THE HOUSING EXPRESS 916 372 9410 P.02 FOUNDATION AND SUPPORT REQF-IIRE,MENTS `- TABLE 2 PIER LOADING, UNDER MAIN 1-13EAMS DOUBLE -WIDE HOMES NOTES: 1, See Table 4 for rninimum footing sizes based on pier loads and allowable soil bearing capacities. The footing sizes and pier loads are minimums required for the applicable conditions. The footing shall not be smaller than the pier it Supports Or 144 square inches. 2. The maximum spacing of supports is not to exceed 10 feet. 3, Where it is impractical to maintain spacing, such as in the axle area. the, average of the distance to each adjacent support may be used to determine support r8quirernents: for example: if the distances to the adjacent supports were 6'0" and 8.0", the average spacing would be 7'0". �< Pier A Pier 6 Pier C The average spacing for pier 6 would be (6 + S) / 2 = 7 ft.. therefore, pier B woulc b0 designed for 7 ft. pier spacing, 4. Concentrated 10ci.ds at rriarriage line (see T2ble 3). CERT • F{ ' 409703 J w CL7z =� STATE OF t^J, �. O7t•.N.,��c� �; 5. The last line in the above Table i5 the weight per foot each main I-beam is carrying. Multiply this nurnber by the span a pier is carrying to determine the required capacity of th,,1t pier. 11 20' WIDE HOMES 24' WIDE HOMES 26' & 28' WIDE HOMES Pier Spacing Pier Load Pier Load Pier Load Pier Load Pier Load Pier Load Pier Load Pier Load Pier Load Under Main (Lbs) (Lbs) (Lbs) 20 PSF 30 PSF 40 PSF (Lbs) 20 PSF (lbs) 30 PSF (Lbs) 40 PSF (Lbs) 20 PSF (Lbs) (Lbs) 30 PSF I -Beams Roof Roof Roof Roof Root Roof Roof 40 PSF Root Roof (Ft) Zone Zone Zone Zone Zone zone zone Zone Zone 4 1810 2060' 2170 2100 2390 2560 2360 2680 2940 5 2270 2580 2710 2630 2980 3190 2950 3350 3670 6 2720 3100 3260 3150 3580 3830 3540 4020 44;0 7 3170 3610 3£100 3680 4180 4470 4130 4690 5140 8 3630 4130 4340 42.00 4770 5110 472.0 5360 5880 9 4080 4640 4880 4730 5370 5750 5310 6030 —6-T. 0— 10 4540 5160 5420 5250 5970 6380 5900 6700 7340 Pt -,,r t=oot 454 516 542 525 597 636 590 670 734 Se s6� Notes NOTES: 1, See Table 4 for rninimum footing sizes based on pier loads and allowable soil bearing capacities. The footing sizes and pier loads are minimums required for the applicable conditions. The footing shall not be smaller than the pier it Supports Or 144 square inches. 2. The maximum spacing of supports is not to exceed 10 feet. 3, Where it is impractical to maintain spacing, such as in the axle area. the, average of the distance to each adjacent support may be used to determine support r8quirernents: for example: if the distances to the adjacent supports were 6'0" and 8.0", the average spacing would be 7'0". �< Pier A Pier 6 Pier C The average spacing for pier 6 would be (6 + S) / 2 = 7 ft.. therefore, pier B woulc b0 designed for 7 ft. pier spacing, 4. Concentrated 10ci.ds at rriarriage line (see T2ble 3). CERT • F{ ' 409703 J w CL7z =� STATE OF t^J, �. O7t•.N.,��c� �; 5. The last line in the above Table i5 the weight per foot each main I-beam is carrying. Multiply this nurnber by the span a pier is carrying to determine the required capacity of th,,1t pier. 11 '�vow.� a01%N i � r t. 9 r. 0 4?11 of ry too r r y i f } j, y THE HOUSING EXPRESS 916 372 9410 P.03 SET -UF PROCEDURES DOUBLE -WIDE INTERCONNECTION The procedurP for connecting the homes is as follows: units refer to section "Installation of Shingled Roof". Secure beam halves with 3/8" x a-1/2•' bolts at front and NOTE: WHEN REQUIRED TO WALK ON METAL ROOFS rear ends only. Bolts located above a. cathedral ceiling DURING ASSEMBLY, WALK. ONLY ON TRUSSES OR must be 3/8" x 8" long. RAFTERS. Remove the temporary closure materials (polyethylene: and batten strips) and position the halves a.s close together as possible in the final desired location. Do not remove temporary bearn supports until Step 4 is completed, It will be necessary to slide the halves together with rolling and jacking equipment. Care must be exercised during any rolling or jacking operations to avoid overstressing structural members. 2, Bring the roof ridge beam halves together. Deflate the inside tires of light half if necessary. 3. Align ceiling material joints and the top corners of ceil- ings at the end walls. ROOF ACCESS FOR BOLTING: For metal roof units access for bolting the ridge beams together is obtained by a 6" space; provided on both sides of the ridge beam (optional roof sheathing may be forded back or temporarily removed). For shingle roof 4. Level ceiling edges by jacking at the inside main "I'' beam on light, half of the home; when the ceiling joint is flush, complete the bolting operation using the 3/8" x 4.1/2" (8" (,:g) a Cathedral ceiling) bolts at 48 inches on center with 3 additional bolts at 3 inches on center over beam supports (See Fig. 5.7). As an alternate to the bolts the beam halves may be secured together by screwing with 3/8" x 4-1/2" (3/8" x 6" a cathedral ceilings) lag screws at 24" o.c. (max.) alternating each side of beam and 6 additional lag screws at 3" o.c. alternating each side over interior beam supports. Predrill 1/4" pilot holes for the lag screws at 1-1/2" down from the top of the beam and with a maximum offset from the horizontal of 450. NOTE: WHERE OPTIONAL OVER -THE -ROOF STRAPS ARE PROVIDED SPLICE THE STRAPS TOGETHER AT THE RIDGE BEAM WITH AN A.B. CHANCE SPLICE DEVICE AND STRAP SEALS (NOT PROVIDED). SEE FIG. 5-12, NOTE: WHEN BEAM SUPPORT CONSISTS OFA COLUMN INSTEAD O� �_ 8E4Rl-NG WALL USE 3 BOLTS AT 3" OC EACH SIDE OF COLUMN 2' 48 413, 4S7 4t? R 0 0 F R!C_. BEAM ENDWALL_ HALL SEARING WALl~ — .FIG. 5-7 5. Lire up end wails by moving either floor forward or back as necessary, Toenail the end walls together using 16d nails :3t 10" O.C. 6. Lovel the floors by jacking on the main "I" beams (in- side beam on either'half). The center line header joists should be lag screwed together with 3/8" x 2-1/2" lag screws r 8'0" O.C. Remember to use safety timber when jacking the home. 7. Level home and install piers following the procedure Outlined on page 16. Tables 2 and 3 are to be used to r 18 30 3" /---rte-. 48' I�� determine pier and footing caaacities for the selected Spacing and loads. 8. Place additional supports at the centerline of each end wall, each end of the hall wall, sidewall openings greater than 4'0", each side of exterior doors and beam sup- port columns at locations marked with indicator strap or paint (See Figs. 5-3 and 5-4 and Table 3). P,3T,°l j 71 Milk :I1 DQI'l O4' •'y' o{ ,d'' ; ani � °„ �� 740 , m t: f Don THE HOUSING EXPRESS 916 372 9410 P.04 4 i z C) t co r r� r > a r� d ill C)co mrl � O �— Bi If L �•JY, i � 12 i 00 0 T f - V m0 fa U �rn fD CD h l If THE HOUSING EXPRESS 916 372 9410 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ' (One Form Per Building) School District_ zl_ r"C) 1 i ylA S -L— Building Department No. A.P. Number Property Owner Property Locatic Subdivison Residential Development JJurisdiction [ City � County P.05 Commercial/Industrial Building qep No. of Living Units tel, New Lot No. Sq. Footage Addition (Group R) Sq. Footage Addition (including Exterior Rooted Areas) (Floor Plans reviewed by School District Personnel) Date District identification No. 9 4 0 c c3 �1')A�,� School District certifies that (Applicant) 41 (Street Address) (Phone Number) f CA (City) M (State) (Zip Code) r by payment of $� has cortinlied with the requirements of Resolution No. representing square feet. Rep i Date r. 1- Paid by Check Number r. Alb Remarks: �: L Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92) _ LRND 0 iv ;aTl1??.i `n,'EAITH AN D - LAND DEVELOPMENT DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7266 FAX: (916) 538-2140 July 8, 1992 Max and Mary McGee RE: AP[f61-56-21 1193 Yolanda Drive CERTIFICATE -OF -COMPLIANCE Yuba City, CA '95993 Dear Mr. and Mrs. McGee: Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Public Works in the office of the Butte County Recorder on May 28, 1992. The Recorder's Serial Number is: 92-23466. If you have any questions regarding this matter,`please contact this office. Very truly yours, -,4 . Zu'd, Stua,yl Edell Manager Land Development Division SE/ds attachment cc: Building Division Environmental Health Department -Russ Charland, McKenzie Bramlage, 2225 5th Ave., Oroville, CA 95965 a, A RETURN TO: Public Works Land Development Section 92-0234661 1 Recorded 1' Official Records I County of I Butte Candace J.'Grubbs I Recorder I 8:02am 28 -May -92 I 9Z-23466 Total CERTIFICATE OF COMPLIANCE Issued to: Max and Mary McGee 1193 Yolanda Drive Yuba City, CA 95993 COMS MP This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: on the southeast corner of He-Le-Ve Road and Cherokee Lane. Bloomer Mountain area. 2. Assessor's Parcel Number: AP 61-56-21 Description : All that certain property located in the County of Butte, State of California, more particularly described as follows: BEGINNING at_a point on the North line of Section 31, Township 21 North, Range S East, M.D.H. b M., which point lies South 890 54' 41" East 1546.54 feet from the North quarter corner of said Section;.thence, from said point of beginning South 00 40'.05" East 290.feet; thence, South 830 481 19" West 221.01 feet; thence, North 810 39' 55" Went 174.40 feet; thence, South 840'47' 3511.West 124.89 feet to-tho true point of Usinning-of the parcel of land herein described; thence, continuing South 8¢0 47' 35" West 109.45 feet; thence, North 870 05' 05" West 191.22 feet; thence, South 276.44 feet to a point in the centerline of an existing right of way; thence, along the centerline of said existing right of way. South 890 54' 41" East 300.0 feet to a point that bears South from the true point of beginning; thence,.North 277.11 feet to the true point of beginning. Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-167 and Government Code, Section 66499.35 (b), to protect the public health and public safety: 1. Provide verification that a suitable site for the installation and replacement of a sewage disposal system for a single family residence exists on the property. County of Butte Subdivision Violation Committee �p�.,c Jam�►�.GLG� END OF UMEN.. _------------- 1-' 1 END OF DOCUMENT