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061-630-001
( C: - ®I 00� 061 - 4030-ff 061-630-001 99-1759 c Kim 'Lonesome k Lonesome Dove Circle, C ENVIk1 NMENTAL HEALTH CLEARANCE f Contr. Efficient Energy Conce MHU DATE f — 3 —0 2 MHU TO BE PLACE NF MOF IACKET ELECTRIC GAS LINE COMP TION TEST REQ? SU ORT STRUCTURE REQ? 061-630-001 02-1 1 N/A/CED RODERICK, ROBERT 212 LONESOME DOVE CR., B RY CRE CONT: D & A CONST NEW MH PERM FND NEW SITE 0,01 NOTES I PERMIT NO. r I I 9 RESIDENTIAL C N 061-630-001 02-1412 -'RODERICK,' ROBERT 212 LONESOME DOVE CR., BERRY CREEK CONT: D &-A CONST NEW MH PERM FND NEW SITE THE HCD FORM 433A FOR;THIS MH CANNOT BE RECORDED UNTIL ONE OFtiTHE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATES) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL &.LABEL #'S. SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ll- OFFICE COPY Address ELECTRIC Meter By Date JOB FINALED (Date) �-- Signature 'CHECKED BY / = OK 0 = Not OK - = Not Applicable =Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4' Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 50..Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel- Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped r _ - Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows �. 16. Insulation Date Date Date Card B-1 Date Card B-1 Hate Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htc; 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 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. 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 Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral p Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 82. 32. Equip. Clearances Panels-Motors-Mech. Equip. 83. 33. Clothes Closet Light -Shower Light -Spa Light 84. 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings `;Date Card B-1 Date Card B-1 Date r Card B-1 r Date s Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support ' Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Comments at Final: 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 Tingle & Duplex) Date FRAMING (Continued) . 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-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 Ht. & 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 -Connector - In Garage; Above Floor -Ducts -Mach. 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 & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper y 76. Wtr. Htr.; 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 (F.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 I] Yes 82. Following Insttd./Drive Q Yes J 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 Throughout 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 94. Address Posted 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: .i = OK ' 0 = Not OK Not Applicable MOBILE HOMES = Not Ready; Date ' MOBILE UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer cation -Test -Fall -C/O -Concrete ater; Location -Test -Easement Needed (Sketch) 5. Electricity; Location -Clear es-Grnd- mp-Concrete 6. Gas; Location -Tp ;-/ " L'ft. / /' Nat. or /"L"ftJ� 'LPG 7. Well Clearan Disc e 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 f'1�ng Requirements -Setbacks.Easements ootings; Size -Spacing -Marriage Line Test -De mand-Valve-Connector Elec y; MH Test -Crossovers -Breakers -Clearances rai MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to ade-HD Approval 8. Gas and Electricit Tagge . 9. Tie Downs -Type -Installation Cert. &,� Insp.-Sketch 11. Cert. of Occupancy /I rmanent Foundation Only; License Decal Dat 2� Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carport; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 32- z3�`l :�a Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements i 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness t Dead Men -Lining 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/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-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 32- z3�`l :�a COUNTY OF BUTTE ^ BUILDING DIVISION DEPARTMENT OF DEVE ¢OPMENT SERVICES :�. 411 Main Street • Chico, CA • (530) 891-2751 _ 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER ti PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is l,. completed. Ifyou have any questions pertaining to this matter, or need additional explanation, please co%a6t this office immediately. K S. -a4 e gp t ar � t Date102 Inspector ,t. REV 0!9 r COUNTY OF BUTTE - DEPARtM`ENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754yy�� (Rev.12/96) APPLICATIO�NAND PERMIT U�MMY. ASSESSOR PARCEL NUMBER 051-530-001 ZONING BUILDINGPERMIT OWNER i]. i Cid' E �)'� �'�' TELEPHONE — SO. FT. OCC. BUILDING VALUATION 1056 X 457,024.00 . OWNERS MAILING ADDRESS ,)12 4 LoLgwsam pnv,7 CIRCLE, BERRY CREEK, CONTRACTOR'S NAME D & A CO' TELEPHONE -oF CONTRACTORS MAILING ADDRESS LLRIVER CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $57.024.00 ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ s ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2-1.00 BUILDING ADDRESS 212 TT' i rL Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15,00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ,❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: N0- 1 VIE ', 7, -, yl FID NEW SITE Gas piping system t - 5 outlets 15.00 Building sewer 15.00 19-00 Mobile Home I S I G I W 920.00 PERMIT FEE t 65.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service Eo.A OR LESS 23.00 9,1 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. I _ License Class '-ta Lic. No. L4cJ*1 3 U OWNER -BUILDER DECLARATION 1 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: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' cEpennsation insurance carrier and policy number are: Carrier 'j Policy Number UX _-6 L4 L4 'A :1 0a t-)0 (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 forthwith comply with those provisions. C� X Date _l P c7A fy, Signatur of Ap licant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.D Main Service 200A TO lOooA 46.00 NEW CONST. DWELLING OCCUP. 3.SQso NRA DNS. ( MU C. � NON-REBIDONS. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ 1'00 Ex. Occup. OURET OR FIXTURES BAL o .so Ex. Occup. . s R D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE jPTAL FEE $ HA2. M O CD P C H ISSUE This permit is hereby issued under of Butte Coun Code and/or which fees have MCA---\ PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. to 7 Z � L r Date Receipt No. 353757 %3.00.113b,6S72 3 Sr. 9,,-S WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPEC OR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF, DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 ' NayPERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER I v ! Proposed Building Use: kJazi .4 1:�1I Md Counter Technician: Date: Items required in order to apply for a permit. A boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. �2. Complete plans, 3 or 4 sets, signed by the preparer of the,plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicat Manufactured homes: (A) Data sheets and installation instructions (B) Marriag lige��C) Floor Plan, (D) Tie down or L_`93- foundation plans, all in duplicate. 2a�d b� ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... 1. ❑ 10. Letter of intent for non-residential buildings..............:.......................................... , ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other ' j emai ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ees as shown on the attached Schedule of Fees Due Sheet .................... .................... �� 15. Statement of Intent for Non -heated and A/C Buildings ... :......................................... 16. Sanitation and plot plan approval from the Environmental Health Department in (& - h/ -'0 ?-C ,P 17. City of Chico Plumbing permit ........................ .................... 18. California Department of Forestry plan approval aid. Sent by: ....�............. - �j w gF ❑ 19. Planning approval for (A) Use: OK (B)ParI ing: (C) Parcel eck: 6 0- 02 20.Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 12J; Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for N required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... . ❑ 24. Worker's Compensation Carrier and Policy Number ...............!............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violati s. and/or expired permits ........ �' ................. ... • O ❑ 30. ❑ Grant DeedNl.H. Title/Statement of Facts'. from Legal Owner, ICheck to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. k� •r. I have been informed of the above items and requirements for obtaining a building permit. nA9 licant: Ote: 1. Index permit application for th v ,i s numbered: Plan Check Letter 2. Additional items required 3ansir%eviewed esigner, owner, wa dv' of the above data by phone, ❑mail, ❑counter, by Date: esigner, owner was advised of the abo .e, ata by/ ❑ phone, ❑ mail, ❑ counter, by Date: by: Date: UV Plans approved by: _ Date: L Structural reviewed by: Date: - - Structural approved by: . Date: Note transfer by: Date: Yellow: Building Division s .� ,f ,y _....,,,.,.-.. .. .. ... ., .K...-. - .r.. .ri�........�.......,..- �...,r w..r+,.,....�.�,,.,r-..-..�`-.-`�'--r.•.-9r...-.....-.-y.n r.r 1.r+' M.-5 -"a -C E.H. USE ONLY 5i - _ Ik Plo2 Plan Attached FloorD 1 I Plan l cAad\ Sent �an2 to ®.p�:��_/ TO: Building Department U <f FROM: Environmental Health SUBJECT: Sanitation Clearance cam--,_ Owner Location AP# \ Plan Approved for: Sewage Dispos Water Supply: Public Private Well , Clearance for dwelling. Other , Hold final for: Final clearance O.K. for: NOTE: 8/96 mental Health Specialist --3- Z Date s ,COUNTY OF BUTTE ... DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER SCHEDULE # © � � 0-0 PROPOSED BUILDING USE DATE RECEIPT # DATE REC. 1. UILDING PERMIT FEES $ S , a-Sj Balance Due ....................... Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$- ✓ 2. SCHOOL DISTRICT FEES (p 'd at District Office) (Available after Plan Check) 3. - HERIFF FEES (paid at Building Division) Residential ...................... ,$360. 00 = $ 6D3 & D 5 % % Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential .:................. —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x.=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) r' ....rr.-..rW^'*.n.: -- �..,... .,...:.-n,r..c......r:..-=".-.��f+;ii.v.r•un'M�:.;Ajt�F.isix�..+p,i-.h,•viyGil`Li.av^rw"r�-„i;--Tri. ,.,-.�F .r-�--w,' p--. .�:.'-`• ..,t,,...:,+c-r.-.r:.-.,. `, 4 n 1 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM /� ,,� fj 4(Oneformper`Building) b School Di `strict 6pA/ B Building Department No. A.P. Number` �Q �p 3 V� Jurisdiction: City County Property Owner Q Property Location/Address p(' C n/�� A KM-vN� n t 'rte Lp /1 Subdivision Lot No. ................................................................................................................... . Residential Development Sq. Footage No of Living Mbile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection)' .......................................................................................................... Commercial/Industrial New Addition (Floor Plans reviewed by School District Personnel) District Identification No. 2 c (5 Orb i t � I� U'j School District certifies that (Street Address) . on. , has complied with the requirements of Resolution No. representing D� square feet. School District Representative Paid by'Check # 3���J Remarks: 9h- q I Ob _U11I Sq. Footage (Including Exterior Roofed Areas) Date (Applicant) (Phone Number) t /(State)^^++(Zip Code) q 0 . by payment of $ AB 2926 S FULL MITIGk ON $ D�-e/-o2. Date U• .A AWf%-fCF'LLAJ* ,&.!Vu.CEX_ FLA I l'.R..¢J:.-� A-” I LX:'�� Notice: You may protest the imposition of the fees 'dentified 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 (CEQ:A), 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) rs feeform.xls (10/98)dmm :V RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 07 -Aug -2002 2002-0040894 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ROBERT L. AND SHERRILL RODERICK REAL PROPERTY OWNEMESSOR 212 LONESOME DOVE CIRCLE MAILING ADDRESS BERRY CREEK BUTTE CA 95916 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS 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 02-1412 If (530)538-7541 BU041liG PERMIT NO. TELEPHONE NUMBER /7V / i � fil IV" 8-6-02 I N OF LOCAL AG IAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO CITY COUNTY STATE ZIF UNIT DESCRIPTION CHAMPION 2002 SOUTHWOOD MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 0901-521-12124A/B 44 X 24 TRA493223/4 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER A.P. # 061-630-001 SEE ATTACHED - HCD FORM 433(A) REV. 8/91 WHrrE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. r BUILDING PERMIT NUMBER: 02-1412 Address or location of unit: 212 LONESOME DOVE CIRCLE, BERRY CREEK, CA. 95916 Legal Description of Real Property: A.P.# 061-630-001 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: ROBERT L. AND SHERRILL RODERICK Owner's address: 212 LONESOME DOVE CIRCLE,, BERRY CREEK, CA. 95916 INSIGNIA OR'HUD NUMBER: TRA493223/4 'SERIAL NUMBER OR V.I.N.: 0901-521-12124A/B - MANUFACTURER'S NAME: CHAMPION YEAR: 2002 OFFICIAL APPROVING INSTALLATION: DATE: 8-6-02 PHONE: (530) 538-7541 Order No. 207700 EXHIBIT "ONE" Parcel l: Parcel 3, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on November 23, 1981, in Book 86 of Maps, at Page(s) 86 and 87. Parcel ll: A non-exclusive public easement for ingress and egress and public utilities over that portion of Parcels 1, 2 and 41ying within that certain 60 foot non-exclusive, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on November 23, 1981, in Book 86 of Maps, at Page(s) 86 and 87. Parcel III: A non-exclusive easement for road purposes and public utility purposes over a strip of land 60:00 feet in width, lying 30.00 feet on each side of a line beginning at a pointain the South line of that certain amended Parcel Map being a portion of Lot 3 in the Northeast quarter of the Northwest quarter Section 6, Township 20 North, Range 5 East, M.D.B.&M., which Parcel Map was recorded in the Office of the Recorder of the County of Butte, State of California, on November 23, 1981,.in Book 86 of Maps, at Page(s) 86 and 87, which point bears South 88° 19' 32" West, 100.00 feet from the Southeast corner thereof; thence from said point of beginning, the following courses and distances: North 88° 19' 32" East; 289.94 feet; South.65° 14' 43" East, 75.16 feet: South 75° 43' 08" East, 258.10 feet; South 600 05' 18" East, 140.12 feet; North 260 46' 18" hast, 50.67 feet; North 150 12' 01" East, 135-40 feet; North 550 49' 44" East, 158.57 feet; North 35 ° 30' 52" East, 60.75 feet; North 700 53' 17" East, 71.74 feet; South 780 55' 28" East, 122.55 feet; South 510 58' 51" East,181.46 South 780 37' 58" East,- 223.83 feet; North 860 36' 35" East, 171.37 feet; South 750 24' 58" East, 171.06 feet; North 540 24' 37" East, 152.73 feet; North 23° 34' 55" East, 122.17 feet; North 360 56' 15" East, 235.72 feet; South 560 01' 50" East, 230.07 feet; North 341 05' 00" East, 89.32 feet and North 860 45' 48" East, 140.10 feet to Ponderosa Way. Parcel 1V: A non-exclusive public easement for ingress and egress and for public utilities over that portion of Parcel 1 thru 4, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on November 23, 1981, in Book 86 of Maps, at Page(s) 86 and 87. EXCEPTING THEREFROM all that portion lying within the bounds of Parcel I, described herein. Assessor's Parcel No: 061-630-001 RECORDING REQUESTED BY: Fidelity National Title of California Escrow No. 207616 -JT Title ardor No. 00207616 When Recorded Mail Document and Tax Statement To: GRANT DEED LI The undersigned grantods) declare(s) Documentary transfer tax is $ City Transfer Tax Is S ( ] computed on full value of property conveyed, or ( ) computed on full value less value of liens or encumbrances remaining at time of sale, ( X I Unincorporated Area City of FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Lindsay W. Resso and Kim H. Resso, husband and wife hereby GRANTIS) to Robert L. Roderick and Sherrill Roderick. husband and wife, as Joint Tenants the following described real property in the City of , County of BUTTE, State of California: DATED. June 7, 2002 STATE OF CALIF N A COUNTY 0 0 before me, personally appeared $- ,�'� personalty 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 capacitytieS), and that by his/her/their signatures) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and official seal. Signature ' O�/� Lindsay W. Resso Kim H. Rosso REBE= L. BLEOSOE Commission #1207451 Notary Public, k4► CaupRfr, pC AifPorR 13.2005 MAIL TAX STATEMENTS AS DIRECTED ABOVE PO.213 (Rev 7/96) GRANT DEED for b. 6r STATE OF CALIFOANIA BUSWESS. fTUFeSPORTATION AND NOUS4fG AGCNCV OEOAATMENT OF HOVSINC AND C0YML0fTV DEVELOPMENT OMSION OF CODES AND STANDARDS MANLWACTMiO 40USNC PROCAAM NUMBER: - - — — MANUFACTURER CERTIFICATE OF ORIGIN tRl I ORIGINAL 1►rNl FOR—*6 TO T%G 11n wroax CREDITOR. twM! O NONE. TNEN FORwMO TO TW PURCrAMN IOEM.ER OR T WANt GMI COOT; pwATfti FORWARD TO THE OEFMIAE TNT ATF O. BOA -M. SACAM40ITO. CA 9544-111".EL ". ""ON If" ISI OATS OF AIASE CaAV t IKUAIM OgLiVER TO TN[ TRANSIa nin TO Af'.cowmT TT1e uw To ITS DE.,,T9MnQN COPY) MOLMPMOM TO"NCT"" RT Try ".WACIr" "Co AE7.0. SMS I - (7n7) ❑ CNBCK IF T§05 12 A OUDUCATE MC"WEA ORIGNAL MCO NO. MANLIFACTLIRED NOME OR—WAT1_4PAIT MANUFACTIUM MOUSING ©UL SFO (SINGLE FAWLY DWELUNGI ❑ MUM" (MTI -UNIT MANLWACTUREO HOUSING NIIMBEA OF 2 TRANSPORTABLE SECTIONS cen�wclA1_ ro cH: OCCUPANCY GFIOVP MANUFACTURER NAME. MANUFACTURER LICENSE NUMBER: Champion Haele Builders Co. 90086 MANUFACTURER AO SS. sur.Mmeo RETAR. PRICE;. P.O. Box 429 Lindsay CA 93247 44,384.00 18"" f0vi Iswel ftio MANUFACTURER TRADE NAME. MODEL NAME ANDIOR NUMBER: DATE OF MANUFACTURE SOLITH1e = SD521-2 07-07-400 NAME OF QEAALBR aM10fFERQE ;OWNERSHIP iRANSFERREO TDI; AEW. DEALER NUMBER OR DATE OF TRANSFER: Uu (W Any 1 Inc. TRANSFEREE DEStGNATWk. DHA/Integrity Homes,'Inc. 91096 07-13-00 DEALER OR TRANSFEREE ADDRESS: 1740. feather, River Blvd. Scoville CA 65 9159 131ww1 1 m1 ISIAat 1 NH WENTORY CREDITOR NAME Conseco finance Servicing Corp. "ITS A en er Drive, Suite 400 Santa Ana CA 92707 3U7101 13IelE1 001 S:CTION NIANHFACTIMER SERIAL NUMBER NCO MSM.MA OR NO WEL NUM/EAJ:EleO 1AEK,11T 1141 IAOUND51 1 0901-521-121249 TRA493223 15824 2 -�-1 3 the copy of the Cert Jica mpion a TRANtOORTF�NNMF.' 0 6 R Transport TRANSPORTER AOOAESS: T30mI P.o. Box 179 icon Durham $&ON CA1816 OBSTINATION FOR WIT "SCAM& AWK. OVAM ISNAdI IC�YI ISIANI 1DAI 1 Co" ~w4ftdF NFV d1AA/N IAIAA d1M AM r CAMs AMIM M"neaWE W"&"OVMM 07-13-00 N Lindsay, Tulare, CA IOAra (C I 1 1 awd I.1N.1 SICNAT{AC OF Mfl�IORISiO AOE#T L Ll '� • � tRl I ORIGINAL 1►rNl FOR—*6 TO T%G 11n wroax CREDITOR. twM! O NONE. TNEN FORwMO TO TW PURCrAMN IOEM.ER OR T WANt GMI COOT; pwATfti FORWARD TO THE OEFMIAE TNT ATF O. BOA -M. SACAM40ITO. CA 9544-111".EL ". ""ON If" ISI OATS OF AIASE CaAV t IKUAIM OgLiVER TO TN[ TRANSIa nin TO Af'.cowmT TT1e uw To ITS DE.,,T9MnQN COPY) MOLMPMOM TO"NCT"" RT Try ".WACIr" "Co AE7.0. SMS I - (7n7) 3130 Esplanade, Moo, CA 95973 Phone: .(530) 343-66.11 Fax (530) 343-3332 Fm Integrity Homes, Inc. TO: �.{� From /3 -"A.Au Fay ��3 � � / AID Pages: � Phos« Date: 7 b ' M Re: CCs O Urgent O For Review O Please Comment O Please Reply O Please Recycle e Comments: �!{�: ..�y-'6 �^',�!'�-� .'.si:"-v 9r __�,�,�r. R.•�v.._;,w.cro�.•r,,e{,^F^.»,w .- _ .. ..r -o-, Y,.,: �,rT.. -t _, - g., v;a .. y.. ., yr ,, al _ �EA:aY::�R°%C.��.. a^C7E�iC�r.�ii:B...�'.. ':i .asr,�Q'"�91C�:u"ld.�y • art a o b /f1 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: Mobilehome Commerical Coach F1 ating Home Truck Camper Decal (License) No. (s) Trade Name exwvcd Serial No. (s) oaot--S-DL y-Ia1a�R�a I/ We, the undersigned, hereby state that the unit described above: Q—C' V\ OL�ILQ , �%"A '. t OcQt --Cp 30—� 1 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, of 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 s��l� at: Oroville ,California (Date) (City) (State) Signature of each affiant Printed name of each affiant Address 1740 Feather River Blvd. City Oroville HCD 476.6 (Rev 11/86) Michelle Freel, Office Manager , State California COUNT`'(& BUTTE Oroville, California GENERAL CLAIM CLAIMANT: KIM RESSO - \ ADDRESS: 17F,5 mms -; RF.FT CITY & STATE: OROVILLE, CA 95966 DATE.OF CLAIM: 3/21/01 IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM Tn OFPARTMKAuT aCrcn11Air-% f-%nnn0 nn �cn..•c� DATE DESCRIPTION OF CLAIM JDESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER DECIDED NOT TO BUILD.(AP#`061-630-001, BP#99-1759 & 99-1760, TOTAL AMOUNT PAID $758.00 RETAIN REFUND PROCESSING FEE $ 25.00 RETAIN BUTT DING -PERMIT FILING F RFTAIN PLUMBING PERMIT FILING FEE $ 20.00 RETAIN PLAN CHECKING FEE $ 23.00 =A1- _A140IMM-10 BE R1TA-TNPT) $3 51 CID TOTAL AMOUNT TO BE REFUNDED $607.00 TOTAL $607 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true an as stated. Dated this 21ST day of MARCH2001 at OROVILLE Si nature of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articlessp ' e a e h e been performed or delivered and that t Budget Appropriation (J or Specific Board Approval ) ) (Check one) for the same. Dated this 21ST day of MARCH 2001• at OROVILLE Calf. Department Head or Authorized Deputy Dept. Code 440-002 Exp Code 4210500 FOR $272.00 PAYABLE FROM CONSTRUCTION PERMITS Dept. Code Exp. Code PAYABLE FROM De t Code Ex . Code PAYABLE FROM DO NOT WRITE BELOW THIS UNE • AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. r - CLAIMANT'S NAME MAILING ADDRESS REFUNDCeeLAIM APPLICATION Sso l0 5 (u ers ASSESSOR PARCEL #: O�o I (Q30 -'OD f RECEIPT NUMBER(S) 01- I ID (n J d-1 , of /T/o1n D Request a refund of fees paid on the above receipt number(s) for the following reasons: '11 � n� „J-. ,. --i- _ ,-.. I �.• .. _ / � t it „ - - -o- v J Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) VO 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 c2 PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. el r �R I -SSSS 101 'A L A N U U r N A I U K A L W t A L I H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 March 8, 2001 Kim Resso RE: Request for refund 1765 Myers Street (A.P. #061-630-001) Oroville, CA 95965 Dear Ms, Resso: Your request for a refund was received by our office and is being processed. Should you have any questions concerning this matter, please contact Alice Mefford of this office at (530)538-7541. Yours very truly, Alice Mefford Supervisor, Staff Support Services I LAND DEVELOPMENT OROVILLE / CHICO BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. 99-1759 . OWNERS Resso A.P. -0617630-001 NAME NUMBER, PRINT LAST NAME FIRST ADDRESS /LOCATION: 212 --Lonesome Dove Circle``, Berry Creek COUNTY ZONING DESIGNATION: FLOOD MAP: FLOOD ZONE: " APPROVED: CONDITIONALLY APPROVED:Z �RESOLVEROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP 8 6 pM 8 7 DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO (LEGAL ACCESS REQUIRED:' ' ' " ''`YES'' NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: t/ MAP INFORMATION: 2 DATE OF RECORDING: Z S LOT 3 BOOK PAGE a COMPLIANCE WITH OLD SU IVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE.ITEM(S) BELOW: A.' Construct road to B. Meet parcel size required by zone. C.- Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. , —2. Maintain a ft. building setback from right-of-way/centerline —3. Comply with Zoning code for building setback from road. —4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from —6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. X7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. —8. Conned to a public water supply. —9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. ' .��n Vii•-. { !,F `I �~ 11. Pay T,D.D. (fhermalito Drainage District) fee in the amount of $ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish"and Game for vegetation&removal. Contact Fish Game at 916-355-7010 e a'tc, _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the �~s a , Oroville Area Traffic Mitigation Fee Agreement i'' Payment to, be made to the Planning Division. 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety.', Mobile'homes shall be constructed on apermanent foundation system which`complies with the Seismic Zone 3 requirements of the Uniform Building Code. +'t Vat 16. Deer,Mitigation fees are to be paid; if such fees have been adopted by the Butte County Board of Supervisors..r�,` X-17. -Pay school impact mitigation fees. . _ X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County 3 _ 19. Wood stoves and fireplace inserts shall be EPA, approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended.- _ 20.' If any cultural resources are encountered during ground disturbing activities; all work shall cease in the area of the find pending' examination of the site by a professional archaeologist. This person would then be able`to'assess the site significance and suggest appropriate mitigation measures.'yt;a _ 21: X22. 23. 24. ti ' —25. 26. V 4 r, • fY,�FC- 1 1' AIO 1NWM013A30 dNVI 311(18 JO UNnoo 6661 0 9nd ®301111333H L0, 6/98 `•� Y ,�"�" .:*'• h. 1 FORMS\BLDG PERMIT CLEARANCE - '• COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. �s (Rev.12/96) APPLICAfiaON SND PERMIT q9 �7� ASSESSOR PARCEL NUMBER 061-61-n-nni ZONING 1A BUILDING PERMIT °"""E` IM RESSO M34T454 SO. FT. OCC. BUILDING VALUATION rffS, OROVILLE °°"`Rffi NT ENERGY CONCEPTS NE TELEPH345-5658 cOyfTR/gQ,Tj��{d/UIJ,f�f},(�QM LANE, CHICO CA 95973 jLEENDEER�, �/ CO/NST[�i�1� IIION 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 $ BUILDINGADDRESS LONESOME DOVE CIRCLE BC Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Ex Other SPECIFY 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 Cf Installation ❑ Other ❑ Describe Work: MOBILEHOME UTILITIES Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 rn nn PERMIT FEE $ Rn no ELECTRICAL PERMIT Fling Fee 20.00 LES Main Service 2o0A 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. License Class Lic. No. OWNER -BUILDER DECLARATION 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 46.00 NEW CONST. DWELLING OCC P. SO OR ADONS. a ACC. BLOS. 3.5QFT: YLE "mN CONS . ' MULTI-OUTBRANCH CUTITS QG 7,50 POWER APPARATUS a SINGLE OUTLET CIR. zo g ,,,o Ex. Occup. OUTLET OR FIXTURES BAL @ .50 11XI Ex. Occup. ounFis AFLs"siD.°ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WT. -07 - 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 Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. -7 /:U I q9 X Date Signaturd 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. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 HAZ, I D. FEES IM FLOOD CDF ARC ' PD 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. Pj By / Date 0 ----JL � PERMIT EXPIRES ON Pjj 'A 3-1 ilk I pate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .r.w-'nfe+t•r ... is ♦...r. .-„ ri..�. rt• F .f_�F«ri'Y 3 ;• -7.14P2-'�'.. i- r -n... a.i„t v" #r�ei�ky„"S•"i'Sr �'' t � + 1.` -!,�}.�+fit! 1r' ` �'�_� 3 a n. 1y f 5 • !_ * Y lz f • r t .. a r � f t t S. 'gyp - • - � ,. f t� r , f f a . •"�ry. .. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER IT NO. (Rev. 12/96) APPLICATION AND -PERMIT qF-1 ao ASSESSOR PARCEL NUMBER 061-63-0-001 ZONING kA BUILDING PERMIT OWNER KIM RESSO TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1765 R CONTRACTOR'S NAME JERRY'S TELEPHONE CONTRACTORS 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 $ 23.00 BUILDINGADDRESS N� f Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING. PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome v❑ 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 ❑ Remodel ❑ Utilities ❑ Installation CK Other ❑ Describe Work:MHT/RF : Q9— / /-! Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 a00VOR LESS Main Service zDDA 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered.for sale. 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 have and will maintain a certificate of consent to `self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 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. G� X Date I Signatu a of Applicant - I& Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO +DSA 46.00so NEW CONST. owELUNG Occup. 3.5¢so. WE OR AODNS. ( & ACC. BLDS. FT. Npµpa,p. MULTI.OUTLET 97,50 POWER APPARATUS a SINGLE OunET CIR. .00 EX. Occup. OUTLET OR FDRURES BAL O +,50 LNS OR Ex. Occup. ouT,E�°TSA AES,,6.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ i 00 00 Energy Inspection Fee $ occ CONST. TYPE L FEE $ 143.00 HAZ. p. FE I FLOOD CDF PD 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 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT s ...dF'7'w!n e. l �+t(.(�-l. :.a.q.. .IfJi :.a ♦ill.; . r :' k`. -�: �, ..� ,y`!• . t -J}-: • � Th,+' :r d^.• . 3.:.( �yaay _ �,If 3♦'aiii 9. �� t�lT -•+n :�""-."�-' a7.),, T_ t v v r - n a,`--COUN•TY OF BUTTE - DEPARTMENT OF•DE 7 COUNTY CENTER DRIVE - ORQ'V_, LL PERMIT APPLL R, OWNER: ASSEA1OF Proposed Building Use: r Building Insp At time of permit application, was advised the following data ❑ 1. All items have been submitted. fENT SERVICES -BUILDING DIVISIO A 95965 - TELEPHONE (530) 538-7541 N DATA SHEET ELNUMBER: � �:I ' Pe submitted prior to permit ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ---------=------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown c ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ❑ 6. Energy, Design Compliance and supporting documentation. --------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.-------------------------------------- ----------------- Z -------------- plans.-------- 118. ------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ r� , sling and/or issuance: Date Received By ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ t ❑ 10. Fees of $ ------------------------------------------------------------------------------- ------ ❑ 11. Impact fees as shown on the attached schedule. ------------- .--------------- - --- - - --- - --- - California Department of Forestry plan approval/fees. 4 -�-i �/-� 7 t f 13. Flood elevation certificate. ------------- ------------------------ ------------------------------------------ A Sanitation and plot plan approval � Health Department. ------------------------------- ---- 1• . a. � 1115. City of Chico plumbing permit.------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- = w ❑ 17 lanning approval for (A) Use: (B) Parking: -------------------------- l Contact Land Development about Improvements, ❑ Drainage, Legal Parcel. ----------------------- Encro .achment Permit for driveway;�(construction approval prior to occupancy).i�----------------------------- r ❑20. Pre -inspection for required Request to Building Inspector on v (Date) 021. Contractor's license information.,(Number, Name Style, Classification). ------------------------------------ I ❑22. Workers' Compensation carrier`and policy number.----------------------------------------------------------- j ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- i tter of signature authorization.-------;---------------=-----------------------------------------------------+ j•+ 002� 'L:tte corded copyofAgriclturalAcknowledgment Statement.--------------------------------------------------� rof intent on building use. --------------------------------------------------=-------------------------------- ❑27. Manufactured Home utility clearance. ---------------------- Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ --------------- 030 --------------❑30. Other: ------- youissue the permit, process as follows ❑ Mail to owner, ❑Na' contractor. jen elephone L( 5_and hold for pickup at office. 11 Deliver with inspector. 30-2 I" ij� �q Applicant:Date: �t/y��" I O Copy of Haz-Mat form sent ❑ Health Department,:[] Fire Department, ❑ Air Pollution Date: 'By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ¢ ` i' ❑ Plan Check • List 2. Additional items required: Contractor, designer, owner, was advised 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, ❑ Building 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 advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in o PlanCabinet, ❑ A.P. folder. Note transfer by: Date: _ Yellow Copy - Department of Development Services, Building Division. "� " I r: TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 54 USE l Plot Pian Attached Floes Plan Attached Sent to B.O. ! � � alp .�, ►.,�� „� CL 0,6I - K30-- ooh Owner / Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for Other o?�� Hold final for: Final clearance O.K. for: NOTE: r Environmedial He 9/96 Specialist A-) S CRIYY - Lgate �y r. !'Y...,"M �,/� ' t". .` .`•♦.,..i'SSwl ..!•��t,gt.-•.p.«.,.Ti"'M+,✓lt�iN�•,n,♦a•«.`.1,t:,�:�il 'i�'art�itia�Yt^i-Ty r�.•�,i.-» „ ♦.i6^'C'»„�' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO �i. 7 COUNTY CENTER DRIVE - ORoV�L E; CALIFORNIA 95965 - TELEPHONE (530) 539:-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER : Proposed Building Use: Building Inspector: Date: -7 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 iiems have been submitted ---------------------------------------------------------------------------------------- 02. Plot plans, 3/4 -sets, signed_by the preparer of plans. ------- ------- ----------------------------- --------- ❑3. Complete plans, 3/4 sets; signed by the preparer of plans. --------------------------------------------- 04. Engineered plans;'3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ------------------------------------------- 0 7. Statement of Intent for Non -Heated and A/C Buildings. --------------- r-------------------------------- ❑ 8. Hazardous Material Form. --------------------------------------------- ` ---------------- -- - / Manufactured Home data and installation instructions includ Tie Down -Specifications.- - /-3 ------ ' ❑ 10. Fees of $-------------------------------------------- - ----------------------------- _ Impact fees as shown on the attached sched �`- - F-- ---f --tet-F------- (0. k ❑ 12. California Department of Forestry plan appro ------------------------°; ------------------------- ❑ 13 . Flood elevation certificate.--------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------=- ❑ 15. City of Chico plumbing permit.----------------------------------------=----------------------------------------- i ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ' �❑l 1(7.IPlanning approval for (A) Use: (B) Parking: -------------------------- - 1►�l Contact Land Development about Improvements, ElDrainage, Legal Parcel. ----------------------- 019. Encroachment Permit for driveway construction a roval prior to occupancy) - ---------------------------- - ` 020. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------------- I- 0 22. ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 11) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- f ❑ tter of intent on building use.----------------------------------=------------------------------------------------ 2 . Manufactured Home utility clearance. ------------------------------ =-------------------------------------------- ❑ 28. Existing violations and/or expired permits. ------------------------------- -------------------------------------- ❑29. 0433 A, ❑Grant Deed,'❑ M.H. Title, ❑ Check to H.C.D $ .------------------ E130. -----------❑30. Other: _W,hheen you issue the permit, process lK prrocess� follows ❑ Mail to owner, ❑Mail to contractor. Telephone `J 3 L t 0 T and hold for pickup at 0 + s office. ❑ Deliver with inspector. -7 L3,0 9 Applicant: ,_� • Date: i Copy of Haz-Mat form sent 13Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: '; `Date: By: 1. Index permit application for the above items numbered: �T (( &-7 ❑ Plan Check List 2. Additional items required.? Contractor, designer, owner, was advised 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, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE 1M i4 U 4—� 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ j -- Additional Fees Due ........... $ j -- vise&'Plan-Checking Fee ....... $ r i 2. SCHOOL DISTRICT FEES (paid at' District Office) ' 3 SHERIFF FEESd B 'M. D; A.P. #� l 630no DATE Z` — t RECEIPT # DATE REC (pat at ui ing ivision) Residential ........ x $360.00 = $ �� ��r F� „ILa Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : = $_ #Units Amt. Commercial (sq.ft.) .. x =$_ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE -//,30/99 Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) „..,»-�'=,rn�sT��"�'�"k-7ar��'�.�yt'i�''t��s+ ^'°�` r��".g_isi�'�'”��'t+�[�i�'�l�i,`vi'�".��`�.`�i?� �,�-0���,�`�;�-E�}i►�.^��1 i - c, { a r� r- a 5 FOR BUILDING DIVISION USE: Receipt Information: Number: a ?J Date: 'r7k0Rq IssuedTo: Amount: 4q-1'ISti 9q -1760 �s Retained: Processing Fee: g Bldg Filing Fee: g Plbg Filing Fee: y Elec Filing Fee: g Mech Filing Fee: 9 Energy P/C Fee: 9 Plan Check Fee: 5 Inspection, Fee: g SRA Fee: al Amount Retained / 9 fALREFUND 3DZ_.-.j 'AV G01-7. 6D If 11 I 020. j. G01-7. 6D If 11 I ��t ,. •..._.t'F:.*Y+iti.�,:.��ar=r-,:k•:+i�.:•iii-i•��M1.r�•'Yv"r•'D•,�.r�o•}�`�'�.rlGr�°yF'ij^%�(�,�`�v`�i::is`ul��.Tr3i�-I'..,.s:.r�;-•y,�.,;,�'Fa�cwa"ir4�i*'r.:rs•h�'�.aYyko:n•,r,�'.*.«.'•r'f+,G'�..L.• ..�:. r,.�.._ icy - BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM AOne form per fauilding) School District �yt �..�( G¢ Building Department No. A.P. Numbo� � x--.66 (Jurisdiction: 0 city County Property Owner190 _ Property Location/Address —d r — • 5 Q�� n t Subdivision Lot No. ff i r. t..........................................................................:....................................... Residential Development Sq. Footage OC Q No of Living Mob le ome Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection); :. :.................................................................................................................. yY. " I Commercial/Industrial New Addition (Floor Plans reviewed by School District Personnel) istrict Identification .No. 0-0-0016- School ,OOO16 School District certifies that ,(Street Address) l) 1 • , A .I has complied with the requirements of Resolution No. representing (J square feet. r- ly School District Representative � r (State) Sq. Footage (Including Exterior Roofed Areas) Date r . (Applicant) (Phone Number) (Zip Code) by payment of $ 17/1 cJO • o J�AB 2926 $ FULL ITI TION $ -;r/3z /? 9 Date Paid by B'h� ` �p� Remarks: is00 A F 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 ii� 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) I feeform.xls (10/98)dmm 4' • d :Y •` :1. III IIII II I'IIII'II �I'II I'III IIIIII AND MWEN RECORDED'MAIL TO: 1 9 9 9-1010 3 5 1 2 3 BUTTE COUNTY BUILDING DIVISION Recorded I REC FEE 13.00 7 COUNTY CENTER DRIVE Official Records I COPIES 2.00 OROVILLE;CA'95%5 County Of I - BUTTE I O CANDACE J. GRUBBS I Recorder I /^ ROSEMARY DICKSON L IV v Assistant I Cindy . 10:02AM 17 -Aug -1999 I Page 1 of 3 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this properly 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 N 11, 1(3<? State of California County of c:9-tZtLe PROPERTY OWNERS: S- tain drays "c✓ DP�SSo On (.LTi 91j4 / 6 l 99 9 before me, personally appeared -lmewn4e-me•(or proved to me on th basis of satisfactory evidence) to be the person(s) whose name(s)49/are subscribed to the within instrument and acknowledged to me thahey executed the same in-hisfher/their authorized capacity(ies), and that by -his/heWtheir 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 official seal Signature_ � G�S� O�7'J . �1���; Seal: @my TELLA 14. STRICKLER NCOMM./ 1166320 NOTARY PUBLIC-MFORNuA.P. # ��Ol fp� ' C�DaCOUNTY OF BUTTE Asmrn. E: iM0 Aft: 16today rad ORDER NO. BU -167918-3 DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 3, AS SHOWN ON THAT CERTAIN AMENDED PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 23, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 86 AND 87. PARCEL II: ,A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLIC NUTILITIES OVER THAT PORTION OF PARCELS 1, 2 AND 4, LYING WITHIN ,THAT CERTAIN 60 FOOT NON-EXCLUSIVE .EASEMENT, AS SHOWN ON THAT ,CERTAIN AMENDED PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 23, 1981, ,IN BOOK 86 OF MAPS, AT PAGE(S) 86 AND 87. PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY PURPOSES OVER A.STRIP OF LAND 60.00 FEET IN WIDTH, LYING 30.00 FEET ON EACH SIDE OF A LINE BEGINNING AT A POINT IN THE SOUTH LINE OF THAT CERTAIN AMENDED PARCEL MAP BEING A PORTION OF LOT 3 IN THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER SECTION 6, TOWNSHIP 20 NORTH, RANGE -5 EAST, M.D.B. & M., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 23, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 86 AND 87, WHICH POINT BEARS SOUTH 88 DEG. 19' 32" WEST, 100.00 FEET FROM THE SOUTHEAST CORNER THEREOF; THENCE FROM SAID POINT OF BEGINNING, THE FOLLOWING COURSES AND DISTANCES: NORTH 88 DEG. 19' 32" EAST, 289.94 FEET; SOUTH 65 DEG. 14' 43" EAST, 75.16 FEET; SOUTH 75 DEG. 43' 08" EAST, 258.10 FEET; SOUTH 60 DEG. 05' 18" EAST, 140.12 FEET; NORTH 26 DEG. 46' 18" EAST, 50.67 FEET; NORTH 15 DEG. 12' 01" EAST, 135.40 FEET; NORTH 55 DEG. 49' 44" EAST, 158.57 FEET; NORTH 35 DEG. 30' 52" EAST, 60.75 FEET; NORTH 70 DEG. 53' 17" EAST, 71.74 FEET; SOUTH 78 DEG. 55' 28" EAST, 122.55 FEET; SOUTH 5.1 DEG. 58' 51" EAST, 181.46 FEET;.SOUTH 78 DEG. 371-5811 EAST, 223.83 FEET; NORTH 86 DEG. 36' 35" EAST, 171.37 FEET; SOUTH 75 DEG. 24' 5.8" EAST, 171:06 FEET; NORTH 54 DEG. 24' 37" EAST, 152.73 FEET; NORTH 23 DEG. 34' 55" EAST,- 122.17 FEET; NORTH 36 DEG. 56' 15" EAST, 235.72 FEET; SOUTH 56 DEG. 01' 50" EAST, 230.07 FEET; NORTH 34 DEG. 05' 00" EAST, 89.32 FEET AND NORTH 86 DEG. 45' 48" EAST, 140.10 FEET TO PONDEROSA WAY. CONTINUED :j t h U� Aa .AS iQ !,I AS IC . .nf 0 J� A" ORDER NO. BU -167918-3 •DESCRIPTION - CONTINUED 1 PARCEL IV: i� • 1A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER THAT PORTION OF PARCELS 1 THRU 4, AS SHOWN ON THAT CERTAIN AMENDED PARCEL MAP, RECORDED IN THE OFFICE OF THE 'RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 23, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 88 -AND 89. 1 r y { J 1 ' k +I 4 1 Vi s a 1 r 1 Building Permit Number: 99-1759 Owner Name: Kim Resso Butte County Plans Examiner: Glenn Gibbons FILE COPY Residential Construction Requirements EMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 1998 California Building Code (1997 U.B.C), 1998 California Plumbing Code ( 1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, ❑ H.V:A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. 1 of 2 BUTTE COUNTY 'BUILDING D PARI I'L APPROVED Building Permit Number: 99-1759 Owner Name: Kim Resso Butte County Plans Examiner: Glenn Gibbons Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. ❑ Fire sprinklers are required in this structure. ❑ The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of 30 feet from the side and 30 feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. „ ❑ Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. BUTTE COUNTY UILDiNG DWEPARRIMENT E 2 of 2 STRUCTURES AND EQUIPMENT INCLUDING E NUENI7S. ALL S 0., OVERHANGS SHALL. CLEARROML�E SIDE AND A .SET BACK OF 3�-V FT. FROM THE REAR PROPERTY NE SHALL BE FT. FROM THE ROAD C EXCEPT CLEAR OF STRUCTURES OVERHANG. EQUIPMENT FOR A 2 FT. EA VE BY \ BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ❑ approved as submitted ® approved with conditions nor attgrhg-J gleet. r,.l Signature •10 ie Date N RROVED�� 's'..e i�t- nty EnAro ental ealth ' 49 1{i2tui� c��� pall d GlC( LoriefAWe ,dove - BUT-TE40U IF BUILDING DEPT r AP# CDF FIRE SAFE REQUIREMENTS g9_ -7 PERMIT # elm NAME 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. [�l] 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 [xj 1273:02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-arteaant 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 4 0 feet from the center ,of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 II feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. 2% COUNTY Page 1 of 3- BUILDING DPARAET • .. L:; ? 1 rr ii. Sf4 � F' R r � t i y'���r'�• L .; rk r.,•. e "`ark YA 1 ..,;K >:+ ..- ,.• _ ., .. _. ._t. _ • :L.:�"'.°9':. .fid _.. 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 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 par(2els 1 acre Arid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 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 fi:ial inspection of a building permit. ;{a: ;,` , IOUs � a,... Ui 4 �. • 4 : F• A::� , A( 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 110% 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 0U " U ` UIUMN' P P - 1, .f r l F„ �� ` yep e• � � • � •'�' �(' � i! `. �a wed y� d � rI • 4? 'l��.yyyy- • In t I { � y b I Environmental Health J U l 3 01999 County Center Orivt Oroville, Ca