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HomeMy WebLinkAbout062-075-001MOBILEHOME INSTALLED W/O PERMITS 4'f12 /44 - 2690- 760-001 AA-H-frl A LIE & DEBRA STROUD W/§ Bay Rench Rd; 4/10 mi S Bald Rokk Rd, Berry Creek Peimit#2215-86Pi�(util, MH) ELEC— GAS SMQRT-.STR-REQ . %GJ COMPACTION TEST REQ_ -62',2i9 961 PE IM), 37 CARD, Charles , i //-/ IV, 1781Bay Ranch R Berry Creek Mobilehome Utilities 9 C ELECRi'l GAS -LINE COMPACTION, TEST REQ SUPPORT STRUC I T REQ_ PERMI *5-2653 &6t--2-�- 16-1- :.CARD, Charles 178 Bay Ranch Rd." Berry CKe . ek 0t-� C'n­'l: -A ,C - ar 0 Installation Mobileh m6,.Inst'1 -'662-750-001 04-0879 PHILLIPS, JOSEPH & TISHA 178 BAY RANCH RD, BERRY CREEK Cont: FLEETWOOD RETAIL ' W L-7 h r� .j B RECORDING REQUESTED BY: • 1 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 .-�� e IIIIIIIIIIIIIIIIIIIIIIIII'IIIIIIII . CA 204—�1028i43 CITY COUNTY Recorded I REC FEE 13.00 Official Records I CONFORM 1.00 County Of I BUTTE I CANDACE J. GRUBBS I Recorder 1 ROSEMARY DICKSON I Assistant I Barbara 09:23AM 14 -May -2004 1 Page 1 of 3 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM 1 Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code /�� ,UJ) 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. JOSEPH R. PHILLIPS AND TISHA N. PHILLIPS REAL PROPERTY OWNERILESSOR 46 GOLD COUNTRY LANE MAILING ADDRESS OROVILLE , BUTTE . CA 95954 CITY COUNTY STATE ZIP 178 BAY RANCH ROAD CITY COUNTY STATE ZIP INSTALLATION MAILING ADDRESS, IF DIFFERENT 538-7541 LD G PERMIT N0, TELEPHONE NUMBER R BERRY CREEK BUTTE CA 95916 CITY COUNTY STATE ZIP SAME 1061581 UNIT OWNER (if also property owner, write "SAME") DEALER LICENSE NO. SAME MAILING ADDRESS SAME 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 04-0879 530 538-7541 LD G PERMIT N0, TELEPHONE NUMBER R EI 5-10-04 SIiNATURE. OF LOCAL AGENCY OFFICIAL DATE FLEETWOOD HOMES DEALER NAME (if not a dealer sale, write "NONE") 1061581 DEALER LICENSE NO. FLEETWOOD HOMES 2003 CONTEMPORARY MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL 317 AM 262764C12 56'x28' PFS08006 16/17 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 062_750_001 SEE ATTACHED,11 I t �- HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. 01/22/200,4 14:02 FAX At Q003 Escrow No. 102735 -CC Title Order No. 00102735 EXHIBIT ONE Parcel I -A: A portion of the West half of the Southeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M., and being more particularly described as follows: BEGINNING at the Southwest corner of the Southeast quarter of the Southeast quarter of Section 34; thence North 01 ° 58' 09" East along the West line of the Southeast quarter of the Southeast quarter of said Section 34, a distance of 131.00 feet; thence South 89° 54' 29" East, a distance of 166.21 feet; thence South 010 52' 08" West, a distance of 131.00 feet to a point on the South line of said Section 34; thence North 89° 54' 29" West along said South line, a distance of 166.44 feet to the point of beginning. Parcel 1-8: A right of way for road purposes 30 feet in width, lying Easterly of and adjacent to the East line of the above described parcel. Parcel I -C: A right of way for road purposes over a strip of land 60 feet in width, lying 30 feet on each side of the following described line: COMMENCING at the Southwest corner of the Northeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. &.M., thence East along the South line of the Northeast quarter of the Southeast quarter of said Section 34, a distance of 211 feet to the point of beginning of said line; thence South 46° 52' 08" West, a distance of 66.23 feet; thence South 01 ° 52' 08" West, a distance of 1136.73 feet to the end of said line. Parcel 1-D: A right of way for road purposes over a strip of land 60 feet wide, lying 30 feet on each side of the following described line: COMMENCING at the Southwest comer of the Northeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M.; thence East along .the South line of the Northeast quarter of the Southeast quarter of said Section 34, a distance of 211 feet to the point of beginning of said line; thence North and parallel to the Westerly line of the Northeast quarter of the Southeast quarter of said Section 34, to a point on the Southeasterly line of'said Bald Rock County Road and the end of said line. Parcel 11-A: A portion of the West half of the Southeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M., and being more particularly described as follows: COMMENCING at the Southwest corner of the Southeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M:; thence North 010 58' 09" East along the West line of the Southeast quarter of the Southeast quarter of said Section 34, a distance of 262 feet; thence South 890 54' 29" East, a.distance of 165.98 feet to the True Point of Beginning for the parcel of land herein described; thence from said True Point of Beginning, continuing South 890 54' 29" East, a distance of 165.98 feet; thence South 01 ° 46' 07" West, a distance of 262.0 feet to the South line of said Section 34; thence North 891 54' 29" West, along the South line of said Section 34, a distance of 166.43 feet to a point which bears South 01 ° 52' 08" West, from the point of beginning; thence North 010 52' 08" East, a distance of 262.0 feet to the point of beginning. Parcel II -B: A right of way for road purposes 30 feet in width lying Westerly of and adjacent to the West line of the following described parcel: Description: Butte,CA Document- Year. DocSD 2002.53422 Page: 2 of 3 Order: yes Comment: 01 22/` 20:4 14:03 FAX (21 004 COMMENCING at the Southwest quarter of the Southeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.S. & M.; thence North 010 58' 09" East along the West line of the Southeast quarter of the Southeast quarter of Section 34, a distance of 262 feet; thence South 891 54' 29" East, a distance of 165.98 feet to the True Point of Beginning for the parcel of land herein described; thence from said True Point of Beginning, continuing South 890 54' 29" East, a distance of 165.98 feet; thence South 010 46' 07" West, a distance of 262.0 feet to the South line of said Section 34; thence North 890 54' 29" West, along the South line of said Section 34, a distance of 166.43 feet to a point which bears South 011 52' 08" West from the point of beginning; thence North 010 52" 08" East, a distance of 262.0 feet to the point of beginning. Parcel Eli -C: A right of way for road purposes over a strip of land 60 feet in width lying 30 feet on each side of the following described line: COMMENCING at the Southwest corner of the Northeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M.; thence East along the South line of the Northeast quarter of the Southeast quarter of said'Section 34, a -distance of 211 feet to the point of beginning of said line; thence South 460 52' 08" West, a distance of 66.23 feet; thence South 01 ° 52' 08" West, 1005.73 feet to the end of said line. Parcel IV -D: A right of way for road purposes over a strip of land 60 feet wide lying 30 feet on each side of the following described line: COMMENCING at the Southwest corner of the Northeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M.; thence East along the South line of the Northeast quarter of the Southeast quarter of said Section 34, a distance of 211 feet to the point of beginning for said line; thence North and parallel to the Westerly fine of the Northeast quarter of the Southeast quarter of said Section 34, to a point on the Southeasterly line of Bald Rock County Road, and the end of said line. Description: Butte,CA Document- Year. DocZD 2002.53422 Page: 3 of 3 Order: yes Comment: COUNTY OF BUTTE 443404 OFFICIAL RECEIPT F61(d ina btzz . OFFICE O" EPART NT ISSUING RECEIPT 'r [0 2C(%)Received from -TPrP� 1►tur man The Sum of ix n:h j - Pi yt C en ti $ For —0Cp2-- u0 -(n1 Received: �.� rahaM Received By - CASH A Title e , l CHECK By DAVCO BUSINESS FORMS • (5301743-8511 Form 84702 COPY of Document Recorded 14 -Play -2004 2004-0028743 RECORDING REQUESTED BY: Has not been compared With original BUTTE COUNTY RECORDER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this'document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JOSEPH R. PHILLIPS AND TISHA N. PHILLIPS REAL PROPERTY OWNERILESSOR 7 COUNTY CENTER DRIVE 46 GOLD COUNTRY LANE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA OROVILLE BUTTE CA 95954 CITY COUNTY STATE ZIP 178 BAY RANCH ROAD G PERMIT NQ, TELEPHONE NUMBER INSTALLATION MAILING ADDRESS, IF DIFFERENT 5-10-04 BERRY CREEK BUTTE CA 95916 CITY COUNTY STATE ZIP SAME UNrr OWNER (if also Property owner, write "SAME") SAME 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 04-0879 530 538-7541 G PERMIT NQ, TELEPHONE NUMBER 5-10-04 SIMATURE OF LOCAL AGENCY OFFICIAL DATE FLEETWOOD HOMES DEALER NAME (if not a dealer sale, write "NONE") 1061581 MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD HOMES 2003 CONTEMPORARY MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL 317 A/B 26276-4C12 56'x28' PFS08006 16/17 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 062-750-001 urn rnu>„r ezzre� uFv Riot 01/22/20`04 14:02 FAX Escrow No. 102735 -CC Title Order No. 00102735 EXHIBIT ONE Parcel I -A: [a 003 A portion of the West half of the Southeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M:, and being more particularly described as follows: BEGINNING at the Southwest corner of the Southeast quarter of the Southeast quarter of Section 34; thence North 01 ° 58' 09" East along the West line of the Southeast quarter of the Southeast quarter of said Section 34, a distance of 131.00 feet; thence South 891 54' 29" East, a distance of 166.21 feet; thence South 011 52' 08" West, a distance of 131.00 feet to a point on the South line of said Section 34; thence North 89° 54' 29" West along said South line, a distance of 166.44 feet to the point of beginning. Parcel I -B: A right of way for road purposes 30 feet in width, lying Easterly of and adjacent to the East line of the above described parcel. Parcel I -C: A right of way for road purposes over a strip of land 60 feet in width, lying 30 feet on each side of the following described line: COMMENCING at the Southwest corner of the Northeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East,.M.D.B. & M., thence East along the South line of the Northeast quarter of the Southeast quarter of said Section 34, a distance of 211 feet to the point of beginning of said line; thence South 46° 52' 08" West, a distance of 66.23 feet; thence South 01 ° 52' 08" West, a distance of 1136.73 feet to the end of said line. Parcel I -D: A right of way for road purposes over a strip of land 60 feet wide, lying 30 feet on each side of the following described line: COMMENCING at the Southwest corner of the Northeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M.; thence East along the South line of the Northeast quarter of the Southeast quarter of said Section 34, a distance of 211 feet to the point of beginning of said line; thence North and parallel to the Westerly line of the Northeast quarter of the Southeast quarter of said Section 34, to a point.on the Southeasterly line of said Bald Rock County Road and the end of said line. Parcel II -A: A portion of the West half of the Southeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M., and being more particularly described as follows: COMMENCING at the Southwest corner of the Southeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M:; thence North 010 58' 09" East along the West line of the Southeast quarter of the Southeast quarter of said Section '34, a distance of 262 feet; thence South 890 54' 29" East, a .distance of 165.98 feet to the True Point of Beginning for the parcel of land herein described; thence from said True Point of Beginning, continuing South 891 54' 29" East, a distance of 165.98 feet; thence South 010 46' 07" West, a distance of 262.0 feet to the South line of -said Section 34; thence North 89° 54' 29" West, along the South line of said Section 34, a distance of 166.43 feet to a point which bears South 011 52' 08" West, from the point of beginning; thence North 010 52' 08" East, a distance of 262.0 feet to the point of beginning. Parcel II -B: A right of way for road purposes 30 feet in width lying Westerly of and adjacent to the West line of the following described parcel: Description: Butte,CA Document-Year.Doc1D 2002.53422 Page: 2 of 3 Order: yes Comment: 01/22/2004 14:03 FAX [a 004 COMMENCING at the Southwest quarter of the Southeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M.; thence North 010 58' 09" East along the West line of the Southeast quarter of the Southeast quarter of Section 34, a distance of 262 feet; thence South 890 54' 29" East, a distance of 165.98 feet to the True Point of Beginning for the parcel of land herein described; thence from said True Point of Beginning, continuing South 890 54' 29" East, a distance of 165.98 feet; thence South 01 ° 46' 07" West, a distance of 262.0 feet to the South line of said Section 34; thence North 89° 64' 29" West, along the South line of said Section 34, a distance of 166.43 feet to a point which bears South 010 52'08" West from the point of beginning; thence North 01 ° 52'• 08" East, a distance of 262.0 feet to the point of beginning. Parcel III -C: A right of way for road purposes over a strip of land 60 feet in width lying 30 feet on each side of the following described line: COMMENCING at the Southwest corner of the Northeast quarter of the Southeast quarter of Section 34, Township 21'North, Range 5 East, M.D.B. & M.; thence East along the South line of the Northeast quarter of the Southeast quarter of said'Section 34, a distance of 211 feet to the point of beginning of said line; thence South 460 52' 08" West, a distance of 66.23 feet; thence South 01 ° 52' 08" West, 1005.73 feet to the end of said line. Parcel IV -D: A right of way for road purposes over a strip of land 60 feet wide lying 30 feet on each side of the following described line: COMMENCING at the Southwest corner of the Northeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M.; thence East along the South line of the Northeast quarter of the Southeast quarter of said Section 34, a distance of 211 feet to the point of beginning for said line; thence North and parallel to the Westerly line of the Northeast quarter of the Southeast quarter of said Section 34, to a point on the Southeasterly line of Bald Rock County Road, and the end of said line. It, Description: Butte,CA Document- Year. DoclD 2002.53422 Page: 3 of 3 Order: yes Comment: FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: 04-0879 Address or location of unit: 178 BAY RANCH ROAD BERRY CREEK CA 95916 Legal Description of Real Property: AP # 062-750-001 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JOSEPH R. PHILLIPS AND TISHA N. PHILLIPS Owner's address: 46 GOLD COUNTRY LANE, OROVILLE CA 95965 INSIGNIA OR HUD NUMBER: PFS0800616/17 SERIAL NUMBER OR V.I.N.: CAFL 317 A/B 26276-4C12 MANUFACTURER'S NAME: FLEETWOOD HOMES YEAR: 2003 OFFICIAL APPROVING INSTALLATION: DATE: 5-10-04 PHONE: (530) 538-7541 H.C.D. 513 1W.ENT OfHO Y Ty STATE OF CALIFORNIA NUMBER: BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS c 6 ® J O 67 MANUFACTURED HOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN I certify under penalty of perjury under the laws of the Stale of California that the above tads are We and correct Executed on at 02/19/2003 WOODLAND (Date) / ,(City) YOLO CA SIGNATURE OF AUTHORIZED AGENT: DISTRIBUTION: ORIGINAL (PINK) FORW TO THE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWA D TO THE DEPARTMENT AT P.O., BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. Wf'r% Ao9 n C;A• M18n ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING IffSFO NUMBER OF (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING 2 TRANSPORTABLE SECTIONS COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: 'LEETWOOD HOMES OF CALIFORNIA, INC. 9534 M$NIACT�IE� SUGGESTED RETAIL PRICE: ,0 BOX 1306 WOODLAND CA 9.5776 (Street)Ci.) S... a .. _ ....... (Zip) _...._.; .. _.. •.. .... _ .. _... . MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: :ONTEMPORARY 4563T 2003 02/19/2003 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OF TRANSFER: r LEETWOOD RETAIL CORPORATION OF CALIFOP.NIA TRANSFEREE DESIGNATION: )BA: FLEETWOOD HOMES OF OROVILLE 1061581 02/19/2003 DEALER OR TRANSFEREE ADDRESS: 1243 FEATHER RIVER OROVILLE CA 95965 (Street) (City) (State) . (zip) INVENTORY CREDITOR NAME: rLEETWOOD RETAIL CORP 19lt3`kNTAR'pCptfDtTOB*PEtRESSMSO DESK :150 WEST 18TH ST SUITE 300 HOUSTON TX 77008 (Street) (City) (State) (zip) SECTION MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER LENGTHFICN WIDTH WEIGHT 1� (INCHES)HES POUNDS) 1 CAFL317A26276-4C12 PFS0800616 672 68 23,300 2 CAFL317B26276-4C12 PFS0800617 672 168 '28,600 TRANSPORTER NAME: & R TRANSPORT TRANSPORTER ADDRESS: '•0• BOX 179 CA DURHAMState 95938 (street) (City) (zip) DESTINATION FOR UNIT DESCRIBED ABOVE: (NAME) (Street) Ci State (zip) I certify under penalty of perjury under the laws of the Stale of California that the above tads are We and correct Executed on at 02/19/2003 WOODLAND (Date) / ,(City) YOLO CA SIGNATURE OF AUTHORIZED AGENT: DISTRIBUTION: ORIGINAL (PINK) FORW TO THE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWA D TO THE DEPARTMENT AT P.O., BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. Wf'r% Ao9 n C;A• M18n STATE OF CALIFORNIA ' Ta BUSINESS, TRANSPORTATION AND HOUSING AGENCY. DEPARTMENT OF' HOUSING AND COMMUNITY DEVELOPENT s DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM STATEMENT OF FACTS 1 ' This unit is a: Mobilehome 0 Commercial Coach 0 Floating Home El Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) I/We, the,undersigned, hereby state: We further agree 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. i! Executed (Date) ' (City) (State) r [-►uui w� v v -� j - City Ll�) r") V I l 'e- , State vUnef YI r��i� S �.JOSP ll J j5�a T -d Bit �fe 14 nty 3eFf 607 k'� Go�s9-M9r —f7=e w U1/zG/ZUU4 14:01 FAX X002 RECORDING REQUESTED BY: Fidelity National Title of California c ��Z`)05322 Escrow No. 102735•CC Title Order No. 00102735 Recorded I REC FEE U ficial Records I TAX 49.50 When Recorded Mail Document Count Of I BUT and Tax Statement To: Cu1IDACE J. GRUBBS Mr. and Mrs. Joseph R. Phillips' Recorder I 46 Gold Country Lane ROSEMARY DICKSON I Assistant Orovi l l e, CA -'95965 I Alyce 09:00AM 11 -Oct -2002 I Page I of 3 GRANT DEED SPACE ABOVE THIS UNE FOR -RECORDERS USE The undersigned grantor(s) declare(s) Documentary transfer tax is $49.50 �f I X I computed on full value of property conveyed, or [ J computed on full value less value of liens or encumbrances remaining at time of sale, [ X ) Unincorporated Area City of FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Brigitte M. Card, An Unmarried Woman hereby GRANT(S) to Joseph R. Phillips and Tisha N. Phillips, husband and wife, as Joint Tenants the following described real property in the City ofrih�o�,Doc(� County of Butte, State of California:_ , SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF DATED: October 7, 2002 STATE OF CALIFORNIA COUNTY OF ON ca 2 before me, A A G�Sr/� Pers nally appeared GZl1GZ(1 C �I lid_ Kk personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that helshe/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the Person(s) acted, executed the instrument. Witness rr Signature U-41-3 %r\ev i1vo) M.n W NTHIA A. COSTA OM10.01270,2137 P RY 11110LIC•CALIFOR111AOUNTY Or [3UTTf . Exptras oct. 30, 2004 MAIL TAX STATEMENTS AS DIRECTED ABOVE GRANT DEED Description:' Butte,CA Document- Year. DocID 2002.53422 Page: 1 of 3 Order: yes Comment: 01/22/2004 14:02 FAX Escrow No. 102735 -CC Title Order No. 00102735 EXHIBIT ONE Parcel I -A: U003 A portion of the West half of the Southeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M., and being more particularly described as follows: BEGINNING at the Southwest corner of the Southeast quarter of the Southeast quarter of Section 34; thence North 010 58' 09" East along the West line of the Southeast quarter of the Southeast quarter of said Section 34, a distance of 131.00 feet; thence South 890 54' 29" East, a distance of 166.21 feet; thence South 010 52' 08" West, a distance of 131.00 feet to a point on the South line of said Section 34; thence North 890 54' 29" West along said South line, a distance of 166.44 feet to the point of beginning. Parcel I -B: A right of way for road purposes 30 feet in width, lying Easterly of and adjacent to the East line of the above described parcel. Parcel I -C: A right of way for road purposes over a strip of land 60 feet in width, lying 30 feet on each side of the following described line: COMMENCING at the Southwest corner of the Northeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M., thence East along the South line of the Northeast quarter of the Southeast quarter of said Section 34, a distance of 211 feet to the point of beginning of said line; thence South 460 52' 08" West, a distance of 66.23 feet; thence South 010 52' 08" West, a distance of 1136.73 feet to the end of said line. Parcel I -D: A right of way for road purposes over a strip of land 60 feet wide, lying 30 feet on each side of the following described line: COMMENCING at the Southwest comer of the Northeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M.; thence East along the South line of the Northeast quarter of the Southeast quarter of said Section 34, a distance of 211 feet to the point of beginning of said line; thence North and parallel to the Westerly line of the Northeast quarter of the Southeast quarter of said Section 34, to a point on the Southeasterly line of said Bald Rock County Road and the end of said line. Parcel II -A: A portion of the West half of the Southeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East,'M.D.B. & M., and being more particularly described as follows: COMMENCING at the Southwest corner of the Southeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M:; thence North 010 58' 09" East along the West line of the Southeast quarter of the Southeast quarter of said Section 34, a distance of 262 feet; thence South 890 54' 29" East, a.distance of 165.98 feet to the True Point of Beginning for the parcel of land herein described; thence from said True Point of Beginning, continuing South 890 54' 29" East, a distance of 165.98 feet; thence South 010 46'07" West, a distance of 262.0 feet to the South line of said Section 34; thence North 890 54' 29" West, along the South line of said Section 34, a distance of 166.43 feet to a point which bears South 010 52' 08" West, from the point of beginning; thence North 010 52' 08" East, a distance of 262.0 feet to the point of beginning. Parcel II -B: A right of way for road purposes 30 feet in width lying Westerly of and adjacent to the West line of the following described parcel: Description: Butte,CA Document- Year. DocID 2002.53422 Page: 2 of 3 Order: yes Comment: 01/22/2004 14:03 FAX 1?1 004 COMMENCING at the Southwest quarter of the Southeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M.; thence North 011 58' 09" East along the West line of the Southeast quarter of the Southeast quarter of Section 34, a distance of 262 feet; thence South 891 54' 29" East; a distance of 165.98 feet to the True Point of Beginning for the parcel of land herein described; thence from said True Point of Beginning, continuing South 890 54' 29" East, a distance of 165.98 feet; thence South 01 ° 46' 07" West, a distance of 262.0 feet to the South line of said Section 34; thence North 890 54' 29" West, along the South line of said Section 34, a distance of 166.43 feet to a point which bears South 01 ° 62' 08" West from the point of beginning; thence North 01 ° 52'• 08" East, a distance of 262.0 feet to the point of beginning. Parcel III -C: A. right of way for road purposes over a strip of land 60 feet in width lying 30 feet on each side of the following ` described line: COMMENCING at the Southwest corner of the Northeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M.; thence East along the South line of the Northeast quarter of the Southeast quarter of said'Section 34, a distance of 211 feet to the point of beginning of said line; thence South 460 52' 08" West, a distance of 66.23 feet; thence South 01 ° 52' 08" West, 1005.73 feet to the end of said line. Parcel IV -D: - A right of. way for road purposes over a strip of land 60 feet wide lying 30 feet on each side of the following described line: COMMENCING at the Southwest corner of the Northeast quarter of the Southeast quarter of Section 34, Township 21 North, Range 5 East, M.D.B. & M.; thence East along the South line of the Northeast quarter of the Southeast quarter. of said Section 34, a distance of 211 feet to the point of beginning for said line; thence North and parallel to the Westerly line of the Northeast quarter of the Southeast quarter of said Section 34, to.a point on the Southeasterly line of Bald Rock County Road, and the end of said line. - Description: Butt@,CA Documen t- Year. DocID 2002.53422 Page: 3 of 3 Order: yes Comment: NOTES RESIDENTIAL PERMIT NO. —(-062-750-001 - - -- - -VO4-0879 � PHILLIPS, JOSEPH & TISHA 178 BAY RANCH RD, BERRY CREEK Cont: FLEETWOOD RETAIL 11 ` SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date t;)'U Signature CHECKED BY J=OK 0 = Not OK , . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete f 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test-Wrap; -/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect Line &y ectricity; MH Test ater; MH Test ater and Sewer Connected r. ehfy #'s with Office f D e Card B-1 Date Card B-1 Date I Card B-1 Date Card B-1 MISCELLANEOUS Date 8. Utility Clearance 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Date Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Card B-1 Date Card B-1 Date Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch Date 11. Cert. of Occupancy 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability Date Pool Structure; Steel -Connections -Thickness Dead Men -Lining Card B-1 Date Card B-1 Date Elec.; Receptacles and Lighting, Distance-GFI Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) S Line &y ectricity; MH Test ater; MH Test ater and Sewer Connected r. ehfy #'s with Office f D e Card B-1 Date Card B-1 Date I 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- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 15. Access & Ventilation 48. 16. Insulation Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Date Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Card B-1 Date Card B-1 Date 53. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 55. 17. Water Htr.; Vent -Access -Combustion Air Baffle Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 18. Water Pipe; Test & Anchor -Nail Protection 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 19. D.W.V.; Test Fittings & Anchor -Nail Protection 60. 20. Shower Pan; Test, First Floor -Tub Access Brace Interior/Exterior Wall Panels 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 4 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 4 32. Service -Riser Conductors & Ground Main Disconnect 1 33. Equip. Clearances Panels-Motors-Mech. Equip. r 34. Clothes Closet Light -Shower Light -Spa Light I 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBehts & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor. O Yes 83. Following Instld./Drive O Yes 0 No/Walks 0 Yes O No/Planters 0 Yes O No 84. Stucco Browh-Fihish" 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecciunty.netldds PERMIT NO. BP040879 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN • 062-750-001-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 178 BAY RANCH RD BCK Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: New MH (1512) Ex Site Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: PHILLIPS JOSEPH R & TISHA N to its Issuance, also requires the applicant for such permit to file a 46 GOLD COUNTRY LN signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965-4177 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: PHILLIPS JOSEPH R & TISHA N owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: FLEETWOOD HOMES and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 2243 FEATHER RIVER BLVD. ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95965 `' D -d tiOwner. i�d 530-532-3301 Date: License #: 785185 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1512 S. F. Policy #: Valuation: $98,280.00 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if i should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall � forthwith comply with those provisions. 9 Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3708 of the Labor code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under t applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti s o dogork indicated b e r which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: Name: PE Nf1T EXPIRES ON: Address:(DateA ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code 1s not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification fors. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of ille owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of apy official for or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspectionurpose .��c fid n r I I S6ll � l 11 Signature: Print Name: I /� </ 2 Date: ❑ Owner ❑ Contractor ❑ Agent for Owner 13 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040879 LICENSED CONTRACTORS 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 Issued Date: APN: 062-750-001-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 178 BAY RANCH RD BCK Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: New MH (1512) Ex Site Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner' PHILLIPS JOSEPH R & TISHA N to its Issuance, also requires the applicant for such permit to file a 46 GOLD COUNTRY LN signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965-4177 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: PHILLIPS JOSEPH R & TISHA N owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). �) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: FLEETWOOD HOMES and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 2243 FEATHER RIVER BLVD. ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95965 `f -.2,0 -d � 530-532-3301 Date: owner: License #: 785185 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 Architect' is issued. - ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1512 S. F. Policy a: Valuation: $98,280.00 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. L� g Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under thp applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti s o doxvork indicated b e r which fees have been paid. performance of the work for which this permit Is issued (Sec 3097 Civ.) BY' Date: Name: I 141w—PE MIT EXPIRES ON: Address: Dat ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of toe owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of aQy official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspectionurpose ' I 1 Print Name: r ,Vy l I� Signature: Date: 0 Owner 0 Contractor ❑ Agent for Owner 13 Agent for Contractor r BUTTE COUNTY �uTTF0 DEPARTMENT OF DEVELOPMENT SERVICES 0 o BUILDING PERMIT APPLICATION X000 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) o - ' 6''- o OFFICE #: (530) 538-7541 PERMIT NO. BP TE; _ APN: - Q - al, ZONING: ER'S LAST NAME: OWNER'S FIRST NAME: PHON • S"i—ZJ �z ,'� S� S 3� -5rg z STREET AD F'O`X C Cf TY. ZI�` rye IJ e s E-MAIL: SITE ADDRESS' CITY, ZIP: Y NEAREST CROSS STREET TRACTILOT M. APPLICANT NAME: PHONE: STREET ADDRESS: er LveV FAX ,--5-- CITY � � ^ � E-MAIL CONTRACTOR NAME:pe PHONE: l� ! 16 e- fyu eSTREET ADDRESS: to p -e FAX vr32-3 a Crry. ZIP: WO r-19 V E-MAIL' LICENSE UMBER N LICENS E: ARCHITEC /ENGINExvER'NAME: PHON . STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E-MAIL DESCRIPTION OR SCOPE OF WORK: ❑ 'Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) �N v) 2MT) T -a 2.50v -�'J� ELo-�►X o A A� EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs a e not refundable. For office use only:s� l {�. ,S' j Q S ck C, Seo ( IC Al Notes: 6 �j Application Received by: Date: Receipt number :CJL�I� Amount Receive : E.F/. USE ONLY Plot Pian Atlechad Floor Plan Attached San to G.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ✓oSE.��d °� / �1� /©/� /�l�S / i� /3.4 c� �i�9.cJc� A' "o o � Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for ✓ dwelling. Other -4� /3EDi A.C.) n z A it � /1/I .4 " c 1 Hold final for: Final clearance O.K. for: NOTE: Environmental Health 67ecialist 8/96 /e"e, c,, / 9i ry odi` Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: 1 Items required in order to apply for a permit. All boxes MUST a checked OR marked NA in order o pply. -' 1. Site 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 calculatio s. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. , ;by /� ❑ 6. Energy compliance design and supporting documentation in duplicate. �,n c,)ou Yt ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. %" 8. Manufactured homes -.L Data sheets and installation inst<�Marriage line in ) Froor-Plan, ie -down or fnd plans, all in duplicate. O 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ►�' ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... qA .1 20. Erosion Control Plan Required ............................................ :................ "'*........ ........ Jam' 21. Fees as shown on the attached Schedule of Fees Due Sheet ............................... 6 ❑ 22. City of Chico Plumbing permit ................................ ................... ....,......... 23. California Department of Fore plan approval aid. Sent b . ..... 24. Planning approval (A) Use:G' <(B)Parking: (C) Parcel Che =)-;--off ❑ 25. Contact Land Development about _ Improvements, P P , _Drainage ......................... Z26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number,.Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number..........................r............... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ......:............... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... fhen"i'ssued 37. Grant acts, ❑Letter from Legal Owner, Check to H.C.38. Other:�,/ ties39. Other: Telephone �r �� j and hold for pickup. I have been informed of the above. items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit a ✓q ior�f�a� ove items numbered: Plan ChecK"Letter 2. Additional items r, ui Contractor, designer, o was advised of the above data by phone, ❑mail, ❑counter, by ate: Contractor, designer, ownet, �yae advised of the ab ve da a by ❑ phone, ❑ mail, 0i counter Date: Plans reviewed by: y�(� Date: • I Oq Plans approved by: Date Structural reviewed by: ''` Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 CHEDULE OF RECEIPT OF FEES f �� OWNER v 1 \ A. P. #��lo('� '. PROPROSED BUILDING USEa'44.k\J�\DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --= Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available aft r la C e 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE (paid at Building Division) (A. 0 s 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER max At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed durinAthe ftlaq checkiU procga& APPLICA DATE 14—)2+ Pursuant 4—)q- Pursuant to Govemme#Co f/ecti0fi 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 thaate bf'hpproval 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 Division Yellow -Applicant Pink -Owner (rev. 2/2003) BUTTE CTY SCHOOLS IMPACT FEE CERTIFICATION M (One f nn per Building) � ODD '(I 1r,g School trio Builds De rfinerrt No. r v. A.PNumber rv�o`��� UJurisdiction: Q City County Property Owner , • .J y .Properly Location/Address Subdivision ) Lot No. .................._... ......... .........................:..._............................. ). Residential Development Sq. Footage No of Living Xbileme Addition/ Supplemental to (group R) Units Installation Conversion \ Permit # `,! a `•(No foundation Inspection) I� Deed Restricted Sq. Footage ,> .. ;�,J6(, (Attach a signed"copy of Deed Restriction and Notice of Limited Use Facility document) \+ w Commercial/Indust al,,,. d Q' Q �� Sq. Footage �% 1 eve Addition (Including Exterior F; hoofed Are s)• 9-10 Building Department Representative Date District Identification No. 04'095 rAI �4,[ b + � ..School District certifies that J B 7ep (Applicant) (Street'Address) �3 (Phone Number) A (City) + _ N (State) (Zip Code) r has complied with the requirements of Resolution No. by payment of $ 1 lr `r" . 4�Aru: representing ` square feet. 2926 $ �. FULL MMGATION $ School District Representative ` Date Paid by Check # "JCT Remarks: ��lU '��y' .�{ t<�Lil ti + No6c :You may protest the Imposition of the teas Identified above by submitting a wrflten protest to the District, in eompillows with Goverrormrt code Section 66020(a), within 90 days from the data fees are paid. Failure to submit a timndy written protest wtn'prohiWt you from challenging the Imposition of pia tees In any court actlon. N, subsequani to the School Dhd ict Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is nnotMied by the applicable Local Planning Agency that this project is being reviewed undertto California Enviromnrrlal Qwlly Act (CEQA), this p al A may be subject to additional school fees to fully n*%iste.lts Impact on the school district's schocis. White (applicant), Yellow (building department), Pink (school district) % — feeform.We (10/03)dmm s National. Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and . Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement LLESS THAN 1 ACRE1 Project Title: V L ; 1.1, By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and%gr oth,gr permits or other sanctions provided by law. Signed: Title: Date: FLEETWCOD. " contem orarY Series 45'63T ' • 3 Bedrooms • 2 Baths • 1,446 Square Feet --....--.._...... ff—Fleetwood Homes of Oroville 2243 Feather River Blvd. Oroville, CA 95965 530-532-3301 Fax 530-532-3304 www.fleetwoodoroville.thretailer.com i 0 Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. CR/ 17/SEP03 I Building Permit Number: 0 T— 08 7 Owner Name: I hi Rips Residential Construction Requirements IMPORTANT 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 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 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. 4r • Page 2of 2 Building Permit Number: 0 08 79 Owner Name: eKiwip-s. Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The followine parcel man reauirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of feet from the side and ��'Q 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. O U T O W m m o o � v n O d O �v m O N N ry N m 3co z O. N O N N 00. N (n m 5 n n n C O 0.1: E- 0 (p S N n O D m n m SL C Q � 3 fD m m rt N. Gj O ( O � N 7 CD N o n CD N n 3 nm c y N 5 'O 7 5.N ]X, P1 m 3 c w o_ CD 3 FL w �O`? a v o w y � o � NSD O .0.11 'COD CD O N to 0. N CD C O CL N (p (D n � O M 3 n O CD n Z o• p � w cn H -0 . M O O T x 3 m Z f (nom m C C v CL m N N CD 0.. 00 m i -i XDo O D 3 a Z w 5 . O CD M m `2c D c: co EFCD O n n o N O a a � N O o O �. :' N on Z rn y \�arIA, 001,�) Fleetwood Homes of Oroville 2243 Feather River Blvd. . Oroville, CA 95965 530-532-3301 Fax 530-532-3304 www.fleetwoodoroville:fhretailer.com IVA.11.l.- Mobilehome Manufacturer:Manufacture Year: If other than single wide, furnish Setup Model Number: . Width:,,?b(ft.) Length: (ft.) Tagalong or Expando Sized {lt.) x�ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure tre ed or foundation grade[ Other: SUPPORTS: Concrete block[ Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Lice Z ................................................................................................ Main Beams Lime2 ................................................... ........................................ Lime 1 ........................................................................ Main Beams .............................................................:...:...... L Line 1 Piers: Size minimum: r 1 x Spacing maximum: 4` From ends -maximum ` Line 2 Piers: Size minimum: i x I k Spacing maximum: 6 m r; o •' ` From ends-maximur ` o ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): C� 4 Ine 1 Line 2 .ine2 Line 3 Line 2 Lime 2 Line 1 Line 1 Openings Size minimum: [ 241 x [ a -4 - Each side of openings with width over: ` 7`j Line 4 Piers: Size minimum: x Spacing maximum: ` From ends -maximum ` 0 -VX 30 yc3', I sAx3a .? 6x3v 1 1AX-3o OVER .6UTTE COUNT i `lUILDINC DEPARTKAEt. 4PP O 7 Z. Assessor's Parce 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No[ ] Permit No. S. Is the site an existing site? Yeses No[ ] (If yes, finish two plot plans). 6. What is the electrical rating of the mobilehome?Amperes. 7. What is the mobilehome site circuit breaker rating?_Amperes. 8. What is the electrical rating of the mobilehome site? a6O Amperes. 9. Is the main service remote from the mobilehome site? Yes( No[ ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- —?--0 -- se Amperes- b) The main Load- Amperes, 11. Type of gas service at mobilehome site: Natural[ ] Propane&j Nonet 1 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?2(f3.). 14. What is the mobilehome*gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). . Al b, May 1995 8.5 0 --1 D r T D 0 m m W ' PFS Corporation , Madloon - 4 j 1001=2 ! HUD Manufactured ! Home Safsty Startdard ! NOTES / LEGEND q Ampt (Sae Elect Specs) t Sxitah O Ught FUdurs df Thermostat ® Eidwuet ! fb6ing Pon O Hush Smola Alarm M Door 606 Tran ® Eleetrtool Panel box to 340 Ak Regixtsr O 0 Supply 0 �Suh0p�porocill O Retain Grefs RAGt 4x10 M02 2040 t) See Speeincouons Sheet and oa6on pages for actual lenglh and width of bane 2) Thle floor plan may De bulli as an acct minw iniops obout the length ond/o► width mels. 3) Egms .Mdon(s) shoe with Ips than S sQ.". Mord area soot =requffements through toeh romoral per { nlndaw structions� totaled on ' the mindow. cF c a' NOTES / LEGEND q Ampt (Sae Elect Specs) t Sxitah O Ught FUdurs df Thermostat ® Eidwuet ! fb6ing Pon O Hush Smola Alarm M Door 606 Tran ® Eleetrtool Panel box to 340 Ak Regixtsr O 0 Supply 0 �Suh0p�porocill O Retain Grefs RAGt 4x10 M02 2040 t) See Speeincouons Sheet and oa6on pages for actual lenglh and width of bane 2) Thle floor plan may De bulli as an acct minw iniops obout the length ond/o► width mels. 3) Egms .Mdon(s) shoe with Ips than S sQ.". Mord area soot =requffements through toeh romoral per { nlndaw structions� totaled on ' the mindow. c !walls:. Length of both floors ■ NrW I width of bothAcora ■ warlo Lsaerh of herh 17eeiw ■ I Width of 6nl=fln -m e. Post Data 01 I Live load: 30 lbs .,00' A„ *410W Glazing 2X4 2X6 Unit Foil Load \ lklahli Bearing Post Plar load Beam Strep Type 8058 30x50 Vaatlaal Slider 11TA I 9A 4.8 0.0- 0.0 A 13904 "1,114 a.•s 1.75' 72 2786 - Til r a- 1390. L 111" 1.76" 32 4608 Si7dw 2625 2.1 1 4615 417.5 38 j4633d4F10xgd 41624 410 11A %- " Ir. 4656 4exSe Horbantel Slider 190 10.2 7.6 ` 14-1" A 4872 C sR 114Ur e 03" Tit 1111 B 4072 _..114' TS r CD` - est -1• 31'6" A 4313 X114^� 1. 75" T -.0026 TJI 1102" B eau 114--�' .N.7s' 7 E* 7260 72x60 ISIlding Glue doer 407.5 82.6 1TA �. ftmbal Bice 0escd Ran vaxpoo m Undercut Drawnby; Mark Uvely 28 28x90 Inberrordoor 175 2172" F 13'-S- 45'11' A 3$78 114' 1.73- 0 Me Tit I1A" B 8076 114" 1.T5 a •,- a 6810" 601- A 002 114" 1.73- 32 1966 rn 4" a 002 114' 1.75 32 LM load: 40 The 2X4 MO 1 Un" Post Load 111 ht Bearing Pail""' PlorLoad Bean Strap a A 0.0 0.0 A 1354 11'0 1'70" 32 2700 Tit r a 1934 114- 1.7r 82 B T-11" rr 1' A am 114- 1.7r 6 9412 Tit 1111" B 4706 111^ 1.78' 6 C 14-0" 14-T A 4851 114- 1.70- 6 6782 Til 11R" B 4851 114" las' 6 O 311" 31'-3- A 3422 114" 1.7W* 6 am Tit 11r2• B 3402 114" 1.76" 0 E 3F.11" 3r.3- A 080 114" 1.75" 32 1978 T.fl 11/Y' B 964 114- 1.1r 32 F 490" 416~41" A I 9W 114" 1.73" 32 1976 TJI 1112" B960 114" 1.Tr 32 0 I 54'-0' idd" A 988 114- 1.7r -v 1076 7.71 -f 4" 8 "a 114" 1.71' 3I Dimenrlons are from the hitch Llva Load: 30 lbs, 1 41W 1 IM -1" 1 A/B I / APPROVED PFS Corporation Madison - 4 101/6/02 HUD Manufactured Home Construction & Safety Standard Window BckMuls mbol Size 11icon Max Raom a . R. Glazing Venlino I Submlttal M: IS -0Z-3010 Prant FI@@IWOOd i I Woodland f117 1272 12972 FEd. 57.0 4.0 1440 14x10 ordeal Slider 31.1 2.5 IJ 8040 30x88 Hod¢ontal Slider 72A 5.41 3s 8058 30x50 Vaatlaal Slider 11TA I 9A 4.8 3610 3(irrzordslSlldsr r0 04 3.8 8658 Sluff 145 11.6 5.5 Product Nana: CONTEMPORARY 4608 Si7dw 2625 2.1 1 4615 417.5 38 j4633d4F10xgd 41624 410 11A 4640 lmnlel Slider 121.3 A7 5.2 4656 4exSe Horbantel Slider 190 10.2 7.6 Model: 45 =ROD 415x23 FlladHelf-Round ST.$ Ia PEM 3ex23xll Fked Pardacald 5o 41 a TRAP 46x27024 Fixed Trapezoid so 6.4 Door 8cheduls • EAsdor rewlnp 1100: SpecNtcallons - Standard 8Vmbol Me oesc Icon I MO. Room Glscing V�ntln 3200 32x80 hS4lgM1rww1rgqdw I31 3650 35x80 13alld IrtMag door 7260 72x60 ISIlding Glue doer 407.5 82.6 1TA Door Schedule • Imerlor ftmbal Bice 0escd Ran vaxpoo m Undercut Drawnby; Mark Uvely 28 28x90 Inberrordoor 175 2172" 30 30x80 krterlo►door IRA 2171 32 3200 k%rlm door 200 2 102" Date: 10111/OZ SB 36x60 Interior door 225 2 Ur Retum Air Grill Schedule Symbol Ska Oesori den /daltRoom Wrd me BhaOt ROvhlon SF10C 1 RAGI 4x10 In00rlordoor 145.5 29.7 M. RAo2 UxZ0 Interior door 1525 353 .hr CDF FIRE SAFE REQUIREMENTS 2 7S AP# PERMIT # 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. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved 1273.04 Driveway Radius IN 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. [X] 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. [X] 1273.05 Turnarounds.. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. r z- Page 1 of.3 n 2-7rD AP# ERMIT# NAME [X] 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. [X] 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. IN 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. IN 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space [ ] 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all 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 on page 3. 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 or final inspection of a building permit. Page 2 of 3 R 7 ��-c) — 0(-) 1 oc- )4&Lft,�"5 J,.,�Z AN PERMIT # N Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof and Enclosed Eaves [ ] If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: Metal or no doors on the side toward property line with insufficient setback Interior automatic fire 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 R " Date Signature 61 Page 3 of 3 rte. xi-"f.� ��- On � !ir yonway r� a�n tiy� 4 �-,-.-�.�..--�.--^--F"''S:�"Y"c7x^�:rim;�-'�"..y�"n`�.�eY1�+'Lu»i'S.'1M�Yii'�'7','sii�Sr'y,T"`�t`4^�+''"' `^twi' :(i� t�+n►'fiT�^;'.� ^k. t. R �. r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form -Per Building) School District 616 Ville- IJti;e-v I C Li Building Department No. A.P. Number ��- a 1.= O �,� Jurisdiction: City County Property Owner . eh ctr Je 5 ea,- Z/ Property Location/Address 178 Aga!i Ran.e A kW 6e N LI -c C h- Subdivison Lot No. Residential Development 0 Sq. Footage S % C) No. of Living MHI Addition (Group R) Units Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) !o—a-,3 Building Department Representativ Date (Floor Plans reviewed by School District Personnel) (strict Identificati o.,:;�. %J v d °' , T _ t Ccb6ol District certifies that (Street Address) ' (City) has complied with the requ r representing -d School District Representative Paid by Check # Bank Number Paid by Cash l /D /I /. ( D7 (APPI - /4 (Phone Number) , A -::(State) (Zip Code) of Resolution No. ZAS-- by payment of $ square feet. AB 2926 $ JPULL II MITIGATION $ Date Remarks: I" 12x/ f �. m _J 1, IT, subsequent to the scnool Uistnct 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) feeformmkl (11/94)dmm ELECTRIC GAS Support Struc. ITest.Req. CompactioI Service OtherPipe YES NO YES NO Size Load T e Size Length �d moi. e<40 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville,,California 95965 - Telephone (916) 538-754�S_-z5:a;X PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 062-21-61 ZONING U BUILDING PERMIT OWNER CHARLES CORD T 589E 4125 SO. FT. OCC. BUILDING VALUATI N OWNERS MAILING ADDRESS BOX 81 BERRY CREEK, 95916 CONTRACTOR'S NAME AL CARL TELEPHONE 589-0758 CONTRACTORS MAILING ADDRESS 0 DEER SPRINGS LN BERRY CREEK, 95916 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 178 BAY RANCH RD PERMITFEE $ .�! BERRY CREEI: 95916 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAMEPARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ DuplexYd Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation [X Other ❑ Describe Work: i% 3�� Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT I Filina Fee 20:00 Main Service 600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ful or a and effect. License Class Lic. No. !%� J:14/ // OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,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 NEW CONST. DWELLING OCCUP.so, OR ADONS. ( & ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL 50 EX. Occup. OUTLEETS (aESID.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier d polic number are: Carrier �„ T t o A_7 � MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number /A F2- X y S (rhe 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. X __ Date _� i� !`� S Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $rgumUHDIISSUE Energy Inspection Fee occ CONST. TYPE TOTAL FEE $ 43.00 HAZDFEES . D. IMP fL000 CDf PARCEL PD 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 Da d PERMITEXPIRESON (Date) Receipt No. WHITE-D.D.S.-B.D. Y-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT hn" MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 .APN: PERMIT NO.: •Ownees: Name: Owners: Address: Mobilehome Year of IManufacture: Manufacturer r Serial numbernsignia 6 7 Z/v 6 �J or /o6 Z)/ orV.I.N. HUD number: Offi, I t 11 tion: Date: X o.� 'If the<mobile—home is moved or relocated, the mobilehome Installation acceptance s all become invalid. This form shall not be used when the mobilehome is installed on a foundation system. -513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor � � -; ,Y �edT.`.'!"�.,jf-� � � .Y" •.:�. r,'.7�"++. � r . 1'sn i';r"�fJ., t'r tC OiJN � , FkBUTTE - DEPARTMENT OF DEAIELOPM ENT SERVICES - BUILDING DIVISION 7CO6NTYC1],�NTERDRIVE - OROVILLE, C4LI ORNIA95965 -TELEPHONE (916) 5381541 PERMIT APPLICATION DATA SHEET OWNER C/o/- 5 A. P. No: -060 2- - 9Z Proposed Building Use M Building Inspector Date 0'023 - 15 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED ' 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. Mobilehom d t and manufacturer's installation instructions, 2 sets. . /'1%t,�, a actu re' 'S 14)4,we- 10. Fees of $ . ........• ............................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ........... i ............ 13. Flood elevation letter -(100 year flood) by California Engineer . ................. . t 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). .. .. .... �r -' i, Pre-Inspedion request 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 I� , 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 . .......................................... f 29. Documentation of legal access . ..................... :................... r 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 . .......................... i............................ 33• 34. ,,When you issue the permit, process as follows: Mail to owner. Mail to contractor. /Telephone 591 758 and hold for pickup at office. Deliver with inspector. Other Parcel Creation -2 ? D -./ 93 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 issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: %Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date I Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by%.. Date Plans approved by G ao„rs Date to-_? Sets of plans on hold in File cabinet G' 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 car l� S ���' A.P. #06.2- PROPOSED O6.2- PROPOSED BUILDING USE Mc k lP Alo-~ & LyJ lA lla lrtDATE/O-,-23 A%S REC. # DATE REC SCHOOL DISTRICT FEED (paid at District Office) �'✓� HERIFF FEES (paid at Building Division) zi S -f;� Residential...... x =$ - unit amt. Commercial (sq. ft.) - x = $ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x =$ sq.ft. amt. - 4. - 5. RECREATION DISTRICT FEES (paid at District Office) THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. 5 APPLICANT )ATE Y F Mobilehome Manufacturer: b P I %or -Manufacture Year: M/ If other than single wide, furnish Setup Model Number: Width: -16 (ft.) Length: ft.) Tagalong or Expando Size — (ft.) x(ft.) On. all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural. setup sheets. dd . ...... . itio....... SUPPORTS: Concrete-,blockl Other r,.*.- Provide Tie Down Specifications for all, Mobilehomes: Ti E Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 ine I Line 2 Line 2 ...................... I ...................................................................... Main Beams Line 2 ............................... ................................ ...................... ine 2 ........... L ............. Line I Line 3 I Line 2 ................................................................................................ Main Beams L ................................................................................................ Line 2 Line I .................................................ine 5 Tag or. Triple ine 4 ................................................. rine 1 Line I Piers: Size minimum: r i x r i. Spacing maximum: I C - From ends -maximum] C Line 2 Piers: Size minimum: VZA.x 1 74 Spacing maximum: From ends -maximum] Line 3 Roof Loads: Size minimum - Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: x Each side of openings with width over: I I Line 4 Piers: Size minimum: x Spacing maximum: From ends-maximum:1 U11 UU OVER 1. Owner's Name:�s- ��,�` Z:7A ieZ-- 2. Assessor's Parcel Number: Co cSZ — /C) ` 3.. In--*_ad?ler's Name: ,/�i �/d If� 4.. Is the site .curre:, 1y under permit`- 'Y es[; j No ] kermit No. 5. Is the site an existing site? Yes[ ] No[,f] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? 1,P e Amperes. 7. What is the mobilehome site circuit breaker rating? --' 6'0 Amperes. 8. What is the electrical rating of the mobilehome site? /dd Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[4] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- w-,- �� Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[,A] None[ ] 12. Size ofas pipe at the mobilehome site from the meter or tank: 5 inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?/19 (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 v _ ». - RESIDENTIAL r-�------- -------- * 062-210-061 PERMZT#95rl37O / ^ CARD, Charles ' ! l78 Bay Ranch Dd., Berry Creek ' ^ Mobilebome Utilities ' ' �� � /�/' 9- 4-1 -/(~� � � ^ OFFICE COPY . |*mumoo GAS Meter By D ELECT ft;' ° | `^--' ~~^^---�----' ] i ^ / .~~..~.^^~°.~~, -.IW a J=OK O=Not OK =Not Applicable' Not Ready MOBILE HOMES ' = Date MOBI OME UTILITIES Plans OK except #'s Zoni g -Requirements -Setbacks -Easements oils Special MH Support Sketch Z3e<ew"ocation-Test-Fall-C/O Concrete ate -ocation-Test-Easement Needed (Sketch) ectricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Local 'o -T st- a ' /"L"ft., ell leara ce & Disconnect tility Clearance Date%/�rCard B- Date Card B-1 ���-- Date Card B-. Date Card B-1 Date MOSIV.,MOME INSTALLATION Plans OK except #'s Xo'Z_or,%�ng Requirements -Setbacks Easements ootings; Size -Spacing -Marriage Line 3 s; Test-Demand-Valve—Connector lectri i1y; MH Test -Crossovers -Breakers -Clearances —floI rain; MH Test -Fall -Flex Connector ; MH Test -Regulator -Connector J W and Sewer Connected -C/O to Grade -HD Approval J Gaq_and_FJe1`fricity Tagged 1 of Occupancy MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 a J=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL '(Single & Duplex) = Date UNDERFLOOR (Plans) OK except ff's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-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. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation_ 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail 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 Card B-1 Date Card B-1 --------------------- ---------------------- --------------- ----------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti'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!Mech. Fastners-Bond Gas & Water ---- - ---------------------------------------------------- ------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ---------------------------------------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size i ! ga. Cu or At --------•------------------------------------------------------------------------ 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-Mech. Equip. ------------- ----------------------------------------------------------- 32 Clothes Closet Light -Shower Light -Spa Light ------------------------------------------------------------- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card -B-1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ------------------------------------------------ 7 --------------------------------- 35. ------------ --------------------------------------------------------------- 35. Vent Fan; Exhaust above insulation -----------------------------I— - -- ------------------- ---- ---- - - - - -- - -- - --- - --- 36. Condensate Drain & Overflow: Size & Grade -----------------------------.._...--. 37. Furnance-Vent: Access -Comb. Air-Return-Air Air Vent -115 outlet ---- ------ ----------- --------------- ------------------------------ 38. Attic Access & Platform if Furnance in Attic ------------------------------------------ ---------------- - - - --- - Date Card B-1 Date Card -B-1 ------------------ ------------------------------------------- ---------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except k's 39. Sils. Proper Material & Anchors ------- ------ ------------------ ------------------------ --------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing ---------- ----------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 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 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 ---------- 60. Infiltration -Walls -Windows ----------------------- - Date Card B-1 Date Card B-1 --- ----------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------------------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection ----------- ------------------- 64. Bedroom Exiting ----------------------------- ---- 65.--G.-F. I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------------- 67. - 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 ------ ------------------ Outlets -----------------Outlets & Receptacles at Kit. Counter ------------- 72. -Garage--Fire -Door:-Swing-Landing-Closer ----------------------- - 23.-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 7',. Insulation -Foam -Looked in Attic ❑ Yes 78. -Guard -Rails & Deck -Co nst ruct ion -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ----------------------------------------- - 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Plante ------------------------------------------s ❑ 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. Ener Compliance Certificate -Other Certificates ----- ----------------------------------- --- --- Dale Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 ---- -- I ---- - --------------- --------------- - -- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION .- 7 County Center Drive - Oroville, California •95965 - Telephone (916) 538-7541_ PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 062-21-61 U ZONING BUILDING PERMIT OWNER CHARLES CARD TELEPHONE 589-4125 SQ. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS BOY 81 BERRP CREEK 95916 CONTRACTOR'S NAME OWE Ot%nIER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIQJOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER _ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESSPERMITFEE RANCH178 11AY $ 23.00 CREEK,BERRY PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.SUBONISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 6 Installation ❑ Other ❑ Describe Work: MHU Mobile Home 9d 1Vl60.00 @20.00 PERMITFEE S $0.00 Contractor ELECTRICAL PERMIT Filina Fee 20.'00 • Main Service ( 2000A A OR LESS OR LESS ) 20 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNs. ( a ACC. BLDS. SO. 3.5¢ Fr. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS 97.50 ( POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 00 @ I.00 SAL .50 Ex. Occup. (unEEDrs A sE S. OR o 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. , 44 0 X �%Date —1-�1-�/1 Signature of Applicant 7X --owner ❑ Contractor ❑ Agent An OSHA permit is requir Ar excavations over 50" deep and demolition or construction of structures over 3 stories in height.it 18'S.300 Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HA2. _ I D. FEES ,_, IM FLOOD CDF ARCS HD ISSU This permit is hereby issued under the of the u e County Code and/or Indic ed for hich fees have By PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. C�1Datte 9 / . 4 , (Date) . Receipt No. 63.00 - 180326 103,00 WHITE•D.D.S.-B.D. CANARY -ASSESSOR J PINK -INSPECTOR GOLDENROD -APPLICANT T CERTIFICATE OF ANCHOR INSTALLATION Title 25 CCR MobiTehome Parks Act Section 1326 (W) I certify those portions of the tiedown system installed below grade were not damaged prior to or as a result of the installation, were not modified prior to or during the installation, and were installed in accordance with the manufacturer's installation instructions, plans and specifications of the engineered tiedown system referenced on this certificate. Tiedown System: Manufacturer: Model: 6o17 Installed by: ,-'�/"� Date: Owner: License No.: Contr. 1 G—� w:7 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 ­ - 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist a, the above address and should be corrected. Please notify this office when correction of wort is completed. If you have -any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Aol— Oate // / J Inspector REV 10/92 IF t` COUNTY OF BUTTE BUILDING DIVISION ;,*DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 RRECTION NOTICE OWNER ( PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Date Inspector REV 10/92 ! V 1 1, i Date Inspector REV 10/92 ! V v r TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance . H.H. USE ONLY Piot Plan AUschad Floor Plan Attsc6ed Sant to B.D'— Owner Location Plan Approved for: Sewage Disposal Water Supply: Public Clearance for bedroom mobile home. Other _ for: clearance O.K. for: Environmental Health 8/92 AP# Private Well ... _„ y,.. t�, _ r•- ,—s�?tiJ`*,5-Ff1rr•i'i_T'...ri �h .c'� {"� . _ C' �rihi i r.,E:_,'it`-S �ti ^s'yaAtihiJ�.9 n •inti-;�lA..,4; �.f�ti,�ii�rnr.�y..�w•��*y"`.Yy�F�,iT' r".i�'�.; •. COUNTYOF BUTTE - DEPARTMENTOF DEy41,MENTSERVICES -BUILDING DIVISION u.. ..:,t ``TYCENTERDRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541` PERMITAPPLICAT�ON DATASHEET OWNER Prgposed,Building Use f I Building Inspector Date /-z�l g6 At time of permit application, I was advised the following data must be submitted `p(ridr1t6$er'mit processing and/or issuance: .� NI+i� .'1 � DATE RECEIVED BY All items have been submitted. J 0`......../.: ! .� 1, ....... . .Plot plans, 3/4 sets, signed by preparer of plans. .. ... .....!... t ........ . Complete plans, 3/4 sets, signed b)�prepare4o f plants. . / .... . ! . 4. Engineered plans and calcs, 3/4 sets,jWit�w6tZs'ignattd?� on plansr % .......... . 5. Hazardous Material Form . ......................... ...�.............. . 6. Energy Design Compliance and supporting documentati n. .... . 7. Statement of Intent for Non -Heated and�A/C� Bu}dings./.1 .�s� / (� ..........: �. 8. Engineered truss details and layout in duplicate (required prior to an check). -11 ... Mobilehome ' ata d manufacturer's installation instructions, 2 sets -f ? Fees of $ ' C� . ......................... / �� Impact fees as shown on attached schedule. ...... . . _01 :r California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. .. ............ . 4. 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: Contact Land Development about (A) Improvements (B) Drainage. .......... 19. Driveway permit (construction approval required prior to occupancy). ....... . Pre -Inspection request20. Pre -inspection for ' required. .. to Building Inspector t (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. CPrtificate of Workmans Compensation Insurance. ....................... . Owner -Builder Verification (Given to owner Mail to owner _). ........ . Recorded copy of Agricultural Acknowledgement Statement. ....... ' .......... 9S 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 . ...................P -...........:....... . 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 . ............... ws ' 31. Existing violations/expired permits,,.'! .... ............................ . . 32. Plan check list . ............. f: .. ................... . O F- r12f.�ATto.✓` When 6u issue the permit, process as follows'- Mail to owner. Mail to contractor. one 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 1. Index permit for above items No. _ 2. Additional items required: new item not checked above). Contractor, designe er was advised of above required data by phone_ mail Counter bye Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Q t tR a,.r S Date .3 Sets of plans on hold in File -cabinet _7�4 AP folder Copy - Department of Public Works �v .a AT E: AIl_Materiala Y Workmanship Sha1Lift In -- t .OZ BOOL • ,08 Acoorda % with llwo $zed Good Prancesmm_- -'- of a Quality Prescribed for the Specified use - - - - _ - -_ _ .. _ in the Uniform.Building, plumbing &Mechanic l - d the National Electrioal Code.quo Owl __ F#pSkA `~ -, x � -_,i,:-TL � � Ifni, F •j` I � 1\ry yu.1 - .1_7ii'�_5��`� •-. - - ... _ _ r - -- � - - - i ' '� r j --- — — — --- — rft i0 T; ti >►-} A - - '� ������'�- _ :---�-- -� ��-__ �_:----.:�.��v:_ � ::� � �--•----•-� ••' ---- � _ __._... • a New ' 7. - - -_ ...... eT be !_-. --_ ... _ . _ _ __ ���-- - __._ 108 ClL� .: Ufa'-set of P e add- a With0,11t -- °,k�� � . e or ate ent°f _pub� . _.�. -_: ___$�• ��� The attached Fire -Safe � - � _- _ _.. - r, equiremenis-r ws be-compi ,OOI �ciO 1/Nir C ani approved_ as ,fred - by .DF ��- - -- 1 ._.F\lAe0,F ' l -.OZI _ Co.: ORESTv - - _ APP.KO ' ED � �� _ ' . {_ BL1 pEp-�. of F i -i I i i _ .... _ -,fted mg- • ed Butte County _ —`; ......- :. _ _. �io� Envirc�rime eta! Heaplt - , -::- - Q app o�ea �Nith ee�d ghee 5 L L .. - t. _�- _1-•�-- ._:._. _. ..._. _ . _.. _.: _ ped OYI •-, � n tVr� I I I tUf6 --------- -� --. '..: APPROVED 6091 -- .Butte County Environmental Healtty ,ost BUILD DEPARTMENT A P P R 0 b E. D,00Z N ILE COP s— 1370 CDF FIRE SAFE REQUIREMENTS 6 z —21 --� / gsr-(3 7 0 C4V-0 AP# PERMIT # 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. [�] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [ 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparte,-tant 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 vertiT U curves in roadways exclusive of gutters, ditches and drainage structures designed .to hold or divert water shall be not less than 100 feet. ] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [}�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 I feet long with a minimum 25 foot taper on each end. C�] 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:2-, Cv 72 2 G, tom -4 3 70 two (_W9- &Zss 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 parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from a.11 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. Page 2 of 3 AP # 13 PERMIT # Other Requirements If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves 01 ��e-LES NAME If Buildincr 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 10k 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 A4 3 0 e.➢L ca Date Signature Page 3 of 3 LAND DEVELOPMENT - BUILDING PERMIT CLEARANCE Building Per/mit No. %�—Z,376 OWNERS(2CIj�-kes I NUMBER: NAME --� PRINT LAST NAME FIRS COUNTY ZONING 2 --SO V// DESIGNATION: FLOOD ZONE. FLOOD MAP: APPROVED:CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS cy DATE OF CREATION: DEED REFERENCE: 15-1'3 0g 53 J LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: egoV (oe ap K or (. rete-, rioAj DATE OF RECORDING PARCEL CREATION BY MAP LOT BOOK PAGE 0 OR 639 COMPLIANCE WITH OLD SUBDIVISION 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 BEPA/D TO THEBU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a building setback from right-of-way/centerline of 3. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 4. 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. 5. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 6. Maintain a 100 ft. leachfield setback from all existing wells. 7. Maintain a ft. leachfield setback from 8. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. 9. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. 10. 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 a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 11. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. 12. CHECK APPROPRIATE REQUIREMENTS YES OR NO OR CONDITION NUMBER. LD 12194 • CAWP51%F0NMS.K%8LDGPERM.CLR ,: F BUTTE ,JUN 2 S 1995 w ueveiopment'Sec. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville; CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER/ PERMIT NO. /7e �4 A routine inspection indicates I at the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �Oci r- . S c7 Y ► //�'��t�yiy C�� FA - t f° t Date c Inspector REV 10/92 wa - 95-029492 95-029492 95-029492 = • = ��� G 4921 Rec Fee 6.00 i COP 1.00 Recorded J Cash 7.00 -Official Records I - County of I - Butte I Candace J. Grubbs I Recorder I - - '2:12pm 29 -Aug -95 I PUBL XX 1 =� And when recorded mail to; Building Division #7 County Center Drive Oroville, Ca. 95965 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT . FOR RESIDENTIAL DEVELOPMENT Section 26-8 .of the Butte County .Code requires this acknowledgment to be recorded prior to issuance *of a' building permit. The property described herein is 'adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences .or discomfort .from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but' -not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise. and odor. Butte County has established agricultural purposes and residents within. said zones and on adjacent property should be prepared to accept such inconvenience or discomfor:�hom normal, necessary farm operations. All that real property situate in the County'of Butte, State of California. described as follows: (v Y A, RA,e� /tel gew eye2ee� CA . 9- 9 0 Date: PROPERTY OWNERS: State of California ) County of , 607Y ) / On n�-.24-95 before me, 'CC1440D �-Weokslem_) A4�XV 256/c personally appeared 0/4 %. ' �ARa� personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/hcr/their authorized capacity(ics), and that by his/her/their signature(s)on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. RICHARD FEUERSTEIN� COMM. #986104 , ' NOTARY PUBLIC -CALIFORNIA Signature C.t ec 4 Seal: BUTTE COUNTY i My Comm. Exores Feb. 28,1997 . I ; •'. Yd a-� 210 S ti 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 planto provide the a�or labor and materials for construction of the prop rty improvement] NO[ ]. 2. I HAVE NOT[ ] signed an application for a building permit for the propose work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: 4 . 5 ADDRESS: Com: PHONE: CONTRACTOR'S LICENSE NO. 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. 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 f' SIGNED: PROPERTY OWNER: DATE: U /.=.2 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.- I �1�R�1�IER:BIIII:I}ERIlkFE'C}RhFf�l� ; 3 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerreely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95966 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT. 0. ASSESSOR A��ELNy,B€R / �F/-� Zo"' G BUILDING PERMIT OWNER r TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN 'S MAIL ADDRESS nAk 313 0 ;1 Crea CO T CT R S NAME TELEPHONE CONTRACT R'S MAILING ADDRESS Fireplace amN TRUCTION LENDER a UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ Te ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS S o Permit fee $ 15 6-0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFYtTJ1 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 10.00 ea C/CJ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation[]Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service V OR LE 1000 AMP ORSLESS 10.00 0, 6C7 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. ,,,�( License No. Classification IXI I a�ry� , as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason CONST. DWELLING OCCUP.& , NEW 2/ OR ADDNS. ACC. BLOGS. z¢sgft NEW CONSTR.ULTI-OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS IN SINGLE OUTLET CIR. I / Ex. Occup\OUTLETS OR FIXTURES 20050t eAL030 Ex. OCCUp. OUTLETS FIXED PRESID )REA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin g 15.00 `j • �� Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. fel I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save,, indemnify and keep harmless the County of Butte against all liabiliti , judgments, cos nd expenses hich may in any wa accrue against s7untyi he gra ng of this per t. X Date Signature of Applicant — caner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiie''�s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $(17.50- OCCUP. CONST.TYPEJ FLOOD PARCEL PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. (R2i(J0? WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT c -COUNTY OF BUTTE - DE�PARTMENT„0F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE • pROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 ij PERMIT APPLICATION DATA SHEET --- OWNER Proposed Building Use. Permit Fee Based Upon J Permit No.4q / V' )1e- YO u Ct A. P. No. 6 � —C) % C� Complete Contract Price DPW Valuation Building Inspector zg—z Date o/ 1 r 0 V At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items. have been submitted- 2.. Plot plans in duplicat triplicate. . . . . . . . . . 3. Complete plans in duple riplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 9. Letter of signature authori do �10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . t 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to (Date) �17. Pre -Inspection for k Required. Building Inspector Record a Aq�f � ,�tuy�onstruct (gm approva�erequired prior to occupancy pa�9 ther n yo sgue th permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other _. Applicant ✓ j' ^Date. a// Ag Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, wn was advised of above required data by Tele hone ail Other By_ Date Plans checked by Date Plans approved by Date Other: Copy -DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMI 0. ASSESSO PICC=L Ns,I,L••1BER— / ZONI G BUILDING PERMIT OWN;rl �7L� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S ING ADDRESS,,, �r by 3 CO TR•CTOR'S NAME OWn TELEPHONE CONTRAC OR'5 MAILING ADDRESS ' Fireplace COO SON LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ L. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS C / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME RCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomex Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ _Installation4 Other ❑ Describe work: _ - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions Of Chapt. 9, Div. 3 of the Bu$Ines$ and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do tbe.work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM , OR ADDNS. ( ACCU. BLDGS. / 2/4sgft NEW CONSTR. TI-OUTLET2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS 6\ (SINGLE OUTLST CIR. / Ex. Occup(OUTLETS OR FIXTURES 20050Q e ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department - a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances.and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, ts, and expe es which may in any way accrue against sal Co my i n nting of .this permit. ' %� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures/^over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE �. occuP. CONST.TYPe FL000 PARCEL PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. (n 00:7 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I Permit#2216-86 r_62-21-61 Issuedt_ Y 0 COUNTY OF BUTTE - DEPARTMENT 0 - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CA - TELEPHONE: 916/534-4541 t. °PERRMIT APPLICATION DATA SHEET y^ Permit No. _ OWNER ✓l.-�' O A. P. No. �0 Proposed Building Use LIZ Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items. have been submitted. . . . . . . . . . . . 2.., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . i __l,Z1 6. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Dote) 17. Pre -Inspection for Required. Building Inspector .18 Record �Y Ag,F'�1tMi'1' r C Acknowledgment Statement . 19. Other— When tujll onstruction approval required prior to occupancy When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other �r,` `•• /W :wi.��.Nweo.! Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Plans checked by Plans approved by Other Copy—DPW By Date Date Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 Arlie Stroud , P.O. Box 330 Berry Creek, CA 95916 With reference to the above subject: " Attached is: OTHER DATE August 5, 1986 RE: Mobilehome Permit Application A.P. # 62-21-61 Application for permit Mobilehome Utilities Installation Sheet Building Plans _ Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced X We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of.Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. X% Plot plans in triplicate Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section sets of plans in accordance with the changes marked in red. _13F Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico — 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise (DPW). Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. �— Recorded copy of ,deed showing 60 ft, right of way - Recorded copy of agricultural acknowledgement statement. OTHER Our records indicate the above parcel was created in April, 1967, at a time when Butte County required a 60 tt. right ot way to a public road -.-F sena a copy or your recoraea aeea. Should you have any questions concerning the above, please contact this office. Yours very truly, William Cheff Director of Public Works .F. Glander JFG/aj Chief Building Inspector L,S. h uttecounig LAND OF NATURAL WEALTH AND BEAUTY �-L BUILDING DIVISION V DEPARTMENT OF DEVELOPMENT SERVICES % 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 March 29, 1995 Charles D. & Bridgett M. Card P.O. Box 81 Berry Creek, CA 95916 RE: Code Violation A.P. #062-21-0-061 178 Bay Ranch Road, Berry Creek Dear Mr. and Mrs. Card: This is a courtesy notice to notify you that' there is a code violation existing on your property, created by a previous owner. The violations are as follows: Failure to obtain the required permits, inspections and approvals from this office for installation of a.mobilehome.. Permits and inspections are required to correct the above noted violation(s). Even though you did not create this violation(s), you as the current owner of record are required 'to resolve any violation(s) or correct any hazards. Please contact this office to discuss the appropriate correction of this code violation. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be takenby you. Should you have any questions concerning this matter, please contact Michael Vieira or Scott Rutherford of this office at the address or telephone number listed above. Yours very truly, MCV•dms *Micel Vieira, C.B.O. Manager, Building Inspection cc: Assessor 4 COUNTY OF BUTTE BUILDING DEPT APR 2 5 1994 iCl ;sc.uss&c to/ Urco owvxer +�e nc-ecC io cvo ©r briV i r\. C.4�f 0 • V . D CITY. STATE, aw a AMOCO= pEQ[FM BY: AM WHEN RECORDED MAIL TO: ABOVE TlgS LK FOR RECORDER USE OKY NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the Iocoi 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 per- sons thereafter dealing with the real property. REAL PROPERTY OWNER/LESSOR MAILING ADDRESS CITY COUNTY STATE ZIP LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY MAILING ADDRESS CITY COUNTY STATE ZIP INSTALLATION MAILING ADDRESS. IF DIFFERENT - BUILDING PERMIT NO. TELEPHONE NUMBER CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY OFFICIAL DATE UNIT OWNER (If also property owner, write "SAME") NAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION DEALER NAME (If not a dealer sale, write "NONE") DEALER LICENSE N0. MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBERS) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER i LMT Of HCD SFORM 433�(A) 3%86 Q*�J VIOLATION CHECK LIST A.P. # 062-21-0-061 Address Owner Russell_ Earl and RPttip .Tana Owner's Address-., 2039 Forbestown Owner's Phone No. Tenant's Name Type of Violation in Detail with Code mobilehome without permits 178 RaV Rnnrh Rnarl, R(' Flam Road, nrovilla, ('A 95466 Supervisoral District Phone No. Section Priority No. Specific Plot Plan with C/V Noted _yes no Penalties Required 1st. Notice Sent4 2nd. Notice Sent ate Date Comments and/or Determination Disposition For Citation Citation Date (Date) Department Recommendation to Court Court Action Notice of Violation Recorded Date) BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (9161538-7541 FAX: (916) 538-2140 August 30, 1994 Russell Earl and Bettie Jane Elam 2039 Forbestown Road Oroville, CA 95966 RE: Code Violation A.P. #062-21-0-061 178 Bay Ranch Road, Berry Creek Dear Mr. and Mrs. Elam: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an at means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations; fines and the recording of a Notice of Violation including a description of the action.necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Michael Vieira or Scott -Rutherford in this office at the address or telephone number listed above. S' erely, MCV: dms_ Mich el C. 'eira, C.B.O. Manager, Building Inspection cc: Assessor t. B U I L L I i i� U L Z I I k L - V --- -- -- — t— _ I U IV i I I r '' -" ,:j - .. -. s.-• L .I. r f e l \ I � I j i + Book Paget --- Black 1t 'Parcel Code NAME _ . t _ J _' �' I.//L.L�[.I_LC- -1--` - --- Y G_ / • L- -'. - . -j-- -Y Cl_ -- — — -- - NAME�+'J� rsonr �e Tv t nr,ertht(✓) f� .� �avr 1.. FCr.?.� __ ••5�i ZONING ' `vv Assessment Year 19 (3S 19 8(p 19 19 ell 'Y 19 Cr4 19 9.5 :UTILITIES -SITE IMPS. Date 02. \ - S S -Z" Z Z-�'"7 �4 ? 1% , v _ -_ 3 �f Electricity: Yes Telephone ❑ Appraiser 162 sap 162 ZSV"T(e Zr,S 162 y517L 2t 162 C!E\Lti 162 [� 162 irs G Gas: Public ❑ LPG[ -.i None I Supp. Assessment Yes ® No ❑' Yes ❑ No Yes ❑ No19 Yes O No ❑ YesK No ❑ Yes a No ❑ Sonitory,Swr.: Public I-! Indiv. I Use Code 160 kv (OX 160 IZVY4 4 160 121�L. 160 _M 160 160 /Z Storm Swr.: Public j Natural; I Transfer Code 124 0/ % 124 % 124 % 124 % 124 % 124 p/ ♦u�, Street: Conc.❑Asph. I Dirt Gravel KI Acreage 108 108 108 108 108 108 Street Lights: Yes (_] No �_� Incomplete 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 C & G: - - Yes IJ No r1 Building Class 1671 167 1 167 (o.p2C 167 1 167 AIL 1S Ci 167 It-, -5 Sidewalks: Yes (_1 No ❑ Bedrooms 168 1681 168 4 168 168 168 SITE TOPOGRAPHY Baths 169 169 169 2- 169 169 169 Level U Rolling M Other U Effective Year 170 170 170 1972 170 170 170 Slopes : Up LJ Downrl S-5 rI Area of Residence 171 171 171 '1490 171 171 171 At E.IAbove ❑ Below ❑Grade Land Type 172 LoI0Homesite 172 Lot❑Homesite❑ 172 Lot.CgHomesite❑ 172 Lot❑Homesite❑ 172 Lot amesite❑ 172 LotRHomesite❑ View Li Of: Car Shelter 173 Yes ❑ No 0� 173 Yes n No !.] 173 Yes ❑ No ❑ 173 Yes ❑ No ❑ 173 Yes ❑ No 173 Yes ❑ No `❑ S ` WATER Pool 174 Yes ❑ No K 174 Yes ❑ No ❑ 174 1 Yes ❑ No ❑ 174 Yes ❑ No ❑ 174 Yes ❑ No 0 174 Yes ❑ No Quantity: _ Quality: Partial Complete % Complete % Complete % Complete % Complete % Complete % Complete Public ❑r Well ❑ Ditch ❑ P.P. Acct. Checked Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Supplier Ac-,--Gj 1) AVC> LQT M Aerial Photo Year rj Ls;�r Topo Map Year MARKET DATA REN,OvE IA/rk I— SRcE Soil Name Index Acres Co arable 1 -2 B zl vekmvc- Mlk Etzar✓. Fti� ('GL b2 '� (- �`� mporoble 2 -1 - IZ VK1CrVE 9Iwn"7 TZ R 10 -— v C. Comparable 3 1,2-j0- 1S3 7Z -29-ZE3 (tSSFSS .1C td s C, Sale Date/Price PRIMARY BASE SECTION 311-3 OOo 1 G 5''I ear 140 q 5 140 85 140 85 140 140 3 140 114 -- vent Date 186 ���- 186 �3��`I�� 186 3-19-A5` 186 186 0/3-(7-� 186 0(0�7o s9 Land 109 �� 109 S� 109 6500 109 109 6 OOo 109 (� o v Avg. Soil Rating '� Improvements Ito — 110 110 -� 110 110 Z Gdc� 110 fj LAND REMARKS' ± Trees and Vines 111 111 _enTtt_LAST SCkir�"�! t-tCt�� t T �'L��rnrg btt2C. Personal Property Keyed By: 112 7 112 112 112 SECONDARY BASE SECTION 112 112 Base Year 240 240 240 8'1 240 01-1- 240 240 - -- Event Date 286 286 286 E3_16 -SC- 286 O 286 286 Land 209 209 209 -- 209 - 209 209 Improvements 210 210 210 1st'��OJ 210 ', le y�{ 210 210 Trees and Vines 211 211 211 211 211 211 Keyed By: -- nr _ - REMARKS:. F3 "_�5.:..__1Az'__`r��l SUPPLEMEN I'AL ROLL PRIMARY LAND VALUE COMPUTATION SECONDARY ASSMT. YEAR PRIMARY LOT H; BASE YEAR VALUE SQ. FT./ ,ACRES l UNIT VALUE VALUE ADDED TAXABLE VALUE ASSMT. YEAR SECONDARY LOT HA SQ. FT./ BASE YEAR VALUE ACRES UNIT VALUE TAXABLE VALUE ADDED VALUE cili S %5 5 06 S O L1 a sTo' 85 PARTIAL OWNERSHIP CHANGE ASSMT. YEAR EXISTING BASE YEAR EXISTING VALUE PORTION RETAINED RETAINEDI VALUE EXTENDED EXT. % VALUE TO YEAR TRANS. DATE VALUE PORTION TRANS. TRANS. EVENT DATE VALUE VALUES LAND COMPUTATIONS X = X = X = LAND IMPROVEMENT COMPUTATIONS x = x = x = IMPS. LAND COMPUTATIONS X = X = X = LAND IMPROVEMENT COMPUTATIONS x = x = x = IMPS LAND COMPUTATIONS x = x = x = LAND IMPROVEMENT COMPUTATIONS x = x = x = IMPS. LARD COMPUTATIONS X = X = X = LAND IMPROV` MNT•COMPUTATION$ x = X = X = IMPS. LAND COMPUTATIONS x = x = x = LAND IMPROVEMENT COMPUTATIONS x = x = x = IMP$. .-- MOBILEHUME BUILDING RECURD PARCEL NO. T' 1: 2 'U .:l AAA I.IIG11i• rl �� ;' s" xDtirido. - - ___ ___ QUALI•Ty : _r YEAR• 4yR00MSJ ::-CLASS' :Bl11LT .FLOOR NO. OF :,..... '. 't'. t air ,,: L - r 3 t i'j,' • J;Lii, ti,.l'•: _ _ ..,�. Y• 4,..k GHEN FEAT.0RES ..t. - , w f t ;a `F" Dbilc�ipr i 1 4 MAT L'= ;P_LB , , '1 ISESCRI t ) ? r,'• .Vlide `' a,a:.....: Vis.. i7 k`IIon '3g t: .bifiet >:�:. Y S. _.l, 3'z. ,,f:.':: ���::v::�J. sur J •i,Y�.�7 J,^7�i'aTd t .'� �, Ad PP, Y:LES,�-. _i_ SKIRTINGS',: Entry � -` •�{--- d/j Alum: Panels_ -r. ;t< <I I'r G ■■ ■■■1 �- r.Alurh. Shlplo Li'vih9. 't _r _ j. ■ ■�1!9 —� �Yrr:4 MaSanite DIr11n�i. , �ty Y ... a, r , :�'%n41�. —__ ..-,.1.:.e: «�t•�: Fibergloss Famrly:i :vs.i sE'9" ! r? .. y :ife ie M. N, Brick or $tone Gfeat. Rm. t } hit. m 2r� 'Kse Othei. WDOb. yi.l is oth HEATING. r�A '111 1°2 :k'> GOlv:ylEbii"' x Forced Ail :Bedroom 1 >.-;%+.•• ?i� En$nelE'di:S}�el'";;?<'ra.� ...4'.i 9: own( w- D to �:.!n isi.w•a.t.cci:-i u'vi< - P.Idui L A3 ho i $k 1 ?£_ d ,I 9. ,a-:.ts��'" U Flow P i-5.., >, s..a A;wfiings Shutter Shoke''RooF .�4'�" - all or Fl or.� Be h `OaCtHpa1+�:.,"•sw' µ;2 � :,ir _ 'jljtj p 't��':--.-., 'Gr&'uelj.•. Eek, Other '88th T %1&c:,c' z- .'OfheF:a:ri,�;` = Sei-u for A/ Both p ..,..' IAO AE RATING (E.G.A.F.P.) _ - -: c�-F..OUNDA710N, 3:.:;-. ,. COOLING: `_?>' `a: '.0 +�:.� 0' cridiliori Appearance Conform Location :fdrindn6ki !st+,;" Re(rig. H.P: KHchen ir, .• Heat Pump.. BOnusRm: := :: tPA K RATING.(E�G _ •r ,.. •- Thru.woll., U;i lit 0,e roll LocO!ioh General. Appeorante Reeaeohi i+. Foeilities: •;Ove,oll QuoLty j :' ;.+•,y.' kfiir x,vw,p'•c'.1:: ,w"li >i_.:.. •i? `s . 1 t-, 3. ?#, i : Evo Cool +.. _ r - a:�` A LS 0 .[.,TOT R. DESIGN. #'• Ef.F•g' ;DEPR -SQ.:'F.EET; :' R.C:N. R.C.N.... -' tL.N.D: ' YEAR ';TYPE i §t�JAS:YR:° .TABU` MAIfd..IMP: MAIN IMP. TOTAL ' " GOOb. ::a::.:.:..:.:c. �;. Pe. yGood :.'.,AQDLDEP R:G:''L"":D'''I'' '''':':"APPRAISER'' '?``'' 'DATE REVIEWED. DATE . -. .'.'-_k,..a:.,: :.::,_a,'r .:•,'.:.' ..'...':"s::.:f. CK _ . _ .,..say,,; .�.; ...,... r.... ..,.....-�. - '<:�ZV- i- In- b- $S�_ e.. 9..riL �a 9 i �..>� ...'... :GAS• t 5i `. e;« 4 `=i --�r^' 1 v 7 19 : _ ::• �— c . 3. / 9 ,..a¢i,:'�..:�''::•.;;ri ,. t �;Iy;l� t }.UNC?�.. ..:,.' ii.. r; �' AREA�$H�. ;;;:'. NIT 55 a.^. aa.'. .::UNIT tis . U 7 .{ r.:. {r't 'COS;:.-. AREi1'..< "':,GO :r H1`:=: i; k .AREA ,;',' UNIT. ..:r^c_: ..ri:'.... UNIT :'COST: ';. AREA COST �. •t: �a COST ., q: r . C0S7` -1 ..::,.: .... COST COST - ,,,, r. ._ IAabue H6mZt. " ,,.:I' 90: r ,: ., ,.'.'v. ,.. - 4 �i0 .': tE :1'±-1.�10•< �.1 .1 va 1•CO01@G-::Y'.: :- -.:. '�:_a. ,...: •.:. r,.J. ... ,^.- :.. •r3'- .j ,. - .;1 ;.pt. Bar. ..ii .a -'!•,:,•-:.;.r. ..::....r:;^:_. ?',:` ':i?�'�>•" y= D GOT1P Ski.Nn =i L 'ING�- �:,:::::; ,1v8� 5�= .84�' �•�=.'•�'�:"..:' :•i. �/'R-C Pcf. �Q'�IGE. . Other l,; _ - die • _ : t 1.:: ; D\' • xL\?- ta'r u` TOTAL R'C AIN''' ''. .:r,":• _ ri<,: • 8 ':�-$- D EN _ _ Corpor Perch Roof , ;�_ �'' pta0 :::: ' i,.<.: ===?• _ orc .�..:...✓�.-....: • ..; -::aj ..:. - ice' ,: i Toro e5hed•1 � ..• .- .:.;�:� _ _ -44 •c ' SUB•TOTAC R.C.H... :. :::,.: e.: Deduct (Singlewidl s) 'TOTAL R.C.N. 14. QQU -3-4171-42 114t0� SHEF-T OF v SIfEI-7 I)F- SCRIPTION OF PUILDINGS _. ..._ ._..._...__.... .......... _... ........ ...... ... ---....__.-...._.__..._.. - --- --- ec Ironf _ nnd $tory Year v„J Sffvrfn,e Size ^•nn J. I {Yell A Exterior xterior Type (over Floor 8 Interior Detail or Loft Built iL.!!r1` .. -' ---. _.. - .. .-.. .. _. _..__...... .. - . .. ...___._. _._._..........__-_—.__—.___—_.—_.__.-._.. __ .. _..._._._-_ — CoV . pEc_.Lf -7 X 1.0 p�et� FAST... SN GaMd7 • woo ✓J w/rola 03_... e 4x - COMPUTATION loproiser-0ote ZS 1.7 L'. l-� lyg7 2 S -r 1954 �C 36- -..._._. 3..�y 19�� - --Ir ... _ _ —T-_...... _._. i,ir•',�. 1 Unit S _._. %i. C. IV. iJn,l .. i� (( R.C. P✓ !!nif % R.C.N. Unrl 0 f "/e R. C. •1•'. J� ! rn ('nc/._.. l.C•niJl t.. V. O, �.r cf l._._... Cncr .. - .......-- __. . `.f_.. _.. _....__..._.. Gc�d 1... N. /7. I , ns' I I Gv ,dl C. N. D Cosf Good L. Al !-?. / I - - --- I I X110 I 5 �1•�J -75 ! 1 575 $ �7i� 0 6S ZI oco I ?�lal l'r1(7 is er- Onfe I, p v AS ,�F 8-lS,?3.Yi--..... I���--� •its �F (.-7 19 _..._.. /) 19 19 lQ I h. "'on;I . ...... --- •----... _ _ _.... _ .. ._ Unit I Cost Cost Co--s-l-- (.Ood ..C,N• P•_.. .Cos.l._ ... __..__ ...._ GcrQd -.-J N..n .. °st - -- — GS✓4d� --..1. N. A SdLst_. od _._1...N. i:? � I . ! COUNTY ADMINISTRATION BUILDING OROVILLE, CA 95965 - 3382 ELAM RUSSELL EARL BETTIE .7ANblephone: 916/539-7721 (Mon -Fri 10-3) ^* A"Osg ,s ppgo. 2039 FORBESTOWN RD OROVILLE CA 9596 MAR 0 9 1992 CHANGE OF OWNERSHIP STATEMENT FOR MOBILE HOME eawswgg A mt: 910- FEE: 10-FEE: 062-210-061 (TAX CLEARANCE) OUR OFFICE HAS RECEIVED INFORMATION. THAT YOU HAVE ACQUIRED A MOBILE HOME. PLEASE COMPLETE AND RETURN THIS FORM WITHIN 45 DAYS OR YOU MAY BE SUBJECT TO PENALTY. THIS INFORMATION IS CONFIDENTIAL TO THE EXTENT REQUIRED BY LAW. 1. Was this a Gift? YES __NO ,� Was this a sale? YES NO Did you pay 6% Use (Sales) Tax? YES__NO %_ Total purchase price $______________ Down Pmt $____________ Loan Amount $ Interest Rate _______% Term of Loan (Years) Source of Financing (Bank, Savings & Loan, Private) __________________ -------------- 2. Was the seller related to you? YES _— NO V If yes, what is the relationship? ----------------------- -------------------------------------------------------- 3. Date of Transfer a2�loZ _ If this was originally purchased under a Contract of Sale, what was the original date of purchase ?_____________________________________ 4. Did any of the purchase price include a trade ? YES ___ NO (Please list item and value of trade) --------------------------------=------------------------------------ 5. Did your purchase include anything other than the Mobile Home? (Such as: Garage, Storage Shed, Deck) If so, please specify item(s) and Liextimate 'value(s) ------------------------------------------ - --------- - 01 6. Was this.a 100% transfer? YES %� NO ( %) ? -01n S 7. Please provide as much of the following information as possit: Year Make Model --� - --- -- e- s=------------------- --------- Size yln _(Single Wide --- or Double Wi ? ) Va e�Z�--=--�------- Is Mobile Home currently licensed with DMV orCD?' YES NO n ,� O License Number --- ____ - Expiration Date ______p1� _ ------------------ --- - I.D./Serial No. HUD / DOH No. Decal Number ------------------------------ , �-- B. Current location of Mobile Home Q � u_ _�_ _ _ -- --- ------ -- --------- a) Has' this Mobile Home been moved? If so, where was Mobile Home moved from? Lt�t���yot cJ.c� ------------------------------------------------------------------------------- b) Do you plan to move the Mobile Home? If so, please state new Location---GCliuoy�-v �?__ ------------------------------- 9. Has the Mobile Home been modified since the date of sale ? YES ___ NO-_% (If yes, please list changes and estimated cost -_________) ------------------------------------ 10. Is this Mobile Home intended as your principal residence? YES___ NO V- (If yes, state date of occupancy __________________, 19___, or intended date of occupancy _______________9 19___) If you are over 55 years of age, does this Mobile Home re- place your prior principal place of residence? YES ___ NO 11. Remarks --- ice/ �9� --------------------------------------------------------------------- ------------------=----------------------------------------------------------------- DATE19SIGNATURE 0? -,2 - 1_�- _ -____-- � _-- _-, �-•��-•—. DAYTIME PHONE _s�Z ------------------C----------------------------- For urgent ❑ Date Time h You M ere Out of Phone AM CODE - NUMBER EXTENSION Telephoned Please Call Came To See You'[J` " Will Call Again ❑ Returned Your Call ❑ Wants To See You ❑ Message i Signed � 9711 ru ADAMS BUSINESS FORMS SV e wo d d Gave Ce AN .9 k 2 HCl n -Pik Qh Y pn2 rcr o woo, -'s , t o -t-00 W CA � � e- ?r✓►Q < �t�ei�e -0 are o 4OLf �itln� /'m tC-SS 'ig oeacn I-M WUOUO vi-may-yo avv ins seville CA 95661 04-Dec-95 add ins Ico CA 95928 15-Dec-93 add ins Wille CA 95966 31-May-92 add ins Ico CA 95926 15-Aug-92 add ins neville CA 97754 cancelled 12/21/9i/ neville CA 95747 28-Feb-96 add ins Bm Utah CA 84037 10-May-92 add ins Soto TX 75115 01-Aug-95 add ins >wnsville CA 95919 until cancelled add ins Ico CA 95928 29-Mar-92 add ins ockton CA 95215 until cancelled add ins rham CA 95938 29-Jan-95 add ins Ico CA 95927 08-Oct-94 add ins Ico CA 95926 20-May-93 add ins nJose CA 95112 01-Oct-93 Wille CA 95965 06-Apr-95 add ins oramento CA 95813 15-Nov-93 add ins aka CA 96097 11-Nov-94 add ins rth Highlands CA 95660 01-Aug-93 add ins nicia CA 94510 until cancelled add ins inch Camp CA 95231 31 Jul-94 add ins Ming CA 96002 01-Oct-92 add ins nta Rosa CA 95406 01 Jan-94 add ins rysville CA 95901 02-Feb-94 add ins Ico CA 95927 15-Aug-95 add ins alia CA 93278 02Jan-95 add ins Wille CA 95966 13-Nov-95 add ins lco CA 95926 02-May-95 add ins Ico CA 95928 10-Feb-96 add ins Complainant: Address: Phone Number: Other Comments: Building Inspector must draw a plot plan with all buildings and violations: Additional comments from Building Inspector: OVER �z f� B �Nl ipq ' o�T:v7br` ' wdf Ila SITE PLAN —7- 7 .... ...... —7- 7"'* 7" --------- 7-- ............................... ...... 7 ............. ...... 7 ................... ............ ...... 7 ............ ...... 7 ............. ................... ...... 7 ............ ...... 7 ............. ................... ............. ...... ...... ....................................................................................................................................... ........-:.:: ... ...... ...... ...... ................... 7 ..... ...... ...... ...... ...... ...... ...... ...... ................................. irk t: - .............. ............ .......... ...... ...... ...... ...... ...... ...... ...... ...... ...... ...... ........ . ................. ...... ...... ...... ............ ...... .......................... ...... f ............ ............... ..... % ......... .............. ............. .............. ..... ...... ...... ...... ................... ........... ......................................... ...... ..... ...... ...... ........ ...... ..................... ..................... .......... ............. ...... ...... ...... ...... ...... ...... ............ ...... ...... ...... ...... ...... ...... ...... ...... ... ... . ...... ............ ...... ...... ...... ...... ...... ............ ...... ............. ...... ..... . .......... ........... . .............. ...... ...... ............ ...... 7 ....... ....................................... ......... ................................. % ...... ...... ... ... ...... ..... .................. ...... ................... ...... ............ .......... ......... %X . . . . . . . . . . . . . . .............. ...... ............. .................... ..... . ....... ..... ............. ................ .............. .............. .. ........... .................... ..................... ..................... ..................... ...... ...... ...... . ..... iv. .......... ........ ...... ...... .................... ...... 7 ...... ...... ...... ...... ...... ...... ............. ...... ..... ..... ............. ...... ...... ............. ...... 7 ............. ...... 7 ..... ...... ............. ...... ..... ............ % ...... ...... ............. ...... ...... ...... ...... ...... ...... ...... ..... ...... ...... ...... ...... ...... * ............. .................... ...... ...... ............ ............ ............ ...... 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EEO — [zKH - Fo]�Nlzl Scale: 1 Owner Name Address / Phone No. Site Location Contact: Name 'e y 0dobw 23, 2'003 FOR OFFICE USE ONLY PROVIDE FOR ALL Zoning: ADJACENT PARCELS SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAN: i 4.0(r USES: v O R7 Z 3 0 z �1 2 m l� a INTERIOR RIDGE -SUPPORTS STAf7OA.'1D PIER.•A • . : AS SPECIFIED BY MANUFACTURER SPECIFIED BY COACH MANUFACTURER PLANScale: V _ 10• TRIPLE WIDE MOBILE COACH u n u n u n u n u n u n V ExlsrNc Moen�v!•�' MAX. SNOW LOAD 60 40 n m 4 T 4 4 SEISMIC COACH SIZE R n n n n n n 66 FT TO 76 FT 16 16 NSEISMIC ZONE 3 3 & 4 di WIND LOAD MPH EXP 80B 70C T T MAX. SNOW LOAD 30 30 n n n n n n W u u u ii u u u NOTE:1- OW S ARE NOT REQUIRED ON OF THE PAD BE PERPENDICULAR TO THE COACH BEIM (AS SHOWN ON THE PLAN). 0 WIDES. 41 6 4 6 6 U C\2 r:__4 — z y� 14' x 80' 8 0 8 4 66 O 16• x 60' 6 0 6 4 6 6 W IS SCALE: AS SHOWN DRAWN YMW � PLANScale: V _ 10• TRIPLE WIDE MOBILE COACH • AUGERS (CR EQUIVALENT) SEISMIC ZONE 3 .roR TRIPIa noe PIAS 9LL41TIC PIM DI ROWS Or 1 As sxoTrll WIND LOAD MPH EXP BOB 70C V ExlsrNc Moen�v!•�' MAX. SNOW LOAD 60 40 n m 4 T 4 4 SEISMIC COACH SIZE SEISMIC PIERS SEISMIC PIERS m UP TO 66 FEET 12 12 7 0 66 FT TO 76 FT 16 16 NSEISMIC ZONE 3 3 & 4 di WIND LOAD MPH EXP 80B 70C T T MAX. SNOW LOAD 30 30 0 6 0 UP TO 60 FT 12 16 DOUBLE WIDE MOBILE COACH W MOBIOF YOBILE 92'.71. 60 FT TO 76 FT 16 16 10' NOTE:1- OW S ARE NOT REQUIRED ON OF THE PAD BE PERPENDICULAR TO THE COACH BEIM (AS SHOWN ON THE PLAN). DOUBLE /I TRIPLE WIDES. 41 6 4 • AUGERS (CR EQUIVALENT) 4 T T .roR TRIPIa noe PIAS 9LL41TIC PIM DI ROWS Or 1 As sxoTrll SPACE IST ROW 2 FT FROM END A.".t9AC�1J.KANS THEN SPACE EVENLY. V ExlsrNc Moen�v!•�' IJ IIAMi 0-4 ul YS, m 4 T 4 4 SEISMIC I 1161 ®C. SEISMIC s a L! -I Li -i 'I' LJ -I L -L.1 DOWNS PIERS DOWNS 4 T T 4 ran oovmz WmI b LJ PUS SCISMIC PIM 6 4 I" ROWS OF 4 / PER TARN di i o. T TIL < H m 1 T T T ° MOIL °P 4 4 4 T 0 6 0 24', 26', 28'. OR 32' 4 PLAN Bell.: 1- _ IO• DOUBLE WIDE MOBILE COACH • AUGERS (CR EQUIVALENT) SEISMIC ZONE 3 do 41 3 dE 4 WHEN REQUIRED. SEE TABLE. SPACE IST ROW 2 FT FROM END 70C THEN SPACE EVENLY. MAX. SNOW LOAD 40 1 40 40 0-4 ul YS, m 71 �.1sruc rocnc' SEISMIC COACH M:AMS lJ } SEISMIC s a w (A DOWNS PIERS DOWNS PIERS DOWNS CONSULTING SERVICES (CTC) e. LATERAL :X -LARGE PIER: 1907 LBS. ULT. LOAD LARGE PIER: 2423 LBS ULT. LOAD W CO � CK m 0 6 4 6 4 w I I di i o. T TIL < H VI 7. STANDARD PIER k FOOTING SPACING PER COACH MANUFACTURER'S INSTALLATION MANUAL. WITHOUT MANUAL, SPACING OF STANDARD PIERS TO BE DETERMINED BY STATE Q, w () SEISMIC PIER A I I FOUNDATION PAD 0 6 0 /PER TABLE 1 4 1. FOUR FOUNDATION PADS ARE AVAILABLE FOR USE WITH THIS SYSTEM. THE cOLE W MOBIOF YOBILE 92'.71. COACH OR 18' 00 PLAN Seale: 1' 10' SINGLE WIDE MOBILE COACH 12 IN OVERSIZED 1 3/B'xYFOR CHIPPING AND/OR FLANGED PLASTIC CORNER BREAKAGE ANCHOR INSERTS 3' 36 1/2' 4' 3/8• x 1-3/0' FLANGED 5/8'x3' STAINLESS STEEL OR ) FLANGED PLASTIC 5/8 x 3' FLANGED COACH I BEAM vua. '•a n a va '•"� v' RF.FERENCE:r.AI.IFORNIA CGDE OF REGULATIONS. TITLE 25 ATIII U.B.C. 1994 EDITION. Q j-02 -03 I Y W A11 1. DESIGN LOADS SHALL BE CONSISTENT WITH LOCAL REQUIREMENTS WIIERE INST D. SEISMIC ZONE 3 do 41 3 dE 4 4 WIND LOAD(MPH,EXP) 706 1, BOB 70C BEARING CAPACITY. THE BUILDING PAD SHOULD CONSIST OF ONE MATERIAL TYPE. MAX. SNOW LOAD 40 1 40 40 / OF / OF / OF / OF / OF / OF b'SHALL BE C. SHALL BE WELDED ACCORDING TO AWS SPECIFICATIONS: SEISMIC TIF:- SEISMIC TIE- SEISMIC TIE - r , COACH SIZE PIERS DOWNS PIERS DOWNS PIERS DOWNS CONSULTING SERVICES (CTC) e. LATERAL :X -LARGE PIER: 1907 LBS. ULT. LOAD LARGE PIER: 2423 LBS ULT. LOAD W CO � 12' x 60' 6 0 6 4 6 4 WITH LONGITUDINAL OR CROSS JOISTS. T 6. THIS FOUNDATION SYSTEM PLAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL v SITE WITH NO EXISTING SOIL PROBLEMS. SEE TITLE 25 SECTION 1334(b) 7. STANDARD PIER k FOOTING SPACING PER COACH MANUFACTURER'S INSTALLATION MANUAL. WITHOUT MANUAL, SPACING OF STANDARD PIERS TO BE DETERMINED BY STATE Q, w () 14' x 60' 6 0 6 0 6 4 1. FOUR FOUNDATION PADS ARE AVAILABLE FOR USE WITH THIS SYSTEM. THE CUSTOMER MAY CHOOSE ONE OF THE FOUR PADS FOR THEIR COACH. W 2. FM PADS SHALL BE PLACED ON FIRM, LEVEL UNDISTURBED SOIL (SEE GEN. NOTE 2) 3. rONCRETE FOUNDATION PADS 00 10' x 60' 6 0 6 0 6 4 OF THE PAD BE PERPENDICULAR TO THE COACH BEIM (AS SHOWN ON THE PLAN). V) 12' x 60' 6 41 6 4 6 6 U C\2 r:__4 — z y� 14' x 80' 8 0 8 4 66 O 16• x 60' 6 0 6 4 6 6 12 IN OVERSIZED 1 3/B'xYFOR CHIPPING AND/OR FLANGED PLASTIC CORNER BREAKAGE ANCHOR INSERTS 3' 36 1/2' 4' 3/8• x 1-3/0' FLANGED 5/8'x3' STAINLESS STEEL OR ) FLANGED PLASTIC 5/8 x 3' FLANGED COACH I BEAM vua. '•a n a va '•"� v' RF.FERENCE:r.AI.IFORNIA CGDE OF REGULATIONS. TITLE 25 ATIII U.B.C. 1994 EDITION. Q j-02 -03 I Y W A11 1. DESIGN LOADS SHALL BE CONSISTENT WITH LOCAL REQUIREMENTS WIIERE INST D. _ 2. ALL FOOTING TO BE SUPPORTED BY FIRM, UNSATURATED, UNDISTURBED SOIL OR FILL COMPACTED TO 907. REL. COMPACTION. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING CAPACITY. THE BUILDING PAD SHOULD CONSIST OF ONE MATERIAL TYPE. WHERE PARTIAL CONCRETE OR ASPHALT OCCUR BENEATH FOOTPRINT OF HOME, IT SHALL BE DEMOLISHED h REMOVED. 3. STRUCTURAL STEEL: e. SHALL CONFORM TO ASTM A36 Fy - 36 KSI MINIMUM. FABRICATED ACCORDING TO AISC SPECIFICATIONS. E 4 b'SHALL BE C. SHALL BE WELDED ACCORDING TO AWS SPECIFICATIONS: i.ELECTRODES: E70 It.PLATES: ASTM A36 HI. BOLTS: STANDARD ASTM A307 Iv. THREADED ROD: COLD DRAWN LAW CARBON WELDABLE r , d. ALL METAL COMPONENTS INCLUDING NAILS h SCREWS ETC. ARE TO BE w PROTECTIVE COATED. 4. THE C.P. SEISMIC PIER SHALL BE LISTED AND LABELED BY CERTIFIED TESTING AND FOR THE FOLLOWING LOADS: w CONSULTING SERVICES (CTC) e. LATERAL :X -LARGE PIER: 1907 LBS. ULT. LOAD LARGE PIER: 2423 LBS ULT. LOAD W CO � b. VERTICAL : 16000 LBS ULTIMATE LOAD �"i O 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED BUILDINGS CONSTRUCTED �j U WITH LONGITUDINAL OR CROSS JOISTS. T 6. THIS FOUNDATION SYSTEM PLAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL v SITE WITH NO EXISTING SOIL PROBLEMS. SEE TITLE 25 SECTION 1334(b) 7. STANDARD PIER k FOOTING SPACING PER COACH MANUFACTURER'S INSTALLATION MANUAL. WITHOUT MANUAL, SPACING OF STANDARD PIERS TO BE DETERMINED BY STATE Q, w () MOBILE HOMES PARK ACT. FOUNDATION PAD NOTES: ^ x 1. FOUR FOUNDATION PADS ARE AVAILABLE FOR USE WITH THIS SYSTEM. THE CUSTOMER MAY CHOOSE ONE OF THE FOUR PADS FOR THEIR COACH. W 2. FM PADS SHALL BE PLACED ON FIRM, LEVEL UNDISTURBED SOIL (SEE GEN. NOTE 2) 3. rONCRETE FOUNDATION PADS 00 A. 3000 PSI AT 26 DAYS AS TESTED AND MANUF. BY STARUTE WEIGHT CONCRETE. B. PREFERRED PAD ORIENTATION WHERE EVER POSSIBLE IS THAT THE LONG DIMENSION 'n W OF THE PAD BE PERPENDICULAR TO THE COACH BEIM (AS SHOWN ON THE PLAN). V) C. WHERE FIELD CONDITIONS REQUIRE PAD ROTATION. NO MORE THAN HALF OF THE PADS IN A TRAVERSE UNE CAN BE ROTATED SO THAT THE LONG DIMENSION OF THE PADS ARE PARALLEL TO THE COACH BEAM. 4, PRESSURE TREATED FOUNDATION PAn A. 3/4 MCH A.P.A. 48/24 EXTERIOR P.S.I.-83 CC. PLUGGED. NER-QA397.PRP-108. COACH SIZE NOTES: 1. UNLESS APPROVED BY ROCK SOLID ENGINEERING. THE DISTANCE FROM THE BOTTOM OF THE FINISHED FLOOR TO THE HIGHEST POINT ON TH° ROOF SHALL NOT EXCEED: A. 8 OR 10 FEET FOR SINGLE WIDES (SEE TABLE) B. 10 FEET FOR 20 FT WIDE COACHES C. 12 FEET FOR ALL OTHER DOUBLE WIDES LISTED ON PLAN D. 14 FEET FOR TRIPLE WIDES 2. FOR ANY COACH SIZE OTHER THAN AS SHOWN ON THIS PLAN OR REFERENCED ABOVE. LAYOUT SHALL BE REVIEWED AND APPROVED BY ROCK SOLID ENGINEERING. INSPECTION REQUIREMENTS: 1. THE DESIGN OF THIS SYSTEM IS BASED ON STANDARD MANUFACTURED HOMES AS BUILT BY THE MANUFACTURER. SITE BUILT ADDITIONS SUCH AS GARAGES AND SECONDARY ROOFS HAVE NOT BEEN INCLUDED IN THIS DESIGN. 2. ALL DIMENSIONS INCLUDED ON THIS PLAN, INCLUDING COACH SIZE, ROOF HEIGHT AND PIER HEIGHT, SHOULD BE FIELD VERIFIED BY THE LOCAL BUILDING OFFICIAL. ANY DISCREPENCIES SHOULD BE IMMEDIATELY BROUGHT TO THE ENGINEER'S ATTENTION. 3. THE BUILDING PAD SHOULD BE INSPECTED TO ENSURE THAT PROPER DRAINAGE PATTERNS HAVE BEEN ESTABLISHED IN ACCORDANCE WITH TITLE 25 k MANUFACTURER. IIAIMAC UMROMI/MOW1ta ROMA POUr4DAYTOM WY7RN _ =ALT=AMD AMITY COOK IBCTIOM IOU A"UOVW 111311011per TO OORACCTIOIO loom A"WWAL0=1 T4OT AOTRORQL OR ARIIOVI ANT p0{LVO OR OWVIATIOM ROM R6Qvotomm OW AMi'ABLA WTATW LAWS AMD RBOUlAT10W for tOJlra.h o e•sr 1 eoel.s r e�x+7 D..,ly.r �_. �_ ' rw.gb�AI4DWTAMnAID• 5 ( •) OpaofI ss/04* ANCHOR INSERTS PLASTIC ANCHOR INSERT 2 - 3/8' x 1' BOLTS pA z y`V 1. At.M H.y� qc 3.5' r x r PLATE 4 - 3/B' FIELD DRILL HOLES TWRr APn^•w Z 3.5' BOLT WITH (h 4x4-4.4 VVr 4. 1 ITT ABOVE VASHER L NUT OPTION OF p I• I• t - 214 TE% STS No. 4x4 -4x4 VVF F T NPP 2' DIA COACH C P. PRO PAD PRECAST PAD STD PIPE OR BEAM (� ' i t 30'x32'x3/4' 7 N F T NPP 3' x 3' '6L�L.. COl��1 ? PLYWOOD IZ IN FOR THE 15 IN PIPE 4 - 3/8' BOLTS 1/4•x2'x4• PLATE *�orui`T 14 IN FOR THE 18 IN PIPE 1 TIGHTEN TO ANGLE 3' VIDE q� ,^ro W��.yr A`e�, j° IBD IN -LBS " 7UILDING DEP ARTIir7 Y..~.._ HOLES FOR TUBE MUST EXTEND a • � EIS fT-LBS) 70R0UE 1/2' x 2 1/2' C.B. 3' MIN IN TO CLAMP 3/16' PLATE HOLES FOR N I CLAMP t - 7/8' �pp•�.�,/ 18'x24'x3/1' 1/2'x2-1/2' C.B. BASE HEIGHT Ai 3/4' THREADED RDD BOLTS-' PIER SEISMIC i C. ttNt A sto. OIASSiD BUPPOftT PLYWOOD m M Y II:S INCH INCH SMALL L Pa rxsrAwnoR R.xuu 7/16' PLATE LEGS 19.5 INCH EXTRA LARGE TYP OF 2 NSERT, 5/B' 1-1/2' BOLT OR CONNECTED WITH EIGHT 1-1/2'x.120' NAILS OR 8118x1-1/2' FH WS 4' 4' t' I 4 72' Q -POD PLYWOOD PAD FOUNDATION PADS Not- to xclr PLASTICINSERT. 5/8'x2-1/2' BOLT FLUNK A , VITH HARDENED VASHER FOUNDATION ON PA 36' MAX AOPx ION a ADPL IOP a 1/t' PLATE ADE Lor PER SEISMIC PIER Not to Scale TYPICAL BEAM INSTALLATION MANUAL C.P. SEISMIC I -PATENT 115595366 CONNECTION ELEVATION .Not to Scale NOT 10 SCALE OO �D OD U-) I v N t\ CT OD W l: U z o U) W CO � O W Q;p o . U d z a ,.-I 00 E— - Co O d . O C\2 CL, a E_ zz^ U)Z CA Q 41 W D4 W 00 a- Uo W U C\2 r:__4 — z 6x 0 O W DATE: 04-28-03 SCALE: AS SHOWN DRAWN YMW ,SOB q: W03002B SHEET: q OF I SHEETS SITE PLAN ..... ............. ......... — -------- ........ ...... .............. .. ..... .................... ................... .................... ......... ...... ................... .................... ................... .................... .................... .............. ............. ..................... ...................... ..................... ..................... ...... * ...... * ...... ...... ...... ...... ............ ............. ...... ...... ............. ...... .. .. . ... ................... ELEK 40� I N �A R'1. . . . 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