Loading...
HomeMy WebLinkAbout062-680-023COPY of Document Recorded 23 -Aug -2005 2005-0049955 RECORDING REQUESTED BY: Has not been compared rith original BUTTE COUNTY COUNTY RECORDER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 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. ERIC LARSON REAL PROPERTY OWNER/LESSOR PO BOX 2585 MAILING ADDRESS PARADISE BUTTE CA 95969 CITY COUNTY STATE ZIP 58 BIG OAK LN. STATE ZIP INSTALLATION MAILING ADDRESS, IF DIFFERENT 530 538-7541 BERRY CREEK BUTTE CA. 95916 CITY COUNTY STATE ZIP WILLIAM L. OWEN DATE UNIT OWNER (if also property owner, write "SAME") 1655 GRACE RD. MAILING ADDRESS ' GRIDLEY BUTTE CA. 95948 CITY COUNTY STATE ZIP UNIT DESCRIPTION GOLDEN WEST 1983 MANUFACTURER'S NAME 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 04-2543 530 538-7541 BUILDINq?FJAKT NO. TELEP ONE NUMB PR 6, b SIGNATUiEbFL AGENCY OFFICIAL DATE NONE CA DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. DATE OF MANUFACTURE SC561M8 MODEL NAMERJUMBER GW6CALSC5187 56'X 14' 255589 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) SEE ATTACHED ASSESSOR'S PARCEL NUMBER 062-680-023 HCD FORM 433(A) REV. 8/91 Order No. 00217826-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: A PORTION OF THE WEST HALF OF THE SOUTHEAST QUARTER OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 5 EAST, M. D. B. & M., DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF THE WEST HALF OF THE SOUTHEAST QUARTER OF SAID SECTION 33; THENCE ALONG THE SOUTH LINE OF SAID SECTION 33, SOUTH 880 22'38" WEST, 494.98 FEET TO THE CENTERLINE OF A 60 FOOT WIDE ROAD RESERVATION; THENCE ALONG SAID CENTERLINE, NORTH 041 35' 07"EAST, 113.64 FEET; THENCE NORTH 470 44'40" EAST, 263.26 FEET; THENCE NORTH 360 2214511 WEST, 263.60 FEET; THENCE NORTH 60° 3713711 WEST, 73.78 FEET; THENCE NORTH 280 5311411 WEST, 94.60 FEET; THENCE NORTH 080 28' 56" EAST, 121.97 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, ALONG SAID CENTERLINE, NORTH 42° 43'48" WEST, 90.80 FEET; THENCE NORTH 100 09' 34" WEST, 95.48 FEET; THENCE NORTH 620 31' 47" WEST, 108.03 FEET; THENCE NORTH 080 40'05" WEST, 93.28 FEET; THENCE LEAVING SAID CENTERLINE SOUTH 84° 52' 07" WEST, 232.83 FEET TO A POINT IN THE CENTERLINE OF ANOTHER 60 FOOT WIDE ROAD CENTERLINE; THENCE LEAVING SAID CENTERLINE SOUTH 090 1011511 EAST, 434.67 FEET TO AN ANGLE POINT IN THE CENTERLINE OF LAST MENTIONED 60 FOOT WIDE ROAD RESERVATION, WHICH POINT BEARS SOUTH 67014'42" WEST FROM THE TRUE POINT OF BEGINNING; THENCE NORTH 67° 1414211 EAST, 380.60 FEET TO THE TRUE POINT OF BEGINNING. AP NO. 062-680-023 PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT ON THE SOUTH LINE OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 5 EAST, M. D. B. & M., FROM WHICH THE SOUTHEAST CORNER OF THE WEST HALF OF THE SOUTHEAST QUARTER OF SAID SECTION BEARS NORTH 880 22'38" EAST, 494.98 FEET DISTANT; THENCE NORTH 04° 35107" EAST, 113.64 FEET; THENCE NORTH 470 44' 40" EAST, 263.26 FEET; THENCE NORTH 36° 2214511 WEST, 263.60 FEET; THENCE NORTH 600 37' 37" WEST, 73.78 FEET; THENCE NORTH 28° 5311411 WEST, 94.60 FEET; THENCE NORTH 08° 28' 56" EAST, 121.97 FEET; THENCE NORTH 42° 4314811 WEST, 90.80 FEET; THENCE NORTH 10° 09' 34" WEST, 95.48 FEET; THENCE NORTH 62'31'47" WEST, 108.03 FEET; THENCE NORTH 08° 40'05" WEST, 93.28 FEET; THENCE NORTH 2943154" EAST, 188.09 FEET; THENCE NORTH 761 54' 12" WEST, 138.33 FEET; THENCE NORTH 54° 14' 48" WEST, 144.62 FEET; THENCE NORTH 54° 16'07" WEST, 57.04 FEET; THENCE NORTH 450 52'3511 WEST, 231.12 FEET; THENCE RECORDING REQUESTED BY: Recorded I REC FEE 13.0@ Official yRecords I CoButte f i COWORM COPY 1.00 CMOACE 16RLIBBS 1 County Clerk-Recorderl I AND WHEN RECORDED MAIL TO: I SA ®1:06PM 23 -Aug -M I Page 1 of 3 BUTTE COUNTY BUILDING DIVISION 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. ERIC LARSON REAL PROPERTY OWNER/LESSOR PO BOX 2585 MAILING ADDRESS PARADISE BUTTE CA 95969 CITY COUNTY STATE ZIP 58 BIG OAK LN. OROVILLE BUTTE CA INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE BERRY CREEK BUTTE CA. 95916 CITY COUNTY STATE ZIP ' WILLIAM L. OWEN UNIT OWNER (if also property owner, write "SAME") ATE 1655 GRACE RD. MAILING ADDRESS GRIDLEY BUTTE CA. 95948 CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE SC561M8 MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-2543530 538-7541 BUILDINGP TNO. TELEP ONE//NUMB SIGNATU E FAL AGENCY OFFICIAL ATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GOLDEN WEST 1983 SC561M8 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GW6CALSC5187 56'X 14' 255589 SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 062-680-023 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. Order No. 00217826-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: A PORTION OF THE WEST HALF OF THE SOUTHEAST QUARTER OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 5 EAST, M. D. B. & M., DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF THE WEST HALF OF THE SOUTHEAST QUARTER OF SAID SECTION 33; THENCE ALONG THE SOUTH LINE OF SAID SECTION 33, SOUTH 880 22'38" WEST, 494.98 FEET TO THE CENTERLINE OF A 60 FOOT WIDE ROAD RESERVATION; THENCE ALONG SAID CENTERLINE, NORTH 04° 35' 07"EAST, 113.64 FEET; THENCE NORTH 470 44' 40" EAST, 263.26 FEET; THENCE NORTH 36° 22145" WEST, 263.60 FEET; THENCE NORTH 60° 37' 37" WEST, 73.78 FEET; THENCE NORTH 28° 53' 1411 WEST, 94.60 FEET; THENCE NORTH 080 2815611 EAST, 121.97 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, ALONG SAID CENTERLINE, NORTH 420 43'48" WEST, 90.80 FEET; THENCE NORTH 100 09'34" WEST, 95.48 FEET; THENCE NORTH 620 31'47" WEST, 108.03 FEET; THENCE NORTH 080 40'05" WEST, 93.28 FEET; THENCE LEAVING SAID CENTERLINE SOUTH 84° 52'07" WEST, 232.83 FEET TO A POINT IN THE CENTERLINE OF ANOTHER 60 FOOT WIDE ROAD CENTERLINE; THENCE LEAVING SAID CENTERLINE SOUTH 090 10115" EAST, 434.67 FEET TO AN ANGLE POINT IN THE CENTERLINE OF LAST MENTIONED 60 FOOT WIDE ROAD RESERVATION, WHICH POINT BEARS SOUTH 67014'42" WEST FROM THE TRUE POINT OF BEGINNING; THENCE NORTH 67° 1414211 EAST, 380.60 FEET TO THE TRUE POINT OF BEGINNING. AP NO. 062-680-023 PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT ON THE SOUTH LINE OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 5 EAST, M. D. B. & M., FROM WHICH THE SOUTHEAST CORNER OF THE WEST HALF OF THE SOUTHEAST QUARTER OF SAID SECTION BEARS NORTH 88° 22'38" EAST, 494.98 FEET DISTANT; THENCE NORTH 04'3510711 EAST, 113.64 FEET; THENCE NORTH 47° 4414011 EAST, 263.26 FEET; THENCE NORTH 36° 22' 45" WEST, 263.60 FEET; THENCE NORTH 601 37' 37" WEST, 73.78 FEET; THENCE NORTH 28° 53'14" WEST, 94.60 FEET; THENCE NORTH 080 28' 56" EAST, 121.97 FEET; THENCE NORTH 420 4314811 WEST, 90.80 FEET; THENCE NORTH 10° 09' 34" WEST, 95.48 FEET; THENCE NORTH 62° 31'47" WEST, 108.03 FEET; THENCE NORTH 081 40'05" WEST, 93.28 FEET; THENCE NORTH 29° 43154" EAST, 188.09 FEET; THENCE NORTH 761 54' 12" WEST, 138.33 FEET; THENCE NORTH 54° 14'48" WEST, 144.62 FEET; THENCE NORTH 54° 16' 07" WEST, 57.04 FEET; THENCE NORTH 45° 52' 35" WEST, 231.12 FEET; THENCE Order No. 00217826-001 NORTH 18° 28'55" WFjjST, 99.97 FEET; THENCE NORTH 200 55134" EAST, 184.23 FEET; THENCE NORTH 230 23'23" EAST, 350.46 FEET TO THE CENTERLINE OF ANOTHER 60 FOOT WIDE ROAD RESERVATION; THENCE ALONG THE LAST SAID CENTERLINE, NORTH 790 451351, EAST, 1.25.51 FEET; THENCE NORTH 52° 5411511 EAST, 248.60 FEET; THENCE NORTH 310 21' 10" EAST, 260.67 FEET; THENCE NORTH 850 40' 40" EAST, 391.62 FEET; THENCE SOUTH 771 11' 20" EAST, 164.46 FEET; THENCE NORTH 660 40' 18" EAST, 194.78 EAST AND SOUTH 840 22' 06" EAST, 30.00 FEET TO THE CENTERLINE OF BALD ROCK ROAD AND THE END OF SAID LINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT ON THE SOUTH LINE OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 5 EAST, M. D. B. & M., FROM WHICH THE SOUTHEAST CORNER OF THE WEST HALF OF THE SOUTHEAST QUARTER OF SAID SECTION, BEARS NORTH 88° 22'38" EAST, 904.29 FEET DISTANT; THENCE NORTH 020 46'42" EAST, 70.24 FEET; THENCE NORTH 361 38'4411 EAST, 251.01 FEET; THENCE NORTH 07° 45' 09" EAST, 57.05 FEET; THENCE NORTH 53° 05' 11" WEST, 167.71 FEET; THENCE NORTH 04° 12124" WEST, 178.24 FEET; THENCE SOUTH 73° 31' 52" WEST, 131.37 FEET; THENCE NORTH 800 00'04" WEST, 230.04 FEET; THENCE NORTH 150 01'56" WEST, 206.39 FEET; THENCE NORTH 22146153" EAST, 80.27 FEET; THENCE NORTH 42° 18' 08" EAST,113.54 FEET; THENCE NORTH 77° 56' 01" EAST,156.23 FEET; THENCE NORTH 64° 31' 07" EAST, 84.74 FEET; THENCE NORTH 30° 23' 57" EAST, 116.22 FEET; THENCE NORTH 04° 05'05" EAST, 200.26 FEET TO THE CENTERLINE OF AN EXISTING 60 FOOT WIDE ROAD RESERVATION AND THE END OF SAID LINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. J ' Order N6. 00217826-001 NORTH 180 28'55" WEST, 99.97 FEET; THENCE NORTH 200 55'34" EAST,184.23 FEET; THENCE NORTH 230 23'23" EAST, 350.46 FEET TO THE CENTERLINE OF ANOTHER 60 FOOT WIDE ROAD RESERVATION; THENCE ALONG THE LAST SAID CENTERLINE, NORTH 790 45'35" EAST, 125.51 FEET; THENCE NORTH 520 5411511 EAST, 248.60 FEET; THENCE NORTH 311 21' 10" EAST, 260.67 FEET; THENCE NORTH 850 4014011 EAST, 391.62 FEET; THENCE SOUTH 77° 11' 20" EAST, 164.46 FEET; THENCE NORTH 66° 40' 18" EAST, 194.78 EAST AND SOUTH 840 22' 06" EAST, 30.00 FEET TO THE CENTERLINE OF BALD ROCK ROAD AND THE END OF SAID LINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT ON THE SOUTH LINE OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 5 EAST, M. D. B. & M., FROM WHICH THE SOUTHEAST CORNER OF THE WEST HALF OF THE SOUTHEAST QUARTER OF SAID SECTION, BEARS NORTH 88° 22'38" EAST, 904.29 FEET DISTANT; THENCE NORTH 02° 461.42" EAST, 70.24 FEET; THENCE NORTH 360 3814411 EAST, 251.01 FEET; THENCE NORTH 07° 45' 09" EAST, 57.05 FEET; THENCE NORTH 53° 05' 11" WEST, 167.71 FEET; THENCE NORTH 04° 12' 24" WEST,178.24 FEET; THENCE SOUTH 73° 31' 52" WEST,131.37 FEET; THENCE NORTH 80° 0010411 WEST, 230.04 FEET; THENCE NORTH 151 01'56" WEST, 206.39 FEET; THENCE NORTH 220 46'53" EAST, 80.27 FEET; THENCE NORTH 420 18'08" EAST; 113.54 FEET; THENCE NORTH 77° 56' 01" EAST, 156.23 FEET; THENCE NORTH 64° 31'07" EAST, 84.74 FEET; THENCE NORTH 30° 2315711 EAST, 116.22 FEET; THENCE NORTH 04° 05'05" EAST, 200.26 FEET TO THE CENTERLINE OF AN EXISTING 60 FOOT WIDE ROAD RESERVATION AND THE END OF SAID LINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. ier;`w`'i'c.r�+•�:,. .l' =� - i v...+ '' � ;, x � , . t r �.r ''r .:.. t. s'� t ..i� . s -- e - — -. . �: , r � �. •.,M1 + -,.,,� � .. � r� � r r. • 1-' fit` �• ..� ✓ .•A t ..� :� s t'. "'. -� as- .• t ...�: � =t •r .✓ r. .r! a y, ' . • � S` w- 'a i. s, u FOUNDATIONSY, a CERTIFICATE OF OCCUPANCY t BUILDING PERMIT NUMBER: 04-2543 Address or location of unit: 58 BIG OAK LN. BERRY CREEK, CA. 95916 Legal Description of Real Property: AP#: 062-680-023 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: WILLIAM L. OWEN Owner's address: 1655 GRACE RD. GRIDLEY, CA. 95948 INSIGNIA OR HUD NUMBER: 255589 SERIAL NUMBER OR V.I.N.: GW6CALSC5187 MANUFACTURER'S NAME: GOLDEN WEST HOMES YEAR: 1983 OFFICIAL APPROVING INSTALLATION: DATE: j/;�Z ,, PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT CERTIFICATE OF TITLE Manufactured Home Decal No: LAE5146 Manufacturer ID/Name Trade Name 9248 GOLDEN WEST HOMES . SEACLIFF Model SC 561M 8 DOM 04/29/1983 DFS 12/05/1983 RY Exp. Date Serial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use Type GW6CALSC5187 255589 18,000 56' 14' 04 SFD LPT Issued Total Fees Paid Jan 11, 2001 $76.00 Addressee WILLIAM L OWEN 1655 GRACE RD GRIDLEY, CA 95948 � 11 4 Tali Registered OWner(s) . " ,..'.- ,F n '� .. .4 I to WILLIAM L OVEN 441 .4,9 'N BEVERLY,.OWEN..1 .� Joint Tenants with,Right'of Ic 1655 GRACE RD,_ GRIDLEY'CA 95948 Situs Address 561 W EVANS'REIMER'RD GRIDLEY, CA`95948` q 'E Ilk .' wo- `4� IN k 'y 4Y4 e IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 1731531 01112001 174 'SECTIWA - SMOKE DETECTOR CERTIFICATION ine t-attromia rieann and �iatety Uccle requires that all used manufactured home/used mobilehome be equipped with a smoke detector which is in proper working order on the date of sale. "I/We certify that the manufactured home, mobilehome, or multi -unit manufactured housing is equipped with an operable smoke detector on the date of transfer." I/We further agree to indemnify and save harmless the Director of the State of California, Department of Housing and Community Development, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the unit in California, or from, issuance of a California Certificate of Title covering the same. I/We certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed onat DateCity tate Signature Printed Name 'SECTION B -'RELEASING SIGNATURES. 1 a. ti.J >. Releasing lb. of Registered Owner Releasing Signature of Registered Owner Date of Release / d -Z a -D'1 Date of Release 2• ❑ Release ❑ Retain * ❑ Assign Interest Legal Owner of Record (if any) sign and check appropriate box ('r If Assign Interest is checked - Complete New Legal Owner Below) !SECTION C - NEW OWNER INFORMATION t j NEW REGISTERED OWNER - Please Print or Type Clearly 3a. C.y. L L 3c. New Registered Owners Name New Registered Owners Name 3b. 0 W 3d. New Registered Owners Name New Registered Owners Name If more than one New Owner going onto tide, please check the appropriate Co-owner term box. Joint Tenants with Right of Survivorship (JTRS) ❑ Tenants In Common OR (TENCOM OR) *❑ Trust/Trustee(s) ' (' If this box ischecked-CompleteHCD 476.68) Tenants In Common AND (TENCOM AND) ElCommunity Property (COMPRO) 258aRA�ls� Mailing Address of New Registered Owner City/State �— Zip Code s. ,d I G D,a K WAV mksy �� Fk , C� Z59 c Actual Location Address of Unit City/State Zip Code if Gift -0 Purchase Date or Transfer Date - v 7a. 7c. Signature of New gistered Owners 7b. 7d. Signature of New Registered Owners Signature of New Registered Owners Signature of New Registered Owners NEW LEGAL OWNER - Please Print or Type Clearly 8a. - 4a 8b. New Legal Owners Name New Legal Owners Name If more than one New tender going onto title, please check the appropriate Co-owner term box below. ❑ Joint Tenants with Right of Survivorship (JTRS) ❑ Tenants In Common OR (TENCOM OR) *❑ Trust/Trustee(s) (• If this box is checked -Complete HCD 476.6B) ❑ Tenants In Common AND (TENCOM AND) ❑ Community Property (COMPRO) 9. t t Mailing Address of New Legal Owner City/State NEW JUNIOR LIENHOLDER - Please Print or Type Clearly 10a: New Junior Lienholder Name 11 10b New Junior Lienholder Name Zip Code Mailing Address of New Junior Lienholder City/State Zip Code 'SECTION D - MOBILEHOME DEALERS ONLY - - I 12. Signature of Selling Dealer Print Dealers Nam and Dealer Number 7 —ems NOTESRESIDENTIAL PERMIT NO. — 062-680-023 04-2543"', I LARSEN, ERIC` 1• SE,:�BIG OAK LN, BERRY CREEK. Cont: OWNER NEW MH NEW SITE PEIUM FND __j r THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: i (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). 1 INSPECTOR TO VERIFY SERIAL & LABEL #'S. 4 } j� r SPECIAL CONDITIONS CHECKED ' BY SRA ' FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE DETACH FOR SERVING UTILITY SUB -S_- `_ IIAA Address ✓ e RIC- rL L;� GAS Meter By Date ELECTRI Meter By Date C41- ct JOB FINALED (Date) e '/w Signature J=OK 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 1. Zoning Requirements -Setbacks -Easements j� 1 S 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 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 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 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 I 6. Water; MH Test -Regulator -Connector I 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test ( 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Card B-1 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel j� 1 S 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 I 4. Elec.; Receptacles and Lighting, Distance-GFI I 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 t 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 #Date Card B-1 Date Card B-1 j� 1 S I `0 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Property Line Firewall & Openings 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Glazing Area -Glass Protection -Skylights -Plastic 8. Piers -Fireplace Ftg.-Steel 61. 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 15. Access & Ventilation 16. Insulation 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date 78. Card B-1 Date Card B-1 Date 79. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Insulation -Foam -Looked in Attic 17. Water Htr.; Vent -Access -Combustion Air Baffle Guard Rails & Deck Construction -Post Caps 18. Water Pipe; Test & Anchor -Nail Protection Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 19. D.W.V.; Test Fittings & Anchor -Nail Protection Clearance Looked under Floor 0 Yes 20. Shower Pan; Test, First Floor -Tub Access Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters O Yes 0 No 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 87. Water Well, Disconnect, Electrical, Plumbing Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Glass Protection 24. Fixture & Transformer Clearance -Ins. Protection Corrections from Previous Inspections 25. Elec. Receptacles Spacing -Lights & Switches at Doors Gas Test -Meters Tagged, Gas -Electric 26. Size Boxes & No. of Conductors Stapled Water & Sewer Connected -C/O to Grade -HD Approval 27. Romex Installed Close to Edge of Studs & C.J. Energy Compliance Certificate -Other Certificates 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Address Posted 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Fire Sprinkler 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Card B-1 Date Card B-1 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No Card B-1 Date Card B-1 32. Service -Riser Conductors & Ground Main Disconnect Card B-1 Date Card B-1 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 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. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters O Yes 0 No 84. Stucco Brown -Finish 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 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BPO42543 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: 09/22/2004 APN: 062-680-023-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 58 BIG OAK LN BCK Date: Contractor: Map Index: Description: NEW MH NEW SITE PERM FND (784) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ERIC LARSEN permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of P O BOX 2585 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or PARADISE, CA 95967 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 Applicant: ERIC LARSEN Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, P O BOX 2585 provided that such improvements are not intended or offered for PARADISE, CA 95967 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 Contractor' not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Ex mpt rider Article 3 of a Bu ' ss d ssions Code Date: °� d Owner: License #: WORKERS'L, M NSATIO E ARATION -t affirm 1 hereby arm under pen f perjury one f e 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. Engineer: ❑ I have and will maintain workers' compensation insurance, as 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: 784 S. F. Valuation: $50,960.00 Census Code: Policy tt: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith ply wit those provisions. Date: 4 Applicant: ilure to s ure orkers' compensation coverage is WARNIN6dshall unlawful, subject an mployer to criminal penalties and one L} Z 3 i$ :ti 54 -?.1q0 hundred thousand dollar 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 the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions o do work indicated above f9r which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Cf,�1 R �� ' C>4Name: B y Date: PERM XPIRES ON: 4 ''Z ' > S Address: Date ❑ I 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 th my authorizy agent of th owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of official jorswir u t utte County. I hereby authorize representatives of Butte Cqunty to enter upon the above ntioned property for inspection purpose — Print Name: r S; Signature: Date: 2 2 Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY"* APPLICANT NAME OWNER Last Name/ City � A 6+� ` irs N L Address , 0 D S— City' State Stat Phone Pho a S Fax Fax E -ma 1 Uc. # APPLICANT NAME CONTRACTOR Name City � A 6+� ` Address zi s G City Fax State Zip Phone Type Const. Fax E-mail Map Book Uc. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City � A 6+� ` Address zi s G City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name LA z S c�J , C AddressRio Qe ��.J— City � A 6+� ` Statt-� zi s G Phone 53 p 5 `� i p 3 Fax E-mail For o4idie use only: AP# U Co I - Cji 0 2- 3 Zoning L C Flood 2one I X I SRA � I No Occ. LENDING AGENCY Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: E PERMIT NO. BP o4z543 BIN # LOCATION AP# U Co I - Cji 0 2- 3 Property AddressCORK /G OAK, kAWC y �RC Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address I Description or Scone of Work: N Ew M H Jew 51-M Sq. Footage 77-1 ❑ Structure Built Without Permits ❑ Proposed Change of Occupancy (Note previous use): 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 fee will be 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 are not refundable. OVER FOR SUBMITTAL REQUIREMENTS 11 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: �,.� Receipt #: q-1.)319 Date: J5.31 • c4 - Amount: 154-q .,70 Bldg 3c4.9ag SRA 3� r Sheriff 510 SMIP Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N /NIC ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. 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. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — OJ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. o EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS metunos can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING FORMS\BldgApplSubRgmts.doc Page 2 of 2 REV 7-27-04 E.H. USE a t.V P#ot Plan Artnchad Floor Man Ataachad Sana to G.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �iQ,eC La2S�'nJ ��J` 0,9� Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Pu lic Private Well--***' Clearance for ✓ dwelling. Other v -f 2 w4 Ge -1 Hold final for: Final cleara/e O.K. for: NOTE: I �7 8/96 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: 1-A 02_-, E -:ASSESSOR PARCEL NUMBER � � m Proposed Building Use: EW 1.-11-1 KI 0W S i T EER -� Counter Technician: / Date: 8.3 ¢ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 19� 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 calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non heated and AIC>r-Non=Residential Buildings. ❑ 8. Manufactured homes: Data sheets a pMarriage line info, (, Floor Plan, OTie down or fnd plans, all in duplicate. ❑ 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 %ir- 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 ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet: ............................. , ❑ 22. City of Chico Plumbing permit........................../....................................... 23. California Department of Forestry plan approval ff] paid. Sent by: 8/3v o+ 24. Planning approval (A) Use: -*L(B)Parking: (C) Parcel Check:_ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. 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) ................... q 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification ( ✓Given to owner, _Mailed to owner) .............:....... 4 o 32. Letter of Signature authorization ...................................... :............................. j 33. Recorded copy of Agricultural Acknowledgment Statement ......................... ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. Grant Deed, t�M.H. Title/Statement of Facts, C► Better from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 5R 1 • oe,3 % and hold for pickup. I have been informed'of the abooX, e ib ms and 'quirements for obtaining a building permit. Applicant: Date: f �J? o 1. Index permit pp ication for the a e iiems umbered: Plan Check Le er 2. Additional item§ requ' Contractor, designer owner was advised of the above data by phone, ❑ mail, [1counter, by Date: 6 Contractor, designer, owne , was advised of the ove data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: M ,C,� Date*: b Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division A COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER L-4 a___. A.P. # O Z3 PROPROSED BUILDING USE �eW M M ESN SSI'rE DATE 8.31.04 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ 5 • qy +12318 8 31 04 --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) G -I V E*l -M OW E42 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ 3(00. 41 2318 93/31/04 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 1$99:99 (paid at Building Division) 41:23145 @131104 2©4.�ia 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 = $ c Sq. Ftg. Amt. 10. OTHER d M t P 5 411310 9 31 D¢ At time of permit application was advised above f s are required to be paid prior to issuance of the permit. These fees maybe changed during t lan chec ss. {� APPLICANT DATE Q Q Pursuant to Govern nt de Section 66020, you a reby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been i osed on your p/j.t. You have 90 days from t e to of approval of the projec r 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 COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District 0a'n V ► '- L E G', 14 - A.P. Number Jurisdiction: City Building Department No. �✓ County Property Owner Property Location/Address Q,ea ��-► :JC�a • ��c a Subdivision e�. Lot No. Residential Development Q ED No of Living Motile Home Units Installation Commercial/Industrial 0 New Addition "YYL_ b L-, TT�N io` Sq. Footage % $� Addition/ 'Supplemental to (Group R) Conversion Permit # *(No foundation Inspection) i :................................................................ .._...t Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage t (Including Exterior, Roofed Areas) ; . Date District Identificatidn Na. 09-007-51 / lJi I I•C (� Vt i on �G� School District certifies that � (Applicant) &15 CAS Ln 5"?/- C)CR3 -7 (Streett Address) (Phone Number) t)2 r r , C re.p- 1` 4 <p (_i 2nd (City) (State) (Zip Code) has complied with the requirements of Resolt Kion No. r p esenting squarefeet. District Paid by Check # Remarks: CCD by payment of $ 17 (O,o 2926 i FULL MrTiGATION $ Date t l� ' 70 Nofte: You may protest the Imposition of the fess MorrfiSed above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days iron: the date fees are paid. Failure to submit a timely written protest wlil'pmMbit you from chalkMing the Imposition of the fess in any court action. N, subsequent to the School District Representative sigalnrp this Butte County Schools Impact Fee GMNeatlon Form,, the School Dbrtriet Is rroflfMd by the applicable Local Planning Agency that lift project Is being rwlswed under the California Environmental Quality Act (CEQA). this project may be subject to additional school fess to full mltlpate. its impact on the school dlstrietle schools. White (applicant), Yellow (building department), Pink (school district) feeforn.xls (10/03)dmm cf AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 02 -Sep -2004 2004-0053764 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally. generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date State of California County of '6"14 t. T� b / OnJT �� 7 00 y before me, KINI:�Z_r— YM07Gry P4csC��l� /4 /IQ IS -C --/V personally appeared Ems, c. AL Is e. AJ ` aersmMly clto RIO -M (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/mvsubscribed to the within instrument and acknowledged to me that he/ghekttey executed the same in his/11er/their authorized capacity(ies), and that by hi%4ier/their signatures) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my h d and offici 1 seal. Signatur Seal: JAMES LAMAR KINSER COMM. #1377185 NOTARY PUBUC . CAI i ORNIA BUTTE COUNTY A.P. # C� 6'�- 6<_Q - 0 Z3 " My Comm. Expires Sept. 28, 2006 Order No. 00217826-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: A PORTION OF THE WEST HALF OF THE SOUTHEAST QUARTER OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 5 EAST, M. D. B. & M., DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF THE WEST HALF OF THE SOUTHEAST QUARTER OF SAID SECTION 33; THENCE ALONG THE SOUTH LINE OF SAID SECTION 33, SOUTH 880 22'38" WEST, 494.98 FEET TO THE CENTERLINE OF A 60 FOOT WIDE ROAD RESERVATION; THENCE ALONG SAID CENTERLINE, NORTH 04° 35' 07"EAST, 113.64 FEET; THENCE NORTH 470 44'40" EAST, 263.26 FEET; THENCE NORTH 361 22145" WEST, 263.60 FEET; THENCE NORTH 60° 37'37" WEST, 73.78 FEET; THENCE NORTH 281 53114" WEST, 94.60 FEET; THENCE NORTH 080 2815611 EAST, 121.97 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, ALONG SAID CENTERLINE, NORTH 420 43'48" WEST, 90.80 FEET; THENCE NORTH 100 09' 34" WEST, 95.48 FEET; THENCE NORTH 620 31' 47" WEST, 108.03 FEET; THENCE NORTH 080 40' 05" WEST, 93.28 FEET; THENCE LEAVING SAID CENTERLINE SOUTH 840 52'07" WEST, 232.83 FEET TO A POINT IN THE CENTERLINE OF ANOTHER 60 FOOT WIDE ROAD CENTERLINE; THENCE LEAVING SAID CENTERLINE SOUTH 09110115" EAST, 434.67 FEET TO AN ANGLE POINT IN THE CENTERLINE OF LAST MENTIONED 60 FOOT WIPE ROAD RESERVATION, WHICH POINT BEARS SOUTH 67014'4211 WEST FROM THE TRUE POINT OF BEGINNING; THENCE NORTH 670 14142" EAST, 380.60 FEET TO THE TRUE POINT OF BEGINNING. AP NO. 062-680-023 PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT ON THE SOUTH LINE OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 5 EAST, M. D. B. & M., FROM WHICH THE SOUTHEAST CORNER OF THE WEST HALF OF THE SOUTHEAST QUARTER OF SAID SECTION BEARS NORTH 880 22'38" EAST, 494.98 FEET DISTANT; THENCE NORTH 040 35107" EAST, 113.64 FEET; THENCE NORTH 47° 4414011 EAST, 263.26 FEET; THENCE NORTH 36° 2214511 WEST, 263.60 FEET; THENCE NORTH 600 37' 37" WEST, 73.78 FEET; THENCE NORTH 28° 53' 14" WEST, 94.60 FEET; THENCE NORTH 08° 28' 56" EAST, 121.97 FEET; THENCE NORTH 420 4314811 WEST, 90.80 FEET; THENCE NORTH 100 09' 34" WEST, 95.48 FEET; THENCE NORTH 62° 31147" WEST, 108.03 FEET; THENCE NORTH 08° 40' 05" WEST, 93.28 FEET; THENCE NORTH 29° 43154" EAST, 188.09 FEET; THENCE NORTH 76° 54'12" WEST, 138.33 FEET; THENCE NORTH 54° 1414811 WEST, 144.62 FEET; THENCE NORTH 540 16107" WEST, 57.04 FEET; THENCE NORTH 450 52'351' WEST, 231.12 FEET; THENCE Order No. 00217826-001 NORTH 180 28' 55" WEST, 99.97 FEET; THENCE NORTH 200 5513411 EAST, 184.23 FEET; THENCE NORTH 230 23'23" EAST, 350.46 FEET TO THE CENTERLINE OF ANOTHER 60 FOOT WIDE ROAD RESERVATION; THENCE ALONG THE LAST SAID CENTERLINE, NORTH 790 45135" EAST, 125.51 FEET; THENCE NORTH 520 5411511 EAST, 248.60 FEET; THENCE NORTH 310 21' 10" EAST, 260.67 FEET; THENCE NORTH 850 4014011 EAST, 391.62 FEET; THENCE SOUTH 770 11' 20" EAST, 164.46 FEET; THENCE NORTH 660 4011811 EAST, 194.78 EAST AND SOUTH 840 2210611 EAST, 30.00 FEET TO THE CENTERLINE OF BALD ROCK ROAD AND THE END OF SAID LINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT ON THE SOUTH LINE OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 5 EAST, M. D. B. & M., FROM WHICH THE SOUTHEAST CORNER OF THE WEST HALF OF THE SOUTHEAST QUARTER OF SAID SECTION, BEARS NORTH 88° 22'38" EAST, 904.29 FEET DISTANT; THENCE NORTH 02° 46142" EAST, 70.24 FEET; THENCE NORTH 360 3814411 EAST, 251.01 FEET; THENCE NORTH 07° 45109" EAST, 57.05 FEET; THENCE NORTH 53° 05' 11" WEST, 167.71 FEET; THENCE NORTH 04° 12124" WEST, 178.24 FEET; THENCE SOUTH 730 31' 52" WEST, 131.37 FEET; THENCE NORTH 80° 00'04" WEST, 230.04 FEET; THENCE NORTH 150 01'56- WEST, 206.39 FEET; THENCE NORTH 2214615311 EAST, 80.27 FEET; THENCE NORTH 421, 18' 08" EAST,113.54 FEET; THENCE NORTH 77° 56101" EAST,156.23 FEET; THENCE NORTH 640 31' OT' EAST, 84.74 FEET; THENCE NORTH 300 23157" EAST, 116.22 FEET; THENCE NORTH 040 05'05" EAST, 200.26 FEET TO THE CENTERLINE OF AN EXISTING 60 FOOT WIDE ROAD RESERVATION AND THE END OF SAID LINE. ;y EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN, O.B.- I OWNER -BUILDER VEMFICATION Attention Property Owner. An -owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. )(1. I personally plan to provide the major labor and materials for construction of the proposed property ' rovement : YES, NO ❑ X2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work - I have contracted with the following person (firm) to provide the proposed conshvction: NAME: ADDRESS: CITY.. PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work_, but I have bired the following person to coordinate, supervise, and provide the major world NAll9• ADDRESS: _ ITy: PHONE: CONTRACTOR'S LICENSE NO. lie. work indicate& NAME ADDRESS PHONE TYPE OF WORK SIGNED: X PROPERTYOWNE1R: X DATE: NOTE: This Owner -Builder Verif cation is required by Section 19831 and 19831 of the California Health and Safefy Code. This verification must be completed and returned to our offwe before we are permitted to isrue the permit OWNER BUILDFR INFORMATION Dear Property Owner All miprovez sp� bra b�nlding P has bei submitted is yota name listing yourself as 9�e builder ofproperty Fcryonrprotec� You should be aware that as "owner-bm7de "you � � respon a pesible party ofreoord on such permit. Building pem its are not required to be signed by Property owners tmless theyare • own work. If your wank is being performed by someone other than personally Perfomapo heir yotnsel you ted ourself from possible liability if that person applies for the proper p� is his or her name. mai' Pro Y po license from are by law to be licensed and bonded by foie State of California and � have a business �Y or3 = They are also mgahed by law to put their license nm, er on all permits for which they apply IfYOUPIM to be aware of the wing�or'r Own w� � the mon of various trades that yon plan to subcontract, yon shotil d Your benefit and protection: 4 Ifyou employ or otherwise engage my pemans other than our ' and other costs) is $300 or more for $ie entire Y n�edrate may' and the c % materials Pro] and such ersons are not licensed as contractors or subcaniractors, then You may � � p employer. ♦ If you are an emP'OM You must register vd& the Stale and Federal Go subject to seveaaP ob ' �� � � empIoyer and yon are wodx= � n ice, d�i�Y msm-,0= co income t3$ witbhnlding; fedeaal social secmitY �, ♦ There may be financial ris�a-for do ' and tmemploymeai campeasatiaa. cantnbutions. with respect to worker's Y� Myon m not cariy out these obligations, and these risks are especia.Uy serious �P �P��on insRaaace. ♦ Far more specific mon about your obligations under ]Federal Law if yon wish; the U.S. Smai1 Easiness . camtrad fire ictemal R.evenne Service (ce, State Law, contact the D � � � )• For mare sP„cific dation about your obligations tinder ePmt hent ofBemefit Paymeafs and the Division ofh dusirial Aocideats. If the sirnczaae is intended for sale, property owners who are not licensed conditions. work P=Drally Sn oto their own emP�3' without a licensed contcacDr COnfraa� o a= allowed to � limited �Y A frequent p wdm of unlicensed persons PrOfi=ing to be yrs is to secure an aow= buildee b pew �n�y mmP� gw the property owner is providing his or her own labor and building permits are nat required to be signed by owners anal py. Building 7aSamsatioa abort mw be ob 7 are Pig their own work pasonaIIy. 5' or at 1020 N Street, S Stere I�icease Board is your Please � � ��, CA. 95814. �p "Owner Sunda Verficabion" on &0 revers✓ side of this Enron so $tat we can confirm that you are aware of these matter& The building PETMit Will not be issued unto the veaificatim is ret=Z& VOT 77cir 0wner-Bur7derlRfor7satwn is required yy Sectian 19830 0 f fhe CaFr'orrria HealBt azd Safety Code Department C o u n t 1 J. Michael Crump, Director of Public o f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: D R 1 LC-- MO NE Project Location and/or Parcel Number: Z/ G ©bt p-1 L p N e 0 G By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. / Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 t :y AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded Official Records CountOf CANDACE JGRUBBS Recorder ROSEMARY DICKSON Assistant 12:51PM 02 -Sep -2004 REC FEE 13.00 CONFORM 1.00 Kathyh Page 1 of 3 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date State of California County of 6("iie, E. klE-G A L C -S C K l P r o On 5 e -M , Z ZOO(-/ before me, AIM" " K! Ns;�r i NOTCtry >d C.: /e .S'c-- /y personally appeared Epi e, ALIS IA) o. (or proved to me on the basis of satisfactory evidence) to be the person(6) whose name(q) is/aresubscribed to the within instrument and acknowledged to me that he/sey executed the same in his/jr/their authorized capacity(ies), and that by his/her/dwir signature(sj on the instrument, the person( or the entity upon behalf of which the persons) acted, executed the instrument. WITNESS my h d and or*l'al. _ Signator Seal: JAMES LAM AR KINSER COMM. #1377185 NOTARY PUBLIC • CALIFORNIA -*,My BUTTE COUNTY 6 Comm. Expires Sept.'28, 2006 3 Order No. 00217826-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: A PORTION OF THE WEST HALF OF THE SOUTHEAST QUARTER OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 5 EAST, M. D. B. & M., DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF THE WEST HALF OF THE SOUTHEAST QUARTER OF SAID SECTION 33; THENCE ALONG THE SOUTH LINE OF SAID SECTION 33, SOUTH 880 22'38" WEST, 494.98 FEET TO THE CENTERLINE OF A 60 FOOT WIDE ROAD RESERVATION; THENCE ALONG SAID CENTERLINE, NORTH 04° 35' 07"EAST, 113.64 FEET; THENCE NORTH 470 44'40" EAST, 263.26 FEET; THENCE NORTH 360 22145" WEST, 263.60 FEET; THENCE NORTH 600 37137" WEST, 73.78 FEET; THENCE NORTH 28° 5311411 WEST, 94.60 FEET; THENCE NORTH 080 2815611 EAST, 121.97 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, ALONG SAID CENTERLINE, NORTH 42° 43'48" WEST, 90.80 FEET; THENCE NORTH 10° 09' 34" WEST, 95.48 FEET; THENCE NORTH 620 31' 47" WEST, 108.03 FEET; THENCE NORTH 080 40' 05" WEST, 93.28 FEET; THENCE LEAVING SAID CENTERLINE SOUTH 840 52'07" WEST, 232.83 FEET TO A POINT IN THE CENTERLINE OF ANOTHER 60 FOOT WIDE ROAD CENTERLINE; THENCE LEAVING SAID CENTERLINE SOUTH 09° 1011511 EAST, 434.67 FEET TO AN ANGLE POINT IN THE CENTERLINE OF LAST MENTIONED 60 FOOT WIPE ROAD RESERVATION, WHICH POINT BEARS SOUTH 67° 14'42" WEST FROM THE TRUE POINT OF BEGINNING; THENCE NORTH 67° 14142" EAST, 380.60 FEET TO THE TRUE POINT OF BEGINNING. AP NO. 062-680-023 PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT ON THE SOUTH LINE OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 5 EAST, M. D. B. & M., FROM WHICH THE SOUTHEAST CORNER OF THE WEST HALF OF THE SOUTHEAST QUARTER OF SAID SECTION BEARS NORTH 88° 22'38" EAST, 494.98 FEET DISTANT; THENCE NORTH 040 35107" EAST, 113.64 FEET; THENCE NORTH 47° 4414011 EAST, 263.26 FEET; THENCE NORTH 360 2214511 WEST, 263.60 FEET; THENCE NORTH 600 37' 37" WEST, 73.78 FEET; THENCE NORTH 28° 53'14" WEST, 94.60 FEET; THENCE NORTH 08° 28' 56" EAST, 121.97 FEET; THENCE NORTH 420 4314811 WEST, 90.80 FEET; THENCE NORTH 101 09' 34" WEST, 95.48 FEET; THENCE NORTH 62° 31147" WEST, 108.03 FEET; THENCE NORTH 08° 40'05" WEST, 93.28 FEET; THENCE NORTH 29° 43154" EAST, 188.09 FEET; THENCE NORTH 76° 54' 12" WEST, 138.33 FEET; THENCE NORTH 54° 14148" WEST, 144.62 FEET; THENCE NORTH 54° 16' 07" WEST, 57.04 FEET; THENCE NORTH 45° 52' 35" WEST, 231.12 FEET; THENCE . ; Order No. 00217826-001 �3 -NORTH 180 28' 55" WEST, 99.97 FEET; THENCE NORTH 200 55134" EAST, 184.23 FEET; THENCE NORTH 23° 23'23" EAST, 350.46 FEET TO THE CENTERLINE OF ANOTHER 60 FOOT WIDE ROAD RESERVATION; THENCE ALONG THE LAST SAID CENTERLINE, NORTH 79° 45'35" EAST, 125.51 FEET; THENCE NORTH 5205V 15" EAST, 248.60 FEET; THENCE NORTH 310 21' 10" EAST, 260.67 FEET; THENCE NORTH 850 4014011 EAST, 391.62 FEET; THENCE SOUTH 770 11' 20" EAST, 164.46 FEET; THENCE NORTH 660 40' 18" EAST, 194.78 EAST AND SOUTH 840 22' 06" EAST, 30.00 FEET TO THE CENTERLINE OF BALD ROCK ROAD AND THE END OF SAID LINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, "DESCRIBED HEREIN. PARCEL III: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT ON THE SOUTH LINE OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 5 EAST, M. D. B. & M., FROM WHICH THE SOUTHEAST CORNER OF THE WEST HALF OF THE SOUTHEAST QUARTER OF SAID SECTION, BEARS NORTH 88° 22'38" EAST, 904.29 FEET DISTANT; THENCE NORTH 02° 46'42" EAST, 70.24 FEET; THENCE NORTH 360 3814411 EAST, 251.01 FEET; THENCE NORTH 07° 45109" EAST, 57.05 FEET; THENCE NORTH 53° 05' 11" WEST, 167.71 FEET; THENCE NORTH 04° 12124" WEST, 178.24 FEET; THENCE SOUTH 730 31' 52" WEST, 131.37 FEET; THENCE NORTH 80° 0010411 WEST, 230.04 FEET; THENCE NORTH 15° 01'56- WEST, 206.39 FEET; THENCE NORTH 22° 46153" EAST, 80.27 FEET; THENCE NORTH 42° 18' 08" EAST,113.54 FEET; THENCE NORTH 77° 56101" EAST,156.23 FEET; THENCE NORTH 64° 31'07" EAST, 84.74 FEET; THENCE NORTH 300 23'57" EAST, 116.22 FEET; THENCE NORTH 04° 05'05" EAST, 200.26 FEET TO THE CENTERLINE OF AN EXISTING 60 FOOT WIDE ROAD RESERVATION AND THE END OF SAID LINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. 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.netWds PERMIT NO. BP042672 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: 09/22/2004 APN: 062-680-023-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 58 BIG OAK LN BCK Date: Contractor. Map Index: Description: COV & OPEN DECK (180 C, 448 DECK) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ERIC LARSEN permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a PO BOX 2585 signed statement that he or she is licensed pursuant to the provisions of PARADISE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95967 she is exempt therefrom and the basis for the alleged exemption. Any 530-591-0637 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 Applicant: ERIC LARSEN Code: The Contractors' State License Law does not apply to an 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 Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of a Bun n essions Code Date:/ a 0 Owner: License #: WORKERS'CCDA15ENSATION OEPLARATION I hereby affirm under penalty of perl'ury one &Ae 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as 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: Carver: Total Square Ft: 448 S. F. Valuation: $29,120.00 Census Code: Policy #: �q 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 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 forthCwJith mply with hose provisions. Date: / Z B117 Applicant: WARNIN Failure to secr workers' compensation coverage is unlawful, and shall subject a 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 LaborO4- code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY 'reby issued under the applicable provisions of the Butte County Cods anrVor This�iL I hereby affirm that there is a construction lending agency for the Reso work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) !7 4 4 Name: Bv: Date: PER IT XPIRES ON: Q ' • �S Address: Date ❑ 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 own/theautho 'ze ent of th ner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substancl fo r u nt utte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpo Print Name: / . e- Signature: Date: O Owner ❑ Contractor ❑ Agent for Owner 13 Agent for Contractor 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" Forice u e only: OWNER Last Name Bldg First Name Address City City L State State e Zip 9l0 Phone] .0 _ Fax Fax E-mail Lic. # Forice u e only: CONTRACTOR Name Bldg Address S City St e, State Zip Phone G Fax E-mail Map Book Lic. # Class Forice u e only: ARCHITECT/ENGINEER Name Bldg Address S City St e, State Zip Phone G Fax E-mail Map Book State License Number Forice u e only: APPLICANT NAME Name Bldg Addres O S City St e, S P5 3 Fax G _ E-mail Map Book Forice u e only: I Zoning Bldg Flood Zone SRA SRA I jej No Occ. Date: � ) o J Type Const. VW Subdivision Name Total Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 LOCATION PERMIT NO. =�� BIN # Property Address i Cit �1 Cross I WORKER'S COMPENSATION_- I Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must he shown at the time of permit issuance. LENDING AGENC Name Address Description or Scope of W Sq. Footage ❑ Structure Built without Permit ❑ Proposed Change of Occupa cy (Note previous use): 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 fee will be 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 workplan checked and other department costs are not refundable. IReceived I by: Amount: FSU' Bldg CW4 SRA Receipt M Sheriff - 1 "Ib 1111Other SMIP Date: � ) o J Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. 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. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a pen -nit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS merunos can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 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: A\ ASSESSOR PARCEL NUMBER vv loTf Proposed Building Use: �j� l '/1 )N6Q,1�� e , `�(r Counter Technician: Date: b' Items required in order to apply for a permt. All boxes MUST be checked OR marked NA in order to apply. 1 C� 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . At 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, wih wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and stpporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sleets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 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 Fosn 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 FDundation required ........................................... ........ ❑ 20. Erosion Control Plan Required....................................................................... ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit ..... _................................................................. ❑ 23. California Department of Fore try Dlan approval ❑ paid. Sent by: A......... 24. Planning approval (A) Use:Cr ; B)Parking: (C) Parcel Check:_ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... _(7r( 26. NPDES Form............................................................................................ El 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 Carrie rd Policy Number .......................................... 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization... _ ................................. :.......................... ... ❑ 33. Recorded copy of Agricultural Ackrowledgment Statement ........................ I........ ❑ 34. Manufactured home utility clearano............................................................... ❑ 35. Existing violations and/or expired p:rmits......................................................... ❑ 36. Deed Restriction............................................................ ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been inform of t /eab e ite s and requirements for obtaining a building permit. Applicant: Date: 1. Index per i a lication or ab ve i ems numbered: Plan Chec etter 2. Addition i �s requ' Contractor, esigner, wnel waadvised of the above cata by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, o 1 s advised of the ve cata by. ❑ phone, ❑ mail, 01 counter Date: Plans reviewed by: Date: -Oq Plans approved by:.Date : 'U Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: . Yellow: Building Division TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE ONLY Piot Plan Attached Flooa Plan Attached Sant to G.D. / A—j . - , & --4e a Owner IV Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for Hold final for: Final clearance O.K. for: NOTE: Environmental He 8/96 SITE PLAN REVIEW APPLICATION Date: q, I q- 2 Oo q AP# -2672 Permit Number (if applicable) 3 Bin Number, . APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: o62.- 64v - o2_7 2.7s Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home eq -25-q-3 Residential Accessory ❑ Permanent Second Dwelling ❑: TemporaryMobile Home, (Aunt Minnie) ❑ Temporary- Travel -Trailer- ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial . ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agri Mural Buffer Form E] Applicable ❑ N/A Other: � w �( -Oct- 2 67 2 T Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval INS an Sta ed Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area: 'Z60o. ` - '2 S oy ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified pro$er foundation design required) 0] SRA - (CDF to determine specific requirements) 6-�I.�w ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X. • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=--------------=---------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit- ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: L� 6,f, A-� Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ® CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front V Side S ' Side Street 7 „1 Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ® CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Ir Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount Formula * Check with.schooL.district_to..verify_ actual-feedf_pre-application review.. A final. determination will be made at the time of the building permit. Parcel Created By Date of Creation: 3-1 — (4t'72 Legal Access Provided: Deed of Reference: (-?40 `5 Z 5 Legal Access Required Parcel Frontage on Publicly Maintained Road: 0 No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: G. Parcel Deemed to be legal ❑ No ❑ Yes ❑ No ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel, size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 l L1 Subdivision ME/Parcel Map: Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for 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 the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the C-alffo-mid Crean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. EJ Page 4of5 r C 0 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 1. v 22:19 MID VALLEY TITLE & ESCROW U For value received DENNIS L. VANDBRVORT LCRANI.£............ to pAUI. SHITH all that real property situate in the County of Butte State of Callfornla. delle t as f„ ilowp a A portion of the West half of the Southeast quarter of Section 330 Township 21 North, Range 5 Et, M.D.B. & M.. described a8 follows: East, COMMENCING at the Southeast corner of the nest half of the Southeast /l quarter of said Section 33; thence4 8 feeof said Sect tgtohtheocenterth lino of a 60 foot n 33,.South 88 22' 38" Hest, gide rood reservation; thence along said centerline, North 04° 35' 07" East, 113.64 feet; thence North 470 44' 40" Fast,63.26 feet; thence North 360 22' 4gi West, 263-60 feet; thence 9No6 hf600o 371 37" eet; thence North 08° 73.78 feet; thence North 28 53 14 Hest, 4 28' 56" Ea9t, 121.97 feet to the true point of beginning for the parcel of land herein described; thence from said true point of beginning, along said centerline, North 420 43' 48" West, 90.80 feet; thence North 100 09' 34" West, 95.48 feet; thence North 620 31' 47" Vest, 108.03 feet; thence Hort'080 ..40' 05" We"',.93.28•feet; theme leaving said centerline Sout'?"44` 52� OT'-'V'est, 232.83 deet to a point in the centerline of another 60 foot vide road centerline; thence leaving Centerline South 090 10' 15" East, 434.67 feet to an angle point in the centerline of last mentioned 60 foot wide road reservation, vbich point bears South 670 14' 42" West from the true point of beginning; thence North 67° 14' 42" East. 380.60 feet to the true point of beginning - RESERVING TREREFROM a right of way for road and public utility purposes " over the Easterly 30 feet and over that portion of the Northwest corner and the Southwest corner of said land lying within said road reservation. TOcEMR VITA a right of vay for road utd public utility plrrpeaes aver a atrip of land 60 feet in vidth lying 30 feet on eech aide of the following described line: BECINNING at a point on the South line of Section 33. Towne hip 21 North, Range 5 Fast, M.D.B. 6, M., from which the southeast corner of the Vest half of the Southeast quarter of said Section bears North 880 22' 38" Rost, 494.98 feet distant; thence North 04° 35' 07" East. 113.64 fest: thence North 470 44' 40" East. 263.26 feet; thence North. 36. 22' 45" Meat, 263.60 feet; thence North 600 37' 37" West, 73.78 feet; thence North 280 53' 14" Vast, 94.69 feet; thence North 080 28' 56" East, 121.97 feet; thence North 42° 43' 46" West, 90.80 feet; thence North 100 09' 34" West, 95.48 feet; thence North 62° 31' 47" West. 108.03 feet; thence North 080 40' 05" vest. 93.28 feet; thence Forth 29° 43' 54" Fast. 188.09 feet; thence North 76° 54' 12" ti.est, 138.33 feet; thence North 540 14' 48" West, 144.62 feet; thence North 54° 16' 07" West, 57.04 feet; thence North 45° 52' 35" West, 231.12 feet; thence North 180 28' 55" •, Vest, 99.97 feet; thence North 20° 55. 34" East, 184.23 feet; thence Worth 230 23' 23" East, 350.46 feet to the centerline of another 60 foot nide road reservation; thence along the last said centerline, North 790 45' 35" East, 125.51 feet; thence North 52° 54' 15" East, 246.60 feet; thence North 31° 21' 10" East, 260.67 feet; thence North 650 40' 40" Eaat, 391.62 feet; thence South 770 11' 20" East, 164.46 feet; thence North 66° 40' 18" Fant, 194.78 feet and South 84° 22' 06" East. 30.00 feet to the centerline. of Bald Rock Road and the end of said line. STING THMFROM all that portion lying within the above described pat cal of land. AP 0&2-0660 -,3///7Z- C12E147-1oA-,) Gz3 P.05 3/�zt M 22:1'9 MID VALLEY TITLE & ESCROW P.06 A150 TO=TFtE3; %MTR a right of vay for road and public utility purPOSGS OV er- y • strip of land 60 feet in width lying 30 feet on vACh Olds of the following described lime: ( ; B=NNING at a point on the -South line of Section 33. To` ns hip, 21 North. Baage 5 rAst, M.D.B. & K., from which the Southeast corner of the vest . half of the southeast. quarter of said Section, bears North 886 22' 38" Eeat, 904'.29 feet distant; thence North 02* 46' 42,, 07°.'45'0.24 feet'. thence North 36 38 44 East, 251.01 feet; thence gnat. 57.05 feet; thence North 53° 05' 11" West, 167.71 feet; thence North 049 12' 24" West. 178.24 feet; thence south 73° 31' 52" Heat, 131.37 feet; thence North 807 00' 04- West, 230.04 feet;.thence North 15' 01•.56" West, 206.39 feet; thence North 22° 46' 53" zaat. 80.27 feet; thence North 42° 18' 08" East, 113.54 feet; thence North 77° 56' 01" East, 156.23 feet; thence North 64° 31' 07" Esat. 84,74 feet; thence North 300 23' 57" East, 116.22 feet; thence North 04" 05' OS" Nast. 200.26 feet to the centerline of an ex9iting 60 foot gide road taervat3.osn and the and of said Una. gLCEMHG-TSE RE8RD1'1 all tbat portion lying within the above desevibed pasioel of lana. Dated.. 1'CA........................ ------------------- '���Denrnis �,. 8ndervort STATE OF CALTFORrnA M* ..__—_—cownty of •$ntte— beforeL o Martin..._._... a Notary Public In and for geld County and State, persv%411y appeared_. Atsuais... .._Yaad trx ar%:.------------ ..................... .......... -------............ -- - Lnou ra me to bd the person.. Whose name_SS........ rub- .crlbrd to the e,hhtn i .nent, and ar u4 aged to +nr tad t . My CommAglon esphg>r ..._ZlAxah-7e•-197_ —. Ayyn. No unincorporated II For RVCWr:1 Uee Only ..a bfFICleLasCOR05 -.JTTF COWY-CALIF e . WIrY1q QM N{1 �M1R (� UwA MO � . .r rw OF wL _j 1112 LGUISE KLUEI qp COUNTY RECO?,DER RETURN TO & HAIL TAX STATEMENTS TO;LF0R.)LAMN b �1 Paul Smith ;,c,.., .,,a; G.t.oeM c/o Oroville,Title Company ttinj CchP'^ P. 0. Boz 8711 .N cow SS.0' Oroville, California Dated.. 1'CA........................ ------------------- '���Denrnis �,. 8ndervort STATE OF CALTFORrnA M* ..__—_—cownty of •$ntte— beforeL o Martin..._._... a Notary Public In and for geld County and State, persv%411y appeared_. Atsuais... .._Yaad trx ar%:.------------ ..................... .......... -------............ -- - Lnou ra me to bd the person.. Whose name_SS........ rub- .crlbrd to the e,hhtn i .nent, and ar u4 aged to +nr tad t . My CommAglon esphg>r ..._ZlAxah-7e•-197_ —. Ayyn. No unincorporated II For RVCWr:1 Uee Only 25411 bfFICleLasCOR05 -.JTTF COWY-CALIF e rr:'..: RCO-1S7 11 I LZ SUM QRO li." Ran ( 312 PH _j 1112 LGUISE KLUEI qp COUNTY RECO?,DER FEE b �1 r Qkp TOTAL P.06 Building Permit Number: 0 Owner Name: 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. Page 2of 2 Building Permit Number: Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. M¢' The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of feet from the side and 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. 6' TYP. I.— -(16 PLYWOOD CC EYT. 'I` YF.CIL 94 01 FRMUh CLIP_ _ ' 2' x 12° STAIR STRIIJGER. h8'a.r,. MAX.. ?OP VIEW H RUDRRIL : NOT 5HOW IJ • FDR CLARITY. Lif L DF'�2' L2'"�0�DECKIfJ6'(ALT) � 5% BOLT' Spdcec� 504ha+ a- GIRDERS PLYWOOD CCDER _ t W( Sphere, cannot 2"x4' 'a boct cyJ +h MOBILE IMME a • , a of MAX. 14 CLIP (ER. DE v 4%V • 4•K4' POST ` 2'x IV GUARDRAIL "2DF. _ e/g, 70z 2'`PRESSURE' (� R A [o DECKIIJG' • GIRDER • e -M N, 13gLTS RFDW000 111ATE' s OT R uMIN.� PRECAST 4)(4' POST IER ADEQU4TE' DIAGONAL 10--30-03 I3RACING•TYPICAL RE91 DEA/TM .6r. -P-9 �No/aD�Ck (n' a • BOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS IQ°xl �'�N, f''OOi'1 TIIS 7 County Center Drive — Orovllle, Camornla 95965 'Telephone:-qiFI.7941 a. 94 01 FRMUh CLIP_ _ ' 2' x 12° STAIR STRIIJGER. h8'a.r,. MAX.. ?OP VIEW H RUDRRIL : NOT 5HOW IJ • FDR CLARITY. Lif L DF'�2' L2'"�0�DECKIfJ6'(ALT) � 5% BOLT' Spdcec� 504ha+ a- GIRDERS PLYWOOD CCDER _ t W( Sphere, cannot 2"x4' 'a boct cyJ +h MOBILE IMME a • , a of MAX. 14 CLIP (ER. DE v 4%V • 4•K4' POST ` 2'x IV GUARDRAIL "2DF. _ e/g, 70z 2'`PRESSURE' (� R A [o DECKIIJG' • GIRDER • e -M N, 13gLTS RFDW000 111ATE' s OT R uMIN.� PRECAST 4)(4' POST IER ADEQU4TE' DIAGONAL 10--30-03 I3RACING•TYPICAL RE91 DEA/TM .6r. -P-9 �No/aD�Ck (n' a • BOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS IQ°xl �'�N, f''OOi'1 TIIS 7 County Center Drive — Orovllle, Camornla 95965 'Telephone:-qiFI.7941 1-4 Building Permit Number: Q Owner Name: karoev) 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. Page 2of 2 Building Permit Number: Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. MThe following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of X feet from the side and :�b 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. 1. Owner's Name: / C V, L,1- R Ste= 2. Assessor's Parcel Number: D Co 2L 0 © 2 3 3 Installer's Name: E -K t C V, S E 4. Is the site currently under permit? Yes[ ] NoD�f Permit No. 5. Is the site an existing site? Yes[ ] Noo (If yes, furnish two. plot plans). 6. What is the electrical rating of the mobilehomri 7_LbO . Amperes. • - ..r. ("tom .. .. - :� � K 7. What is the mobilehome site circuit breaker rating?,,14 O� Ainperes. 8. What is the electrical rating of the mobilehome site? ;,?- 0 8 Amperes. 9. Is the main service remote from the mobilehome site? Yes [4 No[y� j If it is, what is the rating? O Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes V] No[ ] If yes, please identify the load and size. a) The mobile home site: Load- M,o 5 1 L%<-' Amperes- l b) The main service: Load- M o, l►,�1 N P W ��F� i�K� P Amperes- 11. Type of gas service at mobilehome site: Natural[ ] Propanev] Nome[ ] 12. Size of �s pipe at the mobilehome site from the meter or , tank: } `•inches. �r 13. What is the gas pipe length from the meter or tank to the mobilehome?zz_(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). TSE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION ELECTRICAL, MECHANICAL, AND PLUM NO CON STRCCTION ( NOT PLAN CHECKED ) SHALL COMPLY WITH CURRENT EDMON NEC, Al ,: a.b' 1.i pC. Mobilehome Manufacturer: 6 QL�� j] IPs7 manufacture Year:.. If other th single wide, furnish Setup Model Number: Width: (ft.) Length:, 5'6 (ft.) Tagalong or Expando Size ' 00 x • On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. " FOOTINGS: Wood pressure treated or foundation ade[�] Other: SUPPORTS: Concrete block[ 'Other: e7f, k Provides lie_Daw s for all Mobilehomes: / L Pier -Footings Sizes and Location SINGLE RIDE ' MULTI -WIDE Line' flin ....................................... Main Beams ��................................................................................................e2Line 1 ........................................Main Beams---........._............................ ..................................... e5 . Tag or Triple e4' el Line 1 Piers: x „ Line'l Openings (�t Size minimum:. Size minimum: [ ] x [ ]. Spacing maximum: 0 Each side of openings D From ends-maximuhi with width over: ` Cine2 Line 4 Piers: '� Size minimum: [ / ] x ]. jl Size minimum: [ ] x [ ]. Spacing maximum: 51 ` 5' (y Spacing maximum: I` From ends -maximum ` 2' O" From ends -maximum ` V 1b Lane 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): OVER. )FA{, /NST L Wl A-NL)P- ( S i idce, A A4 u iN THP - GV RRA pc 5 �P? IF/ 2"x 2"x 3/15 ,4 STEEL ANGLE W ti m N un m m m LDm LD N m m m m N N u� m DETAIL "A" CHASSJS FRAME 1/4' GRIPPER PLATE (2) REQUIRED 1/4- GRIPPER BASE 1/2-13UNC-A307 x 4" - BOLT WITH HUTS (4) REQUIRED 01 1/2" SCH 40 PIPE' RISER WITF;- 01/2" ADJUSTER HOLES AVD 3/8" THICK TOP PLATE Or SCH 40 PIPE STAND WITH TWO -- 01/2' ADJUSTER HOLES SCO ABS PAD #503 SFEEL FRAME ;--\ 3/8' CAD PCA -ED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH 30TTOM AT e" O�.C. (8) REQUIRED 1/4' STAND BASE , .e- ABESCO ARS PAD f503 i-T,3AX TOM OF PAD 0 1 /2"x 3" C -R - LOCK PIN WITH 01/8" BRIDGE PIN J COACT "C" FRAME 2' CHANNEL 1/4" GRIPPER 1/4"x1-1/4" PLAT£ TEK STS (2) REQUIRED 1/4" GRIFPER-/ BASE 1/2' A307 BOLI (2) REQUIRED 3/8"x 6'x 6" STEEL PLAT 6 1/2" A3D7 BOLT C -BEAM (2) REQUIRED ATTACHMENT 09/16 HOLE (TYP) STAND BASE TO P VI EW 17918 Jj. CSV OF c TUF---1 PERMANENT FOUNDATION SYSTEM AEEWO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAK: (916) 383-5207 COACH "J" fRAME 1/4`3-1-1/4' TEK STS (4) REQUIRED Ile GRIPPER BASE 1/2' A307 BOLT (4) REQUIRED J -BEAM ATTACHMENT 8" 1/2' DIA. HOLE (8) PLACES 30" STEEL FRAME TOF VIEW S TA�'� meD.'l mm 11mf 00D4 sw=!f" �Y>POCOICIsiCS'1011f1101�i �'- Al.>DCIlLIIpi�JkUTlIO�OlA1RM�i►�Jltf! • : •. OR DBVtAl1011 lam IsQuagods Sar i>!!si'1►BaafCA7suii 11IA iMlal{�:l COMAOMM 0-(F WAYNE 7. POLVADO, PE -LISTING NO. F94249 SHCET i o1 3 4 GENERAL MOTES GUS GUARD TUF-1 DESIGN LOADS: LIVE LOAD - 30 L.B. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE 115) 2. THIS FOUNDATION SYSTEM IS DESfGNED TO BE CCNSTRUCTED ON A FA RLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. S. CHASSIS BEAU SUPPOFTS SHALL BE LO,".ATED AND SIZED FOR THE LOADS AS SHOWN IN THE `MOBILE HOME INSTALLATION INSTRUCTIONS". t, IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN OS EXCEEES I/4", OR; WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FDDTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COWPATTBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. E. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO ANS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7. THE 'CUS GUARD ASSENBUES SHOWN ON THIS PAGE SHALL BE LISTEO AND LABELED BY BSiC AND A5350CIATES FOR THE FOLLOWJNG LOADS: ALLOWABLE LOADS CJS GUARD TUF-1 GUS GUARD MGP PAD GUS GUARD E -Z TIE PAD HORIZONTAL VERTICAL 2200'# 6000# 22130f 6000# 22430J 6000# 8. DURfNG PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THa MOBILE HOME CfiASSIS BEAMS ARE OF STANDARD SECTION. S. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-i LNITS AS SHOWN OW THIS PAGE OF TYPICAL FOUNDATION 'LAMS. THE GUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. ULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED �FHE NUMBER OF TUE-1 UNITS UNDER EACH UNIT IS TgE SAME AS SHOWN REQUIRED PER EACH UNIT. 1-2. SiNGLJE-WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. - (SEE SHEET 13) .� 1� ALi METAL COMPONENTS W ATTACHMENTS ITEMS SHALL IBE PROTECTIVE COATED. ('rl t ) 1,41 WHEN CONCRETE .SLAB IS IN E(ISTANCE, PAD IS NDT 16. FOUNDATION FLOCKS I6'x 16'x12" POURED IN PLACE AT GROUND LEVEL WAY BE USED Al IRSTALLERS DISCRETION ALTEPAATLVE TO PADS. SIYGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' 141N. / EI' MAX. £= 2' MIN. 11' MAX. S= 6` MIN. /16' AfAX. S= 6' WIN- / 22` MAX. VARIES 10'-70' (SEE TABLE ON SHEET 03) -' E -►r-- S S � �— S=-;+- E -�-� RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER E] (TYPICAL) a ❑ ❑ O 8' NOM. PADS IN ANY PAIR MAY BE I STANDAiD M.H. FOUNDATION - -ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OP. THE SUPPRT AVOID CLEARANCE PROBJEMS. ENGINEER. TYPICAL THROUGHOUT PAD FTYP) 17918 X Exp.ah' £ pF CMA REdUIREO. ANCHOR STAND TO CONCRETE SLAB WITH OF -1 PERMANENT ,yr > FOUR (4) 1/2% 3 1 j2' EXPANSION ANCHORS. 15�' G S GUARD TUF-1 FOUNDATION SYSTEM PROVIDES FOUNDATION SYSTEM liLI.OWABLE SNOW LOAD TO 10C PSF WHEN INSTALLED ABESCO.GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH SR51 FLORIN-PEP.K[NS ROAD ! f`4 -(MANUFACTURER OR REPLACE THEM ON A ONE TO SJI,CRAAENO, CA 95823 ONE BASIS. ,e.,,.% ,.„ .... STATE APPROVAL MANU°FACTUR3111ROMUMOMA HMO FOUNDATION SYSTEM FIBALTHAND SATM 0011)1i.8&G'rM ISM APPROVED SUBTBCT T lD .jD0xRSCrHM nCr= APPlOVAL DOES NOTAIJTHOMM MAMOVIII ANN OMISSIONS OR DEMTTOX FAOM R M(aW APPLICABLE STATE LAWS AND RBGW_U M smic ofCatii�en3s IDD of Aoarisp =d Gpnmst Ewiddraut CODES AND 'BY v SPA NO, F 04= } Imoe'_ Imo+ T1isPIanApprovmlEaer= . _ ___!!P /4.3 ! UW WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 3 qp CJ z H O 0 N ca Q r - (s) N Lr) m co m LO o•+ 9 m m N N Ln CS) 3/4 (4) I REQUIRED 1/2"x 3 1/2' 1/2"x 8" LONG EXPANSION ANCHOR _ ANCHOR BOLT 3/8' CAO PLATED BOLT, NUT do WASHER ;4) REQUIRED (4) REWIRED COUNTER BORED FLUSH WITH 8QT-010 / AT 8" O.C. ` (8) REQUIRED / .:.' moi.• •__; .' t _ : �;?' CONCRETE PAD INSTALL4T10N CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED t/4" GRIPPER BASE 1/2-13UNC-A307 x 4' BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJJSTER HOLES AND 3/P" THICK TOP PLATE 02" SCH 40 PIPE STAND.WITH TWO 01/2" ADJUSTER HOLES o pc E'.�SCO ABS PAD #503 C STEEL FRAM£ -\ JIM �_ �- POURED P • t�--11�jr•-`[l.ti� }r�- �C� 11411gGa FOUNDATION INSIALLAT• L'Tm LIGH- HEAVY -WEIGHT PLASTIC PAD • 36" MAX mmm-wwz UNMSINUR WEDZi T.TO:�OF PAD 01/2'x 3" CR. j LOCK PIN WITH 01/8" BRIDGE PIN f J LENGTH OF WIDTH OF HOME 10 12 14 16 TH OF HOIEE 28 6 6 6 $ 44'-1 to fib' 8 122 9%0 10 t 0 f 0 10 12 18 NUMBER OF TUF-1 iiEt}UIIiED G 20 24 LENGTH HOME WIDTH OF HOME 10 12 14 16 i1P TO 44' 6 6 6 $ 44'-1 to fib' $ 8 S 8 SQ 10 t 0 f 0 10 NUMBER OF TUF-1 iiEt}UIIiED NUMBER OF TUF-1 REQUIRED BER NOSE; SINGLE IMIDE UNR6 REOMM (4) E -Z Till PADS. GUS GUARD TUF-1 PIERS ARE T+0 8E PLACED AT APPROXIMATELY EQUAL 1NTERYALS ALONG EACH FRAME RAIL. 179'9 STATE APPROVAL FCUNDATION SYSnM ANC SAFETY CODB, SWrM W111 APPRDI im SUETSCT TO OORRRCTIOPB NOnO APYRO'VAi DOES NOT AU MORM DR APPRWE ANY P OMISSIOVS OR DBVTATTOH FROM REQUIREMENTS Q! APPLICABLE STATE LAWS AND REGULATMO sats of CAliiotoit EI aad C >3eoetoFinaffi F9 AM STAND sv � (luau-) SPA1t0. This FLuAmmval Evbu f WAYNE T. POLVADO, PE-�_ISTING NO. F94249 SHEET 3 of 3 CDF FIRE SAFE REQUIREMENTS 062480-023 BP -04-2543 Larson AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail -ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Drivewav Standards [X] 1273.02 Surface. All driveway surfaces and structures 1273.07 (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided 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 [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. pq 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] 1273.05 Tumouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [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. 1273.11 Gates [X] 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 the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. 1 CDF FIRE SAFE REQUIREMENTS. 062-680-023 BP -04-2543 Larson AP# PERMIT # NAME Fuel Modification 1276.01 Setback for Structure Defensible Space [X] 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 below. [X] 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. Other Requirements [ ] If Building Setback is 15 to 30 Feet: Class A or B roof Enclosed Eaves [ ] If Building Setback is Less Than 15 Feet — Class A or B roof with enclosed Eaves and: Choose any 2 of the following: Metal or no doors on side toward property line with insufficient setback Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco — 3 coat Hardi-Board or Plank Masonry Masonry Veneer Metal Other Butte county Fire Department approved materials [l 09/01/2004 Darren Read Date Signature 2 Ll • BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM" " This information is not available to the public!!!!!!! DO NOT COPY FOR THE PUBLIC OR THE .FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address: Phone Number: The above information is not available to the public!!!!!!! (2) Department C o u n t J. Michael Crump, Director of Public f , B -u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement ILESS THAN 1 ACRE Project Description: Project Location and/or Parcel Number: 0 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in re ocation of grading and/or other permits or other sanctions provided by law. � �j� Signed: li Title: Date: l 7 Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program = Revised 5/12/04 0 O.B.-1 OWMR-BUILDER VERIFICATION Attention Property Owner: An "owner-buildee' 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 peTnit. No building permit will be issued until this verification is received. I. I personally plan to provide the major labor and materials for construction of the proposed property impro ement : YESk NO ❑ 2 I HA HAVE NOT ❑ signed an application for a building permit for the proposed wo& I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: MY: PHONE: CONTRACTOR'S -LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: \NAM:E: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. the work indicated: NAME ADDRESS PHONE 'TYPE OR WORK GNED• 1, PROPERTYO DATE: p NOTA: TUU rimer-Bugder Verilmlon is required by Section 19831 and 19532 of the Cahfornia Heafth and Safety Code. Ms varwation must be completed and returned to our off 'we before we are permitted to issue the "R""rf OWNER BUIIIDFR ]NFORAIATrON Dear Property Owner. i>m fior a bwldiag p has been snbmit#ed is your nameHti g youuaelf as the btnZder of proPertY sP For your protection, YOU thou ld be aware that as owner-bm7def' you are ale a P� Bni� ng pemuis are not rem to be signed by property owners unless they are personally party ofreoord on h it own worm If your work is being performed by someone o� t� PAY perfoanmg their Iiabiiiiy if that person applies for the Youuaeh; you may P Yourself from possible ContractoPmPe1Peami� in his or her name. license from m am by law to be licensed and bonded by the S� f CaUfamia and to have a business liven �Y or COQ% TAY are also requited by law to put their license number oa all per for which they Ifyou plan do Your be aware of the Moving m on own � yourWA exct and ro various trades that YOU play to subcontract; you should your benefit and proiec$on: � a Ifyou employ or otbmw be MVp aziy persons other thaw your iu meduate fatauiy, rad the work C mal�ials and other costs) is $300 or more for $:e entire projeri, and such persons are not licensed as cogs or then you may be an employer. ♦ If you are an emPlaM You mast re&er WA the State and Federal Go v=anents as subject to several obligations ��g state ince tag w as employer and you are wad= comps msm Mce, ��Y rola-d ce costs, �� pens aI social S=M"Y taxes, ♦ 7b= may be fiaa=W risks f r unemploym compeasatiaa coattx�ons. with respect to worixes Yon ifyon do rot caaiy out tip ob�ions, and these risks are egecialiy serious ♦ Formore specif?c � nnhm ice. if yon wish, the U.S. Snail B yow obm uun3er Federal Law, contract the htemal Revenne Service (and, State Law, contact the Department ofB)' For mare sP=Mc mon. about your obligations under enefit Payments and the Division of h dntasl Aocidents. If the structcre is for sale, gropes► owners who are not licensed cauftatom are allowed to perznm ther cWork conditions.yorfrrough their own employees, without a licensed cofactor or subcontractor, only under limited A frequent practj= of unlicensed persons rwhscngto be yrs is to se. as permits �I� � FmPmY o' era providng his or hm own lobar and maimial p on Building in£otioa about o ttaless azn Pig their own work =Y community or at 1020 N Stre obtained by S`�e laceasep Bo as m yyourGA. 95814.. "Owa� Yedficat:on" on the revers-' side of this f MM so that we can cony that th are aware Pleaseof these mampkftaiteas. Tire bw�diag pew w� not be issued Mtn the vezi u&. is ra,u mA Yco OTS T FtL! Owner-Bur7derrnfoTtrradoa Is regrared 15y SecdOa 'S830 Of 4ie CaFi M7ZM Hedy =4Safety CO&, d1T rear. RECORDING REQUESTED BY Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO Name Eric Larsen Street Address PO Box 2585- A City, State Zip Paradise CA 95967 Z Order No. 00217826-001 � tml t� 4 — ImI ti�J'dM 9 I� 1 2 Recorded OfficialRecords COME f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 12 -Aug -2004 REC FEE 13.00 TX 0.5 MONUMEN 10.00 Barbara Page i of 3 SPACE ABOVE THIS LINE FOR RECORDER'S USE PareelNo, 062-680-023 GRANT DEED 3 THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantor(s) Declare(s) Documentary Transfer Tax is $60 .50 CSw ❑ City/Town of ✓ computed on full value of interest or property conveyed, or ✓ Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Ronald Brumfield, an unmarried man hereby GRANT(s) to Eric Larsen, an unmarried man the following real property in the ❑ City of ~ . ✓ Unincorporated Area County of Butte, State of Califomia: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF R0&1d Brumfield Document Date: Auqust 10, 2004 State of California County of Butte ISS. On August 11), 2004 , before me, the undersigned, a Notary Public in and for said County and State, personally appeared Ronald Brumfield P e (or proved to me on the basis of satisfactory evidence) to be the person whose narAe4 istare-subscribed to the within instrument and acknowledged to me that helshe4hey-executed the same in hi&+mT heir authorized capacity(jesj and that by hislhsrltlieir<signatnre,(Sf on the instrument the persono, or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. FOR NOTARY SEAL OR STAMP SHAWN I. NELSON Comm. 91363163 IIOIARY PDRIC•CALIFORNIA Yuba County w My Comm. Expires JunO N6 MAIL TAX STATEMENTS TO: Same as Above STEUGRAWDEED SITE PLAN .. .L .. .. ............ .. .. .. .. .. .. .. .. .......... .. ............ - .. .. ... _ .. _............_ .. inV-it. nt.. ... ...................._ .. .. .. 3/ ............. �._ ............ .. ............ .. ............. Vis.... .. ............ .. .. .. .. ............ .. ............. .. to% .. ............ .. .. .. .. .i�.;......; . ............ .. .. .. .. .. . . .:....3.. .. .. ...-.. .. ... _ .. ............. .. .. .. ... .. .. .. .. .. .. .. .. .. .. ...... •. •• •• -• . ............. .. •. .. .• .. .. .. .. .I. .• •• .• _ ........... •. •• •• •• 1' .. .. .. ............ .. ............ .. ............ ............. .. .. ............. ................... .. .. .. • .. ... .. .. ' . .. ...... .. .. :.... . °[. .. .. .. . .. .,r 9 _.._...`... - -... .. .. .. .. .. - IN. . .. .: ,r... .t. .. .. J- �.... `P W Ir L Q .. V _ .. .. .. 1 . / ... •. . �:_..•�' Ff�.. ..<.............:.. .. ....... .. .. .. .. iy �... .. .. \ : B .. �( i >• .. ..L q �. 1. �? .. — .. .. .. .. a 'Y j. .. .. ...}... .. .. ... ...i... .i.....r .. .. .i. .. n •M .Q .�..i.. .3.. .. .. .. .. .. .. • r P .. ��.0...... .: 'A �. f..................... �.. . i• V/ . . . . . . . . . . • .�• •• •• •• •• •. •• .• •. •. •. •. •• ••...................• •. .• .• .. • .................................................. ............. .. ... .. .. •. • .• .. ... •• •. L ' './• '•q- ........ • •• .. i• ...............L. •.. J.. 'f .....................................................:......:......:...........:......:.....:.............:.....:......:......:..... .. .. .. .... .. .. .. .. ............. ............:. ............ .. .. .... .. .. .. .. .. ... .. .. .. ... . . .. ..................... . . . . . . . . ... .. .. . .. .. . 3..... {............: . . . . . . . . . .. ............. .... : : . . . . . . . . . . : .. ... .. .. . ..«..... ............. ........... ........ ................... «................. ................................. .............. ..... «..... _............................... »............. ........... _........... -_.............................................................................. •} Assessor's Paul Number: Owner Name ©0 — ©®0 — a®© SSale:1"= � Address/ Phone No. Y.G�OX �5�� ��+i�R��St; Cad. Site Location N Llyv��RTy"���i � OtNK�A0,] Contact: Name �e i c Vc V�,z5� As��'.� . Phone /-5 3 0� K, LTi S0vT'4 5 i ao G 3 --001 Cftbw 4 2= FOR OFFICE USE ONLY Zoning: General Plan ®esig: Size, Acres PROVIDE FOR ALL x ,, ADJACENT PARCELS � SIZE (AC) - ZONING: ,.4.. GEN PIAN: _-- USES: „: ,+F I N Butte County nmental Health r__ _ ...................._..... ..... ...... ............ ..... _ .............. ..... ..... ...... ..... .._ ......_ .... _ .. ............... ............ ........ ..... t D - a. . . . . . . . . . . . . ........ . . . ,... .....f... j. ....1. . .j.. .j.. .. ...j .................-J.......... ....................... .. .. .. .. .. .. .. _ a - - .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. Siq pat rF� L .. .. .. .. .. .. .. �. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ............. .. .. ............. .. .. .. .. j. .. .. .. ....�...:.....j. .. .. .. .i. ....}. .. .. ....i... ...,............ .. .. .. .. .. .. .. '.i.. ....s.. i nn .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. •' VVV .. .�............ .. .. .. .. .. .. .. .. .. .. .......... ............ .. ............ .. .. .. .j.. .. .. .. .. .. .. ............ ....:..... :...... i ..... .....:...... i......:.....:...... i .. ... .. .. .. f - . .. _ .. _ .. j ....... {........:.. i. ............. ............ ........j.�...L... ..:i..............j:.......... .. .... a..j... .=.....�......... .y... ...{......j�- jt } io .. {�. .. .. _ .. .. .. .. .. ....:............. .. ;.... :................. .. �.. .... .. .._.. .. .. .. .._.. .. .._........................... ............. .. .. .. .................... .. ............ ............ ..... .....: ...... i......................... ...... }............. j. ....j...... i............ j .... ........:.. .................. .. .. .. .. .. ........ ....................... _ .j.. ..... .. ......i.j.. ..•.......... .... ..�...... ... .. .. .. .. S. .. •k F. . .. k. . .:J. . .. .... ............. .D ... }.. i... .... .. .. .. /`�.�l..J. .. : ...�..«y•�. /. ....� .'. =D.. T.. .. .. .. ...... ..: _ ... .............. t. .. .. .. . .. ................. .. .......... .. .. .. .. .. ..... ...... .... .... .. .. ........ .. .. .. ....... : .. . ._ : ...... ..a: ....... .{: .. i _ ............ ... .. .... .... .. ................................ .. .. .... .. ............. .. ............ .. .. .. .. .. .... .. .......... ... ....j....i.....:......i.. .. ..{.... ....... ............... .. .. .....}.............j �.. .%. .. ... ..... . .. .. .. .. ............... ................ • .......... .......... ............ .. ........ ............ ....j......y.............y......;..... .....:......,...... ......j...... ......;...... ...... .. .. .................. ........................ .. ............... .. .. .. .. .. ...................... .. .. ..... .. . j. . . ................... .. ........... ............ . . . . . . . . . . . . . . . . . : . . .. .. .. . SITE PLAN 7 ............ ..... ..... 7 ..... 7" * - :** ... *:, 7 ..... 77"': ...... 7 ..... ...... 7 ..... 7 ..... ...... 7 ..... ...... . ........ ...... ....... 7 ...... ...... ........... ........................... ............. ..... .......................... . ............ ...... 7 ........... .......... ..................... .................... , .............. ... ............ .......... ...... .......................... ................................. ..... ...... ...... : ...... : ...... ................ ...... ....... ...... ............ ....... ....... . .............. ............ . ..... ............. ............. ...... ............ ...... ..... ...... . ...... .......... ...... ...... ............ ....... 7 ............ ...... ...... . . . . . . . . . . . . . .......................... .............. .7 ..... ...... ...... .............. I ..... ............ ...... ..... ...... .................... ...... ...... ...... ...... ................... ............ ...... ........ ............ ..... ...... f ...... LAI ............................ ................... ................. ...... .......................... ..................... ...... ............. .................. . . . . . . . . .. . . ..... ............ ............ ...... ...... ...... ...... ............ ............ ...... .............. ...... ..... ...... ............ ............. ...... ...... ............ ............. ...... ...... ...... ...... ...... ..... ..... . ......... ...... : ...... ...... * ....... ... ...... ............ ...... ...... ...... ..... ...... ...... ..... ...... ...... ...... ...... .................... ..... ................. ............ ........................................ .. .............. ...... .. . ....... ...... ...... ............. ...................... ...... ............. ............. ............. ........ ..... ...... ............. ............. ............ ........ . ... ...... ... ...... ...... ...... ...... ...... ...... : ..... ...... ..... . ............ ...... ...... ...... ..... ........ .... ...... . . ..... ...... ...... ......................... . ............ ...... ............ ............ ...... ..... . ..... ..... ...... ............. ............. ..... ...... ...... ...... : ...... ...... ..... . ..... AM M, m0o 1Lf-)W0-PLAN.;• AppR*0vA'U;,-: ..... ................... ....... ..... . . . . . . . . . . . . . . .......................................... .... ......... . ... . . .. ....................... .. . ....... ................................. . ......... . Use: .... . ..... ...... ...... . ........... ............ ............. Pjarkin: ..... . ..... . Other . ...... ...... Unds .......... ...... .. ......... , ...... : ..... ............ �flpjjv— ............. ...... ...... ...... Other .. ..... . ..... .......................... ................. ... ..... ... ............ ............. ...... ...... ...... ...... ............. ..... ...... . ..... ...... : ..... ............. �: ..... ...... .............. ............. ...... ..... ..... ...... ..... . . . ......... ... . . . ......... ................ ...... ...... * ..... ...... ................. . ......... .. ................. ............ ...... ........................... ...... ............. .............. ................... ............ ......... ........... ..... ........ ........... . ................... 3 .. . . ...... ------ ................... ...... ..... . ................... ..... ........... ............. ;--0 ............. ..... ..... ..... .... .... * ...... ...... ..... .......... . . ................... .............. i ...... .... . ............ ....... ..... ...... ...... ....... ............. ...... ........................ ..... ...... ............. ................... .......... ....... ..... ...... . ...... . .............. .... ...... ...... ............. ...... ..... ...... ...... ..... . ..... ..... ...... ............ ............ ............. ............. ............. ... ......... ..... ...... .. .. ........ .... ... . .......... ............. ...... ...... ....... I ....... 1. I I X..: ............ ............. ...... ...... ...... .... . ............ ........... ...... ..... ............. ............ . ....... ....... ....... D • ...... ...... .................... ...... . ..... ...... .... ...... ....... ............. ...... ..... . ............ ............ ............. ............ F. ..... . ..... . ........... . ..... ...... ..... . .................. ..... .. ...... ... . .... . .. .... .... ..... ..... .. V) t. L5 .... b ............ ...... ...... ......... . ..... t77 ................. ................ ............ ...... ..... ............ : ..... ------ ...... 4 ...... ..... T--Kvk:.. F ............ ............. ...... ........... ............ ..... .. ................ ............................................... ...... ...... ..... ............. ............ ...... ..... . ..... ...... ...... ...... ..... ...... . ........... . ........ ...... * ...... ...... ............. ...... ...... ...... ...... ...... ...... * ..... ............ ..... ...... ...... ................................ ............ ...... ...... ............. ...... ............. ...... ............. ................... ............. ...... ..... ...... ...... ...... ........................... ..... ..... . ...... : ..... % ............ ...... ............ ..... . ...... ...... ...... ...... .......... ...... ...... ! ..... .... ........... ........ .. . ..... ................... .................. ...... ...... ............ ..... ............ ................... . . ........ ...... ...... ..... ...... ...... ....... ............ ............. 7 ... . . ............ Y3q: (o ................................... T ...... . ....... ..... . ... ...... ............ ...... ...... V ...... . . . . . . . . ................... ................................ ...... ...... ................... ..... ............... i......:......1. .............. ............ ...... ................... ...... .... ..... ...... ..... ............. ..... . ..... ................ .............. ...... ...... ...... ...... ................ ..... ...... ...... ............ ................... ............ ..... . ............ ........ ............. ...... ..... . ..... ..... ...... i ....... ..... ...... ...... ...... ...... ...... ...... i ...... ............. i ...... ............. ............... .... . . . . . . ..... ... . ....... ...... ............. ...... ............. ............... ..... ............. f ...... j......} ..................... ...... ................... ...... ...... ..... ...... ................................................................... ...... ............ ..... . ..... . ........... . .................. ..... ..... 14-0,§,SMssor's Parcal Number Owner Name L— R i C V, L ft R - Address / Phone No' FLC) T0( X 5 7 Site Location N Q 0 FEZ P—A -7r 'D "Y Contact: Name �z i c V r} ;z ....... ................................ . ............................................. : ...... : ................................ : ...... : ...... : ............. : ...... 1 ...... .�:. .............................................. : ................... : ...... .............. 1Wb 'I C A Phone 59.1 —' '0 IS? t -C, 50VT-4 51�� c>r,- Cdrhv � MM - FOR OFFICE USE ONILY Zoning: - . a General Plan Desig: —A -k Size, Acres 2.7 S" j 4.0(r PROVIDE FOR ALL'� ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES". SITE PLAN .......... ...... 7 ............ ...... 7 .................._..................»....._......... ............ ...... 7 ............ ..... . ..... ...... 7 ...... ........... . ............ ..... . ..... ......... ............. ..... . ........... ..... . ............ ................... ............. ............ .................................... ...... ............. ...... ..................... ...... ........................................ ...... ............. .................... ...... ............. ............. ...... ..................... .................... ..................... ...... ............. ..................... ...... ............. ................... ............. ...... ...... 7 ............ ...... L ............ ...... ..... . .......... ............ ...... ...... ...... ...... ...... ............ . ............ .... ............ .............. ...... ............ ............. ...... ...... i ...... ...... 7 ............ ....... ... .. ...... ...... ...... ! ..... ............. ..... ............. ...... ............. .................................... ............................ ...... ...... ............ ............ ...... ...... .................................... ...... ............. ...... .............. f ..................... ....... L; -p ..... 1 ..... . ...: ............ .......... T . . ..... :- .......... ............. ............... ..... ; ...... ; ............. ............ ......................... .............. ..... . ..... . ........... ..... . ..... ..... ...... ...... ...... ............ . ...... ...... . .............. 7 . . . ... .... ............ . ......... . td ...... ........... . ......... . . . . . . . . . . . . . . . . . . ............ ...... ............ ...... ..... ...... ...... ...... ............. ..... ..... . ........... ................. ...... ...... ............ ...... ...... ...... ...... ..... ...... ...... ..... ...... ............. ............. ................... ............. ............i. .. ............. ............. ...... .............. ..... ............ .............. .......... .................................. ............. ............. ........ ......... ................ ........... ........ ....... ........ .......... ............. ............ •...... : ............. ..... . .. .. ..... ..... ..... . ..... .... ... ..... . ........... ............. ... . ..... . ..... ...... ...... ..... . ................... .... ... . .... j...... ...... ...... ..... ...... ...... ...... ...... . . . . . . . . . . . . . . / . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...... la . .... I.... . ....... ..... ......................... . ... ...... ............ ......... 0/ ............ ..... . ... ..... ...... ..... ........ ........ ISION - OU1 . . . . ............ �:DING PLAN APPR(DVAC-'4' . ................. ....... ...... ...... ........... ...... ...... .. ..... U4. ........... ..... ............. �: ..... ...... ...... Paf� ...... ............ ...... ...... ... ............ ...... .... ...... 5 ..... ...... . ........ ..... ........... ...... ...... Sig6ature: ..... . .................. .......... ------------ ..... . . ................... ..... ...... . tom .... . .......................... .............. .......... ...... 'Pol ............................. .................................. ................ ................ ............ ............ .. ...... .... . ..... % .......... . ..... ...... ...... ..... ...... ............ ..... ...... ...... ...... ...... . ................ ..... . ..... . ............ ...... ..... ..... -44- ...... fir44-0--� ...... .............. ...... ...... ...... ..... ............. ...... ..... ...... ..... ............ ...... .......... .0. . . ... ..... .............. ....... .......................... i ...... ...... ............. ................... ...... ............. ..... ........ .......... . ...... ..... ...... ............ ...... M.... ...... ...... . . . . I I ............ 71 �0 ..... ..... .. V ... Is ........ ..... . ..... ....... ...... ..... ......... ...... ...... ....... ... .................... ...... ..... 1.4 ............. ..... ...... .................... i ...... ..... . 1-).� ..... ....... ...... a ............ ............ ...... ...... r ot ..Q. ........... ...... ........... . ......... ........ ...... ............. ........ ................ ................... . ................................ ...... ............ ...... ............ ....... . ......... A ............ ..... . ..... .................. ............. ...... ...... ...... ..................... ................... ............ ....... : ............. .................... ............ ...... ...... ...... ............ ...... ...... ..... ............ . ..... ...... ....... I ............. ...... ...... .............. ............. ...... ............ ....... ...... ............ ...... ........... ............ ...... ..... ...... ...... ...... ...... ...... .... ...... ...... .......... ...... ...... ...... . .. . ......... .. . .. ...... ...... ...... ...... -t- ............ ..... . .... . ............. ................. ...... ..... ................ ..... ..... ........ ...... ........ . .......... .... ...... ....... ................. ............ .......... ..... . ... ...... ...... .............. ........ .... ................. ....... ............ . ......... 4". ................. ...... ...... ............. ...... ...... ...... ...... ...... ...... ...... ...... ...... ...... ...... .................... ............ ................... ...... ....... I ..... I ...... ...... ............. ............ ............ ...... ...... ............ ...... ...... ...... ............ ...... ............. ............ ...... ............ ...... 7 ............ ...... ......... ............ ...... ...... ...... ...... ...... ...... ...... . .... ............ ...... ............ .......... i.................... ...... ...... ...... ...... ............. ...... ...... ....... ............. ...... : ....... ...... .............. ..................... ...... ...... ...... ...... .............. : ..................... ......................... ..................... ...... ............. ...... ...... .................. ........................... .......... ............... ........ ...... ............ ....... . .................. ............... . .................. . ..... ...... . ........... ........... ..... ............ ...... ................. ................ .............................................. ....... ... ............... 0 ........... ................. A,52-130essoft Parcel Number mer Name Ri c - T7 Address Phone No. t -- Site Locati®n N 1/05 FG -1 r2-,] — M M F21 — Fo-1 2 ET sdill e: I'll 1100, oX ;1-57 Contact Name i c V s; K iSt, CA. K f ff A W 5 o V -T- J4 Phone G 31 -Co,7 511)? 0 -F -- cdcho 4 = - FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres i 4XV4 PROVIDE FOR ADJACENT PAR SIZE (AC): ZONING: GEN. FLA] . !r USES-'--- _ .. ................ ................... ... ............ _....._............_. iLAS(K2- ..... _•. _............_...............i. .. .. .. ....... .. ............. ................ _............ .. .. .. .. .. .... .... .. .... .... ............... .. .. .. .. .. .... .. ..... .. ....: . .. ...^ .. ......................e...... �...... e. .................. .. rye... �...... .. .V� .i ........... .. .. .. ........ ^ . .. .. .. .. _ .. .. .. .. .. ............ .. .. .. .. .. .. 1y. _ • • .. .. .. .. .. .. ............................................................ �--,)-- ,..... .. .. f�-� \ C. .. .. .. . .. .. �,:_� '�... .. .. .. ... .. .. . ~� .. .. . E3u.nty to :COU ;1... :' crt �ro.•,m�' ;• { -i-- ..-.. i.. i. riTas • •• .• • • ••.............. • / .�•• -. .. 9 -� .. �. r:Y >• .. .. 1. ..< .............. .. .. .L. .. ,. J. .. .w.r. �.. .. / .•V _ ........................... .. .. ............ 'P w w ....... / .. �. 1. _ .:. _ .. vJ j' - .. .. .. .. .. .......... .. . . . . . . ..... .......:.. .. .. .. .. .. ..... .. .'' ' .. ....................�5:....; .. .. : ......................... .. Aga . •L RR •• •. • .• ............ •• \ (\ • �/ •• • •• •• •. I•'• v•iL '\ •• •• ••...............................V .r ... r ...:......:. 1 .. .. .i-.... . A . ...M 4 a. •i4r`. ..1. .. .. .. . .. .. .. . .. .. .. l ...: .....:......... ��� .. ...... . ......................................�..-....................... .. .. .. .. .. .. . .. ....................... .. .. .. .. .. .. .. ....................... .. .. r .:fti.W.... .. .. ... .. .. .. y� .. .. .. .. .. .. .. .. .. .. .. .. _ ........... .. 'w..... .............. .. / LO .. .. .. .. .. ............ .. .. .. .. ................. ....................... .. .......... .. .. .......... .... .. .. ... .. . . . . . . . . . .. . . . . . . . . . . . .. ............ .. .. .. .. .. .. .. .. 1 .....:......:......:...........:......}.........................;............s.....;......;......:..... J,.................. ...... �.... . .............. .. .. .............. .. .. .. ....s.....?............s .................... .. .. .. ....}..... �...... r ..................... ......•............................. - _........... .................... ...............................................................................-..................._........................_............ -...._............_....._....................... Assessor's Parcel Number: QO © 2 — © ® a _ Fo-1 ® © Scala: I'll Owner Name R i c V , l.._ P R - 7,J Address /Phone No. Y. G -50X ;�- 5 7 Site Location Y'FQi �Ai�/�bIS CA. Contact: Name e c V� s A.� Phone (� 3 a z r�A� Sovz'!-F Cetm23,2= ' FOR OFFICE USE ONLY Zoning: General Plan ®esig: Size, Acres - 4.aCr PROVIDE FOR ADJACENT P SIZE (AC):._`<"' ZONING:.. GEN PLAN f, USES': ,�s ....................................... -z` _ ...""...................................__................... ..... _ ........................ _ .... ..... _ -. "- ... ,.,,.�...,....,�... ... .. .. .. .. .. .. . G �(.. . ..................... T....................... ............. y..O-a .E.. ... Butte.* C(unt'.y� : . .Mi .. :. ............ .. .. ..........................................................:..................:......."•-............................• .. n : : : : : : : : : ..: C fsVIP � o �. F� ca �`:1G _ .. .. .. .. ... s.. .. .. _ .. .. .. .. .. ._ .. .. .. .. .. ............. .. _............... c......;.....c.. .. .. .. .. .. .. .. .. .. .. .. — -- -- --- ' •' :.....:.................... ....... ... .................:............:............:....... ..... Qom. .. .. .. ... .. .. :6 E!�(i E .. ..:.. .:.. ..:.. �. .7. ••r i .............. .. ... .................. .. ... .. .. .. .. .. .. .. ... -. .. .. .. .. .. .. .. .. .. ._ _. vrsrnR. .. .. .. .. ... ......................... .. ..;....:.. ,. t .'I :�. � I 3 O• P 7.. :.._ s tr '. 3 _ ... ._ .. .. .. .. .. __ : . . . . . . . . : . ................................................. 1 ................................. :.. ..:.. C ..ice: .. - = -_.,..�...... ._ .. ... ' ......................... .. .. .. .. .. ... E : .................... ........... ................... ..... ..... ...... �- -p ............. ............ .. .. .. .. ........... r �. ............:... r . . . . . . .. . . . . . . . *.. ._ ..: .. .. . .. ............. ............. ....... ............. .................... ..................... .. ... ._...................... ............. .. .. .. ............ .. .. ........._ ....................... Assessor's Parcel Number: Scale: I Owner Name Z—::5 L Address/ Phone No. CA 5 ',!�0g- Site Locator E t -- _ r � C®rtse: Dame f� - Phone ceztv z, =y Zoning: General Pian ®esig: Size, Acms PROVIDE FOR ALL ADJACENT" PARCELS SIZE (AC): ZONING: GEN PLAN: USPS: SITE PLAN _.... .......... ...... ............ ...... .... ...... ..................... .... •. .i• __ .1. .. .. i.. .. :1.....:.....:......: .. .:.. .. .. .. .. I .............................. .. _ ............ .. ............ .. S• rl .. .. .. .... f .r V 1 1 ............. .. .. .. .. .. .. ... .. .. .. .�.;..... .. .. .. .. .. .. t ............ .. .. .. .. p ..�.... .. .. ....t :... 1...'..... . T. r.. .. .. .. .. .. .. /� •/�.�10si f.� .a • ..................... .............. .. .. .. .. ........ .. .. .. ......... .. .. .. _ .. .. ....... .. .. .. .. .. .. .. .. .. .. ................ .. .. .. .. .. .. .. . .. ....�.... �... .. .. .. ............. .. .. .. .. .. .. .. (.. .. .. ...;.....;......:......: .. .................................. • : .. .. .. .. .. .. ............. .. .. .. .... .. .. .. .. .............. .. i. .............. .. .. ........................... .. .. ............. i..... .. .. .. .i. .. ... .. .s..... e .............• .. Tz� .. .. .. .. ¢q.; •.....s. ....... ..... .. .. .. .......... . .... . ..... ..- ..... .. .......... 1 .. .. .. .. .. .. ........ .. .. .. ^ c' yy — — - .. .. .. .. .. .. .. .. .. .. .. .. .. ,a� F17r wp R'L �i e. .Q � .L. .. ergs .. ......t...... .......................i. .. �ary ...- .. .. .. -.. _. �� i ... _a ,... .. .. x J. x {�.... =P 0 j.. .. 0 "� �?► 0 i • '� •• t .. #r :. .....: ani _; 3 iO(TF.. U l.. '.:. c�TLCN .. .. .. V� N,�T RL'�N �� w 3 � �y • of l�'li.L 4t .. 1`YS� Sl TI �•�• .. .�A . .. `.L'.IC..:A1w;tP r�lww��.. may.. .. .. .. .. ... .. .. ... .. '� .. S O .. .. .. Q ', .....:.... R r} �• O: ..6 .:. b `o M �. ..Jh-i . . 4. �g y �� r .... ...... fxt ...... .. v21 i• :.. .. :.......................... t................... . . . . . . . . . . . . . . . . . . .. .. ...................... r .. .. .. ...............f............................ .. . .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. ............ ............ .. .. .. .. ...................... ............. .. .. ............. ............. ... ............. ......... .. .. .. G ........ .. • .. .. ............. .Y. .. .. .,. ................... a• .. .. ... .. .... .. .. .. ..7 .. .. .. ...................................... .. ................. .. .. .. .. .. .. .. ...l... .. .. .. .. .. .. .. . v L r• ► N' f 0 UN .. .. .. .. V �T&- ;... .. _ .. .. ... . . ._............ .... ... ....b .. .. .. .. .. .. .. ............ .................. .. .. .. .. .. .. ..f... .. . .. .. Aw:� .. .. .. . ........................ .. .. ....... f . .......................... ............... . . : : ............._.................. ; Assessor's Parcel Number. D Owner Name R i c- V, Address / Phone No. ', G B oX 5 �� Site Location .-t�y� p� Dr ``y"6F �31U. Contact: Name ��i c V�� �; 1,\ Scale: 1'a = K Rb S I C 0,. G 763o)59 t -0637 ��- Phone (-5 cam a 2= FOR OFFICE USE ONLY Zoning: General Plan Desig: 7 f Size, Acres i 4.0(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: j....j... ..... j... t. ...j ...... jj ............ ... .........j... .. .. j... ;......j......y ... y......;..... j. j Fit 14-44 fl -J11 --T ......j... .. .j....j... .. .. j... �. .. j. .. ........ j. LAWS .... m . . ,....... I-. -";P A— AL .!... ...l` ....�. .. .. .j. .. ... ...j.... ... .... y .. ;�.. �.... �... :. i... ..� j... i... ;.....�. j... .. .. .. .. .. .. .. .. .. .j. .. ... ...j.. Off .j. ...... .....i........................ .i......�.. .... .. .. .. ... .. .j... ... .. .. ... ...j. ... ..... ...j. .. ....j ................................................ j .............. .. ......... :.............. j....j....y.... 77-47.7 j............j.....j... j... .. ... .. .. .. ... Q ... 17-1-1 ... .. ...�. .. .. ... ....... .....j . ........ T— . _ .. .. .... ..�.... .. .. ............ .. ... .. ..............; /.... _ ... ,C.. .. .. .... ; �. .. ... .. _ ... .. 01,011w.j... ... .. .. ... i... i.................................... i ;•.1:.1... ;.... -44A w.... _..... ...... ............ ! .....:.. . .j... .. ...... �....... ... .. .. ... .. ...�..... i ....................... ... . —1541:747 .......... 1-4 103—pq i. ..�... ............. j. .. .. .j............... j. .j ... ..................... Ad - :;Ste! 4-10. i.....;... ............. .......... . .. .... ... .. .. .. .. ......................... ............ Th . . ...... .... VIA ...... ;. .......... -�I: . . . ..................... ....�. ..j..j... j.... .. �. .. .. i.... j .... .. .i. .. .. .. ...{... ... .. .. ... .. .:.................... I ............. ...... . .................... .. .. .. .. .. .. .. ...................................... JAI: ... .. .i. .. ... .. .j. .. '7 0 z 0 1 01 C t�w t ............._ ................... _ .. _7***'—"'—:.. ... ........_ .. . . . . . . . . . . . . : .. . . . . . . . . . . . . . . . . . . . .. j'''� . . . . . . . . . . . . . . . :. . . . . . . . . . . . . : :. .................. ......_....._............_....._............. ........... .. .... .. .. .... .. .... ..... .. .. .... ........... .. .. .. .. .. .. .. .. .. .. .. .. ..............;.. ;.. �1 ?� C� r� c Nz C ..... . 4V .................. . .• .-... •- .- .t.. - • •...... • .,.•.r •• . .. .... ... .. 1' 7'Q .. . . .... ............ ...... ....... ........ ............ ...... ..... ...... ...... ...... ....... j... .. ...:....... ...�..:... i......;. }_.. .i.. .. .e... .. .. ...; x}�. _ 3F.5E�'`' 4—ii.r 1 $... .. . . .. . . . . . . . . . . .. .. . .. .. . .. .. .. .. .. .. .. --.. .. S` .. .. . -�: 1 . . . . . . . . . . . . . . . . : ... .. ......................... .. .. .. .. .. .. .. ........... .. _ .. _.. . .. .. .. -..i _ — * r' .i:. j..• .�..... i. .._i... .i......- .. .. .. .. .. .. .. .i :i .. i...... i......�..... i......• .. . .. .. .. .. i...... i. ._ ... i......T .. .i..... }.. .{.. ,.... .;.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . }..... {........... ................}..... {......,.....;f... r......;......}... ....;. ,.. .. }" - - - ... ..... . . .. . .. . . . : . . . .... . . . . . . ............. ....... ........ .......... ................................... ........ f .. ............. . .. .............. ....... - ............:�. ..... . ..... ............. �_' I�• r ..........•.. .....+err+ •• •+•!•• i.............. . ...... Sa �,J . � EE �i4� Gam• . . . . . . . . . : .. .. I { X �o t ^O `� .. ;.. :: irk;• - .. .. .. .. d°1s.......... .. .. .. f C .. j......y.. :. .. . - _ .............. 1� t �� .. Q l ' :! ... .:...i ... . . . . . . .. .. .. ................... .... ......:....:......�......;.....:............ ..' .. .,..... .. .. ............. .. .. .:� : -.. .. : : : :.:a. ...:: .. .. .... .. .. .. .. ... . .: .....: . . t�E1.. S-- :l .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ............... ;�..: p.. ........................ .. .. .. ............. .. _- � fn . . . . . . . . . . x !Y x....;... .. .. ............. .. .. .. .. .. .. .. .. .......... .. .. >.....;......:......:.... ; ..................._.................._..............—......................................_...:.............._....._..........._....._............_.................._...................._....._............_........... _.......... ..............._..........._....._............ _.................. .......................... ............ .......... ........................ Assessors Parcel Number: © © ® _ © 3' 0 - Z ® © Scale: 9" Owner Name r -7q) V Address / Phone No. m Site Location Contac: Name Phcne„ Zoning: General Plan Desig: Sile, /acres a.00r PROVIDE FOR ALL ADJACENT PARCELS SIZE,IAM ZONING: GEN PLAN: USES: ... ........ ...... ............ ...... ...... ...... ...... ....... ..... ...... ....... ........... . ............ ..... ...... ............ ...... ... ...... ....... . ... ............. % .. ... . ........ ............. ....::......:......i ...... ............. 1 ..... ...... ...... ............. .............. ............. ... . ...... ............. ............ ...... ........ ...... 7 ..... 7 ..... ...... ............ ...... ...... ............................................ ..... ...... ...... ............ ...... ................... ...... ............ ...... ...... ...... ............ ...... ...... ....... .... ............. ...... ........... ...... ...... ...... ...... ...... ..... ...... ............ ....... ..... . .......... ............. ..... ...... I ...... ...... ...... ..... ...... ...... ...... ................... ...... .................... ...... ............. ...... ...... ..... ...... ...... ...... ...... ..... .. ...... ..... ...... ...... ..... ...... ........ ............. ...... ...................... ............. ...... ...... Opp ............ A ...... ..... . .......... :. . . . . . . . . . . W.1� ..... ...... ..... ..... ...... ..... ............ ...... ............ ...... ...... ..... ... ...... ..... ..... . . . . . . ...... ............. ...... ...... ..... ............. ...... ..... ............. ..... ; *.....z ...... .... ..... ............. ............ ...... ...... ....... ...... ........... ............. ................... ................... ..... ...... ............. ..... ............. ...... .................. ............ ....... ...... .................... j ............ . ..; ......... ...... ...... ...... ...... . ............ ....... ..... ...... ............. ..... . ...... ..... . ...... ...... ............ ...... ..... ..... ............ ...... - - -- -- -- -------------------- : ------ ------ ------- ------------- ------------------ -------------- : ------ A............. ...... I ...... .......... ............. ...... ..... . ................... ...... L: : ................... ............ 1: ..... ............. ............ . ..... ...... �r .... ..... ..... ........ ...... 7 .......... . M... ...... ...... ; . ..... ...... .......... . ...... ............. ...... ...... ..... ...... .. .. ............ ..... . .... .. ............ .......... ....... . .......... . ..... ......... .......... . .................. ...... ....... ..... ...... ..... .............. ............ .... ..... ..... ...... .... ........... ........ 5i d6rt 4T. .. ..................... ...... ...... ; ..... ............ ; ..... .......... ...... ...... * . ...... ..... ...... ...... ..... ..... ...... .... ...... .... ...... * ..... ........... ............ ............. ...... ............ ... ..... ... vr] . ............ . ....... ..... .... . ..... :: . ..... :z-:_ .... . ..... ...... .......... . ....... V ..... ........... ...... ....... .. ............ .... .... .... . ..... ...... ; ..... . . . . . . . . . . . r ...... ... ;.. -14 . ...... : ..... ...... : ..... : . ...... ................. ............ ......... ...... ........ . . ...... ...... .... . ...... ...... .... . .... . ... ...... ......... ...... .............. ............ ...... ............ ...... ..... ......... .. .... 1%� . . . . . . . . ... ........... .. . . ........... . .... ...... .... . ........ .......... . ...... ; ..... ..... ...... ...... ............ * 7x: u...... ...... ...... ...... ...... ...... ...... ..... . .......... .. . ... ............ ...... . ................... .................. ............ . ...... ..... ..... . ..... ...... t.. Vo. :."') * ..': . : .... 1� . ..: ............. ....... . .......... ...... ...... ............. .... ...... ..... ... . ..... ..... ..... 4 ............ .... ... ............. ..... .... ..... ... ... . .. ..... ..... 4 .... .. ..... ..... ..... ...... ..... . . . . . . ... . ..... . ..... ...... .................. . ...... ............. ..... . ....... .... . ..... . ..... ..... ...... ...... ...... ...... ...... ............. .............. ...... ............. ...... ..... ... .............. ...... ...... ..... ...... ............ ...... ......... ................... .......... ...... ...... ...... ............. ...... ...... ...... ............ ............ ...... ..... ................... ............. ...... : ...... -4 ...... ...... ............ ...... ...... ..... ... ..... ............ ...... ...... ...... ...... ..... ..... . ..... ...... ............ . ...... ...... ...... ...... ...... ...... ...... ... ....... ...... �-.t ...... ...... ...... ...... ...... ....... ... ..... .. ..... . ... ...... ....... ........ . ...... ..... . ...... .... ...... 1 ..... ...... ...... ...... : r LA .... .......... ... .............. .......... . ..... ...... ............ ....... ............ ........ . ............ ............ ..... . ..... ............ . ............ ..... . ..... ............ ..... ............ ................... . ..... . ........... . ..... ............ . ...... .......... . ..... ............ . ..... . ... .............. •............ A W - i IT T. - I . ......... .............. . .... - ................... ...... ............ ..... . ..... ...... ...... ...... ..... ................... ...... ...... ............ ...... ............ ...... ............ ...... ...... ..... . ..... .. .. ...... ...... ...... 'AU ..... . ............ ..... . ..... . ..... ...... ..... ..... . ..... ...... ............ ...... ............ ............ ...... ...... ..... ...... ..... ...... ..... . ..... ...... ...... ...... ...... ...... ......................... . ...... . ..... . ..... ...... ............ ...... ...... ...... ...... ...... ...... ...... ..... ..... ...... ...... ...... ...... * ...... ..... . ........... . .................. . ..... . ........... . ..... . ..... ..... . ..... ...... ..... . ..... ..... ..... . ..... ...... ..... . .................. . ........... . .................. ............. ...... ............. ...... ...... ...... . .................. . ......................................................... ..... . ..... Assessor's Parcel Number Owner Name a — ©®a — ©®© Scale: I" A- ;P�. , c _,> '�"? Address / Phone No.. - C , , , ---"- "+ Site Location Z Contact Narne Phone L:-'� 101/ Cck&w 21 2= FOR OFFICE USE'ONLY Zoning: General Plan Desig: Size, Acres 4.0(r . PROVIDE FOR ALL ADJACENT PARCELS SIZE "If'6): - 0,40 ZONING: GEN PLAN: USES: SITE PLAN INCLUDING 7'-."--*-**--* .. .. •. .. .. .. .................. ... .,-.LL STRUCTURES AND EiUiiai"AEEQUIPMENT _ .. I .. .. .. .. ';.JY4•.Y �:1;'fimi:•.6i e:;: i?'iL;..6.:. '+dr:��}y.. .�. _ rrr'.a .. .. . . . . . . . . . . . ........... ......... .. .. .{. ...y. .. .. ............. ...... .. .. .................... .. .. .. •� .. : . . . . . . . . . . . . . . . . .. .. .. .. •,'1. y - - :,; i, ........................ a _ '1.�, i C '}. J .i.....{......}.... .. ._................ .. E;C G^ 6 ►= ii,Cin� �1SBi:j'i2i.i;3AFP.'. .fir-+:....:.... GiC t i1 c L, r��ECHANI ............................... . CAL, �1N Pt. 'ice, -- .. .. .. .. .. .. .. .. .. . . . . ..:... Ir Lei N CFilClE . .. _ i OF w L�'-i C P .. l.;r: '�' :•i r. Ex• .. Ott .. .. •�'Ef3:Ti .. .. GN..<.. .i.. .. s..... n..... i.... .. ...i.... I�I�•. .. . �...... .. •/ 9 a} . . . . . ..... ..................... r .. .. /� F: ` w E: .9 T .. .. .. �. i e.. 'i.r i f .. / ..tom �•�,, �� . ..S ............. i......i. .r............. a/.t......:. •. .L :K .............. ............ ................/ I r•?3 „r a .,� .,... � I l ..-. ... i .C. llr• •C. .. (` .. r wL J. . . . ... . . . . .. - .. .. .. r i• i ra�yy,, •• ............. �.: t •.i.. } i/ :r 'I t, LY c' p/ - _fie..... P... .. o d. .� .. � PFS' is ,wl...._I. �{. .. f ..N't r ts- - r r le #r-• R e ...:.,.. ....... . . . . . . . . . . . V. .. .. vJ ................. ...... .. .. .,....... _ -... .................... _ Ci 5: _ . .. ,. : .; ... Ffr - ..:.............. .. .. .. .. .. .. .. .. . - ......._ .. ........-- ..5 .i,..... r......i .. _ . . . . . • . . . ... .. .. ±? • i .. .................. .. O `o �' ..............-- c .. ............. l...... ............'.. a �: •�j i.;.rj C;1....J......; .. �,..: .. .. i �' ,..� . r ,. Lam`: :4l Yf :... • - .. .. V/ V.. ..i........ . .. .. .. .. ...�.... \ —• .. .. .............................. ............ .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ........f-•• .. .. .. .. .. .. .. _ ................... .'�..: .. .LZ/ 3 .. .. .- . _ .- . •{............ •• •: • �. �! •......_.•..•,..w.........L....•,•..w......•N....•,............w....•w............ .........•........._..••..............w..:.-w...........w....._......••...._....,I•.....f......L..... i...... ....... (. ••.......................... .. •• ..• •,• a+ • •• • •• .• • •• •• •• .. •• •• .. u PTS» ;..:.. ............ .. ............ ............ .. .. .. .. .. .. .. M iIT ir t :..,..:.: .. : . . ;...;.... .. ..............w.................._.. Assessors Parcel Number: Owner Blame �-_ R ► c_ - Address/ Address/ Phone No. rx G 7SoX 5 S� Site Location Contact: Name I�LR i c V, 0 — 0 ®[31 Scene: 111= 10, RRA 1ST Phone A y 7 ( 7 L3o159t -a31 �.''&(M, Oki Sovr4 S iI-)? o -v_ Cdebw23,2M3 FOR OFFICE USE ONLY Zoning: Size, Acres - a.OT PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): -ZONING: GEN PLAN: USES: �' ea •�� .. , ?�. y _ `` � i woe- 'd' .. . -. .. .. ... .. .. .. .- .. ... ...................... a� <° .�..� - - —_y.. = .. .. .. .. �:'._ .. ............. .. ........................ ............ .. ... .. .. .. ..................... ............ ............. ....................... .. .. .. _ .. . _ . .. .. .............. .. �s•�•cc Cc�;nfij .................................................. .. .. .. .. .. ... .. .. .. .. . .. .. .. �. f••-�`,"rte � e to .. .. .. .- .... - .. .. .. .. .. .. ._ .. .. .. .. - -- _:�.. .. .. .. ._ .. .. .. .. _.............._. .. ... .. .. .. .. .. .. .. -. ... .. .. .. _ .. .. _ .. A r.. .. .. .. ... _. _ -- —...... . —_....... .. .. .. 7 t 1 .... .... .. o .. .. .. ... .. .. �s _ —:. . . . . . . . . . . . . ate: ..�. - N I _. .. ... .. .. ....- .. .. t ... .. .. .. .. ............ .. ............ .. ...... .. ... .. .. ............ .. .......... .. .. .. .. .. .. ........... .. .. .. .. .. .. .. .. .. .. .. .1..._..... .. - A r .. 1 .. .. 9. .. .. ........ .. .. .. .. .. :f .. .. .. ._ .. ... .. .. .. .. .. .... y .. .. ....................... ............. _ - - ��i .... ..... ..... .. .. ............ .; •! ... .. .. .. .................. .. .. .. .. .. .. .1.. ._ .. .. .. .. .. -- .. .. .. ............................................._ .. .. ............. • f'y. jam` �Q. 1 : J AAA A • !• \\ .. _............................ .. .. .. .. _. .. .... +1 ......r.. �. .. _._... .. t k i •�- .. '. ' .a : i (t } t =a .5. . i. 3 Fo i p� .C. ¢ r F !• I ✓.+ V '+ .. .......... .. Y.. .. .. ............ ... .. .. .. _. .................. .. .. ......................... ... .. .. .. .. .. ......................... .. .. .. .. .. .. .. .. .. .. .. .. .�}..mow .�7 L : --� '�: • k'- %- :•- � ' J it ! '�1^ , �. .. .. .. .. .. _ ._ .. .. .. .. .. .. ... .. .. .. .. ... .. .. ... .. .. .. .. .. .. .. .. .............. .. .. ... .. .. ... .. .. ... .. .. .. .. .. .. .. .. _ .. .. y'.. ..j.. ..i. ..j.. ..i. .j.. .. •.. :.�..s:. �6 -s ... r y ,� �T- :... .. .. .. .. .. ...... .........---..,........ ... :....:. ... . .. . . . . . . . . . . . . . . . . . ........... ... .............. .......•............... .:....:....: .....:....;...:.... Assessor's Parcel Number:0 0LZ E U scs8e: °'ILI Addrass / Phone No. •r T r a,- 7 U, A Site Locaton Contact: Name Phone cclakaz,=0s FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Ams 4.0V PROVIDE FOR ALL ADJACENT PARCELS SIZE IVAC): ZONING: GEN PLAN: USES: