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062-730-020
iI 30- 00'0 JAMES POTESTIO SIS Bald Rock Rd, app 400'W Rock erfellerRd, Berry Creek Permit##1839-81E (temp ele ser for future lot deveWOV1 ENVIRONMENTAL ' Hi / 1EALTH CLEAR 062-730-020 ' 03-0912 ,ALL, LAURENCE /Jbl� BALD ROCK, OROVIL NAL V Cont: _FLEETWOOD 7,y-03 NEW MH PERM FND NEW SIT ARANCE DATEJ�_d I N r� � � r-� RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of' Document Recorded 03 -Jul -2003 2003-0043753 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. LAURENCE D. HALL 7 COUNTY CENTER DRIVE REAL PROPERTY.OWNER/IESSOR MAILING ADDRESS 45 WEST ASHLEY AVE. OROVILLE BUTTE CA MAILING ADDRESS CrrY COUNTY STATE WOODLAND YOLO CA 95695 CfrY COUNTY STATE ZIP 1506 BALD ROCK RD. �-% - Er INSTALLATION MAILING ADDRESS, IF DIFFERENT t BERRYCREEK BUTTE' CA 95916 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAMB7 SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION' BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CrrY COUNTY STATE ZIP 03-0912 530 538-7541 BUIID G PERMIT N0. TELEPHONE NUMBER �-% - Er t OF LOCArAGENCY OFFICIAL DATE FLEETWOOD DEALER NAME (if not a dealer sale, write "NONE) 1061581 DEALER LICENSE NO. FLEETWOOD 2003 SUNCREST 4663G MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAMEINUMBER CAFL 317A/B 26559-SC13 67'X27' PFS0808074/5 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 062-730-020 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY- HCD PINK - Aunlic—t GOLDENROD - Buildinu Dem BUILDING PERMIT NUMBER: 03-0912 Address or location of unit: 1506 BALD ROCK ROAD, BERRYCREEK CA 95916 Legal Description of Real Property: AP # 062-730-020 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: LAURENCE D. HALL Owner's address: 45 WEST ASHLEY AVE., WOODLAND CA 95695 INSIGNIA OR HUD NUMBER: PFS0808074/5 SERIAL NUMBER OR V.I.N.: CAFL 317A/B 26559-SC13 .MANUFACTURER'S NAME: FLEETWOOD /D, ATE: 2003 J. OFFICIAL APPROVING INSTALLATION: / • ��7Y] -. DATE: 7-2-03 PHONE: (530) 538-7541 H.C.D. 513C LEGAL DESCRIPTION A.P. # 062-730-020 All that certain real property situate in the County of Butte, State of California, described as follows: DESCRIPTION: THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP; RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 31, 1980, IN BOOK 81 OF MAPS, AT PAGE(S) 25, RESERVING THEREFROM A 19 FOOT DRAINAGE EASEMENT, AS SHOWN ON SAID PARCEL MAP, ALSO RESERVING AN EASEMENT FOR PUBLIC UTILITY PURPOSES ACROSS A NORTHEASTERLY PORTION OF SAID PARCEL 3. APN 062-730-020-000 ( NUMBER _.•ND HOUSING AGENCY SND COMMUNITY DEVELOPMENT . 8 C r CODES AND STANDARDS . v v .diACTURED MOUSING PROGRAM .,%:TUBER CERTIFICATE OF ORIGIN ❑ CMECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO, 416E QR M-ULTI-UNIT MAN ED H ING NUMBER OF 2 0►0 (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING I TRANSPORTABLE -SECTIONS COMMERCIA,( COACH: OCCUPANCY GROUP NUFACYURIER NAME: FLB$TWOOD HOMES OF CALIFORRIA • IANC. MANUFACTURER LICENSE 9534 u WOODLP—ND CA 95776 STSUGGEED RETAIL PRICI (Street) C' State (2I MANUFACTURER TRADE -NAME: MODEL NAME AND/OR NUMBER: SONCUST DATE OF MANUFACTVRE: 46630 2003 05/13/2003 W=B R F f T�I�d&1A CALIF. DEALER NUMBER OR DATE OF TRANSFER DBA; FI2Z=00D 80BMS OF OROVILLB TRANSFEREE DESIGNATION: 1061581 DEALER OR TRANSFEREE ADDRESS: 05/13/2003 2243 FB$Tmm lum (SOROVI"N treet City) CA 95965 INVENTORY CREDITOR NAME: Slate (zip) FLEETWOOD RBTAIL CORP IDRSIC- 2150 WEST 1838 STT SUrTB 300 Street RODSTON (city) Stato TX Z; 77008 SECTION MANUFACTURER SERIAL NUMBER MCD INSIGNIA OR HUD LABEL NUMDER LENGTH W(OTH 1 CAP'L317A26559—SCI3 (INCHES) (INCHES PFSOBOB074 2 CAPL317226559—SC13 804 162 PFSO®08075 804 292 114 a 'N'tD TWAORT TRANSPORTER ADDRESS: '-0- BOX 179(Svee D811l6 cin)mt serol CA DESTINATION FOR UNIT DESCRIBED ABOVE; 9593® I cvnlry under panahy of perjury wdor I,* Iowa of rhe slope or Celi(ernie mot Ino above teas aro hue ana eeme, 05/13/2003 WOODrium Eiee.,led an ( at YOLO parol lCnr) ICounly) (Salo) SIGNATURE OF AUTHORIZED AGENT' J I.r L, INSTRIBU=- ORIGINAL (PINK) FORWARD HE INVENTORY CREOROR, UNLESS THERE IS NONE. THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY t (MMITE) ;OR THE DEPARTMENT AT P•0.90X te20• SACRAMENTO. CA 95912.11!28. WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW] DELIVER T TME TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION, COPY 3 (GOLDENROD) TO BE RETAINED WY THE MANUFACTURER. ' HCD 403.0 - Side 1 .(7/979 DEPART NT OF MOUSING ' AND CALIFORNIA DEVELOPMENT DIVISION OF COOES AND STANDARDS REGISTRATION AND TITLING SECTION ; STATENT OF FACTS _ This unit is. 9: ® 140bIIahome Commercial Coach - . [DFloating- H Truck Cam Decal (License) No, (s) Trade. Name . 11 Serial too. (s) I/lie. the undersigned, hereby state that the unit described abode: S_" Affiant further agrees to indemnify and save harmless the Director of Housing and Commu; Development, State of California, and subsequent purchasers of said unit, for any loss may suffer resulting from registration of the above-described unit in California, or fr; issuance of a California certificate of title covering the same. I/We certify andr penalty of perjury th he fore oing is true and correct. 47,103 Executed on at , Date (City) (State) Sianatur/ /ofA�d_hf ,address -Cit HCO 476°6 (Rev 11/66) Printed name of each affiant State . 1 01/16/03 15:13 FAX 530 877 3443 �pIIDING F�Z� BY gm VAS TnI-T, A ItwROw CC). q j I,AURW D. HaL . , Ql�— ORO -C 2002—t�m58123 • Rrcordoa official Itecards i TAX CaSuOP C mom J. GHMIS I necordDr I R6GFpN 3 s D IMM4jjgGs)It f K31t1Y ptg.am;m s-oot-=2 I Pape 1 of Factow Nn.: 202775MA4 Oar No.-. 20 77sMAM A.1?.14.: 06z-730-= GRANT DEE) THAT DOCtA�T Agy.Ty WVMTAX %, CouN ", - st;satoAG1411 W>aot pilo eve L o�b�m rcmamat6 gc tmae of sale. cu>s value leas us of liras ar utad on Zara'. [ 1 City n4 and �(X ] �oonwr rte � p,TLON, Reeelpt of wbicn is hotoby admow1wood. FOR A V AL V ARLB rON5 ]rtusb and Ri�4a YAM M. SANTC'rq =a Dmo� L" ��� tt mbj GF-ANT(S) w vm.,rried man LAUX,rNCE D. SAL.L, a'' In � ��� atea of *C. CotAtti of Rutto Stale of GdiPotaia; i�no x dWdb, aY pC1� LEGAL DRSCg�ION ATONI: �� � lSS VIP, I MARY A. T 60N. NOTARY C(3u OF CA- � BUTTS me. COtA4T�OFf 18 Nt A ORSTOP°' 6�aha+n�mdoId,, y '°�'betrslD� %°n Ou OCTOBDR 29. 24, aY �uw t� mG (or pm"W oo moNrt�a�J �eduwit m�tAo� o� ea ae tad; nlsla�l od �A9U,,,j.Wdto IM UPo� beb�lf of wG►m di° per° IM004 �,�tF,ss my hand sad ufScilt 5�1 �. 9 J 1 e eroo �r ot11 W -o" ual ypmouo r *v �pMPSON ommDoicto�Y�tte GaAr++m. Exp. A' ^ 45 0006 potad'Se1oa is to: SWP AS ABOVE or Ada[�ss • Mail Tax Stets a e 1 of 2 Descrlpt14n' Bite, CA Document -Year L)ne1D 2007-50123 P nrriw: miPanda Comment: 01/16/03 15:13 FAX 530 877 3443 0005 00'm 14,0. g1120271S-1 MAD4 Dcsoription Culifoluio, Colmty of Butt*, and is dcscnroed as m hccei>1 is sits�t� in tha 5tsto of Thr lana refaced m nFFiCB op T115 follow= Mpp*1t1;CORD ON DFPR 31,19811, gHOWNOR'M, O B, F�� F CAL�OgN1A. Pp•R� 3FR OF WE cOUN'� PARCEL RECORD 5 Ps YAG%s) 2S- AS SgOWN ON SAID l� BOOK 81 OF MAp + GE �' USER�1C7 .� E[tOM A 10 i OT DF p iNp► ?U"OSES A -CROSS A MAP' AN ANT FOR YliBLiC Viii ALSORESMVING POR OF SAID FAR cEL 3, NORTkTE A?H 062730-020•1000 peac�iptinn. Butte" Document -year Coco 2002.5x97.3 Page: 2 of 2 . _:—ne+a comment LEGAL DESCRIPTION A.P. # 062-730-020 All that certain real property situate in the County of Butte, State of California, described as follows. DESCRIPTION: THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 31, 1980, IN BOOK 81 OF MAPS, AT PAGE(S) 25, RESERVING THEREFROM A 19 FOOT DRAINAGE EASEMENT, AS SHOWN ON SAID PARCEL MAP, ALSO RESERVING AN EASEMENT FOR PUBLIC UTILITY PURPOSES ACROSS A NORTHEASTERLY PORTION OF SAID PARCEL 3. APN 062-730-020-000 NOTES RESIDENTIAL 062-730-020 ' 03-0912 PERMIT NO.t.,_ HA , LAURENCE_ _ J BALD ROCK, OROVILLE Cont: LEETWOOD NEW MH PERM FND NEW SITE j"THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE 9 y INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW • FNSPECTOR TO VERIFY'SERIAL & LABEL #'S. r: r t t i w t i t } CHECKED BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OI'FICE COPY Address r ELECTRIC Meter By Date D L 1 j .JOB FINALED (Date) Signature J=OK. 0=NC;OK - = Not Applicable . = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd7 p -Concrete 6. Gas; Location -TV -Wrap;-/ /" L 'ft. / P Nat. orL* /" L "ft./ LPG -wetttlearance & Disconn t 8. Utility Clearance 6. Water; MH Test -Regulator -Connector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test- Fall- Flex, Cor)nector 6. Water; MH Test -Regulator -Connector 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PT-RAWNENT END SYSTEM (ONLY) icity; MH Test MH Test and Setter -G 8. Gas Line j]/Verify #'s with Office Date Card B-1' " Date Card B-1 Date' Card B-1�' Date Card B-1 17 4 2- 6' MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except.#'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not - =NotAApplicable RESIDENTIAL (Single & Duplex) p . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20, Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No _ 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing 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 Date 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 M 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 -Wal Is -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 O Yes _ 83. Following Instld./Drive 0 Yes 0 NoMalks O Yes 0 No/Planters 0 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: COUNTY 00 BUTTE BUILDING DIVISION 4 _ DEPARTMENT OFDEIJELOPMENT SERVICES \ : 411 Main Street * Chico, CA - (536) 891-2751 .. 7 County Center Dr&e-O o me CA•730)38541 /\. « CORRECTION NOTICE :. 7 / � . 3 — D / / Z ^ OWNER . PERMIT NO. \ - : Aroutine inspection indicates that the violationsgbutte county Ordinances eg@th © above address and should kcorrected. Please notice this offewhen correction @ work b 6mp,md.iyou have any questions per&mr to this _�t,or need additional explanation, k? : COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 Or (Rev.r-2/9APPLICATION AND PERMIT 03 1 r ASSES �Q�fl�Rj=7(JU*MBE 20 ((1�'1, ZONING BUILDINGPERMIT OWNER.-! _ jj�Laurence D 8!7_926-3800 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER45AVAK ey Ave Woodland Ave 95695 1692 'R 948 . $6 - C 1 1118.00 COMRAt _C'�,ORS 4 ME ' 532-3W1 ,MAI• TELEPHONE CONTRACTOR'S UNG�ADDRESS 2245 Feather Ri%r Oroville CA 95965 CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ 92.486.00 ARCHITECT OR ENGINEER LICENSE NO. -Filing Fee $ 20.00 Permit Fee 603.50/2 $ 307.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS /� O(p Bald Rock Road Oroville Energy Plan Checking Fee $ 23.00 PERMIT FEE $ 373.7_5 LOT NO. SUBDIVISIONS NAMEPARCEL-MAP- ryLyt PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome A Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U61i6es ❑ Installation COther ❑ Describe Work: (1�IPW Iii now Ri to Pem En do Gas piping system 1 - 5 outlets 15.00 15.W Building sewer 15.00 15.00 Mobile Home S G W @20.00 PERMIT FEE $65.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my llCenSe.;l� III_J ll�force and effect. t � �' License Class Rl�� ) Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ❑ I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. t ❑ Iram exempt under Sec. Business and Professions Code for this Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADONS. ( a ACC. BLDS. 3.5¢,T. NEW CONST. MULTI.OUTLET NDN REs10. 97.50 POWER APPARATus a SINGLE oUfLEr CIR. Ex. OCCU OUTLET OR FOCTUREs aA@';w R. Ex. Occup. DFuc�ETS Aa ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier am u- -,-" "L Policy Number 0 4 1IC76A I(o (The above sections need not be completed 4 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ lfcertify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workerrs' compensation-parovisiofi of section 3700 of the Labor Code, I shall forthwith comply With those rovisions• XT `,rx,.-� - Date �� d 3 _ Signatureplicant - ❑towner ❑ Contractor ❑ Agent' An OSHA permit is ieC110-1 er d forexcavations over 60" deep and demolition or construction of structures over 3 stories in hei h ,- MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $40.75 HAZ D. E TMP FLOOD CDF PARCEL J.?,D HDJ I ISSUE This permit is hereby issued under the applicable provisions of the Butte CountyCode and/or Resolutions to do work indicated above for which fees have been paid. / B Vi/rJ Date y ^ PERMIT EXPIRES ON Palo) Y7 4S (� �b`t'i � � � `J' �''y %ri r�r q % 7J -9j cY'.# S ReceiptNo. � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOL ENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754103 ��`` o. (Rev.$2/96)` APPLICATION AND PERMIT ` (J� ASSESSRf;PflC BE)20 ZONING BUILDING PERMIT OWNER Hall, Laurence D 877-926-3800 TELEPHONE SO, FT, OCC. BUILDING VALUATION . GWNER'$ MAS _NO ADDRESS Ave Woodland Ave 95695 1699 R 91,368,00 86 C 1,1118.00 CONTRAACT�iOR'SWNAME Fleetwood 532-3301 TELEPHONE CONTRACTORS MAILING ADDRESS 2 945 Fpathpr 'River Orm7ille CA 99965 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MA UNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Bald Rock Road Oroville CA Ch Plan Checking Fee Energy ki $ F $ PERMIT FEE $ 17-1-79 LOT NO. SUBDIVISIONS NAMEARCEL MAP _-57 PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome)e, Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 1 5-00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation X Other ❑ Describe Work: New Ig pew sit is Rp= F'n d" Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S69-00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov oR .ss zoDA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license}' i I force and effect. C �� License Class l : � Lic. No. 6 6 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reasonLq Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT. NEW CONST. MULTI.OUTLET NON REBID. @7.50 POWER APp US a SINGLE olmer CIR. DR Ex. Occup. CUTLET OR FUREs BAL Q 1.50 Ex. Occup. OuTis Ra p,oF 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' gompensation insurance carrier and policy number are: Carrier Cc.�� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number b 5_1166vSf 1 (" i4 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the worke ' ompensationovisi of section 3700 of the Labor Code, I shall forth ith omply with os' visions. X Date b Signatu of Applic - wrier ❑ Contractor ❑ Agent An OSHA permit is ed for excava ions over 5'0" dee and demolition7r construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TO AL FEE $ 481.75 HAZ. p, P OOD COF pgRCEL D ISsu This permit is hereby issued un er the of the Butte County Code and/or Resolutions indicated above for which fees have been �_ / By IVB PERMIT EXPIRES O applicable provisions to do work paid. 16 63 2 ate J i Receipt No. 161,6 51 WHITE-D.D.S.-B.D. CANARY -AS SOR PINK -INS CTO GOL NROD-APPLICANT GOUN—iY OF BUTTE-Di3",1RTMEifi' OF DEYELOPMEldTSERXlCES - BUiL SIG DIMSlOid 7 County Center Drive '' • Oroville, Ca domia 95955 s,Telaphone (530 538-754 - PM viv96) ��,' APPLICATION Nl)PERMIT BUILDINGPERWr mrmi 5Q. r T. OCc sufLDn" VALUATION roams - an acme DTA-i� � StlHQNGCLS N41� � � � 1 �e� USEOFS JTRUGTWM 3F 0 Dupfex D h4*08homs Mar ■ r,_IW• ■ oal., /l/ ru cpua.—n i � i otal YahtaBon = Pwm$ Fee S G s � s PipmiT Fm s raffia ewe PLUMSih1G 'PERMT 3 ! A Trap . Siti0-1.0 L o-qnk l>� 'Z.C)la **SWT FEE PUD $ SRA SKc'RZ« $ • "TO 012. K" zwo COMM E C,- w®r nE--= 7l Voal Gas 'ng wsbm 1 - 5 mists suaft sever h+lobfle Home S G W PERMT Fpe IJl9in Serv'tm ( mon main emirs ( m m►" I=% CU= Cdt FC7dR!3 7.D 23.0 15.0 �15.D 15.0 15.0 CW20.0 20.00 lel 20.D0 20. DO 20.DD 6.50 Nbbbe Home hsst ls5on Fee = [Energy hsspadon Fee a= 4>--L r� TOT FEE $ pwz I a � I a of 1 7O' I cW I 7Wm perm8 is heresy issusd/dnaer the appkable pruvl i s Of the Butte County Code and/or Fle=hr5orms b do wDrk irldm ed above for which fees have been paid. By rte�ipiNa FE?MiT c^?. iR�S ON -__� � _ _ _ _.. �.. .-������ �...o u.en7f•TO -�� nr.m.+n. tOnl PALT . Dste a2 K LA5& lis a -� � 4 t 9' ♦yya,r� o(ata- 6, ore 'yht! COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Cente:- Drive, Oroville, CA 95965 Phone (530)538-7541,Fax (530)538-2140 PERMIT APPLICATION DATA SHEET d , -- G OWNER: ASSESSOR PARCEL NUMBER l) Proposed Building Use: c Q ! Counter Technician: Date: / G Items required in order to apply for a permit.- All boxes MUST be checked OR nfdrked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed ty the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed Ly the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. Manufactured hom Data shee s and installation instructions, Marriage line information, (C) Floor Plan,D) Tie down or foundation plans, all-' uplicate. -- ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b t�gineer. Items required for initial plan review. If. checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review 'ine-up when required items are received. Date Received By y ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential baildings...................:..................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner.......: ............... I............. ❑ 12. Hazardous Material Form.............................................................................. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Fees as shown on the attached Schedale of Fees Due Sheet ....................................... 3 Statement of Intent for Non -heated and A/C Buildings.....................................�.. Sanitation and plot plan approval from the Environmental Health De rt ent in G'Y l q yt�a-S 7. City of Chico Plumbing permit ................................................ ...............: . California Department of Forestry plan approval _Zpaid. Sent_ b ..................... ❑ 19. Planning approval for (A) Use: o W— (B)Parking: (C P cel Check: ❑ 0. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... P21Pre-Inspection ncroachment Permit for driveway frc:m the Public Works Dept. (construction approval prior to occupancy).'(Z!� for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given '.o owner, ❑ Mailed to owner) ..................... 6. Letter of Signature authorization.................................................................... ecorded copy of Agricultural Acknowledgment Statement ................................... 28. Manufactured home utility clearance.............................................................. �I $9. Existing violations and/or expired perp -.its .............................................. ........ 4! ];Grant Dee�M.H. Title Statement of Facts, ❑Letter from Legal Owner, heck to H.C.D. $ ❑ 3l-./O'ther: When issued Telephone, and hold for pickup. I have been inform6d of the aboveii�'�d requirements for obtaining a buildi g p rmit. Applican : �``' Date: �t / a 73 1. Index permit application r the,aTliov(itemsbutnbored: � �Q.y c L,, e [ i 1t'�+.1 Plan Check Letter 2. Addit'onal items required ontract , designer, owner, was advise fi above data by Ll�phone, ❑ mail, ❑ counter, by Date: 4-.2.1 — O 3 Contractor, designer, owner was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: o. Date: !V—y/— 01 Plans approved by: Ao! Date: 511.0'03 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellnw' Ruilrlino lii66 �. Slot Plan Anechod Floor Plan Anal ad —'s— Sent to 8.0,"iI JZ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance )JAN, Owner Location AP# Plan Approved for: Sewage Dispos Water Sup ly: Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Private Well Environmental Health Specialist 8/96 )3-a Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PRO ED BUILDING USEI° +'UU 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ _ Additional Fees Due ................. $ _ Revised Plan Checking Fee .............$ _ SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential (X3 C -I",,f) C240-vU Commercial (sq. ft:) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) (Lk. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10.OTHER A.P. # *;�• 736• GaV DATE +'-C)-5 RECEIPT # DATE REC. /3 6� 37 & �77 S o At time of permit applica ' n, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during plan chec ' pro APPLICANT DATE 16. Pursuant to Governme 4deection 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) 0 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District CJ r 1 Building Department No. A.P. Number - 030 Jurisdiction: Clty ( , ' •/ �✓ �Coun y Pro r ' Owner PopeI Location/Address • `CdL Subdivision Lot No. r •................................................................................................................... t.Y Residential Development Sq. Footage No of Living M rle • ome Addition/ *Supplemental to (Group R) Units I tallation Conversion Permit # "(No foundation inspection): ........................................................................................................... 40ercial/Inclustrial C/ Sq. Footage_ N >ddition h / (� (Includ,in • �xte tO�r Roof BuildingDepartment Represent tive Dates Uo (Floor Plans reviewed by School District Personnel) District Identification No. 03014 GD ii 11C D V1 R � � � School District certifies that // V (Applicant) [I— (Street Address) `! (Phone Number) ` C64,lte (City) (State) (Zip Code) has`cdlmplied with the requirements of Resolutior- No. `V O by payment of $ representing M2 --square feet. AB MG $ FULL MITIGATION $ • � 5•t3'v3 School District Representftive ! Date f Paid by Check # Remarks: Notice: You may protest the imposition of the fees Hentified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative-sgning this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this'project is being r viewed under the California Environmental Quality Act (CEQA), this project may be subject to additional, school fees b fuliy(( itigate its impact on the school district's schools. White (applicant), Yellow (building department),. Pink (school district► feeformAs (10/9e)dmm s `;W -'attached Fire Safe requirements must be comp►e asspedhW aW APProved by C.�D.`F. "PLANNING DIVISION- BUILDING PLAN APPROVAL use: Date: `i— )1— Parking:----__ Landscaping; Other:.._ 90 $5 Signature: �i NOTE: p Sae the attached.- I�sid@.na a! Con�tr„r�, Ie�I�Irer�tets —..,Pages �� REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ❑ approved as submitted approved with conditions �r attachFd sh t. ignature Dale -j 'ILAyp pNISi Use. Paddr.•�� pad• O APPgOVAC O def' La"drng;e_� �9nature;-�. NlEw mall,= 30 - /67--y i� G :...._.D..,�[_..P..-....C�i?�I/ east, - m e -i �— l ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A S BACK OF 736 Fr. FROM THE SIDE AND of F -T. FROM THE REAR PROPERTY LINES AND T. FRC"s�ri TriE ROAD CENTERLINE SHALL BE CIULEi OF STRUCTURES AND EQUIPMENT cOR A 2 Fr. EAVE OVERHANG. BUIL PARTW APP 'OV EQ kunoo Oa °a c,sAOwcIV WM. o* ty Ojp I Ob if Environmental He h 0 MAY I ! 2003 7 County Center Drive or Oville, Ca ' a -S I Ob if Environmental He h 0 MAY I ! 2003 7 County Center Drive or Oville, Ca ' FL ODD® SuncreSt Series Model 4663G • 3 Bedrooms • 2 Baths • 1,692 Square Feet �,j M: �.:�d68:�1Q�E�B�:I'm 8�9� =I M Ira FAMILY ROOM66 eagle DINING ww"O'noI AREA - ■■ -.81 -.81 . -.M1 :1 1 is I Ll Ll �I OPt DOOR Nz— _ I e�0//OPT. FIREPLACEOPf. -- --/// ENTERTAINM RETREAT CENTER 10'-2"X9'-6" I 1 7i �� u l l �e�w V HOUESTGABLE DORMASTERBEDROOM i LIVING ROOM13'-6"X 12'-10" /M. ae°SMOweR' / 19'-11" X 12'-f0" ;BATHT'N MIRROR ., PLANT ABOVE \ -1 w - BEDROOM #2 10'-10" X 12'-10" BEDROOM #3 10'-10" X 12'-10" d ENTRANCE S FLE IOOD 2243 FEA i HFR RIVER BLVD. OROVILLE, CA 95965 rrzrn SU/17/JUL01 2. Assessor's Parcel Number: 6 3. Installer's Name: ��L/ L /�O0 4. Is the site currently under permit? Yes[ ] NoM Permit No. 5. Is the site an existing site? Yes[ J No[ (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?Amperes. 7. What is the mobilehome site circuit breaker rating? I QZ Amperes. 8. What is the electrical rating of the mobilehome site? / 0 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ �Cp No[ ] If it is, what is the rating? 2E--�Q Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- l.J -Ca (( Amperes- 11. Type of gas service at mobilehome site: Natural[ ] Propane[g None[ ] 12. Size of a . pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?_z: d 14. What is the mobilehome gas demand? , . B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 �oUNTY xk E e iVa 8.5 Mobilehome Manufacturer: ivy Manufacture Year: moo Z - If other than single wide, furnish Setup Model Number: Width: Q_ VS (ft.) Length: 4 (ft.) Tagalong or Expando Size x ) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ V� Other: SUPPORTS: Concrete block[ ]'Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location - SINGLE WIDE MULTI -WIDE Line 1 e 1 Line 2-.-__,* (Line ne 2 Main Beaass ....................................................................................:..........ne 3 Line 2 Line 1 ne 2 ...............................................................................................Main Beams ne 2 ...............................................................................................1 ............................................... �L. ' S Tag or Triple :4 X tv Line 1 Piers: Size minimum: r z'f I x r 1 `F Spacing maximum: 6 ` o ` From ends -maximum: V& Cc ` Line 2 Piers: Size minimum: 1 �z I x I z ] Spacing maximum: 6 ` From ends -maximum: V_ o ` Line 3 Roof Loads: Size minimum Location (from front). Line 5 Roof Loads: Size minimum: Location (from front): // Line 1 Openings Size minimum: x Each side of openings with width over: ` Line 4 Piers: Size minimum: Spacing maximum: ` From ends -maximum: ` ��,X3� 4k3e 3�i<30,�yx3e Zyk,3a OVER MAR 26 103 13:43 FR FLEETWOOD WOODLAND CA530 662 6425 TO 5323304 'i C -10" ;hearwn!! & 2 Logs D ELECT. ANL 8= sz, a Air REM ANt SUPPLY CULM REGMMM sN&:,ALL "uoonar orwr r �r�IWIW�aN MU= OF RM QEGREss i —4 =- d' -r a � I^ r-ar 31 3AIU- t' 21 s 1S -r 0 Et-ar 0e,Amo a er-e 3: APPROVED PFS Corporation Madison .4 WW2 HUD Mmufactured Honig Construction Safety Standard WOODLAND # 17 FLOOR PLAN aF WZ1 t aMt/tn s IIr-A' 10 cam+ o� SUNCREST ■ P. 03/04 10 �I s Z O r,E< .._go-go '-0" 11'-4' m LIFE am ON7---j UNDM OF FLOOR al w O' -d i 3rVo JV -d' DINING AREA 81:DROOM I sr r SINK 131A SOFT. 1235 SQ.FT. ate, 4 - t _ 5 11 ,vl! fa/orw OPT LIVING ROOM 25" SQ. FT. BEDROOM 4L.2118 8 e 173.8 SQ.FT. e 11ECRIESS11 O 7 4 0 .� '-0" 20'-3 -0 14'-7" 24'-8" 18'-10" 96' Shearwail 112". Shearwcll 3 Joists do 2 Lags 3 Joists do 2 Lags CIES. w/ G—stro04p 1) lhis floor plan may be built as an eaoot (a mirror image about the lemjM and/or width cdL 2) Egret wkd**) s)mwn with less than &0. fta vent area meet ego requir*!rm V"ugh sash renwidppeerr wfadOv rnanufocturing insbuctiom. located on the window, `—OOPT BEDROOM 123.5 SQ.FT. 2 E 1-4 8'-8" APPROVED PF3 Corporation • Nadim .4 9/2510? HUD Manufacdlred Home Corlatrucdon 6 8bndard I 46 -X58" V. 10'-8" 15. DESCRIPTION 6 HOUSE - - 00 I PORCH 4 FAMILY ROOM ' i 201,5 $Q.Fr. .I 11 op 0aPT frosuNCREST11 i 11 ff RETREAT 0 4 ��'-- rJ� 4 99.4 SQ.FT. r� �I s Z O r,E< .._go-go '-0" 11'-4' m LIFE am ON7---j UNDM OF FLOOR al w O' -d i 3rVo JV -d' DINING AREA 81:DROOM I sr r SINK 131A SOFT. 1235 SQ.FT. ate, 4 - t _ 5 11 ,vl! fa/orw OPT LIVING ROOM 25" SQ. FT. BEDROOM 4L.2118 8 e 173.8 SQ.FT. e 11ECRIESS11 O 7 4 0 .� '-0" 20'-3 -0 14'-7" 24'-8" 18'-10" 96' Shearwail 112". Shearwcll 3 Joists do 2 Lags 3 Joists do 2 Lags CIES. w/ G—stro04p 1) lhis floor plan may be built as an eaoot (a mirror image about the lemjM and/or width cdL 2) Egret wkd**) s)mwn with less than &0. fta vent area meet ego requir*!rm V"ugh sash renwidppeerr wfadOv rnanufocturing insbuctiom. located on the window, `—OOPT BEDROOM 123.5 SQ.FT. 2 E 1-4 8'-8" APPROVED PF3 Corporation • Nadim .4 9/2510? HUD Manufacdlred Home Corlatrucdon 6 8bndard I 46 -X58" V. SLlOE 15. DESCRIPTION 6 HOUSE - - O moor m f3EL'T-V=) i see�l Q UOFR FMM m ni�osn�r ® oawat « CMM rAN a mm - sum oerW= rao ELM. PNS ON M 3x10 uit ItEf� p AM SUPKY ® couNC RMWO p Su mm" ❑ SuvPM P' WOODLAND # 17 FLOOR PLAN WZi 1 a. 1 2 36X5 V. SLIDER 11. 2 BIANK - 1.84F 3 46-X40— N. V 48 10 FIXED 2.0 f3'-e x [t_ frosuNCREST11 58 V. SLIDE 9.4 4, fJ'-1'X66'-r 62-73-2-D AP# CDF FIRE SAFE REQUIREMENTS t 2 - PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. �'%r1 1272.00 Maintenance of Defensible Space. To ensure continued / maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these.. standards, annual maintenance must be provide for by the land owner. Driveway Standards ll� 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [ } 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius I 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertial curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet.- 1273.05 eet:1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and -30 feet long with a minimum 25 foot taper on.each end. j 1270.10 Width. All driveways shall. provide a minimum 10 foot traf f is lane and unobstructed vertical clearance of .15 feet along its entire length. Page 1 of - ? '1�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [�] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [i( 1. All parvels 1 acre ai,d larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] 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. [�J 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fiscal inspection of a building permit. Page 2.of 3 X2.0 03 -65 i 2-��- �,g-,,J,�� AP # PERMIT # NAME ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, -turnouts shall be provided no more than 400 feet apart. [�1 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at'least two feet wider than the roadway it serves. '1�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [�] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [i( 1. All parvels 1 acre ai,d larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] 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. [�J 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fiscal inspection of a building permit. Page 2.of 3 - 7 3 - 2,-, 0 3 -0� Jz Z -,f 24 lne AP # PERMIT # NAME Other Requirements [ ) If Building Setback is 15 to 30 Feet: - Class A'or B roof - Enclosed eaves [ ) If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback* - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 0% of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or.Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 Flit Butte County Public Works FAX N0. : 530-538-4356 May. 05 2003 02:28AM Pl ENCROACHMENT PERMIT County of Butte Dcpartment of Public Works 7 Cuunt Center Drive Orovillc, CA 95965 Phonc (530) 539-7681 Ext. 2016 Fax: (530) 53811356 Download Forms: www.butte'twunty.nedpublicworks/forrns.html COUNTY 241IOL S BEFORE WORK IS TO BE DONEPermit Number Disotrz Phone (530) 538-7681 Ext. 2016 O5 d G O S e APPLICATION I I WE, the undersigned, hereby apply to the Coun4y of Roe for an encroachment permit to do the following work rmda or over the County roads and highways, all in aecordancc with (`.aunty ordinances anigeneral laws. (All information crcc t ei atnte must be typed or legibly printed.) I—Applirant'sTiame: G mAiLl .J• l-�A r lu. cumpanyTlarna: — _...�._ �. 7,1) N.' HS)/1 / Y 1 & v r L' , • . L-.'ta- 3.1'honc: / j - 9-7 7 9� (O- 3800 6-x 33a J 4.(�ASSC4Snr's Parcel Numb: 5. t ovation or Werk to be Done '50c, An)� ' a f,. nlicant's Sienowre r V\Aff // ( 11/1l 1 4 � . w . _ zll T �' ! 1 �f <— t' J/ n y — r CONTRA &,WS/}INFORMATION 8. Contractor's Name/V iJ 9. Addross — �V _1 11. Fox: I7. (hn,uscwt's License Number. 13. Certffiratc of Instmmca 'yes D No. ❑ 14, CoArmemr's 81paturc: 14a. Date Signed: 15. Authori7Ad Agent TYPE OF WORK TO BE DONE 16. Please check: Curb. ❑ Cruder. SidawalL ❑ 17.b ycwrry(Listl'ype): !t'_.2 j —7-11. Other. PERAHT GRANTED In cempliencc utiW !hc above rtqutsr, tend 9�jcot ro ell tants, oondi6vns (ut:tudinp, tFwsc on page 2 of this ptnnit fore+) and special conditions written belot pomrission is hereby punted. - 14.* 04ndifiom ;0 trI 4 o ns stc n ,. � rcy/e� orf» Und and Scryice Alert (11 S.A.) must be noti5od two worWug davry days price ut expnvarian. 900-227-260D 20. 19 All work shall conform to accompanying: Detail A Plans ❑ Special Conditions; .� 21. Daft Issued 1✓ / Q n lizpuadon Vatc: �� / O 23 Surely: J Mikc Crump, of Public Works By: **Note: if permits are faxed to any number besides (530) 538-4356, they can be delayed up w orae wee - Page I of 2 Gime al Condidons - Scc Pape 2 leer gel- s/s COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE# CA 95965 SPECIAL CONDITIONS FOR ENCROACHMENT PERMITS A. No ponding and jetting under any roadway. B. All pavement removed shall be replaced with a minimum of eight inches of aggregate base and two inches of asphalt concrete surfacing; or conform to existing structural section; or conform to special trench detail, whichever is greater. C. All road crossings of pipelines shall be jacked or otherwise forced underneath pavement without disturbing same, unless specifically approved by the Department of Public Works. D. Minimum depth of cover over all facilities shall be 30 inches. E. Material for use as backfill in any existing or proposed roadway section shall be sand, placed in eight -inch lifts and compacted to a relative compaction of not less than 95%. F. All drainage ditches and roadside gutters which are disturbed in the course of construction shall be reconstructed to the satisfaction of the Department of Public Works. G. Material for use as backfill in roadside gutter excavations shall be the native material, compacted to a relative compaction of not less than 90%. H. All installations will be placed as close as possible to the right- of-way line. I. Any pavement cutting shall be scored or saw cut before trenching. J. If the construction work covered under this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor as to the special conditions and requirements contained herein. K. A private contractor shall obtain his own permit and have insurance on file with Butte County Department of Public Works. L. When cable is to be buried in an existing roadside ditch, said ditch shall be paved whenever the road grade exceeds 6% and this paving shall extend down grade to the nearest cross culvert or drainage swale. M. Asphalt concrete (AC) shall be Type B, h" maximum, medium grading. N. Aggregate base (AB) shall be Class 2, 3/4" maximum, grading. O. At locations designated by the County, tree roots shall be protected by boring or by alternate trench alignment as approved by the County. Damaged roots shall be clean cut and an approved root sealant applied. Cutting of tree roots an excess of 2 inches in diameter will not be allowed. Hand digging of exploratory holes near trees will be required as directed by the County foreman. LOCATION:I DATE S ��� � 03 �ald 'Rog_K Ed. F EDGE OF E(E ,NG PAVEMENT FOREMAN: J • K n arl MIN. DISTANCE: DISTRICT. _ PERMIT#: SPEED LVAIT OF ROADWAf m DRIVEWAY LOCATION: DISTANCE TO NEAREST INTERSECTION: SIGHT DISTANCE kf GOOD O POOR IF POOR - RECOMMENDATION TO IMPROVE: ❑ CUT BANK ❑ REMOVE VEGETATION (TEMPORARY) ❑ OTHER (EXPLAIN) ADJACENT TOPO I( FLAT ❑ CUT SLOPE FT. ❑ FILL SLOPE FT. ❑ CURB AND GUTTER ❑ AC DIKE ❑ EXIST. DIST. I TO EP FT. z w J 12' MIN. 20' MAX. .NOTE: IF GREATER THAN 109. UP- OR DOWN AREA TO BE PAVED R/W 10' MIN. DRAINAGE RECOMMENDATIONS REFER TD ENGINEERING. ❑ NONE ❑ SWALE ❑ CULVERT MAX. 1 FOOT VERT. RISE OR DROP. MIN. DIST. FT. PER 10 FEET HORIZ. DISTANCE MIN. DEPTH TO FT. EP DIAMETER IN. LENGTH FT. EXIST. DIST. I MIN. I MAX 10% OT ER ( PLAIN I DIST. 2% I � NOTE: MIN. DEPTH MAX 109 , PAVEMENT TO EXTEND R AT 27. CROSS SLOPE OR MATCH EXISTING ROADWAY CROSS SLOPE. PRIVATE DRIVEWAY FIELD REVIEW uT 't1 SITE PLAN REVIEW APPLICATION Date: LA — 1— AP# Permit Number (if applicable) 0 `3 — O 9 APPLICANT INFORMATION Owners Name: H Fi L L (� (02- -)30 -- 020 Parcel Size: 1,-S 1 A L L_ic� tL�ef'.)C'6: Owners Address: S , A S H A ✓ is W 6D -b Nt C) S 69 s Telephone No.: 7 - C�2b— 3 8 s 2- '330 Situs Address: r -0C_ 1<. R -b _ Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition HFU Mobile Home Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By Date Page 1 of 5 11 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: 99 Snow Load Area:. 2traO -M 'Z5 1!70 ❑ 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 proper foundation design required) M SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: O 6 CrC> C= Index Date: (=>- 8- g j5 ❑ 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: 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 'So Side Side Street Rear S' SC) 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 I Applicable Development Fees: Standard Fees Amount ❑ 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) Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By El Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Decd Creation:[] No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ 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 , 4 N Subdivision Map/Parcel Map: Map Date of Recording: i2-31- S� Lot: 1-1� Book: 81 Page: 2-�;, ❑ 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 California Clean 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. 071 Page 4 of 5 .i ❑ 0 u 0 u 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. CAMy DocumentABuilding Permit Site Plan Reviewl.doc Page 5 of 5 lih AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 IIII�fiII��IIII�IIIIIIIIiIIII�IIII 2QDt03 10310E3 Recorded I REC FEE 10.00 Official Records I COPIES 2.50 County Of ! BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON ! Assistant I Cheryl 11:20AM 13 -May -2003 I Page 1 of 2 a AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT 111' FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Buttc 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 or Butte, State of California, described as follows: Date: Y `JJ 03 PROPER OWNERS: State of California ) County of Acbt - ) On `1' 13123 before me, personally appeared,(.LL4 knoHn to me (or proved to me on the basis of satlsfactopersonally rn evidence) to be the persons) whose name(s) is/are subscribed to the 11ithin instrument and acknowledged to me that he/she/thee executed the same in his/her/their authorized capacit•(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS my hand and official seal. ` ASHLEY bAMLVA cow. 0 t282335 SignatureN01 FROMM 4&.0a Seal: BUTTE COUNTY Comm. Exp. OCT. 29,2W E.1 AT.:: 066 -13D-02-0 �L Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORbED 1N THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 31, 1980, IN BOOK 81 OF MAPS, AT PAGE(S) 25. RESERVING THEREFROM A 10 FOOT DRAINAGE EASEMENT, AS SHOWN ON SAM PARCEL MAP. ALSO RESERVING AN EASEMENT FOR PUBLIC UTILITY PURPOSES ACROSS A NORTHEASTERLY PORTION OF SAID PARCEL 3. APN 062-730-020000 Description: Butte, CA Document-Year.DoclD 2002.58123 Page: 2 of 2 Order: wem Comment: ,t.N1-► .'CJ :b'i v` r..wi w +'i,l �"G.-?:J32.-�2y �•. �_�'�N�:-.a,-.--__„�f �4.r.�• ;1..g�e :.,r%. Qv`:".:c .d .�,,._ .pn.� .�.y, .V � •r A`. Y.� ;'4 JAMES POTESTIO SIS Bald Rock Rd, 400'W Rockerfelle Rd, Berry Creek o Permit#k183399-881E(temp ele/future lot development) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C*fornia 95965 - Telephone 916/534-4541 11, APPLICATION ANd PERMIT PERMIT NO. AS PARCEL NUMBER ZO NG BUILDING PERMIT OWNER TELEPHONE I -(I SO. FT. OCC. BUILDING VALUATION OWNER'$ MAILIINN%G ADDRESS - r CONTRACTOR'S NAME r 6vr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER � A S UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ©"A p LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDR EfaS '71far-e/d9• S//.S2mk� J PLUMBING PERMIT Filing Fee 10.00 y�, w_�i #n 0 "� '�+" `� �pN ' ''� Each Trap 2.00 Repair drainage or vent piping 5.00 / _�0 1 J 0 p Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE �— SF ❑ Duplex❑ Mobilehome❑ Other _0L L ice' F_t5.00 SPECIFY Building sewer Lawn sprinkler system TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: r -- SkIrv i r e r �l\Vo p tIr)Q 4h� �.,� 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee .10.00 00V R Main service 100 AMP ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST'( DWELLING OCCUP.N) OR ADDNS. ACC• BLDGS. 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.MULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS NON-RESID. (SINGLE OUTLET CIR,tk 50 a a¢ Ex. OCCUp OUTLETS OR FIXTURES BALP1 (.FIXED AP LHS, OR Ex. Occup.UTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expensds which may in any way accrue against said County in conseque cefof thefgrariting of this per it. (� . S �%/f/ X Date Signature%f Applicant — Owner ❑ Contras or E]Agent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DJRTOR PF PUBLIC B y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 'IS'Q-0 It / "SIO _� 9 Receipt No. ._ WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PEFIR/ NO. 7 County Center Drive - Oroville, Cjifornia 95965 - Telephone 916/534-4541 .. APPLICATION AND PERMIT 'SSE: R PARCEL NUMBER xry ZO PNGS / U� (�. BUILDING PERMIT OWNER TELEPHONE —/ SO. FT. OCC. BUILDING VALUATION OWNMAILINGADDRF.SS CONTRACTOR'S NAME A� V' TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER " 1 UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 0'11 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUII,DING ADDREWSC _]PLUMBING C4 "E-442,011-0 PERMIT Filing Fee 10.00 40 O I Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME ARCEL MAP T Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTUR SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ 'Addition Utilities [:1 Installation❑ Other Describe work: cam' r 1 W 52A OQ vy1 �^,� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee .10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. (DWELLING OCCUP.E11 OR ADDNS. ACC. BLDGS. / 2¢ sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 'I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR (MULTI -OUTLET NON-RESID BRANCH CIRCUITS2.50 ea NEW CONSTR (POWER APPARATUS SJ NON -RESID, (SINGLE OUTLET CIR. so @ as¢ Ex. OCCUp OUTLETS OR FIXTURES 100 IXED APPLNS, OR Ex. Occup.(OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 �QG Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure.. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation ,. permit Fee S Contractor 1 certify that I have read this application and state.that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also ee to save, indem Ify a keep ha r less the County of Butte against all li bili 'es, judgments, osts, n exp which may in ny way accrue agains sal unty in con eque of th gr ing of this er IF. XLJ (!��' Date Signature of pphcant — Owner ❑ Contractor ❑ Agent An OSH p mit is required for excavations over 5'0" deep and demolition or construct- ion of st uc res ovveer) 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE of CONST. PARCEL PD HD 159UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which O F PUBLIC By �' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ��� Z Receipt No. �7 / tJ 9 WHITE-D.P.W., YELLOW -ASSESSOR. 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