Loading...
HomeMy WebLinkAbout063-040-057r' UO3-040-057 04-1870 RUSSELL, LINDA OE MILL RD, FOREST RAMC CONT: FLEETWOOD IT }_CHATTEL , 063-040-057 05-207 66 RUSSELL, LINDA ]' 12979 DOE MILL RD, FORE j++ Cont: OWNER = M/H LPEILM FND {.1.'pt: .i 11't1Y , Y' t 2 i - �� r�cyb itF a � � r � I° •st�S�'�ks -��+�� r�'Z���ltSfi JI'"f� i -ems. +. � t jr t r }w et '` `t z, ��p ✓ rs, r.,.4i7F ?3�ii � y�..z- + g�. s } Yl� f tri#t ' ' +� �•�'� ; r� �+� , is �- , -',�,{ ; � � Res- �.li kj.• }r `$ �«\, "+ ' U+r - , ih .. F> y r�'r s g� i +'+ , 1 i i t�• " '-i�trj r1 a r I '�2 Y�• tt'i {##ff t.it}' {, . .s , +s - r ' i11it! - j`j'•y, h,S +.�I +�' + ` i ' _ �'�+y�k L tx �Tt�� r�f''r�.�, - v � t •t , -,��, n° �+ i%Y tr , r t t .a r f v .. %� K�":-.fir z,� ��t n+ ��' �i t ++ �.`.• F It. rs " � r 1 r 4 �5i" � srih r i ,. h. - .. ` NOTES RESIDENTIAL t -`PERMIT NO. 063-040-057 05-2066 RUSSELL, LINDA 12979 DOE MILL RD, FOREST RANCH Cont: OWNER # M/HVERM FND t�l SPECIAL CONDITIONS I .A SRA - FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER �Y i ::JOB FINALE D (Date h� °� •Signature CHECKED BY 4aOK 0 =Not OK ` = Not Reyable . = Not Reldady MOBILE HOMES Date Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements = 1. Zoning Requirements -Setbacks -Easements " 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 2. Soils; Special MH Support Sketch 4. Wood Awn.; Posts-Beams-RftrsConnectors Shthg- Frg- Bracing 3. Sewer, Location -Test -Fall -C/O -Concrete ' 6. Carports; Windows -Doors 4. Water; Location -Test -Easement Needed (Sketch) 7. Electric ' 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ P' L "ftJ P LPG 10. Roof; Shthg-Roofing 7. Well Clearance & Disconnect 11. Ext.; Steps -Doors -Landings .. r 8. Utility Clearance I Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date Cana B-1 Date Card B-1 1. Setbacks -Easements Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s P 1. Zoning Requirements -Setbacks -Easements 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 2. Footings; Size -Spacing -Marriage Line _ 3. Gas; MH Test -Demand -Valve -Connector 9. Health Department Approval 4. Electricity; MH Test -Crossovers -Breakers -Clearances ~` 5. Drain; MH Test -Fall -Flex Connector 12. Enclosure; Fencing -Alarms 6. Water, MH Test-Regulator-ConnectoP Date 7. Water and Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 8. Gas and Electricity Tagged - 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy -r Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) - 1. ing Requirements-Setbacks-Easemen Footings; Size -Spacing -Marriage Line IJ�e., 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 fj v 44 Card B*- Date Card B-1 Date Card B-1 Date Card B-1 RalleP"Cl 1 A fir CAI IQ 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-RftrsConnectors 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 I 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 -GA 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 i - = OK=Not s = N Applicable RESIDENTIAL (Single & Duplex) 14t = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /' 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 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 Date Cana 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. Sec. 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 -AC. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 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 AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrrn. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One T -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-Underfir. 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 Cana 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. Sec. Outlets at Wood Panel, Int. & Ext. 73. KR_ Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Sec. 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.; Sec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FFI.)-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 InstldJDrive 0 Yes 0 No/Walks 0 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-Ciearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Sec. 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. Fre 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: 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 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. Alt -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 AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrrn. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One T -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-Underfir. 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 Cana 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. Sec. Outlets at Wood Panel, Int. & Ext. 73. KR_ Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Sec. 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.; Sec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FFI.)-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 InstldJDrive 0 Yes 0 No/Walks 0 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-Ciearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Sec. 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. Fre 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: �iL•;s.�?=:_�?--••t*,r-�`:fws.'�^t:;:>`.i.+�t,_„�fir.:..iN'�..,..,...,,�,•�� ems_. - r- COUNTY OF BUTTE/-///_/. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES ~: 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE GL a57-,,,;06 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date -O Inspector /6/ /17? REV 4/05 Phone # J� FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BPO52066 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 / B. C. Building Permit 01.16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/03/2005 APN: 063-040-057-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 12979 DOE MILL RD FRN License Class : License Number: Map Index: Date: Contractor: Description: convert m.h. chattle fnd to perm 433a fnd OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: RUSSELL, LINDA permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 12979 DOE MILL RD. signed statement that he or she is licensed pursuant to the provisions of FOREST RANCH, 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 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 rive hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: RUSSELL, LINDA 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.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date:' 3– O r Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the 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: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: Census Code: / 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 I become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: — O Applicant: l Com` / o <'c WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY `This permit is herebY;ififlued un je ' e app cableOovisions of the -Butte County Code and/or - I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolutions to do rk ind' t abov fo whic es have been paid. performance permit BY '� Date Name: gr /7 — Address: PERMIT EXPIRES ON: 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 owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes l" �`r4 vs SG Print Name: Signature�l`\\/7' ^ �S Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor / B. C. Building Permit 01.16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52066 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/03/2005 APN: 063-040-057-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 12979 DOE MILL RD FRN License Class : License Number: Map Index: Date: Contractor: Description: Convert m.h. Chattle fnd t0 perm 4338 fnd OWNER -BUILDER DECLARATION I 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: RUSSELL, LINDA permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 12979 DOE MILL RD. signed statement that he or she is licensed pursuant to the provisions of FOREST RANCH, 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 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).): Cl 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: RUSSELL, LINDA 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.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date,' 3— O S Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 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: 0 S. F. Valuation: $0.00 Policy #: Census Code: / I certify that in the performance of the work for which this permit is Ild issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall / forthwith comply with those provisions. Date: 9-3-0.5- '3—OSApplicant: Applicant: � o WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby ued uncle ' e app cableovisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolutions to do ork indi t abo to whit es have been paid. performance permit Name: By: Date: PERMIT EXPIRES ON: 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 Cade is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butt/e� County to enter upon the above mentioned property for inspection purposes. t" ' `SSC Print Name: Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 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 REOUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Last Name J S S L I r 1 First N�me� Address 3 City C k; W State Zi" S -52-6 Phone C, C, C, Z Fax _ E-mail L APPLICANT NAME CONTRACTOR Name State Address Phone City E-mail State Zip Phone Address Fax E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name State Address Phone City E-mail State Zip Phone Address Fax E-mail State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone . SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP®S—�_>O 6 BIN # LOCATION AP# a G Property /Aress City�� / 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 Description or Scope of Work: Sq. Footage P67z+'-A ❑ 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. 41) C0 Received by: be -:"l Amount: �Idg SRA Receipt #: Sheriff SMIP ^ Date: � (�j Other _Total Page 1 of 2 REV 2-24-05 i SUBMITTAL & PERMIT REQUIREMENTS It % 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 IN 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. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) 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. 0 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). 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. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. 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 Refunds 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 K1FORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 2005-0046256 RECORDING REQUESTED BY: RecordedI REC FEE 10.00 Official Records I County of I COPIES 2.50 Butte I CANDACE J. GRUBBS I County Clerk -Recorders I AND WHEN RECORDED MAIL TO: I Bbd 010:14AM 08 -Aug -2005 I Page 1 of 2 BUTTE COUNTY BUILDING DIVISION IIII III III' IIII I IIII II II III II I IIII 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY, NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, /a 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 �J 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. LINDA RUSSELL BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 12979 DOE MILL RD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS FOREST RANCH BUTTE CA 95942 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-2066 30 538-7541 BUILDIN RMIT NO. TE PHONE NUMBER SIGNAJI IROF LOCAL AGENCY OFFICIAL DATE FLEETWOOD HOMES DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD HOMES 2004 4453A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL4177A/B27765 WP 12 45'4 X 134, 44 X 134 PFS0868197/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER063_-040-057 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. Escrow No. '305319-MLB '20r# Title Order No. 00305319 `=' V" EXHIBIT ONE The Northwest quarter of the Southeast quarter of Section 8, Township 23 North, Range 3 East, M.D.B.&M. EXCEPTING THEREFROM: All that portion as described in that certain Deed executed by E. C. Wilson, et al, to the County of Butte, recorded January 16, 1924, in Book 195 of DEEDS, at Page(s) 177, Butte County Official Records. �G 3 "(9 L/0'-0 � BUILDING PERMITS NUMBER: 05-2066 Address or location of unit: 12979 DOE MILL RD Legal Description of Real Property: 063-040-057 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: LINDA RUSSELL Owner's address: 12979 DOE MILL RD INSIGNIA OR HUD NUMBER: PFSO868197/8 ' j SERIAL NUMBER OR V.I.N.: CAFL4177A/B27765WP12 MANUFACTURER'S NAME: FLEETWOOD HOME YEAR: 200 OFFICIAL APPROVING INSTALLATION:. DATE: PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: LBG4999 Manufacturer ID/Name Trade Name Model DOM F08/31/2004 RYTSFD FCAFL417A27765WP12 FLEETWOOD HOMES CA INC WOODLAND PARK 4453A 2005 08/14/2004 Serial Number Labelllnsignia Number Weight Length Width SPCExempt PFS0868197 19,460 45' 4" 13'4" 17B27765WP12 PFS0868198 16,600 44' 13'4" Addressee . CARL JBOYETTE PMB 194 236 W EAST AVE STE A CHICO, CA 95926 Registered Owner(s) CARL J BOYETTE PMB 194 236 W EAST AVE STE A CHICO, CA 95926 Situs Address 12979 DOE MILL RD FOREST RANCH, CA 95942 Legal Owner(s) HOMEONE' CREDIT CORPORATION PO BOX 924268 HOUSTON, TX 77292 Lien Perfected On: 09/28/04 10:23:05 Issued Total Fees Paid Oct 21, 2004 1 $107.00 �OVSING ,1�0 O ,.. Z � a O I 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: 3629327 10212004- 458 AR FLEETWGOD. Woodland ParkSeries 4453A 3 Bedrooms 2 Baths - 1, 190 Square Feet 11''IllIgg,''! II n I! Fleetwood Homes of Oroville M .0 2243 Feather River Blvd. 0 Oroville, CA 95965 OPr RECE56ED ENTRY 530-532-3301 Fax 530-532-3304 0 rj 5".fleetwoodoroville.fhretailer.com Cn Ftetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams a , re nI tdg rep&ntative and, in keeping r with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to e_4rior C—d, an= an approximate figure. Length indicated in floorplans is floor �ngth only. The length of the hitch is not included. (Add four feet. to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFJBATIOM SUSECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. WU17/MARD3 MOM Is 01114------- MENEM nn 191NINCY "m AREA MOM mom 0 OEVROOM XMININ "D Rai win.. V 131-19" min L 0 FOUR0 13gZO,;'a 1punlo" a MASTER LIVINO ROOM f . 3EVROOM DEPROOM 17* -6"X 13V" W-10"XlZi 0" ENTRY Fleetwood Homes of Oroville M .0 2243 Feather River Blvd. 0 Oroville, CA 95965 OPr RECE56ED ENTRY 530-532-3301 Fax 530-532-3304 0 rj 5".fleetwoodoroville.fhretailer.com Cn Ftetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams a , re nI tdg rep&ntative and, in keeping r with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to e_4rior C—d, an= an approximate figure. Length indicated in floorplans is floor �ngth only. The length of the hitch is not included. (Add four feet. to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFJBATIOM SUSECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. WU17/MARD3 NOTES V - RESIDENTIAL PERMIT NO. _"-063-040-057 RUSSELL, LINDA 7,01ggDOE MILL RD. FOREST RANCH CONT �`FFTWOOD ft +t ? L ;t_ -CHATTEL I S'E� Irl PyE�b INS. I, f A ,—— — - (SET"4 " ow . irj 0 — zoo 11\\ Tl�E HCD FORM 433A FOR THIS MH CANNOT BE RE ED UNTIL ONE OF THE FWING HAS BEEN T TO THE B ING DIVISION: -; . INS I L () ICENSE ) OR DECAL (THE (2) STA S): OR TO OF FACTSy ON NEW - SERIAL & LABEL #'S. �Or�FFICE CApy Address GAS Meter B 7 � J �i ELECTRI DWA / SRA Meter By FLOOD Date—� FIRE SPRINKLEHS r r -Q:-- ----- — . _. PECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB, -STANDARD HOUSING LETTER �6S2 r iA ' 4 _ e n t _ _ Tn f- cyl— JOB FINALED (Date) l Signature r3 J' = OK 0 = Not OK . = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts-Beams-Rftrs-Connectors 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/O -Concrete Health Department Approval 4. Water; Location -Test -Easement Needed (Sketch) 11. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Enclosure; Fencing -Alarms 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG Date 7. Well Clearance & Disconnect Card B-1 Date Card B-1 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE UOME INSTALLATION (Plans) OK except #'s n i�Requ i rements-Setbacks-Easements matin s• Size -Spacing -Marriage Line s � Test -Demand -Valve -Connector f. ctricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. 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 PERMANENT END SYSTEM (ONLY) Line Test -Demand -Valve r; MH Test H Test J Sewer Connected 10. Lic a Decals 1. erifv #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r3 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 7. 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 I! 12. Enclosure; Fencing -Alarms 4 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors 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 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 57. Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 24. Fixture & Transformer Clearance -Ins. Protection Shear Walls; Nailing -Bolts 25. Elec. Receptacles Spacing -Lights & Switches at Doors Brace Interior/Exterior Wall Panels 26. Size Boxes & No. of Conductors Stapled Insulation -Walls -Ceilings 27. Romex Installed Close to Edge of Studs & C.J. Infiltration -Walls -Windows 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 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 0 Yes O No 65. 32. Service -Riser Conductors & Ground Main Disconnect 66. 33. Equip. Clearances Panels-Motors-Mech. Equip. 67. 34. Clothes Closet Light -Shower Light -Spa Light 68. 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 73. 36. A.C. Ducts Insulation & Support 74. 37. Vent Fan, Exhaust above insulation 75. 38. Condensate Drain & Overflow, Size & Grade 76. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 77. 40. Attic Access & Platform if Furnace in Attic Date Plb.; Elec. & Mech. Equip. Listed for Location Card B-1 Date Card B-1 Date Elec. Receptacles in Garage (F.F.I.)-Romex Protection 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 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: 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)536-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. n es— License Class: G: License Number: Date: ^� Contractor. OWNER -BUILDER DECLARATION I 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 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 the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption.. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant -to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self4nsure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. �. I have and will maintain workers' compensation insurance, as required by Section 3700 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. Policy #: ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: w,'' WARNING: Failure to secure wor er pensation coverage is unlawful, and shall subject an emploW to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP041670 Issued Date: 07/29/2004 APN: 063-040-057-000 Site Address: 1;%g99' ooh yyji Map Index: Description: MHI - CHATTEL (1190) Owner: RUSSELL LINDA LIVING TRUST C/O RUSSELL LINDA TRUSTEE 31 DALLAS CT CHICO, CA 95926-2082 Applicant: FLEETWOOD HOMES 2243 FEATHER RIVER BLVD. OROVILLE, CA 95965 530-532-3301 Contractor: FLEETWOOD HOMES 2243 FEATHER RIVER BLVD. OROVILLE, CA 95965 530-532-3301 License #: 785185 Architect: Engineer: Total Square Ft: 0 S.F. Valuation: $0.00 Census Code: Z1Ib Cv5 33 .9movnf ' 51,��t- 90 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec 3097 Civ.) Name: PERMIT EXPIRES ON:. Address: ❑ 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. Cl Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance o y o i at form o ecu fan a County. I hereby authorize representatives of Butte County ^to�enter upon the above mentioned property for inspection purpose . Print Name:r'E'�WL�/� v ��"�' Signature: Date: for which tees have been paid. rOQ Date: ❑ Owner ❑ Contractor ge t for Owner ❑ Agent for Contractor COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE a} ER %�. PERMIT NO. •• a k .y A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, nlaaca rnntart this nffira immartiataly - 31 Date — / 1 71 Inspector REV 10/92 •Y t� Gi i ;i S awl a ca. Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 651122;; Sep -9-04 10:22,AM; Page 1/1 p w TO: FROM:. DATE: RN' R -DEP. -RI E9TA. MEMORANDUM !, VHLHEALTH_CHICC, RELEASE 1C;P(Y. HEALTH HOLD ON BUILDING FINAL FOR-'. OWNER NAME: { ,L SEPTIC y� WELL: AP#: &.` / —d 52ADDRESS&OCATION: Comments: GUmcmoe/telmehold 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.netldds PERMIT NO. BP041870 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 07/29/2004 APN: 063-040-057-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade, and my license is in full force and effect. ! Site Address: ? Q)ol✓ )?vt) �n Number: MS l AL? ,Mj /j i�Ql�t�h Cn License Class: �zc_ License Map Index: Date: f Contractor. Description: MHI - CHATTEL (1190) OWNER -BUILDER DECLARATION I 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: RUSSELL LINDA LIVING TRUST permit to construct, alter, Improve, demolish, or repair any structure, prior C/O RUSSELL LINDA TRUSTEE 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 31 DALLAS CT the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 95926-2082 7000) of Division 3 of the Business and Professions Code) or that he or 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: FLEETWOOD HOMES 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, 2243 FEATHER RIVER BLVD. provided'that such improvements are not Intended or offered for OROVILLE, CA 95965 sale. If however, the building or improvements are sold within one 530-532-3301 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.). ❑ 1, 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: FLEETWOOD HOMES not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 2243 FEATHER RIVER BLVD. pursuant to the Contractors' State License Law.). OROVILLE, CA 95965 ❑ 1 am Exempt under Article 3 of the Business and Professions Code 530-532-3301 Date: Owner: License #: 785185 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self4nsure 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 policynumber are: Carrier. m, V'S Total Square Ft: 0 S. F. / l Valuation: $0.00 Policy#:��2� G�/ Census Code: ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: a �Woov WARNING: Failure to secure worerr pensation coverage is unlawful, and shall subject an emplo to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest, and attorney's fees. yb l05 33 14&7dVnf CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of -the Butte County Codes 2nrt/or-- " I hereby affirm that there is a construction lending agency for the Resolutionylo do work Indicat a ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: Name: v/ r PERMIT EXPIRES ON: 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 the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance o y o i al form o ocu a County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposo . Print Name: / ! r'E' W V t� ®�/`P Signature: Date: ❑ Owner ❑ Contractor gent for Owner ❑ Agent for Contractor • • 0 %J ' 1 E` o 1 BUTTE COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 .-, 0 AND SUBMITTAL REQUIREMENTS o 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 c�UN'�y OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name ",me Address 0 City State Zip Phone Fax E-mail For of i e s CONTRACTOR ",me Name Address � City a e Zip Address Fax Nm ' State License Number c' Y City ' L' Stat Zi 3. Phone E-mail Faxs-? 3 -� E-mail Lic. #- S Clas For of i e s ARCHITECT/ENGINEER ",me Flood Zone Address � City a e Zip Phone Fax Nm ' State License Number For of i e s APPLICANT NAME Name Flood Zone P � Address , Type Const. ibdivision Name If hiring anyone other than lic se contractors, a certificate of worker's compensation must he shown at the time of permit issuance. City Page Stat Zi 1- Phone 3. Fax�_� E-mail For of i e s AP# /. Zonirkf Flood Zone SRA Yes I No Occ• Policy Number w C_ Type Const. ibdivision Name If hiring anyone other than lic se contractors, a certificate of worker's compensation must he shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: ` UVLK 1 -UK SUBMITTAL REQUIREMENTS 11 A PERMIT NO. BPo4187d BIN # LOCATION AP# /. Pro a Add ss o -e r Cross Street nc WORKER'S COMPENSATION Policy Number w C_ Carrier r-5 If hiring anyone other than lic se contractors, a certificate of worker's compensation must he shown at the time of permit issuance. LENDING AGENCY Name e ac Address Description or Scope of Work: Sq. Footage ❑ 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount 54q.40 Bldg 16'?- SRA Receipt#:4533 3(00. Sheriff SMIP Date: b1_-A5/&k4 Other l 10 t- Z .3 FS Total 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: at -SSE -L.. - ASSESSOR PARCEL NUMBER Proposed Building Use: rr >�.., Counter Technician: �► �' Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order tb apply. �j 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. (Ilfp. ❑ 6. Energy compliance design and supporting documentation in duplicate. , ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: Data sheets and installation inst, All Marriage line info, Floor Plan, 9 Tie dow orf II ';1h duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans 1 ate. ,�AII 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 .y 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 Ian approval &Paid. Sent by: Kr v�ss�c4' 24. Planning approval (A) U, e MB) Parking: (C) Parcel Check: -Y25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. N P D E S Form...Wre� .. urr�. - UQ r,. {Cj. «r -k . y�,f-oxide coV rec�-�'-U rl &TUed VergD or�'- 27. Encroachment Permit fo4iveway fro he Public Work ept........................... - Z--O'y j ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization.................................................................... Thi 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 0 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/o� expired permits......................................................... 30 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 -3-:2 1. 3'4-6 and hold for pickup. I have bec Applicant: - e: 1. Index permit a ca ' o bo t ms numbered: Plan Check Letter 2. Additional ite re i d Contractor, des her ner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the a ve data byphone, ❑mail, ❑ couny�y Date: Plans reviewed by: �,�/ Date: • O Plans approved by: f `� , Date:2:5=1-- Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY C/ _ — - Plot Men Attached� 7 Fleoa Man Attached � Sena to G.D. / TO: Building Department Vk� w-� FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location. AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other o . Hold final for: Final clearapc NOTE: L n_K_ fnr- Environmental Health Specialist 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNT' CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A.P. # 01o3 • PIP • 4DS7 PROPROSED BUILDING USE Ct+A-7TC—L ( ((4 1 DATE to - -2-S -.04- RECEIPT 04RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ C�►Lo .SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) / 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ 404.533 L ' 2-S-'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 1489:00 paid at Building Division) Z 40 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 = $ Sa. Fie. Amt. 10. OTHER 4-oGS33 6 • ZG c,4 - F 0 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed d ' tWchecg s. APPLICANTr YVoa DATEPursuant to Govemm C, d y notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the dat o approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. 0//- / 7, �76 A.P. Number () &,- r) Jurisdiction: city County Property Owner S, Property Location/Address F_,),,—S-1-?17Q(`h (""el. qSqt1-) Subdivision Lot No. ....................... . ............ ..................... a ...................................... Residential Development Q EEr Q Q Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) ............................................................................................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) �­Commercialflndustd NOW' Addition (including Exterior Roofed Areas) 1-:14 Building Department Representative Date District Identification No. 16 ?1ifies 4 Schoo"r)istdct ceftthat//'� (Applicant) zz 43 _1(7rckm (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing O square feet. School District Representative Paid by Check # Remarks: by' -payment of, V 2926 $ FULL MMGATION $ Date Nofte: You may protest the Imposition of the fees Identifled above by submitting a written protest to the District, In compliance with Govenu rent Code Section 66020(a), within 90 days from the date ton are paid. Failure to submit a timely written Protest will'prohlbit you from challenging the Imposition of the fen In any court actlorL N, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form. the School District Is n"NNd by the applicable. Local Planning Agency that this Project Is being i - wiew under On Calffbmla Environmental Quality Act (CECft this project may be subIect to additk mal school fen to fully nrltlgsre.Its Impact on the school dixtrieft ad White (applicant), Yellow (building department), Pink (school district) teeform.)ft (10/03)dmm r Date: SITE PLAN REVIEW APPLICATION �(=2 3 - 2cD 1� AP# &6,3 - o e -to Permit Number (if applicable) Bin Number. r APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: 2L(3 t6kreEk 9C_g cre V30V Q , Telephone No.: - - " ' 3 30 1 ' Situs Address: JZojk0 / t>oE ktf,7 (, g_o Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition 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): f ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well • „ ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Up Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval 10 Ilan Stamped Approved By Date O 2L?,o Page 1 of 5 . ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Ja Snow Load Area: 2.ftO d{: 0 —oe �( ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑m 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) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: 9 3 -7 SSC Index Date: _ 6 ❑ 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 F]Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: TV- ( D 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 Side (� Side Street Rear to 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 ti rA 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) Amnnnt 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 f Q Deeds: Date of Creation: (Q � 6 Legal Access Provided: D No Yes Deed of Reference: Legal Access Required No ❑ Yes Parcel Frontage on Publicly Maintained Road: 11 No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: No ❑ Yes Comments, find t.\0 V*'(. SJ;iltg (T51 MJZ R] 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 r Page 3 of 5 V rgro �I Subdivision Map/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 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. n Page 4 of 5 u Summary of Specific Requireme°nts: 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 Building Permit Number: 04-1030 Owner Name: "65" 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: &C/—/9'70 Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached ' requirements. MFire sprinklers are required in this structure. ' The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of - 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: CDF FIRE SAFE REQUIREMENTS 063-040-57 BP -04-1870 Russell 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 landowner. Driveway 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. [X] 2. the length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center, of the road. [X] 1273.05 Turnouts. 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 y CDF FIRE SAFE REQUIREMENTS 063-040-07 BP -04-1870 Russell 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 --7_ Date Signature N C. OPT. RECESSED ENTRY �ar- Fleetwood Homes of Oroville 2243 "Feather River Blvd.. Oroville, CA 95965 530-532-3301 Fax 530-532-3304 www.fleetwood.oroville.fhretailer.com Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. NI dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. wv»iMAR03 2. Assessor's Parcel Number0 CQ -3 -- O 4/) 3. Installer's Name: 4. Is the site currently under permit? Yes[ j No[ ] Permit No. S. Is the site an existing site? Yes[ ] No[ ] (Ifyes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?Amperes. 7. What is the mobilehome site circuit breaker rating? .160 Amperes. S. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is the rating? 2 --Cb* Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] Ifyes, please identify the load and size: a) The mobile home site: Load- _ 2224 Amperes - b) The main service: Load- — D Amperes- 11 • Type_ of gas service at mobilehome site: Natural[ ] Propane .None[ ] 12. Size o as 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??,10 (ft.). 14. What is the mobileheme'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 ELECTRICAL, MECHANICAL, .AND PLUMBING CONSTRUCT ICN ( NOT PLAN CHECKED SHA:_.I._CCMI; IL ,WITH CUN -ENT EDITION OF -NEC, USC AND UPC.! May 1995 8.5 H.L- 2 , Mobilehome Manufacturer: _l.G.�7 GJ d0 d - Manufacture Year: -,7-Od Lk— If other than single wide, fun -ds Setup Model Number:.Q- Width: a(o (ft.) Length: �� (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ i4- Other: SUPPORTS: Concrete block Y-1-1, Other - Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE -MULTI-WIDE Lice 1 0 . 01 Lice 2 � Line 2 ................................................................................................ Main Beaus _Line 1...........................................................................................Line 3 imine 2 Main Beams ................................................................:............................. Line 2 Eine 1 ................................................. s Tau or Tripl 4 :L %� Line 1 Piers: Size minimum: s` 1 x rz4 1. Spacing maximum: ` o ` From ends -maximum ` a ` Line 2 Piers: Size minimum: P-41 x Spacing maximum: I L ` o ` From ends-maximuml 0 ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings - Size minimum:. 12-4 ] x Each side of openings with width over: Line 4 Piers: Size minimum: 1 x Spacing maximum: ` From ends -maximum OYERti- iLDINIC DEPA r: A,P MAIN BEAM WITH PERIMETER FOOTING CONFIGURATIONS AND SPACING 13 WIDE -MULTIPLE SECTIONS ;a to a' o a o a l a a, o al o a o'. SECTION OK: 1 1 1 1 1 I 1 1 {.-- 1 1 1 1 1 I 1 I 1 1 I ;SECTION •B• V-- 1---1 o' o o' o 0! 1 1 1 1 1 N --r--♦--*--;-- M VAM SECTION•C• �; % 'WT'S` H_------;_-�,=« ■ MAIN BEAM FOOTINGS o ' o o' a; ❑ PERIMETER FOOTINGS PERIMETER FOOTING CONFIGURATION AND SPACING PROCEDURE: 1. Determine the design roof live load of the home. 2. Determine the soil bearing capacity. 3. Follow that line across the table to determine the type of footing configuration and spacing. 4. Footing placement to start at no more than one foot (1'-0• to edge of pier) from each comer of the home. 5. The spacing for any footing may exceed the spacing shown up to 10% as long as the average spacing does not exceed the spacing shown. - These tables determine the footing pad configuration and footing spacing along the main beams and perimeter of the secdon(s). Refer to pages 13 and 14 for footing pad configuration details. Review the tables that indicate the footing type you are going to use for main beams and perimeter piers. Refer to page 17 for the procedure on using the tables. Main beam footing spacing table acceptable for roof live load 40 psf maximum. MAIN BEAM FOOTING CONFIGURATION AND SPACING . S" X 16" X 4" CONCRETE FOOTINGS PERIMETER FOOTING MAXIMUM MAIN BEAM FOOTING SPACING (In Feet) ON. Pad Footing Triple Pad Footing Two Dbl Pad Ftng. Main Seem Size Mein Seam Size Main Beam Size it I 10- I 1r 8' I 10' it r to• 12- 1000 CONFIGURATION AND SPACING 8' s' it 8' 10' 1r 1500 FOOTING CONFIGURATION r 10' 17 8' 10' 1r 2000 8' 10' 17 18'X18' Concrete 8'X18' Concrete 2x12x24' 8' 10' 1r e' 10' 1 12' 4000 8' 10' 17 Pad Ped wood Pad 8' 10' 17 8' 10' 1r 20 1000 SINGLE DOUBLE SINGLE e'-0' 1000 DOUBLE TRIPLE DOUBLE 20 1500 SINGLE DOUBLE SINGLE 20061-04000 SINGLE DOUBLE SINGLE 1000 DOUBLE TRIPLE DOUBLE 80 1500 SINGLE DOUBLE SINGLE 2000 t ;o SINGLE SINGLE DOUBLE SINGLE 1000 DOUBLE N/A DOUBLE 40 8•4' 1500 DOUBLE TRIPLE DOUBLE 2000 to SINGLE DOUBLE SINGLE PROCEDURE: 1. Determine the design roof live load of the home. 2. Determine the soil bearing capacity. 3. Follow that line across the table to determine the type of footing configuration and spacing. 4. Footing placement to start at no more than one foot (1'-0• to edge of pier) from each comer of the home. 5. The spacing for any footing may exceed the spacing shown up to 10% as long as the average spacing does not exceed the spacing shown. - These tables determine the footing pad configuration and footing spacing along the main beams and perimeter of the secdon(s). Refer to pages 13 and 14 for footing pad configuration details. Review the tables that indicate the footing type you are going to use for main beams and perimeter piers. Refer to page 17 for the procedure on using the tables. Main beam footing spacing table acceptable for roof live load 40 psf maximum. MAIN BEAM FOOTING CONFIGURATION AND SPACING . S" X 16" X 4" CONCRETE FOOTINGS di MAXIMUM MAIN BEAM FOOTING SPACING (In Feet) ON. Pad Footing Triple Pad Footing Two Dbl Pad Ftng. Main Seem Size Mein Seam Size Main Beam Size it I 10- I 1r 8' I 10' it r to• 12- 1000 a 6' e' 8' s' it 8' 10' 1r 1500 r r r r 10' 17 8' 10' 1r 2000 8' 10' 17 8' 10' 1r 8' 10' 1r 3000 8' 10' 1r 8' 10' 1r e' 10' 1 12' 4000 8' 10' 17 e' 10' 17 8' 1C 1r 16" X 16" X 4" CONCRETE FOOTINGS MAXIMUM MAIN BEAM FOOTING SPACING (In Feet) IMUM MAIN BEAM FOOTING SPACING an Feet) Pad Footing Triple Ped Footing Two ON Pad Ffig. Mein Seem Size Mein Seem Size 10• 1r 8' 10' 1r 8' 10' 1r VhMaInSeemStze 8' e' r 10' 1r 8' 10' 17 2000 8' 8' 8' 10' 1r 8' 10' 1r 8' 10' 17 s' 1 0' 17 8' 10' 1r 10' 17 8' 10' 17 B' 10' 1r 10' 17 8' 10' 1r 8' 10' 17 10' 17 8' 10' 17 8' 10' 1r 2 X 12 X 24" WOOD FOOTINGS MAXIMUM MAIN BEAM FOOTING SPACING (In Feet) (Dbl. Padfoo"'- Triple Pad FooUng Two DDI Pad Ftng. Mein Beam Size Main Beam Size Main Beam Size 8' I 10' 12' r 10' 12- 8' 10' 12- r1000 1000 r 1a 1r e' 10' 1r 1500 8' W4r W4ra 10' 1r 8' 10' 17 2000 a 10' 1r 8' 10' 17 r 10' 1r 3000 8' 10' 17 s' 1 0' 17 8' 10' 1r 4000 8' 10' 1r 8' 1o' 1r 1 8' 10 1r %STE# .� r r OF 1 V. ♦� 6 ;- PiioF�sslOt loi R /G • C ``'vGl NE��.� • F RAS Multiple Section Installation Manual for WZ-1 Page 23 ®o C vflW 0 2003 by Flett*,wd Ent& -P w Im A —10'-0q" HEAT TAPE RECEPT ON UNDERSIDE OF FLOOR NOTES/LEGEND APPROVED PFS Corporation Madison - 4 9/9/03 HUD Manufactured Home Construction & Safety Standard ST OATS ._ SHEET: .. :: PCD -1 -.. 17 Recept (See Elect Switch O light Fixture CD Thermostat ® Exhaust k Cefng Fan z 1 > 13 Hush Smoke Alarm ® Door Bell Trans �✓ 0 ® Electrical Panel Box 0 500 Air Register W O.F c � Tee Kick Register O Air Supply ❑ Support Post Return Air Gulls RAG 400 RAG2 20x20 1e� 1) See Specifications i•� CLSheet and Option pages for actual length and width of home �} 2) This floor pion may be built as an exact mirror image about the length and/or width axis. 3) Egress window(s) shown with less than 5 sq.ft vent area meet egress requirements through sash removal per window manufacturing instructions, located an the window. APPROVED PFS Corporation Madison - 4 9/9/03 HUD Manufactured Home Construction & Safety Standard ST OATS ._ SHEET: .. :: PCD -1 -.. 09/08/04 WED 08:00 FAX 590 592 3304 FLEETWOOD OROVILLE CA. BUTTE COUTY 0001/001 BUTTE COUNTY DEPARTNIEN-T.OF-PURI£ rtEA1 DIVISION OF ENVIRONMENTAL HEALTH SEPTIC SYSTEU 1NS�_ £TtON CERTIFICATE-- I? O. BOX 5364 7 COUN.TY.CEN_TER- DRIVE_ . CHICO, CALIFORNIA 95927 OROVILLE, CALIFORNIA 95965' TEL: (5301891•-2727 TEL: (534}536-7281 The Sewage- Q'�sposaLSystem wcas. inspected -at - FOR SEPTIC TANK LEACHING FIELD Size �.!_S� Gallons Length feet Material i wkpjll inches No, Qf line -s. Rock.Under Pipe i es The above dimensions meet the minimum requirements of Butte County Code, Chapter 19. Additionat.leaching area -will. be_required, it.ex{2erienee_shnwsiLtate.necessa,3A Remarks; Date: S2 - MR(Ray..atW. EALYIR NM AL -HEAL fir .d��i AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2��1�+-043952 - Recorded I REC FEE Official Records I COPIES County Of I BUT iE 1 CANDACE J. GRUBBS 1 Recorder. I ROSEMARY DICKSON I Assistant I Mark 02:07PM 20-Ju1-2®04 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requiredihis 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 l� PROPERTY OWNERS: L ; ,��� gu�ll State of California County of Fjuk On l before personally appeared . 121 RS6LA, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose names/subscribed to the within instrument and acknowledged to me that Jrir/she/thef executed the same in Itis Fier/their authorized capacity ' s); and that by,/her/ Ir signaturosf�on the instrument, the perso%gfor the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and of ial al. Signature Seal: LARRY O RUSSELL 3 Q NOT ROY PUBLIC -CA FORNIA 0 A.P.#_ D(03—QyO-OJr% g BUTTE COUNTY O COMM. EXP. DEC. 18, 2007 -► 10.1710 2.50 2 Jqz A-07/14/04 09:35 FAX 5,30 877 3443 @aaraw No. 305319 -MLS Title ardar No. 00305313 EXHIBIT ONE 2006 The Northwest quarter of the Southeast quarter of Section 8, Township 23 North, Range 3 East, M.O.B.&M- EXCEPTING THEREFROM: All that portion as described in that Certain Deed executed by E. C. Wilson, et al, to the County of Butte, recorded January 16, 1924, in Book 195 of DEEDS, at Page(s) 177, Butte County Official Records. Description: Butte,M DOCLIZe+t-Year.DociD 2003,65539 Page= 2 of 2 order: jhffj Comment: t "Z r, ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 NIV Download Forms: www.buttecounty.net/publicworks/for s.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit Numb r Q L%� y IL District _45,APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance'with County ordinances and eneral laws. All information except signature must be ed or legibly printed.) 1. Applicant's Name: Q la. Company Name: 2. Aa 13 1 3. Phone: I� �/ 9S-9 4. Assessor's Parcel Number: i 5. Location of Work to be Done01 pe r 6. Appli is ig atu . Date: / CONTRACTOR'S INFORMATION 8. Co r s Name < 9. Address 10. Phone: 11. F 12. Contractor's License Number: 13. Certificate of Insurance: Yes ❑ No: ❑ 14. Contractor's Signi�-. j '- P /^� 14a. Date Signed: 15. Authorized Agent' TYPE OF WORK TO BE DONE 16. Please Check: Curb: El Gutter: 1:1 Sidewalk: El 17. If Driveway List Type: 18. Other Work - Describe: 19. Plans Attached: ❑ Yes ❑ No PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby granted. 20. Conditions Underground Service Alert U.S.A. must be notified two working days prior to any excavation. 800-227-2600 21. ewir All work shall conform to accompanying: Detail 0 Plans ❑ Special Conditions 29 22. Date Issued / G 23. Expiration Date: 1//0,9/5 8 / GS 24. Surety: 25. Date Paid:t _ D'/( 26. Amount Paid: 2(7. Paid B 28. ReceiptNo.: Mike Crump, Director of Public Works By: For County 29. Final Inspection Date: 30. Inspected By: ❑ Completed - OK ❑ Completed - Not OK ❑ Additional Comments Attached Use only: 31. Comments: Note: It permits are taxed to any number besides (530) 5384356, they can be delayed up to one week. Page I of 2 F O�PPRTI`^�NT O,p °° �,� II✓i; °° ° < ° C ° °. ��� y �eCIC WO�� Department micnael crump, Director Public 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 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement fLESS THAN 1 ACREI Project Description: In ai),V, C Project Location and/ Parcel Nuniber: Ode- A ,.1 t �i r -A rir1 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. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require 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 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 9 1111101111111111111111111111111111 2jojo e+ a4�952 Recorded I REC EEE Official Records I COPIES County Of I BUTfE I CANDACE J. GRUBBS 1 Recorder I ROSEMARY DICKSON I Assistant I Mark 02.0iPM 20 -Jul -2004 1 Page 1 of 2 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: j1 - Date l� & 4 State of California County of SWC On q�' � 1-u personally appeared L personally known to me (or proved to me on the basis of satisfactory evidence) to be the personwhose.name is/subscribed to the within instrument and acknowledged to me that she/they executed the same in )tW ier/thew authorized capacity ' s), and that by,"s er/ it signaturos)"on the instrument, the perso�or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and of ial al. Signature Seal: LARRY O RUSSELL / # 1457031? 0 NOTARY PUBLIGCALIFORNIA A.P.# 0(03--0/-/(7"'0,5`7 BUTTE COUNTY Q COMM. EXP. DEC. 18, 2007 -+ 10.00 2.50 7 - AZ/ AZ/ FIF 07/14/04 09:35 FAX 530 877 3443 Eacr�W No. 305319-ML8 Title ardor No. 00305319 EXHIBIT ONE [a 006 The Northwest quarter of the SouthWt quarter of Section 8, Township 23 North, Range 3 East, M.D.B.&M. EXCEPTING THEREFROM. All that portion as described in that Certain Deed executed by E. C. Wilson, at al, to the County of Butte, recorded January 16, 1924. in Book 195 of DEEDS, at Page(s).177, Butte County OfficiaL Records. Description: Butte,= DorUme t-Year.DoeID 2003.65539 Page: 2 of 2 order: jhffj Co=snt: March 25, 2004 I am requesting that Carl I Boyette serve on my behalf to acquire permits and obtain any and all information related to Assessor's Parcel No: 063-040-057. I request also that Carl I Boyette serve as my agent to direct and obtain any activities or services as he determines necessary for the improvement and development of this same parcel, including but not limited to acquisition of utilities to property, septic, well work, encroachments. ZA14 4ra-"�� Lhida R ssell, Trustee of the Linda Russell Living Trust, dated January 03, 2001. Ft . ®®among 7iA1fNIWi9iiiiuG■iGGiiGii■iuii �r....■'■. mmolm 1••■■■■■■■■■■■■■■■manam 7■■■■i■■■■■■■■■o■■■■■ ,■■u■u■u■ l�■uuuuuur--- ■■■■■■■� , , . !I 1 RUN logo on ■■■■■u■■ ■u■■■■Mill ' � " —s■uu■■uu " �■■u■u■u■■ ■■u■u■uV R— 1BEDROOM comm 'Ano�ho,l _ Vu■naivr ■OON11 ■■■■1r■■m"T� Elil ■■ n■■IN Lon _ LINEN MASTER I LIVING ROOM I BEDROOM BEDROOM 13'-4"X 13'-0° ENTRY .^ I I I I I I . I L -----i 'D ;* I I feelk I Fleetwood Homes of Oroville 2243 Feather River Blvd. OPT RECESSED Oroville, CA 95965 ENTRY 530-532-3301 Fax $30-532-3304 www.ileetwoodoroville.fhretailer.com Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. W V 17/MARM Fidelity National Title Company G� 535 'Wall Street Chico, Ca 95928 Phone 530) 343-3716 Fax (530) 343-4410 Parcel Number: 063-040-057-000 Ownerl: RVSSZLL#TR Owner2: Document Number: Site Address: 40 ACRES S90TT RD Site City/State: +Addl: Mall Address:, 31 DALLAS CT Mail City/State: CBxco CA Legal Description: Buyer: Phone. Pg-Grd: Census: Zoning: Flood Panel: ` Ownership: ` 95926 Property Characteristics Use Description: vACAUT RV Year Built: # Rooms: Bed / Bath: # Stories: # Units: Square Feet Floorl : Floorl: Additions: Basement: Lot SiZe: 40.00 A Dimens: . Construction: Qual ty: Shape: Garage Type: Cool: # Fire Places: PooISF: Prepared By Fidelity National Title Company Sale/Loan Information Sale Date: 09/19/2003 Sale Amount $93,000 8 Document Number: 65539 1 st Trust Deed: $68,000 +Addl: $1,084.36 Cost/Square Foot CUR Loan Type: /i3zx/ Buyer: PMSS1P.IaT,,1'R Seller. BMA,TzBaR Lender. irr D=ana Title Company: BZDELITY rtaTIONAL Last Trans W/O $: Doc Prior Sale Information Previous Date: 05/10/2002 Previous Amount: $100,000 9 AssessmenVTax Information Assessed Value: $102,000 Land Value: $102,000 Improvement $0 % Improvement: 0$ Tax Amount: $1,084.36 Status! CUR Tax Rate Area: 062018 Exempt: Tax Year, 2003-2004 THE ABOVE INFORMATION /S SOURCED FROM PUBLIC DOCUMENTS AND /S NOT GUARANTEED Copyright (C) 1998 Acxiarn Corporation ,sM 32 T.23M. R.3E M.D.B.&M.Irm ti 3 2r3ff 3463-04, 6 J IlgRlrJ1 r l2l J' it 3 �; + salt 11.SIAe 72 16 22 A O JrI2 'i I 40.E 189.45k 1•aleao• l3 yJ 98 � j r 17 daane� -------- rOArt o 400Om4 # 18 J O2 � O7r � 1 � 117 6 � i It 69 313sk :wk )'■ � � l,9lgN1 P ► J 71 61 9 !c 12S Y J � 7P � 1J.JLNc 2 ran 207 Mc 11 14' t7 llb f �0 wu 16ux m 2a lsAa/c■am 2?, .- O faaOAct 03 y r t Im1ci zs 2'S IQ4ct ■pq .� f 09 yk yr ItG 07 O 3E 4LJ 27 JG9rAe! 29 �OGgACi __ 22 JOAc# 71 �! 30 IM19Uc.4 08 120 I8.61Ac 9 . ,a 33 10Act � 5 d 76 i36tc f= 95 K.7 'x71Art 377J61ct 96 -----------..------- Z40.00c# 0 198519 37 % d, 33 i 1467 4a wk d0.00ftt 4 110.OQAc ,x d,pl 73 >D Ac LS 13 07 c® Ac O iO-f01c IOIII 1185131 31 �8�i "` 56 12000Aei IO.OQAc ® T-- 10 ` SJs i.39 67 ,J ' snc tsps -f-1 � m. --2,145A�--•- 6B -- �`_.. - — -- - ---- --- --^ — -- ----- - 915 13 17 - 3101Q M." 90AD 2000 �e Coun Amuff' WP ifD � e b Qt iJEles>n Y( 2- 01 Fin.>m Cll fiE709 ank � 04 . W-cl MML p� @' 1/ nal �J Tm ■ THIS IS 140T A SURVEY TN45 IS A C(3py OF THE Y ASSESSOR'S P AND 1S PROVIDED SOLELY TO AID IN PLATAND EIPIHE NDIN RESPECT TO ROADS OTHER ARCE AMU NATIONAL TITLE GO. ASSUMES NO LIABILITY FOR ANY LOS OCCURRING BTE REASON ON. OF RELIANCE �o S:JSAC 2112- [221 r2_6 227.71Acf 3� 7.3akt 57 2 vi 40.00Ac ,r •r' p� r� / 01 107 106 42 � 39 10. 1 OAc 10.11/ic 133RS6 40.00Ac ipg 123124 104 33.65k_ . - Z X. virw tc, k'' � S t rT"S • :;i a r + '11 � �a ')�'� y. +�..• 1t4 :. J' " \ .I .. ,j, •J�*;. � ryr/�'���!`. }�. !. � "j - ,! , i •i:�rrr♦L r t •• 1 7 4 • • :' '�,�.,...,r'�: _.y, _ 1/ ��i �.l /iI t .,•''yyam� .. .. � � • i t; ' / �'�•�];•..^ tib. -..^i.', r .. - • .. � • • C• • � - • 1�� - �' • {'iii � � `T;..Y �';h =� � _`w .. �. `• ,;;�. '. / - �y„Z,, rte,..: _ ,.� : •►:. .:� _• 49 If AV ti tj i 41 eta 0. N. 4 NX don lit to No eta 0. N. 4 NX . BUTTE INTER -DEPARTMENTAL MEMORANDUM COUNTY SEP - 9 2004 TO: BUILDING IVISIO , OROVILLE DEVELOPSIVYENT RVICES FROM: ENVIR. HEALTH, CHICO DATE: Ole) /,lilt RELEASE INV. HEALTH HOLD ONBUILDING �'IletAL FOR: OWNER NAME:' SEPTIC: e� . WELL: AP#: &3 - S110 —dam% ADDRESS%LOCATION: Comments: uumemosirewasemia 41 SITE PLAN' '7 ..... ......... ........... 7* ... 7 ..... ............ ............. ....................................... ...... 7 ............. ..................... ...... 7 ............. ................... ............ ...... ................. ..................... ..................... ..................... ..................... ..................... ...... ...... ...... ............. ....... ............ ..................... .................... .. ......... ............ ...... ................................. ............. . ...... ..... ... ............ .............. * ...... ................... ...... ........... ............. ............ ...... ...... ...... ...... ...... ...... ------- ............ ........ .......... ............ ...... ...... ... ..... I. 7 ............. .................... ...... . . . . . . . . . . . ..................... ...... ............. ................... ................... ................... ...... ...... ...... ...... ...... ...... I ...... ...................... ...................... ......... ... ...... ...... ...... ...... ...... ...... f ........ ................... ...... ............ ...... ...... * ............. ...... ....... ...... ...... ..... ............ ........ . . . . . . . . . . . . . . . . . ................. .................... . ...... ...... ...... ....... I ....... * ...... ...... .................... ...... ...... ...... ...... * ...... ...... ...... ............. ...... ...... ...... * ...... ...... * ...... * ...... ...... ............ ...... ............. ...... ...... ............. * ...... ...................... ............ ............. ................... ........................................ ...... ...... ............. : .............................................. .... ...... ..... % ...... ............ ..... .......... ........ ...... .................... ................................. ...... ............. ...... .. ............... f ............. . . . . . . . ..................... ...... ...... ...... ...... ........ ............. ...... ...... .................... .................... ................... ..................... ..................... .................... ...... ...... ............. .......... .......... .... ... . ............ ... ....... i .... ..... ...... ...... ............ ...... ...... . ........... ...... 7 ...... ........ ........................ j ... J�: .......................... ...... ..... ............................ ............ ...... 7 ...... ...... ...... .............. ........ ................... .... .... .... ...... ...... ...... ...... ...... A7— ...... ... .. ... ...... . ...... ...... ...... ...... ...... ...... ...... ...... ...... ....... ...... ..... ....... . .. .... ..................... i ...... ...... ; ...... .. ... ................................ ...... ............. ............. ...... ...... ...... . . .. ...... ....... ... ................... ............. ..................... ............... ................. ...... . ............... . . . . . . . . ............ . ................... ................. . . ................... 7 ............. ............. ............ ........ ............. .. ...... .............................................. ...... ................... . ..... ...... ..... ..... ........ ... .............. ...... ............... ................... ................... ...... ...... ...... ...... ...... .................. .................................. ...... ............. ...... ...... ...... ............ ............ ..... . ..... ...... ...... 7 ............. ...... 7 ............. ...... ........ ................ ...... .................... ............. ................... .............. ................... .......... ............. ....... ..... ...... .................... ............. ...... ...... .......... ... .... ............ ...................................... . ..... ...... ..... . ............. ..... . ..... ...... 4— .............. * ...... ................... ...... ..... ...... ...... ...... . .............. ..................... ..................... ..................... ............................ ...... .. ..... ...... ............ ...... ..... T- ................... ............. .............. ............. ...... ............ ...... ...... ............. ...... . . ..... ................... ..... ...... ............ ....... ..... ................ ............ ...... ............. ............. .......................... ...... ...... ...... ...... ...... ............. ..... ...... ...... ............. ...... ............. ...... ...... ...... ...... z ...... ...... ............ ...... 7 ...... ..................... ....................... ...... ...... ...... ...... ...... .... ................. ...... ...... 7 ............. ....... ...... ..... ...... .................... ................... ................... ............ ...... ..................... ...... ...... ...... ............. ... .... ..... .; .................... ............. ............. ...... * ...... ............. ............ ...... ...... ............. ...... ...... ............ ...... ............ ...... .................... ............ ....... .................. ...... .... ...... ... ........ .......................................... ............. ...... ...... * ............ .......... ...... ............ ...... Ir ... ....... ................... ................... ...... z ...... ...... ..... .... . . . ..... 1.4 ... ........ . .... . ..... ............. ...... ............ ...... ............. .............. ...... ...... ............. ...... ........................... ...... ............. ..................... ..................... ..................... ..................... ..................... ..................... ...... ...... I : ... : k .... : ..... : : 1 j5 ....... ... ...... ........................................ ............. ...... ....... .... ............ .......................... ...... ................... .......................... ...... ............. ...... ...... ...... ...... ...... ...... ............. ............ ...... ...... ...... ...... ...... ...... ..... ...... ........... ................... ............ ...... ...... ...... ..... ... .. I.A ...... ...... ...... ...... z ...... ...... ..... ...... ............. ...... ....... ............. ................... ...... ...... ...... ...... ...... ........... ..... ...... ....... .......... ............ .......... ...... ...... * ...... ......................................... ................... ................... ................... .................... ............ ................... .................... ...... ..... ...... ...... ...... ...... .............. ..................... ..................... .................. ............. ...................... APPROVE!) ............. ....... .......... ...... ........ ...... ...... ...... ............ ............. ...... ............... . ..................... ...... ...... ...... BUM y ............. ...... ...... ...... * ............ ...... ............ ...... ...... ............ ..... ...... ...... ...... ...... ...... ............ ................... ...... ...... ...... ...... ...... palth .......... ......................... . ....... EnvironhiehtaMeialth ..... ..... ...... ..... ...... ...... ...... ...... ...... ...... ...... * ....................... ........ ...... ...... ............. to ................................. ............. ...... ............. * ...... ...... * ............. ............. ..... ...... * ..... ...... ...... * ............. ............. ............. ...... ........ ...... .................. ... . :4_4 ............... .. Si n ..... ........... .. p ............. ............. ...... ....... ............ ...... ............. ............. ..................... ...... ...... ...... I I . .................... 92 ...... ............. ...... ............. ................... ..................... .................... ...... ............. ..................... -Chic ............. ..................... ..................... ................ .................... ................... ................... ........ ........... ev . . . . ..... .... . . .. .............. ....... . . . . . . . . . . . . ...... ...... ....... I ...... ..................... .. . ................ ................... ...... ................................................. .. ............ ................... : ................................ r ............. . . . ............. : ............ : ...... : .... ....................... ! ........................................................................ .................. . Assessor's Parcel Number Owner Name ue,� e) Address / Phone No. Site Location 0,21- M,"Ir—Ad. Contact: Name 1�jn iC,o rev, Phone 0dabor 23, ZM FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres. 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: 'IN SIT LAIC��" 13a c.�� ' ............. •••..............................-- • -• � S : — I o - — 1t.e... ......................�. .. .. ............................................ ...........................�.... i ..I.. ..... ....... ....... ................... ....... ..... ....... .. .. �. . .... .. .. . .. .. .. .. .. ...... ..... .. i ... .... :: ..... .. �.. ..... .......... .. . ..:....:.......... .................. i :. >. ...........:.....:......:......:.....:......:................ .. ................ . .................. .. .. ......... . .. 1 Environ en nith ;. .. ... .. .. .. .. .. ..... -. . :....:. .. 1.. .. ... . .. , .. .. .. ..� .. .- ... .. .. .. Ga I ............ l ur i.._. .. .. .. .. .. .-.... ..... :...... •nom .. .. .... .... 1.W. P 1 .....:......:..... . T. . ...... ...... .............. .... ............:......:......:......_.....:...................... ... ............. - e' .1; r. .. F>' .. p � S warn. ,.:�......... ...... i .. .. .. .. .. ... ,: .. .. .. r' �.. is �S m � i .....:......... ................4... .. .. .. .. .. ... - .... ................... ..- •......... �... 0 1 3: I dal He Heal ........................................ ............. .. ............. .. .. .. .. . .. t ..:....:. <.. `. Q.. MAY :Prr S.hico . .. .. ............. ..�1. ;....;.. .......... . .......... J,... .. 1' ;";.. : ... .. ;.. :.. .. A :. .::.. ..:.. ..:.. .:.. .. .. � �/ �r �- .ice ... ....,.. ... .. .. .. .. .. .. .. .. ..l.�. 1... :4 .. .. .. ........ ... .. .. ... ........................... .. ... .. .. .. .. .. ....... i ....................... ...... ..... . . ..... ...... ...... .. .. .. .. .. .. ..•� .......... .. . :i; ... ... .. ... ........ .. .. .. ...... ...... .................... ...... ...... ...1_Si.Q ......... ._..G -Q-- '"........................... .............................. ................................................. ---------- Assessor's Parcel Number. ® ® ® — Owner Name `-- i fA a.. Russ, Address / Phone No; Site Location _ (0' Contact: Namer�' P Yr-' ) ®®— Vol Scale: 1" Phone Odobr 23,2103 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: SITE PLAN ' .. ........ _...................................... ................... ..................... ..................... .. _.. ..:.....................:.. ... .... .. ... .. .. ... .. .. -- .. ........................ .. .. ;..... �.. ,J I' ....< :......r ............. .. .. .. I.. ... .... ...................... .. ... .. .. .. ... ... .. .. ... ....................................._�...... .. .. ... .............................. ... .. .. .. _. . .. ..... .... !.. ..._ .. .. .. .. .................... ................... ..................... .. ..... ....... ....... .. .. .. .. .. .. .. .. . . . . . . . ... ....::::......... ........ ......: .................:....:.. :..... .............. ............ .. .: ............ .. .. ... .... ... :.. .. .. .. .. .. . . ............. .......................: .... .:....:....:. - .. ...................... .. ... .. ....................... .. ............ ....................... ................ .. .._..............._.........- .. ...........:............ ...... ....... ........... ...... .. . ......... ... ......... ... .. . ....:...:.. ..... - .. _ .. .. . .. .. .. .. .�. .. .. .. _ .. i.. �.. _ .. �.!' .,F .... ........... ... . . ..:..........:.. ..:...:....: :�. .. ... ................... .. ............. .. ........................................ ... .. .. .. .. .. ................................................ .................................. •1• t.. .................. .. .. .. ... .. .. .. .. :. ........:... .. .. .. .. .. .. ............. ............. . . : . . . . . . : : : : : : : : : : .. r.. Sal...: .. .. .. .. (r 1 ... ................... .. ... .. .. .. .. .. ... .. .. .. .. .. ... .. .. ... .. .. ... .. .. ... .. ... .. .. _ .. .. .. .. ....................... .. .I.................. ........... .. .. .. .......... .. .. .. .. ... .... .:.. ..:.. ..:.. .:.. .... .... ..:.. ... ..... .... ...... .. ............ .. ... .. .. .. .. .. .. .. i. .. .1.;...... ...... ...... ...... ...... ...... .................... ...... .......... . .. ..... 11 I ......:...................%................................................. ... .. .. ... .. .. ... .. .. ... ...................................... .... .. .. .. .. .. .. .. .. .. .. :. .... . . . .:.. ..:.. ..:.. ... ............. .......................... .. .. ........................ ........ ...... y :APPROVED � .... ............ ............. iat•-• •!3 a ••o•' writ... .. .. .. .. .. ......................... ............ ............. .. .............. noir m E ori e' I I ea h .. t Hea h .......... .. .....,..........:......:.....:.............:.....:.............:....., .....�'S','.n.. tt til .. ............. �, .. .. ............ ................ ...D:.... �....::.. _. ;...... .- .................... Sin ur 'fom •Ch icv li _... .. ..................... ............... .. .. ............ .. ............. . . . . . . . . . . . • ll ...s.r'......_........................ ................... Assessor's Parcel Number E ® — owner Name )/7 Address 1 Phone No. 3 % Site Location a, ,- Contact: Name \,- p •.-e ? .0 1-%A I,-^^ ic Phone Odobw 73, ZX,3 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: s .r INTERIOR RIDGE SUPPORTSSTANDARD PIER AS AS SPECIFIED BY MANUFACTURER - SPECIFIED BY COACH MANUFACTURER PLANScale: V _ 10' TRIPLE WIDE MOBILE COACH u n u n u n u n u n u n �cjxts�r �µm LI � 10 13 �3 ►F-4 F.-13 RAN C4 80B # OF g0 cf)Z0) COACH SIZE n n n n n n on UP TO 66 FEET 12 12 0 66 FT TO 76 FT 16 16 T SEISMIC ZONE 3 3 & 4 SEISMIC ON 80B h n h n n n UP TO 60 FT u �3 u u u 3 u u z v n n o n n DOUBLE & TRIPLE WIDES. 3. CONCRETE FOUNDATION PADS O A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARLITE WEIGHT CONCRETE. O B. PREFERRED PAD ORIENTATION WHERE EVER POSSIBLE 1S THAT THE LONG DIMENSION 'n V 1 W v L OF THE PAD BE PERPENDICULAR TO THE COACH BEAM (AS SHOWN ON THE PLAN). 14' x 60' 6 0 u u u u u u FOUNDATION PA 36' MAX I PLANScale: V _ 10' TRIPLE WIDE MOBILE COACH INSTALL MINUTE MAN EARTH SEISMIC ZONE 3 .FOR TRIPLE n°R PUCE SEISMIC PIERS IN 8019 Or 4 As sxonL WIND LOAD MPH EXP 80B 70C �cjxts�r �µm LI � MAX. SNOW LOAD 60 40 C4 80B # OF g0 cf)Z0) COACH SIZE SEISMIC PIERS SEISMIC PIERS o LU t.�1 40 T 1p on UP TO 66 FEET 12 12 0 66 FT TO 76 FT 16 16 T SEISMIC ZONE 3 3 & 4 SEISMIC WIND LOAD MPH EXP 80B 70C COACH MAX. SNOW LOAD 30 30 Q UP TO 60 FT 12 16 DOUBLE WIDE MOBILE COACH PIERS DOWNS FOUNDATION PAD z 60 FT TO 76 FT 16 16 6 NOTE:l- 0 S ARE NOT REQUIRED ON 6 DOUBLE & TRIPLE WIDES. 3. CONCRETE FOUNDATION PADS INSTALL MINUTE MAN EARTH AUGERS (OR EQUIVALENT) .FOR TRIPLE n°R PUCE SEISMIC PIERS IN 8019 Or 4 As sxonL WHEN REQUIRED. SEE TABLE. 4 SPACE IST ROW 2 FT FROM END �cjxts�r �µm LI � c�w:n �µsa LJ LZJ ^� 1. was �cY WIND LOAD(MPH,EXP) 70B 80B T T `1-" T' cf)Z0) ® ® ck ch 40 o LU t.�1 40 T 1p T T FOR DOUBIL WIDE 1 Oi PUCE SEISMIC PICKS # OF # OF IN ROWS Or 4 / PER TABLE T b. VERTICAL : 18000 IBS ULTIMATE LOAD D�g 1p SEISMIC ° M1 OBIIE°P4 4 4 1� COACH I a N 0', 24'. 28'. 28', OR 32' Q Of PLAN Seal.: 1- . L0 PIERS DOUBLE WIDE MOBILE COACH INSTALL MINUTE MAN EARTH AUGERS (OR EQUIVALENT) 3& 4 WHEN REQUIRED. SEE TABLE. 4 SPACE IST ROW 2 FT FROM END 4 - 3/8' THEN SPACE EVENLY. ^� 1. was �cY WIND LOAD(MPH,EXP) 70B 80B 70C 0 4 cf)Z0) c. SHALL BE WELDED ACCORDING TO AWS SPECIFICATIONS: MAX. SNOW LOAD 40 o ilsti-G, Mlj!LE 40 COACN N:ANS � 0. I 1 Oi # OF # OF # OF T T b. VERTICAL : 18000 IBS ULTIMATE LOAD D�g U19 SEISMIC TIE- SEISMIC W I I a N 4 Q Of DOWNS PIERS SEISMIC PIER & PIERS DOWNS FOUNDATION PAD z 12' x 60' / PER TABLE 0 6 4 6 4 o J OUTLINE MO OF MOBILE COACH 2' 14'. OR 18' PLAN Scala: -I' - 10' SINGLE WIDE MOBILE COACH 12 IN OVERSIZED 3/8'x3' FOR CHIPPING AND/OR FLANGED PLASTIC CORNER BREAKAGE ANCHOR INSERTS 3- 4' 5/8' x 1-3/8' FLANGED 5/8'x3• STAINLESS STEEL OR FLANGED PLASTIC PLASTICBANCHOR INSERT ANCHOR INSERTS 3.5' 4x4 -4x4 VVF 4 1•I 1 4x4 -4x4 VVF P. PRO PAD PRECAST PAD 30'x32'x3/4' PLYWOOD HOLES FOR 1/2' x 2 1/2' C.B. HOLES FOR 18'x24'x3/4•1/2'x2-1/2' C.B. PLYWOOD OD e CONNECTED WITH EIGHT 1-1/2'x.12b' NAILS OR 808x1-1/2' FHWS1' 4' 4' 4' 32' Q -PAD PLYWOOD PAD FOUNDATION PADS GENERAL NOTES: REVISIONS BY REFERENCE: CALIFORNIA CODE OF REGULATIONS. TITLE 25 AND U.B.C. 1994 EDITION. 05-02-03 1 YW 1. DESIGN LOADS SHALL BE CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED. SEISMIC ZONE 3& 4 3& 4 4 4 - 3/8' WHERE PARTIAL CONCRETE OR ASPHALT OCCUR BENEATH FOOTPRINT OF HOME, IT ^� 1. was �cY WIND LOAD(MPH,EXP) 70B 80B 70C at. SHALL CONFORM TO ASTM A36 Fy = 38 KSI MINIMUM. b. SHALL BE FABRICATED ACCORDING TO AISC SPECIFICATIONS. cf)Z0) c. SHALL BE WELDED ACCORDING TO AWS SPECIFICATIONS: MAX. SNOW LOAD 40 40 III. BOLTS: STANDARD ASTM A307 40 Iv. THREADED ROD: COLD DRAWN IOW CARBON WELDABLE r l a d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE w # OF # OF # OF # OF N OF # OF b. VERTICAL : 18000 IBS ULTIMATE LOAD �4 O 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED BUILDINGS CONSTRUCTED SEISMIC TIE- SEISMIC TIE- SEISMIC TIE - a 7. STANDARD PIER & FOOTING SPACING PER COACH MANUFACTURER'S INSTALLATION COACH SIZE PIERS DOWNS PIERS DOWNS PIERS DOWNS FOUNDATION PAD NOTES: z 12' x 60' 6 0 6 4 6 4 18.5 INCH EXTRA LARGE 3. CONCRETE FOUNDATION PADS O A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARLITE WEIGHT CONCRETE. O B. PREFERRED PAD ORIENTATION WHERE EVER POSSIBLE 1S THAT THE LONG DIMENSION 'n V 1 W v L OF THE PAD BE PERPENDICULAR TO THE COACH BEAM (AS SHOWN ON THE PLAN). 14' x 60' 6 0 6 0 6 4 WITH HARDENED WASHER FOUNDATION PA 36' MAX 1/4' PLATE sr SOPS MIN 2x 16' x 60' 6 0 6 0 6 4 12' x 60' 6 4 6 4 6 6 Not to Scole NOT TO SCALE z N o 14' x 60' 8 0 8 4 1 6 6 16' x 60' 6 0 1 6 4 1 6 6 12 IN OVERSIZED 3/8'x3' FOR CHIPPING AND/OR FLANGED PLASTIC CORNER BREAKAGE ANCHOR INSERTS 3- 4' 5/8' x 1-3/8' FLANGED 5/8'x3• STAINLESS STEEL OR FLANGED PLASTIC PLASTICBANCHOR INSERT ANCHOR INSERTS 3.5' 4x4 -4x4 VVF 4 1•I 1 4x4 -4x4 VVF P. PRO PAD PRECAST PAD 30'x32'x3/4' PLYWOOD HOLES FOR 1/2' x 2 1/2' C.B. HOLES FOR 18'x24'x3/4•1/2'x2-1/2' C.B. PLYWOOD OD e CONNECTED WITH EIGHT 1-1/2'x.12b' NAILS OR 808x1-1/2' FHWS1' 4' 4' 4' 32' Q -PAD PLYWOOD PAD FOUNDATION PADS GENERAL NOTES: REVISIONS BY REFERENCE: CALIFORNIA CODE OF REGULATIONS. TITLE 25 AND U.B.C. 1994 EDITION. 05-02-03 1 YW 1. DESIGN LOADS SHALL BE CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED. 2. ALL FOOTING TO BE SUPPORTED BY FIRM, UNSATURATED, UNDISTURBED SOIL OR FILL COMPACTED TO 90% REL. COMPACTION. FOOTINGS ARE DESIGNED FOR 1000 PSF O• x Y PLATE 3' BEARING CAPACITY. THE BUILDING PAD SHOULD CONSIST OF ONE MATERIAL TYPE. 4 - 3/8' WHERE PARTIAL CONCRETE OR ASPHALT OCCUR BENEATH FOOTPRINT OF HOME, IT ^� 1. was �cY SHALL BE DEMOLISHED & REMOVED. � 3. STRUCTURAL STEEL: Cn at. SHALL CONFORM TO ASTM A36 Fy = 38 KSI MINIMUM. b. SHALL BE FABRICATED ACCORDING TO AISC SPECIFICATIONS. cf)Z0) c. SHALL BE WELDED ACCORDING TO AWS SPECIFICATIONS: 'z i.ELECTRODES: E70 li. PLATES: ASTM A36 1 N III. BOLTS: STANDARD ASTM A307 Iv. THREADED ROD: COLD DRAWN IOW CARBON WELDABLE r l a d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE w PROTECTIVE COATED. 1/4•x2'x4' 4. THE C.P. SEISMIC PIER SHAJLL BE LISTED AND LABELED BY CERTIFIED TESTING AND FOR THE FOLLOWING LOADS: w co CONSULTING SERVICES (CTC) e. LITERAL :X -LARGE PIER: 1907 LBS. ULT. LOAD LARGE PIER: 2423 LBS ULT. LOAD I -j z b. VERTICAL : 18000 IBS ULTIMATE LOAD �4 O 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED BUILDINGS CONSTRUCTED �i U WITH LONGITUDINAL OR CROSS JOISTS. T F{ 8. THIS FOUNDATION SYSTEM PIAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL v SITE WITH NO EXISTING SOIL PROBLEMS. SEE TITLE 25 SECTION 1334(b) a 7. STANDARD PIER & FOOTING SPACING PER COACH MANUFACTURER'S INSTALLATION QI, MANUAL. WITHOUT MANUAL, SPACING OF STANDARD PIERS TO BE DETERMINED BY STATE W U MOBILE HOMES PARK ACT. 4 - 3/8' BOLTS SEISMIC FOUNDATION PAD NOTES: z 1. FOUR FOUNDATION PADS ARE AVAILABLE FOR USE WITH THIS SYSTEM. THE '� CUSTOMER MAY CHOOSE ONE OF THE FOUR PADS FOR THEIR COACH. w 2. FDTN PADS SHALL BE PLACED ON FIRM, LEVEL UNDISTURBED SOIL (SEE GEN. NOTE 2) PIER PCA rXWALLAnON MANUAL 18.5 INCH EXTRA LARGE 3. CONCRETE FOUNDATION PADS O A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARLITE WEIGHT CONCRETE. O B. PREFERRED PAD ORIENTATION WHERE EVER POSSIBLE 1S THAT THE LONG DIMENSION 'n V 1 W v L OF THE PAD BE PERPENDICULAR TO THE COACH BEAM (AS SHOWN ON THE PLAN). C. WHERE FIELD CONDITIONS REQUIRE PAD ROTATION, NO MORE THAN HALF OF THE PADS IN A TRAVERSE LINE CAN BE ROTATED SO THAT THE LONG DIMENSION OF THE PADS ARE PARALLEL TO THE COACH BEAM. 4, PRESSURE TREATED FOUNDATION PAD A. 3/4 INCH A.P.A. 48/24 EXTERIOR P.S.I.-83 CC. PLUGGED. NER-QA397,PRP-108. COACH SIZE NOTES: 1. UNLESS APPROVED BY ROCK SOLID ENGINEERING. THE DISTANCE FROM THE BOTTOM OF THEFINISHED FLOOR TO THE HIGHEST POINT ON THS ROOF SHALL NOT EXCEED: A. 8 OR 10 FEET FOR SINGLE WIDES (SEE TABLE) B. 10 FEET FOR 20 FT WIDE COACHES C. 12 FEET FOR ALL OTHER DOUBLE WIDES LISTED ON PLAN D. 14 FEET FOR TRIPLE WIDES 2. FOR ANY COACH SIZE OTHER THAN AS SHOWN ON THIS PLAN OR REFERENCED ABOVE. LAYOUT SHALL. BE REVIEWED AND APPROVED BY ROCK SOLID ENGINEERING. INSPECTION REQUIREMENTS: I. THE DESIGN OF THIS SYSTEM IS BASED ON STANDARD MANUFACTURED HOMES AS BUILT BY THE MANUFACTURER. SITE BUILT ADDITIONS SUCH AS GARAGES AND SECONDARY ROOFS HAVE NOT BEEN INCLUDED IN THIS DESIGN. 2. ALL DIMENSIONS INCLUDED ON THIS PLAN, INCLUDING COACH SIZE, ROOF HEIGHT AND PIER HEIGHT. SHOULD BE FIELD VERIFIED BY THE LOCAL BUILDING OFFICIAL. ANY DISCREPENCIES SHOULD BE IMMEDIATELY BROUGHT TO THE ENGINEER'S ATTENTION. 3. THE BUILDING PAD SHOULD BE INSPECTED TO ENSURE THAT PROPER DRAINAGE PATTERNS HAVE BEEN ESTABLISHED IN ACCORDANCE WITH TITLE 25 & MANUFACTURER. EIAI4D/ACI Vtm ROME/M'OEEd EEOYI /OVNDATION ErtTEw - WLTe AMD SAFETY CODE. EBCTIOR LNSI AFf1DY® i. /DifR TO OORRCCrr01O NOTED AFFWOTALDOES NOT AOTRORM OR AMOYE ANY acamDFO OR VnUTLON FROM AEQUIRma" of APflJCA8LS STATE LAWS AMD REGULATIONS RO dpE6da • . 1» I B -ft ! Dwdq-d / k1 OS -)-1- COACH L 00 I'0 00 Ul 1 v n Eh OD CL. t(7 O (r) d a U) COACH 1 BEAMN,I QAOIESApy O• x Y PLATE 3' 4 - 3/8' 2 FIELD •DRILL HOLES ^� 1. was �cY � BOLT WITH VASHER E. NUT OPTION OFtK 111.rmAPPwJBaPe� - M cf)Z0) F§ T IN 4 f i N P P o STD PIPE 4 - tH TE% STS COACH C OR J BEAN r �� NO a JO V ' ! CO UN . cl N FOR THE 15 IN PIPE a <4 x. U 4 - 3/8• BOLTS TIGHTEN 1/4•x2'x4' 3' x 3' PLATE q� t�iLDiivG DEPART oFcpwl N FOR THE 18 IN PIPE 80 IN LBS ANGLE 3' VIDE E ' TUBE MUST EXTEMD 3' MIN IN i0 CLAMP a ♦i 3/ F1 -LAT TORQUE 3/16' PLATE W 04 4 P P R V F BASE HEIGHT ni U CLAMP 3/4' THREADED ROD 4 - 3/8' BOLTS SEISMIC a}�� cE UNE a atD. CTLLTSTS SUPPORT 7 INCH SMALL 11.5 INCH REGULAR 3/16' PLATE LEGS z PIER PCA rXWALLAnON MANUAL 18.5 INCH EXTRA LARGE DATE: 04-28-03 TYP OF 2 DRAWN: YMW JOB a: W03002B SHEET: 1 OF I SHEETS STEEL INSERT, 5/8'x1-1/2' BOLT OR PLASTIC INSERT, 5/8'x2-1/2' BOLT EISMIC PIER A ' WITH HARDENED WASHER FOUNDATION PA 36' MAX 1/4' PLATE SOPS MIN 2x SLOPE KM Q[ SEISMIC PIER TYPICAL BEAM PER Not to Scale INSTALLARAEOTION MANUAL C.P. SEISMIC PIERNI-PATENT #5595366 CONNECTION ELEVATION Not to Scole NOT TO SCALE 00 I'0 00 Ul 1 v n Eh OD CL. t(7 O (r) d a U) W E-' U Z � I --A O Ln cf)Z0) o 00 E- W O Q a <4 x. U 00 n 04 zz' E ' co rn C) W Lo W 04 W 00 Q4 W U t:�? Ci, •� W z O z DATE: 04-28-03 SCALE: AS SHOWN DRAWN: YMW JOB a: W03002B SHEET: 1 OF I SHEETS .... •--.......... �_... ..._. :... ... S6T�N Cl;e't (�a CA - .. .................... .......:.. ..............:......:.....:......:. :.. :... ..� ! ...... : 'L ECNANI AN MM A� �� .. ... .. .. .. .. ... .. .. .. I.ECTFiCA . L, . ... j' ;�: ; �. ............ .. .......... :.....:............................................... :.............:......: .. :..................:............:......:.....:..••..:......:.....;......:............... .. ... ....................... �T�tii,� NJ "�" "�riA�•L"��3t},�PL�•-w�Tk�a T �I'�jTP� .. .. P i<CE .)..,. :......:.....:......:......:.....:......:......:...........:......:.....:..._..:......_.....: ......_..:.....:......:.. b L N.,.:UI�...AN..._.............. ....�...... . .. ... .. 1 .:....:.. . ,,,....: : .. .. ........................... .. .. .. 1: ,. .. .... Q-G�1........ .... .. .. .. .. .. .. OVRHNSai� _�," I f L re ►J�� I �... E::�.....c: :.. _.•... _.. xm.... 1 ,. >.' t sJ..� xt �' ..:....:. ..:.. A D �i<"" L .a; V .. :ti ,•i, - - r t-744*4 cr v"r�� oI. A Fl EA/E .C)VE�Hi�C. ......... .. .� r E ' r�' 7b • <........R >......... ............ V D PPRO ..fxutte�.Coi Environ en ......:......i. .............. :............_.......... ........................... .. ..._ .. .. ... ...... .. .. — �E I a .I . - 1: a _ .ry Ld AEi e i L . . . . . . . . . . . . . . �.. .. ...... ...................... :...... .. ..... . . ... ... Ai : E . :.... .:...:... . ..�......S.�e:: r L� r i . . . :...... 1....... . P.:'F.�.... .. r r c 6 tj Vrri�Fl i__• :. .-i a., , .•3 c.. ..>. i}•:• I; ............. .. — !�urv. "�lia :. s . :� :.�. i ................... f'r... ... .. .. ... �: 1 ��s�ye� ... ..;r: :•�`• . ^i'• .i •,. N s.o!•I-SQ r.,... .. .. .. ... .. .. .. .. .. ..1..: - - a7 i.;.. .—_ ,� e� - . I. .. e:gna:ure . 3DatR : , - .. .E. , : : erg C11 ea. .. .. �r�, .a Q . 1 MAY: h" f' i• 1 YF C O ��.... .. ........... ................. .......... ..... ..... .... ... ....: .... tack !� : - .. �. ?....... ... ........... .. .. : S � ............ .................... Other V i P ; .... ..:...... asature:1.. E... Pa . .....1.:... .. A ... ... W4 .. �, l :o. .. . .. e . .. .. op :,a .. . ......:.. ..:........:....:....:.. ...... ............................................................................. . . . . .....:.. 44n' ` Assessor's Parcel Number. ® ® ® — Owner Name �--J'Ada- Address /Phone No 3L 001/0, ; Site Location Doe e3 Contact: Name ®© — V2 EI -12 Scale: 1" = Phone 1:� t acWba 23,2(X13 FOR OFFICE USE ONLY Zoning: General Plan Desig: ei I - Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: _ GEN PLAN: USES: SITE PLAN ---------- ............. ........... ....... . .............. ........ ...... 7 .................................. ....... ............. ...... ........... ................... ...... ............ ............. ...... ...... ...... ..................... ..................... ..................... . . . .. ..... . . ...... .. . . ..................... ..................... ...... ...... ..... ...... ...... ............. ..................... ..................... ........ ........ ............ ........................... ..................... .......... ....... ...... ...... ...... ...... ......... . ................... ...... 7 ...... 7* .... ....................... ............ ................... ............ .......... ...... ...... ...... ........................ .. ............. --; ...... ; ..... ...... .................... ............. ...... ...... . . . ...... ...... .......... ....... ...... ............... ... ............ ................... ........... ........ .... ...... A ...... ............ ............ ...... ...... ...... ............ ...... ............. ...... ............. .............. ...... * ...... ...... ...... I ...... ...... ............. ..................... ...... .. .......... . . . . . . ............. ............ ............. ...... ............. ...... ............ ...... ............ .................... ............ ............ ..... ....... I I ...... ........ . . . . . . . ..... ............. I .............. I ...... ...... ..... ............. ..................... .............. ...... ..... ......... ...... ........... .......... . ........... ............................. ............. ...... ...... ..................... ..................... ..................... ..................... ................. .............. : ...... ...... ...... ...... .............. : ...... .... ......... .... . .............. .. ..... ...... ............ ...... ............. ...... 7 ..... ...... 7 ............ ...... 7 ..... ...... ......... .. ...... ...... ...... ...... ..... ...... ............ ...... ...... ...... ...... ...... ...... ...... ...... ...... ...... ...... ..................................................................... ....................... ........ ...... 4o. ....... ...... ............. ...... ...... ...... z ...... ...... ...... ...... ...... ...... ...... ...... Z ...... ............ ...... ............. ...... ............. ............ ... .. I ....... : ...... f ................... ............. ............ ...... ...... ............ .......... ............ ...... ...... ............. ..................... ................... ........................................ ............ ............. ...... . ............ .......... .......... ........... ......... ........ ............. ...... ...... ...... ...... .............. .................... ................................... .................... 1 ..... .............. ...... .... ...... . ......... ...... ...... ...... ............. ...... ...... ...... ...... ...... ...... 7""': ...... 7 ..... ...... ..................... ----------- ...... ...... ...... ................................ ...... ..... . ..... ...... ..... . ..... ..................... . . ................. .... ............. ............................ ........... . o. 4-0 .............. ....... ............. ............. .................... ..................... ................. ...... ...... ..... ...... ...... ............ . ......... ... ...... ...... ...... .................... . . ......... ...... ............. 7 ..... ...... * ...... .................. . ........ ...... 7 ................. .............................................. ............. ...... ...... ...... ...... ...... ...... ...... z ...... ...... ...... ...... Z ...... ........................... i ...... .............................. ...... ........... ...... ...... ...... ...... ................... . ..... ...... ............. ...... ...... : ?4 ... ...... ... ..................... .2k. 14C ........................ ...................... ................... .................... ................... ................... ................ ............ ...... ...... ............ f ............................... ...... ...... ........ ......... ............. ....... I ............. ............ ..... ...... ....... ...... ............ ...... ...... ...... ...... ..... .... . .1 ............ ......... 7: ...... ....... .................... ..... . ...... ...... ...... ...... ............ ...... 7 ............ ...... ............ .................... ..................... ...... ...... ...... ...... ...... ...... ...... ...... ...... ...... ...... ............. ...... ...... z ...... ...... z ...... ............. * .................... ...... ...... ............ ............. ............. ...... ...... .................... ...... ...... ...... ............. ...... ............ ...... ...... ...... ............ ................... ................... ................... ...... ..... ...... ... . ...... ..... ...... ...... .............. ................................ ...... ............... .......... ............ .................... .......................... . .. . .... ..... ................................. ............. ..... W -'Ac ................. ,/!j ...... .................... ............. ...... ...... Z ...... ...... ...... ...... ...... ...... .............. I .... ...... ...... ...... ...... ............. ...... ...... ....... ............ I ri e— ............ ...... ............. . ....... ..................... ............. ...... ...... ...... ...... .......................... ............ ...... . ......... ........... . ........ ....... ...... ................ ................... .4� ....... .......... ...... ............ ...... ...... ...... ...... ...... ....... ............. ...... ...... ................... ...... .............. ............. ............. ...... ...... ...... ...... ...... ...... ............. ... .......... ...... ...... ...... * ...... ...... ............... ............. ............ ...... ...... ............ ...... ...... ...... ...... ...... ...... ................... Z ...... i ............. i ..................... ....... ............. ...... ............ ...... ............. ...... ...... ....... I ...... * ...... ................... ............. : ...... ...... ...... ...... : ...... ................... ...... ...... ...... ...... ...... .: ............. ..................... ..................... ............. . . . ....... .................. ...... 7 ...... : .............. ... ..... ...... ...... .... ...... ...... ...... ...... ...... ...... ...... ..... ..... ...... ...... ...... ...... ...... ...... ...... ................. . ..... ...... ..... ..... ...... ...... ................... . . .............. ...... ..... . ............ ...... ...... * ...... * ..... ...... ...... ...... ............ ...... ...... ...... ...... ............. ............ ...... ...... .. ..... ............ ............ ............. ............. ...... ............ ...... ...... ...... ..................... ..................... ...... ..... ...... ...... ...... ...... .............. . .............. ............. ...... ...... ...... ............ nj .... .............. ..................... ...... ...... ...... ..... ............. ............ ...... ...... ................... ...... ...... ...... .......... ............. ...... ..................... ...... ............. ............. . .... ............ ...... ....... ... . ..... ...... ...... ...... .......... .................... ................... ................ ...... ............ ............ ...... * ...... ...... ...... I ...... ...... ..... ............ ...... ...... ............ ...... ... **'.* ..... :,** 7 ....... ........ .. ...... ...... .................... ...... : ....... : ...... ..................... ........................... ........... ! ............. ...................... ...... ............. ..................... ................... .................... ...... ...... ..... . i . ...... ...... ..... ...... ...... : ..... .............. .... . ............ ............ ...... ...... * ............. ...... ............ ...... ............. ............ ...... .............. ...... ............................................................... ............................................ Assessor's Parcel Number. Id Owner Name Address / Phone No.i0e- e re Site Location C2 ,- Contact: Name =— f Q e. Phone eon, e--) OGtabmt 23.2003 . FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" v PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: pv v, SIT PLAN - , ! D S a I :� . fir•- - - t : ' � .. .. .. ... ....... .. .............._ .... _.......... ............. S 7 I i %6 - - - �-. - - - :.. - .. ... .. e r:.... •t P ►r ............. .. ......... . �. .. ... .... ._ ....... .. .... _ ... i . 1. .. .. ... �.............. .. _ ... ...... .. ... .... ....... ,. .. ............ ..... .. .. ... .. .. .. .. ;.. . . . . . . . .... ..:. 41. . . . . . . . . . . . . . . . . . . . . . shu�`o . ••S..i.. •f• .. 6.6 � .:. .. ......... ! � 1 1 :�.. 0 :.....:...... ...... ............:......i......:......;......:.....:......:......: ... .. .. .. .. .. ... .. ... .. .. .................................. ... .. .. ... .. _ _ ..:... .:' ':..... ... .. .. .. .. ............ .. .................... : : _.... i \/� ...i. .....:......:...................:...................:.... .. .. .. ... -. .. .. ............................................. ... .. .. .. .. .. .. ..:.. .:.. ..... ..::... ....................... ... .. .. 1 ... .. .. .. .. .. ... .. : .. .. .. .. .. .. .. .. .. .. ._ _ .. .. _ .. .. ...................... .. .........................I. ... .. ............ ........................ ... ... .. .. .. .. .. ... .. .. ._ .. .. ... .. .. ........... .. .. ... .. ... .. .. ...� ._ .. -. .- ... -. ............................. .. .. _ _ _ _ .. .. .. .- ... .. .. .I...: ... .. .. .. .. ... .. .. .. ... ......:......:.....;......:......:.....;.... .. ... _. ........ ;. ;.... i1 : .. .. .. .............. .. .. .. ...... .. .. .. .. .... .... ... .. .... I: ..................._............._...... ' ._........:.....:......:.... . ,.. .:. I... I. .. ............. C ,t� ti (l �i. �f a ala JdG / . ........I._.. I. j is i `S I e � i .. .. . . . .....:.. ..:....:....:. .:.. �:.. ............ : c 8 � f I I: .....<........... _............. ............ ...--............ •' _...................... ._ .. _. , .. .. ............ .. .._... ...................... .. .. — €................. .. ... _. .. .. .. ........... . ..... :.... .. I � � ems: .. .. .. .. .. _. .. .. .. .. �.. .. ... .. .. .. .. .. ............ .. .. .. ..Q...; •i • .a errs.. :. �zv1 fir,:... .�:.--�--... .. ..:....:.. .. ... .................................... �... I .:....:....:....:....:..:....: ;....;....:....,.. ��;.G.....e. �? �..I . d e c .. . 1 . . . . . . .,.,:..:.. ... .. ............ .. .. ........................... .. .. .. S•e;.. ....:. .. �... .. L. }�p r .. ... .. ... .. .... .. .. ... .. ... ............. .. .. .. .. .. .. ...................... .. .. C �j . 4�-� ; ..;......;. :o. Q e Assessor's Parcel Number. ® ® ® — Owner Name 6L.: /A !� 5 Address / Phone No s` Site Location _Do. e Contact: Namer" Scale: l" = Phone oaobw 23, Zo3 . FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: — GEN PLAN: USES: