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HomeMy WebLinkAbout063-180-014TOM HEN EGAIQ 63-18-/14 Forest Ranch Rd. .& Hwy 32, FR 063-180-014 - STEVENSON,ROBERT 15720 FOREST RANCH RD, FOREST RAN C ' p Cont: SKYCREST ENTERPRISES MH PERM FND REPLACEMENT ' 063-180-014 04-1989 STEVESON, ROBERT 15720 FOREST RANCH RD, FOREST RANCH Cont: GREENE ROOFING DEMO/SF f_ CLL �= 063-18_0-014 93=50 WATSON, RICHARD & LUANE 157.20. •FOREST `RANCH Wig--Exempt-ion Permt� FEED, FERTILIZER, -T00 �� 6=L,3/2004 14:17 5303429174 CHICO BLDG SYSTEMS PAGE 01 ENCROACHMENT PERMIT° gP County of Rutte Dep-ent of Public Works 7 Count Center Drive Oroville, CA 95965 Phong (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download lforats: www.butbooitttty.net)publicworks/forms.html i NOTIFY COUNTY 24 HOURS BFYORE WORK IS TO BE IDONE Permit Number District Phone 530 539-7157 Ext. 2016 y0 67C15 APPILICATION. . I .. WE, the undersigrted, hereby apply to the County of Butte for an enerodchment permit to do the following work undcr or over the County roads end hi h , Olin a=rdaacc with Coua ordinances and. enrol laws. All information except signature must be or le 'blv ratod. 1. Applicant's Name: } la. Compury Noma: e O 2. Address: t' 3. Phone: 4, AtseK s Parumber, �' f • Sf S. location of Work to be Don c f, � //• � � 6. Applicamt's Sibttaturc CONTRACTOR 99 INFORMATION B, Contractor's Name 9. Address t 10. rho n 11. Fax: 12. Connacior's License Nu G, / 13. Certificate of Insurance: Yes is No: ❑ 14. Contractor's iptatu 14L Date Signed: 15. Authorized Agent; TYPE OF WORK TO BE DONE 16. Please Cheek: Curb: a Gutter ❑ Sidowalk: ❑ 17. If Driveway List Type: t Ill. Caber Work - Describe: 19. Plans Attached; Yes "o PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (induding those on page 2 of W; permit rm) and special conditions written below. ocrtnission Is htftby g=tM, i 20. Conditions Underground Service AI .SA. roust be notified two working days ptior to aearatio 500-227-2600 219'All work shall conform to accompanying: • Detail R Plane © Special Conditions E( 22. Date Issued l f Q Z3. P..piretion Date:- I O� 24, lurety. 25. Date Pnid� Ataoaot Paid: 27. d By; 2ti. Ra clef No.: By; Jr pt a-� C!d -Z o Mike Crump, Director of Public Works By: 29. Final ins ion ate: 30. Inspected By: ; JwComplote - OK Completed —Not OK 'I �^ �' O For Ce Vr Additional Comments Attached vwoay 31.Comntents: L Note; If permits are faxed to any number besidrs (S30) 539-4336, they oon be delayed up to one wck. Page 1 of 2 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE j OROVILLE CA 95965 1111 III III I IIII I til 2004-0045075 11 III I II II IIII Recorded I REC FEE 10.00 Official Records I CONFORM 1.00 County Of I BUT I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant 1 Mark 11:11AM 26 -Jul -2004 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 2 INSTALLATION ON A FOUNDATION SYSTEM,v Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ROBERT H. STEVESON AND PATRICIA A. STEVESON TRUSTEES REAL PROPERTY OWNER/LESSOR MAILING ADDRESS FOREST RANCH BUTTE CA 95942 CITY COUNTY STATE ZIP 15720 FOREST RANCH RD. INSTALLATION MAILING ADDRESS, IF DIFFERENT FOREST RANCH BUTTE CA 95942 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS , SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1644 530 538-7541 , BUIL P ING IT TELEPHONE NUMBER i� SIG14A URE OF LOCAL AG OFFICIAL DATE COUSIN GAR HOMES ' DEALER NAME (if not a deale e, write "NONE") 91265 DEALER LICENSE NO. SKYLINE HOMES INC. 2004 3702 -CT MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 8V-70-0597-S-A/B 50'X 127 52'X 12' ULI556923/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 063-180-014 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD - PINK - Applicant GOLDENROD -Building Dept. Of/03/04 15:04 FAX 530 877 3443 Z003/003 Order No,.205725 EXHIBIT "ONE" PARCEL LOT fi,.AS SHOWN ON THAT CERTAIN MAP ENTITLED "FOREST RANCH SVBDIV1510N"TfiIOF CALIFORNIA, 0 OCTO ER 22, 1975, IN BOOD IN THE OFFicEbF THE COUNTY RECORDER OK 43 OF MAPS, AT , COUNTY, STA PAGE(S) 83, 84, 85 AND 86. PARCEL Imo: BEING SA PORTION OF T RANCH SU D O SIGN"SFIL DEN EDIN TO E O F CE OFT E COUNTYTHAT CERTAIN MAP I TLED FORE RECORDER OF BUTTE COUNTY, CALIFORNIA, 4N OCTOBER 22, 1975. IN BOOK 43 OF,MAP , PAGrm(S) 83, 84, 85 AND 86, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHWESTERLY CORNER OF SAID LOT 7 AND THE NORTHWESTERLY CORNER OF LOT 6 OF SAID MAP, WHICH POINT IS MARKED BY 3/4" IRON PIPE TAGGED L.S. 2843 AND WHICH POINT IS THE TRUE POINT OF BEGINNING FOR THIS DESCRIPTION; THENCE LEAVING THE TRUE POINT OF BEGINNING AND RUNNING SOUTH 79023'06" EAST A DISTANCE. OF 157.74 FEET THE SOUTHERLY LINE OF SAID LOT 7 AND THE NORTHERLY LINE OF SAID ALONG LOT 6 T A POINT, WHICH POINT IS THE SOUTHEASTERLY CORNER OF SAID LOT 7 AND THE NORTHEASTERLY CORNER OF SAID LOT 6, AND WHICH IS MARKED BY A 3/4" IRON PIPE TAGGED L.S. 2843; THENCE LEAVING THE SOUTHEASTERLY CORNER OF SAID LOT 7 AND THE NORTHEASTERLY CORNER OF SAID LOT 6 AND RUNNING'NORTH 18°36'06" EAT A DISTANCE OF 25.00 FEET ALONG THE EASTERLY LINE OF SAID LOT 7 AND RUNNING NORTH 75°21'52"WESTA DISTANCE OF' 159.30 FEET TO A POINT, WHICH POINT IS ON THE WESTERLY LINE OF SAID LOT wS THENCE SOUTH 7 TONG THE WESTERLY OFSAID LOTO THE TRUE POINT OF BEGINNING. AP #063-180-014 :!• �" i��i".���`.... �.� :tom. a c�....�.......,.-a�.��. c�...so soos..,aa es a -ter.., s ..r s _LU/2004 14:17 5303429174 CHICO BLDG SYSTEMS ENCROACHMENT PERMIT PAGE 01 oq-1b • M/H County of Butte Den hent of Public Works 7 Count Center Drive Oroville, CA 95965 Phona.(530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download f=orms: www.buttaco mty.net/puWicworks/Eorms.html Pngc 1 of 2 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 26 -Jul -2004 2004-0045075 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ROBERT H. STEVESON AND PATRICIA A. STEVESON TRUSTEES REAL PROPERTY OWNERILF.SSOR PO BOX 660 MAILING ADDRESS FOREST RANCH BUTTE CA 95942 CITY COUNTY STATE ZIP 15720 FOREST RANCH RD. INSTALLATION MAILING ADDRESS, IF DIFFERENT FOREST RANCH BUTTE CA 95942 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1644 _ 530 538-7541 BUILPING 99RNUT TELEPHONE NUMBER _ / a n i SIG14A01FLUCAEAG N OFFICIAL DATE COUSIN GAR ' HOMES DEALER NAME (if not a deal e, write "NONE") 91265 DEALER LICENSE NO. SKYLINE HOMES INC. 2004 3702 -CT MANUFACTURER'S NAME +DATE OF MANUFACTURE MODEL NAME NUMBER 8V-70-0597-S-A,B 50'X 127 52'X 12' ULI556923/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWIABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 063-180-014 HCD FORM 433(A) REV. 8/91 X5/0344 15:04 FAX 530 877 3443 0 003/003 Ordei No..205725: EXHIBIT "ONE" PARCEL LOT 6,, AS SHOWN ON THAT CERTAIN MAP ENTITLED "FOREST RANCH SUBDIVISION", FILED IN THE.OFFICE'OF THE COUNTY RECORDER OF BUTTE COUNTY, STATE OF CALIFORNIA, ON OCTOBER 22, 1975, IN BOOK 43 OF MAPS, AT PAGE(S) 83, 84, 85 AND 86. PARCEL 11. BEING A PORTION OF LOT 7, AS SHOWN ON THAT CERTAIN MAP ENTITLED "FOREST RANCH SUBDIVISION", FILED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, ON OCTOBER 22, 1975, IN BOOK 43 OF MAPS, PAGF(S) 83, 84, 85 AND 86, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHWESTERLY CORNER OF SAID LOT 7 AND THE NORTHWESTERLY CORNER OF LOT 6 OF SAID MAP, WHICH POINT IS MARKED BY 3/4" IRON PIPE TAGGED L.S. 2843 AND WHICH POINT IS THE TRUE POINT OF BEGINNING FOR THIS DESCRIPTION; THENCE LEAVING THE TRUE POINT OF BEGINNING AND RUNNING SOUTH 79023'05" EAST A DISTANCE OF 157.74 FEET ALONG THE SOUTHERLY LINE OF SAID LOT 7 AND THE NORTHERLY LINE OF SAID LOT 6 TO A POINT, WHICH POINT IS THE SOUTHEASTERLY CORNER OF SAID LOT 7 AND THE NORTHEASTERLY CORNER OF SAID LOT 6, AND WHICH IS MARKED BY A 3/4" IRON PIPE TAGGED L.S. 2843; THENCE LEAVING THE SOUTHEASTERLY CORNER OF SAID LOT 7 AND THE NORTHEASTERLY CORNER OF SAID LOT 6 AND RUNNING'NORTH 18036'06." EAT A DISTANCE OF 25.00 FEET ALONG THE EASTERLY LINE OF SAID LOT 7 AND RUNNING NORTH 75021'527WESTA DISTANCE OF 159.30 FEET TO A POINT, WHICH POINT IS ON THE WESTERLY LINE OF SAID L07 7; THENCS 017'22" OF 36.00 FEET WESTERLY L NETOFISAID LOT 7 TO THE RUE POINT OF EGINNI GONG THE. AP #063.180-014 :��a�'i"•���`.+`�: t�.G c�.r..�.... a.-a�.�-. s�.rse aooa. .,as os r�rr. : ..r .r j !.a.�.{�ti,'T. Safi x .+.yi9`' Y k•tliT �v`t !Ft tiqt���a,fli: =Yv4 K x{��r"�Ltt1' h� EA'4 �f�y7 .,s b s 7Mys q,;ii;?�a,444C 09" >' P '' �1. ro 1 d'Y `.i r r r `i!A•.�t� t trgr4jf J,¢,y Y'.. `� r A+k �5:, F,IiE.�lC4 xr^ �i��� 7a�t° 4iFtk���iji7 r,=�'"'1C�'��be 'k ci �.+�u r� u"''�IL.::3� 7�� (Lid � A S.• y� [ S r� ,� a�7'�E'.C'ii�br�Sh.,f �Zrx ' _^ IFOUNDATION� A% ar{s,4 •�,;' i3 x J rc ~f r, sy�� •s 3E .� � a�; fa siy .1 ,f ,C w+m: ', , r� -ee�,p �' F � ,t�'v',h ,r`�d •3.,,'�'�"'U y, �i ,x•, x .:P xBA,,.fiyy�'++eppkaF a`��•(tli.Y� t�: pw�.kr {j• rytk��jp�j g ` 9n,.�i'�T4t,A.f�ti o°xyit°F�xsd1 `i34""v•�* .iytr.�': '1*NYi�c. �Y t .. r sA4.'�+ 4.'tp"iw�C' t 'r+•. 46r�+,�. BUILDING PERMIT NUMBER: 04-1644 Address or location of unit: 15720 FOREST RANCH RD. FOREST RANCH CA. 95942 Legal Description of Real Property:" AP#: 063-180-014 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: ROBERT H. STEVESON AND PATRICIA A. STEVESON TRUSTEES Owner's address: PO BOX 660 FOREST RANCH CA. 95942 INSIGNIA OR HUD NUMBER: ULI556923/4 SERIAL NUMBER OR V.I.N.: 8V -70 -0597 -S -AB MANUFACTURER'S NAME: SKYLINE HOMES INC. YEAR: 2004 C� OFFICIAL APPROVING INSTALLATION: r DATE: PHONE: (530) 538-7541 H.C.D. 513C o�gSwOIT OFH���c c oQ ��l/1VIrY " 'SSATEOFtALIFORNIA' NUMBER: BUSINESS, TRANSPORTATION:AND HOUSING AGENCY DEPARTMENT OF HOUSINGAND COMMUNITY DEVELOPMENT 'DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN --\ ❑ `, `- `Jo� CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING }}� NUMBER OF L7 SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS 2 COMMERCIAL COACH: i OCCUPANCY GROUP 1 t MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: SKYLINE HOMES INC 90002 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: 1720 EAST BEAMER STREET `,WOODLAND CA $ 55, 753.50 (Stat (Street) (Zip) MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: TAESTBROOK 3702—CT 10 5/11/2004 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER'OR DATE OFTRANSFER: SKYCEST ENTERPRISES/COUSIN GARY'S HOMES TRANSFEREE DESIGNATION: 5/13/2004 91265 DEALER OR TRANSFEREE ADDRESS: 13468 HWY 99 E CHICO CA 95973 (Street) (City) (State) (Zip) INVENTORY CREDITOR NAME: TEXTRON FINANCIAL CORP INVENTORY CREDITOR ADDRESS: BOX 16520 ST LOU(Cty) $ MO 05 (Street) 6 e) (zip) SECTION (1b) MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT (INCHES) (INCHES) (POUNDS) 1 8V-70-0597—S—B UU 556923 600 144 19,016 2 8V-70-0597—S—A ULI 556924 624 144 21,007 TRANSPORTER NAME: ' BENNETT TRUCK TRANSPORT TRANSPORTER ADDRESS: i P.O. BOX 179 DURHAM CA 95938 (Street) (City) (State) (zip) ESTIMATION FOR UNIT DESCRIBED ABOVE: ! (NAME) GARY'S HOMES 13468 HWY 99 E CHICO CA 95973 (Street (street) (City) (State) (Zip) I certify under penalty of perjury under the laws of the State of California that the above facts are true and correct. Executed on �• / 1 ! i Q0 Lk at WOODLAf4D YOLO CA: Gate)(City) i (County) (State) SIGNATURE OF AUTHORIZED AGENT: DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE'INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER.; HCD 483.0 - Side 1 - (7/97) ~ STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND'COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS • REGISTRATION AND TITLING SECTION s unit is a STATEMENT OF FACTS Mobilehome 1:1 Commercial Coach 17 Floating Home :a (License) No,(s) Trade Name Serial No.(s) .he undersigned, hereby state that the unit.described above: -rovL.rl0� `fiant further agrees to indemnify and save harmless the Director of Housing and Comnun'!-. ,,elopment, State of California, and subsequent purchasers of said unit, for any loss =h?. suffer resulting from registration of the above-described unit in California. or f,:,T .;.:ance of a California certificate of title covering the same, certify under penalty o'f.perjury that the foregoing is true and correct, ec:.ited on /` o�� fJ�F at %ate)(City) (State' -.. ::ynature of each affjant F x ---.476.6 (Rev 11/86) Printed name of each affiant COc,lSin C ''pl -5 State 05/03/04 15:04 FAX 530 877 3443 RECORDING REQUESTED BY: Fidelity National Title of California ESOIOW No. 20572S -JW Tide Order No. OD20572S When Recorded Mail Document and Tax Statement To: Steveson Trust 236 W East Avenue #345 Chico, CA 95926 0002/003 ILII itl II I I ISI 111lf II I1 II II fill Il 2001--004aC-4G 1 Recorded Official Records CoBBUT EOf CANDACE J. GRINS Recorder ROSEMARY DICKSON Assistant 09:00RM 19 -Sep -2031 I WE FEE 10.00 I TAX 105.05 ( 1 i I I Cindy I Page 1 of 2 . APW- 063-180-1314-000 GRANT DEED SPACE A6OVE Tr115 LIM MM ne%.vnejen The undereignsd grentorls) declare(s) C/ Documentary transfer tax is $105.05 ' 1 X ) computed on full value of property conveyed, or . ( I computed on full value less value of liens or encumbrances remaining at time of sale, I I Unincorporated Area City of Forest Ranch . FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Edward Lee Harrison, A Married Man as his Sole and Separate Property hereby GRANT(S) to Robert H. Steveson and Patricia A. Steveson, Trustees of the Robert H..Steveson and Patricia A. Steveson Revocable 2001 Trust dated April 20, 2001 the following described real property in the Clty of Forest Ranch County of Butte, State of California: See Exhibit "One" attached hereto and made a part hereof for legal description DATED: September 13, 2001 STATE OF CALIFORNIA COUNTY OF /8 ✓A1 C'c/CiL/'�1�. ON „j / before me, Edward Lee Harrison e ! personally appeared E Lam• - , p-- .-'L- knov*A UP- (or proved to me on the basis of satisfactory evidence) to be the Derson(>s) whose name0r)AVare subscribed to the within instrument and acknowledged to me thatLRysheAhey executed the same ir(fiv'heritheol authorized capacityUft), and that by &hs;A air signature(a) on the instrument the person(is), or the entity upon behalf of which the person) acted, executed the Instrument. , Witness my hand and official seal. Signature NS70E11CGARRAN d mE COMM, at2seao4 G4 taralwPus,c.caoaA�nn b MRN COUMY N Mr own hep. Ape 29.2004 M MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -219 (Rev 7/96) GRANT DEED Description: Butte,CA Dont-roar.DocZD 2001.492961 Page: 1 of 2 order! Ed cogent: NOTES RESIDENTIAL PERMIT NO. _063-180-014 04-1644 STEVENSON', ROBERT 15720 FOREST RANCH RD, FOREST RANCH Cont: SKYCREST ENTERPRISES MH PERM FND REPLACEMENT ,THE HCD FORM 433A FOR THIS MH CANNOT BE QRECORDED UNTIL ONE.OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: }` (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). #.? (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE CpP�Y1,,v Address ZV VV GAS �] Meter By Date ` Z2 r ELECT Meter By Date ZZti� i -JOB FINALED (Date) Signature J=OK 0 = Not OK . = NotReadyable MISCELLANEOUS .-�• ' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 2. 1. Zoning Requirements -Setbacks -Easements Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/O -Concrete Carports; Windows -Doors 4. Water; Location -Test -Easement Needed (Sketch) i 8. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Siding; Nailing -Veneer -Stucco -Mesh 6. Gas; Location -Test -Wrap;-/ /" L -ft. / P Nat. or / /" L "ft./ P LPG 7. 7. Well Clearance & Disconnect Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements •- 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. '^ 10. Exits; Insp.-Sketch `y 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 140 -Vas; MH Test -Demand -Valve F it EI ricity; MH Test Co la/ ater; W Test 7/ r and Sewer Connected se Decals #'s with Office Date V U I Card B -11C -,,U I Date Card B-1 Date Card B-1 Date Card B-1 1 a / 4�AD 'S 5 69 Z -5'4- 3v -7o -o59 -TS -3a ( 11. MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric i 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 I 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 j 11. Light Niche 1 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable s = 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 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 20. Shower Pan; Test, First Floor -Tub Access Garage Fire Protection Framing -RC Channel 21. Test Tub & Shower, Second Floor -Tub Access Property Line Firewall & Openings 22. Gas Pipe; Sixe & Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 23. Fire Sprinkler; Test Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 59. 24. Fixture & Transformer Clearance -Ins. Protection 60. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 61. 26. Size Boxes & No. of Conductors Stapled 62. 27. Romex Installed Close to Edge of Studs & C.J. 63. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al FINAL (Plans) OK except #'s 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No Ext. Steps -Door & Sidelight Protection -Landings 32. Service -Riser Conductors & Ground Main Disconnect Smoke Detector 33. Equip. Clearances Panels-Motors-Mech. Equip. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 34. Clothes Closet Light -Shower Light -Spa Light Bedroom Exiting 35. Smoke Detector G.F.I. & Bath Fixtures & Tub Access -Spa 69. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 72. 36. A.C. Ducts Insulation & Support 73. 37. Vent Fan, Exhaust above insulation 74. 38. Condensate Drain & Overflow, Size & Grade 75. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 76. 40. Attic Access & Platform if Furnace in Attic Date Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Card B-1 Date Card B-1 Date Plb.; Elec. & Mech. Equip. Listed for Location 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 ❑ Yes _ 83. Following Instid./Drive 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-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING jgIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Streets Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE R PER 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, please contact this office immediately. (f ` C'40r c- 2% v --_ 1 !, 2 �2 ✓1 to 1 REV 10/92 t COUNTY OF BUTTE BUILDF49, (VISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street;; Chieo CA • (530) 891-2751 + 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE �J�r� co ✓1 � OWNER PERMIT NO. .a 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, t please contact this office immediately. €l rf: r REV 10/92 -k) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP0416" LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/07/2004 APN: 063-180-014-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Z1,4A Site Address: 15720 FOREST RANCH RD FRN Date:z2- Contractor: Map Index: Description: new mh perm fndn ex site (1292) 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 Owner: STEVESON ROBERT H 8r PATRICIA A REV to its issuance, also requires the applicant for such permit to file a TRUST signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section STEVESON ROBERT H & PATRICIA A 7000) of Division 3 of the Business and Professions Code) or that he or TRUSTEES she is exempt therefrom and the basis for the alleged exemption. Any PO BOX 660 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).): FOREST RANCH, CA 95942 ❑ 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, Applicant: STEVESON ROBERT H & PATRICIA A REV provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one TRUST 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 not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Contractor: SKYCREST ENTERPRISES COUSIN GARY'S HOMES Date: Owner: 13468 HWY 99 CHICO, CA 95973 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-342-2694 131 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit License #: 812930 is ssued. 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 Architect: insurance carrier and Polare: 3z; Engineer: ill.# Carrier:1. Zoe Policy #: ❑ 1 certify that in the performance of the work for which this permit is Total $ uare Ft: 0 S. F. 4 issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those provisi -;71l/ Date: Applicant'. WA I Failure to secure workers compensation coverage is unl and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as for in Section 3706 of the Labor O provided code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This p rmi is eb i u d u er a1 applicable provisions of the Butte County Code ?nry r 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.) Re o t' s d d 1 o w h es av een paid. ^ _/ XM Name: By Date: _ PERMIT EXPIRES ON: Date 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. ❑ Notification in accordance with Section 19827.5 of California Health 8 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 d u of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspecti o S. r Print Name: Signature: Date: Date: _ / /�y� i ❑ Owner Zr Contractor ❑ Agent for Owner ❑ Agent for Contractor (0 0 0 o' �0 lcti�-r'',c,App r 't BUTTE! COUNTY ° DEPARTMENT OF DEVELOPMENT SERVICES c BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTION#: OROVLLLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION APPLICANT NAME /' DOWNER Name qi,e�-'e d,H- '3reve 1 S & i --t Address /j-/7 Peri Cite _ L &Ire State Zip Phone �T, a / ? Fax E-mail APPLICANT NAME CONTRACTOR Name of K �i Address � g. Zip city / , Fax St� zip 5 ,3 Phone ,�_ Type Const. Fax � - /7el E-mail Map Book Lic. #g�o2T �D Cess APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICA T SIGNATURE X office use onl Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: UVtK I -UK SUBMITTAL REQUIREMENTS PERMIT NO. qBi(44 BIN # LOCATION AP# 121 el Property'Address Cross Street ;�7WORKER'S COMPENSATIO 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 ❑ 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: I ` 9 Bldg cg�el I SRA Receipt #: Sheriff SMIP Other IMBEF ._.qbt,,"ft* I K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 -of 2 ` - I REV 4-30-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT 7LICATION D TA SHEET /� OWNER: 5SE S C L NUMB " O _6 Proposed BuildingU aff amo a r eehnician: Date: Items required in order to apply for a permit.- All boxes MUST be checked OR marked NA in Per to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. 7. Statement of IntentVfNn-h ated and A/C for Non-Resid tial Buildings. 8. Manufactured homata sheets and installation in�rriage line info, (C) Floor PI own or fnd plans, all in duplicate. _C:� ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings i.# ❑ 13. Detached Accessory Building Form filled out by the owner �❑,,, / 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department inOChico ❑ Oroville, as applicable. O 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 ........................................... ........ 2-07 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 FoA-B)Parking: plan approval ❑ paid. Sent by: Use:24. Planning approval (A) (C) Parcel Check: 0 �� fID 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES 0 Form.......................:..........................................64 27. Encroachment Permit for driveway from the Public Works Dept.d.�... ❑ 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................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. .❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing iolation�d/o expired permits......................................................... ❑ 36. estrictio .. ...... �.�........................................................ ..... ,1 ❑ 3 Grant Dee . . Title/Statement of Facts, ❑Letter from Legal Owne , Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: al When issued Telephone T104 and hold for pickup. I have been,informed of the abo/ items and requiremen s for obtaining a building permit. Date: application for the abpoitems numbered: -z.6gpmona tems requirea Contractor, signer, owner, was advised of the above data b Er phone, ❑ Nail, ❑ counter, b t Date:' III JUJ � designer, owner, was advised of the above d tab ❑ phone, ❑ mail, ❑ coun y ` Date: �` Plans reviewed by: (YAC, Date: •23• Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Plan Yellow: Building Division TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance l-*Zd E ONLY Piot Plea AMac hed�-- Glooa Plan Ansched� Sana to B.D. 6-�-� If Owner Location AP# Plan Approved for: Sewage Disposal r Water Supply: Public Private Well " Clearance for dwelling. Other final for: I Final -clearance O.K. for: NOTE: /,-� , � xo�— Environmental Health Specialist 8/96 Date ti ICOUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A.P. # PROPROSED BUILDING USE DATE ' RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... -- Revised Plan Checking Fee.... HOOL DISTRIC FEES 3. rERIF EES (pai at Building Div qT' Residential......... nits X nits Commercial (sq. ftg.)..... Sq.Ftg. 4. URBAN AREA FEES ble after Plan Check) S n) $360.00 =$ X $0.03 = $ rtl� (paid at Building Division) Residential (per unit)..... X = $ rr umis Am[. Commercial (Sq. Ftg.).... X Sq. Ftg. t. 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 F)EW (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was atsed the above fees are required to be paid prior- to issuance of the permit. These fees may btrchairg�during the plan the ting process. APPLICA� 4///1� �.✓/ DATE Pursuapf to Govemment Code Section 66026, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have f2jAyslrom the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) BUTTE COUI School District ` t A.P. Number 063-190- Property 63")9V Property Owner K4i o6 r Property Location/Address Subdivision SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) V Jurisdiction: ' = City Residential Development ©� No of Living Mobile Home �,I t Units Installation V Commercial/Industrial Q Q New Addition Department Representative Bulkling Department No. c�41 4Y =E!5County ' ic.io,. -�ue lT�-A ,res vL CLn " Lot No. ............................................................. :...................................... "�(� Q Sq. Footage ((� Addition/ Supplemental to d ti (Grou R) Conversion Permit # '(No foundation Inspection) ..............................................................................................._...,sa Deed Restricted Footage .� (Attach a signed copy of Deed Restriction and Notice of Limited ' se Facility. document) //�.Eoota / �(R (Including F_xterior Roofed Areas) lip ��._ Date i District Identification No. Q-5 6o t L(5� School District certifies that ��� ���4 rl �An 'eu (Applicant) „ (Street Address) /% (Phone Number) (City) , ! (State) (Zip Code) r' has complied with the requirements of Resolution No. "� �' �T by payment of $ representing J to �Q square feet. 2926 FULL MMGATION $ 42 21 School District Representative j i. Date Paid by Check # Remarks: w I No&@: You may protest the Imposition of the fess ldentlfied above by submitting a written protest to the District. In ca. lane with w. Govemmnerrt Code Section 66020(x), within 80 days from the date hes an paid. Failure to submit a timely written protest wlll'prohlblt you from challenging the Imposition of the hes In any court action. N, subsegwnt to the School District Represents&* signing this Butte County Sctrools Impact Fee C*Mftatlon Form, the School Dletrtet is r ON by the applicable Local Planning Agency that this project Is being reviewed under the California Envimmie Ral Qudlly Act (CEQA), Oft project may be subject to addNlonal school fees to fully mltipste.He Impact on the district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.Ws 00/031dmm ME �. Y BUTTE COU1#TY PARKS DEVELOPMENT FEE CERTIFICATION FORK CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Number(s) Property Owner �' �� � (� � 4 --LQ � Project Location/Address�� Subdivision Residential Development: (check one) Lot Number(s) New Development _Alteration/Addition Total Number of Dwelling Units Comment: /l 4", /, 1,c p41, `Building Departmet Representative Date yt�ryt tk Yr tk yt,r 7k �k tk �r �k yr �k Y�r YY � Yr yr Yr yt yt yt Yr yr yr Yr Y�r Yr Yr wr rt Yr tk rtik * Mr � � Yr Ylr �r 9r 7k 9r 7k rot �k �k Y�r �r ik � Yr yr Yir ik �r * �� � yt 9r yr Yt yr tk tk 7ArYt�r Chico Area Recreation and Park District(CARD) certifies that (Applicant Name) (Phone Number (Street Address) (City) (State) (Zip Cod has complied with the requirements of Butte Co. Resolution No. payment for dwelling units @ $1,189 for total payment of $_ Mobilehome(s) Non -Residential MO to Residential i CARD Representative Difte PAID BY CHECK N0. BANK N0. PAID BY CASH RECEIPT N0. 90-140 by A REMARKS: � 1 Distribution: White --Applicant Pink --CARD park.iec (form revised 11/90) [s Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. O�VWTMeNT �c �UTTF ;j c o �lJ o o - O C \ O O \AC�UNI vetic WO�� .el Department C o u n t 1 i. ►vucnael grump, uirector Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) :Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement , [LESS THAN 1 ACREI Project Description: 6���y� �IllieD A/ " _r_1 Project Location and/or Parcel Number:�lpl? 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 ap11 ply 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 Stonn Water Management Program Revised 5/24/04 �C_ Building Permit Number: 0 q —((p TT Owner Name: 5 }- V P,y�Spn 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. s Page 2of 2 Building Permit Number: Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of �b feet from the side and � feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. M.H.1. -.2 .. ... ;M0B1LEHO INST ELATION DATA 1 . Owner's Name: ROBERT & PATRICL4 STEVENSON 2 . Assessor's Parcel Number: 063-180-014 3 . Installer's Name: SKYCREST ENTERPRISES,;:: 4 . Is the site currently under permit? Yes [ X' ] No [ ] Permit No. 5 . is the site an existing site: Yes [ J f:No.. [ ] (If yes, furnish two plot plans). 6-- What is the electrical,rating of the mobilehome? 100 Amperes;. 7 . What is the mobilehome site circuit breaker rating? 100 Amperes;': 8 . What is the electrical'.rating of the mobilehome site? ' 200 Amperes.' 9 . Is the main service: remote from the mobilehome site.. Yes [ ] No [X]; If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage, etc.)? Yes [ ] No [ X.] If yes, please identify the load-and size: a) The mobilehome site: Load - Amperes - b) The main service: Load - ? Amperes - I 1 . Type of gas service *at mobilehome site: Natural[ ] Propane [ X ] None [ ] 12 . Size of gas pipe agile' mobilehome site from the,meter or tank: 3/4 inches. 13 . What is the gas pipe-length from the meter or tank toy the mobilehome? e..20 (ft.) 14 . What is the mobilehome gas demand? BTU.* *(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 PERMTT APPLICATION BUTTE COUNT' .-IUILDING DEi', RTMI�,.�,. Mobilehome Manufacturer: SKYLINE, Manufacture Year If other than single wide, furnish Setup Model Number- 3702CT Width: 24' (ft.) Length: 50752' (ft.) Tag4l'ong 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[ ] Other: —ABS - SUPPORTS: Concrete block [X] Other: Provide Tie Down Specifications for all Mobilehomes:. i Line 1 Piers: Size minimum: Spacing maximum: From ends -maximum: Line 2 Piers: Size minimum: Spacing maximum: From ends -maximum: Line 3 Roof Loads: Size minimum: Location (from rear): Line 3 Roof Loads: Size minimum: . Location (from rear): Line 1 Openings: x Size minimum: [24] x [24] " Each side of openings with width over: 4' 0' Line 4 Piers: [24x241 Size minimum:]XI I 6' 0" • Spacing maximum: " 2' 0" From ends -maximum: " 24x24 24x24 I 24x24 15'10" 1 21'4" 1 35'4" 1CAUILUIP"A Ind -- 3702CT 20# STB FNDTN.XLS P Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line Line Line ..............:..:..........................I............................................... Line Line 2 Maw Beams .............................................:......... line 2 Line I Ime 3 ............................................................................................ Line Main Beams ........................................................................................ Line 2 line ................... .......................... I lines Tag or Triple ................................. ......... ..[ Line 4 Line 1 Line 1 Piers: Size minimum: Spacing maximum: From ends -maximum: Line 2 Piers: Size minimum: Spacing maximum: From ends -maximum: Line 3 Roof Loads: Size minimum: Location (from rear): Line 3 Roof Loads: Size minimum: . Location (from rear): Line 1 Openings: x Size minimum: [24] x [24] " Each side of openings with width over: 4' 0' Line 4 Piers: [24x241 Size minimum:]XI I 6' 0" • Spacing maximum: " 2' 0" From ends -maximum: " 24x24 24x24 I 24x24 15'10" 1 21'4" 1 35'4" 1CAUILUIP"A Ind -- 3702CT 20# STB FNDTN.XLS P m c Lui 169 ez's BUTTE COON f -y IIIADING DEPARTM F.?tW.' TOTAL P.01 Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 SECTION INTRODUCTION GENERAL INSTALLATION PARTS LIST LONGITUDINAL DEVICES PIER HEIGHTS SET-UP INSTRUCTIONS INDEX PAGE NUMBER 2 3 4&5 6 7 8 FOOTER SIZES 9/2/03 WIND ZONE I - SINGLE 9 - DOUBLE 10 - TRIPLE 11 - HIGH PIER 12 WIND ZONE II - SINGLE 13 - DOUBLE 14 - TRIPLE 15 V -DRIVE & PIER SYSTEMS SDIL CLASSIFICATION CONCRETE INSTALLATION RELEASE DATE 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 . BPi Tm Approval WMWACM00ROMINODURRONS FOUNDAMON SYSTBM HB IM AM SMVff CODS, 88ttYiM Mn A M r Ta CORRe 0m AVPWVAL V= Mn AUTHOR1W M APP'RM AM " IONS Olt M IATiON FROM REQwRam" AffUCASW STATS LAWS AND REGULATIM &aftofCaffantS and car Dwd0p " CAr�asrArm wr�-Yw / 9 FAC&5 9/2/03 9/2/03 9/2/03, 9/2/03 9/2/03 9/2/03 9/2/03 16 9/2/03 17 9/2/03 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST -lUI DING DEPART ' P R N TIE DOWN ENGINEERING • 5901 ---- - /I -lUI DING DEPART ' P R N Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. Page 2 California 9/2/03 GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE - TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. (Xiscm Page 3 California 9/2/03 Vector Dynamics Foundation Systems Lateral Component Parts List Vector System Lateral Stabilization Block Pads #59018 - 2 sq. ft. single/double block pads with hardware, swivel straps and slotted bolts Vector System Lateral Stabilization for Concrete # 59036 - Single (only) block pads with hardware, swivel straps and slotted bolts. # 59049 - Double block pads with hardware, swivel straps and slotted bolts. Vector System Lateral Stabilization For Difficult/Rocky Soils # 59287 - V Drive System Must be used with: # 59018 - Vector for single/double block pads 3 Sq. Ft. Pad Vector System # 59271 - Vector 3 sq. ft. pad (2 required) # 59024 -Vector Lateral Hardware Kit, includes PVC adapter. Strap/Swivel Strap Connectors & slotted bolts not included. Page 4 California 9/2/03 Vector Dynamics Foundation Systems Longitudinal Component Parts List : Longitudinal Stabilization Hardware Kit # 10733 --(for use with 59018 Vector System, single stack block sets only. Longitudinal struts not included) Longitudinal Stabilization Hardware Kit for Concrete # 59023 - Includes 2 beam clamps, tension brackets, nuts and bolts. (for use with #59036 & 59049, longitudinal struts not included) 3 Sq. Ft. Pad Vector Longitudinal System, # 59026 - Includes 2 beam clamps, 2 tension brackets, nuts & bolts. (for use with #59271, longitudinal struts not included) Struts for Longitudinal Systems Part No. Length Pier Height # 59016 30" up to 2 Blocks # 59012 39" up to 3 Blocks # 59013 44" up to 4 Blocks # 59014 53" up to 5 Blocks # 59015 65" up to 6 Blocks PVC Adapter Bracket # 59281 - For use with Schd 40 PVC Center Compression Strut # 48612 - Single Section, 62"- 108" # 48613 - Double Section, 34"- 60" (includes short u -bolts, nuts, washers and 6 self taping screws) v/ooze Page 5 California 9/2/03 C Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces • longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. LSD Combine Vector Dynamics Examples of Possible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section I I I I I I I I I I I I I I I I I I I I I I I I Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Page 6 -------- Wind Zone I Triple Section Wind Zone I Tag Section 9 48 Ft. Max. California 9/2/03 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 in max. Unequal Pier Heights 4aximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". Page 7 California 9/2/03 Set -Up Instructions for Vector System #59018 Long U -Bolts o 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. California 9/2/03 Note: L.S.D.=Longitudinal - Stabilization Device See Page 6. w 0 w' WIND ZONE I �2 sq. ft. pad Soil, Classif icatio ns: Soil Bearing -Capacity Anchors Required: ' o.cXyP NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be 2, 3, 4A, & 46 consistent with home manufacturers' instructions and/or state requirements. 1,000 PSF minimum 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties Home Length Vector Systems Anchors Required . Required_ Per Side or 24" Pier 24+" Piers L.S.D. 0 -to 72' 3 2 3. 2 73' to 90' 4 WIND ZONE I, SEISMIC ZONE 4 4 2 Vector Dynamics Systems Required for Single Section Homes (Materials Required) dion vome - - , _ fit sin9� _ I , ?2 i ' , \ •� a M ��:1£�£3-'���' I \ f _ s a• y$ <. Sa - � 1 — — ' ^ Y sr•`.,a��x��7s� � u<� r tom"°' _ '�"� �x ��: �31� Note: L.S.D.=Longitudinal - Stabilization Device See Page 6. w 0 w' WIND ZONE I �2 sq. ft. pad Soil, Classif icatio ns: Soil Bearing -Capacity Anchors Required: ' o.cXyP NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be 2, 3, 4A, & 46 consistent with home manufacturers' instructions and/or state requirements. 1,000 PSF minimum 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties Home Length Vector Systems Anchors Required . Required_ Per Side or 24" Pier 24+" Piers L.S.D. 0 -to 72' 3 2 3. 2 73' to 90' 4 3 4 2 Each Vector System requires one of the following - 1 -4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) V P0 cc CO WIND ZONE I, SEISMIC ZONE 4 Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41 ' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' 5 Vector Dynamics Systems Required for 4 _ - - ' ♦ \ Double Section Homes _ _ (Materials Required) " , - " " , , e h°m- I \ . -- - - sed e°tion ' - ," d°uti ,- ,\\\♦ \ , et#z Mkt 3 � ♦ .. „�i ♦ � S� � � � � 4, A T,3 . �.i oar;.``.. 'I ll v... NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. No anchors required. For pier heights up to 46" for WIND ZONE 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad Soil Classifications: Soil Bearing Capacity Anchors Required': 2, 3, 4A, & 40 1,000 PSF minimum None ('Marriage wall anchors may be required by home manufacturer)z Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41 ' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' 5 0 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. WIND ZONE I,, SEISMIC ZONE 4 ,.-' Gt�0 \10me ems , `♦♦ `\\\ Vector Dynamics Systems Required for , , , , ' " a �6 �; pacing o� vector, Triple Section Domes " - - - mP�e o eneca (Materials Required) ws 9 ` \\Wstitat� iia ♦ � \ � ..�� 53 °$��i't€tel ,� � � � �' ; ' I m d¢b} ♦ z ♦1A 4 .� <� r I s % ♦ t LIC ) /41 NOTE: CD When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home C-) manufacturers' instructions and/or state requirements. w 0 WIND ZONE I 2 sq.'ft. pad 2 sq. ft. pad Tag ori• full triple Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity:1,000 PSF minimum Anchors Required*: None (*Marriage wall anchors may be required by home manufacturer.) Home Length Vector Systems Required , Anchors Required Per Side LSD Main TAG Oto 48' 2+2 on Tag 0 2 1 49'to71 3+2 on Tag 0 2 1 72' to 84' 4+ 2 on Tag 0 2 2 85'to90' 5+2onTag 0 2 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) -D CJ cc CDj Na WIND ZONE I, SEISMIC ZONE 4 (High Pier Sets) Vector Dynamics Systems Required for i Double Section Homes (High Pier Sets with Diagonal Ties) , _ - _ - " home - ' Sectio - ' - 2doub1e - i amp i i NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. 0 w' WIND ZONE I Max. Height Unit Width See Page 7 CD (Spacln9 ,1 R2 sq. ft. pad/ ■ 45' Min. 0to48' 2 2 2 49' to 71' 3 3 3 72' to 84' 4 4 4 85' to 90' 5 5 4 Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required": 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292) 1-1/4" frame tie with connector Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) w cc CD w t WIND ZONE 11 I (not to scale) Soil Classifications: - 2,3, 4A & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required`: 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required -Anchors Equired per side LSD WIND ZONE 11, SEISMIC ZONE 4 (Hurricane) 3 1 \ ' Vector Dynamics Systems Required for 5 6 2 Single Section Homes 6 7 I , (High Pier Sets with Diagonal. Ties) 7 I 2 I e se6or o s1s a� sa\ g\3\de\\nes t u 8 9 fi -�2 ft\S� agkn9 \Or S a\\ation sp I I -' - , o gen ra me\n e e to h° %XampshoW s must be \\Wstcand spac�ng dation Pads w cc CD w t WIND ZONE 11 I (not to scale) Soil Classifications: - 2,3, 4A & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required`: 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required -Anchors Equired per side LSD 0 to 48' 3 5 2 49' to 60' 5 6 2 61" to 72' 6 7 2 73' to 84' 7 8 2 85' to 90' 8 9 2 zn �,ryp. P. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. Each Vector System requires one of the following: �2 sq. ft. pad 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) w c0 CD C') w K 0 0 w WIND ZONE 11, SEISMIC ZONE 4 -'"""" me Vector Dynamics Systems Required for , _ - - " - rtion ho stems• �de\ines 1 Double Section Homes _ _ , - - ' " " " fit d°ub�e for v 11at °n manUa\ g" of a l Zera� spa o e insta - - EXamp`S olds gen be tO h m E s NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. Soil Classifications: Soil Bearing Capacity: Anchors Required*: 2,3, 4A & 4B 1,000 PSF minimum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min Home Length Anchors Equired per side Vector Systems Required LSD 0 to 48' 4 4 3 49' to 60' 5 5 3 61" to 72' 6 6 3 73' to 84' 7 7 4 85' to 90' 8 8 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) breaking strength. NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. co CD NOTE: Vector Systems should be spaced as U? symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. w K 0 0 Iv cD 0 CA.) Tag ori: Soil Classifications: 2, 3, 4A, & 4B fUII triple Soil Bearing Capacity: •1,000 PSF minimum Anchors Required': 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertical ties w//4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side . - LSD Main TAG 0to48' WIND ZONE 11,SEISMIC ZONE 4 2 1. I\ Vector Dynamics Systems Required for ' - h° 2 72' to 84' Triple Section Homes 7 - - - - - - ' ctto� yscems' ma�tn9 or Vec�°r' 2 85' to 90' .. (Materials Required) , _ - - - ' - - ?� fi 2 \. . , _ _ _ sP ; , -1PFj, tnP�e os gen _ _ _� - EXa show � rt ����:, 3> P . ♦ \ � � ♦ \ ♦ \ �` . I \ \ � • �; � ♦ I \ \ n I . N\ustratro - , � � � \ �, - f z ♦ , �— Z � ,�' j rs mss.. �� x AA NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. co CD NOTE: Vector Systems should be spaced as U? symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. w K 0 0 Iv cD 0 CA.) Tag ori: Soil Classifications: 2, 3, 4A, & 4B fUII triple Soil Bearing Capacity: •1,000 PSF minimum Anchors Required': 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertical ties w//4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side . - LSD Main TAG 0to48' 3:+2onTag 4 2 1. 49'to71' 4+2onTag 6 3 2 72' to 84' 4+ 3 on Tag 7 3 2 85' to 90' 5+ 3 on Tag 8 3 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) 2 sq. ft. pad 2 sq. ft. pad Vector Dynamics Metal Pier & V -Drive Installation METAL PIER FOUNDATIONS For metal piers, place the piers in the center of the Vector pads. Set the single 44 or two 2x4's through the piers, centered in the U - bolts. Outside Tension brackets attach the same, Inside tie brackets mount "upside down" as shown in drawing. Metal piers using the Vector System can only be used on level ground sets. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. To cut lumber (2 - 2x4's or 1 - 44 per, or 1 adjustable steel commpression member, part.#59043 Vector system) for the center com- pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16". Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. V -Drive System for rocky soil conditions V -Drive anchors are used on/v in Zone 1, single section homes. V -Drive anchors are used only in Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to be installed. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45, degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bolt. Cut the strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight. r Page 16 California OC42/03 VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs -.in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: 16x16 = 256 sq. in. = -_ 20x20 = 400 sq. in. or 1 6x1 8 = 288 sq. in. or 17x25=425 sq. in. EQUALS - EQUALS 2 -Vector Pads # 59275 - 1 -Vector Pad # 59271 288 sq. in. or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent listed above. *Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Engineer familiar with site conditons WK XZ Page 17 California 9/2/03 Vector Dynamics System for Concrete Applications Instructions These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" round (min) x 10" deep. The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be sufficiently cured and set to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (galv. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1 adjustable steel commpression member, part #59043 this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Illustration One of a Single Section Set -Up Vector pa for concret( footer Page 18 California Wood Cap and wedge Outside Tension Bracket Wedge Bolt �Xomml 9/2/03 Vector Dynamics System for Concrete, Applications Instructions 9. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 17. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration Two µ - Vector pad fie' for 0 concrete Inside Tie Bracket 1 Concrete Compression footer boards or PVC Pipe U -bolt �. Page 19 California 9/2/03 ` CDF FIRE SAFE REQUIREMENTS 063-180-014 'BP -044644 Stevenson AP#PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These -requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte -County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail -ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. 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. k 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. CQF FIRE SAFE REQUIREMENTS 063-180-014 BP -04-1644 Stevenson AP# . PERMIT # NAME t . Fuel Modification- . , 1276.01 Setback for Structure Defensible Space pq 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/ofthe 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. t F Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof Enclosed Eaves y . [ ] If Building Setback is Less Than 15 Feet —'Class A or 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 Date Signature 2 i 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.neAdds PERMIT NO. BP041989 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with. Section 7000) of Division 3 of Issued Date: 07/07/2004 APN: 063-180-014-000 the Business and Professions Code, and my license is in full force and effect. —I License Class :0, License Number: Site Address: 15720 FOREST RANCH RD FRN Date: Contractor: Map Index: Description: DEMO SF 726 P 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 STEVESON ROBERT H 8r PATRICIA A REV permit to construct, alter, improve, demolish, or repair any structure, prior Owner: to its issuance, also requires the applicant for such permit to file a TRUST signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section STEVESON ROBERT H 8r.PATRICIA A 7000) of Division 3 of the Business and Professions Code) or that he or TRUSTEES she is exempt therefrom and the basis for the alleged exemption. Any PO BOX 660 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).): FOREST RANCH, CA 95942 ❑ 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, Applicant: STEVESON ROBERT H & PATRICIA A REV PP provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one TRUST 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.). ❑ I am Exempt under Article 3 of the Business and Professions Code Contractor: SKYCREST ENTERPRISES COUSIN GARY'S HOMES Date: Owner: 13468 HWY 99 CHICO, CA 95973 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-342-2694 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit License #: 812930 sued. 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 Architect: insurance carrier and po' number are: Engineer: Carrier: Policy #: zo ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those pr visions. Date: —7/,1. Appli WAR Failure to secure workers' compensation coverage is uni and shall subject an employer to criminal penalties and one hu red thousand dollars ($100,000), in addition to the cost of compensation, damages s provided for in Section 3706 of the Labor code, interest, and attorney's fees. ,/ ` �75' CONSTRUCTION LENDING AGENCY _ This p i s here i si/Ie un er a appp is le provisions of the Butte County Code ?nd/or I hereby affirm that there is a construction lending agency for the Res I io to do o c ' fd' a /fo w is fe ha a been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) e4 Name: By: Date:1/7 PERMIT EXPIRES ON: :71716-S Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 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. 1 hereby authorize representatives of Butte Co my to enter upon the above mentioned property for inspectio oses. Print Na /• �/L/ Signature: Date: 0 OwnerCJS ontractor 0 Agent for Owner ❑ Agent for Contractor Co v3 G �v� � ��� � �� % � �� f-� ' G� 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 REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" APPLICANT 14ME CONTRACTOR Name City Addres City Fax State Zip Phone Type Const. Fax E-mail Map Book Lic. # Class APPLICANT 14ME CHITECT/ENGINEER Name City Address City Fax State Zip Phone Type Const. Fax E-mailState Map Book License Number APPLICANT 14ME Name Address City State Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS U K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 BIN # LOCATION API O /„y l 0/ P 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 s n or pe -P_ 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 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. :eived by: Amount: J ' Bldg A—, SRA :eipt #: � Sheriff SMIP Other Tnfal REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPERI ❑ 2. 3 Complete sets of plans, signed by the preparer. -NO GRAPH PAPER! OR 3 Sets Engineered plans'(if required) with wet signature on'plans AND 2 sets of stamped and signed `ti calculations.- • 1\1 • ti • I ' I . " ,1-.. � ` • `. `, ❑ 3. l -2 Engineered truss details acid layouts (if requiied)�(NO,FAXES!).' ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. r \ ❑ 4. 2 Floor plan's. , ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. .. Letter.of-intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. f c If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541: OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 SHEET OF BUTTE COUNTY PROPERTY RECORD NAME NAME sy-�Ueson l2r,% t- Par; u Assessment Fee Number SITUS bLUUNUAKY BASE SECTION ZONING City ❑ County 0-1 Assessment Year 206 20 20 120 20 20 UTILITIES -SITE IMPS. Date Size: Land Electricity: Yes Telephone [ Appraiser Description* ;SP , �; , ^ L _Ij Structural Imps. Gas: Public ❑ LPG ®' None ❑ Use Code S Sanitary Swr: Public ❑ Indiv. -.a Dwelling Units Fixtures Street: Conc. ❑ Asph. [0 -Dirt ❑ Gravel. ❑ Building Class Street Lights: Yes ❑ No E2 Bedrooms / C & G: Yes ❑ No p Baths / Sidewalks: Yes ❑ No p Effective Year / SITE TOPOGRAPHY Area of Residence 7� (, Level ❑ Rolling Ej�j' Other ❑ Car Shelter Yes [D No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes[:] No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Slopes: Up Down ❑ S -S ❑ Misc. Buildings Grade: At Q Above ['0 Below ❑ View: ❑ Pool Yes ❑ No E7,1 Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Of: �) m Phy. Char. lChecked [2f Checked ❑ lChecked ❑ lCheckedtchecked E:]Checked ❑ WATER MARKET DATA GPM: Depth: Comparable 1§S9 -3W -6z -z, Public ❑ Well D Ditch ❑ Comparable 2 obi d9� -d44% Supplier Comparable 3 Aerial Photo Year Sale Date/Price 9.goi 9s'SG� Topo Map Year PRIMARY BASE SECTION Soil Name Index Acres Base Year ZjZ Event Date o V//, m Land Structural Imps. SN Growing Imps. Fixtures Personal Property Awn Cnil P�+i­ I LAND REMARKS: Base Year bLUUNUAKY BASE SECTION Land Type: Lot ❑ H/S Q' Acs. ❑ Event Date Size: Land Description* ;SP , �; , ^ L _Ij Structural Imps. Growing Imps. Fixtures Personal Property Total RESIDENTIAL BUILDING RECORD v / ADDRESS - /J . /� f Oae5l cam! DESCRIPTION OF BUILDING d SHAPE CONSTRUCTION STRUCTURAL EXTERIOR ROOF TYPE WIRING HFATINr PARCEL SHEET OF SHEETS E DA AH530A 1 q'71 mumn 'Boom �e ■■■■FOUNDATION ��L!®■�fIt�■Q�lii�l�■■■■�■r�� -�[ soon o ��■■■ ■o■�r■■■■r■ n■■n�■rte ic��■�■■e■■rr�■■■■■■� - �Concrete �� ■rr■■ r■■■■■■■■■m ;0�'1�E�' ■■� © III ■■ COMMON �t�■■ ■ ■c��i�i■i�w■�i��� ���■�a�■r■■�■rr■ ■■■■�c�©■� . , . , ■■r ■■■■�■■■■r■ �M ■ s■■■ri■■■■■■�ii■■ �■■��■■■n■riri'n�;�c�■ ■■soon ■r■r�cm�■car�►■■� 'i [loss ■■■■■ 001 �■ ■■■►®r.■ce�ca�.■r.�■o�� BATH DETAIL MINE Ml Ml =ei'■'■"i■ i ins. i� ■'n'�irii■■ ■ ��■■■■■r■■r■■■r■■mr■i■■r■r■■■■■trii�,�,�© nr■■■■■■■■■■■■r■■■r■■■r■■■■■�c�■■■ ■Boo-�,��ir�■ NMI, � �_ �• �' .. ��� SII ���_�5�� E DA AH530A 1 q'71 MISCELLANEOUS BUILDING RECORD ESS /5-7 'Z o Co 2Es r i2 ,cam /Zn DESCRIPTION OF RIAII nINr ,* PARCEL X63- /?,0 - OM BEET OF SHEET Bldg. Structure No. Size x Z PFourd. Wall 8 Exterior Roof Floor 8 Interior ®ef®il Type Coder Second Story Year or Loft built Life 3'r U/ % Good 19 R. C. N L. N D. Unit Cost % R C Unit CostGood L. N. l0,! Cost 19 Cost % R. C. N. Go06 L. N. D. C®la P"TATInAI Appraiser -Date No ,area Un -At .Orl i 19 R. C. . N Cost Good L. N. D. 7 Unit Cost � Cost U/ % Good 19 R. C. N L. N D. Unit Cost % R C Unit CostGood L. N. l0,! Cost 19 Cost % R. C. N. Go06 L. N. D. i Total Appraiser- Dale B/dg. Areo moo• Unit Cost CosD % GoodC 19 R. C. M. UnIt s Cost % d /9 .C. N. N. Unit CosD st /9 ° R. C. N. Un i P 9� ! Co 19 Cost % R. C.lV. Goodl Total Ail C',. V AI I FT rJ_.lF.L RICHARD WATSON:`/ DARYL BUTTS, BLM, AP 63-18-6 and 7, 2 parcels loated between Hwy. 32 and Forest Ranch Road approx. 1600 ft. north of the intersection.of Fitzgerald Road and Hwy. 32. Forest Ranch area. Public Works conditions: (L� �..1 Prepare necessary deeds for recordation. Submit to Department of Public Works for checking. V-39 Z-05- 2 Verify that partial reconveyance and/or modification of trust deeds has been accomplished; if necessary. 3;e Verify that 'there are no delinquent taxes due prior to recording deeds or map. 7_1+�04-5 0-n 4>60 c' -p- IPi -c' % dlti. 4 4u' Prepare a map showing approved boundary line modification and submit to Department of Public Works for checking, approval and recording. Q,� 5 After recordation of deeds, contact the Assessor "s Office and request that the necessary parcels be combined'so that no new parcels are created. Show all easements of record on the map. 4 OWNERS CERTIFICATE: We, Anthony Sanlos os owner of the land as shown on the annexed mop of FOREST RANCH and T. R. Somas, os trustee , and Oroville Title Company, o California corporation, it.., Be under deeds of trust recorded in Book 1973 of pages 32, 34,36,3 7, a 38, all or official records of Butte County, do hereby certify that we are the Only persons whose consent is neccessory to pass clear title to said land and We hereby consent to the preparation and recordation of said mop as shown within the colohed border lines. FOREST RANCH ROAD and SCHOTT ROAD, as shown on said mop ore hereby offered for dedication for public use for county rood purposes. Easement for light and air over those strips of land lying between the front and or sidelines of lots and the lines shown on sold map and designated "setback line", sold strips of land to be kept free and open from buildings. ANTHONY SANTOS T. R. SANTOS OROVILLE TITLE CO. Stora of C.Iff Na County of 8.11. ar On Ih1s_L6_day of_S5*2t 1975 before ms I..BTDiti2L.bxDi o notary public /n and for he county of Butte, personofly apP.ored ANTHONY SANTOS and T R. SANTOS, known Io ma to be the Persons whoa. nomas o ruDacr lose on the LenR/cols eel forth above and ocknowl.dged to m• that they executed /he some. lot mTra ci�0 ,n ��� .�1! G r„' 1 tr�4Awrrj.Hty NOTARY Pj/BLIC- (% Stats of California County of Butte ea rT--Ih/s�� day Of . 1975 before ms F_Cj i Yi1 G,1'OI �Ny nr 1 a nalory P", 11c In and Ior the county of Buns. Perron oily appeared Boy Mottle, known by ma to be /h. Vice Pr.. Iden' o/ Orevl!/e Title Company, -California corporollon, the corporation that executed the foregoing certlf/cote and acknowledged to me that sd/d corparatlon executed he some. NOTARY PUBLICI `V COUNTY SURVEYORS CERTIFICATE: 1, CLAY CASTLEBERRY, county surveyor -of the county of Butte, slate ofCalifornia do hereby certify that I hove examined the annexed final map of FOREST RANCH, that if is substantially the some as appeared on the l6ntotive mop an file, and any approved alterations thereof, that oil the provisions of the subdivision cc of the stole of California and any local ordinances applicable Of the time of approval of said tentative map have been contplled with, and I am satisfies that the mop is technically correct. CLAY CASTLES RRY COUNTY SURVEYOR RCE 14224 AUDITORS CERTIFICATE: 1, W. R. LAWRENCE, auditor of the county of Butte, state Of Co lifornlo, do hereby certify that there ore no lam ,lien, against FOREST RANCH " as herein set forth, or unpaid slate, county, municipal, or local loxes or special ossesamenfs collected as lames, except taxes or special os .... M.nts not yet payable. Taxes or assessments which ore o lien but not yet payable, I eatlm ate to be In the am at of '©^ W.R. LAWRENC ' COUNTY AUDITO CLERK'S CERTIFICATE: I do hereby certify that on the-'Y'day ofi0rif-, k cv­ 1975, the Butte County Board of Supervisors officially approved the subdivision map of FOREST RANCH the receipt of solisfoclary security in the auditors estimated amount or 'e to Insure .to... which ore o "on but not yet payable was acknowledged. FOREST RANCH ROAD and SCHOTT ROAD, us shown on Aid map ane offered rot ded/ca11on for public u wore ac [opted on behalf of the public for road purpose.! I -W4 $ /✓e(S d n COUNTY CLERK ' a_ ,y./y, Un SURVEYORS CERTIFICATE: 1, JOHN W HAMBY, hereby certify that I am o licensed Ions surveyor of the stole of California end that the annexed MOP Of FOREST RANCH correctly represents o survey made In August, 1974, that the survey is true and complete as shown, that the m-humdnta shown exist and ore of the character and occupy the positions indicated and are sul/icl o®lb le rhe survey to be retraced i sF� aWiO. W. HA BY LS 2843 RECORDER'S CERTIFICATE: Recorded in the office of the recorder of the county of Butte, .state of California at the reque Cf of 0 ... ille Title Company, thls�iAoy of�u.. 1975 at -V -L minutes pastO'clock AA4 in mop .book of 'pages C492s's 9L and_. Recording number: //?3 c FOREST RANCH pp��SUbd/v/sio�l SUBDIVISION NUMBER: LL.t OWNER B SUBDIVIDER' ANTHONY SANTOS PO Box 12 Forest Ranch, Col/forma 95942 BEING PORTIONS OF SECTIONS 5 B 6, T 23 R3£ M.D.B.BM. BUTTE COUNTY CALIFORNIA SHEET I OF 4 JOHN W. HAMBY L S 2843 LICENSED LAND SURVEYOR 5437 OLIVE STREET PARADISE, CALIFORNIA M 23.90 Ac A.rFr..l �:rf s .., ca .iu�` ✓ , w ac rt w S i ,l 2 28.94 Ac i 2 . N FOREST t RANCH SCHOOL yr � war •. IrAr 8 I.90Ac YY BASIS OF BEARINGS Bearings on fhismap ore Dosed on the Cailfornio Coordinate System, Zone D, per Record of Survey /tied In Book 31 at P.O. 93 of mops, Butte Counly Records. SEE SHEET 3 S._.....;.._...._.... . _.__....._._._..__.._.._.__... _...._._.._. .__. _. .. ,_ .._... ... ... FOREST RANCH Subdivision BEING PORTIONS OF SECTIONS 5 a.6 T23N R.3E M DBBM BUTTE COUNTY CALIFORNIA 0 5�. 60•A9St� psf ! p �l. f / pf r —T l kbf � sy ly Map bad Sheet mag,, SCALE 1"•200' • ,found monument as noted _found314"Iron"pipe logged LS 2843 s shorn o Ihot Record of Surly) filed In book 51 of Doge 93 of maps, Burl. 4unty ® _ ser 2" Iron pipe logged L S 2843 O - set 3/4" Iron pipe logged LS 2843 -------- Building setback - 50' from cenHrllne at County road. --Pill system ,atDock- 100' from streams, welis,ond designated .Iles , and four timet height of cut Dank, "T lrom I.F. ® ..ming wait or de.lg.ol.d ,it. • found R W monument as shown on Division of Highway, drawings BUT72,73,874. -�— power line easement per died recordedin book 419, of page 187, official record, of Butte County O set standard center /In. mahu... I JOHN W. HAMBY LS 2843 LICENSED LAND SURVEYOR I 5437 OLIVE STREET PARADISE CALIFORNIA SHEET 2 OF 4 t � n . Z �i 23.90 Ac A.rFr..l �:rf s .., ca .iu�` ✓ , w ac rt w S i ,l 2 28.94 Ac i 2 . N FOREST t RANCH SCHOOL yr � war •. IrAr 8 I.90Ac YY BASIS OF BEARINGS Bearings on fhismap ore Dosed on the Cailfornio Coordinate System, Zone D, per Record of Survey /tied In Book 31 at P.O. 93 of mops, Butte Counly Records. SEE SHEET 3 S._.....;.._...._.... . _.__....._._._..__.._.._.__... _...._._.._. .__. _. .. ,_ .._... ... ... FOREST RANCH Subdivision BEING PORTIONS OF SECTIONS 5 a.6 T23N R.3E M DBBM BUTTE COUNTY CALIFORNIA 0 5�. 60•A9St� psf ! p �l. f / pf r —T l kbf � sy ly Map bad Sheet mag,, SCALE 1"•200' • ,found monument as noted _found314"Iron"pipe logged LS 2843 s shorn o Ihot Record of Surly) filed In book 51 of Doge 93 of maps, Burl. 4unty ® _ ser 2" Iron pipe logged L S 2843 O - set 3/4" Iron pipe logged LS 2843 -------- Building setback - 50' from cenHrllne at County road. --Pill system ,atDock- 100' from streams, welis,ond designated .Iles , and four timet height of cut Dank, "T lrom I.F. ® ..ming wait or de.lg.ol.d ,it. • found R W monument as shown on Division of Highway, drawings BUT72,73,874. -�— power line easement per died recordedin book 419, of page 187, official record, of Butte County O set standard center /In. mahu... I JOHN W. HAMBY LS 2843 LICENSED LAND SURVEYOR I 5437 OLIVE STREET PARADISE CALIFORNIA SHEET 2 OF 4 s SITE PLAN REVIEW APPLICATION Date: jo- A/C AP# Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: l5` 7 20 Fle-,e�'S'T IeAjol 1.00. Telephone No.:. ��y ' S'�% Z1 Z d Situs Address: 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 ❑ Single Family Remodel ❑ Commercial Remodel , ❑ Industrial Remodel Other ❑ Septic ❑ Well, ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary):. DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ® Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Sit Ian Stampe 'Approved By Date JkLK I 'Zva Page 1 of 5 It ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: Index'Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 4X Applicable Building Setbacks: f�`00 d}rc, ❑ 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 ce Y2 .* -51 Side to , Side Street c c 2-0 Rear 10 1 -220 c 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 r I 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 Amount Formula ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * 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 ❑ Deeds: Date of Creation: Legal Access Provided:. ❑ No El Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 It Q Subdivision Map/Parcel Map: Map Date of Recording: 0GT-. -2-2 , 1 `t fl Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: 43 Date of Approval: Page: Op3 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. 0 Page 4of5 a- i 0 0 IN Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT;,F DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT P,E IT NO. f Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. y,�� ZONING -063-180-00-16='=0tY7 14 AR5 OWNER RICHARD E . & LUANE M. WATSON PHONE No- 345-5932 Sg OWNER15720 RFST RANCH RD. FOREST RANCH, CA 95942 LOCATION OF BUILDING 15720 FOREST RANCH RD. FOREST RANCH, CA 95942 USE OF BUILDING FEED, FERTILIZER, GARDEN TOOLS SIZE OF STRUCTURE 24, X 24 - 576 SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME XX STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE WOOD ASPHALT TILE CONCRETE ESTIMATED COST OF CONSTRUCTION $ 4,000.00 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: � FRONT �6 /() I SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. /_ L� Date 'L �� ' Signature of Owner G Permit Fee - $50.00 Receipt No 136089 The above described AG Building is exempt from a building permit. FLOOD I PAR LI PIC ROOFING ISSU V Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date ��° 9 COUNTY OF BUTTE - DEPART*ENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASS SSOR PARCEL NO. 1:2 ziL-9 3 - .T U -ooh-D 4- dry ZONING OW ER PHONE NO. OWNER'S ADDRESS LOCATION OF BUILDING USE OF BUILDING / SIZE OF STRUCTURE `` oZ 7 X Z = r -S 6 SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME--k—STEEL CONCRETE OTHER (Specify) TYPE OF SIDING LI)OO 1:n ROOF COVERING As 11.�lT T/'L,,-c FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $(��© AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition'. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date G/ v2 v2 — F--? Permit Fee -` @' 5C <�CD Receipt .No. ��� �0_� Signature of Owner° The above described AG Building is exempt from a building permit. FLOOD PARCEL I P.O. I ROOFING ISSUE Director of Public Works By Date White - DPW. Yellow - Assessor, Pink - B.I., Goldenrod - Applicant COUNTYOF BUTTE - DEPARTMENTOF DEVELAf,MENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATASHEET A. P. No. C(o3' 186 -M(,o Building Inspector /5/1g2et. - Date 41-X-93 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: / DATE RECEIVED BY 1. All items have been submitted . ........................ . 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ......................................... . 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ........ :.. . 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development:about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for P'��"�P'°" `�4°st required. . to Building Inspector (Da 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access. ..:.................. :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date 6 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date I Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date -' 21 — Signature o Permitee or A Receipt No. ✓�9we/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner e SQ. FT. OCC. BUILDING VALUATION Mailing Address Q v Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ OOp Building Address �VQ t p I` PLUMBING No. @ FEE PERMIT FILING FEE $3.00 A P12{"O ,3(,pA). OleEach Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 & L9 Cj' L Each gas water heater or vent 1.50 A. P. No. C -1221j Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 S1 e4 Parcel Approval Plans Approval Permit Fee $ $ -.P NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER RA ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 6-6 _,>, I G UL016i e Q d Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Main service OVER 600V100 AMP OR LESS 25.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONS.OR ADDNST ( DACCLBLDGS.CCUPWELING , &) 20sgft NEW CONST R. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON -RES ID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL� FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 11 I have placed on file with the County of Butte.a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this /� permit is issued I shall not employ any person in any manner A so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ c91 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date -' 21 — Signature o Permitee or A Receipt No. ✓�9we/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date p,G 19 t: t March�24, 1917 Tom Henegar RE: Electrical Permit P.O. Box 250 Application #1345.77. Forest Ranch, CA. 95942 y (AP 63=18-6) Dear Mr. Henegar: ' With reference to the above subject and the application you made for a service change on your property on the east aide of Forest Ranch Road approximately 300' north of Hwy. 32 in Forest Ranch, this office will not issue a}permit for an electrical service change on this building until you have resolved the problems as indicated in my letter to you dated December 28, 1976. Should you have any questions concerning this matter, please contact me. t Yours very truly, i Clay Castleberry Director of Public Works J.F. Glander JFG:dd Assistant Director cc: Chico Office z,%7 "7 4.4 5-4i v- '� �v� <F �- nr D4 a c Nc 1 IJOw �a �--� r . .Q'o . 1 heti o� e o '3,3 Li do Ice �3 i e- cel J--� 9-77 �c � ��,,,.-.�.i-v Le �u.•cre. , -E- Cio �-�`..�,�-"o� � c-.may,-:�-G j.�� (FI Lj: Toch Henegan c/o Tony Santos P.O. Box 12 Forest Ranch, CA 95942 Dear Mr. Henegan: December 26, 1976 R8: Conversion of residence to store. (AP 63-16-6) This office has been advised by our Chico Building Inspector that you are in the process of converting a residence into a store at the intersection of Forest Ranch Road and Hwy. 32 in Forest Ranch without obtaining the required permits and approvals from this office, the Health Department and the Planning Department. At the present time this area is coned A -R-5 which does not permit the use of a new commercial establishment on this property. I suggest that you contact the Butte County Planning Department in Oroville to apply for a rezoning which, if approved could allow a commercial use. if successful in rezoning, it would then be in order to submit com- plete building plans to this office and the Health Department for approval and apply for the required permits. until the required permits are issued and the building conforms to all applicable County and State laws, the occupancy of this structure for other than a dwelling would constitute a violation of Butte County Code. Should you have any questions concerning this matter, please contact me. JFG sds ccs Health Dept. Planning Dept. Chico Building Inspector Yours very truly, Clay Castleberry Director of Public Works Original tkfib� * Cl' r"01a"Aw J.F. Glander Assistant Director a T FILE NO. BUTTE COUNTY. (For•Action 1, 2, 3) Public Works Dept. (For Information,/) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop Equip. & Yards Ref. Disp. Bldgs. & Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Mapping Drng./Permits Sub. Checking Right of Wav r �4 But, 0 L i1 N D :J F N. i URAL W EA L -i Hr, PLANNING COMMISSION... LAWRENCE J. LAWSON DIRECTOR OF PLANNING 7 COUNTY'CENTER DRIVE OROVILLE, CALIFORNIA 95965 Telephone: 534-4601 December 23, 1970 AlcohoTic.Bev.erage Control P 0 Drawer R Yuba City, CA 95991 Attention: Dave Gomes : Dear kir. Gomes: The proposed store and 'liquor. sales on the Old- Forest Ranch Road is in the.A-R-5 zone, which wou.1d not allow any commercial activity unless accessory to ag.ric'ulture:. It would be necessary for -the -applicant to have th.e property -rezoned to�,a zone that -would allow the commercial use before the Planning Departme.nt could approve the store a.n-d liquor sales, either on or off premises. Please call.me if you have any further questions. Thank you, Robert L. Ferguson - Zoning Investigator. RLF:ma cc: Jim Glander, Dept. Public (Works MEETS REGULARLY ON THE FIRST FOUR THURSDAYS OF EACH MONTH' dkd0:1r�'�r21 r�r01 r r Q � S� O J, f7a .10 �d w0 V ticNnoo �q �LJhoM lb 4a.,4 -cn INSTRUCTIONS (1) Completion of hearing date information is optional SUPERIOR COURT OF FOR THE JUVED In the Matter of Owner: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT A. P. #1ci Address: U Date of Inspection Tenant•,aInspector ? Building Location: Z' Al- ti--) pY Z Type of Inspection requested: // 11. Housing / / 2. Financing 3. Change of Occupancy to 711-4. Other ( specify) ein�-,e� Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11'. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: . C.. Electrical l.` Service and.ground: 2. Receptacles: 3. .Fusing: 4. Comments: D. Plumbin 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: (enntinnarl nn }�ankl E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: Improvements: 7 Zoning:_ . 8. Comments• G. Field Problems or Violations 1. Problem or violation (give complete description): 2. what action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten (10) days, then write letter. C. Write letter. 7 D. Other: i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. i Date 5 Signature o Permitee or Ag p ' �4 / Receipt No. ` White-D.P.W. — Yellow -Assessor — Pink-!nsoecror — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING — SO. FT. OCC. BUILDING VALUATION Owner , pe P,e Mailing Address L' C �• (, / r Telephone No. — Fireplace Contractor Total Valuation Permit Fee Mailing Address_ _ Plan Checking Fee&/or Penalty • Telephone No. Permit Fee $ Buildinc Address�� ' PLUMBING No. Cf FEE PERMIT FEE FILING .00 30c) Ole Each Trap 1.50 —L/fes Repair drainage or vent piping 1.50 — Water piping 1.50 Each gas wa r heater r vet 1.50 / �j K— Gas tem 1 - 5 u is 1.5U A. P. No. 3 — -U Zoning & Planning ad Each add is al out t .30 Fes 1iAkd_ Fire Dept. Fire Zone Use Permit Build' sewer _ 5. EQA Parking Parcel parcel Ma 60' R/Ul Improvements Plans Declaration p p L sprinkle em 2(0Q d Parcel Approval Plans Approval Perm_i e $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER E I No. @ FEE "� PER#AflLIN $3.00 6-76 S ;JO 0 f C� �� LES Mai ice %°o U ,P ORSLESS 5.00 Mayservice EA. ADD'L too 2.50 , Main svi ,OEAMP OR S 25.00 Single Family j Duplex ❑ Mobil Home ❑ Othe Main er ce A ADD'L t o A. P 1.00 EW C N(D LING OCCUP. R AD 15. \ ACC..BLOGS. 20 sq ft AIXr 0 0 ST R. MULTI -OUT ET -RESID. (BR4ACH CIRCUI ) 2.50ea CONSTR. PO4PPAR ATU ON -R ESID. S -N OUTLET G14 CONTRACTORS LICENSE LAW I am licensed under the provisions of ChapterA. DiP3, th State of California Business & Profes ns C�dnder then Ex. Occ uT ETS OR PI RE B LP1 style of: / XED A PLNS. O Ex. Oc p. \ TLE ESID., OO Temp ar ervice AI 10.00 Mobile home F ili s A 15.00 Misc. Wiring 6.25 License No. Classificati I am exempt from the Contractors LiceAf4of the State of Cal"'Permit fJEy $ $ ECHANICAL No• @ FEE WORKMEN'S COMPE SAT INSURANC R T FILING FEE $3.00 1 am aware of the provisions of on 3700 of the abor Code which requires every emplo to be insure appp Ility ting for Workmen's Compensation. qce ❑I have placed on file with t County of Butte aicate of \qtooling Workmen's Compensation Insurance. I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ $ I certify that I have read this application, and state that the above $ �, information is correct. I agree to comply to all County Ordinances TOTAL PERMIT FEE and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. i Date 5 Signature o Permitee or Ag p ' �4 / Receipt No. ` White-D.P.W. — Yellow -Assessor — Pink-!nsoecror — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date bl� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner? _:i Address: L/ V Tenant: Building Location: Type of Inspection requested: A.P. # 6 2 —ZY — CO Date of Inspec • n� Inspector , 7 1. Housing 2. king ,(� 3. Change of Occupancy to 4. Other (specify) Present use of building: i' A. Sanitation (Housing) 1. Water -closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6.. Heating facilities:' 7. Natural light and ventilation: .8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: '12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and 2. Receptacles: 3. Fusing: 4. Comments: ground: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating 4. Comments: — vents: (Continued nn hArkl E. Other 1: Maintenance.and repair: 2: Fire hazards: 3. Safety hazards: 4: Weather protection: 5.., Underfloor and attic ventilation: v 6, Comments: F. Commercial Buildings a 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls. - 5. Exits: - 6. Improvements: ` 7. Zoning: 8. Comments: 3. What action recommended: 77A. Information only - fila. 77 B. Hold for ten (10) days,, then write letter. / / C. Write letter. 77D. Other: IN 612. iB \i O o m c� p 00 Q 55162 p 6 e y D!R11. a a \ O wti� 7.53. 0 O .3944 /y Up �--� o . , \ 233 95 25 9/ L -J TO: FROM: DATE: BUTTE E COUNTY. 12cmc7 C( MAY 19 2005 - DEVELOPMENT INTER-DEPARYIMOTAL MEMORANDUM BUILDING RELEASE VILLE ENVIR. HEALTH, CHICO HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME:t� �'SEPTIC: WELL: Comments: GUmemos/releasehold M. NUMMIT, OWN -'ec I 7a iJro1°v Ik APPROVED Butte County Eniviimf ntao_ ealth to Sin tuire 31 0 g ,i7 Environmental Health JUN 0 7 2004 Chico, California I � C FA • 23'-8" � W Cb ' - a'• �yr Y' .4... t �' y• ja. r> f W ,., _•• ;fir �•� tom, *{� t�j(rF .41 m 3c ''I.r i"•.,'I V. Kms, • Y�� tx,asY k,�ti r ' r.. .� 'r• Y S m . IV C Vs m •'. �ij% Z } a w• t s I � C FA • 23'-8" � i � - �, ` ;� ? t art'• "�•, k P+f � S•+C'yY4V,c. �,\.. � - �� 5 ., i,i>. SN 4. 'F �i~� �•.i{R� '� 1'% H ' �,.'{2� f�Y• •1Sf- ' - a'• �yr Y' .4... t �' y• j _ r> f ,., _•• ;fir �•� tom, *{� t�j(rF .41 ''I.r i"•.,'I V. Kms, • Y�� tx,asY k,�ti r ' r.. .� 'r• i � - �, ` ;� ? t art'• "�•, k P+f � S•+C'yY4V,c. �,\.. � - �� 5 ., i,i>. SN 4. 'F �i~� �•.i{R� '� 1'% H ' �,.'{2� f�Y• •1Sf- i'ri?fl/�� L``}�M`� :ISS �. ri rf • µv i 23'-8" ab m M O ac N { to YI Ta i m v .�1 N 0 • � �ef� ! .,. .�..-4: "•fit M4 :.,,,tea-\�3� i 5 � i . sr • f i y I •b Ae t, i. 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X!. �Y i'ri?fl/�� L``}�M`� :ISS �. ri rf • µv i 23'-8" ab m M O ac N { to YI Ta i m v .�1 N 0 • � �ef� ! .,. .�..-4: "•fit M4 :.,,,tea-\�3� i 5 � i . sr • f i y I •b Ae t, i. V .. �h . -. -. er }r-t}lt h' ,{ 4,•^ 7� � yr � �}t ~ 4f .. `.:,,`-• {'DIY!''!• � r.C,."R4'4i .Jij ,t • 1•l�ry 'M� t l., r -hr, t %� Y�'Yi ��� �� i Vii: � � r ,. ' ti re' :..., ,. F n. - crtl� � � •st. r'�,� `Fryy. �[' � «' •'\ *.� � t ,", "• - '. , O�. - ::f .r o . !� i`1 ;'C��n i.!=' � � L!� �ti�,y�'Lnti �..rov'4�'kiiJ r�.�r4.t•:,, ^•' t�� , +. •. . Z . � � � .gym M1 Sf � � f 7 f•^f�14 2L !tea Irk' r4. ` `l f lir .S !•. .� 0"7�M'f H .J: ,•n m • tf. it � • t. , i e } :',' f• V•� k .. _ �,. JS 4fL-.'y,•d3CN,p'fy - T' - c �r �y,� 3 `,k ... .. J, r.. rt'{���''Yi �•. �• 1.yfry ic+ `r• x l J��.. r ,,. , ,.... -..y '� ,• • i • t���Y- ".+t , rY�S'>• .:k��;��.. ti 1. 1�_ 't t t"6 �•>y i.. �f h�i �y` t t. ° �yt-��•y { :tom �.•t•�://.��,e ���•ej�t, S a�,�dt�,r �r�! •t e.. .. • . : , .• 1 x _ . _ . _ r _ }_ ... _ �',�}S 4 L b 3%°.s SL sr. tA - --- N p�dsixsL"ot" 'f — &/"- '�� .fX'sr - —_ - I'OP /I �© 4NING DIVISION - BUILDING P N APPROVAL! o1 Q /�-.0 � _ •` Use:, Date: L ?12�421 �Parking: Landscaping:Other. - , Signature: rz�!>o c/ X Pea c 0 1 { / W 5 .moi �1N7""J....,4i"iry',, 5 '".;41 F .r.C:~'?K i� .. iz-{'•-: ALL STRUCTURES AND EQUIPMENT mWbINO OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF _a2_L FT. FROM THE SIDE.AND FT. FROM THE REAR PROPERTY LINES AND ps f! �vMkFT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEi AOR A 2 FT EAVE OVERHANG. REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ❑ approved as submitted approved with conditions der attached sheet. ELECTRICAL, LAICAL, AND PLUMBING CONSTRUCTION ( NO r�.."'u CI SEOKED � SHALLCOMPLY WITH CURRENT ! OF. NEC, UMC AND UPC. v 74 x, NOTE: See the attached eS d Iitla Vic, QS +i Re LIiI"eiYIStS es BUTTE C( UNTi as• RUILUING DEPART ;,�= 4PPR0VF