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HomeMy WebLinkAbout064-260-023q COMPLAINT TO INSPECTOR T E - BUILDING CODE VIOLATION 30 DAY LETTER �-ls oS Y-�7-o5 A.P. b4-26-23 MRS. B. CHAMPLAIN 410 Ponderosa Way, P.P., Magalia CONTR: Ray N. Munj• r Con t. Co., Parc, Permit 1834-72P _1?3 (water service on for mobile home) r 64 -26-23 MRS. B. CHAMPIA IN A.P. 410 Ponderosa Way, P.P., Magalia CONTR: Par Gas, Chico Permit 2139-72P (gas line for mobil home) A.P. 64-26-23 MRS. B. CHAMPLAIN 410 Ponderosa Way, P.P., Magalia CONTR: Wolfe Electric, Magalia Permit service / (elec . service o or obi7eo "1 MRS. B. CHAMPLAIN"`'-�0-�3 410 Ponderosa Way,` Permit 2695-72B Lot 16 , P.P. 15 (covered deck for'- %� - %3 ile home) L410 B. CHAMPLAIN 64-26-23 onder4) Wayof 16RP-P.,�5 t•2753=72P 'r connection my for Aile h A.P. 64-26-2 Mrs. B. Champlain ct� II -q-:23410 Ponderosa Way,..Lot 167-,.P.P. #1 CONTR: D.E. LeVasseur, Magalia Permit 3305-72 (new garage) B08-0703 064-260-023 RESIDENTIAL SFD-Mobile Home PFS NEW MOBILE HOME PERM. FND EX 6221 PONDEROSA WAY SLIGHTOM, TRAVIS - . �az3 A.P. 64-26-23 BETTINA' CHAMPLAIN 410 Ponderosa Way;�'th ., agalia Permit 1297-73B �� -I'�(porch to be use mobile home) cfli el- � cfli RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COY of Docunent Recorded 31-0ct-M M-da8W83 Has not been rospared with oripinai BU f fr LU NTY Ella ROLR 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. SLIGHTOM, TRAVIS BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY P O BOX 359 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS DURHAM BUTTE CA 95938 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 6221 PONDEROSA WAY B08-0703 530 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDINA PERMIT NO. TELEPHONE NUMBER MAGALIA BUTTE CA 95954 10/31/2008 CITY COUNTY STATE ZIP G TURF OF LOtAI OFFICIAL DATE SAME UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD HOMES 2008 WATERFORD 4603B MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL817A/B30449-WA13 26X60 PFS 1028243/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/I ABEL NUMBERS) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 064-260-023 HCD FORM 433(A) REV 8/91 WHITE — County Recorder CANARY — HCD PINK — Applicant GOLDENROD — Building Dept. RECOR ING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Travis Slightom P.O. BOX 359 DURHAM, CA 95938 A. P. N .: 064-260-023-000 GRANT DEED 2005-0042387 Recorded I REC FEE 10.00 Official $Records I TAX 55.00 Cotte f I O NI)ACE J. GR;JW I County Clerk-Recorderl I BW 09:0aRp1 21 -Jul -,2005 I Hage 1 of 2 Above This Line for Recorder's Use Only File No.: 0402-1990796 (MT) The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $55.00; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full valueless value of liens and/or encumbrances remaining at time of sale, X unincorporated area; ( ] City of Magalia, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Bertha C mcimigllo, a widow hereby GRANTS to Travis Slightom, an unmarrled man tate following described property In the unincorporated area of Magalia, County of Butte, State of California: PARCEL I: LOT 167, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 1S", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 1S, 1971, IN BOOK 38 OF MAPS, AT PAGES 42,43 AND 44. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO SURFACE OF SAID LAND. PARCEL II: A NON-EXCLUSIVE EASEMENT OVER LOTS A, B AND C (THE COMMON AREA) OF SAID PARADISE PINES UNIT NO. 1S, AND THE LOTS DESIGNATED FOR COMMON AND RECREATION AREAS, AS DESCRIBED IN THE DECLARATION OF ANNEXATION FOR UNITS IV, VI, VIII, X, XI, XII, XIII AND XIV. Dated: 070.4/2005 Mail Tax Statements To: SAME AS ABOVE A.P.N.: 064-260-023-000 Grant Deed - continued File No.:0402 X1990796 (MIT) Date: 07/14/2005 B a Coccimiglio STATE OF 0 } L )ss. COUNTY OF i�1P+w� Ai -1 } On before me, r r Cc— C', q. ,I personally appeared Qc is personally known to me (or proved to me dn the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same In his/her/their authorized capaclty(les) and that his/her/their signature(s) on the Instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. My Commission Expires: or i y` o � This arena for oRiciaj notarial sea/ Notary Name: De � c I o d i c Notary Phone: S y 2 Notary Registration Number: 11t800') County of Principal Place of Business: ie%;tmnlP., OFFICIAL SEAL NOTARY C-OREOON COMMISSION N0.948007 MY COMMISSION EXpiRES OCT. 14, TOO& Page 2 of 2 FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B08-0703 Address or location of unit: 6221 PONDEROSA WAY MAGALIA CA 95954 Legal Description of Real Property: .064-260-023 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. i Owner's name: SLIGHTOM, TRAVIS Owner's address:P O BOX 359 DURHAM CA 95938 INSIGNIA OR HUD NUMBER: PFS1028243/4 SERIAL NUMBER OR V.I.N.: CAFL817A/B30449-WA13 MANUFACTURER'S NAME: FLEETWOOD HOMES YEAR: 2008 1 OFFICIAL APPROVING INSTALLATION: DATE: 10/31/2008 PHONE: (530) 538-7541 H.C.D. 513 FROM EXECUTIVE HOMES A ot N0 (TUE)OCT 28 2008 9:33/ST. 9:32/No.6800798037 P 2 vw STATE OF CAL FORMA %.w NUMBER: BUSINESS, TRMW"TAnON= HOUSNO AGENCY DEPARTMENrOF MOUSNG'AND COMMUNITY 00MLOPANIENT DIVISION OF CODES AND STANDARD! 8773723 MANUFACRIRED HOV&W PROOPM MANUFACTURER CERTIFICATE OFORIGIN 012THMIREIVIr, oRtGft copv i co"'a COPY 3 NCD 403.0 - SWO I - (7197) FORWARD TO THE WVENTORY CREDrrok UNLESS i rOAwAKDvO THE omew—amtnn so I , p "T " OL "---TQTmm w To si RETAKV. 1 NOW. IWN FORWARD TO TW PtlRCkASrER (DEALER OR TRANSFEREE). 00O. -CA 9M12AWI. WITRN FfWt 451 DAYS OF RELEASE. lbCHECK IF li4f3.I3A, :0 PLICATI! MdOENTER ORlGftU'VC0 106 MANUFACTUREMANUFA­C­,TukiD., SING1, x SFID (SINGLE FAMILY DJVELUNG) 0 MumH (MULTI-UNIT*AANU,FAC,TUI%EO HOUSING' NUMBER OF TRANSPORTABLE SECTIONS' 2* COMMERCIAL' OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: rLEETWO!)P.HQMRS.-OF..CkLXPORNXA, INC. 9534 -M T ltr SUGGESTED RETAIL PRICE ALAND-C q6ii ':J. "Chy)Zi (o) - MANUFACTURER TRADE NAME: MODEL NAME AMOR NUMBER: DATE OF -MANUFACTURE: WATzRrORD 46038 2009 02/20/2000 NAME OF DEALER 69 TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OF TUNSF2W SISCURITY.1111/2 8Hd*i./N,OkTH, INC. TRANSFEREE DESIGNATION: DBA, EXECUTIVE HOMES' DL92001 02/20/2008 DEALER OR TRANSFEREE ADDRESS: 3042-igPLARADZCHICO. CA. A"ll LSL�_) Aiip) INVENT ORYCREDITOR NAME -- -GR ITRALC�RGi��G 'CENTER P 0 Box .94900 ]?"TINE IL 60094 acim Stow) Z. SECTION MANUFACTURER SERIAL NUMUR NO #41GNIA OR HUD LABEL MMW$t LENGTH WIDTH VeIG14T 1INCHEII) �_Ipo~) �l -CAFT,817A30449-WA1,3 PF81028243 724 1.60 26,860 2 FFS,10,24244'.- .724 160- -28-.280 TRANSPORTER NAME, BRIMUTT TRUCIK TitAMBPORT, INC. TRANSPORTER ADDRESS. 1001 INDUSTAI-kt- PAS"AY; - ICM MCDOMIJUGH GA 44) 30253 'OESTV"TION FOR VNlT.D9SCRWb AGOVE: NAME iww(stag) (zip) I CmOitv -dlW s M ExooAsdaft 02/20/2009 WOODLAND YOLO CA losw Ica-") ISM*) G)MATURE Of AUTHORIZED AGENT 012THMIREIVIr, oRtGft copv i co"'a COPY 3 NCD 403.0 - SWO I - (7197) FORWARD TO THE WVENTORY CREDrrok UNLESS i rOAwAKDvO THE omew—amtnn so I , p "T " OL "---TQTmm w To si RETAKV. 1 NOW. IWN FORWARD TO TW PtlRCkASrER (DEALER OR TRANSFEREE). 00O. -CA 9M12AWI. WITRN FfWt 451 DAYS OF RELEASE. BUTTEI�OUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Lin'; (IVR) : (530) 538-4365 Office: (530) 538-754; Fax: (530) 538-2140 Website for Online Permits/Renewal Payments: www.buttecounty.net/dds Permit No: B08-0703 Issued: 05/28/2008 Address: 6221 PONDEROSA WAY Area: MAGALIA Owner: SLIGHTOM, TRAVIS Applicant: SLIGHTOM, TRAVIS Permit Type: SFD-Mobile Home PFS APN: 064-260-023 Description: NEW MOBILE HOME PERM. FND EX SITE AREA 3 Flood Zone: None SRA Area: Yes SETBACKS for Zoning. AG. SRA. PW Front: 20 Ultimate R/W from CL: 40 Rear: 15 SRA: Side: 5 AG: Other: Total Setback from Centerline of Road:20+40 ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Seta OFFICE COPY Bldg Permit: Address: "— GAS By: ��=Da .3 Electric By: i I DaJ TE 803 Foun 809 Pier/ 813 Grade 802 Eufer 802 Form T -Bar Ceiling / RC 145 Pre -S 142 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 ShearwallB.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Finals Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type 1 IVR I INSP DATE Do Not Insulate Until Above Signed Env. Health Final Wall Insulation 117 Ceiling Insulation 118 "PROJECT FINAL Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 -7 -1(Q -c3; Blocking/Underpining 612 Tiedown/Foundation System 611 0c, Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: $ ( Z 2_4y Y_3 Public Works Fina 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 rrujcci ru=a= =s a •,crTwcam u= occupancy =ur kiVswcuua= vury/ PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF IS:t-_IANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PWOR TO EXPIRATION Inspect.�r Copy W ple BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6221 PONDEROSA WAY Owner: Permit NO: B08-0703 APN: 064-260-023 SLIGHTOM, TRAVIS Issued Date: 05/28/2008 By TMP Permit type: RESIDENTIAL P O BOX 359 Subtype: SFD-Mobile Home PFS DURHAM, CA 95938 Expiration Date: 05/28/2009 Description: NEW MOBILE HOME PERM. FND (530) 345-7831 Occupancy: R-3 Zoning: R-1 Contractor Applicant: Square Footage: VAN STAVERN RICHARD MOBILE HOM SLIGHTOM, TRAVIS Building Garage Remdl/Addn 1430 CARROLL LANE P O BOX 359 1,620 PARADISE, CA 95969 DURHAM, CA 95938 Other Porch/Patio Total (530) 872-0364 (530) 345-7831 1,620 , FEE INFORMATION DBEH Building Review Fee $78.90 DBF MH Plan Check $241.16 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE SRA Fire Plan Review (S $107.00 DBMSC Mobile Home Permit Fee. $361.74 DBOMSC Fire Safe Standards Rev $118.98 Total Charged: $1,132.31 Fees Paid: $1,132.31 DBSMIP Residential $10.53 Balance Due: $0.00 Receipt No: B7478 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License VAN STAVERN RICHARD MOB 371478 / B C47 / 03/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 05/28/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date E]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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. im rove for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by �S OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 1278757 07/01/2008 Policy olicy Number: Exp. Date: Contractors License Law.). (This section nee not a competed if the permit is or one hundred (stool or less. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: f7.; ,`ERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS X �/ 05/28/2008 ((__J ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 05/28/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. %L .4 �9 1.105/28/2008 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] rint Date the performance of the work for which this permit is issued. (3097 civ. code) ' Contractor for Owner P06`wner 1:1 OR E]Agent Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT ,APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buffecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last Names,,/ _ irst Name Address Zip q S S bpi City Fax 872 - 0 -?C46 State Zipg� Phage �-0 3 G �x —2-1 S E-mail CONTRACTOR Name 1C(4 tt&,6 VA" f CST'1U e -K N Address t( O CA R Q city t0h R fq l) i s o State6�+ Zip q S S bpi Phone fp 7,,2- 0 3 [, Fax 872 - 0 -?C46 E-mailZ!7-Lic.� r `F7 g Class C � nn APPLICAN SIGNATURE X IC 02 oa-L - For office use only: ARCHITECT/ENGINEER Name GP fi Address D City Lot # State Zip Phone �-0 3 G Fax E-mail State License Number � nn APPLICAN SIGNATURE X IC 02 oa-L - For office use only: APPLICANT INFORMATION Name GP fi Address D City Lot # State Zi Phone �-0 3 G Fax g 7-1 0 3 !� E-mail � nn APPLICAN SIGNATURE X IC 02 oa-L - For office use only: Zoning Flood Zone SRA es No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NOn No��o•r BP BIN # PROJECT LOCA TION A ©g / a G o� oa.'3 G -paV $� �7 ¢� Property Address b :x ®a. City IAT Cross Street .6 Tf WORKER'S COMPENSATION Policy Number coo �i S�aoo Carrier ,�3 C liv.EQ 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 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 a � Description or Scope of Work: U l Sq FT- Living Garage Open Cov ❑ 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. Received by: Amount: Bldg SRA Receipt #: Sherif SMIP Date: �✓� REV 4-10-06 ��g 2S ti Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B08-0703 Date: 04/16/2008 Location: 6221 PONDEROSA WAY By: TMP Parcel Number: 064-260-023 Sub Type: SFD-Mobile Home PI Owner Name: SLIGHTOM, TRAVIS Phone: (530) 345-7831 Description: NEW MOBILE HOME PERM. FND EX SITE 1620 SOFT. ❑ ❑ The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 ❑ ❑ PARKS & RECREATION DISTRICTS ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 V❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 ❑ Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions ❑ ❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 p tJ❑ Other: 5' e,_ 7 S lG Dh l�I1fi� �erc r�Pc�i�Jr► ❑ ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: APPLICANT Date: 04/16/2008 SCHOOL DISTRICTS ❑ ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926- (530) 891-3006 ❑ ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 ❑ ❑ Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 ❑ Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions ❑ ❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 p tJ❑ Other: 5' e,_ 7 S lG Dh l�I1fi� �erc r�Pc�i�Jr► ❑ ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: APPLICANT Date: 04/16/2008 Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds t 0 a k5t Ste. �71c W001 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B08-0703 Date: 04/16/2008 Location: 6221 PONDEROSA WAY By: TMP Parcel Number: 064-260-023 Sub Type: SFD-Mobile Home PI Owner Name: SLIGHTOM, TRAVIS Phone: (530) 345-7831 Description: NEW MOBILE HOME PERM. FND EX SITE 1620 SQ.FT. By signing below, I the project owner/owners' 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 buildouts 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 Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Title: -a --'2, FILE Date: 04/16/2008 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Permit Number: B08-0703 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Job Address: 6221 PONDEROSA WAY Contractor: VAN STAVERN RICHARD MOBILE HOM 1430 CARROLL LANE PARADISE, CA 95969 Printed: 04/16/2008 4:06 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $78.90 04/16/2008 $78.90 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $107.00 04/16/2008 $107.00 0100450001-4617240-1010 $107.00 DBOMSC Fire Safe Standards Rev 0010-440001-4210500-1010 $118.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $107.00 04/16/2008 $107.00 DBMSC Mobile Home Permit Fee. 0010-440001-4210500-1010 $361.74 DBF MH Plan Check 0010-440001-4210500-1010 $241.16 04/16/2008 $241.16 DBSMIP Residential 1001-0-280-1011298 $10.53 Printed By: Tammie Powell 19132.31 $534.06 Balance Due: $598.25 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 04/16/2008 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). California Department of Forestry and Fire Protection Butte County Fire Department 'fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B08-0703 Date: 04/16/2008 Location: 6221 PONDEROSA WAY Parcel Number: 064-260-023 Owner Name: SLIGHTOM, TRAVIS By: TMP Sub Type: SFD-Mobile Home PI Phone: (530) 345-7831 Description: NEW MOBILE HOME PERM. FND EX SITE 1620 SORT. To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site All development within the Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 04/16/2008 Date Rev'd 5/7/07 Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Fireprevention/protl)lan/protplan.html FILE BUTTE COUNTY DEVELOPMENT FEE o�vT CERTIFICATION FORM Paradise Recreation & Park District .couN�y. Assessor's Parcel Number (s): 064-260-023 Property Owner (s): SLIGHTOM, TRAVIS Project Location/Address: 6221 PONDEROSA WAY Project Description: NEW MOBILE HOME PERM. FND EX SI' Building Permit Number: MAGALIA Type of Residential Development Permit Type: RESIDENTIAL Permit Subtype: SFD-Mobile Home PFS Building Type: New Mobile/Manufactured He New/Additional Sq Ftg: 1,620 Certificate of Existing Square Footage Existing Sq Ftg: 1536 MH Replacement: Yes Existing Construction Type: Residential- Mobile/Manufactured Home Demo Permit Issued?: No Demo Permit Issued Date: Verified by Building Records: Assessor' Comments: Mobile home replacement. Buildi g Department Rep sentative Verified by Assessment Records: 05/09/2008 Date B08-0703 ❑ FRRPD ❑ CARD 9 PRPD ❑ DRPD certifies that: Applicant Name Phone Number S:Name !� U u >e)C � 1 Ju r Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. 0 41119 by Payment of Dwelling Units @ $ per unit for a total of $ 1 Square Feet @ $ 50 per sq foot for a total of $ / Remarks: Paid by Check No: Paid by Cash: Receipt No:y; / �/J y _ /3 —CF7 Recreatio istrict Representativ Date BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM (One form per Building) School District: Paradise Unified School District Building Permit Number: B08-0703 Tax Rate Area No: 01 Assessor's Parcel Number (s): 064-260-023 Jurisdiction: County Property Owner (s): SLIGHTOM, TRAVIS Project Location/Address: 6221 PONDEROSA WAY MAGALIA Type of Development Residential Development: Yes = = Sq. Footage: 11620 No of Living Mobile Home Addition/ *Supplemental to Cr. Demo - existing1536 Units Installation Conversion Permit k •(No Foundation Inspection) sq. f }, Net total sq. ft. Deed Restricted Sq. Footage: 0 Attach signed coov of Deed Restriction and Notice of Limited Use Facilitv Document Commercial/Industrial: =New = Addition Sq. Footage: (Including Exterior Roofed Areas) Project Description: NEW MOBILE HOME PERM. FND EX SITE 1620 SQ.FT. 0mj 2 W, 05/09/2008 r Building Department Rep entative Date District Indentification No. �� `7—� Vai,-aAf�(%I - Red. School District certifies that ! t I 1 (Payor) (Street Address) has complied with the requirements of Resolution No. (State) (Zip Code) ' (Phone Number) by payment of $ -( representing square feet. AB 2926 $ FULL MITIGATION $ t , School District Represe ive Date '^ Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by sumitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. subsequent o the School Districtepresen a the signing this Butte County Schools Impact Fee Certification Form, the c o0 District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (School District) Yellow (Building Department) Pink (Applicant) DDS—School Fee Form rev'd 3.10.08 CERTIFICATE OF EXISTING SQUARE FOOTAGE Paradise Unified School District Building Permit Number: B08-0703 Assessor's Parcel Number (s): 064-260-023 Project Location/Address: 6221 PONDEROSA WAY MAGALIA Existing Sq Ftg: 1536 MH Replacement: Yes Existing Construction Type: NEW MOBILE HOME PERM. FND EX SITE 1620 SQ.FT. Demo Permit Issued?: No Demo Permit Issued Date: Verified by: Assessor' Comments:Mobile home replacement Representative 05/09/2008 Date m w a IL LL 0 w U) A } z I 0 U W H H Z) fn CV 11 fr'1 LD CV r I m m In REMARKS: /O'5' � t te, cow _ �¢ ooy - . V+ .o 00 SUPPLEMENTAL ROLL e _ ! . . �. if /.• __..ie :6 J6 J'--) /A/_nA YEAR N0. DATE LAND w wu nA-.. SECONDARY IMPS. 11-5- PRIMARY 1-.S PRIMARY- ASSMT. PRIMARY07 :s YEAR BASE YEAR VALUE NO. ACRES VALUE PER VALUE ADDED TAXABLE VALUE ASSMT. SECONDARY LOT H/S NO. VALUE YEAR BASE YEAR VALUE ACRES VALUE TAXABLE PER ADDED VALUE /g 5L 9 t� �v �o t (--C�m oor, a�DoCc oDL4 '7 ODD 75.000 EXISTING BASE YEAR EXISTING VALUE PORTION RETAINED RETAINED VALUE I EXTENDED EXT' VALUE TO YEAR TRANS. DATE PORTION VALUE TRANS. TRANS. SUPPLEMENTAL VALUE VALUES PARTIAL OWNERSHIP CHANGE ASSMT. YEAR LAND COMPUTATIONS • X = X = X = LAND X — IMPS. — LAND IMPROVEMENT COMPUTATIONS LAND COMPUTATIONS X = X = X = X = X X _ _ IMPS LAND IMPROVEMENT COMPUTATIONS LAND COMPUTATIONS X _ X X _ X = X - - IMPS. IMPROVEMENT COMPUTATIONS X X c X = X _ = X - — LAND 6AND COMPUTATIONS X x -. IMPS. = LAND IMPROVEMENT COMPUTATIONS LAND COMPUTATIONS X - X = X = X X - - IMPS. X - X = IMPROVEMENT COMPUTATIONS `r AND WHEN RECORDED MAIL. TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE. CA 95%5 COPY of Document Recorded 15 -May -2008 2088-0018635 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that PAreal property situate in the County of Butte State of California, described as follows: RCa I. LOT 167, AS Sion oN THAT CEIL m MAP HJTITUk PARAW PIM3 Lm Ho. IS, MUM MAP %lS R=R= IN THE OFFICE OF THE Rte OF7M CMWW OF NME, STATE OF CALVWd , ON MY 1% NM BY BOOK 38 OF MAP$, AT M 342, 43 AND 44. EIMEF NG THEREMM M ALL MMERALS, OR. GAS, AMMMM AND OTHER HYDROCARBON su=m= wnw PROvmm THATANY.AND ALL mmG OPERATIONS wmL BE DONE FROMORD°LCESOVMETMSWAMAREAOF7HELANDDESCRIDf MWANDTHAT NO DAMAGE SHALL BE DONE TO SURFACE OF SAID LAND. PARM IV f A NON4USNE EASEMENT OVER LOTS A. B AND C (THE OWN ARES OF SAID PARADIEEE PBO3 uNlr Nm T5 AND THE LOTS DES!lsNaw FOR m4mm AND Rm RFATION AREAS, AS MOOED IN THE DBMARATION OF ADIIiFXA M FOR UNITS IV, Vl, VUL X TO, )UI,)aU AND xiV. APN:064-26407S-0UD Date_ PROPERTY OWNERS: of California On __:_ �� before me, personally appeared' personally known to me (or proved to me on the of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledgi&4Qrne that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) o instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal Signature Seal: ,A.P.# 061-260-0Z3- 000 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of On zVltt 13 2,00 $' before me, (Here insert name and title of the officer) personally appeared _7R_A-i/k /Z �(a�5HIW e - who proved to me on the basis of satisfactory evidence to be the person whose name($) is/ar-ee subscribed to the within instrument and acknowledged to 'me that he/may executed the same in his/ke4gwir authorized capacity(iesj, and that by his/herAkeir signature(p on the instrument the person($), or the entity upon behalf of which the person(A) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. TNOTAMY ALDomm. #14218 TNESS my hand and ficial seal. g . PUBUC79CA1WMMA 0 0 BUTTE COUNTY My Commission E>gtees Mar. 2Z 2012 Signature of Notary Public (Notary Seal) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Title or des tion of attached document continued) Number of Pages 1— Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER individual (s) ❑ Corporate Officer (Title) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other 2008 Version CAPA v12.10.07 800-873-9865 www.NotaryClasses.com INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document. The only exception is if a document is to be recorded outside of California. In such instances, any alternative acknowledgment verbiage as may be printed on such a document so long as the verbiage does not require the notary to do something that is illegal for a notary in California (i.e. certifying the authorized capacity of the signer). Please check the document carefully for proper notarial wording and attach this form if required. • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/the};- is /are ) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a different acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. 4.4 Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name: Uc�vT 51'a����,L_ A.P.# n _`�60 -oz Home Manufacturer: Manufacture Year: �6o-g Model Number/ Name:- 0 3 T3 Width:_ 0.7 (ft.) Length: Q b' ,Y,/ (ft.) FbOTINGS: Wood - pressure treated or foundation grade[ then[ ] SUPPORTS: Concrete block WOther:[ I BUTTE Cour, tl Provide manufacturer's installation manual, support blocking require�jate �Sjot� approved or engineered foundation or tie down system specifications.tionsr. APPROVED v� Pier Footing Sizes and Locations SINGLE WIDE Line 1 --J' ---- ___—_—__ -----• ----- Line 2 �� section 1 Section 2 ----------------- --- Section 3 Line 1 Line 1 Piers: ,, Minimum size piers: [ �-�] X [ �] Spacing maximum: 12 1" From ends maximum: -2. ' c, " Line 2 Piers: Minimum size piers: [ 2-j X 2- ] Spacing maximum: nj From ends maximum: r, " Line 3 Roof Loads: 1) Minimum size piers: 2 x . Location (from front): 0' 6 Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): MULTI -WIDE Line 1 Line 2 Line 3 Line 2 Line 4 (triple wide only) Line 2 Snow. Load: AL D psf Snow Load requirements may be obtained at http-./fwww.upstate-ca.com/butte/butte — county/ Insert AP #, view snow loan in lower right corner. Line 1 Openings: Minimum size pier. [ a Lj] X [ 2 q-] Required at each side of openings over ' (o wide. CC a X30 3,X30 a"4x30 X3Z J4x30 -251x3a Z d 18086Z0089'ONAS!6 '1SAO:01 8002 5I add(3f11) S3WOH 3AI1(103X3 W08J ALnVMlfE DAN Alf• KrrCftM MEAIROOM r;f i t '! _ OOrole , Cmtl lK'Ir 1 ♦ • J MASM OEDAMM , DPIN y I r w••I� la'o , ; AREA 1 1 pff. B•Y1010• I � � 1 rAY 1 I' �WITI ♦ ! GOO pl IOIIl1 rN�1r♦ 46"6 t Ir=l-o Orr. iROn!TEYfRAP" y day 1 Opt: AAWED Opt. REa"E.9 RECWHIP61mY ENTRY A ��� es:oe o�li2 0EDROOM 0 !3'•L•A!8-0• Ld1MJ N, OYt•. CORNER DAY ;^. ..• •yIPX1LM • ,e••rzlisr! (k., t.,tod Hcrtres reser as the ngit to chasye cjUs.. pries, soecir:•atit!ns, rTKAM di; r�nOns and ?saterlaK w Wout mlice. nerracring aruf diagrams arc meant lobe reprsen u tnvc arid. in kecpiny •n• ih f kr•.:.x<�JS pilin �f rysr, rls L,W+ti,,ardim{xa,e!nea,Lma/ vary (mi ntllractual tx3me aparl-&irratPi.Sq.L3(efuulo�ee!real,redf.ur!ea_e!iar.r;llwe<tett•Inellzrdi�rla;>sira!isists•���.LenlithlrcG:a:rdr!9oofP4J!--,i.foo! lergch:rl;.Thelergrhofshehitch Knot inc"i.(Kilt"out sectwar..l;easTrarlspertatdelengthjAc<yxYretzllerforspecificsPP.Y_f5AN spcclKot1C,AS5:.B1rerTO('.!iA%Cr:7;.TFiOTNO'I'YOP.CEIIG4rKIN ` •- Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD. Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Ground System Xi2 Concrete System Engineer Approval State Approval INANUFACTURT:D 110MMIOBILR HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED BUBTECT TO CORRECTIONS NOTED APPROVAL MES NOT AUTHORI7_F. OR APPROVE ANY OMISSIONS OR DEVIATION FROM RCQ:UIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California Department of Housing and Community Development D SIO OF CO ES AND STANDARDS BY �DATB � 8PA W0. Thii Plan Approval Expires Page 1 of 8 0 Ln 0 0 0 r� C Engineer Approval State Approval INANUFACTURT:D 110MMIOBILR HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED BUBTECT TO CORRECTIONS NOTED APPROVAL MES NOT AUTHORI7_F. OR APPROVE ANY OMISSIONS OR DEVIATION FROM RCQ:UIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California Department of Housing and Community Development D SIO OF CO ES AND STANDARDS BY �DATB � 8PA W0. Thii Plan Approval Expires Page 1 of 8 0 Ln 0 0 0 PERMIT NUMBER - B 2695-72B 3.3 0,5-- 2A--0 --J P :2 753 —AZ -3 7 -%-P--- % S"3s-- -7 z P E 25.23 -e 3 3 oS-7z PERMIT EXPIRES lo -13-7-3 OWNER Mrs. B. Champlain ,t. CONTR• . CGIr LOCATION (A. P. 64-26-23 � 410 Ponderosa Way, Lot 167, P.P-#15 `i I7 �i DATE ' REMARKS -,.OR CORRECTIONS 5" c�,•/ 5-73 /1 150 !3o wo/xv C S"Ackl CAI ,� �P��P-1, ��eo�.,I�o !b 0 k 8 )9 ®D, �WrLkil -7iV4Fi>s 7 3G ` t // -L7-7,17 n t: COUNTY OF. BUTTE Department of Public Works ' BUILDING INSPECTION`, RECORD Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE ' REMARKS -,.OR CORRECTIONS 5" c�,•/ 5-73 /1 150 !3o wo/xv C S"Ackl CAI ,� �P��P-1, ��eo�.,I�o !b 0 k 8 )9 ®D, �WrLkil -7iV4Fi>s 7 3G ` t // -L7-7,17 n 4 `• t 6 PERMIT NUMBER _ B 3305-72B,E P E p PERMIT EXPIRES oZ/ ' 73 OWNER Mrs. B. Champlain CONTR: D.E. LeVasseur Const..., Magalia LOCATION (A.P. 64-26-23 410 Ponderosa Way, Lot 167, P.P. #15 a FA COUNTY OF BUTTE ` Department of Public Works BUILDING INSPECTION, RECORD Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster ' Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ' ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. !Final Final Final DATE REMARKS OR CORRECTIONS i FA PERMIT.: 18_V, 1' 2139-72P MRS. B: CHAMPIAIN 410 Ponderosa Way, PP. (Water piping only for mobile home) j (G s' line for mobile) Ito . " ,ice-�✓►-� 'y'�j` �-' r a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC'WORKS 7 County, Center Drive - OroviIIe, CaIifornia95965 - Telephone: 533••1230, Ext. 259 'APPLICATION AND PERMIT auuwiicc BUILDING Owner. SO. FT. OCC. BUILDING VALUATION Mailing Address Contractor Fireplace Total- Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ fr�'� c� • Building Address - PLUMBING No. @ FEE - FILING FEE $2.00 �O ��PERMIT � Each -Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. d lf�`tf Tl r.! !n` eel Zoriing 114_ M�4 �T Gas piping system 1 - 5 outlets 1.50 - - .Each additional outlet .50. Fire Zorie, -`_ Fire D_ t. 'SanitatLpn Pla Hing ��'Building sewer 5:00 ? �, t "�'� Plans _tojj °Fees_ � :W. C. R • C C Encroachment Lawn sprinkler system 2.00 L ' NEWSQ , ADDITION 0 . ,OTHER;❑ - , Permit Fee $3,5401 3, 519-�, - ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r �,_t. e ���\ ti - _ Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE -,,Single Family ❑ t Duplex ` `❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 10 Receps., switches & fix outlets CONTRACTORS LICENSE. LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Cali-fornia Bus,i ess & Professions Code under the name style of: C/ o Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring i License No, 2 Classification I ❑ 1 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. 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 so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 and State Laws relating to building construction, and hereby Instrurnnentationrrpn a Motion $0.07/$1000 Evaluation $ TOTAL PERMIT PERMIT FEE 1oN1cap11iau Vea VI UItJ \+UUHLy UI Dude N UHLUI UPUn Ule above-mentioned property for inspection purposes. X'/Agent ,'/Agent* Date 2 $'ignature oof Permit6e pl A Receipt No. % Wh te-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 _ Date k 1 7 // Building Permit Expires Date^ -COUNTY OF BUTTE — DEPARTMENT .OF PUBLIC WOR 7 County Centel Drive — .Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT autnorize representatives or the county or ttutte to enter upon the above-mentioned property for inspection purposes. X b7A I1an, (1 eck�rc�Qua Date 3 Signature of/P�ermittee o ent Receipt No. / v D ,,Lh� White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 Date 3 • -7 'S Building Permit Expires Date BUILDING .„. OwnerSQ. FT. OCC. BUILDING VALUATION OC/ Mailing Address Jam/ Fireplace Contractor 16"1Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty -� Permit Fee $ $ GPLUMBING Building Address �D No.1 @ FEE PERMIT FILING FEE $2.00 �G �l Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 6 C� Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitationf 'Planning Building sewer 5.00 Plans L,-- Fees W. C. I R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION OTHER ❑ Permit Fee $ $ S_ _ 7-Z� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE . Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 An ' Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets gift 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring Lic 'se No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. ❑ 1 have placed on file with the County of Butte a certificate of rrkmen's Compensation Insurance. c_� ertify that in the performance of the work for which this is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling VentilationVentilation 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 and State Laws relating to building construction, and hereby $Permit Instrumentatonrrf�i a anion $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ OCA autnorize representatives or the county or ttutte to enter upon the above-mentioned property for inspection purposes. X b7A I1an, (1 eck�rc�Qua Date 3 Signature of/P�ermittee o ent Receipt No. / v D ,,Lh� White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 Date 3 • -7 'S Building Permit Expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive -, Oroville, California 95965 Telephone: 533-1230, Ext. 259 IV APPLICATION AND PERMIT authoriz representatives of the County of Butte to enter upon the above-gontioned property for inspection purpoVes. X (1-4, A I A7 pate , f2, /i/111! 1, Signature of r itee or Agent araint Ain 0 4.o/!� /3� ,16�() -170 ^ /ice -Lt e-D.P.W. – Pink -Inspector – Goldenrod -Assessor – Yellow -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 Date// -7 i- 7 2 - Building Building Permit Expires Date// - 7q -7 3 BUILDING Owner/6-I s- �� SQ. FT. OCC. BUILDING VALUATION ,— zo Mailing Address p F04142A- h e-15_�1``5_` Fireplace Contractor 0 .L G- 4ff& & I Total Valuation Mailing Address ��If He ,5_�s Permit Fee Plan Checking Fee &/or Penalty �S�S yC Permit Fee $ $ Building Address��- -� /G PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 �J +� Each gas water heater or vent 1.50 �j_ _ �� A. P. No. �, to Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Planning Building sewer 5.00 Plans o� Fees- W. C. 0 R/W Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee $ $ G ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (t2 or I (ra.*1b 12) -fes USE OF STRUCTURE Single Family ❑ Duplex ❑ Others tZ Range, dryer or water heater 1.00 ^ ' Oven, Cook -top or space heater 1.00 r. Light fixtures 0 Rec.96s., swi es & fix lets 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: D:a- LC egs.f,-DJr l'G'/YS i e-0 Hood, Ex. Fan or F. A. F rn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No.,& iS'G / Classification ❑ 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. 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 so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 �nstr�mentotionirpf s Motion $0.07/$1000 Evaluation $ TOTALY PERMIT FEE $ authoriz representatives of the County of Butte to enter upon the above-gontioned property for inspection purpoVes. X (1-4, A I A7 pate , f2, /i/111! 1, Signature of r itee or Agent araint Ain 0 4.o/!� /3� ,16�() -170 ^ /ice -Lt e-D.P.W. – Pink -Inspector – Goldenrod -Assessor – Yellow -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 Date// -7 i- 7 2 - Building Building Permit Expires Date// - 7q -7 3 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — , Orovi Ile, California 95965 Telephone: 533-1230, Ext. 259 Y APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. - Signature of Permitee or Agen Receipt No._� ? — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 Date Building Permit Expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address E Fireplace Contractor Total Valuation Mailing Address Permit Fee PIanCheckingFee &/or Penalty Permit Fee $ $ Building Address— PLUMBING No. @ FEE PERMIT FILING FEE $2.00 -t Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. b �-' �t/p :2_3 Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 r4v Plans Fees W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ADDITION OTHER ❑ Permit Fee $ ,O(, $ ,02) ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets afi 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification ® 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I,il 1 certify that in the performance of the work for which this IPJ permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 and State Laws relating to building construction, and hereby jPermit Insirumentationrrp q Motion $0.07/$1000 Evaluation $ TOTALY PERMIT FEE $ �p authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. - Signature of Permitee or Agen Receipt No._� ? — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 Date Building Permit Expires Date 15 ,�[3 -7XC /el_3 V -7Z ip COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK / G 7 County Center Drive — , OroviIle, California 95965 to Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT ;Z _ BUILDING Owner + SQ. FT. OCC. BUILDING VALUATION Mai I i n g Address t Fireplace Contractor Total Valuation 60, J Mailing Address Q Permit Fee bD Plan Checking Fee &/or Penalty Permit Fee $ ,pp $ . qa Building Address /� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ` ` 1 .� Each Trap 1.50 c + Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — pLp '-�3 Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitati Planning Building sewer 5.00 P ans ees W. C. e-_ R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTUR Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 01(610 Receps., switches & fix outlets Ainin 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: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification ® 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. ❑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 so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 and State Laws relating to building construction, and hereby? ,State Fee for Strpng Motion $0.07/$1000 Evaluation nsi rumentation rogram $ •� TOTAL PERMIT FEE �L`id authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X pate '-Z ;?- Signature of Permitee or A e Receipt No. � eeo — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 O PUBLIC WORKS By Date Building Permit Expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — .Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT W°R��a 7� authorize representatives of the County of Butte to enter upon the above-mentio property for inspection purposes. `may X Date $ignature/of Permitee or Agent Receipt No. White-D.P.W. — Pink IF -Inspector — Goldenrod -Assessor — Yellow -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 P BLIC WORKS By , t2 ^ate 2'—� �7Z Building Permit Expires Date T— -7-j"-- %_D BUILDING Ownerj �P SQ. FT. OCC. BUILDING VALUATION Mailing Address /� j Re, -Y12,14 ItV e Qd or� �• �� S�� Fireplace Contractor C) .�e, CGtY t Cs Total Valuation Mailing Address , 0 3D X J4 Permit Fee Plan Checking Fee &/or Penalty `— Yna- ��1� �d�l� 4�1� Permit Fee $ $ Building Address a ,Se !»eS �►�If� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 11p 7 Each Trap 1.50 C�7 �V ���► �G��S (,!i a Repair drainage or vent piping 1.50 a Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �j — ,2 6 Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone I Fire Dept. Sanitation Planning Building sewer 5.00 Plans Fees W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �^^ Main service incl. 1 meter �- Additional meters, each 1.00 Sub -panel 02 or less) (more than 12) USE OF STRUCTURE . Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets CONTRACTORS LICENSE: AW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �Y�L Hood, Ex. FanorF.A. Furn.Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump -- Misc. wiring �? rz t3a License No. 3��5 Classification ❑ I am exempt from the Contractors L4cense Laws of the State of California. Permit Fee $ �� $ MECHANICAL No. @ 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. ❑ 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 so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 and State Laws relating to building construction, and hereby �n5trumentati nrr�n groo^ion $0.07/$1000 Evaluation $' TOTAL PERMIT PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentio property for inspection purposes. `may X Date $ignature/of Permitee or Agent Receipt No. White-D.P.W. — Pink IF -Inspector — Goldenrod -Assessor — Yellow -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 P BLIC WORKS By , t2 ^ate 2'—� �7Z Building Permit Expires Date T— -7-j"-- %_D COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK _ 7,�2, 7 County Center Drive — .Oroville, California 95965 Telephone: 533-1230, Ext. 259 Ll 14 _ 72- P APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. moi, X�r!r�� L Date Signature of Permitee or Agent Receipt No. T12 SOS White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 051 PUBLIC WORKS By DateX-3 0 — 7 -%— Building Building Permit Expires Datey 3 0 — 7 3 BUILDING Owner r Mailing Address SQ. FT. OCC. BUILDING VALUATION Fireplace Contractor Total Valuation Mailing Address ��r/r G�� Permit Fee Plan Checking Fee &/orPenalty ' Permit Fee $ $ Building AddressPLUMBING 92 No. @ FEE PERMIT FILING FEE $2.0060 �� Each Trap 1.50 . Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 1p' — —3 Zoning _2- - Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation nning Bui Ing sewer 5.00 Plans Fees I W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ $ ! ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 4Z�4. '9�z Oven, Cook -top or space heater 1.00 Light fixtures bal Id Receps., switches & fix outlets k a 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification KI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. Lhave 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 so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 and State Laws relating to building construction, and hereby In$trumentaoi $ _ r graonion $0.07/$1000 Evaluation $ TOTALI' PERMIT FEE $ .S authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. moi, X�r!r�� L Date Signature of Permitee or Agent Receipt No. T12 SOS White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 051 PUBLIC WORKS By DateX-3 0 — 7 -%— Building Building Permit Expires Datey 3 0 — 7 3 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — , OroviIle, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT x Date �R �9nature o e Trm �if`eb 61 Agent Receipt No. / n l : — White-D.P.W. — Pink -Inspector — G Idenrod-Assessor — Yellow -Applicant DIRECTOR OF PUBLIC WORKS � By Date ��`�i7 Z Building Permit Expires Date2--( —7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Fireplace Contractor n Total Valuation ' Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ wilding Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 QD 15- Each Trap 1.50 " Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �. A A. P. No. �j�— — Zoning [. Gas piping system 1 - 5 outlets 1.50 Each addigonal outlet .50 Fire Zone Fire Dept. an g g sewer 5.00 / Plans ✓ Fees �• W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ® ADDITION ❑ OTHER ❑ Permit Fee $ 9 e ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family © Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of C " ornia Bu ess Professions CodUnder na a style of: Hood, Ex. Fan or-F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No.�Classification ❑ i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ ,WORKMEN'S COMPENSATION INSURANCE I 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. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. that in the performance of the work for which this permit is issued I shall not employ any person in any manner permit so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 and State Laws relating to building construction, and hereby authorize repfegQntatives of the County of Butte to enter upon the above-yfiTe tied operty for inspection purposes. \ $SPermit Instrumentaoron 4Moo^ion $0.07/$1000 Evaluation $ TOTAL PERMIT PERMIT FEE $ �,5 Q This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated ahove for whir -h fees have heen nairf_ x Date �R �9nature o e Trm �if`eb 61 Agent Receipt No. / n l : — White-D.P.W. — Pink -Inspector — G Idenrod-Assessor — Yellow -Applicant DIRECTOR OF PUBLIC WORKS � By Date ��`�i7 Z Building Permit Expires Date2--( —7 oZ 27 April 2005 Butte County Department of Development Services www.buftecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile Tim and/or Cora Armfield PO Box 1692 Magalia, CA 95954 RE: Substandard Housing 6221 Ponderosa Way, Magalia CA 95954 APN: 064-260-023 Dear Tim and/or Cora Armfield: Copy This department has received a complaint alleging health and/or safety hazards at the above - referenced property. Butte County Assessor's records indicate that you own or control the property. On April 6, 2005 an inspection was made regarding the complaint and the following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (a) 10, 11, 13, 14; (b) 2, 4, 6; (d); (f); (1); which pose health and safety hazards to the occupants and render the dwelling substandard. This letter is your thirty (3 0) day warning. letter to correct or abate the following violation: Any building or portion thereof including any dwelling unit, guest room or suite of rooms, or ,the premises on which the same is located, in which there exists any of the following listed conditions to an extent that endangers the life, limb, health, property, safety, or welfare of the public or the occupants thereof shall be deemed and hereby is declared to be a substandard building: 1. Lack of required lighting throughout the mobile -home. (a) 10 2. Dampness, mold and mildew in habitable rooms. (a) 11 3. General dilapidation or improper maintenance. (a) 13 4. Sewage over flowing from sewage disposal system. (a) 14 5. Defective and deteriorated floor and steps. (b) 2 6. Walls in hall bathroom rotted and crumbling from moisture. (b) 4 Tim and/or Cora Armfield APN: 064-260-023 27 April 2005 Page 2 7. Ceiling falling down due to leaking roof throughout the mobile -home. (b) 6 8. Exposed electrical wires and open splices at exterior front and rear walls. (d) 9. Broken or missing smoke detectors throughout mobile -home. (f) 10. No emergency exit in hall bedroom. (1) At the time the above -referenced property becomes vacant, it shall not be occupied until all violations are corrected. It is the County's goal to obtain voluntary compliance with the California Health and Safety Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. A re -inspection will be made to determine compliance. If voluntary compliance with this notice is not accomplished by correction of the above -referenced violations, enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction and per Section 41-7 of the Butte County Code, violators may be fined and a Notice of Violation may be recorded which include a description of the action necessary to correct the violation. Furthermore, failure to comply will result in the Franchise Tax Board being notified of your non-compliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given to you pursuant to Section 24436.5 of the California Revenue and Taxation Code. To comply with the California Health and Safety Code, Section 17920.3 (b) 8,9; (h) 1; you must obtain all required permits for repairs from the Butte County Department of Development Services, Building Division, 7 County Center Drive, Oroville, California. You have thirty (30) days to voluntary comply with the above -referenced directions. Should you have any questions concerning this matter, please contact me at 538-7601 Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Gary Brown Code Enforcement Officer GB: mjs cc: Department of Development Services, Code Enforcement 15 April 2005 Butte County Department of Development Services www.buftecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile Bertha Coccimiglio 29850 Seal Ln. Bonanza, OR 97623 RE: Substandard Housing 6221 Ponderosa Way, Magalia CA 95954 APN: 064-260-023 Dear Bertha Coccimiglio: This department has received a complaint alleging health and/or safety hazards at the above - referenced property. Butte County Assessor's records indicate that you own or control the property. On April 6, 2005 an inspection was made regarding the complaint and the following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (a) 10, 11, 13, 14; (b) 2, 4, 6; (d); (f); (1); which pose health and safety hazards to the occupants and render the dwelling substandard. This letter is your thirty (30) day warning letter to correct or abate the following violation: Any building or portion thereof including any dwelling unit, guest room or suite of rooms, or the premises on which the same is located, in which there exists any of the following listed conditions to an extent that endangers the life, limb, health, property, safety, or welfare of the public or the occupants thereof shall be deemed and hereby is declared to be a substandard building: Lack of required lighting throughout the mobile -home. (a) 10 2. Dampness, mold and mildew in habitable rooms. (a) 11 3. General dilapidation or improper maintenance. (a) 13 4. Sewage over flowing from sewage disposal system. (a) 14 5. Defective and deteriorated floor and steps. (b) 2 6. Walls in hall bathroom rotted and crumbling from moisture. (b) 4 Bertha Coccimigho APN: 064-260-023 15 April 2005 Page 2 7. Ceiling falling down due to leaking roof throughout the mobile -home. (b) 6 8. Exposed:=elecirical.wires and open splices at exterior front and rear walls. (d) 9. Broken or missing smoke detectors throughout mobile -home. (f) 10. No emergency exit in hall bedroom. (1) At the time the above -referenced property becomes vacant, it shall not be occupied until all violations are corrected. It is the County's goal to obtain voluntary compliance with the California Health and Safety Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. A re -inspection will be made to determine compliance. If voluntary compliance with this notice is not accomplished by correction of the above -referenced violations, enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction and per Section 41-7 of the Butte County Code, violators may be fined and a Notice of Violation may be recorded which include a description of the action necessary to correct the violation. Furthermore, failure to comply will result in the Franchise Tax Board being notified of your non-compliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given to you pursuant to Section 24436.5 of the California Revenue and Taxation Code. To comply with the California Health and Safety Code, Section 17920.3 (b) 8,9; (h) 1; you must obtain all required permits for repairs from the Butte County Department of Development Services, Building Division, 7 County Center Drive, Oroville, California. You have thirty (30) days to voluntary comply with the above -referenced directions. Should you have any questions concerning this matter, please contact me at 538-7601 Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Gary Brown Code Enforcement Officer GB: mjs cc: Department of Development Services, Code Enforcement 15 April 2005 Butte County Department of Development Services www.buftecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile Tim and/or Cora Armfield 6221 Ponderosa Way Magalia, CA 95954 RE: Substandard Housing 6221 Ponderosa Way, Magalia CA 95954 APN: 064-260-023 Dear Tim and/or Cora Armfield: This department has received a complaint alleging health and/or safety hazards at the above - referenced property. Butte County Assessor's records indicate that you own or control the property. On April 6, 2005 an inspection was made regarding the complaint and the following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (a) 10, 11, 13, 14; (b) 2, 4, 6; (d); (f); (1); which pose health and safety hazards to the occupants and render the dwelling substandard. This letter is your thirty (30) day warning letter to correct or abate the following violation: Any building or portion thereof including any dwelling unit, guest room or suite of rooms, or the premises on which the same is located, in which there exists any of the following listed conditions to an extent that endangers the life, limb, health, property, safety, or welfare of the public or the occupants thereof shall be deemed and hereby is declared to be a substandard building: 1. Lack of required lighting throughout the mobile -home. (a) 10 2. Dampness, mold and mildew in habitable rooms. (a) 11 3. General dilapidation or improper maintenance. (a) 13 4. Sewage over flowing from sewage disposal system. (a) 14 5. Defective and deteriorated floor and steps. (b) 2 6. Walls in hall bathroom rotted and crumbling from moisture. (b) 4 Tim and/or Cora Armfield APN: 064-260-023 15 April 2005 Page 2 7. , Ceiling falling down due to leaking roof throughout the mobile -home. (b) 6 8. Exposed electrical wires and open splices at exterior front and rear walls. (d) 9. Broken or missing smoke detectors throughout mobile -home. (f) 10. No emergency exit in hall bedroom. (1) At the time the above -referenced property becomes vacant, it shall not be occupied until all violations are corrected. It is the County's goal to obtain voluntary compliance with the California Health and Safety Code.. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement, A re -inspection will be made to determine compliance. If voluntary compliance with this notice is not accomplished by correction of the above -referenced violations, enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction.and per Section 41-7 of the Butte County Code, violators may be fined and a Notice of Violation may be recorded which include a description of the action necessary to correct the violation. Furthermore, failure to comply will result in the Franchise Tax Board being notified of your non-compliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given to you pursuant to Section 24436.5 of the California Revenue and Taxation Code. To comply with the California Health and Safety Code, Section 17920.3 (b) 8,9; (h) 1; you must obtain all required permits for repairs from the Butte County Department of Development Services, Building Division, 7 County Center Drive, Oroville, California. You have thirty (30) days to voluntary comply with the above -referenced directions. Should you have any questions concerning this matter, please contact me at 538-7601 Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, _4c Gary Brown Code Enforcement Officer GB: mjs cc: Department of Development Services, Code Enforcement •0e�E•Butte County Department of Development Services • ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 RETURN SERVICE REQUESTED BUTTE COUNTY APR 2 2 2005 i DEVELOPIl'E-i i<' SERVIXES y 012€16205578 W� v 00.35? tu = 04/15/20Q5 4. Mailed From 95965 US POSTAGE Tim and/or Cora Arm el.d 6221 Ponderosa Way Ma.galia, CA 959,54 Sv' ro J S396�u°3 3349542 ARMF221 959543522 1405 16 04/20/05 RETURN TO SENDER AR11FIELD PO BOX 1642 MAGALIA CA 95954-169a RETURN TO SENDER Butte County Department of Development Services www.buftecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile 1` } 15 April 2005 Tim and/or Cora Armfield 6221 Ponderosa Way Magalia, CA 95954 RE: Substandard Housing 6221 Ponderosa Way, Magalia CA 95954 APN: 064-260-023 Dear Tim and/or Cora Armfield: This department has received a complaint alleging health and/or safety hazards at the above - referenced property. Butte County Assessor's records indicate that you own or control the property. On April 6, 2005 an inspection was made regarding the complaint and the following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (a) 10, 11, 13, 14; (b) 2, 4, 6; (d); (f); (1); which pose health and safety hazards to the occupants and render the dwelling substandard. This letter is your thirty (30) day warning letter to correct or abate the following violation: Any building or portion thereof including any dwelling unit, guest room or suite of rooms, or the premises on which the same is located, in which there exists any of the following listed conditions to an extent that endangers the life, limb, health, property, safety, or welfare of the public or the occupants thereof shall be deemed and hereby is declared to be a substandard building: 1. Lack of required lighting throughout the mobile -home. (a) 10 2. Dampness, mold and mildew in habitable rooms. (a) 11 3. General dilapidation or improper maintenance. (a) 13 4. Sewage over flowing from sewage disposal system. (a) 14 5. Defective and deteriorated floor and steps. (b) 2 6. Walls in hall bathroom rotted and crumbling from moisture. (b) 4 Tim and/or Cora Armfield APN: 064-260-023 15 April 2005 Page 2 7. Ceiling falling down due to leaking roof throughout the mobile -home. (b) 6 Exposed electrical wires and open splices at exterior front and rear walls. (d) Broken or missing smoke detectors throughout mobile -home. (f) 10. No emergency exit in hall bedroom. (1) At the time the above -referenced property becomes vacant, it shall not be occupied until all violations are corrected. It is the County's goal to obtain voluntary compliance with the California Health and Safety Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. A re -inspection will be made to determine compliance. If voluntary compliance with this notice is not accomplished by correction of the above -referenced violations, enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction and per Section 41-7 of the Butte County Code, violators may be fined and a Notice of Violation may be recorded which include a description of the action necessary to correct the violation. Furthermore, failure to comply will result in the Franchise Tax Board being notified of your non-compliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property as. long as it remains substandard. This notice is given to you pursuant to Section 24436.5 of the California Revenue and Taxation Code. To comply with the California Health and Safety Code, Section 17920.3 (b) 8,9; (h) 1; you must obtain all required permits for repairs from the Butte County Department of Development Services, Building Division, 7 County Center Drive, Oroville, California. You have thirty (30) days to voluntary comply with the above -referenced directions. Should you have any questions concerning this matter, please contact me at 538-7601 Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Gary Brown Code Enforcement Officer GB: mjs cc: Department of Development Services, Code Enforcement BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM -, This information is not available to the public!!!!!!! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Y G Complainant:d �� Address: Phone: The above information is not .available to the public!!!!!!! (Z) ALL FRONT SETBACKS ARE: HE MEASURED FROP'1 F THE ULTIMATE EDGE O RIGHT OF WAY V O CL CD O (A a) O O 36' SITE P LAN ............................................ .................... ........ M X rn ('Do rt X 0a�>v -0 —I D m cQ o. a) C 1 3 X c CD 3 a) rn 2r I 0 � n Proposed 27' x 60' Manufactured, Horne Replacing Old Mobile Home O,Q *-Oi4—) 130' Assessors Parcel Number: F3 I ® W— [010® Scale: 1"= Z�f o Owner Name Address / Phone No.�">� � D - -�—s �� `3s'93� '� ' -10 - ° o Site Location 6 x.27 a ' �� " �0 Contact: Name Phone X22 odabwr,2003 (D Existing 14'x 10' Shed APPROVED PLANS AND PERMIT SHALL BE ON SITE FOR ALL INSPECTIONS THE 2.007 CBC, CMC, CPC,_ CEC, AND 2005 CALIFORNIA ENERGY STANDARDS AS AMEN DEO,BY-THE JURISDICTION I APPLY TO tHi8 PRO.JECT., E USE ONLY PROVIDE FOR ALL ADJACENT PARCELS S IZE (AC): 7I_I.A.1./" . �- ...-tip. x -t.., 170 E %:zP PY OWNER Cj' Ll6HrH19 'h APN O,G - Z(6, OLS BP #V&O� 3 G K