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064-480-033
LOT BLOCK ARTHUR `C . MAC MURRAY- -64CW. -3 3 195 Temple Circle, Magalia STREFr CONTR: C & M Electric, k1agalia Permit 191.7-72B (new single family) 1584-72P,E (temp. power pole & ) water piping only -for future a residence) SUBDIV. L , C� 64-4&-33 iTYPE OT I PERMIT NO. I PLAN NO. I DATE ISSUED PER1 195 TempleCir., lot 20, PP#8, Magalia contr:Par-AO,Dise Const., Magalia Permit 1 832-781?,E(ut l.,MH) ELECI. GAS / ., a"p_ SUPP T RUCTURE REQ. COMPACTI&I TEST REQ 64-48-,,33 contr:McMillan Mobile Home Serv.,.Para. Permit #6279-78MHI Issued [ �-�� -T? B071521 064-480-033 MISCELLANEOUS Demolition DEMO EX MOBILE HOME (1056) 14062 TEMPLE CIR 149-21-7 - MILLER, ROLAND RAY & LORI D B07-1520 064-480-033 RESIDENTIAL . SFD-Mobile Home PFS NEW MH EX SITE PERM FNDN (1190' 14062 TEMPLE CIR� iv' ZZ MILLER, ROLAND RAY & LORI D REMARKS PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT DEPARTMENT OF T -TRAILER S/W-SIDEWALK NOTICE S -SIGN PERMIT D - DEMOLITION BUILDING AND SAFETY I 600.1 d` a REMARKS PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT DEPARTMENT OF T -TRAILER S/W-SIDEWALK NOTICE S -SIGN PERMIT D - DEMOLITION BUILDING AND SAFETY I 600.1 31V0 '018 31V0 'CIS 31VC3 'CIS 3140 'ol3 31V0 'OIs NOIIVNCIS3(1 +h138wnN IIW83d SrIVAO?IddV 9309 lV7730SItll lVNld 58313 W S33NVIlddV 8 S3mnixu NI-HOnOM 31V0 IDIS 31V0 'CIS 31V0 'CIS 31VO 'CIS 31VO 'CIS +a36WnN lIW7J3d S7VAOMddV 7VOM10373 lVNld S1N3A a S33NVIldtdV 3NI-1 H3M3S CNIdId E131VM 1S31 3mnSS3Hd SV9 NI-Hono i 31Va 'IDIS 31VO IDIS 31VO Dib31VO 'CIS 31V0 'CIS +2138WnN IlWM3d 97VA02fddV O)VIMMfl7d S7VAONddV ;9)Vla7Ifl8 GHOON N011334SN1 31V0 'CIS 31V0 C13 r 31V0 'CIS 31V0 'CIS 31VO '01S 31V0 'CIS 31V0 ''CIS 31V0 31Va 'CIS 31V0 CIS 31VO , 'IDIS 31V0• • I 'CIS . =1 Z DD r m v D m �D � rm r mZ on n� x� m mIn �xl ym �� m0 �'ZI 0 .1� m0 1�nn 'xI 5m -1� =0 z 1� .4 >ma -1� =0 A D Z O A iZn m0 my rn Z O � 20n C3M> Dai -_Iy0 0 Z 2 Cm 3M m3 m- y i S7VAONddV ;9)Vla7Ifl8 GHOON N011334SN1 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.net\dds PROJECT INFORMATION Site Address: 14062 TEMPLE CIR Owner: Permit NO: B07-1520 APN: 064-480-033 MILLER, ROLAND RAY & LORI Issued Date: 09/13/2007 By TMP • Permit type: RESIDENTIAL P O BOX 1178 Subtype: SFD-Mobile Home PFS MAGALIA, CA 95954 Expiration Date: 09/12/2008 Description: NEW MH EX SITE PERM FNDN (11 (530) 877-4439 Occupancy: R-3 Zoning: RT1 Contractor Applicant:. Square Footage: EXECUTIVE HOMES EXECUTIVE HOMES Building Garage', Remdl/Addn 3042 ESPLANADE 3042 ESPLANADE 1,190 CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530)891-6992 (530)891-6992 1 190 FEE INFORMATION DBEH Building Review Fee $75.70 DBF MH Plan Check $233.56 , DBFIRE Fire Inspection (SRA) $205.40 DBFIRE SRA Fire Plan Review (S" $102.70 DBMSC Mobile Home Permit Fee. $350.34 DBOMSCF Fire Safe Standards Re $115.98 DBSMIP Residential $7.74 Total Charged: $1,091.42 Fees Paid: $1,091.42 Balance Due: $0.00 Receipt No: B4632 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 EXECUTIVE HOMES 640583 / C47 / 03/30/2008 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 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and eff 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 09/13/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contactor`)Sigq25W Date ❑ 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. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, 1, AS OWNER OF.THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Cade: 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 Carrier: EMPLOYERS COMPPolicy Number: FN031696304 Exp. Date:07/15/2008 Contractor's License Law.). ple (This section need not be comted if the permit is or one hundreddollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 09/13/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 09/13/2007 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 arising out of, 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 thatt is issuance of this pea rmit 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 Propertyjown�r_oro��honized ct th operty owners ehalf. 09/13/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Na Of ermi IGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) - Owner tractor OR. Agent for Owner DAgent. for Contractor '/�F` FILE COPY Lenders Address CityState Zip BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �� V (�(-- Building Department No. A.P. Numbe��) • Z ( Property Owner Property Location Subdivision Tax Rate Area No. Jurisdiction: = City ��County 'r -0 6(?• ) l �) >> d Residential Development = No of Living Units Commercial/Industrial 0 I New Building Department Lot No. ................................................ P p ............................................ 0 Mobile Home Addition/ *Supplemental to Installation Conversion Permit# *(No foundation inspection) 0 Addition Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) Date District Identification No. School District certifies that • �/ J�� i ✓" (Payor) Address) (City) (State) _ / has complied with the requirements of Resolution No. Paid by 11 C-44 square feet. Remarks: (/ (Zip Code)W-1 � (Phone Number) by payment of $.��2 11AB 2926 $ FULL MITIGATION $ (711-Z,10 7 n�*a L Notice: You may protest the imposition of the fees identified above by submitting 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. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School 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'soschools. White (school district), Yellow (building department), Pink feeform.xls (12/06)dmm o. t U Sq. Footage (Group R) Cr. Demo - (� ©e5( existing sq. ft. see attac ed Net total sq. ft. 3 Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) Date District Identification No. School District certifies that • �/ J�� i ✓" (Payor) Address) (City) (State) _ / has complied with the requirements of Resolution No. Paid by 11 C-44 square feet. Remarks: (/ (Zip Code)W-1 � (Phone Number) by payment of $.��2 11AB 2926 $ FULL MITIGATION $ (711-Z,10 7 n�*a L Notice: You may protest the imposition of the fees identified above by submitting 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. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School 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'soschools. White (school district), Yellow (building department), Pink feeform.xls (12/06)dmm BUTTE COUNTY DEVE OPMENT FEE CERTIFICATION FOR 0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) - ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) PARADISE RECREATION AND PARK DISTRICT (PRPD) .❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor. Parcel Number (s)64 • `�b� Building Permit Number�7 Property Owner (s) \-,o f *,. `, C;ncl� 1 Y Project Location /Address �- i pO: Subdivision Name Assessable Sq. Ftge 1 k - I Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached / Alteration/Addition(s) Non -Residential to Residential Multi=Family Dwelling 1/ Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: Building Deparb-h*t'?,epresentative Date ❑ 0 CARD Ar PRPD ❑ .DRPD certifies that: gil- � Ap icanam Phonp Number . Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ per unit for a total of $ =' Square Feet @ $ per sq foot for a total of $ Remarks: P i b eck No:..Paid by Cash: Recreation and Papf District Representative _ Receipt No: Date • California. Department of Forestry -and Fire Protection ' lutte County Fire Department, Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530)538-2105 Fax Reference Number: B07-1520 Date: 07/13/2007 Location: 14062 TEMPLE .CIR, _ By: KEJ Parcel Number: 064-480-033 Sub Type: SFD-Mobile Home PI Owner Name: MILLER, ROLAND RAY & LORI D ' . Phone: (530) 877-4439 Description: NEW MH EX SITE'PERM FNDN (1190) , 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: 'All development within the SRA is required to meet the below requirements: ✓ Public Resources Code 4290 v/- 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 Requests for inspections shall be made a minimum of.72 hours in advance by calling the Fire Prevention - Bureau 'Is revention- Bureau's 24 hour inspection line at (530) $38-6837, ext. 169, (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. 4 07/13/2007 1 Date Signature All of.the Fire Safe'Requirements are posted on`the Butte County Fire Department website at bttp://buttefire.org/Fireprevention/pr6tplan/protplan.htniT Rev'd 5/7/07 r FILE BUTTE. COUNTY FEE SUMMARY 7 County Center Drive' # Oroville, CA 95965 Department of Development Services Phone (530) 538-754.1 Fax (530) 538-2140 Printed: 07/13/2007 10:12 am 1 Permit Number: B07-1520 Job Address: 14062 TEMPLE CIR Contractor: EXECUTIVE HOMES 3042 ESPLANADE CHICO, CA 95973 ' Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021=540013-4614901=1010 $75.70 07/13/2007 $75.70 DBFIRE Fire Inspection (SRA) -0100-450001-4617240-1010 $205.40 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $115.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102:70 07/13/2007 $1.02.70 DBMSC Mobile Home Permit Fee. 0010-440001-4210500-1.010 $350.34, DBF MH Plan Check 0010-440001-4210500-1010 $233.56 07/13/2007. $233.56 DBSMIP Residential 1001-0-280-1011298 $7.74 :- Y 19091..42 $411.96 Printed By:,Karen-Jones i _ Balance Due: $679.46 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: I /� Date: 07/13/2007 Pursuant to Government code Section 66020, you are hereby notified those iteinslisted above may have been imposed on your project. You have 90 days, from the date of approval of the projector 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): • • 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 NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. • Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipklcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1520 Location: 14062 TEMPLE CIR Parcel Number: 064-480-033 Date: 07/13/2007 Owner Name: MILLER, ROLAND RAY & LORI D Phone: (530) 877-4439 Description: NEW MH EX SITE PERM FNDN (1190) Signature of Property Owner: AJDate: 07/13/2007 FILE Butte County ,Department of Public Works � J. MICHAEL CRUMP, DIRECTOR •, T T _ 00 LAND DEVELOPMENT DIVISION 0 0 o O Storm Water Managment Program KEJ 0 0 064-480-033 7 County Center Drive SFD-Mobile Home PI Oroville, CA 95965 _ ., (530) 538-7266 Telephone (530)1877-4439 (530).538-7171 Fax 1(C www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment LESS THAN 1 ACRE Reference Number: B07-1520- Dater 07/13/2007 Location: 14062 TEMPLE CIR . By:' KEJ Parcel Number: 064-480-033 Sub Type: SFD-Mobile Home PI Owner Name:: MILLER, ROLAND RAY & LORI D'. Phone: (530)1877-4439 Description: NEW MH EX SITE PERM FNDN (1190) 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: 4 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. r Signed:. - Date: 07/13/2007. Title:.. FILE t Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville; CA 95965. (530).53&7601 Telephone (530)' 538-2140. Fax www.buttecounty.net/dds' PERMIT APPLICATION DATA SHEET Reference Number: B07-1520 Date: 07/13/2007 Location: 14062 TEMPLE CIR $y: KEJ Parcel Number: 064-480-033 Sub Type:. SFD-Mobile Home PI Owner Name:. MILLER, ROLAND RAY & LORI D Phone: (530) 877-4439 Description: NEW MH EX SITE PERM FNDN (1190) 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- DRAINAGE DISTRICTS 0 Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville.CA 95966 - (530) 533-2000 : y City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Signature of Property Owner: FILE Date: 07/13/2007 , 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 Paradise Parks & Recreation, 6626 Skyway,. Paradise CA 95969 - (530) 872-6393 ° SCHOOL DISTRICTS E] F 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 Y Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 0 F Marysville School District, 191.9 B Street, Marysville CA.95901 - (530) 741-6000 . ❑ 11 Oroville Elementary School District, 2795 Yard Street; .Oroville CA 95966 - (530) 532-3000 ❑ Oroville'Union High, 2211 Washington.Ave, Oroville CA 95966 - (530) 5387-2300 Ext:105 . r[� Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 'OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions 0 City,of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ❑' M Other: ❑ : ❑ r. Other: ❑ El Other: Signature of Property Owner: FILE Date: 07/13/2007 , BUTTE COUNTY DEPARTMENT OF .PEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Namem1"u- . irsOt"m n 1 moo` Mailing Address yo6a -rcm CitymQ. 0., i0. A State C �t Zip 5 57 7 Phon 7 ^ C( 3 1 Fax E-mail . CONTRACTOR Name�X�.�,V� �-'t'OtrY1P.S Address y a E'S aaa-6e city C N'(D State CA zipg59,3 Phone`6V _ 6Ya T Fax . 53 E-mail L'c. 05'K3- s. I C117 APPLICAfN, T_INFORMATION ARCHITECT/ENGINEER Name Address3o4,a Address Cityt� City State CQZip45o��3 State Zip Phone 'aK,? _ �!�s / Fax E-mail State License Number APPLICAfN, T_INFORMATION Name rXt✓Gv��V2 �arvteS Address3o4,a laude Cityt� Page State CQZip45o��3 Planner Phone,�gl^,Q9a O Name 'aK,? _ �!�s / E-mail APPLXANTSIGNATURE X For office use only: , Zoning Flood Zone I S Ye No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. 0,1 % BIN # PROJECT LOCATION AP# w q- iso -03 - PropertyAdd 1 0� ken le 6rGle City tna 1 i 0. Cross Street WORKER'S COMPENSATION Policy Number N 696 3v4. Carrier CM ens 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: ,five . Sq'FT- Living \\gp GaFage- -Open -Gey ❑ 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 QSRA Receipt #: Sheriff SMTP Date: Other Total . Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name: LOC k An6 �La i'Y[i((er A.P.# 06 - V $b Home Manufacturer: rlea�Ljo Manufacture Year: Model Number / Name: Width:.) " (ft.) LengthA5-9` FOOTINGS: Wood - pressure treated or foundation grade[[] Other:[ ] SUPPORTS: Concrete block[ -JOther:[ ] .Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. Pier Footina Sizes and Locations SINGLE WIDE MULTI -WIDE Line 1 ------------------------------------ Line 1 Line 2 Section 1 Line 2 Line1---=----------------------------------------------- - Line 3 -------------------------------------------------------------- Section 2 Line 2 --------------------------------------------=------------------ Line 4 (triple wide only) t--------------------------------------------------------------- Section 3 Line 2 Line 1 Piers: Snow Load: v psf Minimum size piers: ] X [� ] Snow Load requirements may be obtained at Spacing maximum: I <� .1p http://www.upstate-ca.com/butte/butte_County/ From ends maximum -..r Insert AP #, view snow load in lower right corner. Line 2 Piers: Minimum size piers: X Spacing maximum: From ends maximum: Line 3 Roof Loads: Minimum size piers: Location (from front): ~Minimum size piers: Location (continued): tt Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 1 Openings:.UI � E ( �Cuj*i I -Y i� 'er: Minimus [ :) IIDI.N]'30 DNIS0.11 Required at each side o yin;gsover� wide. a � rn.Pv`�c41' 1/4" 5'-.3 1/4" N/ 2x6 SIDEWALLS r .HEAT TAPE RECEPT ON UNDERSIDE OF FLCOP. iF3 aclWITHIN 2' OF W/H INLET B p OPT. s s � LIVING ROOM 252.2 sqf �9H 1T. BATH 2 ❑a p .7 �Al! a BEDROOM -3 11 98.098.0 sqf 7D LICR? 0. 7 AN DEN 151.1 sqf Y H rt x m ry .. I..._�. F G E PI D 4 1RECEPTACLE / SWITCH O THERMOSTAT ® SMOKE ALARM SMOKE ALARM .LIGHT 'FIXTURE FLUORES (;H'I' RECESSED LIGHT ®EXHAUST FAN LPANEL BOX sr SOLAR TUBO SA AIR SUPPLY 14 ^flETURH FAN RA a AIA s: RAG RETURN AIR GRILLE ® OVERHEAD' REGISTER pFLOOR REGISTER EE�n WALL -MOUNTED REGISTER - CROSS-OVER LOCATION O SUPPORT POST' Q� SH ARWALL ® 162 145'-8" © 162 44'-4" © X MAY 'r3ni�GR Y;6193B - `IliSi53 rLGf�/I�Ls�• w. ,. WOODLAND 17'-9^ 4'4'-4" W/ 2X6 SIDEWALLS PRODUCT NAMR W/ .2X6 SIDEWALLS EXPRESSION A .. _ _... A9,-3„ W/ 2X6 STDF.WALLS 3D L1GB7 / 8'-3 '4!/ 2XE SIDEWALL: ' -GPT. X GFT l �. �.EJ � � 2 =7� �� •Q bZ �•Etir� v #13 - �s 173.9 sqf 6 I. ROOM TITLES INCLUDING (A) INDICATES SQUARE FOOTAGE HAS BEEN BATH 1 UTILITY DRAWTNG TITLE COMBINED FOR GLAZING/VENTING REQUIREMENTS. T I GPIGF[ HUD hfAC58 4. FOR PLUMBING S HEATING SYSTEM NOT PROVIDED, REFER PACK \ �Y 6-� +��+ CUSTOM TO STANDARD APPROVAL SET. \�. L•� '�"^'bR'•'•1o•wr KITCHEN 5. THE MAXIMUM TRAVEL DISTANCE FROM ANY BEDROOM DOORWAY TO AN ENTRY DOOR 1S 26.0 IF. 6 Q -33 1/ DRAWN Er: "l Y1 oer. p , .N AIVAR K CUSTOMER: MILLER l i3?31 1 1 DINING RI N 1G DESIGNED TO MEET THE FOLLOWING STRUCTURAL REQUIREMENTS: cP! �� 103.6 sqi 1 7��7 WIND ZONES) 1 ROOF LOAD(S) 40 LBS. w lQ _ 1/4" 5'-.3 1/4" N/ 2x6 SIDEWALLS r .HEAT TAPE RECEPT ON UNDERSIDE OF FLCOP. iF3 aclWITHIN 2' OF W/H INLET B p OPT. s s � LIVING ROOM 252.2 sqf �9H 1T. BATH 2 ❑a p .7 �Al! a BEDROOM -3 11 98.098.0 sqf 7D LICR? 0. 7 AN DEN 151.1 sqf Y H rt x m ry .. I..._�. F G E PI D 4 1RECEPTACLE / SWITCH O THERMOSTAT ® SMOKE ALARM SMOKE ALARM .LIGHT 'FIXTURE FLUORES (;H'I' RECESSED LIGHT ®EXHAUST FAN LPANEL BOX sr SOLAR TUBO SA AIR SUPPLY 14 ^flETURH FAN RA a AIA s: RAG RETURN AIR GRILLE ® OVERHEAD' REGISTER pFLOOR REGISTER EE�n WALL -MOUNTED REGISTER - CROSS-OVER LOCATION O SUPPORT POST' Q� SH ARWALL ® 162 145'-8" © 162 44'-4" © X MAY 'r3ni�GR Y;6193B - `IliSi53 rLGf�/I�Ls�• w. ,. WOODLAND 17'-9^ 4'4'-4" W/ 2X6 SIDEWALLS PRODUCT NAMR W/ .2X6 SIDEWALLS EXPRESSION A � 3D L1GB7 / ^ H b H N D.T. :ill ti X l �. �.EJ � � 2 BEDROOM 1 �� •Q bZ �•Etir� v #13 - �s 173.9 sqf 6 I. ROOM TITLES INCLUDING (A) INDICATES SQUARE FOOTAGE HAS BEEN Y{6i)A r_asri ® Confor to - DRAWTNG TITLE 1/4" 5'-.3 1/4" N/ 2x6 SIDEWALLS r .HEAT TAPE RECEPT ON UNDERSIDE OF FLCOP. iF3 aclWITHIN 2' OF W/H INLET B p OPT. s s � LIVING ROOM 252.2 sqf �9H 1T. BATH 2 ❑a p .7 �Al! a BEDROOM -3 11 98.098.0 sqf 7D LICR? 0. 7 AN DEN 151.1 sqf Y H rt x m ry .. I..._�. F G E PI D 4 1RECEPTACLE / SWITCH O THERMOSTAT ® SMOKE ALARM SMOKE ALARM .LIGHT 'FIXTURE FLUORES (;H'I' RECESSED LIGHT ®EXHAUST FAN LPANEL BOX sr SOLAR TUBO SA AIR SUPPLY 14 ^flETURH FAN RA a AIA s: RAG RETURN AIR GRILLE ® OVERHEAD' REGISTER pFLOOR REGISTER EE�n WALL -MOUNTED REGISTER - CROSS-OVER LOCATION O SUPPORT POST' Q� SH ARWALL ® 162 145'-8" © 162 44'-4" © X MAY 'r3ni�GR Y;6193B - `IliSi53 rLGf�/I�Ls�• w. ,. WOODLAND 17'-9^ 4'4'-4" W/ 2X6 SIDEWALLS PRODUCT NAMR W/ .2X6 SIDEWALLS EXPRESSION A NOTES: ` L^ MODEL N0. 1. RECEPT SHALL NOT 8E INSTALLED WITHIN 30" OF TUB/SHOWER SPACE. l �. �.EJ � � 2.'ELECTRICAL WALL PLATES SHALL NOT BE INSTALLED WITHIN 6" OF A ILANGE- OR COOKTOP. �� •Q bZ �•Etir� v #13 - �s 4 4.5,3 A I. ROOM TITLES INCLUDING (A) INDICATES SQUARE FOOTAGE HAS BEEN ® Confor to - DRAWTNG TITLE COMBINED FOR GLAZING/VENTING REQUIREMENTS. HUD hfAC58 4. FOR PLUMBING S HEATING SYSTEM NOT PROVIDED, REFER PACK \ �Y 6-� +��+ CUSTOM TO STANDARD APPROVAL SET. \�. L•� '�"^'bR'•'•1o•wr FLOOR PLAN 5. THE MAXIMUM TRAVEL DISTANCE FROM ANY BEDROOM DOORWAY TO AN ENTRY DOOR 1S 26.0 IF. b `O� — g D — Q -33 THIS APPROVAL EXPIRES' 180 DAYS FRO14 DAPIA APPROVAL DRAWN Er: 7. OVERALL DLIIENSIONS SHOWN ARE FOR 2X6 EXTERIOR WALLS.' Y1 STAMPED DATE. AIVAR K CUSTOMER: MILLER DATE: 07/05/07 THIS FPADPPLAN AND ATTACHED OPTION DETAILS (SF APPLICABLE) 1G DESIGNED TO MEET THE FOLLOWING STRUCTURAL REQUIREMENTS: - PERIMETER PIERING REQUIRED WHEN ROOF LIVE. LOAD > 20 psf ORDER NO: 027041 7��7 WIND ZONES) 1 ROOF LOAD(S) 40 LBS. 171EX4453AO2704 POST DATA - TJI' PRO LIVE LOAD: 40 1,35. 360 INFO — PERIMETER PIERING REQUIRED DOOR SCHEDULE 90" LBL LOCATION UNIT POST_L HEIG4T BEARING POST PIER. L' BEAU D CLEAR SPAN A LABEL UNIT WALLLIAEL A 1421 114 1.75 33 1 1500 TJI 16" 7-5 1/4" `B 48 3/4" 98 7/8" R 1211 114 1.75 33" —1300` TJI 16" 5-10 1/4" C 8'-3 1/-i"- A 3141 ._ _ 114 _ 1.75 23 ._ 6000 TJI 16" ' 6'-5" C 6'-11 1/4" B 2835 114 1:'15 5 TJI 1G" TRIG FIELD [S 6-5" ,D 14-11 1/4". A _.750 114 - 1.75, 2 _ 7400- TJI 16" 0 1.3'-7 1/4" 8 822 114 1.75 2 TJI 16" 14' -I1 1/4" A 2.896 114 1.75 5 LVL 16" 16'-1 1/2" F 13'-7 1/4" B 2896 114 1.75 5 LVL 16" 16'-1 1/2 32'-3 3/4" A 2896 114 1.75 5 10300 LVL 16- F 30-11 3/4" B 2896 114 1.75 5 .LVL 16" G 32'-3 3/4" A 2226 114 1.75 4- TJI 16" 12'-4 3/4" G 3D'-11 3/4" B 2226 119 1.75TJI 16" 12'-4 3/4"45'-8" A 2559 114 1.75 �33 TJI44'-4" B 2559 114 1.75 TJI 16" E14PTY PIER LOAD IS COMBINED III NUMBER ABOVE CLEAR SPAN IS FROM EDGE'OF POST TO EDGE OF ADJACENT POST 011 -THE SAME SECTION FLOOR INFO JOIST SIZE 2x6' JOIST 14ATERIAL SPF 1 -JOIST SPACING 16 TJI PRO -360 SPLICE L6CATION DIMENSIONS ARE FROM HITCH END LIVE LOAD: 40 LBS. FROM - TO - UNIT MATE 0" 1'-11" A B 4'-8" - 7'-8" A B 14'-11" A B 6'-7" B A -4" - 13'-1" 8 A SHEAR WALL DATA WALL INFO DOOR SCHEDULE 90" WOODLAND SYMBOL 2x6 WIND ZONE: 1 DESCRIPTION 3279 132 x 79 BLANK -INSWING 3679 136 x 79 LABEL UNIT WALLLIAEL US GYP TYPE ACT.LENGTH REQ.LENGTH NOTE WINDOW SCHEDULE 'ACT.TRIB•• REQ.TRIB JOS SWHT A A 1- DESCRIPTION E 48 3/4" 98 7/8" 3 x 26 a•STRAP SGL HIING-SIDE LD 27'-0 3/8" 22'-8" 90 A A 2 V14405H E 70 3/4" 3 x 26 ga STRAP 30 x 40 90 B A 1 46 E 57 l/4" 98 7/8" 3 x 26 a STRAP 32'-2 1/4" 22'-8" 90 A 2 E 84 1/4" 3 x 26 ga STRAP 90 TRIG FIELD [S COMBINED. IN HUMBER ABOVE JNE14PTY S = NUHBER OF JOISTS FOR USE WITHOUT STRAP REAR EAVE O'HANG 12" FRONT GABLE O'HG 12" REAR GABLE O'HG 12" r WALL INFO DOOR SCHEDULE 90" WOODLAND SYMBOL 2x6 SIZE DESCRIPTION 3279 132 x 79 BLANK -INSWING 3679 136 x 79 BLANK -INSWING US GYP uuu�css Lvi �Appnn� NDry FRONT SAVE O'IIANG 12" WINDOW SCHEDULE DRAWN BY: AIVAR K. SYMBOL " SIZE DESCRIPTION V3659SH 36 x 59 SGL HIING-SIDE LD V4659SH 46 x 59 SGL HUNG -SIDE LD V14405H 14 x 40 SGL HUNG -SIDE LD V3040HS 30 x 40 H. SLIDER V4608HS 46 x OB H. SLIDER REAR EAVE O'HANG 12" FRONT GABLE O'HG 12" REAR GABLE O'HG 12" r WALL INFO SIDEWALL HGT'.. 90" WOODLAND EXT WALL SIZE 2x6 _ I EXT SIDING MAIL 5/16 4x8 HARO19 CEILING/ROOF INFO MODEL NO. 9 4-53A CEILING THICKNESS 1/2" - CEILING, MATERIAL US GYP uuu�css Lvi �Appnn� NDry FRONT SAVE O'IIANG 12" REAR EAVE O'HANG 12" FRONT GABLE O'HG 12" REAR GABLE O'HG 12" r ► BUTTE co U NTY WOODLAND q s% . U ILUNG Div v - 17 PRODUCT NAM& - ��� EXPRESSION MODEL NO. 9 4-53A #]3 DRAWING 'TITLE ' ® uuu�css Lvi �Appnn� NDry CUSTOM SPEC DRWG THIS APPROVAL EXPIRES 180 DAYS FROM DAPIA APPROVAL STAMPED DATE. DRAWN BY: AIVAR K. DATE: 07/05/07 " CUSTOMER: MILLER BHT REV ORDER NO: 027041 SPEC. lc ORD4027041/CUST0M3P:MILLER • 131EX4453AO27041 r i .w 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 er ��o6a ��nate. C c je- , �1��• �P�06`�—y8�— G33 . Xi2 Concrete System Engineer Approval State Approval kAANUFACTURGD Ii014TF1n9081LE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION M51 APPROVED 31I133ECT TO CORRECTIONS NOi ED APPROVAL DOES NOT AUTHORI7.F. OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS $tato of California 1kpmtment of Housing and Community Dowelopmwe 1 OF CODES AND STANDARDS_! B1° art 3Pi✓V I ° f%i�!/%�r' 17AT$ t•f! j4` �f�i- (aigttotare) , SPANO. Yhia Pian Approval Expiroa { f � f , Page 1 of 8 Foundation System Installation Instructions for California for Ground & Concrete Sys 6hvs HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 Ey Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. ® Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum ® 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, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. ® Maximum pier height is 48" pier. *Except for single sections 36". ® Steel piers must be fastened to the I-beam with clamps provided with steel pier. ® Systems must be placed as evenly as possible, no more than 10' from end of home. ® Designed for 7:12 roof slope. *Except single sections, (20' - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems ® Poured concrete must be 2,500 PSI minimum at 28 days. ® Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 0 LD o Q. BUILDING PERMIT NUMBER: 1107-1520 Address or location of unit: 14062 TEMPLE CIR MAGALIA CA 95954 Legal Description of Real Property: 064-480-033 v SEE ATTACHED'' (x) Mobilehome/Manufactured Home . O Commercial Coach Has been affixed to the real property above by installation on.a foundation system pursuant to Health and Safety. Code Section 18551. Owner's name: MILLER, ROLAND RAY & LORI D Owner's address:P O BOX 1178 MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: PFS 1020003/4 SERIAL NUMBER OR V.I.N.: CAFL717A/B30318-EX13 MANUFACTURER'S NAME: FLEETWOOD HOMES CA. YEAR: 2007 OFFICIAL APPROVING INSTALLATION: DATE: 10/22/2007 , PHONE: (530) 538-7541 ' F H.C.D. 513 t vlila1vI voi30 rHA D,aV OU4 1041 IS'1'iSl kXb*1'UflIbK btt<V1k;h LgJUUZ/UUJ .•.IIIII�III'�III"III'IIIII�I,II'I"I .. ` 4.. r 2�Imtt71—m026941+ . PAR/C k RECORDING REQUESTED BY Recorded I REC FEE 10."00` �^ MID VALLEY TITLE CO. OfficialyyRecords I TAX 35.20 AND WIiEN.RECORDEI) MAIL. TO. ' COB1lTTEOf .ROLAND RAY MILLER ' �CANDARecJ.ardeRUBBS LORI B. MILLER ROSEMARY DICKSON, 14062 TEMPLE CtE Assistant I Vickie MAGALIA; CA.. 95954. 09:00AM 28-Jul-2000 1 Page 1 of 2 ` Space Above This Line for Recorder's Use Only A.P.N.: 064-480-033! Order No.: Escrow No.: 181225VG GRANT DEED: TAE UNDERSIGNED GRANTOR(s) DECLAREW THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $35,20 r X] computed on full value of pro erty conveyed, or 11 computed on full value less v�ue of liens or encumbrances, reineining at time of•sale, ' X] unincorporated area; '[ ] Town of _. and Y . FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, ' ALLEN J. MOON and SIBYL V. MOON, Husband and Wife , .hereby GRANT(S) to ROLAND RAY MILLER and LORI Q. MILLER, Husband and Wife is JOINT TENANTS the following described property in the UNINCORPORATED AREA, County of Butte State of California; See Legal description attached hereto and [Wade a part hereof. • ' ALLEN JOON SMYL.VATOON Document Date:' July 20, 2000 STATE OF CALIFORNIA- )SS COUNTY.OF BUTTE%) On. 7-21-00_ before rite, VICKI GROSSE, -A NOTARY' PUBLIC personally appeared . ALLEN J. MOON AND -SIBYL V. MOON-- personally, knowri to me (or proved,to toe on the basis of satisfactory evidence) to be the person(s) whose naine(s) is/are subscribed to the within instrument and.acknowlcdged to me that helshe/they executed the same in.his/her/their authorized capacity(ies) and that by his/her/their signature(s) on _ the instrument the person(s) or the entity upon behalf of which the person(,) acted, executed the instrument. WITNESS my hand a d official s t Signature ✓�f. , , This area for official notarial seal. i VICKI GROSSE • 0, , .... COMM, 41148638 ' NOTARY PUBLIC-CALIFORNIA BoTE COUNTY O _ My COMM. Ettpli s July 26, 2001 ; t• Mail Tax`Statements to: SAME AS ABOVE 'or AddressNotedBelow a i `•.� r 7 r y P A.ND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILD2\G IDIVLSION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 s, N 2007-0039081 Rerorc;eci . I u�fic•al t;ecor.s t County of ! Butte t c4rbti�ek a. �lt��l��.: s Aunty Clerk-tieconjerl I I titL FETE 1. N. 8W FIaue' 1 of i Ai,'RICULTURAL.STATEMENT OF ACKriTOWLEIDGMENT FORRESIDENTIAL DENTLOPHENT Section 26-8 of the Butte County Code required this acknowledgement to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as following: The land referred to herein is situated in the state of California, county of butte, and is described as follows: Parcel I: Lot 20, as shown on that certain map entitles, "Paradise Pines Unit no. 8", which map was recorded in the office of the recorder of the county of butte, state of California, on October 21, 1970. In book 38 of maps, at pages 1, 2, 3, and 4. - Certificate of correction was recorded Dec. 2, 1970, in book 1648, page 5, official records. Excepting there from all minerals, oil, gas; aspaltum and other hydrocarbon substances; without, however, the right to surface entry to recover same to a depth of 100 feet below.the surface of said land it being understood and agreed that in all extracting operations, such shall be commenced on lands other than that herinabove described. AP# 064-480-033-000 Parcel II: A non exclusive easement over lot a(the common area) of said Paradise Pines unit no.8, and the lots designated for common and recreation areas, as described in the declaration of annexation for units IV and Vl. Date169 6-6 `J PROPERTY OWNERS: 1 <. State of California County of / utte � I C On 201)7 before me, %� • / /v,� personally appeared a �A � 10 / Z G,, � Allu-1) Z,60,C0 h9l LG�/� personally known to me (or proved to me on 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 capacity(ies) and that by his/her/their signatures) 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. oI CIEKIGER COWIfFt L R 1488781 + i NOTl:P,Y PU8LIC.GALIF0FN V,y3 Signature i� Seal: Burr COUNTY n coa^, 1. EXP. LXJ.y 10, 200': c A.P. 4 tom, 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.net\dds PROJECT INFORMATION Site Address: 14062 TEMPLE CIR Owner: Permit NO: B07-1521 APN: 064-480-033 MILLER, ROLAND RAY & LORI Issued Date: 07/13/2007 By KEJ Permit type: MISCELLANEOUS P O BOX 1178 Subtype:' Demolition MAGALIA, CA 95954 Expiration Date: 07/12/2008 Description: DEMO EX MOBILE HOME (1056) (530) 877-4439 Occupancy: Zoning: RT1 Contractor Applicant: - Square Footage: EXECUTIVE HOMES EXECUTIVE HOMES Building Garage Remdl/Addn 3042 ESPLANADE 3042 ESPLANADE CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530)891-6992 (530)891-6992 FEE INFORMATION DBMSC Demolition $58.00 - Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B3878 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 EXECUTIVE HOMES 640583 / C47 / 03/30/2008 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 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full fo 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 07/13/2007 A� the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractor's Signature Date ❑ 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. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by ® CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions 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 EMPLOYERS COMP FN031696304 07/15/2007 Carrier: Policy Number. Exp. Date: Contractor's License Law.). (This section need not be competed if the permit is oris or one dollars ($100) or less.) , ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 07/13/2007 compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those Owner's Signature Date provisi s. X 07/13/2007 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 agents and employees from any and all claims and liability for personal Butte County, its officeeach, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE a injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( 1 t is 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 pr any owner m authonzeq to act on the property owner's bah If. CONSTRUCTION LENDING AGENCY & 07/13/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency forame of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR. Agent for Owner nAgent for Contractor FILE COPY w� Lender's Address City 'State zip A r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX.#: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name'A �, C.l First Name�� � +rlorefrJ Mailing Address l Libel oZTre e. CifT,1e City ;Mt11. t� ,. ,. �1_ State C /T ZipG J� (� Phone L1-G�� i / Fax E-mail CONTRACTOR t . Name E e U�vP. kA --Y> tS Address O� CS lanaJe City Cil l (_CD City StatECA Zip?597 3 Phone,w/� Phone Fax — 3 15 3 E-mail E-mail Lic. #/ //v� Slate License Number Class C Ll7 APPLICANT (INFORMATION ARCHITECTIENGINEER Name Address -601 a 0 / Address City^ p„ City State State Zip Phone Fax — 3 15 3 Fax E-mail Slate License Number APPLICANT (INFORMATION Name E&(�__(Je_ ROVED - Address -601 a 0 / Ca� City^ p„ I No State Zip Phoonne�(�1- 5I a 6 Fax — 3 15 3 E-mail APPLICANT SIGNATURE X �( PROJECT LOCATION Property Addre/Va6 a/ , I eMo e- C City 1-1 f + �. 101,uj �� ✓ PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number F N -3 / 6qe57 Carrier L(n ployers Cchm 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: 1 crre 00 mv) v�OC4_ Scl FT- Wing arage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ.Type Const. •..ter . • 4 !4832-78 E ';PERMIT NO."� PERMIT EXPIRES a iiOWNER. Christina Mathews & Brian York • ,iiCONTR. Par-A-Dise Const., Magalia . r tia_i,Q_zz �rG MO.BItEHOME. INSTALLATION INSPECTION CHECK LIST the mobilehome—located with required separation from`lot lines and buildings and generally conform to plot plan? •Yes No - 145)LDoes.the mobilehome have required clearances above ground?. (Sec,5085) Yes No 6r—Are- footings and supports -properly sized, spaced, and, braced as par.approved plans? (Note possible variation at spring. shackles.) (Sec'.' 5082 & 5083) YesNo 6Z Is the mobilehome level? (Sec. 5088) Yes.!` 'No_ O.K.If more than a single unit,'are crossover.connections properly installed? (Sec. 5088) Yes No N' Water (J A. -Is flexible connector of'ad,equate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test. - Does water piping withstand working pressure or 50 lbs: air test? YeK_ No C. Backflow`cc ch is not State of California approved, does.station have backflow device and pre reLrerief valve? Yes_ No { � t--Wast�s and Drains A. Is connection made with Schedule 40 DWV'and have flex connectors at each end? Yes),(. No B. V Does it have minimum 4" per foot slope and is it pr operly'supported? Yes X No_ C.V Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No_X' ' D. If coach is not Yes have required trap and vent? 0 Gas. Piping* and Gas - Vents A Connector - Is mobilehome connected to the gas supply°with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large -as the mobilehome gas line inlet without reductions other'than the mobilehome connector. YesN1C No B.i% Test OK as per following procedure YesNo yf i1.' Open all appliance connector v�Llves:.° 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10'.';14." water column�'or test with slope gauge (minimum ® 6oz.-maximum 8 oz.) calibrated in -tenth pound increments.,,_Test for 10 min. without drop. f 4. Connect gas meter to mobilehoiqe.with connector, 'turn on gas, test connections with soapy water. C.`tAre all appliance vents properly installed? YesV No v .� Electrical A.(, -,Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with.a minimum of 100 amp) and other facilities on lot, i.e., water pumps,. garage, cabana,'etc.? Yesz No BMs there proper clearances around panels? Yes Yom. No C.' -/Is power supply cord or feeder assembly properly fused? Yes N, No— D. Is o_D.Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected.' 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site. service equipment may be approved for energizing. 10. Is job card signed by Health•Department. for water and sanitation? ll.tif everything okay, sign off card and tag services. MOBTLEHOME DATA Manufacturer and/or Namestyle Length_ Width _-2-a Vehicle Serial No. State Identification No. Cei /q..9/// C%- /.9-' Additional Information or Comments: t COUNTY OF BUTTE - DEPARTMENT. OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING -.=BUILDING (Cont'd) J PLUMBING Set ck F"Iftf wall Soi Pipin Form Par ets I1s loor Mat Bldg. Restro m Finish I I 2nd Nloor Fo ins Window 1 3rd F IN r Stemal I Siding 1 ,To out Slab Roof Sheathno Water Pi in Piers Roofing Sewer • Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab Prov. for phsicall A liances Carport handica ed p Conformance of ex., Gas PI In & Test Footings structureTemp. Gas Slab A Final I Sanitation Patio E P b# CE I Final Footin s Footing M E ECTRIC Masonry Walls Throat N Rough Relnf. Steel Final I Fixtures Bond Beam FIRE SPRINKLERk Motors Framing Test Water Htr. Stucco Final Subpanellf Mesh MECHANICAL Grd. Fagit Prot. ScratA 4Heatlp(aServicBron g T p. Pole FIsh nder round In rior Lath ation ennanentor Closer InaI MOBILEHOMEUTILI IES------------------Elec. Service ~off Elec. Pedestal Water PipingSewer Q� Gas Piping M0016EUOMEINST LATION--------------Support _ _ Elec. Continuity Z( -L_7$ Water Piping o! Drainage �� -7 � Gas Piping 1,-1- —7 9- e14- DATE REMARKS OR CORRECTIONS a� 1,1,4 ` , oL ale ssU& (NOTE: An entry must be made on this form each time you vi sit the job site.) 11 COUNTY OF BUTTE dPARTMENT OF PUBLIC WORKS -7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with of the California Administrative Code, Title 25, Chapter number '7-7for the following location: the requirements 51 under permit Owner r 1�1 T % - lJ `� & Z 91>.L 1L, Owner's Address 7254i"tic C" k 4:1- Mobilehome Mfg. Model Year 7' Insignia No.r - /4 2 R t 1 /rte Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works —71 By Date � THIS CERTIFICATE CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED mine - owner, r anew - insinner, rine COUNTY OF BUTTE - "DEPARTMENT OF PUBLIC WO 7 County Center Drive — ,Oroville, 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. Xle— �� �'�- Date le4, Si9/,U re of Permitee or Agent 1 . Receipt No. -(13tZ K/ 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 FOLIC WORKS llding permit expires Date BUILDING Owner SO. .FT. OCC. BUILDING VALUATION. Mailing Address Telephone No. s� lJiC'G ContractorFireplace //�� ) Mailing Address (j 3 7Fw;rZ lt(7 Total Valuation. Tel gphon� jjo. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee 19K PLUMBING No. @ FEE .] PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 f �Q ? A. P. No. �O o d Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F Sam-Mion Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bld d Parcel A vel Plans vel Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ 3 L -% - ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OR L Main service 10000 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD -L 100 AMP 2.50 Main service 1 e MP OR LESS 25.00 e 100 A O 00 A Main service/ EA. ADD'L 100 AMP 1.00 OR ADDNS. \ ACCNEW CONST. DWELBLDGS.LING CCUP. Y) 2¢sgft ' 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'. le of: /e [,�y 7Ille 7fiMe .Slrr eCe_ NEW CONSTR BRANCH TLET NON-RESID (MULTI BRANCH CIRCUITS) 2.50ea CIRCUITS) NEW CONSTR POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETs OR FIXTIIRES B L@1 FIXED APPLNSORst EA) 2.00 Ex. Occup. (OUTLETS (RESID. Temporary service 10.00 Mobile Home Facilities 15.00 License No..2M. Z g Classification 1'7-4t� l- Misc. Wiring 6.25 ❑ 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. ETI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL No. FEEPERMIT FILING FEE $3.00 Heating - Cooling Ventilation , Hood 2.00 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 Land Development Fee 1$'30QZ TOTAL PERMIT FEE $ 30 �C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Xle— �� �'�- Date le4, Si9/,U re of Permitee or Agent 1 . Receipt No. -(13tZ K/ 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 FOLIC WORKS llding permit expires Date BUTTE COUNTY DEPARTMENT OF .PUBLIC -WORKS l' 7 County Center Drive, Oroville, CA. PHONE• 534-4541 MOBILEHOME INSTALLATION SHEET F 1. Owner's name: ��r,�/iilc� �ecas" �'i�d y f/O�fr==`�'� 2., Installer's name: 3. Is the site currently under permit?•, Yes / No (If yes, furnish permit number n� 7 /f ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and • i clear of all setbacks and easements? Yes No / / ;- _ } . t (If no, clarify ) ' F r ( ) 5. What is the mobilehome electrical rating? ----=------------------ ��,� Amps 6.. What is the mobilehome site service rating? '---------------=-=--�� �� Q Amps .7. What is the mobilehome site'circuit breaker rating? ------- Amps 8. Is there any other electric load�to be served by the mobilehome site service? -----------=--------------------------------------- Yes / / No /v/ (If yes, identify the load and sizer (Load) •(Amps) 9. What is the mobilehome site gas -pipe size? -------- -------------- (in.) 10. What is the type of gas service? ------I-------------------- Natural / / LPG /z--/ 11. What is the gas pipe length from meter or tank to the obilehome? (ft.) 12. What is the mobilehome gas demand? =---------------------------- ' t (BTU) (This information not required if'pipe leng less than unal a1s_- or less than 50 ft. on -LPG.) �.�% MOB ILEHOME SUPPORT DATA / If other than single wide, Mobilehome Mfr. FI-STCa6. � furnish Setup Model No. 2 L/ Year 75 Width_(ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single a---,-�Wood either pressure treated or I. A-71 A r---�—,foundation grade. (ft. (in:) (in) (in.) E] 2. Other (specify) Center s port Center support locatio s'^ footing sizes Supports (check one) (in.) Concrete block. �t� x 2. Other (spepify) (ft. (in.) (in.) (in.) 4—Tagalong or Expando, show support details. (ft.)( n.) (in.) (in.) / e -- Typical Support (in.) (in.) Footing Size (ft. (in.) (in.) (in.) — -- Max. Pier Spacing (ft.) (in.) � _ -- Max. Overhang (ft.) in.) in. (in.) k3UTTE COUNTY BUILDING DEPARTMENT APPROVED *If center piers are other than drawn above, draw in locations, spacing, and dimensions. COUNTY OF•BUTTI - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - . Oroville, California 95965 ,• Telephone: 534-4541 /Y APPLICATION AND PERMIT 4 au1IIVIIcc Ic cAc; LGLIVCJ UI LIIW LUUnly UI DUlle LU enlef upon ine above -me o d property inspection purposes. / J - Date 0 211691 Signature o Permitee or Agent Receipt No.,z-zX— CL,� 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 B hiding permit expires Date BUILDING OwnerSQ. Christina. Alathe��.Ts - Brian York FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Par-A-Dise Construction Co. Mailing Address Bob Powers P.O. # 776 Fireplace Total Valuation Magalia, Ca. 95954 Tel hone No. 873-1730 Permit Fee Building Address Unit 8 Dot 20 Temple Circle Planng Fee&/or Penalty Permit it Fee Fee AMagali a, Ca. 9 59 54 PLUMBING No.1 @ FEE PERMIT FILING FEE. X $3.00 p Each Trap — 1.50 Z9arn9 yatirk-019n Only) Repair drainage or vent piping 1.50 A. P. o. 64-48-33 y— �Zonil g 8 Planni Water piping X 1.59 Each gas water heater or vent 1.50 F s C. Sa I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel M 60' R/W Improv hts Each additional outlet .30 Building sewer -�r66 p p � � .vhns Re c'd Porcel A roval PI s Approval Lawn sprinkler system .?..99 NEW& ADDITION ❑ UTILITIESX OTHER ❑ Permit Fee $ $ C ELECTRICAL No. @ FEE PERMIT FILING FEE X $3.00 00 Main service 10000 AMP OR SL V OR LESESS X 5.00 p Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP Pr 2.50 500 SQ. FT. MINIMUM EOR L OVER Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACCLBLDGS.CCUP. Y\ 20sgft 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: Par-A-Dise Construction Co. NNEW EW RE, MULTI -OUTLET CONST, BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES g L 1 � FIXED APPLNS. OR Ex. Occup.(DUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities X 15.00 C20 License No. 323410 Classification U 7 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ W $ 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. 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.1 FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 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 Land Development Fee Is TOTAL PE PERMIT FEE $ au1IIVIIcc Ic cAc; LGLIVCJ UI LIIW LUUnly UI DUlle LU enlef upon ine above -me o d property inspection purposes. / J - Date 0 211691 Signature o Permitee or Agent Receipt No.,z-zX— CL,� 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 B hiding permit expires Date t: i..: '.. 5q. +i.w.} F • .." - _,. .. ' ..:. . _ -_. ... JS... ,. ... > \ .wue+whw••im.dryie?- F1vtnt+�re`Sm� t,4,_ _...___._ ... __�_...__ a♦ snay . ...n... 41 Materials & �Norkmansh! Shc�lL� ccorcTanc�. with ;Go P . , W..� _ Re%cogniie'4 nd Pr',,+etieex and •rv\ ° of a quality prescribed for Jh' , Specified us -: -Uniform Building, Plumbing & Machanical Cbdet the National Electrical Code. this -491_0 pian and`, specific 1n -a (05, W kept on the job at all times and t isounlawful make any changes or. alterations n spme without O written permisson from the Depa t -®f Pcfi�) �' '�' JU Works„ County, of Butte. a I Septic s stem and MH o �,W UJ, ' C—B -ain t o e O .q utee County gffMAi2F as . er ®� � v ^,�� I`. uir ments. Pt. e_ a O F- O 7 � W Al s �, t, 3 ;, z ;t' W aOA .. iiedw hiconnections ft shal�s,:be i N J Itrd section of outside t rear p .Q, n .;J J on,th of (r the 'h rie U Q a' :c x j Q ihor`, t (road sh 4f e. mob'I Q O x ca IN j perm;# ` '� a C : wr cY a in ed fes' Q a C�i J1 o f' n dehorr►e. z �' ¢" 4 is Q w O �' �e-fig: Setback:Acil 6e�S-fL #rorty,fhe l5'' ro " ert line vnd ` 54 ft .from the tedine of the road, permuting a maxi m of q`.2 ft..eave ov rl qng. bu# antirply, :+ r ODG �ut 'of a11 -'easements. .. .•;,.r �{'.. f. ..�'.,1\ r .'1'.+ w �''4iK to s{;� y�,Y+ w� .` x l w. 1. � .. � #\f d. `' .; gV,+ .rr .� Aµ •,,,,,� "r,� ki1P Yxk�+ , 03 BUTT -COUNTY ��111r.pING,DEPARTKNI c STANDARD n.afrr RJ k`u^ .000Nly �PPRt s{ ti Arv.wc�c� TEtPR.E C �,RC�E' r 1 t...�i��/•�cii'n,i�J �l�C�..Zrf�OL:,vc,/ �-�z ' . " / �wrsEr� r 121 c_� j DAT P'. } PERMIT NUMBER - B 1917-72B a 1584-72P I V P , E (`power pole & water piping :only) PERMIT EXPIRES 17-73 OWNER Arthur C. MacMurray ' coNTR: C & M. Electric, Magalia LOCATION (A.P. 57-84-33 > 195 Temple Circle, P.P., Magalia is 3.• �Y R T'. ie. f { L , 1 1'. COUNTY OF BUTTE' Department oaf! Public Works.' BUILDING INSPECTION RECORD r � 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. r 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. Iv d z`, . 3 t s i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive - Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT ... r....,...1-11v..� U1 ane %..UunLy U1 Ou LLe W enter upon Lne above-mentioned property for inspection purposes. Date 111( b a,_ Signature of rmitee orAent Receipt No. /3 _ 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-�L, —� Date % 7--7 Z— Building Permit Expires Date -'(7- i _-_). BUILDING Owner 11- C, Ale SQ. FT. OCC. BUILDING VALUATION Mailing Address / 7-® o v V1, om Fireplace Contractor Z--Iee7 �,ie Total Valuation Mailing Address 5�^ �,Q `Q Permit Fee Q^ p0 Plan Checking Fee&/or Penalty Permit Fee $ $ spa Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 // � % k "Ple6Ae Each Trap 1 1.50 6 C.4�% Repair drainage or vent piping 1.50 Gm ? 2,0 �A�`� �.� Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. `, �- - Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation p 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 USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures l.2 Receps., switches & fix outlets BIR CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Profession Code under the name style 1� %% �/ -P �'�-•J 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. / ClassificationJ - ❑ 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 Section 3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �tl I have placed on file with the County of Butte a certificate of KZI-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 Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling -- Ventilation Permit Fee $ $ I certifythat I have read this application and state that the above PP information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize +; ,.. ..� .4.,, n...._.. tate Fee for Srr�ro Motion $0.07/$1000 Evaluation nate Fee for n n gMot $ /� TOTAL PERMIT FEE $ o ... r....,...1-11v..� U1 ane %..UunLy U1 Ou LLe W enter upon Lne above-mentioned property for inspection purposes. Date 111( b a,_ Signature of rmitee orAent Receipt No. /3 _ 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-�L, —� Date % 7--7 Z— Building Permit Expires Date -'(7- i _-_). 44 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive •- `OroviIIe, California 95965 - Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT auutun4U represeniaiives or the County or Butte to enter upon the above-mentioned p rt y for 9section purposes. ate ignoture of Permitee or Agent Receipt No. — — White-D.P.W. — Pink -Inspector — Goldenr d -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 0 PUBLIC WORKS BY Date 'p— 1. Building Permit Expires Date P—t%"-7 BUILDING Owner C SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Fireplace Contractor Total Valuation Mailing Address JL Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ / Building Address L /1,0 PLUMBING No. @ FEE PERMIT FILING FEE $2.00 00 Q/i-C_dc-_, Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 r1 A. P. No. S /3 Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. !/ Sanitation k/' Planning Building sewer 5.00 Plans Fees W. C. R/W I Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ $ se—mw-PERMIT ELECTRICAL No. @ FEE FILING FEE $3.00 G �- 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 2 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of C 'fornia 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 O D License No. Classification �© ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 4 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. i41 I have placed on file with the County of Butte a certificate of �+ Workmen's Compensation Insurance. ❑ PI certify that in the performance of the work for which this ermit 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. @ I FEEPERMIT 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- �nSirumentat ontrf-r a om1On $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ auutun4U represeniaiives or the County or Butte to enter upon the above-mentioned p rt y for 9section purposes. ate ignoture of Permitee or Agent Receipt No. — — White-D.P.W. — Pink -Inspector — Goldenr d -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 0 PUBLIC WORKS BY Date 'p— 1. Building Permit Expires Date P—t%"-7 FO LE COPY OWNER MI L L _C I APNOb BP#0%/si0 7 .r J Vie: �::�r_--;�_;,t•:r,r.• 3.:: 't�