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065-080-014
�KAI S'/1,0/77 65-08-14 MICHAEL MORRISON APP. 800, OFF THE W/S SKYWAY, APP 2 MI. ABOVE COLUMBIA RD.1 MAGALIA F CONTRI OROVILLE PUMP & ELECTRIC (s PERMIT #646-76E(ELECT. SER CH)SF I 065-08-0-014 ..f 95=2405 P,E(�MH) ADAMS, Ho ard.& Beth 6133 Tranq 'lity Lane, Magalia (util, MH)' I .:"Contr:fv:.' Donahue Const t ELECTRIC /00 i GAS LINE( f COMPACTION TEST zjJ W SUPPORT STRUCT 1 REQ f I 065-08-0-0 95-2406MHI " ADAMS, Ha and "&' Beth 6133'Tra quility Lane, Magal I (MHI/92405) (;rjntr Llnnab.i�r�C'gnct I • F l f t 1 R o I I I 1 tai , LM k RESIDENTIAL--- jse 065-08-0-014 95-2405 P,E(MH) ADAMS, Howard & Beth 6133 Tranquility Lane, Magalia (util, MH)r Contr: Donahue Const J0B FINALED (Date) v\A'1 1 _1 �I SIgnature �r'� t ,/=OK O = Not.OK ofReadyable MOBILE HOMES Date M E HOME UTILITIES (Plans) OK except e's I_ 1. Zoning Requirements -Setbacks -Easements ils; Special MH Support Sketch - I ewer; Loc t(on-Test-Fall-C/O Concrete 41 Water; catlon-Test-Easement Needed (Sketch) �( Ga . Location -Test -Wrap: Z-V"L" ft. / P'Nat. or/' ell Clearance & Disconnect !Utility Clearance Date' ( Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOWCE HOME INSTALLATION (Plans) OK except a's ning Requirements -Setbacks Easements otings; Size -Spacing -Marriage Line Pa's; MH Test-Demand-Valve—Connector Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector �11j{ater; MH Test -Regulator -Connector P-10ter and Sewer Connected -C/O to Grade -HD Approval fiKGXs and Electricity Tagged its; Insp.-Sketch Cert. of Occupancy Date j 9,t Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V + I { I i -MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK-except N's 1. Zoning Requirements -Setbacks -Easements ---- 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steed 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing - 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting. Distances-GFI S. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.: Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 /004-"" T =OK O = Not OK = Not Applicable Not Reedy RESIDENTIAL (: • = Date UNDERFLOOR (Plans) OK except It's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg.. Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls. Main; Steel -Bloc kouts-Wra pped 6. Stemwalls. Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped B. Piers -Fireplace Ftg.-Steel 9. D.W.V.: Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe: Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except a's _16. Water Htr.: Vent -Access -Combustion Air -Baffle _ 17. Water Pipe: Test & Anchor -Nail Protection - 18. D.W.V.: Test -Fittings & Anchor -Nail Protection___________--- ----19.-Shower Pan: Test. First Floor -Tub Access 20 Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors - - - Date Card B -t Date Card B -t Date Card B -t Date Card B-1 Date ELECTRICAL (Permit) OK except x•s 22. Fixture & Transformer Clearance -Ins. Protection -------------------- ------------------------------------------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------- ---- ------ - ------------- -------- ---- -------------- -- 24. Size Boxes & No. of Conductors -Stapled -----------------------------•----------------------•---------------------•---- ---- -- - 25. Romex Installed Close to Edge of Studs & C.J. ------- - - ------------------------------------------------- 26. Equip. Ground made up w,Mech. Fasiners-Bond Gas & Water ------ ---I------------ --------------------------- ---• ------------•----- 27 2 Appliance Corcuts in Kitchen & Conductor SizerGFI --------------- -----• -•------------------------------------------------......---- 28 Subfeed Wore Size ga. Cu or AI-A.C. Wire Size ga. Cu or AI ------------------- ---------------------•--- ---------------------------------- 29. Range Circ. ' ' ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes- ❑-No - --------------------- 30. Service -R ser Conductors & Grourid-Main Disconnect --__ ------------•---------------------------------••--------- -- _31._ Equip Clearances Panels -Motors -Meth. Equip. ----•----- ----------- ----- - - 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector -------------------------------------------------------------- Pate Card B -t Date Card B -i Date Card B -t Date Card B -t Date MECHANICAL iPermitl OK except g's 34 A.C. Ducts Insulation & Support ---- -------------- ..-------------- -------- _._....------------ ----------------------- 35. Vent Fan: Exhaust above insulation ---------- - ---- - - --------._...-------- - - ... .- ----------- _ 36. Condensate Drain & Overflow. Size & Grade 37 Furnance-Vent: Access -Comb Air -Return Air Vent -t 15 outlet 38 Attic Access & Platform it Furnance in Attic ------ -- ---- .. Date C.ird B -I Date Card B -I Date Card B- I Date Card B-1 Dale FRAMING iPlansi OK except :r s 39 Sol, Proper Malerial & Anchorq 40 Walls StUdS•Italllnrl Sp.i .uig & Bracinq-Plales-Sound -11 Bearing Walls over Gndrrs & Fleur Nailiml 42 Dotll Slop in Walls !ral Unxrll - - -- 43 Fin• Slop, F,„rnirt Cuduvts-St:ur;-r:hases-run .W W,ad.-t% .i Beam -'ii Lie & 11earnin .... - jingle & Duplex)- • . Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection-Oraft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story. 2 Exits - 53. Stairs; Width -Headroom -Rise. -Run -Landing -Fre Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access - .57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except It's 61. Ext. Steps -Door & Sidelight Protection -Landings 62 Smoke Detector ---------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------------------------- 64. Bedroom Exiting ------ -------- - 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stairs & Rails _ _ _ 68 Fireplace or Stove."Clearances-Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit Fixt_ & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter -------------•--------------------------- 72. Garage Fire Door: Swing -Landing -Closer --------------------- 73. ----------------73. A.C. Duct in Garage -Damper ------ ------------------------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection ----------------------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location - -- --------------------------- 76. Elec_ Receptacles in Garage_ -(G.-F. 1.)-Romex Protection 7.. Insulation -Foam -Looked In Attic --- ❑ Yes ---------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor- 13 Yes ------ ------------------------------------------ 80. Followinginstld.: Drive 11 Yes ❑ No: Walks ❑ Yes ❑ No: Plante ------------------------------------------------s ❑ Yes ❑ No --- 81. Stucco Brown -Finish ------------------------------------------------------- ------ 82. A.C. Unit: Disconnect. Electrical. Plumbing ------ -- ------------------------------------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ...... ------------------------------- 84. Water Well: Disconnect. Electrical. Plumbing _---- 85. Exterior Elec. Trim: G.F.f_Receptacle-Underground ------ ------------- - 86 Ventilation Throughout House .. ... ... ....... . .... ---------------- --------------- 87 Glass Protection 86 Corrections from Previous Inspections - - - - ---- --- --------------- ---- 89. Gas Test -Meters Tagged: Gas -Electric ---- ------ ...... .. --- -------------- 90. Water & Sewer Connected -C O to Grade -HO Approval ----------- ------------------- 91 Energy Corn plmnce Certificate -Other Certificates --------- -------- - -- Date Card 13.1 Date Card B-1 ------ --. . ------------------------ Date Card B-1 Date- - ----- Card B -t - ---- Date Cara 6-1 Dale Card B- _1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ---PHONE (916) 538-7541 APN: //s Y`7/ PERMIT NO.: ff Owners: A019Mj r Name: Owners: ' �J frn r �-✓4�� . i� `-,�1 Address: Mobilehome " Lerr Year of Manufacturer r�2 / Manufacture: Serial number 0)01'0-3, r ' � , � ;l or V.I.N. ,.` HUD number: Official approving installation: Date: /Z 31r6 v If the m5leho ne is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobileliome is installed on a foundation system. 513B White -Owner, Yellow-InstallerPink-Bldg., Gold -Assessor.. x Yk . COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 J �. CORRECTION NOTICE ` OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County,.Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. l 9 .:I' 5 V' -IP REV 10/92 60 i rf INSTALLER/CONTRACTOR CERTIFICATION I CERTIFY THAT I HAVE INSTALLED THE TIE DOWN ENGINEERING ANCHORING SYSTEM AS PER TIE DOWN'S INSTALLATION INSTRUCTIONS AND THAT NO MODIFICATIONS HAVE BEEN STRUCTURE, E TO THE ANCHORING SYSTEM OR BUILDING e COMPANY N ONTRACTORS LICENSE # r . DATE: SIGNATURE PAGE.9 7 FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locati APS Plan Approved for: Sewage Disposal Water Supply: Public Private Well s Clearance for bedroom mobile home. Other Hold final for: _ 3 .�..w.w v al.=a Vi. 8/92- cj, 3 (1 1 � Date X •I V COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County ,Center Drive - Oroville, California 95965: Telephone (916) 538-7541 RMIT NO. APPLICATION AND PERMIT �f5�� ASSESSOR PARCEL NUMBER 065-080-014 ZONING TMl BUILDING PERMIT OWNER HOWARD & BETH ADAMS TELEPHONE 873-4297 SO. FT. OCC. BUILDING VALbATfON OWNERS MAIUNG ADDRESS 2798 CERES AVENUE CHICO 95973 CONTRACTOR'S NAME DONAHUE CONST. TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAIUNG ADDRESS Permit Fee $ 23.0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 61 TRANQUILITY LN. PERMITFEE $ 23.0 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 00 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MHU Mobile Home ly920.00 60.0 PERMITFEE $ 80.0 Contractor ELECTRICAL PERMIT Filina Fee 20:00 ER LESS Main Service ( OOV00A OR LESS ) 2O 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,( and my license is in full force and effect.Ex. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. DI -1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. ) s0. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ) 8 SINGLE OUTLET CIR. Occup. ( OUTLET OR FIXTURES ) 20 @1.00 BAL .50 EX. Occup. oFIXEEDTSPPLNS. OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pert. ormance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation UTof one hundred dollars ($100) or less.) I certify thl in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wor, ers' co pensatio provisions of section 3700 of the Labor Code, I shall fo with c ply os pr isions. +� Date __V��1�_ ,kiaKatZr; of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FE $ 166. 0 HA2. D. FEES IMP I FLOG co PARCEL PD H ISS This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMIT EXPIRESON `! applicable provisions Resolutions to do work been paid. r / to (Date) Receipt No. 185825 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT'OF DEVELOPMEN-SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California '95965:.- Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR P PrOBER zON1 BUILDING PERMIT OWNER NE 3 SO. FT. OCC. BUILDING VALUATION OWNERS HARING ADDRESS �� "we. C t 175-958 , COMRACTOR• TELEPHONE , CONTRACTORS UAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ Q3 ,00 ARCHITECT OR ENGINEER LICENSE NO. 9 Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGLNEM S MAILING ADDRESS Penalty $ eUILDINGADDRESs ; PERMITFEE $ 00 5V I PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNSIONS NAME PARCEL MAP ,Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE Each gas water heater or vent 15.00 SF ❑ Duplex ❑ MobilehomeX Other Gas piping system 1 - 5 outlets 15.00 SPECIFY Building sewer 15.00 TYPE OF WORK Mobile Home @20.00 Q,pp em New ❑ Addition ❑ Remodel ❑� Utilities ❑ Installation ❑ Other [3J jodjelj Work: l PERMITFEE s Describe /�/' fT ^ Contractor I ELECTRICAL PERMIT20 Fili Fee :00 s Main Service ( 20OA OR LESS ) 23.00 r Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION NEW CONST. DWELLING OCCUP. = OR AD DNS. ( a ACC. etas. ) So. 3.5¢ FT. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter � NEW CONST. MULTI.OUTLET = NON-RESID. ( BRANCH CIRCUITS ) @7.50 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, 8PdWER APPARATUS 3 ( ) SINGLE OUTLET CIA. and my license is in full force and effect. i Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 License Class Lic. No. N Ex. Occup. ( ) BAL 0 .So OWNER -BUILDER DECLARATION OFXTELEB fRESD°FA 1 5.00 I hereby affirm under penalty of perjury that I am exempt from the Contractors License : Temporary Service 23.00 Law for the following reason: Mobile Home Facilities oo,20.00 ❑ I, as owner of the property, or my employees with wages as their sole compensation, Misc. Wiring will do the work, and the structure is not intended or offered for sale. 23.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors 3 to construct the project. I PERMITFEE $ OO ❑ 1 am exempt under Sec. Business and Professions Code for this Contractor reason WORKERS' COMPENSATION DECLARATION ; MECHANICAL PERMIT Filing Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' } Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. - Hood f 6.50 ❑ 1 have and will maintain workers' compensation insurance, as required by Section y Ventilation 3700 of the Labor Code, for the performance of work for which this permit is issued. t PERMITFEE $ My workers' compensation insurance carrier and policy number are: Carrier Contractor Policy Number Mobile Home Installation Fee Is (The above sections need not be completed if the permit is for work of a valuation i Energy Inspection Fee Is of one hundred dollars ($100) or less.) t ❑ 1 certify that in the performance of the work for which this permit is issued, I shall occ CONST. TYPE _3 TOTAL FEE $ X00 not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the HAZ. D. FEES IMP FLOOD E COF PARCEL PD HO ISSUE workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work X Date indicated above for which fees have been paid. Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. = By Date ReceiptNo. PERMITEXPIRESON WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t (pate) v �� I r�'+4...•�, ..'4x,... .......--•-•:- �r ... r'��rr+.� 1�' y j<<��';�''�'r� „y.1^5�.��,,,, ...,�`��. �.v-�."-^'7� -ti... "..1++." t'r ��.. ,..,=7Y�.,YrY„�'�'tv'/..:+' �"•.h.,,,ti ¢,4..�:. • t n' COUNTYOF BUTTE - DEPAI4TMEN�017 DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items h been submitted......................................... 2. Plot plans3/ sets, signed by preparer of plans . ......................... . 3. Complete pans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ......................... ............ . 11. Impact fees as shown on attached schedule. ......... X12. California Department of Forestry plan approval/ es ... 13. Flood elevation letter (100 year flo d) by California Engineer . ................. . 14. Sanitation and plot plan approval h 't C -L-) Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........... i 19. Driveway permit (construction approval required prior to occupancy)....PR!A'�oA �q6� 20. Pre -inspection for required. . to Builaing Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner _).::. .... . /,24. Recorded copy of Agricultural Acknowledgement Statement. . �25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building,use.......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 17. Plan check list. .............................. . 33. 34. c When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to it issu nce: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by "_�S Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: FROM: SUBJECT 1jL11ldig Department Environmental Health Sanitation Clearance r:.H. USI: ONLY I hn I'kin Attached C S ,, 1:1....r I'I:m Auachwd yL S mow• A Scm to 11. 1). Owner �ocation Plan Approved for: Sewage Disposal Water Supply: Public Clearance for —;�— bedroom mobile home. Other Private Well O.K NOTE: Environmen H lth Specia ist. 8/92 11 V-5, 5 Date "s/sem day of �/ ��5� , 1995. ' This agreement, made this By and Between Howard E. Adams, Celia K Sebren, Nora L. Stansell hereinafter called "Lessor" and Frederick C. Hunter hereinafter called "Lessee". ing We the Lessor are giving approval for the Lessee and Linda Hanski to start mak improvements to the property located at 6133 Tranquillity Ln., Magalia, CA 95954, prior to signing of the lease agreement (with option to purchase). While doing so Lessor will not be held liable for any damage or injury should any occur on the property during this time. If for any reason the Lessee decides against the lease or can't come up with the down payment, Lessee will forefit all improvements made to said property at no cost to the Lessor. Acknowledging that they each separately have read and understand the terms & conditions set forth in this agreement each party signs below. Lessor or Authorized Agent of Lessor -5- 7,:p - 8�/, . L see g- —2- L y LEASE (With Option To Purchase) This Lease, made this ....................... l st ....... day of ............ November, 1995 .. BY and BETWEEN Howard E. Adams, Celia K. Sebren, Nora L. Stansell hereinafter called "Lessor", and Fredrick C. Hunter hereinafter called "Lessee". For and in consideration of the payment of the rents and the performance of the covenants contained herein on the part of Lessee and in the manner hereinafter stated, Lessor agrees to lease to Lessee the following described property and its appurtenances, situated in the City of Maaalia, County of Butte, State of California particularly described' as follows: Property at 6133 Tranquility Ln., Magalia, CA 95954. Property description: I Acre In Sec. 11 T23 ME Tax Assessment No.: 065-080-014-000 In consideration of the above-mentioned premises, Lessee agrees to lease and take possession of these premises upon the terms and conditions hereinafter set forth in this lease agreement. . For the term of one year unless there is a mutual agreement to extend it farther, commencing on the 1st day of November, 1995, and ending on the 31st day of October, 1996 Lessee agrees to pay at and for the total rent or sum.of Twenty Four Thousand ($24,000.00) dollars plus 15% interest payable monthly in advance, in installments of $350.00 dollars each, in lawful money of the United States of America, on the 1st day of each and every calendar month. Should Lessor not receive payment by the 10th of each month a late charge of $35.00 will be added to the payment. Should there ever be a time when a check from the Lessee doesn't clear the bank there will be a returned fee of $25.00. This lease is made subject to the following terms and conditions: 1. If Lessee is in default on the payment of rent, or breaches any other term or covenant of this agreement, Lessor shall be free to exercise all remedies provided by California Civil Code, Section 1951.4 as well as any other legal remedies to which Lessor is entitled under California law. Lessee agrees that the remaining balance on the lease term shall become immediately due and payable to Lessor. 2. Lessee may not assign his interests or sublet the premises without obtaining prior written consent of Lessor. Lessor shall not unreasonably withhold such written consent. 3. Lessee shall personally occupy these premises and shall keep the same in good repair, including all improvements which may hereafter be added, damage by the elements excepted. Lessee shall not make any alterations thereon without the prior written consent of the, Lessor and shall not commit or suffer to be permitted any waste upon these premises. 4. Lessee shall report any damage or injury to the goods, chattels or premises to Lessor immediately upon Lessee's knowledge of such damage or injury. Lessee shall pay for any damage or injury to the goods, chattels or premises herein leased to Lessee caused by Lessee, Lessee's guests or invitees and hold Lessor harmless for any injuries to individuals caused by Lessee, his guests or invitees. This does not waive Lessor's duty to use due care to prevent personal injury or damage where that duty is imposed by law. 5. Lessee shall not use these premises for any purpose which will cause Lessor to pay an additional or added expense, without obtaining the prior written consent of Lessor. 6. All Governmental laws and ordinances shall be complied with by Lessee. 7. Should the Lessor be compelled to commence or sustain an action at law to collect said rent or parts thereof or to dispossess the Lessee or to recover possession of said premises, the Lessee ' shall pay all the cost in connection therewith including counsel fees of the attorney of said Lessor. 3. The waiver, by the Lessor, of any covenant herein contained shall not vitiate the same or any covenant contained herein. The terms and conditions contained herein are to apply to and bind the heirs, successors, and assigns of each of the parties hereto. 9. Should Lessee occupy these premises after the date of the expiration of this lease with the consent of Lessor, express or implied, such possession shall be construed to be a tenancy from month-to- month only, subject to all the conditions and restrictions of this lease and Lessee agrees to pay rent therefor at the reasonable rental value to be determined at the time of the expiration of the term. 10. Lessee agrees to pay all charges made against the premised for water rates, gas, electricity, and garbage disposal services during the entire term of this lease. 11. At the termination of the lease term or sooner determination thereof, Lessee shall peacefully quit and surrender possession of the premises in as good condition as reasonable use and wear will permit. 12. Lessee shall use the premises for one family dwelling only and for no other purpose, except upon prior written consent of the Lessor. 13. Insert additional provisions here: 14. Lessor grants Lessee to put a 1968 12 X 60 2 bedroom Marlette trailer numbers PA2774, H12- 260-RKK-80203, A-239641 on premises. Lessee will obtain all permits required to do so at no cost to lessor. 15. Lessor guarantees the property to be free of all/any liens and/or incombrances. 16. Lessor accepts legal and financial responsibility for liens and incombrances until point in time whereby Lessee has forfeited the terms of the lease and has officially recorded a change of title with the Recorder for the County of Butte. 17. Lessor grants Lessee authorization to lease the property to Linda Hanski and her son Swed 16 years old to be used as a family dwelling. 18. Provided Lessee is not then in default under any of the terms and conditions of this lease, he shall have the option to purchase the leased premises on the following terms and conditions: (a) The total purchase price shall be,$24,000.00 Dollars plus interest at 15%. (b) The period during which Lessee may exercise his option to purchase these premises commences November 1, 1995 and ends at 5:00 p.m. on October 31, 1996. Such exercise of option shall be in writing, signed by Lessee and delivered to Lessor. (c) Lessee shall pay Lessor the purchase price of the premises as follows: $3,600.00 down payment and $350.00 a month. (d) Lessee shall secure his obligation to pay Lessor the unpaid balance of the purchase price by the execution and recording of a Deed of Trust in form and of priority satisfactory to Lessor covering the subject premises. (e) If Lessee exercises his option and desires a policy of title insurance, he shall pay the cost thereof. Taxes shall be prorated to the date the lease takes effect. After that taxes will be billed twice a year on April 1st and December 1st. (f) Insert additional option provisions here: • Lessor will not be responsible for the water flow to property. • Should Lessee decide against continuing the lease after one (1) year there will be a $2,000.00 penalty charge to terminate lease. • Lessee will need to keep the animals the legal distance from the irrigation ditch as not to contaminate the water at the back of the property. Lessee accepts all responsibility. • Should Lessee decide to pay off the lease early there will be no penalty charge. APPENDIX A An Accident Insurance Policy has been taken out with the intent that should anything happen to Fredrick C. Hunter (Lessee), Linda Ray Hanski (beneficiary) would then be required to pay the balance of the lease in full. If she defaults paying the balance lease would become void at that point and revert back to Lessor's. Policy Information is as follows: Insured Member: Fred C. Hunter 14654 Nimshew Rd. Magalia, CA 95954-9679 Policyholder: Operating Engineers Local Union #3 FCU Master Policy No.: DVA 525-4117 Certificate No.: 571GAHDXM Effective Date: 9/1/95 I agree that what is statedabove tn�e. Should anything happen to Fredrick C. Hunter (Lessee), nda Ray Hanski Ian of lease'.in full. Fredrick C. Hunter Li da Ray Hanski Social Security No.: 571-48-2160 Social Security No: 55-06-3832�'� Date: /0-2 Date: �d "/ Acknowledging that they each separately have read and understand the terms and conditions set forth in this lease agreement and that this lease embodies all the terms of this agreement each party signs below. C� Celia K. Sebren Lessor or Authorized Agent of Lessor Fredrick C. Hunter (Lessee) Social Security No.: 570-86-5436 Social Security No.: 571-48-2160 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District "&tJLQ- Building Department No. A.P.Number C%!c5^t�SC-Qjy Jurisdiction: 0 City F County Property Owner � &u.n/u2Q 0AAJryV0 Property Location/Address Subdivison Residential Development Commercial/Industrial ED ' No. of Living MHI Units New Lot No. Addition Sq. Footage �at� (Group R) - Sq. Footage Addition (Including Exterior Roofed Areas) dfa,niiw 8S�X_ 4kA�1�� - 0g &5- - Building Department Representative Date';..,,x (Floor Plans reviewed by School District Personnel) Dis ict dentification No.yzj d �, School District certifies that has complied with the requirements of Resolution No. ng School C square feet. (Applicant) (Phone Number) (Zip'Code) by payment of $ AB 2926 $ FULL MITIGATION $ Date :Paid by Check # Remarks:.�� Bank Number Paid by Cash 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 (CEOA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) teeformmk, („/94)dmm R ' And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 95-040917l Rec Fee 9.00 I COP 1.50 Recorded I Cash 10.50 Official Records I County of I Butte I Candace J. Grubbs I Recorder I 12:40pm 20 -Nov -95 I PUBL XX 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The propery described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals. including. but not limited to herbicides. pesticides. and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning. and harvesting which occasionally generate dust, smoke. noise. and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessary farm operations. All that real property situate in the County of Butte. State of California. described as follows: X�� A GNG=Aj Date: November 20..1995 PROPERTY OWNERS: f State of California County of Butte On Nov. 20. 1995 before me, Barbara A. Woodward personally appeared Fred C. Hunter 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 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. BARBARA A. WOODWARD 'a 1 Comm. # 1010511 J J � NOTARY PUBUC - CALIFORPOA Signaturcr� ._ � h. 4. l c. �--z.: �- C: , . r/ /� .f � t S�{Scal: Butte cowty �1 Comm Expires Dec. 2.1997 — r"�"s �'c-v�y t tw Ott l I_ ,1.1• `•f.. ,..� ,�... , ;r ••J;^_•'t+.. :S'r ' �cIPnGu d�,�.i• a �" pT f ,,�,. J f y )� J•' , 1 J •`,::,4,;; real property located in Athe Town of Magal is , County of Butte, State of California commonly known as 6133 Tranquility LG ?, and described as follows: A portion of Section 11, Township 23 North, Range 3 East, M.D. B.•& M., more particularly described as follows: Beginning at the South quarter corner of said Section 11 and thence running along the North and South centerline of said Section, North 0 degrees 04' 08" East for 1299.27 feet to the Northeast corner of the Southeast quarter of the Southwest quarter -of Section 11; thence along the Northerly line of said Southc,�Ist. quarter of the Southwest quarter, South 89 degrees 00' 33" West for 811.85 feet to th, true point of beginning for the parcel of land herein descrioed; thence from the true point of beginning, South 0 degrees 08' 02" West for 190.0 feet; thence South 89 degrees 00' 33" West for 229.26 feet thence North 0 degrees 08' = 02" East for 190.0 feet to a point in the Northerly line of the Southeast quarter of the herein described, thence from the true point `r. of beginning, South 0 degrees 08' 02" West for 190.0 feet; thence South 89 degrees 00' 33" West for 229.26 feet thence North 0 degrees 08' 02" East for 190.0 feet to a point in the Northerly line of the Southeast quarter of the ' Southwest quarter of Section 11; thence along J..said Northerly line, North 89 degrees 00' 33" East for 229.26 feet to the true point of beginning. EXCEPTING THEREFROM a 1 minerals. AP # 065-08-014-6:, !1 '•r:' ?\� -:✓.) SJJ t 7-.'1:, 7+!': -p F iltp S-. �'i .I• .. . y. .� + t. •Y w p•. i � <j'fir _ .. '41 . • , L. J � 1 IFt t s<f2 I o,x , `I y . ', • -,s J.,,t ' t 7, a,.SSSi :..Nl.. . .. Permit #f656 -76E ` Morrison, DIchael -6 App. 8001. off W/s Skyway, app 1/2 mi. above Columbine Rd., Magalia A. P. 65-08-L ... -q (Elect. Ser. Ch) S/F Contr: 0roville Pump & Elect. l �f 5 5. J o \ , ti e lip COUNTY OF BUTTE . — DEPARTMENT OF PUBLIC WORKS 7'County Center Drive — Uroville, California 95965 _ t Tel gphone: 534-4541 APPLICATION AND PERMIT. r GAG- 76, a �..I+'a>.�a,n a.ou vu vi ulc %aUuuay UI OULM W CIIICI UPUII L11"above-mentioned property for inspection purposes. X —Date Signature of�Pee—rmiteee orrAgent Receipt No. /`'! '� r 6 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 1-7By�lCv1 Date �1 ,, .C. Bu44d+ng permit expires Date <� �/ h % 'BUILDING Owner �ff;.z�,�l . SQ. FT. OCC; ;BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ��s',4 Total Valuation Mailing Address /�j ��q� �� % f Permit Fee Plan Checking Fee&/or Penalty Telephone No. t` _.'/n / _-3 Permit Fee $ Building Address f � f E� rG' <r`f f /"JA PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 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. ` r Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. I Sanitation• -Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W m Improvements— provements Lawn sprinkler system 2.00 Bldg-Pl'ans'Rectd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 3 r �! i !{�"'l / /•�f� f (y+ ( df f . n vice 100v OR LESS Maiser 100 AMP OR LESS 5.00 (/ Y r / Main service EA. ADD•L 100 AMP 2.50 Single Family ©Y Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONST R. POWER APPARATUS & NON•RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: A, •� ��' ( f�.i / i C�� Ex. Occup(OUTLETS OR FIXTURES) BAL2 04 Ex. Occu / FIXED APPLNS, OR p•\ OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. -7 v c/ C10 [)Classification 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. y -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 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 TOTAL PERMIT FEE Is I SC �..I+'a>.�a,n a.ou vu vi ulc %aUuuay UI OULM W CIIICI UPUII L11"above-mentioned property for inspection purposes. X —Date Signature of�Pee—rmiteee orrAgent Receipt No. /`'! '� r 6 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 1-7By�lCv1 Date �1 ,, .C. Bu44d+ng permit expires Date <� �/ h % COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534;4541 APPLICATION AND PERMIT 656-7� u n e representatives of the County of Butte to enter upon the above-mentioned proper y for inspection purposes. X Date Signature;r'p' itee or A ent Receipt No. � 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. R ,TOR OF PUBLIC WORKS B ` a' Date /� 1-7 +Idi'rtg permit expires Date / BUILDING Ownerr SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty elephone No. 3 Permit Fee Building Address D PLUMBING No. @ FEE PERMIT FILING FEE $3.00 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. �J p�r Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin Plans'Pon. Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 ftle -d Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 a�v Main service 600V OR 100 AMP ORLESS5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING T ( ACCL BLDGS.CCUP. &\ OR ADDNS2¢Sq ft / NEW CONSTR. MULTI -OUTLET NON.RESI D. BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & NON -R ESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name eStype/ W/Ivf� 1�P l Ex. Occup(OUTLETS OR FIXTURES) BAL lain FIXED EX. Occup.(OUT LE P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 2 -19 60 d— Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 76 Tsz 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. 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 Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County OrdinancesTOTAL and State Laws relating to building construction, and hereby a tho 'zIsb PERMIT FEE $ 0 u n e representatives of the County of Butte to enter upon the above-mentioned proper y for inspection purposes. X Date Signature;r'p' itee or A ent Receipt No. � 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. R ,TOR OF PUBLIC WORKS B ` a' Date /� 1-7 +Idi'rtg permit expires Date / 4 And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 95-0409171 1 i Recorded I Official Records I County of 1 Butte I Candace J. Grubbs I Recorder I 12:40pm 20 -Nov -95 I 95'4091 T Rec Fee 9.00 COP 1.50 Cash 10.50 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT PUBL XX 2 Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise. and odor. 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 Countv of Butte. State of California, described as follows: 10A aF, A —, -�—A cw��4 - Date: November 20..1995 PROPERTY OWNERS: / rtA,)1L_2 _ Ll / _ 1 State of California ) County of Butte ) On Nov. 20, 1995 before me, Barbara A. Woodward personally appeared Fred C. Hunter personale. 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 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. Signature A. P.# 065-- 08 -0 -o 1 `T BARBARA X WOODWAM 'o Comm. # 1010511 NOTARY KIBUC-CA FORNR 3) FO Butte County &V Comm. Expires Dec. Z!997,4 ( Ti" NOTE TO RECORDER: DO NOT RECORD THIS SIDE AZA • - 1 Instructions for recording Agricultural Statement of Acknowledgement: 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. ( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $6.00 - 1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a m. - 3:00p.m. (Monday - Thursday). 'OVER 95-4 09 7 y.'r Me , 4a , ; . _Sl,'.^ Y ) y r y t _ -"1 ��kRl.� i1 _.., `t'4. =M'. „l`._ '� •` L...r..+.1i.L[iwrr..'•, �-...+. .....ems. a.M3 .. -. .. ... ._ real Lproperty located in the Town of Magalia, County of Butte State of California commonly known as 6133 Tranquility LG i, and described >: as follows: A portion of Section 11, Township 23 North, Range 3 East, M.D. B. & M., more particularly described as follows: Beginning at the South quarter corner of said Section 11 and thence running along the North and South centerline of said Section, North 0 ;,•;:,- degrees 04' 08" East for 1299.27 feet to the Northeast corner of the Southeast quarter of .-' . the Southwest quarter of Section 11; thence along the Northerly line of said Southe,,st quarter of the Southwest quarter, South 89 degrees 00' 33" Went for 811.85 feet to th, true point o" beginning for the parcel of land herein descrioed; thence from the true point of beginning, South 0 degrees 08' 02" West for 190.0 feet; thence South 89 degrees 00' 33" West for 229.26 feet thence North 0 degrees 08' 02" East for 190.0 feet to a point in the Northerly line of the Southeast quarter of the herein described; thence from the true point ='•" of beginning, South 0 degrees 08' 02" West for --,� 190.0 feet; thence South 89 degrees 00' 33" ° West for 229.26 feet thence North 0 degrees 08' 02" East for 190.0 feet to a point in the Northerly line of the Southeast quarter of the Southwest quarter of Section 11; thence along >'I said Northerly line, North 89 degrees 00' 33" East for 229.26 feet to the true point of beginning. EXCEPTING THEREFROM all minerals. t� AP # 065-08-014-0 i a77 i yy'4 t +.i '• . I . :ES4 r ^`•.:aid$'• k° + i , .. .. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER `( c •. P. No. 5-0?0 Proposed Building Use U Building Inspector Date 9S At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). M pbilehome a_La and manufacturer's installation instructions, 2 sets.M NT -�G AWe�es of $ •OU 5 A Jd',31Y/ �j 11. ImpactArevs shown on attached schedule. AA HZ 12. Califoi i1tr0epartment of Forestry plan approval/fees. AA 4T_ 0 J�� /�� 13. 14. Flood elevation letter k 10 year flood) by Caldornia Engineer. Sanitation and plot plan approval C Health Department. M HU 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. --- 21. Pre -inspection for required. Contractor's license information. (No., Name Style, Classification). M N U 22. Certificate of Workmans Compensation Insurance.M N V 23. Owner -Builder Verification (Given to owner , Mail to owner �. 24. Recorded copy of Agricultural Acknowledgement Statement. )A HU 25. Letter of signature authorization. M 14 0 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32.Plan check 'st. ✓ 33. t/ 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other /•' n /r\1Z. .., ► r C( I Y1/1 � „ _ OZ -0 ct i Applicant% %' i;': � ;�( .071'1_ ..� � Date s49 EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application; plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one yearfrom the date of fee payment on permits not issued, and one yearfrom the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. VA COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7'County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMITNO. APPLICATION AND PERMIT� ASSESSOR PARCEL NUMBER 065-080-014 ZONING TM1 BUILDING PERMIT OWNER KNN HOWARD & BETH ADAMS TELEPHONE 873-4297 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2798 CERES AVE CHICO 95973 CONTRACTOR'S NAME DONAHUE CONST TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 6133 TRANQUILITY LN. PERMITFEE $ 43.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MHT T b� tS Mobile Home I S I G W @20.00 PERMITFEE $ Contractor Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service 000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( s ACC. BLDS. ) SO. 3.52 FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUSOU) 8 SINGLE TLET CIR. Ex. Occup. (OUTLET OR FUTURES ) 20 Q 1.00 BAL .00 Ex. Occup, oFIXEEDrs PPLNS. OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0, 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' laws of California, and agree that if I should become subject to theWor ers'co pensation rovisions of section 3700 of the Labor Code, I shall fo with C ply wi se provis' ns. _ Date _ p S _ S hat re of Applicant - ❑Owner ❑Contractor )I Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.0 HAZ. D. F S IMP I FLOOD I CDF PARCEL PDJHDcompensation This permit is hereby issued under the the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable pr4of Resolutions to d been paid. Date 3 % (Date) Receipt No. 185825 WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County.Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASS �_MB _ !� N1NO BUILDING PERMIT N R Co ,SS ` , j v Q. FT. OCC. BUILDING VALUATION NEAT USO D _ �. CONTRACTOR' E i TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 723 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEEAT MAILING ADDRESS Penalty $ BUILDING ADDRESS / G /_/1J PERMITFEE $ o0 PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LAT NO. SUBDNISIONT NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation ❑ Other ❑ Describe Work: /1 O -r-- Mobile Home ISI GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service eoov oR LEss ( 2ooA OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCURSO. OR ADONS. ( & ACC. BIDS. ) 3.52 FT. NEW CONST. / MULTI.OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 'POWER OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL SO Ex. Occup. OUTLETS (REESIID) OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ 0.00 Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ N3 , oo HAZ. 1 D. FEES I IMP I FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ......:.,.....:........ _y. Attention Property Owner. An "owner -budder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No budding permit will be issued until this verification is received. 1. I personally plan to provide the major *or and materials for construction of the proposed ropertyimprovement : YES[ NO[ ]. 2. I HAVE HAVE NOT[ ] signed an application for a budding permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NA�i2E: ADDRESS: Com' PHO E: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following' person to coordinate, supervise, and provide the major work NAi1IE: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY O SOCIAL SECURITY NUMBER: � DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19332 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements sp=ified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (Including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes; workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and. if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors_is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providirig his or her own labor and material personally.. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about Iicensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. SincereIv, Michael C. veira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safery Code. 0VER _. -, '- ...., ...Y.. ,,n„ .. N, .��.._ y..r.�.�rr7d��•�i,.1,�..�t`pT....'�-:Yti'iilYlirr..�tl.,^'�•�-:-y+:..�y�YS.v -. :�-y--; }.,-, .- �yf��r?y-, �•n.�,�✓+4♦ 1,. � i COUNTYOF BUTTE - DEPARTMENTOF EkEVEL`OPMENTSERVICES -BUILDING DIVISION V ' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. g. Engineered truss details and layout in duplicate (required prior to plan check). Mobilehome data and manufacturer's installation instructions, 2 sets. . D 10. 11. Fees of $ . ........... . Impact fees as shown on attached sch... ..." y.� r�....... . 12. S @r? PXF4, California Department of Forestry plan approval/fees. ......... �... �I ... � 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .Fre 20. ;spection request Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. . �� 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. 33. Plan check -LK ..................................................... . lin I A-) kl�1, f- 30-9G /x/31 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit is uance: ( it a new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mai o ter _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM -- (One Form Per Building) School District `C� • h A.P. Number Q(pTT Q!9b •Q f y Jurisdiction: Dt Property Owner `Ir *J.,� Building Department No. City X� County � ' 1> Property Location/Address 133 • Subdivison --''" Lot No. L Residential Development EU Ell 0 Sq. Footage 7i '-- No. of Living No. MHI Addition (Group R) Units Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior `�. Roofed(Areas) Building Department Representative Dat ; ' (Floor Plans reviewed by School District Personnel) /j 1'e- . , bis is dentificatic No. • � � �: School District certifies that (Applicant) Z % `—v� (Street Addr ss) !. "^ (Phone Number) has complied with the requirements of Resolution No. _ r ; by payment of $ r resenting sgware-feet. l AB 2926 $ / t• i •. FULL MITIGATION $ School D' tact epresentative Date Paid by Check #—, Remarks: Bank Number ' Paid by Cash It, subsequent to the School District Representative signing this Butte County Schools Impact Fee I 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's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (11/94)dmm 189.99 i ' Location of strtmhm & I 1 ^---- et�'spment shall be as shown► '_--'--�--& dkr of aif ems. / FLUME / 'CREEK I. No#: --;►N Materials & WO rkmansfiip Sha e. lb AeeQrdance with Recognized Goad Practices on8 I of pd quoky prescribed for the Sp rifled use In fbe Un°form Building, Plumbing & Mechanical Codes Auld 1 I 12 National Electrical Code. lug sef of plans anif speciTications MU51 be I 1 ° tept on the job at all.times and it is unlawful tc moke any changes or alterations on some withom ° written permission from the Department of PvW. I Worts. County of �4•.�� I '- '� pts �ina� �or, 1��(,l Cep' ->✓l � I . LE OF 100' LEACH FREE / _AREA (r I EXIST. N I SHED / J EXISTING WATER LINE (MINNERS RIGHTS) in I 1 i. ,, . • i r 111 EXISTING, — { ' SEPTIC 1 (TANK 1 1 1 1• .PROPOSED MOBILE LANDING REPLACEMENT LEACH I..INE ................................................. t STEPS EXISTING LEACH LINE (100') 1 189.99 M.H.L- 2 Mobilehome Manufacturer: 1 b%k z L% J. y v Manufacture Year: / 96 Y If other than single wide, furnish Setup`Model Number: Width: �(ft.) Length:�(ft.) Tagalong or Expando Siz ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[bq,, Other:, — ���-,epi¢ SITPOF<TS:.Concrete block Other: (,� ►�,���� u_5r/ rQ/� Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 r Line 1 Line 2\ Line 2 y�.........A ........................................ Main Beams Line2 oE.................................................... Line I ............................................................. Main Beams ............................................................. ................Tag M77 riple`. ......._ Line 1 Piers: Size minimum: [ Spacing maximum: [ From ends -maximum: [ ...................... ......X .............................. ine 2 Line 3 i Line 2 ................................ ................................ Line 2 Line 1 74- 111 4" z . �...�— .._. LI Line 1 Openings ] x [ ]. Size minimum: [ J x [ ). Each side of openings J x [ ]. with width over: [ Line 2 Piers: ,1 f Size minimum: [/AJ x 0p) 1Z�Ar Spacing maximum: [3- x [ X11 From ends -maxim_ um: [ f ().x [ e 1 Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): ]x[ ] Line 4 Piers: Size minimum: [ ] x [ - ]. CDacing maximurn: [ ] x-[ ]• ,From ends -maximum:.[ OVER 1. Owner's Name: A [AX 5)�4 6*4 2. Assessor's,Parcel Number: V6 V� �k&j ()/ 2 G 3. Installer's Name: /!�_1'a- 4. Is the site currently under permit? Yes V J/No1, ] Permit No. 5 aiU� 5. Is the site an existing � site? j' No[V(`�af yes, furnish two plot plans). �� i 6. What is the electrical rating of the mobilehome?7'�- Amperes. Q 7. What is the electric service rating of the mobilehome site?Amperes. 8. What is the mobilehome site circuit breaker rating?Z G Amperes. 9. What is the main service breaker rating at this location?Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[] o ] If yes, please identify the load and size: (Load) (Amperes) 11. Type of gas service at mobilehome site: Natural[ ] r an ] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.). 14. What is the mobilehome gas demand? B. T. *(Thi^Miet a�propane).Ui' ed if the pipe length is less than feet on natural gas or less th E OF THIS FORM MUST BE COMPLETED PROCESS THIS PERMIT APPLICATION Ao,,i) =0 06 6" 0 0 OVER COUMrY OF BUTT' BUILDING DEp'r 0 C T U 5 3955 TRI STATLe TESTING - MUENIPHIS, TENNESSEE A CALIFORNIA APPROVED LISTING AGENCY TIE DOWN ENGIN_ EERING• "T•• - CALIFORNIA APPROVED ANCHORING PRODUCTS y; MANUFACTURED HOUSING AND COMMERCIAL COAD INCLUDES SCHEDULES, DIAGRAMS FORF- ' SINGLE/DOUBLE/TRIPLE/QUADRUPLE WIDE UNITS. 1. PRODUCTS DESIGNED FOR 40'- A. SOIL ---1,000-4,000 AND UP PSF SOILS (CLASSES 1-4, 200-550 INCH POUNDS AND UP TORQUE VALVE (CLASSES. 1-5, UBC -CALIFORNIA) Solt. CLASSIFICAMN &D A 7 GENERAL DESCRIPTION OF SOILS ALLOWABLE PRESSURE (Pounds Per Square Foot) SOIL TYPE No allowance made for overburden based on the unified pressure, emkt�odment depth, water Nessitication system table height oksettlement problems rock or hard an 4,000 and u Sand,Gravel or Gravel 2.000 Sand, Silty Sand, Clayey Sand, - Silty Gravel, or Clayey Gravel 500 Clay, Sandy Clay, Silty Clay, or Clayey Silt 1,000 Uncommitted Fill Special analysis is required. Peat or Ofaanic Clays Soecial analysis is recuired. B. WIND—ZONE 1, 85 MPH EXPOSURE "C' ��c/G/N�fl�f0 T/EoOW.v :5rYgQ E/z1 APPROVED SUSJECT TO CORRECTIONS NOTED Approval dors not v;dhorize or approve any omission a, de.sation train regvirenen`s o! applicable State laws and •equlosicns. State of California . Dopartment o! Housing and Community Development D(V'S101 CODES AND STANDARDS (signatv:e) �// .SQA NO ------ -4_r T,Nis Plain ApprpYcfl Expires_�2 C. SEISMIC—ZONE 4 Types of Soil I He d rock Slow Count Test Probe 1 (ASTM D1586) Tar... Value 2 NA NA 21.1 Vryd-,e endear cenun:ed sand,. coo ,. ga-d and cobbks, mo:e tlan preloaded sat,..nd &b . 401p S50 b,. Inch mo' than rot Coral, 401P 550 b,. inch 3 M.dumdmm coon. .and,. suhdy gravds, —Y. 350'o stiff eats & d y, 2:.39 549 b,. Wi 4 Loose to r -e— dant. s.nd,. f . to Ida clays & 200 to tats. as-luen M 14.23 349 b,. inch S Conaeu /lab Tend-ing d-kes for u,. In canoes. P.d ruyha. ee, thea be tented tum. e anchor,) and sp.a8cadortt u to PSI and mode den d conceu, reink--nd dre .rhd thiin.0 d mneme stte and GpA of bob hok. type sed " of &Sidd Y pemubk Dlirdum dauuice at which undonen device can be hn lkd from edge a end d dab. pad ,wwa, etc.. shwa be tgtd5e: hs -..tans chipped with each 1—." de,/- " ineSed. the above. W The tet probe It a device for ineuu rl the prom, R vahw of mal to ensw I, avaLatig the hoidine cep.balty of the was h which du udw Is placed Th. led probe he a ha9a - it. The overd lagdh of dx halal seakn It 10.75 i chu: the valor dens b 125 hells: du ndtm dnor trca It 0.81 he,e: the pitch 1.75 Inch- TM chefs er..e b d sutubk length for anchor dgth. Al A —fore, syn-ymou/ wW -v of a ince %iheh &u bwd armed dr duh d to tet probe. Icl Beloye the. -I—. a prakni-W ensu'— J-41 be c—.&d or ad—dond rdhon added Design Wind -load Zones:. Standard Wind Zone I Hurricane Zone Il Hurricane Zone III Note — psf: pounds per square foot 15 psf Horizontal 9 psf uplift' c39 psf Horizontal 27 psf uplift =47 psf Horizontal 32 psf uplift ' net uplift Reference — Manufactured Home Construction and Safety Standards (MHCSS) 24 CFR 80.305(c)(2). latest edition a BUfiL� L 2• CAPACITY OF ANCHORS - EACH GROUND ANCHOR, WHEN INSTALLED, S OF RESISTING AN ALLOWABLE WORKING LOAD AT LEASE EQUAL TO 3*P A 50 PERCENT OVERLOAD (4,725 POUNDS TOTAL) WITHOUT FAILURE. r��D 3• CAPACITY OF STRAPPING - TIE DOWN ENGINEERING GALVANIZED STEEL STRAP MEETS OR EXCEEDS THE NCSBCS/ANSI 225.1-1994 AND THE ASTM -D 3953-91 SPECIFICATIONS FOR 1-1/4-X.035 (MIN.) TYPE 1, FINISH B, GRADE HOT DIPPED GALVANIZED STRAPPING. CONFORMS TO SB -750 REQUIREMENTS SECTION 1336.3 OF THE CALIFORNIA CODE OF REGULATION TITLE 25, 18613.4 OF THE HEALTH AND SAFETY CODE. PAGE 1 Side Frame Ties Must Be No More Than Z' From Each End Of Unit. Other Ties Spaced Evenly Thoughout The Length Of. Unit, Side Ties Max. —I I— 2' Max. Wind - Zone I (85 MPH - Exposure °C') < '. Seismic - Zone 4 ; Frame End Ties kF Single Wide Unit Required Number OF Tiedowns For Each Side And Each End Unit Length 20' 30' 40' 50' 56' 60' 62' 66' 70' Tl2down Locations Side End Side End Side End Side W Cr' '^ End Side End Side End Single Wide 4 2 4 25 D 2 6 M1t �5.z 2 7 2 ` 8 �J 2 8 2: Total Number OF Tie'616wns 1 12 12 14 16 IS 18 20 20 20 ;a+ Wind - Zone I (85 MPH - Exposure °C') < '. Seismic - Zone 4 ; Frame End Ties kF Single Wide Unit Required Number OF Tiedowns For Each Side And Each End Unit Length 20' 30' 40' 50' 56' 60' 62' 66' 70' Tl2down Locations Side End Side End Side End Side End Side End Side --End— Side End Side End Side End Single Wide 4 2 4 25 2 6 2 7 2 7 2 ` 8 2 8 2 8 2: Total Number OF Tie'616wns 1 12 12 14 16 IS 18 20 20 20 Engineering Calculations - 85 MPH Wind EXP A'C" P LAT=(1.06)C13)(17)(1)=25.6 PSF W LA -T=(25.6 PSF)(13')=333 PLF 85 MPH � ind EXP "C" Vs, Seismic Zone,_4� C Length 1 ✓ J 333 PLF=0.186 1(32.5)(,,, th )+1601 Length- =50.8'=D 51' t' � v,ah c�CL Seismic Zone 4[ V=M86(DL) V=0,186 C(10 PSF)(`- )+('30+10 Psf)(� ng;h )+(2 WALLS)(81)(10 PSF)J Wind - Zone 1 (85 MPH - Exposure "C"). Seismic Zone 4 Width Length Load /Load Trans Trans Total Load -(Trans) Total Load (Long) ..: tt Trans T.D. Side 'ries- H Long T:D. End Ties Single Wide To K 14' 40 FT. 333/333 13,320 LBS. 4,662 LBS, 5 2 50 FT. 333/333 16,650..LBS•. 4,662 LBS. 6 2 60 FT: 333/392 19;9 80 Lbs. 5,488 LBS, 7 2 70 FT, 333/453 23,310 LBS. 6,342 LBS. 8 2 Double Wide Wi28' To 40 FT. 333/333 13,320` -LBS. 9,324 LBS. 5 4 50 FT. 333/333 16,650 LBS. 9,324 LBS, 6 4 60 FT. 333/392 19,980 Lbs, 10,976 LBS. 7 4 70 FT, 333/453 23,310 LBS. 12,684 LBS. 8 4 Triple. Wide Wi42' To 40 FT, 333/333 13,320 .LBS. 13,986 LBS. 5 6 50 FT. 333/333 16,650 LBS, 13,986 LBS, 6 6 60 FT, 333/392 19,980 Lbs.. 16,464 LBS, 7 6 70 FT.- 333/453 23,310 LBS. 19,026 LBS. 8 6 QUad 40 FT. '333/333 13,320 LBS, 16,650 . LBS, . 5 .8 50 FT. 333/333 16,650`:' LBS. 16,650 LBS. 6 8 - Wide To 50 60 FT. 333/392 19,980 Lbs. 19,600 LBS.- 7 8 70 FT. 333/453 23,310 LBS. 22,650 LBS. 8 8 TIE DOWN ENGINEERING INDEPENDENT TESTING RESULTS NOTE: ALL ABOVE TESTS WERE CONDUCTED BY ATEC ASSOCIATES, PRODUCT TESTING, INC. AND GALLET & ASSOCIATES. THE INDIVIDUAL TEST RESULTS WILL BE MADE 'AVAILABLE UPON REQUEST.. PLEASE FORWARD YOUR REQUEST. FOR THIS INFORMATION TO: TIE DOWN ENGINEERING 5901 WHEATON DRIVE ATLANTA, GEORGIA 30336 BUTTE COUHTY 3U ILDNG 0EPARTh EM PAGE 7 i ULTIMATE MODEL NO. DESCRIPTION OF TEST STRENGTH TEST DATE MI2H VERTICAL PULL-OUT IN MOIST SILTY CLAY. 6,133» 9/15/92 (5/8"&3/4") TEST PROBE TORQUE VALUE BETWEEN (AVG.) 200-349 INCH POUNDS - M122 VERTICAL PULL-OUT IN SILTY SAND AND GRAVEL . 5,733# 9/15/92 (5/8"&3/4") TEST PROBE TORQUE VALUE 550 INCH POUNDS (AVG.) AND MORE-,-- ORE--_MRA MRA VERTICAL PULL-OUT IN LABORATORY FIXTURES 5;567# 3/2/93 FOR SIMULATION. UNCONFIRMED ROCK WAS NOT AVAILABLE. MICS2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,200: 3/24/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. MIJ2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,200# 3/30/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. `MIT2 VERTICAL PULL-OUT IN 2,500 PSI CURED 5,2001-T 3/30/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. MI21164 VERTICAL PULL-OUT IN SILTY CLAY. TEST PROBE 5,200# 10/6/93 (59250) TORQUE VALUE BETWEEN 200-340 INCH POUNDS ML 45 DEGREE PULL ON -STABILIZER PLATE IN SILTY 6,067# 8/5/92 (59292) CLAY. TEST PROBE TORQUE VALUE BETWEEN (AVG.) 200-349 INCH POUNDS - NOTE: ALL ABOVE TESTS WERE CONDUCTED BY ATEC ASSOCIATES, PRODUCT TESTING, INC. AND GALLET & ASSOCIATES. THE INDIVIDUAL TEST RESULTS WILL BE MADE 'AVAILABLE UPON REQUEST.. PLEASE FORWARD YOUR REQUEST. FOR THIS INFORMATION TO: TIE DOWN ENGINEERING 5901 WHEATON DRIVE ATLANTA, GEORGIA 30336 BUTTE COUHTY 3U ILDNG 0EPARTh EM PAGE 7 i TIE DOWN ENGINEERING ANCHORING SYSTEM NERAL STABILIZER PLATE BUCKLE/W STRAP (SIDE FRAME TIE) SIJ STRAP BOLT & NUT V MI22 (5/8"-3/4").. 30" LONG ANCHOR MI2H (5/8.".-3/4") 48" -LONG ANCHOR 40' to/5m SIDE FRAME TIE l t ; (MBU) He I .ti, ..... let i MRA (ROCK ANCHOR) MUT (END FRAME TIE) e BU7 8 OliNTy f END FRAME TIE (MLS g g . 14ENT �iif1: ► \� \ � BEFORE BEGINNING GROUND ANCHOR INSTALLATION, MAKE SURE THE ANCHOR LOCATIONS WILL NOT BE CLOSE TO ANY UNDERGROUND ELECTRICAL CABLES, WATER LINES, SEWER, LINES OR GAS LINES. FAELURE TO DETERMINE THE LOCATION OF ELECTRICAL CABLES OR GAS LINES MAY RESULT IN SERIOUS INJURY OR DEATH. 1. PARTIALLY INSTALL APPROPRIATE GROUND ANCHOR ALLOWING TENSION HEAD TO MAINTAIN APPRO)agATELY 14" TO 16" -MINIMUM GROUND CLEARANCE. 2. USING OVERSIZED HAMMER, VERTICALLY INSTALL STABILIZER PLATE BETWEEN FRAME AND ANCHOR. THE TOP SECTION OF THE STABILIZER PLATE MUST BE DRIVEN FLUSH WITH THE GROUND TO INSURE SURFACE. SOIL COMPACTION. 3. FULLY INSTALLS GROUND ANCHOR UNTIL TENSION HEAD BOTTOMS OUT AGAINST STABILIZER PLATE. P-0 INSTALLER/CONTRACTOR CERTIFICATION 3) I CERTIFY THAT I HAVE INSTALLED THE TIE DOWN ENGINEERING ANCHORING SYSTEM AS PER TIE DOWN'S INSTALLATION ;INSTRUCTIONS AND THAT NO MODIFICATIONS HAVE BEEN MADE TO THE ANCHORING SYSTEM OR BUILDING STRUCTURE. COMPANY NAME: DATE: CONTRACTORS LICENSE # SIGNATURE BUTTE COUNTY E3UIt.DWG DEPARTMENT APPROVED PAGE.9 TES G- SERVICES, INC. September 28, 1994 Mr. Locke M. Jones Tie Down Engineering 5901 Wheaton Drive Atlanta, GA 30336 Dear Mr. Jones: LISTING NUMBER: TIE -942609 Having completed the in-house audit.of quality control, quality assurance, procurement, welding procedures, etc., Tri-State Testing Services in compliance with the rules and regulations of the Department of Housing of California lists the following products: MODEL NUMBER PART NUMBER M12H5/8 59080 M12H3/4 59085 M1225/8 59090 M1223/4 59095 MIT2 59115 MIJ2 59120 MICS2 59125 59250 59250 MR 59110 . MIC2 59096 59292 59292 MGRB 59145 MIDH 59100 MIS2 59105 DESCRIPTION 5/8"-X-58" DOUBLE HEAD ANCHOR W/6" AUGER 3/4".x 48" DOUBLE HEAD ANCHOR W/6" AUGER 5/8" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS 3/4" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS 3/4." X 8" DO-UBLE HEAD.THREADED ROD PATIO ANCHOR 5/8" X 12" DOUBLE HEAD J -ROD SLAB ANCHOR PATIO ANCHOR W/EXPANSION BOLT 3/44" X 36" DOUBLE HEAD ANCHOR W/6" & 4" AUGER CROSS DRIVE ROCK ANCHOR 3/4" X 30" ROD 5/8" X 30" CORAL ANCHOR LATERAL STABILIZER PLATE GALVANIZED ROOF BRACKET DOUBLE HEAD ONLY SWIVEL ADAPTER HEAD BUTTP riN uj v BUILDING [kPMIMENT APPROVED 6756 BUCKLES CovE MEMPHIS, TN 38133 901-385-1 199 FAX 901-386-6614 :PAGE10 Tie Down Engineering Page 2 September. 28, 1994 BCS 59175 CRIMPING SEAL FOR 1-1/4" STRAP , MBU 59140 GALVANIZED STRAP BUCKLE MBUS 59139 SPECIAL GALVANIZED STRAP BUCKLE BISB 59135 SLOTTED BOLT AND NUT MS33 591491-1/4" X 33' GALVANIZED STRAP MS35 59150 1-1/4" X 35' GALVANIZED STRAP MS37 59155 1-1/4" X 37' GALVANIZED STRAP MS42 519160 1-1/4" X 42' GALVANIZED STRAP MS60 59165 1-1/4" X 60' GALVANIZED STRAP MS600 .59-170 1-1/4" X 600 GALVANIZED STRAP MHT6 59185 1-1/4" X 6' FRAME TIE W/HOOK MHT7 59190 1-1/4" X 7' FRAME TIE W/HOOK MH78 59195 1-1/4" X 8' FRAME TIE W/HOOK MHT10 59210 1-1/4" X 10' FRAME TIE W/HOOK MHT12 59211 1-1/4" X 12' FRAME TIE W/HOOK MHT15 59050 1-1/4" X-15*FRAME TIE W/HOOK MBU6 5.9137 1-1/4" X 6' FRAME TIE W/BUCKLE MBU7 59141 1-1/4".X 7' FRAME TIE W/BUCKLE MBU8 59142 1-1/4" X 8' FRAME TIE W/BUCKLE. MBU10 59.138 1-1/4" X 10' FRAME TIE W/BUCKLE MBU12 59144 1-1/4" X 12' FRAME TIE W/BUCKLE MBU15 59143 1-1/4" X 15' FRAME TIE W/BUCKLE If you have any questions or if we may be of further help, please call us. Sincerely, TRI-STATE TESTING SERVICES, INC. BUTTE �y�a� ,� � Y BU ILLYING IMPAA I'NEWT William Jac son F� r- Managerr TRI-STAM TESTING SERVICES, 11 PAGE 11 STATE OF CALIFORNIA - BUSINESS TRANSPORTATION AND HOUSING AGENCY PETE WILSON. Governor DEPARTMENT OF -HOUSING AND COMMUNITY DEVELOPMENT o��`°`�—�`sw� DIVISION OF CODES AND STANDARDS �c 1800 THIRD STREET, Suife 260 P.O.-BOX 1407 s° SACRAMENTO, CA 95812-1407 (916) 445-9471 FAX (916) 327-4712 TDD 800 -735 -2929 - September 29, 1994 William E. Jackson, Manager Tri-State Testing Services, Inc. 6756 Buckles Cove Memphis, TN 38133 OCT 0 5 1994 Dear Mr. Jackson: This is to confirm that the. California Department of Housing and Community Development has approved your flims application to become an approved testing and listing agency for load bearing supports 'and structural components used with manufactured homes, mobilehomes'and commercial coaches. This approval is for the listing and labelling of structural components used. in the manufactured housing industry in accordance with the standard established -by-::your firm. Please note -the Department may require design calculations and test data be submitted to. substantiate a design when the listed system or component does not appear to conform to your approved standard. � �We may also .request this information for the purpose of routine monitoring or: -complaint investigation. Revisions to your approved standard as well as listed designs may be necessary. -in -.the future as..a result of amendments to current statutes and/or regulations. Thank you for choosing'to become:an approved listing and testing agency. If in the future you have any questions or need to-discuss,a particular 'issue, you.may contact either myself at (916) 445-9471 or Mike Rosenberg at (916) 255-2501. Sincerely, Chris L. Anderson Mobilehome Parks Program Manager BUTTE Mvey cc: Mike Rosenberg • . ... IA PP"V PAGE 12`x:• G-, ✓ �%� ���� /�-' �C.l��'�/�II �..G2�� , � .. E.H. U,S�O,NLY Plot Mn Amc W N U /1 o % Attached C/1 (� Sculmtt oB.B.D. �O • 3!• f l TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner LocatiAP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: clearance O.K. for: C F Specialist 8/92 Date AP # S "' OWNER / PERMIT "t 2-Y C MH UTIL.CLEARANCE DATE Z �( INSPECTOR ELECTRIC GAS Support Struc. YES NO Compaction Test Re . Service Size OtherPipe Load T e Size Length -YESI NO .Y= E CLEF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County Local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Drivgw Ay Standards 3.273.02 Surface. All driveway surfaces and structures (bridges, 1273,07 culverts and other app-,rte-iant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius of 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50c 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vert -i --i;1 curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. lr 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of.2, r AP ## PERMIT # NAME [ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Oates rp 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2, The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Duel modification 1210,01 Setback for Structure Defensible Space 01 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setbacls'-� for buildings and accessory buildings from iull property lines and./or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. see Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall, be completed prior to completion of road construction :,rfinal inspection of a building permit. Page 2 of 3 LV -')j - AP # PERMIT # �Va M �P. Other Recruirements L I If Bui.ldipa--.,.Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves If BuildiM., Setback is Less Than _L5_Feet Choose any 3 of the following- - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic spr-,.,Ik-ler system per NFPA 13D - Glass area not to exceed '1016 of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 N f5® 189,1119 BDPMI I '0 C. E3DRM2 HALL 40 I—OU LIVING IWO (c) jv KITCH. Iftis set of pIwAs and apeelfic-ations MUST b8 kept an thajob at all es slid It Is wia%VM to FLOOR AN make, al w elkainges 01. alterations Oil game Without virittennermlesion tmm the ppv�antpfPqbUq Works. Cminty of Butte. SCALE 1/�71 I � � I C TUBE PLANNI N G EXISMNG WATER LINE EN G 43 _0 MINMERS RIGHTS) 916 -- (992 - 3008 10-C W i I I i 32' y - / 11-7 1I C h i c o, C I i f o r n a 95926 L. J. Wa r n a r Ar ch I I or; I EXISTING PROPOSED MOBILE SEPTIC 1__j TANK T I ---4-1,LANDINCj' t STEPS REPLACEMENT LEACH Ll'NE- ...................... ... ... .... ............ ..... .. . .. .. .. .......... .. ..... 1 EXISTING LEACH UNE (100') CREEK L - -------- c I A Srll' Mot( ml� 3 C) ". MOM , 'MC Mt: ANI) a!FLUME. as rt, vmm IMJF MAN PMUPC-Af V 20' B. S. L. I Lit v. -7 , jpg AN,) ! I� I ! / I 1 1 / I 1 1I I ' I 0 I ! I LINE OF 100' LEACH FREE fn EXIST. / C� , C Ll t= 171 BDPMI I '0 C. E3DRM2 HALL 40 I—OU LIVING IWO (c) jv KITCH. Iftis set of pIwAs and apeelfic-ations MUST b8 kept an thajob at all es slid It Is wia%VM to FLOOR AN make, al w elkainges 01. alterations Oil game Without virittennermlesion tmm the ppv�antpfPqbUq Works. Cminty of Butte. SCALE 1/�71 I � � I C TUBE PLANNI N G EXISMNG WATER LINE EN G 43 _0 MINMERS RIGHTS) 916 -- (992 - 3008 10-C W i I I i 32' y - / 11-7 1I C h i c o, C I i f o r n a 95926 L. J. Wa r n a r Ar ch I I or; I EXISTING PROPOSED MOBILE SEPTIC 1__j TANK T I ---4-1,LANDINCj' t STEPS REPLACEMENT LEACH Ll'NE- ...................... ... ... .... ............ ..... .. . .. .. .. .......... .. ..... EXISTING LEACH UNE (100') A M LL 6 4LICTUMiS AM JNMM) OV9;if�IANGSSI�IALLtIL::cL�_-Anop, ALL VMPMERM L - -------- c I A Srll' Mot( ml� 3 C) ". MOM , 'MC Mt: ANI) rt, vmm IMJF MAN PMUPC-Af V 20' B. S. L. Lit v. -7 , jpg AN,) LLI < Q) z < 189.99 NORTV SITE �'L�4N]it 201-oll ' I rT14AVI J rlt MAO MtrrNnLjML- g14AtL ge CLVJ'" r)t- 85MUOMFit-:8 AM) C-C4UjpMENrVXaW, T 0Wj**jNa, REVIEMED BY surm co. r-Imr CALIF. DEPI', of FORUSMY --ipproved as atmittod Approved with condifions Pei' attar-hed ch -et lWa0grAzed 0001 1 tlie speobal"O, 10' li�b� nitg -aly1for-m BuRding, i bS Codo. aid - codes, he PROJECT DESC�RIP BION RELOCATION OF EXISTING MOBILE HOME TO LOT PROJECT LOCAThON: 6133 TRANQUILITY LANE NAGALIA, CA APN 65-08-1.1 7RANQUILITY LN. NINSHEW RD- VICINITY rIA. ' REYNOLDS COLUMBINE RD. NTS t AACHITE C TUBE PLANNI N G EN G INEERIN G 916 -- (992 - 3008 10-C W i I I i u m s b u r Luno C h i c o, C I i f o r n a 95926 L. J. Wa r n a r Ar ch I I or; I 1119 IdAl2. VM6192 IMW 01"41m tLWkt,-d Pl-PuttY of FHL, flm Hol" Ltfi. L..Mrn,r, Arthltzct ow fj>a not ba �%IAAJ. fW,—!UCA t4r !1*.d fee ,Ily otjjW jjtU ji,at tjjj j3tV,,1,.d QitJ 16"d tAhtrJt krkf wfthn P,,nr-,bktj of KA- Ul. Wtemr At -JAW Copjgkht by P4, U. Xem., AtdiU-.t REVISIONS 7— PROJECT MOBILE HONE HA(--iALIA, CA JOB SITE 6133 TRANQUILITY LN. NAGALIA, CA APN: OMER: LINDA HANSKI 4 11801 NASTERS0N MAGALIA, CA 91r�,911;,l 91L-8-13-OL13 DRAMPIG TITLE: SITE PLAN/FLOOR PLAN PLO) No. PROJ. No. 50918 DRAWN By. LA / JMW Dwc- FILE IIAN50819/ASP--1 PRINTED DATE: SEPT 28,1495 5 p OF SHEETS rt� rr �. ' r rt� rr �.