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065-190-099
it•• •Y.4-. �. -. wn �.-y. ...r..r..�-.., r-._-. 7 t AIp1{j{Y • r� -.. u..r.w .r .y-.--. -f 065-190-099 03-0593 DONDLINGER, DAVID — 6577 HOLLYWOOD RD, MAGA Cont. SKYCRBST. INALE NEW MH PERM IT'D NEW SIT 777 065-190-099 � , � 03-0594 y � r'Y DONDLINGER, DAVID 'W I ','r 6577 HOLLYWOOD MAGAIAIA t r *# '' I Cont: SKYCREST INALE N w µA fr DETACHED GARAGE �t lit. + A •t i. 4��t. I - 1 J+ t-r.S i• - - 1 t syl} K.� th 3F �l. 13.• r< -•1 ti'v tN ,� - i s I �1'•(tza' ' t3+ t t. -F ' 4!!t Ft N'!X,'14 "7 tttF"tf� f' Y: ,fir- tln �41�. ,. I ♦ 'zi- i tl � t �i.� � . � I.a Y ITr ' . - f u J. r a tit k e byr Y`{Y �p�::. �'}jf+TF i w�}�c6�'•�irjs�f., Fth ,.� t s�f �i�r� (p,,lt tt r''�fctLtfi t;J�Zik�$'i�tt t I. F� ��f RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 26 -Jun -2®03 2003-0041910 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DAVID DONDLINGER 7 COUNTY CENTER DRIVE REAL PROPERTY OWNER/LESSOR MAILING ADDRESS 3436 PRINCETON WAY OROVILLE BUTTE CA MAILING ADDRESS CITY COUNTY STATE MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP 6577 HOLLYWOOD RD. 6-24-03 INSTALLATION MAILING ADDRESS, IF DIFFERENT DATE MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP TROY MC KINNEY NICK MC KINNEY UNIT OWNER (if also property owner, write "SAME") DEALER LICENSE NO. 6577 HOLLYWOOD RD. MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-0593 530 538-7541 BUILD* PERMIT NO. TELEPHONE NUMBER U 6-24-03 SIGNATURE OF LOCAL AGENCY OFFICIAL DATE SKYCREST ENTERPRISES DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO. SKYLINE HOMES 2003 FAIRVIEW/5530-CT MANUFACTURERS NAME DATE OF MANUFACTURE MODELNAM&NUMBER D3-70-0532-RA/RB/RC 66'X 39' ULI 5444 75 /76/77 SERIAL- NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 065-190-099 SEE ATTACHED HCD FORM 433(A) REV. 8/91 . WHITE - County Recorder ' CANARY - HCD PINK - Applicant GOLDENROD -Building DepL EXHIBIT "ONE" The south half of lot 449, as shown on that certain map entitled, "FIR HAVEN SUBDIVISION", which map was recorded in the office of the Recorder of the County of Butte, State of California, Mayl9, 1955 IN book 21 of Maps at pages 31,32,33,34, and 35. EXCEPTING THEREFROM all of the valuable minerals beneath the surface of the said lands, with the right to mine and extract said minerals, it being agreed and understood that in all mining operations the surface of said lands will be protected against damage and that all mining shall be carried on from tunnels, shafts or drifts having their orifices in outside of the surface area of the above described realty, all as excepted and reserved in the deed from Magalia Mining company; a corporation; to E.D. Storts; -et ux, recorded September 4,1947 in Book 423 of Butte County Official Records, at page 385. Assessor's Parcel No: 065-190-099 . F. BUILDING PERMIT NUMBER: 03-0593- - • Address or location of unit: 6577 HOLLYWOOD. RD., MAGALIA CA 95954 Legal Descripti6n of Real Property: AP # 065-190-099 ; SEE ATTACHED - •� (x) Mobilehome/Manufactured Home O Commercial Coach } Has been affixed to the real property above by installation on a foundation system - ` pursuant to Health and Safety Code Section 18551., . Owner's name: DAVID DONDLINGER ^ Owner's address: 3436 PRINCETON WAY, PARADISE CA 95967 ; INSIGNIA OR HUD NUMBER: ULI 544475/76/77 ; SERIAL NUMBER OR V.I.N.: D-3-70-0532-R A/B/C MANUFACTURER'S NAME: SKYCREST,ENTERPRISES YEAR:2003 OFFICIAL APPROVING INSTALLATION: .U Pa*Z1,/Z1 DATE: 6-24-03 PHONE: (530) 538-7541 H.C.D.513C 03/21/2003 07:46 5303429174 . . . . . . . . . . . . DEPARTM ul CHICO BLDG SYSTEMS PAGE 02 All *ICATE 012MIOUTION: ORIGINAL (PINK) FORWARD TO TI -IC INVENTORY CREDITOR, UNLESS THERE IS -NONE; THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPYI (WHITE) FORWARD TO THE DEPARTMENT AT 0.0, BOX 1628, SACRAMENTO. CA 95012-1828. WITHIN FIVE (6) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED By THE MANUFACTURER. HCO 483.0. Side 1 - (7/97) k6mr= eRVU&I.ONIT fdANUFACTURED HOUSING NUMBER OF TRANSPORTABLE SECTIONS LING Q.MWMH.(MQ N!T. M� F NQ .7 ..-Otke�� . &T�!m VF ,COM MERC�LCOALQH,',-.t. OCCUPANCYGROUP: t MANUFACTURER-RAME:-"' ...... .... 'MANUFACTURER LICENSE NUMBER: SKYLKE RMIFE-S INC 900002 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: $ 142,240.40 A (Streel) 1720 FAST RFAMF.R—r%T 'CiN-ANRVt(zip)- 95776 MANUFACTURERTRADE NAME: MODEL NAME NUMMIER', DATE OF MANUFACTURE: 30/1663 FAIRVIEW . DESIGNER 5530—CT NAME OF DEALER'OR TRANSFEREE (OWNERSHIP TRANSFERRED TO):: CALIR'DEALER'NUMBER, OR DATE Of TRANSFER:-- JMNSTEREE DESIGNATION: Siiciiif 4 iPkISiS/C6b'S'IN GARY'S HOMESJ." DEALER .O.R.TRANSFEREE ..ADDRESS: .. 134 8 HWY 99 CHICO CA 9 73 (Slree City) (Stale) INVENTORY CREDITOR NAME: TEXT10.9"PINANCIAL -CORP INVENTORY CREDITOR ADDRESS: -KENIA -AVE SOUTH- SUITE 300CIGOLDEN VALLEJ MN .16 (TY) e) 0�4 SECTION MANUFACTURER 6GRIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER LENGTH wDim WEIGHT (INCHES) (INCHES) IPOUNDSJ_ D37-70-0532.-RrC..,.. ULT 5..4,..675......,. ,,. :. :792 156 46,015* 2% `nA-7Q—nS32—j&-8 -ULI:344476. '792. 1�6 '26,565 ULI..544477 TRANSPORTER NAME: D & R'TRANSPORT TRANSPORTER ADDRESS; P.O. BOX 179 DURHAM CA 95938 6uoa(city) (State)ZI DESTINATION FOR UNIT DESCRIBED ABOVE: (NWSIN GARY'S HOMES soca, 13468 HWY 4 Y) CHICO istataICA 9597 4) I 00ftify under PwAft of pe4ufy under the, lave of U* Stela of Cmlilomis that tM above facU am trw and conam E..aAaa an 3/7/2003 at WOODLAND YO110 CA (Dela) I IN) (Countyl (Stale) SIGNATURE OF AUTHORIZED AGENT: 012MIOUTION: ORIGINAL (PINK) FORWARD TO TI -IC INVENTORY CREDITOR, UNLESS THERE IS -NONE; THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPYI (WHITE) FORWARD TO THE DEPARTMENT AT 0.0, BOX 1628, SACRAMENTO. CA 95012-1828. WITHIN FIVE (6) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED By THE MANUFACTURER. HCO 483.0. Side 1 - (7/97) j STATE OF CALIFORNIA 6-� DEPARTMENT OF HOUSING ANO.,;-COMMIINITY OEYELOPMENT DIVISION OF COOES:ANO STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF'FACTS ii.s unit is. ..a: Mobilehome [—] Commercial Coach Floating Home Truck Camper ?cal (License) No.(s) Trade Name Serial No.(s) i f%`G /We, the undersigned, hereby state that the unit described above: M a.y b e P kc.e-d. o n a, p e g ma:n '0- vc+ 0* LL rd'�L+ 10 V\-, ,ffi_ant further agrees to indemnify and save harmless the Director of Housing and Community ,evelopment, State.of...California, and subsequent purchasers of said unit, for any loss they iay suffer resulting from registration of the above-described unit in California,.or from ssuance of a California certificate of title covering the same. ./We certify under penaity of perjury that the foregoing is true and correct. :xecuted on at Xl1 GO r 0 4.t a (City) (State) Signature of each affiant Add City HCD 476.6 4Rev 11/86) Printed name of each affiant �Dt,lSin C JV 140 ry-) es State 12/09/02 12:05 FAX 530 877 3443 0003/004 IT. NIIpAlIlIn191NIu1119�U191 r•REC&WING REQUESTED BY: Fidelity National Title Company of California Esoraw No. 304029 -WC T1da order No. o0304029 When Recorded Mail Document 70: David Dondlinger 2222 Foothill Blvd., #545 La Canada, CA 91011 APN: 065-190.099 I ma -07 ReeDrded I NEC FEE 1e.00 official Records I County OfBM I CANDACE J. GRUBBS I AHYPder DICKSON I R05F7 Assistant I Kathy 0P --em 30 -Sep -2002 I Page f of E INTERSPOUSAL TRANSFER DEED (Excluded from reappraisal under California Constitution Article 13 A Section 1 et seq.) The undersigned grantors) declare(s) Documentary transfer tax is S City Tax is This is an Interspousal Transfer and not a change In ownership under Section 63 of the Revenue and Taxation Code and Grantorls) has (have) checked the applicable exclusion from reappraisal: This is a clearing document only. Grantor held no record interest FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Cheryl Dondlinger, wife of the grantee herein hereby GRANTS) to David Dondlinger, s married man as his sole and separate property the real property in the City of Unincorporated, County of Butte, State of California: SEE EXHIBIT'ONE" ATTACKED HERETO AND MADE A PART HEREOF DATED: September 16, 2002 STATE OF CALIFOONIA Cheryl Dondl(nger COUNTY OF —4&r AkCIE&EC ON 4 before me, reonall appeared ChegDondlinaeEe aamo4winalor 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/sheithey executed the same in hisiherltheir authorized capacity(ies), and that by hisiher/their signaturels) on the instrument the person(s), or the entity upon behalf of which the parson(s) acted, executed the instrument. 1ti/it;ature d and official sea), Sig tyNaA C. CUNlafi1 a COMM. x1250054 W Notary P{IbllrrC�fOfrris t.85 A 3ELES COUNTY My Cavi. E . dart to. M iiAAIL TAX STATEMENT AS DIRECTED ABOVE UD -13C (Rev 12195) INTERSPOUSAL TRANSFER DEED Description: Butte, CA Document=Year. Doc1D 2002.51097 Page: 1 of 2 Order.' chris Comment: 12/09/02 12:05 FAX 590 877.3449 Q004/004 Order No. 304029 EXHIBIT "ONE" The South half of Lot 449, as shown on that certain map entitled, FIR HAVEN SUBDIVISION", which map was recorded in the Office of the Recorder of the County of Butte, State of California, May 19, 1955 In Book 21 of Maps at pages 31, 32, 33, 34, and 35. EXCEPTING THEREFROM all of the valuable minerals beneath the surface of the said lands, with the right to mine and extract said minerals, it being agreed and understood that in all mining operations the surface of said lands will be protected against damage and that all mining shall be carried on from tunnels, shafts or drifts having their orifices outside of the surface area of the above described realty, all as excepted and reserved In the deed from Magalla Mining company, a corporation, to E, D. Storts, et ux, recorded September 4, 1947 in Book 423 of Butte County Official Records, at page 385. Assessor's Parcel No: 065-190-099 Description: Butte, CA Document -Year. DOOR 2002.51087 Page: 2 of 2 Order. chris Comment r - NOTES - RESIDENTIAL r. - 065 x190 099;a x't'' . 03-05.9_4 �' ONDLINGER DAV'S { - PERMIT NO _ y- ID 6577 HOLLYWOOD, MAGALIA` `Conf: SKYCRES T r T DETACHED GARAGE 1 I 1i - 1 1 r 1 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f yy44to } ;. JOB FINALED (Date) ("2-4,03• `1 Signature COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION , 7 County Center Drive • Oroville, California 95965 • Telephone (530).538-7541 D 2 R6RMVr,,J (Rev. 12/96) APPLICATION AND PERMIT � 5W� "} ASSESSOR PARCEL NUMBER 065-180-099 ZONING BUILDING PERMIT OWNER Dandlin er David TELEPHONE , ..,.• SO. FT. OCC. BUILDING VALUATION 576 U fy'10368.00 .OWNERS MAILING ADDRESS 6577 Rc#iD8qxd Mr Magalis CONTRACTOR'S NAME Skvcrest Enterprises 4 TELEPHONE CONTRACTORS MAILING ADDRESS 1 'o9_13(03 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $10,368 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 Bura6rNG ADDRESS 6 �,mp a•MS% Energy Plan Checking Fee $ $ PERMIT FEE $ 169.00 LOT NO. SUBDIVISIONS NAME77[ MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: ., 24R 24 DetalC_hexl CaIYAG►A Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 + PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800V OR LESS Main Service 200" OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IS in full„force and effect. License Classed ,, .,� ✓ - �/ Lic. No. t OWNER -BUILDER DECLARATION I 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. ❑ 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. 13?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'ccompensation insurance carrier and policy number are: Carrier �• ?ZWx” �4I1 /'EJ Policy Number T/ ,� / (The above sections need— n�mpleted 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, 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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 X '` Cir t i 7��f�+t-^3L' Date �' _ ��/ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent 11 An OSHA permit is required for excavations over 60" deep and demolition or construction 'of -'structures over 3 stories in height. Main Service zoOA TO lOooA 46.00 NEW CONST. DW .NG OCCUP. S5.ry/� OR ADDNS. ( 6 ACC. S.3.50,T.20.16 NOWRESID. T. MULTI-RANCHCUTLET 97,50 POWER APPARATUS OUTLET OUTLETCIS. zo p Loo EX. Occup. OUTLET OR FIXTURES BAL Q .50 Ex. Occup. OFIx s A OR EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 640.16 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 209.16 HAZ. I D FEESIMP "'"� FLOOD CDF PARCEL PD HD ISSUE 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. By Date PERMIT EXPIRES ON Date ReceiptNo. .31,/(.? q b� 9 t / 5 %``'/"7U if • %�.� WHITE-D.D.S.-B.D. CANARY.ASSESSaOR PINK -INSPECTOR /GOLDENROD -APPLICANT r J=OK 0 = Not OK a = NotReadyable Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Electricity; MH Test -Crossovers -Breakers -Clearances 3. Sewer; Location -Test -Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Water and Sewer Connected -C/O to Grade -HD Approval 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat, or / /" L "ft./ • P LPG Exits; Insp.-Sketch 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. • Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECK OVERS, CARPORTS, GARAGES (Plans) OK except #'s Zo ' equirements-Setbacks-Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. QKks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts- Beams-Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. ports; Windows -Doors 0. Electric rmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh --- 10'. _10'. Roof; Shthg-Roofing 11. E ; Steps -Doors -Landings VeTraced Wall Panels 4 Dat Card B-1 . Date Card B-1 Date44Card B-1 Date Card B-1 Date'POOLS (PI xcept #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 50. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 51. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 52. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 53. Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Card B-1 Date Card B-1 Date Date Date Card B-1 Date Card B-1 Date 64. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Smoke Detector 17. Water Htr.; Vent -Access -Combustion Air Baffle Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 18. Water Pipe; Test & Anchor -Nail Protection Bedroom Exiting 19. D.W.V.; Test Fittings & Anchor -Nail Protection G.F.I. & Bath Fixtures & Tub Access -Spa 20. Shower Pan; Test, First Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 21. Test Tub & Shower, Second Floor -Tub Access Stairs & Rails 22. Gas Pipe; Sixe & Anchors Fireplace or Stove, Clearance -Hearth 23. Fire Sprinkler; Test Elec. Outlets at Wood Panel, Int. & Ext. 73. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 76. A.C. Duct in Garage -Damper 24. Fixture & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Plb.; Elec. & Mech. Equip. Listed for Location 26. Size Boxes & No. of Conductors Stapled Elec. Receptacles in Garage (F.F.I.)-Romex Protection 27. Romex Installed Close to Edge of Studs & C.J. Insulation -Foam -Looked in Attic 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 81. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 82. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 83. 32. Service -Riser Conductors & Ground Main Disconnect 84. 33. Equip. Clearances Panels-Motors-Mech. Equip. 85. 34. Clothes Closet Light -Shower Light -Spa Light 86. 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throughout House Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39., Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 96. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors Card B-1 Date Card B-1 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive El Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ,y 2 (Rev.12/96) , APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065-190-099 ZONING BUILDING PERMIT OWNER Dondlin er David TELEPHONE SO. FT. OCC. BUILDING VALUATION 576 U 10,368,00- OWNERS MAILING ADDRESS 6577 Ho CONTRACTOR'S NAME Sk crest Enter=ises _,42_26.41 TELEPHONE CONTRACTORSMAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $10-368.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 6577 Holltwr)ri Drive Magalia$ Energy Plan Checking Fee $ PERMIT FEE $ 169.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 24X 24 DptN.11ed Garage Gas piping stem t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fee 20.00 RLEFling "OVMain Service 20 OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,,KIKC0,25-T and my license ' in fu ce and effect. ` �y c s�� License Class - Lic. No. /�,(J `5G� OWNER -BUILDER DECLARATION I 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 rformance of the work for which this permit is issued. M-11"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' ation in rance ca ier and policy number are: Carrier '�L( Policy Number 3 oYO 62Mobile (The above sections need not a comple ed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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 rthwith comply with th se provisions. X Date Si at re of Applicant - ❑ O r ❑ Contractor ❑Age n HA permit is required for excavations over 60" deep and demolition or construction structures over 3 stories ' height. Main Service Zoog To ,000A 46.00 NEW CONST. DW LING OCCUP. OR ADONS. ( a ACC. BXns. SO 3.5¢FT. 20.16 MULTI.OUTLET 97,50 POWER APPARATUS 6 SINGLE OUTLET S EX. Occup. OUTLET OR FIXTURES .00 BAL x.50 Ex. Occup. GFlxE. uT R= DE,L 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $40,16 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEiE $ Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 209.16 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicate above for which fees have been By PERMIT EXPIRES O provisions to do work paid. to efa Receipt No. WHITE-D.D.S.-B.D. CA -ASSE OR PI K -IN ECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive Oroville, California DING DIVISION - BU��, 95965 (Rev.12/96) a APPLICATION AND-Pf-RfArr •Telephone (5 538-7541 PERMIT N ♦6 6FT'[:iR vAAOE; — —(151 q�/ BUILDING PERMIT T[Uc7NON! OMW7i9 U1�hLJKJ •ODRFyy SO. FT.• O BUILDING .VALUATION cown S KYCREST ENTERPRISES T"�"°"` roR, "LING „O�s 342-2694 1346 HICO CA 95973 � LEND Fire lace Total Valuation b UGEN6Q NO. .wO�TE(.T ON ENOwEFA9 � ADORE" Filln Fee Permit Fee b B"4.0•'0 ACO EJPlan � -7 —7 � �� Checkln Fee EnerRy Plan Tb V , Checking Fee 1D�� "JBOni°1DNyµ^"� P�v+cet. wv PERMIT FEE S PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each TrapI 7.00 SF O Duplex ❑ Mobllehome a Other Solar or heat 2ump water heater 23.00 ePECVY Water I In i i'— 5 00, TYPE OF WORK Each gas water heater or vent 15. New ❑ Addition ❑ Romodei ❑ UdWas ❑ Installation ❑ Other 9� Gasp I In .. slam i - 5 outlets 5.00 Describe Work: x ��� Bulldln sewer t 5.00 — — ,�� Mobile Home S G W X20.00 PERMIT FEE i ELECTRICAL PERMIT Filing L7--720.00 Main Service ..OR u:66 OA OR 19 I i -3,OQl Main Service sou TO i000A °46.00 ONB OWUA>,1O OCCUP. °r z5Wr a AcC. Bros. NO"ESIO. 1W1ULT4oVn.ET 97.50 POWER APPAMTUB *PERMIT Ex. Occu D. ouneT oR faTUREs ®':0 Bw Occu 'UCEO �vPv+e. oR ° RESIO. EA 5.00 Temporary Service 23.00 SRA $ /� Mobile Home Facilities 20.00] Misc. Wiring 23.00 SHERIFF $ PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 OTHER $ Hentln Coolln Hood 6.50 $ Ventilation $ PERMIT FEE ! L Mobile Home Installntlon Fee b Energy Inspection Fee 5 AMOUNT RECEIVED $ _ Go OCC CONi T. TYPE T AL FEE S KAZ••o cor CE1 i This permit is hereby Issued under *RECEIPT NUMBER( �Q 2lyl the applicable provisions of the Butte County Code and/or Resolutions to OO work Indicated above for which fees have peen paid. *TO BE PUT INTO COMPUTER BY Date _ PERMIT EXPIRES ON J COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: r ASSESSOR PARCEL NUMBER (J S" / � 9 Proposed Building Use: C%% Counter Technician: Date: (J Items required in order to apply for &ermit. All boxes MUST be checked OR marked NA in order to apply. ,:g— Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. i f ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. •All of these must be stamped and wet -signed by the en ig•neer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additio al plan review upon receipt of the followinj items.) Fees as shown on the attached Schedule of Fees Due Sheet. ........ a. c :. /. ............ 'I /03 $17. Statement of Intent for Non -heated and A/C Buildings......................................a .f^.... anitation and plot plan approval from the Environmental Health Department in . V I f C rXee ,Oy ��93 City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: G; -)z, (B)Parking: (C) Parcel Check: . 9 - ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 0 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... €b ib ❑,�G�r�ant Deed, ❑ M`.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ Otlfer: - /079 /�/� � / /6A 5Y10w� r }tet � 4o- ^ r- K. �►yla/ 4 -r When issued Telephone ' Z and ffold for pickup. I have been informed of the above iters and requirements for obtaining a building permit. Applicant: Date: 1. Indexe§jxnit application for the ab u bered: Plan Check Letter A items required T/esigner, owner, was advis ea ove data by p e, ❑ mail, ❑ counter, by _Date:esigner, owner, was advised of the above d to by phone, ❑ mail, ❑ counter, b �. Date: Ved by: "' Date: -, I 3 Plans approved by: Date: 3 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Division Department of Development Services Building Division .7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner:yi� ��py��%� c� �� Phone: ii i� r 7,4,11 Site Address: 1.� _5-7 Assessor's Parcel Number: 1 i� — e j'15� Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes ❑ No 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No 3. Will items produced in this building be offered for sale? Yes ❑ No 4. Will the public have access to this building? Yes ❑ No 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No 11. Will this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? Yes ❑ No 14. Will this building have a water heater? Yes ❑ No 15. What type of floor covering will the building have?��1�:'(G 16. What type of wall covering will the building have? OVER 1 of 2 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. ,`Private Garage —"A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely oven. 1 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport. If you checked #4, please check the uses below'which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment El Recreation Room p El In-law quarters ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ CanningKitchen Sewing Room ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop ❑ Home Occupancy z p cy . ❑ Other —Use =. 1. Describe type of Workshop I Iviust be approved by the Butte County Plarming Division. Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. Owner's Name: Please ' t / e Owner's Signature: Date: 2 of 2 LESS THAN 3 ACRE CONVERSION EXEMPTION STATE OF CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION NOTICE OF TIMBER OPERATIONS THAT ARE EXEMPT FROM CONVERSION AND TIMBER HARVESTING PLAN REQUIREMENTS RM -73(1104.1 a) (9/99) FOR ADMIN. USE ONLY Ex. # Date of Receipt Date Accepted VALID FOR ONE YEAR FROM DATE OF RECEIPT BY CDF Date Expires TIMBER OPERATIONS CANNOT START UNTIL VALID COPY 1 OF A NOTICE OF ACCEPTANCE IS RECEIVED FROM-CDF The Director of the Department of Forestry and Fire Protection is hereby notified of timber operations under the requirements of 14 CCR 1104.1(a). Harvesting of trees which is a single conversion to a non -timber growing use of timberland of less than three acres. (See 14 CCR 1104.1(a) for a description of the conditions on the conduct of this type of timber operation, and additional information that is required to be submitted.) Complete Items 1. through 8. on both pages of this notice. 1. TIMBER OWNER(S) OF RECORD: Name Gene Jefferry Rolls Address PO Box 432 City Forest Ranch State CA Zip 95942 Phone (530)343-7341 SIGNATURE Date TIMBER TAX EXEMPTION: Timber owners owe timber yield tax when they harvest trees unless the harvest is exempt (Revenue and Taxation Code sec. 38116) _Some small or low value harvests may be exempt from timber yield tax: Timber removed from an operation whose value does not exceed $3,000 within a quarter, according to BOE Harvest Value Schedules, Rule 1024. If you believe your harvest may qualify for this exemption, please complete items A and B below. For timber yield tax information or for further assistance with these questions call the state Board of Equalization, 1-800-400-7115, or write: Timber Tax Section, MIC: 60, State Board of Equalization, P.O. Box 942879, Sacramento, California 94279-0060; or contact the BOE Web Page on the Internet at http://www.boe.ca.gov. A. Circle the option that m stimates the total volume for this harvest, in thousands of board feet (mbf - Net Scribner short log) nder 8 mbf 8-15 mbf 16-25 mbf Over 25 mbf B. Estimate what percentage of timber to be removed during this harvest will be: Redwood _%; Ponderosa pine/Sugar %; Douglas -fir %; Fir %; Port -Orford Cedar—%; Cedar (IC, WRC)_ %; Other, conifer_ %; Other, hardwood)A°/a. 2. TIMBERLAND OWNER(S) OF RECORD: Name Troy & Nicole McKinney Address 5786 Gold Rush Rd City Magalia State CA Zip 95954 Phone (530) 873-4187 / certify, under penalty of perjury, that this is a one-time conversion to a non -timberland use, that there is a "bona ride intent" [14 CCR 1100 (b)] to convert to home construction site and yard area, and that 1 have mailed a letter of notice of intent to harvest timber, prepared by the Registered Professional Forester, to all adjacent landowners within 300 feet of the boundaries of the exemption. SIGNATURE Date 3. LICENSED TIMBER OPERATOR(S): Name Gene Jefferry Rolls .. Lic. No. A7332 Address PO Box 432 City Forest Ranch State CA Zip 95942 Phone (530)343-7341 SIGNATURE Date 4. Designate the legal land description of the location of timberland conversion. A map showing the location of the timberland conversion MUST be attached. The map must show the ownership boundaries, the location of the timber operation, boundaries of the conversion, location and classification of all watercourses, and landing locations. Section Township Range Base & Meridian County Acreage to be Converted Assessors Parcel Number 24 23N 3E MDB&M BUTTE .39ac 065-190-099 Page 1. NOTE:This form has two pages. Continue on and complete Page 2. Read the instructions before attempting to complete. LESS THAN THREE ACRE CONVERSION EXEMPTION, Page 2. 5. The following are limitations or requirements for timber operations conducted under a Less Than Three Acre Conversion Exemption (Notice, Notice of Conversion Exemption, Conversion Exemption): A. Timber operations shall comply with all other applicable provisions of the Forest Practice Act and regulations, county general plans, zoning ordinances, and any implementing ordinances; copies of the state rules and regulations may be found on CDF's Web Page on the Internet at hftp://www.fire.ca.gov. B. All timber operations shall be complete within one year from the date of acceptance by the Director. C. All conversion activities shall be complete within two years from the date of acceptance by the Director unless under permit by local jurisdiction. Failure to complete the conversion requires compliance with stocking standards and stocking report requirements of the Act and board regulations. D. The timber operator shall remove or dispose of all slash or woody debris in accordance with 14 CCR 1104.1 (a) (2) (D). The timberland owner may assume responsibility for the slash treatment, provided the landowner acknowledges in writing to the Director such responsibility at the time of submission of this notice. The specific requirements shall be included with the acknowledgment. E. Timber operations shall not be conducted during the winter period unless a winter operation plan or in lieu practices required by Forest Practice regulations are specified within (attached to) this Notice. F. No timber operations are allowed within a Watercourse and Lake Protection Zone unless specifically approved by local permit(e.g. county, city). G. No timber operations shall be conducted until the Director's notice of acceptance is received and a valid copy of this Notice and the Director's acceptance shall be kept on site during timber operations. H. No sites of rare, threatened or endangered plants or animals or species of special concern shall be disturbed, threatened, or damaged. I. No timber operations are allowed on significant historical or archeological sites. J. Within one month of the completion of timber operations, including slash disposal, the timberland owner shall submit a Work Completion Report to the Director. d'U 6. I, - ) iL (UKAdeclare as the authorized designee of the county/town that this conversion exemption is in conformance with all county regulatory requirements, including public notice. (If the county /town has authorized a designee this itemMUSTZrnopleted If it has not, see item 7.) SIGNAT rL�%/F Date /d-7 0 7. Registered Professional Forester preparing Notice: Name Randolph Vasquez Number 1884 Address PO Box 5663 City Oroyille State CA Zip 95966 Phone (530)534-5229 1 certify that 1, or my supervised designee: prepared this Notice of Conversion Exemption Timber Operations; visited the site and flagged the boundaries of the conversion exemption, applicable WLPZ's and equipment limitation zones; prepared a notice according to 14 CCR 1104.1(a)(3) to be mailed by the landowner and that a copy of the notice was posted and dated on the ownership, visible to the public, at least 5 days prior to the postmark date of submission of the Notice of Conversion Exemption; and that if the County Board of Supervisors has not de gnated a re sentative authorized to sign in Item 6., that 1, or my supervised designee, contacted the county and theO.tice is in formance with county regulations. SIGNATURE of RPF Date 8. NOTICE SUBMITTER(S): Name Gene Jefferry Rolls Address PO Box 432 City Forest Ranch State CA Zip 95942 Phone (530)343-7341 Submitter must be either 1, 2, or 3 above, and must sign. SIGNATURE Date FILE THIS NOTICE WITH THE NEAREST CDF OFFICE BELOW FOR THE COUNTY IN WHICH THE OPERATION WILL OCCUR: Humboldt, Del Norte, Mendocino, Sonoma, Marin, Lake, Napa, Colusa, Solano, Alameda, 135 Ridgway Avenue San Mateo, Santa Cruz, Santa Clara, Contra Costa, and western Trinity Counties. => Santa Rosa, CA 95401 Siskiyou, Modoc, Shasta, eastern Trinity, Lassen, Tehama, Glenn, Butte, Sutter, Plumas, => 6105 Airport Road Yuba, Sierra, Nevada, and Placer Counties. => Redding, CA 96002 EI Dorado, Amador, Alpine, Calaveras, Tuolumne, Mariposa, Merced, Madera, Fresno, Tulare, => 1234 East Shaw Avenue Kern, Stanislaus, San Benito, Monterey, King, San Joaquin and Sacramento Counties. => Fresno, CA 93710 Ventura, Los Angeles, San Bernadino, Orange, Riverside, Inyo, Mono, San Diego and => 2524 Mulberry Street Imperial Counties. => Riverside, CA 92501 f Erosion and Sediment Control Plan WINTER OPERATIONS McKinney AP#065-190-099 less than 3 acre conversion For Timber operations occurring within the Winter Season (November 15 -April ])the following plan shall be used; The in -lieu option as allowed in 14 CCR 914 (934. 954) .7 Equipment shall be permitted to operate on the site only during dry, rainless periods where soils are not saturated. Equipment shall include all tractors, backhoes, stump grinders, and loaders. Exposed area shall not exceed 800 square feet at any one time. All exposed areas shall be straw mulched to a depth of at least two inches within 7 days of creation unless the National Weather Service forecast is a "chance" (30% or more) of rain within the next 24 hours at which time all exposed areas shall be mulched within 24 hours. All areas shall be stabilized and/or grass seeded prior to November 15. Sedment dams shall be placed at the location shown on the attached Erosion and Sediment Control Map. Sediment dams shall consist of straw bales placed end to end and staked in place. 1) Tractor yarding, or the use of tractors for constructing layouts, firebreaks or other tractor roads shall be done only during dry, rainless periods where soils are not saturated. 2) Installation of drainage facilities and structures, is required from October 15 to May 1 on all constructed skid trails and tractor roads prior to sunset if the National Weather Service forecast is a "chance" (30% or more) of rain within the next 24 hours The provisions of this subsection do not apply to mechanical site preparation. 3) During winter operations after rains, road use shall be suspended until the running surface has stabilized by freezing or drying. Hauling operations to cease when surface material must be shaped to develop a driveable medium. * No hauling, road construction, or maintenance shall occur when road surface is saturated as defined in CCR 895.1. Emergency road maintenance conducted to alleviate erosion problems does not fall under this limitation. * Erosion control structures will be maintained in working condition during wet weather road use at any time of the year. NOTE: "Winter period" means the period between November 15 and April 1, except as noted under special County Rules at Title 14 CCR 925.1, 926.18, 927.1, and 965.5 (a) except as otherwise provided in the rules: (1) All waterbreaks shall be installed no later than the beginning of the winter period of the current year of timber operations. (2) Installation of drainage facilities and structures is required from October 15 to November 15 and April 1 to May 1 on all constructed skid trails and tractor roads prior to sunset if the National Weather Service forecast is a "chance" (30% or more) of rain within the next 24 hours. Saturated Soil Conditions means that site conditions are sufficiently wet that timber operations displace soils in yarding or mechanical site preparation areas or displace road and landing surface materials in amounts sufficient to cause a turbidity increase in drainage facilities that discharge into Class I, II, III, or IV waters, or in downstream Class I, II, III, or IV waters that is visible or would violate applicable water quality requirements. In yarding and site preparation areas, this condition may be evidenced by: a) reduced traction by equipment as indicated by spinning or churning of wheels or tracks in excess of normal performance, b) inadequate traction without blading wet soil, c) soil displacement in amounts that cause visible increase in turbidity of the downstream waters in a receiving Class I, 11, III, or IV waters, or in amounts sufficient to cause a turbidity increase in drainage facilities that discharge into Class I, I1, 1I1, or IV waters, or d) creation of ruts greater than would be normal following a light rainfall. On logging roads and landing surfaces, this condition may be evidenced by a) reduced traction by equipment as indicated by spinning or churning of wheels or tracks in excess of normal performance, b) inadequate traction without blading wet soil, c) soil displacement in amounts that cause visible increase in turbidity of the downstream waters in receiving Class 1, II, III, or IV waters, or in amounts sufficient to cause a turbidity increase in drainage facilities that discharge into Class I, II, III, or IV waters, d) pumping of road surface materials by traffic, or e) creation of ruts greater than would be created by traffic following normal road watering, which transports surface material to a drainage facility that discharges directly into a watercourse. a Erosion and Sediment Control Plat Map Trees to be removed: Exposed area shall not exceed 800 square feet at any one time. All exposed areas shall be straw mulched to a depth of at least two Inches. 0 Pine Fir ►,1 ►i1 • • 1 House Site i OL 1 ® Fir ) ® Oak 1 1 `oho ®Pine 1 Pine i ® Cedar ® Pine Driveway to meet public Straw Bale resource code slo Sedement Dams 4290 and 4291 to be stake place. and Butte County Fire Safe Regulations Hollywood Road N Scale 1'=25' �jl•'-;, � i� If tf• r,,.-.-,.� ��' +� � t_ (�'�4 ... 'J %�j' :�.} f f.� " • _---.,�`"j•= _ �. "j:""- :'�f--' ---; .�. ,ter ..-•�.�.f� .;r. "y,,'Xi � t C _ ! �' :�.. '' •;•r L��r'.�. magali .. Camp Cory Mine i ` + •�--• Steifer Minq`rj 111�i3R`Qa '' `-` ti . ':;- • ;`. , �- � * ':i`'• Z \ `�"w"'1 t �• • • ��• • �: sk •., ".! •..`•1..� a ei".; .r�P•i..."r,J, �� f Z►•w�.,..iy�'. �...La..� { ' ti_ ..T • • � • I • � • • � � wr-- •' .r . .,..1"r' y f < �ii ,/ fy 11 i� 1 y • • + • 1+ , • •S. • • • , • r t, 1 / !f r j a" r } V' ri . ,' .. i k a t l / a t f . , �j f • �. { . f� fr -„ r'hj� .t �t� ,rx �i O ''t .j •! . 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Magalia CA 95954 Scale: 1 inch equals 1333 feet Butte County AP 065-190-099 Copyright Maptech, nc. 0 y McKinney sec 24 T23N R3E MDB&M AP# 065-190-099 W r©� -CIA 03 �. cz emc3� Less than 3 acre Conversion Plat Map Project Boundary Landind Area: Q House Site: in I Ix 4� 4 r©� -CIA 03 �. cz emc3� Less than 3 acre Conversion Plat Map Project Boundary Landind Area: Q House Site: in I Ix 1 � 9 low 2� OR HAVEN SUB MON SK. 2/ P6 35 T23N RJE /7 1)2.0o I 27 1 � 2B i 0 460 459458 457 0 6431 430 j 429 428 427 I � i east 31 1 a.00 I 17 Z.00 475 476 east 45 32 O Q4 35 Q 8442 443 444 445 446 Q n I) 2.00 172.00 172.00 172.00 29 30 O v//N� F 20 65-19 E01 Assessor's /dap No. gg- /o County of Butte, Calif. REVISED' 2-96 (57-18; ON ►� 46/ 460 459458 457 0 R O n o 39 5 A n nz.00 east 472473 474 475 476 b3 45 O 4Q I,ODAc r 172.00 132. v//N� F 20 65-19 E01 Assessor's /dap No. gg- /o County of Butte, Calif. REVISED' 2-96 (57-18; t NOTES RESIDENTIAL 03-0593 'LZ' O� € 065-190-099 Ll � PERMIT NO. _�_ DONDLIN_GER, DAVID 6577 HOLLYWOOD RD, MAGALIA' .. 1 Cont: SKYCREST n NEW MH PERM FND NEW SITE. i Z_:7 -5 f1, } i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address tj 1 GAS -67 C~ Meter By Date(", -6.0 / ELECTRIC Meter By- JOB y JOB FINALED (Date) ZL4 , 03 Signature fb_y� �� J=OK 0 = Not OK . = Not Ready NotApplicable 6. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Gas; MH Test -Demand -Valve -Connector 3. Sewer; Location -Test -Fall -C/O -Concrete 5. 4. Water; Location -Test -Easement Needed (Sketch) Water, MH Test -Regulator -Connector 5. tricity; Location-Clearances-Grnd-/ /Amp -Concrete 8. Gas and Electricity Tagged Gas; Location-Tt-Wrap; P, / /' Nat. or / /" L " / LP; Tie Downs -Type -Installation Cert. 7. Well Clearance Disconnect 11. 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PER ENT END SYSTEM -(ONLY) Line V.Gas; MH Test -Demand -Valve tricity; MH Test ter; MH Test ater and Sewer Connected 8. Gas and Electricity Tagged 9. Exits +0- License Decals 11. Verify #'s with Office Date O Card B-1 Z7 ) Date Card B-1 Date Card B-1 Date Card B-1 5erk'�A #- 03--0-0y3L r, 14N1) X. (A L-1 S444y-75'to 7 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Ws 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors ' Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PER ENT END SYSTEM -(ONLY) Line V.Gas; MH Test -Demand -Valve tricity; MH Test ter; MH Test ater and Sewer Connected 8. Gas and Electricity Tagged 9. Exits +0- License Decals 11. Verify #'s with Office Date O Card B-1 Z7 ) Date Card B-1 Date Card B-1 Date Card B-1 5erk'�A #- 03--0-0y3L r, 14N1) X. (A L-1 S444y-75'to 7 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Ws 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors ' Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext:; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s i 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms r Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 , J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Garage Fire Protection Framing -RC Channel 6a. Hold Downs and Special Anchors Property Line Firewall & Openings 7. Slab, Steel -Wrapped Ext. Doors -One X -Check Garage 3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel Stairs; Width- Head•oom- Rise- Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Plywood on Roof Cverhang-Attic Vents -Rafter Outriggers 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Brace Interior/Exterior Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Stairs & Rails 23. Fire Sprinkler; Test Fireplace or Stove, Clearance -Hearth 72. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 75. 24. Fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 77. 26. Size Boxes & No. of Conductors Stapled 78. 27. Romex Installed Close to Edge of Studs & C.J. 79. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 80. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 81. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 82. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 83. 33. Equip. Clearances Panels-Motors-Mech. Equip. 84. 34. Clothes Closet Light -Shower Light -Spa Light 85. 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One X -Check Garage 3rd Story, 2 Exits 55. Stairs; Width- Head•oom- Rise- Run -Landing -Fire Protection 56. Plywood on Roof Cverhang-Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Camper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes O No/Walks 0 Yes O No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 D j y°���✓ (Rev. 12/96) APPLICATION'AND PERMIT i (/ ASSESSOR PARCEL NUMBER 065-190-W9 ZONING RTlA WP BUILDING PERMIT OWNER Dondiinger, David2518 TELEPHONE SO. FT. OCC. BUILDING VALUATION R 135 982.00 OWNERS MAILING ADDRESS Paradise CONTRACTOR'S NAME Sk crest Enterprises 342-2694 TELEPHONE CONTRACTORS MAILING ADDRESS /'� 13468 Hwv 99 E C CA 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 135 982.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 7 5 2 $ 382.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6577 Hollywood Road Ma alfa CA 95954 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: new MH Perm Foundation new Gi to Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15,00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Filing Fee 20.00 800VMain Service 20.A OR LESS 23.00 23.00 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 orce and effect. R�� �J License Class Lic. No. n �J 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. ❑ 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 Main Service zooA To I000A 46.00 NEw CONST. OWEwNG Occup. 3.5QF°. osrssr. ( NEW MULT�i-ou�TLs� NOµp�ID, C 97.50 POWER APPARATUs a SINGLE Our�ET SIR. OUTLET OR FIXTURES 20@'•00 Ex. Occup.BAL @ .so Ex. Occup. o xTLEEDTS RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20:00 Misc. Wiring 23.00 PERMIT FEE 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 LabPorr Code, for theperformance of work for which this permit is issued. My workers' \.acCJI� tion/"`L nearrier and policy number are: Carrier )), Policy Number Z. M? a(2 (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, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensationProv' ions of section 3700 of the Labor Code, I shall rthwith comply with those rovisions. X Date Sig t e of Applicant - Owner ntractor ❑ AgeA O HA permit is required for ex vations over 5'0" deep and demolition or construction ructures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 556.50 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD IsS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for Wfeesen paid. ByReceiptNo. PERMIT EXPIRES Dat 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 (5 ' 538 PERMIT NO. �4075 1 (Rev.12/96) APPLICATION ANUPERIUrrT — � P C-NEAZ "�f1j P BUILDING PERMIT ELEPHON SO. FT. OCC �BU�GVLUATION UNNER9 w+_� Co"TnAcrOR-° NAVE ' t •/ ,'' + / �`S' SKYCREST ENTERPRISES T"p"'°"` CO"TRAGTOR, , ^&PQ „oOPZw 342-269413468 _ �TRUCTTON�ER RICO CA 95973 Fire lace �'"'�ORE"O11EDi Total Valuation S LICENCE NO. Filina Fee 5 20.00 AR(NTEj T OR ETNO M'V W L04 AOOREss Permit Fee Fee T b oZ Energy Plan Checking Fee I b LO ° 1AowsN^"e PERMIT FEE S 84q—PARCEL ww PLUMBING PERMIT Filing Fee 20.00 (USjEOFSTRUCTURE r 39 jQ Each Trap7-7-7-6-6F— SF 700SF O Duplex O Moblishome Other Solar or heat um water heater 23.00 OPS Water piping t'— 5 00 TYPE OF WORK Each ea water heater or vent 15.0n New O Addition ❑ Remodel ❑ Utilities ❑ hstaUatlon ❑ Other ❑ Gas piping system 1 - 5 outlets 15.00 / — Bulldln sewer 15.00 S Describe Work: Mobile Home S G W r �lp�� �% I @20.00 PERMIT FEE t s, ELECTRICAL PERMIT Fling Fee 20.00 Main Service eooV On -66 ' r' --- SINCA-V-) I—C�^R X G D: '�S C�7� i-� 3. aooAOR LESS . I I 23.00i _-- ��>� .Main Service IOOA TO IOWA 46.00 ST C� J b oR ADONSs °"4 ACC. opsuP. I 3. Sc °moo NO" SID. uuLTroVTLET Q7.50 POWER APPARATUS i E. Occup. ooR rarR BA-0® I*PERMIT $ I —,D 10, OCCU OHs.RE810. 00 Temporary Service .SRA $ i Mobile Home FeciliUes 23.00 Mies. Wiring20.001 F 23.00 SHERIFF $ PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 OTHER $ Heating Coolln I Hood^�e.50 $ ventilation PERMIT FEI= ! s $ Mobile Home Installation Fee b o9Y nTy ccCOW .peAMOUNT RECEIVED $ OLFEE S KA.Z• I PFLQCIO CJr u� i 11 This permit Is hereby Issued under the applicable provisions *RECEIPT NUMBER Q of the Butte County Code and/or .Resolutions to CO work c L Indicated above for which fees havu :)aen paid. *TO BE PUT INTO COMPUTER By Data _ PERMIT EXPIRES ON �s r. �i�, ;z; ar.�t l cit ? y�#�r,•b��A ri�+r' �1 �`�i�,ti tc ' ni,•t � l (, w� `tLi� '�'+ ,'f�.'r X47-A,a COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �( �� /��J l� �_� ASSESSOR PARCEL NUMBER (J (�ZY- l % t!!� Proposed Building Use: Ln ) Pl m Qd, Counter Technician: Date:: -13 -0--? Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. e9lyl .. Plot plans, 3 or 4 sets, signed,ity the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance desi and supporting documentation in duplicate. ���� (� Manufactured homes:V�ata sheets and installation instructions,arriage line information, (�/F•ioor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate.... ❑ 9. Plot plan and business license approval from the City of Biggs........ ❑ 10. Letter of intent for non-residential buildings ............................. ❑ 11. Detached Accessory Building Form filled out by the owner......... ❑ 12. Hazardous Material Form ................................................... ❑ 13. Other Date Received By Re ining items needed to issue the permit. (May require additional plan review upon receipt of the ollowinj items.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... G Statement of Intent for Non -heated and A/C Buildings .................................... f� 1 ' Sanitation and plot plan approval from the Environm ntal Health *amenit in (h Pn -lS-�► Nle❑ 7. City of Chico Plumbing permit......................................................... California Department of Forestry plan approval paid. Sent b..................... ❑ 19. Planning approval for (A) Use: C�+ )Z (B)Parking:.heck:I- ontact Land Development about'❑ Improvements, ❑ Drainage ............................... /� ncroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy ^t $ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization......................A!�K ecorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance............................................................... ❑ 29. F i ting violationslpnd/or expired permits .............................. :... .... � ❑ 30. rant Deed, l�M.H. Title/Statement of Farts, ❑ Letter �fromLe�galOwn*kto H.C.D. $❑ 31. Other: When issued Telephone �' G pickup. I have been informed of the above ite s and requirements for obtaining a building permit. Applican0ei P-kn _� Date: 101, 1. Index plication for the ove 'tem , ed: Plan Check Letter 2. Ad ' ' nal items required , act designer, owner, was advfsavwa ata by RY-Me'No mail, ❑ counter, by Date: -CUlffrac r, designer, owner, as advised of the above d to by ❑phone, ❑mail, ❑counter, by Dat v' reviewed by: E5 Date: b Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow Ruildinn nivicinn C� stia� a. E.H. USE ONLY � Plot lien Attechod m� Floor Plan Attached Sent to TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner IJ cation AP# Plan Approved for: Sewage Disposal ater Sup ly: Public R\/ Private Well Clearance forUdwel ing. ther Hold final for: Final clearance O.K. for: NOTE: E ironmental Health Specialist Date 8/96 OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,.CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE PROPOSED BUILDING USE 1. BUILDING PERMIT FEES A.P. # O -/ DgcJ DATE 3 ^ 3 222 RECEIPT # DATE REC. Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ vised Plan Checking Fee .............$ 2 OOL DISTRICT FEES C 't t � L Qls-� i paid t District Office) (Available after Plan Check) G16-Pv1 +0 or- rlir 8HERIFF FEES (paid at Building Division) Residential ...................... 360.00 Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES 510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK 89 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 20103—Q1to 1 6237 Recorded I Official Records I County Of I BUTTE I CANDACE J. GRUBBS I Recorder i ROSEMARY DICKSON I Assistant I Marti 01:35PM 14 -Mar -2003 I Page 1 of 2 REC FEE 10.00 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 property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION Date PROPERTY OWNERS: JANET R. HERBERT j N : COMM. f 1351382 � -'� NOTARY PUBLIC -CALIFORNIA rrojcIGnn Q . COUNTY OF BUTTE Comm. Expires April 17, 2006 State of California County of Butte On _�1 ��1(S�•, before me, _.�� C� �•� �- :�_l.-��%'.;�.��,�i_.�- i.� O�zt� �,��� � personally appeared Z ui.� (y\ CXR _t_ vN Ise tL k — i� , l.0 <<•E -, ay � _ T_t r�L° �� 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. Sig>,natur _ �- Seal:n�.�a.... ( JANET R. HERBERT APN:1065-135-29 cn COMM. # 1351382 ` NOTARY PUBLIGCALIFORNiA � COUNTY OF BUTTE W \ `.: a :: ,: Expires April 17, 2006 J.�r'v-�r•v•c-��t�-vv� b EXHIBIT A LEGAL DESCRIPTION All that certain real property situate in the state of California, County of Butte, Described as follows: The South half of lots 449 and 450, as shown on that certain mapentitled, "Fir Haven Subdivision", Which map was recorded in the office of the recorder of the county of Butte, State of California, on May 19, 1955, In book 21 of maps, at page(s) 31,32,33,34, and 35. Excepting therefrom all the valuable minerals beneath the surface of said land. With the right to mine and extract said minerals, it being agreed and understood that in all mining operations the surface of said land will be protected against damage, and that all such mining shall be carried on from tunnels, shafts of drifts having their orifices outside of the surface area of the above described realty, all as excepted and reserved in this deed from The Magalia Mining Company, A corporation to B.D. Storts, ET UX, Recorded September 4, 1947, In Book 483, Page 385. Official Records. AP # 065-135-292 02/2R!2003 14:52 5303429174 CHICO BLDG SYSTEMS PAGE 01 Ff;LB1 EUt,e *,�'Ount,d Pubs,e Works FAX NO. : 530-539-7683 Nov, 17 200E 04;S3PM P1 ENCROAHMENT PERMIT COUNTY 6F BUTTE ♦ NEFAATMENT If PUBLIC WINK8 7 County Canter Dave • Grovt!I9. CA 9586$ • PnOni: {53.0► 538.7681 O Fax: (833) 536.4356" Download Forme; www.btrtteMinty.nel/publieworks NOTIFY COUNTY 24 HOURS t31:FORE WORK 13 TO BE DONE Permit Number Di�J-i—, Phone, (630) 638-7339 A0k ms Norse OQ'r% .Addim; lga—� 7 �, phOnC. s : crtaa otwon,w e. Dam i 9 Aop�e.nt's8lpnatw: 9..AOOry1sti ��r1-�'l.L�_ ,?. COrkrnCM�NYmpN: Q�, 14. C6ntrscmf4 Ilk- ,orr, 6. Aatbontid Apt, APPucAroom an antivischAmt Do CONTRACTOR'f INFORMATION r ,, Fei1: Wing wont unser or over the County rom ani molt be tY01W or logby printed.) TYPE OP WORK TO IM DONZ % °""'o"L. Curb. O Gutter, O Sidewalk: 0 u. tl,Ay T�f:I 16 CWa: PERMR GRANTED In temp !anee Mth me above MQU66t, and 6ulieat b all 119ma, h# 0OWng those p1lft d on the bade written below, tmbsion Is her raided. 20. 0 All wak:ltan conform to eosumptrnyfng: DOW 0 Rus O Speaa7 cand&M C) Jt. Dntelea,�a: !� Eran>sonDim tJ, wn►N res" Mike CrUmp, Director of Publlo Works --Toy: "Note: •.f po..rnita are faxed to Any number besides {530;6384356, they can be delayed up to one week. assts r,"aticer - Bee Yn�� 3 PW 190 TO LARRY PAINPEEZ RETURN TO auto EH � SITE PLAN REVIEW APPLICA'T'ION Date: c��� 03 AN Permit -Num ber (if applicable) 0 3 — o sols APPLICANT INFORMATIONParcel Size: e.- OwnersName: IqoZn Address: Telephone No.: Situs Address: Proposed Use: 6�" Y ? ? Ll ,n //t, i )n )W 12") Residential New Single Family Residential ❑ Single Family Addition Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family • Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other Septic ❑Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION For Sia Use ® Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By Date 2S MEW Pagel of 5 8 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: -7- Snow Load Area: -'-9-4-"-I ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) Watershed Protection Overlay Zone ( ) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) in SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: A • Flood Panel No.: ® Ll crc> Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit — H ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement • Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. L Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front L Side D Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. L Page 2 of 5 Applicable Developrc-tent Fees: Standard Fees Amount Formula • ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area - Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------ ------------------------- ubdivision leap Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By • ❑ Deeds: Date of Creation: 8 - -) - -)� Legal Access Provided: Deed of Reference: '2_a 22- I1 El No E] Yes Parcel Frontage on Publicly Maintained Road: Legal Access Required. ❑ No . ❑ Yes Complies with County Standards for Deed Creation: ❑ ElNo❑Yes No ❑ Yes, Road Name: Comments: �Q tiro 12 2� ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Obtain a Certificate of Compliance ❑Provide Deed of Creation ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements •----------------------------------------------------------------------- Page 3 of 5 Q Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: • Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control P must be prepared by a registered civil engineer or other qualified professional and e submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa 0 Page 4 of 5 • • 0" .7 u f n Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 r • P• BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM '(One form per Building) � ,p ,4 School District ��/����', Ig )� I `t �'� �S(. hJL �S Building Department No. 1 /^� A.P. Number a(L"iV l0 r.Q 94?Jurisdiction: City ©County Property Owner LidI i ,n cr ' 6- . Q A i// d Property Location/Address J ;1 I I 1 l /`t .Ll J I -D— ' l Subdivision ` " Lot No. ' Residential Development ................................................................................................................... © '•. Sq. Footage 1 Nobf Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # r ............................... '(No foundation inspection): ........................ Commercial/Industrial New Building epartment Representative ` (Floor Plans reviewed by School District Dis ict I entification No. a 05 N ��,_School District certifies that (Sheet' Ad�dressss) (City) complied with the requirements of Resolution No. s es^ ng square feet. (State) ISchabi District Representative Paid byCheck ar Remarks: f t/ r r% ✓ Sq. Footage (Including Exterior Roofed Areas) Date I (Applicant) ;�4e�z—07, � (Phone Number) (Zip Code) �4 by payment of $ �C► v AB 2926 $ FULL MITIGATION . $ Date f Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in with t Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. �* " If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed -under the California Environmental Quality Act (CEQA), this project may be subject to additional schoolrfees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm It 03/11/2003 13:57 5303429174 CHICO BLDG SYSTEMS PAGE 01 Cousin Gary's Homes 13468 Highway 99 Chico, CA 95973-9479 dbe Chico Building Systems FAX To: Phone: Fax: CC: Data; Number of pages Including cover sheet: Phone: (530) 342-2694 Fax: 630 342.0174 Remarks: (. ) Urgent ( ) For Your Review ( ) Reply ASAP ( ) Please Comment a From:ROBERTSON AND DOMINICK P.T. Doug. Pir 6" MIN. NAT. &RADE 2-#4's TOP AND BOTT. 530 894 8955 03/07/2003 09:21 #056 P.002/003 USE 2300 PSI GONG. 40 Iol Sbool 1/2" DIA. X 12" A.B.'s W/2 "X2 "XS/I & " 1°LATE WASHERS SEE SaHIMMULE SHT. 4 100Ft &PAG I NO 4" GONGRETQ SL -A15 00015ER MESH OVER Z" MIN. SAND OVER 6 MIL. V.B. A LTERNATE �- LEVEL I NO SAND NATURAL 6RAOE 02- BUTTE3 "U, TY BUILDING DEPARTM A PP'p n V E 3111�03 P, WALL FOOTING DETAIL N.T.5. PH ROBERTSON and DOMINICK Civil Engineers & Surveyors ass Xanaauita Ct. 400 Pias 9t, Std. A Rea Btutl. CA. OBOW ChJov 86988 (690)689-3680 (6903884--9600 PAY TH OTORDERE OF Auuu-922.8742 NOT �NjOTIAIILE NEGOTIABLE 04922 135045x: .2t 2 30 021 0 30 2 .11. SKYCRESTE RISE$* DBA SKYCREST BUILDING SYMMS D13A COUSIN GARY -s HOMES 134M llWV -UM 2-2 CHJCO!t�� 05973 ID TPJ-'t6,,UN-TfE,5 BANK I-900-922-8742 01692111- 4921 TE �-T, ., Tr; 03/: 103 13:57 5303429174 CHICO BLDG SYSTEMS PAGE couNa OF 1 Received fro 0, SKYCREST ENTERPRISES . D13A SKYCREST-BUILDIJUG SYSTEMS DBA COUSIN GARY'S HOMES 13466 HWY 99 =-342-2694 CHICO, CA 95979 PAY TO THE may' ORDER OF TRI COUMTIE4 KAuv • 04 4922 . �• u►As I I T 'COTE Sdelhe aftchisd- lirem"ts i__ " P es a6acIHI ediFire s -a z F f re�n fer- z rpqj�l u;st.t PJGWd .......... V qDrr, I I I!Iiij I Jin f V3 LJ _1_11 111, 0� WF'A '�Jj /• 11 01 FR 0", 0 R b I E 131JT E 00. Flh LIF.')E T.Ibf su}�_ _ -_ -,� l � 'pp;%oved with,.6.( �l� ALL. S-1 _OVERH _1_.-I I I III , 1.1 'AND EQUIPhl BE CLEAR QF� A SFT :.,SAO-. dVIDE AND -,'INES AND Ft jf,.jJHE P i- �AL, ROM THE ROAD CEIINift t'A-1 RLW8 SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPI "OR A 2 FT. SAVE OVERHANG. i i. ALL. S-1 _OVERH _1_.-I I I III , 1.1 'AND EQUIPhl BE CLEAR QF� A SFT :.,SAO-. dVIDE AND -,'INES AND Ft jf,.jJHE P i- �AL, ROM THE ROAD CEIINift t'A-1 RLW8 SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPI "OR A 2 FT. SAVE OVERHANG. i `03/12/2003 10:03 5303429174 FAiRvrEW Designer se.ie, CHICO BLDG SYSTEMS C=p" .7ourental Health MAR 1 2 2003 Chico, CA PTIO 4TH BEDROOM DEM 1r -e• PAGE 02 26 SERIES FACETED ^.Glrlo ABOK .10+[ Ii��r�i• ii 1■■h CAA \■1 1.7 Mrl���■ 1 IPTION —0111111111111111 =': A m-- Ut OPTION DEN 1,� BUTTE ;i r .: t A r p fi* U 3. :i MASMR ■■ BEDROOM ■■ u� u� ul IROOM �1�.��rr■oiii�irr_I Irr■■ Iili1...'..�1rl�ll - 1 BEDROOM p I�eiil ' IN■..1 ■■■ate �RRI�• ■■■■■...■_�■■■■I I■rql IA■■■I IY ■r■.I ':��i i■■■■1 1 m: saw �L�iJ. ■I�rin %m Vol Ial .,■■ L�1 ZI �111, 1. 1 1 ■Mr.l .u�lul xen PTIO 4TH BEDROOM DEM 1r -e• PAGE 02 26 SERIES FACETED ^.Glrlo ABOK .10+[ Ii��r�i• ii 1■■h CAA \■1 1.7 Mrl���■ 1 IPTION —0111111111111111 =': A m-- Ut OPTION DEN 1,� BUTTE ;i r .: t A r p fi* U 3. A.V I T J_"L j Y 'N II: f 4r � i -I 7- ;1 t r M.H.I. -2 I 4 .-." , : I . Owner's Nkfi161',- DondIA'_je&,f2,6 ( o" dwJ0 4P JJ r; U;V I I —., KY., f IZ14'" f, 2 Assessor's Parcel Number: 065-190-099 -'IOV!F alit j4 3 . Installer's Name:.__ 'SKY C PESI-INT ERORIStSJ i: J I'L • 4 . Is the site qWtptly. under .permit? 5. istile-s—it,ea—ne-,x-is—tin,-g,-s"i-t"e-----,---Y- --e,,s-,-X,(-j -nish two plot plans).,- 6 . What is the eI e2c'tn*cal rating of -the mobilehome? _200 Amperes. 7 . What is the nibbilil'onie site circuit breaker rating.? _200. Amperes. 8. What is the bikctricW' rating of the mobilehome site? 200 N L Amperes. j A 9. is themainservice remote from -the mobilehome. site?___--_ ___yes, -No.[N] If it iswhat is the rating? Amperes. -.T 10 . Is there any other electric load to be served by -the mobilehome site,electric service- (i.e. well, garage, etc.)? Yes X No If yes, please identify the load and size: i) -The mobilehome; site! - Load - -GARAGE Amperes - 20 b) The main service: j,_ Loads Amperes al- Propane [,X None 11 Type of gas' service at mobilehome site: Natur 12 . Size of gas Oipe-at the mobilehomesite frogite meter or tank: 3/4,. inches. 13 . What is the gas pipe length from the meter or tank to, the mobilehome? . 1 (3 Ex S( milt,.S I alinhu! 14. *(This information is not required if the pipe length is less than 6 feet on natural gas 'or fl: WV less than 50 feet on propane). 7V'I V I PROCESS THtS P ;% UTT ECOUNTY -MILE" Y'REPARNew APPROVED M.HI -2 Mobilehome Manufacturer:..SKYLINE. - Manufacture Year 2003 If other than single wide, furnish Setup Model Number: J . 5530CT Width: 38'6" (ft.) Length: 66 (ft.) Tagalong or Expando Size (ft.) x (ft,) On all mobileliomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets. �� e FOOTINGS" Wood `pressure Heated or foundation grade k Other: SUPPORTS:.Concretwbloek-M . Other: Provide Tie Down.Specificat4ons for afl Mobilehonies: Pier Footings Sizes and Location' SINGLE WIDE MULTI -WIDE Line t - r Line 1 , Line 2 Lima 2 Line 2 Main Beams 10 Line 2 ................. Line 1 Line 3 ............................................. .................... L*2 Main Beams Line 2 Line 1 Line 5 Tag or Triple Line 4 Line I Line 1 Pias: Line.1 Openings: Size I ]XI I Size minimum: Spacing maximum: Each side of openings From ends -maximum: with width over: Line 2 Piers:. Line 4 Piers: Size minimum: [121 x P01 Size minimum: Spacing maximum: T 0" Spacing maximum: a From ends -maximum: ` 2' 0" From aid§ `maximum: Line 3 Roof Loads: Size minimum: Location (from rear): Line 3 Contin ed [12] x [30] 4' 0" 12X30 12X30 12X30 12X30 24X30 48X30 36X30 12X30 12X30 12X3( 0'0" 4'0" 8'0" L 12'0" 1 13WI 295" 1.473". 50'5"• 1 53'4". 1597 Size I 12X30 12X30 Location (from rear): 1 634" 1 66'0" Line 5 Roof Loads: Size minimum: ®_r .. Location (from rear): Line 5 Continued Size minimum: Location (from rear): 12X30 l "—G.12X30` 12X30.', 24X3 ' 24X30.12X30 T2X30]12X30 12X3a 0'0"..,j -,AV! '116W- 1297,..'<1314' 1337 1 372" 40'8" I 2X30112X30112X301 24X3024X30 12X30 42'2" 47'3" 1 50'5" 1 53'5" 1 65'8" 1 660" OVER 4'-0- 8'-0' 12' ,950j 19501 13c seor I 17-0- lo,-Q'� 1950 1950/ `1950/ - 4210) ^1 L ♦ ' -----t5'--�---9'—�_1—S�.{-�— 11'-8'-•— 1 1 29'-3' 47'- 3' a boar 5t, — 1 CENTERLINE SUPPORT REOU EMENTS THIS SHEF.1 IS 10 OF INSERITD WITH SUPPL(MENF.10 FILID INSTALLATION MANUAL FOR .SOp ROOF ZONI SNOW LOAD. SEE ABOVE PRINT FOR LOAD REQUIREMENTS AND LOCATIONS CJ 53'-4' 21401 1 1 50'-5` 1490) SEC. _ 4_ -- r— — -u-4 - - -. --- --I6 --- - - - -- - — -------Ia'--- - -- u' -e'. 4'-0- 8'-0' 12' ,950j 19501 13c seor I 17-0- lo,-Q'� 1950 1950/ `1950/ - 4210) ^1 L ♦ ' -----t5'--�---9'—�_1—S�.{-�— 11'-8'-•— 1 1 29'-3' 47'- 3' a boar 5t, — 1 CENTERLINE SUPPORT REOU EMENTS THIS SHEF.1 IS 10 OF INSERITD WITH SUPPL(MENF.10 FILID INSTALLATION MANUAL FOR .SOp ROOF ZONI SNOW LOAD. SEE ABOVE PRINT FOR LOAD REQUIREMENTS AND LOCATIONS CJ 53'-4' 21401 1 1 50'-5` 1490) SEC. _ 4_ -- ---'-- 16 7D) — --- — — DATE: -5/01/1994 — 301 ROCd •-----� - — Awl BER- -- IIVE LOAD 150x/ i 4r-3- s3'-5' 20101, .17201 51 MD/ I MH 9321 SEC. _ 4_ Ill. 51 ➢C. 6-69- ---'-- - -' - ---- • DRAWN BY : VAN — --- — — DATE: -5/01/1994 — 301 ROCd •-----� - — Awl BER- -- IIVE LOAD 5550 -•Ci Under authority of by the Butte Count; These requirements local regulations inspections will k compliance. PRC 4290, the following checked items are required r Fire Department and are made a part of this permit. are minimums and will be superseded by Butte County which equal or exceed these standards. Field ie made by the Butte County Building Department for ff�] 1272.00 Maintenance of Defensible Space. To ensure continued 11 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 landowner. Drivewav Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant 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 N 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 50- �( 100 feet radius; 2 feet to those from 100-200 feet. [1'] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�] 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. [y,] 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 . 3.-, CDF FIRE SAFE REQUIREMENTS 03_05-'3 �2wpi- ID AP# PERMIT # NAME Under authority of by the Butte Count; These requirements local regulations inspections will k compliance. PRC 4290, the following checked items are required r Fire Department and are made a part of this permit. are minimums and will be superseded by Butte County which equal or exceed these standards. Field ie made by the Butte County Building Department for ff�] 1272.00 Maintenance of Defensible Space. To ensure continued 11 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 landowner. Drivewav Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant 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 N 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 50- �( 100 feet radius; 2 feet to those from 100-200 feet. [1'] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�] 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. [y,] 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 . 3.-, a 2. The gates must be located at least 30 feet from the roadway and shall aS� AP # PERMIT # NAM [� 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. [L(7 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 Gates [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ l 1. All panels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 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 )r fi:ial inspection of a building permit. Page 2 of 3 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. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ l 1. All panels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 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 )r fi:ial inspection of a building permit. Page 2 of 3 i 4s-- I q- �? 07 ),-05-9 3 AP # PERMIT # Other Requirements k If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAME [ ] If Building Setback is Less Than 15 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 sprinkler system per NFPA 13D - Glass area not to exceed _0% 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 b3/11/2bb3 13:57 5303429174 L CHICO BLDG SYSTEMS PAGE 03 cd w. APVED c00® O�IA� SN2SllOJ sawna aut�anc BUTTE„ „.OWn__ . APPROVED