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HomeMy WebLinkAbout065-340-020] RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 IIII'I' II�' I�'I I II I" "III III'1'� 2003-00.831 74 Recorded I REC FEE 10.00 OfficialRecordsI CONFORM 1.00 CountOff 14820 WOOD DRIVE E I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSEW I Assistant I Jason 01:58PM 25 -Nov -2003 I Page 1 of 2 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. PAAVO T. KOUSA AND ANNELI L. KOUSA REAL PROPERTY OWNER/LESSOR P.O. BOX 1268 MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP 14820 WOOD DRIVE 40'x24' 146306/7 INSTALLATION MAILING ADDRESS, IF DIFFERENT LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP !UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-1131 530 538-7541 BUILD G PERMIT ZIO TELEPHONE NUMBER AQ—,31-119 WRICAME70F LOrAIL G N Y OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. 1 CHAMPION 1979 TITAN / 301 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMF/NUMBER 0893010377CATI A/ B 40'x24' 146306/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 065-340-020 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. I ffffII ff jj ff � ^ t I V— 8mC*A--F--14ISO 5 C-0.0! 331 3f3 CCA MRO��7 noa6L to i 3aill b3b^m9A ebtio:,94 ISioil30 10 vfnuo Min 283INIl A TWA; 'Y9blon. 0i !'a aMid WORM #nstr ipA zm-vol. -CS MIIW:10 Order No. BU -206820-2 VG Report Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 33, AS SHOWN ON THAT CERTAIN MAP. ENTITLED, "SIERRA DEL ORO ESTATES UNIT NO. 2”, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDERBOOK 304 OF MAPS, ATT OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 19, 1965, PAGES) 27, 28 AND 29. 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 MININAND pEp THAT ALL SUCH ATIONS, THE SHINING SHAT - URFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE L BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF REALTY, ALL AS THE SURFACE AREA OF THE ABOVE DESCRIBED OMPANY, A CORPORATION,O AND RESERVED IN THE DEED FROM MAGALIA MINING STORTS, ET UX; RECORDED SEPTEMBER 4, 1947; IN BOOK 423; PAGE 385, OFFICIAL RECORDS. APN 065-340-020-000 iwiw :•[:? ��:.r+'+ l� _ ':k` � ':qtrS.t' :i '�.yi'•�' � � k• a' • •y3 �i , .� c_'�it•� S+' y' :y.,i�~.•`J�. .Ex'd•:;;:a`'4;,4°t� �.,ti , ",+':.. .� >eti C�''::•, . �. ..J,. +.-Y' � :i•.r- �•'.�-vr,.: j: n.,•y–` .c` :e. <:�: V -.i .. yJ'A: �:s,._.:�.; t. _ ,!.. ...".C:�^.er• C ::4:.•.. i`�. •{, .it i?.K•±£� � 4•: .:- 'till• '�r •v..,, .0T?'. •,: .:J-.. 1t. t'i ti* � i ? . y. ��g ..j' .4 -XI v,:. t `Y�- :•'!Y . ,?. t :Y�L' K. •Lt'.': !, .!O :'r .. T� ` .i,� �•. ;'•. .'tib...=: �"�•• r. ;2:;'•�; •.�:=;;}„�r•+_.:>•7L• :.� .:�• ., : .,.., .y�..� . •i;"• `.11p,., S:c2 a,.�.'.:.v'it:..,,.... ,!'!'; ::L=- 1i�i.�'7J.`�'.':4 �!y!� jh:'-:�•:.3-.., iC':: .,,..-.-.i}};.��3i �•A:L::Y..{.•=S: .._•1•_�a".. ..._.:.a...a .Y ,.._-_...:.L '� '.1 !\':s. ....:. �–„–•....:Y �. .�. r. .a4�.�...�. •r ... ,Jw._r: Order No. BU -206820-2 VG Report Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 33, AS SHOWN ON THAT CERTAIN MAP. ENTITLED, "SIERRA DEL ORO ESTATES UNIT NO. 2”, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDERBOOK 304 OF MAPS, ATT OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 19, 1965, PAGES) 27, 28 AND 29. 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 MININAND pEp THAT ALL SUCH ATIONS, THE SHINING SHAT - URFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE L BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF REALTY, ALL AS THE SURFACE AREA OF THE ABOVE DESCRIBED OMPANY, A CORPORATION,O AND RESERVED IN THE DEED FROM MAGALIA MINING STORTS, ET UX; RECORDED SEPTEMBER 4, 1947; IN BOOK 423; PAGE 385, OFFICIAL RECORDS. APN 065-340-020-000 J �•• � i1'..a'• ,f r5. a NOTES , RESIDENTIAL 065-340-020 _ 03-113 1 1 PERMIT NO.:. KOUSA, PAAVO /Y�;QWOOD DR, MAGALIA 4 NEW MH PERM FND NEW. SITE I 1 SPECIAL CONDITIONS CHECKED BY SRA i ~ FLOOD CERTIFICATE REQ. j FIRE SPRINKLERS REQ. } SPECIAL INSPECTION ITEMS VERIFY II USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER � `rte" • +i.. �f�... Y s —.. -� '..+.p-„ OFFICE COPY ' a Address'' i G•AS � ... �; Meter By Date1 •'°'ELECTRI t ,Meter By eDatet - l o 0JOB FINALED (Date) Signature f 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 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 17. Water Htr.; Vent -Access -Combustion Air Baffle Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 18. Water Pipe; Test & Anchor -Nail Protection Garage Fire Protection Framing -RC Channel 19. D.W.V.; Test Fittings & Anchor -Nail Protection Property Line Firewall & Openings 20. Shower Pan; Test, First Floor -Tub Access Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 21. Test Tub & Shower, Second Floor -Tub Access _ 22. Gas Pipe; Sixe & Anchors Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 23. Fire Sprinkler; Test Siding -Nailing Veneer 58. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Brace Interior/Exterior Wall Panels 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. _ 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 85. A.C. Unit Disconnect, Electrical -Plumbing Date Card B-1 Date Card B-1 Date 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O 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: J=oR 0 = Not OK . NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. S ' ; Special MH Support Sketch Zoning Requirements -Setbacks -Easements S r; Location -Test -Fall -C/O -Concrete 2. ater• Location -Test -Easement Needed (Sketch) 5. tricity; Location-Clearances-Grnd-/ /Amp -Concrete Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Gas; Location -Tet -Wrap; / /" L 'ft. / P Nat. or I j " L "ft./100' LPG 7. Well Clearance & Disconnect 8. Utility Clearance Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Date _ v Card B-11 - 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/0 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 PER NT END SYSTEM (ONLY) Z ' g Requirements -Setbacks -Easements gs; Size -Spacing -Marriage Line Bloc ing 41,09& MH Test -Demand -Valve tricity; MH Test ater; MH Test -7. 1T=er and Sewer Connected 1 V License Decals' 11. Verity #'s with 01 Date Card 13-1 ,,000.� Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric ' 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 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 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI ON 7 County Center Drive Oroville, California 95965 •Telephone (530) 538-7 1 P T o. (Rev. 12/96) APPLICA71ON AND PERMIT ASSESSOR PARCEL NUMBER 069-340-020 •'ZONING B ING PERMIT OWNER KOUSA PAAVA & AN= TELEPHONE SQ. FT, OCC. BUILDING VALUATION 960 R 51 840.00 .OWNERS MAILING ADDRESS PO BOX 1268 MAGAIJA CA_ 95956 CONTRACTOR'S NAME GREG MC:RPFCE TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fire Iace Total valuation $ 51.840.00 ARCHITECT OR ENGINEER UCENSE NO. Filen Fee $ 20.00 Permit Fee $ 211.75 ARCHITECT OR ENGINEERS F"UNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 14820 WOOD DR. MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ 254.75 LOT NO. 33 SI DIVISIONS NAME I PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE 34-27/29 10-18=65 SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15,0 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation O Other O Describe Work: NEW MH PERM END EXX= NEW SITE Gas piping system 1 - 5 outlets 15.00 15.0 Building sewer 15.00 15.0 Mobile Home I S G W �n@?20.00 PERMIT FEE t 65.00 SNOW LOAD= 2500 to 3000 f t . ILOOI X, 04000 SRA ELECTRICAL PERMIT Fee 20.00 oR 'S'Filing Main Service 2o0A 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 force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 worke ' compensation provisions of section 3700 of the bor de, I shall forith y ith those provisions. Of X Date Signature of Appl c nt - 0 Owner ❑ Contractor ❑ Agen An OSHA permit is required for excavationsover 60" deep and demolition or construction of structures over 3 stories i7 height. I Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, SO OR ADDNS. ( 8 ACC. BUDS. 3.5¢FT: NEW SID MULTI.OUTLEI 97,50 APPARATUS a sINGLE ourLEr cIR. Ex. OCCu OUTLET OR FIXTURES 20 @'•50 SAL @ .30 Ex. Occup. oFlXUTTEEDTSA PL.16 °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 362.75 HAZ. F MP __ FLOOD ! ' c0� PAR�EL PD/ HD SSUE This permit is hereby issued under of th a Coun Code and/or in ated a fo which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. n ? /D to 6 � D Date Receipt No. WHITE-D.D.S.-B.D. CAN Y-ASSESSO PIN - NSPECT R GOLDENROD•APPLICANT TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance H.H. USE ONLY P.W.Plon•A Schad y �!oor Plm/,, Sect to B.D. lU dL L -)u S CA D(-, �2a Owner Location AP# Plan Approved fo • Sewage Disposalx I C� Water Supply: bli Private Well Clearance for edroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: 8/92 14�. COUNTY OF BUTTE-DEPARTMENT,,OF DgIVELOPMENT SERVICES -BUILDING VISION 7 County Center Drive, Oroville, eA; 95965 Phone (530)538-7541 Fax (530)5 -2140 PERMIT APPLICATION DATA SHEET OWNER: �SNZCounterTechnici OR PARCEL NUMBER `t' ORO Proposed Building se:MA anDate: �Z Items required in order to apply for a per it. All boxes MUST be checked O marked NA in order to apply. Plot plans, 3 or 4 sets, signedty the preparer of the plans. 2. omplete plans, 3 or 4 sets, signed by the preparer of the plans. 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 g,,,atassuhPePe0tsrand 'ad ing documentation in duplicate , ? ❑ 6. Manufactured home installation instructionsIv�arriage line information Floor Plan, (D) Tie down or foundation lans alicate. P ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) F oor plans in triplicate. All�ese must�uam ed and wet -signed b the engineer. S �� 6 ?lal1P,1� vKac�� �Q `lI � ,� Pili �� @� ItemsNeqred for in tial plan rdview. If checked hems have not been received, plan review cannot proceedmit 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 / R a' ' items needed to issue the permit. (May requ, �rxc� additional plan re%iew upon receipt of the fol owing items ) Fees as shown on the attached Schedule of Fees Due Sheet..........................dk ... �❑ 5. Statement of Intent for Non -heated and A/C Buildings................................ 6. Sanitation and plot plan approval from the Environmental Health Departm int in1 7 City of Chico Plumbing permit ......................................... 8. California Department of Forestry plan approval paid. Sent by:!t�. ' ❑ 19. Planning approval for (A) Use: b (B)Parking: (C) Par el Check: t� W02 0 . Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 1. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy5*—©3 ❑ 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) ..................... IF f 26. Letter of Signature authorization.................................................................... 0 I Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance.................................:..............12 ....... :,..... �_ 9. E'Wng violatio #���fid/or expired permits ............................................ 9'0. rant Deed,%�W.H. Title/Statement of Facts, ❑ Letter from Legal Owner, eck to H.C•D._$ 3 Other: When issued Telephone and hold for pickup. I have been iWmqf�&rtems and requirements for obtaining a buil ing ermit. 6 .1K.0-3 Applicant: licant: pp Date: i 1. Index permit application for the above items numbere Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data - y- ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counte by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division <1 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE • +C 1.1/`► :3 PROP ED BUILDI14G USF/ kCA41 (// / ! (T ME:-1.:BUILDING_ PERMIT FEES Ba$ dditio� Fee e - ` .............. $ ` A lttona ees ue ..... ...... r eevvise an Cheeccldng Fee . $ 2. SCHOOL D TIS RI TC FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $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 (pIERMALITO aid at District Office) (Available after Plan Check) 6. DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) - 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (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) A.P. # DATE 47? RECEIPT # DATE REC. )e2t g •�z�J 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 duri g the plan checking process. APPLICANT DATE 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) SITE PLAN REVIEW APPLICATION Date: 4 AP# Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: Owners Name: K®y S A , P A A V Q A Aj.Aj n 1_ 7 Owners Address: 0 f J 217E 0-3E) C -A LLP C -A g S 9 5 Co., -,, aA cyt4z- Telephone No.: S C-,— 1-� 2 S Situs Address: W o -p L7 1b !� Proposed Use: Residential ❑ New Single Family Residential ❑• Single Family Addition Mobile Home Res:.dential Accessory ❑ Permanent Second Dwelling. ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other . ❑ Septic ❑ Agricultural Exempt Building ❑ Other: - Brief Explanation (if necessary) ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) E Approved . ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By Date -23- Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: .® Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: D'I 6-O C— Index Date: 9 ❑ 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/Mu I berry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 'R 7 — Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA,setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front O Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA,setbacks. Page 2 of 5 F cl Applicable Development Fees: Standard Fees ❑ Fire School* ❑ Parks/Recreation ❑ Roads ® Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chic:) Urban Area — Road ❑ Thennalito Drainage Area ❑ Thernalito Urban Area ❑ Othe Subdivision Map Special Fees ❑ Water Tender . ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at -the time of the build -mg permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:[—] No ❑ Yes Comment;: ❑ Parcell Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtair_ 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 1 Subdivision Map/Parcel Map: Sic Map Date of Recording: Lot: 3 3 ❑ Use Permit/Minor Use Permit Permit Number: Book: S Page: 27 ?- j Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval• ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. ❑E Page 4 of 5 W 0 u 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. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 ❑ W 0 u 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. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Id -per Building) School District ;y ( Building Department No. 3 Q Jurisdiction: city A.P. Number (�� Property Owner aauAin Property Location/Address1K MdDa� I P g I)ond Subdivision Lot No. .................................................................................................................. . Residential Development Sq. Footage No'of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): Commercial/Industrial New Addition ♦ 1A nn Building Department Representative 0 Distri t Identification No. (Street Address) r Plans reviewed by School District Personnel) Sq. Footage (Including Exterior R ofed Areas) C� Date 3 /School District certifies that (Applicant) (Phone Number) (City) has complied with the requiremenn�ts.of Resolution No. representing; ��L square feet. School District Representative Paid by Check # Remarks: IState) (Zip Code) by payment of $ S JFB 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm �� ung r: T F0 l; 7�C ^ iZr F'v s' F N l 1�-L. fry if dhi b%- f� P'�/l-�!%,� �'� t�TC�'%L c: n �S�GNti �3 y ` 4PN -'�`to -roA -OF 01,7T4-ftJins6: 4LL IVz -Z-/O 1> I AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT I FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent ;property should be prepared to accept such inconvenience or discomfort from normal, necessary farm . All that real property situate in the County of Butte, State of California, described as follows: LOT 33, 'AS SHOWN ON THAT CERTAIN MAP ENMLED, "SIERRA DEL ORO ESTATES UNIT NO. 27, WHICH MAP. WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUN'T'Y OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 19, 1965, IN BOOK 34 OF MAPS, AT PAGE(S)127, 28 AND 29. State of County 4/23/2003 BUTTE _ PROPERTY OWNERS: 6,7,1' &W Paavo T. Kousa Anneli L. Kousa On ?4-23-03 before me, VICKI GR.OSSE, A NOTARY PUBLIC personally appeared PAAVO T. KOUSA AND ANNE L I L KOUSA--- 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, $xecuto the instrument. SiRnatu AP. # my VICKI GROSSE CommiE 1327111 Z Seal. I@; Notary PCaliforniaZ -� 9nty MyComm.Od 77, 2005 ll 0 3 '. r� 3 � ,�,y IIII III III � Til l I III II I � II I II III III AND WHEN RECORDED MAIL TO: /2// 20 10 3-025598 BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE Recorded I REC FEE 7.00 OROVILLE.CA95965 Official Records i COPIES 2.00 County Of BUTTE I CANDACE J. GRUBBS I Recorder I . ROSEMARY DICKSON I Assistant I Karen 12:28PM 23 -Apr -2003 I Page 1 of 1 I AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT I FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent ;property should be prepared to accept such inconvenience or discomfort from normal, necessary farm . All that real property situate in the County of Butte, State of California, described as follows: LOT 33, 'AS SHOWN ON THAT CERTAIN MAP ENMLED, "SIERRA DEL ORO ESTATES UNIT NO. 27, WHICH MAP. WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUN'T'Y OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 19, 1965, IN BOOK 34 OF MAPS, AT PAGE(S)127, 28 AND 29. State of County 4/23/2003 BUTTE _ PROPERTY OWNERS: 6,7,1' &W Paavo T. Kousa Anneli L. Kousa On ?4-23-03 before me, VICKI GR.OSSE, A NOTARY PUBLIC personally appeared PAAVO T. KOUSA AND ANNE L I L KOUSA--- 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, $xecuto the instrument. SiRnatu AP. # my VICKI GROSSE CommiE 1327111 Z Seal. I@; Notary PCaliforniaZ -� 9nty MyComm.Od 77, 2005 ll IIIII�IIItIl��III��f�f1���1 CM 333:M I bsb^uosA �.S B�IRgO i tb-pmd WoMI) 1 10_qq±rival 3f TU M=13 A =3M 1 Torino A I =4 10 YM -MM ap�it+� { ia�3aca�0 1 3o I tp(l i ='IQA-ES 0.33:5! OT. ?.11, Ci?{r31t1 F dFi rilN'i: tli �. t- �C)IZiV[(t oYflQ.lr'Jtl Y'i'Y,'J(17,{T'1''!N 3'AAfI A:4'f<r3� Y't"✓:J07 T Tvi:i1#1v')(11,1W0'4WJA 30 TvAF(,1 iTAT? JAttTMU31H.-t, gnibtiud slo u. --muni oi Zdi-iq Ebninoa)i sd W to5rtrgb5lrrosi:aas zi►t; b.Aupoi sbo0 vitwoO 321uU A)lo 8-a: noi;nZ ,zozoq•suti it;.urluai�s Foi Bono, ^:ss :ata nitiriw !:4btF!:,ni Za bts�l ns in:•attbs zi cttslari h��tis?��b �{i'tagolq :f7 tistilag ,alsaimoda Inluiluaiv.B10 a21, aril moil volmoaaib iu ejangPnavnaord of iasjduz sd vnm't1i'.goiq z+rltla?;r:sbiz�.3 butt 2n4iiC:rSt;o iraulluai;gr, to tiur:srq ads nsoit bs.sr ,r�?siliti s bcs , bi�!t?5ci �z9i}iaid Sri w 5.141(IiI tun's d ,g's!iLiatti ,izub stsii::rrag �llsrtoi2r;aao doirlry grii esrisd bm ,giiirinq 4ni-(Mg8 ,;gniwolq .noitrviJIua oI .:admit Ion tud ,grsiilstiani rro bay, zorrox nits? r►i;itivr _su5'ii Yr b ix: �92Ur1:rlg itt-aFt!t�airgn b �r!siI(iriza zsat'rittUc:�3 ;aitu t .wb0 barn ,0sion .!A0rflP inial v1aenaw? ,is(nzon rnotl tiolmo-3zib io-=!jtrrrjvnoarri dauz igaaat; of b=goiq od bluotiz vttogcnq- irn;,a-ibs znoits'i:,go :vrollol es Wji•razab ,suno1lIs-3lo 5tr:t2 ,9ttuglo onuoD AT ni Isco ho IIA MU Z-JTAT2. ORO JERI AAAMZ" ,CL -.IX M3 qAM MATA30 TAITI' WO KWO112 ZA ,EF TOJ YT14UOD aHT qO A3CI ODaA M1T 'IO nI-ILIO JHT W (MIA003A 2AW qAM H'JI?IW,"S .OW TA ,2gAM 'q0 AE XOOEI M ,Zaef ,4I si.980T00 KO ,1', MOgL1A3 q0 3TAT2 MTUH q0 el CIKA 89 SCS (2)3DAq Z wwo YTA3,:O:4CI Etl ! 1EStiIs �: 0 sevoN .J i!-3 rAA sauoN .T avert! ( ri:s'�+�'fi1i:7 et2 GFGt? fin Yi1at¢or•1oq�4 bi-icsgga {itanemN Wnuduz 91r.Vi (e)*aton azodw (z)noin q wti .A of (93n3bivs tto12n1 tw.10 timd qdi no sm os i;; _,ro-tq ,to) 9m of nwonA bssiladlus -if-MA-softid n! 9rr ce A) b9tu"xs Vd)\odA^.d Jodi 9m of b9pbs1wonlau bac tnomusizni n{diiw frit of dDid,ralo itadzd noqu •ttiin9 9iit zo (z)nonN 9dt .inym►mzni 9di no -6sdA-tsdV-id ^td iudt bars ,{mss){iiv►:t{ra s .tasmwitrni sdi bytua:)xs ,bw,3c (t)t:ongj qdt - Jag;-- 1vijMo bas; brid stn 2P-3MTIW .. , ... a: y . :Ia92 � _„�. __ _;nuiJst;i7• , Building Permit Number: Owner Name: Residential Construction Re uirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 1998 California Building Code (1997 U.B.C), 1998 California Plumbing Code ( 1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW ❑ Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: I. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). I Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Pagel of 2 Building Permit Number: 193-- Owner Name. Aa� Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. ❑' The following parcel map requirements shall be met All structures andeqqu�ipment including overhangs shall be clear of all easements. A setback oW 5h t' from the side and � feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of ► structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Page 2 of 2 r _ CDF_FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this. permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the'Butte County Building Department for compliance. [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [�] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-rtenant structures which supple- ment the roadway bed cr 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 [� 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. 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. `fel 1270.10 Width. All driveways shall provide a.minimum 10 foot I traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of . 3. r. 01) _3 �2c� 6,—�t.3 ► 10�.sA- AP # PERMIT # AME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and A 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. 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. 11276.01 Setback for Structure Defensible Space. L J ! 1. All parcels 1 acre and larger shall provide a mini- mum .30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road.. [;k) 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�J 1276.02 Disposal of Vegetation and Fuels. Disposal, including 9 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. a Page 2 of 3 AP #&AME � rERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [J�] If Buildincr 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 spri_Zkler system per NFPA 13D - Glass area not to exceed 101k 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 S'9 � i• i i •I 5661 AR N ' Qt a d • � O 3 v' Z N -�- CSO K cx. : J O x J Q- ` 4 N �I I 9 F 114c)13H litl2i(lNYH nc � i• i i •I o m a d • � O 3 v' Z N w� % : J O x J mu N �I *xvw i) ii i iii � i• i i •I m a • � O L V W Z • x �I I pVC =J � JW co p 0 V- 7-0 De 0 cC E 'J Y J W .190 H a cc 0 o � J �0 f4L CO a� Lo 0= c� z"� W ai r L4� • iQ ° C, Q . Q 0 CC W I ��� 1Lia Q W� m c dR ZC LL 0 �. z O •U H C L O S3laVA a— m a • � O L V W Z • x C L O S3laVA a— HANDRAILS Handrails shall be shaped as per the attached details or the shape shall provide an equivalent gripping surface. NOTE: We will continue to permit stairways and handrails serving single family dwellings, individual dwelling units within apartments, and residential mobilehomes with 2 x 4's flat as the top rail. (Exterior Only). lo. 21/4 ~ .a 13/4" - 2:5/8;;:;:,. 301 13/4'J May 1995 I Ile TO r �O NOTE: OTHER SHAPES MAY BE ACCEPTABLE IF THEY PROVIDE AN EQUIVALENT GRIPPING SERVICE. SEE THIRD PARAGRAPH OF SECTION 3306 Q). NOT ACCEPTABLE ACCEPTABLE SHAPES AND INSTALLATIONS—HANDRAIL �.2.2iL3�;-►� . 1 • JJ ��i r•r_ ^7e 13/4" 4.23 1. Owner's None: 1,14\16 � A M N E - L I KO -USA 2. Assessor's Parcel Number: O (o , 3 y O — 02-0 I Installer's Name: O �1 � 4. Is the site currently under permit? Yes[ ] No[ ] Permit No. 5.. Is the site an existing site? Yes[ ] Now / (If yes, finnish two plot plans). 6. What is the electrical.Fating of the mobilehome? 10 6 Amperes. PT What is the mobilehome site circuit breaker rating? f O Amperes. L What is the electrical rating of the mobilehome site? ,�,�,�_ Amperes. 9. Is the main service remote from the mobilehome site? Yes['] No[ ] If it is, what is the rating? — 4�2 Amperes. ID. Is there any other electric load to be served by the mobilehome site electric service (ie. well, gage etc.)? Yes[ ) No[A If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] PropaneM None[ ] la. Size of as pipe at the . mobilehome site from the meter or tank: inches. 131. What is the gas pipe length from the meter or tank to the mobilehome? -3 10 (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe litij& is less than 6 feet on natural gas or I= than 50 feet on propane). May 1"s a.s a Mobilehome Manufacturer: Manufacture Year: If other than single wide, furnish Setup Model Number: Width:�(ft.) Length: y�� (R.) Tagalong or Expando S•=(fi.).x (R.) On all mobdehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ Other: SUPPORTS: Concrete block[] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SUgGLE WIDE n MMM WME Line t PI Line 2 Lane 2 Main Beams Line2•............................................................................................... I.ioe 3 Line I Line 2 ................................................................................................ Main B mm ................................................................................................ Lbe2 Line i .................................................S Tag or Uple 4 1 Line 1 Piers: Size minimum: r 1 x Spacing maximum: ` From ends -maximum. ` Line 1 Openings Size minimum: [ J x [ Each side of openings with width over: ` Line 2 Piers: Line 4 Piers: Size minimum: f Z x [&e]. Size minimum:]XI I Spacing maximum: �57 Spacing maximum: From ends-maximuln From ends -maximum ` Line 3 Roof Loads: 3(0430 O*OJLQ, Yoo� Size minimum Location (from front): /. �� f�' �l /9// 1 �-ff/ I A / I- — Line 5 Roof Loads: Sze minimum: Location (from front):. May 1995 1 2-x 2'x Sjtti' STEEL ANGLE RETAIL. "A" CHASSIS FRAME 1/4- GRIPPER PLATE (2) REQUIRED 114- GRIPPER BASE 1/2 BOLT MIM NUTS 4-J (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2- ADJUSTER HOBS AND 3/8 - THICK TOP PLATE 02' SCH 40 PIPE STAND WITH TWO 01/1' ADAWER HOLES ABESCO ARS PAD 0503 STEEL FRAME SEE DETAIL -A- s 3fb- CAD PLATEii BCL�1C T. ti•.:' S WASHER C^u -r- FRAME COUNTER SMD FLUSH w1T11 BOTTOM 2• CHANNEL AT 8- O.C. (8) REQUIRED GRIPPER Lj'j/PlATE 1/4"x1-1/4" 1/4" STAND BASE TEK STS _ — r- AB -ESC -0 -ABS PAD /503— (2) -REQUIRED / 36" MAX TO BOTrom OF PAD 01/2-x 3- C.R. LOCK PIN HATH 01/8- BRIDGE PIN I 3 I t/4 -BRI ER 1/2- A307 BOLT (2) REQUIRED I/8'x 6-x 6* STEEL PLATE 1/2- A307 BOLT (2) REOUIRED - 10.00-1 T %e p o 10.00 1 a I I 09/16 HOLE (IYP)� >, STAN BASE TOP VIEW No. 17418 TUF-t _PERMANENT FOUNDATION SYSTEM ABM"US GUARD COMPANY 5851 FLORIN - PERMNS ROAD SACRAN04TO. CA 95823 PH: (800) 382-8831 FAX: (916)-383-5207 C -REAM ATTACH NT COACH "J" FRAME 1/4-1i -1 /4' TEK STS (4) REQUIRED 1 -BEAM ATTACHMENT g- 1/4" GRIPPER BASE 1/2- A307 BOLT (4) REWIRED ff3�71/r DIA.. HOLE (B) PLACES 4 ------ -- 30- �5 STEEL FRAHE TOP VIEW. STATE APPROVAL 3 � _ A. WAYNE T. POLVADO, PC -LISTING NO. F94149 SHEET 1 of 3 P I 4 vile \41 fLb } < `w WAYNE T. POLVADO, PC -LISTING NO. F94149 SHEET 1 of 3 P �5 i GENERAL NOTES GUS GUARD T9y-1 1. D -Si�LoAD; LIVE LOAD - 30 I.B. fL00R LIVE LOAD - •Q P5F WIND LOAD - 80 MPH EXPOSURE "C" . SEISMIC ZONE 4" *SNOW LOAD 100 PSF (SEE NOTE 015) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL Sill WITH KO EXISTING SOIL PWKEMS- 3. CHASSIS BEAM SUPPORTS SHANL-BE LOCATED AND SUED FOR THE LOADS AS Si10WN W 111E -MOBILE HOME INSTALLAWN WIRUCTIONS . 4. IN AREAS' WHERE DIFFERENTIAL SETTLEMENT (O -s-) CAN OCCUR. OR MANUFACTURED WILL ADVERSELY AFFESNALL BE �CTT�MOBILE NOW L*'T-EXCEEDS 1/4'. 5. CARRY ALL FOOTINGS Do" TO FIRM, UNOIbiURB£D SOK' FOOTINGS ARE DESIGNED FOR 1.000 PSF TOTAL LOAD SOIL PRE 'AMSNAIL BE COMPATIBLE VFAM LOCAL SOILON COR*& COMPACTED SANG MAY It USED TO FILL IACAL VOIDS UNOETi PADS' STRUCTURAL STEEL: FABRICATED ACCOFMK TO AMSC SPECInCATION. WELD ACCORDING TO AMS SPECIFTCATIONS EIFFCTROOES-370 PLATES-ASTIM A36 MXyt-SAE GR S=ASM. A4/9 --ASTM A3T2S ?: TS GUARD ASSEMBUES SHM ON THIS PAGE SfWL Bf L15TE0 AND HE GU LOUD By an AND ASSMIES FOR THE FML MING LOADS: ar nW.a><>a LOAA HORIZONTAE. VUMCAL GUS GUARD TUF-1 2200f 60000/ 6115 GUARD PAD 2200/ am# ' GUS GUARD E -Z T9PAD 2200/ GOOOf a. MOM PRELtMNARY HtSPECTION. T11E ESTIMATOR SHALL ENSURE MOBILE NOME CHAS - 9EAMS ARE OF STANDARD SECTION. 9 D=ING COACHES MAY BE RETROFi M TO IESM 9JSIAC FORCES &Y MSTANU]NG GUS GUARD TUF-1 ANIS, AS 900 011 TITS PAGE OF TYPICAL c: .F'BlUIIBlkT10lF •Pl�HU's.• .. .. . UK GUS "M 1a V A AREAS WHERE WM Or FFLO ARE DOES N01SOT FOR �TK I�I�G T OF THREE FEET. 1 T.. AULTIPL.E UNIT ]INSTALLATION IS ACCEPTABLE PROVIDED r WTHE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS HE SAME AS SHOWN REQUIRED PER EACH UNfTf3) , � � 1 -LADE UNRS fliQUltf Arwnwim RESiWO. (MCr �1+��t�� . R 7EAL COMP0100 00 ATTACHMENTS ITEMS SNAIL VE PROTECIIYE fWMW. MACE LENU WAY 16. f0UlI T1ON NSIJ%8 jealPOURED f PADASTDBE U�AD AT SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8! MAX. E= 2' MIN. / its MAX. S= .6' MIN. /18* MAX. S= 6' MIN. / 22 MAX. VARIES 10'-70' (SEE TABLE ON MEET f3) 1 E S E ❑ ❑ mm BEAM SUPPORT AS 0 (TYPIM)WAMWAC❑ ❑ ❑ 0 ❑ C3 -T o 0_0 ❑ 8' NOM. 2' NOM. ❑ PADS Iliq ANY PAIR MAY BE STANDARD M.N. FAUNDAriON PVC SE RIE ROTATED 90 DEGREES OR PIERS -AS RECOMMENDED 13Y (*T'SET T4 OTHER SIDE TO THE MANUFACTURER OR THE PUMP) ) AVOID CLEARANCE PROBLEMS. EMWER. TYPICAL THROUGHOUT 4' : AWNE COtNCRETE SLAB IS W EXISTANCE. PAD IS 1101 REW$EO. ANCHOR STAND TO CONCRETE SLAB MATH 1/2-1 3 1/2- EXPANSION ANCHORS. I GUS,, ARD TUF-1 FOUNDATION SYSTEM PROVIDES > ALI�AfABLE SNOW LOAD TO 100 PSF WHEN 'MAWO Wlffi' EXISTING STANDARDS REO111RED BY COACH -� M; ACTURER OR REPLACE THEM ON A ONE TO Ot4ff,: BASIS. TUF-1 PERMANENT FOUNDATION SYSTEM AHESOO-GUS GUARD C0hWMY 565E nOM . PEJM OS ROAD ggCNPD, CA 95623 PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL A� 1 Q ".f�. v 0 ; Cµ N Y z WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 3 0 0 1/4- GRIPPER PLATE (2) KOUIRED 1/4' GRIPPER BASE I/2-Imm-A307 x 4`1_� BOLT WOH NUTS (4) REOUlIRED 1 1/2- SCH 40 PIPE RISER WITH 1/2' ADJUSTER HOLES AND 3/8' Ili" TOP PLATE 02- kH 40 PIPE STAND WITH TWO 01/2.' ADAMIt MIS ABESCID ASS PAD #503 STEEL FRAidE---, 35' MAX TO Borrow OF PAD 111/2-x 3- C.R. LOCK PIN, WITH *1/8" BRIDGE PIN LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION KUm_v= llllQ!B I SRKU v= umm uumm air _1111OME 1-0 - ir - lr I lIr LIP 0 6 6a 1 6 to IQ Til IN11YABER OF 71W-1 REQUOtEO PrJUSIM OF nw-i wzuuuw AM WICLE MADE UNM REMAKE (4) E -Z rE PAM CUS GUUW IMF -1 PIM AIM TO K PLACED AT APPRM"MY EQUAL WTE1l4= ALOINC EACH FRUff M& -.7 TUF-1 PERMANENT FOUNDATION SYSTEM ABESC04MS GUARD COMPANY 5951 FLORIN - PE MIM ROAD SW-RAWMNTO, CA 95923 PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL z tk Sa 2-5 f so .r Lj CL 0 z WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 0 T -T 3/4' ("A. m !8' LG - (4) REQUIRED t/2 -x 3 1/2" 1/2"x 9* LONG EXPANSION ANCHOR ANCHOR BOLT 3/8- CAD PLATED BOLT. NUT & WASHER (4) REQUIRED (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM AT 8' O.C. (8) REOUIKD CONCRETE PAD INSTALLATION POURED IN PLACE 160602 CONCRETE FOUNDATION INSTALLATION 0 1/4- GRIPPER PLATE (2) KOUIRED 1/4' GRIPPER BASE I/2-Imm-A307 x 4`1_� BOLT WOH NUTS (4) REOUlIRED 1 1/2- SCH 40 PIPE RISER WITH 1/2' ADJUSTER HOLES AND 3/8' Ili" TOP PLATE 02- kH 40 PIPE STAND WITH TWO 01/2.' ADAMIt MIS ABESCID ASS PAD #503 STEEL FRAidE---, 35' MAX TO Borrow OF PAD 111/2-x 3- C.R. LOCK PIN, WITH *1/8" BRIDGE PIN LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION KUm_v= llllQ!B I SRKU v= umm uumm air _1111OME 1-0 - ir - lr I lIr LIP 0 6 6a 1 6 to IQ Til IN11YABER OF 71W-1 REQUOtEO PrJUSIM OF nw-i wzuuuw AM WICLE MADE UNM REMAKE (4) E -Z rE PAM CUS GUUW IMF -1 PIM AIM TO K PLACED AT APPRM"MY EQUAL WTE1l4= ALOINC EACH FRUff M& -.7 TUF-1 PERMANENT FOUNDATION SYSTEM ABESC04MS GUARD COMPANY 5951 FLORIN - PE MIM ROAD SW-RAWMNTO, CA 95923 PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL z tk Sa 2-5 f so .r Lj CL 0 z WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 0 AP# CDF FIRE SAFE REQUIREMENTS D3 - i1_3Z -,�,*YVo ��✓,v�-G� PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made apart of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance., (1 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space' provided for in these standards, annual maintenance must be provide foi by the land owner. Driveway Standards [273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteaant 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. [11,,-1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [V}� 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. 2. The length of vertical -curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [x]/1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [i-'1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 / feet long with a minimum 25 foot taper on each end. [�'J 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--, AP # PERMIT # NAME [y}� 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. 14-"l 2 7 3. 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. 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. [ ] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ull property lines and/or the center of the road. [yam 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 AP # ,�2 3 -r/3i PERMIT # Other Requirements [-] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves XAf NAME [VI"""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 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry'veneer Metal Other Butte County Fire Department approved materials Z� 03 Date Signatur Page 3 of 3 RECORDING REQUESTED BY: I1►nlA"A111laR30111R01�1� ►7�/��ifi�T�� BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 25 -Nov -2003 2003-0083174 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. PAAVO T. KOUSA AND ANNELI L. KOUSA 7 COUNTY CENTER DRIVE REAL PROPERTY OWNERILESSOR MAILING ADDRESS P.O. BOX 1268 95965 CITY COUNTY. STATE MAILING ADDRESS 03-1131 530 538-7541 MAG_ALIA BUTTE CA 95954 CITY COUNTY STATE ZIP 14820 WOOD DRIVE NONE INSTALLATION MAHJ NG ADDRESS, IF DIFFERENT NONE MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP IUNIT 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 03-1131 530 538-7541 PERMIT ZNO TELEPHONE NUMBER (BUILDING /Q OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. CHAMPION 1979 TITAN / 301 MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 0893010377CATI A/ B 40'X24' 146306/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER AP # 065-340-020 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. • 16 :4i 3 ,-.� r 2refiminary Report Description Order No. BU -206820-2 VG The land referred to herein i . s situated in the State of California, County of Butte, and is described as follows: LOT 33, AS SHOWN ON THAT CERTAIN MAP. ENTITLED,"SIERRA DEL ORO ESTATES UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE MAPSCOUNTY , AT CALIFORNIA, ON OCTOBER. 19, 1965, IN. BOOK OF OF BUTTE, STATE OF PAGE(S) 27, 28 AND 29. EXCEPTING THEREFROM ALL OF THE VALUABLE NDNERALS BENEATH THE SURFACE OF EXCEY THE SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID MWERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MR -UNG OPERATIONS, THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL BE TUNNELS, SHAFTS OR DRIFTS HAVING THEM ORIFICES OUTSIDE OF CARRIED ON FROM YM AND THE SURFACE AREA OF THE ABOVIAE C EDASEXCMRESERVED IN THE DEED FROM MAG COMPANY, A CORPORATION, TO E. D. sTORTs, ET uy,; RECORDED SEPTEMBER 4, 1947; IN 'BOOK 423; PAGE 385, OFFICIAL RECORDS. APN 065-340-020-000 c:: `� �i '' � r t:�( • e j�`' 7,: rc:. a,.*�a+'•4i�Na.i�`�'ra 4. "� FOVNDA�TION, S, �STEM��� a lr } r «�� yP'&p.r�j �.+ Wiz: a,. ,� s :� r.. * .•^-:a" ..s-+� a �w:l �.'r,.' a y:3. �'+fY�{.Zss 4rSv5�.�.3 M;WT •ytn y. �"y { y, 3 fP'� 'N.•�.. 5i �'1`F t y�{1.�-..�"a. 7`. � �,�` %--r,{ b.- �` r..�a�` � / x,, •� j�,y 'G � � :.:� .tea �:8 ''r•,. � �d� � � 4.:.. ..s i ?s. �i 3: �".°� t4. .a�' .,e�'7�"'4D.a%r 1, �SA..4 n`S!..,.'�s �i �Z �4�'..'� +1�.tij*i;'....9=W�,��-'� .,n;b« ~� �I BUILDING PERMIT NUMBER: 03-1131 Address or location of unit: 14820 WOOD DRIVE, MAGALIA CA 95954 Legal Description of Real Property: AP # 065-340-020 I SEEIATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Ow ier's name: PAAVO T. KOUSA AND ANNELI L. KOUSA Owner's address: P.O. BOX 1268, MAGALIA CA 95954 I INSIGNIA OR HUD NUMBER: 146306/7 SERIAL NUMBER OR V.I.N.: 0893010377CATI A/B I MANUFACTURER'S NAME: CHAMPION YEAR: 1979 OFFICIAL APPROVING INSTALLATION: DATE:ra-3� 03 - j . PHONE: (530) 538-7541 'I H.C.A 513C DEPARTMENT USE ONLY STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM APPLICATION FOR REGISTRATION DEPARTMENT USE ONLY TRANS CODE NEW DECAL # STICKER # Sruscc OLD DECAL# Name Date f Manu rer' R. Defiler License # MFG I # Tra LAa e / 1— 7;W Model Name ori ry Date of Transfer to Dealer from MFG ILT Exemption Date First Sold New (:2® DECALILICENSE # MANUFACTURER SERIAL NUMBER(S) HUD LABEL OR HCD INSIGNIA # LENGTH (Inch*.) WIDTH WEIGHT (patmds) DATE FIRST SOLD if dffferent than above 51622'Y 030103Z�=Ais Y W-0 y(Innccheess) -6-324,54&h7 ADD UNITS 1.7ILT DEPARTMENT USE ONLY USE CODE EXPIRATION DATE TAX TYPE ORIG COST PRICE CODE YR SALE PRICE PPF EXT LPT PPT RF RECEIPT NUMBER(S) RECEIPT DATE(S) CLERICS INITIALS SALE DATE ILT REGISTERED OWNER(S) [print true name(s)] (New Title Information) Fird 1. OVS Lost844 vQ to PEN 2. A 1111F—L Lo PEN 3. If applicable, check one of the following: ❑ TENCOM OR JTRS TENCOM AND ❑ COMPRO TRF Current Mailing"" Address D 6 80X ��� r Too Qty state p DUPT Future Mailing Address (if different than above) Street OUPR city cotady State ' Zip SUED Situs (location) Address of unit Street CONF _ Y State A . Z cityL//j— /`// ` K REPO LEGAL OWNER (lienholder) [print true name(s)] RREc RSF If applicable, check one of the following: TENCOM OR E] JTRS 0 TENCOM AND COMPRO PLT MAILING ADDRESS I street city State zip Srr Uri, RT JUNIOR LIENHOLDER [print true name(s)] ASF MHp If applicable, check one of the following: 0 TENCOM OR JTRS TENCOM AND COMPRO ccP MAILING ADDRESS Street City State Zip TOTAL ADD JR/LH LJ NOTE: APPLICANT, PLEASE READ AND COMPLETE THE QUESTIONNAIRE ON THE REVERSE SIDE. We certify under penalty of perjury that the statements made in this application are true and correct. Executed on % at %%��V� l�T-o dale a state Signature(s) of Above Registered Owner(s) 1. d� 3 HCD 480.5 - Side 1 (REV 12/93) Reproduced by SMS HCD APPROVED 10/27/97 - AR/C .cECORDING REQUESTED BY MID VALLEY TITLE CO. AND WHEN RECORDED MAIL TO: PAAVO T. KOUSA ANNF.I.I L. KOU-SA P.O. BOX 1268 MAGALIA, CA. 9590 A.P.N.: 065-340-020 Order No.: RECORDED 44=03 SERI. -NO: 03-21379 e' 9 tta'!a.l.ty�! l.lc �i %��W C'8. CORPIDPAT i Lr. a F7iE:D ' nus Copy Above This Line for Recorder's Use Only Escrow No.: 206820VG GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $17.60 ( X ] computed on full value of property conveyed, or [[ 1 computed on full value less value of liens or encumbrances remaining at time of sale, X ] untncorporated area; [ ] Town of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, JOSIE W. GARRETT, TRUSTEE OF THE RAYMOND E. GARRETT BYPASS TRUST DATED NOVEMBER 17, 1996. hereby GRANT(S) to PAAVO T. KOUSA and ANNELI L. KOUSA, Husband and Wife AS JOINT TENANTS. the following described property in the UNINCORPORATED AREA, County of Butte State of California; See Legal description attached hereto and made a part hereof. JOSIE W. GARRETT, TRUSTEE OF THE RAYMOND E. GARRETT BYPASS TRUST DATED NOVEMBER 17, 1996. By: r`v JOIE W. GARRETT* TRUSTEE Document Date: March 25, 2003 STATE O `� O ARA' 0 6ZTA ;ss On MAve.(� 9,D03 before me, �}R L(� J,' SC�kuL-Tc-1ND I /4'/211 blQLi personally appeared .TIDS 1E-7 W G AkA ir--rw personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose nae(z)gare subscribed to the within ®/ instrument and acknowledged to me that ketheiP y executed the same in h 00&cauthorizeea m capacity(kg) and that by hi(04hek signamre*j on the instrument the person,or the entity upon behalf of which the person( acted, executed the instrument. an WITNESS my hAd d o kl seal. Signature t ' DARLA J. SCHULTEIt It COMM. 1261540 t0 NOTARY PUBLIC - CALIFORNIA 'p e CONTRA COSTA COUNTY My Comm. Expires May 5 Pond Mail Tax Statements to: SAME AS ABOVE or Address Noted Below -"---r -- - Order No. BU -206820-2 VG The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 33, AS SHOWN ON THAT CERTAIN MAP.1ENTITLED,SIERECORDER OF ORO THE COUNTY TATES UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE ON OCTOBER. 19, 1965, INBOOK 34 OF MAPS, AT OF BUTTE, STATE OF CALIFORNIA, PAGE(S) 27, 28 AND 29. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID MRM ALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MD -UNG OPERATIONS, THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH mMZNG 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 D RESERVED IN THE DEED FROMFPTEER 4ALIA IN47 CIN 'BOOK 423OPAGE 850,NOFFICIAL STORTS, ET UX; RECORD RECORDS. APN 065-340-020-000 L I.C.D. ATTACH CHECK ANNELI L. KOUSA -.2327-,, PAAVO T. KOUSA 530-898-8027 ` �$� 1 90-4702/1211 v 2298 HONEY RUN RD. Date (10% v y.4 ► e CHICO, CA 95928 r . Pay to the Order of , 6. 1 Dollars 8 7G�� aGY B tte : . Community Bank 2041 FOREST AVENUE -big. . CA 95928 • (530) 8 &MG10 IYP For --- ----- ---- 1:L2LLt, 20251:0400L242??11'232? cuanoWmsnFeryBLUE wosL NAME: AP#: - DATE: I A e i I A NOTES RESIDENTIAL ;_ _ 03 1_—.21T 065— 340-020 4a KOUSA, PAAVO & ANNELI PERMIT NO. 14820 WOOD DRIVE, MAGALIA' ; A-.,. l CONT: OWNER OPEN DECK/MH 1 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY 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 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Fireplace Ties or Type A Flue -Fireplace Throat Clearance 18. Water Pipe; Test & Anchor -Nail Protection 50. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 21. Test Tub & Shower, Second Floor -Tub Access 52. 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Property Line Firewall & Openings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 56. 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Siding -Nailing Veneer 26. Size Boxes & No. of Conductors Stapled 58. 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Glazing Area -Glass Protection -Skylights -Plastic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 60. 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 0 No Brace Interior/Exterior Wall Panels 32. Service -Riser Conductors & Ground Main Disconnect 62. 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light Date 35. Smoke Detector 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 MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support Smoke Detector 37. Vent Fan, Exhaust above insulation 66. 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Bedroom Exiting 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 70. 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Fireplace or Stove, Clearance -Hearth 43. Bearing Walls over Girders & Floor Nailing 72. 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 -Wal Is -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 0 Yes 0 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: = OK = Not OK = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. 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 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 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. Verifv #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 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 COUNTY Ot BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Pa--Lz i ASSESSOR PARCELNUMBER 065-340-020 ZONING RT 1 BUILDING PERMIT OWNER KOUSA PAA)CO AND ANNELI TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS P.O. BOX 1268 MAGALIA CA 95954 180 open .00 CONTRACTOR'S NAME CONTACT GREG MCNEEKE TELEPHONE 533-0701 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 1260.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 31.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 MADWOO 1B"4D DRIVE MAGALIA, CA 95954 Energy Plan Checking Fee $ $ PERMIT FEE $ 74,00 LOT NO. SUBDNiStOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome)C] 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 EX Describe Work: OPEN DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600VOR LE Main Service p A OR LESS 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 force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 200A TO 1000A 46.00 NEW CONST. DWEIL.ING OCCUP. OR ADDNS. ( 6 ACC. S. SO 3.5¢x. NEW ESID BRANCH MULTI - OUTLET @G 7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET ORFIXTURES 20 @'.0° BAL @ .s0 Ex. Occup. on'cuTE�°�A R D °R� 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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'ompensation provisions of section 3700 of the Labor e, I shall forth t ,ly with those provisions. X Date �J C/ Signature o A plicant - ❑Owner ❑ Contractor ❑ AgeAt An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET: S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. __ D. FEES I�P ___ / F`OOD X CD/ PARCEL 7 ISSUE / This permit is hereby issued under of thette County Code and/or indic ed ve for Jvhiob fees have By /� PERMIT EXPIRES ON (o the applicable provisions Resolutions to do work been paid. Date 1P 27 03 z D to ReceiptNo.J % ' WHITE-D.D.S.-B.D. CAN RY-AS ES OR PINK -INSPECTOR GOLDENROD -APPLICANT 50' I I! o zo Q o I " �X IM o a LLQ w I to ' I . I I I I . 30' 30' 1i I I i • I I I I I I I 1"=20' REPLACEMENT LEACHFIELD; PROPOSED LEACHFIELD; 3 X 55 (165) FT.; "DOUBLE ROCK" 2 X 82 (164) FT.; "DOUBLE ROCK" REQUIRED. REQUIRED 135.00' ,, ` _ 8' DRAINAGE EASEMENT I ww 0' 20 I .O#1_ .,�I - .. 171 1000 GAL rSEPTIC T 10, R15' � . 1 � 5' 12' MIN.I 10' I 5.0' — —— — = — — — PROPOSED MANUFACTURED 1+0• I _ _ HOME (24 x 40, 2 BR.) #3 , — _ _ DECK GUS GUARD TUF-1 (9 x 20) PERMANENT .� FOUNDATION 5.0' t 7 EXISTING POWER POLE PROPOSED AERIAL PG&E SERVICE DROP yl (100 AMP.) POLE INSTALLED SERVICE EQUIPMENT. NOTE. I 100 AMP' BREAKER See the attached PANEL INSIDE. t W I � I D❑ P INLET I I PROPOSED WATER I� DRIVEWAY; TO BE PAVED WITH 1/2" A.C. METER ------Pages FROM EDGE OF PAVEMENT TQ PROPERTY LINE (ENCROACHMENT PERMIIT # 030537E). I � R15' — 50' I I! o zo Q o I " �X IM o a LLQ w I to ' I . I I I I . 30' 30' 1i I I i • I I I I I I I 1"=20' REPLACEMENT LEACHFIELD; PROPOSED LEACHFIELD; 3 X 55 (165) FT.; "DOUBLE ROCK" 2 X 82 (164) FT.; "DOUBLE ROCK" REQUIRED. REQUIRED 135.00' ,, ` _ 8' DRAINAGE EASEMENT I ww 0' 20 I .O#1_ .,�I - .. 171 1000 GAL rSEPTIC T 10, R15' � . 1 � 5' 12' MIN.I 10' I 5.0' — —— — = — — — PROPOSED MANUFACTURED 1+0• I _ _ HOME (24 x 40, 2 BR.) #3 , — _ _ DECK GUS GUARD TUF-1 (9 x 20) PERMANENT .� FOUNDATION 5.0' t 7 EXISTING POWER POLE PROPOSED AERIAL PG&E SERVICE DROP yl (100 AMP.) SYSTEM PER 10' TANK ATTACHED „u DOCUMENTATION 0 I NOTES. �(r 20' 12' �. 1. Approximate locations of PERC. HOLES are given for quick 15' — . J reference only. For actual percolation test information, please refer I _ — —+— — — — — — — — / _ _ _ — — I to test results documentation by SIERRA WEST SURVEYING, LEGENT: TREE -EVERGREEN TREE - DECIDUOUS TREE TO BE REMOVED \2� ELEVATION CONTOURS 0#1 PERC HOLES VICINITY MAP (N.T.S.) JOB # 8327, dated May 28, 2003. LENGTH OF GAS Q > ZI I p LINE APPROX. 105'. (a "av im. 3/4" LINE REQUIRED. _ ALL STRUCTURES AND EQUIPMENT 1NMIJDIM GRAVEL DRIVEWAY OVERHANGS SHALL BE CLEAR OF ALL EASEMENT& WITH TURNAROUNDS Inc Acis IMPERIAL WAY Ix 0 0 3 > K JOB SITE: FORA 0 14820 Wood Dr eek � Magalia, CA J ROSEWOOD DRIVE A SET BACK OF FROItII THE S t- . FROM THE REAR `PROPERTY 'LINES AND . FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPME ' Z=5M cOR A 2 FT, EAVE'OVEI�JiAN& BUTTE COUNTY BUILDING DEPARTMENT it REVISIONS: A P Date: G Rt. w' Em; -' otk 1 06-11 PLANNING DIVISION- BUILDING PLAN APPROVAL Use: Date: as Parking: • imong: Other- 14820 Wood Drive . _ Magalia, CA CAD W$RK BY Ruler: ENGINEERING PQavo ' Kousa Scale: 1" = 20' REVIEWED BY BUTTE COFIRE DEPT. CALIF. DEPT' Of FORESTRY ❑ approved as submitted MaPProved with Conditions P r attaC d s eet. Cl � e I ptk 105-12-031 01 Owner(s): Anneli. L. Kousa & Paavo T. Kousa P.O. BOX 1268 Magalia, CA 45954-1268 Signature(s): Date: REVISED FOR LARGER LEACH FIELDS. DRIVEWAY PER ENCROACHMENT PERMIT # 030537E; PLAN ALSO REVISED FOR DRAINAGE EASEMENT. .Project: INSTALLATION OF MANUFACTURED HOME Subject: PLOT PLAN I APN: 065-340-020 SHEET 1 OF 2 POLE INSTALLED SERVICE EQUIPMENT. NOTE. 100 AMP' BREAKER See the attached PANEL INSIDE. t 74.40' PROPOSED WATER METER ------Pages SYSTEM PER 10' TANK ATTACHED „u DOCUMENTATION 0 I NOTES. �(r 20' 12' �. 1. Approximate locations of PERC. HOLES are given for quick 15' — . J reference only. For actual percolation test information, please refer I _ — —+— — — — — — — — / _ _ _ — — I to test results documentation by SIERRA WEST SURVEYING, LEGENT: TREE -EVERGREEN TREE - DECIDUOUS TREE TO BE REMOVED \2� ELEVATION CONTOURS 0#1 PERC HOLES VICINITY MAP (N.T.S.) JOB # 8327, dated May 28, 2003. LENGTH OF GAS Q > ZI I p LINE APPROX. 105'. (a "av im. 3/4" LINE REQUIRED. _ ALL STRUCTURES AND EQUIPMENT 1NMIJDIM GRAVEL DRIVEWAY OVERHANGS SHALL BE CLEAR OF ALL EASEMENT& WITH TURNAROUNDS Inc Acis IMPERIAL WAY Ix 0 0 3 > K JOB SITE: FORA 0 14820 Wood Dr eek � Magalia, CA J ROSEWOOD DRIVE A SET BACK OF FROItII THE S t- . FROM THE REAR `PROPERTY 'LINES AND . FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPME ' Z=5M cOR A 2 FT, EAVE'OVEI�JiAN& BUTTE COUNTY BUILDING DEPARTMENT it REVISIONS: A P Date: G Rt. w' Em; -' otk 1 06-11 PLANNING DIVISION- BUILDING PLAN APPROVAL Use: Date: as Parking: • imong: Other- 14820 Wood Drive . _ Magalia, CA CAD W$RK BY Ruler: ENGINEERING PQavo ' Kousa Scale: 1" = 20' REVIEWED BY BUTTE COFIRE DEPT. CALIF. DEPT' Of FORESTRY ❑ approved as submitted MaPProved with Conditions P r attaC d s eet. Cl � e I ptk 105-12-031 01 Owner(s): Anneli. L. Kousa & Paavo T. Kousa P.O. BOX 1268 Magalia, CA 45954-1268 Signature(s): Date: REVISED FOR LARGER LEACH FIELDS. DRIVEWAY PER ENCROACHMENT PERMIT # 030537E; PLAN ALSO REVISED FOR DRAINAGE EASEMENT. .Project: INSTALLATION OF MANUFACTURED HOME Subject: PLOT PLAN I APN: 065-340-020 SHEET 1 OF 2 « BREAKER PANEL (100 AMP.) FF WH 8'-10" 8'-1" O 11'-2 1/2" BR 2 0 [EAU: 98 SQ. FT. I� 23'-6" WIC BR 1 11'-2 1/2" 131 SQ. FT. 0 r� i L 44'-0" rTk C,) , 9 MANUFACTURED HOMEt�5''; MANUFACTURER: CHAMPION HOME BUILDERS CO. BRAND NAME: TITAN MODEL: 301 YEAR: 1979 4 SERIAL NUMBER: 0893010377 A&B D.O.H or FED LABEL: CAL 146306 & 07 T Owner(s): Project: Anneli L. Kousa & INSTALLATION O Paavo T. Kousa MANUFACTURED Job Site: P.O. BOX 1268 Subject: 00000 Wood Drive Magalia, CA 95954.1268 Magalia, CA FLOOR PLAN Signature(s): CAD W$RK BY Ruler ARCHITECTURAL APN: 065-340-020 Poovo Kouso Scale: 1/4" = 1' 0" Date:SHEET 2 OF I W PERMANENT I > DROP UNLET i II L 10' 1 REVISED FOR LARGER LEACH FIELDS. TANK 0 05-12-03 I� DRIVEWAY; TO BE PAVED WITH 1/2" A.C. DOCUMENTATION FROM EDGE OF PAVEMENT Tq LINE (ENCROACHMENT PERMITT PROPERTY # 030537E). 11.5' ALSO REVISED FOENCROACHMENT R DRAINAGE EASEMENT. 12' R15' — 30' 30' REPLACEMENT LEACHFIELD; PROPOSED LEACHFIELD; 3 X 55 (165) FT.; "DOUBLE ROCK" 2 X 62 (164) FT.; "DOUBLE ROCK" REQUIRED. REQUIRED t 135.00' 8' DRAINAGE EASEMENT 20= I O#, I 1 11-7' ,0006 — — ——••—••—•• —• •� — SEPTIC R15' I 5' 10' I _ 12' MIN.I 10' 5.0' 1 rPROPOSED — MANUFACTURED 10• I = _ HOME (24 x 40, 2 BR f 0#3 GUS GUARD TUF-1 EXISTING POWER POLE 5.0' I PROPOSED AERIAL Z PG&E SERVICE DROP — — — (100 AMP.) 7 POLE INSTALLED SERVICE EQUIPMENT. 100 AMP. BREAKER PANEL INSIDE. J — DECK } (9 x 0) PERMANENT I a \ tk FOUNDATION SYSTEM PER II L 10' 1 REVISED FOR LARGER LEACH FIELDS. TANK ATTACHED 05-12-03 0 .� �i DOCUMENTATION ALSO REVISED FOENCROACHMENT R DRAINAGE EASEMENT. 12' Project: 15' INSTALLATION OF Paavo T. Kousa -- +----- — -- ! — ----9.4'------4 Subject: Magalia, CA 95954-1268 PLOT PLAN LENGTH OF GAS LEGENT: LINE APPROX. 105'. 3/4" LINE REQUIRED. qF TREE -EVERGREEN 42>1 TREE -DECIDUOUS GRAVEL DRIVEWAY WITH TURNAROUNDS TREE TO BE REMOVED APPROVED ELEVATION CONTOURS Butte County O#1 PERC HOLES I r '-H1, VICINITY MAP (N.T.S.) IMPERIAL WAY E 0 O 0 Lu 3 g JOB SITE: F'�p9pk o 14820 Wood Dr Z Magalia, CA W ROSEWOOD DRIVE a 74.40' Job Site: 14820 Wood Drive Magalia, CA CI D WORK BY Ruler: ENGINEERING � Paavo Kousa Scale: V=20' PROPOSED WATER METER r NOTES: 1. Approximate locations of PERC. HOLES are given for quick reference only. For actual percolation test information, please refer to test results documentation by SIERRA WEST SURVEYING, JOB # 8327, dated May 28, 2003. Environmental Health J U N 1 6 2003 Chico, Cdr oww I APN: 065-340-020 Date: _69—(0-03 I SHEET 1 OF 2 REVISIONS: ' Date: Rev: Description: tk 1 06-10-03 02 1 REVISED FOR LARGER LEACH FIELDS. ptk 05-12-03 01 PERMIT# 030537E; DRII WAY PER IPLAN ALSO REVISED FOENCROACHMENT R DRAINAGE EASEMENT. er(s): Project: Annell L. Kousa & INSTALLATION OF Paavo T. Kousa MANUFACTURED HOME P.O. BOX 1268 Subject: Magalia, CA 95954-1268 PLOT PLAN oww I APN: 065-340-020 Date: _69—(0-03 I SHEET 1 OF 2 23' �t BREAKER ,PANEL (100 AMP.) MANUFACTURED HOME ZA KITCHEN 130 SQ. FT. J EU 23'-4" I MANUFACTURER: CHAMPION HOME BUILDERS CO. BRAND NAME: TITAN MODEL: 301 YEAR: 1979 SERIAL NUMBER: 0893010377 A&B D.O.H or FED LABEL: CAL 146306 & 07 40'-0" 44'-0" LIVING / FAMILY 144 SQ. FT. I ENVIRONMENTAL HEALTH Butt® County APR 2 4 2003 5sip w H 'ID CHICO, CALIFORNIA re Owner(s): Project: Anneli L. Kousa 8 INSTALLATION OF Paavo T. Kousa MANUFACTURED HOME .Job Site: P.O. BOX 1268 Subject: 00000 Wood Drive Magalia, CA 95954-1268 I Magalia, CA FLOOR PLAN Signature(s): CAD W,$RK BY Ruler: ARCHITECTURAL APN. 065-340-020 Poovo Kousa Scale: 1/4" = 1' 0" Date: SHEET 2 OF 2 KITCHEN 130 SQ. FT. J EU 23'-4" I MANUFACTURER: CHAMPION HOME BUILDERS CO. BRAND NAME: TITAN MODEL: 301 YEAR: 1979 SERIAL NUMBER: 0893010377 A&B D.O.H or FED LABEL: CAL 146306 & 07 40'-0" 44'-0" LIVING / FAMILY 144 SQ. FT. I ENVIRONMENTAL HEALTH Butt® County APR 2 4 2003 5sip w H 'ID CHICO, CALIFORNIA re Owner(s): Project: Anneli L. Kousa 8 INSTALLATION OF Paavo T. Kousa MANUFACTURED HOME .Job Site: P.O. BOX 1268 Subject: 00000 Wood Drive Magalia, CA 95954-1268 I Magalia, CA FLOOR PLAN Signature(s): CAD W,$RK BY Ruler: ARCHITECTURAL APN. 065-340-020 Poovo Kousa Scale: 1/4" = 1' 0" Date: SHEET 2 OF 2