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HomeMy WebLinkAbout065-450-003r I — — s I --% , ( .. — .-I - , - � - 0 5, -A P-6-5--4 5-- 0 3 CAR E JACOBS 25 Snowb �e �91 0 t 1 PF�3 ry Circle D tr 0 contr: P oore, M ali ij#P 1 'Permit .41 # 1-4 4 il,�IMH) E L E C _1w Arll- P17 V, 1 Xfi Av;��� 3AS SUPPdRT'.STRUCTURE R EQ. COMPACTION TEST R Cb*R- Curly',s Trail T Ow ng, lie 0-� 7-77 e rm. i t4i 9 3 5 - 77 6p I 10 ',!j .2 rissued �--o vt J3!)6 5 �-�4-51; 0 Pe itZ�2503,-76P (addi f' I s r 14-7-4). MH 65-45-3,, A ate detached Permit #25&2�7-- B:-new./Iprlv ge) 6 -4/0 - gara Q 65-45-3 contr: R- G� Roberts, _Faridis Permit*#2887-76BP,E:(new ca an ) ji- b n 657----,4 5 e3 0 3 Contr: Bob Roberts, -7-0 -76 PL-rmit, #3l86-i6E(61e'c f- r 2502':;�, or 76) private, garage, 65.:45�4---- .,,Pe i�ie #46-5Q-76Bffrahklin. stove/ cabana -NH; 065-745D-003,,-' -067059T" liAWKINS, RONALD 14887 SNOWBERRY C MAGALIA,, T "CbNt: 6 W"Nt R --- DEMO 0 B07-0329 065-450-003 RESIDENTIAL SFD-Mobile Home PFS MH PERM FND 1200 SQ.FT.(REPI-,ACF. 14887 SNOWBERRY CT ;G7;4Aet.P HAWKINS. AARON P o A , cil IC" concr Et L 07y 1l ood�tdodi�l 1 DELIVERY VERIFICATION /ACCEPTANCE Complete a separate Delivery Verification / Acceptance for each section / floor of the home then fax the completed and signed forms to the manufacturer within 48 hours of delivery. Any and all transportation damage to the unit shall be reported to the manufacturer within 48 hours of delivery. Delivery Location: Delivery Date Wholesale -Purchaser (Dealer/Retailer): Dealer # 0395CA Name Village Concepts, Inc Manufactured Home Center, Inc Contact Person JOHN Address 4101 Mother Lode Dr PO 736 Shingle Springs, CA, 95682 Transport Driver's name Company Address Contracted By Ship Date. Serial No. Model / Brand Model Floor Size Height Base Description Yr, (Call Size) 009-OOP-H-017065AB L3463B 2007 460" X 23'4" 14'8" 46x24 3 Br F&R 2 Bath (699) Circle one 1. The unit was delivered without transportation damage. Yes No 2. The materials and equipment shipped with the unit are as ordered Yes No and as provided by the manufacturer. 3. There are no damaged (broken or cracked) windows. Yes No 4. The keys to the unit are in the delivery packet or are in the control of Yes No the Wholesale Purchaser or Homeowner. Retailer/Dealer's initials: Transporter Driver's initials: If any of the above answers are "no", or -if there is any other damage, explain as follows and indicate the location of damage on the drawing below: Front Retailer/Dealer's initials: Back Transporter Driver's initials: b I .CERTIFY THAT THE ABOVE INFORMA N IS TRUE AND CORRECT. Transporter Driver's Signature: Date: Retailer/Dealer's Signature: Date: NOTE: If any damage is declared at pick-up from the manufacturer, then manufacturer must be notified prior to hauling the section/floor or such damage, if any, shall be the responsibility of the transporter/driver. MANUFACTURER shall not be responsible for damage, if any, that may occur while the section/floor is not within its custody and control. •�V,T TF i BUTTE COUNTY • •. DEPARTMENT OF DEVELOPMENT SERVICES • BUILDING PERMIT , • • • 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) cOUNZy OFFICE #:(530) 538-7541 -FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds S90 ,,O°%,� _ PROJECT INFORMATION Site Address: 14887 SNOWBERRY CT Owner: Permit NO: B07-0329 APN 065-450-003. HAWKINS, AARON P - Permit type: RESIDENTIAL 164 JAY BIRD LANE Issued Date: 05/25/2007 By',TMP Subtype: SFD-Mobile Home PFS PARADISE, CA; 95969 Expiration Date: 05/24/2008 Description: MH PERM FND 1200 SQ.FT.(REPLi (530 - 349 Occupancy: R-3 Zoning: RT1 Contractor Applicant— Square Footage: RON HAWKINS CONSTRUCTION HAWKINS; AARON P 'Building Garage ' RemdUAddn 164 JAYBIRD LANE 164 JAY BIRD LANE 1,200 PARADISE, CA 95969 PARADISE, CA 95969 . (530) 877-7325 (530) 532-0349 Other Porch/Patio Total 1,200 FEE INFORMATION DB SRA Fire Plan Check Fee' $109.98, DBEH Building Review Fee $75.70 DBF MH Plan Check $219.96 DBFIRE Fire Inspection (SRA) R $102.70 DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Mobile Home $329.94- DBSMIP Residential ' $7.80. Total Charged: $948.78 Fees Paid: $948.78 Balance Due: $0.00 Receipt No: B3255 ''LICENSED CONTRACTOR'S DECLARATION,- - OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License RON HAWKINS CONSTRUCTIC 397334 / B / 02/29/2008'. Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. ' - of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X05/25/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Contractor's Signature Date Please check one of the following: • ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE WORKERS' COMPENSATION DECLARATION COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements ❑1 HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF-INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner-builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a oontractor(s) licensed pursuant to the , Carrier. State Fund Policy Number: 713-00 gyp. Date:01/0112008 Contractor's License Law.). (This section nee not be completed o the permit is for one u>F Fdred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: 1 CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws f C ifomia, and agree that if I should become subject to the workers' X 05/25/2007 compens ' n provi on f Section 3700 of the Labor Code, I shall forthwith comply with those provisio s. 4 Owne ignatu Date X 05/25/2007 I hereby certify that I have read this application and state that the above information is correct. I agree Signature Date to comply with all City and County ordinances, rules, regulations, and State laws relating to building WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE Butte County, its officers, agents and employees from any and all claims o,o and liability for personal HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused t is arising out of, or in any way connected with ( ) the issuance of this permit 1 hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. l hereby certify that I am the CONSTRUCTION LENDING AGENCY pro ny owner or amla thorized to act on the property owner's behalf. V. Gryy� 05/25/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Agent for Owner Agent for Contractor Wwner Contractor OR: Lender's Address city, State Zip FILE COPY r . . BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buffecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name, LALJ L 1A Name first A&VA r Mailing Address 110 J Ltt• r �_ City Stale-,A- tatone State one 53� SSD -o3 Fax E-mail E-maif APPLI CANT _INFORMATION CONTRACTOR Name Address l � i l Address City cityT - State Zip qsij&e� Phone X30O _JnLo Fax E-maif E-mail Lic. # 3q,1 j �. Class APPLI CANT _INFORMATION ARCHITECT/ENGINEER Name Address l � i l Address City City Zipme State Zip Phone Subdivision Name Fax E-mail Page State License Number APPLI CANT _INFORMATION Name • L1% 4k $ Address l � i l I Flood Zone City State Zipme Phone S30 r Fax S_,, E-mail vt kN� fCO, PLICANT SIGNATURE X For office use only: AP# 0 _ Zoning I JZT_ I I Flood Zone SRA I es No Occ. 9 3 Nhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Type Const. V1 Subdivision Name Address��� MA",rwvc1-'c�r� Map Book Page I Lot # Planner Date Approved: PERMIT NO. 1367,63A BIN # PROJECT LOCATION AP# 0 _ Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier Nhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address��� MA",rwvc1-'c�r� Description or Scope of Work: 611A W "4a--4- Sq FT- Living y2 Garage 2_ ,,, Open Co ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by4_<1 Amount: ib / -. / Bldg SRA Receipt #: Sheriff SMIP Olv the. Date: / �412"6--Total J Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530)538 -7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0329 Date: 02/21/2007 Location: 14887 SNOWBERRY CT Parcel Number: 065-450-003 Owner Name: HAWKINS, AARON P By: TMP Sub Type: SFD-Mobile Home PI Phone: (530) 532-0349 Description: MH PERM FND 1200 SO.FT.(REPLACEMENT) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 F1 ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ E:] Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 [t�]� Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Ea- ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 8954675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 ❑ Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 [t�]� Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: ❑ Other: Other: Signature of Property Owner: Date: 02/21/2007 FILE BUTT_ E COUNTY FEE SUMMARY 7 County Center Drive Oroville; CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-0329 Job Address: 14887 SNOWBERRY CT, Contractor: RON HAWKINS CONSTRUCTION 164 JAYBIRD LANE PARADISE, CA 95969 Printed: 02/21/2007 1:23 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 02/21/2007 $75.70 DBFIRE Fire Inspection (SRA) R 0100450001-4617240-1010 $102.70 02/21/2007 $102.70 DBFIRE SRA Fire Plan Review (S 01004500014617240-1010 $102.70 02/21/2007 $102.70 DB SRA Fire Plan Check Fee 0010440001-4210500-1010 $109.98 02/21/2007 $109.98 DBMSC Mobile Home 0010-440001-4210500-1010 $329.94 DBF MH Plan Check 0010-440001-4210500-1010 $219.96 02/21/2007 $219.96 DBSMIP Residential 1001-0-280-1011298 $7.80 Printed By: Tammie Powell } 948.78 $611.04 Balance Due: $337.74 ' At the time of permit appli$ tion, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. \ Signature:- _ _ Date: 02/21/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: O Make sure your application is complete. O Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hqp://municipalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-0329 Date: 02/21/2007 Location: 14887 SNOWBERRY CT Parcel Number: 065-450-003 Owner Name: HAWKINS, AARON P Phone: (530) 532-0349 Description: MH PERM FND 1290 SQ.FT.(REPLACEMENT) Signature of Property Owner: Date: 02/21/2007 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or, more of land may result, in revocation of grading and/or other permits or other santions provided by law. Signed: Date: 02/21/2007 Title: Ouo A&V FILE Reference Number: B07-0329 Date: 02/21/2007 Location: 14887 SNOWBERRY CT By: TMP Parcel Number:. 065-450-003 Sub Type: SM -Mobile Home PI Owner Name: HAWKINS, AARON P Phone: (530) 532-0349 Description: MH PERM FND 1200 SQ.FT.(REPLACEMENT) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or, more of land may result, in revocation of grading and/or other permits or other santions provided by law. Signed: Date: 02/21/2007 Title: Ouo A&V FILE License Detail - Page,1 of 2 California Home Wednesday, Febm k Welcome a ,,{ • License Detail -CALIFORNIA CONTRACTORS STATE LICEN Contractor License '# 397334 DISCLAIMER A license status check.provides information taken from the CSLB license database. Before on this information, you should be aware of the following limitations: CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the.lin button to obtain complaint and/or legal action information. -Per B&P 7071.17, only construction related civil'judgments reported to the CSLB are disclosed. . 'Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. ; Due to workload, there may be relevant information that has not yet been entered ont Board's license data base., M Extract Date: -02/21/2007'..,;. *'* * Business Information ` RON HAWKINS CONSTRUCTION 164 JAYBIRD LN PARADISE, CA 95969 "Business Phone Number: (530) 877-7325 . 1 Entity: Sole Ownership : Issue Date: 12/19/1980, Reissue Date: 02/22/1996 Expire Date: 02/29/2008 License Status This license is current and active.�All information below should be reviewed: - * * * Classifications ' Class Description - _ t f GENERAL BUILDING CONTRACTOR , Bonding' Information,* CONTRACTORS BOND. This license'filed Contractor's Bond number 637244 in the amt' . $12,500'with the bonding company h4.//www2.cs1b.ca.gov/CSLB LIBRARY/License+Detail.asp 02/21/2007 — - , 'License Detail Page 2 of 2 °SURETY COMPANY OF THE PACIFIC. Effective Date: 0.1/01/2007 r Contractor's Bonding History , r t' Workers'Compensation Information ' .This license has workers compensation insurance with the 1 'r -STATE *COMPENSATION INSURANCE FUND ' K , Policy Number: 713-0013267. Effective Date: 01/23/2005 Expire Date: 0,1/01/2008-. ,• Workers Coinpensation History , Personnel listed on,this license (current or disassociated) are listed on other licei Personnel List Other. Licenses ' License Number[[ Request Contractor Name Request Personnel Name Request - y - -r Salesperson Request "' Salesperson Name Request @_2006 State'of California. Conditions of Use Privacy Policy http://www2.cslb.ca'gov/CSLB_LIBRARY/Licens6+Detail.as'p;`. 02/21/2007' - ' BUTTE COUNTY DEVELOPMENT FEE CERT'IFICAT'ION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHJCO AREA RECREATION AND PARK DISTRICT (CARD) ARADISE RECREATION AND PARK DISTRICT (PRPD) - ❑ DURHAM RECREATION -AND PARK DISTRICT (DRPD) Assessor Parcel Numbers) Building Permit Number & �2— ,. Property Owner (s)_I- Project Location /Address Subdivision Name Type of Residential Development (check one) Sq. Ftge New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home t,/Mobile home replacement verified by Assessor Department i/ Demo Permit (date is ued -/- 1 ) �erified by Building Department Comments: t��/�'j//L l ��� r�C �nDi� )1�J9 , 0, iJ-- &?, �0 ,sa-- Department Representative Date 0 FP.RPD 0 CARD RPD ❑ DRPD certifies that: Applicant Name P_ione Number I ccJ LV) - Mailing Address ► City State . Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. O ('-(� % by Payment of: Dwelling Units @ $ per unit for a total of $ o� J­� 0 Square Feet @ $ . Sv per sq foot for a total of Remarks: Paid by Check No:. %GPaid by Cash: 1 Receipt No: / % 757 V-%rnD1,,f Q%V 1117 1171.1(: VnD IA CA -ii. �-- -,-.,A.,A f— -V 1 60C IS. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM f (One form per Building) School District Building Department No. Tax Rate Area No. 1 A.P. Number Jurisdiction: City ©County Property Owner yr Property Location/Address. f Subdivision Lot No61. _................................ t �T• Residential DevelopmenOf Sq. Footage /t�� . Living MoKeHome Addition/ *Supplemental to (Group R) t Units Installation Conversion Permit # Cr. Demo - *(No foundation inspection) existing ft. see attached ................................................................................................. ng sq. 4 Net total sq. ft. I Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial [� Q New Addition Sq. Footage (Including Exterior Roofed Areas) -.11� /-/) � - Date District Identification No. /91%— /41 �/School District certifies that c/ jPg O✓/.lJ err l� r wv (Payor) i has complied with the requirements of Resolution No. representing School District _ / �5� _ square feet. Paid by Check # -'A Remarks: / (Zip Code) (Phone Number) o-dd by payment of $ B 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 fullymitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm BUTTE COUNTY DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CERTIFICATION OF EXISTING SQUARE FOOTAGE O�aS-`Y G School District AP # . Owner's Name Property Location/Address 8g�' < Square Footage VLy'Kesidential ❑Commercial ®%mo permit issued (Date issuedrl ) Ly' Mobile home replaced 3--.1v erified by Building Department Records '❑ Verified by Assessor Department Records Vu:gDepartment Representative Date /r AND WHEN RECORDED MAIL TO: o BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Illi ��{ IIS B {III I �I Ilil I i Illi VIII �I 2�t�-i —00 3 739 3 Recorded 1 REC FEE 1 .0Z Official Records I County of 1 COPIES 2.50 Butte I CiNDWCE J. GROBS I County Clerk-Recorderl i LV 63:2N 10-Ppr-2d' 7 l Page 1 of B AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established. agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: See a-3--� (2�h-e A \t ?1_1 Date q1q (13 - PROP RWNERS: Aali o%A uaw y6- nS State of California County of 1$,LA+k -1 before m ' HEIDI GOMEZ T_ Comm. #1714235 I� � NOTARY PUBLIC CALIFORNIA J Q J BUTTE COUNTY My Commission Expires Feb. 2, 2011 personally appeared_ 'N ro known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed' to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my a Ad and official seal. Signature Seal: ..... HEI DI GOME A.P.# II S^ — Dn3 Q ` rrmm #1714235 jR NOTARY PUBLIC CALIFORNIA Q l/ OUTTE COUNTY 1 . \fr ,cion Expires Feb. 2, 2011 Nick Herrera 530-872-2791 P•1 14887 SNOWBERRY AP# 065-450-003 90.00 MIN. COVER 8• 00 00 1 000 0000000000 @@ 0000000000 G N o'0000000° _ EXISTING °° GARAGE 0 0 0 0 0 00 IA 0000°0.0 00000 . 00 0 0°000 h 24" H TRENCH DETAIL N.T.S. �\ CV as' M . . v tiDR�O AS " N N'CNREE 6 N . NEW 1000 GAI. SEPTIC TANK NF 77� COUNTY own PLANNING DIVISION - BUILDING PLAN APPROVAL ILD®� ��� ` User Date: 3 �s v APPROVED Panting: Land ping: - ---- SCALE 1"= 20- Other. 0'Other Signature: ! Owner: 1 BP#�-� APN: A(7/07 FILE C P Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name: Aa,vn v( qcuu Ochs A.P.# L{-5-6 - Oo3 Home Manufacturer: Gvvtim p-oy, Manufacture Year: Model Number / Name: Width: 2--+ (ft.) Length: 44 4f b (ft.) / FOOTINGS: Wood - pressure treated or foundation grade[,/] Other:[ ] SUPPORTS: Concrete block [ ] Other:[ ] Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. SINGLE WIDE Line 1 Line 2 Line 1 Line 1 Piers: Minimum size piers: Spacing maximum: From ends maximum: Line 2 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Pier Footing Sizes and Locations Section 1 MULTI -WIDE Line 1 Line 2 ---------------------------------- ------ Line 3 Section 2 Line 2 ------------ ----------------- ___--------- ------ Line 4 (triple wide only) ------------ - — -----s.ection3---------------- -- - ------.._..Line_.2.- --- -... --- --- Snow Load: 60 psf ] X [ ] Snow Load requirements may be obtained at hftp://www.upstate-ca.com/bufte/bufte—county/ Insert AP #, view snow load in lower right comer. [ t20 X i c Line 1 Openings: Minimum size pier: [ ] X[ ] Required at each side of openings over ' 'I wide. 2 10 It Zq�il'' . 0iI I S SIOEWRLL i I -BERM > I -BERM > MRTING LINE > I -BERM i I -BERM > SIDEWRLL > 18-0 v2-- DRRIN OUT LET PIER PLRCEMENT GENERRL NOTES I. This plan has been calculated with a 60 pound roof load. 2. Rll 1 -Beam piers have a maximum spacing'oF 8 feet o/c with end piers located no more than 2-0 from each end of the I -Beam. 3. See installation manual for pier configurations. 4. Alternate methods of foundation and tie down construction may be used in lieu of the Champion Installation Manual provided the method has been designed and stamped by a registered Architect or Engineer and the method meets local and/or state building codes. 5. RII dimensions taken from rear edge of.floor. __7 OTES: SERIES Infiniti MLEL CHAflCg.ON HOME BUILDERS Co.o SNCET N31TCfBY JAIME 840PALM AVE, P.O. BOX 429, LINDSAY, CA 93247 SORLE lib' = I'-0' TITLE — s�e� 08,1 1, 3 10:39 BRIE 02-10-2000 PIER FOUNDATION 16'-8 lit' ELECTRICAL MAIN 7-1*—' 1]'-0' GAS INLET 61-01- Wf7TfRiININLE r-43001- - - - -1250-4300}1250 -----43001------ 43001-------43001-------43004.43001-� I�-z� - L-_�-L•�-- - l -J_-_ L - J_ -, L - J - -_ L -.J6 r•-2600 -.2600 •-•-•-•-r•-•- 2600 -r-•- -r = -2600-t-'-•-•-'-•-2600-•-•-•-•-•-•r•-2600-•-•-'-- L-JL-J I II -J ! I ll -J 1 L -J L \\• I I I I I I 1 I I I I I I 1 21'-0' 1 1 1 1 I I I I 1 I I I I I I 25'-11• 1 1 ' p I I I I I I 1 /•/'/ F'-2600-•2600•-•-'-'-[ •-•-2600..-i-.-.---.-.-2600 J L J L •-+-'-•-'---2600-. .------ -.1._2600------ -.-.x!_•_2600 L-J� L L L - JL - - F-----__---___--� JIW JIW �•-2600-•-•-•-•-•-•7r•-2600-•-•-•?-•-•-•+--2600-•- r•-•-•-•-2600=-- --r•-2600----- .� -2600-• — L -J -I �--p I I L-1' I L -J I L I I I I 25•-11' I = I I I I I I I I I I I I I I _j ••� 1 -2600-.-.-.------- .-2600-.-.-.i_-.-.x.-2600-.-.-.i.-.-.-._2600------ ------ i-_2600...... -.4- --- 19 � 00 J 00 L 43 o ------ La4�ooJ---1250.-L25fLL43ao------- 434 ------ 1 J 4 — ------ LH - 13'-9 9/16'1 16'-11 9/16' 44'-0' PIER PLRCEMENT GENERRL NOTES I. This plan has been calculated with a 60 pound roof load. 2. Rll 1 -Beam piers have a maximum spacing'oF 8 feet o/c with end piers located no more than 2-0 from each end of the I -Beam. 3. See installation manual for pier configurations. 4. Alternate methods of foundation and tie down construction may be used in lieu of the Champion Installation Manual provided the method has been designed and stamped by a registered Architect or Engineer and the method meets local and/or state building codes. 5. RII dimensions taken from rear edge of.floor. __7 OTES: SERIES Infiniti MLEL CHAflCg.ON HOME BUILDERS Co.o SNCET N31TCfBY JAIME 840PALM AVE, P.O. BOX 429, LINDSAY, CA 93247 SORLE lib' = I'-0' TITLE — s�e� 08,1 1, 3 10:39 BRIE 02-10-2000 PIER FOUNDATION 09/21/2006 10:01 FAX 530 332.9538 PACIFIC MORTGAGE PROC 0 001/001 1�. .....n .rr.. �...... ry�rr•r LVVV VV LI •�.VV.JI �V111) IVVI/1I.VJJ7 IIV111. JVI111 VVIIIGy 611 A,ggo&L q(r3o�T" /Zoo s9. Fi /r Fr B 9 ! � k Go1�io�e door ova �vblsbtou�i' M� �i 1 po -hub/Shower BUTTE-, COUM " BUILDING IV1841 , APP R VEID BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060593 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty. of perjury that I am licensed under Issued Date: 03/16/2006 APN:O65-450-003-000 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. Lice Number: Site Address: 14887 SNOWBERRY CT MAG License Class : Date: Contractor: Map Index: Description: DEMO CABANA 258 SQ.FT. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HAWKINS RONALD & SHANNON ETAL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of HAWKINS AARON P the Contractor's State License Law (Chapter 9 commencing with Section 164 JAYBIRD LN 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any PARADISE, CA 95969-6187 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as )heir sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to anHAWKINS Applicant: RONALD & SHANNON ETAL owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for HAWKINS AARON P sale. If however, the building or improvements are sold within one -164 JAYBIRD LN year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of ~' "—PARADISE, CA 95969=6187 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or imprgves thereon, and who contracts for such projects with a contractor(s) licensed, pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I he y affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for License M 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: �5 i r�SJ Policy #: Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit.is Valuation:' $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' O Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is h ebby issued under the a is ble provisions of the Butfe County Code and/or I hereby affirm that there is a construction lending agency for the performance of the worfor which this permit is issued (Sec 3097 Civ.) Resolutions to o work indicated abov for ich fees have been paid. Date:1 BY 1/U Name: / Address: PERMIT EXPIRES ON: Mate) Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the authorized agent of the owner. I agree to comply with all county and state la relaf g to building construction. I acknowledge itis unlawful to alter the substance of y o ial form or document of Butte County. I hereby authorize represents ve of utte County to a ter upon the above mentioned property for inspection purpos K", Print Name: Signature: Date: /Ca — ❑ Owner ►YJ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 0 0 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS. 24 HOUR INSPECTION#: OROVILLE: (530) 538=7636 - CHICO: (530) 591-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT INFORMATION OWNER INFORMATION Last Name • kl v�S Must Name Address _ City State -T IMP, Phone" Phone Fax Fax ?/ E-mail _� APPLICANT INFORMATION CONTRACTOR Name C � Address Zrp City Z,p State -T Zip Phone" E{nail Fax E-mail' Ur- # Classes APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address C � Cay Zrp State Z,p Phone l Z _ Z .0 l Faxp E{nail Address State License! Number APPLICANT INFORMATION Name Address COYState !Streetross Zrp Phone Fax E-mail SIGNATURE F9 For office use only: Zoning — Flood Zone ,L SRA No Occ• Type Const. v 7,5 Subdivision Name Map Book I Page Lot # Planner Date Approved: PERMIT NO. BP .. BIN � PROJECT LOCATION APO -45-0 — 66 3 Property Addressi2 I 10 ler City !Streetross WORKER'S COMPENSATION—— Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING -AGENCY Name Address Description or Scope of ork: 04 `✓vr f�C /�l �� Sq FT- Living crag 0 n Cove ❑ Structure Built without Pe •ts "I'lo�We 0Proposed Change of Occupancy (Note previous use): /0010(re IZxba AC-_� 40t, �f ��o I�PruueR EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In prder to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other departinent costs are not refundable. Received by f P • Amount: �� J Bldg SRA Receipt t: ����JSg Sheriff (27V7 / SMIP Date:84- &-!J(� `S'S. "' Other {It . SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK . ❑ 1. Site plans, 3 or4 sets,.signed by the preparer.of the plans. No graph paper! ❑. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets.of stamped and signed calculations. ❑ 3. Engineered truss details and -layouts in duplicate (if required). No faxesl ❑ 4: Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of, ntent for Non -heated and A1C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ .9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review;(May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site. plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ - 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑• 7. Worker's Compensation Carver and Policy Number: ❑ 8: Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal. description from current recorded grant deed; O Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitationand site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this.process, please contact a Permit. Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In.order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon writtenl-request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance. for permits issued; however, on issued permits refunds can only be' made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION LESS THAN 3 ACRE CONVERSION EXEMPTION STATE OF CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION NOTICE OF TIMBER OPERATIONS THAT ARE EXEMPT FROM CONVERSION AND TIMBER HARVESTING PLAN REQUIREMENTS RM -73(1104.1 a) (9/99) FOR ADMIN. USE ONLY Ex. # Date of Receipt Date Accepted VALID FOR ONE YEAR FROM DATE OF RECEIPT BY CDF TIMBER OPERATIONS CANNOT START UNTIL VALID COPY Date Expires _ OF A NOTICE OF ACCEPTANCE IS RECEIVED FROM CDF 1 The Director of the Department of Forestry and Fire Protection is hereby notified of timber operations under the requirements of 14 CCR 1104.1(a). Harvesting of trees which is a single conversion to a non -timber growing use of timberland of less than three acres. (See 14 CCR 1104.1(a) for a description of the conditions on the conduct of this type of timber operation, and additional information that is required to be submitted.) Complete Items 1. through 8. on both pages of this notice. 1. TIMBER OWNER(S) OF RECORD: Name Gene Jeffery Rolls Address PO Box 432 City Forest Ranch State CA Zip 95942 Phone (530)343-7341 SIGNA Date TIMBER TAX EXEMPTION: Timber owners owe timber yield tax when they harvest trees unless the harvest is exempt (Revenue and Taxation Code sec. 38116). Some small or low value harvests may be exempt from timber yield tax: Timber removed from an operation whose value does not exceed $3,000 within a quarter, according to BOE Harvest Value Schedules, Rule 1024. If you believe your harvest may qualify for this exemption, please complete items A and B below. For timber yield tax information or for further assistance with these questions call the state Board of Equalization, 1-800-400-7115, or write: Timber Tax Section, MIC: 60, State Board of Equalization, P.O. Box 942879, Sacramento, California 94279-0060; or contact the BOE Web Page on the Internet at htt1):fl Nv",.boc.ca.go%,. A. Circle the option that most closely estimates the total volume for this harvest, in thousands of board feet (mbf - Net Scribner short log):Under 8 mbf 8-15 mbf 16-25 mbf Over 25 mbf B. Estimate what percentage of timber to be removed during this harvest will be: Redwood. %; Ponderosa pine/Sugar _ %; Douglas -fir %; Fir %; Port -Orford Cedar—%; Cedar (IC, WRC)_ %; _Other, conifer_ %; Other, hardwood %. 2. TIMBERLAND OWNER(S) OF RECORD: Name AARON P HAWKINS Address 164 Jav Bird Way City PARADISE State CA Zip 95969 Phone (530) 520-0349 I certify, under penalty of perjury, that this is a one-time conversion to a non -timberland use, that there is a "bona ride intent" [14 CCR 1100 (b)] to convert to home construction site and yard area and that 1 have mailed a letter of notice of intent to harvest timber, prepared by the Registered Professional Forester, to all adjacent landowners within 300 feet of the boundaries of the exemption. SIGNATURE Date 3. LICENSED TIMBER OPERATOR(S): Name Gene Jeffery Rolls Lic. No. A7332 Address PO Box 432 City Forest Ranch State CA Zip 95942 Phone (5301343-7341 SIGNATURE Date 4. Designate the legal land description of the location of timberland conversion. A map showing the location of the timberland conversion MUST be attached. The map must show the ownership boundaries, the location of the timber operation, boundaries of the conversion, location and classification of all watercourses, and landing locations. Section Township Range Base & Meridian County Acreage to be Converted Assessors Parcel Number 14 23N 3E MDB&M BUTTE .30ac 065-450-003 Page 1. NOTE:This form has two pages. Continue on and complete Page 2. Read the instructions before attempting to complete LESS THAN THREE ACRE CONVERSION EXEMPTION, Page 2. 5. The following are limitations or requirements for timber operations conducted under a Less Than Three Acre Conversion Exemption (Notice, Notice of Conversion Exemption, Conversion Exemption): A. Timber operations shall comply with all other applicable provisions of the Forest Practice Act and regulations, county general plans, zoning ordinances, and any implementing ordinances; copies of the state rules and regulations may be found on CDF's Web Page on the Internet at http://www.fire.ca.gov. B. All timber operations shall be complete within one year from the date of acceptance by the Director. C. All conversion activities shall be complete within two years from the date of acceptance by the Director unless under permit by local jurisdiction. Failure to complete the conversion requires compliance with stocking standards and stocking report requirements of the Act and board regulations. D. The timber operator shall remove or dispose of all slash or woody debris in accordance with 14 CCR 1104.1 (a) (2) (D). The timberland owner may assume responsibility for the slash treatment, provided the landowner acknowledges in writing to the Director such responsibility at the time of submission of this notice. The specific requirements shall be included with the acknowledgment: E. Timber operations shall not be conducted during the winter period unless a winter operation plan or in lieu practices required by Forest Practice regulations are specified within (attached to) this Notice. F. No timber operations are allowed within a Watercourse and Lake Protection Zone unless specifically approved by local permit(e.g. county, city). G. No timber operations shall be conducted until the Director's notice of acceptance is received and a valid copy of this Notice and the Director's acceptance shall be kept on site during timber operations. H. No sites of rare, threatened or endangered plants or animals or species of special concern shall be disturbed, threatened, or damaged. 1. No timber operations are allowed on significant historical or archeological sites. J. Within one month of the completion of timber operations, including slash disposal, the timberland owner shall submit a Work Completion Report to the Director. 6. I, , declare as the authorized designee of the Butte County that this conversion exemption is in conformance with all county regulatory requirements, including public notice. (If the county i has authorized a designee this item MUST be completed. If it has not, see item 7.) SIGNA Date 7. Registered Professional Forester preparing Notice: Name Randolph Vasquez Number 1884 Address 1600 Feather River Blvd Suite B City Oroyille State CA Zip' 95965 Phone (5301534-5229 I certify that 1, or my supervised designee: prepared this Notice of Conversion Exemption Timber Operations; visited the site and flagged the boundaries of the conversion exemption, applicable WLPZ's and equipment limitation zones; prepared a notice according to 14 CCR 1104.1(a)(3) to be mailed by the landowner and that a copy of the notice was posted and dated on the ownership, visible to the public,. at least 5 days prior to the postmark date of submission of the Notice of Conversion Exemption; and that if the County Board of Supervisors has not designated a representative authorized to sign in Item 6., that 1, or my supervised designee, contacted the county and the Notice is in conformance with county regulations. SIGNATURE of RPF 8. NOTICE SUBMITTER(S): Name Gene Jeffery Rolls Address PO Box 432 City Forest Ranch State CA Zip 95942 Phone (530)343-7341 Submitter must be either 1, 2, or 3 above, and must sign. SIGNATURE Date FILE THIS NOTICE WITH THE NEAREST CDF OFFICE BELOW FOR THE COUNTY IN WHICH THE OPERATION WILL OCCUR: Humboldt, Del Norte, Mendocino, Sonoma, Marin, Lake, Napa, Colusa, Solano, Alameda, 135 Ridgway Avenue ? San Mateo, Santa Cruz; Santa Clara, Contra Costa, and western Trinity Counties. => Santa Rosa, CA 95401 Siskiyou,.Modoc, Shasta, eastern Trinity, Lassen, Tehama, Glenn, Butte, Sutter, Plumas, => .6105 Airport Road Yuba, Sierra, Nevada, and Placer Counties. => Redding, CA 96002 EI Dorado, Amador, Alpine, Calaveras, Tuolumne, Mariposa, Merced, Madera, Fresno, Tulare, => 1234 East Shaw Avenue Kern, Stanislaus, San Benito, Monterey, King, San Joaquin and Sacramento Counties. => Fresno, CA 93710 Ventura, Los Angeles, San Bernadino, Orange, Riverside, Inyo, Mono, San Diego and => 2524 Mulberry Street Imperial Counties. => Riverside, CA 92501 { WINTER OPERATIONS Hawkins 065-450-003 less than 3 acre conversion For Timber operations occurring within the Winter Season the following plan shall be used; The in-lieu option as allowed in 14 CCR 914 (934, 954)'.7 14 CCR 934.7(c) 1) Tractor yarding, or the use of tractors for constructing layouts, firebreaks or other tractor roads shall be done only during dry, rainless periods where soils are not saturated. 2) Installation of drainage facilities and structures, is required from October 15 to May 1 on all constructed skid trails and tractor roads prior to sunset if the National Weather Service forecast is 'a "chance" (30% or more) of rain within the next 24 hours The provisions of this subsection do not apply to mechanical site preparation. 3) During winter operations atter rains, road use shall be suspended until the running surface has stabilized by freezing or drying. Hauling operations to cease when surface material must be shaped to develop a driveable medium. * No hauling, road construction, or maintenance shall occur when road surface is saturated as defined in CCR 895.1. Emergency road maintenance conducted to alleviate erosion problems does not fall under this limitation. ' * Erosion control structures will be maintained in working condition during wet weather road use i " at any time of the year. NOTE: "Winter period" means the period between November 15 and April 1, except as noted under special County Rules at Title 14 CCR 925.1, 926.18, 927.1, and 965.5 (a) except as otherwise I: provided in the rules: (1) All waterbreaks shall be installed no later than the beginning of the winter' period of the current year of timber operations. (2) Installation of drainage facilities and structures is required from October 15 to November 15 and April Ito May Ion all constructed skid trails and tractor roads prior to sunset if the National Weather Service forecast is a "chance" (30% or more) of rain within the next 24 hours. z . t.i -- •�w A Hawkins Convesion Location Map rte•' t; Sec 14 T23N R3E MDB&M } x�� i '� mil �{•"L� 'f1 �j; �, =1� �.�� •� � F .� °� �' ,,� �5 �.J t!• -+." �►;ti11S9t J:i IRia SofaSS•Z�•„r 4„sb�.+.V't• • iiii i} a "�„` 'Y� �"�i�' �f�n'Y.'.�781tS r � 25 t ,N•, a t It 96 IL �; �� i� � � 78x. `r: yk �•''' ' • •�i! • f� ` ill �110J �� "s .i, �� r. �F tad • r D {��-- At. < i 16Z t t All 1 t iii"""" • �' �r • � y Y.-+n.�...—SAL ..iw .l : `�r6u PARAD/S£ PINES UN/7 No 3, 35m..O.R. 78,79,80,8/ a 82, REC. 6- 17-70 , 36 Assessors Mop Mo. 6,5-45 County of Butte, Calif. (57-6 PARADISE- �,/NES UN/7" NO. 3 M 65-4; PTN N. E. //4, SEC. /4, T23N, R3E. PTO i4.:::::,:.,, /00 o I /21.00 99.00 ° B'30'•E I /80.00 65.0 /68.74 4 /93 /97 9 /99 - , .` /55.00 s /65.031 ^ 44 I o 7 O 2170 2 O O 0 205 O — $ 206 40 2/O 49.47 /83.00 _ 7 137.87 ch 5• W O /09.// 204 O . m � 207 go Sd 2/282.75 �qp g 2/4 r ` 966.33 /33� 3 WR r _ o 39 39.78 53. 7a v *"' O m /95 /96 CIRCLE /0 3� ey 5 a 9 209 N hry SrAR PINE 3.92 q ` 209 COURT (,j/ 20/ 202O O h 2// p J .96 /28.8/ R�20 O 0 3T h O y 2/8, .......R_'w• S /4 J /- 19 /00.0 13 / •67 Rn20'... ...16.69 /63.34 /8.99 s � / p9 Bq .A /7 60.77 ....90.00...... rY Q Y s 4 s 21 .; 9 ........24.49 23/ ^ O 83.00 . 70R -20•x' 70.00 85.00 64.5/ 72.59 O p O y IV Q / WAY 7m3 2/6 PARAD/S£ PINES UN/7 No 3, 35m..O.R. 78,79,80,8/ a 82, REC. 6- 17-70 , 36 Assessors Mop Mo. 6,5-45 County of Butte, Calif. (57-6 Y is A Hawkins Convesion Plat Map Sec 14 T23N RK MDB&M Home Site Yard Area Landing Snowberry Circle M i S 4050-76B M i i 4050-76B PERMIT N0. PERMIT EXPIRES OWNER C. C. Jacobs CONTR. • • owner 65-45-3 LOCATION (A.P. 25 t 2mberry Cir., Magalia • � Sn ( Temp. Po er Pole Calle PG&E Temp. lec. Serv. C led PG&E Tem . Gas Serv. Called PG&E 0 B r �} F NNALED L/ (Date) (Signature) . 4 COUNTY OF BUTTE — DEPARTMEN.T OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLU BING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaI I Insulation Heaters Slab Carport Footings Prov, for physically handica ed Conformance of ex. structure Appliances Gas Pi in &Test Tem . Gas Slab Final Sanitation Patio FIR PLACE Final Footings Footing ELE RICAL Masonry Walls Throat IlkRou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHA CAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final \ DATE REMARKS OR CORRECTIONS 1f ,q OVo,4�. �5�-�� /G 9—Z— 1-2 �S GAG (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DE'IARTMENT OF PUBLIC WORKS 7 County Center Drive L, .0roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. C� , 1Z111 -',4t4 r ate / Signature off Pfermitee r A nt Receipt No. ` White-D.P.W. — Yellow -Assessor — pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/ bBLIC WORKS BY te /'���•�O� ding permi�expir�esDat�e� BUILDING Owner c SO. FT. OCC. BUILDING VALUATION Mailing Address, Tel hone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �7Gas A. P. Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F es W.C. gaRke+W0 FI re Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements_ Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR LESS Main service 100 AMP OR LESS 5•00 1 3 C7 Main service EA. ADO'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGLING OCCUP. &) 20 sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea _ NEW CONSTR. POWER APPARATUS &) NON•RESI D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)NL@- BAL@1 Ex. OCCUP•(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. C� , 1Z111 -',4t4 r ate / Signature off Pfermitee r A nt Receipt No. ` White-D.P.W. — Yellow -Assessor — pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/ bBLIC WORKS BY te /'���•�O� ding permi�expir�esDat�e� 6 PERMIT NO. 2502-7,6B I PERMIT EXPIRES OWNER C. C. Jacobs CONTR. owrEr LOCATION (A.P. 65-45-3. 25 19 Snowberry Circle, lot 198, PP#3, Magalia j i :r p C J3, r I Temp. Power Pole y Called PG&E Tem/ALED Elea Sery ` / c (Signature) i Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage / Footings Stemwa I I Slab Carport Footings Slab Patio Footings COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) I PLUMBING Firewall N Soil PI in . Parapets 1st Floor • Restroom Finish 2nd Floor Windows 3rd Floor Sidin � J. - -�;w To out Roof Sheathlng Water Piping Roofing Sewer Fdn. VenV Fixtures 6 Garage Vents Insulation 1"---- Water Htr. Heaters Prov. for physically ADDIIances ti FIREPLACE Framing Test Stucco Final Mesh ME NICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventllatlo Door Closer Final DATE REMARKS OR CORRECTIONS Gas PI in & Test Temp. s i Sanit ion . " / Firuill EL CTRICAL Rough Fixtures Grd. Fault Prot. Service Temp. Pol Undergrg4nd Penna ent Final i (NOTE: An entry must be made on this form each time you visit the job site.) it ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive.: — (J'roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT By Date Receipt No. `-d'(r') f `y' White-D.P.W. — Yellow -A se 00i�k-Inspector — Goldenrod -Applicant B ?ding permit expires Date J ' �y` 77 BUILDING Owner 3 ACO SQ. FT. OCC. BUILDING WLU,ATION Mailing Address �t�j'GIS A A� iq 159Telephone �/� No. Fireplace Contractor Q Vq Total Valuation Mailing Address Permit Fee PI an Checking Fee &/or Penalty Telephone No. Permit Fee $ Qa cc Building Address `.J .ZS 5" PLUMBING Nb. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 P .Lar Each gas water heater or vent 1.50 A. P. No. "� ��� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s '>e• S i tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkingarcel Plans Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Id9. Plans Rec'd Parcel Approval Plans • proval Permit Fee $ $ NEW ®. ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ER 600V Main service 10 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 �•��m ��{� r I r CAU) !; AI Aa11" NEW CONSTDNS.. DWELLING OCcUP. & ) 2�sy ft OR DCONST � A(MUL NEW I OUTLET NON-RESID, l BRANCH CIRCUITS) 2.50ea 'T� " NEW CONSTR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:x. Ex. Occup(OUTLETS OR FIXTURES) 50 @� BAL@1 E Occup. FIXED APPLNS, OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15:00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this A permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. A _ ✓1 `� r=� Date �� TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O P JBLIC WORKS 0 P By Date Receipt No. `-d'(r') f `y' White-D.P.W. — Yellow -A se 00i�k-Inspector — Goldenrod -Applicant B ?ding permit expires Date J ' �y` 77 V/ Y ! c ,� rn- rf4 �.. .`:=Y••Y+ir_j _-µ. yF V// _ COUNTY OF BUTTE -G DER.ARTMENT OF PUBLIC WORKS 7 County Center Driva GroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 3rF6 -76 Z____ GU II 1U1 &C IUPICaClllaIIVCTJ UI LIIU t UUllly UI OUlle to enier upon ine above-ment'oned p operty f r inspection purposes. X Date Signature of Permitee or Agent Receipt No. y L 2 3 ?' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. L TOR OF PUBLIC WORKS By �� Date 7 permit e>� s ate 4 a S'0 _-A, BUILDING Owner A 03 S SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor 18015. O ��S Total Valuation n Mailing Address 0 (!j 3 Permit Fee Plan Checking Fee&/or Penalty ✓n� — /aav l� Telephone 9 - Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 O? S!V Q (�/ 13�� /2` rL,' Each Trap 1.50 y9 `� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. (SqE" �� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sanitation I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im rovements P Lawn sprinkler system 2.00 s Recd -• TParcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER N ELECTRICAL No. @ FEE FILING FEE $3.00 */ 71' 5 0 2— 1PERMIT Main service 00V OR LESS 100 AMP OR LESS 5.00 7(o a✓ Main service EA. ADD•L 100 AMP 2.50 Single Family. ❑ Duplex ❑ Mobil Home ❑ Others Main service OVER 6 O 25 00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 ' NEW CONST. DWELLING OC I OR ADONS. ( ACC. BLDGS, kJ) 20sgft NEW CONSTR. MULTI.OUTL T NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professio s Code under the name style o 16014r,O. S Ex. Occup(OUTLETS OR FIXTURES) BA@LC�1@I Ex. Occup ( FIXED APP LNS. OR • OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 .Q. A4 //2,(. �7 Mobile Home Facilities 15.00 ' License No. 178.79 3 Classification Misc. Wiring 6.25 ❑'f am exempt from the Contractors License Laws of the State of California. Permit Fee $ a WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 00 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ GU II 1U1 &C IUPICaClllaIIVCTJ UI LIIU t UUllly UI OUlle to enier upon ine above-ment'oned p operty f r inspection purposes. X Date Signature of Permitee or Agent Receipt No. y L 2 3 ?' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. L TOR OF PUBLIC WORKS By �� Date 7 permit e>� s ate 4 a S'0 _-A, I • f i PERMIT NO. 288-7-76B,P,E ! - PERMIT EXPIRES OWNER C. C. Jacobs CONTR. R. G. Roberts, Paradise ,LOCATION (A.P. 65-45-3 ) 25 Snowberry Circle, lot 198, PP#3, Magalia �s t' :M av s Temp. Power Pole Called PG&E /Temp.G rv. E . E ) (Signature) 1 Q- • Slab COUNTY,OF BUTTE — DEPARTMENT OF -PUBLIC WORKS BUILDING INSPECTION RECORD Water Piping BUILDING BUILDING (Cont'd) Roofing• OiUMBING Setbac 251 " Firewall Soil PI In Footings Stemwall Forms Parapets 1st Floor Prov. for physically r handica ed Conformance of ex.— — structure Main Bldg. Restroom Finish 2nd Floor .sanitation Footings Windows 3rd Floor Footings �/ — � Stemwal I Siding -) I Z r— X11.. T000ut Throat Slab Roof Sheiithin' Water Piping Piers Roofing• Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation — Water Htr. Heaters Slab Carport Footings Prov. for physically r handica ed Conformance of ex.— — structure Appliances Gas Piping & Test T m .Gas Slab Final .sanitation iiage� ' FI PLACE Final Footings �/ — � FootingELE RICAL'>6- Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SP KLERS. Motors Framing — f Test Water Htr. Stucco r Final Subpanels Mesh qL MECHA ICAL Grd. Fault Prot. Scratch Heatina V Service Brown 'Fooling Temp. Pole Finish oucts Underground Interior entilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS �C4 CS? /,7 (2) q) zsxu,l q t6s Q G4 ; (NOTE: An entry must be made on this form each time you visit a job site.) COUNTY OF BUTTE D.FPARTMENT OF PUBLIC WORKS 7 County Center Prive — Oroville, California 95965 Tel eplione"%34-4541 APPLICATION AND PERMIT 4C1_0>P7 176 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date1.&-e—/ -r1 Signature of Permitee or Agent Receipt No. / 4 1� 5,1107 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.�UbLIC WORKS By B (ding permit expires Date BUILDING Owner , SQ. FT. OCC. BUILDING ALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Q Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address C PLUMBING No. @ FEE PERMIT FILING FEE 3.00 s - Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping r 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fie I W. SIP ' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel pproval Pin— J.,proval Permit Fee $ r `� NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00' 100 AMP OR LESS - Main service EA. AOD•L 100 AMP 2.50 Main service OVER 800V 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service// EA. ADD'L 100 AMP 1.00 OR ADDNST l ACC. BLDGS. P & 2¢Sgft NEW CONSTR. MULTI -OUT NON-RESID. ( BRANCH CIRCUITS) '2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style % Y , • C9. ' / � � C'V(•/,(/�j 6ei Ex. Occup(OUTLETS OR FIXTURES) @.SC BAL@1 FIXED APPLNS, OR EX. Occup. (OUTLETS (RESID,) EA) 2'00 Temporary service 110.00 Mobile Home Facilities 15.00 License No. 17Y79322`1 Classification_f.J Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of � Workmen's Compensation Insurance. I to an certify that in the performance of the work for which this ermit is issued I shall not em P employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date1.&-e—/ -r1 Signature of Permitee or Agent Receipt No. / 4 1� 5,1107 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.�UbLIC WORKS By B (ding permit expires Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements . of the California Administrative Code, Title 25, Chapter 5, under permit' number 7 35-7(- for the following location: --2 S- 3^ QCA) BRe/ Owner Owner's Address .� S— _Si✓t��tl /3NiLK �/ �i�� c/. r Mobilehome Mfg. _,al 4"'n��" 51i Model Year h G i MA til. ERMIT NO. 5114-74P.E P +' E M !. ;.MH U,TIL. (PERMIT NO. PERMIT EXPIRES `"'/ �bwNER Carl ilse Jacobs CONTR. Phil Moore Ma alfa l/ LOCATION (A.P. 65-415-03 ) ��25,,Snowberry Circle, lot 198, PP#3, Maga. 120 l .14 ' Temp. Power Pole i? Called PG&E 4 Temp. Elec. Serv. Y Called PG&E 5 / Temp. Gas Serv. Called PG&E', JOB FINALED (Dat r' (Signal re) r ' COUNTY OF BUTTE — DEPARTMENTO'F PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback S / % Firewall Soil Pipinlil Forms Parapets 1st Floo Main Bldg. Restroom Fi -sh 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping% r) Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FI EPLACE Final s ) 7 Footings Footing ELECIWICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRESPRINKLERS Motors Stucco Final Subpanels Mesh ECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent -- Door Closer Final I Final ` '�- / i �, 2 DATE REMARKS OR CORRECTIONS 75' //� T/{ �(� is all)94- �vaiJ � do clef -3 // 7/ G `` �r�. � ti^'�, -�- �-✓✓. �:. sir 2. 3. 4. 5. 6. 7. A • 'MOBILEHOME INSTALLATION WSPECTION CHECK LIST- Is IST- Is the mobilehome located L.' h required separation from lot lines and b 'ld' d 11 ui ings an genera y conform to.plot plan? Yesx� No_ 't. ; Does the mobilehome have required clearances above ground? (Sec.5085) YesX No Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec; 5082 & 5083)•Ye94 No Is the mobilehome,level? (Sec.,5088).Yes No If more than a single are crossover connections properly installed? (Sec. 5088) Yes No ter A.' Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YesNc, B. Test - Does water piping withstand working pressure or 50 lbs, air test? No No C. Backflow -,If coach is not State of California"approved; does station have backflow device and pressure -relief valve? Yes No Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at eachend? Yes No B. Does it have minimum 411. per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3- allons of water through each fixture includingwashing machine standpipe? g pi e. Yes No • D-�ef coach is not State of California approved, does station have required trap 'and vent? s No Gas Piping and Gas Vents A. Connector - Is'inobilehome connectedto the gas supply with an approved 3'/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobi gas line inlet without reductions other than the mobilehome connector. Yes` No B. Test OK as per following procedure? YesNo 1. Open all appliance connector valves 2.. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column;, or*test with slope gauge (minimum. 6oz.7maximum 8 oz.).calibrated in tenth pound increments. Test for 10 min, without • drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No • Ifo ���..1 0� � ��GK� ��, . . 9. Electrical ' A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp), and Ether facilities on lot, i.e., water pumps, garage, cabana, etc,? Yesly. No i B. Is there proper clearances around panels? Yes\/No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? YesNo 1. De -energize electrical wiring system of the mobilehome at the pe estal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected, 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test.instrument to the mobilehome grounding conductor and apply the other lead to each nlobilehome supply conductor, including neutral, 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. t6. Upon completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to the: site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle - L.lG kyn Length 3 Width Vehicle Serial No. J GCS State Identification No, ' 1 2-- C `f' 2-' Additional.Informati.on or Comments: Owner , t C. Mai I i ng Address i1 V 4 fA(a U I Contractor Mailing Address Building Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Telephone No. elephone No. A. P. No. �j��——� Zoning & Planning F V1 Ce SeR+4efteR Fire Dept. FireZone I Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im rovements Plans Declaration P P B g. laps Recd I Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER a r* 4:�11Q Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License N Classification .5—O'S —/ BUILDING SQ. FT. OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L too AMP NEW CONST. ( OR ADDNS. DWELLING OCCUP. & ACC. BLDGS. NEWCONSTR. NON -RESID, (MULTI -OUTLET BRANCH CIRCUITS NEW CONSTR. NON-RESID. (POWER APPARATUS .& SINGLE OUTLET CIR. FEE $3.00 1.50 1,50 1,50 Ex. OCCUp(OUTLETS OR FIXTURES)RL� 109 1 FIXED ALNS. Ex. Occup. ( OUTLETS P(RESID )REA) 2;00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 L'Al am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Ix I certify that in the performance of the work for which this "i59Lermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ei Date s 2c Signature Pe itee jorr Agent Receipt No. ' a+g a��1/ �Q 4 White-D.P.W. — Yellow -Ass v161 — Fink -Inspector — Goldenrod -Applicant Cooling Ventilation Hood Permit Fee @ FEE $3.00 TOTAL PERMIT FEE Is This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI CTOR OF PUBLIC WORKS (( 7 By ' Date � / — ° G Buil ng permit expires Date COUNTY OF BUTTE — DEPARTMINT OF* PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 —76 APPLICATION AND PERMIT y Receipt No. BY �,� Date 3�—ZZ-�� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date BUILDING 7-7 Owner �p Cd SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor � Total Valuation Mailing Address7 Lf Permit Fee Plan Checking Fee &/or Penalty TelhN onee o. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.l)0' 4o7—4o7—Zf X 3 Each Trap 1,50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �$�— �/� — o Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s 1 4,C;_' U41:aH Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Imp provements Lawn sprinkler system 2.00 Bldg. Pions Recd Parce Approval PIVs Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 A-, Main service 600v OR LESS 100 AMP OR LESS 5•00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home EL Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service/ EA. ADD•L 100 AMP 1.00 NEW CONST.DWELING OR ADDNS. ( ACCLBLDGS. OCCUP. &) 20sgft NEWCONSTR. MULTI -OUTLET NON -RESID. BRANCH CIRCUITS) 2.50ea • - NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name le St 0 : Y Ex. Occup(OUTLETS OR FIXTURES) BL@1 A FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.-Pk3 %.3 3Classification f Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @. FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X6"­e­- Date Signature of Permitee or Aaent p%to�a.2.�4_7c TOTAL PERMIT FEE $ 3 o a® This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O ff UBLIC WORKS Receipt No. BY �,� Date 3�—ZZ-�� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date BUTTE 'COUNTY DEPARTMENT OF PUBLIC WORKS ~ 7 County Center Drive, Oroville,.CA. PHO14E: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:. C , , . "TAV6 D 1,3s 2. Installer's name: G'C!IP/.yS T 12 T0,W/ILL /'3. Is the .site currently under permit? Yes / `�%� No _L (If yes, furnish permit number �/ 7 P E ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) •°4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No (If no, clarify ) 5. What is the mobilehome electrical. rating? ----------------------- .r; j Amps .-6. What is the mobilehome site service rating? --------------------- 7. What is the mobilehome site circuit breaker rating? ------------- Amps Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No / ./. (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size. / (in.) r10. What is the type of gas service. -- --- --- Natural/ / LPG / ./ r11. What is the gas pipe length'from meter or tank to the mobilehome? d _(ft.) 12. :What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.') MOBILEHOME SUPPORT DATA Mobilehome Mfr. EL z4 /V (; 0 Setup Model No. � Year' (o Width (ft.) Length (ft.) -ExpandoSize_ft.x ft. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets .(if not on file with the County of Butte) . ^If center piers are other than drawn above, draw in locations, spacing, and dimensions. Foot inj%s-- ( check . one) Wood 'either pressure treated or fdn. ` grade. : IL 2. Concrete pad. 3. Other, --specify Supports (check one) 1. Concrete block 2. Concrete piers 77 3. Steel piers 4. Other, specify 31 Typical Support x in Footing Size in. Max. Overhang , BUTTE COUNTY BUILDING DEPARTMENT APPROVED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC S J,( 7 County Center Drive' — Droville, California 95965 r• Telephone: 534-4541 APPLICATION AND PERMIT - Signature of Permitee or Agent � ,-�/ BY Date `Z_ 7- !� Receipt No. [GSo<9.S /—Z6 —%jam White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Ulldlrl9 permit expires Date ............................................ BUILDING Owner 5 SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor — Total Valuation Mailing Address ZA 2 -Permit G Fee Plan Checking Fee &/or Penalty ' Telephone No. 2.9 Permit Fee $ $ Building Address Z _ A ,. G PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 (�(j Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �— U 3 onin Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 ' F C Fire Dept. FfreZone Use Permit Building sewer 5.00 EOA Parking Parcel Declaration Parcel Ma P 60' R/W Im r p ove ents Lawn sprinkler system 2.00 ,Plans Bldg. � Rec'd Par pp royal Pla Approval Permit Fee $ $ A t5 NEW ❑ ADDITION.[] UTILITIES rj OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter 3,00 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home El Others ❑ Range, Cook -top or Oven 1.00 /� /G Water Heater or Space Heater 1.00 Light fixtures bal 610 Receps., switches & fix outlets CONTRACTORS LICENSE. LAW . I am licensed under the provisions of Chapter 9, Div. 3, of the State of Califor'•a B iness & Professions Code under the name style f: el —� Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.c�2 Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the abo ntione pro erty for inspection purposes. � Y cR i> /?��—�. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF—PUBLIC WORKS Signature of Permitee or Agent � ,-�/ BY Date `Z_ 7- !� Receipt No. [GSo<9.S /—Z6 —%jam White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Ulldlrl9 permit expires Date ............................................ A/ �W c system to bee as per Re - 1,, CountY Dpt. .0,ements o All uAil*�y connectioFe-�Ill be pity locAted within 4 ft4 -wtsid V e rear third stiction 00�'�� obIl(Phome on the left (road si of the rn'�flile homp%l.. This set of plans and Pec;fi,�*aflons c on fhe at all firries o-nd it is uml-wftil - �—I,e any ch, m��s or alftirc,47nns on some •wN.hol " If wrj+fen pe&n;,sc,.,)n fromfhe Deparfrrient Of p'u!::I;c C Oljrj'y of Buffe. ��� cue �� ,�,� �,�- 5;27lx V% T Me "14! Y.. L t� z C5 u COUNT), 3UIL-'DING DEPARI- * ' m e - • --t0' r`0 16 NOMINAL SEE NOTE':? SEE DETAIL®: _ I SEE DETAIL CRAWL:SPACE -. ACCESS SEE NOTE 3 �L_�L- ... 76'-0" MAX LENGTH SEE NOTE 7. - �' C: LONGITUDINAL FOUNDATION WALL ------------ ., 8 CRAWL SPACE VENTS SEE NOTE 2 J ------- TYP. 76'-0" MAX LENGTH SEE NOTE 7.- --- ---- : _:------1 e I z I aIr- a o FM a a a a II I=I. � I, I I I -I I I -I I I=I I I=) I I -I I L=I I I'maistuie I a of 0 I I e22 PI TYP R E RI PP RT: ' RIDGE BEAM SU 0 SUP S � 'MAX 2 � I I - 2' MAIL � o .F NATE; 6" THICKspacing A -HALF -J 4- o. SPACING � SEE NOTE ., SEE'NOTE 8 ryp l I ::. i Typ :K FOR PAD SIZE) >I I RAVEL BASE. SEE SPECS 9E; 9F 4. Foundation system may be governed by:local codes and may be 1 1 subject to:opprovol by Local Building Departments.. Check local soil conditions. o:7 $e8' manufacturer's and Installation Manual for spec spacing and load requirements for marriage wolf: supports: a_ a s o a- o �; o ;,} o o, f o I---�--- r -T--- _a _a 7. At dimensions ; (length and width) of foundation to fit specific model Ii - 86 TOENAIL o 8' O.C. 1. LJ a LJ c� LJ a aF001 10 a a r QAOFES O - a I C 0:4 W I �I 1 MARRIAGE WALL SUPPORT I DESIGN SPECIFICATIONS I I I I I B -HALF SEE NOTE 9 I E E .. - • --t0' r`0 16 NOMINAL SEE NOTE':? SEE DETAIL®: _ I SEE DETAIL 10' TO 16" NOMINAL SEE NOTE 7--], CHASSIS RAIL SUPPORT SEE NOTE 8 GENERAL, NOTES :I. References : c. : 2001 California Building Code. b. Mobile Home Installation Guide -- Slate of California . C. Manufactured Home Setup and. Installation Manual -- Champion Home:Builders Co. d. Tille 25 iv. 1 D .Chapter 2:Mobile Home Parks Acf. ::-fKIN _ 18'MINIMUM i J6' MAXIMUM12" MINIMUM 2. Under floor area shall tie ventilated in accordance with Section 2306.7 e I 4 of CBC and net area of suchopening sholl not be less than 1 square: 25 -_- -_- II toot for each 150 squore'feet of -under lloor area. Where underfloor L - - - - - - - - - - - - - - - - - -.- - - - - - - - - - - - - - I=I. � I, I I I -I I I -I I I=I I I=) I I -I I L=I I I'maistuie is not considered excessive, tfie. required net area of vent - - - J - - - , x. WOOD PADS. SEE RIDGE: BEAM SUPPORT. SEE NOTE 9 o enin ma be reduced .to 10% of the: above, rovided the under -floor e22 L: FOR PAD AREA. MARRIAGE WALL SUPPORT. SEE NOTE:10' I ground surface:area is covered with onapproved; vapor retarder. The location andquantity of vents shown on foundation plan are far ::9. manufacturer's and Installation Manual for size. and' location: of ridge beam supports. Location to fit specific model. PECS 9B, 9C. 9D SEE TABLE K AND TABLE L FOR PAD SIZE 'EXAMPLE ONLY". See Detail G fox on exam le of vent o goN p penia sizeand - - - - - - - - -- .. NATE; 6" THICKspacing for o 24' x 60' buildinRETE - PAD SEE 3. Crawl space access hole shall 'tie 18' x 24". Contractor to locate 'or 14 _ G U TAPPRN / AUR UWASHER :K FOR PAD SIZE) determine actual location: 24 RAVEL BASE. SEE SPECS 9E; 9F 4. Foundation system may be governed by:local codes and may be 41 41 28 (GRAVEL NOT REQUIRED W/CONCRETE PAD) subject to:opprovol by Local Building Departments.. Check local soil conditions. SEEOE CN SPECS 9g $e8' manufacturer's and Installation Manual for spec spacing and load requirements for marriage wolf: supports: 5. Contractor to verify all es -built building dimensions and conditions at - I SHOWN W/0 OFF -SET the site. : o ;,} .. .. 6. Design loads shall be consistent : with those established for permanent -A 1 I. This Foundation System su ys pert any requge - char 1n eeds merit or Tie Downs an s nu Ground•An�� 'specified' the faclurer's Selup'and,Instollotipoa buildings within the specific local area. -- ' 7. At dimensions ; (length and width) of foundation to fit specific model MAY BE OFFSET LEFT:dt/OR RIGHT PER PLAN FLOOR PLANS - 86 TOENAIL o 8' O.C. to be installed.: - o I I I- I FG -1: �. .. a. I .. a I i I a I I I e I 4 ��4x6x33' LAIN OF. B2 i� LEwGM SUFFICIENTTO COVER' 2 BAYS) 25 8. See mon f0 Curer S Setup and Installation Manual for specific spacing and loadurequirements for chassis, rail supports. See Setup i L - - - - - - - - - - - - - - - - - -.- - - - - - - - - - - - - - - - _ - - - - J - - - - - - - -� - - - J - - - J . ---.111.. .. e22 .... JOIST 2-I6a NAILS ®EACH SUPPORT 7.:. ::9. manufacturer's and Installation Manual for size. and' location: of ridge beam supports. Location to fit specific model. O c ti - - ... - - - - - - - - -- .. 72 72 7 72 72 .. -! VARIES - 20; . . 24 28 ..PIER FOR DIRECT ARACHNETlT 14 _ G U TAPPRN / AUR UWASHER �O. Setup ' " 37 37 30 7 1 24 B 24 - 41 41 28 LISTED ALTERNATE: USES 4 Bsxl .1/2' : ... SEEOE CN SPECS 9g $e8' manufacturer's and Installation Manual for spec spacing and load requirements for marriage wolf: supports: 20' 24; 28 I SHOWN W/0 OFF -SET W OFFSET: .. .. .. .. SCREWS WITH 5/8' WASHER TO CLAMP MER O w000 BLOCInNC T DETAIL W �' � PIER LISTED FOR DIRECT �a AC MEM: ALTERNATE: D.ETAI.L.X 'USE�APPRO�EO 1 I. This Foundation System su ys pert any requge - char 1n eeds merit or Tie Downs an s nu Ground•An�� 'specified' the faclurer's Selup'and,Instollotipoa �. - MAY BE OFFSET LEFT:dt/OR RIGHT PER PLAN FLOOR PLANS � � �' PRESSURE � CLAMPS .. mo Manual. r QAOFES O WITH OFF -SET ENDWALLS REOUIRE MATCHING FOUNDATIONS DESIGN SPECIFICATIONS WITH THE SAME OFF SET SHOWN. -DETAIL C APPLIES ON SHORT LONGITUDINAL OFF=SET PERIMETER FOUNDATION 3v m LEGEND. cc No..0 32811 ' . a T .:MARRIAGE WALL SUPPORT EXP.6-30- � . i .. ir. 7:1 J RIDGE .SUPPORT' J,rgr CIV I� ��p3 OF. CAI\FOQ Q F CHASSIS RAIL SUPPORT -1- Sod, bearing capacity assumed�to be at 1000 psf. - 2 Minimum concrete fc 0 2500 psi 0 28 days 3 Steel 'reinforcement to be ASTM A615 F) 40ksi or; 60ksi. - - 4 Masonry units * to conform to ASTM C 90 5 Roof live load may be 20, 30:: 40, 60 and 80 psf. . 6 Wind load = 80 MPH Exp .8 or -:70 MPH Exp C. 7 Seismic Zone 4. 75% reduction far snow loads. SD Soil. Type of Fault : A. Distance : 5 KM - (For local jurisdictions requiring 50% reduction, use anchor bolt spacings for twice the snow load. See Detail H.) ' 8 Roof pitch: = 6:12 maximum. Sidewoll height 108" .maximum. - - - - - - a, requirements I consist u o woo f r se. $EGTION o1a thrgravel base. - FOUNDATION p wLmTt Pals ARD PADS tram zs ro t ' .. � 9 iy support: systems using lumber, plycrood and grovel ba I!'�� � I A R o sysiem cons' d ad and foundation pie I 'I�hV: 'r ` b. lumber. n plywood required- to ..be preservative treated shall be ress re treated and be r th FON - d 'rk' d h II b 5/8" ;ANCHOR BOLT SPACING, 1N. O.C. FOR 66':MAX.LENGTH HOMES IN SNOW LOADS:. NIT WIDTH20 FOR TRANSVVERSFALLS PSF130 PSF140 PSF160 PSF80 PS s 20 24, . 37., ... 3. 2 4 4i 4i 1 28 25 1 C 7 72 72 72 1 72 m Q 1 a 20 24' 28 28' 32' D Z Z e22 72 72 72 7 7.:. JAIIS O c ti 24 28, 32 C 72 72 7 72 72 - a 20; . . 24 28 a " 37 37 30 7 1 24 41 41 29 ' : 24 - 41 41 28 OI 0 c0 20' 24; 28 7 7II 72 7 72 -72^ �. 5/8' DIA•ETER AR'CIiOR SOLT ...... .: . Ilia COMMON 0 _i 2' O.C. OR . WITH 2TO CO 6 WASHER ... ... ... .. - .. 1' 6' ' EMBED 7' INTO CONCRETE OR - !Oil COMMON ® 10' O.C. 5/8" OIAMETER.ANCHOR BOLT Ilia COMMON ®12' O.C. OR, INTO GROUTED MASONRY TOENUL HOME TO MUDSILL. : - WITH 21,2i,3/16 WASHER .106 COMMON B 10' O.C. - BLOCK SEE QN FOR SPACWG SIMPSON SfRONC-TIE TP37 OR EMIIED:7'. IMO. CONCRETE OR TOENAIL HOME TO BLACKING - SIMPS METAL PRODUCTS NP37 ' INTO GROUTED MASONRY I ti OR EQUAL FOR EACH TS NP3HOR 8oL1 : BLOCK SFE 9) FOR. PACING-SIMPSON STRONG -TIE TP37 OR _ FASTEN w/(7) - 8o NNLSiO R81 .SILVER METAL'PRODUCTS NP37 e OR EOUAL FOR:EACH ANCHOR BOLT .N r 2..6 PRESERVATIVE TREATED MUDSILL AND (7) - 8d NAILS TO MUDSILL FASTEN w/(7) -. Sd NABS TO RIM 2.6 PRESERVATIVE TREATED MUDSILL AND (7) - lid RAILS TO MUDSILL 6" COlICRETE OR 6' OR 8' SOLID GROUTED GROUND SURFACE " NIN 253 BLOCKING MAY BE ADOEO MASONRY BLOCI( STEM tYW.L 6: CONCRETE...1 6';OR 8',SOUO GROUTED BETWEDI OUTRIGGERS TO RAISE F1OOR 14 REBAR ®48- O.0 MASONRY BLOCK STEM WALL-,, FOR OUTRIGGERS TO CLEAR MUDSILL. CONCRETE FOOTING I_I I I '° FASTEN BLOCKING TO MUDSILL W/10d FINISHED CRAG' BS REBAR ®.48' O.C. I p 1Y O C \ p u a e_ gra a mo on s a ear on approved quality mark: or that of an approved inspection agency. c. Preservotin treatment shall be in accordance'with American Wood -Preservers' Association AWPA C2 or C9' or applicable AWPA standards for above -ground use. d. Where preservative lumber:is cut in the field, the cul surface sholl'be treated with not less than �3% solution of the some preservative' used in the originol .treotmenl. e The grovel Bose shall not be less then 6 thick and shall extend of least 6 beyond all edges of the wood pods The bottom of the gravel shall be a minimum of 12' below ground surface . I. The gravel base under the fooling pad sholl be limited to the follorying Maximum of 1/2" for' crushed stone . Maximum of 3/4" for gravel _ __:ON EACH SIDE Maximum of 1/16" for sand �, „ : CONCRETE fOOnnG I- I I Must :be :clean and free of sill, clay, and �orgonic material. �. FINISHED CRADE� : - .. g. Fasteners sholl be corrosion resistant as follows i a 14" OPENING Below grade : Type 304 0{ 316 stainless steel 'III I I= ' NUDSRI Above grade Hot dipped galvanized or hot tumbled galvanized nails. 4 RER4R. COM I -I B -1 I I 'III _ - FlA75ME0 GRAD 4 1/2' OPENING stainless steel fasteners, .silicon bronze or copper IOsteners: IOr IYP. i0P & BOTTOM - - - (!4 9OBAR 1 1 17=,1 1- - plywood. Lumber to lumber fastener sholl •be some as below grade. M. TOP &BORON III GROUND SURFACE : 'err OPENINGS STALL BE 10. Manufactured load bearing supports or, devices shot be listed and labeled by 12' NW c= 60 PSf - - - IP MIN FOR 80 PST 28W. " CONVERED: W/CORROSION On approved agency. I4' MIN fOR 80 PSF 32W -'12' NIN <- 60 PST RESISTANT 1/4' MESH SCREENS `*' =•tr^ .s' 1. s::�, .. 13' MIN FOR SO PSF 28W ou 6 U :rt ' T .•;�jy . 9 5/8" ANCHOR BOLT SPACING, IN. O.C. FOR 76' MAX LENGTH HOMES IN SNOW LOADS NII WIDTHIRMO 51P SEIFso PS = a 24 28' 32' 6 2 f:jEd. 38 25 7 � O C) c 24' 28' . 32`:: 1 C 7 72 72 72 1 72 m Q 1 W 0 a 28' 32' D Z Z e22 3 37 ' 7.9 5 222 38 1 O c ti 24 28, 32 C 72 72 7 72 72 - 14 MIN FOR 80 PST 32W_: PERIMETER FOUNDATION @ LONGITUDINAL WALL. ( C PERIMETER 1. FOUNDATION @ LONGITUDINAL WALL D EXAMPLE OF VENT OPENING LAYOUT G.58 U LIDNI NG DIVIS10" APPOMD DOTE: FOR FOUNDATION READY HONES WITH RECESSED - CHASSIS. USE DETAILS SIMILAR TO DETAIL©: -. 5/8" DIAMETER ANCHOR 80Li : MANUFACTURED 110TH E/MOBILE NOME' SPACE ANCHOR :BOLTS FOR TRANSVERSE YlAl15.. WITH 2x2x3/16 WASHER ..: 3/8' PRESERVATIVE -TREATED PLYWOOD I .FOUNDATION SYSTEM EMBED 7" INTO CONCRETE OR FASTENED WITH 8d NAILS 0 4' O.C. TO REALTH AND S, FkTV CODE, SECTION 18551 SIFi1 wvN 1-BFAM INTO GROUTED MASONRY RIM JOIST.: MUDSILL AND BLOCKINGS APPROVED (VEE IFr STEEL:BEW HEIGHT) : }/8' PRESERVATIVE tttEarEo PLYY;OOD..: BLOCK SEE EQ.FOR SPACING SEE SPEC 99 FOR TYPE OF NNIS "' 5/8' DIAMETER ANCHOR 'BOLT FASTENED 67TH Ed NAILS 0 4 O.C. TO BLOCK ALL PLYWOOD EDGES "" SUBJECT TO CORRECTIONS NOTED VATH 2x2.3/i6 WASHER RIM JOIST, MUDSILL:AND BLOCKINGS STEEL MAN I -BEAM Y BLOGKOUi IN STEM WALL - :EMBED 7" INTO CONCRETE OR -. - SEE SPEC 9 FOR TYPE OF NAILS (VERIFY STEEL BEAM HEIGHT I . � '^""' ' . ' " . 9' ) FOR MAIN I -BEAM APPROVAL DOESNOT AUTIIORIZEOR APPROVEANY . INTO GROUTED MASONRY BLOCK ALL PLYROOD:EDGES ... .. .. BLOCK SEE p FOR SPACING B12x1 3/x' cw.v SCREWS ®16" D.C. 2.6 PRESERVATIVE: TREATED MUDS! LL 1 -2x6 PRESERVATIVE TREATED MUDSILL OMlsslons Ok DEvinrlO:. Fltoas REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS ' 2,6 PRESERVATIVE TREATED lAUD5LL 5" CONCRETE OR 6" OR 8" SOLID ' GROUND SURFACE : - - :... : GROUTED MASONRY 8LOCK'STEM WALL : 2x6 PRESERVATIVE TREATED BLOCK Sante ofColifomia ;. 6' CONCRETE OR 6-. OR: 8' SOUR a ' . ' ' ' . ' ' ; , I Dc trn nl of Housin • imd C. -i Develo eat 3 GROUTED MASONRY BLOCK STEM WALL s : OROUNO SURFACE ;r4 REf3AR ®48" O.C. DIAMETER ANCHOR BOLT par b tY pm CONCRETE FOOTING 5/8" OIA TE O.C. n I I-) I - WITH 2x2x3/16 WASHER DVISIO OFCOD ANOSTANDARDS B4 REBAR ®48' C_ FINISHED CRAZE CONCRETE FOOTING ILII -- _ EMBED 7 INTO CONCRETE OR FINISHED GRADE I INTO GROUTED MASONRY By DATE- . - - - Mw BLOCK E .� (signature) .: ... - L SPACING PAN I- _ IIIA 10 - K SE ® FOR SP Nates: .. _ 5 O. Bolts shall be embedded al least 7 into concrete or mosoniy.- - _ �4 REBAR. .CONT. III I I.I e _ This Plan Approval Expires - z.. B4 REBAR. CONI. - III I I i- y TYP. TOP &: 80TTOnl - I 1 -III- 1 s Bolts shall be spaced not more than 6 feet apart. rip. TOP & BOTTOM '- 1 i-1 I -' S EC T I 0 N . .Y -Y 2 Bolts, minimum per sill plate. Locate 12',max to 4.5" min each end. : 12' MIN c= 60 PSF .. ... .. - 12". NIH <_ 60 PSF - - - 2-' 3 2" ( 3/16' washer required on each ball 13' MIN FOR 80 PSF 28W : 13' MIN FOR 80 ?3 28W ... .. ... .. 14" MRI FOR 80 PSF 32W .. ... ... .. 14 MIN FOR 80 PSF 32W .. - .. .. .. - - .. . . PERIMETER FOUNDATION @TRANSVERSE WALL PERIMETER FOUNDATION @TRANSVERSE WALL.. "" ANCHOR 80U.:SPACING =,H E::: :. F a --------------- TITLE: SPA 24-3F DATE: 08-30-2005 SCALE: N.T.S. DRAWN BY: PLANT 009; REVISED REVISIONS 12/20/05 TO 80 PSF 2/1/06 ADD LACO 1/16/07 REV. BOLT SPC. SHEET NO: SPA 24-3F PAGE: W Co m CIA v ON cc > W � O z J J m Q U.Q W O m W D Z Z J Z' LL O Of a TITLE: SPA 24-3F DATE: 08-30-2005 SCALE: N.T.S. DRAWN BY: PLANT 009; REVISED REVISIONS 12/20/05 TO 80 PSF 2/1/06 ADD LACO 1/16/07 REV. BOLT SPC. SHEET NO: SPA 24-3F PAGE: W LL OM. v/ ::' 000 1 W LL ,nW/ (� 'LL -Z >p W ? O. 0 (L N L� r m Q U.Q o 0 � W D Z Z J Z' LL O Of TITLE: SPA 24-3F DATE: 08-30-2005 SCALE: N.T.S. DRAWN BY: PLANT 009; REVISED REVISIONS 12/20/05 TO 80 PSF 2/1/06 ADD LACO 1/16/07 REV. BOLT SPC. SHEET NO: SPA 24-3F PAGE: AAL r. ` cr•t t'p ����P�.YFIEr`$F3 PaGkii�{-�.a. S5 jar�+`a S ` I1 dk� �,fi=rk�I use ►n ibe «l , i ! Pt' F°{ a �`� kL Mar -,G9E-,[cel C O e Ci €.R v FT�kQaE"ii�;gi'�€y ''•' - __. tlle 1�lc�fiia�-ze�l �.lec`a►ie.ez! k r. 'io k set �� plans is u��k���ad,k Itils[�t� !' ata 4t all Alit�e� same witfa�,ui y t oil the { Eass �� � ki W� k,e ally ckEaiz�es er of u� �• � ' ``, Make $-moi„ ine 1 per«iiss.,s� l+ i�a='h�, '4Nr►ta'v�� aaIte Works, County �� C�i `�.t � � \� ^ •{-..a ' `ate a ` pC^i. r.�t � t-4. rf a E fir^ �� ee.•Ca�� ,,. r�cPa ilii VQ ,� of } �Ei�iit�Ytt,6Cr x. lip i , r ' 11 ( 1, c 4 n; e „ .1 Y g J , 4 ,",_. � �•�.,""�`,��....�...��,:.....,.;�,..�.,�-,,,. /0..1i idrtk wy � 11y,t-tG„r:.ct"C°2C. PLO j PL A N� . N W .' F-!-�- ; Y f'-'/ fes' I q r� 's v F • V4 00% Iv%0 611- M41 Lir, 1-18 'tl mt'bG i� s k.< j f S W, 'VXUJA' I Pt a Iii ti (� ` i [lq! l.1W1, {Citi (tfi Ci£.11r` Vit, iit t _filo f? fY, to t � j ( �f ! r.. T s i� 7' i I �UILDING DEPARTMENT ��' C J <,r_�_ �h�, c—1 76 I�