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066-400-024
RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. SYLVIA THOMPSON REAL PROPERTY OWNER/LESSOR PO BOX 3103 MAILING ADDRESS CHICO BUTTE CA 95927 CITY COUNTY STATE ZIP 13715 SKYWAY INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP WEVUR UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0451 (530) 538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD 1978 SANDPOINTE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER CAFL1A802671777 70'X 12' 081863 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 066-400-024 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-0451 Address or location of unit: 13715 SKYWAY, MAGALIA CA 95954 Legal Description of Real Property: 066-400-024 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: SYLVIA THOMPSON Owner's address: PO BOX 3103, CHICO CA 95927 INSIGNIA OR HUD NUMBER: 081863 SERIAL NUMBER OR V.I.N.: CAFL1A802671777 MANUFACTURER'S NAME: FLEETWOOD YEAR: 1978 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Trade Name SANDPOINTE CERTIFICATE OF TITLE DOM 00/00/1978 DFS 08/28/1978 Manufactured Home Decal No: AAN7201 Serial Number Label/Insignia Number Weight- Length Width SPC SCC Exempt Use Type CAFLlAB02671777 081863 70' 12' ACD. 04 Manufacturer ID/Name FLEETWOOD Trade Name SANDPOINTE Model DOM 00/00/1978 DFS 08/28/1978 RY 1978 Exp. Date Aug 31, 2006. Serial Number Label/Insignia Number Weight- Length Width SPC SCC Exempt Use Type CAFLlAB02671777 081863 70' 12' ACD. 04 SFD ILT Issued Total Fees Paid . Jul 21, 2005 $182.50 . Addressee TIMOTHY KIDD PO BX 906 MAGALIA, CA 95954 Registered Owner TIMOTHY KI`D PO BX 90ftQ.;,,AA MAGALIA 95954 Situs Addess 14087 NIMSHEW RD MAGALIP0, CA 85954 0-.110-0. 7fe„ L�F �Y - i- t: SON' ON, M I 0 • Q 0 IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED. WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 3862707 07212005- 62 'SECTION A ;SMOKE•DETECTOR CERTIFICATION' r n L ; The California Health and Safety Code requires that all used manufactured homes and used mobilehomes be equipped with a smoke detector which is in proper working order on the date of transfer. A declaration may be signed within 45 days prior to the date of sale stating that the smoke detector was operable on the date the declaration was signed. We further agree to indemnify and save harmless the Director of the State of California, Department of Housing and Community Development, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the unit in California, or from, issuance of a California Certificate of Title covering the same. IfWe certify under penalty of perju under the lawsof C_ C of the State of California that the foregoing is true and correct. Executed on00at City Mate ,r 96`. �� ate_ _ Signature Printed Name SECTION,B =>RELEASING SIGNATURES'.. �. ° f : ; y k' - a._ J' Ia. Date of Release Releasing Signature of Registered Owner lb. Date of Release Releasing Signature of Registered Owner 2. 'a Release ❑ Retain 'r ❑ Assign Interest Legal Owner of Record (if any) sign and check appropriate box (• If Assign Interest is checked - Complete New Leal Owner Below) SECTION C =:NEW OWNER INFORMATION'; 4 r.° '�'. :t ,'t:,.` _, ti ; • i�r^� F �' ar WNER�Pleas NEW REGISTERED'O _" �.-..- .---�.-,M • 4�s--:w.:.�.,;'..,.:.� '.�:. ..._.. _ . _ e Print:orType ClearlY...._'_ 3a. U1,1 3c. ,New Registered Owners Naml New Registered Owners Name. 3b. 3d. 7b. 7d. Y._ Signature of New Registered OwnersSi nature of New Registered Owners t., .. ,. NEW LEGAL OWNER ;Please Piint or_Ty a Clearly 8a. 8b. New Legal Owners Name New Legal Owners Name If more than one New Lender going onto title, please check the appropriate Co-owner term box below. ❑ Joint Tenants with Right of Survivorship ❑ Tenants In Common OR *❑ Trust/Trustee(s) (• If this box is checked -Complete HCD 476.613) ❑ Tenants In Common AND ❑ Community Property ❑ Community Property with Right of Survivorship 9. Mailing Address of New_Le al Owner_ T , . g y _ City/State Zip Code_ _ �� _.� --- . NEW JUNIOR LIENHOLDER ="Please Print or, Type ClearlYt: , r . j Y, 10a. New Junior Lienholder Name I1. Mailing Address of New Junior Lienholder 'SECTION D,= RELEASE OF:DEALERS r-``." 12. Signature of Selling Dealer 10b New Junior Lienholder Name :ity/State Zip Code Print Dealers Name and Dealer Number W, New Registered Owners Name New Registered Owners Name If more than one New Owner going onto title, please check the appropriate Co-owner term box. ❑ Joint Tenants with Right of Survivorship ❑ Tenants In Common OR *❑ Trustfrrustee(s) (• If this box is checked -Complete HCD 476.6B) ❑ Tenants In Common AND ❑ Community Property ElCommunity Property with Right of Survivorship /zrn Mailing Address of New Registered Owner City/State Zip Code Actual Location Address of Unit 0 City/State Zip Code 6. Z.; . on /- /q ©© 6 r hase Price or phrck box if Gift -E] Purchase Date or Transfer Date 7a.___J/ 7c. S' n�tumew egistered n Signature of New Registered Owners 7b. 7d. Y._ Signature of New Registered OwnersSi nature of New Registered Owners t., .. ,. NEW LEGAL OWNER ;Please Piint or_Ty a Clearly 8a. 8b. New Legal Owners Name New Legal Owners Name If more than one New Lender going onto title, please check the appropriate Co-owner term box below. ❑ Joint Tenants with Right of Survivorship ❑ Tenants In Common OR *❑ Trust/Trustee(s) (• If this box is checked -Complete HCD 476.613) ❑ Tenants In Common AND ❑ Community Property ❑ Community Property with Right of Survivorship 9. Mailing Address of New_Le al Owner_ T , . g y _ City/State Zip Code_ _ �� _.� --- . NEW JUNIOR LIENHOLDER ="Please Print or, Type ClearlYt: , r . j Y, 10a. New Junior Lienholder Name I1. Mailing Address of New Junior Lienholder 'SECTION D,= RELEASE OF:DEALERS r-``." 12. Signature of Selling Dealer 10b New Junior Lienholder Name :ity/State Zip Code Print Dealers Name and Dealer Number W, Order No. 300908 EXHIBIT "ONE" BEGINNING AT THE EAST QUARTER CORNER OF SECTION 36, TOWNSHIP 22 NORTH RANGE 3 EAST, M.D.B & M., AND RUNNING ALONG THE EAST BOUNDARY OF SECTION 36; NORTH 1 ° 18' EAST 300.99 FEET; THENCE NORTH 87° 27 WEST 408.75 FEET TO THE TRUE POINT OF BEGINNING; THENCE FROM SAID TRUE POINT OF BEGINNING SOUTH 30 32' WEST 111.68 FEET THENCE NORTH 870 00'2511 WEST 146.85 FEET; THENCE NORTH 20 00' EAST 110.52 FEET; THENCE SOUTH 870 27 EAST 149.82 FEET TO THE POINT OF BEGINNING. Assessor's Parcel No: 66-400-024 2 FA r i Butte County Department of Development Services. IN O I E S 7 C81'unty Center Drive, Oroville, CA 95965 (530) 538-7601 www.buttEcoilnly neUdds gU.-YE.DII-i .'�u"t RESIDENTIAL AP N: Permit No. Owner. _. 066-400-024 06-0451/ THOMPSON, SYLVIA OL lb Site Address: _ %/� SKYWAY, MAGALIA CONT: OWNER Contractor. —'�M/H PERM FND (NEW) { Type of Permit: . I . f ��• -� - I �- Ifo• • �t U.B >! �" FIC�COpY Address f f f GASBy Dat' Meter ti ELECTRIC Date`s Meter By I y � 1 E 1 CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: I N, SIGNATURE: OK u..• nil r MANUFACTURED HOMES I MISCELLANEOUS DATE RMANENT FOUNDATION SOFT -SET DATE D E C K S'C O V E R S`C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements oning-Setbacks-Easements 2 Soils; Special MH Support Sketch 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Sewer; Loctn-Test; Fall/C/O-Concrete 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-Clrncs-Gr Amp -Concrete 6 Y d Gas; Loctn-Zeit-VY�S Nat E] or LP rich I Ft Lngth 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs Ick , Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors $�G MH Test-Demand-Valve-Cnnctr 1 . 7 Electric lec MH Cntnty Test-Crossovers-Breakers-Clrncs } 8 Frmg; Sills-An chrs-Stu ds-Rftrs-Trusses MH Test -Fall -Flex Cnnctr Sewer Connected -CIO to Grade �Fand �} 9 Siding; Nailing -Veneer -Stucco -Lath { 10 Roof; Shthg-Roofing Electricity Tagged U 11 Ext; Steps -Doors -landings �.Zwns ❑ Foundation 12 Braced Wall pnls 19 Slrft of Occupancy UD Label/Ins' n'a Numbers Serial Numbers °'e ; °\ °�• ° ort, • '� DATE POOLS 1 Setbacks -Easements ( 2 Soils; CompactionStructure Stability i } 3 Pool Structure; Steel-Cnnctns-Thickness +j Dead Men -Lining t 4 Elec Rcptcls/L6ng; Distance-GFI GL 0'4\c o'er o\\c 5 Elec Pool Lting; 15 volts-GF1 6 Elec Encisrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms a 13 Bonding, Diving board or Slide o ' Pool Drawing } I I } f -r = OK Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR I DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel -Blockouts-Wra pped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 69 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test it Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation DATE (FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Fiue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration -Walls -W ndws DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing -Lis & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cirrs in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or El AL AC Wire Sz ga ❑ CU or [:1 AL 48 Range Circ ga ❑CU or ❑AL Oven Circ ya ❑ CU or ❑ AL Insulated Neutral ❑Yes ❑No 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector I/ e 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub-Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE IMECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 0 FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-CImc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GF1 Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking CImc 77 Elec Outlets & Rcptcls atKtchn Counter 78 Garage Fire Door; Swing -Landing -Closure .79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn .82 Elec Rcptcls in Garage (GFI) Romex Prtctn 63 Insultn-Foam-Looked in Attic _ 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑ Yes [::]No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vr is abv Roof, Plmb-Appinc-Frplc-CImc to Opngs -90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspcfns 95 Gas Test -Meters Tagged, Gas-Elec -96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler e ' Yi COUNTY OF BUTTE BUILDING DIVISION f DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE n OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address,and should be corrected. Please call for re -inspection when correction of work is completed.' If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. /" ,( (a ' L1 -Ar L Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 Date 7- OL Inspector REV 4/05 Phone # c. FOR RE -INSPECTION CALL: .538-7636 OR 891-2834 'A .... ............. r St COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION- NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. I 2fa Vle 6 LI 71 11 /y 6 7-6- tJ/C/ , 13v_7_ rs A 14-7 6 x Date 7- OL Inspector REV 4/05 Phone # c. FOR RE -INSPECTION CALL: .538-7636 OR 891-2834 'A COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ��ILICI'ILrin� ' ' rIG�%7m A routine inspection indicates that the following violations of Butte County Ordinances exist at the above addressand should be corrected. Please call for re -inspection when correction of work is coed. If you have any questions pertaining to this matter, or need additional explanatio lease contact the Building Inspector as indicated below. i Date _ / (l Inspector - _& REV 4/05 Phone # v /� FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 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. BP060451 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: 04/21/2006 APN: 066-400-024-000 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. Site Address: 13715 SKYWAY MAG License Class : License Number: • • Map Index: Date: Contractor: Description: NEW MH NEW SITE PERM FNDN (840) OWNER -BUILDER DECLARATION 1 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: THOMPSON SYLVIA permit to construct, alter, improve, demolish, or repair any structure, prior P 0 BOX 3103 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 CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 95927-3103 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 - violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: THOMPSON SYLVIA Code: The Contractors' State License Law does not apply to an P 0 BOX 3103 owner of property who builds or improves thereon, and who does CHICO CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 95927-3103 sale. If however, the building or improvements are sold within one 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 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 Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date:i�- Q � Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 840 S.F. Valuation: $54,600.00 Policy #: Census Code: I 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: iXih U A01� WARNING: Failure to secure workers' compensation coverage is to unlawful, and shall subject an employer 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 -ThisIFrmit fs hereby issued u der the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Re olution to do work i a d' te above for which fees have been paid. �% —�/ / )/ Name: B : Date: / L/1v / r Address: PERMIT EXPIRES ON: ate ❑ 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 duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Scl Print Name: S u) U1 A 1 �1 0 V-"!3 S a Signature: Jt(p, D'� J Date: y'� j - C) (O Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 FROM FAX NO. Aug. 01 2003 04:45PM P1 W01 , t I IDA 1C 6/20/06 Silvia 'l lwmpson PO Box 3103 Chive, CA 95927 891-4264/519-2722 re: Mobile Home — Cal Serial #081863 On above date we performed a continuity check on the above referenced mobile. All circuits were complete and without fault. Grounding of all circuits was proper. Grounding of the main panel to the frame of the Mobile was complete and sound. Service performed & certified by William Lawson 6/20/06. RespectUly, Brad Wolfe, Wolfe Electric, Tnd Lic #84444427 1300 Park Avenue • ;Chico, CA 1-95928 Phone (530) 345-2800 FAX (530) 345-0993 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. BP060451 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: 04/21/2006 APN: 066-400-024-000 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. Site Address: 13715 SKYWAY MAG License Class : License Number: Map Index: Date: Contractor: Description: NEW MH NEW SITE PERM FNDN (840) OWNER -BUILDER DECLARATION 1 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: THOMPSON SYLVIA permit to construct, alter, improve, demolish, or repair any structure, prior P 0 BOX 3103 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 CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 95927-3103 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 - violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: THOMPSON SYLVIA Code: The Contractors' State License Law does not apply to an P 0 BOX 3103 owner of property who builds or improves thereon, and who does CHICO CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 95927-3103 sale. If however, the building or improvements are sold within one 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 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 Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date:'y� Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 840 S. F. Valuation: $54,600.00 Policy #: Census Code: l .I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'Y -,? (- 0 (0 Date: Applicant: 3JJ, A A 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 tees. CONSTRUCTION LENDING AGENCY Thispermitis hereby ifssuLe-d u der the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Re olution to do work i d' ate above for which fees have been paid. — B Date: / Name: EXPIRES ON: ^� /~ Address: PERMIT ate ❑ 1 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 duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of ButteCountyto enter upon the above mentioned property for inspection purposes. �Q Print Name:314l f t A 1 Yl o vh A S p v\ Signature:C1Y� Date: 5-.11-0(0 XOWner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION CONTRACTOR Last Name -T/ / ! 0 so rirst Name ! Vt Address,�./ City CityJ I co tate (fa zip C�� q Phone e�/ — yQ (�o Fax E -m ' E-mail S /V of CONTRACTOR Name City Address Zip City Fax State Zip Phone . Page Lot # Fax E -m ' Lic. # Class of ii 11 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State . Zip Phone . Page Lot # Fax E-mail State License Number ii 11 APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail M MIA 7 N611, NMAE��� For officWuse only: Zoning Flood Zone City �4 4 /c Q SRA No Occ. Type Const. Subdivision Na a Map W� Book . Page Lot # Planner Date Approved: I't VFR FOR Sl1RMITTAI RFOt1IRFMFNTS PERMIT �]NO. BP BIN # PROJECT LOCATION AP# �6-yao-©zY Property Address City �4 4 /c Q Cross Street SK wa C3 !d SKc 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 h6�L� Address Description or Scope of Work: G o 'rl " rr p l o t Sq FT- Living 2 q 0 Garage n 0 Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Receipt #: �4q 55 0 Date: -)/ �1 60 Amount: l� `—I 'Bldg SRA Sheriff Other -r Total 6 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 1 ��� UY� ASSES OR PARCEL NUMBER �V GA- Proposed Building Use: `r ` ,Q/(i� ermit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order`apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ; -- '� o , �C, Ian ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. �8. Manufactured homes:Ainstallation manual, including marriage line inf�,- ) Floor Plan,) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Find 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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. , ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable'" ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... y 18. Erosion Control Plan Required........................................................................ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. "h ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the Cjty of Biggs .......... 22. California Department of Forestry plan approval In paid. Sent ��.... 3 23. Planning approval for (A) Use: (B) Parking: (C) Par el....Che k :.?........... ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ 0 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Contractor's license information. (Number, Name Style, Classification) ................... qL ❑ . 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... i ❑ 34. Ned Restriction.......................................................................................... 35. egal descriptionM.K .Title title search, registration or MCO ........................ ❑ 3. ther: ` ❑ 37. Other: When issued Telephone <XCi 1, 4a �9 14 and hold for pickup. t I have been informed of the above items and requirements for obtaining a building permit. 1 Applicant: 1� Date: %- 0 �D . / Q 1. Index permit applIccation for the above it s numbered: Plan Check Letter 2. Additional itemsir6quired . �� i�Q,. Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Al p A , Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: _-7 P Plans approved by: 42 4z Date: Structural reviewed by: Datq: 2o47 4,41 Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 E`'H. 116 Plot Plan Attached Floor Plan Attached Sent to 8D/DS r TO:. Building Division — Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance J F, droAje- Owner Location AP# Plan Approved for: Sewage Disposal: Water Supply: Public '/ Private Well Clearance for ✓ dwelling. Other Hold final for: Final clearance O.K. for: Building Clearance 9/2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner THOMPSON, SYLVIA Application Date 2/27/2006 APN No: 66-400-024 Permit No: BP 060451 Permit Type: NEW MH NEW SITE PERM FNDN 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $549.90 $219.96 $329.94 Balance of Building Permit Fee 0 ,> $95.00 MFD $204.98 $109.98 4096.87 $314.96 RECEIPT DATE Tech/Asst 5372.09 444550 2/27/06 Karen 4 Balance of Building Permit Fees (from No. 1 above) 5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 7a 8 9 10 Other*: Other*: M VAI: 11-tt, - KtblUtN 1 IAL" I Per Dwelling I er Dwelling 4 plications After 2/14/05 ,> SFD MFD County 4096.87 3071.14 1 Chico Urban Area 5372.09 3995.45 EI Medio Fire District 3128.31 2297.77 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 7938.531 6757.08 �c R-1 8031.53 6850.08 0 R-2 7541.53 6360.08 R-3 6780.53 5599.08 arocessing Fee is automatically added to impact fee total 1 TER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# AINAGE FEES* CO STORM DRAINAGE 3TER PLAN construction, vacant on 1 acre or less - 1 or less acre value 770 Butte Creek 771 Comanche Creek 772 Little Chico Creek 773 Big Chico Creek 774 Lindo Channel 775 SUDAD Ditch 776 Mud -Sycamore Creek 777 PV Ditch MH 3117.43 PAW4 1 50 135, eK4 ;� & 7Ca 6475.49 RECEIPT DATE Tech/Asst $100.00 3,217.43 $200.00 Kourtni � 736 $6,070 RECEIPT DATE Tech/Asst $8,603 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* o( <?A 6 q 4,R— I V Cr J, L - I V 12a RECREATION DISTRICT FEES* Gr /� Owl y� n At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Pursuant to Governmenlcode Section 6602Cq you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approvajlof the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 Page 1 of 2 ENCROACHMENT PERMIT 1 o I County of Butte Department of Public Works �/ y�� 7 County Center Drive Oroville, CA 95965 OU 9 Phone: (530) 538-7681 Fax: (530) 538-4356 tic All.information except signature must be typed or legibly rinted Perm it#: N� UD b j NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE STARTED Assessor's Parcel i Number (Required): Property Owners Name: 7 U Phone: Property Address: PROPERTY - /Gl K� 4� el - 'Mailing Address (If Different) - ifferent)-,gy915 h sf ,g -// 915 OWNER ��y7 Chj �, s9 Work will be performed by: ❑ Contractor ❑ Property Owner Contractors Name: Phone: Address: Fax: WORK Contractor's license Certificate of Insurance currently El Yes El No BY Number. on file with Denartment7 PERFORMED Applicant is: ❑ Property Owner ❑ Property Owner's Agent ❑ Contractor ❑ Other: I./ WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the Cpunty roads and highways, all in accordance with ounty ordinances and general laws. Signature: &A Date Signed: Road affected: Time and Duration of Encroachment: ❑ Permanent Encroachment ❑ Temporary: From To LOCATION Type of Encroachment: Driveway ❑ Roadway ❑ Culvert ❑ Fence ❑ Pipe/Pipeline ❑ Sign/Billboard Other jZCi!5 016— Site Plans Attached: ❑ Yes No PERMIT IS: ❑ GRANTED ❑ DENIED Conditions: In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) andspecial conditions written below, permission is hereby ranted. 1. ❑ Underground Service Alert (U.S.A.) must be notified two working days prior to any excavation. 800-227-2600 2. ❑ All work shall conform to accompanying: ❑ Detail ❑ Plans ❑ Special Conditions 3. Other Conditions: PERMIT ,❑l n 1 ' CONDITIONS :1C? LA1r (To be filled in by County) Date Issued: V67 67 Expiration ....t Date: J/2— -7cl Surety: Date Paid: 2 7 VtD Amoun P6d: �,.c�G Paid �. By: i�r. Check No: ( Receipt No.: Mike Crump, Director of Public Works By: r Road District: Inspected By: Inspection leted - OK ❑ Completed — Not OK For County � ! Results: Additional Comments Attached t Comments: Use Only Note: If permits are faxed to any number besides (530) 538-4356, they can be delayed up to one week. Form: 200506EP Page 1 of 2 OF '% GENERAL CONDITIONS 1. It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Pe'rrrilttee that-tfie doing of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit. Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. This permit is to be on job at all times while the work is being done. 2. All work shall be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shall, at all times, during the progress of the work, keep the County Highway in as neat and clean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, clean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to properly maintain any encroachment placed by the Permittee on any pad of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsibility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require the installation provided herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5. No material used for fill or backfill in the construction of the encroachment shall be borrowed or taken from within the County right of way. 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shall be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be closed to travel by the general public without special permission, in writing, from the Board of Supervisors. 7. The Permittee, by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit In the event any claim of such liability is made against the County. of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harmless for such claim, 4. All excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300 ieet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shall be place and mechanically compacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shall conform to the percentage of compaction as stated below. Permittee shall notify foreman 24 hours before backfilling and/or paving. a The relative compaction from the bottom of excavation to a plane five feet (6) below finish surface grades shall be no less than ninety percent (90%) as determined by Test Method No. Call. 216-0 of the Materials and Research department, State of California, Transportation Department, Division of Highways, or other approved test method. b. The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. c The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety -five. - percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be place in 8" lifts, and be compacted to a relative compaction of not less than 95%. Material for use as backfill in roadside gutter excavations shall be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cutting shall be scored, or saw cut before trenching, Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. All installations, parallel with roadway, shall be placed as close to the right-of-way line as possible. No portion of the backfill(s) shall be compacted by ponding or jetting. All pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of construction operations at the construction site(s), or at other ground(s) occupied by materials and/or equipment, shall be restored immediately upon backfilling or the excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. All surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construction operations, shall be replaced thick as the within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as existing, and no less than two inches (21 of asphalt concrete over eight inches (81 of aggregate base, according to current Califomia State Specifications. Whenever necessary to secure permission from abutting property owners, such authority must be secured by the Permittee prior to starting work. 0. The future safety and convenience of the traveling public shall be given every consideration in the location and type of construction. Permittee shall ause to be placed, erected, and maintained all warning signals, lights, barricades, signs, and other devices or measures essential to safeguard travel by the eneral public over and at the site of work authorized herein. 1. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor as to the pecial conditions and requirements contained herein. Page 2 of 2 r as EDGE OF EXISTING PAVEMENT FLOW LINE DITCH PIPE IF REQUIRED, SIZE AND LENGTH TO BE DETERMINED IN THE FIELD BY COUNTY ROAD FOREMAN AREA TO BE PAVED R/W i ----- PROPERTY. LINE NOTES: 1. PIPE TO BE C.M.P. OR EQUAL (12"DIA. MIN.) 2. PAVING SHALL CONSTIST OF 4" MIN. OF AGGREGATE BASE, , AND 2" OF ASPHALT CONCRETE, _MIN. 3. IF THE ATTACHED DRIVEWAY ENCROACHMENT PERMIT IS ONLY TO REPLACE A DRAINAGE CULVERT IN AN EXISTING DRIVEWAY THEN THE HE SAMEAL SECTION FOR THE DRIVEWAY THE EXISTING DRIVEWAY STRUCTURAL ENCH SHALL - BE THE SAMTU AL SECTION. STANDARD FOR: d" TrFo PRIVATE DRIVEWAY DETAILS o 0 COUNTY STANDARD NO. e o s S-31 c0UNZ s iN.T.S. REMSM 05-25-2oo4 ``�Ic w BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. A.P. Number OL9U 41-t" 03� Jurisdiction:city JCounty Property Owner �) -V I 4/ Property Location/Address a\ Subdivision Lot No. Residential Development Q Q Q Sq. Footage No of Living Mobild Home Addition/ *Supplemental to (Group. R) Units Installation Conversion Permit # •............................... N.olound.a.b.on.inspec.Uo.n) ........ .. . ......... . . .... ........... ... ... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and NOce of Limited Use Facility document), Commercial/Industrial Sq. Footage New Addition (including Exterior Roofed Areas) Building Department Representaft�!) Date District ld6ntification No. Schoo'FDistrict certifies that t n M $0 rl "J (Applicant) (Street Address) (City) I V 1. C4 r f!1 . v r r i V?.V . f (State) -1 (Zip fC7bd6)- has C'qmpjiewith nts,,of Rego Ution No. by payrn theLeqU irefte-, 0 fi representing square feet; B-2926 F tSchool District Represefitative Paid by Check # rULL MITIGATION $ Date /I-- - - - Nodco: You may protest the Imposition of the fen Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from th a 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. N, 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 C&I 8 fonda Environmental Quality Act (CEQA), this project may be subject to additional school fen to fully mid.gate Its Impact an On school district's schools. White (school district), Yellow (building department), Pink (applicant) feeformids ("5)dri= BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM 0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) l�l PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) C')(yQ - yoo - G - ;)l 1 Building Permit Number ��' 6L -�) Property Owner (s) Project Location /Address Subdivision Name New Development Alteration/Addition(s) Mobile home e Assessable Sq. Ftge z 1�0 Type of Residential Development (check one) Single Family -Detached Single Family -Attached Non -Residential to Residential Multi -Family Dwelling Mobile home replacement verified by Assessor Department Demo Permit (date issued ) Comments: Building Departme epresentative Date ❑ FRRPD 0 CARD -V-PRPD ❑ DRPD certifies that: verified by Building Department 3o Applrc t Name Phone Number Marling Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ per unit for a total of $ Square Feet @ $ per sq foot for a total of $ 17 6-D Remarks: Paid by Ch k o: �( aid by Cash: Receipt No: 7 Recreation ar District Represents ve Date AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2006-0011921 Recorded I RLC FEE 7, N Official Records I County of I CGPiES Butte 1 CPNDPCE J. GRUBBS I County Clerk-Recorderl I I JC 09:&AH 03-11ar-2006 iiI Page i of iiIii 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-DtoDsity-situate inAhe Coun of Butte, State of California, described as follows BEGINNING AT THE EAST QUARTER CORNER OF SECTION 36, TOWNSHIP 22 NORTH RANGE 3 EAST, M.D.B & M., AND RUNNING ALONG THE EAST BOUNDARY OF SECTION 36; NORTH 10 18' EAST 300.`99 FEET; THENCE NORTH 87 ° 27 WEST 408.75 FEET TO THE TRUE POINT OF BEGINNING; THENCE FROM SAID TRUE POINT OF BEGINNING SOUTH 30 32' WEST 111.68 FEET THENCE NORTH 870 00' 25" WEST 146.85 FEET; THENCE NORTH 20 00' EAST 110.52 FEET; THENCE SOUTH 871 27 EAST 149.82 FEET TO THE POINT OF BEGINNING. Assessor's Parcel No: 66-400-024 Date (c ' �' �� PROPERTY OWNERS: i z , State of Califorpo' County oV On 3 [0 personally appeared _ known to me (or proved to the within instru capacity(ies), and thq the persons cteo, WITNESS i4y hand Signature. b_ -fore P U�3 i on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed acknowledged to me that he/she/they executed the same in his/her/their authorized er/their signature(s) on the instrument, the person(s) or the entity upon behalf of which. the instrument. , A.P. # 61 & —/-/00 -0 y Seal: D. FISHER Commission k 1487634 -� Notary Public - California_ Butte County My Comm. Expires May 4, 2(708 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [>< NO [ ]. 2. I HAVE [><] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK de_-rLls Mobs (e- Aye Serujc(E!_ 1.17zlcdlz� SIGNED: PROPERTY OWNER: ` DATE: �-,2 7- O (o NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION ` BUILDING' GIS " PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a pernut. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. . Sincerely, "77-. 2 2P/1 Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. ' -,� Department of Public Works C o u n t Y o f B U t .. t o ND DEVELOPMENT DNiS10N i A Michail Crunp, D1f2CtOfS"Orm.water Management Qro;rzrn \�3 l ® 7 County Center Drive r�c�o Orovilie. CA 95965 0i1 i (530) 538-7266 �Uc WOF� (FAA 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase I Construction Storm Water Permit and Storm Water Pbllutton Prevention Plan (SWPPP) Acknowledgement (LESS THAN I ACRE Project Description: Project Location andlor Parcel Number: B si g below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB Y_ 1 acre or more of land and that I, therefore, do not need to apply for a Co P �� So°� whatr contain fi on the State of California Regional Water Quality Control Board. projects multiple site build -outs of less than one acre but when combined water Permit from the Statseuent phases total e than one acre of disturbed so' l will require a Construction Storm California Regional W ater Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Control Board for a project. dor Storm Water Permit from the State of California Regional Water�Qu�tYand/other permits or other that disturbs one acre or more of land may result in revocation of ding sanctions provided by law. Signed: Title: Date: Butte County Department ofDevelopnent Services °� `TETE°° 7 County Center Drive ° Oroville, CA 95965 0 o ° 530 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: o I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: AJ010 D vt fd K Building site address: jleSk- (,_9a --T— APN: Lo o' 7/X%62D' O9 Permit No.: I have read, understood and accept the terms and conditions as expressed herein submission of the above -referenced building permit application and my signature below SIGNATURE OF APPLI ANT as indicated by my "2--7 Cly DATE (I oafv1M J Ole) 2 o v i O q l nn4 l� � a � p Q ;n a � 3 ,O 3 c W a � LL n a 3 -00 (I oafv1M J 2 (I oafv1M I GENERAL DOTES GUS GUARD TUF 1 1. DESICI+T LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - Be MPH EXPOSURE "C" SEISMIC 20ME "4' 4F SKOW LOAD 100 PSF (SEE 140TE #15) 2. THIS FOUN12AIlON SYSTEM 1S DESIGNED TO BE CONSTRUCTED O A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. S. CHASSIS BEAM SUPPORTS SHALL BE LOCATED -AND SIZED FOR' THE LOADS AS SKOWN IN THE "MOBILE HONE INSTALLATION INSTRUCTIONS'. 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D -S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4, OFL WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT- S. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS ARE DOWNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITICffS_ CO>VPACTEC SAND MAY BE USED TO FILL LOCAL. Vi)IOS UNDER PADS. 6, STRUCTURAL STEEL• FABRICATED ACCORDING TO RISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATION'S. ELECTRDDES-370 PLATES -ASTM A36 BOLTS -SAE GR S=ASM A449=ASTU A37n. 7. THE GUS GUARD ASSEMBLIES SHCWN ON THIS PAGE SHALL BE LIM AND I-ABELIED BY BSK AND ASSOCIATES FOR THE FOU.OWIme LOAD& ALLOWABLE LOADS- ROJI12ONTAL VERTICU GUS GUARD TUF-1 2200# 6000# GUS GUARD MCP PAD 2200# 6000# GUS GUARD E -Z TIE PAD 2200# 6Q000 8. DURING PRELIMINARY IASPECTIOH, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. Fes' S, EXISTING COACHES NAY BE RETROFITTED TO RESIST SEISMIC FORCES •BY INSTALLING GUS GUARD TUF-I UNITS AS SHOWN OR THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION 1N FLOOD PLAIN AREAS YMERE DEPTH OF FLOODING DOES VOT EXCEED THE HEIGHT OF THREE FEET, 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SUTGLE-WERE UNITS REQJIRE ADDTIOHAL:AESTRAJNT. _ (SEE SHEET 03) s 13. ALL MiEIAL COMPONENTS AND ATTACHMENTS IMdS SHAI.L BE PROTECTIVE COATED. 14. WHEN CONCRETE -SLAB IS IN ENISTANCE, PAD IS NOT RE 9�9® U ON 8€OCf6 i6'x 16'x12" POURED IN PLACE AT GROUND LEVEL WAY i RMACLERS DISCRETION ALTERNATIVE TO PADS.' I SfNCLE WIDE COACHES DOUBLE/MULTIPLE COACHES QFC ��� S= 6' WIN. /16' )WAX. A : s= s' ir4E: % is' nx: VARIES 10-70'. (SEE TABLE ON SHEET 93) E S —S -RIDGE BEAM SUPPORT AS ❑ REQUIRED BY MANUFACTURER a � (TYPICAL) a 0-T ❑ ❑ ❑ [—�i 8'. NCM. 2' xcM. ❑ PADS IN ANY PAIR MAY EE STANDARD, M.H. FOUNDATION � ROTATED SO DEGREES OR PIERS AS RECOMMENDED BY PVC • ERI£S OFFSET TO OTHER SIDE TD THE MANUFACTURER OR THE SUPFfRT AVOID CLEARANCE PROBLEMS. ENGINEER, TYPICAL THRCUGHOUT PAD 'TVP) LJ%JTTE COUNTY ff,l III riiiL1� r-tt♦ Ilha�& it 16 4t k clv�d L -fire 0"" { C -'-'o -m U. ANCHOR S1AND TO CONCRETE SLAB WITH TUF-1 PERMANENT FOUR •aAN 4) 1/2'x 3 1/2" EXPANSION CHORS. 15. GUS CUARD TUF-1 FOUNDATION SYSTEM PROVFDES FOUNDATION SYSTEM ALLOWABLE SHOW LOAD TD 100 PSF WHEN INSTALLED A ESCO-OUS GUARD COMPANY VATH EXISTlkG STANDARDS REQUIRED BY COACH MANUFACTURER OR REPLACE THEM ON A ONS TO 5851FLOPJN ' PERMS ROAD ONE BASIS. SACEtAh1TNTO,CA95823 PH: (800. 382-8831 FAX: (916} 383-3207 STATE RD YA3ZIJ ACn%W 7i0MEAlOi1 L Il0MB FOUNDA?70N SYSTEM HBALTBAND SAFBrY CODs, ==ON ISSST �• ::. APPROVED +'� =' TO ODRR1dCTION9 210TED At1Ri0VALDOl NMAvtlOR=0!RA?PROVBANY ONMOM18 OY DSVlATION FROA1 REQAIRMs'I MMS OF APPLWABLB STATE LAWS AND RE(rM AnOM S<eb atCat wds vv arrambg amd Ce�q 1 CODE8 AMID SZ04DARDS , W. IPA 1k4paws) WAYVE T. POLVADO, PE—LISTING NO. F94249 zk N L4 M Ln w LO Lo on w m w Ln tJ D m N Q H 0 el 2'x 27z 3/16": STEEL ANGLE DETAIL "A-' CHASSJS FRAME 3/4' GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x BOLT WITH NUTS (4) REQUIRED 01 1/2" S;.H 40 PIPE RISER WFFH 01/2" ADJUSTER HOLES AND 3/8' THICK TOP PLATE 82' SCH 40 .PIPE STAND WITH TWO 01/2" ADJUSTER BOLES ABESCO ABS PAD #503 3/13' CAD PLATED BOLT. NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8' O.C. (8) REQUIRED 1/4' STAND BASE PAD f503 1"I s►.Wbmo -���t 36' MAX TO BOTTOM OF PAD Ot/2'x 3' C.R. LOCK FIN WITH 01/8' BRIDGE PIN I STEEL r �: .�� fidb :00P • «• • as + COACH "C" FRAME 2" CHANNEL 1/4'x1-1/4" TEK STS (2) REQUIRED 1/4!'* GRIPPER BASE ._. i - aaUP ai.i_i (2) REQUIRED 3/9"x 6'x 6" STEEL PLATE 1/2' A307 BOLT (2) REQUIRED 10.00 —1 o 0 10.00 o 09/1& HOLE (TYP). STAND BASE TOP VIEW COACH "J" FRAME 1/4' GRIPPER 1/4"x1-1/4' PLATE TER STS IN (4) REQUIRED i - ILL 11 I 1/4" 3RIPPER BASE / 1 r A347 BOLT REQIR£D i U Lj C- AM J -BEAM ATTACHMENT ATTACHMENT 8� 1/2- DIA. HOLE (8) PLACES --F-+ ♦ ' + IL 30" STEEL FRAM TOP VIEW STATE APPROVAL 110I Ti►ACEUAlD WlME1MO=a IMB G'> FDl1PMATION SY8TBAi ► ' • AX&TH ABTA &*'SFY CODE, 89C'1iZON la3.11 'r APPROVED BURR= 110 CORREC IObS tTOIrED iA7PRPVAL Da> WO`f AUTHORMOR Al MVM ANY am m1m 0®L DEVIATION FROM RSQuntm4EM oF' ATJ!3XMSSEAT$ LAWS ANDRMA. TIONS ' StiftofCal�� I at ad eS AND WrANDARDs WA In "k nil _ J WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 1 or 3 r N H N N CS) m cn N W w r ]> tz0 n n 71 a 1/2"x $ 1/2" 112"x 8' LONG 3/4' DIA. x T8" LG. EXPANSION ANCHOR (4) REQUIRED (4) REQUIRED ANCHOR BOLT (4) REQUIRED. 3/8' CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8' O.C. , (B) REQUIRED CONCRETE PAD 1 ' t%1 �Q�Essle w PLACE •1Fxj-6m12 CONCRETE ' DATION INSTALLATION vam CHASSIS FRAME 1/4' GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC A307 x 4' BOLT WITH NUTS (4) REQUIRED os1 1/2" SCH 40 PIPE RISER WITH 01/2' ADJUSTER HOLES AND 3/8' THICK TOP PLATE 02' SCH 40 PIPE STAND W,TH TWO 01/2' ADJUSTER HOLES ABESCO•ABS PAD 1503 STEEL FRAME -� Yom: EXp► Of � T3V MAX C O BOTTOLI p y� OF PAD 01/20x 3" C.R. LOCK PIN WITH 01/8' BRIDGE PIN ► I) J 'rr 18 1/2 E -Z TIE PAD LIGHT HEAVY -WEIGHT PLASTIC PAD •NSTALLATION i Wl ROME TB OF HOM 11011 UP 7O � NONE 10 1 14 B a 6 12 UP 44 8 s 5 44-1 l0 1 12 12 86' g 8 OW -11 =1' fo 20 8 g g NgA18SR OF 1Vf—f RECIt11RfT► 10 S4 0 1a NUYNER OF TiUF-1 REQkIF�tEO �` SSE IMIDE VXffS REQUIRE (4) E—Z ME PADS GUS CIGRO TUF—/ PIRRtS ARE TO K PLACM AT APPROMWATELY EQUAL UlTUrMS ALONG EACH FRAME; RAIL �7 TUF-1 PERMANEN FOUNDATION SYSTEM _ STATE APPROVAL I � WANirz ACPUREDHOMEMOBTLB A_Om FOUNDA7TON SY8TEM y nALTH AICD SAPSTy CODE, ST) n= T $Mj . APY110VTiD SUBMC? SO CORRECTIONS NOTED r. APPROVAL i)m NOT, AMHORLU CR APPROVE ANY OAUSSIONS OR DEVIA-VON FROM x 5QLnREraem bF OQ A>' LWADLB STATE LAWS AND REGM-ATIONS 0 3mleaf Cauramit AND szAN AM WAYNE T. POLVADO, PE -LISTING NO. 794249 SHEEP 3 of 3 R a Lo w m v n r) i , I California Department of Forestry and Fire Protection Butte County Fire Department Fire Safe Requirements AP# e66 - 14 0�1 - OZy Permit# 06 - 0 q S I Name: Under authority of Public Resources Code Section 4290, the following checked items are required by CDFButte County Fire Department and madepart of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. 1272.00 Maintenance of Defensible Space Measures [X] To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access, and utilization of the defensible space provided for these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or 'shall be provided as a condition of the permit, parcel or map approval. Public Resources Code 4291 information will be provided when the final inspection is completed. 1273.10 Driveways [X] (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] (b) All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length [X] (c) Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where the driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart [X] (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be within 50 feet of the building. 1273.02 Roadway Surface [X] The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire engines. Surfaces should be established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. V of class 2 aggregate base shall be required for all driveways, turnouts, and turnarounds. 1273.03 Roadway Grades [X] The grade for all driveways shall not exceed 15 percent. Grades above 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. 1273.04 Roadway Radius Pq (a) No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius, 2 feet to those from 100-200 feet. [X] (b) The length of vertical curves in roadways, exclusive of gutters, ditches, and drainage structures designed to hold or divert water, shall be not less than 100 feet. 1273.05 Roadway Tumarounds [X] Turnarounds are required on driveways and dead-end roads as specified in this article. The minimum turning radius for a turnaround shall be 40 feet from the center line of the road. If a hammerhead -T is used, the top of the "T"' shall be a minimum of 60 feet in length 1273.06 Roadway Turnouts [X] Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. Revised 02/28/06 A) F r� E Q U I R E M E N T S 1273.07 Roadway Structures [X) (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant structures which supplement the roadway bed or shoulders) shall be constructed to carry at least the maximum load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550, 35750 and 35250. [X) (b) Appropriate signing, including but not limited to weight or vertical clearance limitations, one-way road or single lane conditions, shall reflect the capability of each bridge. [X) (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. 1273.11 Gate Entrance [X) (a) Crate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving that gate. [X) (b) All gates providing access from a road to a driveway shall be Iocated at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. [X) (c) Where a one-way road with a single traffic lane provides access to a gated entrance, a 40 foot turning radius shall be used. 1274.08 Addresses for Buildings [X) All buildings shall be issued an address by the local jurisdiction which conforms to that jurisdiction's overall address system. Accessory buildings will not be required to have a separate address; however, each dwelling unit within a building shall be separately identified. 1274.09 Size of Letters. Numbers and Symbols for Addresses [X) Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke, reflectonzed, contrasting with the background color of the sign. 1274.10 Installation. Location and Visibility of Addresses [X) (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible from both directions of travel along the road. In all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible from the road on which the address is located [X) (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. [X) (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. [X) (d) Where a roadway provides access solely to a single commercial or industrial business, the address sign shall be placed at the nearest road intersection providing access to that site.. 1276.01 Setback for Structure Defensible Space [ ) (a) All parcels I acre and larger shall provide a minimum 30 foot setback for buildings and accessory a buildings from all property lines and/or the center of the road j (b) For parcels less than I acre, the local jurisdiction shall provide for the same practical effect. See page / three for same practical effect requirements. Revised 02/28/06 Same Practical Effect for Buildin s less then 30 feet from property line - [XI If the Building Setback is less then 30 Feet from all property lines and/or the center of the road, the following shall be required; • Class A roof • Fully enclosed eaves on entire structure • Fire rated metal doors on side toward property line with insufficient setback • Siding from the following list: (a) Stucco -3 coat (b) Non combustible Hardi-Board, Plank or similar siding (c) Masonry (d) Metal (e) Other Butte County Fire Department approved materials 1276.02 Disposal of Flammable Vegetation and Fuels [X] Disposal, including chipping, burying, bunting or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction, and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements- Installation of Residential Fire Sprinklers [Xj If your property was part of a parcel split after July I991, you are required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. 03/01/2006 Date Revised 02/28/06 Darren Read Fire Protection Planning G-) n -v i� t> JJA li � AV T A � 5 � kJ �dl� 6 0 1y ix h' x -v, o �co F. G I� QD �o v r� : x s C n �. Qo O 0 s � a K;'retlA i� I w� C-') � O I -o e kJ �dl� 6 0 1y ix h' x -v, o �co F. G I� QD �o v : x C i �. Qo O s � i � 7 i I 4' I �k Z � r _au o c a K;'retlA WfNDo 10 6e ,kxl• i� I w� C-') � O I -o e kJ �dl� 6 0 1y ix h' x -v, o �co F. G I� QD �o : x C �. Qo O s � WfNDo 10 6e ,kxl• i� I -o kJ �dl� 6 0 1y ix h' x -v, o �co F. G I� QD �o WfNDo 10 6e ,kxl• a 60 0 I -o o x G I� QD �o : x a 60 0 I -o G I� QD �o : x �. Qo n i I � o U e d k o t A 1 � 7 Ti al � G i O AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2006-0011921 Recorded I REC fEE 7,09 Official Records I County of I COPIES 2.00 Butte 1 UN)PICE J. BRUBBS I County Clerk-Recorderl 1 1 JC 09:0 111 09-111ar-2096 I Page 1 of 1 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. ll that ceal_Dionemc-situate in-th Counri of Butte, State of California, described as follows: BEGINNING AT THE EAST QUARTER CORNER OF SECTION 36, TOWNSHIP 22 NORTH RANGE 3 EAST, M.D.B & M., AND RUNNING ALONG THE EAST BOUNDARY OF SECTION 36; NORTH 10 18' EAST 300`99 FEET; THENCE NORTH 870 27 WEST 408.75 FEET TO THE TRUE POINT OF BEGINNING; THENCE FROM SAID TRUE POINT OF BEGINNING SOUTH 30 32' WEST 111.68 FEET THENCE NORTH 870 00'25" WEST 146.85 FEET; THENCE NORTH 2° 00' EAST 110.52 FEET; THENCE SOUTH 87° 27 EAST 149.82 FEET TO THE POINT OF BEGINNING. Assessor's Parcel No: 66-400-024 Date—3 -- (o - �2- o Q PROPERTY OWNERS: �77OC2 - State of California County o1_F>V On 3N [O � • FI S 1�,r' personally appeared e known to me (or proved to the within instru i capacity(ies), and th b, the persons cted, xe WITNESS hand pi before mev� l on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed I acknowledged to me that he/she/they executed the same in his/her/their authorized er/their signature(s) on the instrument, the person(s) or the entity(upon behalf of which the instrument. A.P.# ©&Cc -"V00•-G-'Z y Seal: D. FISHER Commission # 1487634 .� Notary PubIIC - California Butte County My Comm. Eg*es May 4, 2008 SITE PLAN REVIEW APPLICATION Date: x-00 Permit Number (if applicable) APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: AP# Bin Number Parc Size: 6 rn� ��(a - � oo r0,:p /--- �5� �$ �1qg,)e ST. G� �G� C4 Email: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other 11 Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) IM Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval 18 Site Yfan Stampe pproved , By Date `� V L/ A jdV- 6� ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area: 20610 .tD 1'/'- 5-00 ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) Mod SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: 6 U� (? • Flood. Panel No.: Yl o[1 L Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning:T �P Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. n-__ 1% _.r f, Zoning Code Streets & Highways Fire Prevention Subdivision Map Front -at) Side + Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. n-__ 1% _.r f, L Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other • Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access &Provide Deed of Creation ❑ Obtain a Certificate of Compliance/Notice of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shallbe taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. 0 Property owners responsible for roa . YT-----------------'---•-------- . I)ec 181 1 1 c4q IN THE SUPT; ICR COURT Ui Tli$ STATE OF CA.LIF0,1•IIA, IN THIS VATTF..R OF THE ESTATE OF SAIA CRF.ASON, D= .eased. IN AND FO'', THE COUNTY OF EUTTE. 1.10. 8275 ORDER Acf;ICNINC ESTATE TO SURVIVING SPOUSE. The petition of A.DA 1'. CREASON, for an orler assigning all of the estate of the above named decedent to her is the surviving spouse of ,nil decee.sed under the provisions of Section 640 at seq., of Probate Code of the Stc:te of Celifornia telae on regularly for hearing before the above entitled Court on the 18th day of '_'ecember, 19LL, pursuent'to notice thereof given in the ;er.nner er.d for the tirie prnvided by lnw, H'. S. CLD -ETT, eppeerinc as attorney for petitioner, and no one appearing in opposition to said petition, end evidence having beer. introduced in the ratter, and it appearing therefrom to the snti'sfaction of the Court, end the court finding that notice o!' the ti:!ie and pl,-ce of heprinr has been riven for the I-Ime and in the manner provided by luH•; that said estate has been duly appraised by the Inharit•ance Tax Appraiser appointed by the Court for that purpose Find his report having been filed showint; that there is no inheritance tax due the State of California, and further showing that ,the net value of snit: estate does not exceed :`2500.00; and it further appeerina therefrom that the petitioner :'oes not have other estate of fi5000.00 in value, and that all expenses of administration grid of the last illness 4nd funerr-1 expenses of the decea:iod heve been paid; /0� C 10 �? �� cS 'rc) f� . 3 8 r� �� ►� s d 13717 S Ky ..,....,-..+:•-...•.-.-•.,.«•.R�..,,,...r:.••.:rrm•,rw.nr.+...wciw.e....�.-..4.....�. -- = 4f •PY�^"^Y -- -- - - �._- _ r`MI 68' , `!I Ccunty of butte, State of California, to -wit: ;III Rerinning at the Enst quarter corner of Section 16, Toi%nship 23, North, Range 3 ua i ERst, 1:.D.P.R M., end running alono'the Ee.$t boundary of said Section 36 North 1° 18' East, 100.09 feet; thence North 87° 27' 4':est LO8.75 feet to the true point of beginning; thence ;i a� fror.: said true point cf besinr:ine, Scuth 3° 32' ':'est 111.68 feet; thence North 87° '00" 25" r, c• !'.'est 146.85 feet; thence Forth 20 00' Fast 110.52 feet; thence South 87' 27' Fast 149.82 ,a }� feet to the point of beginning, conta_nir.c. 0.38 acres, more or less. DONE in open Court this 18th day od December, 1944. HARRY DEIRUP...... Judge. .I ENDORSED, FILED Dec. 18, 1944, 'A J. IdATTH;,1;S....... Clerk By A. RLASINGAME,....Deputy. The foregoing instrument is a correct copy of the original on file and of record in this office. I ATTEST: Dec. 18, 1944, .i 11. F. MATTHE:1':S, ....County Clerk and �^ (CUL) Clerk of the SUDerlor Court in and i for the County of Butte, State of Cali 1'ornia. By: F.. I,hT.., ............Deputy. Recorded at. the Request of K. S. CLEWETT, Dec. 18, 1944, at 11 o'clock A. M., Vol. 339, page 67, Official Records of Butte County, California. 110. 5L98 Fee :'1.10 e.......� d, B. F. P.UDSP 'PH..........County Fecorder By 2h�� . �.�-,,---•� Deputy Recorder. LY r5. and that this is a proper -•nse ;'o•r this order: c. IT IS THEREFORE, MUM, M, ADJUCGFD AND DECREED by the Court that the whole of the estate of said SAM CREASON, deceased, be and the same hereby is assigned to, and that title to the snore vast absolutely in ADA F. CREASON, th,t surviving spouse of said deceased, subject however to whatever mortga(zes, liens or incumbrances may have thereon at the time of the death of said deceased. r�l Said property consists of the follow-ing described real property situate in the `!I Ccunty of butte, State of California, to -wit: ;III Rerinning at the Enst quarter corner of Section 16, Toi%nship 23, North, Range 3 ua i ERst, 1:.D.P.R M., end running alono'the Ee.$t boundary of said Section 36 North 1° 18' East, 100.09 feet; thence North 87° 27' 4':est LO8.75 feet to the true point of beginning; thence ;i a� fror.: said true point cf besinr:ine, Scuth 3° 32' ':'est 111.68 feet; thence North 87° '00" 25" r, c• !'.'est 146.85 feet; thence Forth 20 00' Fast 110.52 feet; thence South 87' 27' Fast 149.82 ,a }� feet to the point of beginning, conta_nir.c. 0.38 acres, more or less. DONE in open Court this 18th day od December, 1944. HARRY DEIRUP...... Judge. .I ENDORSED, FILED Dec. 18, 1944, 'A J. IdATTH;,1;S....... Clerk By A. RLASINGAME,....Deputy. The foregoing instrument is a correct copy of the original on file and of record in this office. I ATTEST: Dec. 18, 1944, .i 11. F. MATTHE:1':S, ....County Clerk and �^ (CUL) Clerk of the SUDerlor Court in and i for the County of Butte, State of Cali 1'ornia. By: F.. I,hT.., ............Deputy. Recorded at. the Request of K. S. CLEWETT, Dec. 18, 1944, at 11 o'clock A. M., Vol. 339, page 67, Official Records of Butte County, California. 110. 5L98 Fee :'1.10 e.......� d, B. F. P.UDSP 'PH..........County Fecorder By 2h�� . �.�-,,---•� Deputy Recorder. LY 0 , 1 Butte County Department of Development Services PAUL MCINTOSH, INTERIM DIRECTOR 7 County Center Drive Oroville, CA 95965 - (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING September 9, 2005 Sylvia Thompson 2495 England Street Chico, CA 95926 Subject: APN ,066-400-024 Dear Ms. Thompson: The Butte County Department of Development ervices, Planning Department, has reviewed an Environmental Health permit application fWn septic. It appears that this parcel was created by deed; therefore we need a copy of a CreaDeed dated prior to March 4, 1972 and includes legal access to a publicly maintained Tad. After this date, The State Legislature enacted regulations that became effective which//required the filing of a map for any division of land for the purposes of sale, lease, or finance.An order to approve this Environmental Health permit, we will need a proper Creation Deed and have it approved by the Land Development Division of Public Works / Should you have any question please feel free to contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through F day at (530) 538-7601. 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