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HomeMy WebLinkAbout068-030-073i r, RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2GDca5---10W 1 2?36 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 03:08PM 07 -Mar -2005 REC FEE 13.00 CONFORM 1.00 I 1 I 1 I Kathy I Page 1 of 3 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. }1L OSCAR G. LACS AND PHYLLIS M. LACS REAL PROPERTY OWNER/LESSOR 928 LURLINE DR. MAILING ADDRESS FOSTER CITY SAN MATEO CA. 94404 CITY COUNTY STATE ZIP 258 CANYON DR. INSTALLATION MAILING ADDRESS. IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (il"also propctty 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 04-1937 530 538-7541 BUILDIN PERMITNQ. TELEPHONE NUMBER S A EOF LO AL AGENCY OF CIAL - DATE LACS DESIGN DEALER NAME (If not a dealer salt, write 'NONE) DEVELOPER DEALER LICENSE NO. FUQUA 2004 _ 1407 MANUFACTURER'S NAMC DATE OF MANUFACTURE MODEL NAMEINUMBER 19257 56'X 25'8" ORE455832/3 SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 068-030-073 SEE ATTACHED * HCD FORM 433(A) REV, 8/91 WHITE -County Recorder CANARY • HCD PINK - Appliovtt GOLDENROD- Building Dept. Order No. BU -217725-3 KB Description lie land referred to herein is situated in the State of Califomia, County of Butte, and is described as follows: PARCEL I -A: A PORTION OF LOT IS, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILLE WYANDOTTE FRUIT LANDS UNIT No. 2", WHICH MAP wAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON. MARCH 7, 1927, IN BOOK 11 OF MAPS, AT PAGE(S) 11 AND 12, MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT IN THE CENTER LINE OF CANYON DRIVE„ SAID POINT LYING SOUTH 532.24 FEET FROM THE NORnMST CORNER OF SAID LOT 15, AND BEING THE SOUTHEAST CORNER OF THE NORTH ONE HALF OF SAID LOT 15; THENCE NORTH ALONG THE CEN ER LINE OF SAID CANYON DRIVE, A DISTANCE OF 80 FEET TO A POINT, THENCE WEST 435.23 FEET MORE OR LESS, TO A POINT IN THE WESTERLY BOUNDARY OF SAID LOT 15, SAID WESTERLY BOUNDARY ALSO BEING THE CENTER LINE OF TIM BUTTE AND PLUMAS RAILROAD RIGHT OF WAY; THENCE SOUTH 9' 46' EAST ALONG THE WESTERLY LINU OF SAID LOT 15, A DISTANCE OF 80.00 FEET MORE OR LESS, TO A POINT THAT BEARS WEST FROM THE POINT OF BEGINNING; ITMCB EAST A DISTANCE OF 435.23 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM TIM FOLLOWING DESCRIBED PARCEL OF LAND: BEGINNING AT A POINT IN THE CENTER 12M OF CANYON DRIVE, SAID POINT. LYING SOUTH 532.24 FEET FROM THE NORTHEAST CORNER OF SAID LOT 15, AND BEING THE SOUTHEAST CORNER OF THE NORTH ONE HALF OF SAID LOT 15; THENCE NORTH ALONG THE CENTERLINE OF SAM CANYON DRIVE, A DISTANCE OF 80 FEET TO A POINT; TMNC13 WEST A DISTANCE OF 150.13 FEET TO A POINT IN THE CENTERLINE OF A SPILLWAY CREED THENCE SOUTH 25' 26' WEST A DISTANCE OF 90 FEET MOR$ OR LESS, TO A POINT THAT BEARS WEST FROM THE POINT OF BEGINNING, THENCE EAST A DISTANCE OF 195 FEET MORE OR LESS, TO THE POINT OF BEGINNING. APN 068-030-073-000 PARCEL I B: .. EASEMENT FOR ROAD PURPOSES OVER THE FOLLOWING DESCRIBED PARCEL OF. LAND: THE SOUTHERLY 30 FEET LYING BETWEEN PARALLEL LINES OF LOT 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILLE WYANDOTTE FRUIT LANDS UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 27, IN BOOK 11 OF MAPS, AT Order No. BU -217725-3 KB RABtCEL I -B: - CONTINUED PAGE(S) 11 AND 12. THE NORTHERLY LINE OF SAID STRIP OF LAND BEING PERPENDICULAR DISTANCE 30 FEET NORnIERLY FROM THE SOUTHERLY LINE OF LOT 9. PARCEL I -C: EASEMENT FOR ROAD PURPOSES OVER THE FOLLOWING DESCRIBED PARCEL OF LAND: COMMENCING AT THE NORTHEAST CORNER OF SAID LOT 15; AS SHOWN .ON THAT CERTAIN MAP ENTn L ED, "OFFICIAI. MAP OF OROVII.LE­WYANDOTTB FRUIT LANDS UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 27, IN BOOK 11 OF.MAPS, AT PAGE(S) 11 AND 12; THENCE WEST ALONG THE NORTH LINE OF SAID LOT 15, A DISTANCE OF 32.24 FEET TO THE TRUE POINT OF BEGINNING FOR TIB PARCEL OF LAND HEREIN DESCRIBED; THENCE EAST ALONG THE NORTH LINE OF SAID LOT 15, A DISTANCE OF 32.24 FEET TO A POINT AT THE NORTHEAST CORNER OF SAID LOT 15; THENCE SOUTH ALONG THE EAST LINE OF SAID LOT 15, A DISTANCE OF 30 FEET; THENCE EAST AND PARALLEI. TO THE NORTH LINE OF SAID LOT IS TO A POINT THAT BEARS SOUTH 39' 05' WEST FROM THE POINT OF BEGINNING; THENCE NORTH 39' 05' EAST TO THE TRUE POINT OF BEGINNING. PARCEL II: A PORTION OF LOT 15, AS SHOWN ON THAT CERTAIN MAP ENTITIAD, "OFFICIAL MAP OF OROVILLE WYANDOTTE FRUIT LANDS UNIT NO 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 7, 1927, IN BOOK 11 OF MAPS, AT PAGE(S) 11 AND 12, MORE PARTICULARLY DESCRIBED AS FOLLOWS: . BEGINNING AT . A POINT IN THE CENTER LINE OF CANYON DRIVE, SAID POINT OF BEGINNING LYING SOUTH 532.24 FEET FROM THE NORTHEAST CORNER OF SAID LOT 15, AND BEING THE SOUTHEAST CORNER OF THE NORTH ONE HALF OF SAID LOT 1S; THENCE WEST 435.23 FEET TO A POINT IN TEE WESTERLY BOUNDARY OF SAID LOT 15, SAID WESTERLY BOUNDARY ALSO BEING THE CENTER LINE OF THE BUTTE AND PLUMAS RAILROAD RIGHT OF WAY, THENCE NORTHERLY ALONG SAID WESTERLY BOUNDARY THE FOLLOWING COURSES AND DISTANCES; NORTH 9' 46' WEST, 137.03 FEET; NORTH 4- 27' WEST, 70.0 FEET; NORTH 5' 43' EAST, 50.0 FEET; NORTH 15' 44' EAST, 50.0 FEET AND NORTH 21' 04' EAST, 247.67 FEET TO TIM NORTHWEST CORNER OF SAID LOT 15; THENCE EAST ALONG SAID NORTH LINE OF LOT 15 A DISTANCE OF 323.47 FEET TO A POINT IN THE CENTER LINE OF A SPILLWAY CREEK, SAID POINT ALSO LYING WEST 32.34 FEET FROM THE NORTHEAST CORNER OF SAID LAT 15; THENCE SOUTHERLY ALONG SAID CENTER LINE OF SPILLWAY CREEK THE FOLLOWING COURSES AND DISTANCES; SOUTH 39° 05' WEST, 105.23 FEET, SOUTH 49' 37' WEST, 40.0 FEET, SOUTH 15' 43' WEST, 40.0 FEET; .hp .IYt.ti7 Bidwell Title Escrow Cy:l WC 500 Wall St. PO Box 5173 Chico, CA 95927 (530) 894-2612 FAX (530) 894-0713 Date: July 19, 2006 OROVI LLE 1835 Robinson St. PO Box 811 Oroville, CA 95965 (530) 533-2414 FAX (530) 533-1589 Butte County Building Division 7 County Center Drive Oroville CA 95965 RE: 068-030-073 and 068-030-072 INCORRECT LEGAL DESCRIPTION FOR 433A PARADISE 145 Pearson Road PO Box 490 Paradise, CA 95967 (530) 877-6262 FAX (530) 872-5129 GRIDLEY 560 Kentucky PO Box 949 Gridley, CA 95948 (530) 846-4005 FAX (530) 846-0584 Escrow No.: 00227351-001-JLB For the efficient handing of your escrow, we are enclosing the following documents which require your attention: Copy of a recorded 433a which has an incorrect legal description Copy of Schedule C which is the correct legal description for the property with the manufactured home located on it and has been attached to a perminate foundation. PLEASE FURNISH US WITH THE FOLLOWING: A Corrected 433A with the legal description provided sent to my attention for recordation. Your prompt delivery to us of the above will be appreciated. If you have any questions, please feel free to contact me at the phone number indicated above. BIDWELL TITLE AND ESCROW COMPANY 1835 Robinson St. PO Box 811 Oroville, CA 95965 Phone: • (530) 533-2414 • Fax: (530) 533-1589 BTEC/signletr) r RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 07 -Mar -2005 2005-0012736 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. OSCAR G. LACS AND PHYLLIS M. LACS REAL PROPERTY OWNER/LESSOR 928 LURLINE DR. MAILING ADDRESS FOSTER CITY SAN MATEO CA. 94404 CITY COUNTY STATE ZIP 258 CANYON DR. INSTALLATION MAILING ADDRESS. IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1937 530 538-7541 Bf UILDIN PERMIT NQ. TELEPHONE NUMBER S A U OF LOCAL AGENCY OFF CIAL DATE LACS DESIGN DEALER NAME (if not a dealer sale, write "NONE") DEVELOPER DEALER LICENSE NO FUQUA 2004 1407 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 19257 56'X 25'8" ORE455832/3 SERIALNUMBER(S) LENGTH X WIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SRR ATTACHED ASSESSOR'S PARCEL NUMBER 068-030-073 HCD FORM 433(A) REV. 8/91 wvt•ry _ r,......., p..n.d.. rAW AR V . t4rrf PINK . Annlicant GOLDENROD - Building Dept. Order No. BU -217725-3 KB Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I -A: A PORTION OF LOT 15, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILLE WYANDOTTE FRUIT LANDS UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 7, 1927; - IN BOOK 11 OF MAPS, AT PAGE(S) 11 AND 12, MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT IN THE CENTER LINE OF CANYON DRIVE, SAID POINT LYING SOUTH 532.24 FEET FROM THE NORTHEAST CORNER OF SAID LOT 15, AND BEING THE SOUTHEAST CORNER OF THE NORTH ONE HALF OF SAID LOT 15; THENCE NORTH ALONG THE CENTERLINE OF SAID CANYON DRIVE, A DISTANCE OF 80 FEET TO A POINT; THENCE WEST 435.23 FEET MORE OR LESS, TO A POINT IN THE WESTERLY BOUNDARY OF SAID LOT 15, SAID WESTERLY BOUNDARY ALSO BEING THE CENTERLINE OF TIM BUTTE AND pLUMAS RAILROAD RIGHT OF WAY; THENCE SOUTH 9° 46' EAST ALONG THE WESTERLY LINE OF SAID LOT 15, A DISTANCE OF 80.00 FEET MORE OR LESS, TO A POINT THAT BEARS WEST FROM THE POINT OF BEGINNING; THENCE EAST A DISTANCE OF 435.23 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: BEGINNING AT A POINT IN THE CENTER LINE OF CANYON DRIVE, SAID POINT. LYING SOUTH 532.24 FEET FROM THE NORTHEAST CORNER OF SAID LOT 15, AND BEING THE SOUTHEAST CORNER OF THE NORTH ONE HALF OF SAID LOT 15; THENCE NORTH ALONG THE CENTERLINE OF SAID CANYON DRIVE, A DISTANCE OF 80 FEET TO A POINT; THENCE WEST A DISTANCE OF 150.13 FEET TO A POINT IN THE CENTERLINE OF A SPILLWAY CREEK; THENCE SOUTH 250 26' WEST A DISTANCE OF 90 FEET MORE OR LESS, TO A POINT THAT BEARS WEST FROM THE POINT OF BEGINNING; THENCE EAST A DISTANCE- OF 195 FEET MORE OR LESS, TO THE POINT OF BEGINNING. APN 068-030-073-000 PARCEL I -B: EASEMENT FOR ROAD PURPOSES OVER THE FOLLOWING DESCRIBED PARCEL OF. LAND: THE SOUTHERLY 30 FEET LYING BETWEEN PARALLEL LINES OF LOT 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILLE-WYANDOTTE FRUIT LANDS UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUN'T'Y OF BUTTE, STATE OF CALIFORNIA, ON MARCH 27, IN BOOK 11 OF MAPS, AT Order No. BU -217725-3 KB PARCEL I -B: - CONTINUED PAGE(S) 11 AND 12. THE NORTHERLY LINE OF SAID STRIP OF LAND BEING PERPENDICULAR DISTANCE 30 FEET NORTHERLY FROM THE SOUTTMRLY LINE OF LOT 9. PARCEL I -C: EASEMENT FOR ROAD PURPOSES OVER THE FOLLOWING DESCRIBED PARCEL OF LAND: COMMENCING AT THE NORTHEAST CORNER OF SAID LOT 15; AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVELLE-WYANDOTTE FRUIT LANDS UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 27, IN BOOK 11 OF MAPS, AT PAGE(S) 11 AND 12; THENCE WEST ALONG THE NORTH LINE OF SAID LOT 152 A DISTANCE OF 32.24 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE EAST ALONG THE NORTH LINE OF SAID LOT 15, A DISTANCE OF 32.24 FEET TO A POINT AT THE NORTHEAST CORNER OF SAID LOT 15; THENCE SOUTH ALONG THE EAST LINE OF SAID LOT 15, A DISTANCE OF 30 FEET; THENCE EAST AND PARALLEL TO THE NORTH LINE OF SAID LOT 15 TO A POINT THAT BEARS SOUTH 390 05' WEST FROM THE POINT OF BEGINNING; THENCE NORTH 39° 05' EAST TO THE TRUE POINT OF BEGINNING. PARCEL II: A PORTION OF LOT 15, AS SHOWN ON THAT CERTAIN MAP ENTMED, ED, "OFFICIAL MAP OF OROVILLE WYANDOTTE FRUIT LANDS UNIT N0.2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 7, 1927, IN BOOK 11 OF MAPS, AT PAGE(S) 11 AND 12, MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT IN THE CENTER LINE OF CANYON DRIVE, SAID POINT OF BEGINNING LYING SOUTH 532.24 FEET FROM THE NORTHEAST CORNER OF SAID LOT 15, AND BEING THE SOUTHEAST CORNER OF THE NORTH ONE HALF OF SAID LOT 15; THENCE WEST 435.23 FEET TO A POINT IN THE WESTERLY BOUNDARY OF SAID LOT 15, SAID WESTERLY BOUNDARY ALSO BEING THE CENTER LINE OF THE BUTTE AND PLUMAS RAILROAD RIGHT OF WAY; T11ENCE NORTHERLY ALONG SAID WESTERLY BOUNDARY THE FOLLOWING COURSES AND DISTANCES; NORTH 9° 46' WEST, 137.03 FEET, NORTH 4° 27' WEST, 70.0 FEET; NORTH 50 43' EAST, 50.0 FEET, NORTH I5' 44' EAST, 50.0 FEET AND NORTH 210 04' EAST, 247.67 FEET TO THE NORTHWEST CORNER OF SAID LOT 15; THENCE EAST ALONG SAID NORTH LINE OF LOT 15 A DISTANCE OF 323.47 FEET TO A POINT IN THE CENTER LINE OF A SPILLWAY CREEK, SAID POINT ALSO LYING WEST 32.34 FEET FROM THE NORTHEAST CORNER OF SAID LOT 15; THENCE SOUTHERLY ALONG SAID CENTER LINE OF SPILLWAY CREEK THE FOLLOWING COURSES AND DISTANCES; SOUTH 39° 05' WEST, 105.23 FEET; SOUTH 49° 37' WEST, 40.0 FEET; SOUTH 15.43' WEST, 40.0 FEET, CONTINUED WP ,t ro li•, P ^L ! Syyir �ti y J r 4�t n b rt. 1 ss�F!01 ;N A",iT- iyy �_ ! it 31 ° +j 1.t tii .'1V1L syF par�tt h E l rr 'tL� I ru ,1 r u rih 4 t."5 r rRT�IFI}� arJ t � tR+l'� ai -'� }' t- �' $-1 r `� � � I -f 1•'"'s�°4 t��;gg{{'' yy... c � �� r 7,� c� ar ,Fys t �! z. itit�r s u� + jr J�1 �r .. .. ..,. .., n. ., ....� ..;r+.�, r .c.. a..+J'U„ ri �! � _-: L. V•) J a llvf ,. �'vt 1-� .5J.. BUILDING PERMIT NUMBER: 04-1937 Address or location of unit: 258 CANYON DR., OROVILLE CA. 95965 Legal Description of Real Property: AP#: 068-030-073 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: OSCAR G. LACS AND PHYLLIS M. LACS Owner's address: 928 LURLINE DR., FOSTER CITY CA. 94404 INSIGNIA OR HUD NUMBER: ORE455832/3 SERIAL NUMBER OR V.I.N.: 19257A/B MANUFACTURER'S NAME: FUQUA HOMES YEAR: 2004 / � h OFFICIAL APPROVING INSTALLATION. /O % DATE: 2 J'7" PHONE: (530) 538-7541 H.C.D. 513C H.C.D. ATTACH CHECK NAME: Z,/gGs AP#: a 36 - o ••-7-7; DATE: -) ;--,- 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. OSCAR G. LACS AND PHYLLIS M. LACS REAL PROPERTY OWNER/LESSOR 928 LURLINE DR. MAILING ADDRESS FOSTER CITY SAN MATEO CA. 94404 CITY COUNTY STATE ZIP 258 CANYON DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS RECOI&;ING REQUESTED BY: OROVILLE BUTTE CA 95965 CITY COUNTY 2 0 0 5— 0 0 1 2-7 3 6 530 538-7541 Recorded 1 REC FEE 13.00 S A U E OF LOCAL AGENCY OFF CIAL OfficialRecords 1 CONFORM 1.0 0 COUP yyOf DEVELOPER I CANDACE J. GRUBBS I AND WHEN RECORDED MAIL TO: Recorder ROSEMARY DICKSON I I Assistant I Kathy 03:08PM 07 -Mar -2005 1 Page 1 of 3 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. OSCAR G. LACS AND PHYLLIS M. LACS REAL PROPERTY OWNER/LESSOR 928 LURLINE DR. MAILING ADDRESS FOSTER CITY SAN MATEO CA. 94404 CITY COUNTY STATE ZIP 258 CANYON DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1937 530 538-7541 BUILDIN PERMIT NQ. TELEPHONE NUMBER S A U E OF LOCAL AGENCY OFF CIAL DATE LACS DESIGN DEALER NAME (if not a dealer sale, write "NONE") DEVELOPER DEALER LICENSE NO. FUQUA 2004 1407 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMMIUMBER 19257 56'X 25'8" ORE455832/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 068-030-073 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. 3 '1l, Order No. BU -217725-3 KB Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I -A: A PORTION OF LOT 15, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILLE WYANDOTTE FRUIT LANDS UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON. MARCH 7, 1927, IN BOOK 11 OF MAPS, AT PAGE(S) 11 AND 12, MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT IN THE CENTER LINE OF CANYON DRIVE, SAID POINT LYING SOUTH 532.24 FEET FROM THE NORTHEAST CORNER OF SAID LOT 15, AND BEING THE SOUTHEAST CORNER OF THE NORTH ONE HALF OF SAID LOT 15; THENCE NORTH ALONG THE CENTERLINE OF SAID CANYON DRIVE, A DISTANCE OF 80 FEET TO A POINT; THENCE WEST 435.23 FEET MORE OR LESS, TO A POINT IN THE WESTERLY BOUNDARY OF SAID LOT 15, SAID WESTERLY BOUNDARY ALSO BEING THE CENTER LINE OF THE BUTTE AND PLUMAS RAILROAD RIGHT OF WAY, THENCE SOUTH 9° 46' EAST ALONG THE WESTERLY LINE OF SAID LOT 15, A DISTANCE OF 80.00 FEET MORE OR LESS, TO A POINT THAT BEARS WEST FROM THE POINT OF BEGINNING; THENCE EAST A DISTANCE OF 435.23 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: BEGINNING AT A POINT IN THE CENTER LINE OF CANYON DRIVE, SAID POINT LYING SOUTH 532.24 FEET FROM THE NORTHEAST CORNER OF SAID LOT 15, AND BEING THE SOUTHEAST CORNER OF THE NORTH ONE HALF OF SAID LOT 15; THENCE NORTH ALONG THE CENTERLINE OF SAID CANYON DRIVE, A DISTANCE OF 80 FEET TO A POINT; THENCE WEST A DISTANCE OF 150.13 FEET TO A POINT IN THE CENTERLINE OF A SPILLWAY CREEK; THENCE SOUTH 250 26' WEST A DISTANCE OF 90 FEET MORE OR LESS, TO A POINT THAT BEARS WEST FROM THE POINT OF BEGINNING; THENCE EAST A DISTANCE OF 195 FEET MORE OR LESS, TO THE POINT OF BEGINNING. APN 068-030-073-000 PARCEL I -B: EASEMENT FOR ROAD PURPOSES OVER THE FOLLOWING DESCRIBED PARCEL OF. LAND: THE SOUTHERLY 30 FEET LYING BETWEEN PARALLEL LINES OF LOT 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILLE-WYANDOTTE FRUIT LANDS UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 27, IN BOOK 11 OF MAPS, AT 11 C61 .rrIAILIiDI ; Order No. BU -217725-3 KB PARCEL I -B: - CONTINUED PAGE(S) 11 AND 12. THE NORTHERLY LINE OF SAID STRIP OF LAND BEING PERPENDICULAR DISTANCE 30 FEET NORTHERLY FROM THE SOUTHERLY LINE OF LOT 9. PARCEL I -C: EASEMENT FOR ROAD PURPOSES OVER THE FOLLOWING DESCRIBED PARCEL OF LAND: COMMENCING AT THE NORTHEAST CORNER OF SAID LOT 15; AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILLE-WYANDOTTE FRUIT LANDS MIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 27, IN BOOK 11 OF MAPS, AT PAGE(S) 11 AND 12; THENCE WEST ALONG THE NORTH LINE OF SAID LOT 15, A DISTANCE OF 32.24 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE EAST ALONG THE NORTH LINE OF SAID LOT 15, A DISTANCE OF 32.24 FEET TO A POINT AT THE NORTHEAST CORNER OF SAID LOT 15; THENCE SOUTH ALONG THE EAST LINE OF SAID LOT 15, A DISTANCE OF 30 FEET; THENCE EAST AND PARALLEL TO THE NORTH LINE OF SAID LOT 15 TO A POINT THAT BEARS SOUTH 390 05' WEST FROM THE POINT OF BEGINNING; THENCE NORTH 39° 05' EAST TO THE TRUE POINT OF BEGINNING. PARCEL II: A PORTION OF LOT 15, AS SHOWN ON THAT CERTAIN MAP EtMTLED, "OFFICIAL MAP OF OROVILLE WYANDOTTE FRUIT LANDS UNIT N0. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 7, 1927, IN BOOK 11 OF MAPS, AT PAGE(S) 11 AND 12, MORE PARTICULARLY .DESCRIBED AS FOLLOWS: . BEGINNING AT . A POINT IN THE CENTER LINE OF CANYON DRIVE, SAID POINT OF BEGINNING LYING SOUTH 532.24 FEET FROM THE NORTHEAST CORNER OF SAID LOT 15, AND BEING THE SOUTHEAST CORNER OF THE NORTH ONE HALF OF SAID LOT 15; THENCE WEST 435.23 FEET TO A POINT IN THE WESTERLY BOUNDARY OF SAID LOT 15, SAID WESTERLY BOUNDARY ALSO BEING THE CENTER LINE OF THE BUTTE AND PLUMAS RAILROAD RIGHT OF WAY; THENCE NORTHERLY ALONG SAID WESTERLY BOUNDARY THE FOLLOWING COURSES AND DISTANCES; NORTH 9° 46' WEST, 137.03 FEET; NORTH 4* 27' WEST, 70.0 FEET; NORTH 50 43' EAST, 50.0 FEET, NORTH 150 44' EAST, 50.0 FEET AND NORTH 21' 04' EAST, 247.67 FEET TO THE NORTHWEST CORNER OF SAID LOT 15; THENCE EAST ALONG SAID NORTH LINE OF LOT 15 A_ DISTANCE OF 323.47 FEET TO A POINT IN THE CENTER LINE OF A SPILLWAY CREEK, SAID POINT ALSO LYING WEST 32.34 FEET FROM THE NORTHEAST CORNER OF SAID LOT 15; THENCE SOUTHERLY ALONG SAID CENTER LINE OF SPILLWAY CREEK THE FOLLOWING COURSES AND DISTANCES; SOUTH 39' 05' WEST, 105.23 FEET; SOUTH 49' 37' WEST, 40.0 FEET; SOUTH 15.43' WEST, 40.0 FEET; 11KONIVIM) Order No. BU -217725-3 KB Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I -A: A PORTION OF LOT 15, AS SHOWN ON THAT CERTAIN MAP ENITIL D, "OFFICIAL MAP OF OROVILLE WYANDOTTE FRUIT LANDS UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUN'T'Y OF BUTTE, STATE OF CALIFORNIA, ON MARCH 7, 1927, IN BOOK 11 OF MAPS, AT PAGES) 11 AND 12, MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT IN THE CENTER LINE OF CANYON DRIVE, SAID POINT LYING SOUTH 532.24 FEET FROM THE NORTHEAST CORNER OF SAID LOT 15, AND BEING THE SOUTHEAST CORNER OF THE NORTH ONE HALF OF SAID LOT 15; THENCE NORTH ALONG THE CENTERLINE OF SAID CANYON DRIVE, A DISTANCE OF 80 FEET TO A POINT; THENCE WEST 435.23 FEET MORE OR LESS, TO A POINT IN THE WESTERLY BOUNDARY OF SAID LOT 15, SAID WESTERLY BOUNDARY ALSO BEING THE CENTER LINE OF THE BUTTE AND PLUMAS RAILROAD RIGHT OF WAY, THENCE SOUTH 9' 46' EAST ALONG THE WESTERLY LINE OF SAID LOT 15, A DISTANCE OF 80.00 FEET MORE OR LESS, TO A POINT THAT BEARS WEST FROM THE POINT OF BEGINNING; T HIE NCE EAST A DISTANCE OF 435.23 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: BEGINNING AT A POINT IN THE CENTER LINE OF CANYON DRIVE, SAID POINT LYING SOUTH 532.24 FEET FROM THE NORTHEAST CORNER OF SAID LOT 15, AND BEING THE SOUTHEAST CORNER OF THE NORTH ONE HALF OF SAID LOT 15; THENCE NORTH ALONG THE CENTERLINE OF SAID CANYON DRIVE, A DISTANCE OF 80 FEET TO A POINT; THENCE WEST A DISTANCE OF 150.13 FEET TO A POINT IN THE CENTERLINE OF A SPILLWAY CREEK; THENCE SOUTH 250 26' WEST A DISTANCE OF 90 FEET MORE OR LESS, TO A POINT THAT BEARS WEST FROM THE POINT OF BEGINNING; THENCE EAST A DISTANCE � OF 195 FEET MORE OR LESS, TO THE POINT OF BEGINNING. APN 068-030-073-000 PARCEL I -B: EASEMENT FOR ROAD PURPOSES OVER THE FOLLOWING DESCRIBED PARCEL OF LAND: THE SOUTHERLY 30 FEET LYING BE'T'WEEN PARALLEL LINES OF LOT 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILLE WYANDOTTE FRUIT LANDS UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 27, IN BOOK 11 OF MAPS, AT Order No. BU -217725-3 KB PARCEL I -B: - CONTINUED PAGE(S) 11 AND 12. THE NORTHERLY LINE OF SAID STRIP OF LAND BEING PERPENDICULAR DISTANCE 30 FEET NORTHERLY FROM THE SOUTHERLY LINE OF LOT 9. PARCEL I -C: EASEMENT FOR ROAD PURPOSES OVER TIRE FOLLOWING DESCRIBED PARCEL OF LAND: COMMENCING AT THE NORTHEAST CORNER OF SAID LOT 15; AS SHOWN ON THAT CERTAIN MAP ENTTTLED, "OFFICIAL MAP OF OROVILLE-WYANDOTTE FRUIT LANDS UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 27, IN BOOK 11 OF MAPS, AT PAGE(S) 11 AND 12; THENCE WEST ALONG THE NORTH LINE OF SAID LOT 15, A DISTANCE OF 32.24 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE EAST ALONG THE NORTH LINE OF SAID LOT 15, A DISTANCE OF 32.24 FEET TO A POINT AT THE NORTHEAST CORNER OF SAID LOT 15; THENCE SOUTH ALONG THE EAST LINE OF SAID LOT 15, A DISTANCE OF 30 FEET; THENCE EAST AND PARALLEL. TO THE NORTH LINE OF SAID LOT 15 TO A POINT THAT BEARS SOUTH 390 05' WEST FROM THE POINT OF BEGINNING; THENCE NORTH 39' 05' EAST TO THE TRUE POINT OF BEGINNING. PARCEL 11: A PORTION OF LOT 15, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILLE WYANDOTTE FRUIT LANDS UNIT N0.2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 7, 1927, IN BOOK 11 OF MAPS, AT PAGE(S) 11 AND 12, MORE PARTICULARLY .DESCRIBED AS FOLLOWS: BEGINNING AT . A POINT IN THE CENTER LINE OF CANYON DRIVE, SAID POINT OF BEGINNING LYING SOUTH 532.24 FEET FROM THE NORTHEAST CORNER OF SAID LOT 15, AND BEING THE SOUTHEAST CORNER OF THE NORTH ONE HALF OF SAID LOT 15; THENCE WEST 435.23 FEET TO A POINT IN THE WESTERLY BOUNDARY OF SAID LOT 15, SAID WESTERLY BOUNDARY ALSO BEING THE CENTER LINE OF THE BUTTE AND PLUMAS RAILROAD RIGHT OF WAY; THENCE NORTHERLY ALONG SAID WESTERLY BOUNDARY THE FOLLOWING COURSES AND DISTANCES; NORTH 9* 46' WEST, 137.03 FEET, NORTH 4* 27' WEST, 70.0 FEET; NORTH 50 43' EAST, 50.0 FEET, NORTH 15.44' EAST, 50.0 FEET AND NORTH 210 04' EAST, 247.67 FEET TO THE NORTHWEST CORNER OF SAID LOT 15; THENCE EAST ALONG SAID NORTH LINE OF LOT 15 A_DISTANCE OF 323.47 FEET TO A POINT IN TIRE CENTER LINE OF A SPILLWAY CREEK, SAID POINT ALSO LYING WEST 32.34 FEET FROM THE NORTHEAST CORNER OF SAID LOT 15; THENCE SOUTHERLY ALONG SAID CENTER LINE OF SPILLWAY CREEK THE FOLLOWING COURSES AND DISTANCES; SOUTH 390 05' WEST, 105.23 FEET; SOUTH 49" 37' WEST, 40.0 FEET; SOUTH 15" 43' WEST, 40.0 FEET; Mar. 1. 2005 1:51 PM The Property Network No -8310 P. 211111002 TopSTATE OF emponwA BUSINESS, TMANSPORTATIONANp HOUSING AGENCY' DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT OMSIOH OF CODES AND STANDARD$ R10 MANUFACTURED HOUSING PROGRAM 78726776 MANUFACTURER CERTIFICATE OF ORIGIN L.J CHN:CX IF TMS Is A DUPLICATE MCD•EN1 MANUFACTURED MWM OR MULTI tNrT " FACTUR p urn it;ttur_ Ir�J SFD (SINGLE FAMILY WdELLING) ❑ MUMH (MULTI-UMT MANUFACTURED HOUSING COMMERCIAL veru. OCCUPANCY GROUP Fuqua Homes, Inc, 20495 Murray Road Fust Pointe Lacs Design & Construction Mco NUMBER OF 2 TRANSPORTABLE SECTIONS 90157 OR 97701 Bend SUGGESTED RETAIL s�Ie 577,762.00 E ANDlOR NU FR;DATE O MANUFACTt 1407 04/01/04 04/01/04 928 Ludine Foster City C INVE ORYCREbITgRNAME SDTte 20/80 INVENTORY CROR ADSES Sues ; C Sob CA 94404 L SECTION MANUFACTURER BERIALM IMBER 13 �HQD W& Nvk OR Hun umm KWOER LENGTH 19257 A ORE 455832 2 WIDTH WEIGHT (INCHES) 672 26'6100 19257 I3 ORE 455833 672 ,254e a 154 26,600 s• TRANSPORTER NAME PINNACLE TRANSPORTATION TRANSPORTER ADDRESS 26882 S. BOLLAM RD CANBY OR 97013 DESTINATION FOR UWr DESCRISEn ABOVE 91ets 7Jp Display NAM OroviIle CA C Biau t certl'Y "I"I PIzhDI Iy yr PIryry y,dW IM Ee>w a M ihM b CaYlrfRfN tnn Uw irowat W ah tnn.rd Donuts. N Bend eoaa.e on 04/01/04 BDeschutes Oregon (Dan I Ply) IcawY) StGNATUR80CANlM0M=AaW.. _ DIBTRiBUT10N; COPY I r'I (PINIQ FORWARD 7T) 71fE fN1lENTOAY CRQDROR, UNLESS THERE LS NOfk TKN FORWARD TO THE PUROrJ1I,Eq OR TAANSFEafiE). COPY 1 (NMITS) FORWAARD TO TM OEPAATMIMITAT P.O. BOX 1020, BACMMBtdTO, CA tR58t7r18Ie, VAT+IN FIVE (8)=1-V COPY 2 (YELLOW) _ OEUVBR TO_THE TRANSPORTER TO ACCOMPANY THE UNIT TO R6 DESTWATION. RELPJSE HCoses.o_ .(7COReceived Time IrMar Tv- Q -'—'-n FA Sloe, ►87, RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 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. OSCAR G. LACS AND PHYLLIS M. LACS REAL PROPERTY OWNER/LESSOR 928 LURLINE DR. MAILING ADDRESS _ FOSTER CITY SAN MATEO CA. 94404 CITY COUNTY STATE ZIP 258 CANYON DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1937 (530) 538-7541 Bjtpp PE N0. TELEPHONE ER IGNATURE OF LOWYAGFNCY OFFICIAL DATE LACS DESIGN DEALER NAME (if not a dealer sale, write "NONE") DEVELOPER DEALER LICENSE NO. FUQUA 2004 1407 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMFINUMBER , 19257 56'X 25'8" ORE455832/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 068-030-073 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD P11 -IK -Applicant GOLDENROD -Building Dept. ra �\ ORDER NO.: 00227352-001 - JLB SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA AND BEING A PORTION OF LOT 15, AS SHOWN ON THAT CERTAIN MAP ENTITLED "OFFICIAL MAP OF OROVILLE WYANDOTTE FRUIT LANDS UNIT NO. 2" RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA ON MARCH 7,1927 IN BOOK 11 OF MAPS, AT PAGES 11 AND 12, DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHEASTERLY CORNER OF THAT CERTAIN PARCEL OF LAND DESCRIBED AS PARCEL II IN THE DEED TO OSCAR G. LACS AND PHYLLIS M. LACS RECORDED MAY 20, 2004 IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA UNDER RECORDER'S SERIAL NO. 2004-0030034; SAID CORNER LYING ON THE NORTHERLY LINE OF SAID LOT 15, WEST 32.34 FEET _ FROM THE_NORT_HEASTERLYCORNER OF -SAID LOT 1.5,.SAID POINTLYING IN .THE _ CENTERLINE OF A SPILLWAY CREEK; THENCE LEAVING SAID POINT OF BEGINNING ALONG THE EASTERLY BOUNDARY LINE OF SAID PARCEL II AND SAID CENTERLINE OF A SPILLWAY CREEK ALONG THE FOLLOWING COURSES AND DISTANCES: SOUTH 390 05' 00" WEST, 105.23 FEET; SOUTH 49° 37' 00" WEST, 40.00 FEET; SOUTH 15° 43' 00" WEST, 40.00 FEET; SOUTH 02° 54' 00" EAST, 36.39 FEET; SOUTH 010 44' 00" EAST, 48.15 FEET; SOUTH 17° 28' 00" EAST, 16.72 FEET; SOUTH 06° 58' 00" EAST, 33.47 FEET; AND SOUTH 020 00'00" WEST, 66.80 FEET; THENCE LEAVING SAID EASTERLY LINE AND SAID CENTERLINE OF A SPILLWAY CREEK, NORTH 75° 00'07" WEST, 334.32 FEET TO A POINT ON THE WESTERLY LINE OF SAID PARCEL II, SAID LINE BEING ALSO THE WESTERLY LINE OF SAID LOT 15 AND THE CENTERLINE OF BUTTE AND PLUMAS RAILROAD RIGHT OF WAY; THENCE ALONG SAID WESTERLY LINE, NORTH 150 44' 00" EAST, 30.00 FEET AND NORTH 210 04' 00" EAST, 247.67 FEET TO THE NORTHWESTERLY CORNER OF SAID PARCEL II, SAID CORNER BEING ALSO THE NORTHWESTERLY CORNER OF SAID LOT 15; THENCE ALONG THE NORTHERLY LINE OF SAID PARCEL II, SAID LINE BEING THE NORTHERLY LINE OF SAID LOT 15, EAST, 323.37 FEET TO THE POINT OF BEGINNING. AP NO. 068-030-073 (A PORTION) RESERVING THEREFROM A NON-EXCLUSIVE 15 FOOT AND 30 FOOT EASEMENT FOR ROADWAY AND PUBLIC UTILITY EASEMENT AS SHOWN ON THAT CERTAIN MAP PRELIM ORDER NO.: 00227352-001 - JLB SCHEDULE C (CONTINUED) ATTACHED TO THE DEED RECORDED OCTOBER 17, 2005 IN RECORDER'S SERIES NO. 2005-62902, OFFICIAL RECORDS OF BUTTE COUNTY. PARCEL II: EASEMENT FOR ROAD PURPOSES OVER THE FOLLOWING DESCRIBED PARCEL OF LAND: THE SOUTHERLY 30 FEET LYING BETWEEN PARALLEL LINES OF LOT 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILLE-WYANDOTTE FRUIT LANDS UNIT NO. 211, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 27, IN BOOK 11 OF MAPS, AT PAGE(S) 11 AND 12. THE NORTHERLY LINE OF SAID STRIP OF LAND BEING PERPENDICULAR DISTANCE 30 FEET NORTHERLY FROM THE . SOUTHERLY LINE OF LOT 9. PARCEL III: EASEMENT FOR ROAD PURPOSES OVER THE FOLLOWING DESCRIBED PARCEL OF LAND: COMMENCING AT THE NORTHEAST CORNER OF SAID LOT 15; AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILLE-WYANDOTTE FRUIT - --- --- L-ANDS-UNIT-NO.2"; -W-HIGH- -MAP--WAS-RECORDED-LN-T-HE_OFFI.CE OE THE__ RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 27, IN BOOK 11 OF MAPS, AT PAGE(S) 11 AND 12; THENCE WEST ALONG THE NORTH LINE OF SAID LOT 15, A DISTANCE OF 32.24 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE EAST ALONG THE NORTH LINE OF LOT 15, A DISTANCE OF 32.24 FEET TO A POINT AT THE NORTHEAST CORNER OF SAID LOT 15; THENCE SOUTH ALONG THE EAST LINE OF SAID LOT 15, A DISTANCE OF 30 FEET; THENCE EAST AND PARALLEL TO THE NORTH LINE OF SAID LOT 15 TO A POINT THAT BEARS SOUTH 390 05' WEST FROM THE POINT OF BEGINNING; THENCE NORTH 39° 05' EAST TO THE TRUE POINT OF BEGINNING. .OMD. l PRELIM RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: Butte County Department of Development Building Division 7 County Center Drive Oroville, CA 95965 NOTICE OF MANUFACTURED HOME (MOBILEHOME OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR IN THE LEGAL DESCRIPTION OF THE REAL PROPERTY ON THE NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM, RECORDED ON 07 -MARCH -2005 UNDER SERIAL NUMBER 2005-0012736. THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. Z' RECORDING REQUESTED BY: WIi�N RECORDED MAIL �0:&�� Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 ::�vz�'3S!-ooh 6('09- 050_0 Recorded I REC FEE 16.00 Official Records I County of I But I CANDACE J. GRUBBS I County Clerk—Recorderl I BW MOM 08—Aug-2006 I Page 1 of 4 NOTICE OF MANUFACTURED HOME (MOBILEHOME OR COMMERCIAL . COACH, INSTALLATION ON A FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR IN THE LEGAL DESCRIPTION OF THE REAL PROPERTY ON THE NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM, RECORDED ON 07 -MARCH -2005 UNDER SERIAL NUMBER 2005-0012736. THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. 0 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. OSCAR G. LACS AND PHYLLIS M. LACS REAL PROPERTY OWNERILESSOR 928 LURLINE DR. MAILING ADDRESS FOSTER CITY SAN MATEO CA. 94404 CITY COUNTY STATE ZIP 258 CANYON DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1937 (530) 538-7541 BLILPP PE1�vl TELEPHONE NUMBER IGNATURE OF LO AG NCY OFFICIAL DATE LACS' GN DEALER NAME (if not a dealer sale, write "NONE") DEVELOPER DEALER LICENSE NO. FUQUA 2004 1407 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 19257 56'X 25'8" ORE455832/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 068-030-073 SEE ATTACHED SCHEDULE C HERETO AND MADE A PART HEREOF HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. ORDER NO.: 00227352-001 - JLB 011(l_ SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA AND BEING A PORTION OF LOT 15, AS SHOWN ON THAT CERTAIN MAP ENTITLED "OFFICIAL MAP OF OROVILLE WYANDOTTE FRUIT LANDS UNIT NO. 2" RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA ON MARCH 7, 1927 IN BOOK 11 OF MAPS, AT PAGES 11 AND 12, DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHEASTERLY CORNER OF THAT CERTAIN PARCEL OF LAND DESCRIBED AS PARCEL II IN THE DEED TO OSCAR G. LACS AND PHYLLIS M. LACS RECORDED MAY 20, 2004 IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA UNDER RECORDER'S SERIAL NO. 2004-0030034; SAID CORNER LYING ON THE NORTHERLY LINE OF SAID LOT 15, WEST 32.34 FEET FROM THE NORTHEASTERLY CORNER OF SAID LOT 15, SAID POINT LYING IN THE CENTERLINE OF A SPILLWAY CREEK; THENCE LEAVING SAID POINT OF BEGINNING ALONG THE EASTERLY BOUNDARY LINE OF SAID PARCEL II AND SAID CENTERLINE OF A SPILLWAY CREEK ALONG THE FOLLOWING COURSES AND DISTANCES: SOUTH 390 05'00" WEST, 105.23 FEET; SOUTH 490 37'00" WEST, 40.00 FEET; SOUTH 15° 43' 00" WEST, 40.00 FEET; SOUTH 02° 54' 00" EAST, 36.39 FEET; SOUTH 01° 44' 00" EAST, 48.15 FEET; SOUTH 17° 28' 00" EAST, 16.72 FEET; SOUTH 06° 58' 00" EAST, 33.47 FEET; AND SOUTH 020 00'00" WEST, 66.80 FEET; THENCE LEAVING SAID EASTERLY LINE AND SAID CENTERLINE OF A SPILLWAY CREEK, NORTH 750 00'07" WEST, 334.32 FEET TO A POINT ON THE WESTERLY LINE OF SAID PARCEL II, SAID LINE BEING ALSO THE WESTERLY LINE OF SAID LOT 15 AND THE CENTERLINE OF BUTTE AND PLUMAS RAILROAD RIGHT OF WAY; THENCE ALONG SAID WESTERLY LINE, NORTH 15° 44'00" EAST, 30.00 FEET AND NORTH 210 04'00" EAST, 247.67 FEET TO THE NORTHWESTERLY CORNER OF SAID PARCEL II, SAID CORNER BEING ALSO THE NORTHWESTERLY CORNER OF SAID LOT 15; THENCE ALONG THE NORTHERLY LINE OF SAID PARCEL II, SAID LINE BEING THE NORTHERLY LINE OF SAID LOT 15, EAST, 323.37 FEET TO THE POINT OF BEGINNING. AP NO. 068-030-073 (A PORTION) RESERVING THEREFROM A NON-EXCLUSIVE 15 FOOT AND 30 FOOT EASEMENT FOR ROADWAY AND PUBLIC UTILITY EASEMENT AS SHOWN ON THAT CERTAIN MAP PRELIM ORDER NO.: 00227352-001 - JLB ;. .� SCHEDULE C (CONTINUED) ATTACHED TO THE DEED RECORDED OCTOBER 17, 2005 IN RECORDER'S SERIES NO. 2005-62902, OFFICIAL RECORDS OF BUTTE COUNTY. PARCEL II: EASEMENT FOR ROAD PURPOSES OVER THE FOLLOWING DESCRIBED PARCEL OF LAND: THE SOUTHERLY 30 FEET LYING BETWEEN PARALLEL LINES OF LOT 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILLE—WYANDOTTE FRUIT LANDS UNIT NO. 211 , WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 27, IN BOOK 11 OF MAPS, AT PAGE(S) 11 AND 12. THE NORTHERLY LINE OF SAID STRIP OF LAND BEING PERPENDICULAR DISTANCE 30 FEET NORTHERLY FROM THE SOUTHERLY LINE OF LOT 9. PARCEL III: EASEMENT FOR ROAD PURPOSES OVER THE FOLLOWING DESCRIBED PARCEL OF LAND: COMMENCING AT THE NORTHEAST CORNER OF SAID LOT 15; AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILLE—WYANDOTTE FRUIT LANDS UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 27, IN BOOK 11 OF MAPS, AT PAGE(S) 11 AND 12; THENCE WEST ALONG THE NORTH LINE OF SAID LOT 15, A DISTANCE OF 32.24 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE EAST ALONG THE NORTH LINE OF LOT 15, A DISTANCE OF 32.24 FEET TO A POINT AT THE NORTHEAST CORNER OF SAID LOT 15; THENCE SOUTH ALONG THE EAST LINE OF SAID LOT 15, A DISTANCE OF 30 FEET; THENCE EAST AND PARALLEL TO THE NORTH LINE OF SAID LOT 15 TO A POINT THAT BEARS SOUTH 390 05' WEST FROM THE POINT OF BEGINNING; THENCE NORTH 39° 05' EAST TO THE TRUE POINT OF BEGINNING. Gump. Es.. PRELIM r n � r NOTES RESIDENTIAL 'r PERMIT NO. %063-030-073a 04=1937 j L'AGCS� PHYLLIS & BILL i ' CANYON DR, OROVILLE Cont: OWNER` tJEW MH PERM FND NEW SITE 01 THE HCD FORM 433A FOR THIS MH CANNOT BE ' RECORDED UNTIL ONE OF THE FOLLOWING HAS ''BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL -(THE . INSPECTOR MUST RETREIVE). ; Y, L (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). `INSPECTOR TO VERIFY SERIAL &LABEL #'S. . 4 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 3!' /OFFICE,•COPY dress 23 6 Ad GAS Meter By Date ELECTRI 7 Meter By Date Rf{ i Addre 1 BY ELECTRIC Meter By Dat=�C JOB FINALED (Date) s' Signature '_ 0,71 r J=OK 0 = Not OK = NotReadyable 1. MOBILE,HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. t}./Loning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 2. 4. Test 7. W� and Sewer Connected Gas and Electricity Tagged xits 10. License Decals 11. Verify #'s with Office Date Card B-1,�/ Date Card B-1 Date Card B-1 Date Card B-1 r� 04F2_ J,, . v 3 2 3 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single• & Duplex) Date UNDERFLOOR (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning -Setbacks -Easements -Flood -Slope r Card B-1 Date Card B-1 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped j 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Date 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 41. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 42. 11. Water Pipe; Test -Anchors -Regulator -Service Test 41 12. Electric Underground 44. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 45. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 46. 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22..Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Fireplace or Stove, Clearance -Hearth 72. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 75. 24. Fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors { 77. 26.. Size Boxes & No. of Conductors Stapled 78. 27. Romex Installed Close to Edge of Studs & C.J. 79. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 80. 29., 2 Appliance Circuits in Kitchen & Conductor Size GFI 81. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 82. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al f Insulated Neutral O Yes 0 No r 32. 'Service -Riser Conductors & Ground Main Disconnect 83. 33. Equip. Clearances Panels-Motors-Mech. Equip. { 84. 34.; Clothes Closet Light -Shower Light -Spa Light 35., Smoke Detector i Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors r Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation # 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40: Attic Access & Platform if Furnace in Attic Date 54. Card B-1 Date Card B-1 Date 55. Card B-1 Date Card B-1 r Date FRAMING (Permit) OK except #'s Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 41. Sills Proper Materials & Anchors Siding -Nailing Veneer 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound ' Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 41 Bearing Walls over Girders & Floor Nailing Glazing Area -Glass Protection -Skylights -Plastic 44. Draft Stop in Walls (rat proof) Shear Walls; Nailing -Bolts 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Brace Interior/Exterior Wall Panels 46. Headers & Beams -Size & Bearing Insulation -Walls -Ceilings 63. Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure_ 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor C1 Yes _ 83. Fallowing Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House �• ` 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041937 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of Issued Date: 07/30/2004 APN: 068-030-073-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 258 CANYON DR ORO License Class: License Number: Map Index: Date: Contractor. Description: NEW MH PERM FND (1403) 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: OSCAR G & PHYLLIS LACS 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 928 LURLINE DR the Contractor's State License Law (Chapter 9 commencing with Section FOSTER CITY CA 94404 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: OSCAR G & PHYLLIS LACS Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees. 928 LURLINE DR provided that such improvements are not Intended or offered for FOSTER CITY, CA 94404 sale. If however, the building or improvements are sold within one • year of completion, the owner -builder will have the burden of SGd1l�jCGr>i[C proving that he or she did not build or Improve for the purpose of �`ifp 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 3of th ess and Professions Code Datet 30 D Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self4nsure 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: ❑ 1 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: 1403 S.F. Valuation: $91,195.00 Policy #: Census Code: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to 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, 1 shall forthwith compI with th se provisions. ®� 3 Date: // / G G Z'4 C�5 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 s provided for in Section 3706 of the Labor code, Interest, and attorney's fees. "/`1i 70 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This pe i her y ssue under a applicable provisions of the Butte County C odA 2nrVor Resolut' n o d coo t d r hlch ees have been paid. /(✓/ !/y performance of the work for which this permit Is issued (Sec 3097 Civ.) •gy; / Date: Name: fJ PERMIT EXPIRES ON: Address: D to ❑ 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. O Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O 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 duty autha 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 to o document of Butte County. thereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. 441—Cs ;07 Print Name: Signature: Date:=30 0 Owner 0 Contractor 0 Agent for Owner 0 Agent for Contractor q ,.. " NTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 U k PERMIT APPLICATION DATA SHEET OWNER: S IYS:ESSOR PARCEL NUMBER O Proposed Building Use Counter Technician: Date: Iters required in order to apply for a permit All boxes MUST be checked OR marked NA in order to apply. 1. Site plano 4 sets, signed by the preparer of the plans. ❑ 2. Complete ans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for n heated and AIC for Non Resid al Buildings. / 8. Manufactur d ome . ) Data sheets a installation ins , arriage line inf Floor Pi ie`�g�in or fnd plans, all in duplicate. / ]`� ❑ 9. Metal Bldgs: (A) Metal dg la s A n plans nd calcs in trip icate evations 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. Site plan and business license approval from the City I Biggs I ❑ 12. Letter of intent for non-residential buildings _V1 t ❑ 13. Detached Accessory Building Form filled out by ttie owner 14. Hazardous Material Form tj 15. Sanitation and site plan approval frTM (It Environmental Health Department in ❑ Chico'Oroville, as applicable. 16. Other 11 Remaining items needed to issue tests permit. (Ma�require additional plan review upon receipt of the following items.) 17. Fire Sprinklers .........................�. I............................................................. 2 18. Agricultural Buffer clr and site plan:ap from the Ag Commissioner Sent by .. 19. Soils Report and/or Engineered f�&ndation required ........................................... ........ ❑J 20. Ero�io Control Plan Required........................................................................ ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet.....: ........................ ❑ 22. City of , ico Plumbing eff'nt...........................................................V ..... � . 23. California D artment"IForestry plan approval f(paid. Sent by: �„;...� 24. Planning appr val (A) Use(B)Parking: (C) Parcel Check: �• 25. Contact Land D\it pment about _Improvements,' _Drainage.... 26. NPDES Form...................y..................:....:................: .... ;........, 27. Encroachment for drivewa from the Public Works Dept.. .................❑ 28. Pre -Inspection frequired........ ❑ 29. Contractor's license t�formation. (Number, Name Styli Classification) ................... 30. Worker's Compensatign Carrier and Policy Number .... .................................. r 31. Owner -Builder Verificat�on (,/Given to ownerA Mailed to owner) ..................... 32. Letter of Signature authorization ..........................:.................................... 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. �I ufactured home utility, clearance ............................ .,................................. ❑ 35 g violations and/or e'pired permits .................................. t...................... 3 . Restriction..... 37. Grant Deed pfd 7 Dom' vI H. Title ement of Facts, ❑ Let�r�al Owner heck to H.C.D. $ 38. Other. ❑ 39. Other: When issued Telephonku and hold for pickup. I have been inform9of the above items and requirements for obtaining a building permit. Applicant: Qa_oe A -'>/N/ 1. Index permit applic ' Te above items numbered: K 2. Additional items r i Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, Contractor, designer, own , w advised of the ab ve to phone, ❑ mail, Plans reviewed by: Date: Plans approved Structural reviewed by: Date: Struclu4rpoc Note transfer by: Date: Date: O% n do I Plan Check Letkr'` ❑ counter, by _ ❑ count ts' !d by: g Division Date: Date : a Date: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES % OWNER A.P. # r 73 PROPROSED BUILDING USE DATE RECEIPT # DATE RE C. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ —0--- Revised Plan Checking Fee.... 2. SCHOOL DISTRICT FEES (paid at School District Office) (form a ai able after PlanCheck) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... 4. URBAN AREA FEES X $0.03 = $ Sq.Ftg. x.1.04- 40Co 706 -7-1.6+- (paid .1.04' (paid at Building Division) Residential (per unit)..... X —=$ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) TSI FIRE INSPECTION AND PLAN CHECK FEE $gTaid at Building Division) NATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER 46&7b6 -1-1,04- At 1,04 - At 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. APPLICANT DATE 1 —1-04 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) L .4.1BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District t2,V V I L L F- Building Department No. -5 P,04 fe7 57 A.P. Number Jurisdiction: city County Property Owner Property LocationlAddress 02 d Q c, Subdivision Lot No. .............................................................. ...................................... 0 Residential Development Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No fbuhdatlon Inspeclion) ..................................................................................................... Deed Restricted Sq. Footage (Attach a signe&copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage. New Addition (Including Exterior Roofed Areas) Mo District Identification No. V --6V P y', SCho.ol..District certifies that' 21 (Street Address) Date (Applicant) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing square feet. JAB 2926 $ PFULL MMGATION $ School District Date Paid by Check # Remarks: No 911c You may protest the lmposftlon of the has klandfled above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date has are paid. Failure to submit a timely written n protest vAll'prohibit you from challenging the Imposition of the has In any court action. M, subsequent to the School District Representative signing dft Sutte County Schools Impact Fee Cartiftation Form, the School District Is rotted bythe appil, 11 Local Planning Agency that this projed Is being ravivaed under the Calfforrila Environmental 06MIty Act'(CEQA� tints of A may bi s~to additional school has to fully n0gate.fts Impact on the school distriers schools. White (applicant), Yellow (building department), Pink (school district) feeform.)ft (t0/03)drnm TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance C. H. UE.H. U � Plot Plea Attaclud Foos Yon Attacked Sant to B.D. ! � ,�� c. c.. C es C_ •4•v o iz . ®lack — 0j0 - 0 73 i9 �1 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public ✓ Private Well Clearance for ✓ dwelling. Other J A6I'=Z e 6.0�O E_ ��i�c9 _A' Gc-) Hold final for: Final clearanc O.K. for: NOTE: Environmental Health 8/96 alist ef%34Aj,-g qe- A Date OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner-buildee' 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. I personally plan to provide the major labor and materials far construction of the proposed property improvement: YES 9 NO ❑ *2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY.- PHONE: y;PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this wo*, but I have hired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S I will provide some of the work but I have contracted (hired} the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: * PROPERTYOWNER: -�9 DATE: 7 1 O NOTA: This Owner -Builder Verfficatuon is required by Section 19831 and 19532 of the California Health and Safety Code. This ver kation must be completed and returned to our office before we are permuted to issue the permit OWNER BUILDER INFORMATION Dear Property Owner. An application for a budding pemui has been submitted is your name listing yourself as The builder of property improvements specified. For your pmt=dDu, you should be aware that as owner -Mulder" You are the responsible party ofrecord on such a permit Barking permits are not requnad to be signed by Property owners unless they are personally performing their own work. If your work is being performed by someone other than yomseh; 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 com32y. They are also required by law to put their license number on all permits for which they apply. If yon plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the Mowing information for your benefit and protx;iim. a if yon employ or otherwise engage any PMWW other than. your immediate family, and the work (Including materials and other costs) is $300 or more for the entire Project, end such persons are not licensed as contractors ar sub actors, thea yon may be as employer. b If you are an employer, You must register with time State and Federal Govemme= as as employer and you are subject to savehl obligations including state federal es tip withholding, Meral social security taxes, Wow comP insurance, disability mm-211ce costs, and unemployment compensation coninbutions. There may be financial risks fior you ifyou do not emy ouut these obligations, and these risks are with respect to worker's especially serious ♦ For more specific mon about y= obligations under Federal Law, contract the Internal Revenue Service (and, ifyon wish, the U.S Small Business .. ). For nmare specific in&nn,.dm about your obligations bunder �e Law, conte the Department: ofBenefit Payments and the Division of industrial Accidents. If flue simctaae is intended for sale, property owners who are not licensed contractors are allowed to perform their work conditions. �y or through their own employees, mahout a licensed r or subcontractor, only wader limited A fregneW practice of unlicensed persons professing to be contractors is to secure an 'owner bu Mia" building peM' �e0`� �� that the ProPmiy owner is providing his or her own labor and permits are not signed by property owners unless they are material ers B yrs maybe obt�ed by perfDnmiag lbeir own wodc personally community or at 1020 N Street; S State �� Board is your Please CA. 95814. "O� Bmldw Venfic3bOe on time reverse side of this fawn so that we can confimn that you are aware of these maneas. Tile building pmmit wM not be issued >mtg the verificatkon is ret mie3. -.r•1 ... NOT Z- 77= Owner-Builderinform ewn it required by Section -74830 ofthe Cafrfornk Hedy Md Safety Cods AV 51 6vTT�°� r' o ° o o c o c O p °oUNI A�eLIC WOP�� Department Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538.7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI Project Description: Project Location and/or Parcel Number: O (� D " 0�6 0 7 �5 D7 Z— By signing below, I, the project owner/owner's 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 build -outs 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 Control 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 a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: %/�!/`j r1 Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 NATES 1p RESIDENTIAL PERMIT NO.0068-030-073_ . �.. ___» _04`1940 L C HYLLIS & BILL CANYON DR, OROVILLE Cont: OWNER CABANA E, SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER II I JOB FINALED (Date) Signature's. J=OK 0 = Not OK - =Not Applicable . = Not Ready Smoke Detector RESIDENTIAL Date UNDE OOR (P ns) OK except #'s Card B-1 Date Card B-1 Date Zonin acks-Easements-Flood-Slope Date 17. Water Htr.; Vent -Access -Combustion Air Baffle Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 18. Water Pipe; Test & Anchor -Nail Protection 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 72. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 21. Test Tub & Shower, Second Floor -Tub Access 5. Stemwalls, Main; Steel-Blockouts-Wrapped 38. 6. Stemwalls, Garage; Steel -8lockouts-Wrapped A.C. Duct in Garage -Damper 6a. Hold Downs and Special Anchors Date 7. Slab, Steel -Wrapped ELEC CAL (Permit) OK except #'s 8. Piers -Fireplace Ftg.-Steel Card B-1 Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test tz xes & No. of Conductors Stapled 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 83. 11. Water Pipe; Test -Anchors -Regulator -Service Test 29, Chen & Conductor Size GFI 12. Electric Underground 86. 3_,Pfeqnums & Ducts; Clearance -Material -Support -Ins. 32.` ervtce tser on uc ors ound Main Disconnect 88. rders Sills Anchor Bolts-Joists-Vents-Crippies 89. 34. es loset Light -Shower Light -Spa Light Access & Ventilation 3, 16. Insulation (Single & Duplex) Date Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date 17. Water Htr.; Vent -Access -Combustion Air Baffle 7OStairs 18. Water Pipe; Test & Anchor -Nail Protection 36. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 72. 20. Shower Pan; Test, First Floor -Tub Access 37. 21. Test Tub & Shower, Second Floor -Tub Access 74. 22. Gas Pipe; Sixe & Anchors 38. 23. Fire Sprinkler; Test 76. A.C. Duct in Garage -Damper Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELEC CAL (Permit) OK except #'s Date Fi re & Transformer Clearance -Ins. Protection Card B-1 Date lec. Receptacles Spacing -Lights & Switches at Doors Date tz xes & No. of Conductors Stapled Card B-1 Date ek_omex Installed Close to Edge of Studs & C.J. 83. 28. roun ma a up /Mech Fasteners -Bond Gas & Water 84. 29, Chen & Conductor Size GFI 85. 30. AI-A.C. WireSize/ /ga Cu or Al 86. 31. a ircle/ /ga Cu or AI- -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes O No 87. 32.` ervtce tser on uc ors ound Main Disconnect 88. 33. E earances Panels -Motors- ech. Equip. 89. 34. es loset Light -Shower Light -Spa Light 90. 3, Date Smoke Detector Card B-1 Date Card B-1 Date Bedroom Exiting Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 7OStairs & Rails 36. A.C. Ducts Insulation & Support 72. Elec. Outlets at Wood Panel, Int. & Ext. 37. Vent Fan, Exhaust above ation 74. Elec. Outlets & Receptacles at Kit. Counter 38. Condensate Dr Overflow, Size & Grade 76. A.C. Duct in Garage -Damper 39. Furnace Access -Comb. Ait-Return Air Vent 115 Outlet 78. 40. Att' ccess & Platform if Furnace in Attic Elec. Receptacles in Garage (F.F.I.)-Romex Protection Date Insulation -Foam -Looked in Attic Card B-1 Date Card B-1 Date Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Card B-1 Date Card B-1 Date FRAM!(Permit) OK except #'s . Si Proper Materials & Anchors �1Nalls Studs -Nailing Spacing & Braces -Plates -Sound 3. Bing Walls over Girders & Floor Nailing _ raft Stop in Walls (rat proof) 45.]�Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAMIN (Continued) -4T_,41-angers- Post Caps-Anchors-Conne� g. Joist-Rftr. Ties- Purlin-Roll Br -Shting.-Rtng. %9t QrApinaeZL ^fie A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5)1. xiting Doors -Sill Ht. & Dimensions 5 tion Framing -RC Channel 53_,?_u4wAy Line FirewalL&-Openings j,54r Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. anding-Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ding -Nailing Veneer 58. a d-Vents-Underflr. Access L59 -Glazing Area -Glass Protection -Skylights -Plastic 60. Sh_pay Walls; Na Date ' and B- Date Card B-1 Date Card B-1 Date Card B-1 Date FIN fans) OK except #'s Ext. Steps -Door & Sideliaht Protection- Land inos 465' Smoke Detector 6. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 7OStairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. gorrections from Previous Inspections AT v/ ,A 9 Gas Test -Meters Tagged, Gas -Electric 93. Water -Sewer Connected -C/O to Grade -HD Approval E506Y Compliance Certificate -Other Certificates Address Posted 96. Dat Fire Sprinkler Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not OK . = Not Readyable Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete Drain; MH Test -Fall -Flex Connector 4. Water; Location -Test -Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas and Electricity Tagged 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 10. 7. Well Clearance & Disconnect Cert. of Occupancv 8. Utility Clearance 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancv 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP041940 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/30/2004 APN: 068-030-073-000 the Business and Professions Code, and my license is In full force and effect. Site Address: 258 CANYON DR ORO License Class: License Number: Map Index: Date: Contractor: Description: CABANA (81 SQ.) COVERED AREA 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: OSCAR G & PHYLLIS M LACS 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 928 LURLINE DR the Contractor's State License Law (Chapter 9 commencing with Section FOSTER CITY, CA 94404 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: OSCAR G & PHYLLIS M LACS Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees. 928 LURLINE DR provided that such improvements are not Intended or offered for FOSTER CITY, CA 94404 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 Licen law.). ❑ 1 am E mpt under Article 3 of the B si d Professions Code Date:�73O Owner: License #: WORKERS'COMPENSATICM DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self4nsure 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: ❑ 1 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: 360 S. F. Valuation: $23,400.00 Policy #: Census Code: 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 w ,ply with t ose provisions. 0 7 P,/,P y bate: c ALL Gi9C-5 Applicant: WARNING: Failure to secure workers' compen ation 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 - I hereby affirm that there is a construction lending agency for the This pe I! s her • iss cd undgf the app!icabl3 prcvisions of the Butte County CAdp anrlMr ResVonto s / e or hich f s have been paid.perforrhance -7 of the work for which this permit is Issued (Sec 3097 Civ.) BY Date: Name: PERMIT EXPIRES ON: ` �O D 60 Address: Date ❑ 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 lhls application, that the above information is corect, and that 1 am the owner or the duly rized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substance otomy offic Ifo or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. � / C < —p,/ '1I Signature: Print Name: Date: 0 Owner 13 Contractor 13 Agent for Owner 13 Agent for Contractor 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 OF APPLICA TION I "PLEASE PRINT CLEARLY** is C APPLICANT NAME CONTRACTOR OWNER Last Name 1 ` - ` Zips � O irst Name Addres Lo `� � ue- City 4 CAL, Fax tateCA ZiN44Oq P one Class Planner rFax, -371 -01 I5 E-mail APPLICANT NAME CONTRACTOR Name City CA - Address Zips � O City Fax 7 I_ 1 S6 State Zip Phone Type Const. Fax E-mail Map Book lac. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City CA - Address Zips � O City Fax 7 I_ 1 S6 State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name 1 \ Address r City CA - State Zips � O Phone0 3 _ Fax 7 I_ 1 S6 E-mail APPLICANT SIGNATURE X For office use onl AP# 0 f 7 3 Zoning ( Flood Zone I X SRA Yes No Occ. Name Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP o4 IBIN #13 --5 I LOCATION AP# 0 f 7 3 Address ®ross City reet 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 OVER FOR SUBMITTAL REQUIREMENTS U K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: Sq. Footage v S ❑ Structure Built without Permit ❑ 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: ICS Amount: 8s2• 36 Bldg SRA Receipt #: Sheriff 0,5+- SMIP Other Date:• 1 • C4- 6-* • 6"1Q Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND I N Residential, New, Coils, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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 en 'neer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form... ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would -like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS\13IdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 r 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 �G� �A� OWNER: \^ ^ ASSESSOR _EL NUMBER Proposed Building Use: A�' / (/ `� � Counter echo" ician: Date: Items required in order to apply fora permit. All boxes MUST be checked OR marked NA in order t apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 1�1 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. O 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: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. 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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate 0 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner O 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in O Chico 0 Oroville, as applicable. 5F -E. ❑ 16. Other S,­� « I `'i ?,7 Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by o7� z- �`, per, , _ a ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 0 20. Erosion Control Plan Required........................................................................ ........ y! 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit....................................................................... 23. California Department of For st Ian approval laid. ? ...... .d ►► G 24. Planning approval (A) UseB)Parking: (C) Parcel Check `7/�`IL LCa� ❑ 25. Contact Land Develo men af" bout' Improvements, Drainage .........................�� P - P ,- 9 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... 30. Worker's Compensation Carrier and Policy Number ....................................:..... 31. Owner -Builder Verification ( ✓Given to owner, _Mailed to owner) ..................... 0 32. Letter of Signature authorization......................................:............................. 0 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... O '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, 0 Check to H.C.D. $ 0 38. Other: ❑ 39. Other: When issued Telephone &SQ • 64f7 . 4,1oo7 and hold for pickup. I have been informed Mhe above items and requirements for obtaining a building permit. Applicant: Date: 07/&-,//e9 1. Index permit applicati6I r)i 6 above items numbered: I Plan Check Lett6r r 2. Additional items require I Contractor, designer, owner, was advised of the above data by Yphone. 10 mail, O counter, by Z Date: T Z - 0 Contractor, designer, owner, was advised of the above d to by O phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: C Date: '0 Plans approved by: Date : � 0 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 1 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A.P. # 0�8. 030 X73 PROPROSED BUILDING USE DATE 7• ( • gc:4' 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $_ 2. SCHOOL DISTRICT FEES ©Azo eL" (paid at School District Office) (form available after Plan Check) G 1 V 6�.! Ta G W"I:iP� 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES Residential (per unit)..... X # Units Amt. RECEIPT # DATE REC. (paid at Building Division) Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. e 10. OTHER At 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. APPLICANT DATE 1 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM M (One form per Building) School District Q o V ► I - L EM Building Department No. PO41 L% 3q A.P. Number b fig' -Q 3b ' D73 Jurisdiction: Q city County Property Owner Property Location/Address - '4 1� FR , �� 4>V t t.• L C Subdivision Lot No. .. ......................... _.... »............................ ................................... Residential Development Q Q� Q Sq. Footage (oQ No of Living Mobile Home Addition/ Supplemental to (Group R)r Units Installation Conversion Permit # *(No foundation inspection) :.................................................................... . Deed Restricted Sq. Footage (Attach.a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areas) L La..« 7' o `� Building Deifahment Representative Date District Identification No. ke- ..A Scc ool District certifies that " (Applicant) �, �t .fit<•��"!�•-. , � (Street Address) 0 /x Z (Phone Number) 0 ra J L�* - CA- '��w S q 14 le (City) (State) (Zip Code) has complied with the requirements of Resolution No. U 3 —o 4-(--L4 by payment of $ Al I a representing to 10 square feet. 2926 $ FULL MITIGATION $ School District Re&esentative Date Paid by Check # Remarks: i7 (D 3 c7.•�b '1 3 Nonee: You may protest the Imposition of the toss Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(x), within 80 days from the date Nes are pald. Faltureto submit a dmey wrltten protest wlll'pmhR* you from challenging the Imposition of the Nes In any court action. If, subsequent to the School District Represerdatlw signing Mle Butte County Schools Impact Fee Certification Form, the School District Is no"lled by the applicable local Planning Agency that Mia project is being reviewed under the California Environmental Quality Act (CEQAh thisproject maybe subject to additional school fees to fully mitigate.ks Impact on the school dlstrletle schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls 00/03)dmm q.S - WTMENT UTT 0 0 O - \A��UN'��y ei1C WOP� Department Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) /acknowledgement /LESS THAN I ACREI Project Description: 11-A-14- Project 4-A-14 - Project Location and/or Parcel Number: 7,3 By signing below, I, the project owner/owner's 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 build -outs 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 Control 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 a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 O.B.-1 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 materials far construction of the proposed property improvement: YES A NO ❑ 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed constrmction: NAME: ' ADDRESS: QTY: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: , NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: DATE: NOTE: This Owner -Builder Verykation is required by Seguin 19831 and 19532 of the California Health and Safety Code; MIS verrfwz&n mast be completed and returned to our office before we are permitted to issue the perm OWNER BUILDER INFOBMA'I'I®N Dear Property Owner. o_ .B.-1 An application far a building permit has been submitted in your name listing yourself as the builder of property improvemens specified. For your protection, You should be aware that as owner bolder" you are the responsible a Pik Building P� are not required to be eP PAY performing g such own veorlL ];f your waric is be' � �d �' P�P�Y owners unless they are personally perform>ag their mg performed by someone other than yourselt; you may protect yourself from possible liability if that person applies for the Proper permit m his or her name. Coafactars are required by law to be licensed and bonded by the State of California. and to have a business license from $�e city or ce�Y• They are also �, by put their license number on all permits for which they apply ifyon planta do your own world wi& the exception of various trades that you plan to subcontract,. you should be aware of the following k formation. far your benefit and protection; 4 If YOU employ or otherwise engage ally persons other than your immediate family, and the work (mchrding materials and other costs) is $300 or more for the entire project; and such persons are not licensed as contractors or subcOntactOrs, then you may be as employer. ♦ If you are an employer, You must regista wi9r the State and Federal Govemmenta as an employer and you are subject to several obligations including state and federal income tax withholding, &decal social security takes, workers compensation insurance, disability insurance costs, and uft=plxMznt compensation coons. There may be financial risks fior You if yon do not cavy out these obligations, with resped to wo�r's compensation h=,..and these risks ale especialiy serious ♦ For more specific mon about your obligations under Federal Law, cm&ad the Internal RmWM Service (and, Staff wasaw. coc U -S- Small the D Business in Admistration)' For more specific fi&rmation about your -obligations under epam= of Benefit Payments and the Divisioa of Industrial Accidents. If the sf=udnre is intended for sale, property owners who are notwork licensed contractors are allowed to perform their conditions. personally or ugh their own emP�i` ,mahout a licensed contractor or sirbcontraaor. only under, limited A frequent practice of unlicensed Persaas professing to be c o actmrs is to secure an :owner bolder" bolding 1 � 0O�5'm�d� tat the propMtY owner is providing his or her oxen labor rad material personally, Building is on about ii to ed signed by � owners unless they are pig their own work personally . community or n about li am" S� � be obtained by � � Lime Board n your Please � � ��, 0,.4.95814. comp "Owner Builder Verification" on the reVerse side of ties farm so that we can. confirm that you am aware of these maums. The bolding pemrit will not be issued until the verification is returned. NOM ZYur Owiw-BzA&rlxfornrafoa is required b3, Section I?830 of &C Calrfarafa H.M alzd Safety Code t_, ;;�, � NOTES .• ,. PERMIT NO. RESIDENTIAL -6687_0303071 04-1939 LA Cs' AHYcc/s t' T31.c CANYON DR, OROVILLE Cont: OWNER NEW -GARAGE 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER k 11i �-4 Y JOB FINALED (Date) ✓ `' Signature - - i a 1 CHECKED BY Y c - ,. PERMIT NO. RESIDENTIAL -6687_0303071 04-1939 LA Cs' AHYcc/s t' T31.c CANYON DR, OROVILLE Cont: OWNER NEW -GARAGE 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER k 11i �-4 Y JOB FINALED (Date) ✓ `' Signature - - i a 1 CHECKED BY J=OK = Not OK-',- - . = NotReadyable -' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s - oying Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG lectric 7. Well Clearance & Disconnect rmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance idi ; Nailing -Veneer -Stucco- sh 1 ; S -Roofing 11. Date Card 6-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards- Ins. to Main Conduit 11. Cert. of Occupancy Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEC!2, COVERS, CARPORTS, GARAGES (Plans) OK except #'s L - oying Requirements -Setbacks -Easements 12 ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7 lectric rmg.; Sills-Anchors-Studs-Rftrs-Trusses idi ; Nailing -Veneer -Stucco- sh 1 ; S -Roofing 11. x teps-Doors andi raced Wall Panels i - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -8lockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 48. 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection Fireplace Ties or Type A Flue -Fireplace Throat Clearance 19. D.W.V.; Test Fittings & Anchor -Nail Protection 50. 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 22. Gas Pipe; Sixe & Anchors 52. 23. Fire Sprinkler; Test 53. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 24. Fixture & Transformer Clearance -Ins. Protection 56. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled Siding -Nailing Veneer 27. Romex Installed Close to Edge of Studs & C.J. 58. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Glazing Area -Glass Protection -Skylights -Plastic 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 60. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect Brace Interior/Exterior Wall Panels 33. Equip. Clearances Panels-Motors-Mech. Equip. 62. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s FINAL (Plans) OK except #'s 36. A.C. Ducts Insulation & Support 64. 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade Smoke Detector 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 66. 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors Elec. Trim & Subpanel, Breaker Sizes & Labels 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 70. 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) Fireplace or Stove, Clearance -Hearth 45. Fire Stops, Furred -Ceilings -Stairs -Chasers -Tubs 72. 46. Headers & Beams -Size & Bearing 73. Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes D No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041939 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/30/2004 APN: 068-030-073-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 258 CANYON DR ORO Date: Contractor: Map Index: Description: DET GAR (500) 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: OSCAR G & PHYLLIS M LACS 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 928 LURLINE DRIVE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or FOSTER CITY, CA 94404 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).): 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: OSCAR G & PHYLLIS M LACS Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 928 LURLINE DRIVE provided that such improvements are not intended or offered for FOSTER CITY, CA 94404 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.). D tomEx mpt rider Article 3 of the sand Professions Code Dater 3� Owner: License #: WORKERS'COMPENS-AIIVCOIN DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by' Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: O 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: 500 S. F. Policy#: Valuation: $12,000.00 Census Code: &--,',certify 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 these provisions. bate: © 7 3 13r.LL LAC S Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one in addition 0 the cost of hundred thousand dollars providedfor compensation, damages ys provided for in Section 3706 of the Labor code, interest, and affomey's fees.1 ^ 6,�- 4-1669-70 (2 CONSTRUCTION LENDING AGENCY — — -This pe it is hereh is tied nder.th applicable provisions of the Bune County Cody 2nrVor I hereby affirm that there is a construction lending agency for the . Res. u ns do 0 bo o is fees h v eon paid. ` `'� performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: ` (//1!(- Name: O PERMIT EXPIRES ON: Address: Date ❑ 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 d uthorized 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 ffici I form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. Print Name: M / G Z `^ A C--5 Signature:_ ;�� --77 Date: ©// ?% frowner D Contractor ❑ Agent for Owner 13 Agent for Contractor BUTTE COUNTY 450 ! 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 OF APPLICATION "PLEASE PRINT CLEARLY* * APPLICANT SIGNATURE X For office use only: OWNER Last Name INA R -I irst Name Address 1 wr-\ti _ � •vim City G o � State State C� Zip i� � 0- Phone _ 5 Fax F S i_ I_ E-mail ®� Uc. # APPLICANT SIGNATURE X For office use only: CONTRACTOR Name INA R -I Address ,n City IYes State Zip Phone "Cf - 65 Fax E-mail Map Book Uc. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name INA R -I Address ,n City IYes State Zip Phone "Cf - 65 Fax E-mail Map Book State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name t INA R -I Address ,n City IYes State, Zip Zip94�-kN Phone "Cf - 65 Fax 65O_ s 7 1 -qf I S6 E-mail Map Book APPLICANT SIGNATURE X For office use only: AP# 0 Io 8 —0 30 —0-7 3 Zoning INA R -I I Flood Zone I SRA IYes No Occ. Name Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPokm3e.1 BIN # 6 ,�6 LOCATION AP# 0 Io 8 —0 30 —0-7 3 Address City Cross Street 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 OVER FOR SUBMITTAL REQUIREMENTS U K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: Sq. Footage 00 5 ❑ 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 pen -nit 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: kN' Amount: 549.90 Bldg SRA Receipt #: 40&71610 Sheriff I. so SMIP Date: 7 (Other `651. t m Total REV 6-16-04 r i C'NkuiSUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to Letter from Engineer or Architect for truss design review. mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additibial information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 .. . ... ,.. - bs-. ^"`d' • „--.z..r'. -.fPy .'t"ir.r. `i11',i r..a-.., _.. • •. ,. P 04- .r 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: ASSESSOR P NUMBER 6th ZS Proposed Building Use:OVI G V,Q13ACounter Technician: -41#57Date: It ms required in order to apply for a permirAq boxes MAT be checked OR marked NA in order apply. 1. Site plans, 3 or 4 sets, signed by Wreparer o(the laps. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. 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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings -[%Y 13. Detached Accessory Building Formfilled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approbal from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ✓cE�E n 1 `1 /O 16. Other Ti Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 17. Fire Sprinklers...........................................:................................................ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent bye ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ............................... ❑ 22. City of Chico Plumbing permit ............................................... ( "1 23. California Department of Forest Ian a royal aid. Sent b�:+ P ry P PP � yJ�............ I� 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: zov _C. 0 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑/ 30. Worker's Compensation Carrier, nd Policy Number .......................................... 31. Owner -Builder Verification ( Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:.......... ...... ............. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone &SO. 3 r9 • ob and hold for pickup. I have been informedhe above items and requirements for obtaining a building permit. Applicant: Y,[ , 1iC1:l'1 I Date: � 7 O// < 1. Index permit appli icpf AT above items numbered: t Plan Check Letter ` 2. Additional items requir d F--:2 ,, // Contractor, designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: �� ' O 'I Contractor, designer, ow. r was advised of the ab ve data by ❑phone, ❑mail, ❑ cou t r,ky Date: Plans reviewed by: Date: oZ Plans approved by: Date Structural reviewed by" Date: Stru ural approved by: Date: Note transfer by: Date: Yellow: Building Division Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: L Lr Z_ A e'_` s Phone: Mailing Address f] A-- 1470ST �eY� �f Site Address: Assessor's Parcel Number: 0-46-030 '° .10?—S Zone: A 9 15. What type of floor covering will the building have? (:feS�'- CA 16. What type of wall covering will the building have? e X Fc7g j tai � � U ia�°G/ ¢ , Rff t.OA LL IA) f.1. 1 of "�� L+fid Please answer questions 1-16, and explain any yes'answers for questions 2-14 in the space provided on page 2 of � this form . , �� Q' GENERAL NFORIMATION: 1. Is there a primary dwelling on the property? YesNo 2. Is the structure already built, under construction, or under notice of code violation? YeSE No 3. Will items produced in this building be offered for sale? Yes ❑ No 4. Will the public have access to this building? Yes ❑ No 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No R) SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or to' of leach lines? Yes ❑ No Ea 7. Is any portion of the structure located closer than 20' to your front property line? Yes E] No [a S. 9. Do you plan to add a driveway or modify existing access to a county maintained road? Will the proposed structure encroach within any recorded easement? Yes & Yes WL No ED No CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes No 11. Will this building be heated or cooled? Yes No 12. Will this building have a water closet/toilet? Yes No 13. Will this building have a sink? - Yes ❑ No 14. Will this building have a water heater? Yes ❑ No 15. What type of floor covering will the building have? (:feS�'- CA 16. What type of wall covering will the building have? e X Fc7g j tai � � U ia�°G/ ¢ , Rff t.OA LL IA) f.1. 1 of "�� PROPOSED USE: (check only one bog) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. LPrivate Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A earaee door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely oven. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked 94, please check the uses below which best fit this building ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room❑ Sun Room ❑ Private Office ❑ Workshop ❑ Home Occupancy2 ❑ Other — Use = 1. Desa be type or Worl3hop bhnt be approved by the Mae Caaay Mwir g Division Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. O-wner's Name: Please Print 13 1 L L L A C�-S Owner's Signature: Date: ©7 ,/ 2of2 O.B.-1 OWNER-BULL,DER 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 materials for construction of the proposed property improvement: YES X NO ❑ 401. I. HAVE)"' HAVE NOT ❑ signed an application for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise,,and provide the major work NAME:'' . ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: DATE:_ NOTE. This Owner -Builder Ver xlation is required by Section 19831 and 19532 of the California Health and Safely Coda Mir Verification must be conTleted and returned to our office before we are permitted to issue the permit OWNER BUILDER INF- ORAIATION Dear Property Owner. An application fora bmIding pezrok bas been submiftd in your name listing yourself as fire budder of prop vemenerty improfs specified. Foryovr prot,eatioA You should be aware that as =owner -builder" you are the responsible party ofrecord on such a permit Building p=2h are not regained to be signed by Property owners unless they are personally Perfoaning their own work- If your wark is being performed by someone other than yourself; you may protect Yourself from possible liabrlrty if that person applies for the PMW P=nk 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 lic apply ense number on all permits for which they IfYOU play to do your own worlq with the mon of various trades that YOU plan to subcontract'; You should ; be aware of the following kdmn -Won for your benefit and protection: 0 If you eVIoy or otherwise engage any persons other than your immediate Mmily, and the work (arkding materials and other costs) is $300 or more for the etre project; and such persons are not licensed as contractors or mbcozitracbors, then you may be an employer. ♦ If you are an employer, YOU must register with, the State and Federal m Gov meats as an employer and you are subject sevezal obligations including state and federal income tax withholding, federal social security takes, W06= compensation mm rmwe, disability msuzmnce coeur, and mmnp1o3m� compensation coons. ♦ 'There may be financial risks for you if you do not cant' out these ob hgations, and these risks are serious with respect to worker's compensation esPecisllY ♦ For more specific meson about yuum obligations under Federal Law, cm&act the Intamal P evemre Service (and, if you wish, the U S Small Business ). For more State Law, contact the Department ofBenefit specific information about your obligations under Payments and the Division of Industrial Amidenb. If the strOctum is h9ended for sale, property owners who are not licensed contractors are allowed to perform their work coadhions. PfonaUy or through their own emPl0YeeI% without a licensed contractor or subcontractor, only under limited A frequent practice of unlicensed Persons Pro ftsing to be uncture is to secare an aowner bmldea" building Pew enMeously IMPIYg that the property owner is his or her own permits are not iegoaed m be signed by o' Labor and material personally. Bnfidmg o�� Ips �S' � flieir own work information about licensed ��g P�o�y �m®rmiiy or at 1020 N Street S ' s State License Board in your Please � � , CA. 95814. P "Owner BmTdw Verification" on the reverse side of bus form so that we can confizm > you are aware of these matters• The building P� w� not be issued u o the verification is resumed. ... N027-- M 0wnL r-Baffd wAfmmadon is required by Sect'on.19930 of &e CaWorafa Health mzd Safety Code o �0T7" o c o c O O A�eLic WOR�y Department Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN I ACRE Project Description: 4 47 Le Project Location and/or Parcel Number: �%e' — O S C2 — (V7_3 By signing below, I, the project owner/owner's 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 build -outs 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 Control 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 a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: C -A-, Date:d=7%�%9 `r Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 1 NOTES t PER z i� RESIDENTIAL LACS, BILL i 258 CANYON DR, OROVILLE Cont: LACS DESIGN & CONST FRONT ENTRY DECK J SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature f t i `a 1 � r I R ti _0 . RESIDENTIAL LACS, BILL i 258 CANYON DR, OROVILLE Cont: LACS DESIGN & CONST FRONT ENTRY DECK J SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature J=UKP 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 4. Water; Location -Test -Easement Needed (Sketch) r 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ P' L "ft./ P LPG 10. 7. Well Clearance & Disconnect . Ext.; Steps -Doors -Landings 8. Utility Clearance Date t Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date i7 , COVERS, CARPORTS, GARAGES (Plans) OK except #'s tng Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. goof; Shthg-Roofing 1 . Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date t Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready r -- RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shting.-Rtng. 1. Zoning -Setbacks -Easements -Flood -Slope Fireplace Ties or Type A Flue -Fireplace Throat Clearance 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Garage Fire Protection Framing -RC Channel 5. Stemwalls, Main; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 6a. Hold Downs and Special Anchors Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 7. Slab, Steel -Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outrggers 8. Piers -Fireplace Ftg.-Steel Siding -Nailing Veneer 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Glazing Area -Glass Protection -Skylights -Plastic 11. Water Pipe; Test -Anchors -Regulator -Service Test Shear Walls; Nailing -Bolts 12. Electric Underground Brace Interior/Exterior Wall Panels 13. Plenums & Ducts; Clearance -Material -Support -Ins. Insulation -Walls -Ceilings 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Infiltration -Walls -Windows 15. Access & Ventilation Card B-1 Date Card B-1 16. Insulation Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Date 64. Card B-1 Date Card B-1 Date 65. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 17. Water Htr.; Vent -Access -Combustion Air Baffle Bedroom Exiting 18. Water Pipe; Test & Anchor -Nail Protection G.F.I. & Bath Fixtures & Tub Access -Spa 19. D.W.V.; Test Fittings & Anchor -Nail Protection Elec. Trim & Subpanel, Breaker Sizes & Labels 20. Shower Pan; Test, First Floor -Tub Access Stairs & Rails 21. Test Tub & Shower, Second Floor -Tub Access Fireplace or Stove, Clearance -Hearth 22. Gas Pipe; Sixe & Anchors Elec. Outlets at Wood Panel, Int. & Ext. 23. Fire Sprinkler; Test Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 77. 24. Fixture & Transformer Clearance -Ins. Protection 78. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 79. 26. Size Boxes & No. of Conductors Stapled 80. 27. Romex Installed Close to Edge of Studs & C.J. 81. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 82. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 83. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 84. 32. Service -Riser Conductors & Ground Main Disconnect 85. 33. Equip. Clearances Panels-Motors-Mech. Equip. 86. 34. Clothes Closet Light -Shower Light -Spa Light 87. 35. Smoke Detector 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date Ventilation Throughout House Card B-1 Date Card B-1 Date Glass Protection Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors la 48. Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outrggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60.' Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M. (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042584 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/24/2004 APN: 068-030-073-000 the Business and Professions Code, and my license is in full force and Life°t.GS— License Class : Li/cense Number: Site Address: 258 CANYON DR ORO Date: 2` �LContractor. ! SCS j��s<�Al ¢�y� Map Index: Description: OPEN DECK(357) 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: LACS, OSCAR G. & PHYLLIS M. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 928 LURLINE DR signed statement that he or she is licensed pursuant to the provisions of FOSTER CITY CA the Contractor's State License Law (Chapter 9 commencing with Section 94404 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 650-349-6605 fax 650-571-9156 violation of Section 7031.5 by any applicant for a permit subjects the bi116622@comcast.net applicant to a civil penalty of not more than five hundred dollars ($500).): 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: LACS, OSCAR G. & PHYLLIS M. Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 928 LURLINE DR provided that such improvements are not intended or offered for FOSTER CITY CA 94404 sale. If however, the building or improvements are sold within one 650-349-6605 650-571-9156 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 bi116622@COmcast.net 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 G Date: O '2 � Owner: � G L � 14 rs License #: COMPENSATION DECLARATION affirm under penalty of perjury one of the following declarations: ave and will maintain a certificate of consent to self -insure for FWORKERS' rkers' compensation, as provided for by Section 3700 of the Architect: bor Code, for the performance of the work for which this permit issued. Engineer: have and will maintain workers' compensation insurance, as quired 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: c Total Square Ft: 357 S.F. Valuation: $3,570.00 Policy a: Census Code: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to 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 comp) hose provisions. twith / Date: Applicant: L A C WARNING: Failure 467slre workers' compensation coverage is Ancuritv unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of Ir compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. i /� CONSTRUCTION LENDING AGENCY This permit is ereby issued under the applicable provisions of the Biitte County Coda anrt/or I hereby affirm that there is a construction lending agency for the R solution o do work irtdi d bove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 111.4 10,10 Name: 4149 /U 4 By.9ffC1&14 Date: / Address: PERMIT EXPIRES ON: lis Date ❑ 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. O 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 d y a thorized 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 icia form or document of Butte County. I hereby authorize representativesofButte County to enterupon the above mentioned property for inspection purposes. Print Name: Z Z A,4 C> S�� Signature: Date: � /y 13 ❑ Owner Contractor ❑ Agent for Owner Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER CONTRACTOR Last Name C5 first Names L L !!� Address y2 Q L, E Lm Citytrz)5 GST- State Zip Pho so 3 Fax,-, , 7� _7/sG E-mail —9i L C 6 G 2 2 Ive;— APPLICANT NAME CONTRACTOR Name Address Zip %5'a City Fax 6-21 State Phone Phone Fax E_ E-mail Uc. # Class APPLICANT NAME ARCHITECT/ENGINEER Name � f%GS �Efsiq.J L�®.t/s� dcr Address Zip %5'a City Fax 6-21 State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name 4?i G G 1'9� C 5 Address yZ,S C��OS�cFI� G'iT StateG Zip %5'a Phon,4 3_ 3 y%-6Gos' Fax 6-21 E-mail (CANT SIGNATURE X For office use only: Zoning IL Flood Zone Cross Street w /6Z SRA WORKER'S COMPENSATION No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # LOCATION AP# O6��o3D -073 Property Address 2b4? CiP�t/ �ti OR, City QQDd�GG� Cross Street w /6Z 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 OVER FOR SUBMITTAL REQUIREMENTS K TORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of Description or Scope of Work: .4,9AI7r eNT'n e c m- Sq. Footage YA ❑ 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. I I Received by: Amount: 1� ' Bldg SRA I I SRA I I Receipt #: 4 p/ Date: Sheriff • a� SMIP Other 160 • O94 Total REV 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 or 4 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. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (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. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). - — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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 Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a*Permit Application 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 r-,etunos can oniy be made upon written 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 KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 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: ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: 4K,)i Date: V Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t�apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, a!I'in duplicate. ❑ 9. 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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ` -14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 20. Erosion Control Plan Required........................................................ 21. Fees as shown on the attached Schedule of Fees Due Sheet.i %l.(.l'.... ❑ ,:q 22. City of Chico Plumbing permit.............................:........................................ 23. California Department of For stry plan approval 1paid. Sent by: ........... 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ,w- 26. NPDES Form............................................................................................. O 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... `OE, 31. Owner -Builder Verification (/Given to owner, _Mailed to owner) ..................... 0 32. Letter of Signature authorization ...................................... :............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ................................ ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... Cl 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other , When issued Teleph ne Q 6 !�:> and hold for pickup. I have been inforn)>sd 9f the above items and requirements for obtaining a"building permit. Applicant: Date: 1. Index permit appfipti nffo he above items numbered: Plan Check ter 2. Additional items r Contractor, design , own , was advised of the above data by phone, ❑ mail, ❑ counter, by ate: Z1 tj Contractor, designer, wne was advised of the ov ata by phone, ❑ mail, ❑ counter b Date: Plans reviewed by: Dater Plans approved by: nate: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E. ' USE ONLY :SioZ Stan Attech�Xor Ftmn AtsasRad Sen to S.O. TO: Building Department ,FROM: Environmental Health SUBJECT: Sanitation Clearance -3 Owner Location AP# Plan Approved for: Sewage Disposal , � Wates Suppler Clearance for dwelling. Other Hold final for: r Final clearance O.K. for: NOTE: Environmental Health 8/96 cialist Private Well Date 0 Building Permit Number: © 37 Owner Name: !`t,6 Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: © -[ -1 a 37 Owner Name: UCS KParcel lies within the State Responsibility Area (SRA). Comply with attached requirements. '''"'``'`` Fire sprinklers are required in this structure. The following parcel map requirements shall be met: KAll structures and equipment including overhangs shall be clear of all easements. A setback of �b feet from the side and �30 feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. VokExpansive soil may be encountered on this site. This condition may require the , foundation to be designed by a California registered engineer or licensed architect. CDF FIRE SAFE REQUIREMENTS 068-030-073 BP -04-1937 Lacs AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail -ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures 1273.07 (bridges, culverts and other appurtenant structures which supplement the roadway bed or 'shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03. Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. 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] 2. the length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.11 Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. 'The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. ' 1 r � 1" • .. ., 4 . .`rs��.. .. .. .. .... i'.. i�.. ... of .. .. i ... .. � ��• J: 1 .. ... ♦+r .,• • , .i.;, . CDF 'FIRE SAFE REQUIREMENTS 068-030-073 l3P4W1937 Lacs AP# PERMIT # NAME ' Fuel Modification 1276.01 Setback for Structure Defensible Space [X] 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property tines and/or the center of the road. [ ] 2. for parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements below. [X] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements r [ ] If Building Setback is 15 to 30 Feet; Class A or B roof Enclosed Eaves [ J If Building Setback is Less Than 15 Feet — Class A or B roof with enclosed Eaves and: Choose any 2 of the following: Metal or no doors on side toward property line with insufficient setback t Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco — 3 coat Hardi-Board or Plank Masonry Masonry Veneer Metal Other Butte county Fire Department approved materials [ ] More then 30 feet set back. No additional requirements Date M "4- iot a 000;q Usk,, Demo Q01Mbq0:M; ul,; ;x Aw9 too t:1 • r 4 04 p MAn ealn it; Ems E - In"W3 Ic. 1 *0101' nmmnslac 00 ymaw ME any-, I J'p -'> I o i C.�" 1. Owner's Name: P/ -I L Lc7S 2. Assessor's Parcel Number: 2 62' -- .Z 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No[ ] Permit No. 5. Is the site an existing site? Yes[ ] NoK (If yes, furnish two plot plans). 6. _ What is the electrical rating of the mobilehome?Amperes. 7. What is the mobilehome site circuit breaker ratine/ Amperes: " 8. What is the electrical rating of the mobilehome site? /f9 0 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ J No[ J If it is, what is the rating? 2490 Amperes. - r` :T 10. Is*there any other electric load to be served by the mobilehome site electric service .J e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: _ Load- Amperes - Type of gas service at mobilehome site: Natural[ J Propanekj None[ 12. Size of gas pipe at the mobilehome site from the meter or tank: 21e� inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? ZL(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION ELECTRICAL, MECHAMCAL, AND PLUMBING C01,4TRUC%iO l WITH CWECKED UR R ENT ED 11ON SHA LL COh OF NEC, URIC AND UPC. May 1995 8.5 1 Mobilehome Manufacturer: 14-06 y /I Manufacture Year: If other than single wide, furnish Setup Model Number:_ / y j Width: 29 S8 (ft.) Length: SLY / f (ft.) Tagalong or Expando Size obUe' On all mhomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade] Other: SUPPORTS: Concrete block[I Other: Provide Tie Down Specifications for all Mobilehomes: Pier -Footings Sizes and Location suvcr lr vvffia 1lYB LT-1-wml, Line 1 Line 2-,,, ................................................................................................ Line2 ........................................ Main Be............................:....:............ Line 1 .................................................................... .. Main Beams ...................................................................... .............................................dine S Tag or Triple ine 4 ................................... 1 -Line 1 Line 2 .Line 2 . Line 3 • Line 2 •Line 2 Line 1 Line 1 Piers:' d���c' rGe t/�,r. �© `�Qew f=epe?/-,, i Line'l Openings . Size minimum:. r I x r 1. Size minimum: [ ] x [ J Spacing maximum: IEach side of openings From ends-maximum:L with width over: ` Line 2 Piers: ----�— _----� Line 4 Piers: ---�- — —.------ Size minimum: [ zq ] x [®]. Size minimum: [ ] x [ ] Spacing maximum: Spacing maximum: ` From ends -maximum p From ends -maximum. Line 3 Roof Loads: Size minimum Location (from front): 1 Line 5 Roof Loads: Size.minimum: Location-(from.front): ff 2yA"30 1.2gx6 1 zyx3t� rZx3o APPROVE OVER 03/17/04 12:48 FAX 1 341 362 3066 FUQUA HOMES INC. ARLINGTON, TEXAS APPROVAL: RETAILER: BILL LACS D & C 87: TC DOYLE DATE: 3-17-04 NVOUA HOMES VJ003/003 6END,OREGON DIVISION _�— GSR— 407-30 COLUMN SUPPORT REQUIREMENTS MODEL: 1407 ROOF LIVE LOAD: 30 ROOF DEAD LOAD: 10 LENGTH: 56'-0" WIDTH: 25'-8" I� Imo► COL. # DOWNWARD LOAD (LHS) 1 4.275 COL. / I DOWNWARD LOAD (LBS) I COL. # I DOWNWARD LOAD (LBS) 3 Q 4 4791 07 F1#51E of cl Bl N #6 f-l'K .1 I_1#4 #3 5 2652 6 428 - - - 7 1070 I� Imo► COL. # DOWNWARD LOAD (LHS) 1 4.275 COL. / I DOWNWARD LOAD (LBS) I COL. # I DOWNWARD LOAD (LBS) 3 3636 4 4791 5 2652 6 428 - - - 7 1070 FOOTING OR PAD 512E MUST 8E OCT ti1A11NED BY Dw101NG THE SOIL OCARINC CAP/%CITY INTO THC OOWNWARO LOAD. EX. SOIL BEARING CAPACITY 3200 LBS 1500 PSF, .DOWNWARD LOAD - 1200 LBS. FOOY1nIC SIZE - 1500 INSTALL MIN, 4000# RATEO PIERS AT 32" O.C. BELOW MARRIAGE LINE WALLS SEE SETUP MANUAL FOR FOOTING REOUIREMENTS. SLr PIERS 16' ON ENDS. 0 = TRANSFER LOADING _ '4'°' 7 A I E � i ll_DING DEPARTN P P R 0 V F r to tt rO Q n3 t 0 I %n N • 4 _-------------------------cEr;TtR UNErPICAL 1'-eE,w:J'----------- ------- I c 'A'—HALF LINES AR THE CENTER cm USIEE£OF THE '►- BEAV ----------------- CENTER LINE TYPICAL �1--6EA -�-------------------- W I MiVARR-AGE LME -,•—_—. BITCH EN ----•— qLn N —•—•— O - --..._.--------- - hO1E: ------------------ --------CENTER LINE TYPICAL 'I'-BEAIr! -1 - ------ U MEMCA. rouAa/oM urour SKEE- FOR SPECIFIC mrObWiON O ABOUT RECCYVD40EO FOLN3Ano.,i o 2) SEE COLtAES SUM -RT R(OUIFEKE'T S%EF' FCR SUPPORT REOURENENTS AT -HALF THE MMRKI! U%F- '' /) 3) 2EJXR TO SE16P YAN.A FOR V CENTERUNETYPICAL _I^_6EA�u ->- SOL LOAOMG k PAO 112E 1\FGRWUC� •••-L ---------------- ------------ 4) T -.E CYERAtl rIOM 15 FCi 114 N FOW-AWON 0%%V'.TkE bW TALI GR*W 0Y AS WJCH AS 1't, DUE TO VAIRAa UNE EXFANS0%. THIS OQESsrf RiCtWE 10 1 SID;%G AND 111140. lw I8 1 I �W 4.—G" RETAILER: BILL LACS D & C 20' BY: TC DOYLE AG OPT. GARAGE LOCATION OPT, WALKWAY DATE: 3-17-04 ADOE) FO;.ND&10'% MOTH MOTE MPF 1-22-03 1 V oAM FUQUA HOMES fUOUA ROVES INC. nC4tC'EI) C E -11 -OZ �src �,,,� FOJNDAiION1407D • - - Butte County Department of Development Services www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile November 9, 2004 Oscar and Phyllis Lacs 928 Lurline Drive Foster City CA 94404 RE: Permit process for 433A (mobile home on a permanent foundation) 258 Canyon Drive, Oroville Ap# 068-030-073 Permit # 04-1937 Dear Oscar and Phyllis Lacs; Your check, payable to HCD (Housing and Community Development) is being returned toyou; due to one of the following: / �a' Due to procedure changes, we are no longer holding HCD checks, and ask that you please resubmit one at the time you pick up the 433A form for recording at the County Recorders office. ❑ Permit application process not completed, therefore no building permit issued. ❑ Duplicate submission of a check to HCD. ❑ Failure to final the issued permit. ❑ Failure to record the 433A document with the Recorders office. Further information is required to prepare the 433A/513 forms, prior to recordation. ❑ Grant Deed Itit a/statement offacts• ❑ Letter from legal owner. ❑ Other: This process must be completed before the mobile home can be removed from California State license rolls and added to Butte County rolls as real property. You will need to contact our office at (530) 538-7541, and ask for a Permit Application Assistant; who will assist you in determining what is required to finish the 433A permit process. Thank you. sy OSCAR�BILL) OR PHYLLIS LACS 928 LURLI E DRIVE FOSTER CITY, CA 94404 • llu T .C.D. ATTACH CHECK Date 358 90-716213222 Pay to the � c 1 J order of - 1 J �l.t7f'.11T i �i(7 �� c A C a! iC� 1_p F..=asa�nh C dollars L+J o Bay. oe�aa WASHINGTON MUTUAL BANK 1-800-788-7000 24 HOUR CUSTOMER SER`\VIC#� ?er7h, ffiiJK Tty^ Forqr�3j t_%� \-' ac? r�< i —V�KLA x:3222716274: 429054302811' 0 58 L ARTISTIC CHECKS, INC. 1-000-220.7621 a aww.ar11011Gc kacka.cum BASIC BLUE 9101 NAS. AN: . DATE: 1 J RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. Yf , •., AND WHEN RECORDED MAIL TO: OSCAR G. LACS PHYLLIS M. LACS 928 LURLINE DRIVE FOSTER CITY, CA 94404 A.P.N.: 068-030-072 AND 068-030-073 Order No.: BU-217725IKB Ap nn �n n� 1 uii I 0 I illlll l IIII I) i( 210104-101030034 Recorded I REC FEE 16.00 Official Records 1 TAX 62.15 County Of I CANDACBEUJJ.. 6RUBBS 1 Recorder I ROSEMARY DICKSON I Assistant I Travis 03:40PM 20 -May -2004 I Page 1 of 4 Above This Line for Recorder's Use Only GRANT DEED Escrow No.: 217725EB THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $62.15 X ] computed on full value of property conveyed, or 1 computed on full value less value of liens or encumbrances remaining at time of sale, X ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, TED WOODS, HUSBAND, AND SHANNON WOODS, WIFE, AS JOINT TENANTS hereby GRANT(S) to OSCAR G. LACS and PHYLLIS M. LACS, Husband and Wife as Joint Tenants the following described property in the City of UNINCORPORATED AREA, County of Butte State of California; SEE ATTACHED LEGAL DESCEMON TED WOODS Document Date: May 13, 2004 STATE OF CALWBCW% ),SS COUNTY OF ) On MAY 13, �nn4 before me, KARV T RTOWET•T., NOTARY PUBLIC personally appeared TFn WnnflR MM RWAmmnN wnnnR , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my d a cial seal Signature This area for official notarial seal. KARYJ. BIDWELL:= Commission #1381097 C- a. Notary Public -California Butte County My Comm. Exp. NOV. os, 2006�P 0 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below ,�. 1111lflil!llllfllllllllilllfflllf! RECORDING REQUESTED BY „ MID VALLEY TITLE & ESCROW_CO. AND WHEN RECORDED MAIL TO: OSCAR G. LACS. P14YLLIS M. LACS 928 LURLINE DRIVE FOSTER.CITY, CA '94404 Recorded Official Records_ County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 03:4OPM 20—May-2004 Above This Line for Recorder's Use Only REE FEE 16.00 TAX 62.15 Travis. Page I of 4 A.P.N.: 068-030-072AND 068-030-073 Order No.: BU-217725KB Escrow No.: 217725KB -� GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $62.15 X ) computed on full value of property conveyed, or j computed on full value less value of liens or encumbrances remaining at time of sale, X ] unincorporated area; [ ] City of_, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, TED WOODS, HUSBAND, AND SHANNON WOODS, WIFE, AS JOINT TENANTS hereby GRANT(S) to OSCAR G. LACS and PHYLLIS M. LACS, Husband and Wife as Joint Tenants the following described property. in the City. of UNINCORPORATED AREA, .County of Butte. State of California; SEE ATTACHED LEGAL DESCIPTION TED WOODS Document Date: May 13, 2004 STATE OF CALIF.M 15S COUNTY OF ) On MAY 11, 2004 before me, KAity -1MIOT personally appeared personally known to me. (or proved to me on the basis of satisfactory evidence) to be the person(s) whose names) 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 mynd a ficial seal Signature This area for official notarial seal. KARYJ. 131 DWELL -, n Commission #1381097 Cl) Notary Public - Calrfomia v Butte County — My Comm. Expo. NNOV. 0820 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below JUL-28-2004 21:38 MID UALLEY TITLE & ESCROW 1V1'" 'Ufa 2 GRAM' OEt:I) (joist For Value !Mai ved ALUUM BUI78 oad CAROLINE K. BUr'1'S, his rite GRANT' in >iAB'I. A. EOwARDS and XLEEL B. EDti =P his ad e as JOcyr TENAm all flat teafpopertT aituate in the County of Butte , State ot Catifornia, described an follows: A portion of lot 15, as shorn on that certain imp entitled wOffialal flap of orovillw-Ulanlotte PV%dt Lends Unit No. 2■ which map was recorded .in the office of the Recorder of the County of Butte, Stets of California, March 7, 1927 is Book 11 of Haps, at pages 11 and 12, more particularly damaribed as fdllo+w t f6ron/ XKCM17G T[ 1[ a portion of Lot 15 as shown on that ceresin amp entitiod Beginning at •a point in the cent or line of canyon Drive, said pol t "Official Kap of Osdti-le-Wyandotte Fruit Lends Unit No. 2' which map was Of beginning lying South 532.24 fact from the Northeast comer of amid r'9 Tat 13, and being the Southeast corner of the North one -halt of said lot 151 1 thence Most 435.23 fact to a point in the Westerly boundary of said 14t 15, CWsaid Westerly boundary alsobeing being the center Line of the Butte and Plow line of Cangon OnlLve sa W pAi.nt hying South 532.24 feet from the Northeast Railroad right-vitisr; thonoe Northerly along said Westerly boiundarr, the tbllowing coerces and dietancest .. - o4t'mar.Af,fird.Lot`-13, •ar►d-bsitta� tis, �outLoastc.sorIIgr^'ot'tbi�'Ydrt� �•fas�ZL-.• North 9e 46' West13703 feat-' North 40 274 west, 70.0 foots t>t•. d _xs _thea, North alons_tho'oea4or Horth 501.31 Bast ¢0.0 feet; North 15° 444 gent 60.0 feet and )forth 22° all East 247.67 feet to the Northwest corner of acid Lot 15; thence ' Bast 42"S said 1Wrth lint of lot 15, a distance of 323«47 feet to a ' ' til point in the comer -line of a spillway crack, said point also lying West 32.24 foot Von the Xortbeaat corner of acid Lot 15; thence Southerly )fist 435.23 feet more or lose# to a point in the westerly boundary of Q along 60M *utter line of spillway creek the following courses and distances .401 � South 39. 0t5' West 105.23 test; South 490 37' hest 40.0 feetj JW Scuta 15e 431 ;foal 40.0 feet; South 20 541 Bast 36.39 feet; South 1 6 v 441 East 48.15 fest; South 17° 281 Best 16.72 feed South 6° 58, Sant diatanao of 435.3 feet to the point of beginning. 33.47 festj South 2. 00 ;feat 82.0 feet; South 13° 11' ;lest 65.0 feet and South 259 26, West 30.07 test; thence leaving said center litre Sant 1$8.13 0(I7` feet to a point in the aforesaid Easterly boundary of Lot 15; thence South alotg said Easterly boundary, 80.0 feet to the point of beginmin& 1M ooa,slniag 3.99 acres, more or leas. f6ron/ XKCM17G T[ 1[ a portion of Lot 15 as shown on that ceresin amp entitiod "Official Kap of Osdti-le-Wyandotte Fruit Lends Unit No. 2' which map was recorded in the office of the Recorder of the County of Butte, State of California, March 7, 1927 in Book 011" of maps, at pages 11 and 12, mr-0 psrtieularly described as follow,, BMINUM at a point in the center line of Cangon OnlLve sa W pAi.nt hying South 532.24 feet from the Northeast .. - o4t'mar.Af,fird.Lot`-13, •ar►d-bsitta� tis, �outLoastc.sorIIgr^'ot'tbi�'Ydrt� �•fas�ZL-.• „ t>t•. d _xs _thea, North alons_tho'oea4or lice of a914 GAV011 Drive, a distance of 80 feet to a point; thince )fist 435.23 feet more or lose# to a point in the westerly boundary of said rot 15, said yostarly boundary also being the canter line of'the ' Ditto and PLizos Railroad right-ofway;-thence South 90 46' Bast.along the Westerly line of said lot 15, a -distance of 80.0 feet mora or leas, to a point that boars West from tae point of beginning; thence Bast a diatanao of 435.3 feet to the point of beginning. -.1 —Alexander' -suti!r Mid- . .b ud" W4 ecknowl.4.4 a .»Wo low puff. P.02 X22 -_ROIL .a -.m vol. OFfICIgL t'IfORpS OgF ETHEL M. ourr(ESTNTr, CALfFORIYIA m 8 � Coultgr Ret;otQe� . -v By n„t s �j 8Q ��b R d► r.j �fC JUL't -2004 21:39 Recorded at the reouest of T, Return to Richard A11eti-3trano-e ---...... ................. .... .....`.................. r MID VALLEY TITLE & ESCROW 2215 Booth Ave. _, ............. .... .................-............. _-1- ...... ............... l`=.t�rsvillP, Ca)ii . saaxI348 rn,265 I M99 g4CORDED AT THE REQUEST Op BunrCGUt`-Ty 77T'LE CO. ' �— min. o+sF O �Ioc/ M. Vol��`�so• OFFICIAL Rc`COROS OF 8UT7E COUNTY, CALIFORNIA ES E C •eo�drrf F.. _ cZ G '1 +k w coaOro O r a n t353 e t b (Joint Tenancy) For valuc received EARL A. EDWARDS AND MABEL U. EDWARDS• his wife CRANT........ to- RICHARD ALLEN STRANGE-ANU DORIS GRAE SfRMGE his wife. as JOINT TENANTS all that real property situate in the County of BUTTE , Stott of California, describcJ as follow•&: A portion of Lot 15 as shown on that certain reap entitled "Official Map of Oroville Wyandotte Fruit Lands Unit No, 2" which map was recorded in the office of the Recorder of the County of Butte. State of California, March 7, 1927 in hook 11 Of Maps, at pages 11 and 12, more particularly described as follows.. Beginning at a point in the center line of Canyon drive, said point lying south 532.24 feet from the northeast corner of said Lot 15, and being the Southeast corner of the north one half of said Lot 15; thence North al'Ono the centerline of said Canyon Drive, a distance of 80 feet to a potnt; thence Wcst:435.23 feet more or* less,- to a point It, the Westerly boundary of said:Lot 15, said westerly boundary also being the center line of the Butte and Plunas Railroad right of way; thence South 9' 46' East along the Wosterly line of said Lot 15, a distance of 00.0 feet more or less. to a point that bears West from the point of beginning; thence East a distance of 435.23 feet to the point of beginning. EXCEPTING TIICnEFRO.AI the following described parcel of land; Beginning at a point in the center line of Canyon Drive, said point lying South 532.24 feet from the northeast corner of said Lot IS, and being the southeast corner of the north one half of said Lot 15; thence north along the centerline of said Canyon Drive, a distance of 00 feet to a point, thence West a distance Of. 158.13 feet to a point in the conterline of a Spillway Creek; thence South 250 26' - /rest a distance of 90 feet more or less, to a point that bears West from the point of begianieg; thence East a distance of 195 feet more or loss, to the point of beginning. .r RAA '11 OF l'AacCz r A X r9A1 ac r-ai# a AatedOctober 19_4.54- ................ .. 21. ......_............................. 0173 114 elf 9R`) . Z-9, � vrATz or CALLmRNtA -- ....__Co•�ty M B� t e _._.._ orifi r 25 ate,rifer.w• ��rbora _Grimm . IV" -V rrotkr in 004 1" told state, pr"a A, --A Fi$lJ�.._Gd�r ri�s_aitd Kabel B.-dwards— _"-` 1ARBARA M. GRIMM •••�• Y Ifok•f� �YkiK • Calllvfbl� b .r w be fIu r+r.o.s wAocr rams ..aTB_..A.b.cip.s CQwnky of &,kkw b MI drhV VIt--.64 —d •ekwor Wed ev .N�ad# tA--y. RAOYtW ju Fon. 11) >rot�r turban AL 616. P.03 z TOTAL P.03 DECLARATION REGARDING ACCESS I� L L Z04 CS , applicant fora permit from the County of Butte for the parcel of land identified as Assessor's Parcel Number �516 0- 03 0 — 0 73 , declare that said parcel was created on by deed recorded in Book at Page 313 / under Serial Number of Official Records in the office of the County Recorder of the County of Butte, and that I first purchased an interest in said parcel on or about �/ , and that at that time I was .not aware. of any facts that would cause me to suspect that said parcel may have been created without the access, thereto,. required by law. I declare under_ penalty of perjury that the foregoing is true and correct. Executed this 2 9 day of -To 2 20 _Z at OW19 y1 Z L 9 California. Signature W:\LD Documents\LD Forms\Dedaration regarding access C2�� ,z6 Z,�_cS Print name ic STATE OF CALIFORNIA ' BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COQ DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM STATEMENT OF FACTS This unit is a: Mobilehome 0 Commercial Coach 0 Floating Home El Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) t4-6,)q(A � ���s7 I/We, the undersigned, hereby state: I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting.from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed ^"M1®7/0c/ at .0,4 p !%l /_ t, e Signature(s) (City) Printed name(s) CA (State) Address Ci7' State ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit NumberDistrict 10LI O 7s/ 45� APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads ind hi hwa s all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicant's Name:©ScA2 �f}C 5 la. Company Name: L Address: %Z8 1,1AZ_1AA6 ,pQ fob <2� CiTy 9��yo`f 3. Phone:���> 3y/ -� 4. Assessor's Parcel Number. Oa98-O30- 079' -- ®7Z 5. Location of Work to be Done C 4 -t-"4-t /8 70 iv D W,440 5. Applicant's Signature 7. Date: os2ydy CONTRACTOR'S INFORMATION 8. Contractor's Name i < Df C,gAvV 9. Address ,QDOLi•vp LA,ve ®ao(i/LI CA 10.�P��hone: .,3D .J 8 JF ^ S,S Bs, 11. Fax: 12. Contractor's License Number: 0 �,Z B 13. Certificate of insurance: Yes ❑ NO: ❑ 14. Contractor's Signature: 14a. Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. If Driveway List Type: S-3 18. Other Work - Describe: 19. Plans Attached: ❑ Yes ❑ No PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby granted. 20. Conditions Underground Service Alert U.S.A must be notified two working days prior to any excavation. 800-227-2600 21. 0 All work shall conform to accompanying: Detail K Plans ❑ Special Conditions IN 22. Date Issued nrlS, O t > 7 23. Expiration Date: z S 0 S- 24. Surety: 25. Date Paid: J e2 O 26. Amount Paid:, t a'e, 27. (b-** IV Paid By-} CA ec/t -3A0 28. Receipt No.: Q0 ot Mike Crump, Director of Public Works By: For County 29. Final Inspection Date: 30. Inspected By: ❑ Completed - OK 00 Completed - Not OK ❑ Additional Comments Attached theOnir 31. Comments: Note: if permits are taxed to any number besides (530) 5384356, they can be delayed up to one week. Page 1 of 2 FRbM :PHIL DECANN FAX N0. Jun. 09 2004 07:41AM P1 ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 5384356 Download Forms: www.buttecounty.net/publicworks/forms,btml NOTIFY COUNTY 24 HOURS BEFORE WORK 19 TO BE DONE Phone 530 538-7157 Ext. 2016 Permit Number 0 Y0 7S'/ District APPLICATION I I WE, the undersigned, hereby apply to the County of Buttc for an encroachment permit to do the following work under or over the County roads and highways, all in accordanoc with County ordinances and general laws. All information exec t signature must be typed or legibly rinted. 1. Applicant's Name: ©ScA2 QAC S 1n. Company Name: 2. Address: 9 `� yo y 3. Phone: a�0 3y/ a 4. �sor's ParceINum>c 7$ 7Z 5, location of Work be D G.4V &Vonp 6.Applicant's Signar6rc7. Date: ms2yov CONTRACTOR'S INFORMATIONr 8. Contractor's Name' H�^ , c De lAN� /.s' eA,,,q e- c�,y�A�r, otl jo 9. Address QomL.No LAnld ROU�GL� C.4 �rY%e4 10, Phone- ..�.��% 11. Fox: 12. Contractor's License Number.- O /z D 13. Certificate of Insurance: Yes ❑ No: ❑ 14. Cuntractor's Signature: 14a. Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. If Driveway List Typo:,.3 IS. Other Work - Describe: 19. Plans Attached: ❑ Yes ❑ No PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hcrcby granted, 20. Conditions 7� Undcmround Service Alert U.S.A must be notified two working days prior to any excavation. 800.227.2600 21. ® All work shall conform to accompanying: Detail K Plans ❑ Special Conditions 22. Date Issued S� 23. Expiration Date: mss, a r 1 J 24. Surety: 25. Date P9l0:D 27. 26. Amount Paid: ,J 7 P id By D 28. Receipt No.: Mike Crump, Director of Public Works By: . F•rcorelry 29. Final Inspection Date: 30. Inspected tty: ❑ Completed - OK 00 Completed -Not OK El Additional Comments Attached UN 911y' 31. Comments; Note: 1f permits are faxed to ally numher hmides (530) 538-4356. they can he delayed up to one week. page 1 of 2 FRNM :PHIL DECANN .00ATIO 8'7 a' .», r - a, 0 FOREMAN: J • ' DISTRICT: 6 PERMIT#: FAX N0. : DATE: mu MIN. DISTANCE: ..—.— _ .. SPEED LIMIT OF' ROADWAY m • DRIVEWAY LOCATION: 3 DISTANCE TO NEAREST INTERSEOTION: SlST C IR GOOD . 0 POOR IF POOR — RECOMMENDATION TO IMPROVE: 0 CUT BANK p REMOVE VEGETATION (TEMPORARY) O OTHER (EXPLAIN) ADJACENM 7OP0 9 FLAT O CUT SLOPE FT. • o FILL SLOPE FT. O CURS AND GUTTER 0 AC DIKE O EXIST. DIST. ¢ TO EP _FT. DRAINA-GE RECOMMENDA_ TI.O S 0 NONE O SWALE K CULVERT MIN. DIST. ._FT. Jun. 09 2004 07:42AM P3 —EDGE OF E XEP) G PAVEMENT ---------- i C--- ----------- c� z '' 12' MIN. AREA 20' MAX.I TO BE 1 PAVED R/W 10' MIN. NOTE: tF GREATER THAN 107. UP- OR DOWN REFER TO ENGINEERING. MAX. 1 FOOT VERT. RISE -OR DROP PER 10 FEET HORIZ. DISTANCE MIN. DEPTH TO it FT. EP DIAMETER IN. LENGTH FT. EXIST. DIST. MIN. 60 OTHER (EXPLAIN) As 27. I DIST. u�rtile e.1.0. NOTE: MIN. DEPTH PAVEMENT TO EXTEND AT 2X CROSS SLOPE OR MATCH EXISTING ROAD WAY CROSS SLOPE. N.TB PRIVATE DRIVEWAY FIELD MA� Mqx 10� REVIEW .Ff2t7M :PHIL DECANN FAX N0. Jun. 09 2004 07: 41 AM P2 GENERAL CONDi'1C'IONS It is understood and agreed that rho County has prior right to the use of its lights of way. It is hither understood and agreed by the Petmitee that the dng of any woAk under this permit shall constitute an acceptance of all the provisions Contained herein and failure on the Pormlltea's part to comply with any 3vislon will be rause for revocation of Oils permit Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. i1s permit Is to be on job at all times while the worts Is being done. All work shall be done suiject to the supervlslon of and to the satisfaction of the Public Worts Department of the County of Butle. The Penmitee shall, all limes, during the progress of the work, keep the County Highway In as neat and clean a oorhdition as to possible and upon completion'of the work granted Mn, shag leave the County, highway In a thoroughly neat, dean, and usable condition. The Pemdibe agrees by the acceptance of aft permit to pmparfy maintain any encroachment placed by the Permittee on any pad of M County gfiway and to Immediately repair any injury to any portion of the highway, ,filch occurs as a result of the encroachment, until such time as the Perms tee may relieved of the responslblOty of such encroachment by the County Department of Public Wake. It Is father agreed by the Pormittee that whenever wnstrudion, reconstruction, or maintenance work upon tho highway may require the Installation )vidad herein shah, upas request of the County Department of Pubic Worcs, be arhnediately moved by and at rho sole oxponm of the Permittee. No material used for fill or baddin in the construction of the encroachment shall be borrowed or take from within the County right of way. At least one lane of any public road, under the Jurisdrcoon of the Board of Supervisors of butte County, and other public roads Juntdioning or ersecling therewith, shag be kept open for travel by the general public at all times. No pubic road under the Jurisdldlon of the Board shall be dosed to travel by s ganaral public without special per lWon, In writing, from the Board of Supervises. The Permittee, by the acoeptanm of this permit shall assume full responsibility for all liability for personal injury or damage to property which may arise t of tie work herein pennitled or which may arso out of the failure an the part of the Permltea to do the wort provided for tinder this permit In the event any rim of such Wily b made against the County of Bute or any department, oifidel, or employee thereof, the Permittee shall defend, Indemnify, and hold them d each of them harmless for such claim. All excavations shag be backfilled and mrnp pied immediately after worts therein has been completed. Trenches shag not be left open farther than 3DD d in advanra of pipe laying operafions or 2DD feet to the rear (hereof, unless otherwise permitted by the Enoneer. Unless othanMse permitted under the blot Conditions. baddil shall be place and medtaniralty =npacted in such a manner that the relative compaction throughout the entire fin wtlhln the County Id right of way shall conform b the pereentago of compaction as slated below. Porrrittao shall notify foreman 24 hours baforo baddiAng andror paving. a. The retaltve 00m080tion from the bottom of excevalion to a plane five feet (6) below finish stxfaee grades shall be no loss than ninety Pa=nt W%) as detemm reed by Test Method No. CW. 215.0 of the Matarlals and Research department State of California, Transportation Daparbnont Division of h{rghways, or other approved test method. b. The relative thompaclim from a plane dire feel (51 below the finish surface grade to said fiMsh surface grad shat be no less than nhhetytvo percent (95%) as determined by the above testing method, Permittee shall bear all costs and responsibiiiy for oampacgon tests. c The relative wmpaclion from a plane five feet (51 below the finish surface tirade lo said fiNsh surface grad shall be no toss than nfnetydtve percent (85%) as determined by the above testing method. Permittee shall bear an costs and responsloliy for owipaction tests. 'Material for use as Trench bac it in any existing or proposed roadway secdlon shat be sand, shat be place in Er frfls. and be cmM2c ad to a Wall" oorhpadicn d not We than 95%. Material for use as back60 In roadside, guter e)aCavatlons shall be the native material and be oompaded to a telative compaction of not less than 9D%. My Pavement cutting shall be scored, or saw art betere trenching. Minimum depth of cover over al underground faciities shall be 30 inches, except drainage culverts. M lnNUblions, parallel with roadway. shat be placed as dose torte right-of-way fine as Possible. No tion of the backla(s) shall be compacted try pandkhg art Jetting• portion , AN pa"me nts, curbs, gutters. sidewalks, borrow ditches, pipes, headwKags, road signs. trees, shrubbery, and/or olhei permanerd road fadl ies Impaked by or as a result of construction operators at the cOmbl,dion slts(r.), or at other grounds) Occupied by materials andlor equipment shall be mston d Immediately upon bad=ng or fine excavation to the original grades and cross sections, and to a rendition as good as, or better than, existed prior b the conslrhxction. M wfacing materieis of roadways and driveway approaches cut or dtumaged by or as a result of mnshuofiott operations, shall be replaced YAM ONE WEEK following the bacKling of examson, vwaatim permitting. with compacted layers of surfacing materials at least as acct as here e)dsSpec ng; and no fess Than two knctnes asphalt concr Specifications. (ti') ete Over eight h1M of aggregate base. acconft b extant California State , Whenever necessary to sear permission from abutting property owners, such authority Most be seared by the Permlttea prior to starting wort. The future safety and corverdenee of time traveling public chap be given every conskteration In the tocatbn and type of construction. Pemhtiteo S: M use to be placed, eroded, and maintained all warning signals, lights, bWlcades, signs, and other devlpes or measures essential to safeguard travelby the neral pubic over and at be sib orwork Miliatzed herein K the construction work covered by this permit Is to be done by a private contractor hired by the appiraM applicant shall notify eonbactor as to the edsl conditions and nxWln�ts contained herein. Page 2 of 2• AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 200+-0�271'b95 Recorded OfficialRecords CoBUTTEOf CANDACE J. GRUBBS Recorder ROSEHARY DICXSON Assistant 02:58PM 07 -May -2004 REC FEE 13.00 COPIES 3.00 Kathy Page Iof3 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 3 operations. All that real property situate in the County of Butte, State of California, described as follows: Date ✓� O7 d �� ' PROPER ERS: L,4cS State of California ) County of personally appeared _personally known to me (or proved to me on the basis of satisfactory evidene4to 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 m hand and seal. Signat a Seal: HEitll R. H13KILl. � MM.0141M4 Notary PubIle.Callioml� A.P. # ulBUTTE COUNTY Mr Comm Exp. Apdi 13, 20D7 •h Order No. BU -217725-3 KB Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I -A: A PORTION OF LOT 15, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILLE WYANDOTTE FRUIT LANDS UNIT NO. 2-, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 7, 1927, IN BOOK 11 OF MAPS, AT PAGE(S) 11 AND 12, MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT IN THE CENTER LINE OF CANYON DRIVE, SAID POINT LYING SOUTH 532.24 FEET FROM THE NORTHEAST CORNER OF SAID LOT 15, AND BEING THE SOUTHEAST CORNER OF THE NORTH ONE HALF OF SAID LOT 15; THENCE NORTH ALONG THE CENTERLINE OF SAID CANYON DRIVE, A DISTANCE OF 80 FEET TO A POINT; THENCE WEST 435.23 FEET MORE OR LESS, TO A POINT IN THE WESTERLY BOUNDARY OF SAID LOT 15, SAID WESTERLY BOUNDARY ALSO BEING THE CENTER LINE OF THE BUTTE AND PLUMAS RAILROAD RIGHT OF WAY, THENCE SOUTH 9' 46' EAST ALONG THE WESTERLY LINE OF SAID LOT 15, A DISTANCE OF 80.00 FEET MORE OR LESS, TO A POINT THAT BEARS WEST FROM THE POINT OF BEGINNING; THENCE EAST A DISTANCE OF 435.23 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: BEGINNING AT A POINT IN THE CENTER LINE OF CANYON DRIVE, SAID POINT LYING SOUTH 532.24 FEET FROM THE NORTHEAST CORNER OF SAID LOT 15, AND BEING THE SOUTHEAST CORNER OF THE NORTH ONE HALF OF SAID LOT 15; THENCE NORTH ALONG THE CENTERLINE OF SAID CANYON DRIVE, A DISTANCE OF 80 FEET TO A POINT, THENCE WEST A DISTANCE OF 150.13 FEET TO A POINT IN THE CENTERLINE OF A SPILLWAY CREEK; THENCE SOUTH 25' 26' WEST A DISTANCE OF 90 FEET MORE OR LESS, TO A POINT THAT BEARS WEST FROM THE POINT OF BEGINNING; THENCE EAST A DISTANCE -OF 195 FEET MORE OR LESS, TO THE POINT OF BEGINNING. APN 068-030-073-000 PARCEL I -B: EASEMENT FOR ROAD PURPOSES OVER THE FOLLOWING DESCRIBED PARCEL OF. LAND: THE SOUTHERLY 30 FEET LYING BETWEEN PARALLEL LINES OF LOT 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILIM-WYANDOTTE FRUIT LANDS UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 27, IN BOOK 11 OF MAPS, AT .� � ►MMI►t 1�lr, g-�. i ►- p�. i � yl� This is a map eaocutad by the J.MWARD ESTATE COMPANY,a corpora tion,of Sectalll and. partd Sectionl2 T 19N.R4 E M.DBa M.,tobe known as, OROVI LL E-WYANDOTTE FRUIT LANDS UNIT HS2 and subdivided into loft forthe purpose of selling said kits in accordance with and by referring to this map All lots intended for saletogether with their numbers, precise length and width,dimensioro, boundaries and courses of their boundaryl'nes, also all parcels of lard within such tract orsubdwislo, offered for dedication forpublic us.S,and their dimensione,bounderies and the course, of their bowd.ry lines are shown hemon. The exact location of such tractor subdivision of land into lots is shown with reference to adjacent subdivisions of lard into lots, the maps w plats of which have previously been recorded, and also with reference to the corners of the Uni ted States Survey. J. M WARD ESTATE COMPANY, a corporation, hereby certifies that it is theownerdeil of the tract of land shown on this map; that the title ofall thereof is vested in it in fee simple end doe. hereby consent to the making of this map, and certify that it shows the following parcels of land Intended for public use which have not previously been dedicated therefore to wit: WARD BOULEVARD, PUTNAM DRIVE, PALERMO DRIVE CANYON DRIVE, PLUMAS DRIVE, WALNUTAVENUE. ALMOND AVENUE.nd EASTSTREET. and the undersigned do hereby dedncate the carne for such use and purpose. Dated thisT day of M.rch-1927. J. M. WARD ESTATE COMPANY n STATE OF CALI FORNIAJ COUNTY OF BUTTE. On this.I9._day d......March------ intheyear one thousand nine hundred and twenty -s— before me B.LJMS.GOY.._...... _......... a Nctmy Public inand for the County of Butte, State of Galifornia,pmanally appeared GEORGE R. WARD � ESTELL E TYLER known to ma to be f he PreSld ent and Secretary of the Corporation described in and that executed the within instnment and also known tome to be the persons who executed it on behalf of the Corporation therein named and acknow Iedg ad to me that such Corporation executed the some, IN WITNESS WHEREOF, I have hem to set my hand and affixed my official seal at my office in the County of Butte the day and year in this ce rtlflcate first above written. STATE OFCALIFORNIA COUNTY OF BUTTE SS , I, LUCY A. RIGHARDS,do hereby certify that lam the Auditor of the County d Butte, State of Celifornia,and the property shown on tj1is map and ATTEST: designated as OROVILLE-WYANDOTTE FRUIT LANDS UNIT H8-E,u all situated within the County of Butte, State aforesaid. I further certify that them are no liens forunpaid State, County, ... .. i. s........._. ...a.. ..... Municipal orather taxes except taxes not yet payable against said tract s nn or subdivision of land orany part thereof. Witness my hand and official seal this 1.? day d.....,,ylafs ...........1827. STATE OF CALIFORNIA) COUNTY OF BUTTE SS' We, A. E. MORTON and H. H. HUME, respectively County Assessor and County Surveyor of the County of Butte, State of California do hereby certify that we have examined every lot in the Subdivision shown hereon and that every lot is suitable farcommencial purposes, and we hereby recommend the acceptance of this map. Theundersigned constituting the Board of Supervisor of Butte County, Gdifarwu, dr hereby certify that this map offering for dedication certain struts and avenues shown Iheman having been presented to us the overning body of such County, having control of the public highways in theterri ory shown an this map orplot do hereby endorse hereon our acceptance on behatfof the public of those certain roads designated es WARD BOULEVARD, PUTNAM DRIVE, PALERMO DRIVE, CANYON DRIVE, PLUMAS DRIVE,WALMUT AVENUE, ALMONDAVEMUEad EASTSTREETmd do hereby accept said Streets and dedicate the same to the public use and we do hereby approve this map It is moved by Supervisor White, seomded by Supe—son Meeker, Provided however that the owner of the said tract , the J.M.Wand Estate Gompany, 5MII expend the Sum of et least 43oeper ecm,of the total area of the said fmct,in raodwork,an theefaessid roads a nd highways there in,and stall Rk a bond suerard-irg fodoerd perform the said work, ATTEST: - MARCH III -,1927. .... . P -M ------------ _--- //J.....I ... _. '... �i."..1-........... ovy1ciAL MAP 0P MO.iee� OROVILLE WYANDOTTE FRUIT LANDS Filed as of record at UN I T N °• 2 sr0 .......... minutes pestZoihdl Ff.,M. ...._._I 7 BEINGASUBDIVISION OFSECTION114PARTOFSECTwm12,T19N.RAEMD.RBM. at BUTTE COUNTY , CALIFORNIA From Survey, of B. L. JANUARY -1927. 9C 1L E : 1L� _400 ECFz OF TWO SHEETS. Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING July 28, 2004 Bill & Phyllis Lacs 928 Lurline Drive Foster City, CA 94404 Subject: Building Permit Number — 04-1937 Dear Mr. & Mrs. Lacs, The Butte County Department of Development Services, Planning Department, has reviewed the submitted Building Permit 04-1937, and require the following information to continue the review process. Building Permit Issuance Requirements • Creation Deed: the deed that created Assessors Parcel Number: 068-030-073 as a legal lot. Please return the specific deed to Butte County Development Services, Planning Department. Should you have any questions please feel free to call Chris Tolley, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603. Sinc rely, ?6seph W. Baker anning Manager i f� SITE PLAN REVIEW APPLICATION Date: 7,612,o04 AP# 6* -01 ^ 0 7 S7 Permit Number (if applicable) APPLICANTINFORMATION Parcel Size: 3Q3 - Owners Name: S Owners Address:Ty�c�yo y Telephone ,No.: ` �(- 666 Situs Address: ` OA,/ 04r —x7 �2v c�cGG� Proposed Use: 3 18 Ps - Residential S Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home ocd - t (,3 1 ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building 19 Other: 6so %L -&r -eY - 17 3 1 4 CA134rl6-,1oY- l elO Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval (� Sit an Stamped Approved By Date 2� Page 1 of 5 4 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached_ standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: - (See attached) • Flood Zone: Y. • Flood Panel No.: VAOO 7Cr6$2�_C ' Index Date: 6 ❑ 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: 11S1? — 1 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. 0 CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front � � , Side r !0 Side Street Rear l U r Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. 0 CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 • J Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Amount Formula ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No Yes Deed of Reference: 1-7 - 3 e � Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No X[ Yes Comments: Parcel Deemed to be legal Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate 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 Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page. Parcel Map/Subdivision MapfUse Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa ❑N Paye 4 of 5 1 a Summary of Specific Requirements: a This information provided in this summary is based on the application information and on the best available data at the time of review. C:\L,arrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 --tA-r-Crir� -* 2 !3 Qs -4, '3, OW 13 r,rogC 2 i 7 2 LUT =eac pE,�v r-ct=rr O g r Tr SITE PLAN REVIEW APPLICATION Date: `� ! �`(� �O'T AN Q —7 37 Permit Number (if applicable) ?i Se Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: Gr - Owners Address: Telephone No.: /J Situs. Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel- Trailer- ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other ❑ Septic ❑ Well Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A Other: L Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site an Stamped pproved By Date Page 1 of 5 It ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage:❑Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: Flood Panel No.: 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: kfA Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 11, Zoning Code Streets & Highways Fire Prevention Subdivision Map Front "0 Side t Side Street Rear L i Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 11, �r Applicable Development Fees: Standard Fees Amount ' Formula ❑ 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) * 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 PDeeds: Date of Creation: Legal Access Provided: ❑ No Yes Deed of Reference: to 1-7 1 'S Legal Access Required ❑ No Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No Q Yes Comments: WParcel Deemed to be legal Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate 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 Page 3 of 5 'O ❑ Subdivision ME/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: _ ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. x Page 4 of 5 to M x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:\Larrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 Department C o u n t' J. Michael Crump, Director I 9 WO¢1F Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement ILESS THAN 1 ACRE Project Description: z�q O�E��l� L G/< Project Location and/or Parcel Number: 258 C�yy�� 02 By signing below,. I, the project owner/owner's 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. 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 a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Ge- acs ft/ 6K— cl/a -3/1 � 2 Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 15 mum i 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 retum 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. + ji- I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESA NO El I HAVE 9 HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME:_ /z ADDRESS: �7 PHONE: CEO 3 Yf 64os- CONTRACTOR'S LICENSE INTO. `— I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the mai or work NA1!M 'X" G & "� A c S ADDRESS: 5,09 -e -ft -- PHONE: CONTRACTOR'S LICENSE NO: the work indicated: - - - NAME ADDRESS PHONZ TYPE OF WORK SIGNED: PROPERTYOVVIMU DATE: NOTE: This Owner -Builder Verykation is required by Sectcon 19831 and 19831 of the Cahfornia Health and Safety. Code. This verification must be completed and returned to our office before we are permitted to is -rue the nernd t OF'Velo h OWNER BUILDER IlNFORMAIyON Dear Property Owner. ag p=& has been sabmiited is yoga nameg YIf as Ste binder of pmP�Y specified. Foryomprotection, YOU slmnir be aware that as "owner-bm7de�' YOU are tine respoasIble party ofrecord on mwA a P Building permits are not required to be signed by property owners unless own work If your work is being p by someone other thea yomseX your are P��Y Perfom�mg their Iiabi'iity if that person applies fior the, Pct Yotaself from, possible PmperP=k is his or her name. license from = are by law to be licensed and bonded by the StaiE of CafOmia, and to have a business livens �Y or They are also required by law to put their license number oa allapply. permits for which ey MYOU PIM tO do be aware of the iblinwiagyon � the mon of various trades that You Plan to sabcoatrthact, yon should your benefit and protection; a lfyon employ or ofh wim enPP MY pmans other thea your mnnedrate fammily, and the work Cmcbdfng maseef and other costs) is $300 or more for the entire not pmj and such persons are licensed as coniiarbrs sub�aetozs, then you may be an employer. or ♦ If you are an emPloM You amst register whiz the State and Federal Governmemts as as snblect to several obligations mchdmg state and eSDCW and you are wod= COW msm m=e, disability insurance cassammms ta$ w ldm�, social security tMM and unemployment ♦ Tl a may be 5naacial z Cs fur Safi. . coons. wifl� to mawiajworims ym if you do not eanj aur these obligations, and these risks are especially serious sahm jnmrance. ♦ Formare speci5c obligations if you wish. the U.S. S�aH Business Fan �, the %al REve�e Service (and, State Law. contact the D trati oaf Far mare sp'"citio man about your obligations under eparftam t ofBenefit Paymmb and the Divisiaa of>adnsirW Accidents. If the stere is intended for sale, proper owners who are not used 00=WD. Mr. allowed to perED13n their wM* P,o �y or trough their own emPloyee4% Without a licensed coatca� � , 0 under Imged conA frequent practice of Macensed persour Px0fiming to be yrs is to secure an '20w= e�oneausly imPiyiag $� I* �PMY owner is owner builder" building permits are nat requfred to be signed his or ber own labor and matsdal p=oesy. Building mon about iimamd 01 P = owners galeas �Y are Pig thea ova work personally, cammDmiiy or at 1020 N �Y be obtamEd by the �a�s State Incense Board is your Please � � Sacram� 0,.4.95814. . �P Endingder VenpmMjt VvM n on the reverie side of this i= so that we can confirm that are aware of these maftras, The building p�ait w� not be issued �1 the vedficat2aa is ret=ell. you F.W►Iy - =Y1 � -II'l- :t. . 11 • I. II • ' .'• I OTF-• MIT Owner-B=IderrV!M=rorr is rep*agy Secrtva ISS3D oBre ` f Cavorak Heah* =d Sgkty Codes dIIVT rTxv. e , 1 30' R/W PER DEED , APN 068-010-010 (RES) / APN 068-010- 9 (RES) LOT 17 / LOT 16 ABANDONED T — -_T — — — — RAIL -ROAD I 0 355'80, — 2 NEW HOUSE/ 1763 s/f X50'—I NEW 1000 GLS. / cope �P \ SEPTIC TANK r� 43, i �50' RES APN 068-030-129 7 / NEW 40'x150' PCL 2752M2 LEACH FIELD 50' L = J NORTH 50' 50' EXISTING OVERHEAD ELEC, POLE APPROX. 70' \ 43' RES APN 068-030-130 PCL 4-60 M 84 / REPLACEMENT FIELD 40'x150' — — — — — — — / I APN 068-030-072 i .83 ACRES I APN 068-030-073 3.3 ACRES / / 1 i / 435.23' PROPERTY LINE 435.2 1 N 1 1 p° �O r W, I 4a_ L =J APN 068-030-023 rW, L = J �O 7' ^3^P��"VT t%C.iASEL UNING TS. �E SISF Ar9rJ 3� j SHALL BE z HtL���.L`.9� E2tCEP O V �h,�^® ler R 4 /•� l\ Gat` ELECTRICAL, MECHANICAL, AND PLUMBING ,-30' R/W PER DEED CONSTRUCTION ( NOT PLAN CHECKED ) SHALL COMPLY WITH CURRENT ED1 EXISTING OF NEC, UMC AND UPC„ OVERHEAD ELEC, POLE APPROX, APN 068-030-030 (RES) — (#254) '532.34' APN 068-030-026 (#244) M cu ch n APN (RES) 40,E (#236) PLAN 1�7 N - BUILDING LA APPKUVAL Use: Date: Parkfnn• zlLandscaping. Other. _ Signature: SWALE IS PROPERTY LINE APN 068-030-058 (RES) <#220) SE CORNER N1/2 LOT 15 PER DEED z 0 SITE PLAN z Q U FUQUA HOME TROUT CREEK PLAN 1407D •1403 s/f ADDITION 360 s/f GARAGE 500 s/f j -011E: 'e the R' L ©qf-1937 /i'LC�• BUTTE GOUF I gU►ILDING DEPART1.�'A APPR0V17 SCALE NONE: / AP # 068-030-073/072 DPAe OWNER: PHYLLIS and BIL LAOS JOB ADDRESS: CANYON D: CITY: OROVILLE, CA 95966' OWNERS ADDRESS: 928 LURLINE OR. FOSTER CITY, CA 94404 TEL: 650-349-6605 FAX: 650-571-9156 6ra- IF LN5"gesSW AREA "EIRE REOD) FOR 2aX/6C ' RAAY. I i � - .s -Ace ACCESS. 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IOd i aI Ole- Y •p 6K VAA 2W Jd. WA 7ER SHALL BE FREVENTEO FRGiY ENTERING 77E (A'Gi< 00R AREA BY Si 6, FkW- P 6JRADE ANA B7)W. L:.4 2 FROM HAACPAGTNRW ROAC rOORA/NA6E }MKE, AA01M AS ASWWMW BYLOCK COAm/77OA5 AMD LGGK _ _ PL7 ftt70D AR 57P6 /212X6 K $raAP 0 CIA 6RA0/N6 REMIA*745MM ' /GP77GVAU /N9 rALLEO, SEE a 9X6 AR 2x6 GRADE / 3X6 4LL tY, RO:P DEAD LOAD MAY INCREASED r0 247 PSP, EY)r ONLY HWrH 20 P.S.P. 9O P.S.P, OR 40 PSP. ROD° 41VE !AADS' FGR FASTEN/M9 Ja GOIATRAG7YJR SHALL VPR/PY A4LL $/7P GGWD/T7ON5 AND O/AQANS/GM"9 A'WOR r0 SYAR7IN6 FQ/A'DA!/GW M'D W/ . mac," .1 NOT7FY EN6/NEER O`' ANY D/SCR�ANGE5. lS6R HAMA<AG71.9=ED NdFi/N6 5�e III -1 I I=1 N FGR GierA/L MGT to /MI5 FGtNDA7iON FLAN LGWR/E5 W17M 77E PERHAhENT FGYAVOA77GW- 6U/DE FOR 77E US. CPA R77•IB✓r OF A/W5/h6 ANO UW AN DEVELOFMB.'r SEE NOTE 6. N SAIAYV SEEeg S6'TEA/BER /446 AS Ft4!L CO C 6ENERf4L NOTES 8 Arm I', , 47 7 fu.r. HAY7N6 UAE OR BeAH L/AP I /4J /41d 6KV. BOX NAILS /31 EA. 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FLOOR PLAN FUQUA HOME 16' 25' TROUT CREEK PLAN 1407D 4'-6• 14 0 3 ' s/f ADDITION 360 s/f GARAGE 500 s/f SCALE NONE: AP # 068-030-073/072 OWNER: PHYLLIS and BILL LACS JOB ADDRESS: CANYON DR. CITY: OROVILLE, CA 95966 OWNERS ADDRESS: 928 LURLINE DR. FOSTER CITY, CA 94404 TEL: 650-349-6605 FAX: 650-571-9156 t i" - . '-s7 54'-8' 4.3 61 Y TIAL o 0 e � DV rl DVA. BED. 2 OE o KITCHEN DINING ' BATH 1 001 0. CL ELEV, 14' ABOVE NAT. GRADE BED. 1 FAD LIVING ROOM BED, 3 D UM 0. Emy �I 4x4 POST T-7 15/16' ADDITION 4x10 LINTEL FAMILY ROOM 360 s/f ELEV. 14' ABOVE NAT. GRADE POOH I 7'-513/16' VALK VAY 3'-6 1/4' 4x4 POST 6 FLOOR PLAN GARAGE NEW SITE FUQUA ] 500 s/f 16' 25' T JDLXU 0 U T CREEK ELEV. 8' ABOVE NAT. GRADE PLAN; 1407D 4'-6' 1408. -S./f ADDITION 360 s/f GAG 500 s/f 20' . i H PROVED e County mental Healt ate ---�ipnat re _.. SCALE NONE: AP # 068-030-073/072 OWNER: PHYLLIS and BILL LACS JOB ADDRESS: CANYON DR. CITY: OROVILLE, CA 95966 OWNERS ADDRESS: 928 LURLINE DIS. FOSTER CITY, CA 94404 TEL: 650-349-66;0 FAX:: 650-571-91;5.. 30' R/W PER DEED APN 068-010-010 (RED / APN \068 -010 -RES) LOT 17 ABANDONED - RAIL -ROAD —J — — — 2/ 355' 80' NEW HOUSE X50'-1 1763 s/f • �v NEW 1000 GLS. SEPTIC TANK n 50' 43 i �-- NEW 40'x150' RES APN 068-030-129 LEACH FIELD PCL 2-52M2j / REPLACEMENT 50' L = FIELD 40'x150' NORTH 50' m EXISTING\ OVERHEAD ELEC. POLE APPROX, 70'' 43' RES APN 068-030-130 PCL 4-60 M 84 APN 068-030-072 i .83 ACRES — — L= J J - APN 068-030-073 F 3.3 ACRES / L 'o v, = ' / J / H 00 / 435.23' PROPERTY FWD L = J 435.2 LINE �I I S4,- N I I � APN 068-030-023 FW, L = J �O 532.34' 30' R/W PER DEED EXISTING OVERHEAD ELEC. POLE APPR❑X, APN 068-030-030 <RES) 0254) APN 068-030-026 (RES) 1 (#244) m (U M APN 068-030-025 (RES) 0' 40'1 (#236) ,ANPROVEU Butte County :Envlro)nntal Rmit te Signature ----- SWALE IS PROPERTY LINE APN 068-030-058 (RES) (#220) j SE CORNER N1/2 LOT 15 PER btED o z O z Q SITE PLAN U FUQUA ]HOME TROUT CREEK PLAN 1407D 1403 s/f ADDITION 360 s/f i GARAGE 500 s/f SCALE NONE: np 4 nFR_nzn_n-7-A /n-7,5; ' OWNER: PHYLLIS and BIL 1;A5 JOB ADDRESS: CANYON D; ,'',`j;, CITY: OROVILLE, CA 9596. <` OWNERS ADDRESS: 928 LURA E bR. ,FOSTER CITY, CA 94404 TEL: 650-349-6605 FAX: 650-571-9156 30' R/W PER DEED APN 068-010-010 (RES) / APN 068-010- 9 (RES) I LOT 17 / LOT 16 ABANDONED r----T------�6'�7W�����---- RAIL-ROAD �7—j - - - 0 355' j 80' 2 NEW HOUSE -50'-� 1763 s/f �p \ NEW 1000 GLS. SEPTIC TANK n I� 43' i I 50' RES APN 068-030-129 7 NEW 40'x150' r W PCL 2-52M2 LEACH FIELD So L J NORTH 50' 50' EXISTING ! \ OVERHEAD ELEC, \l POLE APPROX, 70' 43' RES APN 068-030-130 PCL 4-60 M 84 APN 068-030-072 ,83 ACRES REPLACEMENT FIELD 40'x150' - - - - j I APN 068-030-073 / 3,3 ACRES / L _ / J 00 1 / 435,23' PROPERTY LINE 1 rW -i I 4•— L =J 435.2 PROPERTY ),I 1 S4, I I APN 068-030-023 r W -i L = J X00 �O �O 40' 140', z 0O z Q U -- C �VGEMIEKIS- �nAA��3T 4�-l.1�4�90 SjD-E AND LINNES AN0 3� ., .• �..t� ULiNESHALL BE ptjENT ;.oPA2F� 30' R/W PER DEED SWALE IS PROPERTY LINE APN 068-030-058 (RES) (#220) SE CORNER N1/2 LOT 15 PER DEED SITE PLAN FUQUA HOME TROUT CREEK PLAN 1407D 1403 s/f ADDITION 360 s/f GARAGE 500 s/f SCALE NONE: AP # 068-030-073/072 OWNER: PHYLLIS and BIL LAOS JOB ADDRESS: CANYON D , . CITY: OROVILLE, CA 95966 OWNERS ADDRESS: 928 LURLINE DR. FOSTER CITY, CA 94404 TLL: 550-349-6605 FAX: 650-571-9156 EXISTING 31 OVERHEAD ELEC. POLE APPROX. APN 068-030-030 (RES) (#254) • - ,. :-;:--;r �= .� -ti }1. i 532,34' APN 068-030-026 (RES) (#244) ItM (U M Ln APN 068-030-025 (RES) (#236) SWALE IS PROPERTY LINE APN 068-030-058 (RES) (#220) SE CORNER N1/2 LOT 15 PER DEED SITE PLAN FUQUA HOME TROUT CREEK PLAN 1407D 1403 s/f ADDITION 360 s/f GARAGE 500 s/f SCALE NONE: AP # 068-030-073/072 OWNER: PHYLLIS and BIL LAOS JOB ADDRESS: CANYON D , . CITY: OROVILLE, CA 95966 OWNERS ADDRESS: 928 LURLINE DR. FOSTER CITY, CA 94404 TLL: 550-349-6605 FAX: 650-571-9156 Y A, r ycn�. 1 / 30' R/W PER DEED APN 066-010-010 (RES) / LOT 17 ABANDONED yPWAN RAIL -ROAD / o� 355' 80' /^ EW HOUSE N 1763 S/f NEW 1000 GLS. /10 SEPTIC TANK n N �43'� NEW 40'x150' RES APN 068-030-129 / LEACH FIELD PCL 2-52M2/ / REPLACEMENT o FIELD 40'x150' 2 NORTH 4 EXISTING OVERHEAD ELEC. ` \ POLE APPROX, 70' 43' RES APN 068-030-130 PCL 4-60 M 84 APN 068-030-072 .83 ACRES 50' 50' APN 068-030-073 3,3 ACRES Ile i 435,23' i 4 _. t / cu CU RES>— — rW 1 I �—J- L= J r W, L =J APN 068-030-023 \ rW, �O b 40'j Z O Z U dw r' cufsM �S, .- "� R/W PER DEED P, APN 068-030-026 (RES) �� � A 1. EXISTING tU �. OVERHEAD ELEC. POLE APPROX. lo" . ' (#236) ,. ' APN 068-030-030 (RES) (#254) P, APN 068-030-026 (RES) (#244) A 1. tU N APN 068-030-025 (RES) ' (#236) J1�f ftJ�� 'i_j Bustle Ceuniy cnvironmenfal''. Heal! -4, ------ jDl e ---- h t SWALE IS PROPERTY LINE APN 0t8-030-058 (RES) (#220> SE CORNER N1/2 LOT 15 PER DEED SITE PLAN FUQUA HOME TROUT CREEK SCALE NONE:. AP # 068-030-073/ OWNER: PHYLLIS and BIL: LAGS JOB ADDRESS: CANYON DR. CITY: OROVILLE, CA 95966 OWNERS ADDRESS: 928 LURLINE DR. FOSTER CITY, CA 94404 TLL: 650-349-6605 FAX: 650-571-9156 4x4 4x3 54,_8# SGD 6' 1114' = 1'--0" F C K: FLOOR PLAN NOTES ' DO, NOT SCALE DRAWINGS! DIMENSIONS SHALL TAKE PRESCEDENCE. VERIFY AND REPORT ANY AND ALL DISCREPANCIES TO THE DESIGNER. 650-349-6605 PRIOR TO COMMENCING THE WORK. VERIFY ALL DIMENISIONS WITH SETBACK REQUIREMENTS. SEE SHEET -A1.0. ALL DIMENSIONS ARE GIVEN TO FACE OF STUD, FACE OF CONCRETE, OR FACE OF MASONRY WALLS SUNLESS OTHERWISE NOTED. CENTER ALL WINDOWS ON INSIDE WALLS UNLESS OTHERWISE NOTED OR DIMENSIONED. SEE SITE PLAN SIHEET A1.0 AND LANDSCAPE PLANS FOR FURTHER INFORMATION REGARDING TERRACES, STEPS, PORCHES, PATIOS, DECKS AND OTHER SITE DEVELOPMENT. SEE SHEET A1.3 DRAWINGS FOR LOCATION OF 2X STUD WALLS, SHEAR WALLS, POSTS, FRAMES, AND ALL. OTHER STRUCTURAL MEMBERS. ALL EXTERIOR WALLS TO BE 2X4 U.O.N. PLUMBING WALLS TO BE 2X6. ALL OTHERS DIVIDER/CLOSET WALLS TO BE 2/4. CASED OPENING [DIMENSIONS SHALL BE FINISHED DIMENSIONS. PROVIDE GLASS DOORS AT ALL FIREPLACE OPENINGS. AN APPROVED NUMBER OR ADDRESS SHALL BE PROVIDED FOR ALL NEW BUILDINGS IN SUCH A POSITIONI AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET FRONTING THE PROPERTY. GARAGE DRYWALL SHALL BE 5/8" TYPE X ONE HOUR DRYWALL ON WET' AREAS SHALL BE GREEN BOARD WATER RESISTANT EXTERIOR SIDING T-111 TO MATCH THE MANUFACTURED HOME ALL SOFFITS ARE TO BE 12" HIGH U.O.N. ALL PORCHES, GARAGE SLAB AND PATIOS TO HAVE 1/4 of :12" CROSS SLOPE FOR DRAINAGE. WALL/SYMBOL LEGEND 2X FRAME WALL CONSTRUCTION PROVIDE 5/8" GYP. BD. INTERIOR FINISH SEE FINISH SCHEDULE STRUCTURAL AND SECTIONS FOR WATERPROFF, 5/8" TYPE 'X' GYP. BD. AND SHEAR WALL LOCATIONS, ALL EXTERIOR WALLS & PLUMBING WALLS TO BE 2X6. ---------- AP # 068-030-073 (NoT.Zesion Date Vol i� liJ I O z © � oCo coo $4 Co A I W U Co• �a w L~ z a P-1 o � O - a � Y v ko d' O po IV U � x.� Cq c sa 0 w H Drawn by Bill Lacs h jest # CANYON D Date 06/04 Scaa 1/4 '=1'0" I I FOUNDATION WALL FACE BRICK "RY 4" OR 6"CMU _ LINE OF WALL,> BEAM, OR SOFFIT ABOVE POLE WITH SHELF ABOVE m REVISION MARK — NUMBER HOME D45 DOOR TYPE — NUMBERw� WINDOW TYPE — LETTER CREEK INTERIOR ELEVATION TAG—NUMBER/SHEET 2 i7D EXTERIOR ELEVATION TAG—NUMBER/SHEET ' DETAIL MARK—NUMBER/SHEET BUILDING SECTION MARK—LETTER/SHEET �o ELEV.100 TOP OF SUBFLOOR(ELEVATION) ---------- AP # 068-030-073 (NoT.Zesion Date Vol i� liJ I O z © � oCo coo $4 Co A I W U Co• �a w L~ z a P-1 o � O - a � Y v ko d' O po IV U � x.� Cq c sa 0 w H Drawn by Bill Lacs h jest # CANYON D Date 06/04 Scaa 1/4 '=1'0" �i O O O -!-]m i 1 DECK ELEVATION 3/8' = 1'-0' SIL :VEL o.l Revision I Date 11 2x4 NAILER 2x4 RWD. HAND RAIL 4x4RWD 36'H GUARDRAIL 2x4 NAILER 2x4RWD HANDRAIL 3' 4-#18x2-1/2' SCREWS 4x6 PT GIRDER EPC44 ON END 2x2 BALUSTER PC44 ON MIDDLE 5.5'OC 2x4 RWD RUNNER 4' MAX. 2x2 R!WD BALUSTERRS HAND U C� 5-1/2'OC RAIL Q! 2x4 RWD RUNNER 4x4RWD END POST a co, 4x6 PT GIRDER _ 2x6'RWD DECKING EPC44 ON END PC44 ON MIDDLE 2x6PT JST. 24'OC 4x4 PT POST 2 PEIR AND RAILING 3/8'= 1'-0' ..:. NAT, GRD, J cc tCJ 4X4 PT POST I ,b 10 4 M 3-2x12 7-1i2'MAX, N .0 .., -"� ►f1 O� A a E'+ � U � cd 12'DIA PIERS% L E--4 'm . MIN. 8' EXPOSED NAT, GRD, a 12'DIA PIERS O � CG � 24'H MIN. 8' EXPOSED I cj v1 • P.4 Z A 0CO w � N °, ; w°E� 2x4 NAILER 2x4 RWD. HAND RAIL 4x4RWD 36'H GUARDRAIL 2x4 NAILER 2x4RWD HANDRAIL 3' 4-#18x2-1/2' SCREWS 4x6 PT GIRDER EPC44 ON END 2x2 BALUSTER PC44 ON MIDDLE 5.5'OC 2x4 RWD RUNNER 4' MAX. 2x2 R!WD BALUSTERRS HAND U C� 5-1/2'OC RAIL Q! 2x4 RWD RUNNER 4x4RWD END POST a co, 4x6 PT GIRDER _ 2x6'RWD DECKING EPC44 ON END PC44 ON MIDDLE 2x6PT JST. 24'OC 4x4 PT POST 2 PEIR AND RAILING 3/8'= 1'-0' ..:. NAT, GRD, J U) 4X4 PT POST 32' 2X BRACING ' ,b 10 4 M 3-2x12 7-1i2'MAX, N .0 .., -"� ►f1 ' A a � 12'DIA PIERS% L CO CQ24'H 'm . MIN. 8' EXPOSED NAT, GRD, a 12'DIA PIERS A � 2x4 NAILER 2x4 RWD. HAND RAIL 4x4RWD 36'H GUARDRAIL 2x4 NAILER 2x4RWD HANDRAIL 3' 4-#18x2-1/2' SCREWS 4x6 PT GIRDER EPC44 ON END 2x2 BALUSTER PC44 ON MIDDLE 5.5'OC 2x4 RWD RUNNER 4' MAX. 2x2 R!WD BALUSTERRS HAND U C� 5-1/2'OC RAIL Q! 2x4 RWD RUNNER 4x4RWD END POST a co, 4x6 PT GIRDER _ 2x6'RWD DECKING EPC44 ON END PC44 ON MIDDLE 2x6PT JST. 24'OC 4x4 PT POST 2 PEIR AND RAILING 3/8'= 1'-0' ..:. NAT, GRD, J 3 STEPS and HAND RAIL SCALES 3/8'=1'0' PERMIT #BP041937 AP # 069-060-006 Drawn ►, Bill Lacs lraj«! f CANYON DR.. Date 09/01/04 Seal. SHOWN 4X4 PT POST 32' 2X BRACING ' ,b 10 4 M 3-2x12 7-1i2'MAX, .0 .., -"� ►f1 a a � 12'DIA PIERS% z po CO CQ24'H 'm . MIN. 8' EXPOSED NAT, GRD, a 12'DIA PIERS 24'H MIN. 8' EXPOSED 3 STEPS and HAND RAIL SCALES 3/8'=1'0' PERMIT #BP041937 AP # 069-060-006 Drawn ►, Bill Lacs lraj«! f CANYON DR.. Date 09/01/04 Seal. SHOWN