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068-360-139
68-36--I"bR CLARENCE HENDERSON �� ! D�aS/g� 4226:Olive Hwy, ORov il-le '-pe, r , mi t#3377-88B(woodburning stove) IV 681--�36 t - R P.n,--Qe6rge Ein.l�I)093-88B(r er oof ISF.) /co —1,5. 068-360-139''_ PERMIT ` #97-2482 7-2482 HENDERSON, Clarepce r t426Olive Hwy, Orv Ile - 7 C'ont Christianseh koojjngpartjaf"-Rerdof/SF 068-360-1.39 06-0283 BERNARD; CONNIE $�gZS OLIVE HWY, OROVI�LLE Cont: EXECUTIVE HOMES 7e - JP. �. �/ I i �J �� f � ', i �'I� i .x ._ _ E-. MANUFACTURED HOMES MISCELLANEOUS DATE ERMANENT FOUNDATION SOFT -SET .Hing -Setbacks -Easements 2 Soils; Special MH Support Sketch 63 S er; Loctn-Test; Fall/C/O-Concrete tr; Loctn-Test-Easement Needed -Regulator ler Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat Q or LP❑ Inch Si Ft Lngth Ickng; Sz-Spacing-Marriage Line 8 G ; MH Test-Demand-Valve-Cnnctr lec MH Cntnty Test-Crossovers -Breakers -CIrncs ' 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade �22 Gas and Electricity Tagged - fd14 ins TFieD ns Foundation Q 1 15 Ce Occupancy 1 D Label/Insignia Numbers ' Serial Numbers — 1 y t DATE. ID E C K S'C OV E R S`C A R P O RTS `G A RAGES 1 Zoning -Setbacks -Easements' 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, GirderslJoists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs `• 6 Carports; Wndws-Doors 7 Electric [ 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 1 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings ¢ 12 Braced Wall pnls + DATE JPOOLS I 1 Setbacks -Easements k 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Encisrs; Conduit Entries -Terminals -Listed 7. Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg B6xes-Enclsrs=pnlboards4nsultn to Main Conduit . 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche } 12 Enclsr, Fencing -Alarms 1 13 Bonding, Diving board or Slide °"6 •(J gym. -(Q I } Pool Drawing (i = OK Not OK RESIDENTIAL (Single. & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Fig Opth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Fig Porches/Decks; Soils -Steel Fig Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-6lockouts -Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test tl Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATEM E C H A N I C A L 13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn 61 AC Ducts Insulin & Support 14 Girders-Sills-Anchr Bolts,)oists-Vnts-Crippies 62 Vent Fan, Exhaust abv Insulin 15 Acc & Vntltn 63 Condensate Drain & Ovrfiw, Sz & Grade 16, Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DA7t IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof). 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties -Pu rli n -Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Ctiannel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc 35 Glazing Area -Glass P rtctn-S kyLts -Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Ins ultn-Walls-Ceilings 39 Inf Itration-Walls-W ndws s DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GF1 47 Subfeed Wire Sz ga ❑ CU or ❑AL AC Wire Sz sa ❑CU orQAL 48 Range Circ ga ❑ CU or ❑ AL Oven Circ ga ❑CU orQAL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector' °9e oae FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cirnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Lotin .82 Elec Rcptcls in Garage (GFI) Romex Prtctn B3 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cirnc Drnge Planters QYes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb _ 89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns _ 95 Gas Test -Meters Tagged, Gas-Elec _ 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler L COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 6� 6223 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of -1 work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. MES Date Inspector ��a�S �`� G✓�S ,. REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is co feted. If you have any questions pertaining to this matter, or need additional explana n, please contact the Building Inspector as indicated below. F_114 . /,r, -O./,, < .)p 40 c --,) i e , o A- -r -ufr; ",�w-'a"k5';:.w;C`s"R.'Xi7P1�5}�, ,.: .: �'w::. r�,.:,�"'s""y'Lr��'�0�•c'w:.-t�,•+'�''•rg� ...�-:-.€� �^a.r"+''r: �.'yr f.�4;•v „ FSr_ Y,�a}..,�� �'i�`,`�.��'°�.7r'�'�''� .�c* MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION - COUNTY CENTER DRIVE OROVILLE, CA 95965 _ PHONE (530) 538-7541 APN: PERMIT NO.: �a.rryr S \ - /Ir O (01 ~ iw g Owner's Name: Owner's Address: -1/114g of �jj "C_ a Mobilehome Manufactutrer: ! Year of Manufacture: Serial Number or V.I.N.: Insignia or HUD Numb r. ` Official approving insstal�llatio�n: ""T Date:: _0 , If the mobileht me is -moved or relocated, the-:mopilehome ins6lation acceptance shall become invalid. This form shall not be used when the mobilehome'is'insfalled Wa foundationsystem. i - 513B s White -Owner, Yellow -Installer, ,Pink -Bldg, Gold -Assessor: A 13 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE ` .-DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965-- PHONE (530) 538-7541 APN: PERMIT NO.: Owner's Name: fs l's e+. + -M 1..� »�' Y\ rte.• r r^,� Owllner�s}Address:-~ ,-._; -.. , t A Mobiill�ewhomme Manufacturer: Year of Manufacture: !} Serial Number or V.I.N.: Insignia or HUD Numb r: Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. r 513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor l f BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDINGS PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERIVIFF NU. BP060283 B. C. Building Permit 01-16-04 pg 1 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: 04/24/2006 APN: 068-360-139-000 the Business and Professions Code, and my license Is in full force and effect./ 5 License Class :. License Number: iii Site Address: 4228 OLIVE HWY ORO Date: Tractor. t!Y_,4,XtLQ kI'YL2_�3 Map Index: Description: NEW MH NEW SITE tie down FND(1692)2ND 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 DWELLING Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for such permit to rile a Owner: BERNARD DONALD A & CONNIE ANN signed statement that he or she Is licensed pursuant to the provisions of 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 4226 OLIVE HWY she Is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 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).): 95966-5674 ❑ 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 Code: The Contractors' Slate 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, Applicant: EXECUTIVE HOMES provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 3042 ESPLANADE proving that he or she did not build or improve for the purpose of CHICO, CA 95973 sale.). (530)891-6992 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: EXECUTIVE HOMES ❑ I am Exempt under Article 3 of the Business and Professions Code 3042 ESPLANADE Date: owner: CHICO, CA 95973 . (530)891-6992 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 640583 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is Issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: TI ` 'u, [r�llf�t q/� (// \ Policy#: �f�s I (n/ L D �J� Total Square Ft: 1692 S.F. ( / Valuation: $109,980.00 " 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 comply,with thos proovvisiions. Date: Applicant: WARNING: Failure to secu 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 r compensation, damages as provided for in Section 3706 of the Labor , code, interest, and attorney's fees. `CONSTRUCTION LENDING AGENCY er the a cable provisions of the 5utle County Code and/or This per s hereby!To I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) Res ol ons to do Ibov r which fees have been paid. By: Date: Name: PERMIT EXPIRES ON: Address: Dale)^%— O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the,above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize reprosentalives of Butte County to enter upon the above mentioned property for inspection purp Print Name: Signature: (''.,T1�'V ( 1_` Date: C3 Owner ❑ Contractor I� Agent for Owner - ❑ Agent for Contractor r. B. C. Building Permit 01-16-04 pg 1 ,A When recorded return to: County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965-3397. ((ev.7/05) Owner Name Building Permit No a 2006m002,0658 . . Recorded`. I REC FEE 25, 00 Official Records I County of I COWORNO COPY 1.00 Butte I CAfdM I GRUBBS I County Clerk-Recorderl I I KL 01:49PM 24 -Apr -2006 I Page 1 of 7 ' • �IIII ��I II"II"IIII 1'lII "I�I'I I'� Space above for Recorder's Use Connie Ann Bernard 06-0283 (Second dwelling unit) M1 DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY l✓ I. WHEREAS, on this 6th day of December, 2005; Connie Ann Bernard hereinafter referred to as owner(s), is the record,owner'of the following real property: 4226 Olive Hwy.- Oroville, Ca. 95966 Assessors Parcel Number 068-360-139 and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and II. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and , I.V. WHEREAS, Building Permit No. 06-0283 was applied for on February 7, 2006 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No..06-0283 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in'.effect until,a change in use or character of use has been approved by the Butte County Building Official or a change in law has occurred; either of which changeallows the uses otherwise .restricted herein to be conducted on the real property described herein. Under either circumstance allowing such change in use, Owner shall be entitled to have this Deed Restriction and Notice of Limited Use;. Facility rescinded by the execution of •a subsequent document. entitled Rescission of Deed Restriction, and . Notice of Limited Use' Facility by:, the Director of Development Services; and ' VII. WHEREAS, Owner acknowledges that. Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. 06-0283 which enabled Owner.to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 06-0283 to Owner by Butte County; Owner hereby affirms Owner's desire, to develop a limited use a. facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned .Owner, for himself/herself and for his/her heirs, assigns, and' successors in interest, - acknowledges and agrees to those restrictions. This limited use facility shall be _utilized in compliance with those limitations prescribed. by the California 'Building' Code occupancy classification assigned by the building official, except the following uses are not allowed: The owner of the parcel or lot must occupy either the main dwelling or the second dwelling unit.. If any provision of these restrictions' is held,to be invalid or for,,any reason a becomes unenforceable, -no other provision shall be thereby affected or impaired. This deed restriction and notice of limited•usefacility`shall"remain in full force and effect during the period that this permit, or. any modification.or amendment thereof, remains effective, and.during the period that the development` authorized by'this permit, or any. modification of this development, remains.'in existence in or upon any part of, 3 and,thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this' limited use facility and. shall be binding on Owner and all his/her assigns or successors in interest. Scott Rutherford, Interim Bui ding Official t 4 4 NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please bse the correct notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA SS.- COUNTY S. COUNTY OF BUTTE ) On AFr;1- I01'�'' , 2- 00 (0 -before me, V, L-ay.So o , Notary Public, personally appeared CD N N k C 13E1a r,-1 A t2 7 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name s)sure subscribed to the within instrument and acknowledged to me that hF/6bpAhey executed the same in his er/their authorized capacity(ies), and that by hi a their signature(s) on the instrument the person(§), or the entity upon behalf of which the person(s) acted, executed the instrument. K. LARSON WITNESS7 nd and official seal. c commission 0 y a Notarypuibltc,=califomia U San Francisco county 'My Comm. Exp: Apr. 1, 2007 Signature 9,La rs& , '6o- Gckvi po,b1 � (Seal) STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) On before me, t Notary Public, personally appeared • personally known' to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that ; he/she/they executed the same in his/her/their authorized capacity(ies), and that by. his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature - (Seal) Scott Rutherford, interim Building Official , i i This is to 'certify that the Deed Restriction set forth above is hereby acknowledged by the Director of the Department of Development Services and that { Butte County consents to its recordation thereof. Dated: Scott Rutherford Interim Building .Official, Department of Development Services a STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) On' Apart- 7 zcolo before me,. Notary Public, personally appearedSccnr'QwU, 69kFc o Personally known to me to be the personWwhose namek&) is/.ate subscribed to the within instrument and acknowledged to me that he/a eftbey executed the same in hisBxK/fbeir authorized ;capacity(jee), and that by his/ber/th& signaturej�s) on the instrument the personLA-or the entity upon.behalf of which the person}acted, executed the instrument: , WITNESS my hand and official seal. - CORKAWM01"MI ' �� #bby AiO�c - Cb11aMo . Myr a i nature ; (Seal) ' 1 1 FROM EXECUTIVE HOMES (THU)APR 6 2006 11:06/ST..'10:58/No.6800798564 P 2 WJ IM4 ALL THAT CERTAIN REAL PROPERTY SITUATED IN THE COUNTY OF BUTTE. STATE OF CALIFORNIA, DESCRIBED AS FOLLOW: LOT 2 AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER OF ' THE COUNTY OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, FEBRUARY 1, 1991, IN BOOK 121 OF MAPS, AT PAGE(S) 50 AND $1. AP NO. 069-360-139' . IL. BUTTE COUNTY r DEPARTMENT OF DEVELOPMENT SERVICES BUILD;ING.PERMITti , I,- -d, 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060283 B. C. Building Permit 01-16.04 pg 1 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: 04/24/2006 APN: 068-360-139-000 the Business and Professions Code, and my license is in full force and effect. /` v U License Class :. license Number: ,VS a Site Address: 4228 OLIVE HWY ORO Date: htractor: P.l A,,LnPma,l ) Map Index: Description: NEW MH NEW SITE tie down FND(1692)2ND 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 DWELLING Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: BERNARD DONALD A & CONNIE ANN signed statement that he or she is licensed pursuant to the provisions of 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 4226 OLIVE HWY she is exempt therefrom -and the basis for the alleged exemption. Any OROVILLE, CA 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).): 95966-5674 ❑ 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 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, Applicant: EXECUTIVE HOMES provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 3042 ESPLANADE proving that he or she did not build or improve for the purpose of CHICO, CA 95973 sale.). (530)891-6992 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: EXECUTIVE HOMES ❑ 1 am Exempt under Article 3 of the Business and Professions Code 3042 ESPLANADE Date: owner: CHICO, CA 95973 (530)891-6992 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 640583 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: g insurance carrier and policy number are: Carrier: 4rn Total Square Ft: 1692 S.F. J I certify that in the performance of the work for which this permit is issued, I shall not employ an p y y person in any manner so as to become subject to the workers' compensation laws of California, • (/ Valuation: $109,980.00 Census Code: Q .� 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 thos p(rovvis�ions. ( j Date: 11 Applicant: WARNING: Failure to secu workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This per s hereby sued u er thea cable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resol ons to do lk'Indic ed abov r which fees have been paid, G� Z Name: By: Address: %Date: PERMIT EXPIRES ON: � _ ^ (Date) l / ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repr¢sentatiivvessoof, Butte County to enter upon the above mentioned property for inspection purp 7TT-ly— Print Name_y'T[\J�Y �( c� Signature: _ ��W, \ �� Date: ❑ owner ❑ Contractor Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE,#: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name tiiQ n first Name (fla Address 4,LZb Ox,)V c ".Q City p iL Q V 1 w>r State e-.4 zip Phone S'32— qy,� Fax E-mail CONTRACTOR Name 'e;x E G�►Tt v ` }� o *,^E S Address City G H Go State Zip 95g. L3 Phone q0, 1– b `x `1,1— Fax go, _.C -)S E-mail Lic. # b J os 8 Class APPLICANT NAME ARCHITECT/ENGINEER Name City . Gp Address Zip `i59'13 City State Zip Phone Fax E-mail State License Number APPLICANT NAME Name Address 3a�1 S ? L,r1r,A City . Gp State Cq4 Zip `i59'13 Phone $e� b 4�,,L Fax $o, 1� 8153 E-mail oY�10 5[SG.6Lo(3A1—•rl LaT APPLICANT SIGNATURE X For office usie only: Zoning Flood Zone Al I SRA As I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: %rvr—m rwm ziumm[I IAL KLUUIREMENTS K•IFORMSIBUILDIN PERMIT BP BIN # I LOCATION I IAFT 1010 -Sea -\3g I Property Address Cit ''\1D Lid* '0 V,,, �,,E NOT 6 v Lrp c vl_r y CAS>;nv . LENDING AGENCY Name Address 1r11 Description or Scope of Work: � h5•itiAw Y1EvJ 'M,A +� v►FA ��..�.(2-ems Yi .�E S T SFT 2bf 8» lab gn x Sq. -Footage c>�Z k� m El Structure Built without Permits s El Proposed Change of Occupancy (Note previous use): G FORMSIBIdgApplSubRgmts.doc Page 1 of 2 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 i by: Amount: d 1 1 ``l Bldg ISRA Receipt M. Sheriff SMTP Date' OL Other O "� Total REV 7-27-04 �1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ' -�� 1`CA, ASSESSOR PARCEL NUMBER Proposed Building Use: I � M'Tl laJ"�M Permit Technician: '+k Date: O� Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to 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 faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. O 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. [ , 8. Manufactured homes' a) Installation manual, including marriage line info, `( _yFloor Plan,_(PjJie down or find plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Find plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other T Remaining items needed to issue the permit. (May require additional plan review upon receiptof the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ %Erosion Control Plan Required........................................................................ 10. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ City of Chico Plumbing permit.......................................................................� ❑ 21. Site plan and business license approval from the Ci y of Biggs .............................. 22. California Department of Forestry Ian approval0 paid. Sent by: 5�/ �.L..23. Planning approval for (A) Use: <K �- (B) Parking: (C) Parcel Check: 'Zt..-... O 24. Contact Land Development about -Improvements, -Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 2 NPDES Form............................................................................................. - 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... Y ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing_ violations and/or expired permits......................................................... 46'3 Dee estriction............. �...................... 51 description`4 H. Title, title search, registration Other. O ti� , ❑ 37. Other:- 7 ther: �� e(g When issuedof leph ne� Cr, and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit applic itiWthe above items numbered: Plan Check Lette 2. Additional items required ontracto designer, owner, was advised of the above data by 6 phog. 0 mail, ❑ counter, by j ate: ractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date. Structural approved by: Date Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner BERNARD, CONNIE APN No: 68-360-_4:W f/39 A V Application Date 2/7/2006 Permit No: BP 060283 Permit Type: NEW MH NEW SITEI FNDN 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $549.90 Plan Check portion of Permit Fee $219.96 $329.94 Balance of Building Permit Fee 2 FEMA Res Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 $95.00 (State Responsibility Area) Building Inspection $109.98 $109.98 1 - $204.98 NON-REFUNDABLE portion of fees due at application $314.96 }3 _ E-_ ch1. FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT 4 Balance of Building Permit Fees (from No. 1 above) 5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 Other*: 7a Other*: 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Per Dwellinc Applications After 2/14/05 u1 SFD ,: MFD MH County 4096.87 3071.14 1 3117.43 Chico Urban Area 5372.091 3995.451 4889.56 EI Medio Fire District 1 3128.311 2297.771 2326.36 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 7938.531 6757.08 R-1 8031.53 6850.08 ° R-2 7541.531 6360.08 R-3 6780.531 5599.08 Processing Fee is automatically added to impact fee total 1 g IWATER TENDER FEE paot collected when Impact Fees Applicable) Enter Bat.# DRAINAGE FEES* 10 CHICO STORM DRAINAGE MASTER PLAN New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 7726.49 6475.49 RECEIPT DATE Tech/Asst $100.00 $3,217.43 $8,792 $200.00 $6,596 Kourtni � 770 Butte Creek $7,736 771 Comanche Creek $8,069 772 Little Chico Creek $8,792 773 Big Chico Creek $6,596 774 Lindo Channel $8,139 775 SUDAD Ditch $6,975 776 Mud-Svcamore Creek $6.070 RECEIPT DATE Tech/Asst 777 PV Ditch $8,603 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check ] is completed for applicant to take to respective district office. / 12 SCHOOL DISTRICT FECES*-- Oroville Elementary 091 12a RECREATION DISTRICT FEES* Oro Iv Ile j At the time of permit application, I was advised the above fees are req checking process. <-� r xr;A- YJ -7 prior to issuance of the permit. These fees may be changed during the plan Applicant: Date: v lam/ Pursuant to Government c e LSIon 66020, you are hereby notified those Items followed by an "*" may have been imposed on your p oject.ou have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements or a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 When recorded return to: • County of Butte Department of O Development Services P0. n�J, . Building Division �' - 7 County Center Drive Oroville, CA 95965-3397 Space above for Recorder's Use (rev.7/05) Owner Name: Connie Ann Bernard } Building Permit No: • 06-0283 (Second dwelling unit) a DEED RESTRICTION AND ` NOTICE OF LIMITED USE FACILITY L WHEREAS, on this 6th day of December, 2005, Connie Ann Bernard hereinafter referred to as owner(s), is the record owner of the following real property: 4226 Olive Hwy. - Oroville, Ca. 95966. Assessors Parcel Number 068-360-139 and as further set forth .in Exhibit"A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and, II. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. WHEREAS, the owner` applied to the, Building Division for a building. permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. 06-0283 was `applied for on February. 7, 2006 by the owner in accordance with the provisions of the Butte County Code and the. California Building Code; and - V. WHEREAS, the use allowed by Building Permit No. 06=0283 has. been reviewed -and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect ' until a . change in use or character of use has been approved,by the•Butte County Building Official -or "a change in law has occurred, either, of which change allows the uses otherwise restricted herein to be conductedon the real property described herein. Under either circumstance allowing such change in use, Owner shall be entitled,. to have this Deed: Restriction -and Notice of Limited Use Facility rescinded. by the execution of a subsequent document entitled Rescission of Deed Restriction and Notice of Limited Use,Facility by.the Director of Development Services; and , VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing' and`approving Building Permit No. 06-0283 which enabled Owner to undertake the limited use authorized by this permit. NOW,- THEREFORE, with the issuance of Building Permit No. 06-0283 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, 'as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and . successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the , building official, except the following uses are not allowed: The owner of the parcel or lot must occupy either the main dwelling or the second dwelling unit. If any provision of these restrictions is held to be invalid or for 'any reason + becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and.notice.of limited use'facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, -and during the "period.. that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject -property described herein, and to that extent, this deed restriction,and notice oflimited use facility is hereby acknowledged, and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in,interest. CE Scott Rutherford, Interim Bui ding Official Owner agrees to record this Deed Restriction and Notice of Limited Use Facility F in the Recorder's Office for the County, of Butte as soon as possible after..the date of execution.. - This document shall be recorded - and returned, to, the Butte County Department of Development Services, Building Division prior to the. --issuance of Building Permit No. 06-0283. DATE: "20 Owner Signature: Print or Type Name of Above , Owner Signature: , Print or Type Name of Above 1 ' Scott Rutherford, Interim Building Official r ' - t 'NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of. persons, -signing on behalf of a corporation, partnership, trust,..etc., please use the.correct notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA )' SS. , COUNTY OF BUTTE' e . ) On before me, Notary Public, .personally appeared 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 tothe within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. ,WITNESS my hand and official seal. Signature (Seal) STATE OF CALIFORNIA ) t ) SS. , COUNTY OF BUTTE.- On UTTE. On before me, , Notary Public, personally appeared , 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 acknowledgedao me. that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the.instrument'the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. ` WITNESS my hand and official seal.. Signature (Seal) , Scott Rutherford, In erim Building Official , Thin is' to. certify that- -the Deed Restriction set . forth above. is hereby acknowledged by. the Director of .the . Department of Development Services_. and that� Butte County consents to its recordation thereof. Dated: Scott Rutherford , Interim Building Official, *Department of Development Services STATE OF CALIFORNIA ,) SS. COUNTY OF'BUTTE ) j On Ape, L_ 7, 3coto before me, ' = ALL-- l , Notary Public, personally appeared Scar '12UTUea r_o e a personally known to me to be the personal whose name>),is/.arff subscribed to the within instrument, and acknowledged to me that he/sbe/tbey executed the same in hislber/fbetr authorized capacity(jee), and that by his/beNtbeir sigriatufts) on the instrument the personJ4,-or the entity,upon behalf of which the person>-acted, executed the instrument` , WITNESS my hand and official seal. oam ion I $ - .. � Nolory Apc • Gallomto . $Macau* WCOMBONAW I nature (Seal) r FROM EXECUTIVE HOMES (THU) W 6 2006 11:05/ST.10:58/No,6800798564 P 1 .,,.5 ..... ,!u i . . ,.a..,.vv,u,♦ .,aan• aa.0 ..•_. .. ' Nf.l ver., • ' • � "'• �IIItIIIIIl011Nllllllllllllllll • ' � - ' • 210 1 —006 1 80'1 . RISCORDING REQU!{STED BY Bidwell Title & F eeow Cempeey. Recorded I REC FEE 18.80 =J19. OfficialRecordsI TAX 77.80 AND WHEN IRECORDED MAIL TO Couunnt,yf f ° I CAN= JT ORUBBS I N. Connie A. Bernard Recorder 1 ,...., 4226 Olive Hwy ROWARY RICKWN •1 "a°'"' Oroville, CA 95966• Assistant I Cindy - 09:88AN 27--Dec-2001 I Page 1 of 2 oN.. Ns 196469. -001 SPAq ABOVE THISUNE FOR RhCOR DR'SV E parm No. 069.360.139 GRANT DEED THIS FORM FURNISNBO BY BIDWELL TITLE dt 65CROW COMPANY ; M vn&rsigacd Gr mlogs) Declsrew , Doeumentary'fransfer Tax is 577.00' D City/rown of ® computed on full value of inte+est er proptrty Conveyed.09 13 Unincorporated Area O full value is" value of liens or encumbrances remaining at ' the time of sale . .,e O Monument Fee of 510.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Hert Conway Henderson, as- Successor TruSt®e Of th® Henderson Revocable Trust Datad* Datober 2, 2900 hereby GRANT(s) to Connie Ann 8ornard,..a married w man as her separate property the following real property in the Unincotporattid Arca, County of Bunt:, State of California: SSE EXIIISIT A ATTACHED HERETO AND MADE A PART K=01F Dated: December 20 2001 1 Ben Conway Wdirson. Successor Trustee STATE OF CAI. FORNIA �nt COtMY } SS: on 'Al 'STD before inn, the undersigned, a Notary public in and for -said County and ata a, peisonall/yy'appearred 4 Porsonally known to me for proved to me'on the basis FOR NOTARY SPAL OR STAMP of Batisfactory evidence) to be the person W whose name 4ad ie/ase subscribed to the 'within instrument and acknowledged to me that he/rias/thapy executed the same ir. hia/lr+r/ehsir authotixod capacity(i"), and „RHONDA LOVELACE that by hie/)ser/ub"r signature (e) on the instrument COMM. # 1300518 3 • the parson est , or the entity upon behalf of which the t� NOTARY PUBUC•CAUFOANIA person(o) acted, executed the inetrunent. SANTA CM COUNTY � K11710. my h d occ' iI veal. *C(111`1111"on Expires APR. 12.2005 i Si9natwto FROM EXECUTIVE HOMES (THU)APR 6 2006 11:06/ST-10:58/No•6800798564 P 2 ., .. .. .. •.... ...0 s..o vv, ...�. uL,.. wr.v, urnr•n •)GAv 1kaL _ l(/.J 11114 ALL THAT CERTAIN RSAL PROPERTY SITUATED IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOW: 4 LOT 2 AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN,THE OFFICE OF THE RECORDER OF ' THE COUNTY OF THE COUNTY OF BUTTE, STATB•OF CALIFORNIA, FEBRUARY 1, 1991, IN BOOK 121 OF MAPS, AT PAGE(S) 50 AND $1. AP N0.068.360-139 , h } 3. 4: ' - i � .. - r. . z .. . , ., When recorded return to: County of Butte Department Of, Development Services Building Division 7 County Center Drive Oroville, CA 95965-3397 COPY of Document Recorded 24 -Apr -2006 2006-0020658 Has not been compared with original BUTTE COUNTY.COUNTY RECORDER Space above for Recorder's Use (rev.7/05) Owner Name: Connie Ann Bernard Building Permit No: 06-0283 (Second dwellinq unit DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY - I. WHEREAS, on this 6th day of December, 2005, Connie Ann Bernard hereinafter referred to as owner(s), is the record owner of the following real property: 4226 Olive Hwy. Oroville, Ca. 95966 Assessors Parcel Number 068-360-139 and as further set forth in Exhibit "A" attached hereto and ,hereby incorporated by reference, hereinafter referred to as "the subject property"; and II. WHEREAS, the Building Division. of the Butte County Department of Development Services is acting on behalf 'of the People of Butte County; and •III. WHEREAS, the owner applied to the Building Division for a building i permit in,order to develop the subject property described above; and . 5 IV. WHEREAS, Building Permit No. 0'6 -0283 -was applied for on February 7, 2006 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and , V. WHEREAS, the use allowed by Building Permit No. 06-0283 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, it is -intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a change in use -or character of use has been approved by the Butte County Building S Official or a change in law has occurred, either of which change allows .the' uses otherwise restricted herein to be conducted on the real property described herein. Under either circumstance allowing such change in use, Owner shall 'be entitled to have this Deed Restriction- and Notice of Limited Use Facility rescinded by the execution of a subsequent document entitled Rescission of . Deed Restriction and Notice of Limited Use. Facility by the Director of Development Services; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited , use restrictions that were incorporated in -reviewing and approving Building Permit No. 06-0283 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit 'No. 06-0283 to Owner by Butte County, 'Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited 'use facility. The undersigned Owner, for himself/herself `and for his/her heirs, assigns, and successors in interest, acknowledges and agrees-, to 'those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California`Building Code occupancy classification assigned by the building official, except the following uses are not allowed: The owner of the parcel or lot must occupv either the main dwell inq or the second dwellina unit. If any provision of these restrictions, is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective,`and during the period that the development authorized by this permit, or any modification of this development, remains inexistence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors, in interest. Scott Rutherford, f InterimBuildingOfficial �7/o Owner agrees to record this Deed, Restriction and Notice of Limited Use Facility { in the Recorder's Office for the County of Butte as soon as possible after, the date of execution.• This document shall be recorded and returned to the Butte County Department of Development Services, Building Division prior to the issuance of Building Permit No.,' 06-0283. i DATE: diDri I I g4 -Vi , 20 Owner Signature: Print or Type Name of Above , Owner Signature: Print or Type Name of Above + r • i ' y Scott Rutherford, Interim Building Official NOTE -TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, -trust, etc., please use the correct notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA )' SS. COUNTY OF BUTTE ) } On A -jp. r,' 1 1�S'26'i) (.0 before me, .t , Laty66.4�_N Notary Public, personally appeared C. 0 N N 1 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that , he/&h.ithey executed the same in hisbier/their authorized capacity(ies), and that by hi the;)/their signature(s) on the instrument the person(s), or the entity upon behalf of whiff he person(s) acted executed the instrument. K. LARSON WITNESS y nd and official seal. 0 Commission #1408630, v i U Notary,Public..- California San Francisco County "My Comm. Exp: Apr. 1, 2007 Signature pUzi` , J (Seal) . r STATE OF CALIFORNIA SS. COUNTY OF BUTTE ) - On before me, Notary Public, personally appeared personally. known to me (or proved to me on the basis of satisfactory -evidence) to be the'person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in'his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which -the person(s) acted executed the instrument.. WITNESS my hand and official seal. Signature ' (Seal) Scott Rutherford, ' I/n eeri�m Building Official %Y��'�l1 1 , 4 This is to certify that the . Deed Restriction set .forth above is hereby acknowledged by the Director. of the Department of Development Services and that Butte County consents to its recordation thereof. Dated: 4w?7 Scott Rutherford Interim Building Official, Department of Development -Services STATE OF CALIFORNIA SS. r COUNTY OF BUTTE ) On Apail- ? aoolo before me, uL.� Notary Public, personally appeared Sccn-r 12ur�t o personally known to me to be the personW whose namek&) is/xW subscribed to the within instrument and acknowledged to me that he/die/t4ey executed the same in his/her/,their authorized capacity(j,e&), and that by his/her/their signatureJ� on the instrument the personJs. , or the entity, upon behalf of which the person-acted,.executed.the instrument. AMMMUM WITNESS my hand and official seal. Conw6don # was low ftft - caftmia fulMCaurMr v , Mir Cann. a i nature (Seal) f i • tXVM tNtUV 1 I V t 1101t6 I MU) AVh 0 'CUUO I I. U5/J I. I U o0/tVO, oouu (y0009 r I �- u. _t .. ... u- .. u uu� u�. �.. vv, :,au.�• avu ..__. .. NLl .nr., • • • � �IIINll61lIIIIIIIIII11111111811 • 200 1 —006 1 80 1 RECORDING REQURSPBD BY J'r•1Y,� Bidwell T(tle & Raeebw CempaetyRecorded I REC FEE 10.10 off icial.Records 1 TRX 77.00 AND WHEN RECO"ED MAIL TO Count p Of I BUTTE CANDACE J. ORUBBS I N•�• Connie A. Bernard Recorder I 4226 Olive Hwy ROWMiIRY DICKSON I Adana Oroville, GA 95966 Assistant I Cindy 09:08AN 27 -Dec -2001 I Page i of 2 n 1 ortuNe 198469. -001 ' SPACE ABOVE THIS UNE. FOR 6COR DR'S U E Parcel No. 069-360-)39 GPANT DEED THIS FORM FURNISHED NY BIDWELL TITLE & ESCROW COMPANY The LhWoligned Omator(s) Declare(-)) Doeurnentary'frensfer Tax is $7700 O Cityfrown of ® cmnputcd on full value of interest or property conveyed, or el Unincorporated Area 0 full value less value of liens or encumbrances rei mining at the time of sale O Monument Fee of 510.00 FOR A V ALUABL9 CONS)DBRATION, receipt of which is hereby acknowledged, Bert Conway •Henderson, asp Succeseor. Trustaa of the Ron derson Rovocable' Trt1St Dated) October 2, 1999 hereby GfiANT(s) to Connie Ann Barnard, a Married wcaaer' av her vtparate, prop®sty the following real propeny in the Unincorporated Arca, County of Butte, State of California: SBE EXl1YSYT A AITACIKXD HERETO AND MADE A PARI' HEREOF Dated: December 20, 2001 , 1 I-� Bert Conway jaddhion, SucecssoeDaslee STATE OF CAL PORNIA �` COUNTY w4' l..19. a," f SS: On X114 rt, .94 JtW l , before me, the undersigned,'a Nol•ary.Public in and for said County'andata a, personally appeared / 1 '0.t01 sYl. Personally known to me for proved to me on the beais, Of Batisfactory evidence) to be the peraont&4 whose name(sl is/are subscribed to the within instrument and acknowledged to we that he/isba/Vv&y 'executcel'the same it. hia/-IMr/eheir authorised capacitytiaa), and., that,by his/tier/Ub"r signature(e) on the instrument-- the parson(&.), or the entity upon behalf of which the personte) acted, executed the instrument. w:TNa a. -my h d oeeicial goal. G Signatuce OR RHONDA LOVELACE GOMM. # 1300518 3 NOTARY PUBUC•CALIFORNIA SANTA CLARA COUNTY hM CamMMian ExpireS APRT 12. ®� MAIL TAX STATEMENTS TO: $am sa Abare eiEclGranbe. 17hURI CAttUIIV[ nUVl[J kInv) nrh 0 CUUO il.u0/JI. IU.00/IV0.00UU1�30009 r c. ^ ,',_e- .. .. .. .. ... .. .... ... .. .. ... ..... u.:�. w.a „nar•r, .7GR r14L' 1_d 1/1/4 ALL THAT CERTAIN REAL PROPERTY SITUATED IN THE COUNTY OF BUTTE. STATE 012 CALIFORNIA, DESCRIBED AS FOLLOW: LOT 2AS SHOWN ON THAT CERTAIN PARCPL MAP, FILED IN THE OFFICE OF TH)✓ RECORDER OF THE COUNTY OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, FEBRUARY 1, 1991, 1N BOOK 121 OF MAPS, AT PAGE(S) 50 AND S 1. AP N0.068-360-139 t , r i 4 02/06/06 09:52 FAX 530 894 7647 RECORDING REQUESTED BY Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO Name Connie A. Bernard . Sheet 4226 Olive Hwy - Addr- Oroville, CA 95966•: BTEC CUSTOMER SERVICE IM003 �-. ;r -a-.. >` �:-�-� - . �IIIIIIillllllilllllllllilllllli - zgorda i--&Iell c� 1 4a101 Recorded I REC FEE 10.00, Official Records I TAX 77.00 County Of I BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON I Assistant I Cindy 09:00AM 27 -Dec -2001 I Page 1 of 2 order No 198469, -001 I , . • - + SPACE ABOVE THIS LINE FOR RECORDERS US Parcel No. 069-360-139 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantor(i) Declare(s) Docurnentary'rransfer Taxis $77.00, ❑ City/Town of El computed on full value of interest or property conveyed, or 0 Unincorporated'Area ❑ full valueless value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10,00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Bert ;Conway Henderson,. as• Successor Trustee of the Henderson' Revocable Trust DatedOctobelr 2, 1980 hereby GRANT(s) to, Connie Ann Bernard, a married woman as her separate property the following real property in the Unincorporated Area, County of Butte, State of California-, SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF ` Dated: December 20, 2001' Z 1 f�P/TIT l I d 'Bert Conway'Ifnadrson, Successoe Trustee STATE OF CALIFORNIA COUNTY Or.�`�u- �a2�/ } ss: On 1/1i7{y d�0 before me, ' the undersigned, a Notary Public in .and for said County and Stage, personallyrappeared. Personally known to me (or proved to me on the basis . of satisfactory evidence) to be the person(&) whose name( -s4 is/are subscribed to the within- instrument and acknowledged to me that he/she/they executed the same in his/-hes/t-Ireir authorized capacity(i,ee), and that by his/her/th"r signature(-&)' on the instrument the person(e-, or the entity upon behalf of which the person(•&) acted, executed the instrument: WITNESS.- my--hd Official seal. r Signature , e FOR NOTARY SEAL OR STAMP RHONDA LOVELACE Q COMM. # 1300518 ?. tu NOTARY PUBLIC -CALIFORNIA SANTA CLARA COUNTY P My Commission Expires APR.12, 2005 MAIL TAX STATEMENTS TO: Same as Above eTEClGmntdee i BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM (One form per Building) School District Building Department No. A.P. Number Jurisdiction: city lCounty Property Owner Property Location/Address &G vJS3 Commercial/Industrial Building Department No foundation inspection) ........................................................................................ I Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), Sq. Footage New Addition(including Exterior 1) Roofed Areas) �-� o C-9 nta'five Date District Identification No. 6"4 - k�ka- School District certifies that (Applicant) 11 (Street Ad -dress) (Phone Number) q L (City) (State) (Zip Code) OI has Complied with the requirements of Resolution No. 63 -a -( —c+ by payment of $ .1 ot 0 representing kDsquare feet. School District [AR 2926 $ VULL MITIGATION $ I+ --t 1.--s, G Date Paid by Check # Remarks: L 3 CA 1 16 QL;t-eS� hiodcip.. You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with ..-Gov*mnwnt Code Section 66020(a), within 90 days from the data fan are paid. Failure to submit a timely written protest will prohibit -you from challenging the Imposition of the fees In any court action. ff, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School DIs;trIct is notified by the applicable Local Planning Agency OW this project Is being reviewed under. the California Environmental Quality Act (CEQA). MIC."W1 may be subject: to additional school fan to fully midgate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xis (3105)dinm BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) 0Lp'b' ��� �,73 "I Building Permit Number Property Owner (s) Yl .) ( Project Location /Address Subdivision Name Assessable Sq. Ftge (9 Type of Residential Development (check one) New Development Single Family -Detached' Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Z_ Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) Comments:Q�W`�ytszi,�'�� Building Depa nle t Representative Date verified by Building Department 6FRRPD 0 CARD 0 PRPD 0 DRPD certifies that: A plicant Name Phone.Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check No: Paid by Cash: Recreation and Park District K:\FORMS\BUILDING FORMS\park-rec standard form rev Ldoc E per unit for a total of $ _ per sq foot for a total of $ Receipt No: ` )5 q OT7' 0 Department of Public Wo.r-ks d 0 0 C o U. n. t y o f B u• t t e 0 0 0 0 7 County Center Drive, 0 0 Oroville, CA 95965 AcOUN�yy J Michael.Crump, Director } (530)538-7681 • (FAX) 538-7171 otic WOP� Shawn H. O'Brien, Assistant Director Assessors Parcel Number: /3f Building permit # Owners Name: Owners Mailing Address: ' Property Address: 69 'ile ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: • 4 ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: ' a Not a County maintained road Existing driveway conforms to County S-31 standard. Other Approved by 4 Printed Name Title �� /� �✓` Date 6 CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. -An existing home with a driveway 10 years or older and doesn't cause any problems with ; the county'road or drainage. 2. An existing.home with only minor remodeling or repairs: • w !_ TO: Building Department FROM: • Environmental Health ' }io3 Ren Attached Root Ran Attachad sam to S.D. ! SUBJECT: Sanitation Clearance Owner Location. AP# . Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other 2Ad 01 Hold final for: Final clearance O.K. for: NOTE: , Env ronmental Health Specialist Date 8/96 w T a w C) z H „ 0 U 0 w co a - E -Z TIE DOWN SYSTEM DESIGN LOADS: *WIND LOAD -- 15 PSF SEISMIC ZONE 4 1. THIS TIE DOWN SYSTEM IS DESIGNED TO 8E COVSTRUCTED FAIRLY' LEVET. SITE WITH NO EXISTING SO'L PROBLEMS. MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIUUM SOIL BEARING CAPACITY OF 1000 PSF. 2. CHASSIS BEAR( SUPPORTS SHALL BE LOCATED AND SIZ=D FOR THE LOADS AS SHOWN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS". 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (OS) CAN OCCUR, MANUFACTURED HOME SHALL BE REAOMSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (3) SEC -IONS IN WIDTH. CONTACT THE DESIGN ENGINEER FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. 5. STRUCTUFAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING r0 AWS SPECIFCATIONS. -ELECTRODES-370 PLATED -ASTM A36. BOLTS=ASTM A307. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING LOADS: HEIGHT HORIZONTAL VERTICAL UP 18" 2010 Ib 6000 (Ib) 891 (lb) 21" 1825 Ib 6000 (lb) 801 Ib 25" 1510 Ib 6000 (Ib 664 �Ilb n 28" 1419 6000 629 Ib36"867 �Ib� lb6000 �lb� lb) 385 Ib) C 6. M 710. � 6 8. co 04 6 Ln 00 CD m 7u CD S CD N CD v �6 SINGLE MIN, WID/ 8A MAX. CHES EOU2' FAN. /PTE COACHESA. VARIES 10' -Sb' EVENLY SPACED BETWEEN LI: E 103 ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE COATED. WHERE STAND IS PLACED ON A CONCRETE SLAB, USE 1 / 2° CCNC EXPANSION ANCHORS TOSECURE THE STEEL FPAME TO THE SLAB, UI THEPLASTIC BASE PADS ARE NOT REQUIRED. BUILDIN IV! ATTACHMENT METHODS FOR '°C° do "J" BEAMS SHOWN ON. BHT, App 0 THE LONG DIRECTON Of THE E -Z TIE PAD x(37") .AiIIST.:*BE-INSTALLED PERPENDICULAR TO THE CHASSIS BEAM. EXCEPTION: AT 10'.VNIt�.E:.144R94P WITH 100' CHASSIS BEAM CENTERS, THE E -Z TIE AB O -G COIvUANY PAD MAY BE PLACED PARALLEL WITH THE 5851 FLORIN - PERKLVS ROAD CHASSIS 13EAM SACRAMENTO, CA 95823 PH: (800) 382-8631 FAX: (916) 383-5207 Ti I rr D O L -J l_J RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER 0 (TYPICAL) D D El 0 E -Z TIE SUPPORT PAD /El (TYPICAL) 1 1 0 0 L_J l_] CHASSIS BEAM SUPPORT PIERS --SIZE AND SPACING AS REQUIRED BY THE HOWE "NUFACTURER. LENGTH OF HOME 18" HT NUMBER 21 "HT OF E -Z 25" HT I TIES Z8" HT 36" HT 40' 4 4 4 4 6 50' 4 4 4 1 4 6 60' 4 4 4 6 8 fib' 4 4 4 6 8 70' 4 6 6 6 10 BO' 4 6 6 _ 6 10 5 I A I E AF HHOVAL SUBJECT T) CDRP.ECT[DI6 NOTED Appm-M does not aittorize or approve any omiWw or de46m from requirements of applicable State Ian and State of CaiiomEa DeWtrnerd b! -Housing and Community Development flMSION OF CODES AND STANDARDS By �� .-L-I-)s SPA NO LS //oZ Tm>r Expires T'�/�36) 7 THIS T(E DO IN M MEETS THE REQ REML TS OF SECTION 1336.3 SUBSECTION (a). WAYNE POLVADO, PE—LISTING NO. 99001 SHEET 1 of •3 N m w 0_ U Z 0 L) . w CQ <1 N m C'4 trn M 0 .M L4 CTI m m m CD m N m 2"x2"x3/16" STL, ANGLE 3/8" CAD PLATED SOLT, NUT & WASHER COUNTER BORED FLUSH WITH 80TTOM _ (8) REQUIRED 1/4- STAND BASE ABESCO ABS,PAD J503 3/4" DIA. x 18" LG. (4) REQUIP,EO DETAIL "A" CHASSIS FRAME • 36" MAX 1/4- GRIPPER PLATE • TO BOTTOM) (2) REQUIRED OF PAD 1/2" DIA. HOLE (8) PLACES $ $ 10.50 18.75. ¢ i i 30.00 rr STEEL FRAM= TOP VIEW 1 1/2"x1 1/2"x3/16 x2" T. S. r4) '*S, (4) REQUIRED SCS J --- ------------ ---- -------------- \ SIDE VIEW. 1 /4�' GRIPPER BASE 10.40 01/2'x 3" C.R. _ r 1/2-13UNC—A307 x A" LOCK PIN WriH o 0 BOLT WITH HUTS 01/8' BRIDG-_ (4) REQUIRED o PIN .10.00 01 f /2--SCH 40 PIPE RISER WITH ® r� 0f/2" ADJUSTER HOLES AND 3/8" I o THICK TOP PLATE s 119/16 HOLE (TYP)_ 02" SCH 40 PIPE STAND WITH TWO J STAND BASE 0112" 'ADJUSTER HOLES TOP VIEW ABESCO ABS PAD 1503 STEEL FRAME —� 1 /t"x1-1 %4` TEK STS (2) REQUIRED 1/4" GRIPPER- BASE - 1/Z" A307 BOL (4) REOUIRED 5851 FLOM — PERKINS ROAD SACRAMEIM, CA 9582 PH: (800) 382—•8831 FAX: (916) 383-5207 s COACH "C" FRAME 1/4- GRIPPER PLATE 2" CHANNEL COACH "J" FRAME i/4"x1-1/4" TEK STS (4) REQUIRED 1/2" A307 BOLT (2). REQUIRED /4" GRIPPER BASE T-/ \-1/2'A307 BOLT (2) REQUIRED C—BEAM. J—BEAM ATTACHMENT ATTACHMENT E -Z TIE DOWN SYSTEM WAYNE T. POLVADO, PE—LISTING NO. 99001 . SHEET 2 c4 3 m CDw 0 Q 0- m N inm 0 m �n. cr m m N CD INSTALLATION INSTRUCTIONS. - - - _ E -Z TIE- DOWN' SYSTEM 1, PIERS MUST BE PLACED ON BEAM WITHIN 24" OF ANOUTRIGGER OR CROSS MEMBER, OTHERWIS_ INSTALL WEB STIFFENER ON C IASSIS BEAM. 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, DOWN TO UNDISTURBED. SOIL. 3. THE PAO MUST BE CENTERED EELOW THE CHASSIS BEAM. _ 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER, THE HOLES IN T4E BASE PLATE WILL* UNE UP WITH THE STUD BOLTS. REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN. " -I-BEAM 5. REMOVE THE TWO (2) GRIPPER PLATES ON .THE TOP OF THE PIER. START THE HEIGHT ADJUSTMENT BY REMOVING THE COTTER AND ADJUSTMENT - PINS, PIERS CAN THEN TELESCOPE. P,AISE THE TDP OF THE PIER UNTIL THE PLATE IS AS. CLOSE TO THE BOTTOM OF THE CHASSIS BEAM AS ` POSS13LE. PLACE ADJUSTMENT PIN THOU ADJUSTMENT HOLE AND SECJRE WITH THE COTTER -PIN. . 6'. RAISE THE 'TOP PLATE USING THE ADJUSTMENT NUTS .UNTIL THE PIER fOP IS TIGHT AGAINST THE BOTTOM OF THE CHASSIS BEAM. 7. PLACE .THE'G3RIPPER PLATES OVER THE FLANGE OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. C-8EAMS AND J, BEAMS .. , 8. HEAD OF PIERS REQUIRES THAT TWO (2y TEK SCREWS BE PLACED THRU .THE SIDE OF THE BEAM IN� ADDITION TO.ONE GRIPPER PLATE. ` 9. FOUR '(4) STEEL STAKES (SUPPLIED) ARE TO BE DRIVEN THRU GUIDES INTO SOIL UNTIL S -OPS ARE FLUSH WITH THE GUIDE. ' - ALTERNATIVE: (2) #12 S.M.S. OR WELD ' (2) #12 S.M.S. 3/16 x ANGLE IRON 9 L`1 X I �1'k 3/16 " NATE:.. USE. STIFFNER IF OUTRIGGER OR T .CROSS MEMBER DO NOT OCCUR W(TRIN.24" OF STANCHION (TYP) STIFFENER DETAIL ASESCO-GUS GUARD COLVANY 5851 FLORIN- PERKINS ROAD . . - - SACRAMENTO. CA 95W PH: (800) 382-8831 WAYNE T. POLVADO, PE—LISTING NO., 99001 FAX: (916) 383-5207 SHEET 3 o/ 3 `mac F11111,EE7LYOIDD. On 4N W/ DOU13LE DOORS E N G -1 h! E E R I N!, G .Waterford Series Model 4663G REQUIRED Z# Bedrooms • 2 -Baths • 1,692 Square Feet Z _ -Z- _ '0 . ENfRANGe L � OFLIPPED OA BATH AND Laf UTILllY ROOM BUTTE COUNTY BUILDING DIVISION _ APPROVED Flee 0m e g to g o pri is L'Is, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, In keeping with Fleetwood's policy of constant updating a d improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. WD/17/JAN05 F FT _P f C C t f C C C F 1 C x x G a 16'-2' . a Rays u nAiM ! %� T VM!H ;V365991 Y u JIES iIETAEAT s� m OPT. BATH 1 V30599i - V3050 mas _ APPROVED PFS Corporation Madison WI - 2 6/10/04 HUD Manufactured NOTES: Home Construction & ).THIS FLOOR PLAN MAY BE BUILT IN AN EXACT MIRROR IMAGE Safety Standard ABOUT THE LENGTH ANDD/OR WIDHT AXIS. 2. THIS FLOOR PLAN AND ATTACHED OPTION DETAILS (IF APPLICABLE) IS DESIGNED TO MEET THE FOLLOWING STRUCTURAL REQUIREMENTS: WIND ZONE(S) I - ROOF LOAD(S) 30 lbs. T-8 V4' 6'-0 3/4' 1T-4' 1.-( RECEPTACLE . I FEAT TAPE RECEIPT ON -• SWITCH ...I*.- UFDERSIDE OF FLOOR O THERMOSTAT (FI ®'SMOKE ALARM - Y SMOKE ALARM OPT. Y164Q5 . OPT. i/6999i s s eim W/ RM SUTTON . LIGHT FIXTURE ' I = /CFI BEDRODA 3 ® EXHAUST FAN DINING RIA(>PT' - r DCp VIDEO DIGITAL -Ciu s OPT. I I CABLE PANEL BO ti�-- VIDEO DIGITAL S CABLE OUTLET KITCHEN u . ... y UTILITY a giSi I%TZ" FAMILY ROOM O 5zw- --F.,k L. APPROVED. T. I � 9rt REV OPT \ A \\ - FR VVff .. . _ OPT 5 CIR 29 E[7IESS W'/ C. \ \ OPTIT PANEL BOX F. J E ' f 12. A II ' II 'I '� V30599i - V3050 mas _ APPROVED PFS Corporation Madison WI - 2 6/10/04 HUD Manufactured NOTES: Home Construction & ).THIS FLOOR PLAN MAY BE BUILT IN AN EXACT MIRROR IMAGE Safety Standard ABOUT THE LENGTH ANDD/OR WIDHT AXIS. 2. THIS FLOOR PLAN AND ATTACHED OPTION DETAILS (IF APPLICABLE) IS DESIGNED TO MEET THE FOLLOWING STRUCTURAL REQUIREMENTS: WIND ZONE(S) I - ROOF LOAD(S) 30 lbs. T-8 V4' 6'-0 3/4' 1T-4' 1.-( RECEPTACLE . I FEAT TAPE RECEIPT ON -• SWITCH ...I*.- UFDERSIDE OF FLOOR O THERMOSTAT (FI ®'SMOKE ALARM - Y SMOKE ALARM OPT. Y164Q5 . OPT. i/6999i s s eim W/ RM SUTTON . LIGHT FIXTURE ' I = /CFI BEDRODA 3 ® EXHAUST FAN DINING RIA(>PT' - r DCp VIDEO DIGITAL -Ciu s OPT. I I CABLE PANEL BO ti�-- VIDEO DIGITAL S CABLE OUTLET KITCHEN u . ... y UTILITY a giSi I%TZ" FLOOR PLAN O 5zw- --F.,k L. APPROVED. FAN FAN 'W/LI 9rt REV FP.1 A L - FR VVff .. . _ OPT 5 CIR 29 E[7IESS W'/ C. ®s PANEL BOX J _® = f 12. A RAG RETURN AIR. GRILLE %ii = U iii` •,q- :r ` FLOOR REGISTER _ OPT. -3 T/8` 29'C/L OF OPT '-Y HALL f2 O CROSS-OVER `I `p/��\ t LOCATION / CABLE DORNEIR AIR SUPPLY O `� SUPPORT POST Q SFEARWALL OPT. �i ` r s OPT. I .. 160 :.66'=B" i .'.....:..r.:::,.. .. 160 , 66'-B' O x BEDROOM 2 LIVING RODI 2�8' i BATH 2 WOODLAND ' Y36599i r365�s1 Y46095. VMSH OPT. 17 `--------------------- - - - - me --- eRcaxr iwE - I �`- .. ..., ... IT -3 1/2" -- -.. B W! %EARNALL G -STRAP 2 JOIST 13 LAGS PERIMETER PIERING REQUIRED WHEN ROOF LIVE LOAD > 20 psi WATERFORD MME NO. r� 4663G '- BUTTE COUNTY FLOOR PLAN BUILDING ' DIVISION 5zw- --F.,k L. APPROVED. DATE: 04/12x04 9rt REV FP.1 A POST DATA WIND ZONE: I DIMENSIONS LABEL UNIT WALL FANEL TYPE LE14GTH NOTE- TRIB + A B I ISG E 3 . 26 qa STRAP -2 B 8 I 2SG.• S V 9'-6' 2 JOISTS:. 3 LAGS 45'-7 1/4' C B 1- ISG E 8'-.6'13 s 26 a STRAP 22'-8- LIVE LOAD: 30 LBS. 5"-10' •A PERIMETER PIERING REQUIRED IS -9' LABELI LOCATION UNIT POST LOADI HEIGHT IBEARING .B POST PIER LOAD - [BEAM A A 32:-6' - 41-I"• A A - 850 119 1/2' 1.75 32 1700 TJI A 57"-2' - S9'-9' A B - 850 119 1/2" 1.75 32 5'-10' TJI B 6'-6 15'=9• 1/4" A _2447 1 i19 1/2' 1.75 5 .4900 TJI B 6'-6 :A 1/4" B_ 2447" i19 1/2 1.75 51 .A TJI C 17'-5 A 1/4' -A- -34 12 119 1/2" 1.75 :7 6900 TJI C IT' -5 1/4' B 3412 119 1/2' 1.75 7 _ TJI D 1"30'-9 7/8" A 3366 119.1/2' 1.50 _ 1.75 7 ___6800 I TJI D -" `-30'-9 7/8' B 3366 119 1/2" 1.75 7 TJI E 1 42-.5 7/8' A 3192 19 1/2' .1.T5 6 6400 TJI E 42'-5 7/R' B -3192 j119 1/2' 1.75 'I 6 TJI F 55"-6 1/4" A 3659 (1 19 1/2' -1.75 7 7400 1 TJI 155'--6 1/4"...--B_ -.-3659..1..-1_1_9, 1/2'1 1,75 ,7 .. `--" TJI G 66'-8.'.-.A.-:�..�1385, .1.1.6. !/2' 1.75: 32 '2800 7 G 66'-8" B 1385 1 119 1/2'1 1.75 1 32 1 TJ -I + EMPTY PIER LOAD IS COMBINED IN NUMBER ABOVE SHEAR WALL DATA ' SPLICE WIND ZONE: I DIMENSIONS LABEL UNIT WALL FANEL TYPE LE14GTH NOTE- TRIB + A B I ISG E 3 . 26 qa STRAP -2 B 8 I 2SG.• S V 9'-6' 2 JOISTS:. 3 LAGS 45'-7 1/4' C B 1- ISG E 8'-.6'13 s 26 a STRAP 22'-8- IN NOTE FIELD REOUIRES AGGRESSIVE FASTENING PATTERN UNIT +.EM?TY'TRIB FIELD IS COMBINED IN NUMBER ABOVE '0' - APPROVED PFS Corporation Madison WI - 2 6/10/04 HUD Manufactured Home' Construction & Safety Standard ALLOWED TJI SPLICE LOCATION DIMENSIONS ARE FROM HITCH END LIVE LOAD: 30 LBS. DOOR SCHEDULE .DRAWBAR LENGTH .FROM TO UNIT MATE '0' - 5"-10' •A B 6' -II' - IS -9' A B 19'-2'•- .21'-5' A .B 26'-10' - 29'-5" A B 32:-6' - 41-I"• A B 43-10' - 46'-6' A B 50'-•11",.:=.. :53'-10' A,, :B 57"-2' - S9'-9' A 'B 65'-1' - 66'-8' A "B '., - 5'-10' B A 6'-11.• 15'=9• ''B . •'A _. 19'-.2 ;;•='- 3.21'c5'- '8'".: •";A'.: ' - 26'-10" 29"-5" B A 32'-6,'':^: 11'-I' .B :A .43-10'- 46'-6' 8 A 50'-I1:- 53'-10' 'B. .A 57'-2-.-:=. 14'_9.. .B A 65'-1'- 66'-8' B A _ --=G-STRAP REQUIRED CHASSIS INFO WATERFORD M.R. SPACING 99 1/2' SND. I -BEAM SIZE 12" DOOR SCHEDULE .DRAWBAR LENGTH 39' DRAWBAR -ANGLE X60 DATE: 04A2/04 SYMBOL FLOOR I NFO ' •JOIST 'S'IZE 2.6 VENT JOIST MATERIAL SPF ' --�'-••� JOIST SPACING 16 SGD-- SAFETY j 35.50 r WALL INFO 3279 .SIDEWALL 'HGT. 9D BLANK -INSWING Ext WALL S1.ZE 2■4 E%T SIDING MATL /I6 4%8 MARDI . ..�. -. •....:..: G/ROOF INFO + 79 'RAFTER'SP ACING. 24' % :CE ILINGTHtCKNESS I/2' '., - CE.ILPNG,MATE'RIAL US GYP ,.,,;..,.•.,•. ;:.,,•• ,.- FRONT EAVE'•O'HANG 1.2' .. _.._ .. - .. • REAR SAVE '0'.HANG -12' ' - FRONT GABLE 0'HG 12' GLAZ REAR GABLE 0'HG :12' WATERFORD BUTTE COUNT Y BUILDING. DIVISION SND. - - APPROVED - 4663G DOOR SCHEDULE SPEC DM �W DRAMN Br: Frank L. DATE: 04A2/04 SYMBOL 9rt SIZE' DESCRIPTION GLAZ A' VENT U VALUE 6/0+6/8 6/0 + 6/8 SGD-- SAFETY j 35.50 17,70 0.79 3279 32 + 79 BLANK -INSWING 0.19 3679 36 + 79 BLANK -INSWING - 0.19 WINDOW SCHEDULE SYMBOL SIZE DESCRIPTION GLAZ VENT V3659SH 36 + 59 SGL HUNG -SIDE LD 11.82 6.07 V3059SH 30 . 59 SGL HUNG -SIDE LD j 9.63 4.99 V4659SH 46 59 SGL.HUNG-SIDE LO 'j 15.47 7.88 V3040HS 30 + 40 H. SLIDER j 6.01 3.20 V4608H5 46 : OB H. SLIDER I 1.50 0.70 v4640HS j46 + 40 H. SLIDER 1 9.98 5.25 WATERFORD BUTTE COUNT Y BUILDING. DIVISION SND. - - APPROVED - 4663G ORAWIIG TITLE • SPEC DM �W DRAMN Br: Frank L. DATE: 04A2/04 9rt REV SPEC,1 A' - s , �W r� CDF FIRE SAFE REQUIREMENTS AP# 068-360-139 PERMIT # 06-0283 NAME: Bernard Under authority of Public Resources Code Sec. 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 may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards [X] All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] Surface. All driveway surfaces and structures (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] Grade. Not to exceed 16 percent unless paved or concreted. Grade will not exceed 20 percent. Driveway Radius [X] 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] 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 radius. C ED F [X] Turnarounds. Required if driveway is over 300 feet in length, will have a minimum turning radius R of 40 feet from the center of the road and be located within 50 feet of the buildings. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with. a minimum 25 -foot taper on I E each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 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. Gates [X] Gate entrances shall be at least two feet wider on each end than the roadway they serve. 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. Where a one-way road with a single traffic lane provides access to a gate entrance, a 40 -foot turning radius shall be used. Addressing [X] All buildings shall have a permanently posted address, which shall be visible and legible from both directions of the road the address is located. The address shall be posted at the beginning of construction and maintained thereafter. Accessory buildings are not required to have a separate address posted. [X] Size of letters, numbers and symbols for addresses shall be a minimum of 3 inch letter height, 3/8 inch stroke, reflectorized, and contrast with the background color of the sign. [X] Where addresses cannot be seen from the roadway, the address shall also be posted a single post located at the intersection of the driveway and the road. Q U I R E M E N T S Setback for Structure Defensible Space jPq Maintenance of 'Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual, maintenance must be provided for by the landowner. [X] 1) All parcels 1 acre and larger shall provide a minimum,3C400t setback for buildings and accessory buildings from all property lines and/or thecenter.of the road. See "Other a Requirements 'below. [ ] 2) For parcels' less than 1 acre, local jurisdiction shall provide for'the same practical ,effect. See "Other. Requirements below." [X] 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. Disposal shallbe completed prior to -completion of road construction or final building ,permit inspection: Other Requirements [)C] !f your property, was part of a parcel split after July 1991, you may be required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. [ ] If Building Setback is -15 to 30 Feet: ' ✓ Class A.roof ✓ Fully enclosed eaves on entire, structure ] If Building Setback is Less Than 15.feet: ' ✓ Class A roof with"fully enclosed eaves on entire structure and'choose any 2 of the following: ❑ Metal or no doors on, side toward properly -line with insufficient setback o Interior automatic sprinkler system per NFPA 13D o Glass area not to exceed 10% of wall area toward- property line with insufficient setback ❑ Siding from the following: list: t o Stucco = 3 coat ; o. Hardi-Board or -Plank o- .Masonry j" o Masonry Veneer . o Metal [ ]' No Additional Requirements -,02/08/2006 Darren, Read Date Signature 'Last Revision 1/25/2006 ' NOTICE TO ASSESSOR + - • HCD 433 (B)' v , THIS FORM 'MUST BE COMPLEDTED BY THE. OWNER{OF' MANUFACTURED 'HOME MOBILE HOME OR COMMERCIAL COACH..AND FORWARDED TO . THE COUNTY - ASSESSOR_ UPON . COMPLETION OF THE INSTALLATION OF THE UNIT ON, A - FOUNDATION SYSTEM PURSUANT, TO SECTION 18551, HEALTH AND SAFETY CODE' r_ ORIGINAL PURCHASE PRICE FOR: 2 Type of Exterior Wan Covering: The Basic Price $ �, t J� Cement Fiber - (Wood, metal, etc.) Optional Equipment & Upgrades, $s ' • -=- Type of Roof Covering Subtotal $ Composition p (Metal, Wood, Composition, etc) Accessories & Accessory'Structures $ ` * Heating type`.. forced Air . ❑ Floor or Wall Other (Specify) * . $ T ` Delivery & Installation $Air Conditioning: OYES -19NO Tons -��1�/�/lr'1 Evaporative cooler: ❑ YES IKNO , ' TOTAL SALES PRICE Built -In Cooktop:. ❑ YES $ ig NO • ' Built-in Oven:. DYES ` • IJ#,NO- ' Built -In Dishwasher: 13 YES ONO Built -In Wet Bar: f ❑ YES IANO i Refrigerator. 91 YES DOES THE BASIC PRICE INCLUDE: ,' Roof Overhan eaves 1YES The g ( )' ❑ O t ❑ NO i Z inches towbar(s) ❑ YES NO Furniture included . ❑ YES Tires & Wheels ❑ YES VNO . . I NO. Value Wheelhubs 8 Axles ❑ YES WNO - ' '" (LENGTH Y WIDTH) Carport . ❑ YES VNO X r LIST NUMBER OF ROOMS: Awning: • . _ ❑YES LNO X Bedrooms C- Dining Room Porch:.: ❑ YES Garage: ❑YES o X J9L NO X ' P .Storage Shed: ❑ YES Baths Family Room 1 ' [ANO X Skirting ❑ YES @"NO "Lineal Feet Kitchen I ` Utility Room Living Room F 'Other Rooms V 1 • + The sales price as shown does not include any amount for, any in-place location The Assessor's Parcel Number of the installation site is ' i t (Signature) 4 r ' Executive Homes •i r ' „ 3042 .Esplanade Y Chico, CA 95973 . 530-891-6992 Vector Dynamics "Engineered Tie Down System" by TIE DOWN ENGINEERING, Inc. Installation Instructions for the State of California, Wind Zone 1, 15 PSF Wind, Seismic Zone 4 Introduction. These instructions describe the proper use of the lateral and longitudi engineered tie down system. General The Vector Dynamics Engineered Tie Down System resists lateral & longitudinal wind loads by anchoring the two longitudinal main rails The system is approved to be used on single or multi section home: • These plans and specifications meet the requirements of Title section 1336.3 Sub Section A ander requirements. C13G q 'v The Vector Dynamics Engineered Tie Down System has not been designed for use on exposure "D"h es within 1500 feet of the coastline. e�406 , Q 3 BUTTE COUN GENERAL INSTALLATION INSTRUCTIONS BUILDING DIVISI APPROVED Specification for Vector Pads ff401115.PW 3 OG Vector Pads are used in place of conventional support pads, One Vector pad provides 2 sq. ft. on single block and 3 sq ft. double block pads of bearing support. Vector Systems should be spaced as symmetrically as possible within 10' of end of home. For pier locations in between the Vector Systems, use the normal support pads. Unequal Pier Heights Mutli-section homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". 4,n L) \000 Engineer Approval State Approval ENGINEERED TIEDOWN SYSTEM APPROVED 8=CT7.0 CoMONS"M 9 does not MAMN or app ow "omis*n or in from repUhme* of WkA* State laws and Stabs of Cafomia *whrent of Housing end Community bevetopment Dfq.ION OF CODES AND STANDARD Dabs / '-�' A NO [s Pbn Approval Wres 2 2 �1IJ WJ I -_— - Vector Oyriamics "Engineered Tie Down System" Component Parts List ` u s r "e'r'r''`•./'`;;;,, 'p� is ....� :•;k�;:rl�,.,� Vector/LSD Kit Part # 59013K for single block pads Concrete Vector System err, ii it �.•,..:. •'t0,:ffi �>. (for singleblocks) 6w Vector Tie Down Systems for the State of California Page 2 11/28/2005 VV, - SITE PLAN REVIEW APPLICATION.. Date: O AP#`-.���9 Permit Number (if applicable) ) Z1/ ' Bin Number } APPLICANT INFORMATION , r Parcel Size: J - r4 e ' !� ��� � !.�G�� iii/ til'• , Owners Name: ZZ - Owners Address: Telephone No:: ` r Site Address:T • Proposed Use: Zone: Residential 'GP: ❑ New Single Family Residential- h _ ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home _ : Permanent Second Dwelling r Temporary o�iiie om t Minnie) ❑ Temporary Travel Trailer r ❑ Multi-family Non-residential ❑ New Co_ mmercial ❑ Commercial Addition r ❑ Commercial Remodel ❑ New Industrial " ❑ Industrial Addition ❑ Industrial Remodel , Other Septic ❑ Well, , ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form 5• ❑ Other: . Brief Explanation/Issue: �• ' DEVELOPMENT SERVICES INFORMATION (For Staff Use) ' Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval . ' ❑ Resolved By' M � � (l�- � (.f'L" Date l D ` 0 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • 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 ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: Applicable Building Setbacks: General Plan: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 0 a— yke Side 5 - Side Street Rear S - Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 to Parcel Created By: ❑ . Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes _ Deed of Reference: Legal Access, Required ElNo ❑ Yes j Parcel Frontage'on Publicly Maintained Road: E]No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ' , ❑. Parcel Deemed to be, legal`. S ❑ Verify Legal Parcel E] Verify Legal Access E] Provide Deed of Creation 0 Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment' ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Subdivision Map/Parcel Map: Map Date of Recording: Lot: b Book: a Page:- .3 ager3 , . COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-754'1q,E ?�RMIT,,�v0. (Rev. 12/96) APPLICAT10N AND PERMIT � � YX ASSESSOR PARCEL NUMBER 068-360-139 ZONING BUIL LNG PERMIT OWNER CIA1:ErtCE HM;DERSQ�t TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME IAt CHRISTSVT ROOFING TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4226 OL IVE 117 Energy Plan Checking Fee $ $ PERMIT FEE $ q LOT NO. SUBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ -yDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF 1NORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PAP.TTAT s?FPf`f]T' % cn Mrp Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I IS I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600V OR LE9 Main Service .A ORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. /. License Class �- 3 e Lic. No. CO�.7 /Z/C7�+.) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO ,°°°A 46.00 NEW CONST. DWELLING occUP. OR ADDNS. ( 8 ACC. BLDS. so 3.506 NEW CONST. MULTI.OUTLET NON-RESID. I , @7.50 PONGLEWER APPARATUS SIOUTLET CIR. Ex. Occup. OUTLET OR FDCTUREs 20 @' 00 SAL .s° Ex. Occup. ouTLEEDrAPPwoOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the erformance of the work for which this permit is issued. 01-1'have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �J�� X-—kMdZi+! __ Date ��/�� Signature of Applicant - ❑ Owner 0.�96ntractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ' _ Date lt B<* PERMIT EXPIRES ON { 11 1 ale Receipt No. r%. WHITE-D.D.S.-B. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT-OF,DFYWLOPMENT SERVICES -BUILDING DIV ON 7 County Center Drive - Oroville, California, 95965 - Telephone (916) 538-7 1 (Rev. 12/96) APPLICAT16 AND PERMIT ASSESSOR PARCEL NUMBER 068-360-139 ' ZONING BUIL ING PERMIT OWNER I CLARENCE HENDERSON TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME CHRISTIANSEN ROOFING TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4226 OLIVE HWY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ YOuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PARTTAL RERoOF 7 SQGOp Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W 920.00 . PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 - Main Service eoOvA OR LES9 noon oR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter with Section 7000) of Division 3 of the Business and Professions Code, 9 (commencing w and my license is in full force and effect. License Class a—S ! LIC. No. CQI�I�aJ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ?7c 0oinap las , z;..C3? Main Service ( 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & Acc. BLDs. 3.5¢x; N•RESIDT ANCI CIRCUITS @7.50 ON PowER APPARATUS & SINGLE OUTLET CIR-JI 209 1.00 EX. Occup. OUTLET OR FIXTURES LL @ .SO BA LNS Ex. Occup. ouiLEEDrs RES D.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number —1 6S- 9r.� (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X � _ -�Date //�9/� 7 Signature of Applicant - 11 Owner m-e6ntractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 :.AZ. D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for whichfee have been paid. �y B _�L ate �1�2 "( PERMIT EXPIRES ON IDate Receipt No. _ 1 WHITE-D.D.S.-B. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENTIOF DEYELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California, 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/96) ��„�,��, p_ �?jg APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILD(I/NsG� VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME o �� i• TELEPHONE ' C RACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ i5 . ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS �^ t Vw `CJS- Energy Plan Checking Fee $ $ PERMIT FEE $ 3S� LOTNO. SUBDNISION'S NAME ' PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF f Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each, as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other \ Describe Work: —S- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service noon oa v ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO ,000A 46.00 NEW CONST. DWELLING OCCURSO OR ADONS. ( a ACC. BLDS. 3.5¢FT. NONl RESID ' &I'l NRC.I 07.50 POWER APPARATUS a SWGLE OUTLET CIR. Ex. Occu (OUTLET OR FocruREs 20 ' 00 BAL .50 Ex. Occu OFUT ETs REFS DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinq 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over,60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL Fo MD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Dale Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -. �• --• "-.,-. .. ,. . _ ..' - _ .. ... "l ice: .�� �. v..-.fY'.'.4:"...i1 ....�F -• r• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS l 'PERMIT NO. / 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541��V �eJ APPLICATION -ANQPERMIT ASSESSOR PARCEL NUMBER 1 ZONING 4 /a BUILDING PERMIT OWNER MR. h MRS. HENDERSON TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 27020 PURISSIMA RD. LOS ALTOS CA. 94022 223 comb. 1350.00 CONTRACTOR'S NAME DON C. GEORGE INC. TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS P.O. BOX 729 OROVILLE CA. 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ /� 1350.00 LENDER'S MAILING ADDRESS Filing Fee - $ 10.00 Permit Fee $, 23.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee •$. Energy Plan Checking Fee $' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4?_2.Fi ni.3VF, Wti}Y. ORt'1VT.I.i.E ('.A. •. .., ..'" •"' Permit fee.,,- (( ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFE!, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFGJ W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other 2 Describe work: RE -ROOF COMPOSITION SHINGLES ti Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service a°Dv OR LESS 100 AMP OR LESS 10,00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW penalty P er 1 yhk I declare under email of perjury (check one ( )' v❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions C dre and my license is in full fgrce[' and effect. 452266 (.-9 License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. ,_Business and Professions Code for this reason ' NEW CONST. / DWELLING OCCUPAW) , OR ACDNS. 1 ACC. BLDGS. �20sgft NEW CONSTR TI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20050t DAL030 FIXEDEl Ex. OCCUp. OUTLETS P(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities ,15.00 Misc. Wiring - 15.00 g Permit Fee ? $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. a I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,! should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. /�1��'..rsi ., 12 /2088 X _ , Date Signature of Applicant — Owne ❑ Contractor R ' Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 33.50 occUP, CONST.TYPE SCHOOL FLOOD PARCEL I PD ND 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF'PUBLIC B (���� y � PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dete ,�� � /�% �� j / - Z-17- q"7^. t/ J Receipt No. � � ` � •/' WNIT-D.►,W.. YELLOW-ASetOSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT E COUNTY OF BUTTE - DiEPARTMENT OF PUBLIC WORKS PER ITN 7 County Center Drive - Oroville;,California 9565 Telephone: 916/538-7541 �l APPLICATIft-1 h1rJ PERMIT UUU ASSESSOR PARCEL NUMBER &?- 3&_ l2 ZON G 2 BUILDING PERMIT OWNER MR-. & MRS. HENDERSON TELEPHONE SQ. FT. OCC, BUILDING VALUATION 22' comp. 1350.00 OWNER'S MAILING ADDRESS 27020 PURISSIMA RD. LOS ALTOS CA. 94022 CONTRACTOR'S NAME DON C. GEORGE INC. TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS P.O. BOX 729 OROVILLE CA. 95.965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1350.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 23 .50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4226 OLIVE HWY, OROVILLE, Permit fee .$ 33 .50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [R Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 = 5 outlets 5.00 Building sewer 5.00' Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [N Describe work: RE—ROOF COMPOSITION SHINGLES Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1011 oR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 452266 C-9 License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e,) , /2 Osq ft NEW DCONSTR A ULTBI. UTLET .50 ea NON.RESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 2ALO 30 eL0 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.O0 Mobile Home Facilities 15.00 Misc. 6yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE ` I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation ' Permit Fee s Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Signature of Applicant — Ow er ❑. Contractor ' Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 33.50 OCCOP. CONST.TYPe SCHOOL FLOOD PARCEL PD ND S9UE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ECT A O UBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS at Receipt No. / WNITL-D. P. W., YELLOW-A7ele lO R, PINK -INSPECTOR. GOLDENROD -APPLICANT l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OroviIle, California 95965 - Telephone:. 916/538-7541 C TINN ANIS PERMIT T APPLI A - �� P ASSESSOR PARCEL NUMBER I- A — f ZONING BUILDING PERMIT OWNER, t, •. ) TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S'MAILING ADDRESS J111-ot �� , pig 0 ,- 1' . ,1 CONTRACTOR'S -NAME 1 7 A �- t 1 n 1 t Y"1i TELEPHONE CONTRA'CTOR'S'MAI LING ADDRESS Fireplace kA' I t r ) CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ + Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [& Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10 -of) TYPE OF WORK 11 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ {Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification El the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , OR ADDNS. ACC. BLDGS. /20sgff NEW CONSTR. U TI.OUTLET IRC ITS 2.50 ea NO N.RESID .BRA CH CIRCUIT S POWER APPARATUS &) SINGLE OUTLET CIR, Ex. FIXTURES 20 0 AL03t eALe3o FIXED EX. OCCUp. OUTLETS P(RESID,)REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ' , 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidCounty in consequence /o'f the granting of this permit. Date /��/ Px Signature of Applicant — OwnerY�l Contractor ❑ Agent F1work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TTP! ISCHOOLIFLOO= I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR OF PUBLIC By `L '' ;/,/V 7 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /& y«�� 1f • Receipt No. /� rx WHITE-D.P.W.. YELLOW-ASeCe SOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. ��- APPLICA t ION ABVD PERMIT ASSESS[R PARCE, N MB=R ice) ZONING BUILDING PERMIT OWNE TEL ONE ASOWNER'S SQ. FT. OCC. BUILDING VALUATION MAILI A DRESS I I CONTRACTOR AME ELE ON CONTR MA LING ADDRESS Fireplace Ilk, CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS , Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS � Energy Plan Checking Fee n $ Penalty $ BUILDING ADDRESS 4,, Permit fee = ac� Iwe . PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF LK Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home W!A- O.00ea TYPE OF WORK n! New❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Permit Fee $ Describe work: i Contractor Z ELECTRICAL PERMIT Filing Fee 10.00 " Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.a` ACDNS. / , �2¢sgft I declare under penalty of perjury (check one): OR ACC. BLDGS. NEW MULTI -OUTLET 2,50 ea ❑ I anlicensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS NON.RES'ESI. .BRANCH CRC. RC TS POWER APPARATUS e and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. License No. Classification Ex. OCCUp(OUTLET3 OR FIXTURES 20050* 5AL@AL030 ElI, as the owner, or my employees with wages as their sole compen- EX. OCCUp. OUTLETS ((RESID 1FIXED APPLNS.REA.1 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring 9 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I dgglare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 OWThe permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Coolin g I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ , I I also agree to save, indemnify and keep harmless the County of Butte against 1_511 occu P. CONST.TYPE SCHOOL FL�OOOJPARCELJ PD ND ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue I against said County County in consequence of the granting of this permit. This permit is hereby issued under the applicable.provi- il��t��/r�iK�iihL�i�J2�°+✓ Date O d sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner K Contractor ❑ Agent work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- IRECTOR OF FAUB1,4C WORKS ion of structures over 3 stories in height. �. BY Date 10 / Receipt No. WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES D SITE FLAN . 000o ..... . . .1...A� s......_................................_....._............._....._......:....--(�..=..I .a...._......... RT -N... ... 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