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069-120-018
ig 69'-12-18 ;- .'p 933-90BP;E :MOBILE 0 TF Si er 0 ovl ,Conti.: obil H e C n r : oai perm n n) i; 120-018 n a 069-01-2466 L . OLE' - SHIPPY; J -4-8j SILVER L OROVILLL. ' - CONT: SRM CONT�� . ' MH PERM FNDN f 1 .r r atav=ml til y _ r i 3j - ii;t j` 3 d rl �f �' ,..r_wi.w. _• - ' ., ., _ . �_ � ...n...+t...`. t'`a' .iurre n.. ... _v. r � �i - r�r +...•.. a r '�rC01 Q!I �� NOTES RESIDENTIAL F069-120-018 — 01-2466 •-SHIPPY, NICOLE PERMIT,'*:SILVER- i SILVER LEAF,—OROVILLE 1 CONT: SRM CONTRACTORS MH PERM FNDN i— THE HCD FORM 433A FOR THIS MH CANNOT BE �- RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED N TO THE BUILDNG DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. ri SPECIAL CONDITIONS CHECKED BY /Sn FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING'LETTER J OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Da JOB FINALED (Date) - Signature ' fi = OK 0 = Not OK - = No) Appficable MOBILE HOMES Not.Reaeyy Date MOBILE H UTILITIES (Plans) OK except #'s oning Re iremb6ts-Setbacks-Easements oils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance 8 Disconnect 8 Utility Cle nce Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s l 11- 2. ootings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Con c ncity MH Test-Cros ers-Breakers-Clearances m' Test -Fall -Flex Connector ater; MH Test -Regulator -Connector er Sewer Connected -C/O to Grade -HD Approval Gas and Electricity Tagged 'ns -Type -Installation Cert. /� 0 E ' s; Inso.-Sketch V' v Ti. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date�� i92� Card B-1 Data Card B-1 v Date T T Card B-1 Date Card B-1 MISCELLANEOUS {Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements { 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel P 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rttrs.-Connectors Shthg.-Frg-Bracing { 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors I 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels { Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s { 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 7 5. Elec.; Pool Lighting; 15 Volts-GFI 1 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche { Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= ox 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning-Setbacks-Easements-Flood-Slope Cling. Joist-Rhr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils-Steel-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers-Fireplace Fig.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test-Anchors-Regulator-Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance-Material-Support-Ins. Brace Interior/Exterior Wall Panels 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent-Access-Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor-Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor-Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor-Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor-Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance-Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing-Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service-Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Insild./Drive J Yes ] No/Walks ] Yes J No/Planters ] Yes ] No 33. Clothes Closet Light-Shower Light-Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Comments at Final: FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rhr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive J Yes ] No/Walks ] Yes J No/Planters ] Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: �tx."�,+-C-.^ca^Y.�j%.j�"-:�`e=c'�'�-.w`�"''.;.�:�=.:,"'-71.[':•���... �y"a�+i..-•�":�'"��Y �.3! ��...+ae N- .. - COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street- Chico, CA - (530) 891-2751 "` 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE Y: R P RMIT NO. �Y. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 3 �r- Y � Y Z -. 1`� Date `� - Inspector REV 10792 v+1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 8-7541 PERMIT NO. (Rev_112/m APPLICATION AND PERMIT AMAARCELNUM131M 120-018 ZONING RT -1 BUILDING PERMIT OWNER NICOLE )HTPTIY* TELEPHONE SO. FT. OCC. BUILDING VALUATION 1129 r 00 .OWNERS MAILING ADDRESS 2490 BRICE ROAD, CHTC.0 2,262 00 CONTRACTORS NAME SRM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESSFireplace Total Valuation1$63 228 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee 477.50/2 Plan Checking Fee $ -:: • 2a%s . 75 $ 15516 ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15 oo Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Workm M. H PERMANENT FOUNDATION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 ' 00 PERMIT FEE $ REVISED 1/25/02 PER CHANGE OF MOBIL HOME ELECTRICAL PERMIT Fling F'ee 20.00 Main Service Z*oA OR LESS 23.00 22 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 fuIlLforce and effect. ...� f License Class Lic. No. �� �� l 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. ❑ 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 4 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 1 should become subject to the workers' compensation provisions of ection 3700 of the Labor Code, I shall fo 't comply w' h those pr isi X �C' Date �� ( Signa ur pp Ica -'13 Owner ontractor ❑ Agent '� An OSHA permit is required for excav tions over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service zooA To ,000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. slns. 3.5¢FT: NON-RESIU MULTI.OUTLET 97,50 FOWEL APPAMTUS a SINGLE OUfLEr CIR. 20 @OUTLET OR FIXTURES @ 1.00 Ex. Occup.BAL .so Ex. Occup.OimtTs Arlo °Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONSTTYPE TOTAL FEE $ 521.. a4 HA2. _ D. F IMP FLOOD CD P EL ,% _ HD 5S This permit is hereby issued under of the Butte Co u Code and/or indi to b ve f which fees have B /p Y �`� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate at 22!� 3 Dae Receipt No. -- WHITE-D.D.S.-B.D. CANARV-ASSESSOR CTOR GOLDENROD -AP CANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville. California 95965 - Telephone (530) 538-7541 PERMIT (Rev.IZVO) APPLICATION AND PERMIT fel-�cL/nr ~040480 j 00 - f.1' g 20-0 T_ BUILDING PERMIT T-- '�"0Ni SO. FT. OCC. OWN" l role Sl'1 I J BUILDING VAL I -nON awwi� rww Ibn e ooMnuwrolrs On s ooMwActoa, : C Q ,� Y q,59&, ;— uwors w0.000 oRdt Fire face �� amaN Lxa Total Valuation i Filing Fee = 23 ARcMW OR o 0"W'S warns Permit Fee 2 = 3 . Plan Checking Fee = f S 5. Energy Plan Checking Fee i I c5r 1 v�/e i�OUill -� u:r►a susa"aurswui I .Ren r.. PERMIT FEE _ USEOFSTRUCTURE SF O Duplex O Mobilehome O Odd e.ee�r TYPE OR WORK Nov O Addition O RonLodd O LMMm O heidalion O Otter O Describe Work: pbl-w . F o U/Yl c&f?pn PLUMBING PERMIT FIYng Fee 20., Each Tr Main Service ( or heat um water heaterWater i In E7.00Solar 5,00 Each as water heater or vent'Gas IEw Co►O In 1 -5 outlet js.co Building sewer 15.00 15.0 Moble Home I S I G I W (920.00 1 FY_ Orr -un _ ( OUTLET OR farnALO) I I .Z v __N I Ex. Occup. ounErs om. G 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE PERMIT Heatin Ventilation PERMIT FE$ S Mobile Home Installation Fee = Energy Inspection Fee $ °C CaraT. TTS TOTAL FEE $ 9213T �{AZ 0. ma W. rLA00 cOf R4RCt1 /0 rO This permit is hereby Issued under the applcnble Provis" of the Butte County Code and/or Resolutions to do w indicated above for which fees have been paid. ?�3�3f°l�a�7.gS�/ Z-305, So By Date ReceiptNo. PERMIT EXPIRES ON PERMIT ELECTRICAL PERMIT Main Service ( =oOeRLM Main Service ( 20" TO 100M IEw Co►O &*ULM OOOU OR AO ON& � A Aloe_ mikk 1 FY_ Orr -un _ ( OUTLET OR farnALO) I I .Z v __N I Ex. Occup. ounErs om. G 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE PERMIT Heatin Ventilation PERMIT FE$ S Mobile Home Installation Fee = Energy Inspection Fee $ °C CaraT. TTS TOTAL FEE $ 9213T �{AZ 0. ma W. rLA00 cOf R4RCt1 /0 rO This permit is hereby Issued under the applcnble Provis" of the Butte County Code and/or Resolutions to do w indicated above for which fees have been paid. ?�3�3f°l�a�7.gS�/ Z-305, So By Date ReceiptNo. PERMIT EXPIRES ON BUTTE, COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) vl (e�r�i ., School District Building Department No. • A. P., Number fiNA7'xo0 019 Jurisdiction: City County Property Owner / i W W Property Location%Address' �.� V Li le Subdivision Lot No. .......................................................................... ...................... Residential Development FV1 Sq. Footage / No of Living Mobile ome Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection)' ............................................ ...................................................................... . Commercial/Industrial Building Department Re 0 New Addition (rioor rians reviewea ov acnooi uistnct Sq. Footage (including Exterior Roofed Areas)" 1. 25. D2.. • Date District Identification No. ( LLG,f�j� eX ,�p r ,�jJANJ2'L School District certifies that —(Applicant) O I (Street Address) (City) has complied with the requirements of Resolution No. representing s % square feet. GZ-Le..�c School -District Representative / (-) Remarks: (Phone Number) �(State) (Zip Code) ta / 4e) �/ by payment of "$ AB 2926 $ FULL MITIGATION $ Date 1�R.. Notice: You may protest the imposition of. the fees identified above by submitting a written protest to the"District, in compliance with Government Code Section 660201a), within 90 days from the date fees 'are paid. Failure to submit a, timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under,the California Environmental Quality Act (CEQA), this p►oiect may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm • ar.. \T•:•�G ;-^•ti.-rp, wti.•r —«c.:, .•:�7Rr w••'�'•a,d';-.'a✓.Tf +.,.:...e_. ..AFw'+.I�. ivL ..:. z• _ ^ti BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM �. (One form per Building) JI(e School District lie, Building Department No. • A.P. NumberF9'�za 0 1 g Jurisdiction: City x County Property Owner ICO (.0r491<4 Property Location%Address' �i1 V"i01 �er Subdivision Lot No. ............................................... Residential Development Sq. Footage 112q No of Living . MobUe ome Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) 2Buil02- Building ding Department_ Representative Date moor rians reviewea oy acnooi uistnct District Identification No. S ad y(p School District certifies that /-f F I (Street Address) (City) has complied with the requirements of Resolution No. representing `S square feet.. School District Representative Paid by Check # / / (� Remarks: 0, 10-7,5? • , 14-r-1 i ` r (Applicant) (Phone Number) (State) (Zip Code) 94Q (/ by payment of '$ AB 2926 $ . FULL MITIGATION $ 14 Q �� Date Notice: You may protest the imposition of•the fees identified above by submitting a written protest to the'District, in compliance with Government Code Section 66020(a), within 90 days from the date fees 'are paid. Failure to submit a timely_writterLprotest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under 4he California Environmental Quality Act (CEQA), this aroiect may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev'12/96) APPLICATION AND -PERMIT 01-2466 ASSESSOR PARCEL NUMBER 069-120-018 ZONING RT1 BUILDING PERMIT OWNER NICOLE SHIPPY TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2490 BRICE RD, CHICO 107 R 58 212.00 0 663.00 CONTRACTOR'S NAME SRM CONTRACTORS TELEPHONE 1533-2144 ' CONTRACTOR'S MAILING ADDRESS 61 LUMBER JACK LN, YANKEE HILL 95965 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ -58.875.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 455, 00 $ 227.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fe $ 147-85 BUILDING ADDRESS Energy Plan C ecking Fee $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP/"PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome P OtherWater SPECIFY f,56h Trap 7.00 Solar or heat pump water heater 23.00 piping 15.00 1 nn a h as water heater or vent 15.00 TYPE OF WORK New ❑X Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: MH PERM FNDN s piping system 1 - 5 outlets 15.00 )L/BVilding sewer 15.00 15 Mo ile Home S G WF @20.00 PERMIT FEE t 65. ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service zo.A OR LESS 23.00 -2:3.00 LICENSED CONTRACTOR'S DECLARA ON I hereby affirm under penalty of perjury that I am licensed u er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bus! SS and Professions Code, and my license is in full force nd effect. License Class Lic. No. OWNER -BUILDER DECL TION I hereby affirm under penalty of perjury that I am ex pt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees Rh wages as their sole compensation, will do the work, and the structure is not . tended 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 1s Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of sect!3700 of the Labor Code, I shall fort comp with tho pr Xz 4� Date ��� Sign Applicant ❑ Owner ntractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. WE' -s-0 Main Service 200A TO tOooA 46.00 NEW CONST. DW%NO OCCUP. So OR ADDNS. ( 8 ACC. BLOB. 3.5¢FT; Noµa6ID ' MULTI.OUTLEi @7.50 POWER APPARATUS 8 SINGLE OunEr CIR. EX. Occup. OUTLET OR FDITURES ap /;50 Ex. Occup. ouTLEt°TsR9 .DSL 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc: Wiring 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ =gra HAz. D. FE�s IMP D b !!V/ fPARC¢ PD HD/ISSUE This permit is hereby issued under of the ButteCoun Code and/or Indi ted a for hich fees have ByQ4!t� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ! Z2 O D to J Y Z✓2 b 2 ReceiptNo. 332319/$207.857/332319 �5.102i�.� r WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4 f W {COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` + ' 5 • Telephone (530) 538-7541 PERMIT NO. 7 County Center Drive Oroville, California 9596 c. _ (Rev. 12/96), APPLICATION AND PERMIT �.' 01-2466 ASSESSOR PARCEL NUMBER t"069 -12Q-018 ZONING RTl BUILDING PERMIT OWNER NICOLE SHIPPY TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2490 BRICE RD. CHICO 107 R 58 212.00 1 0 663.00 CONTRACTOR'S NAME SRM CONTRACTORS TELEPHONE 533-2144 ' CONTRACTORS MARINO ADDRESS 61 LUMBER JACK LN, YANKEE HILL 95965 CONSTRUCTION LENDER ' LENDER'S MAILING ADDRESS Fireplace Total Valuation A8.875.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 455.00 $ 227.50---, ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fe $ 4 BUILDING ADDRESS G T.F F ' Energy Plan C ecking Fee $ .VF ' $ PERMIT FEE $ 395.35 LOT NO. S UBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE J, ("� SF ❑ Duplex ❑ Mobilehome 0 Other SPECIFY ,Each Trap . 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 5� 00 _,ach as water heater or vent 15.00 r TYPE OF WORK New ❑i Addition ❑ Remodel ❑ Ufilifies ❑ Installation ❑ Other C� Describe Work: MH PERM FNDN \J - / s piping system 1 - 5 outlets 15.00 B [din sewer 15.00 T Mobile Home S G . W @20.00 . PERMIT FEE $57 ELECTRICAL PERMIT Filing Fee 20.00 Main Service z"o.A oA Ess 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 Busl ess and Professions Code, and my license is infull force and effect. License Class % %(w Lic. No. OWNER -BUILDER DECLAiiATION I hereby affirm under penalty of perjury that I am exe pt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employeesIth wages as their sole compensation, will do the work, and the structure is not) tended 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 WF TO 46. NEW CONST. DWELLING OCCUCUP. � so SO OR ADDNS. ( & ACC. BLDS. 3.50FT. NEW CO MULTI.OUTLET NON.RESID,BRANCH @7.50 POWER APPARATUS C a SwGLE GurLET cIR. EX. OCCU OUTLET OR FIXTURESY BAL 1.00 Ex. Ex. Occup. ouTLEE°rs AE,Sp.)LNS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 WORKERS' COM,NSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintai�a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) I 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 sectio• 3700 of the Labor Code, I shall fo with comp with thoserpr is on . X Date"" t Signature of Applicant `�10 Owner O -Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. :,(� .rQ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling' Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FE IMP FLOOD j OF �� PARCEL PO HD 6SUE 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. _ / /� Z3 oz. By /t/�-�' 1 D to /// PERMIT EXPIRESON 7 2.;I o / , ate ReceiptNo. 332319/$207.85 //332319 $ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I...�•vrY_.. .r. •.r-`'1 rte`. .�Y-"��1' �. .r r � -� • �. ♦-.J'•+r+•y. - • I'..Y.�.�-J .�..���^stir .-`.i'.... -..'•.. .,'1r -.. �.. -..• _ l.�r. .-J ��. 4-7�1 • 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION f= 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT 01-2466 PERMIT NO. ASSESSOR PARCEL NUMBER t 069-120-018 ZONING RTl BUILDING PERMIT OWNER NICOLE SNIPPY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS M ADDRESS 2490 BRICE RD. CHICO 1078,` R 58 x12.00MAILING 1 0 663.00 CONTRACTOR'S NAME SRF1 COIYMCTORS TELEPHONE 533-2144 - CONTRACTORS MAILING ADDRESS 6 LUMBER JACK 1A, YANT(FT4 CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ -58,875.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee / r $ 20.00 Permit Fee 455.00 1 $ 227.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee' $ 1,47.85 BUILDINGADDRESS 4 1' A n V Energy Plan Checking Fee $ • .F j $ PERMIT FEE S 375.35 LOT NO. SUBDIVISIONS NAME PARCEL MAP /PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ,CSI Other i \/ / SPECIFY Each Trap 7.00 /Solar or heat pump water heater 23.00 ,Water piping 15.00 15.0011 I 00h as water heater or vent 15.00 TYPE OF WORK r New CIT Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 'El / ` Describe Work: MH PERM FNDN Vi Gas piping system 1 - 5 outlets 15.00 E61din sewer 15.00 t Mo ile Home I S F6 W (9?20.00 PERMIT FEE S S• ELECTRICAL PERMIT Filing Fee 20.00 V' 600VOR LESS Main Service 20.A OR LESS 23.00 L • (i� r LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect./ License Class �.'z 4 Lit. No. 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 i 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 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.) 171�1I certify that in the performance of the work for which this permit is issued, I shall % not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section° 3700 of the Labor Code, I shall forthwith comply w_ with those pro isions: X � � � �� i / Date �(/ � � 11 � Signature 6f Applicant -�❑ Owner EI -Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. 3(:16" S'v Main Service 200A To ,000A 46.00 NEW CONST. DWELLINGOCCUP. SO OR ADONS. ( a ACC. BLDs. 3.5QFT: N CONS . MULTI.OTLET = R.,.. U @7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. EX. OCCU . OUTLET OR FOCTUREs BAL. @@':I. I.0 Ex. Occup. DUTLEEDT9 p� p.DE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 43.11JU MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee I $ Energy Inspection Fee $ occ CONST. TYPE .1V TOTAL FEE $ - HAZ. D. FEES IMP i1�! FLOOD I X ,CDFF PARC ARC PDQ ♦Y/ HD suE This permit is hereby issued under In the Butte County Code and/or Indicated above for'whi�h fees have 0' — By � ��-� 1 PERMIT EXPIRES ON _Y' the applicable provisions Resolutions to do work been paid. Date 3�z //z�' ` i � d ate du►r. 5 Receipt No. ������� �r' 4}`�7•�t� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - -COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION p, "`; t 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev/96) APPLICATION AND PERMIT O1-2466 PERMIT NO. ASSESSOR PARCEL NUMBER ` 069-120-018 ZONING IM BUILDING PERMIT OWNER IiIGpADD SttiPPY TELEPHONE SO. FT. OCC. BUILDING VALUATION 1078 R 58 212.00 . OWNER'S MAILING ADDRESS 3440 DRICE itD CHICO 51 0 663.00 CONTRACTOR'S NAME SitM CONiRAC'rm TELEPHONE 533-2144 CONTRACTORS MAILING ADDRESS 61 L EB JACK LN. YANKEE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS '~ Fireplace Total Valuation $ 58.875.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 453.00/2 $ 227.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee' $ 147.85 BUILDING ADDRESS 481 SILM, � Energy Plan Checking Fee $ $ PERMIT FEE $ 375.35 LOT NO. SUBDIVISIONS NAME PARCEL MAP ;PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome YD Other a \/ SPECIFY r ` Each Trap 7.00 .. .Solar or heat pump water heater 23.00 Water piping 15.00 15.00 ac 16 gas water heater or vent 15.00 TYPE OF WORK 1 New OX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ! •, Describe Work: MR PERM FNDlV t �� n Gas piping system 1 - 5 outlets 15.00 .f Builaln sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S O • ELECTRICAL PERMIT Fling Fee 20.00 eoov GR LEss Main Service zooA oR mss 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 n full force and effect. }--y License Class Lic. No. /4�r s 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that rf I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith `comply : with those provisions. / X /r r / ,`,�?�` Date ff �' / Signature 'of Applicant t'[3Owner O -Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionrC of structures over 3 stories in height. Main Service 4 TO 46.00so ED CCU000A NEW CONST. DWE'WNG OCCUP. OR ADDNS. ( 8 ACC. BIDS. SO 3.5¢F; N.M.ic . mu LT.' 0,= @7,50 P 1NWEROL APPARATus a 3 E OVILE7 CIR. EX. Occup. OUTLET OR FDMRES BAL ® I Ex. Occup. OF" FIE D(RRM ° 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 FET: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $�: HAZ. D. FEES IMP �' FLOOD .�� CDF ` i✓ f PARCEL PD HD °ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By f L.. PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. l Date �/ Z - Z �, G' r. eta Receipt No. 'cy � �5•� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CPUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �• 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPAAC Nu BER 7 O zomO BUILDING PERMIT �� IX OWNER / / <Z11,11 ' / TELEPHONE 1 SO, FT. I OCC. BUILDING VALUATION CONSTRUCTION LENDER LENDER'S MAIUNG ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS I k'—, I T— .2,1 "LG. ' I SU3LN=! :•S NAME PARCEL MAP 5 i I zty aa,b1; g es -r. �* I38-�%l0 ►D-3o-� USEOFSTRUCTURE j SF ❑ Duplex ❑ Mobilshome Other f SPECIFY TYPE OF WORK New 9 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: Fireplace Total Valuation Is Filing Fee $ G 20.00 Permit Fee $ ov Plan Checkina Fee Energy Plan Checking Fee $ $ PERMIT FEE $ PLUMBING PERMIT Each Tran I g -_`! 20.00 Solar or heat pump water heater 23.00 Water piping 15.00 j Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE t ,Q ELECTRICAL PERMIT I Fling Feel 20.00 Main Service 2�ow op LLEEss 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. 3,5¢SO. FT. N CO MULTI - 0 NON REslo. @7.50 POWER APPARATUS & SINGLE OUTLET CIR20 . Ex. Occup. OUTLET OR FOnUREs O 1'00 aAL SO EX. OCCU .FIXED APPLNS. OR OUTLETS ESID. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee ,'!0.00 t� *PERMIT FEE P64Ub L g Heating _ Cooling SRA ; Hood 6.50 SHERIFF # Ventilation OTHER PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ .� OCD CONST. TYPE TO AL FEE $ �� ES iL• 0 C F p CEL HD ISSUE AMOUNT RECQYEO ; This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions tc do work indicated above for which fees have been paid. *RECEIPT NVIIA M �) i By c Date * TO BE PVT XW0 cowui'ER PERMIT EXPIRES ON ig re r. J `COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT APPLICATION DATA SHEET Q OWNER: ASSESSOR PARCEL ER: C) r• j �b' O 1 Proposed Building Use: +( Building Inspector. Date: �' • O ) At time of permit application, I was advised the following data must be s ed prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- E13. --------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) ❑ 6. Energy Design Compliance and supporting documentitidn., s-` 4 t ----- '--• 117. Stat ent of Intent for Non -Heated and A/C Buildin s..--.---------------==------- ❑ardour Material Form. ---------------------------------'-------------=--==------- P.11. actured Home data and installs n instruct cludin Tie D wn Spe -1 e52 Of $ ----=- :--------=- --�-I ct fees as shown on the attach sc edule. ---- ------------------ �/ --- K2. California Department of Forestry plan approv ees. faxes! Q_ M__ '------------------ -------------- ❑ 3. Flood elevation certificate. -------------------- -- �� ---------------------------------------------------- Sanitation and plot plan approvalL.DAT01-,1-- Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (P 1< (B) Parking: -• ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainagegal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --- 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ❑22. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - E124. Letter of signature authorization. -------------------------------------------- �5. Recorded copy of Agricultural Acknowledgment Statement. -------------- 1:126. Letter of intent on building use. ------- ❑27. Manufactured Home utility clearance. ❑ 8. Existing vi tions and/or expired permits --------------------------------------- ----------------------------- 'v"L9. E3433 A,TGrant Deed, 11M.H. Title, Check to H.C.D $ta� O --------------- 030. Other: ------ (Date) you issue the t rocess(as follows ❑ Mail to owner, ❑ ail t i actor. 'C -►Telephone �Vy'�� 7 -and hold for pickup at u! ! � o eliver with insp S NZ v c–T1 (zCsv �W Lo / Z3 `O 1 p Applicant. ate: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: io it ❑ Plan Check List 2. Additional items required: ✓ Contractor, designer, owner, was advised of the above required data by one, ❑ mail, ❑ Building Division counter, by ate: (0 . Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ BuildinAD^ivision counter, by Date: Plans reviewed by: Date: Plans approved by: Date: • ZCJ—' 0 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: (`+,,,., - T_)-4_-+ .fTle..ol .....,e. • Ce...: a n..aA.- l/ COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE I'Ap 6 N011 17 N r I a C 1. BUILDING PERMIT FEES -5-cD --Balance Due ........................................................ $ ) --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ 4--Revised Plan Checking Fee ..........................:...... $ 2. SCHOOL DISTRICT FEES Ui Y - (paid (paid at District Office) lo, 1.61 7 3. SHERIFF FEES (paid at Building Division) (� 1 Residential .................................... x $360.00 _ $'3 Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES / $510.00 (paid at Building Division) V 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. #% `") - I 1;)b -'D I � DATE 10- 1 " b DATE REC. /_A:3 At time of permit application, I was advised the above fees are required e paid prior to issuance of the building permit. These fees may be changed durin tit .�_king process. o 'A PAF RAF FA I 11 F od DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) PERMIT NO:: 83=0i. Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building -or occupancy permit, whichever is applicable.. Prior.to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: December 26, 2001 ' Applicant: Nicole Shippy (Steve blidkiff i (61 Lumber Jack Ln) Applicant Address: ()eankee ;sill, CA 95965) Applicant Phone No.: (533-2144) Property Locations(s): 481 Silverleaf Dr, Oroville, CA 95966 KIRE Unit 1, Lot #155 A. P. No.(s): 069-120-018 Fees due: $2503.89 Total. $1503.89 LOAPUD Capacity Chg $1000.00 LOAPUD RFC Application for service approved: ROVILLE AREA PUBLIC -UTILITY. DISTRICT Inspection(s) made and successful test(s) observed: Location: Date: M A Lake Oroville Area Public Utility District release to close permit: Date: By: ' BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) e ,. School District C�i-ou (t lP 1 e,,�, Ni✓TGt �' y Building Department No. A.P. Number �-� ��, D Q�Q Jurisdiction: 0 city County Property Owner f t" p b!64 Property Location/Address 17 V -5/_ V Q i le C. © ( Subdivision Lot No. Residential Development No -of Living 'Units Com mercial/Industrial Building Department Representative I ................................................................................................................... Lg Sq. Footage /079 Mobile ome Addition/ *Supplemental to (Group R) Installation Conversion Permit # '(No foundation inspection): 0 New. Addition Sq. Footage (Including Exterior Roofed Areas) //1-7 D 2 Date (Floor Plans reviewed by School District Personnel) District Identification No.o?c� an-,Ia4 �' �,( �_ School District certifies that �� �� 211J C ; (Applicant) (Street Address) ` l/ (Phone Number) . (City) (State) .(Zip Code) has complied with the requirements of Resolution No. 9�—OQ -U� by payment of $ 9D representing Q square feet. AB 2926 $ FULL MITIGATION $ . School District Representative Date Paid by Check # /.� Remarks: , -3s >•� �o to . , LkA Ol a , . J A Notice: You may protest tlWimposition of the fees identified aboyJ by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the da0f fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District. is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully.mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls 00/98)dmm FOVN�DA140IN CtiE�Ry :IF}ICATE'�'OFk` C IY N- Ma BUILDING PERMIT NUMBER: 01-2466 F Address or location of unit: 479 SILVERLEAF, OROVILLE,,.CA' 95966 Legal Description of Real Property: A.P.069-120-018 E ' SEE ATTACHE_ D ` : (x) Mobilehome/Manufactured Home a H O Commercial Coach ; ' R Has been affixed to the real property above by installation on a foundation system - pursuant to Health and Safety, Code Section' 18551. Owner's name:. NICOLE SHIPPY Owner's address: 2490 BRICE ROAD, CHICO; CA 95926 t� INSIGNIA OR HUD NUMBER: ORE 428469/70 ' SERIAL NUMBER OR V.I.N.: 18223 w MANUFACTURER'S NAME: FUQUA ~ _ YEAR: 2001 A. OFFICIAL APPROVING INSTALLATION- - DATE: 4-8-02 , ' PHONE: •. (530) 538-7541 , H.C.D. 513C ' RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 12 -Apr -2002 2002-0018768 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHONIE) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon„upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. NICOLE SHIPPY REAL PROPERTY OWNER/LESSOR 2490 BRICE ROAD MAILING ADDRESS CHICO, BUTTE, CA 95926 CITY COUNTY STATE ZIP 479 SILVERLEAF INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 01-2466 (530)538-7541 BUILDING P ILMIT N TELEPHONE NUMBER 4-8-02 SIGNATURE OF LOCAL AGEN FICIA DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNIT DESCRIPTION FUQUA 2001 491 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMUNUMBER 18223 25'X 44' ORE428469/70 SERIAL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED LENGTH X WIDTH ASSESSOR'S PARCEL NUMBER A.P. #069-120-018 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. INSIGNIA/LABEL NUMBER(S) LEGAL DESCRIPTION A.P. #069-120-018 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 155, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT ONE", WHICH MAP WAS RECORDED IN THE .OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 30, 1970, IN BOOK 38 OF MAPS AT PAGE(S) 5 THRU 10. CERTIFICATE OF CORRECTION RECORDER MARCH 17, 1971, IN BOOK 1663, PAGE 624, OFFICIAL RECORDS. :. �- _ 1111 III III I INI I If II Ifl I IIIII III II RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: 3 To NICOLE SHIPPY 2412 ORO QUINCY HWY OROVILLE, CA 95966 ESCROW# 190500AM-3/ORO-C Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 16 -Nov -2001 Above This Line for Recorder's Use Only 1 REC FEE 10. TAX 20: I I Vickie I Page l of t A.P.N.: 069-120-018 Order No.: 190500AM Escrow No.: 190500AM Z GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAXIS:* COUNTY U�! [ X ] computed on full value of property conveyed, or ([ computed on full value less value of liens or encumbrances remaining at time of sale, ] unincorporated area; FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, PATRICIA A. KELLEY, SUCCESSOR TRUSTEE OF THE JERRY DAVID KELLY FAMILY TRUST, DATED MAY 18, 1983 / hereby GRANT(S) to NICOLE SHIPPY, an Unmarried Woman the following described property in the UNINCORPORATED AREA, County of Butte State of California; LOT 155, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT ONE", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 30, 1970, IN BOOK 38 OF MAPS AT PAGE(S) 5 THRU 10. CERTIFICATE OF CORRECTION RECORDER MARCH 17, 1971, IN BOOK 1663, PAGE 624, OFFICIAL RECORDS. GRANT DEED CONTINUED ON NEXT PAGE A.P.N.: 069-120-018 CONTINUATION OF GRANT DEED PATRICIA A. KELLEY, SUCCESSOR TRUSTEE OF THE JERRY DAVID KELLY FAMILY TRUST DATED 18/83 Y. � PATRICIA A. KELLEY SUCCESSOR TRUSTEE Document Date: August 30, 2001 STATE OF CALIFORNIA )SS COUNTY OF . BUTTE ) On SEPTEMBER 13, 2001 before me, DENISE TERRIAH—NOTARY, PUBLIC personally appeared PATRICIA A. KELLEY ' 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 ins mens the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITN hand and official seal. Signature This area for official notarial seal. DEMISE 7EaawH C0MW4$ on #1239621 Mfr CPS1 Notaly kc e CoDnty My Conxttt 6 E t OCTtv-. _ xP24, 2003 LEGAL DESCRIPTION A.P. #069-120-018 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 155, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT ONE", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 30, 1970, IN BOOK 38 OF MAPS AT PAGE(S) 5 THRU 10. CERTIFICATE OF CORRECTION RECORDER MARCH 17, 1971, IN BOOK 1663, PAGE 624, OFFICIAL RECORDS. 0 4000,0' .2%. DEPARTMENT OF HOUSING -AND COO*"ITy DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION ; STATEISNT OF FACTS This unit is. a: [3 Mobil ehome [D Commercial Coach Floating Home Q Truck Carr Decal (License) No. (s) Trade: Name . Serial No. (s) - I/We, the undersigned, hereby state that the unit descri"ove: Q4/ -� A � Affiant further agrees to indemnify and save harmless the Director of Housing and Comnu Development, State of California, and subsequent purchasers of said unit, for any loss may suffer resulting from registration of the above-described unit in California, or fr issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on —0 at • ate (C ty) (State) Printed name of each affiant Address City ,. State . — HCO 416.6 (Rev 11/86) AFR-12-2002 FRI 10:41 AM FRO M:SERENITY HOMES FAX:5305669482 FADE 2 • ,�$MTOF STATE OF CALIFORNIA NUMBER. Q' 7 Q Q DEPARTMENT OF NOUS G AND COMMUNITY DEVELOPMENT O l 9.6 1.: J DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM CATE OF ORIGIN' MANUFACTURER CERTIFI . FpCmFCK IF THIS IS A DUPLICATE MC&ENTER'ORIGINAL.MCO NO. .MANUFACTURED HOME OR ML "I UNIT MANUFACTURED HOUSING NUMBER OF 'r 2 TRANSPORTABLE SEIONS' SFD.($INGLE FAMILY OV/ELLING) . MUMH_(MULTI•UNIT. MANUFACTURED HOUSING C,T'_ •t�MMERCUIL COACH: OCCUPANCY GROUP MANUFAC URER NAME: MANUFACTURER LICENSE NUMBER. FUQUA HOMES, INC. .90157 MAN FACTURER ADDRESS: SUG(3STED RETAIL PRICE: 20495 MURRAY ROAD GO BEND (state) OR Aa)701 $62248.70 (sites! DATE OF MANUFACTURE:' MANUFACTURER-TRADE NAME: MODEL NAME AND/OR NUMBER: FUQUA 491 12/20/01 • NAME OF DEALER OR RANSfE fi (OWNERSHIP TRANSFER TO)':' ' CALIF.'DEALER NUMBER `OR ••' DATE OF TRANSFER, . TRANSFE E DESIGNATION: $ERPNITY HOMES 42401 12/20/01 DEALER OR TRANSFEREE ADDRESS: (street) 2490 BRUCE ROAD CI CHICO $1eta CA Z1) 95928 INVENTORY CREDITOR NAME: NORTH VALLEY MORTGAGE .. ..4 STORY CREDITOR ADDRESS: 600 MAIN STREET GI CHICO state) C (zi - A' 95926 Street a BECTI6M MANUFACTURER SERIAL NUMBER RCD INSIGNIA OR MUD LABEL NUMBER LENGTH YnDTy- WRIGHT INCHES) INCHES POUNDS ] 8223 ORE 428469 528. 154 22,200. 2 18223. ORE 428470.. 528. .154 22,200. I TRA14SPORTER NAME: _.. ' WESTSFAN HAULNG f TRANSPORTER ADDRE53: sacci 3550 STEILACOOM BLVD 11204 chvl TACOMA (State) WA n 98499 DESTINATION FOR UNIT DESChIBED'ABOVE: (NAME • Sueet cltr OROVILLE store CA . I un►y. WAW PW%Ky 0I'Pe1)aY under ft Iev a oRme Slate of Ce1B0mfa met the above tens ers.tnu arid 00"40. 1220!0:1BEND DESC.HUTES OREGON fiaetvted on % (CI qrr (State - toot 510MYURE OF AUTFIORIMID ORIGINAL (PINK)..: FORytARVAINEO tNVENTORY. CREDITOR UNLEaST11ERE 19 NONE. .TNEN iORWARO TO TRE PURCHA S OF:A ALAR OR TRANBF.FREE)... COPY t (WHITE) ' FO ARDEPARTMENT AT P.0. BOX ?628, BACRAMENTO, CJ1068t2•te1e. WITHIN iNE (S)'DAYS OF:RELGSE.:. , COPY 2 (YELlO1M , OE NER)NNSPORTER TO ACCOMFAMk THE UNIT TO ITSOESTLNATION. COPY 3'(GOLDENRO0) T BERY THE MANUFACTURER. HCD 453.0 • Side t • (7/07) °� Building Permit Number: Owner Name: Residential Construction Re uirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 1998 California Building Code (1997 U.B.C), 1998 California Plumbing Code ( 1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.) 1. COMPLY WITH ITEMS CHECKED BELOW EIYour parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate: A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1' Building is anchored to -concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood . elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Pagel of 2 • Building Permit Number: Owner Name: to r� Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. 0 The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be`designed by a.California registered engineer or licensed architect. Page 2 of 2 Mobilehome Manufacturer: rl"I'OZI.4 —Manufacture Year 2,20 If otheY1) igle wide, furnish Seftip Model Number: Width:A.Len*gth:_Z !Z_(ft.) Tagalong or Expando Size� (f On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS:-- Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete blockM Other: Provide Tie Down Specifications for all Mobilehowes: Pier Footings Sizes and Location SINGLE WME PAMTIMME Line 1 Line 2'!--�� Line 2 ................................................................................................ Main ................................................................................................ Line 2 FL= 2 L. Line 3 Une ................................................................................................ Main Beams Line 2 line I ............................................ 5 Tag or Triple 4 ................................................. Line 1 Piers: Size minimum: r 1 x r i. Spacing maximum: 11 From ends -maximum: 41 Line 2 Piers: Size minimum: _V� I x Spacing maximum:` 0 From ends -maximum- 2 ' 0 Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): .If - Line 1 Openings Size minimum: x Each side of openings with width over: I Line 4 Piers: Size minimum: X Spacing maximum: From ends-maximuml E OVER Vej9 cow'l P" 0 \1 11. Type of gas service at mobdehome site: Natural[ ] Propane[ None[ 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?W (ft.). 14. What is the mobilehome gas demand? 20B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 J VTeWLWT1 G DE &VO"Oft rAP M.H.L-2 .. A 1. t Owner's Name: �t 2. Assessor's Parcel Number:Qzz — ! L 3. Installer's Name: RAM, 2 A/ 4. Is the site currently under permit? Yes[ ] No[jj Permit No. 5. Is the site an existing site? Yes[ ] NoN (If yes, furnish two plot plans). ' 6.. What is the electrical rating of the mobilehome?_ 0 Amperes. t 7. What is the mobilehome site circuit breaker rating9 Amperes. 8. What is the electrical rating of the mobilehome site? 2Q 0 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] Nit is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No�If yes, please identify the load and size: ' a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobdehome site: Natural[ ] Propane[ None[ 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?W (ft.). 14. What is the mobilehome gas demand? 20B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 J VTeWLWT1 G DE &VO"Oft rAP r ---- -------- 40 40 20 30 r -----=-----------T------------------1 I I 1 I O ' S 1 r___ --------------------- I I ,I I I 1 II I ,I I ,I I 611 I �I I 1 I II I ,I I I I �I 1 ,I l ,l I ,1 I ,I I I I it 1 I � TE: GARAG �AILIABLE/ NOT ITH ROOF ,PITCH 22'-0 X 20'-0' OP/T. GARAGE I WITH 20' GARAGE �-------------------- SILVERWA.TER PLAN 491D 1078 SQ. FT. OPT. BUNGALOW PORCH PLAN 491DCP6 1129 SQ. FT. OPT. BUNGALOW PORCH PLAN 491DCP4 1129 SQ. FT. \ BEDROOM 2 ♦ W -s• x W-4• a �. 3 I 1 ♦ CANIU ♦ I ♦ 1 I ♦ BEDROOM 1 I iv it-111xx T -1• lo 1 — d -Q— O ♦ 4 BATH 2 i I I ter / 1 / UTILj;I/Y 1 ` I a i v If F BEDROOM 3 0 W-10• x 1P'-11 CARMT I I i 1 I I r— aLIVING ROOM i o io I 16'-1• x 1r-4* ® 1 r1 I� Edi m P I ( I I I 1 DINING 1 4 0 40 r -s• x W -W 1 I U I I II PORCH I u 1 L-----------------1------------------ 40 40 STD. HOUSE W/❑ PORCH DINING -pG / ♦ y -s• x y-o•Zs0% I 40 40 I 40,40 ----------L II I u — —� 11 I W/6-12 PITCH OPT.PORCH ii OPT. PORCH 1 .1 PAL -----------------�i W/4-12 PITCH rswa J 52'-0' OPT, PORCH L--------�J------- J .s CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME/ Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County. local *regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [1-Y'1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner., Driveway Standards [0/f273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-artenant structures which supple- 'ment the roadway bed er shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 4----'1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [Ul� 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face. width of 4 feet shall be added to curves of 50- 100 feet. radius; 2 feet to those from 100-200 feet. [� 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If 'required, will have'a minimum turning radius of 40 feet from the center of the road. Q,? -'_1273.05 Turnouts. Shall be a minimum. of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [70.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3- AP # PERMIT # NAME 7- 10,--.1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 8.00 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. [L,I 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the.building. 1273.11 Gates (� 1. Gate entrances shall be at least two feet wider than the roadway it serves. Fuel Modification 1276.01 Setback for Structure Defensible Space. ( 1 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ull property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification. shall be completed prior to completion of road construction jr f'_:lal inspection of a building permit. Page 2 of 3 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. / (uY 3...Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. ( 1 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ull property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification. shall be completed prior to completion of road construction jr f'_:lal inspection of a building permit. Page 2 of 3 Y l� AP # PERMIT # NAME . Other Requirements ( ] If Building Setback is 15 to 30 Feet: r - Class A or B roof - Enclosed eaves [�f Building Setback is Less Than 15 Feet. ' Choose any.3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not -to exceed 10$ of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials [ l �T DD/* Date Signat re Page 3 of 3 Q0 71 Qr-- y I D (P - b I--) / NOTE: k. SI.Lte the attached Rin. i ential Constructig [Qpni iirQmpnt-q Z5 C4 f -Pages .4 REVIEWED BY <) BUTTE CO. FIRE DEPT. CALIF. DEPT. of F RESTRY approved as submiftod 'Xi approvedmith co r ditions \< p r ttached ee Ap T4:, - Signature Date ret S R CT—i AND E0 0"'URES A - bIPMENT INCLUDING OVERHANGS SHALL BE -EA OF ALL EASEMENTS. THE SIDE AND A P 06 / -o - 01 TRER'EAA PAbPERTY LINES AND �T. FROM THE kOAb JENTERLINE SHALL BE OF STRUCfU AN' EQUIPMENT EXCEPT OwN SPYOORA2 -yE FT.EA 0(4R,�t4or, 'Steve- k m('41r-( 4D8 A !�'�M f TE COLWn hill OA AR T 1 O MICHAEL MOONEY 5A MADRONE AVE. CIVIL ENGINEER OROVILLE, CA 95966 RCE 20647 EXPIRES 9-30-05 530-533-2131/FX 534-0902 Butte County 7 County Center Drive Oroville, CA 95965 Re: Shippy APN 069-120-018 March 25, 2002 Barry Klopp has my permission to obtain copies of any Engineered plans prepared by me for this project. Thank you for your consideration and patience. My license expires 9-30-05 ono*dddV °,igW12idd3G NIG1109 k iNnoo silo'@ -'R . •Slz� � � `tl'#� -o or• -Z� s���,�r-d c --V /I 7�e-, S�0 IN7PI V ry i yw\l?.y -VA V5 A vs'Z k���� bb C1:�1Pz-h� Ind L�,-bl �vn --iTwAi-v Ny i YP(aww-, Z+4LZ- 2 O,G33h !•3X l�.SX� _- it•R2t��(�kz .. 2 1- --- z A-2 5 s �' cryo S ✓� -1 Y2 �r c St�'CL� SND, ��2 SITE PLAN REVIEW APPLICATION Date: i0- S- al AP# Permit Number (if applicable) Q I — 2L1 6h APPLICANT INFORMATION Parcel Size: Owners Name: S H 1 FIP;Z Owners Address: C1 O 132 VC E217 CHI GO C -A Telephone No.: S — 21 Ll L-1 Situs Address: (_YEr2t_GA-F 1712 Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ® Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date Page 1 of 5 w ALL ITEMS CHECKED APPLY TO THE PROPERTY x Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: ii • Flood Panel No.: 082's,42, Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ C hapman/Mu I berry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: RT- I Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front D Side `S 3 Side Street Rear 3 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 V Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other -------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Q Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with -County Standards for Deed Creation: Comments: Legal Access Provided: ❑ No ❑ Yes Legal Access Required ❑ No ❑ Yes ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet.Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Map: jc.cLLy tzl v>G-G 6S-r-4:Z,-rrC 5 I a Map Date of Recording: Lot: ) S5 ❑ Use Permit/Minor Use Permit Permit Number: Book: 3 Pj Page: S t C) Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection. Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ . Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by -a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 x 0 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. ' C:\My Documents\Building Permit Site Plan Review I.doc Page 5 of 5 J3utte OROVILL E, CALIFORNIA GENERAL CLAIM CLAIMANT: Mobile Home Center ADDRESS: 1740 Feather River Blvd. CITY & STATE: Oroville, CA 95965 IMPORTANT: DATE OF CLAIM: ,Yuma 99, 1QQO SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) Owner has decided not to do work. Permit #933-90B,P,E & 1097-90B,E, P#69-12-18. Receint Ac Aiizon p 4:Lnnn . ermit #933-90B,P,E, Receipt #63820, dated 4/2/90 otal Permit Fees Paid -------___ ----------------------- etain Plan Checking Fee ----------------- $81.25 etain'Building Permit Filing Fee -------- 10.00 e ain um ing Fermir 1111ing Fee-------_ 10.00 atain Electrical Permit Filing Fee------ 10.00 Dtal Fees Retained -------------------------------- )TAL REFUND DUE- ---- 111.25 ----------------------------- ---------$205.00 rmit #1097-90B,E, Receipt #64030, dated 4/12/90 tal Permi Y FPac ppi rj ___ tain Plan Checking Fee ----------------- $37.25 in Electrical Permit Filing Fee------ 10.00 1 FaaR Rat.ir._.i 'AL REFUND DUE________________ -----------------------$ 89.00 AL COMBINED REFUND AMOUNT I, the undersignedLde are under penalt of perjury that the services or articles cl tfied have been erclaim is true and eas stated. d/� ��/�P e or\ Dated thio ...................... day of „ . 1 � et „�J"` ^^• .... 1 ��. Calif. S! ...... ........:... .......... . .. ..... _ -gn ure-of laiman I, the undersigned, hereby certify at, the best of my knowledge, the services or articles specified above have been performed or de- livered and that there to a Budget Appropriation ❑ or Specific Board Approval ) T n/� � pp (Check one Dated this .............12th day of ........ti7.Ul.y.......... 19..71/ at ..�f .Q.Y.].a.a.rw.... CaLLf. apartment Head or AuthoA- eputy - Dept. /� �1n Exp. Code ............. {4.0—.1 Q2. Code .................4.2-1.05.0.0.......... PAYABLE FROM ......... ............Oils;i......Patau.1.t.s............................ F 1JND ........... DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. 8. SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT.77 CerM'BiLWOI�IEnc. vv 1740 FEATHER RIVER BLVD., OROVILLE, CA 95965 (916) 533-4403 July 10, 1990 County of Butte You are authorized to refund $294.00 in fees shown on claim form. We have elected .to not proceed "with'.building on lot at AP# 69-12-18 as an underground spring has been detected and we are not comfortable with the prospect of future liability due to seepage. ,-R`espectf,ully, f Paul W is President Mobile Home .Center, Inc. do enc: 1 BRANCH LOCATION: 3130 ESPLANADE, CHICO, CA. 95926 (916) 343-5611 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 Febunty Center Drive - droville, Californja,9,5965t- Telephone: 916/538-7541 APPLICATION AND PERMIT ,-., ASSESSOR PARCEL NUMBER 69-12-18 ZONING RTI BUILDING PERMIT OWNER HomeCenterInc. TELEPHONE 533-4403 SO. FT. OCC. BUILDING V LUATION 580 M 8120 OWNER'S MAILING 1740 Feather River Blvd, 95965 CONTRACTOR'S NAME Same TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN p Total Valuation $ 8120 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 74.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 37.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BuNG ADDRESS Silverleaf Dr, Oroville 481 Permit fee $ 121.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 155 SUBDIVISION NAME Kelly Ridge Estates #1 PA CEL M{P Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other Garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New [J Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 20x29 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I deciar rider penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Cod and y license is in fi for a and effect. p License No.�� Classification " ❑ I, 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.N OR AODNS. ACC. BLDGS. y2csgft NEW CONSTR.ULT'-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200 1.AL0g 30 FIXED Ex. Occup. OUTLETS PRESID ILNS KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 51121 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ he 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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 con truction, and hereby authorize representatives of the County of the e -mentioned property for inspection purposes. I e, d nify and keep harmless the County of Butte against BuAaiC aln , costs, and expenses which may in any way accrue agi consequence of the granting of this permit. X Date Signature of Applicant Owner ❑ Contractor ElAgentwork An OSHA permit is a 'red for excavations over 5'0" deep and demolition or construct- ion of structures ove stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ QcC /!�/ cD�T TOTAL FEE $ 146.29 HqZ cuA PARK SCHL FLDi P� P HD Issue This permit is nereby issued under sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC By PEPT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS DateZ6 S/`- 9-0 e-1 �Co-Q_ Receipt No. 64030 WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Wow, W ' 1 _ 37 7q • , . COUNTY OF BUTTE - DEPARTMI6lT. OF PUBLIC WORKS - BUILDING DIVISION �...WA „r., 7 COUNTY CENTER DRIVE - OROVILLff*CAL,FORM;k 95965 - TELEPHONE: 916/538-7541 i PERMIT AP.PLICAVON"DATA SHEET Permit No. _ OWNER _,/f%l?Z9�F /1ag2c 4 r�2 A. P. No. —�.2—� Proposed Building Use_LzQ2Af;6 Building Inspector Date -� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted . .................................... 2. Plot plans in<804 /triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... x 6. Energy Design Compliance and supporting documentation ......... ,t " 7. Statement of Intent for Non -Heated and AC Buildings ............... t� 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ........................................ 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... - 16. Plot plarrand business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor: _ Telephone 5`11-44M and hold for pickup at off* G).' Deliver w./inspector. Other Applicant / DateIy—f Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. „Q.thers Date By i e. F The following data must be submitted r rmit issuance: (Circl&,newi°tem not checked above). 1. Index permit for above items No. a 2. Additional items required: Cont ' or, designer, owner,' was advised of above required, data by_p noh e_Inail_� ter by y ..date �c-Cont V111� Contractor, designer, owner, was advised of above required :data by—phone —mal l_counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder COPY—DPW 7' ,S`- t J �SlId£wO� 5/89 RESIDENTIAL PLAN QHECKING GUIDE (S.F., DUPLEX & MISC. .ONLY) Bldg. Permit # /0 77- �` U OWNER A.P. # j6:E_,4 z_ _ 1 g! GENERAL Qoning requirements: (sideyards and number of permitted living units). i�jl'-'-uation.� ;! Plans signed by designer. —4; Fuex_g_ nAsign and Compliance. io ations on property. (:16� Items on data sheet. PLOT PLAN ' 1. Complete parcel size and dimensions. 2. Setbacks, sideyards, easements, etc. 3. Other buildings or structures. 4. Grading, fills,"drainage. 5. Flood hazard. 6. Special conditions on creation map or compliance document. 7. FAU & FAS road setback. FLOOR PLAN ;��Required*windows mplete to scale plan with dimensions. for light and ventilation (Sec. 1205). tired windows for second exit (Sec. 1204). -(Chapter 34 & Sec. 5207). 5. t glass (Sec. 5406). room sizes, ceiling heights (Sec. 1207). GG s in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. cations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. door size, and closer (Sec. 503(d)(3)). . 141'l - 3'0" exterior exit door (Sec. 3304(e)). '2 F r^^��� and wood stove location, alcoves, and clearance. r 1 e etec ors (Sec. 1210). STRUCTURAL DETAILS 4! Foundation plan complete enough to construct building. -uction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. 5. -ruction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR 4. tails: landings, rise and run, head clearance, handrails (Sec. 3306). 2. --' a�tails (Sec. 1711 & 3306(j)). 3. one veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) paster - weep screeds (Sec. 4706). L2 Pr er roof pitch for roof covering (Chapter 32). --;50of covering type - (fire hazard). eam. age door or porch header sizes. Adequate bracing. ge - complete 1 -hour separation required on garage side is eI44-�' ^--Q po -to walls and posts, etc. --�-,-r r three-story dwellings (Sec. 3303 & see Mezannines - 1716). Attic access and ventilation (Sec. 3205). 13 Und-p.._ _ - ea —,d ventilation (Sec. 2516). 1 air for fuel burning appliances. ats on duplexes. 1 o Adobe—sols spec- �ndation design. W. n t -a, ,_. -� - - rinn �---sign. 18. Unasaal ze, or split level house requiring lateral design. 19. Flashing at all exterior openings. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 69-12-18 ZONING RTI BUILDING PERMIT OWNER MOBILE HOME CENTER TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1 586 63 440 OWNER'S MAILING ADDRESS Some 1k.1 CONTRA TO AM Mobile TELE HONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS 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. /, 5 SUBDIVISION NAME lC PARCEL MA/'P !a Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF [I Duplex❑ MobilehomeXnX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New JJX Addition ❑ Rem6del ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permanent foundation _ 3 bedroom Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declar unde malt of perjury y p I y (check one): am licensed under provisions of Chapt. 9, Div. 3 of the BUSInesS and Professions de and license is in full force and effect. CK License No. Classification ` ❑ I, 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 t 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 ADONS. ACC. SLOGS. ) , /20sgit NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS 6 SINGLE OUTLET C'R. ) Ex. Occu o p OUTLETS OR FIXTURES zo@500 SAL@30 FIXED Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 22.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): he permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a CertificateCooling f Consent to Self -Insure. shall not employ any person in any manner so as to become subject Yl 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 FiIirig Fee 10.00 Heating 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 al-l`Count'y rdinances and State Laws relating to building construction, d ereby authors a representatives of the County of Butte to'nt r -u the ov mentioned pr erty for inspection purposes. � I.also agree to sav ndem fy and ke harmless the County of Bu ag nst all I.i'abilities,;, ents, c expenses whirl_ any ay crue against s ou in con q nc f gran ' this it. �X It/ `j, �b Signature of..4pplicant — Owner❑ Lantra or 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 $ occ CONST TYPE TOTAL FEE $ 3 .25 HAZ CUA r PARK SCH FLD PAR HD ISS This permit is nereby issued under sions OT the Butte County Code and/or work indicated above for which fees I EC R PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date �9V -- Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT "`_�'s{��i,�St.•;,;,1�4.(�ryr1'�r;is�t.v1+;'�,Jr"7r%P'',ai�`-i s',=�'1�h7Mi�'"tlt'l+r"�`,rt..'l.^-.� ;4'''."_`r.,r.�' . ^a -r --..^_t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL&, CALIFkIRN1T> 95985 - TELEPHONE: 916/538-7541' ~ PERMIT APPLICATION DATA SHEET Permit No. - OWNER O,NF_1(-�� �_ AP. No. Proposed Building Use ril �!�(� Building Inspector4 A. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ................................................. 13. ����-'�-F School District fees paid .............. �`���L> %'Y�•(���� n 14. Sanitation approval from __ LA0 PU.D Health Department 11-/ C% 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW [1e 19. Driveway permit- (construction approval required prior to occupancy) `�����y /�U�/►� 20. Pre-Inspection'for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23'Owner-Builder- Verification (Given to owner ❑, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... �� -S�-9y 11-n.?.i .den 25. Letter of signature authorization ................................... 26. t' 27. When you issue the permit, process as follows: Mail to owner Ito contractor:.- M X Telephone- S3�3 and hold for pickup at offi e. Deliver w/in p ctor. Other Applicant Date Copy of Haz=Mat form sent Health Dept. Fire Dept. air, ollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By _ The following data must be submitte rior to permit 'ssuanc (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: H G � CAI- w.. Gay 1 Cont, or, designer, owner, was advised of above required data by phone__nail_counter by_4�)date 9,0 Contractor, designer, owner, was advised of above required data by_phone_mall_counter by date Plans checked by Zk Date. Plans approved bye/. &X Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP 4� I Driveway permit l ) /- 9 has been issued for the above property. /j n b date sign re u 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) 'Bldg. Permit # A/5) OWNER �U�! �� !/lli"£ �i �r A. P . #= z -/ GENERAL d� Z�.ning requirements: (sideyards and number of permitted living units). Plans signed -by designer. . rgyDesign and Compliance. violations on property. Items on data sheet. PLOT PLAN ��24- ��rete parcel size and dimensions. 2llSetbaaks, sideyards, easements, etc. 34-0-t-h-er buildings or structures., 4-.---Gr--adizrg, fills, drainage. azard. conditions on. creation map or compliance document. 7-.--FAT-97-FAS road setback. FLOOR PLAN Complete to scale plan with dimensions. 2. quire windows for light and ventilation (Sec. 1205). -�--windows for second exit (Sec. 1204). 4.. (Chapter 34 & Sec. 5207) . pact glass (Sec. 5406). 6. sizes, ceiling heights (Sec. 1207). and exterior outlets (Article 210-8). 8!Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. nuc—~�e_ -�er heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 19-- iewa door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (Sec. 3304(e)). wood stove location, alcoves,.and clearance. 13-- S-- Ctors (Sec. 1210). STRUCTURAL DETAILS 1e1 F ndation plan complete enough to construct building. ljFl.00r construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. 4--'fo-of construction details complete enough to construct building. uction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR details: landings, rise and run, head clearance, handrails (Sec. 3306). --,0ee-r-d=1 details (Sec. 1711 & 3306(j)) . 34--B-Firk-car-stone veneer (Chapter 30) . 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) T m aster - weep screeds (Sec. 4706)t:�. Proper roof pitch.for roof covering (Chapter 32). oof covering type - (fire hazard). 7. r or bearing ridge beam. age door or porch header sizes. Adequate bracing. area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 1- . -e it9-on three-story dwellings (Sec. 3303 & see Mezannines - 1716). .Attic access and ventilation (Sec. 3205). 13—. 4J R&rf oor access and ventilation (Sec. 2516). us on air for fuel burning appliances. ,] — o�-equizements on duplexes. e s - special foundation design. '—KPraining walls requiring design. 1=$-. nua shape, size, or split level house requiring lateral design. . Flashing at all exterior openings. coo ASSOCIATES Jim Glander, Deputy Director Department of Public Works County of Butte 7 County Center Drive Oroville, Ca. 95966 Re: Mobile Home Siting 481 Silverleaf Dr., Lot 155, Unit 1, Kelly Ridge Estates Permit No. 933-90, APN 6 -12-18 Dear Jim: �2- ENGINEERIN(; CONSULTANTS 2060 PARK AVENUE OROVILLE, CALIFORNIA 96966 PHONE 19161 633-0467 April 17, 1990 Paul Farris requested that we develop a solution to the onsite ground water problem that exists on the subject parcel. This area of Kelly Ridge Estates has historically been wet, being fed by a spring principally located in the south easterly portion of the roadway. The road contractor was.so concerned about this particular spot that he filed a disclaimer letter during construction in 1970. The sub -drainage system we installed by Change Order has been very effective as evidenced by the absence of road maintenance problem with Silverleaf Drive. The attached sketch of'the proposed P.P.P. sub -drain will eliminate the water problem on 155. Please also refer to the enclosed photographs The order of events will be as follows: 1. Install that P.P.P. sub -drain, working from the discharge upgrade. 2. Vent the existing excavation into the sub -drain at the 3 locations shown. 0.; Allow the existing excavation to drain free and dry -out to a moisture content at the bearing plan of not more than 45%. !iY .:�'��: ,,..� :� 4 4. Clean out and form the balance of the footing work while the westerly excavation is drying "out . 5. Place the concrete in all footings "excepting -the westerly perimeter footing. DR. LLOYD M. COOK ED. D. JC•E E. COOK M. E. DAN J. COOK C. E. 0 45. 7/'. SEWER GONI.1. � � plo.1 6� M4131LE ./S9TFtcli -(YPiGnL sec-rloo �1a7iv� �u��IU, V� P.P.P. -fo ra YU-C-I r 11 6. e GSI p-b,L SouRcr✓ of Fls� G-lt- r1sl _ waT� QpSIJg - 9FAI FJ 641r6, �l / 412-40e 401 -goo¢ 1 off." ° WEsYE�LY IA Wo.LI� A °• 0•4. - t7e, OTO. SUBJECT moel C 00me cEo1E,:-;z 90060/ CLIENTS NAME JOB NO. 1740FE4TN�2 �ZI�ER �,LvD. COOI< oSSOC1ATES A2121 11: 1990 J DESCRIPTION 2 :o••":PAAX'�'DATE " �.oyl U,G /� /� 11 GL/H . � 7 / "'��Q 3 _ ... wwvnaa . uu�owiwn eases " SHEET Of SHEETS 6: Clean out the existing excavation on -the westerly. foundation. 7. Form the westerly foundation and provide 2 - #4 reinforcing bars at the top and the bottom of the concrete stem wall. 8. Place the concrete in the westerly foundation. Jim, please note tha the sub -drain discharge is into an G`/ existing 10' drainage easement of record that we provided �n the original subdivision. Should you have a -question, please call.. The owners are very anxious to move into their new home. Very truly yours, COOK ASSOCIAT S i. , DJC:njan Cook ". Enclosure Civi Engineer cc: Paul Farris w/Enc. John Starr w/Enc. PERMIT NO: 29-90 Lake Oroville Area Public Utility District 1960 Elfin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the. Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: Applicant: Applicant Address: Applicant Phone No.: Property Location (s): A. P. No. (s) Fees due: 1740 Feather River Blvd., Oroville,' CA 95965 533-4403 481 Silverleaf Drive Kelly Ridge Estates, Unil 1, Lot 155 69-12-18 $900.00 LOAPUD Regional Facility Charge Due Application for service ap LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful-test(s) observed: Location: M Date: Lake Oroville Area Public Utility District release to close permit: Date: By: .. ,. -.- •'�. .i,�^ F•..x.w^�. �� ntv +1�. h� n eT�. - col � �,�• r' fi..�i�ic'`�7b.��'�.�'� �-�r "-r .. . .. . ! .. '�+ce�.q+ s {• .4 ..� :,�.. �' �'�t,}':.:. a5 ly.+.e 'a .� ,. h. i-t{y1!'"�•1-t, ;':! ri BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One .Form per Building) ka' A.P. Number (6q'`/z-4, Building. Department No. k School DistrictQ -&_4 City D County on Jurisdiction Property' Owner ���_ �C Project Location/Address L�/ LEAF AZi , Subdivision ��1� �.`Lot Number Residential Development: Sq. Footage .- # of Living MHI Addition (Group R)_ Units { Commercial/Industrial: a Sq. -Footage New Addition (Including Exterior Roofed Areas) i -2i?a %,,_B,61ldin,§LDepartment Igepr sentative Date_ ' (Floor -Plans reviewed by School District Personnel) District - Id. No. �� 1 School District certifies that _ (Applicant -Name) (Phone (Street Address) ` (city) ( State•) . ( Zip 'Code) has complied with the requirements of Resolution No. by the payment of. $ 22 '7�j' , representing square' feet . 41/19() / 'School Distyfct Representative Date .31 PAID BY CHECK NO. REMARKS: BANK NO PAID BY CASH white -applicant, yellow -building ,department, pink -school district SCHOOL.FEE (8/88) STATE OF CALIFORNIA Iss. 11` COUNTY OF ���–� I �m On— P\ pp— 1 l- c7 i ci before me, the undersigned, a Notary Public in and for i` said State, personally appeared Lk 2l m personally known to me E a cbeeieefeetisfeeiefyevidene to be the persons who executed the within instrument as a_ ii d... E President anSecccter� on behalf of NAogl L F- o U NC . ®@s®e■e■e■s■■■®■�loalas■■sae® ° � the corporation therein named, and acknowledged to me that ■ a ® CYNTHIA A. COLLIER ion o w' such corporation executed the within instrument pursuant to its �? C NOTARY PUBLIC -CALIFORNIA Is by-laws or a resolution of its board of directors. o._ Butte County ■ ■ My Commission Expires Oct. 30,1992 ■ WITNESS my hand d official seal ■ N �,�: Signature _` � (This area for official notarial seal) a Return to DPW 90-013173 Rec Fee 5.00. Check 5.00 Recorded Official Records County of Butte Candace J. Grubbs- Recorder --- - -- ` S:Olam 3 -Apr -90 JK - 1 'AGRICULTURAL'STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property. may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate -in the County of Butte, State of California, described as follows: ON:. SHAT CERTAIN M1P1NTTLED,.. ;.:.KEIL RIDGE' TOTES::ORE!' WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 30, 1970, IN BOOK 38 OF MAPS, AT PAGE(S) 5 THRU 10. CERTIFICATE OF CORRECTION RECORDED MARCH 17, 1971, IN BOOK 1663, PAGE 624, OFFICIAL RECORDS. Date: l L- D.kctcid StaAe of Vt ) 0 they SS me, the unde Coup ty of 0_ ) �' PROPERTY OWNERS: of 19 , before y Pu ic, personally appeared ' . SEc A /_7 Personally known to me. / / Prov of sat to be the person(s) whose aame(s) the within instrument and acknowledged executed the same for the purposes ther IN WITNESS WHEREOF, I hereunto set my.A Present A.P. No. /F to me on the basis factory evidence.' subscribed to contained. and official seal-. Notary Public END OF DOCUMENT Y'- Go,� o �, ore Q� I NOTICE TO ASSESSOR HCD 433(8) THIS FORM MUST BE COMPLETED BY THE OWNER OF A MANUFACTURED HOME. MOBILEHOME 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. ORIGINAL PURCHASE PRICE FOR: T- The Basic Unit s 51,942.00 . i. Optional Equipment&Upgrades s.included . 3. Subtotal S51,942.00 (Metal, Wood, Composition, etc.) I. Accessories d Accessory Structures S i nc 1 uded 3. other (Specify) S i n c 1 u d 2 d a. 'Delivery Q Installation S 4, 0 0 0_ 0 0 7. TOTAL SALES PRICE s 55,942.00 DOES THE BASIC PRICE INCLUDE: The Towbar(s) ❑ YES NO . Tires d Wheels ❑ YES [ NO Wheelhubs 6 Axles . ❑ YES Ck NO , LIST NUMBER OF ROOMS: Bedrooms `J Dining Room / Baths Family Room �— Kitchen / Utility Room Living Room. / Other Rooms Type of Exterior Wall Covering: W00d The sales price as shown does not include any amount for any in-place location. I The Assessor's Parcel Number of the installation site is Address Oroville, CA:95965 (916) 533-4403 Telephone (Metal, Wood, etc.) Composition Type of Roof Covering (Metal, Wood, Composition, etc.) Heating Type: ® Forced Air ❑ Floor or Wall Air Conditioning: ❑ YES • ® NO Tons Evaporative Cooler: YES ® NO Built-in Cooktop: ❑ YES ® NO Built-in Oven: ❑ YES NO - Built-in Dishwasher: ® YES ❑ NO Built-in Wet Bar: ❑ YES (3 NO Refrigerator: ❑ YES ® NO Roof Overhang (Eaves): ® YES ❑ NO 6 inches Furniture Included: ❑ YES ® NO Value S Carport: ❑YES (LENGTH X WIDTH) ® NO X Awning: ❑ YES ® NO X Porch:, ❑ YES ® NO X Garage: ❑ YES ® NO X Storage Shed: ❑ YES ® NO X Skirting: ® YES ❑ NO 176 . LINEAL FEET The sales price as shown does not include any amount for any in-place location. I The Assessor's Parcel Number of the installation site is Address Oroville, CA:95965 (916) 533-4403 Telephone NO. Address or L«anon of 481 S i l v e r l e a f Drive Legal DewripO of Real Property - ALL THAT CERTAIN REAL PROPERTY SITUATE k;� STATE OF CALIF IA, COUNTY OF BUTTE, DESCRD A TjOT 155, AS SHOWN ON THAT CERTAIN MAP ENTITLED, -"KELLY RIDGE ESTATES UNIT ONE". A' ®Mobilehome/Manufactured Home 13 Commercial Coach has been affixed to the real property described above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: _Adyanng- Housing SvstPms dba Mobile Home Center, Inc Owner's address,. 1740 Feather River Blvd.r Orovil le, CA 95965 INSIGNIA OR HUD NUMBER: PFS -208033 + 208034 SERIAL NUMBER OR V.I.N. HS CAS NBA9 0 3 214 2 2 MANUFACTURER'S NAME -Home Sys_ s. Inc. YEAR OF MANUFACTURE: - 1990 (Olkid DPW"" NCO etae M/ern Wh*— --. ww w. lbw.-dn W me. a C7 X REPT ry, ATE, dj1p AND WHEN RECORDED MAA TO: NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document of the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for instollation of the IMni t described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all per sons thereafter dealing with the real property. Advanced HousingSystems, dba Mobile Home REAL PROPERTY OWNER/LESSOR Center, Inc. LOCAL AGENCY I UING PERMIT and CEk7IFICATE Of OCCUPANCY 1740 a h River Blvd, 7 County Center Drive MAILING ADDRESS MAILING ADDRESS Oroville, Butte, CA 95965 CITY COUNTY STATE ZIP 481 Silverleaf Drive INSTALLATION MAILING ADDRESS, IF DIFFERENT Oroville, Butte, CA 95966 CITY COUNTY STATE ZIP SAMR UNIT OWNER (If also.property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIp UNIT DESCRIPTION Oroville, Butte, CA 95965 CITY COUNTY . STATE ' , ZIP BUILDING PERMIT NO. TELEPHONE NUMBER • SIGNATUREOQ�C,Rff�CY„�E�I�.p M INC. DATE 1YV K=Wt a dealer sa ! eqP VdIFIE") 91235 DEALER LICENSE NO. Home Systems, Inc. 1-23-90 4850 Canvon Crest Classic MANUFACTURER'S NAME DATE Of MANUFACTURE MODEL NAME/NUMBER HSCASNBA90321422 64' + 58'8" x 26'8" PFS208033 + 208034 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 69-12-18 ALL THAT CERTAIN REAL PROPERTY SITUATED TN THF STATE QF rAT.TFCIRNTA, C01-INTy OF BUTTE, DESCRIBED AS FOLLOWS: LOT 155, AS SHOWN ON THAT CERTAIN MAP ENTITLED "KELLY RIDGE ESTAT>~S UNIT ONE" o� HCD FORM 433(A) 4/86 P1�L%l Or hOGI W o O I Q� Co 0 0+M0NITr OEJ��. ��. - -• I .. .. ... , .. .. i 'I I i i ' . .: ,. .. ., ,� .,t} .. ... . a a � - - n tP :� - -'� ^ �' ' M° / _ FE� .. i _, ^. _ ,� � - : C' -... i R i * ' r r{ - � - jj - a Y .. .. F� F: �• L,� �� - � �> !.. ffft t.. t' i - � fir',