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069-120-054 02.1735
�3OY ), JOHN & LUCII IPAALED
-SILVERLEAF DR.; ORO !ILL
CONT: SKYCRESVENTE•RP j
NEW MH PERM FND NEW SI "' I
' .069.120.054 02.1736 INALED
19
BOY ,JOHN&LUCILLE
SILVERLEAF DR., OROVILL
CONT: SKYCREST ENTERPRISES
GARAGE ` �'
NOTES
RESIDENTIAL /P CSL
069-120-054 02-1736
B YD, JOHN & LUCILLE
4 SILVERLEAF DR., OROVILLE
CONT: SKYCREST ENTERPRISES
GARAGE
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SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
I
i r
1�
i,
i
JOB FINALED (Date) 2�'
Signature
V= OK
6 = Not OK
- = Not Applicable = Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
8.
1.
Zoning Requirements -Setbacks -Easements
a
2.
Soils; Special MH Support Sketch
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
3.
Sewer; Location -Test -Fall -C/O -Concrete
Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg.-F.rg-Bracing
4.
Water; Location -Test -Easement Needed (Sketch)
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
MOBILE HOME INSTALLATION (Plans) OK except #'s
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /"L"tt./ PLPG
MISCELLANEOUS
Date
7.
Well Clearance & Disconnect
Le_Zon!pg
8.
Utility Clearance
a
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
Date
Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg.-F.rg-Bracing
Card B-1 Date Card B-1
Date
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
`
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Date
Date
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Can.
1.
10.
Exits; Insp.-Sketch
2.
11.
Cert. of Occupancy
3.
12.
Permanent Foundation Only; License Decal
4.
Elec.; Receptacles and Lighting; Distance-GFI
Date
Elec.;.Pool Lighting; 15 Volts-GFI
Card B-1 Date Card B-1
Date
Elec.; Enclosures; Conduit Entries -Terminals -Listed
Card B-1 Date Card B-1
i
Elec.; Bonding; Metal w/5' -Circulating Equip. Heater
MISCELLANEOUS
Date
DECKS, COVE -,CA R PORTS GARAGES (Plans) OK except #'s
Le_Zon!pg
Requirements -Setbacks -Easements
i
a
3.
MISCELLANEOUS
Date
DECKS, COVE -,CA R PORTS GARAGES (Plans) OK except #'s
Le_Zon!pg
Requirements -Setbacks -Easements
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg.-F.rg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Cawars; Windows -Doors
lett '
r ; Sills-Anchors-Studs-Rftrs-Trusses
Si ailing -Veneer -Stucco -Mesh
R Shth -Roofing
E eps-Doors-Landings
Braced Wall Panels
Date
Date
D2iCard B-1 Date Card B-1
6'j/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
5.
Elec.;.Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main 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
J = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (E
Date
46.
Underfloor (Plans) OK except #'s
1.
Zoning-Setbacks- Easements-Flood-Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4.
Fig., Porches & Decks; Soils-Steel-/ P' Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel-Wrapped
8.
Piers-Fireplace Ftg.-Steel
9.
D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test-Anchors-Regulator-Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance-Material-Support-Ins.
14.
Girders-Sills-Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
63.
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent-Access-Combustion Air Baffle
18.
Water Pipe, Test & Anchor-Nail Protection
19
D.W.V.; Test Fittings & Anchor-Nail Protection
20.
Shower Pan; Test, First Floor-Tub Access
21.
Test Tub & Shower, Second Floor-Tub Access
22.
Gas Pipe; Sixe & Anchors
70.
Fireplace or Stove, Clearance -Hearth
Date
71.
Card B-1 Date Card B-1
Date
72.
Card B-1 Date Card B-1
Date
73.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance-Ins. Protection
24.
Elec. Receptacles Spacing-Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners-Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
30.
Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or At
Insulated Neutral U Yes U No
31.
Service-Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light-Shower Light-Spa Light
34.
Smoke Detector
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Date
86.
Card B-1 Date Card B-1
Date
87.
Card B-1 Date Card B-1
Date
88.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Comments at Final:
40.
Sills 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-Rftr. Ties- Purlin-Roft 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 8-1
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 U Yes
82.
Following Instld./Drive D Yes D No/Walks J Yes J No/Pianters J Yes J 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 8-1
Comments at Final:
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 1.k;
CORRECTION NOTICE .
E
PERMIT NO.
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,
Dater `L- Inspector
REV 10/92
OWNER
A routine
above ad
complete
please V
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
�! Co2-- i7 3 S" p
PERMIT NO.s
cn indicates that the following violations of butte county Ordinances exist at the,
t-�
<and should be corrected. Please notice this office when correction of work is
ti
you have any questions pertaining to this matter, or need additional explanation,
c
This office immediately.
Date -
REV 1
Inspector -1�
t-�
Date -
REV 1
Inspector -1�
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754y,I No.
(Rev. 12/96) APPLICATION AND PERMITya
ASSESSOR PARCEL
A C 9UMB 20-054
Z NING
BUILDINGPERMIT
OWNER BOYD, JOHN & LUCILLE
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
320 18/ 0
OWNER'S MAI 3y 6TIss WELLINGTON PLACE, FREEMOND , CA 94536
CONTRACTOR'S NAME I
SKYCREST ENTERPRISES
TELEPHONE
342-2694
CONTRACTORS MAILING ADDRESS
13468 HWY 99 E., CHICO, CA 95973
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 5760.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $ 81-00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADD E
SILVERLEAF DR., OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee . 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome rR Other GARAGE
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: GARAGE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fee 20.00
'UEFling
600VMain Service 200A LESS
OR
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 fulkfrceand effect. Q
License Class Lic. No. _CQ9�
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.
❑ 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
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'a tion i urance arrier and policy number'are:
Carrier
Policy Numbe 3913f,Mobile
(The above sections need not 15e completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with ose provisions.
Date �� �—
re of Applicant - ❑ 0 er ❑Contractor ❑ Agentz
OSHA ofis required for excavations over 5'0"deep and demolition or construction
of structures over 3 stories in height.
Main 200A TO IOooA
46.00
NEW CONST. D .E JNG OCCUP. SO
OR ADDNS. ( 8 ACC. BLAS. 3.5QFT. 11 20
p6IpT. =LT 1. @7,50
EWERAPPARATus
8 SINGLE OUTLET CIS.
20 @ 100
Ex. Occu . oun Er GR FOCTUREs BALO .50
FUCED APPLNS. OR 5.00
Ex. Occup. ourLErs RESID. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $ 31.20
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Home Installation Fee $
Energy Inspection Fee $
occ
O T. TOTAL FEE $ A4.85
HAZ.
D. FEES
D
PARCEL PD HD
ISSU9
This permit is hereby issued under the applicable
of the Butte County C de and/or Resolutions
indicated ov r wh ch fees have been
/
By / Date
PERMIT EXPIRES O
1 41.)
provisions
to do work
paid.
ReceiptNo. 354194 $1,94 85
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET I
OWNER: A A on ASSESSOR PARCEL C NUMB FjR
4
Proposed Building Use: Counter Technician: "( Date:
Items required in order to apply for Wpermit. All boxes MUST be checked R arked NA in order to apply.
lot plans, 3 or 4 sets, signed by the preparer of the plans. cs
Complete plans, 3 or 4 sets, signed by the preparer of the plans. (,ce& eAj lct/vt
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets orsia eland signed calculations.
Engineered truss details and layouts in duplicate. No faxes! —7.3•OZ
❑ 5. Eneigy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor PlarV(D) Tie down or
foundation plans, all in duplicate.
❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plaris in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
Y19*.
Plotplan and business license approval from the City of Biggs....................................Letterofintent for non-residential buildings.........................................................Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
Y
Remaining items needed to is the permit. (May require additional plan review upon receipt of the following items.)
❑ 4. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
. Statement of Intent for Non -heated and A/C Buildings ..................................
Sanitation and plot plan approval from the Environmental Health Department in
17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval f? (A) Use: p K (B)Parking: (C) Parcel Check: C3� —-7 _i
❑ 20. Contact Land Development about El Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30 Grant Deed, ❑ M.H. Title/Sultement of Facts, ❑Letter m Le al Owner, ❑ C ec to H.C.D. $
1'3i kA Ole rel $5& -CG
When issued Telephone and hol or pic 106-
I have been informed of the above ite s and requirements for obtaining a building permit.
Applicant: d - Date: %yam
1. Index fef4 application for the above items numbered: Un Plan Check Letter
2. Additional items required
Contra r- designer, owner, was advised of the above dafa by Er phone, ❑ mail, ❑ counter, byDate: Z
Contractor, designer, owner was advised "of the ao e data by ❑ phone, ❑ mail, ❑ count e , by Date:
Plans reviewed by: C/ Date: 02-. Plans approved by: : — Date: 1. q• Z --
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
PROJECT PROCESSING RECORD
Applicant: I Owner:
A.P. #: % �0 0 S' Permit #:
Work Description:
Date Description of Step or Status-
6 t D741- 7 ,
'14
71/
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—3
NOTICE OF MANUFACTURED HOME(MOBILEHOME)
OR COMMERCIAL COACH, INSTALLATION OF A
FOUNDATION SYSTEM
THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR IN THE
UNIT OWNER NAME ON NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR
COMMERCIAL COACH, INSTALLATION OF A FOUNDATION •SYSTEM, RECORDED
.ON October 1, 2002, UNDER SERIAL NUMBER 2002-0051401.
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING
INFORMATION.
' _ y
?
IIIII111lIIIlllilllllllllillllllil
`
X002-005162
•
Recorded
1 HEC FEE .00
RECORDING REQUESTED BY:..
Official Records
I CONFORM .00
CountyyT= Of
'
I
WHEN RECORDED MAIL TO:
PUT
CANDS?EE J. GRUPPS
1
I
-
Recorder
1
Butte County Building Division
ROSEMARY DICKSON
Assistant
I
I Lisa
7 County Center Drive
02:40PM 02 -Oct -20012
i Gage 1 of 3
Oroville, CA 95965
—3
NOTICE OF MANUFACTURED HOME(MOBILEHOME)
OR COMMERCIAL COACH, INSTALLATION OF A
FOUNDATION SYSTEM
THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR IN THE
UNIT OWNER NAME ON NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR
COMMERCIAL COACH, INSTALLATION OF A FOUNDATION •SYSTEM, RECORDED
.ON October 1, 2002, UNDER SERIAL NUMBER 2002-0051401.
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING
INFORMATION.
' _ y
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be
indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents
to all persons thereafter dealing with the real property.
JOHN W. AND LUCILLE J. BOYD
REAL PROPERTY OWNERILESSOR
63061 WELLINGTON PLACE
MAILING ADDRESS
FREEMONT ALAMEDA CA
95936
CITY COUNTY STATE
ZIP
444 SILVERLEAF DR
INSTALLATION MAILING ADDRESS, IF DIFFERENT
OROVILLE BUTTE CA
95966
CITY COUNTY STATE
ZIP
LARRY DOSS AND WANDA DOSS
UNIT OWNER (if also property owner, write "SAME")
2871 , WEST SUNNYSIDE
MAILING ADDRESS
VISALIA TULARE CA
93277
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
02-1735 (530)538-7541
XBU INYPERMIT N TELEPHONE NUMBER
9-30-02
SIGNATURE OF LOCAL A CY FFICIAL DATE
COUSIN GARY'
DEALER NAME (if not a dealer sale, write "NONE")
91265
DEALER LICENSE NO.
SKYLINE 2002 FAIRVIEW 5520
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER
D3-70-0180-R-A/B/C 66/67 X 39 ULI 537698/699/700
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 069-120-054
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept.
r
LOT 116, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE
ESTATES UNIT NO,1" WHICH MAP WAS FILED IN THE OFFICE OF THE .
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, OCTOBER
30, 1970 IN BOOK 38 OF MAPS, AT PAGES 5,6,7,8;9, AND 10.
NOTES
RESIDENTIAL
'069-120-054 02-1735
BOYD,OHN & LUCILLE
J, .�
SILVERLEAF DR., OROVILLE '
CONT:. SKYCREST ENTERPRISES
NEW MH PERM FND NEW SITE'-,'
s! _
1. THE HCD FORM 433A FOR THIS MH CANNOT BE '
� N RECORDED UNTIL ONE OF THE
FOLLOWING HAS
fBEEN TURNED IN TO THE BUILDING DIVISION: ry'
' (1) LICENSE PLATE(S) OR DECAL (THE,
i t•
'INSPECTOR MUST RETREIVE). Y
(2) STATEMENT OF FACTS (ONLY ON NEW '
(" .. MH,S) A
INSPECTOR TO VERIFY SERIAL`& LABEL #'S.
SPECIAL CONDITIONS
CHECKED: -
BY
OFFICE COPY
FLOOD CERTIFICATE REQ.
1
4z" "" `'FIRE SPRINKLERS REQ."
Address
SPECIAL INSPECTION ITEMS
r'~ VERIFY ti
i?
CHECKED: -
BY
JOB F
Si
OFFICE COPY
w. -v, u
A.iSU
1
Address
i?
i
GAS
C Date
Meter By
c
�ELECti.1C`.tc, . �.
.Meter By Date
Address
'G
Me
ELECTRIC
Meter By Date
JOB F
Si
V= OK
0 = Not OK ,
= Not Applicable
= Not Ready
MOBILE HOMES
Date MOBILA410ffE UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Speci MH Support Sketch
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
(3x.-.-Cation-Test-Fall-C/0-Concrete
***,Water;
Location -Test -Easement Needed (Sketch)
5.
Elec_W ity; Location-Clearances-Grnd-/ /Amp -Concrete
L&.
7.
-6a -s; Location -Test -Wrap; -/I" L'H.
/ P Nat. or. /"L"tt./ 0PLPG
Well Clearancel Disconne
8.
Utility Clearance
6.
Carports; Windows -Doors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date MOB
ME INSTALLATION (Plans) OK except #'s
9.
ing Requirements -Setbacks -Easements
.
Footings;Size-S Marriage Line -
,'',3"" s; MH Test<Demand-Valve- ne or -
/�trectricity; MH Test -Crossovers -Breakers -Clearances
m; MH Test -Fall -Flex Connector
6.
l
W r; MH Test -Regulator -Connector
.
Water and.Sewer Connected -C/O to Grade -H Approval
8.
Gas ed lectricity Tagged
ie wns-Type-Installation Cert.
'1G
zits; Insp.-Sketch
11.
Cent. of Occupancy
12.
Permanent Foundation Only; License Decal
Card B-1 Date Card B-1
Date
Date Card B-1 Date Card a-1 a.
..1
Date v Card B-1 `Date Card B-1
V ✓y � t 4 ' �.e%.. `'F�
4.
}
Z,
• � y' v \teA _
4"-70- olid Z
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
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
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main 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
✓ = OK
0 = Not OK
= Not Applicable
= Not Readv
RESIDENTIAL (Single & Duplex)
Date Underfloor (Plans) OK except #'s Date FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope 46. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 47, Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4.
Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
5.
Stemwatls, Main; Steel- Blockouts-Wrapped
6.
Stemwalls, Garage; Sfeel- Blockouts- Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
69.
Stairs & Rails
Date
70.
Card B-1 Date Card B-1
Date
71.
Card B-1 Date Card B-1
Date
72.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
30.
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes J No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
85.
Card B -t Date Card B-1
Date
86.
Card B-1 Date Card B-1
Date
87.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
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
FRAMING (Permit) OK except #'s
Date
40.
Sills Proper Materials & Anchors
Comments at Final:
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 & Bearinq
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
6'..
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 p Yes
82.
Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J 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 -t Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
---=COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN VISION
7 County Center Drive • Oroville, California .95965 • Telephone (530) 8- 541 MIT NO.
(Rev.12i96) APPLICATION AND PERMIT ?- -
ASSESSOR PARCEL
069NUMBER 0- 0 5 4
ZONING
. BUILDING PERMIT
OWNER BOYD 'JOHN & LUCILLE
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
6 0 R 132,840,
.OWNER'S MAILING ADDRESS
63051 WELLINTON PLACE FREEMOND CA 9453
CONTRACTOR'S NAME
SKYCREST ENTERPRISES
TELEPHONE
342-2694
CONTRACTORS MAILING ADDRESS
13468 HWY 99E.,
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee 755/2
$ 377.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 420-50
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.0023.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome $I Other
SPECIFY
Solar or heat um water heater
Water piping
15.00 15-00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: NEW MH PERM FND NEW SITE
Gas piping sy2tem 1 - 5 outlets
15.00
Building sewer
15.00 15
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 20.A OR LESS
23.00 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 isforce and effect. - /
License Class in Lic. No. �Q ��[��
OWNER -BUILDER DECLARATION
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' nsation i suranc carrier and policy number are:
Carrier._ r[
Policy Number Z.Z43C
(The above sections need not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to theworkers' compensati provisions of section 3700 of the Labor Code, I s'
forthwith comply wit those provisions.
X Date
Si re of Applicant - ❑ caner ❑ Contractor ❑ AgerIf
AtASHA permit is required for excavations over 60" deep and demolition or construction
o structures over 3 stories in height.
Main Service TO
46.00
CCU000A
NEW CONST. DWEWNG OCCUP. SO
1
OR ADDNS. a ACC. S.3.5QFT:
NON-RESID. BRANCH CIRCUITS MULTI -OUTLET @7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
200 00
EX. Occup. OUTLET OR FIXTURES aAL @ L 0
FIXI
Ex. Occup. our�is A D °ERa 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
T�
PERMIT FEE t
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 $ 1;9R Sn
]HA -Z.
D. FEES IMP
FLOOD
CDF PARC
PO D SUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
,,�
By
PERMIT EXPIRES ON
_
the applicable provisions
Resolutions to do work
been paid.
bator p 21
ate
Receipt No. 354193 5 2 8. 5 0
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
E*Ha USE ONLY
_ DoT Plan attached
�loot Man Attsstted
�? Sam to G.D.
`L.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
An 9�!c(y U 65 _' 2 — 05 T
Owner Location AP# -
Plan Approved for: Sewage Disposal Water Supply: Public k-' Private Well
Clearance for _1,�I dwelling. Other .M �/ LL/44 6-A t am c/ lour 7'/°0•
jg rest xsoryi cd b4e Zo_A F006 gh � 0 fn/.rn
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health epecialist
8/96
® P --
Date
"•,fit �..T .yam 1...,.,,,yq. Ab..�i_ . jiri 4'v...� rlsir!'^'�""I.i.1{�ti"."KFr^r`•"7- ...-�. ...+M41�i./(.psi.r•:Y��+•nay.^g,.M•..Iy-wD4�•s-••y•h.�•r1'Fx-`i•- -•rte-. -ti.. ,
Ai
o- BUTTE -DEPARTMENT OF'DOPMENT SERVICES-BUI DIN (VISION
COUNTY OF BU
7 County Center Drive, Oroville, CA 9596 Phone (530)538-7541 Fax 30)538- 40
PERMIT APPLICATION DATA SHEE
^( ;as
OWNER: ArSSESSOR PARCEL NUMBER
Proposed Building Use: MA t Counter Technician: Date:
.aZ . G2'
Items required in order to apply for a permit. All boxes MUST be checked OR n6Aed NA in order to apply.
1.. Plorplans, 3 or 4 sets, signed by the preparer of the plans.
�omplete plans, 3 or 4 sets, signed by the preparer of the plans.
dgineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
mo5. ergy compliance design and supporting documentation in duplicate.
anufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
undatton plans, all in duplicate. I
t0 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
'. ,❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
'+❑ 9. Plot plan and business license approval from the City of Biggs ....................................
El 1.0. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form................................................................................
❑ 13. Other
Re aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
Fees as shown on the attached Schedule of Fees Due Sheet .......................................
15. tatement of Intent for Non -heated and A/C Buildings .................................. '
6. anitation and plot plan approval from the Environme l Health Dep rtment in-oZ
.17. City of Chico Plumbing permit ......................... ................ ..`.
18. California Department of Forestry plan,approval paid. Sent by: 0 .............
❑ 9. Planning approval for (A) Use: C5'1Z (B)Parking: (C) Parcel C k: "7 -j jj
20. Contact Land Development about ❑Improvements, ❑Drainage ...............................
21. 'Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). -
22. Pre -Inspection for re4uired................ }
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24.- Worker's Compensation Carrier and Policy Number ..............................................
-`❑ 25. Own -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
•.. 26. er of Signature authorization....................................................................
Recorded copy of Agricultural Acknowledgment Statement ....................................
\=V28. Manufactured h�► e u ility clearance................................................Weck
❑ 29. i gviolati n d/ r expired,permits............. `^,.:-....................❑ 3 rant Dee H. Title/Statement of Facts, fromLegal Owner,o H.C.D. $ 1
❑ 31. ther:
When issued.:Telephone and hold for pickup.
I have been informed of the above i ems and requirements for obtaining a building permit.
Applicant: ?��� � I Date:
l Andex p it/application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, ownec, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by:, t` < Date: .� • 2 Plans approved by: w� �- Dater OZ
'J'Structural reviewed by: Structural approved by: Date:
Note transfer by: "t Date!"'
V.- - _, Yellow: Building Division
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
A.P. #
PROPOSED B UILDING US DATE
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
Balance Due ... .................. $
Additional Fees Due ................. $
Additional Fees Due ................. $
Revised Plan Checking Fee ...... $
2. SCHOOL DISTRICT FEES Z
(paid istrict Office) ailab Plan C.hecjJ��/®� `
3. SHEPAFF FEES (paid at Bi ding Division)
Residential ...................... x $360.00 = $
Units
Commercial (sq. ft.) ............... - x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... -x-=$
# Units Amt.
Commercial (sq. ft.) ............ -x-=$
Sq. ft. Amt.
5. RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
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
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking P6,cess.
APPLICANT DATE
. 7// 4f 2'�
Pursuant t vernment Code Section 660 0, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 1 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6100)
PERMIT NO.: 69-02
Lake �Orovi le Are 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: July 160 2002.
Applicant: LARRY & WANDA DO
Applicant Address:
Applicant Phone No.:
Property Locations(s): 444 Silverleaf Drive
13468 Hwy. 99
Chico, CA 95973.
Kelly Ridge Estates Unit l Lot 116
A. P. No. (s): 69-12-54
Fees due: All fees paid.
Application for service approved.
LAKE OROVILLE AREA
PUBLIC UTILITY DISTRICT
Inspection(s) made and successful test(s) observed:
Location: Date:
0
Lake Oroville Area Public Utility District release to close permit:
Date: By:
es)
�---� JOB ORDER
OROVILLE-WYANDOTTE IRRIGATION DISTRICT
2310 gro-Quincy Hwy. - P.O. Box 581 -Oroville, CA 95965 - (530) 533-4578
ACCOUNT NA,M/E/ /
ADDRESS 7 7
CITY %G ST 8W ZIP
JOB DESCRIPTION
LOCATION LSE LIQ PROPERTY DESCRIPTIO]
N'.' 51 10
IN DISTRICT ACREAGE NO. OF DWELLINGS SERVED I AIP NUMBER l /
O
WRK RE UIRED �' _) �j �� , YES ONO / �(, % -/./� �.�`/
EQUIPMENT USED
Jam' .31j/'1 pe /rND ITEM HOURS RATE TOTAL NAME
.rn e&4 a es t OV -42 �►c�
A11,E_ SE -01 CE G(F A7- 7)YG ,44a 1,rh 7
METER LOCKED Y O —
BACKFLOW REQUIRED Y N
(IF YES, IS INSTALLATION OF
DEVICE COMPLETED) Y O N O
(IF NO, DO NOT TURN ON WATER)
PERSON CONTACTED IN BACKFLOW DEPT. SU
UNITS MATERIAL USED EACH TOTAL
METER NO.
READING I
MATERIAL SUB TOTAL
AGGREGATE SUB -TOTAL I I
PLUS %
MATERIALTOTAL .
hereby authorize the District to proceed with the herein
escribed work, and for this purpose please acknowledge
;ceipt of my deposit in the amount of:
t,
$ .:1 /�/ Ck#
ate f �� ' L' �-� n4
JZ��yi✓ N�3Yl--S
Signature��
��>I lt�1l' tt ��t�. s,� /(' �t i'.r���t c-/B•E �dt_
Date C6mple d
CO'ATINUATION
SHEET 1 2 1 3 1 4 1 5 1 6 7 1 8 1 9 10 New Account Form
t�
LABOR TOTAL
LABOR
HOURSI RATE I TOTAL
TOTALS
SYSTEM CAPACITY CHCS
ANNEXATION FEES
NEW ACCOUNT FEE
MATERIALS
EQUIPMENT
T .'.
SUB TOTAL
DEPOSIT(-)
NET TOTAL
� wY
COPY of Document Recorded
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
01-Jul=2002 2002-0034030
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code require this acknowledgment to be recorded prior to issuance of a building permit. The
property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to
herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to plowing,
spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and order. Butte County has established
agriculture purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
�L
Date 6 lav ` U L
State of California
County of Butte
SEE ATTACHED LEGAL DESCRIPTION
PROPERTY O RS:
L M. Doss
On 6 - � %O 2 before me,
94
IN
personally appeared - I .personally
4mown4 proved to me on the basis of satisfactory evidence) to be th rso (s) whose am s)oare subscribed to
the within instrument and acknowledged to me that (0/she/they executed the same iu er/their authorized
a
aci (ies), and that byher/their � nature ) on the instrument, th erso (s) or the entity upon behalf of which the
rson s) acted, executed the instrument.
WITNESS my hand and official seal
Signature Seal:
.. M. SUSAN GLATZ
A.P. # 069-120-054COMM. # 1280664
M NOTARY PUBLIC -CALIFORNIA
COUNTY OF BUTTE y,y
C;mm. Expires Oct. 16, 2004
v-ss^�r,�vvv�
EXHIBIT "ONE"
Lot 116, as shown on that certain Map.entitled, "KELLY RIDGE ESTATES UNIT ONE",
filed in the Office of the County Recorder of Butte County, 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
Assessor's Parcel No: 069-120-054
m
2
-r'ERMIT NO.: 69-02 r
0.
Lake Oroville Area Public Utility District,
1966. E1gin,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.
r
Date: July 16, 2002
Applicant: LARRY & WANDA DOSS (Skycrest Enterprises)
13468 Hwy. 99
Applicant Address: Chico, CA 95973
Applicant Phone No.: 342-2694
Property Locations(s): 444 Silverleaf Drive
Kelly Ridge Estates Unit 1 Lot 116
A. P. No.(s): 69-12-54
Fees due: All fees paid.
Application for service approved. da`
LAKE OROVILLE "AREA ,
PUBLIC UTILITY DISTRICT,
Inspection(s) made and successful test(s) observed:
Location: Date:
By: a
f
Lake Oroville Area Public Utility District release to close permit:
Date: By:
' � L
i CONNECTION PERM.IIT
APPLICATION FOR SEWER.0014NECTION AND SERVICE'FROM
LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT
hereinafter referred to as "Applicant",
being t property owner or owner's ent desiring *sewer service; hereby requests Lake Oroville Area Public Utility
District, hereinafter referred to as "District", to connect Applicant's sewage disposal line to District's sanitary sewer
system and to provide sewerage service. //
Location of property: G w A.P.#: C� % �1_2 'r
Subdivision: f Lot#: % % (� Block#:
Property Annexed
❑ Property Not Annexed .
❑ Property Annexation in Progress
Kind of Service:
No. of E.D.U.'s this permit:
Multiplication Factor:
'Monthly Charges:
'Residential Capacity Charge: . DU
Residence of Owner Connection Fee:
❑ Rental (single family) M Pill)
❑ Rental (duplex) ❑ Apartment SG -6R -Facility Charge:
❑ Industrial
❑ Commercial Total Amount Payable This Permit:
❑ Site plan reviewed ❑ Jobsite reviewed
Remarks: I V 1. q,_;J_0 U_. 4_
The service applied for hereby shall be in accordance with the conditions hereinafter set forth and the ordinances,
rules, regulations and policies adopted, or to be adopted, by the Board of Directors of District, all of which Applicant
agrees to abide by and fully perform. Applicant agrees to pay for such service at rates and charges as are
established by District from time to time.
Signature of A li �.
9 pp nt Nam of Owner if not Applicant
Madmg Ad gess�Dpplicant 9s�7�Mailing Address of Owner
Phone # of Applicant: 3 %� �� Phone # of Owner:
CONDITIONS OF ACCEPTANCE OF SEWERAGE SERVICE
1, In accepting this application, District does not hold itself liable to Applicant for failure to perform any of
the obligations imposed upon it or assumed by it under this application if such failure be caused by accident, Act of
God, fire, strikes, riots, war, lack of capacity in SC -OR treatmehOdisposal plant or District's lines to handle the
sewage or nay other cause beyond reasonable control of District. ' '
2. Installation of the sewer service line pertinent to this application shall conform in all respects to District's
specifications.
3. Applicant shall secure permit(s) as necessary from the County of Butte prior to doing any work,
including encroachment permits when work is within county right of way.
4. Installation of the subject sewer line shall be at;the sole cost and expense of Applicant.
5. Actual connection of the subject sewer service line to District's sewer mainline shall be accomplished by
District staff.
6. All work shall be inspected and approved by District.
7. This permit is valid for one '(1) year. If work is not completed within said year, permit renewal will be
required, together with payment of any increase in capacity fee, connection fee and/or SC -OR Facility Charge.
8. District verification form must be issued with this permit. l
Payment of Fees/Charges required prior to final LAKE OR, I
inspection P yment received by:
Dale: Receipt # By
❑ CASH CHECK #_
$ fe{ c
���' ;Permit #:
'twonthly charge payable at the current rate at time of connection.
LE AREA P.U.D
q JOB ORDER
OROVILLE-WYANDOTTE IRRIGATION DISTRICT
2310 ro-Quincy Hwy. • P.O. Box 581 •Oroville, CA 95965 • (530) 533-4578
Z AiUoy
,xCCOUNT NA,/M/E
4DDRESS `�" 7 �y
��y ► ST zip
JOB DESCRIPTION
OCATION PROPERTY DES RIPTIOI
IN DISTRICT ACREAGE NO. OF DWELLINGS SERVED
YES O NO
WORK REQUIRED
yee. EQUIP T USED
Y. ITEM HOURS RATE TOTAL NAME
L�nJ a
i4U� SE,eylce- p�F �rT�fG,�4 7
vIETER LOCKED, Y O
3ACKFLOW REQUIRED Y' ,' N 0
0
;IF YES, IS INSTALLATION OF
DEVICE COMPLETED) Y O N O
IF NO, D
'O NOT TURN ON WATER)
• SUB -TOTAL
51 10
PERSON CONTACTED IN BACKFLOW DEPT.
t PLUS ON
UNITS I MATERIAL USED I EACHI TOTAL
METER NO.
READING
MATERIAL SUB TOTAL
i AGGREGATE SUBTOTAL 1 1
I PLUS %I 1
MATERIAL TOTAL
CONTINUATION
SHEE-N 1 2 3 4 1 5 6 7 8 1 9 10
AL
y authorize the District to proceed with the herein
ed work, and for this purpose please acknowledge
of my deposit in the amount of
$✓�� r Ck# i
n4!
to i ' �' ,�
�TUr9i✓ ,�i� Y�5
Signature
Date 4mple Q
New Account Form
TOTAL
A/P NUMBER
LABOR
HOURS RATE TOTAL
TOTALS
SYSTEM CAPACITY CHCS
ANNEXATION FEES
NEW ACCOUNT FEE
MATERIALS
EQUIPMENT
LABOR
SUBTOTAL
DEPOSIT(-)
NET TOTAL
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
" (One form per Building)
School District I% a L11(1�j ( L"A.P. Number (y—/ oy 1/ " Jurisdiction: City
Property Owner
r
Property Location/Address
r Subdivision
Residential Development
No of Living
Mobile Home
Units
Installation
90-m nercial/Industrial
Building Department Representative
Building Department No.
E? County
W
Lot No.
...................................................:...................................
Addition/ r` 'Supplemental to
Conversion Permit #
., '(No foundation insDo
Y
Sq. Footage
Sq. Footage
(Group R)
f (Including Exterior
Roofed
Areas)
��
t, � i �HMYt.MywMr-A.•...,..,. r+w.,X.hriti+a�,� � � V
it Y p' Date
a
Ir-loor Flans reviewed by School District Personnel)
District Identification No. rf ;
SchooJ District certifies that _,.. a
lLC'L
(Applica t)
(Street
(City)
,.'has complied with the requirements of Resolution No.
presenting _ 02 square feet.
School District Representative
Paid by Check #
(Phone Number)
(State) •(Zip Code) /
by payment of $
AB 2926 $
FULL MITIGATION $
Date
n
Remarks: rte G(
WE
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District,'in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit 1
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 ICEQAL
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.xis (10/98)dmm
i.k
i
RECORDING REQUESTED BY:
WHEN RECORDED MAIL TO:
Butte County Building Division
7 County Center Drive
Oroville, CA 95965
COPY of Document Recorded
02 -Oct -2002 2002-0051652
Has not been compared vith
original
BUTTE COUNTY RECORDER
i
NOTICE OF MANUFACTURED HOME(MOBILEHOME)
OR COMMERCIAL COACH, INSTALLATION OF A
FOUNDATION SYSTEM
THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR IN THE
UNIT OWNER NAME ON NOTICE OF MANUFACTURED HOME (MOBILEHOME)• OR
COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM, RECORDED
ON October 1, 2002, UNDER SERIAL NUMBER 2002-0051401.
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING
INFORMATION.
a
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be
indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents
to all persons thereafter dealing with the real property.
JOHN W. AND LUCILLE J. BOYD
REAL PROPERTY OWNEMESSOR
63061 WELLINGTON PLACE
MAILING ADDRESS
FREEMONT ALAMEDA CA 95936
CITY - COUNTY STATE ZIP
444 SILVERLEAF DR
INSTALLATION MAILING ADDRESS, IF DIFFERENT
OROVILLE BUTTE CA 95966
CITY COUNTY STATE ZIP
LARRY DOSS AND WANDA DOSS
UNIT OWNER (if also property owner, write "SAME')
2871 WEST SUNNYSIDE
MAILING ADDRESS
VISALIA TULARE CA 93277
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE
ZIP
02-1735
(530)538-7541
BU MG PERMIT Nq. TELEPHONE NUMBER
9-30-02
i
SIGNATURE OF LOCAL A Y FFICIAL
DATE
COUSIN GARY'
DEALER NAME (if not a dealer sale, write "NONE")
91265
DEALER LICENSE NO.
SKYLINE 2002 FAIRVIEW 5520
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
D3-70-0180-R-A/B/C 66/67 X 39 ULI 537698/699/700
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 069-120-054
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept.
LOT 116, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE
ESTATES UNIT NO,1" WHICH MAP WAS FILED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, OCTOBER
30, 1970 IN BOOK 38 OF MAPS, AT PAGES 5,6,7,8,9, AND 10.
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
NOT
A Oa - ,o OS /0
C,
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be
indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents
to all persons thereafter dealing with the real property.
JOHN W. AND LUCILLE J. BOYD
REAL PROPERTY OWNEMESSOR
63061 WELLINGTON PLACE
MAILING ADDRESS
FREEMONT ALAMEDA CA 95936
CITY COUNTY STATE ZIP
444 SILVERLEAF DR
INSTALLATION MAILING ADDRESS, IF DIFFERENT
OROVILLE BUTTE CA 95966
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME')
SAME
MAILING ADDRESS
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
02-1735 (530)538-7541
B I ANG PER,MR TELEPHONE NUMBER
` 9-30-02
SIGNATURE OF LOCAL Y OFFICIAL DATE
COUSIN GARY'S
DEALER NAME (if not a dealer sale, write "NONE")
91265
DEALER LICENSE NO.
SKYLINE 2002 FAIRVIEW 5520
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER
D3-70-0180-R-A/B/C 66/67 X 39 ULI 537698/699/700
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) .
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 069-120-054
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK- Applicant GOLDENROD. Building Dept.
a
�? t�3rt•- P'4s'� P �"' .i 51' �}Y.�r v�,�i[ s is z°,✓..r.• y� a ahs• i'k. 1'�'F? z.+>.� -f, t .} r ^ r -r.
rvJ-,N N/^ < !:>' '`i x �+ 'M'. �.V,4 'y�{,<,'Y: r rT• u a.'ktr�
�' .f b �` i'1 .�•t.%'''�-1'Ci�-+'! s(L�.d".' �3:'r �,-<r.r` ,c,{Pnrt' .ff,:t.sC,2nir!u• 1t�•t?. FDP t�`*' .:5 if
�:t.< •.�--c'St.•E # firk t < 'iii a u t�'. R �•' ".+
..�� YF�OUNDATION,SSTEM
� � � a ,, r,.. ,s�. �-�`��. rx js:'E�:'�tR'�� ^rsr t+, apt. �� >: r� .�. ",�t'' ��swr •w. � §b �- �
c s. H .tl �✓ ���yy`"�'Ta r'��-"-��. iJEI...{'�v`xk �i4��i"{'� ++�d 1 t�'r`C'}t �.i. ° x +.0 '•er 4'�rc i'' `i y,„.
�,�_��.� ��,�� ��j ���C�E'RT�IFIC�' T�E�OFO�CCUP�AN_CY�� ,�. ,�.• ��.�
< ro r�-rrk•°�.er �tr$rv'� ", ' `� fl.. �.4) i a"1'' �'¢ ^.FAN f,«��(�21`k '9'' '}`ic.. ri.[ f' a"rMS�- ",n[s rrJ ,, rb,.
't}.:_:•mj,f•rr '�tr�.:9+'�`:i':�4-�t. __<rr.'2•:T ....'.w.eC,. < �.rf.Si� t.?.nt`..f�,f���:'�'krr:#Sr'o-'�!-.'a_y3'�73�'7�Vaw�ar>+.'`E:<��x'-.�i��r'.}y .s ct;f�zT�� .•. i�+'Y; '4J"
BUILDING .PERMIT NUMBER: 02-1735
Address or location of unit: 444 SILVERLEAF DR., OROVILLE, ,CA. 95966
Legal Descriptionof Real Property: A.P.# 069-120-054
SEE ATTACHED
(x),Mobilehome/Manufactured Home r
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.
t Owner's name: JOHN W. AND LUCILLE J. BOYD
Owrier's address: 63061 WELLINGTON PLACE, FREEMONT,_ CA. 95936
INSIGNIA OR HUD NUMBER: UL1537698/699/706
SERIAL NUMBER OR V.I.N.: D3-70-0180-R-A/B/C
MANUFACTURER'S NAME:, SKYLINE YEAR: 2002
OFFICIAL APPROVING INSTALLATION: Az`
DATE: 9 -30 -02 -
PHONE: (530) 538-7541
H.C.D.513C
Ir
•_aa._ iTATEOF�Q•IfORNIA ° .. ; :._:..[MOEW' .........—, ....._._.
JUSINESS. TRANSPORTATIONANDNOUSiNG AGENCY_ (�DEPARTMENT Of_HOUSING ANDCOMMIR!IT.'$6 :..869253 ...
DIVISION OF CC1DEVAND STANDARDS
MANUFACTURMHOUSING PHOORAM
°`
MANUFACTURER CERTIFICATE OF ORIGIN USS
❑ CHECK IF THIS IS A DUPUCATC MCO -ENTER ORIGIN4 MCO NO
µANUF 1R •MF. Tlr MAN F R •D IN NUMBER OF
® SFO (SINGLE FAMILY VMLLING), MUMH (MULI I UNIT MANUFACTUfWq HOUSING
TRANSPORTABLE SECTIONS
�M FM RGU►L COAD -. ... _
OCCUPANCY (;ROUP MANUrACTURER LICENSE NUMBEN.
MANUFACTURER NAME 90002
SKYLIN7. ROMES TNC SUGGLSTED RETAIL PRIG
ANUFACTURER ADDRtSS:
WOODLAND
CA 95776
$ 128,715.10
L720 EAST BEAHFR STREET
state
DATE OF MANUfACTURE
') MDDtI NAME ANDlUN NUMBER.
MN
IANUFACTUACN TRADE. NAM4
5520 -CTB
7/31/20.02
FAIRVIEW DESIGNER
TAME OF DEALtR OR TTU1N61•FREE (OVMERSHIP TRANSFERRED TO)'
CALIF. DEALER NUMBER OR'"
TRANSFERCE DE'SIGNAT(ON:
DATE OF'TRANSFER:
SKYCRP.ST ENTERYRISPS/COUSIR GARY'S ROHES
91265
8/2/2002
)EALER OR TRANSFEREE ADDRESS:
LA
95973
13468 HWY 99
CH7C0
C;,
StA1e (ZIP)
TEXTRON FINANCIAL CORP
INVtNTORYOREUITORADDRESS
GOLDEN VALLEY
MN
55416
701 XENIA AVE SOUTH SUITE 300
(C
(Sr(mw
(ZI
SUL`PI)
MANIIFArTURER SERw_ NUMDCRC0E5
W..R INSIGNIA OR MUD tAOCL NUMBEN
LENGTH
VYloTII
INCH
yYE1GNT
POUNDS
f.FCTIUN
1,G
ULI 537698
792
156
26.159
1 D3 -10 -0180 -R -C
U LI 537699
808
156
26,911
2 D3
-H70-0180-R-B
D3 -70 -0180 -R -A
ULI 537700
792
156
27,439
3
I RANSPORTF R NAM[.
D b It TRANSPORT
TRANSPOR IiR ADDRCSS.
P.O. Box 179 DITR HAM CA 95938
Ca
(State) IZ
Sveell
DESTINATION ►0R UNIT DESCRISEU ABOVE
NAME COUSIN GARY'S HOMES BUMS 13468 HWY .99 IC. CHJCO LA 9ta1e)95973 1Z
I eeAly a ds W my of WHINY Wow OW IM Of @1e SW- Of CAffofMe Uo Um eWve 1AU e/F Vu@ mO o-eerl
WOODLAND POLO CA _
E eaate °1 (f.Jy) (c�n+yl lSlw)
IDete)
Ad _
SICNA4L �O-F AUT 0AAIZCO ACFN 1 4 _
DIS ORIGwaL (PWQ FORWARR 10 TNF tNYENTDAV CR[OROR, I1HILESS THERE 18 NONE, I NEM TORYeARO TO THE PURCIU\SCR (OFJII,F.R OK IAA . FREE I.
COPY I,WNI'lo FORWARD 10 THE DEPARTMENT AT P.O. BOA 1e2a. SACMMlNTO. CA aAlli•IO1A, YNTHM FIVE (SI DAYS O'; RELEAltF. -
COPY 7 (YELLOW) DELMEA TO THF INANSPORTLR TO Af,COMPANY TIIC UNIT TO ITS DESTINATION
COPY 3 (COI RENRUO) TO BE RFTNNED BY 1 HC MANUTACTURER
k. . .
IICD 483.isle t - (7107)
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IA
DEPARTMENT OF HOUSINGFAND LCOM�IUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
REGISTRATION AND TITLING SECTION
STATEMENT OF*FACTS
hi.s unit is. a:
Mob 11ehome EJ Commercial Coach E] Floating Home Truck Camper
F41
ecal (License) No..(s)
Trade Name
Serial No.(s)
/We, the undersigned, hereby state that the unit described, above:
MaLy be p)a__c_e_d o n a-, permanv-v\_+
-Foy
Affiant further agrees to indemnify and save harmless the Director of Housing and Community
Development, State of California, and subsequent purchasers of said unit, for any loss they.
may suffer resulting from registration of the above-described unit in California, or from
issuance of a California certificate of title covering the same.
I/We certify under penalty of perjury that the foregoing is true and correct.
Executed on D at J -) 'l C.O
Da (City) (State)
Signature of each affiant
Addr
City
NCD 476.6 (Rev 11/86)
Printed name of each affiant
-O�Sin �c��15 �omeS
��t s
State
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
NAME
STREET
ADDRESS
CITY,
STATE
and ZIP
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH
INSTALLATION -ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty* below, as'of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
UNIT OWNER (If alw property owner, write "SAME'l
MAILING ADDRESS
CRY COUNTY STATE ZIP
UNIT DESCRIPTION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
MAILING ADDRESS
CITY COUNTY STATE ZIP
BUILDING PERMIT NO. TELEPHONE NUMBER
SIGNATURE OF LOCAL AGENCY OFFICIAL DATE
C- n ��Ny C 2 ✓a Y \I \� e L
DEALER NAME (If not a dealer sale, write "NON 'I
C\ \ a6S•
DEALER LICENSE NO.
LAI
��o2C7
MANUFACTURER'SkNAME DATE OF MANUFACTURE MODEL NAME/NUMBER
0,47,�y "'>c' � 8'
SERIAL NUMBER(S) LENGTH x WIDTH INSIG
NI
A/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER
�e0
HCD FORM 433(A) Rev. 8/91
WHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Building Dept.
REAL PB PER OWNER/LESSOR
MAILING ADDRESS
/
CITY COUNTY
STATE ZIP
%STATE
�11jC Y /L��
�l
? [/ '/` V --v
INSTALLATION MAILING ADDRESS, NT
�IFDIFFER
/� � T�m
CITY COUNTY
STATE ZIP
i
UNIT OWNER (If alw property owner, write "SAME'l
MAILING ADDRESS
CRY COUNTY STATE ZIP
UNIT DESCRIPTION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
MAILING ADDRESS
CITY COUNTY STATE ZIP
BUILDING PERMIT NO. TELEPHONE NUMBER
SIGNATURE OF LOCAL AGENCY OFFICIAL DATE
C- n ��Ny C 2 ✓a Y \I \� e L
DEALER NAME (If not a dealer sale, write "NON 'I
C\ \ a6S•
DEALER LICENSE NO.
LAI
��o2C7
MANUFACTURER'SkNAME DATE OF MANUFACTURE MODEL NAME/NUMBER
0,47,�y "'>c' � 8'
SERIAL NUMBER(S) LENGTH x WIDTH INSIG
NI
A/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER
�e0
HCD FORM 433(A) Rev. 8/91
WHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Building Dept.
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.......... ........ ........ ------
SITE PLAN REVIEW APPLICATION
Date: 7—1 — 2 AP# O t-9 — 120— O St -1
Permit Number (if applicable)
APPLICANT INFORMATION Parcel Size:e—
Owners Name: !� ; -JSH A) f LU GI G L�
Owners Address:
Telephone No.:CI.6S-f",' -S Ll2169
Situs Address: S f L -V6 rz
Proposed Use:
Residential
❑ New Single Family Residential
❑ Single Family Addition
® Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ TemporA y 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 LME
DEVELOPMENT SERVICES INFORMATION (For Stall' Use)
❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval
Site Plan Stamped Approved W i 7' M N S �3'rSi� Ci�,S
By Date
Page 1 of 5
.
t\
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area: - -
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
SRA - (CDF to determine specific requirements)
❑ I00 -Year Flood Plain: (See attached)
Flood Zone: ' X I
• Flood Panel No.: 0 82S Index Date: 6
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: ')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
S L_
Side
p
Side Street
Rear
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
Applicable Development Fees:
Standard Fees
❑ Fire .
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area Road
❑ Thermalito Impact
❑ Other
Amount
Formula
-------------------------------------------------------------------------------------------------------------------------
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area,
❑
Other (per map)
• Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
❑ Deeds:
Date of Creation:
Deed of Reference:
Parcel Frontage on Publicly Maintained Road:
Complies with County Standards for Deed Creation
Comments:
❑ Parcel Deemed to be legal
Legal Access Provided: ❑ No ❑ Yes
Legal Access Required ❑ No ❑ Yes
❑ No ❑ Yes, Road Name:
❑ No ❑ Yes
❑ 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
JS Subdivision Map/Parcel Map: K LLy 21 0 &6 �S7' N p
Map Date of Recording: / D - 10—
Lot: / 1(.p
❑ Use Permit[iMinor Use Permit
Permit Number:
Book: 39 Page: 51 10
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 4of5
W
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.
CAMy Documents�Building Permit Site Plan Reviewl.doc
Page 5 of 5