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069-130-061
069-130-061 01-2375 HOLLINGSWORTH, GEORGE 431 LODGEVIEW, OROVILLE CONT: D & D HOMES NEW MH NEW SITE PERM FNDN 069-60-061 01-3160 HOLLINGSWORTH; GEORGE 431 LODGEVIEW, OROVILLE CONT: PHIL DECANNj,:Jj ENTRY COV PORCH 6-1-0-5 069-110-061 01-3161 HOLLINGSWORTH, GEORGE 431 LODGEVIEW, OROVILLE � CONT: PHIL DECANN-'r,,�"` NEW GARAGE 1 1` NOTES RESIDENTIAL PERMIT W(_.69-130-06.1 01-3161 i HOLUNGSWORTH, GEORGE 431 LODGEVIEW, OROVILLE CONT: PHIL DECANN NEW GARAGE i 1 Cl • � l LQC, SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) i - Signature 4 V= OK 4. 0 = Not OK r Date - = Not Applicable MOBILE HOMES ;. Not Ready Date Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Well Clearance & Discorinect 2. Soils; Special MH Support Sketch 8. 3. Sewer; Location -Test -Fall -C/O -Concrete MISCELLANEOUS Date DECKS, ER , C RPORTS GARAGES (Plans) OK except #'s ly" 49 V-269 Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors EIS 1 �, t Prng.; Sills-Anchors-Studs-Rftrs-Trusses { r" 1) Siding; Nailing -Veneer -Stucco -Mesh f rt oof; Shthg-Roofing , i11. Ext.; Steps -Doors -Landings /Braced Wall Panels Date 4. Water; Location -Test -Easement Needed (Sketch) r Date 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete Date 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Discorinect r 8. Utility Clearance 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI Date 5. Card B-1 Date Card B-1 Date 6. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 1. Zoning Requirements -Setbacks -Easements Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 2. Footings; Size -Spacing -Marriage Line Health Department Approval 3. Gas; MH Test -Demand -Valve -Connector Plumb.; Cir. Test -Water Supply Test 4. Electricity; MH Test -Crossovers -Breakers -Clearances Light Niche 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval Card B-1 Date Card B-1 8. Gas and Electricity Tagged Card B-1 Date Card B-1 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, ER , C RPORTS GARAGES (Plans) OK except #'s ly" 49 V-269 Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors EIS 1 �, t Prng.; Sills-Anchors-Studs-Rftrs-Trusses { r" 1) Siding; Nailing -Veneer -Stucco -Mesh f rt oof; Shthg-Roofing , i11. Ext.; Steps -Doors -Landings /Braced Wall Panels Date Card B-1 Date Card B-1 r Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements r 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- Pane lboards-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 = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s I Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-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. Subieed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes O 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 Card B-1 Date Card B-1 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 Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. 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-Undertlr. 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 Hails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive ] Yes J No/Walks :1 Yes :1 No/Planters J 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: NOTES ►f RESIDENTIAL O6� 150 061 _7 01-3160 PERMIT NO. HOLLINGSW ORTH. GEORGE 431 LODGEVIEW, OROVILLE_ CONT: PHIL DECANN ENTRY COV PORCH tM 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY V=OK 0 = Not OK - = Not Applicable * = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s o'ng�Requirements-Setbacks-Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete Carports; Windows -Doors 4. Water; Location -Test -Easement Needed (Sketch) Electric 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ PLPG Siding; Nailing -Veneer -Stucco -Mesh 7. Well Clearance & Disconnect Root; Shthg-Roofing 8. Utility Clearance Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. 2. Footings; Size -Spacing -Marriage Line 2. 3. Gas; MH Test -Demand -Valve -Connector 3. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. 5. Drain; MH Test -Fall -Flex Connector 5. 6. Water; MH Test -Regulator -Connector 6. 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. 8. Gas and Electricity Tagged 8. 9. Tie Downs -Type -Installation Cert. 9. 10. Exits; Insp.-Sketch 10. 11. Cert. of Occupancy 11. 12. Permanent Foundation Only; License Decal Date Card 9-1 Date Card B-1 Date Card B-1 Date Card B-1 I MISCELLANEOUS Date DECKS, COVERS ARPORTS GARAGES (Plans) OK except #'s J . o'ng�Requirements-Setbacks-Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. 4. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors i 7. Electric i 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh t 10. Root; 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 i 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI i 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed t 7. Elec.; Bonding;'Metal w/5' -Circulating Equip. -Heater f i 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool lghtg. Boxes- Enclosures-Panelboards-Ins. to Main in Conduit ti 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche a Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 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-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. 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-/ /" 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 Ftg.-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 At Guard Hails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O 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 Instld./Drive :1 Yes ] No/Walks 0 Yes O No/Planters Yes J 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 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 Date FRAMING (Permit) OK except #'s Date 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-Rftr. Ties- Purlin-Rolf 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 Hails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive :1 Yes ] No/Walks 0 Yes O No/Planters 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 B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPVENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) .A o on APPLICATION AND PERMIT 01-3161 ASSESSOR P BEA 069-3i9-061 ZONING RTI BUILDING PERMIT OWNER GEORGE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 431 LODGEVIEW DR. OROVIT.I.E. 99966 CONTRACTOR'S NAME PHI694-4880 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 9 • 20.00 Permit Fee $ 117-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 76 f)5 BUILDING ADDRESS 431 LODGEVIEW DR, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New IN Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: NEW GARAGE 22X24 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VMain Service zo.A OR LESS 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 full f e and effect. JJ((�� �F / License Class I'4 L� Lic. No. r0 Z" b OWNER -BUILDER D LARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 wor��on ' rance 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' comensation provisions of section 3700 of the Labor Code, I shall forthwit com ly i h e p visions. X _ Date 121 Signature of Appl' - Owner ❑ Contractor ❑ Agent An OSHA pe iced for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEILNo occuP. so OR ADONS. ( a ACC. BLns. 3.50FT: MULT N N-RESID. I -.R. @7,50 PowER APPARATUS 8 SINGLE OUTLET CIR. cup. OUTLET OR FIXTURES pt:� Ex, Ocens so Ex. Occup. Ovners A=.oeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ IQ qn MECHANICAL PERMIT I ing ee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $251.55 HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISS This permit is hereby issued under of the Butte County Code and/or indicated above or which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Q) 0-7104 Q1 DiITE-D.D.S.-B.D. 1pate)"- ceiptNo. 337404/$251.55 r CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT \1_ Om (COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE 'DETACHED ACCESSORY BUILDING PN: ONE: BUILDING PMT. 9' 4�0 e� OWNER: rMAIL ADDRESS: SITEADDRESS: PROPOSED USE: Aa—S , �bo LS PHO II CONSTRUCTION FEATURES: L-) O 14. Will this building have insulated floor, walls, or ceiling? Yes: No: 15. Will this building be heated or cooled? Yes: No: 16 Will this building have a water closet/toilet? Yes: No: 11_ 17 Will this building have a sink? Yes. No: ✓ 13 Will this building have a water heater? Yes No: 19 What type of floor covering will the building have? 20 What type of wall covering will the building have? C 00 `'JAL- S �� % 2AOfL I PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE t PRECEDE EACH COMMENT WITH RELATED QUESTION #) GENERAL INFORMATION:, - 1. Is there a primary dwelling on the property? Yes: No: 2. Is the structure already built, under construction, or under notice of code,violation? Yes: ✓, No: ✓ . . 3. Will items produced in this building be offered for sale? 4. Will the public have access to this building? Yes: No: 5. Will any advertising, on or off site, be associated with the use of this building? Yes: No: ��-`� v 6. Will this building be occupied at any time as a sleeping quarters? Yes: No: 7. Will this building be occupied at any time as an eating area? Yes: No: Y S. Will this building be occupied at any time as a cooking area? Yes: No: T✓ ✓ 9. Will this building be occupied at any time as a living area? Yes: No: - SITE CONDITIONS: I 10. Is the structure foundation within 5' of septic tank or leach lines? Yes: No: 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: :• 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: 13. Will the proposed structure encroach within any recorded easement? Yes: No: ' II CONSTRUCTION FEATURES: L-) O 14. Will this building have insulated floor, walls, or ceiling? Yes: No: 15. Will this building be heated or cooled? Yes: No: 16 Will this building have a water closet/toilet? Yes: No: 11_ 17 Will this building have a sink? Yes. No: ✓ 13 Will this building have a water heater? Yes No: 19 What type of floor covering will the building have? 20 What type of wall covering will the building have? C 00 `'JAL- S �� % 2AOfL I ADDITIONAL INFORMATION: ""' moi• a.� Alm' _sib sso► Jk r i I hearby affirm under penalty of perjury the above infromation is true and correct. 1 understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. A0*1 /A 6 �I 'NER'S S, NA URE D E OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: COMMENTS: DATE: • i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75416 .Rev 12/96) PERMIT NO ' APPLICATION AND PERMIT 3I(p / A3 �31oRPAACEL M1W01 / -/ BUILDING PERMIT owNEAs AD 00 Ex. Occup. 'O APPLNB. oR SO M Ivry COM - TCO 0 Mobile Home Facilities0 T 01 Co'is TRUCTION lE W EA LENOEA s %WLAO ADOAESS Fireplace ARCHRECT OR ENOINEEA Total Valuation E UCENSE NO. Filing Fee S 20.00 OR AAC'ITECT OR ENO*,M g "JU113 ADORES, Permit Fee S OUIDwo / Plan Checking Fee S Energy Plan Checking Fee t ,OTW.�S aueaveoNew�4E p R�"L `�°P PERMIT FEE S %� PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 SF ❑ Duplex O Mobilehome O Other Soler or heat um water heater 23.00 Water pipin •PEC sv TYPE OF WORK Each gas water heater or von 15.00 New ❑ Addition ❑ Remodel LALkbqs ❑ Instipabon O Other ❑ Gas pipin stem outlets 15.00 ov Building 15.00 Describe Work: G Mobile Home S 17qjlW 020.00 w PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service mov OR LESS 200A OR UEss 23.00 Service ]DOA TO 1000A 48.00 NMiC NEW OR ADONS. ( O�vEyyE.p OCCUP. a Acc. egos. 3.5¢F° WraREs iO NULTLOLm.ET WK ciRcurrs ) 07.50 *PERAAIT FEE PAID SRA • SHERIFF OTHER AMOVW RECE WO " TO 6E PllT INTO COMKl1'ER EX. Occup. OUTLET OR nxTUREsV 00 Ex. Occup. 'O APPLNB. oR SO OUTLETS ESIO. EA00 Tem orar Service0 Mobile Home Facilities0 Misc. Wirin 01 PERMIT FEE IS MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 1 6.50 PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fee $ oc= TO AL FEES z• 10. n:E9 I tufTfLoocir- I COF W I Gsuf This permit is hereby Issued under the applkable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON �a-�"��':��'+y.l-z'n.r"4rS� ywn.� r � r. .. �. � � `����" �c'+i'. hy�' fj�{*��� � "'•K+c.i ',.t-1S+.�+���sw�.�a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET f - J OWNER: ASSESSOR PARC N BER: ie , Proposed Building Use: Building Inspector: Date: At time of permit application, I was advisthe following data must be sub fitted p for t edo permit processing and/or issuance: Date Received By ❑ I ❑ 2 ❑' 3 ❑ 4 ❑ 5. ❑ 6. ❑ 7. ❑ 8. ❑ 9. ❑ 10. ❑ 11. 412. ❑ 13. 4. 15. ❑ 16. ❑ 17. ❑ 18. ❑ 19. ❑ 20. ❑ 21. ❑ 22. ❑ 23. ❑ 24. 5. 6. 27. ❑ 28. ❑ 29. Allitems have been submitted............................................................................................................. Plot plans, 3/4 sets, signed by the preparer of plans............................................................................ Complete plans, 3/4 sets, signed by the preparer of plans................................................................... Engineered plans and calculations, 3/4 sets, with wet signature on plans. All engineering must be shown on plans............................................................................................. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ............... Energy Design Compliance and supporting documentation................................................................ Statement of Intent for Non -Heated and A/C Buildings...................................................................... HazardousMaterial Form.................................................................................................................... Manufactured Home Data and Installation Instructions including Tie Down Specifications .............. Feesof $.......................................................................................................... Impact Fees as shown on the attached schedule ............ .... . . California Department of Forestry Plan Approval/Fees. Flood Elevation Certificate ....................... ....!..�... .. Sanitation and Plot Plan Approval !/i�� Environmental Health Department.......... Cityof Chico Plumbing Permit............................................................................................................ Plot Plan and Business License Approval from the City of Biggs ....................................................... Planning Approval for (A) Use: 0)2, (B) Parking: ........... Contact Land Development about ❑ Improvements, ❑ Drainage,egal Parcel ........................... Encroachment Permit for Driveway (construction approval prior t�oc upancy) ............................... Pre -Inspection for required. Request to Building Inspector Contractor's License Information (Number, Name Style, Classification) ........................................... Workers' Compensation carrier and policy number............................................................................. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) ............................................. _ Letter of Signature Authorization........................................................................................................ — Recorded Copy of Agricultural Acknowledgment Statement.............................................................. Letter of Intent on Building Us ac ed Accessory Building orm............................................... Manufactured Home Utility Clearance................................................................................................ _ Existing violations and/or expired permits.......................................................................................... ❑ 433 A, ❑ Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D. $ ..................... Other.................... — Wn you issue the i , e as follows: L] Mail to dTelephone and hold for pickup at Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ j Copy of Plans sent ❑.Healt.h Department, ❑ Fire Department, ❑ Other _ 1. Index permit Application for the above items numbered: 2. Additional items required: G Q ce. Weliver with Inspector. lution / Date: Date: (Date) i2-p�-Q/ By: By: ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by: one, ❑ mail, ❑ Building Division counter, By: Date:o Contractor, designer, owner, was advised of the above requited 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, ❑ Buildi i ision counter, By: Date: Plans reviewed by: Date: Plans reviewed by: Date: 0�� �Z Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services - Building Division i CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME 14 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. 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 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed cr shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. Page 1 of 3 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius (�} 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 verti*c31 curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�J 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�l 1273.05 Turnouts. Shall be a minimum.of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. �( [� 1270.10 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 i AP # PERMIT # NAME [}�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet,.turnouts shall be provided no more than 400 feet apart. [ 1273.10 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. [�] 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. [x] 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. All part2els 1 acre atld larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [J�J 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 �r f_.ial inspection of a building permit. Page 2 of 3 AP # PERMIT # NAME Other Requirements If Building Setback is 15 to 30 Feet: Class A or B roof Enclosed eaves (�1 If 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 t 1Z-�-off Date Signature Page 3 of 3 ALL STRUCTURES .AND - EOUIP.MENT INCLUDINO OVERHANGS SMALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF��6OLM;V. FROM i_HE SIbE AND �J I^ROR!i THE REAR PROPERTY LINES AND FROW( ROAp CENTERLINE SHALL BE. ;CLEAR OF S 6 RIJOTURES AIND E�UIRkiENT 'EXCEPT , - i!E ?E'I WANG. L ivv o c��v • a yti o • 5 REVOKED By FIRE DEPT. BUTTE CO. , opt CALIF. DEPT. of FORESTRY approv-ed as submitted d ❑ apprgved 4Njith conditions , Ir � per atrache sheet. Date ti � ianaturure • A t£ s. 28 -- _wo z Vk u �- �;��t-e.tt:,64o t iJce�;i4. 12-18-2001 12:46PM FROM OROVILLE PRODUCTS 5305347666 uc P. 3 l '~ av c P. 3 12-18-2001 12:46PM FROM OROVILLE PRODUCTS 53053476-66 P. 2 ll� 12-18-2001 12:4SPM FROM OROVILLE PRODUCTS S30S347666 z r-, �J ..� z ITri P_ 1 1 tt, ANN. 2'-8" ANN. (2) 211X f0P PLATE - -- -- --- 1I------ lfAt7Etz ------ 1 I � II 11 1 , 11 jl �I II • 1 1 NI 1 I 2"X 50LIV BLU. MOV, a SHrANNG -- i i----_ i j 1 1 JOWf5 ( 01Z W FACE t0 ffA1} w) 1 i Ialtl II MA K911Et7 SHEATHING 3/ 8" MW. 1' i I 1 i i 1 1 1'1 ; , MPLIEV fO ONE FACE. NAI: WFM ' I I 8d COMMON CR GAIN. "NAL5' 6" O.C. A ZNG EI7a5. AND 1211 O.C. oilI I 11 1 I , IN FEL17 I II 11 11 11 'M O 'I II II L700.4. 5W5 At COId M MV 1 i O COLMUNK Mn 8 WMfR5 MIN. I/ 2" jdAB. AN_GM 6OL 5 V M . . 9" MW. EMM7MENf HL-WOWN WIM 1800# ANN. CAMIN (51MP50N HI72A, W51A, OR EOWV, WITH 5" Ma" Paf 52EP A5 M01MV FIN. ' FOK HOU. 20M - G�'A17E 2"X . %L PLATE L, j - - -�� 2 L J eo EO EO -------------- --------------- 1 --------------------------------------------- --------------------------------------- ------------------------------------_---=� ALTERNATE BRACED WALL PANEL. - NOTES:' 1. For use in garage wall where due to location of overhead doors, a 4'- 0" lateral panel can not be provided.. 2. #4 Rebar, continuous at top and bottom of stemwall. Additional rebarmay be required by manufacture of holdown. 3. Stemwall and footing must extend under garage door opening. 4. In the first story of a two - story building, each braced wall panel shall be in accordance with the details shown. - Except that the plywood sheathing shall be provided on both faces and tie - down device uplift capacity shall not be less than 3000 pounds. Nailing to -be staggered for sheathing, applied to both faces. 5. Alternate Braced Wall Panel's cannot be used on the second floor of two - story buildings (U.B.C. 2326.11.4). For Single Sto Bui din s (With noted modifications for two story buildings) PLANNING DIVISION -BUILDING PLAN APPROVAL Use: ®I< Dater`_ Parking: Landscaping: Other: Signature: I -d PLANNING DIVISION -BUILDING PLAN APPROVAL Use: 2l< Date: Parking: Landscaping: Other: Signature: , y o sirCrV • , RC1 1 111 i N I N31 V-.aN,�br,0e. r Of ad: I •d - i 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 t a/- ,2 37 OWN ER 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, please contact this office immediately. L G:?-�- v Date 12, i Inspector � - REV 10/92 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 L--7'1& /br' Swor OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the aboveZt.r `ss and should be corrected. Please notice this office when correction of work is compIf you have any questions pertaining to this matter, or need additional explanation, pleasct this office immediately. Y.; is;)fes.' A ' 1 �L-692�-f -- - s s,. �T• F r 1 ,4_' s4 Date Inspector REV 10/92 . . �. NOTES I RESIDENTIAL PERMIT NO. '069-130-061 HOLLINGSWORTH, GEORGE 431 LODGEVIEW, OROVILLE CONT: D & D HOMES NEW MH NEW SITE PERM FNDP THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DNISION: (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. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS i VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER /! OFFICE COPY y Address �3 I ),&W GAS Meter By /`—!i Date1 �- O ELECTRIC Meter By Date i I Address r � r ELECTRIC Meter Bye Date d� _r JOB FINALED (Date)'I Signature ,/ = GK 0 = Not OK - = Not Applicable , MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Require ments'Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Eleq!jcity; Location-Clearances-Grnd�Amp-Concrete Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or L"ft./; � PG 7. Well Clearance && Disco 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card -B-1 Date MOBILE H INSTALLATION (Plans) OK except #'s Line le icity H Test -Crossovers -Breakers -Clearances rai , H Test -Fall -Flex Connector ater; MH Test -Regulator -Connector 7. W drand Sewer Connected -C/O to Grade -HD Approval he`6as and Electricity Tagged 1 s;lnsp.-Sketch cy Permanent Foundation Only; License Decal Date y j 0] Card B-1 �. Date Card B-1 Date Card B-1 Date Card B-1 2,32Sn[j MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 'Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability flf 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 I 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-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 f Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready rRESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shting.-Rfng. 2. Ftg., 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-/ /" 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 T -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-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 At Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor O Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive i7 Yes 0 No/Walks ] Yes :1 No/Planters 0 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 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 Date FRAMING (Permit) OK except #'s Date 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 )"Ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purl in- Roff 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 T -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 O Yes 82. Following Instld./Drive i7 Yes 0 No/Walks ] Yes :1 No/Planters 0 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: BUILDING PERMIT NUMBER: 01-2375 Address or location of unit: 431 LODGEVIEW DRIVE, OROVILLE, CA 95966 Legal Description of Real Property: A.P.069-130-061 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: GEORGE HOLLINGSWORTH Owner's address: 3480 MORNINGSIDE COURT, OROVILLE, CA 95966 INSIGNIA OR HUD NUMBER: RAD1340924/5 SERIAL NUMBER OR V.I.N:: CAFL 117A/B25061-SC 12 MANUFACTURER'S NAME: FLEET -W,1001) YEAR: 2001 " OFFICIAL APPROVING INSTALLATIO � t DATE: 12/21/01 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 27 -Dec -2001 2001-0062013 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE T111S 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. GEORGE J. HOLLINGSWORTH &. INA FAYE HOLLINGSW ORTH REAL PROPERTY OWNER/LESSOR 3480 MORNINGSIDE COURT !BAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE 'LIP 431 LODGEVIEW DRIVE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER lil also property owner, %%rite `SAMV) MAILING ADURESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE AfAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 01-2375 (530)538-7541 I � � PE MI 1 0 � TELEPHONE. NUMBER 12/21/01 SIGNATURE OF LOCAL AGENCY OFFICIAL (j DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD 2001 SUNCREST MANUFAC'TURER'S NAME DATE OF MANUFACTURE MODEL NAMUNUMBER CAFL 117A/B2506 I -SC 12 26'6" X 66' RAD 1340924/5 SFRIAL NGMBIi R(S) LFNGTII x. WIDTH INSIGNUVI.ABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER A.P. 9069-130-061 I ICD FORM 433(A) REV. 8/91 WI IITE - Crnmty Recorder CANARY - I ICD PINK - Applicam GOLDENROD - Building Dept. LEGAL DESCRIPTION A.P. H069-130-061' All that certain real property situate in the County of Butte, State of California, described as follows: LOT 19, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT IC", FILED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, ON DECEMBER 20,197"), IN BOOK 43, OF MAPS, AT PAGE(S) 30 AND 31. DEC -21-2001 %47ti SUP 15:26 D&D HOMES 9167519096 P.02/02 Q- I C VP BUSINESS. TRANSPORTATION AND HOUSING AGVNCY NUMBER ; DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DPOSiON OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN ORIGINAL.(PWM--- FORWARD TOTHE OFRY cREorroR. UNLESS THERE IS NONE, THEN FORWAROTO.TKE PURCHASER (DEALER OR7RANSFEREE). 'To ..C`OPYl"rrE) ......FORWARG-TAL .4.r 6�AfjTMEWATY.D. BOXSAC"4EI(IO. CA 95612-1828. YMIHr" fn� qffAp.pEq6ASg.. COPY 2 (YELLOW) -DELIVER In ER TO 3 ACCOMPANY ITS_ COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTUAr.R.' DESTINATION. HCD 483.0 - Side I - (7/97) TOTAL P.02 0 CHECK IF THIS 13 A.DUPLICATE MCO -ENTER ORIGINAL mco NO. MANUFACTURED HOME OR MIJILTI-UNIJMANUFACTUREO HOUSING - xxx NUMBER OF 2 O im(AINGLE FAMILY DWELLING} UMH (MULTI -UNIT MANUFACTUR50-HOUSING.. TRANS.PORTA B. LE SECTIONS OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER'LICENSE NUMBER' FLEETWOOD HOMES OF CALIFORNIA, INC. 9534 MAPWAVWFWff8=MSAVZ. SUGGESTED RETAIL PRICE: PO BOX 1308 WOODLAND CA 95776 (SlTeet(City) 421pi taltDELA?MORINUMMABIEW.' DATE bALAN A RIE.".' StINCREST 30 2002 466 10/11/2001 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO CALIF. DEALER NUMBER -OR DATE OF TRANSFER: PLEMV.00D RETAIL CORPORATION OF CALIF8R:NXA TRANSFEREE DESIGNATION: DBA:D&D KOKES 1061582 10/11/2001 DEALER OR TRANSFEREE ADDRESS: 880LONSTOTT—RD yum CITY CA 95991 (Steen (city) (State) (ZIP) INVENTORY CREDITOR NAME FLkkTWbOD..RZ-tAIL CORP' INVftl*Y#N�D RV&ZZT SUITE, .300 'NOtISTON" TX' 77008 (SbIwo (city) (State SECTION MANUFACTURER SERIAL NUMBER -Czip) NCO INSIGNIA OR 14UD LABEL NUMBER LENGTH WIDTH WEIGHT .(INCHES) (INCHES)' I CAPLI17A25061-SC12 PLAD134' y24 792 160. _(POUNDS) 28,600 2 CAFL117B25061-SC12 RAD1 34!1*925 792 160 31,600 TRANSPORTER NAME R TRANSPORT TRANSPORTER ADDRESS: P.O. BOX 170 DURRAM -CA Isir") - 959�8 (C!w (SIMS) (ZIP) - OfSTWAijON FOR U14ft DESchil)EO ABOVE:� (I AME Blren rcoy) (State) (ZIPJI I 0000Y L-Im P--kY of PWJVWY ur4w ifte hm of ft Slate of Cafironia tNm ft som festa are tnre and eared Executed OA 10/11/2001 WOODLAM YOLO —81. • CA (Dole).(cm"Y) (State) SIGNATURE OF AUTHORIZED AGENT:_ ORIGINAL.(PWM--- FORWARD TOTHE OFRY cREorroR. UNLESS THERE IS NONE, THEN FORWAROTO.TKE PURCHASER (DEALER OR7RANSFEREE). 'To ..C`OPYl"rrE) ......FORWARG-TAL .4.r 6�AfjTMEWATY.D. BOXSAC"4EI(IO. CA 95612-1828. YMIHr" fn� qffAp.pEq6ASg.. COPY 2 (YELLOW) -DELIVER In ER TO 3 ACCOMPANY ITS_ COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTUAr.R.' DESTINATION. HCD 483.0 - Side I - (7/97) TOTAL P.02 .09!14/01 14:21 BIDWELL TITLE CUSTOMER SERVICE 4 9167519096 NO.982 P002 RECORDING REQUESTED BY: Fidelity National Title of California Eeorow No. 102308 -TR Title Order No. 00102308 When Recorded Mail Document .and Tax Statement To - Mr. and Mrs. George Hollingsworth 3480 Morningside Court Oroville, CA 95966 GRANT DEED 2001-0037720 Recorded Official Records County TT_Df CANDACEU7J..EGRUBB6 Recorder ROSOMY DICKSON Assistant 090001 22 -Aug -2001 TH15 LINE FOR The undersigned grantorls) declare(s) Documentary transfer tax Is $27.60 1 X ) computed on full value of property conveyed, or ( ) computed on full value less value of liens or encumbrances remaining at time of sale, 1 X ) Unincorporated Area FEE TAX 27.58 Dickie Page 1 of 1 RECORDER'S USE FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Gloria H. Fanning, Surviving Joint Tenant hereby GRANTIS) to George J. Hollingsworth and Ina Faye Hollingsworth, Trustees of The Hollingsworth Family Trust, dated July 25, 1990 the following described real property, In the unincorporated area of Oroville County of Butte, State of California: Lot 19, as shown on that certain Map entitled, "Kelly Ridge Estates Unit 1C°, filed in the Office of the County Recorder of Butte County, California, on December 20, 1973, In Book 43, of Maps, at Pagels) 30 and 31. DATED: August 16, 2001 STATE OFeft:Ir MIA COUNTY OF W %ALX &= t o ON PsigiQ %s- n *L *%-Vkl i before me, Gloria H. Fanning T E UNDERSIGNED NOTARY personally appeared GLORIA H. FANNING" so**#*** personally known to me (or proved to me on the basis of satisfactory evidence) to ba the person(s) whose name(s) is/are subscribed to'the within instrument and acknowledged to me that he/she/they executed the some in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and official seal. Signature ALONIA AA- YOUNG ma+w Putt state of Nevada Appobetment No. W-647=26-2 My . &;i; a Jul 13,200,41 MAIL TAX STATEMENTS AS DIRECTED ABOVE ro-a 13 (Rev 7180) onANT occo 09,/17/01 10:04 FAX 530 532 3304 D & D HOMES Yuba City DD 0001/001 STATE- OF CALIFORNIA terry Ill :.;iS, TRANSPORTATION AND IIOUSING AGENCY T;---vjU fNfENT OF HOUSING AND COMMUNM DEVE-LOI NMNT ro< DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM 'art STATEMENT Or FACTS This unit is a: 12fMobilchome F-1 Commercial Coach EJ Floating Home 0 Truck Camper Decal (License) No -(s) I/We, the undersigned, hereby state: Trade Name Serial No.(s) TI•IE ABOVE DESCRIBED MOi3ILE I•IOME HAS BEEN INSTALLED ON AN APPROVED PERMANENT -FOUNDATION SYSTEM AND IS PRESENTLY IN ESCROW WHICH WILL CLOSE WITI•IIN 45 DAYS. I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of Lille covering the same. I/We certify under penalty of perjury that the foreboinp is Lruc and correct. Executed on at (Date) (City) (Sta te) SignatuA(s) Address Printed namc(s) city State r♦ 101011 � 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 01-7'175 ASSESSOR PARCEL NUMBER 069-130-061 ZONING RT -1. BU I LDI NG P ERM IT OWNER GEORGE HOLLINGSWORTH TELEPHONE SO. FT. OCC. BUILDING VALUATION C OWNER'S MAIUNG ADDRESS 431 LODGEVIEW DR, ORO 95966 CONTRACTOR'S NAME D & D HOMES YC TELEPHONE 532-3301 CONTRACTORS MAIUNG ADDRESS 880 ONSTOTT RD YC 95991 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 603 5012 $ 75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ 23. 00 BUILDING ADDRESS 431 LODGEVIEW DR ORO' Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT (ling ee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other 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 R) Other ❑ Describe Work: NEW MH PERM FNDN NEW SITE Gas piping system 1 - 5 outlets 15.00 ' Building sewer 15.00 ' Mobile Home S G w 020.00 ' PERMIT FEE $ ELECTRICAL PERMIT Kiling ee 20.00 Main Service p A OR IESS 23.00 23. 99 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 II q and effect. �)� �„� J -/ U License Class Lic. No. J � O NER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLOS. SO 3.5QFr: �µR6ID ' MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. oun.Er OR PLxTUREs 20 @ 1.00 BAL p .50 Ex. Occup.. oUTElEDT5PR60.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the 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 Lapgr Code, for the performance of work for which this permit is issued. My workerq' pens on Insurance carrier and policy number re: Carrier 6,UZOJ- � ©a`Z1�06D�fL%(p� Policy Number r- (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 Aemplny person in any manner so as to become subject to workers' of California, and agree that f I should become subject to the pensatio visions of section 3700 of the La r Code, I shall p those rovisions. Date / �/ I of Applicant - Owner ❑Contractor ❑ Age An OSHA permit is required for excavations over 5'0" deep and demo tion or construction of structures over 3 stories in height. MECHANICAL PERMIT Fi Ing ee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEt: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 467.75 HAZ. � D FE IMP xX ROOD COP pARC0. PD PD HD ISSlaws 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. 1 jj / S Date a v®%2 fe Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT 1 WONT OF BUTTE - DEPARTMENT OF, DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 lei a �RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASS ESSOR PARCEL NUMBER —01 _ ZONINGRT_ i BUILDINGPERMIT OWNER rte-• � FVC � TELEPHONE S O I I A TION OW '�I AD KESS 'S E 5. TELEPHONE / ' COM T NO 8 i 1 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 2 0. 0 () Permit Fee _ $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ,� ()RLV I al) 01 Energy Plan Checking Fee $ '14( PERMIT FEE i :...._.. '11) _ 1 () i ��:51pNSNAME 38 ` (� 11 �p_30- ?C� PItICEL MSP rLUMBING PERMIT Fi:. �E g ;:"C-? r USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome K Other SPEc�r Eat:h Trap ' •L =' Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent Gas piping stem 1 - 5 outlets 15.00 - 1_6 15.00 11 TYPE OF WORK New ❑ Addition emodel ❑ Utilities ❑ In Ration ❑ Other Qes ibe jWo n� Buildingsewer 15.00 Mobile Home S IS W 520.00 PERMIT FEE S ELECTRICAL PERMITFling Fee 20.00 Main Service 200..8 LESS 23.00 *PERMIT FEE PA2b SRAM �� SHERIFF I OTHER ! {� AMOUNT RECEIVES S �/ �,.� � ,y ,L� *RECO � NV"Bt 5_37 * TO 0E PVT INTO COMPUTER sr(Data) Main Service 200A TO f000A 46.00 NEW CONST. DWELLING OCCUP. 3.5¢so. OR OW ADDNS. ( & ACC. BS. FT. =.,..C.--T- EW CONS . MULTI -OUTLET NON-R61D. 57.50 POWER APPARATUS 8 SINGLE OUTIET CIR. Ex. Occup. OUTLET OR FIXTURES 20 ® 1.00 BAL .SO EX. Occup.,FIXED APPLNs. OR ounETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee 20.00 Heating Conlin Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TO AL FEE $ G KAZ. 1 0. FEES I I$V I FLOOD I CDF I PAW I FV I TUE 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. By Date PERMIT EXPIRES ON �� .l1L!`u"k::.�lZf." i�'��..:�YiL'=u.�4.u<,� �� .�.iT1 +.�:'(: .yti �"�1•.'.i►y. _ts�i4}�' � i�.x:�}-i _n. _� .t. t��l�f_c%,�i��•�4�`.� COUNTY OF BUTTE e DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: 61.p 1 • / 3/j - 00 <0 Proposed Building Use: Building Inspector: Date: 1.9 - p At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received •By ❑ 1. All items have been submitted----------------------------------------------------------------------------- lot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 4. 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) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ 8. Hazardous Material Form. ------------------------------------- j29. Manufactured Home data and installation instructions including Tie Down Specifications.------ 0. Fees of $ ------------------------------------------------------------------------- •Impact fees as shown on the attached schedule.---, California Department of Forestry plan approval/fees. ----�`--5=-------- Flood----- Flood elevation certificate.----------------------Pealth ------------------------------------------------------- v Sanitation and plot plan approval WAp Department. --J D- Ll _0 f ------------- ❑ 15. City of Chico plumbing permit. --------------- ; ------------------------------------------------------------------ ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: C) IC (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainagegal Parcel.----------------- 1119. ---------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0% ., (Date) El 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- 4 . Letter of signature authorization. -----------------------------------------------------------------------,--II-------- . Recorded copy of Agricultural Acknowledgment Statement.----------------------� Ql y f _i11 ---L1 Q _____ ❑26. Letter of intent on building use. ------------------------------------------------------- ----/----/-------------------- 27. Manufactured Home utility clearance. -- - ------------------------------------------------------------------- 8. Existing ati ns and/o ed p --------------------�--7---------------------------------------------- ❑433 t D Title, lk to H.C.D $ Oc _______________ 30. Other: ------- When you iss/uSe the perimt, process follows ❑ Mail to owner, ail contractor. elephone'/ ���e � and hold for pickup at offi `. ❑ live e w dns-8ctor. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Polluti Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: ate: By: 1. Index permit application for the above items numbered ' £ (L '17FPlan Check List 2. Additional items required: 9n acto designer, owner, was advised of the above required data by X'phone, ❑ mail, ❑ Building Division counter, by Date: tJ / r / 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, ❑ Building Division counter, by Date: Plans reviewed by: (0 Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER S PROPOSED BUILDING USE M `tel A.P. # O —(30-00 DATE Q RECEIPT # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $1 Ole 2. SCHOOL DISTRICT FTXS \ l �i ,� � (paid at District Office) WWI !/ 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : _ $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) _1/7. SRA FIRE INSPECTION AND PLAN CHECK I $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 changedduring t4 pl cl3ecking process. APPLICANT DATE Pursuant to Government Code Se 6020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above y have been imposed on your project. You have 90 days fr a 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. 2/97) DEC -21-2001 13:35 f D&D HOMES 9167519096 P.01i01 1'- PERMIT NO.: 58-01 Oroville Area Public Utility .District Lake Orovi 1960 Elgin street OROV ILLE, CALIFORNIA 95986 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 pripr 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: August 14, 2001 peorge Hoilirigsworth Applicant: . 3480'1A6rning8ide•Ct., Oroville, CA 95966 Applicant Address: 533-7172.' . ;Applicant Phone No.: Property Locations(s): 431 I►od eview DR.'Orovilld;` CA :95966 RRE Unit AC Lot 19 A.P. No -(s): •069-130-061-0 post-lt° Fax Note 7671 vete Fees due: All feea Paid - Application for service approved: :)ROVILLE AREA UTILITY DISTRICT Inspection(s) made and successful.test(s)observed: R •v-1-- Location:.L f� +�i� Date: By: - ..Lake Qrov"ilte Area Public Utility District rel ase to close ermit: Date. , -/G QL = By: TOTAL P.01 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes of 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.) COMPLY WITH ITEMS INDICATED BELOW ❑ Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, HVAC 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. ® Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. ❑ Fire sprinklers are required in this structure. ❑ The following parcel map requirements shall be met: ® All structures and equipment including overhangs shall be clear of all easements. A setback of 5' from the side and 5' 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. BUTTE � NV COPY' SLE Page 1 of 1 0"ILDING DEPARTMENT Owners Name: Hollingsworth P PROVED Building Permit Number: 01-2375 Plans Examiner: Glenn Gibbons w , STRUCTURES AND EaUIPMENT INCLUDIMP � OVERHANGS SHALL BE CLEAR OF ALL EASEIENTS� ROI�I THE SIDE AND A SE BAC& OF G�- _.-- R04id� 'FHS_ REA-rl PROPERTY LIME AND- Ttry` (TOAD CF.N,'ERLINE SHAD I �� F1'. fi�RO�sfi dpr�; ""wa' ACCEPT CLEAR OF STRUCTURES AND EO I. O L 0 D. OR A 2 FT.SAVE ��F ' Y►Y+iC7. " --a •= 07 `27'/2_'• ' 2=570;'00':- 1 •... G= 74./.5' t REVIEWED 137 BUTTE CO. FIRE DE?T. . CALIF. DEFT. of FORESTRY ❑ appr ped as sub uiPcd [�Sl.,approvcd vilh cwdi�bns PCS a inch Dato raturc .SFT_ -23A C/ t 20, � 1 f V! (Gl-�os v � A-P4 6q-130-06 0 • WN LIO T 19 UNIT 1C �5 1 J � N 1.1 IN v1 , /O A. BUTTE COON BUILDING DEPAOTMENT APPROVED 5� �e, Gd S ` 1431 "^- ` F A '} CDF FIRE SAFE REQUIREMENTS 3, ( t 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. [ 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 [ j 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app.,rteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [ 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius } 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. [�J 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. ] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 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--, BUTTE COUNTY BUILDING DEPARTI�EN A P P R 0 V E AP # PERMIT # NAME [�(f 1273.10 Turnouts. Driveways exceeding 150 feet in length, but \\ less than 800 feet in length, shall provide a turnout near the midpoint of the -driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 114 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. [� 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. [\p 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. All parvels 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. KI 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 )r fi�ial inspection of a building permit. BUTTE CGtUNTv Page 2 of 3 BUILDING DEPARTMENT APPRQV E m ' , 61, i 3, (6,/ o 1, -,-,3 7,�- L".)C W0t7V AP # PERMIT # NAME Other Reauirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ If 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 0t 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 Date Signature Page 3 of 3 BUTTE COON TY BUILDING DEPARIEN7 APPRO�Ev MobilehomeManufacturer: w If other than single wide; furnish Se Model Number: Manufacture Year: 2 Width: 24-_(R,) Len �o 3 G gth: - �" (R.) Tagalong or Expando Size On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTS Wood pressure treated or foundationade SUPPORTS• Concrete block 8r [ J Other: [ ] 'Other: Provide Tie Down Specifications for all• MobUchomes: sIIVCLE WIDE Pier Footings Sizes and Lot.ation ' Line t MULTI -WIDE Line 2 t Line 2......................................... ain $teD1e........................................ Lim 2 V. , Line I e 2 Lice 3 ................. Beano..... ..... ................................................. Line 2 Line 2 We I ....................... ap or Triple e4 in* l Line 1 Piers: Size minimum: Spacing maximum: y From ends -maximum. Line 2 Piers: Size minimum: X .2 Spacing maximum: From ends -maximum. z o Line 3 Roof Loads: Size minimum Location (from front): R 36c 3° i0 �.i4u Line 5 Roof Loads: Size minimum: Location (from front): Zo'd Line 1 Openings Size minimum: [ 1yJ x [ 3oj• Each side of openings with width over: � Line 4 Piers: Size minimum: Spacing maximum: From ends -maximum 1� L x3d i,_3o -2yx Le5'6' 4Z' OYER APPROVED I . - Owner's Name: 6 ./b r . 5 -z> LP �2-7`— 2. Assessor's Parcel Number: - 3. Installer's Name: 4. Is the site currently under permit? Yes[V f No[ ] Permit No. 5. Is the site an existing site? Yeses No[ ] (If yes, famish two plot plans). 6. What is the electrical rating of the mobilehoime? l'o f' . Amperes. 7. What is the mobilehome site circuit breaker rating? O ° Amperes: i 8. What is the electrical rating of the mobilehome site? / o v Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No ] If�it is, what is ; the rating? _?tea 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 mobilehome site: Natural[ LI/ Propane[ ] None[ ] 12. Size . of . gas pipe at the mobilehome site from the meter or t6a nches. 13. What is the gas pipe length from the meter or tank to thein'obilehome? (ft.). 14. What is the mobilehome gas demand?_ Qa 60 B.T.U.* '(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). PROCESS THIS PERMIT APPLICATION a { . May 1995 8.5 LO'd H/ T: r n nn - � r.._ _ ,.-SEP-14-01 FRI 02;21 PM FLEETWOOD HOMES, WDLD,CA FAX N0, 530 662 6425 .. , ... .. .. ... ...., N) '-_Fhi9 Floor plop rra ... � y as �Uilz as a.1 eKaC• mirror imaSo about the length K6 WAUS � and/or riidt- a�i3. �r T&� 2) Egress wmdaw(s) ' shown with ieas than �.0 ft` j �» vent area mest egress requirements through SASH �j=�lt G removal per widow manufacturing instructions, located on the window. T. OI � EGRESS —0 �+—.�. 11'-4 Aft& w: .% 13'-' X 66'-8 Moog 13'4' X 66'-8 SUNCREST U11 ' "' 4663G ., MF=. PNL 80X CD 5X I O AUR RED. Q AIR SUPPLY ® CETUNC REGISTER 0 S WAMALL 114003 SUPPORT POST RETURN AIR CRU Aft& w: .% 13'-' X 66'-8 Moog 13'4' X 66'-8 SUNCREST U11 ' "' 4663G ., l4N. Jufl—L. 10'D.L PIER STD MADS MAX. ST. 1 a- (�) r-- - 6100 FEDERAL >`lA UcAC7l.'Rc'D CD Ne•"- ,� ��li`. . d: T RIJCTION trllil r 2 JA 17'-7" 14 -AR % 1 114003 8 3 9 26 l4N. Jufl—L. 10'D.L PIER STD MADS MAX. ST. 1 a- (�) r-- - 6100 1 B 9' —3' 31 • trllil 10500 2 JA 17'-7" 14 7 114003 8 3 9 26 _ 9400 4 El 115'—gam 4 B q W 4200 5 a fi'--8' 32 in �) WI. r0 L. 10 PIER OPT LWS UAX. HT. 11 1 P. 01/02 TE COUNT IG DEPART EN7 PROVED 4600 1 9 9'—$' 32 8100 2 9 17'-7' 7 8700 3 9 Z5 7200 4 B 3200 5 9 'hidKa = I' Asaring io Ron WOODLAND # 17 wr. FLOOR PLAN cF wzi , 1 P. 01/02 TE COUNT IG DEPART EN7 PROVED AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Z00 1 —0046037 Recorded Official Records CountyBUTTE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:42AM 04 -Oct -2001 REC FEE 10.00 CONFORM .00 Cindy Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires 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 cultural this property y � � purposes, and residents of p perty ma be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertili7rrs; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Buttc, State of California, described as follows: C X/; b.`-� ��CA-e� PROPERTY OWNERS: aro State of Califo is ) County of e59e-'e& ) i-nonam appearecl_i g'p Al //J Ypersonalh j�s'�jd � known tome (or proved to me olithe basis of satisfacton evidence) to be the person(s) -whose namc(s) is/arc subscribed to the irithin instrument and acknowledged to me that he/she/thee executed the same in his/her/their authorized capacity(ics), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the crson(s) acted, executed the Instrument. WITNESS my hand and official seal. INotary EBECCA L. BLEDSOE ommission 81297451 Public Signat utte County Califomia v — a y Comm. Exp. APR 13, 2005 j� AT, _6(,9 - I36-6(. 1 t. - EXHIBIT "ONE" Lot 19, as shown on that certain Map entitled, "Kelly Ridge Estates Unit 1 C", filed in the Office of the County Recorder of Butte County, California, on December 20, 1973, in Book 43, of Maps, at Page(s) 30 and 31. Assessor's Parcel No: 069-130-061 2 SITE PLAN REVIEW APPLICATION 11 Date: � —Z. `)— 0 1 AP# C)— 30- 43 tD Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: , `Z'� A C Owners Name: Ho LQ r3_6 -S w 02TH , &6 (2 G 6 Owners Address: L) 31 110_r>Ge Vi Gy✓ LYZ , D2U Vl (Ur CA 9 S) (o (P Telephone No.: - eo_\Jr- . S 3 2- 3 3 0 Situs Address: H-1 � Lo tx::, E V I E W b e, , 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 �y� Date Page 1 of 5 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) a SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: j� gg • Flood Panel No.: 08'2.5 C, Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------ ❑ Detached Building Use Form F-1EncroachmentPermit ❑ Agricultural Worker Affidavit . ❑ Agricultural Acknowledgement Statement Zoning: 1 — I Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear �� 3 Q Height Waterwav N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Applicable Development Fees: :J Standard Fees Amount ❑ 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) 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 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 Legal Access Required ❑ No ❑ No ❑ Yes, Road Name:_ ❑ No ❑ Yes ❑ Yes ❑ 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: IZI D &e 6STEa i e__S -T-3Qn . Map Date of Recording Lot: )0-30-70 ❑ Use Permit/Minor Use Permit Permit Number: Book: 3 B Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Page: 1 O ❑ 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. ❑ iVleasures 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 Summary of Specific Requirements: 1J O IJ r _ 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 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE. OROVILLE CA 95965 COPY of Document Recorded 04 -Oct -2001 2001-0046037 Has not been compared vith original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment The property described herein is adjacent to land or included within antarea zoned foro be da prior cul ural p * of a building permit. this property maybe subject to inconveniences or discomfort from the use of agricultural' Purposes, and residents of to herbicides, pesticides, and fcrtili7m; and from the pursuit of agricultural operations nclud ng, but notlimitedted to culting, but not vation, Plowing, spraying, pruning, and harvesting which occasional) y generate dust, smoke, noise, and odor. Bestablished agricultural purposes and residents within said zones and on adjacent property should be p eparedtte to ccepCoun�shas uch inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Dntr.4z/0 � PROPERTY OWNERS: State or caurorAia ) count), or ) I--.uau. YPrCGareu OII/ SeO�� / �" I known tome (or proved to me OiKthe basis ors or evidence) to be the Person(s) whose name(:) Is/are subscripersonally bed to the within instrument and acknowledged to me that he/she/they executed the same In his/her/their authorized capacit)•(ics), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behair of which the crson(s) acted, executed the Instrument. WITNESS my hand and official scat. REB A.P.t ECCA L. BLED60E Commission #f1297451 Notary Public Butte County, California My Comm. Exp. APR 13, 2005 W EXHIBIT "ONE" Lot 19, as shown on that certain Map entitled, "Kelly Ridge Estates .Unit 1 C", filed in the Office of the County Recorder of Butte County, California, on December 20, 1973, in Book 43, of Maps, at Page(s) 30 and 31. Assessor's Parcel No: 069-130-061 z 2 n CONNECTION PERMIT APPLICATION FOR SEWER CONNECTION AND SERVICE FROM LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT _ , hereinafter referred to as "Applicant", being the proper) weer or owner', gen( desiring sewer service, hereby requesls Lake Oroville Arca Public Wilily DrAiwl, her6nollcr rcicrn:(I Iv :r; "DcAri(;1 lo conncrl Applie:int':; :;Cwa�c di:;pu:;,)l line to Di:;Iricl':; : anilory ::ewer :;y:;1C111 011LI to prl. VIdu ;:cw(:r,rdc :;r:Ivi(;c. Location of properly: 3 A.P.1t: lP I 3 - Subdivision:- l� R j Wt IF Lo111:�_ Block/l: K Properly Annexed ❑ Properly Not Annexed ❑ Properly Annexation in Progress Kind of Service: �IZCSI(ICllll�l Residence of Owner ❑ Rental (single family) ❑ Rental (duplex) ❑ Industrial ❑ Commercial No. of E.D.U.'s [his permit: Multiplication Factor: 'Monthly Charges: 1 L} • 1 D Capacity Chargc: S 3 '�" Connection Fee: $— ❑ Apartment SC -OR Facility Charge: ❑ Site plan reviewed ❑ JobSile reviewed Total Amount Payable This Permit: • ',,�X) 'k�) 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 scrvicc al rales and charges as arc cslabli;hcd by District from lime to lime. Signa uric d1f Applica6f Mailing Address ofkApplicant Name of Owner if not Applicant Mailing Address of Owner Phone IJ of Applicant_ 5- I"I c�--- Phone it of Owner: CONDITIONS OF ACCEPTANCE OF SEWERAGE SERVICE 1. In accepting this application, District docs 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 IrcalmenUdisposal plant or District's lines to handle the sewage or nay other cause beyond reasonable control of District. 2. Installation of the sewer scrvicc line pertinent to this application shall conform in all respects to District's specifications. 3. Applicant shall secure permits) as necessary from the County of Butte prior Io doing any work, including encroachment permits when work is within county right of way. A. Installation of the subject sewer line shall be at the sole cost and expense of Applicant. 5. Actual conncclion of the subjecl sewer service line to Dislricl's.sewer mainline.shall_be-accomplished -by- -- District staff. G. 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 musl be issued with this permit Payment of Fecs/Charges required prior to final inspection Payment received by: Dale: O Receipt 11 6 LAKEO E AREA P.U.D. By: ❑ CASH 'CHECK IJi3 Dale: 15-0�. g(� Permit 11: t 'Monthly charge payable at the current rale at time of connection. h PERMIT NO.: 58-01 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: Applicant: Applicant Address: Applicant Phone No.: August 14, 2001 George Hollingsworth 3480 Morningside Ct., Oroville, CA 95966 533-7172 Property Locations(s): 431 Lodgeview DR. Oroville, CA 95966 KRE Unit 1C' Lot 19 A.P. No.(s):. 069-130-061-0 Fees due: All fees paid. Application for service approved: bAlWOROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: By: Lake Oroville Area Public Utility District release to close permit: Date: By: Date: P. , SERVICE ORDER FORM �OROVILLE-WYANDOTTE IRRIGATION DISTRICT '1._lkl'►ij tk ' P.O. Box 581, 2310 Oro -Quincy Hwy., Oroville, CA 95965 ' l ��. Office: 530-533-4578 FAX: 530-533-9700 ' It 'l, ' (CURRENT) CUSTOMER LD. / METER NO. AP #/ 1.� �%� (J t✓% r; SERVICE LOCATION �/ r".�� -}�t ( ✓.! jF #tJ DATE/TIME REQUESTED SHUT-OFF ' ( ) TURN -ON 2 ('•,� READ ONLY ( ) METER READING DATE/TIME METER READER (NEW / CHANGE) f• f - , OWNER'S NAME:" '.;^' / I r / i , - .•, (NEW / CHANGE) /� J r - MAILING ADDRESS: J"a I % i_rT..� STREET CITY STATE ZIPI (NEW / CHANGE) NOTIFICATION ADDRESS STREET DAYTIME PHONE *REASON FOR METER SHUT-OFF / TURN -ON / READING: ( ) PROPERTY BOUGHT ( ) PROPERTY SOLD ( ) OWNER'S REQUEST ( ) CYCLE METER SIZE ESCROW CO. �. `�' 4A. CLERK CITY NEW ACCOUNT / TURN -ON CHARGE $ (Billed on ftrst billing) DELINQUENT AMOUNT TOTAL DUE $ CLOSING DATE DATE STATE ZIP ' INACTIVE:ACCOUNT STANDBY CHARGE (to be initialed by owner if service termination is being requested) 'OPTION # 1 - Being the owner of the property identified above, I hereby request that water service to my property be discontinued. I understand that a standby charge (to fund maintenance of the service line by OWID) in the amount of $5.00 per month will begin being billed to the property's account (Owner's Initials) and will continue until service is reactivated, or until such time as the service is disconnected - at my expense - from OWID's main line. I also understand that if service remains disconnected more than 60 days, installation of backflow protection will be required prior to reactivation of service. (Owner's Initials) OPTION #2 - Being the owner of the property identified above, I hereby request that the water service to my property be discontinued and disconnected from OWID's main line at my expense. I will submit a deposit for the estimated expense prior to the work being done. ' CUSTOMER NEEDS TO BE PRESENT WHEN SERVICE IS TURNED ON I am aware that it is my responsibility to check all fixtures & piping before the water is turned on. Open faucets or leaking pipes may cause water (Cu tomer's Initials) . , damage and 1 acknowledge responsibility for any damage that may occur due to open faucets or leaking pipes when the water is turned on. 'TENANT BILLING AND OWNER'S ACCOUNT RESPONSIBILITIES (Owner's 1 ials) I request that the monthly water bill for this account be sent to the tenant at their address, listed above. I am aware that water service accounts will be established only in the name of the property owner. Although I have made arrangements with the tenant to pay the monthly water bill, I am aware that 1 am ultimately responsible for payment delinquencies. I am also aware that delinquency notices will be sent to me upon my request. I request that delinquency notices be IIs) sent to me at my address, listed above. I GNATURE{I•;y: / ra+��h �n.Cs•-�;;-i•,n;i!� /Y /moi �j'Y/f:�`.�i' S SIGNATURE `..jA%ASSORTEDWORMMSERVICE.ORD. asR/% My tenant is presently occupying the property. DATE DATE (O.ncr's Initials) J z..� U,3 — i 1 y •b.,7. .r �b� , �y� t+�n tis 74.+ i¢ ..: r -K. t Ir K1VYF. -il$ f APDL Ci�TION F`OR+WATER SERVICE (PO`TyABLE��'' • Oroville'-Wyandotte Irrigation District` P.O. Box 581, OroviUe, CA 95965-0581 JOB ,ZZ(7 1:\formso1d\forms\wtmpdom.ftw Phone 916-533-4578 FAX 916-533-9700 ORDER: � 0/6/93. mes DATE: ACREAGE: . ASSESSOR'S PARCEL NAME: TELEPHON ADDRESS: NO. OF SERVICES REQUESTED=X OWNER: CITY/STATE/ZIP 0,41,— METERSIZE REQUESTED: ® AGENT: ❑ PROPERTY CURRENTLY SERVED BY OTHER WATERY ❑ 9,® TYPE OTHER ❑ ARE THERE, OR WILL THERE BE ANY MATERIALS HANDLED OR PLUMBED IN:, UCH) A WAY AS TO ALLOW THEM TO ENTER INTO THE POTABLE WATER SUPPLY SYSTEM?:t Y ❑ N SERVICE LOCATION PROPER�'R: � Y I , DI�TRICT? Y N ❑ DWELLING ON PROPERTY ❑ NO TYPE & NUMBE4' s ; CAPACITY CHARGES PAID? Y ❑ N ® TENTATIVE WILLr�RVE LETTER Y ❑ N IS PROPERTY FULLY DEVELOPED? Y ❑ N ® GENERAL PLAN: i ZONING: COMMENTS: WATER SERVICE AVAILABLE? Y ❑ N LINE LOCATION RECORDED EASEMENT REQUIRED? y ❑ N ❑ MAINLINE EXTENSION REQUIRED? Y ❑ N ❑ SERVICE INSTALLATION REQUIRED? Y ❑ N ❑ ROAD -CROSSING REQUIRED? Y ❑ N ❑ BACKFLOW DEVICE Y ❑ N ❑ DEVICE A.G. ❑ R. P. ❑ D.CE] DEVICE SIZE:I SITE SURVEY Y ❑ N ❑ COMMENTS: MIMI Backflow Inspector's NOTICE TO APPLICANT: FEE AND CHARGE ARE ESTIMATES AND ARE EFFECTIVE FOR 30 DAYS. APPLICANT'S SIGNATURE METER SIZE APPROVED: LINE SIZE: LOW PRESSURE AGREEMENT NEEDED? Y COMMENTS: /,-,) etc,,-s,er q /?,w6Acteidw Superintendent's Signature: ESTIMATED FEES & CHARGES New Account Fee N System Capacity ��JJ Installation Est. f Meter Set V Backflow Installation Annexation Processing Annexation $295/Ac. County Clerk's Posting Fee ($25) Inform n ake LAFCo Processing Fee ($600) by. LAFCo Sphere of Influence Fee State Board of EqualizationFe TOTAL 1 I�3_��10,__[s6 DO JOB ORDER OROVILLE-WYANDOTTE IRRIGATION DISTRICT 23) 0 Oro -Quincy Hwy. - P.O. Box 581 -Oroville, CA 95965 - (530) 533-4578 ACCOUNTNAME ADDRESS CITY ST ZIP JOB DESCRIPTION PROPERTY DESCRIPTIO! NA 4875 IN DISTRICT ACREAGE NO. OF DWELLINGS SERVED ,� YES ONO � WORK REQUIRED , EQUIPMENT USED /e ITEM HOURS I RATE TOTAL NAME METER LOCKED Y N O BACKFLOW REQUIRED Y§4 N O (IF YES, IS INSTALLATION OF DEVICE COMPLETED) Y O N O (1F NO, DO NOT TURN ON WATER) PERSON CONTACTED IN BACKFLOW DEPT. I O RM'AR I MATERIAL SUB TOTAL AGGREGATE SUB TOTAL PLUS % MATERIALTOTAL CONTINUATION SKEET 1 2 3 4 5 IL 8 9 10 SUB -TOTAL PLUS OVERHEAD E0111PMENT TOTAL LABOR TOTAL by authorize the District to proceed with the herein bed work, and for this purpose please acknowledge t of my deposit in the amount of: OV/ , � Ck# lD Date Completed New Account Form A/P NUMBER D6 9i�D- off• i LABOR HOURS I RATE I TOTAL TOTALS SYSTEM CAPACITY CHG ANNEXATION FEES NEW ACCOUNT FEE MATERIALS EQUIPMENT LABOR MISC." • SUB )OTAi ' DEPOSIT(-) NETTOTAL School District A.P. Number Property Owner Property Locatic Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM Lot No. ............... * .............. Residential Development No of Living Mobile Home Addition/ 'Supplemental to Units Installation Conversion Permit # '(No foundation inspection): ................................................................................................................... New Addition Department Representative Sq. Footage &gA (Group R) Sq. Footage (Including Exterior q194 oofed Areas) / Dat ,., moor mans4eviewea oy scnooi uistnct rersonneq District Identification No. School District certifies that ( dl' (Applicant) (Street Address) - (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 99-04 —QT- by payment of $ �f �� 0�0 Q representing % (D 902 square feet. AB 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # Remarks: 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 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 (CEGA), 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 00/98ldmm MARRIAGE PER MAS INSTALLATION oWML44 SEISMIC PIERS L FOLMATION PADS 4 OUTL�� COACH 30'x3i PL HOLES FOR 1/2' x 2 1/Y C.E. 19'x24'x3/4' PLYWOOD 193 Iu 24'. 28'. 28', OR 32'- PLAN 2=PLAN DOUBLE WIDE MOBILE COACH Soap: 1' - 15' SEISMIC PIER, L FILIDATION PADS 3/4• PLYWOOD SHEETS ^+iER WITH 'MVS ALTERNATIVE PLYWOOD FOUNDATION PAD N13 T•.TO .SCALE OF I 3' x 3' PLATE COACH 12'. 14'. OR 18' PLAN SINGLE AIDE MOBILE COACH 3oalr I' - 15' 2 - 3/9' x 1' BOLTS STT/9' MAX TUBE TUBE E- 14' LONG SOMA 4 - •14 TEX STS PDT BOLTS4TIGHTEN PLATE CLAMP To 180 4m . 3' x 3' 3/4' TTP PLATE LEGS ROD SEISMIC 1 5/16' PLATE Eu 3/9' X 1 1/4' SOLT o WITH HARDENED WASHER SEISMIC PIER Not to Scale C.P. SEISMIC PIER#1 - PATENT #5595366 IQR• B: 10 FEET FOE 20 YI'DOUBIZ WIDE COACH C. 12 FAT FOR 24. 26. ! 28 FELT DOUBLE WIDE COACHES. u° rs.rauss a mlevawlr to se v'r-muss COACH 12'. 14'. OR 18' PLAN SINGLE AIDE MOBILE COACH 3oalr I' - 15' 2 - 3/9' x 1' BOLTS Z FIELD BRILL HOOPTILES E- 4 - •14 TEX STS COACH C 1 N RIR J BEAN 1/4'x2'x4' 3' x 3' ANGLE 3' VIDE PLATE 4 UV DOLTS�� SEISMIC w PIER TYPICAL BEAM CONNECTIONS Not to Scale 12 SO IN OVERSIZE FOR CHOPPING 5/8' X 1 3/8' FLANGED STAINLESS STEEL ANCHOR INSERT n 4x4 -4x4 VVF 1' Gm(EIML NOTES: !fie J bMYF11I. ,,. ; W cobs OF RMULMONS. TITLE 25:AND UJM tW4. ED=110N. 1. 0230K IMAM ER SLzs WIDER S0 Pd 40 Pd H 4 So Pd 40 Pd B WIDRS 30 Pd 40 Pd 8 4 & THE DISHI T IAAOH SHALL, HE CONSISTENT WITH ROOF LIVE IAAD. WIND LOAD. AND AE SEISMIC ZONE AS ESTABIMOID FOR PERMANENT BUILDING WITHIN A SPECIFIC LOCAL 3. THIS FOUNDATION SYSIRM IS CONSIDERED To CONSTII'UTE A PERMANENT TOUNDATION. 4. UNDISTURBED CORLIM SOIL. MMM MAIM DESIGNED 1ORID10 0 PSP TFIRK � �F6 PREMBE AND SHALL HE 0WA7I812 WITH IACAL SOD. CONDITHOI3. 6. S17tIL NUL� CO)A81ttTO AM ASA Ps 30 IM UDMC=. D. SBALI. BE GATED ACCOHRD 7C ADC 3PECIF[CATlON9. a SHALL BE WELDED ACCORDING TO AWS SP21MCATIONS: m.HOLTMSIANDARD ASTM A307 1..TMMADED ROD. -COLD DRAWN LOW CANON WELDABLE 4. INCLUDING NAna A sans ETC. ARE TO BE 8. THE PIED SUPPORT A319EMBILGS SmAM BE coAm Wrrs 3HER(AN WauAns Eat -RC2 OR APPROVED EQUIVAURIT. 7. 8Y CZ]=7ED TWIDNG AND a. LTaAL : 1700 tMl UL70UTZ LOAD D. TIIRTkAL : 13000 ULTIMATE LOAD a. THIS SUPPORT== 13 FOR PLACING MANUFACTURED BUILDINGS CONSTRUCTED WITH IANGrIVOUEAL OR C8088 IOIfr9. 9. ?HIS SUPPORT SISTEM PLN 13 DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEM 811E WITH NO ZM MG BOIL PROBLEMS. IF svrnm R3 OCCU DUE TO POOR SOIL. SEE NOTE 11. l O. SUPPORT MMZM FOR CHASM SLY SUPPORTS SHALL BE LOCATED AND SIZED FOR TSE LOAD AS SHOWN IN THE MOBILE HOUR DMULIATION INSTRUCTIONS. 11. N MEAS WHEIRZ DV72FZRIML BETTILSf�NT CAN OCCUR. MANUFACTURED HOds SBAIi. BE IILDJUBSD WHEN D.9. OR WHEN IT WILL ADYEHBSZY AFTECT THE USE OF THE MANUFACTURED 30Q. 12.91ANDAND PM t FOOTING SPACING PER M01X COACH MANUFACTURER'S INSTALLATION MANUAL WITHOUT MANUFACTURER 3 INSTALLATION MANUAL, SPACING OF STANDARD PIERS AND PAD SUPPORTS TO BE DETERMINED BY BUTZ MO8Z Z HOMED PAZ= ACT. 13.7103 SYSTEM D ADAPTABiZ WITH HOLLOW MASONRY BLOCK PIERS. FOUNDATION PAD NOTES: .l. THE FOUNDATION PAD SHOWN ON THIS PLN 13 A PRECAST CONCRETE FOUNDATION PAD. THE PLTWOOD FOUNDATION PAD MAY HE USED AS AN ALTERNATE. 2. FOUNDATHON PAIN MIAIL. BE PLACED ON LEVEL UNDISTURBED SOIL. 3. A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARIL'IE WEIGHT CONCRETE. B. PRJWZRRED PAD OROWTASON WHERE EVER POSSIBIZ 18 THAT TIO IANC DIMENSION OF THE PAD BE PERPENDICULAR TO THE COACH BEAU (AS SHOWN ON THE PLAN). C WHEIa FDIID CONDLTiON3 REQUIRE PAD ROTATION NO YORE THAN BAl0 OT THDL REVISIONS "BY 04/12/99 LP 05/18/00 1 YV PADS IN A TRLVZFtSZ UM CAN BE ROTATED 90 THAT 72M LONG DIMIDNSIONOr Z o► E- z z 0-4 1 N di o �O .. T� V 1 ►� !� CO I. MAZO(UM LENGTH OF SINGLE WIDE COACH - as FEET. w C) Eu N o z . In 0-4 L) O E'' B: 10 FEET FOE 20 YI'DOUBIZ WIDE COACH C. 12 FAT FOR 24. 26. ! 28 FELT DOUBLE WIDE COACHES. ►-� Q V O z DO WIDE MOBILECC CL u o Q Li > �z x � Q ^^ U ! �' ill W W Y �y Qi 1 N v r0 �-,, %A 6 a N CTWA C� V h PADS IN A TRLVZFtSZ UM CAN BE ROTATED 90 THAT 72M LONG DIMIDNSIONOr Z CD, 71M PADS ARE P♦s►A1�TO THE COACH BEAM 4. m 0-4 O A. 3/4 INCH A.PJL 4a/24 Er=OR P.3.I.-83 CC. PLUGGED. NER-QA397.PRP-108. r w COCO COACH RM NOTES: z �' Co I. MAZO(UM LENGTH OF SINGLE WIDE COACH - as FEET. w C) 2. MAmuM LZNCTB OF DOUBLE WIDE COACH - 70 FEET. '-" Q" O d 3. UNLESS APPROVED BY THARP t A390C.. FLOOR TO RIDGE HEIGUr NOT TO EXCEED: �" V 00 A. 8 FEST FOR SINGLE WIDE COACHES. E'' B: 10 FEET FOE 20 YI'DOUBIZ WIDE COACH C. 12 FAT FOR 24. 26. ! 28 FELT DOUBLE WIDE COACHES. ►-� Q - Q C\2 4. ?OR TRIPLE WIDE � SAME PLACEMENT PATMN AS ASHOWN ON THE z DO WIDE MOBILECC z ^ O� 5. FOR ANY COACH SIZE OTHER THAN AS SHORN ON TILS PIAN OR R>WICZD ABOVE, LAYOITI RRAIL. BE REVIEWED AND APPROVED BY THARP k ASSOC.. INC. z Lid z O d Q z 0 17. O x PRECAST FOUNDATION PAD sI NOTES: U co 4. Not to scale 1. SPACING SHOWN ON TNL9 PLN ARE POR COACMCS WITH 10 INCH AND 12 INCA PEW ~ OR B INCH PACO CORRUGATED BEANS. Ri W 2. FOR AN 8 INCH BEAM ADD AN ADDITIONAL ROW OF C.P. ANCHOR FWM. BEAM SHOULD O O NOT CANTILEVER MORN THAN Nl • PESY. (� �U� r y , ®�=� • A1fO �D DATE, 09/08/97 �1 �r 1g IS$1I PIER AND VJUKTT0C0sRCCn0M WM QPOFEss SCALE, AS SHOWN I��j syn' r FDUrHIDA (( +-.aawr.�ca•.+w...<(EY. Wi DRAVNi YMV da .6m4s r v R1 U" -, n �J 17 CC= UAMO , � t + JOB #1 95-36-80 o ELEVATION �e�o '�°F�� SHEET ✓J �4 An - S F PA 1'H:NI m 55vSJ 6 NOT TO SCALE to .��,,,i0.24_0� HF:NI:H'A1.W s1ATF SPOnlrrNAl.30-SF OF 1 SHEETS