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HomeMy WebLinkAbout069-140-043069-14-0-043 99-0468 BPE SHUTTLESWORTH, HArold 531 Silver,eaf, Oroville (MH/perm fdn) Executive Homes Fla / rRECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1 999—..001 7958 Recorded I REC FEE .00 Official Records I CONFORM .00 Countyy Of I 39' RAD 1157882, 3, 4 CANDACEUJ. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Nikki 01:53PM 27 -Apr -1999 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY ,, J NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, av 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. HAROLD L. SHETTLESWORTH REAL PROPERTY OWNER/LESSOR PO BOX 103 MAILING ADDRESS OROVILLE, BUTTE, CA 95965-0103 CITY COUNTY STATE ZIP 531 SILVERLEAF INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CRY COUNTY STATE 78 UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY I STATE ZIP 99-0468/-1.(530)538-7541 B L N0. TELEPHONE NUMBER ,U�- .27. ff SIGNA OF LOCA4AGENCY OFFICIAL DATE EX11CUTIVIE HOMES UhALER NAME (dnot a dealer sale, write "NONE") 640583 UEALEK LICENSE NO. FLEETWOOD 1999 SUNCREST 7493L MANUFACTURER'S NAME CAFLXI7A/B/C22119SC12 DATE OF MANUFACTURE 49'X MODEL NAMENUMBER 39' RAD 1157882, 3, 4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #069-140-043 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept LEGAL DESCRIPTION A.P. #069-140-043 All that certain real property situate in the County of Butte, State of California, described as follows: Lot 179, as shown on that certain map entitled, "Kelly Ridge Estates Unit One", which map was recorded in the Office of the Recorder of the County of Butte, State of California, on October 30, 1970, in Book 38 of Maps, at Page 5 thru 10. Certificate of Correction recorded March 17, 1971, in Book 1663, Page 624, Official Records. 3 NOTES r: t RESIDENTIAL 069-14-0-043 PERMSHUTTLESWORTH, HAr99d0468 BPE I ld- 531 Silverleaf, Oroville (MH/perm fdn) Exiecutive Homes � 3�g Ioa THE HCD FORM 433A FOR THIS -MH -CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING. HAVE BEEN TURNED IN TO THE BLDG DIV: f (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) (2) STATEMENT OF FACTS(ONLY ON NEW MH'S) INSPECTOR T6 VERIFY SERIAL & LABEL 'S i a t .— i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER - OFFICE COPY : 'Address ' GAS pa -Meter BY' t LEC Oate ' bier. Y JOB FINALED (Date) J Signature i • � . t '• x r .. � � � � �� , r � � -• �t J = OK 0 = Not OK = Not Applicable 'MOBILE HOMES = Not Fleady Date INOBILE OME UTILITIES (Plans) OK except #'s 14 -'Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MCBILE HOME INSTALLATION (Plans) OK except #'s Line 4. ctri ' , H Test -Crossovers -Breakers -Clearances rain; Test -Fall -Flex Connector ater; MH Test- Req ulator-Connector _1_-Wa-teyantfSewer Connected -C/O to Grade -HD Approval and IM.. Exits; Insp.-Sketch _44_-6et+-titan ancy 12. Permanent Foundation Only; License Decal Date 7 Card B-1 Date Card B-1 a Date Card B-1 Date Card B-1 �? - - C , � r? Z_, c�,q t,717-�i CLlq- P j( 5- 7 f Y ?- / C 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- Bea ms- 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 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- Pan elboards-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 (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning-Setbacks-Easements-Flood-Slope Cling. Joist-Rftr. Ties-Purlin-Roll 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. Fig., Porches & Decks; Soils-Steel-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel- Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers-Fireplace 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 AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AkOven Circ. / / ga Cu or Al Insulated Neutral 0 Yes EI No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service-Riser Conductors & Ground Main Disconnect Clearance Looked under Floor 0 Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive J Yes J No/Walks ] Yes J No/Planters :1 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 MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Comments at Final: 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-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive J Yes J No/Walks ] Yes J No/Planters :1 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: q':5f �� •`w' '�.+�'al�rfiy�I"_a��il� �a�f5�➢. � s:. .. ^r" � ,.e.'�i.+i-.+�+i{p."�„-''.��� 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 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please 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. c L roN. 4� V7 .17 Date c /'e/ Inspector 2 •s/ �/"' REV 106 3 _ 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 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation. Date / /.`21 T 4 Inspector ` REV 10/922 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541MY(Rev.12/96) APPLICATION -AND PERMIT g 5— AssES6p_R9'f cp.�NUr�EP043 '' ZONING M1 '' 'EQ. BUILDING PERMIT OWNERAROLD SHUTTLESWORTH TELEPHONE OCC. BUILDING VALUATION 103,194 OWN rILI LAVA R 7b3, OROVILLE 95966 "ONTIAMMVE HOMES TELEfIjDNE 6992 �j�j1 cONTRAr W2'*MITAUDE, CHICO CA 95973 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 21238 BL,ILDIDR iLVERLEAF, OROVILLEgy Ener Plan Checking g Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME T SUBDIVISIONS NAME P MSG/ PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 9 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: PERM FDN MH 39 X 49 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 ' PERMIT FEE $ 65.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oRRv=ss 23.00 3.00 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,R6,D and my license ISNf0 a and effect. u] e �y, —1 05 � License Class Lic. No. ll�� ll(ll OWNER -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 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 works compensation insurance carr�er"�n pol' y number arf� Carrier ,::tet. ,nA 1 -h,-n. V PolicyNumber (A) JU (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 11,^ -- (; p X C� A -t SL K� /I,, Date `� " � � "I 1 Signature of Applicant - ❑ Owner fpeontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO ,000A 46.00 NEW CONST. DVrNG OCCUP. s0 OR ADDNS. ( 8 ACC. BLAS. 3.50FT. T MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occu BAL o .so MED Ex. Occup. DUg pp OR,._ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 LIE PERMIT FEE $ 43..00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TO F $ 6 11 HAz. D FEES Fwo 1 c Is This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON 1 9 the applicable provisions Resolutions to do work been paid. Date Dete ReceiptNo. 258213/272.38//PC - S— Cf-o� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GO DENROD-APPLICANT SPf I ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75AI-95� _a �RMIT NP. (Rev. 12/96) APPLICATION AND PERMIT y (� z ASSESSOR PARCEL NUMBER ® � O r ZONING BUILDING PERMIT OWNER / TELEPHONE SO. FT. OCC. BUILDING VALUATION t OWNERS MAILING ADDRESSPC /O D V f I CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAULING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee'�)- �! (p � �D $ �2 , ` ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ • ' BUILDING ADDRESS 53 ) �' . C e Energy Plan Checking Fee $ S / L/ PERMIT FEE $ f LOT ND. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USUCTURE SF 13 Duplex Mobilehome Oth sP�� Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 6, Each as water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ InsffiIlationj❑ Other ❑ Describe Work: /�� R �lj /ylJp�i /LC 2l/yn j`'DT.c���o�7��t oi✓ .3�.��%� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 p -O Mobile Home ISI GI W1 1 @20.00 PERMIT -FEE $ ELECTRICAL PERMIT (ling Fee 20.00 OR ESS Main Service 200A OR 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. license Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60"d p and demolition or construction of structures over 3 stories in height. Main Service TO 46.00so CCUOWA NEW CONST. DWELLING OCCUP. SO WEL OR ADDNS. ( a ACC. BLDS. 3.5¢x, NEW ULT NI NREOSID T.MI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES '0 o ':50 Ex. Occu . oUnETs R6^,ID) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ q,3 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEES (713 RAZ. D. FEES IMP I FLOOD I COF PARCEL I Po RD ISSUE 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. Date (DA to) Receipt No./ --5—t27;2,39// WHITE•D.D.S.•B.O. CANARY -ASSESSOR PINK• PECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: 5LiS ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: Date: 3 r- O Q At time of permit application, Awas advised the following data must b useb use b'mitted prior to permit pr ceasing and%r issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot Flans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. 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. EnerEy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ utf'actured Home data ' llation instructions including Tie Down ------- CeeSpecifications.----------- f $_X4,7? --------------------------------------------------------------------------------- 1. pact s as shown on the attached schedule. -------------- I---------------------------------------------------- lifornia epartment of Forestry plan approval/fees. --1'4_�---- 13lood elevatidn certificate. ----------------- _ ------------------------------------------- ----- 4:. Sanitation'and plot plan approval Health Department. - - r25 - r ---- ------------------ i ❑ 15.) City of Chico plumbing permit.----------------------------------------------------------------------------------- f❑ 16Plot plan and business license approval fro the City of Biggs. ---------------------- �T Planning approval for (A) Use: �(B) Parking:ontact Land Development about Improvements, ElDrainage, Legal Parcel. Q 9. Encroachment Permit for driveway (construction approval prior to occupancy). 020. Pre -inspection Pre -inspection for required Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification). --- ❑22. Workers' Compensation carver and policy number. ------------------------- ❑23�..etlter Owner-Builder Verification (Given to owner ❑, Mailed to owner 13) - ----- ❑ of signature authorization. ------------------------------------------------ to.orded copy of Agricultural Acknowledgment Statement. ----------------- ❑ 26. Letter of intent on building use. ------------------------------------- ❑27. Manufactured Home utility clearance. ------------------- '-------------------------------------------------------- ❑28. Existing 'i lat as and/or ex ' perm�Ch - - - ------------------------------------------------------- ❑29. ❑433 Aant Deed,. I. Title,to H.C.D $ �� o--------------- 030. -------------- ❑30. Other: ------ (Date) you issue the permit, process as follows ❑ Mail to owner, OMail to contractor. Telephone ! l �' �J � �% �' and hold for pickup at C14c L office. ❑ Deliver with inspector. ApplicanC 1 U t,k9 I .bC�LuDate: a 2- Cf Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departmen , ❑ O By: 1. Index permit application for the above items numbered: I 'i El Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by phone, ❑ mail, ❑ B ' ding Division counter, by Date: Contractor, designer, owner, was advised of the above required data b ❑ 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 data by ❑ phone, ❑ mail, ❑ Building D'vision counter, by Date: Plans reviewed by: 02�— Date: Plans approved by: Date: Sets of plans on hold in ❑.Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: 0-, n-+-+ TI,...,.1,.....«,._.a c•.._.__.-.. n.._i _f___ ,.;;.a+r�"i3�ia+al:st '�+*'�`-t�'*�#�.;�iif+htW+EN.r:�r�"�7,r.r"•�:-�r�- �"''^ay�iti`'�ti�'}"°�TiIN%''!.'".;;�f '%}i'�'�n;3G:Lobi,"•,4�f„F`�F'ick+"j'?�"i."r;+-i.'%,:tijf'-�'rL�'�; %�Si'. ��''.''!:,. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 99 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE �,ty o/ <BUILDING PERMIT FEES -- Balance Due .......... $ , -- Additional Fees Due ........... $. -- Additional Fees Due ............ $ -- Revised Plan Checking Fee ....... .$ 2. SCHOOL DISTRICT FEES Vs (paid at at District Office) 4-- 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $30, e—a 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 $ .00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) IQs/ x/171.9% 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) A.P. # 1p 9' lQ 1Oc�/3. DATE REC # DATE REC c25?a13 311 2, 9 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the l wilding permit. These fees may be changed during the�plan checking process. APPLICANTP A n±X 0 ,(` ((� > DATE _ �J Original -Owner Copy -Building Div. (Rev. 12/96) t "t�t..: 'I``Mi; �r�•'rw; r,••�i l.t..•,r#•�r'Irr�r:'r fY'..`'^'L..'-a'0'. ry,lair rM,_(14 •.•«i �..rr �.!'K1r�4•"•^.""vii,fl..�-i.•..vv�rfr��'�R7��wfL.�vrw,"rW*^i, ar�.,.i .-i �� .. r .,may..:. .I School District A.P. Number Property Owner Property Location/A( Subdivision r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One forrn per Building) CDU/�4E ZIEM -A)TA ? / Building Department No. 1/HA Jurisdiction: F__1 City 1 V County Lot No. ...................................................................................................... Residential Development € Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): ................................................................................................................... CommerciaUl ndustrial New Addition Sq. Footage (Including Exterior .�. Roofed Areas) Date T If•loor Plans reviewed by School Urstnct Personnel) District Identification No. J g g School District certifies that k4z,-� L (Applicant) (Street Andress) U (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 9%�_Q y by payment of representing 1911 square feet. AB 2926 $ FULL MITIGATION $ M IF f 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, (CEQAI. 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 110/98Mmm it *yo. ' 3/6/99 Kenneth D. Reed, RE. Registered Civil Engineer 8976 Simmons Rd Redding, CA 96001 VoicelFax 530-243-3296 e-mail: kendeb@maxinet.com Foundation System for Shettlesworth Manufactured Home 531 Silver Leaf Drive Oroville, CA 95966 AN 069-140-043 b This foundation design follows the guidelinees set forth by the Permanent Foundations Guide for Manufactured Housing from HUD and conforms to the guidelines of the 1994 UBC. This analysis is in lieu of Apperdix F of the Permanent Foundations Guide for Manufactured Housing Foundation System is classified as E1 -- allowed in all seismic zones Coach is Mufti -Section Coach Length L = 49 -ft Coach Width W = 399ft Roof Pitch = 3:12 Coach Weight Wt = 64900.1b SITE CONDITIONS Site does not require a survey Building site is not in a flood -prone area The unit is not to be on an elevated foundation Per Appendix H, Frost Penetration Depth is 0" Footing plan shows footing at or below Frost Penetration Depth Footing base shall be place below topsoil layer, on undisturbed soil Groundwater Drainage Plan is not required Organic Soil is not present Expansive Soil is not present ,Site has minimal slope Subsidence is not present Area is: not a known termite infestation area Applicant has complied with local ordinances & CABO R-308 for construction procedures 3/6/99 Surface Drainage Plan data is provided on attached Plot Plan Grading Plan is not required There are no fill specifications Finish grade elevation is unknown FOUNDATION DESIGN Distributed. Weight W d := Lt W d =1324 -plf Design Snow, Load SL = 20 apsf Basic Windspeed = 80 mph Site is Inland; Seismic Zone is 3 -- Type E1 Foundation System is acceptable Floor Live Load LL f:=40•psf Seismic;; Load, UBC - Z=0.3 , C:=2.75 , R w :=6 Z -C•1.0 V:= R V=0.137 W RW Wind Load - 80 mph, Method 1, 0-15' Exposure "B" C e = 0.62 Cq for Windward Wall Cel :=0.8 Cq for Windward Roof C e2:=0.3 Cq for Leeward Roof C e3 :=-0.7 Cq for Leeward Wall C e4:=-0.5 q s 16.4-psf 1:= 1.0 C 1:=C e -C el•I•gs C l =8.1 cpsf C 2:=C e-C,e2-I.q s C 2= 3.1 Opsf C 3:=C e'C e3•I-gs C 3 =-7.1 apsf C4:=Ce•C.e4.I.gs C4=-5.1 apsf 3/6/99 C SIN COS B 2 windward Yt CI - h/2 h 2'' / A df "E3 W y 2 C3 / I leeward iF-C4 h/2 A :=a7 j 6 =11.6. eg h=7.5•ft y=4•ft 11 :=- 8 I1=19.96ft 72-�!COS Seismic LoadP s := Wt•V P s = 8923.7•lb Wind Load P w :_ (C 1 •h- C 4'h+ C 2•sin(0) •I I - C 3•sin(9) •1 1) •L P W = 6851•lb Wind Controls Support Pier Spacing s = 8.2•ft o.c. W -T- Moment Arm d :=s+ 2 d=13.9•ft OTM C'h2-C h2 -C sin 6 Ih 2I- 2 (+W)Z .C 1 4 3 ( Y + C 3•cos(9) • .. •L Y) W// W +C 2 sin(0) y h+ 2- C 2 cos(0) 2 Id+ 4/ OTM CL 11 1960 -lb -ft Dead Load Moment RM := Wt 2 RM = 1265550•lb•ft 2 OTM CL - 3 *RM Holdown Force HP:- d HD=-52738•lb No Vertical Anchorage is Needed 3/6/99 End Wall Design PW Shear-- u,:= PW u=88-p1f 73•lb•1.33 5 Toe Nail spacing -- S:= u s =11.1 cin 10d TN @ 12" o.c. Force in A.B. -- F pB := u -6•ft FAB = 527.1b < 811 Ib Ok Side Wall Design Pw Shear-- u' = T. L Toe Nail spacing -= u = 70 -plf 73•lb•1.33•5 S:= u s =13.9 -in 10d TN @ 12" o.c. . Force lin A.B. -- F pg := u •6•ft F pg = 41901b < 715 Ib Ok Foundation System per the attached plan is an acceptable Foundation System as required by Permanent Foundations Guide for Manufactured Homes i 4930.3 APPENDIX E OWNER'S SITE ACCEPTABILITY WORKSHEET Owner's Name:' Lee Shettlesworth Address: 531 Silver Leaf Drive F Oroville, CA 95966 Telephone: Legal' Description: AP # 069-140-043 Have you provided a copy of a map pinpointing the site? No Have you submitted a foundation plan? Yes (See #10 of the Manufacturer's Worksheet) Preliminary Site Information Before approval of the site can begin, the applicant must provide preliminary site information to the field office. Refer to Chapter 2, "Site Acceptability Criteria" for clarification. _ . Provide survey results showing existing grade elevation. (201-1) 2. Is the building in a flood -prone area? (201-2) .If the answer to 2 is Yes, answer 3,4, & 5. If the answer to 2 is No, answer 6, below. 3. What is the Base Flood Elevation? What is the Flood Protection Elevation? 4, , Has approval for drainage, grading, and berming been obtained for flood -prone sites? E-1 'NA no 5. Have permits been provided? (Permits must be obtained for any alteration _ of the building site in a flood protection are.) 6. Provide geotechnical report in areas of known high water table. (201-4) NA 7. Provide geotechnical reprot if adverse site conditions are found or expected. (203) NA S. Provide site -drainage plan complying with CABO R.301.3 or local requirements. (301) NA 9. Provide fill specifications if site is to be prepared with earth fill. (303-2) NA 10. KA geotechnical report is required, what is the net allowable soil bearing pressure? (202) NA 11. If no adverse soil conditions are known or "suspected, and if the home is individually sited, assume a soil bearing pressure of 1000 psf and use this value when a determination of soil bearing pressure is" called for. 1000 psf E-2 APPENDIX E MANUFACTURER' S WORKSHEET Manufacturer's Company Name Fleetwood Address Phone N Determination of Building Structure and Size The manufacturer must provide the following information: y 1. Type of unit 2. Method, location and types of support: Refer to the Superstructure Design illustration in 601-3.B Is the home a C,E, or I? :3. Length of unit, L 4. Width of unit, W 5. Height of exterior wall 6. Height of roof peak 7. Roof slope 8. Weight of unit, W 9. Distance between chassis members 10. Foundation design concept (See Appendix A) (C 1-C4;E 1-E8; or I) E-3 4930.3 Multi -Section C 49 ft 39$ 7.5 ft 3 f 3:12 64900 lb 7.25 ft C2 4930.3 11. Recommended pier spacing a. Exterior 4 ft b. Interior 4 ft C. Wedding Wall d. Tie -down strap (Cl only) 1.2. Installation recommendations (include* documentation showing connection details) 13. Interior shear wall locations (include documentation showing locations) 14. Design wind speed used in designing connection details for horizontal anchorage (Ah) and vertical anchorage (A„)** 15. Seismic values used in designing connection details for horizontal anchorage (Ah). 16. Shear wall connection details with rated capacity for wind and seismic are provided. (Number) Var NA (Spacing) See Foundation Plan NA See Foundation Calculations See Foundation Calculations See Foundation Calculations a. Connection location to foundation wall** shown b. Rated capacity for uplift** and overturning C. Rated capacity for sliding* d. engineering calculation by licensed structural engineer* * ' * * Optional values: It is optional for the manufacturer to provide these values. If the manufacturer does not provide the values, it is the responsibility of the owner to supply values, based on engineering analysis by a licensed structural engineer. E-4 LAND DEVELOPMENT OROVILLE / CHICO BUILDING' / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE OWNERS NAME HAROLD SHUTTLESWORTH PRINT LAST NAME FIRST ADDRESS / LOCATION: Building Pennit No. qA—nhiss MW PFRM FDN A.P. NUMBER 069-14-0-043 COUNTY ZONING DESIGNATION: 1 FLOOD MAP: FLOOD ZONE: APPROVED: CONDITIONALLY APPROVED: 7 RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION COMMENTS/CONDITIONS: LEGAL ACCESS REQUIRED: YES NO YES NO MAP INFORMATION: `j' qo&E. ()WT 1 DATE OF RECORDING: 3 O 170 LOT ' BOOK 8 PAGE S — C-) COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES V NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. X1. Maintain a 50 ft. building setback from centerline of road. —2. Maintain a ft. building setback from right-of-way/centerline —3. Comply with Zoning code for building setback from road. —4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from —6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. �7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Connect to a public water supply. —9. Connect to a public sewer system. _ 10. Automatic.fire'suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a,p,ressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. -11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) —13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. —15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. —16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. 19. 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. —20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22. 23. 24. 25. 26. LD 6/98 FORMS\BLDG PERMIT CLEARANCE RECEIVED PEAR 16 1999 1� V QF BSE GCI@ Dill. PERMIT NO: 15-99 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: Murch 25, 1999 Applicant: LEE SHETTLESWORTH (EXECUTIVE HOMES) Applicant Address: Applicant Phone No.: Property Location (s): A. P. No. (s): Fees due: P.O. Box 103, Oroville, CA 95965 (891-6992) 531 Silverleaf Dr., Oroville, CA 95966 Kelly Ridge Estates Unit 1 Lot 4179 069-140-043 All fees paid.'New service -connection mobile home. Application for service approved: LAk"OVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: By: Date: Lake Oroville Area Public Utility District release to close permit: Date: By: ;C Y.of.: 6.4. at Recorded �•...._. • . -:; 1 •..• 999.,E ;�ctl•i�r��� � ®�i,1281 _.............. ._._ . as oti ig•een:.with And when recorded mail to: BUTTE COUNTY. RECORDER Building Division #7 Countv Center Drive Orovilte, Ca. 95965 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 agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited -to herbicides, •pesticides• and fertilizers;_ and from the pursuit of agricultural operations including, butnot 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, necessan• farm operations. All that real property situate in the County of Butte, State of California. described as follows: v,C' C' R -k- o dv& Date:- PROPERTY OWNERS:, � -cl L� she+-� csw "14, State of California ) Countrof On 3 " o`?S -C% �t before me, personally appeared-}+LY_o 1d I aQ-�;'lesl jpOYi-Y 1 personally known to me (or proved to me on the basis of satisfactory evidence) to be lite person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that Ile/sltchhey executed the same in Itis/her/lheir authorized capacity(ies), and that by his/her/their signaiure(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS mi. hand and official seal. WENDY M. AUER rr"n Comm. # 1178379 r�n� Signature Seal; VI NOTARY PUBLIC -CALIFORNIA Y1 Butte County My Comm. Expires April 1, 2002 A.P.# obq- [L�o- 43 - b9i"80.1 099! 2f 4 11 1o. MHUAR I*T�lj- ", rjG ORDER NO. BU -172240-3 DESCRIPTION THE. LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I• THE WEST HALF OF THE NORTH 110 FEET OF LOT 13, AND THE SOUTH 40 FEET OF ABANDONED GIBRALTAR AVENUE LYING ADJACENT TO, AND NORTHERLY OF, THE NORTH LINE OF THE WEST HALF OF SAID LOT 13, IN BLOCK 46, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF PALERMO AND SUBDIVISIONS 1 AND 2, WITH ADDITION TO NO. 1 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 17, 1888. PARCEL II: THE EAST HALF OF THE NORTH 110 FEET OF LOT 13, AND THE SOUTH 40 FEET OF ABANDONED GIBRALTAR AVENUE LYING ADJACENT TO, AND NORTHERLY OF, ''THE NORTH LINE OF THE EAST HALF OF SAID LOT 13, IN BLOCK 46, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF PALERMO AND SUBDIVISIONS 1 AND 2, WITH ADDITION TO NO., 1 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 17, 1888. PAGE 4 CDF FIRESAFEREQUIREMENTS, 915 —0 4P 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. KI 1272.00 Maintenance of Defensible Space. To.ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards )0 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-rtenant 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. [ 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. [�1 1,273.05 Turnarounds. If required, will have'a minimum turning Ii radius of 40 feet from the center of the road. [n 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 o:f - 3--, 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. [�C] 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. [.p 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. [ ] 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. [ J 1. All parcels 1 acre azzd 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. 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 i_zal inspect 'ion of a building permit. Page 2 of 3 q� AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [x] 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 spri:zkler system per NFPA 13D - Glass area not to exceed ';0%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 Alf MT_7 _ L. Owner's Name: 2. Assessor's Parcel Number: .60 3.. Installer's Name:EMO j t 4_ Is the site currently under permit? .Yes[ ] No[9]' Permit No. .-5.. -,:Is the site an.existing site?.' Yes['' ]- Noo (If yes, furnish two plot plans). ';Cc•:,':r•; ,'.f Y�.fi. n' -t'4 a� 7F'���LP�iy.diE xAi '.':, roa.: ::: ::•+�:... .. ..... ..0 ... 6. What is the electrical rating of the mobilehome?� Amperes. .7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is.. electrical rating of the mobilehome site? Z� 0 Amperes. ' 9. Is the main service remote from the mobilehome site? Yes[ J No[)(j If it is, what is the rating?. Amperes. 10. Is there 'any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[),Ifyes, 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: Naturalpq ' Propane[ , ] None[ ] 12. Size of • gas .: pipe at . the mobilehome site from the meter or tank:.. inches:: 13. What is the gas.pipe length from the meter or tank to the mobilehome? 2. (ft.). 14: What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 -feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN. ORDER TO ;PROCESS THIS PERMIT APPLICATION =.. May 1995 , 8.5 y M.H 2 Size minim xr 1. X, Spacing maxim L From ends -maximum. with width over: 7--,] Mobilehome Manufacturer: Manufacture,yeani rAC199 Line 2 Piers: If other than single wide, furnish Setup Model Number: Size.minimum: x Size minimum: x Width: Length: (ft.) Tagalong or Expando'Size %ft.) ...From ends -maximum: On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's Line. 3 Roof Loads: installation manual and structural setup sheets. . -T -V FOOTINGS: Wood pressure treated or foundation gradOther: IP SUPPORTS: Concrete block[] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MMTI-WIDE Line 1 Line I Line 2 Line 2 ......................................................... Main Beam ................................................................................................... Line 2 Line I e2 Line 3 Line 2 ................................................................................................ Main Beano ................................................................................................ Line 2 Line I . . . ................. me 5 �ine Tag or Triple 4 ine I Line Ners: Line IOpenings Size minim xr 1. Size minimum: x Spacing maxim Each side of openings From ends -maximum. with width over: 7--,] Line 2 Piers: Line 4 Piers: Size.minimum: x Size minimum: x Spacing maximum: pacing maximum: ...From ends -maximum: ends -maximum] Line. 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): May 1995 'j, MAR -16-99 TUE 01;28 PM FLEETWOOD HOMES n FAX NO. 5306626425 ;�.�► V - r P. 01 12 RADCO "K f n m 111 co i A P P R 0 V f Hillmmi %,a s '� ~ r •• r r r r r Q-A a LA 0 La go IQ N ". 'I4-11 LTTE COUN � RUVLUINU A P P 4 SM: All MatarUj-0,kZ7 Accordance with R �nStall all lee % ec.odniaed Good Praetieea-and / of a, Qitslity Prescribed for the 8pecited use In, ;tile Uniform Building Piumbyng-Ilechan#ca..:..._..._:�O.W.�..-�� deg t Df oe1 Code, Y fq I� a CP c ask e4 Ti�3ilB aad apectfloaMtlane IOt'b@ kept oxo the.job at all times and it is unlawful-tQ male w yy charges or alterations on same out �stten permission from the of Publics D' arks. L . REVIEWED BY BUTTE CO.FIRE DEPT. CALIF. DEPT. of FORESTRY approved as submitted approved with conditions lir attached,'d eet. - - 3 '� Date �e� ec���® EQUIPMENT 14�CLU®!fit ALL STRUCTURE. A� O�',f E��R OF ALL EASEr�4ENT�. a O SCALL 6E br OVE MANN � �_� �.A�„�� T4 6�E AND A A SET RACK OF —�� F E'. F► QOM TU��� O�fP6�'E�T �Ca �. CLEAN Oi= SAVE tV RHANC.Ir FOR A 2 FT. BUP�U-N 4 .DING DEPARTMEN AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 27 -Apr -1999 1999-0017958 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. HAROLD L. SHETTLESWORTH REAL PROPERTY OWNEWLESSOR PO BOX 103 MAILING ADDRESS OROVILLE, BUTTE, CA 95965-0103 CITY I COUNTY STATE ZIP 531 SMVERLEAF INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95966 CRY COUNTY STATE 71P SAME UNIT OWNER (if also property owner, write 'SAME*) MAILING ADDRESS �Tr* t COmm WATE ro UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 99-0468 (530)538-7541 B L NO. TELEPHONE NUMBER SIGNATAIRE OF LOC AGENCY OFFICIAL. DAME EX9CUTIVIE HOMES DEALER NAME (ifnot a dealer sale, write'NONE*) 640583 DEALER LICENSE NO. FLEETWOOD 1999 SUNCREST 7493L MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLXI7AB/C22119SC 12 49'X 39' RAD 1157882 , 3 , 4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #069-140-043 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. LEGAL DESCRIPTION A.P. #069-140-043 All that certain real property situate in the County of Butte, State of California, described as follows: Lot 179, as shown on that certain map entitled, "Kelly" Ridge Estates Unit One", which map was recorded in the.Office of the Recorder of the County of Butte, State of California, on October 30, 1970, in Book 38 of Maps, at Page 5 thru 10. Certificate of Correction recorded'March 17, 1971, in Book 1663, Page 624, Official Records. BUILDING PERMIT NUMBER: 99-0468 Address or location of unit: 531 SILVERLEAF, OROVILLE, CA 95966 Legal Description of Real Property: A.P. #069-140-043 y • 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: HAROLD L. SHUTTLESWORTH Owner's address: PO BOX 103, OROVILLE, CA 95965-0103 INSIGNIA OR HUD NUMBER: SERIAL NUMBER OR V.I.N.: CAFLXI7A/B/C22119SC12 MANUFACTURER'S NAME: FLEETWOOD YE' : 99 OFFICIAL APPROVING INSTALLATION: DATE: 4/27/99 PHONE: (530) 538-7541 H.C.D. 513C 0 STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY ���`� 0,0 DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �� o DIVISION OF CODES AND STANDARDS d� REGISTRATION AND TITI-ING PROGRAM 5 STATEM W OF FACTS This unit is a: ❑ Mobiilehome ❑ Commercial Coach ❑ Floating Home ❑ Truck Camper Decal (License) No.(s) Trade Name -1e-e.+wovd I(We, the undersigned, hereby state: Serial No.(s) CArL)(I,A/Bic, Daiict -The, 0..bove hc�•se- � � �pra,.r�c� CN Cl h CA, be cr) p \ 0. CAc� Cir G• JF��oclz+a I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on 3- 23,,GP%at � . X11 r e1 (Date) (City) (State) Signature(s) Printed name(s) II -- City. �� �l I C-1 State 1-11 HCD 476.6 (REV 9191) RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDRD MAIL 70, HAROLD L. SHETTLESWORTH P. 0. BOX 103 OROYILLB, CA 95965 ORO -C 1111111111111111 X111 1111 !11(11 1 999---�001I;485 Recorded Official Records Coty_Of CANm J. 6RUM erorder Y DICKSON Assistant 11g06A11 16 -Feb -1999 I REC FEE 7.06 TAX 18.15 I t 1 I 1 Vickie I Page 1 of t Above This Lice for Rcranler's Use ONy A.P.N.: 069-140.043 Older No.: 170805.3-MAM Escrow No.: 170905 GRANT DEED 7HE UNDERSIGNED GRANTOR(&) DECLARE(s) THAT DOCtItmTARY TRANSFER TAX 1s: COUNTY s 18.1 S X ] computed onf� value of property conveyed, or l computed on ful value less vaallue of liens or encumbrances remaining at time of We, X ] unkncotponmed area; FOR A VALUABLE CONS)DERATION. Receipt of which is hereby acknowledged, MYRON B. WEAVER At JOAN D. WEAVER TRUSTEES OF TETE MYRON B. WEAVER AND JOAN D. WEAVER REVOCABLE FAMILY TRUST, FWABLISHED 9/4/91 herebyGRANT(S) to HARLD L. SSETE'LESWORTH, AN 1IlRlABYIBD m&N the following described property in the unincotporAted area of the County of Butte State of CaUfornis; Lot 179 as shown on that certain amp entld "Kelly Ridge Estates Unit One". wbich rata was recorded in the office olt the Recorder of the County of Butte, State of Calilornka, on October 30,1970, In Book 38 of Mips, at Page S Lhru 10. Certificate of Correction recorded March 17,1971, in Book 1663, Page 624, Oflielal MYRON B. WEAVER & JOAN D. WEAVERS. TRUSTEES OF THE MYRON B. WEAVER AND JOAN D. WEAVER REVOCABLE FAMILY TRUST, ESTABLISHED 9/4/91 STATE OP Fi personally known q Oce (momvsd a the on tha barb of aer m pt»on(s) w name(►) ate m widdo insos.nscit aid acknowledged to aw ds►t bcJ ted So mm in WA dzed capacity(its) ad that by hb/hdl �-yianeoire(s) on dw insttumeat tho pumn(0 or dts a>trity upoa btW(of which the person(s) acted, executed the instromem. WITNESS my sad OMW sd. Signaara IcA for allkUbMoAMAmt. jSSHIRLEY J. SCHWILK COMM, p 17�pOrpN4194 NOrory k-bhc - a 11YEQSiDE COglNTY AAv Cm vn"oe p.f J Stc►ttirwat:n 26,2002 Mail Tax Statemcnts to: SAME AS ABOVE or Addresa Noted Below E ORDER NO. BU -172240-3 DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I• THE WEST HALF OF THE NORTH 110 FEET OF LOT 13, AND THE SOUTH 40 FEET OF ABANDONED GIBRALTAR AVENUE LYING ADJACENT TO, AND NORTHERLY OF, THE NORTH LINE OF THE WEST HALF OF SAID LOT 13, IN BLOCK 46, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF PALERMO AND SUBDIVISIONS 1 AND 2, WITH ADDITION TO NO. 1 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 17, 1888. PARCEL II: THE EAST HALF OF THE NORTH 110 FEET OF LOT 13, AND THE SOUTH 40 FEET OF ABANDONED GIBRALTAR AVENUE LYING ADJACENT TO, AND NORTHERLY OF, THE NORTH LINE OF THE EAST HALF OF SAID LOT 13, IN BLOCK 46, AS SHOWN ON THAT CERTAIN. MAP ENTITLED, "MAP OF PALERMO AND SUBDIVISIONS 1 AND 2, WITH ADDITION TO NO. 1 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 17, 1888. PAGE 4 I- Existing Coach 16d @ 16" ac y e. n. 3/8" COX ply or equal w/8d@6"o.c. e.n. 2x4 Cripple Stud @ 16" o.c. � E 1/2" dia. x 10" A.B. @ 6' o.c.. 2x4 P.T Sill Plate #4 Continuous Top & Bottom �o .c E 4 C -- E O d d o 12" Mobile Home Perimeter Foundation Pony Wall Option 4 a — � Existing Coach 10d TN @ 12" o.c. - 4x4 Of Sleeper 2x4 P.T. Sill Plate Shettlesworth Mobile - 531 Silver Leaf Drive nrnvilhP R 95966 1/2" dia. x 10" A.B. @ 6' o.c.. #4 Continuous Top .& Bottom c �o E _ d - a E � o 12" I Mobile Home Perimeter Foundation Stemwall Option