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069-150-056
w9_ l5'-�6 .A..P . _ ' IDGE PROPERTIES p 593 Si eaf ., Orovil a ». Permit 20 E O les & cover e eck for mobile home) 's -AT) G OTTO-'TURK' - - --- � i 5'S--1-ver-lea.f-.Dr KR#1-:,..-lot _ .1 Permit# 3256-74B,E - (cabana, MH) i OTTO TURK7_:2zj1_'O. 593 Silverleaf Dr., lot oroville contr : Acro-Lume, O ovi•11 I M Permit# 4666-74B(a in 69-1�Du Contr: Servamatic Solar ��MH Permit#3902-84P(solar wtr h / )� Pe�0,/ �j SS kPOt 69-15-56 1 50-86B(enclose patio/MH) 069-150-056 05-1294 SCHRIEBER, DOUGLAS 593 SILVERLEAF, OROVILLE { Cont: SIERRA MHS ' 1 EX MH PERM FND V/ _,0� 069-150-056 05-2674 SCHRIEBER, FOREST TRUSTEE 593 SILVER LEAF DR, OROVILLE Cont: SECO HEATING & AIR HVAC C/O r] N i L7 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT, SERVICES BUILDING PERMIT 24 HOUR INSPECTION #. (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052674 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/29/2005 APNO69-150-056-000 the Business and Professions Code, and my license is in full force and effect. -p'Z Site Address: 593 SILVER LEAF DR ORO Licensee Class�: License Number: Date: "l u'1,7Contractor.� Map Index: Description: replace hvac OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following .reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SCHRIEBER FOREST D LIVING TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of SCHRIEBER FOREST D TRUSTEE the Contractor's State License Law (Chapter 9 commencing with Section 593 SILVER LEAF DR 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 95966-3985 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: SEGO HEATING AND AIR owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 4320 ANTHONY CT, SUITE 1 provided that such improvements are not intended or offered for ROCKLIN, CA. sale. If however, the building or improvements are sold within one 95677 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 916-652-6755 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: SECO HEATING AND AIR and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 4320 ANTHONY CT, SUITE 1 ROCKLI N, CA. ❑ I am Exempt under Article 3 of the Business and Professions Code 95677 Date: owner: 916-652-6755 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 788807 ❑ 1 have and will maintain a certificate of consent to self -insure for wor:<ers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as Architect: Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and number are: policy Carrier: Policy 9:"Z 'ZL Total Square Ft: 0 S.F. Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' /1 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 41v, Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one ///►►►��. / /�► hundred thousand dollars ($100,000), in addition to the cost of VI compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is here b issuedynd thea plica provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do orkin i' to above or w ch fees have been paid.r--^ � !`� G '—CJ performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: Name: .-�(� PERMIT EXPIRES ON: / y /`�66 Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of, Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. C � S C) L A, Print Name: u �f if _Signature: l -2 q� Date: ❑ Owner A -Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES �- BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION BIN # Website: www.buttecounty.netidds "'PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name � lFirst Name Address ' 3 I ve'r Drive Cityvcxr' I J If, State � Zip Y/ Phone �2.� elf vt ' .�� Fax E-mail CONTRACTOR f ' NameC`ec� iTQt.'Lj1f1 c[r Address i) O h T 1'� a_ CY, (r4- City I � Ste St Phone j (p'(06)`&q Fax(jj(,_ State Li as APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address St City Phon I State Zip Phone Type Const. Fax E-mail Map Book Slate Ucense Number APPLICANT INFORMATION NameSaol �' Address/ 13aD n , ,_,_ . /� L.! •�1 `t Vf Iziq City AGI (✓ll� St SRA Phon I Fax E-mail APP ANT SIGNATURE X For office use onV. W Zoning Ci r Ul Flood Zone WORKER'S COMPENSATION SRA Yes I No Occ. Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PROJECT LOCATION W Propert Addr _ <.I & L Ci r Ul Cross Street WORKER'S COMPENSATION Policy Number Carrier n • W Dills If hiring anyone oder than 11cdnse contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 12mvkt c*A 1 . A(/46 Sq- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received Amount Bldg r SRA Receipt # Sheriff q�� r0 SMIP Date: 7 Other Total BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT - 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2a34 (CHiCO) OFFICE #: (530) 536-7549 FAX#: (530)538-2140 WEBSITE: www.buttecountynetldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that i am licensed under Provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and Onto. ^ Q/5� p p License Class : (,� ^ �'I J Lka3rtse Number. �0a 90 Date: Contractor. orvNER-IBUILDER DECLARATION I hereby affirm under penalty of perjury, that 1 am exempt from the Contractors' State License Law for the following reason (Ser. 7031.5 Bruinness and Professions Code: Any city or county which requires a permit to construct. alter. improve, demolish. or repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit. subjects the applicant to a civil penalty of not more than fire hundred dollars (3500).y D 1. as owner of the property. or my employees with wages as their sale compensation. w01 do the work. and the structure is not intended or oBered for sale (Sec, 7044. Business and Professions Code: The Contractors' State License Law does not apply to an Ow— of property who builds or improves thereon, and who does such work hinself or herself or through his or her own employees, Provided that such improvements are not intended or offered for sale. If hiowevar, the building or improvements are sold within one year of oomptetion. the ownw builder will have the burden of proving that he or stie did not build or improve for the purpose of ❑ I. as owner of the property. am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon. and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.j ❑' 1 am Exempt under Article 3 of the Business and Professions Code Data. Owner. I hereby affirm under penalty of perjury one of the following declarations: D 1 have and will maintain a certificate of consent to sett{nsure for workers' wfnpersation. as provided for by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code. for the perfomrance of the work for which this permit is issued. My workers' compensation insurancecarrier and policy number are: Cartier. (r1l f'W ^ ' 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 the workers' compensation laws of California. and agree that if I should become subject to the workers• compensation provisions of Section 3700 of the labor Code. I shall forthwithh comply with those provisions. Dale: Applicant WARNING: Failure to secure workers' compensation coverage is utitawfut, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100.000). in addition to the cost of cc)mPerisation. damages as Provided for in Section 3706 of the Labor code. interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affnn that there is a construction lending agency for the performance of the work for trhtch this-Pemit Is issued (Sec 3097 Civ.) Name: Address: PERMIT NO. to do work indicated above for which fees have been paid. tierna c;numy GOQw anA/pr By.. Date: PERMIT EXPIRES ON: O 1 hereby certify that the use of this facility shall comply with Sections 25505. 25533. and 25534 of the California Health and Safety Code. which regulate the storage. handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. p Attached are copies of the required EPA notification forms I hereby certify that 1 have read this application. that the above information is eortecL and that 1 am the owner or the duly authorized agent of the owner. 1 agree to comply with all County and state laws relating to bue7ctng construction. I acknowledge it is unlawful to atter the substance of any official form or document of Butte County. thereby au"xXize repnMWntatives/�ypt/Bf sets County to enter upon the above mentioned property for inspection pu Print Name: %f VIw JCiL�') i%i `A Signature 5�- 4 ax Oeste: ��/ V ❑ Owner XConftdor O bent for Owner 0 Agent for Contractor RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2005-0031872 y t Recorded 1 REC FEE 1®.131 Official Records I County of 1 CONFORMED COPY 1.10 Butte I CMNDU J. BRUBBS I County Clerk-Recorderl 1 1 Is 012:49RM 03 -Jun -2M I Page I of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 9" 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. FOREST D. SCHRIEBER TRUSTEE REAL PROPERTY OWNEWLESSOR 593 SILVERLEAF DR. MAILING ADDRESS OROVILLE- BUTTE CA 95966 CITY COUNTY STATE ZIP SAME OROVILLE BUTTE CA INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME ZIP CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME DATE MAILING ADDRESS SAME CITY - COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE SIGNATURE MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-12 530 538-754.1 BUIL G PERMITS 0., TELEPHONE NUMBER . qmm,cTm?p OF OCAL AGETICY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. SIVERCREST 1974 SIGNATURE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER WS2182U/X 65'X 24' 139259/60 SERIALNUMBER(S) LENGTH X WIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-150-056 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. N . 4 %J tiff I%- ISI° -3 t AI , Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: c LOT 210, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT ONE", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 30, 1970, IN BOOK 38 OF MAPS, AT PAGE(S) 5. THRU 10. CERTIFICATE OF CORRECTION RECORDED MARCH 17, 1971, IN BOOK 1663, PAGE 624, OFFICIAL RECORDS. i APN 069-150-056-000 BUILDING PERMIT NUMBER: 05-1294 Address or location of unit: 593 SILVERLEAF DR., OROVILLE CA 95966 Legal Description of Real Property: AP#: 069-150-056 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: FOREST D. SCHRIEBER TRUSTEE Owner's address: 593 SILVERLEAF DR., OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: 139259/60 SERIAL NUMBER OR V.I.N.: WS2182U/X MANUFACTURER'S NAME: SILVERCREST YEAR: 1974 OFFICIAL APPROVING INSTALLATION: DATE: 0�,- 3'0 _S - PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE CGUNTY BUILDING DIVISION 7 COUNT' CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 3 -Jun -2005 2005-0031872 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording iof this document at the request of the local agency indicated is in accordance with California Health and SafetyCode 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 incexed 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. FOREST D. SCHRIEBER TRUSTEE REAL PROPERTY OWNERILESSOR 593 SILVERLEAF DR. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER Of also property owner, write "SAME") SAME MAILING ADDRESS SAME ' CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE SIGNATURE MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-129 530 538-7541 BUILPF9G PERMIT 90. //1 TELEPHONE NUMBER OF LOCAL AGE14CY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO SIVERCREST 1974 SIGNATURE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER WS2182U& 65' X 24' 139259/60 ` SERIAL NUMBER(S) LENGTH X WIDTH FNSIGNIA&ABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-150-056 HCD FORM 433(A) REV. 8/91 Description The land referred to herein is. situated in the State of California, County of Butte, and is described as follows: i LOT 210, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT ONE", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 30, 1970, IN BOOK 38 OF MAPS, AT PAGE(S) 5 THRU 10. i CERTIFICATE OF CORRECTION RECORDED MARCH 17, 1971, IN BOOK 1663, PAGE 624, OFFICIAL RECORDS. i . APN 069-150-056-000 i 90-2267/1211 3827 EXPLANATION AMOUNT 19130 SIERRA MOBILE SERVICE I I SIERRA FOUNDATION LIC NO 470386 H189 466 CIRCLE DR 530-534-0599 OROVILLE, CA 95966 PA _ AMOUNT the 711- /GO ,q Secudry lemuree OF -. v ,Gl/ t7 , e _ � tJ o taus°m ma. DATE TO THE ORDER OF GROSS INC. TAX SOC. SEC. ST. TAX MEDICARE TAX CHECK NUMBER X30 lVc0 - II OFUU90 ua c3LG..2 '!_ _ I DESCRIPTION US BANK � cO Mr AUTHORIZED SIGNATURE 11'01913011' 1:1,2LL22676i: LS340140392S0 I I I OFUU90 ua c3LG..2 '!_ _ I DESCRIPTION US BANK � cO Mr AUTHORIZED SIGNATURE 11'01913011' 1:1,2LL22676i: LS340140392S0 I STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �st►vc Division of Codes and Standards .j.0 9�0 m © �u 3 'n atmw Title Search 3G�'�0 Date Printed : 04/26/2005 Y DEv Decal #: LBE5654 Manufacturer: SILVERCREST Tradename: SIGNATURE Model: Manufactured Date: 00/00/1974 Registration Exp: First Sold On 06/24/1974 Serial Number WS2182U WS2182X Record Conditions Registered Owner: HUD Label / Insignia 139259 139260 PPF Exempt. Unclaimed Item Held in File Voluntary Conversion to LPT Use Code: SFD Original Price Code: AEM Rating Year: 1974 Tax Type: LPT Last ILT Amount: Date ELT Fee Paid: ILT Exemption: NONE Length Width 65' 12' 65' 12' EUGENE BUCHANAN SANDRA BUCHANAN (Joint Tenants with Right of Survivorship) 593 SILVERLEAF DR OROVILLE, CA 95966 Last Title Date: 03/02/2005 Last Reg Card: 03/02/2005 Sale/Transfer Info: Price $20,000.00 Transferred on 11/08/2004 Situs Address: 593 SILVERLEAF DR OROVILLE, CA 95966 Situs County: BUTTE Legal Owner: LAURA LYNI�I SCHRIEBER Estate 115 COLLEGE AVE COALINGA, CA 93210 Lien Perfected On: 02/23/2005 10:52:20 Inactive Decal/DMV: DMV LG3587, DMV LG3588, DECAL AAI2260 Title Searches: FIDELITY NATIONAL TITLE 455 ORO DAM BLVD SUITE A OROVILLE, CA 95965 Title File No: 107076 * * * END OF TITLE SEARCH WHEN RECORDED MAIL. TO: Dc)Lk6 -AS AND t_,NLAKk scHR�et3�rz 5 i-3 S1z rV6P L6 -.A r ptz- DOCUMENTARY TRANSFER TAX $...................................................... ...... Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or value less liens or encumbrances remaining at time of sale. Jiff llf f f i l JJJI J IJJI lJ lJJ l if l IJJI! 2PJ�4—Ja9046l;Z1IE�,3 Recorded I REC FEE 10.00 Official Records I Count Df CANDACEUJ. GRUBBS I ROSEMARYrder DICKSON I Assistant I Alyce 02:0615M 06 -Aug -2004 I Page 1 of 2 SPACE ABOVE FOR RECORDER'S USE . Signature of Declarant or Agent determining tax — Firm Name GRANT DEED pis�KitscaTld�v �a.oNn-"f"R�s�T ?,+T CoP6 1193 O FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Ig—EiTH A. -Tii,-65-reE 6f rc>i,e:ST P. Su4t-1v3<2 L`iv i ntV -TkUsT C>ATE0 1 - o hereby GRANT(S) to. u0U16L.AS NEAL. SCH I�-116Q6A- AND LA to9r4 the real property in the.City of 6 'RUV.1 LLLc County of 13 LA TT. IF S&Zl�- PTT AC_t415U L66AZ Dated &- 6--d) `/ STATE OF CALIFORNIA }ss. COUNTY OF On before me, , personally appeared k.2:r n A• , SCJAI- t e- be r— , personally known to me' (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same In his/her/their authorized capacity(les), and that by his/her/their signa- ture(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 MAIL TAX STATEMENTS TO: Potd6L.A5 AN9 LAL4M SCHIZ(LG3�i� 5 9 3 s i c vex. LEAF vx• ORO -V iLLc- CA State of California, described as �CiT�f .4. Sc:H2IL��IL 5ucc�sSof�TQusi�E M. CHRISTIAN Commission # 1472535 @my Notary Public - California 9utte County Comm. Expires Feb 24, 2W8 (This area for official notarial seal) 1002 (1/94) NOTES i .t RESIDENTIAL 'PERMIT NO. — 069 -150-66 05-1294 j SCHRIEBER, DOUGLAS 593 SILVERLEAFN, OROVILLE Cont: SIERRA MHS i EX MH PERM FND SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 270 JOB FINALED (Date) Signature J=OK 0 = Not OK - =.Not Rtie . =Not Headyeady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 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) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P L'ft. / P Nat. or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date - Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings, Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectot 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoni g:Requirements-Setbacks-Easements ngs; Size -Spacing -Marriage Line Blocking , 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. 5p, -and Electricity Tagged i/ . License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 140%L 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 POOLS (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 -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. -Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 d=OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" 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/0 -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 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test 57. Siding -Nailing Veneer Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 70. Stairs & Rails Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underf(r. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking -clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InAdJDrive 0 Yes O NoMalks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. P051294 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/20/2005 APN: 069-150-056-000 the Business and Professions Code, and my license is in full force and effect. /7G3S, 6 License CClass: __ License Number: Site Address: 593 SILVER LEAF DR ORO Date: J � C)-rContractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through hisor her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.l. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent -to self -insure for workers' compensation, as provided for by Section 3700 of the Labcr Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as requited by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: � Carrier: A% 7�YY Policy #: e L S-7 ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: .. r Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages .as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: Description: EX MH PERM FNDN (1560) Owner: SCHRIEBER FOREST D LIVING TRUST SCHRIEBER FOREST D TRUSTEE 593 SILVER LEAF DR OROVILLE, CA 95966-3985 Applicant: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 Contractor: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 License #: 470386 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: 21 - This permit is hereby issued under t plicable provisions of the Butte County Code and/or ResolutionX do work iridicated a ove or which fees have been paid. / By: Date: � D 1�^ PERMIT EXPIRES ON: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ , Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby Authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose _ Print Name: F7� Signature: Date: ❑ Owner Ca' ontractor ❑ Agent for Owner 0 Agent for Contractor I .�����IIIIIID/Gi�.� • BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL, REQUIREMENTS 24 1-10UR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION 'PLEASE PRINT CLE kRLY** OWNER -ast Name First Name , Address S93 Y v Cit S �RUu r:x 1 tale �✓,; ZI P , r' Phone Fax i E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name I Flood Zone Address Address City I Stale State u, zipjS t 6,6• Phone Shy 66 `9 y I Fax E-mail S3 q/ DS -6 C Lic. # Y7�> Li,` Class �S APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name I Flood Zone Address Address City I Stale Zip Phone I Fax E-mail I Slate license Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name I Flood Zone Cross Street Address Yes t.N, City C^ Subdivision Name 14ap Book Page Lot # State ZiP �Js"y�6 Phone S3 q/ DS -6 C Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning T I Flood Zone Cross Street ISRAI Yes t.N, Occ. Type Const. Subdivision Name 14ap Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. eBP )29 BIN # LOCATION AP# Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance, LENDING AGENCY Name Address Description or Scope of Work: CO uv i .c l vii o -z_& Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EX?IRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount 'T � R� Date: l y a -Bldg SRA Sheriff SMIP 2 Other Total COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �C� l�\ �1 3. ASSESSOR PARCEL NUMBER Ucf, Proposed Building Use: "v\ -Permit Technician: Date: LP V� Items required in order to apply for a permit. AI boxes MIISf be checked OR marked NA in order tbjapply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan,( ie down or frld plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 1'. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remainingi items, needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 1.3. Soils Report and/or Engineered Foundation required ........................................... ❑ 13. Erosion Control Plan Required........................................................................ p/ 2). Fees as shown on the attached Schedule of Fees Due Sheet...................... ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ............ ❑ 25. Contact Land Development about -Improvements, -Drainage ........................ ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... 17-129. Worker's Compensation Carrier and Policy Number .......................................... ❑ ':0. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ c1. Letter of Signature authorization.................................................................... ❑ 2. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 3. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......... ❑ 35. tS} egal description, ❑H. Title, title search, registration or MCO ......................... ❑ 36.Ofher: ❑ 37. Other: When issued Telephone 1`5151i4_ V 95� � and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 1 Date: 1. Index pe. -mit application for the above items numbered: Plan Check L tier I items required ' designer, owner, was advised of the above data by phone, ❑mail, ❑counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ . phone, ❑ mail, ❑ counter, by Date: Contractor_ designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviEwed by:Date: Plans approved by: Date: Structural oeviewed by- Date: Structural approved by: Date: Note trans-er by: Date: Yellow: Building Division V COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE "(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER Y l PROPR �£D BUILDING USE 2Q -.r �tT" BUILDING PERMIT FEES 1- Balance 3 1 1 ance Due ..................... $ --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $_ 6q.rtg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) _`. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning_ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) �. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) :3. SMIP 9. OTHER 10. OTHER 21. OTHER A.P. #QC9' )156.65 DATE [0--s r RECEIPT # DATE REC. 43�w— 3 At time cf permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan c ki process. APPLICANT' DATE b Pursuant tc Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) Vector ; yn ics Founda, tion.stem INSTALLATIOiV INSTRUCTIONS for the State of California Version 9/2/2003 INDEX Approval PAGE RELEASE SECTION. NUMBER DATE MANUFACTURED HOMEIMOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 INTRODUCTION 2 9/2/03 APPROVED GENERAL INSTALLATION 3 9/2/03 SUBJECT TO CORRECTIONS NOTED PARTS LIST 4 & 5 9/2/03 kPPRCFVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF LONGITUDINAL DEVICES 6 9/2/03 APPLICABLE STATE LAWS AND REGULATIONS of California PIER HEIGHTS 7 9/2/03 nt tl usio and Community D"opmo t SET-UP INSTRUCTIONS 8 9/2/03 N ODES AND STANDARDS ; / 03 E HATE t SPA FOOTER SIZES Ms an App'malExpirea "14 1 v10 WIND ZONE I - SINGLE . 9 9/2/03 -'DOUBLE " _ _._10 9/2/03 - TRIPLE 11 9/2/03 . - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03 �oQRoFESS/0/q M. - TRIPLE 15 9/2/03 No.6 245 rn (.P, P. �/0q— V -DRIVE & PIER SYSTEMS 16 9/2/03 s�q civic OF CA1 iF SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 _ WnE M.MlYt COMPONENT PARTS AVAILABLE UPON REQUEST �1PPR0V.E . r o TIE DOWN ENGINEERING 5901. Drive (V O Atlanta GA,, 3033 O v. ;�,, ,,., s� _ • ..�� A i k y"• A y y ,�,p (:t'.� ham{ ■ ! �.a{C.�,3j'� �ivc}� �54t'�� ..+, d!' .,may Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the hone as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home, The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. Page 2 California 9/2/0 GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after_ clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 2.1) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad, provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE -TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED . Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 9/2/03 . t Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. LSD'*- 1, Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal 5trut(2 per system) 4. Tie Bracket (2 per 5y5tem) Combine Vector Dynamics & LSD Note: Two struts = 1 L.5,1), system Can be used on one pad or 5lipt on opposite ends of the home. Examples Of Po55ible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone Single Section I I' I I I I I I I I I � I I 1 1 1 I 00 18 Ft. Max. Wind Zone I Double Section 32 Ft. Max. Forgreater widths use triple 5ection de5ign. Page 6 Wind Zone Triple Section I , 1 , ' 1 , Wind Zone I Tag Section , , 48 Ft. Max. California \� IML.:. 9/2/03 • �� n 50 in max. Maximum Pier Heiaht Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches forsingle section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 in max, Maximum Unequal Pier Heights Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". Page 7 California's 9/2/03 Set -Up Instructions for Vector System #59018 OF Long U -Bolts 1. Set Vector Pads Clear all vegetation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach, outside tension bracket as shown to out- side of pads. Page 8 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. Califor � 0� k. w 9/2/03 O W WIND ZONE I,. SEISMIC ZONE 4 Vector Dynamics Systems Required for - Double Section Homes _ _ - (Materials Required) eCt,C� _ -72, double s I _ " f a \ I.� _ - i r r. NOTE: Vector Systems should be spaced as symmetrically as possible along the length o'. home. Pier spacing must be consistent with manufacturers' instructions and/or state requirements. No anchors required. For pier heights up to 46"' for 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. WIND ZONE I Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': None ('`Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' 5 0 4 Each Vector System requires one of the following: ,—, 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) 2 sq. ft. pad Note: L.S.D.= Longitudinal Stabilization Device See Page 6. 0 " VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 46 as described in the table below - SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in, cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: _ 16x16 = 256 sq. in. - - — 20x20 = 400 sq. in. _ - - or 16x18 = 288 sq. in. - or 17x25=425 sq. in. EQUALS - — EQUALS 2 -Vector Pads # 59275 = - - 1 -Vector Pad # 59271 --_ 288 sq.. in. or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent liste above. 'Foundations in soil with a beaiing capacity of less than 1,000 PSF must be designed by a Registered Professional En in r lar with site conditons Page 17 California 9/2/03 - .. F',,, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. Q2 � �� ASSES O ARCEL NUMB ZONI G BUILDING PERMIT OWNErA n_ TELEPH N SO. FT. OCC. BUILDING VALUATION t OWNER`MAI_ NG AD ES r 1 CON 'S NA,M^E TELEPHO E V C 0 N -T RACTOR' MAILING ADDRESS Fireplace CONS CTION Lt4 �-,-ENDER KNOWN Total Valuation - $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH CT OR ENGINEERLICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I� VPermit vC> f ` fee $ � PLUMBING PERMIT Filing Fee '10.00 Each Trap 2.00 ®r Solar or heat pump water heater 20.00 LOT N SUBDIVISION NAME ejT�!- PARCEL MAP Water piping . 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE\ SF [IDuplex❑ Mobilehome Other PE:1 Y Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK NewAddition❑ Remo%dei❑ Utilitie Ipstallation❑ Other ❑ Describe work: �(',l 05�. 1 1 _ PerrnitFee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the BusineSS and Professions Code and my license IS in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. // DWELLING OCCUP.a / , OR ADDNS. l ACC. BLDGS. /20sgft NEW CONSTR. ULTI-OUTLET 2,50 ea NON.RESID BRANCHCIRCUITS /POWER APPARATUS tr `SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES eL030 Ex. Occu aALO D APPLNS Ex. Occup. out ETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. R1 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against my in con nc of the granting of this permit. Cl X,�� Datesions Signature of Applicant — Owner ❑ Contractor ElAgent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 s ories in height Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 0CCUP, CONST.TY PL JFLTRCELJ PD Ho 1 SUE This permit is hereby issued under of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET - Permit No. �f / l . A. P. No. (fin — IS -S6 J~ 2L Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Building InspectorL/��'",✓-���CC Date /. / y (/J At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . Plot plans in duplicate/triplicate. . . . . l 1.F r _--��omplete plans in uplicate/ i.plicate. 4. Complete engineered plans and calcs. . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner[:]) 15. Improvements may be required.. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement . _ 19. Other When you issue the permit, process as follows: X Mail to owner. Mail to contractor. Telephone and hold for ickup at office. Deliver w/inspector. Other Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor,' Designer, Owner) was advised of above required data by Telephone Mail Plans checked by - Plans approved by Other: Copy—DPW By Date Date Date Other 0 Sa This set of plans and specifications MUST '(E•pt on the job at all times and it is unlawful to c'o mai any chzInr;es or altcrations on same wi;houi wri I.an p rmisson from the Department of Public Yorks, County__ of Butte, - O'IINER: Otto Turk Address:593 Silver Leaf Dr. A- P- 34-59-56 _iE ,�ta.a N� e1 tT The 9W9. Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maximum of a 2 ft. eave overhang. Septic system and location - to be as per Butte County' Health Dept. Re= qu i rements. w BUTTE COUNTY BUILDIN; DEP,1,� i APPROVFn Ti 0 0 ,revn!teiCr The BW9. Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maximum of a 2 ft. eave overhang_ S,-:.)t;c system and location- i. g=ds;a _ "— :�"bzmt; to be as per futte County Health Dept. Re= quirements. w s �/ZO PCJ6 r /a FS �/ X ` " i'J J AJ S/IQd � d d (his set of plans and specifications MUST ��' :(=.,pt on the job at all times and it is unlawful to C'd m:, ;^ an changes or alterations on same withiout y wri t::;I permisson from the Department of Public - -- LPL. - YVorks, County of Butte,_ O I ER:.- Otto- Tur)}BUTTE - - COUNTY 4 Address:593 Silver Leaf Dr. Pigs' A.P. 34-59-56 BUILDIN G:7 DEPAR i APPROVFf) z Ate+ ate M C9 The M49. Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maximum of a 2 ft. eave overhang. - Septic system and location- =�LM5t "to be as per Butte County' Health 'Dept. Re- quirements. PRO Pas C � This set of plans and specifications MUST l� be 26 ,vE pt on the.: job at all times and it is unlawful .to Cid z►a any chancres or Altera+,ions on same witfioui cr �2 P.L. wria n permisson from' the Department of Public Works, County of. 'Butte OTdnRi Otto Turg,�f BUTTE COUNTY Address:593 Silver Leaf Dr. :BUILDIN }A 'P. 34-59-56 `G DE(?r'�RTP`i . APPROVED Permit#3902-84P OM Turk 593.Silverleaf Dr. KR COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE I CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS i r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑' Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR ADONS. ( ACC. BLDGS. / 2/22sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full .force and effect. t License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON_RESID BRANCH CIRCUITS) NEW CONSTR (POWER APPARATUS &) NON RES,D. SINGLE OUTLET CIR. 20e50a Ex. Occup(OUTLETS OR FIXTURES SAL030 Ex. Occup. OUTLETS P(RESID )FIXED ALNS.R EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - Owner❑ Contractor ❑ Agent ❑- An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which - DIREC5TOR OF PUBLIC By (_\� �� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 3 Date - ` t Receipt No, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO! d2 -4 r A�SF�rS50` PARCEL NUMBER f�99VV\\66 G✓ e4L ZONING BUILDING PERMIT O(W]N.EERR %� l © {"` TELEPHONE SO. FT. OCC. BUILDING VAL AT ON OWNER'S MAILING ADDRESS pQ © V CON R eeC,,T^^R•S NA E V �1 TELEPHONE O RACTOR 'S MA LING A RESS io f'r Fireplace CONSTRUC TICN LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAS. ING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ AR TECT ENGINEER'S MAILING ADDRESS k Permit fee $ BUILDING ADDRESSIJ lk- PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 (3 Po f L C Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MM Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE �L�j/ SF ❑ Duplex[] Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other Describe work:�PWA-WiAaJe !Sdf.-)'-L(9iA !I _ 2 n ��^��i 58 LJ (tet-� w� (j t7�4i=Cr Permit Fee $ O-' Contractor ELECTRICAL PERMIT Filing Fee 10.00 100V OR LESS Main service 600 AMP OR LESS 10.00 Main service EA. ADD'L 600 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLOGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): Dam licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full rce and effect. / License No. Classification �+ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULT'-OUTLET2.50 ea NON•RESID BRANCH CIRC ITS NEWCONSTR. POWER APPARATUS &) NON -RESID. SINGLE OUTLET CIR. Ex. Occu / 20@50e P\o OR FIXTURES BALD 300 FIXED FIXED APPLNS. OR A Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n Tire permit is for $100.00 (valuation) or less. I�= 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabil' i judgments, costs, and expenses which may in any way accrue againrt s i C my n con u ce of the granting of this permit. XDate Z g. Signatur o pplicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ ® G� TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD ND SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated ove for which IRE O PUBLIC By- PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �[ Receipt No. /31pO v -a- J WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT i . V/ i, 5 i PERMIT NO. 4666-74B ase -7 P E 2- M MH UTIL. PERMIT NO. PERMIT EXPIRES _ — 75 OWNER Otto Turk 'CONTR. ..ACRO-LUME, Oroville yLOCATION (A.P. 34-59-56 593 S*rrerleaf Dr., lot 210, KR, Dro. h i Y i I F i v A i A 1 Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called Temp. Gas Called JOB FINALED (Signature) r3 t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS t BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framin q Test Water Htr. .Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer i Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — 9E A,13TMENT OF PUBLI RKS 7 County Center Drive — OroviIle, California 9596 Telephone: 5�4-4541 t- PPLICATION AND PERMIT / authorize representatives o _the County of Butte to enter upon the above -menti ned propert or insp dtion purposes. X Date $ gnature of Perm or Agent Receipt No. �6� ��� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR 071 PUBLIC WORKS By Date /L—Z— ujldjng permit expires Date ............................................ BUILDI G Owner+ �— SQ.,FT. OCC. BUILDING VALUATION Mailing Address ()� Telephone No. Fireplace Contractor CJZB Lfw/t Total Valuation Mailing Address '0.3 aeo—eLv 1� Permit Fee Plan Checking Fee&/or Penalty /eeU/� Telephone No. ._ � Permit Fee $ 7,gc) $ �� Building Addresses VC -111f E F ?f' PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 420 0 1 C. L Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No — 6 6Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s S MoJFireDept.1 Fire Zone I Use Permit Building sewer 5.00 EQA Parking'Parcel Plans eclaration parcel a MT p 60' R/W Im provem nts Lawn sprinkler system 2.00 n Bldg. Plaec'd Parcel Approval Plan pproval Permit Fee $ $ NEW ❑ ADDITION ® UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures io ?Fe p9 --1 ];bale Receps., switches & fix outlets 20 , 1010 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the Calif9 State of nia Business & Professions Code under the name style of: 2 C 0 � W A4� _ ' Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. %y��7 Classification �•-�4? Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. rKI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Per Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives o _the County of Butte to enter upon the above -menti ned propert or insp dtion purposes. X Date $ gnature of Perm or Agent Receipt No. �6� ��� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR 071 PUBLIC WORKS By Date /L—Z— ujldjng permit expires Date ............................................ e PERMIT NO. 3256-94B,E P E M MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER Otto - Turk CONTR. OCATION• (A.P. 34-59-56 ) f 593 Silverleaf. Dr. , KR¢#1, lot 210, Oroville a s Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED ' (Date) (Signature), COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd•Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final —69 Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Q! Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing O — Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — -TMENT OF PUBLIC W R 7 County Center Drive — br'ov,1le, California 95965 Telephone: 534-4541 pJ (p APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ' ° � Date f �%Zy Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF P BLIC WORKS By Date 911 7 (ding permit expires Date ................ �I BUILDING Owner O T7O -7'v/V_/c SO. FT. OCC. BUILDING VALUATION Mai lingAddressS'9-3 F D ®I2ovr //r S��h:'eNo ' . Fireplace Contractor Q (,� �(C�� Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No, Permit Fee $ $ C Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 c p7 �a / L C��i �C �/L Each Trap 1.50 6[ �� r✓G/c IVt i ZI Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.c� r^ Z ;7 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F SarG " ire Dept. Fire Zone Use Permit Building sewer 5.00 ECA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improve ents p Lawn sprinkler system 2.00 s �I Parc pproval P I a pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,x.00 �/SI,BIQ/1% Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures ba��l dll�0 Rec s., switches & fix outlets 75 7 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 3 S MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ro I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 7j authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ' ° � Date f �%Zy Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF P BLIC WORKS By Date 911 7 (ding permit expires Date ................ �I sn ,„ _,. y� S w PERMIT NUMBER B 2038-73B2PsE P E PERMIT EXPIRES OWNER Oro Ridge Properties CONTR:. C.I. Engineers, Oroville LOCATION (A.P. 34-59-56 593 Silverleaf Dr -y Oroville (Lot 210) COUNTY OF BUTTE . Department of- Plir. Works .. BUILDING INSPECTION RECORD f �� Zoning SetbackX62 Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster. Rein. Steel Gas Piping & Test — Found. Vents. Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING 7 Temporary Temporary Cert, of Occu . - Final Final • Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR o 3--&- 7 County Center.Drrve --- dOroville, California 95965 `7 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -me ioned property for inspection purposes. Date Si nature of PI mitee r /Aggentt Receipt No. 0 v 4_0 _ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS B ate Building permit expires Date ��cc�% BUILDING Owner SQ. FT. OCC, BUILDING VALUATION 001, Mailing Address Telephone No. } Fireplace Contractor - Mailing Address Total Valuation Permit Fee Plan Checking Fee &/or Penalty lephone No. Te Permit Fee $ $ Building Address -5- ` �� PLUMBING No. @ FEE PERMIT FILING FEE V" $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Z/ d Each gas water heater or vent 1.50 .� A. P. No. _ S�9— rG zOn;�g g PI Hing Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fps I anit Fire Dept. FireZo se Permit ng sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ Q $ p y NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE , PERMIT FILING FEE $3.00 3 '� Main service incl. 1 meter cti Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures ±210 P2Aball o Receps., switches &fix outlets 1010 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style o . % r �• Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities -- 5.00 _<- --J Temp.,Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑ I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -me ioned property for inspection purposes. Date Si nature of PI mitee r /Aggentt Receipt No. 0 v 4_0 _ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS B ate Building permit expires Date ��cc�% • `� ... �_ � - .v_ • 6' -� �_ � - .v_ Ml I Q1. Q n4 \ .�4� � '-� •1 � ��� �r� �FZ -,F�p FT i zpL"g' '� �z �II'� a�- a w - zNUU �� � � � ��u�pF�; iw_n�N of x2 z Q i i� h p ,-F uadpz F3ui Fvot, , 3Qwdrzn3 d< r 2 J w P G t uz F�axi z=w '�<r Z wy Q rz� z,� aCraJQ'rl , �iw�a��xSpp�Ztat fl� ��� .�, \ ,9,•� d `�:\ \ � ill �0 3aaw 'p �d�- m-� mzz� •v \.A Niw S Q 0 VI k = Z '.. \ `' \ 1�>QQ �Q�r�`F�<3hu1F Fd<�d Q a 6 lal `' 2' y iZ i � ppFFF 13 0 � '' it " 0 t � r' �q 8� tj p O ld i0 N € € 1 _ d-, t-; �, c V. 0.I V cat caI _ I U, Zt L " I _-r IA of ' iu � � `d " oN" ' *� I � a-4 Y - b: I •� w. - 9L��. SNF r zIT o H _ IL: — — — ►U C � �13W p 0 111 110, o .. < ..;.I .•. �:;•� -- . ice, �?Q a � 4 xQ #W__ � s�� � $z- _... x .`� ---- r - - 1t 1L I h oI� I ti� V vx W p W yL�i Wyk �qW ' W 0 gip' 1p 1 n STREET I hereby approve of this structure in accordance with Dwg CUSTOMER PLOT PLAN SPACE NO. SPACE SIZE PARK NAME TENANT'S NAME PARK ADDRESS Approved by: OWNER or PARK MGR. ON, jcHl!'IEDEQ DOVC4AS NEAL 59s 6 IwER L 6A F OROVI'-.-E CA cC 069 l so os� SHED S I" Icy' ll 3' IYI gyp' 69' - - /o3' 5 V EIR. 1.FAF SUM CoLwn