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069-200-010
RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded f Official Records I County of I Butte I CANDACE J. 6RUBBS I County Clerk-Recorderl I f 03:16PN 16 -Aug -2005 I REC FEE 10.00 CONFORIED COPY 1.00 SA Page 1 of 2 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 1855 L. 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. DANIEL HAZEN ' REAL PROPERTY OWNER/LESSOR 1364 KEENAN_WAY MAILING ADDRESS SAN JOSE SANTA CLARA CA 95125 CITY COUNTY STATE ZIP 55 KOKANEE DR. OROVILLE BUTTE CA INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME �/ I1 /05 UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION I t BUTTE COUNTY BUILDING DIVISION t LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY. 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP - 05-1410 (530) 538-7541 BBUIIILLDI,NG PERMIT TELEPHONE NUMBER Mjr+, mil 'N�'0^y`.''J/ �/ I1 /05 SIGNATUREAGENC NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. - FLEETWOOD 2005 3563K MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER CAFL517A/B 56'4 x 11'5, 52'4 x 11'5 PFS0902500/1 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-200-010 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 05-1410 Address or location of unit: 6'1 KOKANEE DR. OROVILLE, CA 95966 Legal Description of Real Property: 069-200-010 SEE ATTACHED (x) Mobilehome/Manufactured Home () 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: DANIEL HAZEN Owner's address: 1364 KEENAN WAY SAN JOSE, CA 95125 INSIGNIA OR HUD NUMBER: PFS090250/1 SERIAL NUMBER OR V.I.N.: CAFL517A/B28471-EX13 i MANUFACTURER'S NAME: FLEETWOOD YEAR: 2005 OFFICIAL APPROVING INSTALLATION: DATE: 8/11/05 PHONE: (530) 538-7541 H.C.D. 513C I i f `i0 &&1, 4-0 S te. V tTOFSTATE OF CALIFORNIA NUMBER: ... BUSINESS, TRANSPORTATION AND HOUSING AGENCY + DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 8734890 • DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN DISTRIBUTION: ORIGINAL (PINI) FORW(U3t3 TO THE INVENTORY CREDITOR UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORW D TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) _ DELIVER TO THE TRANSPORTER TO ACCOMPANY. THE UNIT jO ITS DESTINATION,—, Fo—cHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING XXX NUMBER OF 2 ❑ SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: FLEETWOOD HOMES OF CALIFORNIA, INC. 9534 MANMCMRI EM: AVE. SUGGESTED RETAIL PRICE: PO BQ% 1308WOODLAND CA 957-fis Street Ci State (zip) MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: EXPRESSION 3563K 2005 04/28/2005 NAME OF DEALER OR TRANSFEREE roWN RSHIP TRgNSpEW TO CALIF. DEALER NUMBER OR DATE OF TRANSFER: FLEETWOOD RETAIL CORPOTION OF CALIFORNIA TRANSFEREE DESIGNATION: ' DHA: FLEETWOOD HOMES OF OROVILLE 1061581 04/29/2005 DEALER OR TRANSFEREE ADDRESS: 2243 FEATHER RIVER OROVILLE CA 95965 (Street) C" State (zip) INVENTORY CREDITOR NAME: FLEETWOOD RETAIL CORP INVElt@IbOS SERVICES 10700_NORTH FREEWAY, SUITE 900 HOUSTON TX 77037 S(-ee() (City) State Zip SECTION MANUFACTURER SERIAL NUMBER`:,, HCD INSIGNIA OR HUD LABEL NUMBER LENGTH '_ WIDTH WEIGHT 1� INCHES INCHES (POUNDS) 1 CAFL517A28471—EX13 PFS0902500 6� 1 0 22,160 2 CAFL517B28471—EX13 PFS0902501 628 140 22,020 1 TRANSPORTER NAME: BENNETT TRUCK TRANSPORT, INC. TRANIPDBIR TRIAL PARKWAY P.O. BOX 569 MCODNOUGH GA 30253 street C' state (zip) DESTINATION FOR UNIT DESCRIBED ABOVE: NAME Street C' State z' I certify under panatty of perjury under the Ims of the State of Califom a that the above facts are true and correct. 04/28/2005 WOODLAND YOLO CA Executed on at (Date) (City) (County) (State) SIGNATURE OF AUTHORIZED AGENT: !� f DISTRIBUTION: ORIGINAL (PINI) FORW(U3t3 TO THE INVENTORY CREDITOR UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORW D TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) _ DELIVER TO THE TRANSPORTER TO ACCOMPANY. THE UNIT jO ITS DESTINATION,—, y RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 16 -Aug -2005 2005-0048366 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 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, DANIEL HAZEN REAL PROPERTY OWNEWLESSOR 1364 KEENAN WAY MAILING ADDRESS SAN JOSE SANTA CLARA CA 95125 CITY COUNTY STATE ZIP '1 5kKOKANEE DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-1410 (530) 538-7541 BBUIILLDINGPEPERMTI NO. TELEPHONE NUMBER SIGNATURE OF LOCAU AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD 2005 3563K MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL517A/B 56'4 X 11'5, 52'4 X 11'5 PFS0902500/1 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNL./LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-200-010 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. r RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Dan L. Hazen and Margaret N. Hazen 1364 Keenan Way San Jose, CA 95125 A.P.N.: 069-200-010-000 GRANT DEED 2IZIm5-10121 1 96-7 1 Recorded I REC FEE 10.00 Official Records I TAX 85.80 County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:QIWAM 08 -Apr -2605 Barbara Page 1 of 2 Above This Line for Recorder's Use Only File No.: 0403-1820999 (CB) The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $85.80; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ] City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Earlene L. Garner, an unmarried woman hereby GRANTS to Dan L. Hazen and Margaret N. Hazen, husband and wife, as Joint Tenants the following described property in the Unincorporated Area of , County of Butte, State of California: LOT 24, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 26, 1974, IN BOOK 43 OF MAPS, AT PAGE(S) 44, 45, 46, 47 AND 48. Dated: 04/04/2005 Earlene L. Garner Mail Tax Statements To: SAME AS ABOVE RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Dan L. Hazen and Margaret N. Hazen 1364 Keenan Way San'lose, CA 95125 210105—QB1119CE,71 Recorded Official Records County Of 8UF E CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 08 -Apr -2005 REC FEE 10.00 TAX 85.80 Barbara Page 1 of 2 Space Above This Line for Recorder's Use Only A.P.N.: 069-200-010-000 File No.: 0403-1820999 (CB) GRANT DEED 2 The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $85.80; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ] City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Earlene L. Garner, an unmarried woman hereby GRANTS to Dan L. Hazen and Margaret N. Hazen, husband and wife, as Joint Tenants the following described property in the Unincorporated Area of , County of Butte, State of California: LOT 24, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, r. STATE OF CALIFORNIA, ON JULY 26, 1974, IN BOOK 43 OF MAPS, AT PAGE(S) 44, 45, 46, 47 AND 48. Dated: 04/04/2005 Earlene L. Garner Mail Tax Statements To: SAME AS ABOVE 9/21/2007 2:30 PAGE 0011003 Fax Server September 21,. 2003 To: Butte County Building Dept Atth: Mary Fax No.: 1(530)538-2140 From: Charity Berry File No.: 0403-1839952 Property: New Manufactured Home 55 Kokanee Dr,.Oroville,. CA 95966 Subject: Thank you for contacting Mid Valley Title & Escrow Company. We truly appreciate your business, and if we can U! of further service, please do not hesitate to contact *us. Thanks again for using Mid Valley Title &'Escrow Company . This message is for the designated recipient only and may containprivileged or confidential information. If you have received it"in error, please notify the sender immediately and delete the original. Any other use of the -information by -you -is prohibited: If you do not receive all pages. as -indicated or have.problems in.receiving this -fax,. please -contact - the ss "der at (530)533-6680... 9/21/2007 2:30 PAGE STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY 0021003 Fax Server .: ARNOLD SCHWA_R7-ENEGGER, Governer - :DEPARTMENTOF HOUSiNG AND 'COMMUNITY DEVELOPMENT � onrizion Codes Standards rTN"lu . of and _ and Tiilieg.-P.rnaram / ~ C gior.16an 2986 Bech0h Lane, Suite 201 ✓� �`r V Y_ . Redding, CA 96002-1903 - - p (530)224-4815 RECEIVED MID VALLEY TITLE.. September 5, 2007 SEP 4.7 2001 Decal or ID Number: u 876311 DTN Nlunber: 4521491. Amount Paid: 5230.0 1 BY: . - Escrow Number: M1D VALLEY TITLE AND ESCROW CO ' PO BOX 1068 - ININ EDIATE REPLY.. OROVILLE. CA 95965 REQUESTED The department has received your request.and/or-application for the unit listed- above: To -complete the -attached - application, please return this letter, all attached documents, and the corrections listed below. The serial numbers indicated on the 4B(A) are incomplete (CAFL 517A/B ; should be CAFL517A28471-EX13 and CAFL517B28471-EX 13. Please have this ammended and -provide copy of correctpd docurnent._ Dealer Report of Sale - Installation Type- This should be "Real Property Improvement" per the 433(A) provided. Please &ff' cct and provide Statement of Error or Erasure (HCD 475.6) for the correction Should you need any additi6nal1diTns, you -#nay contact us at 530-22448.15 or-forims may'be'downloaded from o1:r website at t' NkrW.HCD..CA.G.OV.._ Please return all of the enclosed items along -with the -requested documents -and fees to -the address listed above: 'Sincerely,' Registration and Titling Program .eLlitials: BC `.I-ICD-RTFFLI (Rev. 08/01) '4521491 INI7BAI11 9/2172007 2:30 PACE 003/003 Fax Server ` `RECORDING RKQUE$T6D BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY RU1LDING DIVISION 7 COUFNTY CENTER DRIVE uROV11i.R CA 95955 2005--0048366 Retarded I I8 i'm t�l9 Official RrcoMs 1 Co r�af 1 CONTOW-M Lm kt am= L tiRtt88S I Coutrty Cletk-tocorderl 1 SA f 8dtlim 16- t -M 1 Pape 1 of 2 SPACE ABO MIS LWE FORRtECORDER USE ilWN NOTICE OF MANUF^CTURED HOME (M !DBILEHOIMIE) OR COMMERCIAL COAC1i. .._._-----....__.__�_..<.�.�.�...__..,..�,��-�-.-.INS'FiCF:A7'IOA7-0tY:ATFOUNDA7'ION:SYS'I`EfVf""-_'r"•��` Recording of iltis -d6c etii at'iiie iegiieii o[ die`lo`itilTQgeiZy indicated`is iic nccorda`eae viniis fi?oriiii-H6ai eiid'Ssfeiy-Code' Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for instaltstion of the unit described hereon, upon the real property described -with -certainty below, as of the -date -of recording: When -recorded; this dommem -shah be-iA xed by -the cousay-recorder to the aaivwd owner of tic regi Propel ma- shall be dderned to give constructive notice as to is contents to -It pews thereafter dealing with the cal pv*erty. DANIEL HAZEN BUTTE COUNTY BUILDYNG DtV1SION R1tALPR0PeRTYC0VKKMWSSOR LOrALAGEMYLEtilMdPEKMTdCERWWAT§toroccupawr - 1366 KEENAN `J .' 7 COiINi'Y CEAI-TER-DRIVE r N-MUNGADUU65 MMAMAMN$ OROV.ILLE BUTTE CA 95566 em rMOITY STATR MP SAME g Wm OVNER 1ff*G WVPt,tjfQ%1W. %V1W�s/wC't SAME MARAGAVOREIS SAME CITY CiN1 V hrA711 MP ' NONE. OEAI.B1t xAMOI[tro1 •dWer p1e, amte'Not1O7 NONE »ALM txII?Mfi ou - 069-200-010 SEE ATTACHED ----- - ---- -- -- -- .--- C ldCD ! 0KM433(A) R -FV. 8191 M1111T8-Qxuy tm CANARY -11m RNK. Appakm a 00L084R0O. W"d1a4 UePL I U NOTES 12 RESIDENTIAL PERMIT NO. 069-200-010 HAZEN, DANIEL OS -1410 A'115 KOKANEE DR, OROVILLE Cont: FLEETWOOD RETAIL NEW MH PERM FND i 1 3 SPECIAL CONDITIONS CHECKED BY i SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER !{ °� C -3 h rOB FINALED (Date) Signature J = OK D =Not OK = Not Applicable =Not Ready MOBILE HOMES . Date MOB HOME UTILITIES (Plans) OK except #'s •t3 -OS S 4o."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-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ ' L'ft. / P Nat or/ /" L "ftJ P 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 MOBILE HOME INSTALLATION (Plans) OK except #'s ngs; Size -Spacing -Marriage Line MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 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 Date -1 Cana B-1 1tlJo S . Date Cana B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements F tings; Size -Spacing -Mama a Line P)ocking c ; MH Test -Demand -Valve c' ; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 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-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 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 J=OK 0 = Not OK = Not Appriable = 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. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 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.-Tnvss-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 HL & 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 -Fre Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. 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.1. & 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. Dud in Garage -Damper 77. Wtr. Htr.; 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 (FF.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 InstldJDrive 0 Yes O NoMalks O Yes O WPlanters 0 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: Date Card B-1 Date Card B-1 Date Card B-1 Date Card 6-1 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card Date -B-1 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 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or Al-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral D Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 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. Alt -Return Air Vent 115 Outlet 40. Attic Access & Platform 9 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.-Tnvss-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 HL & 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 -Fre Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. 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.1. & 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. Dud in Garage -Damper 77. Wtr. Htr.; 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 (FF.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 InstldJDrive 0 Yes O NoMalks O Yes O WPlanters 0 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. BP05141.0 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: 06/13/2005 APN: 069-200-010-000 the Business and ProfessionsAde. and my license is In full force and effect. 1 '`/ { License Class: �.�' Licen e Number: (. Site Address: 55 KOKANEE DR. ORO J Dale: �/'3 In Conlraclor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Description: NEW MOBILE HOME PERM FND(1258) Contractors' Slate 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 Owner: HAZEN, DANIEL to its issuance, also requires the applicant for such permit to file a 1364 KEENAN WAY signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section SAN JOSE, CA 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 95125 951259-1565 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 Applicant: FLEETWOOD HOMES Code: The Contractors' State License Law does not apply to an pp owner of property who builds or Improves thereon, and who does DORM LORD such work himself or herself or through his or her own employees, 2243 FEATHER RIVER BLVD. provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA 95965 year of completion, the owner -builder will have the burden of 530-532-3301 proving that he or she did not build or improve for the purpose of 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: FLEETWOOD HOMES and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 2243 FEATHER RIVER BLVD. ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95965 Date: Owner: 530-532-3301 WORKERS' COMPENSATION DECLARATION License #: 785185 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: PURSELL, FRANK JAMES 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 /p�olic 'number are: Carrier: AW 1258 S.F. /{ n Total Square Ft: vl Policy #.% �h� / l Valuation: $81,770.00 / ❑ 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ft - 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 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is here issued nrf� applic b e rovisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to d work in�le ove f r w is tees have been paid. performance of the work for which this permit Is issued (Sec 3097 Civ.) /r l Name: By Date: C; Address: PERMIT EXPIRES ON: �-- / (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19627.5 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 Z�oLofficial,forrn or document of Butte County. I hereby authorize representatives of Butte County to enter upon t e above mentiooneed property for inspection pur Print Name: ��/(�� %� co Signature: 4111' 1 Date: ✓ —`' v ❑ Owner ntractor Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 'COUNTY OF BUTTE, , BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES " 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE U 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. 0 05 ' C'. _; r � � n Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BP051410 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: 06/13/2005 APN: 069-200-010-000 the Business and Professions de, and my license is in full force and effect./J9 License Class : I Licen Ne�Number: Site Address: 55 KOKANEE DR. ORO Date: '' l% JContractor: %G Map Index: OWNER -BUILDER DECLARATION Description: NEW MOBILE HOME PERM FND 1258 I hereby affirm under penalty of perjury that 1 am exempt from the p 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 Owner: HAZEN, DANIEL to its issuance, also requires the applicant for such permit to file a 1364 KEENAN WAY signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section SAN JOSE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95125 she is exempt therefrom and the basis for the alleged exemption. Any 408-369-1565 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 Applicant: FLEETWOOD HOMES Code: The Contractors' Slate License Law does not apply to an pp owner of property who builds or improves thereon, and who does DORM LORD such work himself or herself or through his or her own employees, 2243 FEATHER RIVER BLVD. provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA 95965 year of completion, the owner -builder will have the burden of 530-532-3301 proving that he or she did not build or improve for the purpose of 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: FLEETWOOD HOMES and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 2243 FEATHER RIVER BLVD. ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95965 530-532-3301 Date: Owner: WORKERS' COMPENSATION DECLARATION License M 785185 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: PURSELL, FRANK JAMES 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 polic number /are: Carrier: �'` Total Square Ft: 1258 S.F. Policy #:^ vl( valuation: $81,770.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: l 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 111 forthwith comply with those provisions. ^ r Date: Applicant:® �O V� 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 This permit is here issue t eapplic b e provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions tote work in 'c to ove for w is fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: Address: PERMIT EXPIRES ON: �" Z �� a Date ❑ 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 1 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 5- official form or document of Butte County. I hereby authorize representatives of Butte County to eenteter upon t e above mentioned property for inspection pure s. 1-111 .4,1 Print Name: J�/t �✓ Signature: Date: ❑ Owner Z-ontractor Agent for Owner ❑ Agent for Contractor B. C. Buildina Permit 01-16-04 Do 1 :I o�0T0 BUTTE COUNTY PERMIT 0 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 O BUILDING PERMIT APPLICATION NO o - - o AND SUBMITTAL REQUIREMENTS cJ CJ 0�aip: _:�� 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP cOU Nty 538-7541 A FEE WILL BE QUIREOFFICE D AT)TIME OF APPLICATION BIN # **PLEASE PRINT CLEARLY** Address`� 0 Name Fleetwood Retail Corp Address 2243 Feather River. Blvd City Oroville state C 1 ZIP 95965 Phone 532-3301 Fax 532-3304 E-mail wa# 785185 1 Class C4 OVER FOR SUBMITTAL REQUIREMENTS L K:\FORMS\BUILDING F0RMS\Bldg4plSubRgmt3.doc Page 1 of 2 Street Policy Number WC5212511 Carrier . Marsh / Risk If hidnD anyone otherthan Ilcense contractors, a csrdticate of workers compensation must be shown st the time of permit Issuance LENDING AGENCY Name Address Descrlptlon or Scope of Work: Footage C1 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 atter expiration, a new application, plans and fee will be required RK 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 Received by: Amount C (,o Bldg sea)' si�A Receipt#%')2 Sheriff /fi� ? SMTP Date: Other Total REV 7-27-04 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: /141;�kenaafL ASSESSOR PARCEL NUMBER " 9t14 ��Proposed Building Use: �(X/ //f• Y // Permit Technician:10 Date: /LTJ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. El 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 ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (5Installation manual, including marriage line info, Floor Plan, Tie down orf-dd-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. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form �Y 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other R Hing 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 18. Soils Report and/or Engineered Foundation required ....................................... J �r 19. Erosion Control Plan Required. 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. V 7 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. 23. California Department of Forestry an approval Laid. Sent by: qq� ' 24. Planning approval for (A) Use: B)Parking: (C) Parcel Check: vlt'/...... &� ❑ 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) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. / 33. Existing violations and/or expired permits....................................................... 34. Dee��.Restriction.............. R.............................................. _ ................... ��. 35. 17J��Cegal descriptionH. Title, title search, registration o MCO. ................. v 36. Other:.�vr% 37. Other: When issued Telephone ,&?__2'< :fin /-(°(J✓t � and hold for pickup. I have been infor a of the above items and requirerpnts for obtaining a building permit. pp cant. Date. 1. Index pe i application for the above 't s numbered: S Plan Check Letter 2. Additio items required ,Gontractor, esigner, owner, was advised of the above data by 09'phone, ❑ mail, ❑ counter, by 5ate: or, d�_�� 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: ans approved by: Date: Structural reviewed by: Date: Structural approved by: Date Note transfer by: _Date: Yellow: Building Division 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 Wc A. P. # PROPROSED BUILDING USE (�<at/� DATE RECEIPT # DATE REC.22 _ 1. BUILDING PERMIT FEES q4 --- Balance Due ..................... $ --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ _ 'lvi° tore ; 2. SCHOOL DISTRICT FEES (J h TICO� 1 (paid at School District Office) (form available after Plan Chec , _ SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. �jV.�� QrV4. RECREATION DISTRICT FEESFe,_,4�erl';�L 00117/y 1/' ' (paid at Recreation District Office) (form available after Plan eck) _ 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ ,5. / /'7, y 2 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) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP Z, 9. OTHER 10. OTHER 11. OTHER L_-b'l tir-- 113A� S=3/CaS At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed dur* the plan checking pWcess. s APPLICANT DATE !!�_d Pursuant to 99emment Code Section 6602((Aou 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 dayf 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) � � � �©s� LOCATION: DATE: 5 5 eokaa ez D.- EDGE OF EXISTING PAVEMENT (EP) FOREMAN: MIN. DISTANCE: DISTRICT: /T-0 _ ---- ----------- PERMIT#: R --------------- SPEED LIMIT OF ROADWAY 0 DRIVEWAY LOCATION: _ DISTANCE TO NEAREST INTERSECTION:_"K"• , Z �-:• w J 12' MIN. AREA SIGHT DISTANCE 24 MAX. TO BE ❑ GOOD ❑ POOR PAVED IF POOR — RECOMMENDATION TO IMPROVE: R/W ❑CUT BANK ❑ REMOVE VEGETATION (TEMPORARY) — — ❑ OTHER (EXPLAIN) 10' MIN. ADJACENT TOPO b ❑ FLAT ❑ CUT SLOPE FT. ❑ FILL SLOPE FT. ❑ CURB AND GUTTER K ❑ AC DIKE 'NOTE:" ❑ EXIST. DIST. T TO EP FT. IF GREATER THAN 1O% UP OR DOWN " DRAINAGE RECOMMENDATIONS REFER TO ENGINEERING. ❑ NONE ❑ SWALE 0 ❑ CULVERT MAX. 1 FOOT VERT. RISE OR DROP MIN. DIST. FT. PER 10 FEET HORIZ. DISTANCE MIN. DEPTH TO -t' FT. EP I, DIAMETER IN. FT. EXIST. DIST. MIN. MP LENGTH DIST. ❑ OTHER (EXPLAIN) 2% NOTE: MIN. DEPTH109 PAVEMENT TO EXTEND�,,� AT 25o CROSS SLOPE rl�4k OR MATCH EXISTING ROADWAY CROSS SLOPE. N.T.S. PRIVATE DRIVEWAY FIELD REVIEW ° o o 0 REVISED -.AS OF_05-09-05 S A_ IOR' o 9) ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit Number O t.2 D District 7J APPLICATION WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads I highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. \pplicant's Name: la. Company Name: address: E E1Y _ PA o 0516- L ' /n� 'hone: - o� row 4. Assessor's Parcel Number. 06 - ©> .ocation of Work to be Done kpplicants Signature 7. Date: CONTRACTOR'S INFORMATION ,ontractor's Name kddress -- �� Phone: y� 11. Fax: Contractor's License Number 13. Certificate of Insurance: Yes No: ❑ Contractor's Signature: 14a. Date Signed: S Authorized Agent: , YPE OF WORK TO BE DONE Please Check: Curb: Gutter: El Sidewalk: ElS• 17. If Driveway List Type: - j� Other Work - Describe: 19. Plans Attached: O Yes No PERMIT GRANTED compliance with the above request, and subject to all terms, conditions (including those on page 2' of this. permit form) and special conditions written below, mission is hereby nted. Conditions Ider round Service Alert .SA must be notified two working days prior to any excavation. 8OD-227-2600 11 All work shall conform to accompanying: Detail O Plans O Special Conditions D Date Issuedi D 23. Expiration Date: 24. Surety: Date Paid: �(� /_OSS 26.o nlPaid 27. f{ Paid By./e �/� ( L- 28. ReceiptNo:: �7f `l :ike Crump, Director of Public Works By: county 29. Final Inspection Date: 30. Inspected By: ompleted - OK - ❑ Completed = Not OK ❑ Additional Comments Attached :0 Pair. 31. Comments: te: if permits are taxed to any number besides (530) 5384356, they can be delayed up to one week. D.-- I -i 1 LL) z 0 _10 �. ;a (7� . c79 J uj, 16 LL1 ' k? Lti J �r I LLt � I _ s�J 87 'I I ACREAGES BASIS OF BEARINGS Tell 6b./l6 KELLY RIDGE ESTATES UNIT ONE e7R6PTs /6.675 800" 38 M.O.R. neeWMRY 72.769 PAGES 5, 6,7. 8. 9 AND 10 -�k j ©dA ��,W P6•Wa acus• s7e/r SFF 's6'. c. the `�•����� b p e u`i; Ari 5FF 5HPfi 6 5HEFT 2 CURVE TABLES SHEET 3 NO RADIUS DELTA LENGTH 1. 20.00' 90°00'00" 31.42' 2. 20.00' 69'45'43" 30.98' 7 7.850.00' 00°47'01" 36.99' 4. 20.00' B9°56'24" 31 d0' 5 170 00' 13°50'27" 41.07' 6 50 00' 19°34'51" 17 09' 7. 20.00' 44°24'55" 15.50' 08 6. 20. CC' 45°13'55° 15.79' QR 9. 170 00' OB°27'36" 25 10' 10. 170.00' O2°24'59" 7,17' 11 597.00' 03°27'34" 36 05' 12. 390.00' 04°43'41" 31.36' 13. 20 00' 44°24'54" 15.50' 14. 20.00' 65°45'52" 29 94' 15. 20.00' 44°24'56" 15 s0' 0 00' 417 - 4<, SHEET /H[7EX NE SCALE s 0 16. 50 00 22 5, 06 2 LEGEND 17 32.0 00' 08'35'40" 48.00' COMMON PRIVATE DRIVEWAY EASEMENT' .. I8. 270.00' 07°11'01" 33.85' FOL'N^ M.ONUhIENT AS SHOWN,. .. .. .. .. 19. 380.00' 05°37'12" 37.27' SET 2" K 3' IRON PIPE TAGGED 20. 20.00' E4°3]'23" 22.56' R.C.E 9033 .. . ......... .. . ... ... .. p' 21. 50.00' 17°27'28" 15-24' SET NAIL AND TIN...... ...... .. .,,. 22 50 00' 19°24'44" 16.94' SET CENTERLINE MONUMENT BUTTE CO. STD 5.17 .. ..... ......... ....... ... ..... 23. 50.00' 27°30'07" 24,00' , RAD14L LINE .. .. ... ...... ... .. .... .(R 24. 330 OC' 06°03'03" 34.85' BUILDING SETBACK LINE IS B.L 1 25, 330.00' 02°3"4'31" 15.02' CURVE DATA REFERENCE . . . . . . ... ...Q 26 20.00' 81°22'07" 28 40' DRAINAGE EASEMENT TO E I.. 27 20.00' 82°12117" 28 70' PUBLIC UTILITY EASEMENT IF U E 1.. 28. 220.00' 07°48'47" 30 00' DEPARTMENT OF WATER RESOURCES, ..... R W.R. 29 320 Do' 01°25'57" 8 00' STATE. OF CAt IFURNIA AL' L LOT CORNERS VOT INDICATED BY THF ABOVE. SYV90LS. ARE TO BE MARKED BY 3.'4" IRON APE '41111 TAG TICE. 9033. SUBDIVISION NO.71/ KELLY RIDGE ESTATES UNIT 3 A PORTION OF THE E.1/2 OF SECTION 12,T,19N., R.4E„M.D.M. AND A PORTION OF S.W. 1/4 SECTION 6 '9 PORTION OF W. 1/2 SECTION 7, T.19N.,R,5E.,M.D.M. COUNTY OF BUTTE ,CALIFORNIA SCALE : I"= 100' APRIL , 1974 OWNER B: SUBDIVIDER: SOUTHERN CALIFORNIA FINANCIAL CORPORATION ENGINEERS: THE MURRAY-Mc CORM ICK ENVIRONMENTAL GROUP SHEET 3 OF 5 SHEETS ESRI ArcExplorer 2.0 DRIVEWAY ON KOKANEE DR. AP 069-200-010 Fay 0 100 20f �.• .� roads (STREET—NAM) state_hwys parcel .: NIP city—limits 6 street addresses r N Monday, Jun 6 2005 JIM PURSELL, P.E. CALIFORNIA Llc. 60924 WASHINGTON Lic. 381 21 July 12, 2005 Butte County Building Dept. 7 County Center Dr. Oroville, CA 95965 2360 BALDWIN AVE. OR❑VILLE, CA 95966 PH. (530) 533-21 31 FAX (530) 534-0902 RE: Hazen Modular Home Foundation, APN 069-200-010, Permit No. 05-1410 Dear Sirs: This letter is submitted to your office to verify that the approved manufactured home foundation plan referenced above does not need an 18" deep continuous perimeter footing. I have reviewed the plans and calculations and have concluded that the note calling for the greater than standard depth at the footing is a typo. Please accept the standard as -built footing depth of 12". Thank you for your consideration. /SSiiPel, 06/02/05 THU 15:10 FAX 530 532 3304 FLEETWOOD OROVILLE CA. 2005-0033555 Recorded I REC FEE 7.00 AND WHEN RECORDED MAIL TO: Official Records I County of I COPIES 2.00 BUTTE COUNTY BUILDING DIVISION Butte 1 z COUNTY CENTER DRIVE CANW J. BROBS I oROVILLE. CA 9SW County Clerk-Recorderl I I IIP 09:37AN 13 -Jun -2085 I Page 1 of 1 III IIIII"III'�III"I"III'I'II'I AGRICULTURAL. STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building I permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: {� Ste �i H 'i� 4t 5, 1 VI 4 c c It Date 6 05 State of California County of : Z'w 6691 --Cl PROPERTY OWNERS: personally appeared r y 4umw: -to-me (or proved tqjp4n the basis of satisfactory evidence) to be the perso s) hose namfoislasubscribed to the within instrument and ac edged to me that he/sh th ecuted the same in his/hetpeWilutborized capac' i nd that by his/hernaturiaoo the instrument, the perscos or the entity upon bebalf of which the perso (s) eted, executed the instrument. Wf'l'NESS—my haykd and official seal LORNA K. ROACH Signature Seal: r+ °' COMM. #1559592 -' ' NOTARY PUBLIC - CALIFORNIA ~ SANTA CLARA COUNTY ~ A 1' Zo e < My Comm. Expires Mar. 16, 2009 IN 1AW ! 1 t •' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) i School District i / I ?T / r'L-1 Building Department No: A.P. Number �� l'O'9 '�%/�'(J�(1 Jurisdiction City ©County Property Owner w lJ Property Location/Address �7'i��%�% I ll n�o)��l llF� Subdivision-, Lot No. ..........................._.............�......................_............................ Residential Development `0 Q/ Q Q Sq. Footage No of Living Mobile Home Addition/' Supplemental to (Group R) Units Installation Conversion Permit # 3 *(No foundation Inspection) ': ! .......................................................................1............................, Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior )4Roofed Areas) Building Department Representative t Date District Identification No. O S b V-6 a L L'L School District certifies that Z• -e VN ` (Applicant) (Street Address) ( A (Phone Number) (City) (State) (Zip c d ) has complied with the requirements of Resolution No. ,n Z --Q L by payment of $ representing square feet. JAB 2926 i FULL MITIGATION = School District Relbresentative Date Paid by Check # 00 2_irL Notice: You may protest the Imposition of the teas Identified above by submitting a written protest to the District, in compliance with Govemrrm Code Section 66020(a), within 90 days from the date fess are paid. Failure to subs* a timely wrtiten protest wlll'prohibit you from challenging the Imposition of the fees In any court action. N, subsequerd to the School Distrkt Representative signing this Butte County Schools Impact Fes Certilicatkm Fom% tM School DisMet Is rlstlN by the applicable Local Planning Agency Mathis project Is being rev!-",- under the California Envlrorrrrnntal Quality Act (CEQA) this project may be subject to additional school fees to fully mitigate. its impact on the school distrkri schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dmm 4 0 r BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM B-I(EATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Property Owner (s) Building Permit Number • Project Location /Address Subdivision Name P New Development Alteration/Addition(s) Mobile home Assessable Sq. Ftge %��S Type of Residential Development (check one) Demo Permit (date issued Comments Single Family -Detached Non -Residential to Residential Mobile home replacement Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building Department 0 FRRPD 0 CARL? -."YRPD ❑ DRPD certifies that: Applicant Name hone Nu er PP ,f Mailing Address city State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: per unit for a total of $ S�_. Vy per sq foot for a total of $ Paid by Check No: Paid by Cash: Receipt No: I y own etc_ r_Lcc;�_ W 1a/ 05 Recreation and Park District Representative Date V dtnD ARC%PI TTT 71TMlf: PnT?TAC\nm A,_rPnn dandard form rev I.doc 2005-0033555 Recorded I REC FEE 7,00 AND WHEN RECORDED MAIL TO: Official yRecords I BUTTE COUNTY BUILDING DIVISION Countteof I COPIES 2.40 7 COUNTY CENTER DRIVE CATV XE J. GRUBBS I OROVILLE. CA 95M County Clerk -Recorders I i NP 09:37AM 13 -Jun -2005 1 Page i of 1 {III IIIIII IIN1111IN 11111111111 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required 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, oi,1f including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of Californias, described as follows: & �t Date (DS PROPERTY OWNERS: State of California County of��� 4—E/ personally appeared y 4uKwAt1e-mc (or proved t Won basis of satisfactory evidence) to be the perso s) hose namoisliffDsubscribed to the within instrument And ac edged to me that he/sh th • ecuted the same in his/he eir- uthorixed capac' i nd that by his/her he' naturgs on the instrument, the pers�or the entity upon behalf of which the perso (s) cted, executed the instrument. WITNES my ha and official seal. rimLORNA K. ROACH Signature Seal: -�COMM. #1559592 NOTARY PUBLIC . CALIFORNIASANTA CLARA COUNTY `+ A F® I( s �/ f My Comm. Expires Mar. 16, 2009 of p�UTTFp BUTTE COUNTY p 0 DEPARTMENT OF DEVELOPMENT SERVICES PERNIIT 0 o BUILDING PERMIT APPLICATION NO. 10 _ AND SUBMITTAL REQUIREMENTSc5" c 24 HOUR INSPECTION#: OROViILLE: (530) 538-7636 - CHICO: (530) 891-2834 BP OFFICE #: 538-7541 ��U Nty AFEE WILL BE REQUIRED AT)TIME OF APPLICATION BIN # ��N�-�!✓�-1 c��� **PLEASE PRINT CLEARLY** lFust Nam �7 Addressf _ I Fax Name Fleetwood Retail Corp Address 2243 Feather River Blvd city Oroville State CA Zp 95965 Phone 532-3301 Fax 532-3304 E-mail �G# 785185 1 Class C4 OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING F0RMS\81dgApp1SubRgmts.doc Page 1 of 2 0(aC7 - ZLev? Cross rvv1VA=X'S COMPENSA Policy Numt�er WC5212511 Carver . Marsh / Risk If hiring anyone other than !!cense contractors, a certificate of workers compensatlon must be shown at the time of permit issuance. Name LEND/NG AGENCY Address Description or Scope of Work: Sq. Footage O 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 required. 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 ret,,.,. M. Received by: 1, Amount _2L_ Q (' Bldg SRA ReceiptSheriff SMIP Date: 2 l Other REV 7-27-04 l CDF FIRE SAFE REQUIREMENTS AP# 069-200-010 PERMIT # 05-1410 NAME: Hazen Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards N Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. pq Grade. Not to exceed 16 percent unless paved. Driveway Radius [XJ No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. c Fol F [X] 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 T feet radius. x [X] Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. pq 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. Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway they serve. 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 the roadway. 3. Where a one-way road with a single traffic lane provides - entrance, a 50 -foot turning radius shall be used. Q U I R E M E N T S K Setback for Structure Defensible Space [X] Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. [ ] 1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [X] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [X] 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. Disposal shall be completed prior to completion of road construction or final building permit inspection. 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 — ✓ Class A or B roof with enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal o Other Butte County Fire Department approved materials [] 06/08/2005 Date Darren Read Signature , 11 C D F ra S a CDF FIRE SAFE REQUIREMENTS AP# 069-200-010 PERMIT # 05-1410 NAME: Hazen Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Drivewav Standards [X] Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] Grade. Not to exceed 16 percent unless paved. Driveway Radius [X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] 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 T feet radius. K [X] Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. pq Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 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. Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway they serve. 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 the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. Q U I R E M E N T S Setback for Structure Defensible Space [X] Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. [ J 1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [XJ 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. [X] 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. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [ ] If Building Setback is 15 to 30 Feet: ✓ Class A or B roof ✓ Enclosed eaves [X] If Building Setback is Less Thari 15 Feet — ✓ Class A or B roof with enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hann -Board or Plank o Masonry o Masonry Veneer o Metal o Other Butte County Fire Department approved materials [J 06/08/2005 Darren Read Date Signature c D F SITE PLAN REVIEW APPLICATION Date: T, .e, AP#�— Permit Number (if applicable) Bin Number APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Parcel Size: �kd H e -le, J. Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary- Travel- Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site an 7provedmpe pBy Date - /0 - a�— Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=---------------------------------------------------------------------------------------------------------------------------- ❑ Detached Building,Use Forret ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. a CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side ' jV , Side Street Rear ° Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. a CDF approval needed for encroachments into SRA setbacks. Page 2of5 11 4 Applicable Development Fees: Standard Fees Amount Formula ❑, Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ti fel Subdivision Map/Parcel MO: c/ � Map Date of Recording: 7 — ZG/-7Gj Lot: 2 t-( ❑ Use Permit/Minor Use Permit Permit Number: 075 Book: Page: CKL c;-/60 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. EJ 0 Page 4 of 5 M �0T7r- . Department of Public Warks o 0 .0 o u n I y ® f B u' t f e LAND DEVELOPMENT DIVISION Q 1 J. Michael Crump, Director Storm Water Management Program @ 7 County Center Drive \\ CO Oroville, CA 95965 p V N 7 (530) 538-7266 43C10 VW4 (FAX) 538-7171 National Pollutant Dischattrge Elimination System (LADES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement FLESS THAN 1 AGR EJ �,4 /as Project Description: )AJ/Z6 Project LocationndJor Parcel Number: - " iKD��po — �� By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre -or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre :of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Butte County Department ofDevelopnent Services °�`'T TF° ° s ° 7 County Center Drive ' °:.; ° Oroville, CA 95965 0"` (530) 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: O. I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained e I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for'disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or r uire submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: APN: OiG 9 Building site address: b� ^I �.� Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: �9 z;;�e "; — - G ATURE O AP ICANT DATE Copy to Applicant/EH/File K:Forms/BldgPennitwithoutClearances 020705 JIM PURSELL, P.E. CALIFORNIA LIC. 60924 WASHINGTON LIC. 381 21 July 12, 2005 Butte County Building Dept. 7 County Center Dr. Oroville, CA 95965 2360 BALDWIN AVE. OROVILLE, CA 95966 PH. (530) 533-21 31 FAX (530) 534-0902 RE: Hazen Modular Home Foundation, APN 069-200-010, Permit No. 05-1410 Dear Sirs: This letter is submitted to your office to verify that the approved manufactured home foundation plan referenced above does not need an 18" deep continuous perimeter footing. I have reviewed the plans and calculations and have concluded that the' note calling for the greater than standard depth at the footing is a typo. Please accept the standard as -built footing depth of 12". Thank you for your consideration. /SSitiP, A 51 'VO C 609 4 rVnl�F� FOUNDATION SYSTEM, CERTIFICATE OFOCCUPANCY BUILDING PERMITS NUMBER: 05-1410 Address or location of unit: 55 KOKANEE DR. OROVILLE, CA 95966 Legal Description of Real Property: 069-200-010 SEE ATTACHED (x) Mobilehome/Manufactured Home () 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: DANIEL HAZEN Owner's address: 1364 KEENAN WAY SAN JOSE, CA 95125 INSIGNIA OR HUD NUMBER: PFS090250/1 SERIAL NUMBER OR V.I.N.: CAFL517A/B MANUFACTURER'S NAME: FLEETWOOD YEAR: 2005 OFFICIAL APPROVING INSTALLATION: DATE: S -1 1- 0 � ) PHONE: (530) 538-7541 H.C.D. 513C 3 RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Dan L. Hazen and Margaret N. Hazen 1364 Keenan Way San Jose, CA 95125 A.P.N.: 069-200-010-000 Above This Line for Recorder's Use Only File No.: 0403-1820999 (CB) GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $85.80; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration' or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ] City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Earlene L. Garner, an unmarried woman . hereby GRANTS to Dan L. Hazen and Margaret N. Hazen, husband and wife, as Joint Tenants the following described property in the Unincorporated Area of, County of Butte, State of California: LOT 24, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 26, 1974, IN BOOK 43 OF MAPS, AT PAGE(S) 44, 45, 46, 47 AND 48. Dated: 04/04/2005 Earlene L. Garner Mail Tax Statements To: SAME AS ABOVE I Z Recorded I REC FEE 10.00 Official Records I TAX 85.80 County Of I 8Ui'i t I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Barbara 09:@@AM 08 -Apr -2005 I Page 1 of 8 Above This Line for Recorder's Use Only File No.: 0403-1820999 (CB) GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $85.80; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration' or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ] City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Earlene L. Garner, an unmarried woman . hereby GRANTS to Dan L. Hazen and Margaret N. Hazen, husband and wife, as Joint Tenants the following described property in the Unincorporated Area of, County of Butte, State of California: LOT 24, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 26, 1974, IN BOOK 43 OF MAPS, AT PAGE(S) 44, 45, 46, 47 AND 48. Dated: 04/04/2005 Earlene L. Garner Mail Tax Statements To: SAME AS ABOVE I Z *)A.P.10: 069-200-010-000 Grant Deed.- continued File No.:0403-1820999 (CB) Date: 04/04/2005 STATE OF . California } )ss. COUNTY OF Butte } On Y Lam, - before me, personally appeared .personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. TOSHA M. RYMEL This area for ociai ComrnkWon # 1487649 notarial sea/ Not* _FubAc - Ccw0mlo. Signature Butte County My Corrxn. E.�ilrgs Moy4; 2008 My Commission Notary Name: Notary Registration Number: Notary Phone: County of Principal Place of Business: Page 2 of 2 WOQD. :. 2243 FEATHE R RIVER BLVD. OROVILLE, CA 95965 FLE�:TWOIDD Expression Series Model 3563K (530)532-3301 3 Bedrooms • 2 Baths • 1,258 Square Feet kLL OPr.CORNER BAY 56`0" . F- . OPT. S.G.D. ii��io7i u Imam ■■■i li■■■■■ ■o■u■■v�,�m�■■■ 0 I■■■■■■■■■ ■'�■\\■■■I■■■■■■O■■■O■ um■■u■ ■ •�uvnu■u■■■oum - g1 ■.� ■■i ii y■■■■■■ ryDININO 1121RE-A&W.M. AREA Inow MASTER BEDROOM 12'-10° x 14'-2" BEDROOM #2 OPT. DEN LIVING ROOM j 17-10"X11'-4°�` / OPr. 10'ORIGAMI DORMER W/TWO WDWS. OPT. WALK -A- BAY 1-114-M -1P/ u i LCA I NG DEPARTMW x. A P P R 0V Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. EX/17/JAN05 „cn Exterior • Fiber -cement siding built to resist weather damage • Full 3:12 roof pitch in doublewides • Full 4:12 roof pitch in singlewides , • 2” x 4" exterior wall construction provides a sturdy frame Transverse floor with 2" x 6" floor joists for better support (2" x 8" on 16' wide) Class -A fire -rated composition shingle roof for long lasting performance . • Vented roof cavity releases hot air and condensation for increased energy -efficiency • Inswing rear door with -deadbolt and window add natural light • 36" inswing front entry door with deadbolt, peephole, and knocker for your family's safety Interior • 17 oz. carpet in all living/bedroom areas for high performance and low maintenance - 100% nylon prevent fuzzing and shedding - Multi -colored dye technique, minimizes tracking and spotting - Treated with Teflon Stain and Soil Protector for easy cleaning • %' Drywall tape and texture in all areas adds style to your interior Baths • Easy -care laminate countertop with 4" ceramic tile backsplash protects walls from water damage and adds color to your decor • Recessed medicine cabinet provides convenient storage space in each bath • Ceiling exhaust fan provides extra ventilation in each bath • Window in each bath draws in natural light • Porcelain sink with single lever faucet in each bath Kitchen • Brand name appliances provide confidence and hassle -free service - 30" free standing gas range - 18 cubic ft. frost -free refrigerator Bank of 4 drawers provides convenient storage for your utensils Double cell porcelain sink adds flexibility in kitchen activities Congoleum® no -wax, vinyl flooring is easy to clean • Elegant crown molding adds a finishing touch to overhead cabinets • Single lever metal faucet with sprayer • Easy -care laminate countertop with hand laid, 4" ceramic tile backsplash provides attractive color accent Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. 6J 02003. Fleetwood Enterprises, Inc. Utility, Safety and Energy Features • Inside mount, 100 AMP panel box offers easy access • Overhead utility shelf expands your storage space • Zone II insulation package increases energy - efficiency - Includes: white vinyl framed dual -paned windows, R-22 ceiling, R-1 1 sidewalls, R-11 floor insulation - the higher the "R" value, the better the insulation • 30 gallon gas water heater is efficient and easy to maintain • Gas furnace provides name brand confidence and hassle -free service Optional Features • Dishwasher and garbage disposal make kitchen clean-up quick and easy Ceiling fan circulates air for a "spring breeze" feeling all year long • One-piece fiberglass tub/shower combinations are beautiful and easy to clean • Refrigerator and range upgrades meet your culinary needs • Deluxe carpet selections for increased performance and beauty • 2" x 6" sidewalls with. R-19 insulation to increase.your home's energy -efficiency • . Zone III insulation package meets the challenges of your climate - Includes: white vinyl framed, dual -paned windows, 2" x 6" exterior walls with R-33 ceiling, R-19 sidewall, R-22 floor insulation �c FLEETWOOD. FLEETWOOD HOMES of CALIFORNIA, INC. a subsidiary of Fleetwood Enterprises, Inc. 18 N. Pioneer Ave., P.O. Box 1308 Woodland,.CA 95776 (530) 662-3223 EX/17/JAN05 L0 CA V LO CV LD LD m M L0 Lf) L0 v 1.0 Cal CD CV Q CV CD SAFM W4 SH sawi:5. TAPE RECEPT ON RSIDE OF FLOOR GFI V9SH U,1659SH V3659SH Ud659SH y� 9�{ FGVM MSS E� V1621D7PL V3611D7PI. A AIN v . THIS FLOOR PLAN AND ATTACHED OPTION DETAILS (IF APPLICABLE) IS DESIGNED TO MEET THE FOLLOWING STRUCTURAL REQUIREMENTS: WIND ZONE(S) 1 ROOF LOAD(S) 30 LBS. APPROVED PFS Corporation Madison WI - 13 4/14/05 HUD Manufactured Home . Construction & Safety Standard °`U- 181-10' L E G E N D '-0• dRECEPTACLE 56'-4' W/ 2X6 SIDEWALLS SWITCH W/ 2X6 SIDEWALLS G)THERMOSTAT W/ 2X6 SIDEWALLS A ® SMOKE ALARM Q SMOKE ALARM wwsrwna" 21 25•-t 118' -LIGHT FIXTURE r=0== 1 5'-01/8' FLUORESCENT LIGHT 2 JOIST & 3 LAOS RECESSED O LIGHT ® EXHAUST FAN LPANEL BOX NOTES: SOLAR TU+FAN Ost AIR SUPPLY 1. THIS APPROVAL EXPIRES 90 DAYS FROM DAPIA APPROVAL RA RETURN AIR WrLaxT VIDEO DIGITAL CABLE PANEL BOX _ n E VIDEO DIGITAL CABLE OUTLET M RAG RETURN AIR 2. FOR PLUMBING & HEATING SYSTEM, REFER BACK TO GRILLE O FLOORREGISTER STANDARD APPROVAL SET. CROSS-OVER LOCAT10N 3. OVERALL DIMENSIONS ARE FOR 2X6 EXTERIOR WALLS. Ox SUPPORT POST Q SHEARWALL 4. TOEKICK REGISTERS IN KITCHENS AND BATHS. ® 140 x 56'-4" © 140 x 56'-4° 5. RECEPT SHALL NOT BE INSTALLED WITHIN 30' OF © x °`U- 181-10' '-0• WOODLAND 56'-4' W/ 2X6 SIDEWALLS W/ 2X6 SIDEWALLS 17 W/ 2X6 SIDEWALLS A A PRODUCT NAME 21 25•-t 118' Z1 13'-51113• 1 5'-01/8' EXPRESSION 2 JOIST & 3 LAOS 3T SHEARWALL 3 JOIST & 4 LAGS MODELNO. NOTES: 3563K 1. THIS APPROVAL EXPIRES 90 DAYS FROM DAPIA APPROVAL STAMPED DATE. DRAWiNGTITLE 2. FOR PLUMBING & HEATING SYSTEM, REFER BACK TO STANDARD APPROVAL SET. CUSTOM 3. OVERALL DIMENSIONS ARE FOR 2X6 EXTERIOR WALLS. FLOOR PLAN 4. TOEKICK REGISTERS IN KITCHENS AND BATHS. 5. RECEPT SHALL NOT BE INSTALLED WITHIN 30' OF DRAWN BY.' Nathan B. YUB/SHOWER SPACE. 6. RECEPT SHALL NOT BE INSTALLED WITHIN 6' OF A RANGE. CUSTOMER: HAZEN C`TE' 04/14/05 sHT RIN PERIMETER P I ER I NG REQUIRED WHEN ROOF LIVE LOAD > 20 pSf ORDER NO: 023776 FP.1 c 171EX3563KO23776 DOOR SCHEDULE S L I SIZE 0 SC 0 G UUT 3279 32 x 0.19 3679 136 x 79 IGUNKUT-INSWING I 2.30 0. 3 13 1319 13 ■ I rnV-a VV arl.IU LU6RllVn ME16IONS ARE FROM HITCH.END VE LOAD: 30 LBS. FROM TO UNIT MATE 01 9,_10, 12'-9" 15'-5" A B 21'-4" - 24'-0" A B 27'-9" - 32'-1" A B 33'-0" 31'-5" A B 43'-0' 44'-7" A B 55'-6" 56'-3" A 8 0" - 9'-10" B A 12'-9" - 15'-5" B A 21'-4" - 24'-0' B A 27'-9" - 32'-1' B A 33'-0" 37'-5" B A 43'-0" - 44'-7' B A 55'-6' - 56'-3' B A APPROVED PFS Corporation Madison WI - 13 4/14/05 HUD Manufactured Home Construction 8 Safety Standard CHASSIS INFO M.R. SPACING 99 1 I -BEAM SIZE 10' DRAWBAR LENGTH 39' DRAWBAR ANGLE 60 FLOOR INFO 2x6 RIAL ING EXT WALL SIZE 2x6 EXT S 101 NG MATL 5/16 4X8 HARD I E 17 , CEILING/ROOF INFO RAFTER CODE (CATH) FLC7-140-3A(1 RAFTER SPACING 24" CEILING THICKNESS 1/2" CEILING MATERIAL US GYP FRONT EAVE O'HANG 12" REAR EAVE O'HANG 12" FRONT GABLE O'HG 12" REAR GABLE O'HG 1 12" vVr AEEffMVW WOODLAND 17 , PRDDUCI NAME EXPRESSION MODEL N0. 3563K DRAWING TITLE CUSTOM NOTE: SPEC DRWG THIS APPROVAL EXPIRES 90 DAYS FROM DAPIA APPROVAL DAAWN BY: STAMPED DATE. Nathan 13. CUSTOMER: HAZEN DA'E` 04/14/05 _ sill REV ORDER NO: 023776 SPECAC ORD10237 76/CU STOVER : I U1Z EN 171EX3563KO23176 Lo m v m W 0 a CL Q U A z J A O O 3 A O O 3 F- W W J LL U7 N V Lo N Lo Lo m m U7) 0 m m 9 16 p OPT 4' PORCH OPT 8' PORCH co _ U�y n tn t� N fhuO tDto M cc A 140 x 56- ' o� rn � 3 © 140 x 52'- " ;0 Ql s O 3 `Im> 3"' © X W FLEEMCOD m 3y m 12' WOODLAND 12' 3 ^� 17 PRODUCT NAME OPT 2x6 ENDNALL WALK -A -BAY EVRESSION lV 3 N MODELNO. 3563K O) p� DRAWING TITLE WALL LOCATION OPTIONS 18'-6 314' 18'� 3/4' DRAWN BY: AIVAR K. OPT WALK -A -BAY OPT WALK -A -BAY W/ ALT ENTRY2 rte/ 7 ` DATE: 02/22/05 �'A 3 � WLO.2 Lo CD V7 T9 W T Q 0- 117 (V V Lo T.v Lo L0 m m LF) .0 0 0 N M h i4 i4 H u D4 2 N � tT W6 28'-9 1/4' 1 18A 314' OPT CORNER BAY OPT DEN MASTER BEDROOM E1 A 140 x 56'- ' QB 140 x 52'- ' © x a nN2321 WOODLAND 17 PRODUCTRW p� NEXPRESSION O1 MODEL NO. 3563K DRAWING nnE WALL LOCATION OPTIONS OPT SQUARE BAY DRAWN BY." AIVARK. RECESSED ENTRY OPT ALTERNATE ENTRY 2 6 moi' 7 7 DATE' 02/22/05 SNT WI -0.1 REV A .0 0 0 N M h i4 i4 H u Lo CD Lo W Lj Q IL Li) N V LO N Lo Lo (D m Lf) L0 LIT Lr) m m N m N v m OPT 4' PORCH W/ S� OPT BAR (COUNTERTOPS) A 0 22'-6 3/4' OPT 4' PORCH W/ OPT BAY & ALT ENTRY OPT WINDOW AT MASTER BATHROOM aa' N � m m c N O O 3� 1' OPT 2x6 ENOWAIL WALK -A -BAY AQ 140 x 56'- ' �B 140 x 52'- ' © X FLEVVIVIOM WOODLAND 17 PRODDCTNAME EYPRESSION MODEL NO. 3563K DRAWING TITLE WALL LOCATION OPTIONS OWN BY: AIVAR K. DATE: 02/22/05 Siff KV '1 WL0.3 A Wall Floor Siding 2.5 Framing 3.0 1/2" Gypsum 2.5 Insulation 1.0 9.0 psf. Flooring 4.0 3/4" plywood 2.5 Insulation 1.0 Joists 2.0 Steel Frame 2.5 12.0 psf. 40 psf. Lateral Loads Wind: P=C,CggI where Exposure B Ce 0.62@ 15 feet Cq= 0.3" in/0.9 out windward roof 0.67 @ 20 feet 0.7 out leeward roof 0.72 @ 25 feet 0.8 in windward wall 0.76 @ 30 feet 0.5 out leeward wall Seismic: V=2.5C,IW/1.4R where NO C �`1J24 zxp 0 q= 14.5 psf @ 75 mph I= 1 Ca 0.36 TTE 6�! p�--yyLJ:��gg�ppl1 Y ©©V COM TMbM R= 5.5/4.5 A t� P R O V FV Soil Bearing Lateral Sliding Lateral Bearing 1000 psf Coeff.=0.35 200 psf/ft. Jim Pursell Page #1 Civil Engineer RCE 60924 Date: 05/21/05 Job Number: 105-04-50 Job Name: Hazen Residence A.P.N.: 069-200-010 Analysis: 2001 CBC Dead Loads Live Loads Roof: Comp. Shingle 6.0 1n" O.S.B. 1.5 Framing 5.0 Insulation 1.0 1/2" Gypsum 2.5 16.0 psf. 16 psf. Wall Floor Siding 2.5 Framing 3.0 1/2" Gypsum 2.5 Insulation 1.0 9.0 psf. Flooring 4.0 3/4" plywood 2.5 Insulation 1.0 Joists 2.0 Steel Frame 2.5 12.0 psf. 40 psf. Lateral Loads Wind: P=C,CggI where Exposure B Ce 0.62@ 15 feet Cq= 0.3" in/0.9 out windward roof 0.67 @ 20 feet 0.7 out leeward roof 0.72 @ 25 feet 0.8 in windward wall 0.76 @ 30 feet 0.5 out leeward wall Seismic: V=2.5C,IW/1.4R where NO C �`1J24 zxp 0 q= 14.5 psf @ 75 mph I= 1 Ca 0.36 TTE 6�! p�--yyLJ:��gg�ppl1 Y ©©V COM TMbM R= 5.5/4.5 A t� P R O V FV Soil Bearing Lateral Sliding Lateral Bearing 1000 psf Coeff.=0.35 200 psf/ft. Pt 1�( �D e 17 p P 1�( �D e � M1 Wall O1 = Wall O2 Hazen Page 3 Lateral Analysis Roof: Windward Leeward q I 'P Improtance Factor 1 = 1 (Coef.) Wall Wall OB Coef. x A) (@75) (lbs) P(30)= 0.76 Wind 0.7 0 14.5 Seismic Roof: Windward Leeward q I P Roof Weight: 1 = 0 (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) 0.7 0 P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 Pitch = Rise:Run Pitch Factor P(25)= 0.72 0.3 0 0.7 0 14.5 1 = 0 4 : 12 = 1.05 P(20)= 0.67 0.3 0 0.7 0 14.5 1 = 0 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib) P(15)= 0.62 0.3 131 0.7 131 14.5 1 = 1178 1.05 x 749 x 16 = 12632 (Coef.) (Coef.x A + Coef. x A) (@75) Wall Weight: (Area)x(Wt.(psf)) = Wt.(Ib) Wall: Windward Leeward q I P 904 x 9= 8136 1 = 0 (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) 0.5 0 P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 Floor Weight: (Area)x(Wt.(psf)) = Wt.(Ib) P(25)= 0.72 0.8 0 0.5 0 14.5 1 = 0 666 x 12 = 7992 P(20)= 0.67 0.8 0 0.5 0 14.5 1 = 0 P(15)= 0.62 0.8 225 0.5 225 14.5 1 = 2630 Ca = 0.36 Total Wt.(Ib) P (Total) R = 4.5 W = 28760 P (Total) = 3807 Base Shear (lb) SEISMIC GOVERNS Base Shear Ib SEISMIC GOVERNS V = (2.5 x Ca x I x W)/(1.4 x R) = 4109 Wall O1 = Wall O2 Wind Seismic Roof: Windward Leeward q I 'P Roof Weight: (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 Pitch = Rise:Run Pitch Factor P(25)= 0.72 0.3 0 0.7 0 14.5 1 = 0 4 : 12 = 1.05 P(20)= 0.67 0.3 0 0.7 0 14.5 1 = 0 (Pitch factor)x(Area)x(Wt.(psf)) = Wt. (lb) P(15)= 0.62 0.3 29 0.7 29 14.5 1 = 261 1.05 x 749 x 16 = 12632 Wall Weight: (Area)x(Wt.(psf)) = Wt.(Ib) Wall: Windward Leeward q I P 904 x 9= 8136 (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 Floor Weight: (Area)x(Wt.(psf)) = Wt.(lb) P(25)= 0.72 0.8 0 0.5 0 14.5 1 = . 0 666 x 12 = 7992 P(20)= 0.67 0.8 0 0.5 0 14.5 1 = 0 P(15)= 0.62 0.8 124 0.5 124 14.5 1 = 1449 Ca = 0.36 Total Wt.(Ib) R = 4.5 W = 28760 P (Total) = 1710 Base Shear (lb) SEISMIC GOVERNS V=(2.5xCaxIxW)/(1.4xR)= �4�/ .,,��, =� ;� 1,uiL_ ��s IGS✓ Pt�-i �G� it nJC l 1ca.Rf'� 1 1 %60 7, 23.�� Gf. , P5 S — �'�5` spa �,,,•✓ � = � _. 8 Q c _ � �-' � -r 4-rN 11:i� Iti REOEWED BY -BUTTE CO. FIRE DEPT. C.Al IF. DEPT. of FORESTRY approved as subinifted approved with conditiong per attache iignature Oita '-k Wry vF Assessor's Parcel Number:] Scale: 1-7-1 2 F21 - 0 U 101 -zr Owner Name 0 0 Address /Phone No. 0 Site Location IMIY6E Contact: Namee,41 Phone 23.210 3 A 11\ C"VT-IUO'TMSS AMID EQUIPMENT WCLU0,&k#e All SP 0VERKr,,,,N1E3G,,- ALL SE CLEAR OF -ALL A, S T 19ZACK (,-;F [--,,7,-g HEE"A SIDE MD I E REAR P5ate;'WINESAN14D {O'LAA 'THE ROME) WESWLL BE EQUiPMEENT r� .0piA"' T FOR OFFICE USE ONLY PROVIDE FOR ALL ADJACENT PARCELS Zoning: SIZE (AC): . General Plan Desig: --- ZONING: Size, Acres GEN PLAN: 4.0USES: (r Z4 Assessors Parcel Number. owner Name , . /-- Address / Phone No. Site.Locabon .4009 I Scale: 1 0 0 0 0 06- 7A FOR OFFICE USE ONLY Zoning: General Plan Desig: ..Size, Acres 4.00" PLANNIVG PIVIS"ION - B1ILDING �P N PLAN APPROVAL Use:42L i4f-- Dale: o 6 - 10 - oT- Parking: and ping: Other. O Signature: se 1j)i '-- -/d1,45 I / sLaT= COMO RUIDING DE1 ARTW,-'44,v 4 p v PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: - `d "WoRFRAMMIMT mill I, I,- NVId N011 VGNf103 ' 63d SV 0bd z N IIVONno' NIV80 JN11003 /M 831d 3Nll 0 S3SS303N ® ) G31V8OJ83d _V - A008 HOV33 RVN N0018 9 L X8X8 l M Hono8i ,z LX,,zl ; 03>10012831N1 3 enoo .