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069-210-048
1 u `u 0 9-210-048 04-1938 AZPARREN,EUGENE- 245 APACHE C1R, OROVILLE . Cont: EXECUTIVE HOMES IJ NEW MH PERM FND NEW Sl m v !r STATE OF CALIFORNIA ►iTOF BUSINESS, TRANSPORTATION AND HOUSING AGENCY Q .�.•. DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT c� DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM ly STATEMENT OF FACTS This unit is a: ❑ Mobilehome ❑ Commercial Coach ❑ Floating biome ❑ Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) FLEETWOOD HOMES OF CA, INC CAFL317A/B26544-AV13 ANNIVERSARY 456-3B UWe, the undersigned, hereby state: Dealer Report of Sale # The Above Described Unit Has Been Placed On An Approved Foundation System in Accordance With 18551A Of The Health and Safety Code. UWe further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. UWe certify under penalty of perjury that the foregoing is true and correct. Executed on - 06/30/04 at CHICO CA 95973 (Date) (Lit,) ' (State) Signature(s) Printed name(s) 4 . By: JUDY NETTLES: 0 Address 3042 ESPLANADE City CHICO - HCD 476.6 (REV 12/00) For: EXECUTIVE HOMES State CA 95973 EZ RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 21 -Sep -2004 2004-0058371 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. EUGENE AZPARREN AND JONI AZPARREN 7 COUNTY CENTER DRIVE REAL PROPERTY OWNER/LESSOR MAILING ADDRESS 2877 LOWELL AVENUE OROVILLE BUTTE CA MAILING ADDRESS CITY COUNTY STATE CHICO BUTTE CA 95926 CITY COUNTY STATE ZIP 245 APACHE CIRCLE 9.1 o • 04 - INSTALLATION MAILING ADDRESS, IF DIFFERENT DATE OROVIILE 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 04-1938 (530) 538-7541 BUILD PERT NO. TELEPHONE NUMBER ,;MI 9.1 o • 04 - SI A OF LO ENCY 0 CIAL DATE CUTIVE HOMES DrALER NAME (if not a dealer sale, write "NONE") 92081 DEALER LICENSE NO FLEETWOOD HOMES 2003 ANNIVERSARY 4563B MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEMUMBER CAFL317A/B26544-AV 13 13'5"X56'3" PFS0808046/5 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSORS PARCEL NUMBER AP# 069-210-048 Hf'n FORM 433(A) REV. 8/91 JO. J1 L'l1A JJV VVV LVVV L a. a.v aaaa.a. ra.r aa.aJa. -._-... .•r �-..- -. �..��•+ U �� 4 Order No. 00214338-00" EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN TRE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 194, AS SHOWN ON THAT CERTAIN MAP ENTITLED, " KELLY RIDGE ESTATES UNIT NO. 3", FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, ON JULY 26, 1974, IN BOOK 43 OF MAPS, AT PAGE(S) 445 45, 46, 47 AND 48. AP NO. 069-210-048 STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM NUMBER: 8702588 MANUFACTURER CERTIFICATE OF ORIGIN DISTRIBUTION: ORIGINAL (PINK) FORWARTHE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWAR 0 THE DEPARTMENT AT P.O. 80X1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCD 483.0 - Side 1 - (7/97) •N - ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING 2- NUMBER OF ❑ SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS _ COMMERCIAL COACH: - OCCUPANCY GROUP MANUFACTURER NAME: MANUFA �53TLLgg R LICENSE NUMBER: FLEETWOOD HOMES OF CALIFORNIA, INC. MA1I0FA1TUAUQ=9&SfLV1S PO BOX 1308 WOODLAND CA 95776 SUGGESTED RETAIL PRICE: (Street) (City) (State) (zip) MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: ANNIVERSARY 4563B 2003 05/08/2003 NAfiF DFAt FR QAR:V d.S0WA f1M SFfy,_&ANSFERRED TO): LIF. DEALER NUMBER OR DATE OF TRANSFER: LVI/DBA: EXECUTIVE HOMES LTRIANSFERfifflGNATION: 05/08/2003 DEALER OR TRANSFEREE ADDRESS: 3042 ESPLANADE CHICO CA 95973 (Street) (City) State (Zip) INVENTORY CREDITOR NAME: TRANSAMERICA DISTRIBUTION FIN INVENTORY CREDITOR ADDRESS: P O BOX 94900• PALATINE IL 60094 (Street) (City) (State) (zip) SECTION MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT (1-6) (INCHES) INCHES (POUNDS) 1 CAFL317A26544—AV13 PFS0808045 67.6 162 ...28., 600 2 CAFL317B26544—AV13 PFS0808046 676 162 23,300 1 TRANSPORTER NAME: D &'R TRANSPORT TRANSPORTER ADDRESS: P.O. BOX 179 DURHAM CA 95938 (Street) (City) (State) (Zip) DESTINATION FOR UNIT DESCRIBED ABOVE: (NAME) (Street) C' (State) (Zip) I certify under penally of perjury under the laws of the Slate of California that the above facts are true and correct. 05/08/2003 WOODLAND YOLO CA Executed on at (Date) (City) � (County) (State) SIGNATURE OF AUTHORIZED AGENT: 41 DISTRIBUTION: ORIGINAL (PINK) FORWARTHE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWAR 0 THE DEPARTMENT AT P.O. 80X1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCD 483.0 - Side 1 - (7/97) •N FOUNDATION{ SYSTEM CERTIFICATE DF 0 CUPANCxY BUILDING PERMIT NUMBER: 04-1938 Address or location of unit: 245 APACHE CIRCLE, OROVILLE CA 95966 Legal Description of Real Property: AP# 069-210-048 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: EUGENE AZPARREN AND JONI AZPARREN Owner's address: 2877 LOWELL AVENUE, CHICO CA 95926 INSIGNIA OR HUD NUMBER: PFS0808046 SERIAL NUMBER OR V.I.N.: CAFL317A/B26544-AV13 MANUFACTURER'S NAME: FLEETWOOD HOMES YEAR:2003 OFFICIAL APPROVING INSTALLATION: DATE: °I - 10 .,04 - PHONE: 04 PHONE: (530) 538-7541 H.C.D. 513C VVit4,VAt V0:J1 rAA Diu 044 IDOO ULLrrbLL 111Lb UKUVLLLb RECORDING REQUES'rED BY �•. $Idwelt Title & Escrow Company AND WHEN RECORDED D$AIL TO Name Eugene Azparren nam 390 Terrace Weed, Ca. 96094 at . slate zip Ordortva 00214338-001 I GAA%..U11Vr, 11Vlara LLIJVV-1 V 11111111 u 11111111111111111011111 10 104—Casa 1 E5;0! Recorded Official Records count +� of TE CANDAM J. GRUBBS Recorder RDSEMRY mcks 7N Assistant 09:00AN 19-14ar-2004 I REC FEE 10. i l I Mark l Paye i of 2 wnvrc 4 nw l.�jljC rUK KEGURDER'S USE PamelNo. 069-210-048 GRANT DEED THIS FORM FURNISHED BY BIDWELL TrrLE & ESCROW COMPANY 10 TheUndemlgnad Grantor(s) I)calaro(s) f DocumentarYTransfer Tax is $46.20 O Unincorporated at H computed on full value of interest or property conveyed, or Unincorporated Arta O full value less Value of liens or encumbrances remaining ar the Time of sale ❑ Monument l: ee of $10.00 FOR A VALUABLE CONSIDBIZATION, receipt of which is hereby acknowledged, Michael 7,_ 130wersox and Suzuko Bowersox , husband and 'wife hereby GRANT(s) to Eugene Azparren and Joni Azparren, husband and wife, as joins~ tenants the following real property in the O City of M Unincorporated Area County ofautte, State of California: SEE EX1aIBIT A ATTACHED HERETO AND MADE A PART HERXOIF Document Date: March 15 2004 Stele of California County of V&-?rEjRA SS. On NfAPGH —17-14 20!L—, before me, the undersigned, a NotaryPublic in and for said Countyand Statex personally appeared Michael_j. Bowersox and Suzuko BowerCox (or proved to mo on the basis of satisfactory evidence) to be the person(s) whose names) i r subscribed to the within instrument and acknowledged to me [hate a executed the same in his/he authorized capacity(iss),� that by his/he heir ignature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature MAIL TAX STATEME1+17'$ TO: FOR NOTARY SEAL OR STAMP NINA AS1M .- COMM. #1152786 W s NWary PUAI(e.Csnf'omia . Lrn4 VErftuw►coOMY My Comm. Exp. Nov 23,207 i rAll -VV Aghb • • ,, •. ' Order No. 00214338-00' EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA,, DESCRIBED AS FOLLOWS: LOT 194, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "BELLY RIDGE ESTATES UNIT NO, 311, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, ON JULY 260 1974s IN BOOK 43 OF MAPS, AT PAGE(S) 44, 45, 46, 47 ANE 48. AP NO. 069-210-048 H.C.D. ATTACH CHECK NAW: AN: DATE: RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2004-1005837 1 Recorded Official Records County Of BU;TE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 10:52AM 21 -Sep -2004 REC FEE 10.00 CONFORM 1.00 Jason 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 J 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. EUGENE AZPARREN AND JONI AZPARREN REAL PROPERTY OWNER/LESSOR 2877 LOWELL AVENUE MAILING ADDRESS CHICO BUTTE CA 95926 CITY COUNTY STATE ZIP 245 APACHE CIRCLE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVIILE 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 ANNIVERSARY 4563B MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1938 (530) 538-7541 BUILD PERMIT NO. TELEPHONE NUMBER ... ` 9•io•oQ- SI A URE OF LOCA ENCY OFFICIAL DATE CUTIVE HOMES ER NAME (if not a dealer sale, write "NONE") 92081 DEALER LICENSE NO. FLEETWOOD HOMES 2003 ANNIVERSARY 4563B MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEMMBER CAFL317A/B26544-AV 13 13'5"X56'3" PFS0808046/5 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP# 069-210-048 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. JO. J1 rldx JVV VVV iv V.i Order No. 00214338-00' " THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 194, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "BELLY RIDGE ESTATES UNIT NO. 3", FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, ON JULY 26, 1974s IN BOOK 43 OF MAPS, AT PAGE(S) 44, 45, 46, 47 ANE 48. AP NO. 069-210-048 NOTES RESIDENTIAL PERMIT NO. r069-210-948 _ _ _ 04-1938_"`� AZPARREN, EUGENE 245 APACHE CIR, OROVILLE f Cont: EXECUTIVE HOMES } NEW MH PERM FND NEW SITE 1 THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY [�Acldress .4 t '1 GAS Meter By Date �.ITRIC M Y ELECTRIC Y Meter By Date r 'JOB FINALED (Date) J Signature c: CHECKED BY COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street. - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE Z- <:�', /'re-4-� OWNER C / - / PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. It you have any questions pertaining to this matter, or need additional explanation, please coqlacrthis office immediately. Inspector Date V REV 10/92 '�- 4 - ?77 &4 A BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041938 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: 07/26/2004 APN: 069-210-048-000 the Business and Professions Code, and my license is in full force and effect. / (/ �i License Class : 7 / �Libnse Number: b-fo SO .3 Site Address: Date: 6 O Contractor. �l ( e r%(%E� Map Index: Description: new mh perm fid new site (1492) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: EUGENE 8r JONI AZPARREN to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 2877 LOWELL AVE. the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA 95926 she is exempt therefrom and the basis for the alleged exemption. Any 530-892-8932 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: EUGENE 8r JONI AZPARREN PP Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, 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:. EXECUTIVE HOMES and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 3042 ESPLANADE ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA. 95973 (530)891-6992 Date: Owner: License M 640583 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: 9--iissued. "'have and will maintain workers' compensation insurance, as Engineer:: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: �7 C Total Square Ft: 1492 S.F. Policy#: Valuation: $96,980.00 ❑ 1 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. Date: Applicant: WARNING: Failure t1 secure workers' ers' compensation coverage is-^ unlawful, and shall subject an employer to criminal penalties and one l �-iI . hundred thousand dollars ($100,000), in addition to the cost of I� P compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. �(�i p Q -3 CONSTRUCTION LENDING AGENCY pplicable provisions of the Butte County Code anrvor This permit i9��E_o I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutionsor which fees have been paid. ) .. _ C,i 'DName: By: Date: 6_��) PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance ofpofficiaform or document of Butte County. I hereby authorize rep sen atives of Butte ounty to enter upon the above mentioned property for inspection pu oses. Print Name: ~%'f�/�� ������ Sign e: / ��O Date: -% ❑ Owner ! Contractor. 13 Agent for Owner ❑ Agent for Contractor J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1.' Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ " L 'ft. / P Nat. or / P' L "ft.r l,: LPG 7. Well Clearance & Disconne c' 8. Utility Clearance Date Card B-1 Date V Card B-1 Date Card B-1 Date ---r'Card B-1 Date MOBILE HOME'"IqTALLATION (Plans) OK' except #'s 1. Zoning t.A. ,ements-Setbacks-Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector - 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector.. 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERV%KNENT END SYSTEM (ONLY) 2. .Zoning Requirements -Setbacks -Easements ootings; Size -Spacing -Marriage Line ocking Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails be -Ta -s; MH Test -Demand -Valve Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing ectricity; MH Test Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures j6�nr; MH Test Carports; Windows -Doors meter and Sewer Connected Electric 8. Gas an lectricity Ta �fz its Siding; Nailing -Veneer -Stucco -Mesh t 10. License Decals Roof; Shthg-Roofing erify #'s with Office Ext.; Steps -Doors -Landings ! 12. Braced Wall Panels Date Card B-1 - Date Card B-1 Date- Card B-1 Date 67 M3 Card B-1 2P y lei H Pj (j oz to - ZC) 41/J ,P- c, � lam -� low o CLA rL 37/ 2- 4.S y y 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 t 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings ! 12. Braced Wall Panels 1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s I 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards- 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 Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Service -Riser Conductors & Ground Main Disconnect 1. Zoning -Setbacks -Easements -Flood -Slope Equip. Clearances Panels-Motors-Mech. Equip. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Clothes Closet Light -Shower Light -Spa Light 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Smoke Detector 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped Card B-1 Date Card B-1 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Card B-1 Date Card B-1 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 Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. Date 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 41. 15. Access & Ventilation 42. 16. Insulation 43. Bearing Walls over Girders & Floor Nailing Date Draft Stop in Walls (rat proof) Card B-1 Date Card B-1 Date Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 78. Plb.; Elec. & Mech. Equip. Listed for Location Date 79. Card B-1 Date Card B-1 Date 80. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Guard Rails & Deck Construction -Post Caps 24. Fixture & Transformer Clearance -Ins. Protection Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 25. Elec. Receptacles Spacing -Lights & Switches at Doors Clearance Looked under Floor O Yes 26. Size Boxes & No. of Conductors Stabled 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 AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exitino Doors -Sill Ht. & Dimensions 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 55. 35. Smoke Detector 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date Siding -Nailing Veneer Card B-1 Date Card B-1 Date Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Date 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exitino Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54 --Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-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.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. 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 (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters D 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 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041938 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: 07/26/2004 APN: 069-210-048-000 the Business and Professions Code, and my license is in full force and effect. , / y / f / O License Class : C 7 / L' rise Number: b�f0 !Z 3 r Y 1� may. G Site Address: �� 1 ✓ ` i Date: t7 O Contractor. x !%06 r r' Map Index: 41JL l V� Description: new mh perm fid new site (1492) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: EUGENE & JONI AZPARREN to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 2877 LOWELL AVE. 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA 95926 she is exempt therefrom and the basis for the alleged exemption. Any 530-892-8932 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: EUGENE & JONI AZPARREN owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 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:. EXECUTIVE HOMES and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 3042 ESPLANADE ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA. 95973 (530)891$992 Date: owner: License #: 640583 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1492 S.F. �_/ 0 16 % 3b v Policy #: % Valuation: $96,980.00 ❑ 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. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties aI► 4bl hundred thousand dollars ($100,000), in addition to the cost of ('� compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. //�� i< �\/ 'l G� ty� �M n CONSTRUCTION LENDING AGENCY This permit hereby issu dd under the applicable provisions of the Butte County Code 2nrvor ' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions o icated above for which fees have been paid. (~� Name: By: Date: a Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a officia form or document of Butte County. I hereby authorize represen atives of Butte ounty to enter upon the above mentioned property for inspection pu ses. Print Name:�� Sign e: Date: ❑ Owner Contractor O Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHIC 0: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name Ev. G 'E .•. c q 7:5qr i�'i.•P�3��c Address -Z$ -� �, a E City G,NA -� Stat -A Zip Phone 15 101-L _%�? Fax E-mail �IW APPLICANT SIGNATURE X For office use only: CONTRACTOR Name Flood Zone Address S a t E 5 Lia •r ,A .fl Y. City C- 1,4 i • State. Zip c S 5-) 3 Phone $- _ d 'S 1 Fax E-mail Planner Lic. CIG 7 APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address .3 .L c City C -� State Zip Phone - b Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Flood Zone Address .3 .L c City C -� State --,A Zip Phone - b Fax $ �\ - •� S ? E -m -, es S S9 C_ 6% 1-- L • r C APPLICANT SIGNATURE X For office use only: Zoning Flood Zone S Yes No Occ. Typ6 Const. Subdivision Name Map Book Page Tot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. B� BIN # c� LOCATION API l -21O - OLID Property Address 'Z -VI 5 Cross Street WORKER'S COMPENSATION Policy Number _ b e�� b Carrier %%Q4 If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name ����� Address ,,\o %A t.. G P Rx sS 13 fl�-mob Description or Scope of Work: 10 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. by: Amount: Sheriff SMIP T K:\FORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 REV 4-30-04 COUNTY OF BUTTE -DEPARTMENT F DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET /) OWNER: ASSES PR PARCEL NUMB R Nq61 roposed Building Use: i"JACounter Technician: JA. Date: J11�tsrequired in order to apply for a permit. II boxes MUST be checked OR marked NA i order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. 7. Statement of Intent fo on -he ted and A/C for Non-Resid nlial Buildings. 8. Manufacture ome . (p to sheis and installation in ) arriage line inf , oor Pla ei or fnd a s, all in duplicate. �i ����uL , ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans i Aplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form avilje,-P.pplicable. 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Cht. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items 17. Fire Sprinklers............................................................................................ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by 19. Soils Report and/or Engineered Foundation required ........................................... � 20. Erosion Control Plan Required........................................................................ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑/ 22. City of Chico Plumbing permit .......................... . Q 23. Califomia Department of Fore t plan approval . • .paid. Sent by: 1 24. Planning approval (A) Use: B)Parking: ^ - (C) Parcel Check:_ -t- " Z ❑ 25. Contact Land Development about _ Improvements, Drainage ......................... 26 NPDES Form............................................................................................. . Encroachment Permit for driveway from the Public Works Dept........... ............:....... • - ? ❑/ 28. Pre -Inspection for required....... -- fl / 29. Contractor's license information. (Number, Name Style, Classification) ................... d 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, -Mailed-,to owner-) ..................... 32. Letter of Signature authorization ............... {:.:.rr :. `•. 33. Recorded copy of Agricultural Acknowledgmeri Stat ment................................. 34. Manufactured home utility clearance..........:".':........................................ ❑ / 35. Existing violation and/or expired permits .......................................... .......... ❑/ 36. eed R-striction ......... .............................. ............................ .. 37. rant Deed, Nf Fi�fitlelStateme_nf o�f Facts; CO Ca tf er from Legal troner heck to H.C.D. $ ❑ 38. Other: ❑ 39.Other:� When issued Telephone o- I f and hold for pickup. I have been informed of the above item and requirements for obtaining a building permit. Applicant: 1 I 1. Index permit application for the abov it ms numbered: - *�kheck Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by phone, C3 mail, ❑ counter, by Date: O wner, was a Contractor, designer, odvised of thea ve ata by phone, -,. ❑.mail, ❑ countb Date: Plans reviewed by: _Date: Plans approved by: kb Date*: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division - School District A.P. Number Property Owner Property Location/Address BUTTE COUNTY SCHOOLS IIMPACT FEE CERTIFICATION FORM (Ope foam pe`Building) Building Department No. Subdivision Lot No. � .........._.._ ...................................... ...._.....................�✓. . Sq. Residential Development Q Q Q Footage ? No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # ` "`• ,'(No foundation inspection) s..................................................................................._...� Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Com e`M al/Industrial Q Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date M District Identification No. L, k b �.y-ov yr School District certifies that (Applicant) Lae (Street Address) (Phone Number) 6 C401 4 S 9 (o (o (City) (State) (Zip Code) t)� has complied with the requirements of Resolution No. representing square feet. School District 0 3 .o `Ir - 1'4 by payment of $ 3 3 `4r 1 2926 i CujDf i Q� 1 (i� FULL Mn1GAT10N $ Paid by Check # E S C.A- ' Remarks: O fie. — �&" O — O -(- 8 `t-eL 'p- rn z _ z l Date ► �'fi 7�V sX130 Pollee: You may protest the Impositlon of the fess idsntill above by submitting a written protest to the Distrld, In compliance with Govemmard Code Section 66020(a), within 90 days from the date foes are paid. Failure to submit a timely written protest wlll'prohibk + you from ctxllsni ft the Imposition of the fess In any court action. M, subsegwrrt to the School District Representative signing this Butte County Schools Impact Foe Certification Form, tM School Wstrfct is notMsd by the applicable Local Planning Agency that this project Is being reviewed under the Catifomla Enviromnntal Quality Act (CEQA] tiws project may be subject to additional school fees to fully mltlpate.its Impact on the school distrieft schools. White (applicant), Yellow (building department), Pink (school district) feeforrrr.xds I10/03)dmm N ENCROACHMENT PERMIT County of. Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 539-7157 Ext. 2016 Fax: (530) 5384356 Download Forms: www.buttecounty.net/publieworks/fortns,htmi r -4v i it x 4—UUINt t x /-4 riuuKS l hFQRE WORK IS TO BE DONT~ Permit Number District Phone (530) 538-7157 Ext. 2016 f APPLICATION _ WE, the undersigned, hemby apply to the County of Butte for an encroachment permit to do the following work under or over the County toads highways, id all in atxordance with County ordinances and Rencral laws. (All information exec t signature must be or legibly rintcd. Applicant's Name �614e�af J /J -� la. CompanyNamc: IrJ�YI _ .Address: Phone:/ T / 9g � f 4. Assessor's Parcel Number. '/ izL?� � T Location of Work to be ne � q R e t? 7 r: -!5C y; Ile�A App Cro, Applicant's Signatures 7, pate: CONTRACTOR'S INFORMATION Contractor's, Name Address 1. Phone: C7 T Z--' 11.- Fax: � 1 � g S✓ :. Contractor's License Number: j S 13. Certificate of Insurance t0 Yes ❑ No: ❑ I. Contractor's Signature: ' 14a. Date Signed: ;. Authorized Agent TYPE OF WORK TO BE DONE i_ Please Check: Curb: ❑ Gutter, ❑ Sidewalk: ❑ 17. If Driveway List Type: S _ Other Work - Describe: 19, Plans Attached - 0 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 ..vwial conditions written below, rmission is hereby granted. Conditions demmund Service Alert(U.S-A.) must be notified two Working days prior to any excavation. 8ON227-2600 &All work shall conform to accompanying: Detail Z* Plans ❑ Special Conditions Date Issued `7/a 3 p 23. Expiration Date: a 7 24. Surcty: �3 a� Date Paid: / D� 26. Amount Paid: /L/ 27.P •d }}y:` z8. ReeeiptNo.- 9 ) [•' �s ike Crump, Director of Public Works By: 29. Final Inspection Date: 30. Inspected By! ❑ Completed - OK Uotomplet6d ,- Not OK county CJ Additional Comments Attached Orb' • . : 31. Comments: :c: if permits are faxed to any number besides (530) 5394356, they ern be delayed up to one week. J Page I of z L . td Wd9S:1T b00Z ZZ 'int 9S£b-8€S-02S : 'ON Xtld s�ao� ottand F�unoD aling ; WOdd .00ATION- DATE_ % /a) /01% aZ'a� kslaTl-, a C► �: - EDGE OF EXISTING PAVEMENT (EP) :OREMAN:K v» MIN. DISTANCE: 'I~RMIT#: SPEED LIMIT OF' ROADWAY a ' DRIVES WAY LOCATION: �- 018TANOF— TO NEAREST INTERSECTION: SIGHT DISTANCE M GOOD © POOR 1F POOR -- RECOMMENDATION TO IMPROVE: Q CUT BANK Q REMOVE VEGETATION (TEMPORARY) q OTHER (EXPLAIN) ADJACENT TOPO 13 FLAT El CUT SLOPE FT, 0 FILL SLOPE FT - 13 CURB AND CUTTER C3 AC DIKE~ ` 0 EXEST. DIST. I TO EP FT, DRAINAGE RECOMMENDATIONS 2<KNE E3 SWALE O CULVERT MAX. 1 FOOT VERT. RISE 'OR DROP MIN. DIST. . FT• PER 10 FEET HORIZ. DESTANCE - , MIN. DEPTH TO _FT. EP DIAMETER IN. LENGTH - _.FT. EXIST. DIST. I MIN. I O OTHER 'Ll-(EXPLAIN)-� DIST. . �, 290 NOTE: MIN. DEPTH PAVEMENT TO EXTEND AT 2Jvo CROSS SLOPE OR MATCH EXISTING ROADWAY CROSS SLOPE. KTA 0 c� z 12' MIN, AREA 20' MAX. TO BE ]-,�'PAVED R/W 10' MIN. I tF GREATER THAN 1075 UP' OR DOWN REFER TO ENGINEERING. PRIVATE DRIVEWAY FIELD REVIEW • Ae1'i nY Ed WdZS:TT b00Z ZZ 'Inf 9S2b-82S-02S 'ON Xdd s�jaoM otignd Rjuno0 a};ng WOdd COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 S HEDULE OF RECEIPT OF FEES OWNER A.P. PROPROSED BUILDING USE DATE 7 /6/ RECEIPT # DATE REC. BUILDING PERMIT FEES '�*,Q 6 - -Balance Due ..................... $C' --- Additional Fees Due........... $ -- vised Plan Checking Fee.... CHOOL DIST CT FEES 0 1 Dtk&t Of a' ab gr Y12P c ) 3. SHERIFF FEES (paid at Building Division) r n Residential........... X $360.00 4111 Units La Y, Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES %$510.00 (paid at Building Division) _ �T. SRA FIRE INSPECTION AND PLAN CHECK FEE Vaid at Building Division) -5-2 �� 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER -1 1 6q(kz 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 during the plan checking process. �j t APPLICANT DATE 1 Pursuant to Government Code Section 66020, o are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) SITE PLAN REVIEW APPLICATION Date: 26 12� �( AP# Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: d C Owners Name: - Z � amu(,-��F 4-s-oyq, ' Owners Address: ?�`�� (,o_cv F U A-VCGCfrdo 47S- 2 if Telephone No.:' Situs Address: �M- 67"Y CkE Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: ❑ Single Family Remodel ❑ Commercial Remodel' ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A Brief Explanation (if necessary): Aj€w iH tt a q � ,�. _ r L+� DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) JW Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval In Sit Ian Sta ed Approved r By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) J, SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: ,-jjh� � 64Z3—G Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: %l%- � Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side d" J Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees ❑ Fire . , - ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road r ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) N Amount _ Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No Deed of Reference: Legal Access Required ❑ No Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: El No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Yes ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision ME/Parcel Map: 4-ce y tVx-,C--- It 3 Map Date of Recording: . ZL y 2L, Li'7q Lot: �'�!�/ Book: `t J Page` l 4{/� ❑ Use Permit/Minor Use Permit Permit Number: 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. 0 Page 4 of 5 Z Summary of Specific Requirements: • �I This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc y r r Page 5 of 5 43-47 .i : �'/F_-),j: & �aa• + 8� a•776'."'a:�.l,o° M1 pA4.c � r y.. ,e��'I�i P.,.'s. L°. .,;-a,. 4rm aR, ro'/• , SHEET INDEX 1" -?/?i p ' f 4 'd tddi nti b• dQ4 Ha.4�. - /ao $ �`/ Dn, q4. S">> 6' W i r�ro' ; ybTIM1) S �T%e �!Y- ` ` i scbLe f/7 „- �� a.nn• e•tt'.7 .d, y •a 'if'Pa •�' /85 .�J -'O106- LEGEND qj LLl L fA 19' 441.1 , i ,�� Y I,y,' n' �� „ .15Hµ 1` c � _ 3>';�, t ,b /96 '. •o�lv' ` COAMON PR I VATL DR I VE5lAY F.ASCMEN'.......... i^ M1 C X `vf• h{f, 'bm'n v '4 t•p° a i 'I ., ��� a [[,�'°'4'/s /Y / 1 N 26 � f'a'/4 / /•W'SSff y, '� re4 ` !w •48 /. �_ •'^, ^ 29/ '8 alr7'T..I6f- t•fP1{' <R i n `:' >} 4 �09„``NH5 TOLE •A. o- 167 , ^O 81 , $i so' S.e . _':,0 90 ' •,o,, Y r47 a. a• i. I $ ? `� FOUND MONUMENT AS $NOtYN ... .........'. ..... ..... ........ff -^.;. 8 =' Y..m �•'i a, •; by+�/B4 -' 8 S ' [b 2 /rob./I � a u ?9n. h ..• � �1J :. nai:!t �. it i.n°1..78 It. ° �.� 90 ro. _-nne•) fr• m'r ..., �.(•l1'm'r 195 ;g C A 2/2/ 8 i y SET 2" K '3 ' IRON PIPE TAGGED RCF. 9033 ..............# �W L 7700. umm & 6 O i1 iGPC /fir y n-., o'ia4 :0 +'a?�/4 '•8 r89 sg.�� u c ^^ 4. r N & SCT PAIL AND TIN ....... ... .. .. ..... ... ........... .. I 4P_ tt . - .r•ra � O Lil j e 26? a a4zea ses zeosb' $26G� oa �g i qo &= a. �tx•et t° 194 -0 2'1 203 781 SET CENTERLINE MONUMENT. BUTTE CO.STD. S; 17.. ..® a; ' "4•' r144 /699`8 /93 RADIAL LINE x) rr••,, x �-vb" e, I .�� Vaa. ...:w ey � .. V ^ vb 'teas' ii 4soa' baoP' 4r' n f ' `' . . Sr b° . `A 4�j1% '2d S o • Y 8 BUILDING SETBACK LINE fS.B.L.) :: \ V o �"t' !36.00. ro4.x „C ' >, C .. - °m• ? S xa5'41'OC'F/� If aa7''orf o o -x'+/4 i S /6l'e'i:$ a' a 3 b < °.8 .n./ .,. Abi•.7 : i Lf ^t • ouRr.' - 5 ° 0 192'/ ° T 6 .moi' ..... CURVE DATA REFERENCE .............................. ti JJ . M1 KFY n oil '�".':;:: ;'t „Y/q ,b, . cera' � '• r' ae'r ..Q \ i� i'j•.$. NM' ::baa.:::; bb ,.: :CRK 1 �. ,Aa• i° 280 $\M�alst' �!�fY'4f5R��c`v°.o�o l'i4- x'ed�� yF w1e/46 /6n � 3C 'a• I�p?'1y � ^ y PUBLIC UTILITY EASEMENT IP.U.E.)........... P. -- J=� I r1! ' DEPARTMENT OF WATER RESOURCES. .... ........ ... A. W.a v /a'[Y!!' ? 79 a •_ a8. U' m' g ra ao y ^v.` b8i1 n b / e �� .A.: $TATE 01' CALIFORNIA -1 \ n7�44j• 2 aas• y ;.:,y m4. ,4s 6y@,ar yv8: % 8 A r ✓9 ' $ � cP: r rim v i+ p >e•„, ,am' /41 a •s. 211 .b a LLl n A tb. fa � g� Y$ /79 .\ s Cb' �., q 0 DRAINAGE EASEMENT ID.E I ... ........... ...... _ ___ w^s.,i` 273 $� 27�"' ,'?^ I xM 19'ro"�+ A,Ob \�Qi, a�s b•p ,\J��16 9b^ QI•' ALL LOT CORNERS NOT INDICATED BY THE ABOVE SYMBOLS. x x I" npdM b' ? _- �& 4.c `;�, 69 + t?7/ + -•tv ': -O lab t Lo IS ARE TO BIY NO. IRON PIPE 1V1 .9033. 9J �oS : '710e.rueraum eb.m' O tP °° h� B, m''' a AGE .. ?66 N+ef' y s. H y b.176�6 tP .}/a nr9 //yr. , y ,'' ,�b`0 _ ?H TAG RCE \� nn jai ACRE G / • bid` mIY. •Y�.,�'>]t9 6600 .744' 8X ba'aCF 170.00 tiro Y' O b' 56./74 SUBDIVISION J I a �I "°saYFa`ke R �a.F aOP.tp' ara+fe LALF @8 /49eYg ` rl%7 � SS4 b6N O :>d �8 �M1n 171EETS 6.675 A4r. 5'tp'' Ni 90-144Y 17.769 KELLY RIDGE 7� ESTATES UNIT 3 J ?67 •y'lfb.' uPI_r: so4. .,s O''.. .an>T 'b ti ��� t`o `Y'v - o'l-4a X462 • F7 . 4.. ° 4 i e Fes. f7/ / .. s� 264 A PORTION OF THE E.I/2 OF SECTION 12,T.19N., ?66 .x265a. nnss' J �_��,/^' e.'?.�= R.4E.,M.D.M. AND A PORTION OF'S.W 1/4 SECTION / s - 6 8 PORTION OF W. I/2 SECTION 7, T.19N., R.5E.,MD.M. 3'Wir.4a'ao�'' •n'!'f r'I �Jr .° m b• '� S f COUNTY OF BUTTE ,CALIFORNIA sa 506 / 5 05 dE'3(a) no.2 J J L SCALE : 1"=100' APRIL , 1974 I t I OWNER 9 SUBDIVIDER: SOUTHERN CALIFORNIA FINANCIAL CORPORATION $EE SHffi 5 ENGINEERS: THE.MURRAY-M4CORMICK ENVIRONMENTAL GROUP SHEET 4 OF 5 SHEETS BASIS OF BEARINGS ' CURVE TABLES SHEET 4 KELLY RIDGE ESTATES UNIT ONE. BOOK 38, M.O.R. NO. RADIUS DELTA LENGTH PAGES 5, 6. 7, 8. 9 AND 10 1. 20.00' 90°00'00" 31.42° 2. 20.00' 69°00'08" 31.07' 3. ?0.00' 101°32'12" 35 44' 4. 320.00' 10°43'38" SB 5 50.00' I2°36'19" G. 20.00' 44°24'55" 15.50' SEE SHEET 3 7. 20.00' 20.00' 60°57'16': 109°28'15" 21.28' 9 170.00' 16.008'42" 36.2 i' 47.90' /`, `I• 10. 230.00' IO°07'06" 40.62' -r `T• 11 12. 220.00' 50.00' 10°00'00"' 20°25'21" 38.40' 17.62' f' c� �.. y J'J 4 ,�J 13 2850.00 00.59'54" x9,65' �ti by �� 66 M1.pq 17 1 7 f ,� X66; by`ga e°° 1351 a; ;,,• / C W . „n .,� M1I z W. I _ J 207 ✓ 85 on °off dyi'�� e 0 /36 `•va 20/ + a� b: ..... `" II Anti° ,d�PePca/'> Hp!o:°o- °?O?'-. "rano' C•, \ Do '6, L 4 _ 137 '. 4 ' i`''' °'v. ' e . sa '1 E g /ii aa' ,t• y 4•hnV .� yip. ! i• e2, e a Ye'>s•P/+ ` N 4.1 i i t'JV e ,e a de 2 q. e° °. iHpi `C 83 i�J'�P� CP y° "' �y4�,� ?�. P` `` 'ter •w �d r.v,. �3n�'• , . c� 708 �� 'y.. J`'r� L) ^g` _ '•S `. c� 199 rn '�Ic �,`. j%,pA PL t.. . /39 � 43-47 .i : �'/F_-),j: & �aa• + 8� a•776'."'a:�.l,o° M1 pA4.c � r y.. ,e��'I�i P.,.'s. L°. .,;-a,. 4rm aR, ro'/• , SHEET INDEX 1" -?/?i p ' f 4 'd tddi nti b• dQ4 Ha.4�. - /ao $ �`/ Dn, q4. S">> 6' W i r�ro' ; ybTIM1) S �T%e �!Y- ` ` i scbLe f/7 „- �� a.nn• e•tt'.7 .d, y •a 'if'Pa •�' /85 .�J -'O106- LEGEND qj LLl L fA 19' 441.1 , i ,�� Y I,y,' n' �� „ .15Hµ 1` c � _ 3>';�, t ,b /96 '. •o�lv' ` COAMON PR I VATL DR I VE5lAY F.ASCMEN'.......... i^ M1 C X `vf• h{f, 'bm'n v '4 t•p° a i 'I ., ��� a [[,�'°'4'/s /Y / 1 N 26 � f'a'/4 / /•W'SSff y, '� re4 ` !w •48 /. �_ •'^, ^ 29/ '8 alr7'T..I6f- t•fP1{' <R i n `:' >} 4 �09„``NH5 TOLE •A. o- 167 , ^O 81 , $i so' S.e . _':,0 90 ' •,o,, Y r47 a. a• i. I $ ? `� FOUND MONUMENT AS $NOtYN ... .........'. ..... ..... ........ff -^.;. 8 =' Y..m �•'i a, •; by+�/B4 -' 8 S ' [b 2 /rob./I � a u ?9n. h ..• � �1J :. nai:!t �. it i.n°1..78 It. ° �.� 90 ro. _-nne•) fr• m'r ..., �.(•l1'm'r 195 ;g C A 2/2/ 8 i y SET 2" K '3 ' IRON PIPE TAGGED RCF. 9033 ..............# �W L 7700. umm & 6 O i1 iGPC /fir y n-., o'ia4 :0 +'a?�/4 '•8 r89 sg.�� u c ^^ 4. r N & SCT PAIL AND TIN ....... ... .. .. ..... ... ........... .. I 4P_ tt . - .r•ra � O Lil j e 26? a a4zea ses zeosb' $26G� oa �g i qo &= a. �tx•et t° 194 -0 2'1 203 781 SET CENTERLINE MONUMENT. BUTTE CO.STD. S; 17.. ..® a; ' "4•' r144 /699`8 /93 RADIAL LINE x) rr••,, x �-vb" e, I .�� Vaa. ...:w ey � .. V ^ vb 'teas' ii 4soa' baoP' 4r' n f ' `' . . Sr b° . `A 4�j1% '2d S o • Y 8 BUILDING SETBACK LINE fS.B.L.) :: \ V o �"t' !36.00. ro4.x „C ' >, C .. - °m• ? S xa5'41'OC'F/� If aa7''orf o o -x'+/4 i S /6l'e'i:$ a' a 3 b < °.8 .n./ .,. Abi•.7 : i Lf ^t • ouRr.' - 5 ° 0 192'/ ° T 6 .moi' ..... CURVE DATA REFERENCE .............................. ti JJ . M1 KFY n oil '�".':;:: ;'t „Y/q ,b, . cera' � '• r' ae'r ..Q \ i� i'j•.$. NM' ::baa.:::; bb ,.: :CRK 1 �. ,Aa• i° 280 $\M�alst' �!�fY'4f5R��c`v°.o�o l'i4- x'ed�� yF w1e/46 /6n � 3C 'a• I�p?'1y � ^ y PUBLIC UTILITY EASEMENT IP.U.E.)........... P. -- J=� I r1! ' DEPARTMENT OF WATER RESOURCES. .... ........ ... A. W.a v /a'[Y!!' ? 79 a •_ a8. U' m' g ra ao y ^v.` b8i1 n b / e �� .A.: $TATE 01' CALIFORNIA -1 \ n7�44j• 2 aas• y ;.:,y m4. ,4s 6y@,ar yv8: % 8 A r ✓9 ' $ � cP: r rim v i+ p >e•„, ,am' /41 a •s. 211 .b a LLl n A tb. fa � g� Y$ /79 .\ s Cb' �., q 0 DRAINAGE EASEMENT ID.E I ... ........... ...... _ ___ w^s.,i` 273 $� 27�"' ,'?^ I xM 19'ro"�+ A,Ob \�Qi, a�s b•p ,\J��16 9b^ QI•' ALL LOT CORNERS NOT INDICATED BY THE ABOVE SYMBOLS. x x I" npdM b' ? _- �& 4.c `;�, 69 + t?7/ + -•tv ': -O lab t Lo IS ARE TO BIY NO. IRON PIPE 1V1 .9033. 9J �oS : '710e.rueraum eb.m' O tP °° h� B, m''' a AGE .. ?66 N+ef' y s. H y b.176�6 tP .}/a nr9 //yr. , y ,'' ,�b`0 _ ?H TAG RCE \� nn jai ACRE G / • bid` mIY. •Y�.,�'>]t9 6600 .744' 8X ba'aCF 170.00 tiro Y' O b' 56./74 SUBDIVISION J I a �I "°saYFa`ke R �a.F aOP.tp' ara+fe LALF @8 /49eYg ` rl%7 � SS4 b6N O :>d �8 �M1n 171EETS 6.675 A4r. 5'tp'' Ni 90-144Y 17.769 KELLY RIDGE 7� ESTATES UNIT 3 J ?67 •y'lfb.' uPI_r: so4. .,s O''.. .an>T 'b ti ��� t`o `Y'v - o'l-4a X462 • F7 . 4.. ° 4 i e Fes. f7/ / .. s� 264 A PORTION OF THE E.I/2 OF SECTION 12,T.19N., ?66 .x265a. nnss' J �_��,/^' e.'?.�= R.4E.,M.D.M. AND A PORTION OF'S.W 1/4 SECTION / s - 6 8 PORTION OF W. I/2 SECTION 7, T.19N., R.5E.,MD.M. 3'Wir.4a'ao�'' •n'!'f r'I �Jr .° m b• '� S f COUNTY OF BUTTE ,CALIFORNIA sa 506 / 5 05 dE'3(a) no.2 J J L SCALE : 1"=100' APRIL , 1974 I t I OWNER 9 SUBDIVIDER: SOUTHERN CALIFORNIA FINANCIAL CORPORATION $EE SHffi 5 ENGINEERS: THE.MURRAY-M4CORMICK ENVIRONMENTAL GROUP SHEET 4 OF 5 SHEETS 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.htmi NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit Number :5 t iov/ce % E District I APPLICATION !E, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads highways, all in accordance with County ordinances and general laws. All information exce t signature must be typed or legibly rinted. )plicant's Name: �. E Q ce —77 C,�/ / S la. Company Name: idress: lone: 4. Assessor's Parcel Number. )cation of Work to be Done Lf /1 p a G e G 7 0 r V v; Ile J G A pplicant's Signatur l� 7. Date: CONTRACTOR'S INFORMATION ontractor's Name .ddress Phone: tP %� L 1. Fax: Contractor's License Number: j o S G� (Q © 13. Certificate of Insurance: Yes E] No: ElContractor's Signature: _. �J 14a. Date Signed: Authorized Agent: TYPE OF WORK TO BE DONE Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. if Driveway List Type: Other Work - Describe: 19. Plans Attached: ❑ Yes ❑ No PERMIT GRANTED -ompliance 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 granted. Conditions iderground Service Alert (U.S.A must be notified two working days prior to any excavation. 800-227-2600 .® All work shall conform to accompanying: Detail ® Plans ❑ Special Conditions Date Issued a3 d 23. Expiration Date: V R3 0S 24. Surety: Date Paid:26. 7 oy Amount Paid: 27. �v P id 28. Receipt No.: G9�' l tike Crump, Director of Public Works By: rCounty 29. Final Inspection Date: 30. Inspected By: ❑ Completed - OK ❑ Completed — Not OK ❑ Additional Comments Attached It onty: 31. Comments: ote: If permits are faxed to any number besides (530) 5384356, they can be delayed up to one week. D-1of7 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.htmi NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit NumberDistrict 104/0 %90 APPLICATION I / 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 and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. !.Applicant's Name 2 la. Company Name: 2. Address: 50 ( 0_0CA 3. Phone:coq / , / Ito 4. Assessor's Pel u r_ 5. Location of Work be D�eyS i (=r,U` 6. Applicant's Signature j 7. Date: CONTRACTOR'S INFORMATION 8. Contractor's Name 12Q S 9. Address / eQ 10. Phone: S9 ! —/ n � (� `Jf 11. Fax: �Qy� _ p 7, 2 12. Contractor's License Number: (�O 7 13. Certificate of Insurance: Yes No: ❑ 14. Contractor's Signature: 14a. Date Signed: —7i/ /0 / 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: El Gutter: 11 Sidewalk: El 17.1151-5/f Driveway List Type: 18. Other Work - Describe: 19. Plans Attached: ❑ Yes ❑ No PERMIT GRANTED In 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, permission is he eby granted. 20. Conditions Underground Service Alert U.S.A. must be notified two working days prior to any excavation. 800-227-2600 21. 04 All work shall conform to accompanying: Detail 9 Plans ❑ Special Conditions !� 22. Date Issued y/O 7 J U (C0 7 23. Expiration Date: 7/01 24. Surety: 25. Date Paid: , G y 26. Amount Paid: / O — 27 to Paid Iiv: - 28. i� Receipt No.y o9 G� Mike Crump, Director of Public Works By:: For County 29. Final Inspection Date: .30. Inspected By: ❑ Completed - OK ❑ Completed —Not OK ❑ Additional Comments Attached Use only: 31. Comments: Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to one week. Page 1 of 2 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2��4—�043284 Recorded Official Records I REC FEE 7,80 I COPIES 2,00 County Of I BUTTE CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Mark 03:16PM 16 -Jul -2004 I Page 1 of 1 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, 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: LOT 194, A5 SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY RECORDER OF 13UTTE COUNTY, CALIFORNIA, ON JULY 26,1974, IN BOOK 43 OF MAPS, AT PAGES) 44, 45, 46, 47 AND 48. Date— 11-6 a V PROPERTY OWNERS: State of California ) County ofT)ILAV ) On All, vo Zod-( before me, A. �2Yv�ber}ovJ Tn1 W)t r personally appeared FU( ?- 'V-Vio Y0 personally known to me (or proved tone on the bans 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 by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS jny,lrarrA and official seal. Signature A.PEMBERTSeal: COMMA 1 34291 A.P. # 06 9- a/0 -6V P NOTARY PUBLIC -CALIFORNIA COUNTY OF BUTT�� Comm. Expires Aup. 10, 2007 www�Mn �qv AND WHEN RECORDED MAIL TO: • BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2004-0044884 Recorded 1 REC FEE 7.00 OfficialRecordsI COPIES 4.00 CountOff E I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant 1 Jason 02:24PM 23 -Jul -2004 1 Page 1 of 1 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, 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: L 6 T- 61A. 1"A0 Date c-;%, �/ V / DDnDCDTV n1XTXi1C7D0. State of California County of j� j' (,(—tfi—f �-Gl ���� 44n-�oGt On Jaltk ;, �)i 901XV before me, personally appeared .J/'1P //[ i H . jearf-Vl hnn f personally known to me (or proved to me on4he 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 by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my nd and oIcia al. HEIDI R. HUKILL COMM. #1411254 m Signat e / Seal: N Notary Public -California (a UJ , BUTTE COUNTY -� My Comm. Exp. April 15, 2007 A.P. ## 0 6 a -- 2rO - 0 '57- L AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ILIIIIIIII11111IIIIIIIIIIIIIIIIMI Recorded official Records- I REC FEE 7,00 I COPIES County of 2,00 I BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON i Assistant I Mark 03:10PM 16-4ul-2004 1 Page i of 1 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, / 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: LOT 194, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY RECORDER OF BUTTE COUNTY,. CALIFORNIA, ON JULY 26,1974, IN BOOK 43 OF MAPS, AT PAGES) 44, 45, 46, 47 AND 48. Date— - c/ PROPERTY OWNERS: State of California ) County of'51XA_ )' On Ltl t(p '7txf� H before me, A. Rmb-eyr� co ny-,A T71 tlnit r personally appeared EU. e, e� 2nGW Y�1 personally known to me (or proved tome on the dans of satisfactory evidence) to be the persons) 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 by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS YU tralrA and official seal. Signature_L_ Seal: A. COMM ABERTO1 A.P. 4 O6 9- a/0 -6V P NOTARY PUBLIC -CALIFORNIA COUNTY OF BComm. Expires Aug.up. 10, 2007 NOTICE TO ASSESSOR HCD 433(8) THIS FORM MUST BE COMPLEDTED BY THE OWNER OF A MANUFACTURED HOME MOBILEHOME OR COMMERCIAL COACH AND FORWARDED TO THE COUNTY ASSESSOR UPON COMPLETION OF THE INSTALLATION OF THE UNIT ON A FOUNDATION SYSTEM PURSUANT TO SECTION 18551, HEALTH AND SAFETY CODE ORIGINAL PURCHASE PRICE FOR: The Basic Unit s b F�,'C O O Optional Equipment & Upgrades Subtotal $ Other (Specify) • ' / g_/�// Delivery & Installation gr " • ---�-- cC TOTAL SALES PRICE s DOES THE BASIC PRICE INCLUDE: The Towbar(s) ❑ YES LrI�NO LJ Tires & Wheels ❑ YES NO Wheelhubs & Axles ❑ YES ErNO LIST NUMBER OF ROOMS: Bedrooms Baths Q Kitchen Living Room Dining Room Famlly Room Utility Room Other Rooms Type of Exterior Wall Covering: Ce-w_iS/d, �,. n (Metal, Wood, etc.) Type of Roof Covering: Q,)L c>G JI -6 A) (Me I, Wood, Composition, etc.) Heating Type:Forced Air El Floor or Wall Air Conditioning: LTJ YES ,❑l NO Tons_ Evaporative Cooler: ❑YES L_I JNO Built-in Cooktop: ❑ YESO Built -In Oven: ElY S L'1 NO The sales price as shown does not include any amount for any in-place location. The Assessor's Parcel Number of the installation site is 069 02/6 —6 Signature) (Address) `S-30 P,!7 -/-6g (Telephone) Built-in Dishwasher: L'1 YES ❑ p Built -In Wet Bar: Refrigerator: ❑ YES KKYES O ❑ NO Roof Overhang (Eaves): L9 YES ❑ NO /�_ inches Furniture Included: ❑ YES [INO Value $ (LENGTH X WIDTH) Carport: ❑ YES (INO x Awning: ❑ YES [?'NO x Porch: ❑ YES E NO Er x Garage: ❑ YES [a' -NO x Storage Shed: ❑ YES E3110 x Skirting: AYES ❑ NO LNEAL FEET The sales price as shown does not include any amount for any in-place location. The Assessor's Parcel Number of the installation site is 069 02/6 —6 Signature) (Address) `S-30 P,!7 -/-6g (Telephone) Department Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement %LESS THAN 1 ACREI Project Description: Project Location and/or Parcel Number: 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. Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Stone Water Management Program Revised 5/24/04 PERMIT NO.: 51-04 Lake .Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. . Date: June 23, 2.004 Applicant: EUGENE AZPARREN (Better Builders Const r.) 390 Terrace 5263 Royal Oaks Drive Applicant Address: Weed, CA 96094 Oroville, CA 95966 Applicant Phone No.: 53.0-938-3891 589-2574 Property Locations(s): 24.5 Apache Circle A.P. No.(s): Fees due: Kelly.Ridge Estates, Unit 3, Lot #194 69-.21-48 All Fees Paid. 0 Application for service approved: LAKE OROVILLE AREA ` PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Date: an Lake Oroville Area Public Utility District release to close permit: Date: By: