HomeMy WebLinkAbout069-210-053069-210-053
VANANTWERP, JACKIE 01-1397
I`5' AQUA CT. OROVILLE ��
CONT: D & D HOMES r, 'Opt
NEW MH PERM FND NEW SITE !!��
069-210-053 01-1841
VANANTWERP, JAKCIE
15 AQUA CT. OROVILLE rjtO
CONT: DON SCHRIBNER
DETACHED GARAGE
^69-210- pS3
4OGGINS, N!� f
/f AQUA CT, OROVILLE ��� �
:ont: A-Z PLUMBING
EW WATER LINE
4
RECORDING REQUESTED BY:
WHEN RECORDED MAIL TO:
Butte County Building Division
7 County Center Drive
Oroville, CA 95965
COPY of Document Recorded
22 -Mar -2004 2004-0015459
Has not been compared with
original
BUTTE COUNTY RECORDER
NOTICE OF MANUFACTURED HOME(MOBILEHOME)
OR COMMERCIAL COACH, INSTALLATION OF A
FOUNDATION SYSTEM
THE ATTACHED DOCUMENT IS BEING -RECORDED TO CORRECT AN ERROR IN
THE LEGAL DESCRIPTION, RECORDED ON AUGUST 30, 2001, UNDER SERIAL
NUMBER 2001-0039572.
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING
INFORMATION.
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
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.
JACQUELINE A. VANANTWERP
REAL PROPERTY OWNER/LESSOR
105 BILLY MITCHELL BLVD
MAILING ADDRESS
ROSEVILLE, PLACER, CA 95757
CITY COUNTY STATE ZIP
15 AQUA COURT
INSTALLATION MAILING ADDRESS, IF DIFFERENT
OROVILLE, BUTTE, CA 95966
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (iralso property owner, write "SAME")
MAILING ADDRESS
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
01-1397 (530) 538-7541
BUI D G PERMIT N0. TELEPHONE NUMBER
M
8/29/2001
GN TURF OF LOCAL AGE C FFI IAL DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
DEALER LICENSE NO.
FLEETWOOD 2001 WOODLAND PARK
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEMUMBER
CAFL117A/B24798-WP13 26'6° x 45' RAD1333165/6
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER AP # 069-210-053
Prn Pr)RhA d11(A1 RFV R/QI
LEGAL DESCRIPTION
A.P. #069-210-053
All that certain real property situate in the County of Butte, State of California, described as follows:
LOT 199, 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 PAGES 44, 45, 46, 47, AND 48.
'RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
'I : OUNTY CENTER DRIVE
OROVILLE CA 95965
200 1 —0039572
Recorded
Official Records
County Of
BUTTE
CANDACE I GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
03:02PM 30 -Aug -2001
REC FEE .00
CONFORM .00
Cindy
Page 1 of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, O
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.
WAYNE F. WALKER & PAULETTE J. WALKER
BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNER/LESSOR
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
4696 PARK CONCORD PLACE
7 COUNTY CENTER DRIVE
MAILING ADDRESS
MAILING ADDRESS -
SAN JOSE, SANTA CLARA, CA 95136
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE
ZIP
CITY COUNTY STATE ZIP
15 AQUA COURT
1-1397 / (530)538-7541
INSTALLATION MAILING ADDRESS, IF DIFFERENT
Ij"G��PERM N / TELEPHONE NUMBER
�1,�
OROVILLE, BUTTE, CA 95966
29/2001
CITY COUNTY STATE
ZIP
��
SIGNATURE OF LOCAL AGENCY OFFICIAL DATE
JACKIE VANANTWERP
NONE
UNIT OWNER (if also property owner, write "SAME")
DEALER NAME (if not a dealer sale, write "NONE")
105 BILLY MITCHELL BLVD.
NONE
MAILING ADDRESS -
DEALER LICENSE NO.
ROSEVILLE, PLACER, CA 95747
CITY COUNTY STATE
ZIP
UNIT DESCRIPTION
FLEETWOOD
2001
WOODLAND PARK
MANUFACTURER'S NAME
DATE OF MANUFACTURE MODEL NAMEINUMBER
CAFL117A/B24798-WP13
266" X 45'
RAD1333165/166
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER
A.P. #069-210-053
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept
LEGAL DESCRIPTION
A.P. #069-210-053
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, "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 PAGES 44, 55, 46, 47 AND 48.
BUILDING PERMIT NUMBER: 01-1397
Address or location of unit: 15 AQUA COURT, OROVILLE, CA 95966
Legal Description of Real Property:
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: JACQUELINE A. VANANTWERP
Owner's address: 105 BILLY MITCHELL BLVD., ROSEVILLE, CA 95747
INSIGNIA OR HUD NUMBER: RAD1333165/6
SERIAL NUMBER OR V.I.N.: CAFL117A/B24798-WP13
MANUFACTURER'S NAME: FLEETWOOD YEAR: 2001
OFFICIAL APPROVING INSTALLATION: &&z
DATE: 8/29/2001
PHONE: (530) 538-7541
H.C.D. 513C
03/18/04 08:44 FAX 530 533 1589 BIDWELL TITLE OROVILLE 0 002
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R&ORDnVG REQMTED BY
Bidwell Tit10 & $screw Colnpat>,y
AND Wi[EN RRC0RD1iD MAI. TO
Jacqueline A. Wn"twerp
Jos Bi11y Mitchell Blvd
Roseville,. CA .95747
not oA011_M)
2ol0 1 —00z5 it 25,
Recorde•1.
officialRecordsi
I REC FEE. 10..00
TAX 19.1:5
CUM.
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YMONX,1. GRU9BS
Reco
I
ROSt-MARY DILKSON
Assistant
ft-.iA A1t1.13-Jun-2031.
1 Maureen
t Page k of 2
FamalNo. 9-62--7--1-04P— RANT DEED
THIS FORM FURMIiU) BY. m6wu TITLE a ESCROW COMPANY
FOR RECORDatt's ubr.
l�cduo(s Docmnentary Transfer Tax is 319.25
fhaUndeaignedt,rentor(s) ) p). computed.on5+lLvalue.ofintcrestorproperty conveyed, or
O City/Town of
d Unincorporated Area p full volae teas value of Geos or or rnoumbrancra remalnlog at
"time of We
❑ Monumcnt Fee of $10.00
FOR A VAI.UABI.B CONSIDERATION. receipt of which. is hereby adcnowlcdged,
Joyce E. Rutledge and Robert J. Rutledge, Trustees of the Rutledge Fancily 199 -
Revocable Trust, established-JatauarZ 6,..19P7
aline A- VanmtWarp,.. an unmarried woman
cu
,the following real property in the L3 City of Gd Unint:ocporated Ara
County of Butte, State of Califomia
hereby GRANT(s) to
-7-,&
SEE EXHIIRff A ATTACHED HERETO AND MADR-A PARTHIERF'OF
Dated:ne
J ce. . Rutledge Tr. .
STATE OF CALIFORNIA
COUNTY OF Hutto ir 1 r
on 1 before
for said County and State, personally appeared
me, the undersigned, a Notary public in and
Jo
Z. Itutl-edge Trustee and Robert J. Rutledge stee
personally known to see (Or prroved to mm on the basis
of satiafaetosy. evider ce). to be the person(A) whose
name(s) is/are subscribed to the within instrument aand
ta
acknowledged to e that he/aha/they ea and cant by
me
in his/her./their•authotized Capacity (i ),-
his/her/their eignatura(s) on the instrument the
person(s), or the entiupon behalc of Which the
parson (s) acted; sxecut to
the. inert �tewr►t, A" (
WITIMISS my
signature
MAIL TAX STATEMENTS TO; Sam At AbOv"
CYNTHIA a COSTA
COMM. # v2�s2s7
COUNTY OF BUTTE
Comm, Expires OCL 90,1004
03/18/04 08:45 FAX 530 533 1589
BIDWELL TITLE ORM LLE
Order No. 00196931-001
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 199, 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 PAGES 44, 45, 46, 47 AND 48. -
AP NO. 069-210-053
i
NOTES
RESIDENTIAL
`069-210-053 .01-1397
VANANTWERP, JACKIE
,I e--> AQUA CT. OROVILL,E
CONT: D & D HOMES
NEW MH PERM FND NEW SITE F
THE HCD FORM 433A FOR THIS MH CANNOT
I BE RECORDED UNTIL ONE OF THE FOLLOWING
HAVE BEEN TURNED IN TO THE BLDG DIV:
(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
Address
GAS
Meter By _ Dat ti
E
eter By - 9atr�
ELECTRIC
Meter By Dat
-JOB FINALED (Date) D
Signature -.,AcZo�
CHECKED
BY
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street Chico, CA * (530) 891-2751
7 County C�enter Drive,- Oroville, CA * (530) 538-7541
r?,- CORRECTION NOTICE
ANE
PERMIT No.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
AW
D -7
ate 21,2z Inspector
REV 10//92
b"
J
D -7
ate 21,2z Inspector
REV 10//92
IV
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chico, CA - (536)891-2751
7 County Center Drive * Oroville, CA * (530) 538-7541
CORRECTION NOTICE
f6a 4 52' 7
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
p ease contact this office immediately.
Date I
REV I
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA * (530) 891-2751
7 County Center Drive * Oroville, CA* (530) 538-7541
CORRECTION NOTICE
R
PERMIT NO?7
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
r.- L -r-17 / A4 /J�f —
V = OK
Water; Location -Test -Easement Needed (Sketch)
0 = Not OK
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
- = Not Applicable
MOBILE HOMES
= Not Ready
7.
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Utility Clearance
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
Wood Awn.; Posts-Beams-Rhrs.-Connectors
Shthg.-Frg-Bracing
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.
/ /'Nat. or/ /"L"ft./ /'LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rhrs.-Connectors
Shthg.-Frg-Bracing
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE_MOGE INSTALLATION (Plans) OK except #'s
. Z ng Requirements -Setbacks -Easements
Size -Spacing -Marriage Line
as; MH Test -Demand -Valve -Connector
ectricity; MH Test -Crossovers -Breakers -Clearances
I &W-Srain; MH Test-Fall-Ryremww t,,-
')10!GVater; MH Test -Regulator -Connector
�09ater and S9_v09, Wnected-C/O to Grade -HD Approval
8. Gas an lectricity T
9. - ns a ation Cert.
Ae-Exits; Insp.-Sketch
1 cy
12. ermanent F aIY-L7 siCST a-"De��
Date ( Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
CA FL
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-Rhrs.-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
1
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts -GF]
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
I
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
I
I
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (�
Date
46.
Underfloor (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel- 8lockouts -Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
63.
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
70.
Fireplace or Stove, Clearance -Hearth
Date
71.
Card B-1 Date Card B-1
Date
72.
Card B-1 Date Card B-1
Date
73.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes I] No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Date
86.
Card B-1 Date Card B-1
Date
87.
Card B-1 Date Card B-1
Date
88.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Comments at Final:
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
oingie & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rffr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82.
Following Insild./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
BUILDING PERMIT NUMBER: 01-1397
Address or location of unit: 15 AQUA COURT, OROVILLE, CA 95966
Legal Description of Real Property: A.P.N. 069-210-053
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: JACKIE VANANTWERP
Owner's address: 105 BILLY MITCHELL BLVD., ROSEVILLE, CA 95747
INSIGNIA OR HUD NUMBER: RAD1333165/166
SERIAL NUMBER OR V.I.N.: CAFL 117A/B24798-W P 13
MANUFACTURER'S NAME: FLEET OD YEAR: 2001
OFFICIAL APPROVING INSTALLATI !/ , U "
DATE: 8/29/2001
PHONE: (530) 538-7541
H.C.D. 513C
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 :2OUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
30 -Aug -2001 2001-0039572
Hae not been compared with
original
BUTTE COUNTY RECORDER
_ SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOMEs(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.
WAYNE F. WALKER & PAULETTE J. WALKER
REAL PROPERTY OWNER/LESSOR
4696 PARK CONCORD PLACE
MAILING ADDRESS
SAN JOSE, SANTA C LARA, CA 95136
CITY COUNTY STATE ZIP
15 AQUA COURT
INSTALLATION MAILING ADDRESS, IF DIFFERENT
OROVILLE, BUTTE, CA 95966
CITY COUNTY STATE ZIP
JACKIE VANANTWERP
UNIT OWNER (if also property owner, write "SAME')
105 BILLY MITCHELL BLVD.
MAILING ADDRESS
ROSEVILLE, PLACER, CA 95747
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
1 COUNTY
STATE ZIP
1-1397
(530)538-7541
I I ERM N
ELEPHONE NUMBER
29/2001
SIGNATURE OF LOCAL AGENCY OFFICIAL
DATE
NONE
(i
DEALER NAME (if trot a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
FLEETWOOD 2001 WOODLAND PARK
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
CAFLI 17A/B24798-WP13 26'6" X 45'. RAD1333165/166
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #069-210-053
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept.
LEGAL DESCRIPTION
A.P. 069-210-053 -
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, "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 PAGES 44, 55, 46, 47 AND 48.
04/03/0.1 14:07 BIDWELL TITLE CUSTOMER SERVICE 4 530 532 3304
MID Y�Y TITLE'6 ESCROW CO:# (9—. t N0.628 . P002
OMs: No,. 1 5
107
_ � : E+vow ko. 110562
Lean No.
x. 90-X01$107 Rea Fee' S.oO b
WHEN AECORDED MAIL TO;
I DOC 18.15
`Iq RAYNE F. !TALKER ET AL Rocerd®d , Total 23.15
4696 PARK CONCORD PLACE Otficlal Records s
SAN JOSE, CA. 96136 County of
Rutte
. Candace J. Grubbs
i
Recorder
'
6100&m 17 -Apr -90 l 1
L TAX STATEMENTS TO: JX
SAME .AS ��IMARY TRM6FER TAX &--I l S
ABOVE %ig.cwl econttdevou°nwve1be01
tows stlon or veru®l Iloro or -
ASSESSOR'S PARCEL 8069-21-0-048-0 B1Q10 „��a�AO.�e aOtvnn,wlwe,,._ F111
j
MID VALLEY TITLE ii ESCROW CO.
GRANT DEED '
FOR- A VALUABLE CONSIDERATION, receiptof which Is txreby achnowlatl9ed
•� : T
AX PA/6-
CLARICE 8. LEVERSON, AN UNMARRIED WOMAN
hereby GRANTS) to
WAYNE F. HALKPR AND PAULETTF J. UALKER. HUSBAND AND WIFE, AS JOINT TEXANTS iI
the real property In tho
ot,�ai
County of
BUTTE State of Califwnis, de:c.ibod er
i
LOT 194. AS SHOWN ON THAT CERTAIN MAP ENTITLED 'KELLY
Atr i RIDGE ESTATES UNIT NO. 3-
WHICH MAP WAS RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF '
1: c' CALIFORNIA, ON JULY 26, 1974, IN BOOK 43 OF NAPS, AT PAGES
44,55,46, 47 AND 48.
4
Oetod—M9Qj Hi9. 199
ar, etATEorc+utlroAg CLARICE� 8. LEVERSON�`
' t:OUNTYOi17CE
i
0, April 6, I99OAA>;AA#4AARAAAAAA4aR°AA*;
W'— nw, rho --O-"t a Ntpory 100110 N mW fm aWa Statq pen — • .
�sMsppeO/C'�Clar Ge- O. Lave °#kAAAAA°°
�. _ a#AAaAQRAAA#AA#e°aeRAAAAA#A#AAQAARRAAAAA
x: aAAaAARk##Rk#aAARRk#####AaAlA �
� QAR#A##dAAe
tr Or10PMRW to Rm on tno Mab mtle
d two"
onsol to be M0 peroadtl -4" RMON) ism to the
e»tNnMatwtmpneMoeawpW.gOOQ
co that
the rma � wh"Comp.w�,.,
t twrTNE3SmyA wdufptsaL of / lig•�Y�1 1, -
le. ont�• wewls ...n
.- M Alt STATEMENTS AS DtAECTEO ABOVE END or 0,0CU �E NT t®r9'1 t
:$1n't
STATE OF CALIFORNIA
Bl' .. • L -;A TRANSPORTATION AND HOUSING AGENCY y����`M�a`"�
OF HOUSING AND COMMUNITY DEVELOPMENT'
DMSION OF CODES AND STANDARDS
REGISTRATION AND TITLING PROGRAM ^�' Inv u
STATE-NMW OF FACTS
This unit is a: ' Mobilehome F� Commercial Coach 0 Floating Home 0 Truck Camper
Decal (License) No.(s) Trade Name Serial No.(s)
I/We, the undersigned, hereby state:
TI•IE ABOVE DRSCRIBLD MOBILE HOME HAS BEEN INSTALLED ON
AN APPROVED PERMANENT -FOUNDATION SYSTEM AND IS PRESENTLY
IN ESCROW WHICH WILL CLOSE WITHIN 45 DAYS.
I/Wc 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 tlicy may suffer resulting from registration of
the above-described unit in California, or from issuance of a California certificate of title covering the same.
I/Wc certify under enally of pe that tl•,e forcgoinF is true and correct.
Executed on Q at
( at (City) talc)
LSignaturc(s) Prins d namc(s)
77
Address / �/ ;94l.LCIL—
City
I -ICD 476.6 (REV 9/91)
State
08/29/01 11:14 FAX 530 332 3304 __ D,& D HOMES Q002
STATE OrCALIFORNIA:
TOF
BUSINESS, TRANSPORTATION ANOJ40USNGAGENCV
T
DEPARTMENT OF HOUStN&ANDICOMMVNITY DEVELOPMENT 0V4/ . .-.
%T -LO .7
L.
OWS64 Op Wbts-"mtTxw0,AR0S
-I!JRE
MANUFAC b HOUSING PROGRAM'.
0 Tow.
---MANUFACTU"M"'r-_'R-'CER-TIFICATE OF DRIGIR
0. Cog"
CIS WMIC, ORIOINAL JPMK) . FORWARO•TO TM y4FJJTORY CREOnvR-UNU;56 THE" IS NONE, TMN FORWARD To THe.eUACHASER (DEALER OR TRANSEOREJE)_ .
vory I (voom) FORWARD To THE RTMENr AT P.O. BOX leW. SACRAMENTO, CA 25812-1 BM WITHIN FIVE (6) DAYS OF:
COPY 2.(YELLOW) DELIVER TO THE YKANSPORnA TO ACCOMPANY THE qNrr To ITS vEsTiNATioN
'COPY a(GOLC)EtiFPD)-TOr*BE*FWTAjNEo'oYmM4tb47FACTUFMt:"*
NCO 403.0 - Side 1 - (7197)
MANUFACTURED H?. ED HOUSING .1�141T MMZA_M
�T
`4
WASER OF
MUMH (MULTI-VtIIT "NUFACT
09§�D (SINGLE FAMILY DWIEWNP) U1190MOUSINP
TRANSPORTABLE SECTIONS 2
COMM j9Q8L COACM:.
OCCUPANCY GROUP
MANUFACTURER NAME;
MANdFACTUREA LIEEWSENUMBER:
FLEETWOOD ROTES OF CALXPOPlTlAl* 'Xlqc.
9534
M
SUGGESTED RETAIL P ICE
Po BOX 1308 f4QODLAI4D
ZIP
t4uREIR TRADE NAME: MODEL NAME AN !OR NUMBER:
DATE 01: MANUFACTURE:
WOODLAM PARK, 4453A 2002
07/21/2001
NAME OF DEALER OR TRANSFIEROE- (OWNERSHIP TRANSFtRRED TO): - -CALIF. DEALER NUMBER DR. -
DATE OF TRANSFER.
--FLEETWOOD RNTML - CORPORATION- -OF CALIFORNIA TRANSFEREE DESIGNATION:
DBAt D&D RODS 1061581
07/23./2001
OMER OR SFEREE ADDRESS:
b=2.3-THATHIM."RZ-VER BLvb ORO LLE '
CA
C. tate)
g
INVENTORY CREDITOR NAME:
CONSECO. FaZE SanCE CORP:
I N�TTJRY CJKoffO DWS-.
.1 Do l"DA
SUITE 609• T LOUIS tef
(Buse (CIb)ST
NO 63105'
SECTION wNuFAcTuRER'seRiAL.Numae#t
HCD INSIGNIA OR HUD LABEL NUMBER
LEMGTN
WIDTH - WEIGHT
(Iw--ts)
(WORES) (POUNDS)
I CAn117A24798-WP13..
SAO
I fill 1 Q AGn
2 CAFL2:l:7R247J8-jK13
TRANSPORTER NAME
D & R. TRA mr-pax
TRANSPORTER ADDRESS:
BOX' 17 9C&
(aty)trm
onrwm FOR u4rfDESCRIBED ABOVE:
(W tswal
rrol
IwWvvdsrvcn;,tj-cf . 06"undw VSB liw$4 Lht*state br6i�Ifiii ftl ftabovi facti are tr,is W4,6wem.-
. Exemlwi,, 07/21/2001*' at WOODLA= Y -OLD
(=GY)
SieNXTUItr, OF AUTKOPZMD AGENT:
CIS WMIC, ORIOINAL JPMK) . FORWARO•TO TM y4FJJTORY CREOnvR-UNU;56 THE" IS NONE, TMN FORWARD To THe.eUACHASER (DEALER OR TRANSEOREJE)_ .
vory I (voom) FORWARD To THE RTMENr AT P.O. BOX leW. SACRAMENTO, CA 25812-1 BM WITHIN FIVE (6) DAYS OF:
COPY 2.(YELLOW) DELIVER TO THE YKANSPORnA TO ACCOMPANY THE qNrr To ITS vEsTiNATioN
'COPY a(GOLC)EtiFPD)-TOr*BE*FWTAjNEo'oYmM4tb47FACTUFMt:"*
NCO 403.0 - Side 1 - (7197)
.:` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
• 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
069-210-053
ZONING
RT 1 -
BUILDING PERMIT
OWNER
VANANTWERP JACKIE 916
TELEPHONE
771-9205
SO. FT. OCC. BUILDING VALUATION
. OWNER'S MAILING ADDRESS
105 BILLY MITCHELL BLVD. ROS EVILLE; CA 95747
CONTRACTOR'S NAME TELEPHONE
D & D HOMES 532-3301
CONTRACTORS MAILING ADDRESS
4__3 FF'ATHFR R LVER_BLM__0RQV=E, CA 95965
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
gig nn
ARCHITECT OR ENGINEER
LICENSE NO.
Ellin Fee
$ 20.00
Permit Fee 486.50/2
$ 243.25
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRES
QUA_CTy-0R0
Energy Plan Checking Fee
$
PERMIT FEE
$ 286.25
LO199
SUBD"'sOW4'5/48 7-26-74 KELLY RIDGE
Pj nAtES
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome M Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each as water heater or vent
15.00. 15.00
y TYPE OF WORK
New [3' Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: NEW MH PERM FM NEW SITE
Gas piping stem 1 - 5 outlets
15.00 15.00
Building sewer
15.00 15,00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$ 80.00
ELECTRICAL PERMIT
Fling Fee 20.00
"OVOR LESS
Main Service 20.AORlESS
23.00 23.0
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license biriqlb4qrce and effect.G
License Class Lic.`No. p S
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' com ensation insurance carrier and policy.number are:
Carrier tLZJ---�
Policy Number :,)•-I I t -'on sr j 4 s, q
(The above sections need not be completed If the permit Is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the'''
workers' comp n provisions of section 3700 of the Labor Code, I shall
forthw' co wit those provisions.
X �-� Date /
Signature of Applicant - ❑Owner [3 Contractor ❑Age
An OSHApermit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in h ight.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUR So
OR ADDNS. ( & ACC. BLDS. 3.50FT:
NEW CONS MULTI.OUTLET
NON•RESIO.
@7.50
a 3OLE o �T S
20 @ 1.00
EX. OCCU . OUTLET OR FDMRES BAL @ .50
Ex. Occup.. Guri�crS Ro .GEw 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $ 43. 0
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI_ $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 409.25
HAZ.
D FE P
FLooD
C
CEL
HD
t
ISSUE
This permit is hereby issued under
of the Butte County ode and/or
Pis have
IndiWz
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
�f q/f� /
Date
7 i b��
Data
ReceiptNo. 7 37
WHITE-D.D.S.-B.D. CANAR •ASSESS R NK -INSPECTOR GOLDENROD -APPLICANT
I:
COUNTY OF BUTTE - DEPARTMENT,OF.DEVELOPMENT SERVICES - BUILDING ' 7 County Center Drive •
- tR;1v t2/96) Oroville, California 95965 G DIVISION
111 1 APPLICATION AND PERMIT (530) 538-75� / /
ASSESSOR PARCEL NUMBER PERMIT N(
ZONING '
Ow \J` BUILDING PERMIT
l�� T
OW '
op
coNsrnucnoN LENOEA �
LENDER'S MNUNG AppgESg - , /�-G.' �
MCMRECT OR ENGINEEA
LICENSE N
ARC -ECT OR ENGINEER'S ADDRESS
BULONOADORESS"''"
tSF
/' sU11:1 N.•�/USEOFSTRUCTURE
Duplex ❑ Mobilehome ❑ Other
avecsy
TYPE OF wnov
*PERMIT FEE PAID
SRA '
SHERIFF
OTHER
--------------
�1
AMOUNT RECEIVED���
*RECEIPT NUMB r
*
TO 6E PUT INTO COMPUTER
LVLaL valuation E
Fiilin Fee
S
Permit Fee
20.00
Plan Checking Fee
ti
S
Energy Plan Checking Fee
S
S
PERMIT FEE
S
PLUMBING PERMIT
FilingFee
Each Trap
20.00
Solar or heat um water heater
7.00
23.00
Water pipin
Each as water heater or vent
t 5.00
Gas i in stem 1 - 5 outlets
5.00
15.00
Building sewer
t 5.00
Mobile Home S G W
@20.00
PERMIT FEE
ELECTRICAL PERMIT
Main Service OOOV OR LESS
_ 200A OR LESS
Main Service 200A TO 1000A
NEW CONST.
OR ADONS. DWEUJW OCCUP.
0 i ACC. BLOS.
NON-REMS ID. MULTI -OUTLET
SINGLEPO
O�UTLETTCIUSR
i Ex. Occup. OLmET OR FUTURES
Ex. Occu FIXED . on
1 Tem orar Services Es'o EA
Mobile Home Facilities
F�
PERMIT FEE
MECHANICAL PERMIT
rcNM17 FEE _
Mobile Home Installation Fee S
Energy Inspection Fee y
occ ooNsr. TYPE
TO AL FE $
n Fee 20.00
23.00
4e.00
7
3.5¢FT.
@7.50
5.00
23.00
20.00
23.00
g Fee 20.00
6.50
I NAZ O. FEES C F P—
EL IO ISSI
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By
Date
PERMIT EXPIRES ON
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
OWNER: r/-F/V / Fav 1 K,
Proposed Buifdmg Use: notj
At time of permit application, I was
PERMIT APPLICATION DATA SHEET
111. All items have been submitted --------------------------------------------------------------------------------------
4vot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
ngineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
116. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------- --------------
El 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
%.LA'aanufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $------------------------------------------------------- -----------------------------
pact fees as shown on the attached schedule. ----------- -- ------------------------------------------------
!California Department of Forestry plan approvaUfees.--- ---- ------------------------------- -(Jl
❑
3. Flood elevation certificate. ------------- ---- --------------------------------------------------------------------
Sanitation and plot plan approval Health Department. -------------------------------------------
❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- --
El 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
1117.
---------------------------------------------
❑17. Planning approval for (A) Use: (3 K (B) Parking: -------------------------- 6 _ I L/ Q ( Z
1118. Contact Land Development about ❑ Improvements, ❑ DrainaLegal Parcel. -----------------------
1119.
----------------------
❑19. Encroachment Permit for driveway (construction approval prior to occupancy). -------------------------- --
❑20. Pre -inspection for required. Request to Building Inspector on (Date)
021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
El 22. Workers' Compensation carrier and policy number. -----------------------------------------------------------
r ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
Q214. Letter of signature a t�or ation. --------------------------------------------------------------------------------
5. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
c
❑26. Letter of intent on building use. -----------------------------------------------------------------------------------
❑ 27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑28. Existing vi ations and/or iced permi----------------------------- �----------------------------------
029. 0433 A, ant Deedo�.H. Title peek to H.C.D $ .---------------
030.
--------------❑30. Other: -------
en you is t Dees% follows ❑Mail to own rMMactor.
elephone v 1 and hold for pickup ao ' Deli with inspector.
-� /
Applic . Date: %
� a
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department Air Po tion Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Ir Date: By:
1. Index permit application for to above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of to above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of to above required data by ❑ phone, ❑ mail, ❑ Building D' Sion counter, by . Date:
Plans reviewed by: Date: Plans approved by: pZ Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
4
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
OWNER
PROPOS
1. BUILDING PERMIT FEES
--Balance Due ........................................................ $
--Additional Fees Due ............................................ $
--Additional Fees Due ............................................ $
--Revised Plan Checking Fee ....... ................. ....
SCHOOL DISTRICT FEES
(paid at District Office)
3. SHERIFF FEES (paid at Building Division)
Residential .................................... x $360.00 = �11
Units
Commercial (sq. ft.) ......................
Sq. ft.
4. URBAN AREA FEES
Residential ............................ x
# Units
— x $0.03 = $
Amt.
Commercial (Sq. ft.) ............. _x—=$
Sq. ft. Amt.
5. RECREATION DISTRICT FEES
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
A. P. #
DATE
RECEIPT # DATE REC.
. /1 1 / q, /6 (
3a15o9 7 g vj
�/// 1 /0 f 94
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking_proSxs&.---),
APPLICANT DATE
U
Pursuant to Government�,ectio�n 66020, you are hereby notified that items 2, 3, 4, 5, , , 8, 9, an 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 Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00)
o
School District
A.P. Number
Property Owner
Property Location/A(
Subdivision
Z1:vxr�;''3sk .N,
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
Building Department No.
00— p`/(/ -(lyJ Jurisdiction: Clty County
Lot No.
Residential Development
................................................................................................................. .
Sq. Footage 1
No of Living
Mobile Home
Addition/ *Supplemental to
(Group R)
Units
Installation
Conversion Permit #
'(No foundation inspection):
...................................................................................................................
Commercial/Industrial
Building Department
0 0
New Addition
runs revieweo by school uistnct
Sq. Footage
(Including Exterior
Roofed Areas)
District Identification No.
School District certifies that
(Applican
(Street Address) (Phone Number)
(City)":-
has complied with the requirements of Resolution No.
representing
/azo
School District Representative
Paid by Check #
(State)
99-00 os'
(Zip Code)
by payment of $ , 4 7(p. 54
square feet. AB 2926 $
FULL MITIGATION $
-9-0
Date
Remarks: pex� IAiiil C Eu_:�i(
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written.protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (10198)dmm
APPLICATION FOR WATER SERVICE (POTABLE)
OroviUe-Wyandotte Irrigation District JOB
P.O. Box 581, Oroville, CA 95965-0581
Phone 916-533-4578 FAX 916-533-9700 ORDER:
f'rmgold\forma\wtr�pdom.Rw 4/6/05.
DATE: U AC EAGE: ASSESSOR'S PARCEL I C)09`—c57/
NAME: TELEPHON A}�
ADDRESS:PI O.OF V REQUESTE / OWNER:
CITY/STATE/ZIP 4 METER SIZE REQUESTED: AGENT: ❑
PROPERTY CURRENTLY SERVED BY OTHER WATER Y ❑ N ® TYPE: OTHER
ARE THERE, OR WILL THERE BE ANY MATERIALS HANDLED OR PLUMBED IN SUCH A WAY AS TO ❑
ALLOW THEM TO ENTER INT THE POTABLE WATER SUPPLY SYSTEM? Y N
SERVICE LOCATION PROPERTY IN DISTRICT? Y K N ❑
DWELLING ON PROPERTY Y ❑ N ® TYPE & NUMBER:
CAPACITY CHARGES PAID? Y ❑ N11 TENTATIVE WILL -SERVE LETTER Y ❑ Nil
COMMENTS:
a ws
WATER SERVICE AVAILABLE? Y U N ❑
LINE LOCATION
RECORDED EASEMENT REQUIRED? Y ❑ N ❑
MAINLINE EXTENSION REQUIRED? Y ❑ N ❑
SERVICE INSTALLATION REQUIRED? Y ❑ N ❑
ROAD -CROSSING REQUIRED? Y ❑ N ❑
BACKFLOW DEVICE Y ❑ N ❑
DEVICE A.G. ❑ R. P. ❑ D.0 ❑
DEVICE SIZE:
SITE SURVEY YF-] N ❑
COMMENTS:
Backflow Inspector's
NOTICE TO APPLICANT: FEE AND CHARGS ARE
ESTIMATES AND ARE EFFECTIVE FOR 30 DAYS.
C
v'/
CANT'S SIGNA
METER SIZE APPROVED: LINE SIZE: C
LOW PRESSURE AGREEMENT NEEDED? Y [7] N
COMMENTS:
met(,- 5e y e-4 n61
Superintendent's Signature:
ESTIMATED FEES & CHARGES
New Account Fee
System Capacity
Installation Est.
Meter Set
Backflow Installation
NERAL COMMENTS
Annexation Processing III j
Annexation $295/Ac.
County Clerk's Posting Fee ($25)
LAFCo Processing Fee ($600)
LAFCo Sphere of Influence Fee
State Board of Equalization Fee
DO II TOTAL
Information taken
by. Z
JOB ORDER
OROVILLE-WYANDOTTE IRRIGATION DISTRICT
2310 Oro -Quincy Hwy. - P.O. Box 581 - Oroville, CA 95965 - (530) 533-4578
ACCOUNTNAME
ADDRESS
CITY ST ZIP
JOB DESCRIPTION
METER LOCKED Y O N O
BACKFLOW REQUIRED Y O N O
(IE YES, IS INSTALLATION OF
DEVICE COMPLETED) Y O N O
(EF NO, DO NOT TURN ON WATER)
PERSON CONTACTED IN BACKFLOW DEPT.
UNITS I MATERIAL USED EACHI TOTAL
METER NO.
READING
MATERIAL SUB TOTAL
AGGREGATE SUB TOTAL
PLUS %
MATERIAL TOTAL
CONTINUATION
SKEET 1 2 3 4 5 6 7 8 9 10
N_ 4820
IN DISTRICT
NO I ACREAGE A/
I NO. DWELLINGS SERVED I �/NU���
�YES
EOUIPMENT USED
LABOR
ITEM
HOURS
RATE
TOTAL
NAME
HOURS
RATE
TOTAL
SUB -TOTAL
PLUS OVERHEAD
E UIPMENT TOTAL
LABOR TOTAL
f hereby authorize the District to proceed with the herein
iescribed work, and for this purpose please acknowledge
•eceipt of my deposit in the amount of
�p
9
C/ D Ck#/O Y4i96
'Date /D I
TOTALS
SYSTEM CAPACITY CHG
ANNEXATION FEES
NEW ACCOUNT FEE
MATERIALS
EQUIPMENT
3ignaturd' - -�
Date Completed
vewAccount Form
LABOR
MISC.
SUBTOTAL '
DEPOSIT(-)
NETTOTAL
JOB ORDER
OROVILLE-WYANDOTTE IRRIGATION DISTRICT
2310 Oro -Quincy Hwy. • P.O. Box 581 -Oroville, CA 95965 • (530) 533-4578
ACCOUNTNAME y�
ADDRESS
CITY ST ZIP
JOB
LOCATION
METER LOCKED YO NO
BACKFLOW REQUIRED Y O N O
(IF. YES, IS INSTALLATION OF
DEVICE COMPLETED) Y O N O
(IF NO, DO NOT TURN ON WATER)
PERSON CONTACTED IN BACKFLOW DEPT.
UNITS I MATERIAL USED EACHI TOTAL
METER NO.
READING
I MATERIAL SUBTOTAL I I
I AGGREGATE SUBTOTAL I I
I PLUS %I I
MATERIALTOTAL
CONTINUATION
SHEET 1 2- 3 4 5 6 7 8 9 10
N° 4821
IN DISTRICT
I ACREAGE I NO. OF DWELLINGS SERVED I A/P NUMBER
O YES
F.n111PMF.NT I ISF.n I.AROR
ITEM
HOURS
RATE
TOTAL
NAME
HOURS
RATE
TOTAL
SUB -TOTAL
PLUS OVERHEAD
E UIPMENTTOTAL
LABORTOTAL
f hereby authorize the District to proceed with the herein
iescribed work, and for this purpose please acknowledge
-eceipt of my deposit in the amount of
$ DO Ck# l
Jate -//_; 2-1
TOTALS
SYSTEM CAPACITY CHG
ANNEXATION FEES
NEW ACCOUNT FEE
MATERIALS
EQUIPMENT
�.
iigna u'` �-
Sate Completed
Vew Account Form
LABOR
MISC.
SUB TOTAL
DEPOSIT(-)
NET TOTAL
52-01
PERMIT NO.:
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: July 9, 2001
Applicant: Jackie Van Antwerp (D&D Homes)
105 Billy Mitchell Blvd (2243 Feather River Blvd)
Applicant Address: Roseville, CA 95747 (Oroville, CA 95965).
Applicant Phone No.: (916) 771-9205 (532-3301)
Property Locations(s): 15 Aqua Ct. Oroville, CA 95966
Kelly,Ridge Estates Unit 3 Lot 199
A. P. No.(s): 069-210-053
Fees due: All fees paid.
Application for service approved:
UKE OVI LE AREA
PUBLIC UTILITY DISTRICT
Inspection(s) made and successful test(s) observed:
Location: Date:_
M
Lake Oroville Area Public Utility District release to close permit:
Date: By:
' n SITE PLAN REVIEW APPLICATION
• Date: AN .
-21�.-pS3
Permit Number (if applicable) (— i 3 06c)
APPLICANT INFORMATION Parcel Size:
Owners Name: Y A O WTO Ep— t>
Owners Address: i 631 C_.t_ 4 rr-,) � bl-A E ` e L.V'D 6z.DS GV) LLlE_ KA Lf
Telephone No.: C) 1 b - T) — C)20 S I - 1h 110V_n(_S_ 532— �30 i
Situs Address:
Proposed Use:
Residential
❑ New Single Family Residential
❑ Single Family Addition
Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑
Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
❑ Septic
❑ Agricultural Exempt Building
❑ ' Other:
Brief Explanation (if necessary):
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
® Approved ❑ Conditionally Approved , ❑ Resolve Problems Prior to Approval
® Site Plan Stamped Approved
By LID 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)
SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See a, hed)
• Flood Zone:
• Flood Panel No.: 5aT27 Index Date: 6-8-9
❑ 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:
2T --
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
0 C/L-
Side
Side Street
Rear
3�
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 Amount Formula
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
------------------------------------------------------------------------------------=-----------------------------------
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
I
• 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
Q Deeds:
Date of Creation:
Deed of Reference:
Parcel Frontage on Publicly Maintained Road:
Complies with County Standards for Deed Creation:
Comments: •
❑ Parcel Deemed to be legal
Legal Access Provided: ❑ No ❑ Yes
Legal Access Required ❑ No ❑ Yes
❑ No ❑ Yes, Road Name:
❑ No ❑ 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
10 Subdivision Map/Parcel Map:
Map Date of Recording: 7 —2 b — 7 9
Lot: I �)C) Book: L) 3 Page: LI3 LI8 .
❑ Use Permit/Minor Use Permit
Permit Number: Date -of Approval:
❑ 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 on slopes steeper than
30%. The Erosion Control Plan must be prepared by a registered civil engineer or other
qualified professional and be submitted to and approved by the Department of Public
Works.
❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing
on-site mature trees, located in any area proposed for buildings and vehicular access, and
provides for methods to protect the trees identified to be preserved, shall be provided to and
approved by the Planning Division prior to the issuance of building permits and/or prior to
grading or vegetation removal. The removal of mature trees shall be minimized, where
possible. A. mature tree shall be defined as a tree with a trunk measuring 4 inches in
diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1
ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a
circular zone (minimum 40 -foot radius) identified by an orange fence during construction
activities. No vegetation removal, soil disturbance, or other development activities shall
occur within the fenced area.
❑ 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.
Page 4 of 5
'-1
D
I
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CAMy DocumentABuilding Permit Site Plan Reviewl.doc
Page 5 of 5
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDINC DIVISION
7 COUNTY CENTER DRIVE,
OROVILLE CA 95965
COPY of Document Recorded
09 -Jul -2001 2001-0029407
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires this acknowledgment
The property described herein is adjacent to land or included within antarea zoned o be forda prior cultu issuance of a building permit.
this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,pin luding, but s, and rnot dlimited
to herbicides, pesticides, and fertili7rrs; and from the pursuit of agricultural operations including, but not limited to cultivation,
plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has
established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date: (� ! -� C� ',� PROPERTY OWNERS:
State of California
County of G
_ before me,
personally appeared A JL^ IA )7%r'z� —
known to me (or proved •o me on the oasis orsatisractorl evidence) to be the person(s) whose name(s) Is/are subscripersonalli
bed to the
mithin instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ics), and
that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted,
executed the Instrument.
WITNESS my hand and official seal.
W<COUNTY
=OF'
E
1256485
tA HSig 004W
AT-,
04/03/01 13:43 BIDWELL TITLE CUSTOMER SERVICE 4 530 532 3304 NO.626 POO?
_L
Order No, 1.178901
SCHEDULE C
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:
PARCEL A,
PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, PECORDED IN THE OFFICE OF THE RECORDER
OP THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 16, 1995, IN BOOK 136 OF MAPS,
AT PAGE(S) 27 AND 28,
` AP NO. 012-470-023
FARCE! as
AN EAS&MENT 60 FEET IN WIDTH FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON THAT
y CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF'BUTTE,
STATE OF CALIFORNIA, ON SEPTEMBER 5, 1978, IN BOCK 68 OF MAPS, AT PAGEIS) 5.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL A DESCRIBED
HEREIN,
PARCEL Cl
A Ne,N-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH
7,Y)' -:u 30 PEET Me EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE:
A PORTION OF THE SOWM HALF OF THE NOPTHEAST OUARTER ANp A PORTION OF THE NORTM HALF OF
Tl1E 50UTHEAS? QUARTER OF SECTION 22 AVD A PORTION OF THE SOUTH HALF OF THE NORTHWEST
QUARTER AND A PORTION OF THE NORTH HALF OF THE SOUTHWEST QUARTER OF SECTION 23,
TOWNSHIP 19 NORTH. RANGE 5 EAST, M.D.S. 6 M., MORE PARTICULARLY DESCRIBED AS FOLLOWS:
CONJ•1ENCING TT THE NORTHWEST CORNER OF THE $0=1 HALF 0^ THE NORTHEAST QUARTER OF SAID
SECTION 22; THENCE SOUTH ALONG THE NORTH AND SOUTH CENTERLINE OF SAID SECTION 22, A
015TANCE OF 040 FEET TO A POINT; THENCE LEAVING SAID CENTERLINE AND RUNNING EAST
e' PARALLEL WITH THE EAST AND WEST CENTERLINE OF SAID SECTION 22 AND PARALLEL WITH THE
EAST AND WEST CENTVRLINE OF SAID SECTION 23, A DISTANCE OF 2070 PEET TO THE TRUE POINT
OF BEGINNING POR THE CENTERLINE HEREIN DESCRIBEDr THENCE CONTINUING EAST ALONG SAID
PARALLEL LINES, A DISTANCE OP 203n FEET, MORE OR LESS, TO THE CENTERLINE OF THE
HURLETON-SWEDES FLAT ROAD AND THE END OF SAID CENTERLINE.
EXCEPTING THE'EFROM ALL THAT PORTION LYING WITHIN THE B0IJN7S OF PARCEL A, DESCRIBED
HEREIN,
PARCEL Ss
A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES, AS SHOWN ON THAT CERTAIN PARCEL MAP,
i RECORDED IN THE OFFIC9 OF THE RECORDER OP TRW COUNTY OF BUTTE, S'SATS OF CALIFORNIA, ON
t FEBRUARY 16, 1995, IN BOOK 136 OF MAPS, AT PAGE($) 27 AND 28.
EXCEPTING THEREPROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL A, DESCRIBED
HEREIN,
)
,
4
I
-6-9 --2 1
CGGGrNS,
A",1�41AQUA CT, OROVILLE
Cont: A -Z PLUMBING
NEW WATER LINE . '
i%"-^
-227
;% --
-227
t
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI DING DIVISION
7 County Center Drive • Oroville, C&lifornia 95965 • Telephone (53 ) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT �� -,D C)
ASSESSOR PARCEL NUMBER
.2.10-054
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO, Fr, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
t1 Z PLN 113T;_,^
TELEPHONE
�..
CONTRACTORS MAILING ADDRESS � �
� 1C: 'L -,l T1%1L C1WIL' -.". CA 959G5
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checkin Fee $
B ILDINGADDRESS
1 7�'� O ;i it"i O40i 1
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Cl Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00 4. Co
Each as water heater or vent 15.001
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 13r Other ❑
Describe Work: ;• f t' j?AT1-,",7 j,Tr.R
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home ISI GI W1 920.00
PERMIT FEE $ 35. CO
ELECTRICAL PERMIT Fling Fee 20.00
Main Service lwov oR LESs
200A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
•'
License Class Lic. No. /*1 :�. ' `\
~OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑/I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier I , 1t-_ � ,,.ek
Main Service 200A TO 1000A 46,00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. a ACC. BLDS. 3.5QFT,
tw
NON•pESID ' MUL 1 CIR UT 97,50
POWER APPARATUS
a SINGLE OUTLET CIR.
FIXTURES @ 1.00
E(, OCCU OUTLET OR FIXTURB
FIXED
Ex. Occup. ouTrs w IES o °Ew 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number , -N i - I 1
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X :� ,/"' Date '�- 7,0103_
Signature of Applicant - O Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNsr. TYPE TOTAL FEE $
HAZ.
p, FEES IMP
FLOOD
CDF
PARCEL pp HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By- � �' 1� t' /'pr, / Date Z-11
PERMIT EXPIRES ON 2/3(+ 7
Date
Receipt No. �� ! i �i' _ -
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
11 V
COJUNTY 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
- 2 -,;-) 7U
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 coriection of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please cgptact this office immediately.
Date Inspector _2::�&
REV rZ92
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 3 —aa PERMIT�
(Rev.12/96) APPLICATION AND PERMIT ,.
ASSESSOR PARCEL NUMBER
069-=210- 05-3
ZONING
BUILDING PERMIT
OWNER COGGINS
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWN 5 MAI ADDRESS
A UA COURT OROVITIE, CA 95966
CONTRA OR'S NAME
A - Z PLUMBING
TELEPHONE
,,C4NTRACTOWS MAILING ADDRESS
PIONEER TRAIL OROVILLE CA 95966
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Pian Checking Fee $
BUILDING ADDRESS
14 AQUA COURT OROI
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 10 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping 1
15.00 15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation C:k Other ❑
Describe work: NF'W WATER LIl�1E
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
35,00
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 600Y OR LESS
200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.`
License Class 0 :5 Ln Lic. No. %n �,,`3�: O
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO I000A
46.00
NEW CONST. DWEWG OCCUR NC
OR ADDNS. ( 8 ACC. BLD S.
so
3.5¢FT,
77
NO, -R Dom, ID MULT,'Or ET
97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20Q1'00
BAL 9 .50
Ex. Occup. OUT ETS Ra D.) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
Performance of the work for which this permit is issued.
12 I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers'. on .psuranpe carrier and policy number are:
Carrier 'L %
Policy NumberC1C7 [QL��
(The above sections need not a completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
XDate —7 — -so 0.3
Sign ur�t—e of Applic t - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructionUate
of structures over 3 stories in height.Q�I�
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee is
occ
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES IMP
I FLOOD
I CDF
PARCEL PD•
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
3 �%/
PERMIT EXPIRES ON 3
Dere
Receipt No. 9-3 •�
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
� NOTES RESIDENTIAL
{ ' . 069-210-053 , 01-1841
VANANTWERP, JAKCIE
15 AQUA CT. OROVILLE
CONT: DON SC14MBNER
DETACHED GARAGE
'i
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
4
Signature
'n
i
f
t
x
t
t
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
4
Signature
./= OK
0 = Not OK
- = Not Applicable MOBILE HOMES
= Not Ready
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.
MISCELLANEOUS
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
/ P Nat. or / /"L"ft./ /'LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
7.
Ele ric
Fr chers'S`tu s -Trusses
ing; Nailing -Veneer -Stucco -Mesh
Date
11.
Card B-1 Date Card B-1
Date
12.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
J
Card B-1 Date Card B-1
3.
Gas; MH Test -Demand -Valve -Connector
FINAL (Plans) OK except #'s
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Setbacks -Easements
5.
Drain; MH Test -Fall -Flex Connector
Soils; Compaction -Structure Stability
6.
Water; MH Test -Regulator -Connector
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Elec.; Receptacles and Lighting, Distance-GFI
8.
Gas and Electricity Tagged
Elec.; Pool Lighting; 15 Volts-GFI
9.
Tie Downs -Type -Installation Cert.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
10.
Exits; Insp.-Sketch
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
11.
Can. of Occupancy
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards=Ins. to Main in Conduit
12.
Permanent Foundation Only; License Decal
Health Department Approval
10.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Ele ric
Fr chers'S`tu s -Trusses
ing; Nailing -Veneer -Stucco -Mesh
11.
Roof; Shthg-Roofing
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date -/
Q/
Card B-1 Date Card B-1
Date
J
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards=Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL ISingle & Duplex)
= Not Ready
Date
FRAMING (Permit) OK except #'s
Underfloor (Plans) OK except #'s
Sills Proper Materials & Anchors
1.
Zoning -Setbacks -Easements -Flood -Slope
42.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Draft Stop in Walls (rat proof)
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45.
4.
Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
Property Line Firewall & Openings
5.
Stemwalls, Main; Ste el- Bloc kouts-Wrapped
54.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
6a.
Hold Downs and Special Anchors
57.
7.
Slab, Steel -Wrapped
Glazing Area -Glass Protection -Skylights -Plastic
8.
Piers -Fireplace Ftg.-Steel
60.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Insulation -Walls -Ceilings
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- Vent s-Crippies
15.
Access & Ventilation
16.
Insulation
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
Date
79.
Card B-1 Date Card B-1
Date
80.
Card B-1 Date Card B-1
Date
81.
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
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
Date
88.
Card B-1 Date Card B-1
Date
89.
Card B-1 Date Card B-1
Date
90.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Date
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Date
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
Date
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral O Yes U No
Comments at Final:
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82.
Following Insild./Drive J Yes D No/Walks J Yes J No/Planters .1 Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF,pEVEL'OPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541— PERMIT, o.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
069--05
ZONING
BUILDING PERMIT
OWNER
VANA ;T•?CK
ItUPH&E
SQ. FT. OCC. BUILDING VALUATION
280 U 5,040.00
OWNER'S MAILING ADD Ss
UA-CT._ORO _T T P �A 95966
CONTRA R's NAME TELEPHONE
DNS
CONTRACTORS MAILING ADDRESS -9-5-3038
996_ REM_ AN=N-m.T T-gO�u;GA�-5-9
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 5 040.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 81.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $ 52,65.
BUILDINGADDRESS
1-5-AQUA-GT.-9R0V T, rL 9-
Energy Plan Checking Fee $
$
PERMIT FEE $ 153.65
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 1 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome EK Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New &Addition ❑ Remodel ❑ Utilities ❑ Installation O Other,
Describe Work: NM nFT'A('uF'D GARAGE
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service zoOA OR'SS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. q'/ -7
License Class 15 Lic. No. ?// Il <
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ ),as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
® 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier 51W7 a'.
Policy Number -fid// 3 {1
(The above sections need not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
O 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
hwi h comply with those provisions.
X Date g:7-lQ O _
Sig ature of Applicant - ❑ Owner O Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO I000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( & ACC. BUDS. 3.5¢FT;
NOµgo�IDT MULTI.,,,T @7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES 200''0°
BAL .SO
Ex. Occup.onxuT,E�°TSA AEs OR 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FES $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 155.65
HAZ.
D. IMP FLOOD
X
CD
p
irl
H ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
46�"—
By Date Ijo�o
PERMIT EXPIRES ON O 10
fe
Receipt No. L 6___
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 RMIT NO.
(Rev. 12/'96) APPLICATION AND PERMIT
ASSESSORPARC0.NUMeEn aJ zowNG _ BUILDING PERMIT
D`"'''E^ TlLiP110NC S OCG. BUILDIN V TION
OWNEA9 0
J
COMM S T NE
CO ADD
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS Fireplace
b
ARCHITECT OR ENGINEER LICENSE NO. Total Valuation
Flinn Fee b 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit Fee
RULDING ADDRESS J5
Plan Checking Fee b
Energy Plan Checking Fee LFiling
PERMIT FEE IAT NO. BURDIV6 pN8 NAME PARCEL MAPPLUMBING PERMIT Fee 20.00
USEOFSTRUCTURE Each Trap 7.00
Solar or heat Pump water heater 23.00
SFV/A1
F Duplex ❑ Mobilehome Other Water piping 15.
SPECIFY
TYPE OF WORK Each gas water heater or vent 15.00
Gas piping stem 1 - 5 0 15.00
New 13 Addition ❑ RnO UtiGbes hsTA tion ❑ Other Building sewer 15.00
Describe Work: / Mobile HomeS G W tgZ20.00
PERMIT FEE f
ELECTRICAL PERMIT Filing Fee 20.00
-•----------- 000V OR LE23.00
Main ServiceLESS,'
SS
200A OR LESS
Main Service 20" TO 1000A 46.00
NEW CONST. O i ACC. �suP. 3.5¢so.
OR ADDNS. ir.
ir NON•RESID. MULTI.O RANCH IR UTITS 7.50
POWER APPARATUS
8 SINGLE OUTLET CIR
EX. OCCU . OUTLET OR FIXTURES 200 1.00
RAL 0 .50
! EX. Occup. FIXED APPINS. oR
OUTLETS RESID. EA .00
1 Temporary Service 23.00
Mobile Home Facil' •es
20.00
Misc. Wiring 23.00
PERMIT FEE b
MECHANICAL
*PERMIT FEE PAID PERMIT Fling Fee 20.00
Heating
SRA ' ' Coolin
SHERIFF Hood 6.5
OTHER Ventilation
P IT FEt i
Mobile Home Installation Fee b
Energy Inspection Fee b
OCC CONST. TYPE
TOTAL FEE_
AMOUNT RECEIVED ES IMP I FLAG CDF pARC0. PO ND ISSUE
This permit is hereby Issued under the applicable provisions
i of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been paid.
*RECEIPT NUMBER ✓J
* TO BE PUT INTO COMPUTER ey Date
PERMIT EXPIRES ON
f-
COUNTY OFBUT7"E - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
/ ERMIT APPLICATION DATA SHEET
OWNER: C�✓� ASSESSOR PARC ER: D
Proposed Building Use: Building Inspector: (i( Date:
At time of permit application, I was a ' ed the following data mus be ubmitted prior to permit processing and/or issuance:
Date Received By
1. All items have been submitted.----------------------------
ot plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------
' plete plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------
4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
❑ 6. Energy Design Compliance and supporting documentation. -------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings.
❑ 8. Hazardous Material Form. ---------------------------------
❑9. M ufE
Home data and installation instructions including Tie Down Specifications -------------------
1110. 10. s ----------------- -------------------------------------------------------------------
actas shown on the attached schedule.---------------------------------------------------------------
C
- ------------------------------------------------
-alifepartment of Forestry plan approval/fees.Q.-r- P --ZQ?' 61 t;?,67
El*
113 Flood elevation certificate. ----------------------------------------------------------------------------------------
Sanitation and plot plan approval Health Department. -------------------------------------------
15. City of Chico plumbing permit.-----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use
(B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
1119. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
Pre-' on for re uest to Building Inspector on
Contractor's license information. (Number, Name Style, Classification). ------ ---------------------
Workers' Compensation carrier and policy number.---------------------
Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑).
024. Letter of signature authorization. ------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement.
❑ 26. Letter of intent on building use. ------------
027. Manufactured Home utility clearance. -----
jJ9
Existing violations and/or expired permits.
❑433 A,( Canteed�H. titleOther:
When you is:
Telephone
Copy of Haz-Mat form sent ❑
Copy of plans sent ❑ Health;
follows ❑ Mail to owner,
1. Index permit applicatio or o i't� s
2. Additional items req
Contractor, designer, own o e abov by ❑ phone, ❑ mail, ❑
Contractor, designer, owner, was vised of the data by ❑phone, ❑mail, ❑
Contractor, designer, owner, was sed of the above data by ❑phone, ❑mail, ❑
Contractor, designer, owner w sed of the above requiped 4ta by ❑ phone, ❑ mail, ❑
Plans reviewed by: Date: '7/_'r6/z57/ Plans approved by:
Sets of plans on hold in ❑ .Plan Cabinet, ❑ A.P. folder. Note transfer by: _
Yellow Copy - Department of Development Services, Building Division.
E al
(Date)
11:27 MrTUIaLS BUILDING M PAGE 01
FROM: MITCHELL'S TSUILDINC WTVR V.ALS
PHONE ( 530) 846-4-400
FAX (530) 811-6-040"
I
TO:11 K
rz�
DATE: , �-' /- 7)x.
PAGES:
.SUBJECT -
9
Now,
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1:1 I-ki`
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING
OWNER:
MAIL ADDRESS:
SITE ADDRESS:
PR(
/I /� . rONE:/ (BUILDING PMT. t; .
PHONE:
I
PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OR THIS FORM. (I"Aw
PRECEDE EACH COMMENT WrTH RELATED QUESTION !I)
GENERAL INFORMATION:
1. Is there a primary dwelling on the property?
2. Is the structure already built, under construction, or under notice of code violation?
-3.-. Will items produced in this building be offered for sale?
4. Will the public have access to this building?
5. Will any advertising, on or off site, be associated with the use of this building?
6. Will this building be occupied at any time as a sleeping quarters?
7. Will this building be occupied at any time as an eating area?
8. Will this building be occupied at any time as a cooking area?
9. Will this building be occupied at any time as a living area?
SITE CONDITIONS:
10. Is the structure foundation within 5' of septic tank or 10' of leach Anes?
11. Is any portion of the proposed structure located closer than 20' to your front property line?
12. Do you plan to add a driveway or modify e)dsting access to a county maintained road?
13. Will the proposed structure encroach within any recorded easement?
CONSTRUCTION FEATURES:
14. Will this building have insulated floor, walls, or ceiling?
15. Will'this building be heated or cooled?
16. Will this building have a water closetltoilet?
17. Will this building have a sink?
18. Will this building have a water heater?
l
19. What type of floor covering will the building have?
20. What type of wall covering will the building have? .
Yes: No: 7*—
Yes: No: UC
Yes: No:
Yes: No:
Yes: No:
Yes: No:
Yes: No:
Yes: No:
Yes: No:
Yes: No:
Yes: No:
Yes: No:
Yes: No:
(X
Yes:
Yes:
No:
No:
.
Yes:
No:
Yes:
No:
Yes:
No:
ADDITIONAL INFORMATION:
i
I hearty afnrm under penalty of perjury the above Infromatlon is true and correct. I understand that any changes to the use, or character of use, of this building will
require permits from the permitting authority. I understand that Real E to Disclosure laws requiredisclosu of this information 9 or when offered for sale.
ER Ka RE DAT ER! SIGMA RE DATE
F DEPARTMENTAL USE .
REVIEWED BY: DATE:
COMMENTS:
PLOT PLAN i L - �, - /� • q'
--
r_7AoTPlAA/
4 �fV� 1✓Io"GED au—=:g 82
dab Vol
ILA
! . REVEKIED BY
>� G BUTTE CO. FIRE DE T.
CALIF. DEPT. of F'ORESTR'Y
- � ❑ approved as submitted �
S l� [approved with conditions
p r atta r+ed beet.
�L,9
/
7 Signature Date
�ALL STRUCTURES AND EQUIPMENT INCLUDING
_ OVERHANGS SMALL=CLEROFALLEASEMENTS.
A SETBACK OFAFROM THE SIDE AND
r 3,0 FT. FROM THE REAR PROPERTY LINES AND _
j'� FT. FROM THE ROAD CENTERLINE SHALL BE �
CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT
cOR A 2 FT. EAVE OVERHANG.
FOUNDATION PLAN
• '� 9 4" SLAB
ti ►12 X 12 FOOTING
12,
*6X6X10X10REMESH
• 1/2" REBAR 2 RUNS
REAR
ELEVATIOkik�
3
i
FRONT
ELEVATION
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ass � G � c C� �
(530) 844409
44'X34' WINDOW 4"X12- HEADER
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FLOOR PLAN N `�
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9/2' x 10' FDT BOLTS 6' O.C.
AND NO MORE THAN 9' m
i FROM PLATE ENDS OR USE � n
SIMPSON MAS FDT. ANCHORS N
4"X 12" HEADER
441 X34' WNDow
4" X 12" HEADER
bUT'E cous. TV
SUILDING DEPA �,3
/2
LEF"
ELEVATION
MG PANEE
1 x 3 RESAWN TRIM
RIGHT
- Vivid . -
1 v
PL
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.2 RUNS
REBAR
WAka'sBudding-
PO B=1 -
dUTTE COU .CAss �jWs
(SM 846.44M
APPROVEU
e
ROOF PLAN
7/16 OSB SHEETING
STAGGERED
15# 36" FELT
20 YR CLASS A ROOFING
2"X 4" OUTRIGGERS /
247 O.G. AT BOTH
GABLE ENDS
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CDF FIRE SAFE REQUIREMENTS
I — '9 / - . V'4"j+Vn'd4.'<u
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
[�] 1272.00 Maintenance of Defensible Space. To ensure continued
\ maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
1273.02
Surface. All driveway surfaces and structures (bridges,
1273.07
culverts and other apF-.:rteaant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
[ 1273.03
Grade. Not to exceed 16 percent unless paved.
1273.04
Driveway Radius
]
1. No roadway shall have a horizontal inside radius of
I
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[x]
2. The length of vertical curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
1273.05-
Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
[�(J. 27 05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
[ 1 ;0.1-a Width. All driveways shall provide a minimum 10 foot
41 traffic lane and unobstructed vertical clearance of 15
�J feet along its entire length.
iZ& Page 1 oaf . 3-.
CI-Zt -,f_1 6/ - iJ'-Vl �,4�T&J�
AP # PERMIT # NAIqE..
[1 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
11 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.
[�(1 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[� 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[ l 1. All parcels 1 acre aid larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from ul] property lines and/or the. center
of the road.
[j!J 2. For parcels.less than 1 acre, local jurisdiction
\ shall provide for the same practical effect. See
Other Requirements below.
1276.02 Disposal of Vegetation and Fuels. Disposal, including
I" chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be .completed prior to completion of
road construction )r fi-gal inspection of a building
permit.
Page 2 of 3
AP # PERMIT # NAM
Other Requirements
11
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
[ If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 0% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date Signature
Page 3 of.3
6
0
PLANNING DIVISION -BUILDING PLAN APPROVAL
D 92__ 6 -7Li- e)
Use: Date:
Parking: Landscaping.
Other:
Signature:__h�_
A
+ 0/1
0
W12Va
---4trILDING DEPARTME4,4,
P M 0 V
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REVO-WrEl) Gly
BUTTE CO. FIRE DEPT.
CALIF. DEPT. of FORESYRY
❑ approved as sLbmitted
approved with copditlons
�;e, - �IlEclnell
attached phqlt-
A
Signaiure Date
ALL STRUCTURES AMID EQUIPMENT INCLUDING
OVERHANGS SHALL EE CLEAR OF JiLL, EASEMENTS.
7HE SDE: A N D
A SCT BACK OF 49�� - -
Lfgi4l-.:C� AWD
jNE SHALL BE
r EXCEPT
L:
MR A'%FT- EAVE
cc
a -
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nx
CDF FIRE SAFE REQUIREMENTS
ot— 139 7
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance..
1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
[X] 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other apF".,rtenant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
1273.03 Grade. Not to exceed 16"percent unless paved.
1273.04 Driveway Radius
j 1. No roadway shall have a horizontal inside radius of
\ curvature of*less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[�) 2. The length of vertical curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
1273.05. Turnarounds. If required, will have 'a minimum turning
radius of 40 feet from the center of the road.
[�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
1270.10 Width. All driveways shall provide a minimum.l0 foot
traffic lane and unobstructed vertical. clearance of 15
feet along its entire length.
Page .1 of .3--,
WV
AP # PERMIT # NAME
[�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
l 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
[ 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
2. The gates must be located at least 30 feet from the
/ roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[�(] 3. Where a one-way road with a single traffic lane
f provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[ ] 1. All parcels 1 acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from ull property lines and/or the center
of the road.
[ ] 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
�] 1276.02 Disposal of Vegetation and Fuels. Disposal,. including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused.by site development and
construction, road and driveway construction and fuel
,modification shall be completed prior to completion of
road construction )r fi:ial inspection of a building
permit.
Page 2 of 3
r
T .
AP # PERMIT # NAME
Other Requirements
[ If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
t%] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 10% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date
Signature
Page 3 of 3
L Owner's Name: VAN ANTw(-Rf-/
2. Assessor's Parcel Number: Q (o1�
3. Installer's Name: =-) ,u
4. Is the site currently under permit? Yes[ ] NO-�-J"pernlit No.
5. Is the site an existing site? Yes[ ] No Pf
(If Yes, furnish two plot plans).
.6. What is the electrical rating of the mobilehome? % y �
Arriperes.
7. What is the mobilehome site circuit breaker rating? 10 A nperes:
8. What is the electrical rating of the mobilehome site? / a C
Amperes.
9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If -it is, what is
the rating? �C> v Amperes.
10. Is.there any other electric load to be served by the mobilehome site .electric service.
(i.e. well, garage etc.)? yes[ ] No[ ] If yes, please identify the load and size:
a) The mobile home site:
Load- Amperes -
b) The main service:
Load-
Amperes -
11. Type of gas service at mobilehome site: Naturaf Propane[ ] None[ j
12. Size of pipe at the mobilehome site from the meter
tom: 3 d inches. or
13. What is the gas pipe length from the meter or tank to the mobilehome? 4(ft,)•
14. What is the mobilehome gas demand?
'(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
PR CESS THIS PERMIT APPLTe%AVON L u� RC1' x ru
MUTTS COQ}'
qUtLD1NG
D6PARTW,+;4.
P C) 4
May 1995
8.5
TO"d
V/ -T=60 00 -7.T -I nr
Mobilehome Manufacturer: _-�-P, __h0J0p� Manufacture Year: o
If other than single wide, furnish Setup Model Number:53 A
Width: (ft.) Length: (ft.) Tagalong or Expando Size_(ft.) x ft
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOO TINCS Wood pressure treated or foundation grade[tfOther:
SUPPORTS Concrete block[ vT-•Other:
Provide Tie Down Specifications for all Mobilebomes:
SIIVGLE WIDE Pier Footings Sizes and Location
Liao I MULTI -WIDE
Lice 2
Line 2.................................Main Bcaav.......................................
Line I
.........................................
Main Beam
.........................................................
........0..%Zz ................................
Line 1 Piers:
Size minimum: 2ftn
Spacing maximum:
From ends -maximum. i
Line 2 Piers:
Size minimum:i x i y
Spacing maximum: c
From ends -maximum. � ' o
4
I
-ime I
. Line 2
• I` j
,Line 2
- Line 3
Line 2
Line 2
Line I
Line 1 Openings
Size minimum: [� �) x
Each side of openings
with width over: < < o « <
Line 4 Piers:
Size minimum: x
Spacing maximum:
From ends -maximum
Line 3 Roof Loads: Z� 16
Size minimum
�;xx 3c 2YX 3 o a yx 3o X q x ;Wx3
Location (from front): ,
Line 5 Roof Loads:
Size minimum:.
Location (frorri front):
ZO'd
HSL :60 C)fl-ter_,
O
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REFER
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RECESSED/
1' -0 -(SEE NOTE ,#2)•.
_� �0AMS NVrM 2x5 WALLS & T&Tui
-34.. -111" i
REQUIRE PER UE=BL0CfaNG
r -HEAT TAPE REC'cPT
�ON UNDERSIDE
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9 U—i
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99.8 5:._FT.
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image cbout the length ore/or width ax'ss
2; Actual tributory sida;ra -1 :eng`-� has beer.
increased per ofsset design eonficura:icn.
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MAIN BEAM WITH PERIMETER FOOTING CONFIGURATIONS AND SPACING
13 WIDE - MULTIPLE SECTIONS
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+------------ +•---•-t--•--•
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20
1000
SINGLE
SECYION LSPACIN°J
'
2000
20
'A' f VARIES
f----------
------ +----•-� ■-•---- ..... ■..... ...... SEETAS IE "'.•-
■ ■
y...........
+....... +..... + * ■ +----- +----- ■----- -----
1500
SINGLE DOUBLE SINGLE
24000
SECTION
8' 9' 9'
1000
DOUBLE
-B- ..
...........
t----- ------ +------
�.....�.....Y..._.■..........
■------ ■......
SINGLE
DOUBLE
SINGLE
a s a' a a' a a ai
8' 10'
10-6 U
4000
SINGLE
DOUBLE
SECTION
■ MAIN BEAM FOOTINGS
1000
C.
WA
+' ❑ PERIMETER FOOTINGS
8'-0'
1500
DOUBLE TRIPLE DOUBLE
too
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of
PERIMETER FOOTING CONFIGURATION
AND SPACING
PROCEDURE:
1. Determine the design roof live load of the home.
2. Determine the soil bearing capacity.
3. Follow that line across the table to determine the
type of footing configuration and spacing.
4. Footing placement to start at no more than one foot
(1'-0" to edge of pier) from each corner of the home.
These tables determine the footing pad spacing and footing
configuration along the main beams and perimeter of the
section(s).
Refer to pages 13 and 14 for footing pad configuration details.
Review the tables that indicate the footing type you are going
to use for main beams and perimeter piers.
Refer to page 17 for the procedure on using the tables below.
Main beam footing spacing tables acceptable for roof live
load 40 psf maximum.
MAIN BEAM FOOTING CONFIGURATION
AND SPACING
PERIMETER FOOTING
CONFIGURATION AND SPACING
a
v
c
m
3
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o
8
N
FOOTING CONFIGURATIONS
g
g -0
on716"crete Pad one 16' 2 x 12 x 24'
Wood Pad
20
1000
SINGLE
DOUBLE
SINGLE6'-0'
2000
20
1000
DOUBLE
TRIPLE
DOUBLE
8'-0'
1500
SINGLE DOUBLE SINGLE
24000
SINGLE DOUBLE SINGLE
8' 9' 9'
1000
DOUBLE
TRIPLE
DOUBLE
10' 12'
30
1500
SINGLE
DOUBLE
SINGLE
8'-0'
8' 10'
10-6 U
4000
SINGLE
DOUBLE
SINGLE
40
1000
DOUBLE
WA
DOUBLE
8'-0'
1500
DOUBLE TRIPLE DOUBLE
248M°
I SINGLE
DOUBLE
SINGLE
PROCEDURE:
1. Determine the design roof live load of the home.
2. Determine the soil bearing capacity.
3. Follow that line across the table to determine the
type of footing configuration and spacing.
4. Footing placement to start at no more than one foot
(1'-0" to edge of pier) from each corner of the home.
These tables determine the footing pad spacing and footing
configuration along the main beams and perimeter of the
section(s).
Refer to pages 13 and 14 for footing pad configuration details.
Review the tables that indicate the footing type you are going
to use for main beams and perimeter piers.
Refer to page 17 for the procedure on using the tables below.
Main beam footing spacing tables acceptable for roof live
load 40 psf maximum.
MAIN BEAM FOOTING CONFIGURATION
AND SPACING
16" X 16" X 4" CONCRETE FOOTINGS
8" X 16" X 4" CONCRETE FOOTINGS
a
MAXIMUM MAIN BEAM FOOTING SPACING (In Feet)
Dbl. Pad Footing Triple Pad Footing Two Dbl Pad Ftng.
_ 8
�i
Main Beam Size
8 10' 12'
Main Beam Size Main Beam Size
8- 10- 12' 8- 10' 12-
1000
6' 6' 6'
8' 9' 9' 8' 10' 12'
1500
8' 9' 9'
8' 10' 12' 8' 10' 12'
2000
8' 10' 12'
8' 10' 12' 8' 10' 12'
3000
8' 10' 12'
8' 10' 12' 1 8' 10' 12'
1
4000
8' 10' 12'
8' 1 8' 19 1 1 '
16" X 16" X 4" CONCRETE FOOTINGS
2 X 12 X 24" WOOD FOOTINGS
MAXIMUM MAIN BEAM FOOTING SPACING (In Feet)
&:-
Sgl. Pad Footing
Dbl. Pad Footing
Two Dbl Pad Ftng.
Main Beam Size
Main Beam Size
Main Beam Size
8' 10' 12'2000
8' 12'
8' 10' 12'
th
8' 10' 1 12'
8' 10' 12'
8- 10' 1 12-
1000
10' 12'
1500
8' 9' 9'
8' 10' 12'
8' 10' 12'
2000
8' 10'
10' 12'
8' 10' 12'
3000
8' 10' ql2a�-
10' 12'
8' 10' 12'4000
8' 10'
1 o' 12'
8' 10' 12'
5. The spacing for any footing may exceed the spacing
shown up to 10% as long as the average spacing
does not exceed the spacing shown.
R.
�V\ST E*
�No. 1148140 r
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FA RAS Z-
23
2 X 12 X 24" WOOD FOOTINGS
a
_ 8
MAXIMUM MAIN BEAM FOOTING SPACING (In Feet)
Sgl. Pad Footing ,Dbl. Pad Footing Triple Pad Footing
Main Beam Size I. Main Beam Size
12' —8—: 10'' 12' 8- 10- 12-
8-K9'-6'
1000
10' 12'
1500
8' 9'-6-
8' 10' 12'
8' 10' 12'2000
8' 12'
8' 10' 12'
8' 10' 12'
3000
8' 12'
8' 1o' 12'
8'4000
8' 10
5. The spacing for any footing may exceed the spacing
shown up to 10% as long as the average spacing
does not exceed the spacing shown.
R.
�V\ST E*
�No. 1148140 r
_•J It; NAL i
L•� I
FA RAS Z-
23
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