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HomeMy WebLinkAbout069-210-063NOTES -2,--," RESIDENTIAL PERMIT N 069-210-063 04_2'217 DAVIS, GIL, 268 APACHE CIRCLEN: OR.O.v ILLE Cont: D VIERRA MH PERM FND ` - J 4' THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL, ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS /CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS OFFICE COPY Address G' D Meter By ELECTRICS O Meter By i r OB FINALED (Date) AV— Signature i�� J=OK Card B-1 Date Card B-1 Date 0 = Not OK Date MOBIL OME INSTALLATION (Plans) OK except #'s Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing = NotReadyabte 4. MOBILE HOMES . Drain; MH Test -Fall -Flex Connector 6. Date MOBILE HOME UTILITIES (Plans) OK except #'s Water and Sewer Connected -C/O to Grade -HD Approval 1. Zoning Requirements -Setbacks -Easements 2-Tie 2. Soils; Special MH Support Sketch xits; Insp.-Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete Roof; Shthg-Roofing 4. Water; Location -Test -Easement Needed (Sketch) Ext.; Steps -Doors -Landings L126: Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Braced Wall Panels 6. Gas; Location -Test -Wrap;-/ /" L 'ft. Date / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBIL OME INSTALLATION (Plans) OK except #'s Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing oning Requirements -Setbacks -Easements ootings; Size -Spacing -Marriage Line e -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances LV5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 2-Tie Downsz1yp94P9tell4ion Cert. k48 xits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANEN . END SYSTEM (ONLY) n e ' rrrents-Setbacks-Easements o ; Size -Spacing -Marriage Line i,rocking Gas; Mf.47e13emand-Valve c nci ; MH Test r�6. Water; MH Test 1_17.Aater and Sewer Connected as and Electricity Tagged xits 10. License Decals erify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Way C.,, P,64,),Vs e4_ Y(j 11jf1 1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel I' 3. Decks, Girders and/or Joists- Decking -Bracing -Stairs-REils ` 4. Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lgh-g. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I a J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Property Line Firewall & Openings 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Glazing Area -Glass Protection -Skylights -Plastic 8. Piers -Fireplace Ftg.-Steel 61. 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 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date 78. Card B-1 Date Card B-1 Date 79. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Insulation -Foam -Looked in Attic 17. Water Htr.; Vent -Access -Combustion Air Baffle Guard Rails & Deck Construction -Post Caps 18. Water Pipe; Test & Anchor -Nail Protection Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 19. D.W.V.; Test Fittings & Anchor -Nail Protection Clearance Looked under Floor ❑ Yes 20. Shower Pan; Test, First Floor -Tub Access Following Instld./Drive ❑ Yes Cl No/Walks O Yes ❑ No/Planters ❑ Yes ❑ No 21. Test Tub & Shower, Second Floor -Tub Access Stucco Brown -Finish 22. Gas Pipe; Sixe & Anchors A.C. Unit Disconnect, Electrical -Plumbing 23. Fire Sprinkler; Test Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 90. 24. Fixture & Transformer Clearance -Ins. Protection 91. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 92. 26. Size Boxes & No. of Conductors Stapled 93. 27. Romex Installed Close to Edge of Studs & C.J. 94. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 95. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 96. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing a P. Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive ❑ Yes Cl No/Walks O Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ularte Phone: 916.771.5051 FAX: 916.771.5868 CA 95648 October 26, 2004 File No. 1935 Power Wall Attn: Doug Vierra 354 Lone Tree Road Oroville, CA 95965 Phone: (530) 534-7288 Fax: (530) 534-7289 PROJECT: 268 APACHE CIRCLE - OROVILLE Re: Foundation Parameters Dear Doug: At your request, we prepared this letter to provide foundation recommendations for your residential project located at 268 Apache Circle in Oroville. On October 25, 2004 we visited the site to consult with you and observe the building pad and native soil conditions. Based on our site visit and discussion with you, we understand that you plan to install a manufactured home and that the building pad is founded primarily in undisturbed native soil with approximately 25% of the pad being founded on 3 feet of mechanically placed fill. Due to the amount of oversize material in the fill (i.e. more than 30% retained on the %" sieve, by visual methods) we cannot perform compaction testing on the fill per ASTM D1557. Therefore in lieu of removing and replacing the fill we recommend that the footings in the fill portion of the pad be enlarged by 100% (32"x24") and that the corner footings be founded a minimum of 12 inches into undisturbed native soil. The footings in the cut portion of the pad may remain their original size (16"x24") and be founded at grade. This will provide for a maximum allowable bearing pressure of 1,600 pounds per square foot (psf). Increase this bearing capacity by one-third for the short-term effects of wind or seismic loading. This allowable bearing is in excess of the 1,000 psf minimum requirement as called out in the standardized engineering. Please call if you have questions. Respectfully, Gularte & Associates, Inc Greg GLA0e, T.E. No. President G. 12/31/05 s�.prECHN�" ANY �OF CA��FO� 041 -2217 ularte Phone: 916.771.5051 FAX: 916.771.5868 P. 0-56k 490 Lincoln. CA 95648 October 26, 2004 File No. 1935 Power Wall Attn: Doug Vierra 354 Lone Tree Road Oroville, CA 95965 Phone: (530) 534-7288 Fax: (530) 534-7289 PROJECT: 268 APACHE CIRCLE - OROVILLE Re: Foundation Parameters Dear Doug: At your request, we prepared this letter to provide foundation recommendations for your residential project located at 268 Apache Circle in Oroville. On October 25, 2004 we visited the site to consult with you and observe the building pad and native soil conditions. Based on our site visit and discussion with you, we understand that you plan to install a manufactured home and that the building pad is founded primarily in undisturbed native soil with approximately 25% of the pad being founded on 3 feet of mechanically placed fill. Due to the amount of oversize material in the fill (i.e. more than 30% retained on the 3/" sieve, by visual methods) we cannot perform compaction testing on the fill per ASTM D1557. Therefore in lieu of removing and replacing the fill we recommend that the footings in the fill portion of the pad be enlarged by 100% (32"x24") and that the corner footings be founded a minimum of 12 inches into undisturbed native soil. The footings in the cut portion of the pad may remain their original size (16"x24") and be founded at grade. This will provide for a maximum allowable bearing pressure of 1,600 pounds per square foot (psf). Increase this bearing capacity by one-third for the short-term effects.of wind or seismic loading. This allowable bearing is in excess of the 1,000 psf minimum requirement as called out in the standardized engineering. Please call if you have questions. Respectfully, . Gularte I Associates, oQaorEss�o NQ YGE2633 z m reg Gula E. No. o President 9r ?2�CHA FOf CALIV I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP042217 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/14/2004 APN- 069-210-063-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 268 APACHE CIR ORO Date: Contractor. Map Index: Description: NEW MH PERM FND EX SITE(2149) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DAVIS, GUILDFORD F &MARSHA G permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 4328 OLIVE HIGHWAY she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): (530) 534-6467 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does DAVIS, GUILDFORD F &MARSHA G Applicant: . such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code. The Contractors' State License Law does riot apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: VIERRA, DOUGLAS L ❑ I am Exempt under Articl 3 of the ssions Code DBA MANUFACTURED HOUSING �ine�ssndR Owner: SPECIALISTS Date: 354 LONETREE ROAD OROVILLE, CA 95965-9669 WORKERS'COMPENSAIDON DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: (530) 534_7288 ❑ 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 License #: 263482 is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensationi Architect: insurance carrier and policy number are: i gineer: Carrier. Policy #: A_I certify that in the performance of the work for which this permit is Total Sq are Ft- 2149 S.F. issued. I shall not employ any person in any manner so as to y f become subject to the workers' compensation laws of California, 1 Valuation: $139,685.00 and agree that if I should become subject to the workers' 11 Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: r WARNING: Failureo secure workers' compensation coverage is { j unlawful, and shall subject an employer to criminal • penalties and one, addition hundred thousand dollars ($100,000), id to the cost of compensation, damages as p 6ided�forAn Section 3706 of the Labor �'oq S q . �J . �I Q !' •O `i code, interest, and attorney's fees. r - CONSTRUCTION LENDING -AGENCY ^- - -----^-y -This pc ;nit i hereby-issued-under-the-applicable-provisions•of_the-Butte-County_CodpvanNnr I hereby affirm that there is a construction lending agency for the Resolutions o do work indicated above for which fees have been paid. performance of the work for which this permit is issued'(Sec 3097 Civ.) �• //- ° - 1-71 -- 04 ` Name: as By: W Date:. PERM qXPIRES ON �q - Address: �. J A .14F ✓ '(Date) ❑ 1 hereby certify that the use of this facility shall comply with Sectioris'25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. L1Attached are copies of the required E.P.A. notification forms. ` f/ I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and. state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any o rclal form or document of Butte County. I hereby authorize representativesof Butte County to enter the above mentioned pioperty for inspection oses. �upon Print NameG�C/4J,9 :�C ,, j �(X �� i S _ 'Signature: Date: Owner ❑ Contractor L3 Agent for Owner L1 Agent for Contractor . . . . . . . . . . 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 'bVN—E R 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. - ) —;�' OU I Ck MIA h r, AFhcA to A P Q�� r -Sel Q, -5 L -(ec-oi MeaE)\ n-�7(-Aj)0a/?P] T01111 kis- . 29 Ar It, + U C- ot r 0 0 . Date ),z I t�, oq inspector REV 10/92 pppp- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 4 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive * Oroville, CA - (530) 538-7541 -.3 CORRECTION NOTICE sl�j t (5 WAN E R PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. It you have any questions pertaining to this matter, or need additional explanation, please contact. this office immediately. .0 46 O'k A 9 . A-_ X- r4 Date Inspector— REV 10/02 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 ER cl-2 2 / PERMIT � A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. It you have any questions pertaining to this matter, or need additional explanation, Inspector - REV 1 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drives Oroville, CA - (530) 538-7541 CORRECTION NOTICE P-�Wf 1�5 n9- 2 2-/ 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 c'ompleted. If you have any questions pertaining to this matter, or need additional explanation, please.co tact this office immediately. I,— Z-2) Inspector &//" — 7 REV 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BPO42217 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/14/2004 APN- 069-210-063-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 268 APACHE CIR ORO Date: Contractor. Map Index: Description: NEW MH PERM FND EX SITE 2149 p OWNER-8UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DAVIS, GUILDFORD F &MARSHA G permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 4328 OLIVE HIGHWAY she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): (530) 534-6467 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: DAVIS, GUILDFORD F &MARSHA G such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property,. am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: VIERRA, DOUGLAS L ❑ I am Exempt under Articl3 of the iness nd P ssions Code DBA MANUFACTURED HOUSING SPECIALISTS Date: ;L�%Owner: 354 LONE TREE ROAD OROVILLE, CA 95965-9669 WORKERS'COMPENSAVbN DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: (530) 534_7288 ❑ I have and will maintain a certificate of consent to self4nsure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit License #: 263482 is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect': insurance carrier and policy number are: Engineer: Carrier. Policy #: JAI certify that in the performance of the work for which this permit is Total Square Ft: 2149 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $139,685.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Date: '7 l Applicant: WARNING: Failure o secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Adf::k,- ,q S o1 54-� .�) Q 7� ro •� `� code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit i hereby issued under the applicable provisions of the Butte County C:odn 2niVor " I hereby affirm that there is a construction lending agency for the Resolutions o do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) v By A-- Date: 9 • (4 - O <F Name: PERM OXPIRES ON: ¢' s Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any o ficial form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection uses. ,r r / o 1-- _ �!7( �!' i S Signature: �� " ✓ d Print Name:C� % Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CIRCO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" r OWNER Name last Name ^s irstNa e Address © ll. C , ` lk City / State E-mail rp Phone u� � � Fax � � E-mail > tM- r CONTRACTOR Name Flood Zone Address .� s vie City I Type Const State Phone 57,34v— 2 Fax 5-M , E-mail E-mail C. # clw2Clas State License Number AffttCANT SIGNATURE X (/,UG..-_ For office use only: ARCHITECT/ENGINEER Name Flood Zone Address No City I Type Const State ZIP Phone Lot # Fax E-mail State License Number AffttCANT SIGNATURE X (/,UG..-_ For office use only: APPLICANT NAME Name Flood Zone Address No Occ. I Type Const City Map Book 5tat Lot # Planner ( Phone S, � � Fax E-mail G D vK. AffttCANT SIGNATURE X (/,UG..-_ For office use only: Zoning Property Add e Flood Zone SRA es No Occ. I Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. �--zzt 7 NO. BIN # LOCATION AP# ©(� Property Add e C' oV i Cross Streett e i ,--tci WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Per0hit§ ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refimdable. Received by: Amount: �etl Receipt # /Y o & ��/ -/• U Bldg Sly, Sheriff SMIP �7 /� Other �� O / "� Total �i SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED.. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPERI OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXESI). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ T. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 2 Data sheets and installation instruction manual. — ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate,, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FABS!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION AFORMSMILDING F0RMS1BIdgAppJSubRgmts.doc Page 2 of 2 REV 6-16-04 CONNECTION PERMIT APPLICATION FOR SEWER CONNECTION AND SERVICE FROM LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT er being the property owner or owner's agent desiring sewer service, hereby requests efLake OrovilllletArea Pubt cicar Uti District, hereinafter referred to as "District", to connect Applicant's sewage disposal line to District's sanitary seH system and to provide sewerage service. Location of property: A(o S A.P.#:_- (0 CT - 2 1- d I - Subdivision: R C Lot#: a0 Block#: Property Annexed ❑ Property Not Annexed ❑ Property Annexation in Progress Kind of Service: 711411 aEl .y Residential Q Residence bf Owner ❑ Rental (single family) ❑ Rental (duplex) Industrial No. of E.D.U.'s this permit:_- I Multiplication Factor:_ I 'Monthly Charges: 19 S Capacity Charge: o0 Connection Fee: -�- ❑ Apartment - Lk fl,p U S8 -OR -Facility Charge: o In Commercial To I Amount Payable This Permit: Q Site plan reviewed JR Jobsite reviewed! 1 J The service applied for hereby shall be in accordance with the conditions hereinafter set forth and the ordinances, rules, regulations and policies adopted, or to be adopted, by the Board of Directors of District, all of which Applicant agrees to abide by and fully perform. Applicant agrees to pay for such service at rates and charges as are established by District from ti o time. ignat r of Applicant Name of Owner if not Applicant r� G Mailing Address of Appli Mailing Address of Owner Phone # of Applicant:_ `J 3 - (p �-(p� Phone # of Owner: CONDITIONS OF ACCEPTANCE OF SEWERAGE SERVICE 1. In accepting this application, District does not hold itself liable to Applicant for failure to perform any of the obligations imposed upon it or assumed by it under this application if such failure be caused by accident, Act of God, fire, strikers, riots, war, lack of capacity in SC -OR treatment/disposal plant or District's lines to handle the sewage or nay other cause beyond reasonable control of District. 2. Installation of the sewer service line pertinent to this application shall conform in all respects to District's specifications. 3. Applicant shall secure permit(s) as necessary from the County of Butte prior to doing any work, including encroachment permits when work is within county right of way. 4. Installation of the subject sewer line shall be at the sole cost and expense of Applicant. 5. Actual connection of the subject sewer service line to District's sewer mainline shall be accomplished by District staff. 6. All work shall be inspected and approved by District. 7. This permit is valid for one (1) year. If work is not completed within said year, permit renewal will be required, together with payment of any increase in capacity fee, connection fee and/or SC -OR Facility Charge. 8. District verification form must be issued with this permit. Payment of Fees/Charges required prior to final LAKE OROVILLE AREA P.U.D. inspectsgqn. Payment received by: J Date: "I - of -U 4 Receipt # 5 9 L � -- gy q I ❑CASH [5]CHECK # 0�3� Date:_ I ' =)L- $ -_9 Permit #: (c) v`7 'Monthly charge payable at the current rate at time of connection. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Z)a 1 I S , C� / I ASSESSOR PARCEL NUMBER _�1� ` M Proposed Building Use: 1% 1 I / /y7 4- -tl r1 Counter Technician: �'/ Date: - (12 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. Ir 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: Li�) Data sheets and installation inst, AJ Marriage line info, Floor Plan, Tie downrflap, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑, 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.SPccr-r-- 16. Other - Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... 020. Erosion Control Plan Required........................................................................ ........ 10111 21. Fees as shown on the attached Schedule of Fees Due Sheet.. _.F.h:,.(.,.•c;-�•�•� ❑ 22. City of Chico Plumbing permit ........................ ....�.............................. 23. California Department of Forestry plan approval `paid. Sent by: ...........:. ,0 24. Planning approval (A) UseoG�'�l (B)Parking: (C) Parcel Check: 6L"� $" i�- Zao'-( C4- 0 25. Contact Land Development about _ Improvements, _ Drainage ......................... T]' 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification Oven to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization.................................................................... 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing .iolations and/or pired permits ....... ................ .... ..... ....................... f 36. Dee estriction................................................................................ $ 37. rant Deed, H. Title/Statement of Facts, 38. Other: d ❑ 39. Other: When issued Telephone �4 ; 1 u S /U, F7 and hold for pickup I have been Mormed ci��bove items and requirements for obtaining a building permit. Applicant:.c,d-. 1. Index permit app ication for the above items numbered 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner was advised of the a ove ata by phone, ❑ mail, ❑ counter, by Plans reviewed by: _Date: - U Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division 7-.'26-0 c�' Plan Check Letter Date: Date: Date Date: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION TCOUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER L A.P. # i0le q -;?16 PROPROSED BUILDING USE j&ffZJ rnfi. 4&7 �Qbff,//Si��B DATE / "pl to RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (0 fQUI d LOA (paid at School District Office) (form available after Plan Check) 9 - 14- -,!:04- 3. o¢3. SHERIFF FEES (paid at Building Division),—,/. Residential............ X .360.00 – Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE SR" (paid at Building Division) 1S2 ,C1 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ �l06v0g'7 224- G,¢ TP-, . Sq. Ftg. Amt. 10. OTHER $ /'-� q? �P- V— At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed Ring yl c-pjan checking process. APPLICANT V L;?,J J, DATE 7-2& -00 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) ((C Department C o u n t y J. Michael Crump, Director 7001: of Public Works o f B u t t e LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge% Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: MNNIJOIWIIAPARV I Project Location and/or Parcel Number: 66 -1 — �?—1 `J — 0 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: d Date: 7,26 1e q Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner-buildez" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESX NO ❑ 2. I HAVBC_ HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the followig person (firm) to provide the proposed construction: NAME: dc e ✓ ADDRESS: - � ��,� ice i ypP YC� CITY: PHONE: -7 CONTRACTOR'S LICENSE NO. a�Z/, 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work; NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICBNSE NO. ,�.—I_will pmvide-some-of-ffie-work: but -I have -contracted -(hi .*— the followingper-sons-toprovide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPLRTYOWNER: SOcL4,LsEcuRrTYNTJmm- DATE: 7��� /D Li NOTA: T7zis Owner -Builder Yercfucadon is required by Section 19831 and 19532 of the Cali, fornia Heauith and Safety Code. This venTwation must be completed and returned to our office before we are permitted to issuce the permit OWNER BUILDER INFORMATION Dear Property Owner: rmp An aPPl��n for a bu>7dmg p� has been submitted m your name listing yourself as the builder of property rovemenis For your protection, You should be aware that as "owner der" you are the responsible party ofrecord on such a Permit Bnit� Pennits are not required to fie signed by ProPMIY owners unless they are personally own work: If your work is being performed by someone other than ourse P �Y PO�g Their liabilityif that person Y Y°u' Protect yourself from possible P aPP� � the ProP�P� in his or her name. license Coniractors are required by law to be licensed and bonded by the State of California and to have a business om the city or county. They ate also required by law to put their license number on all permits for which trey apply. 7fyouplan to do your own work; with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection; a If you employ or otherwise engage any persons other than your immediate famfly, and the work (mch2ding materials and other costs) is $300 or more for the entire Projeot; and such persons are not licensed as contracbars or subc�ct aars, then you may be mm employer: ♦ If you are an employer. YOU must register wi& the State and Federal Go subject to several obligations vemmeats as an employer and you are wot3cers compensation ' '�lu state and federal income t withholding, federal social security taxes, insurance. disability mm- ,,;e cow, and MMPloycompensation con�ibutfons. + There may be financial risks -for you if yon do not cent' out these obligations,- with respect to worker's compensation insmmce•and these rids are especially serious ♦ For more specific i hma dion about your obligation under Federal Law cantrad if yon wish, the U.S. Small Business fire Internal Revemre Service (and, Stan Law the D Admmrstaafum). For more specific man- about your obligations under epmtnent ofBenefit payments and the Division of Luk5trial Accidents. 7fthe structure is intended for sale, Propmiy owners who are Dot d contractors are allowed to perform their work personalis' or Through their own employee;, without a licensed contractor or sub, only under limited ' P equmt Pr"t'ce of sly" the ed persons professing to be ce� aetars is to secure an "owner b.Wee bmIdmg permits are not required to be signed�� ow= is Froin his or ber own labor and material per,• B.1ding infornuadion about iiceased owners unless they are pig their own work personally, maybe obtained by he Cont, o State License Board in your comDnmiiy or at 1020 N Street; Sari CA. 95814. Please complete the "Owner 1 m Verification" on the reverse side of this fornn so that we are aware of these matters. The building P� until vvM not be issued v cation is returned.car confirm that you I C. Y 2 ua, C.B.O. Bu2ld, g hmp=6on - NOTM MY Ow w -Ba ffd lnf0"n& on is regrdred by S=*on 14830 ofElie Cagonda H=j& mrd Safety Code RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 26 -Sep -2005 2005-0058194 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. GUILFORD F. DAVIS AND MARSHA G. DAVIS REAL PROPERTY OWNER/LESSOR 4328 OLIVE HWY. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP 268 APACHE Ca. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME - CITY _ COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MA11ING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-2217 (530) 538-7541 BUYT PERMIT NO. / TELEPHONE NLDPER l.� 17 �SIONATLTRE OF LOCAL AGEYV OFFICIAL 1, DAT COUNTRY HOMES REAL ESTATE DEALER NAME (if not a dealer sale, write'NONE") 1125306 DEALER LICENSE NO FUQUA HOMES 2004 EAGLE POINTE/954 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 19192A/B/C 38'6" X 56' ORE454288&455666/7 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBERS) ASSESSORS PARCEL NUMBER 069-210-063 SEE ATTACHED 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 209, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JULY 26, 1974 IN BOOK 43 OF MAPS, AT PAGES 44, 45, 46, 47 AND 48. AP NO. 069-210-063 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 14 -Sep -2004 2004-0056658 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: LOT 209, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JULY 26, 1974 IN BOOK 43 OF MAPS, AT PAGES 44, 45, 46, 47 AND 48. AP NO. 069-210-063 Date q.— l q — ( Y State of California County of On l • I -k • (A before me, A 'vW tl: �.i.t k. IC.. , d u -1p 1 l C. 1'5ka G. L cLi's personally appeared MGA.%�,ha 6%. J>r. t ins �, nom' C -I A J ,er�U i -S personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that 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 offici"eal. Signature �_ Seal: =PUBUC.MFoRNIA K 346 ILI& FoRNIATTE.2007 L•,:;bIOLOi i:'- uU30J 20 YC)(3n ='laacoo-��eS Q+��s-c,9a-�� ,iJty be-xaq:zoa fm,ad ion et;H Iantnt.,3 12CA033H i°*& AUJI 3TTU3 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District U I C ►' 1 Building Department No. U(��- a'f� Jurisdiction: CI © A.P. Number l%� city County Property Owner �/ / �� ( 5 Property Location/Address Subdivision Residential Development o�aai � *(No foundation inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Building Department Ret 0 New /l A Addition District Identification No. _4Q 9- --1- School School District certifies that (Street Sq. Footage (Including. Exterior Roofed Areas) �o /� Date a.JI (Applicant) (Phone Number) 4, Sq (. G (City) (State) (zip Code) has complied with the requirements of Resolution No. _�� by payment of $ I+ representing =1-44 !� square feet. School 2926 $ FULL MITIGATION $ Date Paid by Check # Remarks: Q p Q (0 3 Notice: You You may protest the imposition of the fess Identified above by submitting a written protest to the District, In compliance with Government Code 6acion 66020(a), wlttdn 90 days from do date^has are paid. Failure to submit a timely written protest wlll'prohibk you from challenging the Inrposklon of the has In any court action. It, subsequent to the school DistAet Representative signing this Butts County Schools Impact Fee Certification Form, the School District Is notMed by the applicable Local Planning Agency that this project Is being reviewed under the Callfomle Environmental Quality Ac (CEQA� this project may be subject to additional school hes to fully mitigate. ft Impact on the school dhdrkft schools. White (applicant), Yellow (building department), rink (school district) feeform.hds (/0/03)dmm AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 1111 iii 1111 11111111111111111111111 2logo Z♦--GD056658 Recorded Official Records I REC FEE 7.00 I CONFORM County Of BUTTE 1.00 I COPIES 8,00 CANDACE J. GRUBBS I Recorder ROSEMARY DICKSON j Assistant I Kathyh 02:38PM 14 -Sep -2004 I Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: LOT 209, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JULY 26, 1974 IN BOOK 43 OF MAPS, AT PAGES 44, 45, 46, 47 AND 48. AP NO. 069-210-063 Date q•— l -1 G Y State of California County of •�jt,�-_ 9GLi /for F1_raJ DO- y'S On t • 14.04 before me, 7 . �Y`F ii?i .�Y ►C. , C \�#Z�.Y�P ll.�v 1 l C. personally appeared IY pLA-'511a (%t . b&Lji 3 ad kn �U is personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that 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 offici"eal. Signature r i\ .� LJ A Seal: 10 -MC D. aQUIRK �P4 �.aa C MM.9 1433346 NOTARY PUBLIC-MMORNIA ° COUNTY OF BUTTE Comm. Ex fires Au 2, 2007 ularte Phone: 916.771.5051 FAX: 916.771.5868 P. a. -Box 490 Lincoln, CA 95648 October 26, 2004 File No. 1935 Power Wall Attn: Doug Vierra 354 Lone Tree Road Oroville, CA 95965 Phone: (530) 534-7288 Fax: (530) 534-7289 PROJECT: 268 APACHE CIRCLE - OROVILLE Re: Foundation Parameters Dear Doug: At your request, we prepared this letter to provide foundation recommendations for your residential project located at 268 Apache Circle in Oroville. On October 25, 2004 we visited the site to consult with you and observe the building pad and native soil conditions. Based on our site visit and discussion with you, we understand that you plan to install a manufactured home and that the building pad is founded primarily in undisturbed native soil with approximately 25% of the pad being founded on 3 feet of mechanically placed fill. Due to the amount of oversize material in the fill (i.e. more than 30% retained on the %" sieve, by visual methods) we cannot perform compaction testing on the fill per ASTM D1557. �The.refor_e-in:lieu:of=removing=and=replacing=th-e--fill--weer recgm--mend:that:the-footings_in_the_fill_portio.n-of-the=pad:be=enlarged:by 1009/o= (32"x24_")'and:that-the=corner-footings-be-founded-at-of-12-inchei:i� nto undisturbed-native`soil=Th'io�footin-gs=in�t�he cut=portion,ofthe.padTmay remail c--th.eir:or-igirial-size-(16"x24") and -be founded -at -grade: This will provide for a maximum allowable bearing pressure of 1,600 pounds per square foot (psf). Increase this bearing capacity by one-third for the short-term effects of wind or seismic loading. This allowable bearing is in excess of the 1,000 psf minimum requirement as called out in the standardized engineering. Please call if you have questions. Respectfully, Gularte & Associates, Inc. ^Q�FEs GY' 0 12/31/05 Greg GulO% T.E. No. 2 President 07Z C" A�� CA��FO� BUTTIE COUMr`Y 80ILDiNG DSPARTMEW 041 -22t7 ♦ — CONCRETE MASONRY MOBILEHOME SUPPORT The minimum size of standard hollow load bearing concrete masonry unit to be used for mobllehome support shall be ft8`X160. Minimum two inch thick, maximum four inch thick solid concrete masonry units 8' wide, 16' long> may be used with the basic ftft16' unit to gain added height of support. arranged in any desired sequence; however, when used at the top of support column. the 4' solid replace wood cap block. ft4"c16' hollow units or other half height hollow units shall not be used for mobilehome support. Masonry dimensions are nominal - up to 112' less than specified. The compressive strength requirements for hollow concrete units shall be ASTM C90-70 (Grade N); for solid units ASTM C145.71 (Table 2, elevated to 2,000PSI). Other physical properties such as weight classification. surface texture. finish and color shall be at the discretion of the masonry supplier. LOAD APPLICATION 0 0, 'Ml's � The 8.000 Ib. load rating applies Approval limited to useas xs ; ` ::': :<;:> ?�.w to the stacked blocks only. The rt mobushome load bearing suppo:.:• :,, - ;:.... >.;•.:.: .<.-::•;:.: . - :.. footing must be designed separate pursuant separately pursuant TiW 24. CCR. Section ::;;;,;�>.� ^�-x7�:���•-:�;,�,:<,,;; ax.. '�k$z�"�'��,os��:.•; and approved -to support the 5082 when a valid installation permit �„ ;.;:.;::.;::<..:� ue:.:,::.;;:: ;-.; happropriate loads. as been obtained. Footing abwload transfer from Aga mobilarome ehassb to masonry support a:hd/or tooting ' ' . 4• SOLID mabdab other Own shown must be approved by the enforcement -. > �....zac.::l'r.. and/Of lQeflry. > ->s:S No wood spacers or mortar required. "...... Maximum load par support of 8.000 t:° 2• SOLID lbs.(ssely factory of MR from tests). CNB of hollow units must always be vertically atignsd as shown. and/or Other approved footing Pad materials ...........: HO VII 8 LLO I as with and stability - well as decay. foe and termite resistant propertiesmmybe used. If m ret novas thearrf orae e app by 1 MINIMUM 2' agency. Stability shall be achieved n the direction of the 18- by alternating 3ti' kMtOMUM dimension of the oakum in relation to ........... the chassis member - columns 1.3,5 etc.. Perpendicular; columnsZ4.6. etc. parallel. as follows: 4 SOLIDS 0 0, 'Ml's � The 8.000 Ib. load rating applies Approval limited to useas xs ; ` ::': :<;:> ?�.w to the stacked blocks only. The rt mobushome load bearing suppo:.:• :,, - ;:.... >.;•.:.: .<.-::•;:.: . - :.. footing must be designed separate pursuant separately pursuant TiW 24. CCR. Section ::;;;,;�>.� ^�-x7�:���•-:�;,�,:<,,;; ax.. '�k$z�"�'��,os��:.•; and approved -to support the 5082 when a valid installation permit �„ ;.;:.;::.;::<..:� ue:.:,::.;;:: ;-.; happropriate loads. as been obtained. 15 vI _ 3K- 4tlf� PRCQCT PROCESSING RFCORD APPLICANT: j OWNER: -. PERMIT #: A. P. #: WORK DESCRIPTION: D- DESC1tIPTION OF STEP O ( 6A Gc.kr �P - c9'Yl Urn- C Provide, CCf r St ---ti .Si zz ,pctd I GtGVJ r l d C, e- cwt - LAi 2•Uc (&r Lli 2 l u p,d-i �5lu rih C �► �"�� • to . �-. o� Y ��:✓ vet � iriF i `, ',� ��. .. � ..� i� ^ � Country Homes Real Estate 4328 Olive Highway Oro-%ille, CA .955966 ( 530) 534-6467 RE: Permit # BP042217 The contractor of record : Douglas L Vierra Manufactured Housing Specialists License # 263482 Is being replaced by: The Owners Guilford F. and Marsha Davis 2790 Pinecrest Road Oroville, CA 95966 Owner -Builders WEE - W. - Vd, Marsha Davis 00-�1'16-063 January 30, 2005 4/ilford F. Davis OTINER'S CERTIFICATE SOOTpH{{E_�RN CALM F� RNIA FINANCIAL CORPORATION H• /h- WE, SOUTHERN CALIFORNIA FINANCIAL CORPORATION, AS OIWNER OF THE LANOS A N'CLUDED WITHIN "KELLY RIDGE ESTATES UNIT 3," AS SI10'•�N ASSISTANT VICE PRESIDENT 4:'ITHIN THF COEDITED BORDER LINES ON THE ANNE%ED MAP, DO HEREBY CERTIFY THAT WE ARE THE ONLY PERSONS WHOSE CONSENT IS NECESSARY TO PASS CLEAR TITLE TO SAID LAND AND WE CONSENT TO THE PREPARATION AND RECORDATION OF SAID MAP AS SHOWN WITHIN 'rHE COLORED BORDER LINES. THAT PORTION OF ROYAL OAKS DRIVE. SCIIMID DRIVE, MOOTHART ROAD.PITKIN COURT .NATHROP COURT, KEY COURT, LORI COURT, OTELLO COURT, PHEASANT PLACE. QUAIL COURT, TOM COURT, AND TREE COURT, AS SH Ot'N WITHIN THF. COLORED BORDER LINES ON SAID AIA P, IS HEREBY OFFERED FOR DED ICAT iON FOR PUBLIC USE FOR COUNTY ROAD PURPOSES. WE ALSO OFFER FOR DEDICATION. AND DO HEREBY DEDICATE FOR 5PECIFIC PURPOSES. TH E' FOLLOWING: (1) EASEMENTS FOR LIGHT AND AIR OVER THOSE STRIPS OF LAND LYING BETWEEN THE FRONT AND/OR SI OELINES OF LOTS AND THE LINES SHOWN HEREON' PNU DESIGNATEO "SETBACK LINE" ' 1"S.B L. ") SAID STRIPS TO BE `'. SIT OPEN AND FREE OF BUILDING. SPATE OF CALIFORNIA ) COUNTY 0F�cG16` ) 55 (2) RIGHTS OF WAY AND EASEMEKTS FOR WATER, GAS. SEIYEP AND FOR OV ER EAO AND UNDERGROUND W'RF.S FOR ELECTRIC AND TELEPHONE SERVICES. TOGETHER WITH ANY AND ALL APPURTENANCES APPERTAIN. / i � '/ m'' IF ING TH ERE'TO. ON, OVER, UNDER AND TOGETHER WITH THE RIGHT OA' 1974, BEFORE ME �inll.P&I R A NOT�PUBLIC. I.Y AND FOR �u F f� COU T✓Yf STATE OF TO TRIM OR REMOVE THE NECESSARY TREES. TREE LIMBS OR DRUSH ON THOSE PORTIONS OF LAND MORE PARTICULARLY DESCRIBED Cnl'l aw:�1>` , PERSONALLY APPEARS�j__PERSONALLy pppEAREq ,!lm 'S�Q A/ 'r A"f V)er Pox.;JlA AS FOLLOWS: ' KNOWN TO ME TO BE HE OF THE CORPORATION THAT EXECUTED THE WITHIN INSTRUMENT AND ALSO KNOWN TO ME TO BE (A) 4 STRIP OF LAND EIGHT IB) FEET !N W'ICTH WITHIN 4HE LOTS - THE PERSON 1'/H0 EXECUTED IT ON BEHALF OF SUCH CORPORATION AND AND CON I'IGUOUS TO ANY Sl'REET OR OTHER PUBLIC WAY.' - ACKNOWLEDGED TO ME THAT SUCH CORPORATION EXECU THE SAME. 181 A STRIP OF LANDSIX I6) FEET IN WIDTH WITHIN 7'HE LOTS AND , CONTIGUOUS TO ALL SIDE AND REAR LOT LINES.NOTARY :C) THOSE STH IPS OF LAND DESIGNATEO AS PUBIC UTILITY EASEMENT PUBLIC MY COMMISSION EXPIRES ;P.U.E.) IN l'HE LOCATION AND OF THE WIDTH SHCWN HEREON r,Ki OFPLe"sI (3) RESERVATION PROHIBITING VEHICULAR INGRESS AND/OR EGRESS . ) KAREPI L MILLER RyTT� COUNTY OVER AND ACROSS THOSE STRIPS OF LAND ABUTTING KELLY 'dim Alla RIDGE: ROAD AND ARROYO DRIVE AND DESIGNA TL -U "NO ACCESS STRIP." (A) RIGHTS OF WAY AND EASEMENTS FOR DRAINAGE PIPES AND OTHER DRAINAGE WAYS TOGETIIER WITH ANY AND ALL APPURTENANCES APPERTAINING THERETO ON, OVER. AND UNDER THOSE STRIPS OF LA NO DESIGNATED "DRAINAGE EASEMENT ' I"D .E."1 IN THE LOCATION AND OF THE WIDTH SHOWN HEREON. 151 RIGHTS-OF-WAY AND EASEMENTS FOR INGRESS AND EGRESS AND - PUBLIC UTILITIES ON. OVER AND UNDER THOSE STRIPS OF LAND DESIGNATED AS COMMON PRIVATE DRIVEWAY EASEMENT 1"C.D.C.") IN THE LOCATIONS AND OF THE WIDTHS SHOWN HEREON, MORE SPECiF I CALLY DEFINED AS FOLLOWS: IA) THOSE*STRIPS OF LAND LYING BETWEEN THE FRONT LINES OF SURVEYOR'S CERTIFICATE LOTS AND THE S.R,L. 1, DONALD D I4CCORMICK. HEREBY CC DTIF Y THAT I AM A REGISTERED CIVIL 1B) THE ENTIRE ACCESS OR NARROW STRIP OF THE FLAG LOTS 05. ENGINCER (IF.THE STATE OF CALIFORNIA: THAT THE ANNEXED AIAP OF KELLY 96. 107, TOB. 256, 6 257, AS SHO'•YN HEREON. RIDGE F,STA'I'ES UNIT 3 CORRECTLY REPRESENTS A SURVEY MADE UNDER MY SUPERVISION IN OCTOBER 1973: THAT THE SURVEY IS COMPLETE AS SHOWN: (C) LOTS I6. 22. 25. 26. 29, al, 42, a5. 46. a]. 48. a9. THAT THE MONUMENTS WILL BE OF THE CHARACTER AN. W10L OCCUPY THE 59, 70. 75. 76. 112. III, 146, I29. 132. 130, 143. 1ad.I45. POSITIONS INDICATED AND WILL BF. SE? HY MANCH 31, 19'75, AND T447 SAID 146. 147. 150. 151. 1S2, 15G. I59, 167. 170. I7I. 172. MONUMENTS IY ILL RE SUFFICIENT TO ENABLE THE SURVEY TO BE RETRACED. 161, IBC, !B7. 199. QOfi. 218. 2T.7. 241, 242, 245. 246, 249. 252. 253. 254. A 277 ARE SUBJKCI TO COMMON DRIVEWAY. CASEMENT. DONALD D. MCCORMICK, RCC. 9033 = ALIDITOR'.S CERTIFICATE 1. W.L. LAWRENCE . AUDITOR OF THE COUNTY OF BUTTE. STA'T'E OF CALIFORNIA. 00 HEREBY CERTIFY THAT THERE ARE NO TAX LIENS AGAINST KELLY RIDGE ESTATES UNIT 3 AS HEREON SET FORTH OR UNPAID STATE. COUNTY, MUNICIPAL, OR LOCAL TAXES. OR SPECIAL ASSESSMENTS NOT YET PAYABLE. TAXES OR ASSESSMENTS WHICH ARC A Lf EN BUT NOT YET PA YADLE. I ESTIMATE TO BE IIJ THE AMOUNT OF •-P� ` IKY C0 Y I. -d COUNTY SURVEYOR'S CERTIFICATE CLAY CASTLEBERRY, COUNTY SURVEYOR OF THF. COUNTY OF BUTTE. STATE OF CALIFORNIA, 00 HEREBY CERTIFY THAT I HAVE EXAMINEC THE FINAL MAP OF KELLY RIDGE ESTATES UNIT 3 AN THAT IT IS SUBSTANTIALLY THE SAME AS WHAT APPEARS ON THE TENTATIVE MAP ON FILE AND ANY APPROVED ALTERATIONS: THAT ALLTHE PROVISIONS OF THE SUBDIVISION MAP ACT OF THE STATE OF CALIFORNIA AND ANY LOCAL ORDINANCES APPLICABLE AT THE TIME OF APPROVAL OF SAID TENTATIVE MAP HAS BEEN GOI4.PLI T:D WITH AND I AM SATISFIED THAT THEMAP IS CHN ICALLY CORRECT, CLA�T EBERRY RCE 14224V COUNTY SURVEYOR COUNTY CLERK'S CERTIFICATE 00 HEREBY CERTIFY THAT ON THE -L'S -DAY OF _J 1 Lu . 1974 TIIE BUTTE COUNTY BOARD OF SUPERVISORS OFFICIALLY APPROVED THE SUBDIVISION MAP OF KELLY RIDGE ESTATES UNIT 3. THE RECEIPT OF SATISFACTORY SECURITY IN THE AUDITOR'S ESTIMATED AMOUNT OF TO INSURE PAYMENT OF TAXES WIIICII ARE A LIEN BUT NOT YET PAYABLE WAS ACKNOWLEDGED. THOSE PORTIONS OF -STREET NAMES AS SIIOWN ON SAID MAP AND OFFERF0 FOR DEDICATION ARE ACCEPTED ON BEHALF OF THE PUBLIC FOR ROAD PURPOSES. COUNTY CLERK BY RECCROER'S CERTIFICATE RECORDED IN THE OFFICE OF THE COGEN F BUTTE_ O'NTY S7n ATF. OF CALIFORNIA, AT THE RE VEST OF Lam. THIS 76 AY OF '� 1974, AT 3A A NL'TES PAST 4 0'CL OUri .fl .M., IN MAP BOOK _ AT PAGE4 41 '1 +' -16 ,�7 RECORDER NUMBER -27.1-3 LOUISE KLUENOER, COUNTY RECORDER SUBDIVISION NO.794 KELLY RIDGE ESTATES UNIT 3 A PORTION OF THE E.I/2 OF SECTION 12,TI9N.. R.4E., M.D.M. AND A PORTION OF S.W. 1/4 SECTION 6 SPORT ION OF W. 1/2 SECTION 7, T,19N., R.5E.,M.D.M. COUNTY OF BUTTE , CALIFORNIA APRIL 1974 OWNER B SUBDIVIDER: SOUTHERN CALIFORNIA FINANCIAL CORPORATION ENGINEERS : THE MURRAY-McCORMICK ENVIRONMENTAL GROUP SHEET I OF 5 SHEETS BASIS OF BEARINGS KELLY RIDGE ESTATES UNIT ONE. BOOK 38. M.O.R. PAGES 5, 6, 1, 8, S AND 10 .. 514fFT 9 5 /f \ 7 16 88 !� ,o 87 '�C o�.°U e'c.o" 8 6`v 203 - .xo� Z)\79 CJ .vpn nn. A e „ c aP.by P: b;!•+Sl c `"137 $y. At� �` " e w . to ine :.M�•2 y• "'+r- :JU� m tv �' : B? i e d d•h ' e.l3B - // e1e 2, '� /O).9 . �y / a % 0 1 , : b ,,yt r:= • P° f 196 ]f•,p 8 199 0' t;i ...� ,°� //�:O $'6 >a 71/ $�°�p°• OSP" iad°^b; .}fir .H9a � '.r ti °c:U.l. � ?T ies.pa CURVE TABLES SHEET 4 NO. RADIUS DELTA LENGTH i. 20.00' 90°00'00" 31.47." 2. 20.00' 89°00'06" 31.07' 3. 30.00' 101°32'12" 35.44' 4. 320.00' 10.43'3B., 59.91' 5. 50.00' 12°76'19" 11 DO' 2E. 20.00' 44°24'5 31581...2250 7. 0.00 605715° 2 S. 2 ' 109°28'15" 170.00' E°'42" 47.01 . 0.00 07'06" 40.6281'10 0.00 I08 11. 22000' 10°00'00" 38.40''' 12 50.00' 2025121" 17.62' 0, 0 13 2850.00' 00'59'54' 49.65' %J� m ,nn n tm a a b 207 •w r's'Fn � 4'w CYC nsn ' o �a 708&s �c w •.p . -pia 6 � t' p � G �Q �_/f�11' S � � a•71o'.-2 1! a e 9 IAS//; I t 3r stAt. �. SHEET INDEX /. ;r I °/ 4a ab• E 1 z t, be.xl Pc 6�' a rp ,160 a• te' >e g. •� y°�w• F-" ?; i.;":1 � o v e•l�ie re , tT. ed6a `��'°F•- 9 y. � a; ". ... A O`zt �'� 8:`T'w No Scue t�..' A�'.dor•lop.p -�, r`p. _ •tet • � "tie'a/�sra� . ' '�°'/'/BS V °,/86 ^` s-198 �" ��UIe ay 2/O�e' LEGEND s r�2 r11 a•Io• te' tc• r 4 i .ae < VJ � i�Tha 4:Ctl' •a!o' �i°pi'Va `°9J;-� ;r 'yie,. Ylac.i1. 14�, .'ly `.� y`( /961 I' ele' $�' COMMON PRIVATE DRIVEWAY EASEN.EN:'.. ......... - •• �CYF b -n36• I'/rt4're I•b6e . ! _ 1 �� ` v w 8 rrW d}_ C•bei�' : y '� � } /6? 61 w � �.., •a FOUND MONUMENTA SHOWN .................. .......... )/ o R^ yp• ° •N 9�0, `• s>>� y. -` HYa TOLE 187 l "n'ro',s- �o wl'xo.5• J�J \ < Bp•t & 289 : 2BB ��^.~ 4y.' S c." �_w.e.�! It• .• �u . wS ./. •t /95 81� ' � SET 2" % 3' IflONSPI PE TAGGED RLE. 9033.. y 7• ro a ,e ne to Is � t / O /✓ 2/? Yg i ...� t/7 r.: -- c w ,too' b •j&-Fm.ty'r B9 .M„ p /Bjb -e. -na tr bppp sio ` at __etw t _ x ti Iev e n o, 8 :a t,< a w t,• .Y"-__- ° _ Cby - ^6 .jl o:)• sl$ oJ\ '. tyj pa SET NAIL AND TIN. I p zT ; i 5.1,. l96 8• 2/s m r ' `/ 2)V .^,y ?Bl ' .c as os ss po' ss4o' .: i? V .p NJS-47'OP'E KEURT: dat•prrrF L < /45 /B/>s$ a A F of re' $ ibOP� Sb PO' , Dp c':I ' ft• .�V i:: „Y \ •p / ,� V. um i��ts,o�g _.L"u' _s° �i T. ,.. ao4a. w :opm' ;•kr• .vy sr?77a 176u.215�., 8i .b4�ar g. 279 LLlr bra s� n• $ c °Qt %� m �`t rl47 Rv a4 v' CJ'iJ y ree er• t ,Y ba .� $ o"'Rg'' I IveP /79 _ c' ' o" ' 2 ,$.27785 27i pa. 274", A ? y wl roar • v gyeniP� c n e �$'AI'er?•E'' ��+'k 6L9 w 8e.°.?ffi~� ?7x/ cy°�.,'8o s�1 e�P^ —xsac,� no�o. /4B x,�V �M?68 _ g" /7"7 r17�8° t �be+tea Y, PCACF 9f �o � ,�,` .rspt n�R�'; H,Sa�o•SANT 26 �?(° 1 0 8 a 1� • `y ' 176 f 1" I ?67 i e bla •09 ?66 aq 2655,y 266+? e.55 al.� �R 1510 yI iJ J� i '` rae.00. trro''� nn•551r�1° �'•'� . --I- i SF F SHffi 5 Jl0 SET CENTERLINE MONUMENT, BUTTE CO.STD. SI 7. .. ..® S: .1 .. °°•0 47 ?/6 'On RADIAL LINE ................... ... .. ... ........ (n) Laet. rte,' Wpb�yp� {T'� 3 C BUILDING SETBACK LINE (S.B.L.) 190 19?:./ 9 .l"�" �'�t+r1 .....•' Y" CURVE DATA REFERENCE .... .. .. ... ................. Q �P y 215 a , al yy� $. :tiab dj, ea61J'9 99 rc PUBLIC UTILITY EASEMENT yA bv, 7/6 a yt DEPARTMENT OF WATER RESOURCES. ............... n W.R. ^ N y' I of y8./a,s i. yM�j' ,a t y -b• Ob e STATE OF CALIFORNIA op,OM1 �4'�-L `bi° DRAINAGE EASEMENT IU.0 )... ........... ...... - ____ P� �al"e,r� OM1 .l,•C C / Y.?lB h baa C e''n• ALL LOT CORNERS NOIINDICATED BY THE ABOVE SYMBOLS. ARE TO BE MARKED BY 3/4" IRON PIPE WITH TAG RLE. 9033. byC, pr �: 1�t0 A C ���y.�e^�.%r� �y'... tots 66.6/5 SUBDIVISION NO.�_ �C �'..P'•°tO'> M1M1 Y,� Si of FtS Y ??D, 61—play 16.675 77.159 K E L LY RIDGE M1'41 ESTATES UNIT 3 A PORTION OF THE E.I/2 OF SECTION 12,T19N., R.4E., M.D.M. AND A PORTION .OF'S.W 1/4 SECTION '=v 6 81 PORTION OF W. 1/2 SECTION 7, T 19N., R.5E.,MD.M. — COUNTY OF BUTTE ,CALIFORNIA SCALE : 1"=100' APRIL , 1974 ' - OWNER & SUBDIVIDER: SOUTHERN CALIFORNIA FINANCIAL CORPORATION ' ENGINEERS: THE.MURRAY-Mc CORMICK ENVIRON M ENTAL GROUP SHEET 4 OF 5 SHEETS 4 SITE PLAN REVIEW APPLICATION Date: & - f 7-.,F 2ce [ AP# e96 ?I— - 046 3 Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: .7 Owners Name: Owners Address: �-13Z� ©L e- � y 4 L,� Telephone No.: Situs Address: 26 Zee 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 - ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A i. DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 9q Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval M] Site lan Stam ed Approved By � Date 311-7 ` 7150 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: 0082 6 Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 12 / 7 61np 4104 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 2,0' Side S ` Side Street Rear 5 ' 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 w Applicable Development Fees: ,Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. I Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: R- No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ` ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: -E] Meet Parcel size required by zone F1Meet current Environmental Health Department requirements Page 3 of 5 .. FA Subdivision Map/Parcel Map: 4,,f � AD3 Map Date of Recording: Ju 264 ( ?I ry Lot: 2201 ❑ Use Permit/Minor Use Permit Permit Number: Book: `7 Page: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved. dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. F Page 4 of 5 BALANCE OF FEES SHEE � �1 DATE: PERMIT #: S . �7 2 J'-7 ASSESSOR PARCEL #: 2 /0 ��)(- " OWNER'S NAME: FEES (Amount and Purpose): BALANCE OF FEES: $ ADDITIONAL FEES: $ REVISED PLAN CHECK: $ SHERIFF FEE (commercial only):. $ SRA: $ COPY FEES ($1 or more) $ DRAINAGE $ BASIN BC RESIDENTIAL IMPACT County Wide Chico Urban El Medio North Chico Specific _ $ WATER TENDER FEES $ BATTALION # FEMA $ SMIP $ OTHER RECEIPT NUMBER(S) A W . 1; RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2005-0058194 Recorded I Official Records I County of 1 Butte I CANDACE I GRUBBS I County Clerk-Recorderl I I 012:34PN 26 -Sep -2M I REC FEE 10.00 CONFORMED COPY 1.00 LV Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY 01 NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, r� INSTALLATION ON A FOUNDATION SYSTEM j 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. GUILFORD F. DAVIS AND MARSHA G. DAVIS REAL PROPERTY OWNER/LESSOR 4328 OLIVE HWY. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP 268 APACHE CIR. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-2217 530 538-7541 BUI PERMIT NO.. TELEPHONE NU ER -jIGNATUPE OF LOCAL AGEW OFFICIAL DATIt COUNTRY HOMES REAL ESTATE DEALER NAME (if not a dealer sale, write "NONE") 1125306 DEALER LICENSE NO. FUQUA HOMES 2004 EAGLE POINTE/954 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 19192A/B/C 38'6" X 56' ORE454288&455666/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-210-063 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. h� 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 209, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JULY 26, 1974 IN BOOK 43 OF MAPS, AT PAGES, 44, 45, 46, 47 AND 48. AP NO. 069-210-063 RECORDING REQUESTED BY Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO Name Guilford F. Davis Street 4328 Olive Hwy. Address city,state Oroville, CA 95966 Zip afiz�go14-Q!llga4-E&IsZo--' Recorded Official Record_ Cog!ty Of BU ! E Recorder ROSEMARY t)ICKSUN Assistant 02c,0OPM 30-3u1-8004 REC EEE 10.00 TAX bb. @0 PCOR-PR 20.022 Jason 'acre I of 8 Order No. 00217372-001 SPACE ABOVE THIS LINE FOR RECORDER'S USE CORPORATION GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) Documentary Transfer Tax is $ 66.00 .Ci.ty o-6omputea`6 full *'value of interest or property conveyed, or Conveyance Tax is $ 0 full value less value of liens or encumbrances. remaining at Parcel No. 069-210-063 the time of sale FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, First Federal Properties, Inc., a Nevada corporation =&ddr,-,sL0n(j0CjM-dnt. of Owner - hereby GRANT(s) to smni NOT Guilford F. Davis and Marsha G. Davis, Husband and Wife as Joint Tenants 4r0 H P-,- T tO mailinthe following real property in the cityof unincorporated area C;OCj olantt county of Butte, state of California: See Exhibit A attached hereto and made a part hereof. Dated: July 27, 2004 STATE OF CALIFORNIA COUNTY OF Butte } S.S. On �� % y before me, the undersigned a Notary Public in and for said County and State, personally appeared Paul Savage personally known to me (or-pr-eved-to-me-o -the-basis-of-satisfactory evidenee) to be the person($) whose name(st) is/aloe subscribed to the within instrument and acknowledged to me that he/gtTe/tt*y executed the same in his/ber/th,pir authorized capacity(igs) and that by his/t dr/ttir signature(s) on the instrument the person($), or the entity upon behalf of which the person(s), acted, executed the instrument. WITNESS my Signature MAIL TAX STATEMENTS TO: Same As Above First/Feder I�Pro_peettt s Inc., a Nevada Corporation Paul avage, PresFident GAYLA tMILDER U COMM. # 1399916 9 Ori . NOTARY PUBLIC-CAUFORNIAO BUTTE COUNTY COMM. EXP. FEB. 22,2007- WITNESS 2,2007 (This area for official notorial seal) PCL XL error Warning: ILLegaLMediaSource i r UNDATIONr SYSTEM ` r ,'".d�� CEM TIF I `:ATE, OF OCCUPANCY. r , j BUILDING PERMIT NUMBER: 04-2217 Address or location of unit: 268 APACHE CIR. OROVILLE, CA. 95966 Legal Description of Real Property: AP#: 069-210-063 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: GUILFORD F. DAVIS AND MARSHA G. DAVIS Owner's address: 4328 OLIVE HWY. OROVILLE, CA. 95966 INSIGNIA OR HUD NUMBER: ORE454288&455666/7 SERIAL NUMBER OR V.I.N.: 19192A/B/C MANUFACTURER'S NAME: FUQUA HOMES INC. YEAR: 2004 OFFICIAL APPROVING INSTALLATION:4b—��- A -41 -AJ DATE: qllf7los— PHONE: (530) 538-7541 H.C.D. 513C Sep 15 04 01:33p Country Homes 5305346427 p.1 jI op-..--..-, . ..... .. . . -z- -- ---- - - .- STATE OF CALIFORNNUMBER: IA meg_ BUSINESS. TRANSPORTATION AND.HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMEN`' DIVISION 61F'CODESAND�STAWARDS .... ...... .. .. MANUFACT. D HOUSW . . . . . . . . . . . . URE G PROGRAM. MAUUFACTURRI=R. -CEMMICATE.OF 0RqX81GK w, .. . . ...... In DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR. UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FOl WARO TO THE DEPARTMENT AT P.O_ BOX 1828, kACRAMENTq, CA 95812-1828. KVITHIN,FIVE (@) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY -THE UNIT To ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCID 483.0 - Side I - (7197) CHECK.IE THIS IS_ALDQPjLtCATE MCO -ENTER Qj3IG1NALMCo 410. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING Q..MUMH.(MULTI-UNIT NUMBEROF TRANSPORTABLE Pj§INGLE FAN41LY DWELLING) MANUFACTURED HOUSING SECTIONS e--.-COMMERCIAL..COXCH.-._:,... OCCUPANCY GROUP". MANUFACTURER NAME: MANUFA.CTURER,1:ICE E'NUMBER: Fuqua Homes, Inc, 90157 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: 20495 Murray Rd (Street) Bend P)701 (City) (state) OR (27 $ 155,437.00 MANUFAIZTURER.TRADE NAME, MODEL 14AME ANDIOR NUMBER. QATQ0F MANUFACTURE: Eagle Pointe':.... ..... 454""-"19-10-4 .:1... _.. _. .6y " NAM£ OF MLER 5F—r-rRAI#SFfTREEtOv*#ERSHfP-TF,*ttSfE-RREi)-TD)7-- - - -CALIF. DEALER NUMBER -OR — DATE OF TRANSFER: TRANSFEREE DESIGNATION: Country Homes. Estate 1125.306 -Real 02/lJ9/04. DEALER OR TRANSFEREE ADDRESS: (Street) 4328 Olive HWY (City) Oroville (Sta!e) CA (zip) 95966� INVENTORY CREDITOR NAME: 20/80 CASH INVENJ`QEtYCREDITOR ADDRESS:. (Street) (City) (State) (zip) w "(INCHES)' SECTION MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH. WEIGHT (INCHES) (POUNDS) 19192 A ORE 454288 2..:. 1. 9192. B ORE 455666 19192 C ORE 455667 ........... TRANSPORTER NAME: PINNACLE TRANSPORTATION TRANSPORTER ADDRESS: (City) Canby. OR (State) (zip) 9_701 3 DESTINATION FOR UNIT DESCRIBED A80VE'! ' ­ ........ .. (NAME) Display- (Street ) Orovill . e (Cfty)- (State) CA' (zip) I certify under penqttypf perjuryperjuryunder thq law% of the Slate Q1. Citliforrdia thatthqaboxg faclk are lr%(R.and cQrrect Exewcd on 02/19/04at Bend Deschutes Orb&O (Qatej_ (Cityl (County) (State)_ SIGNATURE OF AUTHORIZED AGENT: i4 DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR. UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FOl WARO TO THE DEPARTMENT AT P.O_ BOX 1828, kACRAMENTq, CA 95812-1828. KVITHIN,FIVE (@) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY -THE UNIT To ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCID 483.0 - Side I - (7197) This unit is a: F Mobilehome 0 Commercial Coach El Floating Home 0 Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) I/We, the undersigned, hereby state: / h:, s kL-0 vti LLQ t� c ( C1 ct- Vim. W- 4'e re I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on `4 two Vi //P (1 (Date) (City) (State) Tture(s) V / \ Printed name(s) c City Ile- State�� rr� Building Permit Number: Owner Name: -Da,/J Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte.. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW �:.:. Your .parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of2 - Building Permit Number: Owner Name: 1E Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. MThe following parcel map requirements shall be met: All structures and�, uipment including overhan'���,� shall be clear of all easements. A setback of 6� �et from the side andGof-" elt from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Exp'ansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. COF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and made a part of this perTnit. 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. (X1 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 provided for by the land owner. Driveway Standards (X1 1273.02 Surface. All driveway surfaces and structures 1273.07 (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstrueted access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. 1X1 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1X1 1. No roadway'shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. 1X1 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. (X1 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. (X1 1273.05 Turnouts. Shall'be a minimum of 10 feet wide and 30 feet long with a minimum -25 foot taper on each end. [X] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. (X1 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. 1273.11 Gates 1X1 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 the roadway. 3. Where a one-way road with a single traffic lane provides entrance,,a 50 foot turning radius shall be used. I. CDF FIRE SAFE REQUIREMENTS AP# PERMIT ;# NAME Fuel Modification 1276.01 Setback for Structure Defensible Space 1 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements below. (X] 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, mad and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements ( i if Building SetbacR is 1; 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 insufficient 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 .s 442-�- Date Signature 0 .WS 40 --------------------- I BATH 1 �— CARPET 1 N -- \` 10 SHELVES W /I B�DRoar�- 2- {i'' 4' k-ARPEIll-9, W/I I I I 1 Some Options Shown t *vy 56'-V \�I�►@GA I�oQ► 9' RD. VDiDDV ----------- •[------------- ♦ 1 ♦ t \\ I \\ I BEDROOM 1 ♦ oRlGatrt / CARPET 14'-0' X 15-5' ,�'\ EN TRY \il ti CARPET I BEDROOM 3 ET Ir -Ar x 12'-11 `\ CI3L.IIrG \♦ \ 1 / ♦ 1 / GRANDE ROOM CARPET '• ad 19' 1'-9' BATH 2 $ :............ LIMM iv . of .......TrPWA -- Qor. AJOC 9ELVEs ---A•_-- xt= .......................................................... LIBRARY DINING OPT. ,�'\ EN TRY \il ti CARPET I BEDROOM 3 ET Ir -Ar x 12'-11 '_ V �i ,`\` u'-41 x Ir -1• ' r L W/I / I I I \ PORCH -----------------------J L------- 60 So 4020 HALF RA 6o So ABOVE DOOR u�y! �@I�j,IgHS` tlq�EIIry9COUypM N 1 t N V ♦O I W/ GARAGE �I II II II Il II II II 11 II II II II II II II I1 I iil Ili I :II I1: I Il Ili I TI Ili I ill Ili 1 BREAKFAST CARPET Ir 4' l 1 I I PAWMr AAA -4 -- I F O I Vn� I Lwt_D 1 A UTILITY i orr. re WM G"Ma � 16' 1 _J 32'X2 GARAGE TE BUILT ON Round Kitchen for Convenience and Style e Library Offers Oppor ® Spacious Walk -In Wardrobe for Master Bedro( T Tl r T%1 r n T, T T\t 9- t L) I 1. Owner' sName: 2 Assessor's Parcel Nurnber:N 9 �I.Aj - Oho A 11 Installer's Name: 4:- Is the site currently under perridt? Yes[ No[)<] Rermit No. 5. Is the site an existing site? Yes[ I NoW (If yes, furnish two plot plans) 6. What is the electrical rating of the mobilehoine? Arfiperes 7 What is the mobilehome site circuit breaker rating? 67 -Amperes. 9. What is the elecifical rating of the mobilehome sitel acrd Amperes. 9. Is the main service remote from the mobilehome site? Yes[ NolglIf itis, what is the rating? Amperes. 10...Is.there any other electric load to be served by the mobilehome site, electric service (i.e. well, garage etc.)? Yes[ ] No§Q If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - I L Type of gas service at mobilehome site: Natural[ I Propane[ j None[(] 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.). 14. What is the mobilehome gas demand? B.T.U.* �(This information is not required if the pipe length is less than 6 feet on natural gilis g. .lessthan50 feet on propane). THE -OTHER SIDE OF IgS FORM MST BCOMPLETED IN ORDER -1-0 PROCESS -TEOIS PERMIT APPLICATION I I Nfay 1995 MANICAL, AND pLUNONG ELECTRICAL, ECH&_ OONSTRUCT,t)�j ( NOT PLAN CHECKED SHALL COMPLY AND RENT ED111ON01: NEC, UMC UPC ! I i 1 . �� i ;' I . Mobilehome Manufacturer: Manufacture Year: ,dao 5" If other than single wide, furnish fetup Model Number: Width -."(ft.) Length:a �v (ft.) Tagalong or Expando Size! ' $.) x_.4To_ ft. j On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood-PLcoure tre ted or foundation grade[/] Other: SUPPORTS; Concrete block[ 41 Other: Provide Tie Down Specifications or oilehomes: N�A _ i I Pier -Footings Sizes and Location SINCLE WIDE MULTI -WIDE Line I Lim 1 Line 2,:--_,"V Line 2 ............................................................................... Main B"= Line2.............................................................................................. 2 Line I L. 3 i Linc 2 Main ................................................. —L1IIe S Tag or Triple ine 4 ................................................. I I 1 ; Line 1 Piers: 50@/9 7V.. Size minimum: r ix Spacing maximum: xjts` i From ends -maximum: ` Line 2 Piers: a- k 30 Size minimum: x . i Spacing maximum: From ends -maximum: ' Line 3 Roof Loads: Size dtnimum Location (from front): I. Line 5 Roof Loads: Size minimum: Location (from front): I� Un 2 Lune I i Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: x Spacing maximum: ` From ends -maximum: ` MM ID �qx 50 1 jqx 3o x JoY;o j tau i I t U(?(v t Y 1u1,L!)6-0G DEPART!1T 9 P R V i 07/26/04 08:16 FAX 1 541 382 3088 _ FUQC►A HOME$. FUQUA HOMES INC. _.ARLINGTON, TEXAS Q HOUS'•NG CONSTP.UCTION lL.W (� SAFE-ly STANDARDS r lou 3 12001 � .c 0. 20 d 1 COUNTRY HOMES 000.4/004 BEND.OREGON DIVISION I CSR -954D-30 COLUMN SUPPORT REQUIREMENTS MODEL: 954D ROOF LIVE LOAD: 30 ROOF DEAD LOAD: 10 LENGTH: 56'-0" WIDTH: 38'-6" COL # ?OWNWARD LOAD (Las) COL. DOWNWARD LOAD (LOS) COL. # DOWNWARD LOAD (LBS) 1 11583 8 3743 2 5968 9 4813 3 4642 10 5176 4 3636. 11 6503 5 5005 12 3594 6 1647 663 G CAPACITY INTO THE DOOTING OR PAD WNWARD LOAD. SIZE SOIL BEARINGDETERMINED NEACITY 1500GP�EDOWNWARDULOAD = 3200 LBS. FOOTING SIZE = 3200 LBS = 2.13 SO- FT. 1500 PSF -• INSTALL MIN. 4000# RATED PIERS AT 32" O.C. BELOW MARRIAGE UNE WALLA TRA TOADING SEE SMP MANUAL FOR FOOTING REQUIREMENTS. SET PIERS 16 ON END — s ����6 ° L) t: IA' V* Y rd1! am 111 w I� %1 ■ a in G I 'A' UNIT fUI r„ in .-. o 0 F I 05 E8�#3 H #2 C 11 G K q6 • I #4 1 30'-21 d _2, �• 1 �-= 'B' UNIT P To IN #9 I m #8-, L #7 #10-15 #12 lktt B u T S I / v I Q cu .R.i `° d o ,o N 'C' UNIT I d � in COL # ?OWNWARD LOAD (Las) COL. DOWNWARD LOAD (LOS) COL. # DOWNWARD LOAD (LBS) 1 11583 8 3743 2 5968 9 4813 3 4642 10 5176 4 3636. 11 6503 5 5005 12 3594 6 1647 663 G CAPACITY INTO THE DOOTING OR PAD WNWARD LOAD. SIZE SOIL BEARINGDETERMINED NEACITY 1500GP�EDOWNWARDULOAD = 3200 LBS. FOOTING SIZE = 3200 LBS = 2.13 SO- FT. 1500 PSF -• INSTALL MIN. 4000# RATED PIERS AT 32" O.C. BELOW MARRIAGE UNE WALLA TRA TOADING SEE SMP MANUAL FOR FOOTING REQUIREMENTS. SET PIERS 16 ON END — s ����6 ° L) t: IA' V* Y rd1! am 111 w I� %1 ■ r - F � `��'ttvisL ^}'��tw 1 '`r„.c'�(r �� ' I 'I ,•• i Thi d f RR rV rf ��-��� A� � ti�� `s s �1 , t � r ;;•;l d , y ' al.y.�r'`�.'T+>`.�•�P'. ,{� fF. r Cry-.'^^ 1 �'� • � r.';� r� }, r} 1k tM • / ?' 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