Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
069-220-021
(C RECORDING REQUESTED BY: 2 Q11Qe 4 —100 S GD 8 3 8 Recorded I REC FEE 10.00 Official Records I CONFORM 1.00 County Of I BUTTE I CANDACE J. GRUBBS I AND WHEN RECORDED MAIL TO: Recorder I ROSEMARY DICKSON I Assistant I Kathyh BUTTE COUNTY BUILDING DIVISION 03:09PM 19 -Aug -2004 I Page 1 of 2 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 21 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. JOSEPH AVERY JR. AND EDNA AVERY REAL PROPERTY OWNER/LESSOR 7 COUNTY CENTER DRIVE 151D LAROCHELLE TERRACE, MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA SUNNYVALE SANTA CLARA CA 94089 CITY COUNTY STATE ZIP 45 APACHE CIRCLE BUILD G PERMIT NO. TELEPHONE NUMBER INSTALLATION MAILING ADDRESS, IF DIFFERENT .,04L -- 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 03-3519 (530) 538-7541 BUILD G PERMIT NO. TELEPHONE NUMBER .,04L -- SI URE OF LOCAL AGENCY FICIAL DATE A CONSTRUCTION DEALER NAME (if not a dealer sale, write "NONE") 91096 DEALER LICENSE NO. HBOS MANUFACTURING 2003 PAC]FICA/8239 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER A/B/CH-022610 69'X 28'/68'X 14' ORE452384/5/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 069-220-021 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. &VI VO 14:90 MA 53U 877 3443 1 RECORDING REQUESTED BY: Fidelity National Title of California Escrow No. 103060 -TR Titte Ordar No. 00103060 When Recorded Mail Document and Tax Statement To: Mr, and Mrs. Joseph Avery, Jr. 115 1 D Rochelle Ter Sunnyvale, CA 94089 v! , GRANT DEED Iih 004 11111111IM111111[11131111111 a4b0a-004•'9 I 1 Recorded I NEC FEE 7.00 Official Records I TAX 82,00 County OfAU I CANDACE J. %UBBS j Recorder ROSEMARY DIEKSONAsgI 09:00AMf20 5elr"2002 I paged of 1 The undersigned grantor(s) declare(&). Documentary transfer tax is $22.00 1 X I computed on full value of property conveyed, or ( I computed on full value less value of liens or encumbrances remaining at time of sale, [ X I Unincorporated Area FOR A VALUABLE: CONSIDERATION, receipt of which is hereby acknowledged, Stanley Y. Wu and Shu -Fane Wu, husband and wife hereby GRANT($) to Joseph Avery, Jr. and Edna Avery, husband and wife as Joint Tenants the following described real property in the unincorporated area County of Butte, State of California: Lot 149, as shown on that certain Map entitled, "KELLY FRIDGE ESTATES UNIT NO. 3", filed In the Office of the County Recorder of Butte County, California, on July 28, 1974, in Book 43, of Maps, at Page(s) 44, 45, 46, 47 and 48. DATED: August 1, 2002 STATEOF (3�41rmwlw COUNTY,OF ON LLa Gta y, ?00 7_ before me, THE UNDERSIGNED NOTARY personally appealed � _.s+.�t•ci �/ cc m .r ��,. 4_ ICJ roved 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 hisfher/their signature(sl on the instrument the person(s), or the entity pon behalf of which �e person(s) acted, exec a the "Rstrument. r' F Witness my ha n o lal eal_ r Signatur EI.I2ASETH A. WALSH Q,,.00Mm.,.# 1304388 pupilo bhr I!,l0o6 MAIL TAX STATEMENTS AS DIRECTED ABOVE FO -213 /Rev 7/96) GRAN7 DEED Description: Butte, CA Document-Year,Doc/D 2002.49191 Page: 1 of 1 Order: ween Comment, k"L NOTES RESIDENTIAL PERMIT NO. 069'220-021V013 AVERY , JOSEPH & EDN r" , 352T v 45 APACHE CIR, 0- 1. A r.r 1 LLE Cont: D&A CONSTRU TON GARAGE o 11 'SPECIAL CONDITIONS CHECKED BY i SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER { i I: JOB FINALED (Date) Signature 1' ,/ = OK 0 = Not CK - =.Not Applicable = Not Ready , MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s on' equirements-Setbacks-Easements footings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 2. Soils; Special MH Support Sketch MOBILE HOME INSTALLATION (Plans) OK except #'s 3. Sewer; Location -Test -Fall -C/O -Concrete Zoning Requirements -Setbacks -Easements 4. Water; Location -Test -Easement Needed (Sketch) Footings; Size -Spacing -Marriage Line 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete Gas; MH Test -Demand -Valve -Connector 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ /'LPG Electricity; MH Test -Crossovers -Breakers -Clearances 7. Well Clearance & Disconnect Drain; MH Test -Fall -Flex Connector 8. Utility Clearance MISCELLANEOUS Date EC S, C VERS, CARPORTS GARAGES (Plans) OK except #'s Date on' equirements-Setbacks-Easements footings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Card B-1 Date Card B-1 Date Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch Date 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 2. Soils; Compaction -Structure Stability Date 3. Card B-1 Date Card B-1 Date 4. Card B-1 Date Card B-1 MISCELLANEOUS Date EC S, C VERS, CARPORTS GARAGES (Plans) OK except #'s 3. on' equirements-Setbacks-Easements footings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning -Setbacks -Easements -Flood -Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 49. 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B -t Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 23. Fixture & Transformer Clearance -Ins. Protection Elec. Outlets & Receptacles at Kit. Counter 24. Elec. Receptacles Spacing -Lights & Switches at Doors Garage Fire Door; Swing -Landing -Closure 25. Size Boxes & No. of Conductors Stapled A.C. Duct in Garage -Damper 26. Romex Installed Close to Edge of Studs & C.J. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Plb., Elec. & Mech. Equip. Listed for Location 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Elec. Receptacles in Garage (F.F.I.)-Romex Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Insulation -Foam -Looked in Attic 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes I] No Guard Rails & Deck Construction -Post Caps 31. Service -Riser Conductors & Ground Main Disconnect Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 32. Equip. Clearances Panels-Motors-Mech. Equip. Clearance Looked under Floor ❑ Yes 33. Clothes Closet Light -Shower Light -Spa Light Following Instld./Drive :1 Yes 0 NoMalks 0 Yes ❑ No/Planters 0 Yes 0 No 34. Smoke Detector Stucco Brown -Finish 84. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 86. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors Date 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing r "ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties -Purl in- Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive :1 Yes 0 NoMalks 0 Yes ❑ No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: t COUNTY OF BUTTE BUILDING DIVISION s . DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 v E CORRECTION NOTICE 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. / -3 ke- C -Q I Date P'b D �/ Inspector 2 A4 - REV X0/'92 e 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 SZ. 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. 41 r G 4r�T_a �ii� Date�--s Inspector REV 1`0/92 '.4 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES. 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive ! Oroville, CA • (530) 538-7541 CORRECTION NOTICE R PERMIT NO. 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. Al Date lqzl zoc'Inspector REV 10/92 / COUNTY OF BUTTE-,DEPARTMEPAT OF BEV-ELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75410 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 069-220-021 ZONING BUILDING PERMIT OWNER JOSEPH AND EDNA AVERY 408-74 TELEPHONE —1477 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 51—D LA ROCHELLE TERRACE SUNNYVALE 94089 576 U 10 368.00 CONTRACTOR'S NAME D & A CONSTRUCTION 530-821-5850 TELEPHONE CONTRACTORS MAILING ADDRESS 868 W ONS= # J YUBA CITY CA 95991 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $10.368.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $126.00 Plan Checking Fee $ 23.00 BUILDING ADDRESS 45 APACHE CIRCLE OROVILLE CA Energy Plan Checking Fee $ $ PERMIT FEE $ 169.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE ATTACHED WITH FLASHING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Fee 20.00 Main Service zo.A OR LESS 1 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( 9 ) and my license is full force and effect. �51 ^ ��1 Lic. No. 14 License Class 3� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensatin msur ce c rner and policy number are: Carrier Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. So OR ADDNS. ( d, ACC. BLDs. 3.50 -90 15 NEW CONST. MULTI -OUTLET Nor> REBID. @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FOTruREs BAS 9' 0 Ex. Occup. oUrlFrs AL.IDOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 40,1 rj MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be competed if the permit is or work of a valuation of one hundred dollars ($100) or less.) ❑ 1 cerfify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. c' A ' 1 , IfY2 X 1 Y ,\1� it�t 0 X IX . Date 1 1 1 � A Signature of Appl ant - ❑ Owner Contractor ❑ Agent I An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES IMP FLOOD CDF PARCEL I PO HD ISSUE This permit is her by issued under the applicable provisions of the Butte C I f ty Code and/or Resolutions to do work indi above f r which fees have been paid. a B D to / !e g PERMIT EXPIRES ON /2-7; 04 Dat Receipt No. WHITE-D.D.S.-B. A RY-ASSESSO PINK -I SPEC OR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION '✓ I 7 County Center, Drive .• Oroville, £.alifomia X35965 • Telephone (530) 538-7541 12/961 APPLICATION AND PERMIT 17 �:=E=:o4PARCELHUU60qOtQq_ as BUILDINGPERMIT *ELE1.ONe L019-14-1 ILMI 1.p�Q. I CC. ..ER S IA-UNG AOOPZSS 5l- oean4e_tle. 9LACRq I ATION _ ... .rr MCO pnnS NAPE I TELEP..ONE I I —.• "" lrgACTORS VARMO AOOAESSy�-�'` ���j- �U oesq II . I .SraUCTpHlENOEA Si "UNG AooREss FireplaceTotal ;,COE. OR E"ciNEEA L;CEr6E NO Valuation sMnECr Flin Fee.ITECr Oa ENGwEEAS MAa1NG ADDRESS Permit Fee s ..RIc AooREss Plan CheckinFee s 111�E. Gs l&o Energy Plan Checking Fee S s -- PERMIT FEE S LOT No. SUEON61ONS NAPECEL UAP ►AR PLUMBING PERMIT Each Trap Fling Fee 20.C3 7.00; USEOFSTRUCTURE SF ❑ Duplex ❑ Ivlobiiehome ❑ Other FlQ[nAe_ Solar or heat pump water heater 23.00i %�cwv Water piping Each gas water heater or vent I 15.00, 15 0 -co TYPE OF WORK -New� Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Gas piping stem 1- 5 oudels I 1 5.001 t I Building sewer I 15.00' i Describe Work: Y e1t4 Mobile Home L S I G1 W I I @20.00' 1 I PERMIT FEE I S " ISS ELECTRICAL PERMIT ! I I Fling Fee, 20.0: Main Service ( eoovoa�Ess mwoaLEss ) -• — � 2300• Main Service 7GOA To IGMA I 1 46.00 NEw coMr- ( Ow�aL*+G occuP.- oa ADONs. a ACC. eros. - I 3.5c F°: NOµaES 0 uULTI.OUTLET @7.50, PO-EA APPARATVS t s"gLE OUTLET cin 1 EX. OCCU OUTLET OR ixrvR6 2O - BAL 501 /P Ex..Occup. D' "A Oa L'rt'o MESID ESiO EA. 1 5.00 PERMIT FEE PA.Ib Temporary Service i 23.00! SRA $EE Mobile Home Facilities ! i 20.00 Misc. Wiring! 1 23.00. SHERIFF OTHER $ PERMIT FEE S MECHANICAL PERMIT Fling Fee 1 20 C7 Heetin I Coolingi / Hood 1 6.50 ventilation ^� A , • � �W�� PERMIT FEE= I S Mobile Home installation Fee $ Energy Inspection Foe $ Milo occ I M6 P` « TO N PJr U4M COQ TOT FEE $ ---� This permit is hereby issued under the app iceble provisions of the Butte County Code and/or Resolutions to do work .,•• indicated above for which fees have been paid. By Rec*ipt No. WHITE •0.0.3.-9.0. CANARV•ASSE33OR PINK -IN- PECTna I PERMIT EXPIRES 6N Date �.�r' ri•4.,-.-„i... "t*.�a1 r+tt�; l� - :tom �_r ..--- ...---.- .`.1-,.-.-.,,,.-.n-^t•-'-•.-..�--.�-�-...,..-�.--.-.--„r...:.•........-.�,..;i-,.I�.._•'-+i.-1} .w. - .'.....�•-...- .1 COUNTY OF BUTTE-DEPARTMEWT OFD P�'QNT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 �p PERMIT APPLICATION DATA SHEET OWNER: /7 ASSESSOR PARCEL NUMBER a0g, ; lA o Cal A os d Building Use: Counter Technician: Date:equired in order to apply or permit. All xes MUST be checked OR marked NA in (der to apply. Site plans, 3 or 4 sets, signed by the preparer of the plans. . omplete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. . Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. 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. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other R maining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 16. . ees as shown on the attached Schedule of Fees Due Sheet ....................................... _ Statement of Intent for Non -heated and A/C Buildings ............................................ 18. Sanitation and site plan approval from the Environmental Health Department in _ 19. City of Chico Plumbing permit .................................... ....... .................... 2r2 11 _ California Department of Forestry plan approval ❑ pai .................... . Planning approval for (A) Use: (B)Parking: (C) P Parcel Check: _ ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. - ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. _ ❑ 25. Pre -Inspection for required ................ _ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... _ ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. _ ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... _ ❑ 29. Letter of Signature authorization.................................................................... _ ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... _ ❑ 31. Manufactured home utility clearance............................................................... _ ❑ 32. Existing violations and/or expired permits....... ........................................................ _ ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: _ When issued Telephone + S gsu and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Dat 1 k5 1. Index permit application for the above items numbered: tg Plan Check Letter 4atems required signer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, osigner, owner, waadvised of the above data by ❑ phone, ❑ mail, ❑ counter, Plans reviewed by: ME Date: Plans approved by: iv� Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division - / / -2( Z13 Date: t 1 21 025 Date: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 /p r SCHEDULE OF FEES DUE OWNER PROP SED BUILDING USE 1. EUILDING PERMIT FEES Balance Due ................ ..... $ J Additional Fees Due .......... ..... $ Additional Fees Due ........... ..... $ Revised Plan Checking Fee ...... ....$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Chec 3. SHERIFF FEES (paid at Building Division) Residential x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x_=$ # Units Amt. Commercial (sq. ft.) ............ -x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $ 10.00 (paid at Building Division) FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # C _ d�O_�I I DATE RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. "_ OD ,�� APPLICANT Q DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) CONNECTION PERMIT APPLICATION FOR SEWER CONNECTION AND SERVICE FROM LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT t I ► JCCU—"_CP hereinafter referred to as "Applicant", being the property owner or own 's agent desiring sewer servic hereby requests Lake Oroville Area Public Utility District, hereinafter referred to as "District", to connect Applicant's sewage disposal line to District's sanitary sewer system and to provide sewerage service. Location of property: 45- LL, 2 A.P.#: (p 12 Subdivision: 3 Lot#:q- Block#: Property Annexed ❑ Property Not Annexed ❑ Property Annexation in Progress Kind of Service: No. of E.D.U.'s this permit: 1 Multiplication Factor: *Monthly Charges: Residential Capacity Charge: ` � T K _ ,3 Residence of Owner Connection Fee: ❑ Rental (single family) ❑ Rental (duplex) ❑ Apartment SC -OR Facility Charge: C) -QC ❑ Industrial E3 Commercial Total Amount Payable This Permit: g �' ❑ Site plan reviewed ❑ Jobsite reviewed 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 time to time. )0&f -Ph Ave- rLl Signature of Applicant Name of Owner if not Applicant 269 (�� d1tio 1� 1151 t'�oclleue Tvels, Sucnn ,vale A G40��j Mailing Address of Applicant Mailing Address of Owner Phone # of Applicant: bp_- "S$ S 0 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, strikes, 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 ORO LLE AREA P.U.D. inspection. Payment received by: Date: 12� i o o Receipt # �,"1Gj By: Utz��_ ❑ CASH aCHECK# - Date: 11` L C> �o $ S$ Permit �S 'Monthly charge payable at the current rate at time of connection. �b on s D PLAN REVISION Owner's Name: k-yVVU / BP#: Date: Contact Person & Phone Number: AP#: Received By: Time: ' l PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering I Vim' ❑ Plan Revision / ❑ *Requested by Building Inspector's Correction Notice — Inspector's Name: E? Requested by Plan's Examiner — Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: ❑ Call and hold for pick-up. ❑ Deliver with next inspection. Minimum evised plan check fee to be collected at time of submission of revision, plans exami will determine if additional plan checking fees are needed: Minimum $54.99 Receipt #: ❑ Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt #: Revised 2/04 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 19 -Aug -2004 2004-0050838 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JOSEPH AVERY JR. AND EDNA AVERY 7 COUNTY CENTER DRIVE REAL PROPERTY OWNER/LESSOR MAILING ADDRESS 151D LAROCHELLE TERRACE, OROVILLE BUTTE CA MAILING ADDRESS CITY COUNTY STATE SUNNYVALE SANTA CLARA CA 94089 CITY COUNTY STATE ZIP 45 APACHE CIRCLE o4- 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 03-3519 (530) 538-7541 BUILD GPERMITNO. TELEPHONE NUMBER o4- S1914JTURE OF LOCAt AGENC CIAL DATE A CONSTRUCTION DEALER NAME (if not a dealer sale, write "NONE") 91096 DEALER LICENSE NO HBOS MANUFACTURING 2003 PACI1FICA/8239 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER A/B/CH-022610 69'X 28'/68'X 14' ORE452384/5/6 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 069-220-021 SEE ATTACHED vrn nnn>,e a'1ve1 utv Qiot 14:40 r'AA 5JU 877 3443 i •r RECORDING REQUESTED BY: Fidelity National Title of California Escrow No. 103060 -TR Titte Ordar No. 00103060 When Recorded Mail Document and Tax Statement To: Mr, and Mrs. Joseph Avery. Jr. 1191 D Rochelle Ter Sunnyvale, CA 94089 GRANT DEED The undersigned grantor(s) declare(s) Q004 (i(I�I(lil�llll>![f�ll[�Ir[(�flffl Recorded I REG FEE 7.00 Official Records I TAX eZ,00 Co�TEpf I CANDACE J. 6R1198SRecoI der ROSEMARY I 3 09:28R'120-ep-2002 I Paggsl of 1 THIS Documentary transfer tax is 522.00 I X I computed on full value of property conveyed, or I l computed on full value less value of liens or encumbrances remaining at time of sale, E X ) Unincorporated Area FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Stanley Y. Wu and Shu -Fane Wu, husband and wife hereby GRANT(M to Joseph Avery, Jr. and Edna Avery, husband and wife as Joint Tenants the following described real property in the unincorporated area County of Butte, State of California: Lot 149, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT NO. 311, filed in the Office of the County Recorder of Butte County, California, on July 28, 1974, in Book 43, of Maps, at Page(s) 44, 45, 48, 47 and 48. DATED: August 1, 2002 STATEOF COUNTY OF r C G ON la 000 Z— before me, THE UNDERSIGNED NOTARY personal)Lappe�afed roved to me on the basis of satisfactory evidence) to be the person(s) whose names) Is/are subscribed to the within Instrument and acknowledged to me that helshe/they executed the same in his/her/their authorized capacitylies), and that by his/her/their signature(s) on the instrument the person(s), or the entity pon behalf of which ate person(s) acted, exec the "aistrument. i 7 Witness my ha n o ial eat. r Cinnat„rn I Stanley Y. ELIZABETH A. WALSH Comm. A 1304388 - noranr ouuir•CAUF mn N Sino Cma cpuar N� Comm. Elms bbT 11.2006 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 IRev 71961 DRAW DEED Description: Butte, CA Document-Year.DoclD 2002.49991 Page: 1 of 1 Order.- ween Comment: k1 - BUILDING PERMIT NUMBER: 03-3519 Address or location of unit: 45 APACHE CIRCLE, OROVILLE CA 95966 Legal Description of Real Property: AP # 069-220-021 SEE ATTACHED - (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JOSEPH'AVERY JR. AND EDNA AVERY Owner's address: 151D LAROCHELLE TERRACE; SUNNYVALE CA 94089 INSIGNIA OR HUD NUMBER: ORE452384/5/6 SERIAL NUMBER OR V.I.N.: A/B/CH-022610 MANUFACTURER'S NAME: HBOS MANUFACTURING LP YEAR: 2003 • V OFFICIAL APPROVING INSTALLATION: .►�- " DATE: S 04— PHONE: (530) 538-7541 i H.C.D. 513C Q8/loci 4uvY iuU V. J&,. MAX t1yvuYt)vut(6 sL11LCb111U�, bmu +)4. D\A OFFICE No • 4sss P't�201/002 5303433332 g111vyCA -- STATE OF CALIFORNIA • UMBER. - q BUSINESS. TRANSPORTATION AND HOUSING -AGENCY n DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT R. 7_ ®7. DMS.IQA OF CObESANQ STANDARDS. ^ ITT DE MANUFACTURED HOUSING PROGRAM - MPMttF*CTURE-R-CE-RISII CAEOF—GRtGt N- ' !--iCHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MaNU&6pTURFQ HOME OR MULTI -UNIT MANUFACTURED F OUSING NUMBER OF 3 L^�f. SFD (SINGLE FAMILY DWELLING): ❑ MUMH (MULTI -UNIT MANUFACTURED.HOUSING • TRANSPORTABLE SECTIONS •COMMERCIAL LOACH: .. , . OCCUPANCY GROUP' MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: ' HZib KX114FACTUR-IN-C— LF 10 749 1 3 MANUFACTURER ADDRESS; SUGOE4TED,RETAIL PRICE: 5[reeq 400 WELIA STREET HE it STON 0 g)ON 978?,A) *XSI$1 62, 856 MANUFACTURER-TRhBE NAME "DEL NAME ANDIOR NUMBER- DATE OFMANUFAC-TUBE:... OAKWOOD P.ACIFT.CA 8239,.. _ 1.2-2,1—Z0�3.. NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER'NUMBER OR DATE OF TRANSFER: " TRANSFEREE DESIGNATION: INTEGRITY-koyEa. 106-7-7I4 DEALER OR TRANSFEREE ADDRESS: (street) 1740 FSATHER RIVE1< BLVD 0R0VI' F CA 95965 (state) 00) INVENTQRY QREQITOR [DAME: TEXTRON INVENTOR CREDITOR-AOBRESS. (st .eu 7 711 $'0NliQMNdE . _STE 600.... ST ' LII 'M0- ale .L ' SECTION MANUFACTURER SERIAL NUMBER MCD INSIGNIA OR I IUD LABEL NUMBER LENGTH WIDTH WEIGHT f?�) INCHES rINCHES) (POUNDS . .A F;7022610 RXKX ..ORE 4523.8.1 828in 1 B 14-02261.0 ORE 452385 B28in 8 i n 1n C H-022510 URE -4 52386 TRANSPORTER NAME: AMERICAN TRANSPORTERADOREss: _ (S1r99f! c?0 t`30X 163.0 DESTINATION FOR UNIT DESCRIBED ABOVE: (NAMe) IWI`�RITY HO J,'g 1740 FEATHER (HWER 3LUD 0LR,,,,^ SLLi CA 959/�I" 1,tortih ur�dor ponafly pf p9ritsy tpldor the lets d Ine" stelaot•Gelrlunl@ IIt9t 1tW nRoye tlttla tae INOITM carrQct.. .. _ . Exvcutvdan ZZ -22-2003 HERMISTON UMATILLA OREGON ` (POW. f� SIGNATURE OF AUTHORIZED AGENT:. DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WMTTE) FORWARD TO THE DEPARTMENT AT 0.0 BOX 1878, SACRAMENTO. CA 95812-1525• WRHIN FIVE 15) DAYS OF RELEAS5. COPYE$KELLOm¢ DRAtMTO-THETRANS20RTER-TOACCOMRAN*THE.yNiFX04T$.DESTNAZION— COPY 3 (GOLDENRODI TO 8E RETAINED 8YT4E MANUFACTURER. HCD 483.0 - Sift 1 . (7197) bi b: b: C% STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a: Mobilehome Commerical Coach Floating Home Truck Camper Decal (License) No. (s) Trade Name Serial No. (s) I/ We, the undersigned, hereby state that the unit described above: b e oac,e-� uy\ o,- p e-rma-K-, 2v-� O.* �4a A Pac,"Q- CQ -C -A -e. , O rts-A O Dcl - It Affiant further agrees 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, of 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 0 ` U b 03 at: Oroville ,California (Date) (City) (State) Signature of each affiant Printed name of each affiant Address 1740 Feather River Blvd. City Oroville HCD 476.6 (Rev 11/86) .chelle Freel, Office Manager State California EEO* fro 14:40 MA 53U 877 3443 1 - RECORDING REQUESTED BY: Fidelity National Title of California Escrow No. 103060 -TR Title Order No. 00103060 When Recorded Mail Document and Tax Statement To: Mr, and Mrs. Joseph Avery, Jr. 118 10 Rochelle Ter Sunnyvale, CA 84069 •r GRANT DEED 11004 1lll�Illi1�11u�N�lll�lf►l)111�1 Recorded 1 REG FEE 7.00 OfficialRecords I TAX x,00 CountyBUTTEOf I CANDACE J. GRUBesRe I ROSEMARYr'j 09:0Assistant AM 20 Sep -2002 I Pages! of 1 LINE The undersigned grantor(s) declare(s) Documentary transfer tax is $22.00 I X ) computed on full value of property Conveyed, or 1 ) computed on full value less value of liens or encumbrances remaining at time of sale, I X ) Unincorporated Area FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Stanley Y. Wu and Shu -Fane Wu, husband and wife hereby GRANT($) to Joseph Avery, Jr. and Edna Avery, husband and wife as Joint Tenants the following described real property in the unincorporated area County of Butte, State of California: Lot 149, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT NO. 3", filed In the Office of the County Recorder of Butte County, California, on July 28, 1974, in Book 43, of Maps, at Page(s) 44, 45, 46, 47 and 48. DATED. August 1, 2002 STATEOF 0X1FeA1V1,'9' COUNTY.OFrl� CZ ON ZLa (a7` Ze 0e)0 ?L before me, THE UNDERSIGNED NOTARY personall appe ed 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 helshe/they executed the same in his/herttbeir authorized capacity(ies), and that by his/her/their signatufe(s) on the instrument the person(s), or the entity pon behalf of which oa person(s) acted, exec the 'Prstrument. r Witness my hen � oial cal_ Stanley Y. ane El.12AIIETH A. WAUH Comm.11304358 Mitm San Cm12 tyuer Nr amp, Eryua bbr Ia.t609 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 71961 GRANT DEED Description: Butte, CA document-Year.DoclD 2002.49199 Page: 1 of 9 Order., wem Comment: NOTES t G RESIDENTIAL 069-220-021 03-3519 PERMIT NO. AVERY, JOESPH & EDNA 45 APACHE CIR, OROVILLE I Cont: D&A CONSTRUCTION NEW MH PERM FND NEW SITE 3� THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUIL ING DIVISION: (1) LICENSE PLATE(S),Cr ECAL (THE INSPECTOR M'i7Sl.AR PTREIVE). (2) STATEMENT OF. FACT-�S'(ONLY ON NEW MH' S): • ' ,' INSPECTOR TO VERIFY SERIAL & _BABEL #'S. 11 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY i IL II OFFICE COPY Address 1 GAS Meter By- Date ELECTRIC ho Meter By Date J - I JOB FINALED (Date) f J b Signature ,/ = OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Locatioe.-TiR0 1 � fx?4-- *ft9em_e Rf Need d (Sketch) 5. Electricity; Location- fear -Grnd-/ /Amp -Concrete l as; Location est -rap;-/ /" L'ft. / /' Nat. or 11tiLPG 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 NSTALLATION (Plans) OK except #'s on' R quirements-Setbacks-Easements oo ngs- ize-Spacin -Marriage Line 3. Ga MHemand-Valve-Connector ncity; MH Test -Crossovers -Breakers -Clearances L5-..Dret'n; MH Test -Fall -Flex onnector 6. Water; M6 Te egulator-Connector er and Sewer Connected -C/O to Grade -HD Approval as agg Electricity Tagged e Downs -Type -Installation Cert. Abe!LIxits; Insp.-Sketch eyeYbccupancy Permanent Foundation Only; License Decal Dat � O- Card B-1 Date Card B-1 Dae E, ,p+.( Card B-1 Date Card B-1 I MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth 5. Stemwalls, Main; Steel -Blackouts -Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mach Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes 1] No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes U No/Walks 7 Yes J No/Planters 0 Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE 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 .j OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. / �1//�.r vt Date Inspector Aog:� REV 10/92 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 OWNER 07 - 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 gontact this office immediately. t -n Date 0 < I Inspector d!&j REV 10//92- 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 OWNER / PERMITfNO. A routine inspection indicates that the following violations of butte county Ordinances exist at the 3•=above address and should be corrected. Please notice this office when correction of work is , have an If completed. you : p y y questions pertaining to this matter, or need additional explanation, pleas contact this office immediately. -)L 'a -L 2- 7 X 12 e. kr; �Y P! fS. 4. Date / �/'� Inspector REV 10/92 4 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 F.11 3.-5 /9 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 9cr9tact. this office immediately. Date _ REV t /- O Or �r C ca 4 ., '� p�� sn i Inspector COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 'k! 411 Main Street • Chico, CA • (530) 891-2751 :`. 7 County Center Drive • Oroville, CA • (530) 538-7541 ., CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, r please contact this office immediately. Cr REV 10/92 . . . , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-759-1 I O. (Rev. 1,2/96) APPLICATION AND PERMIT ASSESSOR Tc,EytaUl��-021 LEPH ZONING BUILDING PERMIT OWNER OS JOS& EDNA AVERY TELEPHONE SO, FT, OCC. BUILDING VALUATION 2720 R 146 880.00 OWNERS 151D LAROCHELLE SUNNYVALE CONTRALTO ME A CONSTRUCTION 530-82145850 TELEPHONE CONTRACTO10Wtr�TMT'OTT #J YUBA CITY CA 95991 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $146 880.00 ARCHITECT OR ENGINEER LICENSE ND. —Filing Fee $ 20.00 Permit Fee $ 402.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 45 APACHE CIRC Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNAM IS IONS NE PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.0015-00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MH PERM FND NEW SITE Gas piping system 1 - 5 outlets 0015 oo Building sewer 15.00 Mobile Home I S I G w @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Fling Fee 20.00 *OOVOR LE Main Service .A.R LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is I full force and effect. License Class �, 1 Lic. No. qg=n � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. If1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensation insurance carrier and policy number are: Carrier Policy Number 11:1r VId-II1, (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 19 X � toAn I _(1 _ Date f � —1 �rl 3 Signature of App cant - ❑ Owner EXContractor ❑ Agent An OSHA permit is required for excavations over5' " deep and demolition or construction of structures over 3 stories in height. Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDs. 3.50x: NEW CONS MULTI -OUTLET NON gESID. C @7.50 P.l as°IN"o oPUTL�ErT ICIS OR FIXTURES 20 (9 1.00 Ex. Occup.BAL O .so Ex. Occup.DuTi�is RSD°. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE 153.00 D ItZD COF pARC0. PD D LJSSUE This permit is hereby issued under the applicable provisions of utte Coun Code and/or Resolutions to do work in caWae hick fees have been paid. By Date PERMIT EXPIRES ON �Z/�0, e Receipt No., WHITE-D.D.S.-B.D. A Y -ASS SOR INK -INS C G OENROD•AP ILI ANT FA COUNTY OF BUTTE - DEPARTMENT O:F DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541 -� 12 6 APPLICATION AND PERMIT - l- 1:SEi: ' ECNu�Aavl O�C�_ as �MNo BUILDING PERMIT _ o --ca I "ERZ O � 'E g N4--1 1141n. SO. BUILDING VALUATION O EA S vu-UNO ADOAESS , �• ._ ... 5l - L.e1'R ccan�tle. `te1<rac�- ,Ur.cw bale 9 U� I O R-CIOR S NAPE I I TELEPHONE !cow jai am _.._ RRACTGRS MAPUNO AOOAESS — as a6513 1 f,,S T AU C NON LEND EA MOVER SS wwwG ADORESS Fireplace Total Valuation Is HTTECT OR ENO�NEER LICENSE NO I S Filing Fee 20 0; iTECT OR ENGINEERS wuUNG ADDAESS Permit Fee S _ Plan CheckingFee S 8V -_004G ADO 5; S44�clleAWP_ Q -a- qt- Uo Energy Plan Checking Fee S lKS - " KELt `J G21 D6rr_ CSi"_ 3:l; Lar NO.' /,� N6ONSrwrE ►AACEL NAI J1y SUEO 3 PERMIT FEE i PLUMBING PERMIT Fling Fee 20.00 USEOFSTAUCTURE lgLq SF ❑ Duplex ❑ Mobilehome 6 Other SRECWY Each Trap 7.00; Solar or heat um water heater 23.00! Water piping t 5.001 �-- TYPE OF WORK -ew ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other 0Building I Yt,2� I Describe Work: it I 1 ttQ1` r -,h D� V� � 0e� I 3 10eArwm LblX cock F L 8 �� SjZ/ 0 Each gas water heater or vent t 5.001 _ Gds piping system 1 - 5 outlets 1 5.001 sewer � 15.00: _ Mobile Home I S I GI W I I I @20.00' _ I PERMIT FEE S ELECTRICAL PERMIT I I Fling Fee' 20.0 Main Service eoovoRLEss ( moA oa LEss ) I — 23.00 • ��� �PERAIT FEE PAIS SHERIFF $ Iv$ s T AAk6VN T RECEZVEb Z� A A TO EE pir zwo Complus R ,. Main Service 20" TO sow^ i � 46.00' NEW CONST. Ow�31Y+G "'U' -SO. _._.. OR ADONS. 1 ACC. AIDS. I 3.5c'O : N ~ NULT40VTLET INN aEs o @7.50! POwEA APPAMrtrs - -- 1 ME OIRLET CIR I I Ex. Occup. OUTLET OR F=LMESso TL:ED EX. OCC"1 OR i II OUTETS AES,O I EA. I I 5.000 Temporary Service i 23.00! Mobile Home Facilities 20.00 lutist. Wiring ! i 23.00. . PERMIT FEE S MECHANICAL PERMIT Fling Fee 20 0_7_ Heatingj Cooling Hood 6.50: _ Ventilation ' PERMIT FEE S Mobile Home Installation Fee L Energy Inspection Fee $ occ CONST "PE TOTALF E S a , .uz. I n< eo 0/ This permit is hereby issueunder the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. 1 By Receipt No. WHITE -0.0.2 .a_e_ CANARv.A*QCQQ^n e......, ate,.-.. ___ ___.___ ____ _ PERMIT EXPIRES 6N Date --..�._.,, COUNTY OFBUTTE-DEPARTMENT OF EVELOONTSeRV31C'E)S-�BqUILDINGDIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 ERMIT APPLICATION DATA SHEET 7 OWNER: ASSESSOR P CE NUMBER Z ZO- v Proposed Building Use:ou t ni ian: Date: ` �t T! Aired in order to apply fora hermit. All boxes MUST be checked OR marked NA in order to apply. �I '17 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. E nee ed truss details and I youts in duplicate. No faxes! nergy compliance de ' a supporting documentationPin pli te. 6. Manufactured homes. ) to sheets and installation in arriage line info, Floor Plan, Pte down o fnd plans, a I in du licate. ❑ 7. Metal Bldgs: (A) Metal Idg Plans, (B) Fnd plans and calcriplicate, (C) Elevations in triplicate. (D) Floor plans in rlp Icate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... 1 * Fire Sprinklers............................................................................................ 4. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by 15. Other aming items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Pffk 16. Fees as shown on the attached Schedule of Fees Due Sheet ..................................... �Vl Statement of Intent for Non -heated and A/C Buildings....................................�1.. Sanitation and site plan approval from the Environmental Health Department ir,_.: ❑ 9. City of Chico Plumbing permit..................................................................... 0. California Department of Forestry plan approval I paid. Sent by: ......VO ................ 21. Planning approval for (A) Use: �I�(B)Parking: (C) Parcel Check: --I IJ• -C3- W22Contact Land Development about ❑ Improvements, ❑ Drainage ............................... NPDES Form............................................................................................. Encroachment Permit for driveway from the Public Works Dept .................................. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... -*❑ 29. Letter of Signature authorization.................................................................... 30. Recorded copy of Agricultural Acknowledgment Statement .................................... /2 -16-U3 ❑ 31. Manufactured h me utility clearance............................................................... moo ❑ 2. Fe g violatio nd/or expired permits .................................................... ` tJ 33.nt Dee Title/Statement of Facts, ❑ Letter from Legal Owne , heck to H.C.D. $ ❑ X. When issued Telephone — and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: ��YW- Date: (3 _� 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data b ❑ phone, ❑ mail, ❑ count by Date: Plans reviewed by: ►I&C, Date: Plans approved by: a Y r \1 C —Date: Structural reviewed by: Date: Structural approuedby:- Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 r"MSCHEDULE OF TES DUE % �%j OWNER A.P. # z �zl PROPOSED BUILDING USE ► t 1. BUILDING PERMIT FEES — — Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee ..... $ 2. SCH'J# LSTRICT FES (paidva3. SHERIEES (paid at Building Division) `�� „ Residential ...................... x $360.00 = $ Units Commercial (sq. ft'.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x-=$ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FES $510.00 (paid at Building Division) SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FE $2500.00 (paid at Building Division) DATE I —a RECEIPT # DATE REC. q's ino l� '!4-G�l•u t I I L13 Of U- 10.OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT`� ! / / // ^�1 Q P orb--�--� — Q���� DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6100) CONNECTION PERMIT APPLICATION FOR SEWER CONNECTION AND SERVICE FROM LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT �� $�, A Naw i cdu R, hereinafter referred to as "Applicant", being the property owner or own 's agent desiring sewer servic ereby requests Lake Oroville Area Public Utility District, hereinafter referred to as "District", to connect Applicant's sewage disposal line to District's sanitary sewer system and to provide sewerage service. Location of property: 45- rP�c l,e.t A.P.#: (09 --12 "021 3 5J Property Annexed ❑ Property Not Annexed ❑ Property Annexation in Progress Kind of Service: Lot#: Block#: No. of E.D.U.'s this permit: 1 Multiplication Factor: 'Monthly Charges: Residential Capacity Charge: � JR_ .a Residence of Owner Connection Fee: ❑ Rental (single family) ❑ Rental (duplex) ❑ Apartment SC -OR Facility Charge: I o -DC ❑ Industrial ❑ Commercial Total Amount Payable This Permit: g �' ❑ Site plan reviewed ❑ Jobsite reviewed 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 time to time. -Avc rL i �Signature of Appplica—n{t-11 Name of Owner if not Applicant och n n W va A Mailing Address of Applicant 0i 5 cf 1 Mailing Address of Owner Phone # of Applicant: BD-� --5S S 0 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, strikes, 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 ORO LLE AREA P.U.D. inspection. Payment received by: 2 Date: n- I o o Receipt # By: ❑ CASH E,CHECK # ( Date: S o0 Permit M `IS. -Jo 'Monthly charge payable at the current rate at time of connection. AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 10 -Dec -2003 2003-0085969 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 149, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT NO. 3", filed in the office of the County Recorder of Butte County, California, on July 26, 1974, in Book 43, of Maps, at Page(s) 44, 45, 46, 47 and 48. Date &WnLzL01%0, k03 PROPERTY OS: va! _-: � P r c� 1n 9ive_r �ti! Q / /? State of California p J'7 County On j1'y q90 Irca700 a-- before me,v &12'6 C� ��r✓,�` l� � �La� personally appeared �tme lm personally known to me (Vp on the bi f satisfactory evidence) to be person whose namos is a e ubscribed to the within instrument and acknowle ged to me thatlit/she/ P xecuted the same in his/htr/ elr uthorized iecapacity , and that by his th it gnature0on the inst s ene person or the entity upon behalf of which the personoacted, executed the instrument. WITNESS m hand and off eal. Signature � bLe� NR, -ETR SIBILIA Seal: Commission # 1265262 m Notary Puboo - California Santa Clara County A.P. # C)(001 - a - My Comm. Expires Jun 23, 20041 i AENCROACHMENT PERMIT County of Butte Department of Public Works Count ter Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 5384356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone 530 538-7157 Ext. 2016 Permit Number IC 3 16r 4� 9 6 District / 1 APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicant's Name: *Q ; Gh Company Name: -De A C 1 �-c��GR ^n �-l� TKJ `,� l v 2 �r ' �11a,. 2. Address. pl � nS�ic+ [ ,J t..t Q5 (:A 1 3. Phone: 530 Bay S�sU 4. Assessor's Parcel Number.""- O19�- aa0-oaf: 5. Location of Work to be Done t4 4"-- L,br14q ROCLcm G.rr--1e 6c'o CkG9ULP 6. Applicant's Signature 7. Date: 11-13-03 CONTRACTOR'S INFORMATION 8. Contractor's Name 9. Address 10. Phone: ' I 11. Fax: 5.to 1 55'7 12. Contractor's License Number. J 13. Certificate of Insurance: Yes ® No: ❑ 14. Contractor's Signature: 1�0 14a. Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. Driveway (List Type): 18.Other CUY`00 (% CA- t ()PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, ermission is hereby ted. 19. Conditions Underground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20: E&All work shall conform to accompanying: Detail 4 Plans ❑ Special Conditions ❑ 21. Date Issued 1///0 1 , e a3 22. Expiration Date: j/ / O 23 Surety: �s Mike Crump, Director of Public Works By: 041�t� 2ff "Note: If permits are. faxed to any number besides (5 30) 538-4356, they can be delayed up to one/week. Page 1 of 2 General Conditions — See Page 2 101,: School District A.P. Number Property Owner Property Locatic Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. Jurisdiction: Lot No. ....................._..._................................:... .................................. Residential Development fVL1Q No of Living Mobile Home Addition/ 'Supplemental to Units Installation Conversion Permit # '(No foundation Inspection) �u� Department Representative 03 3h') _q County d r Sq. Footage �Og�6 (Group R) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Q Sq. Footage In (Including Exterior Roofed Areas) / Date District Identification No. 6-k to O Ir^J J 1 4p vr. School District certifies that �� �h..- frt�l►9 (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 0 1--d L. l O by payment of $ S �) representing Z ') 3-A square feet. School District Representative 2926 $ FULL IAfTIGATION $ Paid by Check X .^ ; _ Remarks: p to q - } 3-44 O }, 1 t1—Ia—o3 Date No*@: You may protest the Imposition of the fans Identified above by submitting a written protest to the District. In compliance with Govw menet Code Snctlon 66o20(a), whhin 90 days from the dab fens are paid. Failure to submit a timely written protest wlll'prohmit you from challenging the Imposition of the fens In any court action. If. subsoquaht to the School District Rnpresentatw signing thk Butte County Schools Impact Fee Certification Form, the 8cthool Dbtrkt Is hhotlNd by the applleabN Local Planning Agency that this project Is being rnvinwnd under the CMlfomia Environ nontal Quality Act (CEQAh this V *SCI may be ahhbpet to additional school fens to fully mttgetn. its Impact on the school dlstAeta schools. White (applicant), Yellow (building department), Pink (school district) teeform.As (10/03)dmm SITE PLAN REVIEW APPLICATION Date: 11-13— AP# O Lq-2Z-0--02 Permit Number (if applicable) 0'3 `3 519 Bin Number APPLICANT INFORMATION Parcel Size: 2�q A L Owners Name: -A V6 Q%J , J d S F_P Owners Address: 1 S) -1> L� 2c°SC�-i �L1-� �E�t2 S Uj)IUYVp Le, Telephone No.: 'A08-21-12-)927 Situs Address: zj P A e 1A r-- G, rz�_- L� Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition PM Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑. Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date )1--1 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) IN SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: Du 2-13 C, Index Date: 9 g ❑ 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: RT Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Developnient Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Q Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Man: KG L--L-- Map _-L -1Map Date of Recording: Lot: I q `l ❑ Use Permit/Minor Use Permit Book: LI Permit Number: Date of Approval: Page: 3 Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ 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. Page 4 of 5 CONNECTION PERMIT APPLICATION FOR SEWER CONNECTION AND SERVICE FROM LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT I I I �duAzcp hereinafter referred to as "Applicant", being the property owner or own 's agent desiring sewer servic ereby requests Lake Oroville Area Public Utility District, hereinafter referred to as "District", to connect Applicant's sewage disposal line to District's sanitary sewer system and to provide sewerage service. Location of property: I J� �L�p�c l .e.� A.P.#: �D cl Z2 2 J P Property Annexed ❑ Property Not Annexed ❑ Property Annexation in Progress Kind of Service: Lot#: fBlock#: No. of E.D.U.'s this permit: I Multiplication Factor:_ `Monthly Charges: 00 �g � -- �Residential Capacity Charge: 13 Residence bf Owner Connection Fee: ❑ Rental (single family) ❑ Rental (duplex) ❑ Apartment SC -OR Facility Charge: 10-D 0 ❑ Industrial ❑ Commercial Total Amount Payable This Permit: g �' ❑ Site plan reviewed ❑ Jobsite reviewed 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 time to time. -1--`ll'1�e- X11 _Joseph -Av rel Signat lure of Ap�plican�t Name of Owner if not Applicant 3%g (JLJ � 0 463 11151 t'- o e n nW val A Mailing Address of Applicant ci S j OI 1 Mailing Address of Owner Phone # of Applicant: S S 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, strikes, 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 ORO LLE AREA P.U.D. inspection. Payment received by: Date: Receipt # By: F_1 CASH JDCHECK # 77 (pq (,P Date: 113— I $ a S��oo Permit M CIS - "Monthly charge payable at the current rate at time of connection. L�s'PN N COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 t12/96) APPLICATION AND PERMIT �•21� S4ES:Oq P•RCEL MJM6E71 Q(g G'f_ aaQ _� I mrwNo '�' BUILDING PERMIT VNEA TllE7MN! �/ �)Qe_�>IPh ° r4 nel OA Ip V.,, i V\Q-,u-, lu-n -a SQ, F7,, I ADAC./ I B,U/L01N IWI,EPS MA,UNO AOOAESS - I 1a l --'U 1_ ZL'R 0C)rn�l le. __Ie-rr o_C e. I _ntr Ira l� 9 U 'COMM 9 NAr,� ''- ; RI TELEPHONE �>11S-dYt. 1 C �-t-.l�fl 3,1 nAACTCAS MAIUNO AOOAESS .l C. IS TaVCTgNIEW EA oEp s MA,uNc AooREss Freplece Total Valuation •RCI.RECT OR ENGINEER uCEr4E NO Filing Fee AaCHITECr OR ENOWEERS MA41N0 AOORESs Permit Fee eUILoINc AooAEss /� Plan Checking F L� 9P � OA,^ A) h.1 r -i 1.0 /"�na� t.1 n 0 n Ct�.QI �I _ Energy Plan Ch Kt -LL- ia6 ST -T' LOT NO. i' ` ^ SVEON6ONS NAIrE L , �_ 4 � ra. ^��^� "CEL MAP '-If��Il �UJSEOFS UCTUxURE I'�-i•j A SF ❑ Duplex ❑ Mobilehome ❑ Other _ _De.K spEcrtv TYPE OF WORK \ems Addition ❑ Remodel ❑ Utilities ❑ Instaltation ❑ Other ❑ jDescribe Work: J�t x `�I Cam. die LA I I I OPER UT FEE PAZ 5 R - $ SHERIFF oTx� g g AM6Vt4T RECEIYEt> 0WIN 10111:1311" �v " TO N KIT INTO CO PERMIT FEE PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - S outlets Building sewer Mobile Home ISI G I _W1 / ION ig Fee' 20.00 7.0T T --- 2J.00i 15.00. 15.00' 15.0 — @20.00 Ex. Occup. PERMIT FEE I S I L 7 I op ELECTRICAL PERMIT I I Fling Fee: 20.0 Main Service( eoov ORoa LESsS — i 1 2300� moA LEs I 23.00: Main Service ( 2.0A TO 10.o I I 46.00: ZEw CONS i. OwgLNO OCC VP. A AOONS. N N L ACC. BIOS. I 3.5c": : NON-aEs�O•MALCH YULTFOUTLET I 97.50; pOwER APPARATUS L SNOLE OUTLET CIR I Ex. Occup. OVTLE'T OR --ES I L 7 I op Ex. Occu P. `171Eo APPU4. oA OUn—TS (RESIO I EA 5.00; Temporary Service i 1 2300� Mobile Home Facilities ! i 20.00 Misc. Wiring ; 23.00'r I I I PERMIT FEE I S MECHANICAL PERMIT Fling Fee 1 20 C) Heating -- I Cooling I - Hood I 1 6.50 Ventilation PERMIT -FE s Mobile Home Installefion Fee E Energy Inspection Fee b Occ I cwar TYPE ply( TOTAL FEES —� I- v This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work ..• indicated above for which fees have been paid. Receipt No. WHITE •0.O.S..S.O. CANARY -ASSESSOR PINK•INSPECTOR GOLDEN A50 -APPLICANT By PERMIT EXPIRES 6N Date COUNTY OF BUTTE-DEPARTMEN , E MENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBErto -C7O��"�Proposed Building Use: Counter Technician: Date:t03Engineered quired in order to apply or a permit. All boxes MUST be checked OR marked NA in orply. te plans, 3 or 4 sets, signed by the preparer of the plans. omplete plans, 3 or 4 sets, signed by the preparer of the plans. 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. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. 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. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other ammg items needed to issue the permit. (May require additional plan review upon receipt of the following items.) .16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 4�11 Statement of Intent for Non -heated and A/C Buildings ................................... Sanitation and site plan approval from the Environmental Health Department in ❑ 19. City of Chico Plumbing permit........................................................................ ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: , (B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... El 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone 57e9 so and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. m Applicant: Date: 11-12103 1. Index permit application for theabove items numbered: 1 Plan Check Letter 2. Additional items required Contra .tar jesigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: Z I 0 3 Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division _ ��(( /1k JU.%Jry1 i Vkeq l-fby- covt'�f'e�, 0 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES PROPROSED BUILDING USE z1DATA.P. 40 tag ZZO _(02-1- DATE E l I 3-63 RECEIPT # DATE REC. ' 1. BUILDING PERMIT FEES --- Balance Due ..................... --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... 4. URBAN AREA FEES X $0.03 = $ Sq.Ftg. (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 $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT'— � �k Q Q . DATE 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) . ' . COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. 069-220-021 03-3520 A.P. No. AVERY; JOSEPH'& EDNA` Owner 1.,45 APACHE CIR, OROVILLE-- - 1Cont:D_ &A_ CONSTRUCTION Contractor C _. _ f T'- Permit No. NEW DECK _ Expires— PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Piers Underground Conduit Pre-Gunite Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Electrical Rough Mechanical Framing Shower Pan D'o insulation Fireplace Footings Fireplace Throat Do Not::( Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildina or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses .:Informaron t.....; 24 Hr lnsp Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2.751 891-2834 Revised 7/94 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538 -75416)3 - (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAIUNG ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800VMain Service zo A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is inforce and effect. ' f License Class C Lic. No. �� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ention sura ce carrier and policy number are: Carrier �f� Policy Number :7!=? W —?gyp (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. b X Date Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADONS. ( y ADO. BUDS. 3.50FT NON-REOSID MULTI -OUTLET H CIRCUITS @7,50 POWER APPARATUS b SINGLE OUTLET CIR.3IDi 1.00 Ex. Occup. OUTLET OR FIXTURES SAL p x.50 Ex. Occup. DFlxxE�OSA AM DRQ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAz. D. FEES IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT z n COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �• 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P o (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING I BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS I CONSTRUCTION LENDER LENDER'S MAILING ADDRESS �- Fireplace - 1 Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service OOOV OR LESS 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class eH'1 Lic. No. L -t OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO t000A 46.00NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT. MW UU p • MULTI-OUTLETNON-RE @7.50 OWER POWER APPARATUS a SINGLE 0.CIR. Ex. OCCU OUTLET FIXTURES B„ @':50 FlXED APPLNLS. OR Ex. Occup. .=PPM.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensationynsurce carrier and policy number are: Carrier }- a Policy Number UU (The above sections need no be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. b X �,� NCQ VJIY _ Date 103 Signature of Applicant - ❑ Owner EX Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAz. D. PEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code, and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I 1" r Nl �- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER'Al1IT NO) (Rev.12/96) APPLICATION AND PERMIT n� T_>�u ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS "UNG ADDRESS Permit Fee $ Plan Checkin Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service .OV 0A OR. LESLESS 2o 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. j � License Class 0r -H-1 LIC. No. LIS -1 OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00NEW CONST. DWELLING Occup. OR ADONIS. ( 6 ACC. BLDS. so 3.5¢FT; NLW O�,b - MULTI -OUTLET @O 7.50 POWER APPARATUS a SINGLE OU LET CIR. Ex. Occup. OUREr OR FIXTURES aqL @';50 FIX1 Ex. Occup. OUTLETS REs OR 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 t_ PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensation nsura ce carrier and policy number are: Carrier 9AU_ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 1:1 f.4 9/)�Q - 2vy (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. t>, X mew ;Z�___ Date � � 03 _ Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE EE $ HAZ. D. FEES IMP ROOD CDF PARCEL po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .."ti•� . y . _ .a ... >.. . may: .-.'a'. � � wrC 1 .. _ 069-220-021 AVERY, JOSEPH & EDNA 45 APACHE CIR, OROVILLE Cont: D&A CONSTRUCTION NEW DECK 03-3520 11� "COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�- --PERMIT NO? (Rev. 12/96) t APPLICATION AND PERMIT 0.5 -9 ,), 0 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service noon oa LEso 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin with Section 7000 of Division 3 of the Business and Professions Code, g ) and my license is in full orce and effect. }� !j .-�ry �! License Class �.'.� Lic. No. '" lc' 1 3tci OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. X47" I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' Com ensation insura.ce carrier and policy number are: Carrier 14L i,f 1% Policy Number 1144!1;40 .. ?till (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. KI ° 1 y X I..� ti r _IL I. Lt K..t ��_ Es Date �1 I1 V5 #D!, Signature of Applicant - ❑ Owner Contractor ❑ Agent t ' An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO +000A 46.00 NEW CONST. DWELLINGOCCUP. sO OR ADDNS. ( 8 ACC. BLDS. 3.5¢FT. NEW CONST. MULTI -OUTLET NEW CO ID. BRANCH C RCUITS 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES SAL p .50 o Ex. Occup. oFuc�LEED�A Aa of 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ Haz. D FEES I IMP FL000 CDF pggCEl pp HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT , ' C-,;:Jh OF HOME CUSTOMER NAME I/ � 'fit ��: i DIRSCRI?•i'!cr� I �I All mein fr•4me blocks In■tollod and level AII'Ivterrlapo Ilne plot blocks Inalolled COUNTY OF BUTTE BUILDING DIVISION DEPAIJTMENT OF DEVELOPMENT SERVICES :411Main Street • Chico, CA • (530) 891-2751 7 Caurity Center Drive a Oroville, CA • (530) 538-7541 i - CORRECTION NOTICE ' 0 R PERMIT K0. ne Inspeotion;lndlcates that the following violations of butte county ordinances exist at the address and!shpulid be corrected. Please notice this office when correction of work Is ited. It you haven; any questions pertaining to this matter, or need additional explanation, tact this orrice Immedlataly. f -/ _ __- ... _../ -N iJ SEIRLaL d /1>' YES NO 1 ►�r, 1 Inspector-- •. TO '-d WO 8Z: LO be-9T-Nnr F� t ;. x �4.f !•'.1 �. Inspector-- •. TO '-d WO 8Z: LO be-9T-Nnr 1/ rs Alit t MA;3 ooz, 11 41 47 51M Leo" ooz, 11 41 47 51M BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public!! M! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is .required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address: Phone Number: The above information is not available to the public!!!!!►! M National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the BestManagement Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BNTs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: Date: 401FKp_bal -dc My�ln4�lecl NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan 069-220-021 I Sy V J LL- � CD 1—' • X . QQ X r� v N L lei � o 3 s z L— CA F- am C • tlla I M ,�U O Q o= C- Z U ` u- o� C7iQ0L st \ W' :I 0 5 II II `J' w S �J N 7 Z J � c U � � m II D Z ~ CO C IL O 0n Q } Q i V J LL- � CD 1—' 1H913H 11UMVH// Sbbt AU;N w H O C 0 X' zc = 4 `v .9 xvw \7� .,Q \ r z, LL - v V w 0 AM W 0 NIW .90 � X r� v N tr lei � o 3 s z L— 1H913H 11UMVH// Sbbt AU;N w H O C 0 X' zc = 4 `v .9 xvw \7� .,Q \ r z, LL - v V w 0 AM W 0 NIW .90 � Y N tr lei � o 3 s z L— J 'O m am C o 2 E �� O Q o= C- Z U ` W m L o� C7iQ0L st \ W' :I 0 5 S �J � � c U � � D Z CO C IL O 0n } Q i Z) •U z O 0 � Z w� mi • o � o �w s z L— C L O S3lcVV 1 C- 7 fig.. Ti G PLYWOOD CC EXT. �• u 4'Y lo' DF*2 20-t V DECKING (ALT) GIRDERS I'/a' T4 G PLYWOOD CC E KT. ea z GrUARPRAIL n 4"MAX.'' /-- DECKIUG PRECAST ec—V la r •PHIS 14� 4"KN. FOOTING ;., 4 -ox 6 is It` _ + � v T � zo MO. - .CLIP= 2'x 12" STAIR STRINGER. 48*a.c,. MAX. -TDF VIEW H AUDKAIL NOT SHOUJ N FDR CLARITY. A�\ r 3/8� 13OLT w MOBILE- HDME 12'x 12' PI (on IAF x►F' vo'm. rzl �• u 4'Y lo' DF*2 20-t V DECKING (ALT) GIRDERS I'/a' T4 G PLYWOOD CC E KT. ea z GrUARPRAIL n 4"MAX.'' /-- DECKIUG PRECAST ec—V la r •PHIS 14� 4"KN. FOOTING ;., 4 -ox 6 is It` _ + � v T � zo MO. - .CLIP= 2'x 12" STAIR STRINGER. 48*a.c,. MAX. -TDF VIEW H AUDKAIL NOT SHOUJ N FDR CLARITY. A�\ r 3/8� 13OLT w MOBILE- HDME OR DE(.I� M 1�: Z. � ` a CLIP (EA. RE \�y r MAX, � y Miu 4'x Gr : :L*. T 4'X 4' POST 2"x 12' x #MF. �— 3 , (2) la 10, z 2'k4" PRESSURE' _ - a" IN, 60LTS 7VATCr OR v 1:'1A 7F v GIRDER .l-"'RrDWOOD ZD -In - 90 q.Xq,. POST 6 - ,dpEQU4TEE N46 DNA I. BRACING. TYPICAL RFSiDENr��1- girerP.S ANo/�p�-ck COUNTY OF .BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville. California 95965 Tnl..n!.nnn• rnn ori, C L-, TE G PLYWOOD CC EXT a�� u 41,fV DF*2 2"xfc' DECKING '.(ALT) GIRDERS Ph* TilG PLYWOOD CC EXT. r-- CrUARDRAIL lel MAX. � e1 rlcr, V l l l /_ • w -14-m. roo7 i NG 4B" MAX. GIRDER T1 - 4'x V MO. — L71 — m 2' x 12" STAIR STRINGEIZ. 48'0.c,. MAX. -TDP VIEW HAUDIZAIL NOT SHOWM FOK CLAIZITY. AN r 3/S" BOLT #2DF.-� -- (2) 3/6" 80LT5 ' s'MI�I, IF, 17 7- MOBIL�MTTL. 4f-' zo MO. — L71 — m 2' x 12" STAIR STRINGEIZ. 48'0.c,. MAX. -TDP VIEW HAUDIZAIL NOT SHOWM FOK CLAIZITY. AN r 3/S" BOLT 2'x 12' #2DF.-� -- (2) 3/6" 80LT5 ' s'MI�I, 7- MOBIL�MTTL. 4f-' FRMU' CLIP (EA. 9MIu :: 4'x4' POST -jr 2'x 12' #2DF.-� -- (2) 3/6" 80LT5 ' s'MI�I, 7- 4'X 41 " 4'X9" POST - ADFQU4TE D14C DNA I. 13RAC1 NG. x I214" PRESSURE' /7 RfATCct oR ..� RFDWOCD /'/.ATF • .J • L • 4�\\��a` � 6-l.2 -94 T YPICAL RFS DLWr1111- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville. California 95965 Tn1—!,n— r-)- ,,, kol' Z2-0 ' Z/ AP# CDF FIRE SAFE REQUIREMENTS PERNUT # A/&Y �oS6A NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius IN 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet' and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. IN 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. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot'traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 2r AP# PERMIT# NAME [X] 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. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [X] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space [ ] 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 on page 3. (] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, Imo' burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shalt be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 0 —3s 2v ''/ r- JoS6,� AP# PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof and Enclosed Eaves [ If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and:. Choose any 2 of the following: Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire sprinkler system per NFPA 13D Glass area not to exceed 10 % of wall area toward property line with insufficient setback Siding from the following list: Stucco — 3 coat Hardi- Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 t;C?--Z2.�.-Zj AP# CIDF FIRE SAFE REQUIREMENTS 0> -3sw PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made.a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius IN 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. IN 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. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 w4' )� Z Z0-2/ AP# 63_3s � /� , -TsZP PERMIT# NAME [X] 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. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [X] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space [ ] 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 on page 3. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be .completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 _ LPA._ ZZo-Zl 0 -3S 2v AN PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof and Enclosed Eaves NAME If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: Metal or no doors on the side toward property line with insufficient setback Interior automatic fire 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 ll_/'P—p 3 Date Signature Page 3 of 3 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION >V 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2003—.0(085969 Recorded I Official Records I County Of I BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I shawnyya 11:53AM 10 -Dec -2003 I Page 1 of 1 REC FEE CONFORM 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 149, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT NO. 3", filed in the office of the County Recorder of Butte County, California, on July 26, 1974, in Book 43, of Maps, at Page(s) 44, 45, 46, 47 and 48. Date 4w4j-t- ��Q3 PROPERTY O S: r State of California County ��of,1jl;, */c/ ' On `)'GflV q%S c20 0 �- before me,a� � �`7['A- 3-ose-ph kve-ru , 79 -- personally appeared teeX personally known to me (vi(p ed t me on the b i f satisfactory evidence) to be person0whose namgs is a ubscribed to the within instrument and acknowle ged to me that tWshe/ eyy xecuted the same in his/trer/ eIr uthorized capacity ie ,and that by th it gnature�on the instrumen , e person or the entity upon behalf of which the personEVacted, executed the instrument. WITNESS m hand anddo�official eal. Signature &U-ig-� f A.P. #��0�- MARIETTA SIBIUA Seal: _ Commisslor► # 1265262 11 Notary Publ� - Cafffomlo Santo Claro County My Comm. ExpYea Jun 23, 2004 7.00 1.00 .11 L r 44 tiA#' 40 r ;ja - ,i•'F .: �' .} `if . � x C -' ry'''s �, is . .�}. r'�.��Lrii Sob �,�'r'j AN .41 e .. 1 48 Apache Circle Ap# 69-220-021 D&A Construction 969 W. Onstott #J Yuba City 95991 530-821-5850 8/10/0 Fac' g North at toe fill on East side of Apache Circle SOUTO i 48 Apache Circle Ap# 69-220-021 D&A Construction 969 W. Onstott #J Yuba City 95991 530-821-5850 8/10/04 DA Facing North at toe of fill on East side of Apache Circle 48 Apache Circle Ap# 69-220-021 D&A Construction 969 W. Onstott #J Yuba City 95991 530-821-5850 8/10/04 DA Facing North at toe of fill on East side of Apache Circle 11 11 - I- - k .>i "i9 i3 m r . 11. t Its 48 Apache Circle Ap# 69-220-021 D&A Construction 969 W. Onstott #J Yuba City 95991 530-821-5850 8/10/04 DA Facing North at toe of fill on East side of Apache Circle .A N Ih a N ro iiF o , 4`gy'Zt4 .IIJ tMA Nu�� ao e- 83. 0 A1P,C.4E C IcZc,LE N ,ALL STRUCTURES AND EQUIPMENT INCLUDING .OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SE i Q OF Q/�` FROM THE SIDE AND 6W FROiE REAR PROPERTY LINES AND �I'. FROM THE^.F) CENTERLINE SHALT.. BE CLEAN, OF STRUCTURES ANIPMENT EXCEPT. COR A 2 FT. EAVE OVERHANG. REVIEWED BY ---� BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ❑ approved as submitted ENCapproved with conditions per attach o sheet. QLfol Signature Date Date e iiF o , 4`gy'Zt4 .IIJ tMA Nu�� ao e- 83. 0 A1P,C.4E C IcZc,LE N ,ALL STRUCTURES AND EQUIPMENT INCLUDING .OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SE i Q OF Q/�` FROM THE SIDE AND 6W FROiE REAR PROPERTY LINES AND �I'. FROM THE^.F) CENTERLINE SHALT.. BE CLEAN, OF STRUCTURES ANIPMENT EXCEPT. COR A 2 FT. EAVE OVERHANG. REVIEWED BY ---� BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ❑ approved as submitted ENCapproved with conditions per attach o sheet. QLfol Signature Date Date V vq (-6 C6 VI (37 7r of t t 0 ti t 1020 /0 /0 FILE NO SUBMITTED By D A T j I j AcCORMICKNEL LY OE SrArES uAlIr jk/0-,'3 APRli 4PR" rAL GROUP NO.. . ti 5 H E F JA APPROVED BY, SU4:�!VEY!NG ENGlf',jEERlr-j:--':- 2 .- FILE NO SUBMITTED By D A T j I j AcCORMICKNEL LY OE SrArES uAlIr jk/0-,'3 APRli 4PR" rAL GROUP NO.. . - - '6 "' A A1'3-1' A. TEk'.Q-/w'S 5 H E F JA APPROVED BY, SU4:�!VEY!NG ENGlf',jEERlr-j:--':- aurrf evilAlry .1 c.*A Irommo 0, 01 FILE NO .ti Jo N tMAN k (off 0 A?Pc4F, C �czc,LJE, 4eA 4hQll. CA 0 Z , c o� C :9A C`. z a iTi : D A?NC4E C �RCtE J Q a � m O O N 5 V � z � � , --j —:��w)SdXv g b � C hZxh2 o � a o ll i S kp i I� X e. C c v ll - �p Jt k1�1 o , .. z5* -Nam I zqxz'4 S 0 5ET K 9 p3' �11�'ACN-� C t 2C.l.E Bio ALL ST'RUC17URES APIC EQU �6.NT IM OVERHANGS SHALL BE CL�ERSEMENTS. A sE�T SACR� OF . 6 RL SIDE AND AC'-d/yt-oma• F -T. FROM THE REAR PROPERTY LINES AND Z _ I.- T. FROM THE ROAD CENTERLINE SMALL DE OF STRUCTURES AND EQUIPMENT EXCEP e VOR A 2 FT- EAVE OVER, REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY Ej approved as submitted ;Cjapproved with conditions �r Attra'c"OU s -et. .._.._.._ r ► Pc�3 �Ign,iira �- Cate ,Q N * cl%�kz x [oa , ATNc4,E C �cic.LE N IN O Bio aQ 00 5 c— me 1%J Nuc �► �J 67, %, a : I��r /'� off, C!, 585138133"I(f(le) AC12EAGE5 LOTS STREETS 6OUN0AIZY 56, ll4 16.675 71.789 BASIS OF BEARINGS KELLY RIDGE ESTATES UNIT ONE, BOOK 38, M.O.R. PAGES 5, 6, 7, 8, 9 AND 10. •...oao-/3/, P. WllrH SRA55 PLUCK b 9 � cr 55.041 r� f f ,+��, f 60.09' � • 5e' S �� w24,1 � 1 �� t1� 243 �• a5t 242 �� h apn/,( 559 % EASEME /35 63 ��� ORO -134 , 314 " 1. P. ?, h'T ....• WITH GRASS P06 P44S 350. ORO - /32, 3/4" /. P. --•_.-WITH BRASS PLG1C� G Ci ul ORO -133314' � P. Y/!rH 55 PLUC7 SI -I E—E i INDEX NO SCALE - LEGEND •••5ec 9.6. COMMON PR I V A T E DR I VEWAY EASEMENT .. _ .•,••M .Z••'•- <.7,-.-,T• FOUND MONUMENT AS SHOWN . _ ...: _ ... _ .._ ......... _ .......� SE's Z" -X-3' IRON PIPE TAGGED R.C.E. 9033...--. � SET NAIL AND TIN • .... . ..... .....:. ... .. .p SET CENTERLINE MONUMENT, BUTTE CO. STD. S-17._..•� RADIAL LINE . ..... .. ........... - - (R) BUILDING SETBACK LINE (S.B L.}...._...:.. CURVE DATA REFERENCE DRAINAGE EASEMENT (D.E.)..._.._... — -- PUBLIC UTILITY EASEMENT (P,U.E.)........... DEPARTMENT OF WATER RESOURCES, . ............ _........ P 4�J•R• STATE OF CALIFORNIA ALL LOT CORNERS NOT INDICATED BY THE ABOVE SYMBOLS, ARE, TO BE MARKED BY 3/4" IRON PIPE W I TH TAG R.C.E. 9033. SUBDIVISION NO. 711 KELLY RIDGE ESTATES UNIT 3 A PORTION OF THE E.1/2 OF SECTION 12 ,T.19N., R.4 E., M.D.M. AND A POR` TON' OF S.W. 1/4 SECTION 6 8c PORTION OF W. 1'/2 SECTION 7, T.19N., R.5E.,M.D.M. COUNTY OF BUTTE , CALIFORNIA SCALE 1" = 100 APRIL 1974 OWNER a SUBDIVIDER: SOUTHERN CALIFORNIA FINANCIAL CORPORATION ENGINEERS: THE MURRAY--MCCORMICK ENVIRONMENTAL GROUP SHEET 5 OF 5 SHEETS BASIS OF BEAD I NGS KELLY RIDGE ESTATES UNIT ONE, BOOK 38, M.O.R PAGES 5, 6,- 7, 8, 9 AND 10 w v Q �� 8 J J A 86 ti Nupov % 1 ,10 c' 1 6 \lJ J l � � 8 . ' 88 �n atiBL�° `�� `�' P 55.85 • h�' Q 270 A t • r° ' • " ` r... �an0' ' /3 /3 �° 1 d=18°43 Z81 Z $�1 tI� : r•" y 6.00' d' 4 �° 2 CURVE ,TABLES SHEET 4 NO. RADIUS DELTA LENGTH 1. 20.00' 90000'001, 31.42" 2. 20.00' 89000'06" 31.07' 3. '0.00' 101032'12" 35.44' 4. 320.00' 10043'38" 59.91' 5. 50.00' 12036'19" 11.00' 6. 20.00' 44024'55" 15.50' 514E / 3 7. 20.00' 60°57' 16 .28' 8. 20.00' 109028'15" 38.•21' 9. 170.00' 16'008'42" 47..90' 10. 230.00' 10'007'06" 40.62' 00 1,` b o � c 'h� '• l� � l36 /3 B0°00' R= 300' v 2 . '� , tv-I.i. LL`sem. � V" v a`d7001/97' 3q. ...., j C• ��?,,'`rii `�°�h a•D� /? "•` a'f/°/3'f3" d=l0'S5`3�L°3' ��,, �� v •� 601 u 4°797' T L'6�• 62- 4 11: �1`/-7' �- v`J�•� ` vo a �� B'`a�t' '0, _ o aµ/?= 5uo.F. 5'0' v 2°5•g�510�N..�9,�`''"�-�we�p sl 3 hG ' t1�-/ a°l�1 1.v �o+ l8Y0.' Q0°»Le 7e� 7 42. 00» 0m 10Mo g 00' -17.00` 35.00, 6600 L63 1. f 6N® 06' o �;.0 143 18tLl N B5° 1 42' DOE I 263 N W °� 9 -i �Do.co' 1 too.o0' N� Zg284 .��36=-�..5 � _.-i--• ;L: J•. � %�7 r (D >>1 _ C- r-) a r�.1. °+74/" ��-- � c 63.96"tm i I " r" M 81 f • '62 05` 00' 65.001 -' �' Pi 8 '� Y' G►' �' 1(1000' 1: 336.00 :t 100.00' t �. 1485°42' 00 E - Nd� � °5B'�°E« 1aKC- o, COUR -� ori / 5 ti t� l0' i�rs` 5Lpl'f+5.0?' 560L�'. to 00, 5 8.1 r r; 1 100.Ot7 R `�' Z�6La" 4 - a• 2456 �' S.e[ • ���• ti 280 °67•cn'3�1 E o m 'i 146 0 180 �, r5! ��%���'. ,�°: 275-, o: t=31q.. y , d°Z,?f�© aco.� l�8 n' V' 1 ,. 85° 47, t!0"� �135.�q°�(R� S6"�'s f185° 42` C0' c- �: too 00' n 79' 7' `�y e ' 000 65.Q/1� 6500' . ' t05 ? . 38a r , 13.Cfl 6tlOt1' V.00' y00p, d3 A' ' w a't ' 1 ,...0 �"� V� g3 82. 3$, p0 gG�d cin +� f/854421- 773 42`' 26vt cls N q e Vy ���tti�44ifl s z4 rip' S.B.L t Q . to i IY/ 8Q y J o 268 X47.78' s4 Do' Nes°4?' oo"o' I 8°y`j•�7y3"R=260' ° q ° 2' +r 17.1 a tG�G! 3f c'� 1 77 &7 tI ilJ 00 lcl I ''gsee'°f36'3?« _ 4e J's,• �y a a 4 1475 �..`� ams. i 0 9. 6� �1M� ` ✓'' WN 4 Lr3. 267 e. elf, 62.Og,,.-'" a'y.l� 1.• w_ �' �''� �,0 `'�+5i''%'r?y'�,36� !JB•, x- f .50 '�6 r i� 9 �, thq' w X65 2"64d.lti o°` r-' �„ -- ?"�� 266 Q ..) .� �J J J�� Ik ° 2 _ " 540'5lT ` 188.0© -!.1 5 85°38'33`' W(R) 260.019 � � � J 5 E S I4FE-7 5 11: 220.00' 1.0°00'00" 38.40' so 12. 50.00' 2002.5'21" 17.82' 13 2850.00' 00059'54" 49.65 0 s A e3 ?60e(g) w_ 8sp 4 00'�- E O I G►220/ as?� V G Co Un/_ !MS P�1 �� 209 0 °� to v 1. 43-4% 5HE-ET INDE3X NO SCALE LEGEND COMMON PRIVATE DRIVEWAY EASEMENT-___ FOUND MONUMENT AS SHOWN e ! o 13700 o' 106, . O , , N79 f95 ; o e-; -SET_ 2" X 3' I RON P I PE TAGGED R.C.E. 9.033 _ ........ ..:.. jj SET NAIL AND TIN ........... - . ..... _ . O ?, 194 o m �. Gr SET CENTERLINE MONUMENT, BUTTE CO.STD, S;•17 n Vj l93 �• qti. !O�p m^e �4eO�vi G RADIAL LINE - s�. 214 p3 �� v� BUILDING SETBACK LINE (S.B.L.) 215 ' CURVE DATA REFERENCE _ ..... . .... . ...... . .... _ .... _ ... O i , / _ 3c 30 a �hyy ©. y, AQ �4; ,�� � Q�•�,�� ��h PUBLIC UTILITY EASEMENT (P.U.E.)-.......... DEPARTMENT OF WATER RESOURCES jdays�� :gip a STATE OF CALIFORNIA oQ,f�n�,s'Il% DRA I NAGE EASEMENT (D E Q. ALL LOT CORNERS NOT INDICATED BY THE ABOVE SYMBOLS, D',e 4( s,. �' ARE TO BE MARKED BY 3 /4" IRON PIPE W I TH TAG R.C.E. 9033. tiss 178 oQ hQti°� Jr`�� A C R E A U E S LOTS 5& l/4 SUBDIVISION NO. STREFiS 16. 6,75 f�3o�20,841UND„4 RY 72.789 RIDGE ESTA ES UNIT 3 lt� No T A PORTION OF THE E. 1 l2. OF SECTION 12 ,T.I9N., R. E. M.D.M. AND A P N ORTION ,OF 'S,1r?I1 1/4 SECTION 2 2 6 & PORTION OF W. 1/2 SECTION 7, T.19 N., R.5E•,M.D.M. COUNTY OF BUTTE, -CALIFORNIA s ' SCALE : 'i"=-100' APRIL 1974 OWNER & SUBDIVIDER: SOUTHERN CALIFORNIA FINANCIAL CORPORATION ENGINEERS: THE. MURRAY--McCORMICK' ENVIRONMENTAL GROUP SHEET 4 OF 5 SHEETS