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071-440-009
4;��' I 071-44-0-000 99-0494, P,E,_'4-} I VAUGH�I, 'Jimmy D� ..._ . .. �, . ; �% Justamere Lane,-�Berry Crk.' (util; MH)Koepel/Const�^ ELEC ZQn \h� GAS LPG �/c� Zr� SUPPORT STR K o COMPACTION TEST /Vy J 071-440-009 99-071-1 VAUGHAN, Jimmy 77 Justamere Lane, Berry Creek Contr: Keoppel Construction MHI/ MHU 99-0494 071-440-009 99-2395 VAUGHAN, jUmmY 77 JUSTAMER LANE, BERRY CREEK CONTR: FOX COMPANY WATER SUPPL FOR�IRE SPRINKLERS FIL (, 071-440-009 06-1948 VAUGHN, JIM 77 JUSTAMERE LN, BERRY REEK Cont: FREEDOM HOMES ft MH PERM FND(NEW) ��, 2 J .;d- ja 071-440-009 AG02-080 VAUGHAN, JIM est ROSE 77 JUSTAMERE LN., BERRY CREEK AG. BLDG. t ElIr- �--grA OEM - pm r / `. 071-440-009i��- h6-1948 VAUGHN, JIM 77 JUSTAMERE LN; BERRY CREEK' NOTES i f Cont: FREEDOM -HOMES MH PERM FND(NEW) t i RESIDENTIAL {, APH: Permit No. Owner. { Site Address- Contractor. r} Type of Permrit , Iz y OFFICE COPY Address GAS—( `Date > Meter BY IELECTRIC_:* Date 4 Meter By CONDITIONS CHECKED BY FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERmrT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTN CLEARANCE j DATE JOB F94ALED: "�/ ✓ �/ SIGNATURE: o ` - I - =OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS" DATE ERNIANENT FOUNDATION Lj SOFTSET •"—DATE D E C K S'C O V E R S`C A R P O R T S •GARAGE S 1 ZoningSetbacks-Easements `412 Setbacks -Easements ; Special MH Support Sketch A 2 Figs; SoilsSz-DpthSpacing-SpacingrsSteel i3S er;Lorin Test: FaNC/O Concrete 3 Decks, Girders/Joists-Dcking-Brcing tr; Loctn Test-Easeinent Needed -Regulator 5 EI octn-DIrnrs-Drnd "Amp -Concrete Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. and Gas; Loctn-Test Wrap Nat O or LPO Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSpilce-Decal-Enclsrs g• SzSpacing-Marriage Line 6 Carports; Wndws-Doors G MH Test-Demand-Valve-Cnnctr 7 Electric MH CntntyTest-Crossovers-Breakers-Cirncs 8 Frmg; Sills-AnchrsStuds-Rftm Trusses rain; MH Test -Fall -Flex Cnnctr 9 Siding; Nail'mg-VeneerStucco-Lath 11 Wtr&er Connected -CIO to Grade �2 and Electricity Tagged ie D Foundations Z- ) 10 Roof, Shthg-Roofing 11 Ext; Steps -Doors -I andirigs 12 Braced Wall pnis 15 Ce of Occupancy UD LabeUlnsignia Numbers Serial Numbers VP 4& S j DATE POOLS / I i 1 Setbacks -Easements (10 ! 2 Soils; Compaction -Structure Stability !n/ i 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptds/Lting; Distanc"R 5 Elec Fool I ting;15 volts-GFI 6 Efec.Enclsrs; Conduit Entries-Terminals-Disted L o i v A C.i✓ ) • Z I. t 7 Elec Bonding; Metal w/5'-Crcitng &p-Htr 8 Elec Gmdng; Eqp w/5' Crdtng Eqp-Pool Ightg Bmcgs-Enclsts-pnlboards4.nsultn-to Main Conduit 1 ;F 9 Health Dept Apprvl . 10 Plmb; Cir Test Wtr Supply Test 1 11 Lt Niche 12 Endsr, Fencing -Alarms 13 Bogdmg, Diving board or Slide Drawing I i 1 A a = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Rood -Slope 2 Ftg Main; Soils-Elec Gmd Ftp Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth 4 Fig PorcheslDecks; Soils -Steel Ftg Dpth 5 Stemwalts Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Biockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frple FtgSteel 9 DWV; Fail -Fitting Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgitrService Test 12. Elec Undrgmd 13 Plenums & Ducts; Clmc-MaterialSupportansultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & Vntitn 16 Insulation o' 4& o'er o`er DATE IrRAMING 1T Silts Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls ovet Girded.,& fir Nailing 20 Draft Stop In Walls (rat proof) 21 Fire Stops; Fiim a CeitingsStairs-Chasers Tubs 22 Headers & Beams-Sz &"Bearing' 23 Hangers-P•osE'Caps-Anchrs-Cnncins 24 Ceiling Joist -l* Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue=F ' Ic Throat Clrnc 26 Attic Acr Sz &'Rini Pin-0rafi Stop4ns Baffies 27 Bdnn Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire P' FramIng-RC Channel 29 Prprty Line Firewall & Opngs' . 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Wd$r4fdrm4Rise4bm4-anding-Fu•e Prtctn 32 Plywd on Roof OvrhngAttic Vnts-Rftr d itrgrs 33 Sid -mg -Nailing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Are PrtctnSkyLls-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws 0 DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clmc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire Sz pa OCU or DAL AC Wire Sz ya OCu or O AL 48 Range Clic _ Qa Q CU or O AL Oven Circ ga O CU or DAL Insulated Neutral Dyes ONO 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cirrus pnls-Motors-Meth Eqp 51 Clothes Closet LtShwr LI -Spa Lt 52 Smoke Detector UAlh LPLUMBING 53 Wtr Htr; Vent-Acc•Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn, 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, Fust fir -Tub Ace 57 Test Tubi & Shwr, 2nd fir - Tub Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping 0 DATE MECHANICAL 61 AC Ducts Insulin & Support " 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rh WNent 115 Outlet 65 Attic Ace & Pitfrin if Furnace in attic DATE FINAL 66 Ext Steps -Door & SideLt Pdcbt-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr In Garage; abv-fir-Duds-Meth Prtctn 69 Bedroom Exiting 70 GFl A Bath Fxtrs & Tub Ace -Spa 71 GFl Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Ou leLs at Wood Pni. Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd Air-Gap-Dooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct In Garage -Damper. 80 Wtr Htr Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtetn; LPG Appince Undr House 3" drain 81 Pimb; Elec & Mech. Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GF) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps _ 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clmc Drnge Planters O Yes O No 87 Stucco Brown -Finish _ 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frplc-Clmc_to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous irispcins 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnndd-C10 to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler dr COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 3 CORRECTION NOTICE Ve- L.1" tom,.. '" OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional • , explanation, please contact the Building Inspector as indicated below. ` 1" `ice?4 +L1 v F� frn, �r f 3; 3' Date / ti Inspector QO d ✓ Q REV 4/05 Phone #� S�� fr ' "~ FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 K�- r PLAN REVISION Owner's Name: U BP#: v v Date: 31 (o AP#: C)� "I " L40— Received 40Received By: QW.", Time: o� Contact Person & Phone Number: 345-0/2 / f rness�� 7 °�lyt 91-7&0 PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit* Application Data Sheet Item - ❑ *Engineering ❑ *Plan Revision ❑ *Requested by Building Inspector's Correction Notice –Inspector's Name: ❑ Requested by Plan's Examiner – Plan Examiner's Name: KOther,: *If revising a plan which has already been issue6, 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 revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: ❑ Minimum $54.99 Receipt #: X—, , I Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt 4: Revised 2/04 \1^' .:.; The 2001 CBC, CMC, CPC, 2004 CEC and 2005 California Energy ., Standards as amended by the 'jurisdiction pp I I�1 •r�c�l ce� �" �r� r l+n cr r'► .' PP Y to this �l S.: S� apply project CALIFORNIA CODE of REGULATIONS TITLE 25 , .• Requirements as amended by the , , jurisdiction apply to this project ahv�ac�u�rc'� �. _.� �_�— — ----�` •. �� � s f,h kluc .c1 � y APPROVED PLANS AND PERMIT SHALL BE ON SITE � '�� �ot: �.cc �',S t 1•�n�lerc :� FOR ALL INPECTIONS . rnv►ind' .h .. ..:.� • . � � : 2 , 26,9 Gem • � � ��• I©N CO . . , ,�.� •. � ... W. ES ro I 1 � , �':� SOS a� lewi �q��c ' Wc�I C ntcti Lic '6�0. 275 0 , ro C-16 A�. P�� o '�h O.M< •', Refer to APPROVED PLANS for ' t t •. 1l ` pCciiGato.n' S.htes additional notes and information for this project `.. - A' ram Owner: �VA t>CH r d 6 -� 9 y� I REVISION: BP# w y`4YpAPN• 071 Ek .,'Date 5ofPvp -.S .2. 1 -.•TOB ITE COPY 'i{p 1. 1. � �' � , `• ' r { ` i.. A " RO: Box 3176 • Chico, California 96927 (916) 3454012 '' SAN JUAN CAPISTRANO,CA 92693 RESIDENTIAL SPRINKLER SYSTEM HYDRAULICS CALCULATION REPORT FOR FLEETWOOD HOMES, INC. MODEL#9609B Date: 8/17/2006 File No: FWW270 Data File Name: FWW270.rdf SPRINKLER SPACING 256.0 sq. ft./spklr.(max) Max. Dist. Bet. Spklrs: 16.0 ft. Min. Dist. Bet. Spklrs: B.0 Max. Dist. Spklr. to Wall: 8.0 ft. SPRINKLER SPECIFICATIONS Mfr: Viking Descr: VK438 Pend. 8/12C.P. (16x16) K39.90 Calculated K Factor for Arm -Overs & Drops: 1.0 ft, x 1.100 in. Drop: K=9.83 (Incl. 1 Tee) 0.0 ft. x 1.100 in. Arm -Over: K=9.81 (Incl. 1 Tee & 1 Ell) PIPE SPECIFICATIONS Type: CPVC PIPE & FITTINGS HWC: 150 WATER SUPPLY Source: Tank Test Date: By: DATA BY OTHERS Static: 0.1 psi Resid: 0.0 psi Flow: 0.0 gpm Public Main Size: 0 in Domestic Demand: 0.0 gpm at node number 0 SPRINKLER DEMAND No S kl . p rs. Flowing Min Spklr. Flow Press. Node CTotal ', Avail. -Re q'd`. (psi) No. ,,Flow--) press. 'Press-. 1 2 13.0 13.07.0 7.0 6 6 13.0 C —_ 0.1 6 9— REVIEWING AUTHORITY PES APPROVED - - --' PFS CORPORATION e Approval 04tr. 08/21/06 QKplrrr� o0 1��1 Osy eh November 07 Approval / r PFS -02060582 L0/E0 39Vd d1 nNlnnnM nnnM I qq1a • 0.1 29.8 C(". , A.) I') , y ki (WIN 11 HJ Series coo Dimensions The HJ Series Lawn Sprinkler Pumps are designed to handle a large capacity of water at high pressure. They are Ideal for continuous use on lawn sprinlder systems, for garden irrigation, for boosting oily maul pressures and for recirculating water. Features: ■ Stub shaft motor with bronze oaupling and bronze impeller oftema easy serviceability and premium construction features. N Cast iron pump case. Large capacity case ensures excellent self -priming performance. ■ Thermoplasdc diffuser for Improved pressures. M Mechanical shaft seal ensures leakproof fit and continuous water lubrication. ■ Two-compartment motor for easy service. All ' motors are single phase 115/23oV. sww rux rviCa FACWr �cunmeat curu 31) •,u :�.: _ �,�`• `3• ���:'`�' �;,..�a � �' 1 '`{gyp r S: -f rJ .t. .•e:' 1 .� :'w'ro ,tit+." 4 it �; . �� .. a*•1...:,..�,'• t. �A, "i' Via'. •.. •37 . �•� � est ••yyam� <;,}... . M' f .......... i ..5 ••t: { PGK•4,:,:7':'t �a '•. .,e. :�!K7:•: .oma°+•. r'�.. 1,. : A' t3 :., -43 ;34- 46 Td W139 -q:60 900E 9z—'j nI' 2 2-D768SKS : 'ON 'Xdd dwnd N I AF108 : WONJ P, Vi", MM-1111M. it 78' Ar 49' A A W. I x 0'. 1 1 . ! I Is It. th is .. V A "ililleall 4tfarbge Tanks Vertical storage tanks are most ticid .4i for bulk storage afid mobile illdtpofik" NORVvrSCO vertical taiik4 fjattjkk • built-in gradiiated gallon it - id , st rill -well and a self -vetoed, sljl!,�, r', All NOIKW' ESCO W41W,-. e4uipped with rt aOtltlrrratting and stip p i6be;. Flil Outlet/Drain Pre mlorn Welght Heavy Weight. . Opening Specilicallon Part No. Part No. rq While Blue 8" 2" 40803 16" 2" 40281 -16" 2" 47401 16" 2" 40213 16" 2" 40302 — 1G"_— 2- 40148 40150 16" 2 40023 — 16" 2" A i: 3060 0 m 64" 79" 16" 2" VUVU — 16" — 1. 372' 87" 40065 16" ' 40152 40154 40312 1500 64'. _51% 5 16* 2 40070 40081 5800., 141 .1550 67- 3"/2* 40164 2" 40144 40146 '16h 1 -1 60".."Y . 40071 72' 16" 40235 40236 —40012 40226 . 1 4'' Ott. 6500 =,'-I 2 87* 16 2" 40010 40661 78001 . 1 0* 176 1 : 16" 16* 2" 40178 40241 s!jL- i 372' 40663 — 2" 41399 41401 "12' 3000 ';,V 40231 141' 16* 2" 40051 40052 i: 3060 107 107" 16" 2" 40754 40755 40 100 02, 12.51 16" — 1. 372' 40063 40065 420 -02'. 372 40312 00131' u 50 11 b2'. 152" 41403 14 0-5 5800., 141 97'- 3"/2* 40164 40166 I n,) - '16h 372" 40071 6100 1 2� 21 "1&1. 11 6y' 372" 40226 40233 Ott. 6500 =,'-I 2 5 0 16 372" 3 72" 40659 40661 78001 . 1 0* 176 1 : 16" TO 40224 40232 9006-tir, i4 41 - 146 .,"' .�- le �-1., 372' 40663 — 141 !"T. 160"—. 6- "12' 40543 40231 141' 192" 3 :-, � . 40545 40353 1500011Z., :.. -,, - - 141" 244" 16" 3 40539 — 4054t bd Within UPS dimensional 1111111s '316 Slaln[OGS Stool Bolted Filling-: 3" 41334 41336 PLEASE NOTE: 11sok savidahility may vary acconliog to isrsnrojfaemrirst; lssitaioh. Please toloacl NORWESCO (;,sooner Smice 'link di-o—and c4paddrs� Ji sioma j, w.y.,,ligioly or ycod NORWI:SCO Ifiloil m, fin arsmific dettills. 2 I I . % 4rt oj aso6ject to change without ontire, .3 -a` BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAxir:: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP061948 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued. Date: 08/31 /2006 APN: 071-440-009-000 the Business and Professions Code, and my licehse is in full force and effect.f7 License Class : License Number: Site Address: 77 JUSTAMERE LN BCK Date:rlf7 ontractor. Map Index: Oi- h'f OWNER -BUILDER DECLARATION I hereby affirm under penalty' of perjury that I am exempt from the Description: NEW MH EX SITE PERM FNDN (1599) Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: VAUGHAN TRUST to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of VAUGHAN JIMMY D & ROSE A TRUSTEES the Contractor's State License Law (Chapter 9 commencing with Section 6912 SUNNYSLOPE DR 7000) of Division 3 of the Business and Professions Code) or that he or SACRAMENTO, CA 95828-3011 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):, ❑ I, as owner, of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: CMH HOMES INC owner of property who builds or improves thereon, and who does -himself DBA CLAYTON HOMES #748 such work or herself or through his or her own employees, PO BOX 9790 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one MARYVILLE, TN 37802 year of completion, the owner -builder will have the burden of 916-371-2200 proving that he or she did not build or improve for the purpose of sale.). ❑ 'I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: -CMH HOMES INC and who contracts for such projects with a contractor(s) licensed DBA CLAYTON HOMES #748 pursuant to the Contractors' State License Law.). PO BOX 9790 ❑ I am Exempt under Article 3 of the Business and Professions Code MARYVI LLE, TN 37802 916-371-2200 Date: Owner: License M 839031 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 Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: �c�I required by Section 3700 the Labor Code, for the performance of 4/46 the work for which this pernil is issued. My workers' compensation L/�u v ins rance carrier and polic number are: �-fyZJ (a Carrier: Total Square Ft: . 1599 S.F. Policy#: Valuation: $103,935.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, 1 shall not employ any persons any manner a become subject to the workers' compensation laws of California. a. 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 thoseprovisions. Date: Applicant: WARNI Failure to secure w ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of 7-U compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This pe it hereby issued under the applicable provisions of the Butte County Cady BnrUOr Resolu o to do work in icated ov for which fees have been paid. A performance of the work for which this permit is issued (Sec 3097 Civ.) (a-6�tk Name: B : Date: PERMIT EXPIRES ON: 3I O Address: ate O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or docum t;of Butte County. I hereby authorize representatives of Butte Co my Jo enter upon the above mentioned property for inspection pu r 100VPrint Name: ©t�' / Signature:MVE Date: 0 Owner ❑ Contractor ❑ Agent for Owner gent for Contractor COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION _7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASS SSOR PARCEL NUMBER U � 1 - q ` V " Proposed Building Use: "� Q• °> >��i 2 {n Permit Technician: Date: ' 1+1 G lI Items required in order tb apply for a permit. All boxes MAST be checked OR marked NA in order to ` pply. I&y 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the.preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ] 8. Manufacture comes: (/,J- Installation manual, including marriage line info, (Z) Floor Plan, (P Tie down or fnd plans, all in duplicate \�F 6�'S)NQe't' S ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remainin ms needed to issue the permit. (May require additional plan review upon receipt of the following items.) 3r O anitation and site plan approval from Phe Environmental Health Department in ❑'Chico ❑ Oroville, as applicable 15. ire Sprinklers............................a..................................... ❑ 16. Agricultural Buffer clr and site Oan apr from the Ag Commissioner Sent by ❑ 17. Soils Reporf*and/or Engineered Foundation required ........................................... ❑I 1 Erosion Control Plan Required........................................................................ 19: ees as shown on the attached Schedule of Fees Due Sheet .............................. l� ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City�of Biggs....... .... 22. California Department of Forestry Ian approval td"paid. Sen 23 Planning approval for (A) Use: 4I(B) Parking: (C) Parc Ch ck::........... ❑ 24. Contact:Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire MarsKall Review (commercial projects only). Sent by: ...................... �1 26. NkE' S Form............................................................................................. lc�(A 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... 1:130. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32.. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ / 34. Deed Restriction ........ .....................................................: 35 ] Legal description, M.H. Title, title search, registration o CO ......................... 36. Other: r ' , KS ,,l- ❑ 37. Other: When issued Telephone jflq,U SSU U T�'O�rrl and hold for pickup. I have been informed of the above items„and requirements for obtaining a building permit. Applicant: Date: 1. Index pe p ca ion for he bove' m n mbered: Plan Check Letter 2. Additio items required ntra o , oesigner, owner, was adviked o e above data by phone, ❑ mail, ❑ counter, by Dale:- 30 06' Cori ractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: 40.1 1 Date: 4-136- c7(c., - Plans approved by: - yt Date: 9. 3 C Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division IUBuilding/Plan Check/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY SCHOOLS IMPACT..FEE CERTIFICATION FORM I (One form per Building) School District (v� 1 Building Department No. o A.P. Number �� ' V Jurisdiction: City County Property Property Subdivisi�� µ w w �Vk ......................................................... 1 Residential Development= �om.� Q Q Sq. Footage 1rD� No of Living Mobile He ! �., 1 Addition/ *Supplemental to (Group. R) Units Installation € Conversion Permit # •(No foundation inspection) "1 Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q 0 New Addition Building Department r;lIdentification No. 0 7 0 Vf ` i + chool District certifies that Sq. Footage (Including Exterior Roof pd Areas) Date i V,ak,o 6, (Applicant) 2-2477 (Sty t Address) U (Phone Number) (City) r has complied with the requireCments of Resolution No. represent ng 11 Sg / square feet. School District Representative Paid by Check # Remarks: (State) (Zip Code) U �'— U by payment of $ 7` B 2926 $ ULL MITIGATION $ aqgo b& Date I,i tP Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with 611 Govemment Cods Section 66020(a), within 90 days from the date fees are paid. FaHure to submit a timely written protest wW prohibit you from challenging the Imposition of the fees In any court action. if, subsequent to the School District Representative signing this Butte County Schools Impact Fee CertHication Form, the School District Is nodfled by the applicable Local Planning Agency that this project Is being rowlswad under the Califomla Environmental Quality Act (CEQA), this orolect may be subilect to additional school tea to fully mMloate its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (3f0SWnm BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM I1 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Numbers G G Building Pen -nit Number Property Owner (s)V Project Location /Address Subdivision Name New Development Alteration/Addition(s) Mobile home Y_� Assessable Sq. Ft9_C__1_L55a_ Type of Residential Development (check one) Single Family -Detached Single Family -Attached / Non -Residential to Residential Multi -Family Dwelling Mobile home_ replacement verified by Assessor Department Demo Permit (date issued verified by Building Department ❑ FRRPD ❑ CARD 0 PRPD O DRPD certifies that: Applicant Name Mailing Address Phone Number City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check No: Paid by Cash: and Park District Representative per unit for a total of $ —0 -- per sq foot for a total of $ Receipt No: n a °���T F�� ]department Of Ptx�1I ®� s 0 0 C o u n t y o f B u t t e 0 c 7 County Center Drive ' Oroville, CA 95965 0 y0 J. Michael Crump, Director (530)538-7681 pC011 N-� a (FAX) 538-7171 �Lic WoF� Shawn H. O'Brien, Assistant Director ; Assessors Parcel Number: 7/ Building permit # ��O — (941z Owners Name: t/ Owners Mailing Address: Property Address: 77 J , 5 ,ze e ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PE EXEMPTION: Reason for exemption: Not a County maintained road [) Existing driveway conforms to County S-31 standard n . Other Approved by Printed Name Title Date CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1.. An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. TO: Building Division — Development Services FROM: Environmental Health SUBJECT: Sanitation Clearapce n.N I Plan Approved for: Sewage Disposal Clearance for dwelling. Other. �C Water Supply: Public r Plot Plan Attadred Floor Plan Attadted Sent to BDIDS I D i> - Y��U QV AP# Private Well Z) , --n Hold final for: Final clearance O.K. for: NOTE: �+ Environmental Health Specialist Dat Building Clearance 9/2005 �c FLE OHO a Waterford Series Model 46048 �EE�I? 2243 Fr ATHf"I? r'e!'i .� .r'I 01R) c ' I _ . Jr/6t C, vt� 4 Bedrooms • 2 Baths • 1,599 Square Feet DINING Ir- Xiestifte county APPRONT-0 EnvimPePt i M� h 2 pat@ -`� Si r7a 3 Al/le— =00, M4 T-- KrrLHEN— - I DAQIN�O ' r -; VT - - L 6'•YxI24 DEN BEDROOM O2 OPT. DEN ® I I5'-YXI2'-6• 9b•X 12b• 24'-H•x 1z8 ATBIzME•'IOADo•SRxOTtzEOR-M6-;----f`- -- I fIII L/M18DN'dE!C/•iO xR17b/ • � 8EwDbR0x0.tyM4p 9 "OS ,DECOR"; GAB CLASS Q r ROOM f4 CABLE DMER DECOREfN% GLASS X 7 --- 7-1 OKSUNROOM 2? -3"X V -6" I C 0 Pr ER An P o� 1 CORN Y coal i l BAY � ECESSED ENTRY I �. D �O-rxDizE-i AMY= Homes reserveTthe right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. WD/17/SEP04 Department of Public Works J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive oroville, CA 95965 (530) 538-7266 (FAX) 536-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE Project Description: I0/-.�- Project Location and/or Parcel Number: 0/'//' 440 -0© By signing below, I, the project owner/owner's agent, certify that this.project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more thanone acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for -'a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: C_ T zm than 1 Acre NPDES & SWPPP Compliance certification Butte County Department ofDevelopjne 2t.SezviCeS °$ 1; 7 County Center Drive 1." o Oroville, CA 95965 ° a` (530) 538-7601 Telephone COU (530) 538-7785 Facsimile t4l BUILDING PERNUT APPLICATION WITHOUT REQUIRED CLEARANCES. I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from. other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: ,1'��1� APN: Building site address: Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission o.f the above -referenced building permit application and my signature below: SI A OFA LIC T DATE 11 .., V A G kN -77 3 ;4— Butte County Building Division a � ------ MANUFACTURED HOME SUPPORT DATA Owner's name: VAVa.YAIA.P.# 0-1 _ Home Manufacturer: E Manufacture Year: Model Number/ Name: $ w-�Ewf 11� Width: a -1 (ft.) Length: Co o (ft.) FOOTINGS: Wood - pressure treated or foundation gradet-f Other:[ SUPPORTS:, Concrete block [-'Other:[ ] Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. _ �, Pier Footing Sizes and Locations 1— SINGLE WIDE MULTI -WIDE Line1 ------------------------------------------------------------ Line 1 Line 2 Section 1 Line 2 OG, Line 1 ��--------------------------- -- - °— - STV Line 3 -- - ----------------------------- -------------=-- Section 2 BUILDING DTVi-Sd APPROVED Line 2 ------------------------------------------------- ----------- A- Line 4 (triple wide only) --------- ----------------------- — - Secti � 'Z�'� �Zv Line 2 Line 1 Piers: Snow Load:@_" psf Minimum size piers: [ Q11} ] X Snow Load requirements may be obtained at Spacing maximum: I http://www.upstate-ca.com/butte/butte_county/ From ends maximum: ) Insert AP #, view snow load in lower right comer. Line 2 Piers: Minimum size piers: [ -i] X [ z Spacing maximum: (� A', From ends maximum: Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 1 Openings: Minimum size pier: [ ] X[- ] Required at each side of opeings over o wide. «.� o P,YX3a 3 X3 o X.J41 3o a X3 I STANDARD OPT CORNER BAY @ BDRM 3 OPT CORNER BAY @ BDRM 1 x OPT WALK—A—BAY OPT TOWER DORMER IN LIVING RM SHEAR HALL DATA CHASSIS INFO WIND LONE: ! OPTII M.R. SPACING 99 1/2' TYPE LENGTH NOTE ' TRIR E I'-0" 3 x 26 a STRAPS tRM WILIA 9'-I1 1 1' I JOISTS 6 2 LAGS 32'-3' 1 S V-10. 1 JOISTS 6 2 LAGS 31'-103 1' Z 13'-0'11 r 26 ga STRAP 34'-0' ' REWIRES AGGRESSIVE FASTENING PATTERN 6 NAE 16 O.C. TRAHING '• ENPii TRIR FIELD IS OJMBINED IN NUFIDER ABOVE SHEARWALL 0-81W OPT TOWER DORMER IN DEN SHEAR MALL UATA WIND ZONE: 1 OPT12 LIBEL WPAMNEL LENGTH NOTE ` TRIBA 13'-0' 3 Y 26 a STRAPB 9'-I 4• ! JOISTS 6 2 LAGS 32'-3' WALL OS7RAP C 9'-10' 1 JOISTS Z 2 LAGS 31'-10 3/1' D 131-01.3 t 26 ga STRAP 311-8' 1 ' REWIRES AGGRESSIVE FASTENING PATTERN 4 MAA 15 O.C. FARMING IMP" TRIO FIELD IS COMBINED IN NUMBER ABOVE rdr rAu-aav arbrta wums CHASSIS INFO )IMENSIONS ARE FROM SUCH END M.R. SPACING 99 1/2' LIVE LOAC: 30 Lbs ame uwmT 1 -BEAM SIZE 10• - tRM 10 OBIT HATE DRANSAR LENGTH 39' - 0' 7-7 1 T A 0 DRAWBAR ANGLE 60 12'-3' - 1!'-11' A B 21'-10' - 23'-10' AB FLOOR INFO !)'-9' A B JOIST SIZE- 2x6 Jf' '.• I1'-!' - 31'-1• A 11'-Z• A B 8 JOIST MATERIAL SPF -5' A 0 JOIST SPACING 16 0• - 1'-8' B A WALL INFO 12'-3' - 13'-1l• B A BIDENALL HGT. 90' 21'-10• - 23' -IO' B A EET ALL SIEE 2x4 Jf'-5• - 3)'-9' B 31'-1' B A A EBT SIDING MATE /16 04X6 NARDI I I'-!' - IB' -6• - IV -2' 9 so' -51 B A A CEILING/ROOF INFO s0'-10' - 601-0• B A RAFTER CODE (CATH) LC7-160-3A117 RAFTER SPACING 24" IV% LOAD: 30 LBS. OPT2 CEILING THICKNESS 1/2' FROM TO UNIT MATE CEILING MATERIAL OS GYP 0' - 11-9• A B 5'-8' - 0'-71 A B FRONT LAVE O'HANG 121 - III -I" - 111-1' A 0 REAR LAVE O'HANG 12' 10'-2• - 21'-5' A 0 FRONT GABLE O'HG 12' 211-3' 13'-2' A 0 REAR GABLE O'HG 12' 35'-0' - 14'-2• A 0 401-61 - 501-51 A 0 611-2' - f0'-01 A 0 0• - 11-91 0 A _ 5'-6' - 61-11 0 A ll' -0' - 141-7' 0 A l0'-!' - 211-5' 0 A Js' -o• - 11'-2' 0 A 501-5' B A $91-21 - 601-0• 0 A F Michael Frey 2004.07.1315:34:11 -05'00' WOODLAND C 03 f O `••� M G ^ 17 WATERFORD IOOEI MD. 46048 ame uwmT rte+ ` a ® SPEC DRWO �q i��'y � [ 1 z DATE: oe/te1o� p0 SPEC.1RD A II TRAVEL DISTANCE FROM FARTHEST BEDROOM TO ENTRY • 34_5 LF. 1 Pa 211' 224• 10@ m V4= v4w VON. 1 1 1 1 N on _ DINING R , SIX ROOM� 1 1__ l 1 1 « 1« p Oors iii F C B V 1 / 1 B PALL OPT. SUNROOM tm rsm ole :Bata• ,� taa• OPT RECESSED ENTRY ,ma vm iml tD-tr A r OPT CORNER BAY @ BDRM 3 L E G E N D bRECEPTACLE BVMTCH T THERMOSTAT ® SMOKE ALARM O SMOKE ALARM W1MI HWJ. LIGHT FIXTURE ® EXHAUST FAN VIDEO DIGITAL YDCF CABLEPANELBOX ❑O VIDEO DIGITAL CABLE OUTLET FAN FAN WILIGHT LPANEL BOX PAO RETURNAIR GRILLE 0 FLOOR REGISTER �I CROSS-OVER LOCATION AIR SUPPLY OSUPPORT POST QBNEARWAu A%bl WOODLAND 17 Paolloomm WATERFORD kwm No. 46048 WAWA TRIS FLOOR PLAN OPTIONS 0A1"N°r Chblo$ K. RITE: 01H210/ , Ntr TlV Fm.1 I A L E G E 0 0 - a'•10 !/I' 8'4 111' Ira 111• 8'-1314* 1a'd' 10'4' RECEDT CLE HEAT TAPE RECEPTION am $ Svmw S.._M� UNOERSDE OF ROOK OST• OPT. login SIM 1 OTHERMOSTAT Y1wJ111"� OPT. an ' BMOKEAURLI n 1 sort 1 1 WL59511 Yi6�91 W Q SMOKE ALARM 1 OPi. � OF 1 1 1 1 0 1 t 1 1 y 'MKMGN OR DIVING RM .. LIOHT FIXTURE 1 fraueot _ -BiEOR00:{�I/- ® EXHAUST FAN UTILITY B UrtlITN >^ :,_y; © VIDEO OIORAL CABLE PANEL Bo) - (lopt VIDEO OIOITAL y -1 CABLE OUTLET 0 + + 1 tFAN FAN WILIONi aR 1 BATH 1 1 lang , ® " CIR a P PANEL BOX ' ' -- ----- oPT! !9 t 6 RNO RETURNARI 1 DGD 1 D t 1 r L t A DRILL! 1 * 1 T 1 FLOOR D a REGISTER %% CROSS-OVER 411 ' ♦ _ �`O �J- y, LOCATION ` I OR r AIR SUPPLY 0 OP(!1'J' C L 20 0 1 XO SUPPom POST , SHEu+wALL 1 C- I J 1II111JJJ t t' QA 180 X60- 1 160 X 80'-0' 1MROCMlLIVINGROOM NEW - BEDROOM 2 OEOROCM! © X 1 1 1 t `L t BATH! t t v*" V36M VISA ' am YJ�lI Y1pINl quell WOODLAND 2=1 IM low 17 1r� 20'-0• iw-a 12• 8'4112• _ totr °1001�ffm Bo' -0• WATERFORD • � � W r roDeLNa 1 IJOISTB ,I 03 49046 I NOTES: r.o auw►a TITLE THIS FLOOR PLAN MAYBE BUILT MAN EXACT MIRROR IMAGE ABOUT ITS LENGTH ((SIDE TO SIDE)ANDIOR WIDTH (END TO END) AXIS. ��yy FLOOR PLAN POST AND SPLICE RA}pE DON NSIONS �qOM THE C►NRT8) ARE /fid /ti TO BE STARTED AT THE REAR OF END TOFND MIRROR GRADES. \ J' TRAVEL DISTANCE FROM FARTHEST BEDRDOM TOY•S1_6 ® ® O oa+ANer' Charles K. THIS FLOOR PIAN AND ATTACHED OPTIONE ARS (IF APPL BLE) i ! B < °��' 07112101 Z art ROr Is DESIGNED 70 MEET THE FOLLOWING STIR CTURAL RE0001 NiS: FPA WIND ZONE(S) Y�1 ROOF LOAD() 30 [be. PERIMETER PIERING REQUIRED WHEN ROOF LIVE LOAD > 20 psf c.. �c FLEE7W1WD. Waterford Series Model 46046 Bed -rooms •• Square VINING 01r _AREAr";, I BEDROOM #2 2243 FF 4THr-- R wr. G::GCf u , • • I CLASS C4ASS DINING �°:::::iiiiu :4+1. :..° .: 98�:�9E• 44AS eek a....::..s: 01 s9.....e.I:s.=.;E. I OEM DECOR PEN aoser ams :;. GLASS G) . •. GLASS a 2r • 77, ---------- �..�. MASTER U OR //M G ``r e ROOM #4 BEDROOM BEDV-r .�: : r 11W -V - 4° 0 GAME E..,..... I GLASS . 1 r SUNROOM OpIr.'i/ b'/" WRPNRBAY - TRY IGLASS . 0.,. OXEN r -11 "IF Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specks. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. WD/17/SEP04 Part #59306 Xi2 Ground System X12 Foundation System Installation Instructions for California for Ground & concrete systems HUED Wind Zone 1, 15 PSF Wind Load Seismic $ � ��- a-ve. By Tie Down Engineering ' BUTTE COUNTY BUILDING DIVISIC APPROVED G� --a-R - d�'M rare 4 OMI X12 Concrete System Engineer Approval State Approval MMWAOeae Aauw. 6ftig mems bAt�s7�t a�nrn►.si►�t�rnt xtrscOM Ct�iDr�xsrataaa �rrra��►y,��r�o�tritr�etx►�;uttr o rIs awba m PPM$ ars�itr��sii'r>ko�r �s A'=1Ar�,w� s 0. Page 1 Of 8 I mower. � EnrGrxcrarxG�' 09/15/05 THU 08:31 iTI/R% NO 92861 @1001 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Updated: 8/29/2005 REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" • Additional vertical anchor ties that are unique to a home's design may be required by the, home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the X12 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. Contact Tie Down if piers exceed these heights. HUD approval required. • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Additional systems may be needed for roof slopes greater than 20 degrees, (4.37" in 12" Pitch ) See page 7. Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18", wide by 14' long by 6" deep. X12 components exceed HUD code 3280.3068 "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating.... Face 2 -of a o .. Q =*q77 /2 -/ 09/15/05 TEM 08:31 1T%/R% NO 92861 11002 1. 2. 3. 4. 5. 6. 7. 8. 9. 10 Installation of Xi2 Ground Systems " Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes In pan provided. Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) Attach the and of the smaller tube to the inside of pan using U -bolt & nuts provided Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) Install a minimum of four.(#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral .strut so that the two tubes are connected together. (Figure 1) 1-3/4" Tube [.iteral Struts °,b 1-1/2" Tube 4- 12xr Tek Screws J -Bolt Nut & Washer U-0oft & mount 1-4 } Figure 1 u Sirr urf%g anti) ihv;aln;.. RIE.) i -beam Figure 2 09/15/05 THU 08:31 ;am on in > at this time. n pan using ip, attach with ne. he fastened is and DOWN CNGIMMING I MUM -1 (T%/RX NO 92861 2003 Xi2 Ground Parts Detail X12 Ground System Includes: 5' Strut, pad & hardware. Part Number 59306 LSD Hardware Kit Includes: 2 1 -beam brackets & 2 U -bolts with all nuts and bolts. Part Number 59331 Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-30 30" 2 Blocks or 18" 59330-39 39" 3 Blocks or 24" 59330-44 z. 44" 4 Blocks or 32" 59330-53 53" 5 Blocks or 40" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit ' X1*2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete 30" Anchor w/vertical strap or frame tie w/stabilizer plate, Additional System for • within 10' of end of home homes over 80' Xi2 Pier Placement Single Section Home 0 -80' (76' Box) 2 X12 Systems (1) Over 60' (76' Box)3 X12 Systems Double Section Home 0 -80' (76' Bax) 3 Xi2 Systems" (1) Over - 80' (76' Box) 4 Xi2 Systems Triple Section Home 0 -80' (76' Box) 4 Xi2 Systems (1) Over - 80' (76' Box) 5 X12 Systems NOTE: Diagram represents single section up to 16' width, double section up to 31' width, and triple section homes up to 46.5' width. Single section homes have an "overturning moment" in high winds, requiring two anchors per side. 2 Xi2 systems can be placed at either end of the home. .51 09/15/03 THU 08:31• 1T%/R8 NO 92861 11004 1 3 4 11 C. 7 Installation of X12 Concrete Systems Identify the number of systems to be used on the home using the chart provided. `�'=` Identify the location where the systems will be installed. '-' - Build pier according to State, Local or Home Manufacturers guidelines. Drill two 3/8"x 3" deep holes In the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5, 1/2" x 2-1/2" bolt/nut provided. I Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided, (Frgure f next page) Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connect d toth (Figure 2 next Page), a ge er 8. Install frame bracket clamps on I-beam on the Inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite and to concrete bracket. 1 p. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. Page 5 of 8 57bt 1:1L.1I 09/15/05 THU 08:31 1TZ/RX NO 92861 11005 rM X12 Longitudinal Concrete Installations - end 0 Lone J -Bolt /Nut & Washer Beam Clamp bracket Figure 7 X12 Installation Placement Page 6 of 8 51?417-1- if Beam 09/15/05 TSU 08:31 1T%/R% NO 92861 Ia M 30" Anchor w/vertical strap • or frame tie w/stabilizer plate, within 10' of end of home Offset Placement Additional System for • homes over 80' XI2 Pier Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 System Requirements for Roof Pitches Higher than 20 degrees Page 7 of 8 09/15/05 TSU 08:31 IT%/RX NO 92861 121007 Roof Pitch/Degree of Slope Length of 5:12 6:12 7:12 .9:12 Building 23.6' 26.6' 30.3' 36.9' SDT S S D T S D T 34' 36' 38' 334 40' 334 42' 334 334 44' 334 334 46' 334 334 334 48' I 334 334 334 50' 334 334 334 334 52' 334 334334 334 54' 334 334 334 334 56' 334 1334 334 334 Page 7 of 8 09/15/05 TSU 08:31 IT%/RX NO 92861 121007 A,, Installation Notes 'IVII[ RIAIG .09/15/05 TSU 08:31 1T%/RX NO 92861 Q008 California Department of Forestry and Fire Protection Butte County Fire Department Fire Safe Requirements Permit# a 6 _14t A Under authority of Public Resources Code Section 4290 and 4291, Butte County Improvement standards , and the California Building Code, the following checked items are required by CDF/Butte County Fire Department and made part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which exceed these standards. Butte County Building Inspectors will make the compliance inspections. 1272.00 Maintenance of Defensible Space Measures [X] To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access, and utilization of the defensible space provided for these standards during a wildfire, provisions for annual. maintenance shall be included in the development plans and/or shall be provided as a condition of the permit, parcel or map approval. Public Resources Code 4291 information will be provided. 1273.10 Driveways [X] (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] (b) All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] (c) Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where the driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be within 50 feet of the building. 1273.02 Roadway Surface . [X] The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire engines. Surfaces should be established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. 4" of class 2 aggregate base shall be required for all driveways, turnouts, and turnarounds. 1273.03 Roadway Grades [X] The grade for all driveways shall not exceed 15 percent. Grades above 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. 1273.04 Roadway Radius [X] (a) No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] (b) The length of vertical curves in roadways, exclusive of gutters, ditches, and drainage structures designed to hold or divert water, shall be not less than 100 feet. 1273.05 Roadway Turnarounds [X] Turnarounds are required on driveways and dead-end roads as specified in this article. The minimum turning radius for a turnaround shall be 40 feet from the center line of the road. If a hammerhead -T is used, the top of the "T" shall be a minimum of 60 feet in length. 1273.06 Roadway Turnouts [X] Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. U'N Revised 07/25/06 1 � IA e DING G DI l S I O, C co F Is 1273.07 Roadway Structures 11 [XJ (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant structures which supplement the roadway bed,or shoulders) shall be constructed to carry at least the maximum load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550, 35750 and 35250. [XJ (b) Appropriate signing, including but not limited to weight or vertical clearance limitations, one-way road or single lane conditions, shall reflect the capability of each bridge. [XJ (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. All bridges must be certified by a registered Civil Engineer. 1273.11 Gate Entrance [X] (a) Gate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving that gate: [X] (b) All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. [X] (c) Where a one-way road with a single traffic lane provides access to a gated entrance; a 40 foot turning radius shall be used. 1274.08 Addresses for Buildings [X] All buildings shall be issued an address by the local jurisdiction which conforms to that jurisdiction's overall address system. Accessory buildings will not be required to have a separate address; however, each dwelling unit within a building shall be separately identified. 1274.09 Size of Letters, Numbers and Symbols for Addresses [X] Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke, reflectorized, contrasting with the background color of the sign. 1274.10 Installation, Location and Visibility of Addresses [XJ (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible from both directions of travel along the road. In all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible from the road on which the address is located. [X] (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. [X] (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. [X] (d) Where a roadway provides access solely to a single commercial or industrial business, the address sign shall be placed at the nearest road intersection providing access to that site. 1276.01 Setback for Structure Defensible Space (a) 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. [ J Your parcel is larger then 1 acre but your required minimum setback for buildings and accessory buildings is less then 30 feet from all property lines and/or the center of the road. You are required to meet the same practical effects requirements listed on page three. [ J (b) For parcels less than 1 acre, the local jurisdiction shall provide for the same practical effect. See page three for same practical effect requirements. [ ] Your parcel is less then 1 acre and your buildings and accessory buildings meet the 30 foot setback requirements from all property lines and/or the center of the road. Revised 0725/06 2 Same Practical Effect for Buildings less then 30 feet from pruperty'line: [ ] If the Building Setback is less then 30 Feet from all property lines and/or the center of the road, the following shall be required; • Class A roof • Fully enclosed eaves on entire structure (December 5, 2005, per 2001 California Building Code 704A.2.3, fully enclosed eaves are required on all structures in any fire hazard severity zone within State Responsibility Areas, regardless of setback distance from the property line or center of roadway) • Fire rated metal doors on side toward property line with insufficient setback • Siding on entire structure from the following list: (a) Stucco -3 coat (b) Non combustible Hardi-Board, Plank or similar siding (c) Masonry (d) Metal (e) Other Butte County Fire Department approved materials 1276.02 Disposal of Flammable Vegetation and Fuels 1X1 Disposal, including chipping, 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. Other Requirements Butte County Improvement Standards Installation of Residential Fire Sprinklers 1X1 If your property was part of a parcel split after January 1, 1991, you are required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. 2001 California Building Code, December 5, 2006 704A.1 Roofing. 704A.1.1 General 1X1 Roofs shall comply with the requirements of Chapter 7A and Chapter 15. Roofs shall have a roofing assembly installed in accordance with its listing and the manufacturer's installation instructions. 704A.1.2 Roof coverings 1X1 Where the roof profile allows a space between the roof and roof decking, the spaces shall be constructed to prevent the intrusion of flames and embers, be fire stopped with approved materials or have one layer of No. 72 ASTM cap sheet installed over the combustible decking. 704A.1.3 Roof valleys 1X1 When provided, valley flashings shall be not less than 0.016 -inch (0.41 mm) (No. 28 galvanized sheet gage) corrosion -resistant metal installed over a minimum 36 inches (914 mm) wide underlayment consisting of one layer of No. 72 ASTM cap sheet running the full length of the valley. 704A.1.4 Roof gutters 1X1 Noncombustible screens on gutters. Roof gutter shall be provided with the means to prevent the accumulation of leaves and debris in the gutter. 704A.2 Attic Ventilation. 704A.2.1 General [X1 When required by Chapter 15, roof and attic vents shall resist the intrusion of flame and embers into the attic area of the structure, or shall be protected by corrosion resistant, noncombustible wire mesh with '/4 inch (6mm) openings or its equivalent. Revised 07/25/06 3 704A.2.2 Eave or cornice vents. [X] Vents shall not be installed in eaves and cornices. EXCEPTION: Eave and cornice vents may be used provided they resist the intrusion of flame and burning embers into the attic area of the structure. 704A.2.3 Eave Protection. [X] Fully enclosed noncombustible eaves on entire structure. Eaves and soffits shall meet the requirements of SFM 12-7A-3 or shall be protected by ignition -resistant materials or non combustible construction on the exposed underside. All of the Butte County Fire Department requirements are posted on our website at htti):Hbutteriire.ore/Fireprevention/protplan/protplan.html AUG 1 6 2006 Date Revised 07/25/06 4 Darren Read Fire Protection Planning - - t �1rEI1T OF,y� STgTE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY NUMBER: DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS _ 8759'383 r. iY OE�� MANUFACTURED HOUSING PROGRAM 6 MANUFACTURER CERTIFICATE OF ORIGIN Fo CHECK IF THIS ISA DUPLICATE MCO -ENTER ORIGINAL_ MCO NO: MANUFACTURED HOME OR MULTI UNIT MANUFACTURED HOUSING NUMBER OF ®D (SINGLE FAMILY DWELLING) O MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS 2 COMMERCIAL COACH: OCCUPANCY GROUP FLEETWOOD HOMES OF CALIFORNIA, INC. MANUFACTURER ADDRESS: 9534 18 N.;• PIONEER AVE BOX 13 SUGGESTED RETAIL PRICPO E: Street' :,, TOO %I CA, CA' 9 5 71.6 staie (Zip) MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: WATERFORD 4604B 2007 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): 09/07/2006 CMH, INC NUMBER OR ESIGNATION: 1!7 DATE OF TRANSFER: DBA: FREEDOM HOMES DEALER OR TRANSFEREE ADDRESS: 09/08/2006 SU2e2et43 FEATHER RIVER INVENTORY CREDITOR NAME: OROVILLE Ci CA95965 State Zi CLAYTON HOMES, INC. INVENTORY � IRNVENTORYR CONTROL 5000 CLAYTON ROAD Street (City) MARYVILLETN State 37804 Zip SECTION MANUFACTURER SERIAL NUMBER 1.g HCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT INCHES INCHES POUNDS) 1 CAFL617A29760-WA13 PFS0979379 724 160 26,860 2 CAFL617B29760-WA13 .. < N PFS0979380 .. 724 ,.160 28,280 .. ... ' •5: it 1 , 4 .. ., iY. _ - TRANSPORTER NAME: BENNETT TRUCK TRANSPORT, INC. TRANSPORTER ADDRESS: 1001 INDUSTRIAL PARKWAY (StreetO.. BOX 569 (City) MCDONOUGH State G'A 30253 DESTINATION. FOR UNIT DESCRIBED ABOVE: ZI I certify under Penalty of perjury, under the laws of the State of California that the above facts are true and correct. Executed on 09/07/2006 WOODLAND YOLO (Date) CA (County) (State) SIGNATURE OF AUTHORIZED AGENT: r DISTRIBUTION: ORIGINAL (PINK) FORWARD TOA INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO COPY 1 (WHITE) FORWARD THE DEPARTMENT AT P.O. BOX 1THE PURCHASER (DEALER OR TRANSFEREE). 828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER FO THE•.TRANSRORTER.TO ACCOMPAft-T;Ht-t I ..TG ITS•DESTINATIONi COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCD 483.0 - Side 1 - (7/97) RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 EKY of Docunent )recorded 24-fic€.-20061 2M-@a&%j 1 Has not bleesn co>par*d vith original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. VAUGHAN TRUST JIMMY D. AND ROSE A. VAUGHAN TRUSTEES REAL PROPERTY OWNER/LESSOR 6912 SUNNYSLOPE DR. MAILING ADDRESS SACRAMENTO SACRAMENTO CA 95828 CITY COUNTY STATE ZIP 77 JUSTAMERE LN. INSTALLATION MAILING ADDRESS, IF DIFFERENT BERRY CREEK BUTTE CA 95916 CITY COUNTY STATE ZIP SAME UNIT OWNER (ifalso property owner, write'SAME') SAME MAILING ADDRESS SAME CITY COUNTY STATE LIP 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 06-1948 (530) 538-7541 RMIT NO. S,aQ,eo TELEPHONE NUMBER ID, a -5-G( SIdWA�T 1RE kF LOCAL AGENCY OFFICIAL DATE DEALER NAME (if not a dealer sale, write "NONE') DEALER LICENSE NO. FLEETWOOD HOMES 2006 4604B MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER CAFL617A/B29760 WA13 60'4" X 26'8" PFS0979379/80 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION Qr7'P ATTAf T-TT:T) ASSESSOR'S PARCEL NUMBER 071-440-009 HCD FORM 433(A) REV. 8/91 __�__ r—ADv urn PTT.tR_e....r-ni GOLDENROD-Buildine Deot. 07/20/2008 11:48 FAX 530 899 9531 FIDELITY NATIONAL TITLE 0002/002 RECORDING REQUESTED BY; JIMMY D. VAUGHAN ROSE A. VAUGHAN 6912 Sunnyslope Drive Sacramento, California 95828 WHEN RECORDED MAIL DEED TO; JIMMY D. VAUGHAN ROSE A. VAUGHAN 6912 Sunnyslope Drive Sacramento, California 95828, 1111111111f 11111fllllllllllllllllf �O�Iz—�>a58233 Recorded Official Records I REC FEE 7.00 I County Of EGRUBBS I CANDACEU,T. I Recorder.I - ROSEMARY DICKON I' Assistant.I. Myles 09:0i.'AM J0-0ct�2002 I Rage 1 of i SPACE ABOVE FOR RECORDER'S USE ONLY TRUST TRANSFER DEED The undersigned derlart ; Documentary transtbr tax is NONE. No consideration given, this is not a We. Change in formal title only. See Nore #1 below. For No Consideration, and in order to change formal title. JIlKMY D. VAUGHAN, SR. and ROSF. ANN VAUGHAN, husband and wife, as Joint Tenants, do hereby sever their interests in order to grant all rights, titles, and interests to JIMMY D. VAUGHAN and ROSE A. VAUGHAN. Trustees of THE VAUGHAN TRUST, dated , 2002, as community property, Lift and interest in and to the following real property, commonly descri as: 77 JusMmere Lane, Berry Creek, California 95916, APN: 071-440-009 & 910-02"10. in the County of Butte, and more particularly described as: PARCEL t:. PARCEL 2. AS SHOWN ON THAT CERTAIN PARCEL MAP. RRCORDED IN THF. OFFICTF OF THE RECORDER OF THE COUNTY OF BUTTE. STATE OF CALIFORNIA, ON DECEMBER 22. 1993. IN BOOK L32 OF MAPS, AT PAG6(S) 49 AND 50. RESERVING THEREFROM A NON-E•XCLUSIVC EASEMENT FOR INGRESS Alm F.GBF.SS, AS SHOWN ON SAID MAP. PARCEL It: AN EAS13MLNT FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH THE CENTERLLNE OF WHICH IS DESCRIBED ASFOLLOWSr-- COMMENCING AT THE EAST 114 CORNER OF SECT1ON 2. TOWNSHIP 20 NORTH, RANGE 5 RAST.M.D.n. & M.; THENCE SOUTH 8s DEG. 47. 29" WEST 15.63 FEET TO THIS WESTERLY RIGHT OF WAY LINE OF ROCKERFELLER ROAD; THENCE. ALONG T14E WESTERLY RIGHT OF WAY LINE OF ROCKERFELLER ROAD NORTH 20 DEG. 30' 09" WEST 31.79 FEET TO THE TRUE POINT OF BEGINNING: THENCE SOUTH 88 DEG. 47' 29' WEST 726.)6 FE"; THENCE NORTH 69 DEC. 50' 49' NEST 41.67 FEET; THENCE NULrI'll 74 DEG. 40' 16- WEST 55.85 FEET; THENCE NORTH 86 DEG, 46' 26' 'GUEST 93.11 FRET; THENCE SOUTH 87 DEG. 23' O8" WEST 105.93 I BE'r.. T11154CE NORTH 27 DEG. 51. 34 - WEST 49.76 FEET. THENCE NOR771 OI AEG. 24. 52' EAST 103.46 FEET. THENCE NORTH 17 DEG. 58' 46' EAST 142.43 FEST; THENCE NORTH 34 DEG. D9' 49' CAST 62.14 FUST; THENCE NORTH 11 DEG. 56'56' EAST 77.89 FEST: THENCE NORTit 21 DEG. 05156' WEST 54.11 FEET: THENCE NORTH 41 DEG. 23' 40" WISP 234.13 FYX'T: THENCE NORTH 89 DEG. 53' 11" WEST 790.71 FEET TO THZ END OF THIS EASEMENT. Note #1: This conveyance transfers the undersigned's interest into their Revocable Living Trust and is exempt pursuant to Rev. and Tax Codc Section 11911. Dated: (�,f ' �, 2002 Dated: 004 A j . 2002 AckNOWLEDCMENT State of California ) County of Sacramento , N'. MWAME), W / Oa , 2002, before Inc.QaMlp �� d S Notary Public, personally appeared .TIMMY D. VAUGHAN, SR. and ROSE ANN AUGHAN, personally known to me (oT proved to Ace on the basis of satisfactory evidence) to be the ptxsons whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their authorized capacities, and that by their signau= on the instrument the persons ur LLe entity upon behalf of strvrnent. M. am Witness ,ny haud and official seal. %Commiwlon i 13Kr049 notary PabllC - 0011117110 MyC4nmExp6=M112= Description: Ru'ttq,CA Document- Yaar. DocXD 2002.58233 Page: 1 of 1 order: M -M Comment; r 07/20/06 THU 11:43 ETI/RI NO 70761 Q002 , BUILDING PERMITS NUMBER: 06-1948 Address or location of unit: 77 JUSTAMERE LN. BERRY CREEK CA 95916 Legal Description of Real Property: 071-440-009 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: VAUGHAN TRUST JIMMY D. AND ROSE A. VAUGHAN TRUSTEES Owner's address: 6912 SUNNYSLOPE DR. SACRAMENTO CA 95828 INSIGNIA OR HUD NUMBER: PFS0979379/80 SERIAL NUMBER OR V.I.N.: CAFL617A/B29760-WA13 MANUFACTURER'S NAME: FLEETWOOD HOMES YEAR: 2006 OFFICIAL APPROVING INSTALLATION: DATE: 1v'` PHONE: (530) 538-7541 H.C.D. 513C C BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. Pa-��o-o� ZONING F S OWNER PHONE NO. vV! b R OWNER'S ADDRESS A \S �eZ'B LOCATION OF BUILDIN 9 _e f�oc�s� , Bras 7c�/�s Pis USE OF BUILDING SIZE OF STRUCTURE 21� —'X -Z20—SQ. FT. TYPE OF CONSTRUCTION: a �j WOOD FRAME STEEL CONCRETE � OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE e- 7a J- )P.4 Y1zbx)CD C ESTIMATED STOF CONSTRUCTION C �5Qp®cjt/G � O/L 2��� ��N AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: Cr i FRONT. ' SIDES ao REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date ' %y - 2 Signature of Owner Permit Fee - $60.00 �The above described AG Building is Receipt No. --"/' I (s .,-n _ 1 Manager By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant from a bW4clin Date 7 0� e NOTES RESIDENTIAL -lopi0 z� 9 071-440-009 99-2395 PERMIT NO. YAUGHAN, J_iM W _ 77 JUSTAMER LANE, BERRY CREEK CONTR: FOX COMPANY WATER SUPPLY FOR FIRE SPRINKLERS ti F l t f i i 11 SPECIAL CONDITIONS -1I SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY V= OK 0 = Not OK = NotApp�ble MOBILE HOMES • No Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"tt./ PLPG MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 7. Well Clearance & Disconnect 2. 8. Utility Clearance 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. Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector FINAL (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 12. Permanent Foundation Only; License Decal Health Department Approval 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors J a`„ 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 S. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J a`„ = OK 0 = Not OK - = Not Applicable =Not Ready n RESIDENTIAL (; Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning -Setbacks -Easements -Flood -Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 49. 4. Ftg., Porches & Decks; Soils -Steel-/ /" 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-1 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 Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 78. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 80. 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral O Yes ❑ No 81. 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 82. 33. Clothes Closet Light -Shower Light -Spa Light 83. 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. 35. A.C. Ducts Insulation & Support 89. 36. Vent Fan, Exhaust above insulation 90. 37. Condensate Drain & Overflow, Size & Grade 91. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 92. 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Permit) OK except #'s 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-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Ramex 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 D Yes 82. Following Instld./Drive 7 Yes 7 No/Walks J Yes j No/Planters ❑ 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: COIUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVON 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- 41 PERMIT N9. (Rev. 12/96)W_ AND PERMIT 777 ASSESSOR PARCEL NUMBER 071-440-009 ZONING BUI IN PERMIT OWNER JIMMY VAUGHN TELEPHONE SO. FT. OCC. BUILDING VALUATION 1500 .OWNER'S MAILING ADDRESS CONTRACTOR'S NAME FOX ELECTRIC TELEPHONE CONTRACTORS MAULING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23-00 BUILDING ADDRESS 77 JUSTAMERE LANE, BERRY CREEK Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome lD Other SPECIFY Each Trap 1 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 A Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �il�E�l%2/.1//i ` K/47FK T�3U�C _�Q.II� .3oQJ'7�� 9�/wr10 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 RLES 800VMain Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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.`2 .--- License Class /(� Lic. No. a 3C�7 Jto i OWNER -BUILDER DECLARATION I 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 +000A 46.00 NEW CONST. DW8 ACELLING OCCUP. OR ADDNS. ( C. S. SO 3.5¢Fr. �N R,.CONSMULTI.OLTTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES zo O I .00 SAL @ .00 Ex. Occup. OUTIEEDTs RaID°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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 970,9I✓D Policy Number 272 U Z (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 work s' compensation provisions of section 3700 of the Labor Code, I shall fo w th comply with tt provisions. X �- Date _/o/ Signature of Appli nt er Contractor ❑ Agent excavations over 5'0" deep and demolition or construction An OSHA permit is required574height. of structures over 3 stories 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 $ 78.00 HAZ. D. FEES IM FLOOD CDF P EL PD HD ISSV This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By A&f:&2�9WD PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. p to 7 z Z ate rReceiptNo. ITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Vfvyrr COUN�Y_OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING IVISI0 ' a,,,7 COUNTY CENTER DRIVE - OROVIII-E;�C ,IFORNIA 95965 -TELEPHONE (916) 538. 41 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: DO Proposed Build g use: Building Inspector: Q144t& Date: At time of permit application, I was a&fiedItte following data must be su muted prior to permit es ing d/or issuance: - _/ Date Received By 0I. All items have been submitted.------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ -------------------- 1111. ------------------- ❑11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- 1115. ------------------------------------------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- Q22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. --- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. Other:------- Wh you issue th2e ermit process as follows Cl Mail to owner, ail to cP tractor. Telephone �Jy " ! and hold for pickup at l� o ce.0Deliyenw1th inspector. ,, Wtt. Applicant: 9 Date: C) /SCopy of Haz Ra,1 Department, ❑ Fire Department, ❑ Air Pollution By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: -Date: 46 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT N (Rev., 2/'96) APPLrCA110NAND PERMIT - Z A°fQ"O"p""�NtM°e1 , %4 Q^©Q zomm BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION OMMV VALM aoDaen OOIr's AYE TLrO1DN! CO 1 maim ,000 p CON°TIVici Numm EFirelace UMOM MMyq aDDFEp Total Valuation $ ARCNRFCT Oa p�gr ta:EME No. FilingFee $ 20.0 Permit Fee i AACHff r OR 00MUMV SND ADDaEse Plan CheckingFee i - �y-� p`� eva�MIAZU t ' l ere Energy Plan Checking Fee t i PERMIT FEE _ t°TNM °ubo"°"Muff pAMM I&IF PLUMBING PERMIT FIMg Fee 20.0c USEOFSTRUCTURE SF O Duplex O Mobilehome Other °P�� Each Trap 7.00 Solar or heatpumpwater heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addition Remodel G Wales O hsidlatkm O Describe Work: e( Gaspipingstem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S GI W tg120.00 PERMIT FEE _ ELECTRICAL PERMIT FilingFee 20.0r Main Service ao=ooaL.', 23.00 - ? % p ` - _ _ I { Y Main Service xoar To lows 46.00 NEW CONST. oa ADONs. a acc. erns. DwBiJ+o occuv. 3.50 NDKRESID. YULTFOVrrM 07.50 pOAPPAMTVe a°WEA O d0. 20 EX. Occup. OWW Oa female➢O I'0° eu .so Ex. Occup. v �s elo. EA 5.00 OMD Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.0, Heating Cooling H 6.50 Hoodd Ventilation PERMIT FEi: $ Mobile Home Installation Fee $ Energy Inspection Fee b- «` COST ry°i TOTAL FEE $ NA2. 1 0. FEES I IMP I ftA00 I CDi pM= agoqq7 This permit is hereby Issued under the applicable provision of the Butte County Code and/or Resolutions to do w.or indicated above for which fees have been paid. By PERMIT EXPIRES ON Date ----- NOTES RESIDENTIAL (� q v 7 6141 PER 071744-0-009 99-0494 P,E j I VAUGHN;"Jimmy D t# 7 Justamere Lane, Berry Crk (util, MH)Koepel Const I t 1 t ,f ) f SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address 0 ELECTRIC Meter By Date ; JOB FINALED (Date) 64D 4 Signature COUNTY OF BUTTE BUILDING DIVISION I)EPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872 -6307 - CORRECTION NOTICE 1115;X;`' �11 7-7 OWNER PERMIT NO. z"+ A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify 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. d— (;X-110do Vn (I -e N F -- Date Inspector REV 10/92 V=oK 0 = Not O.'( - = NotApplioable 'DILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s Special MH Support Sketch Sewer; Location -Test -Fall -C/O -Concrete ater; Location -Test -Easement Needed (Sketch) j4rElectricity; Location-Clearances-Grnd/Amp-Concrete s; Location -Test -Wrap;-/ /" L'ft. / at. or ' /"L"ft& /'LPG e B ``- 7 ell C rance 8 Discohne tility Clearance Date /.13 Card B-1 ff4±Date Card 8-1 Date Card B-1zziL Date Card B•1 Date T rT MOBILE tIME INSTALLATION (Plans) OK except #'s Zo equirements-Setbacks•Easements Footipas: Size-Soacina-Marriaae Line ec 'city; MH Test -Crossovers -Breakers -Clearances rain; Ml;! -Test -Fall -Flex Connector er; MH Test -Regulator -Connector Water and Sewer Connected_C/O to Grade -HD Approval Installation Cert. 49iC rt. of Occupancy Permanent Foundation Only; License Decal Date p Card B-1 Date fj Card B-1 Date Card B-1 Date Card B-1 c, �� Sery ('Ce,, V6 4qt� MISCELLANEOUS j Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rhrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors i 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings t 12. Braced Wall Panels 1 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 `+ i r Date Card B-1 Date Card B-1 Date 1 Card B-1 Date Card B-1 I /= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (S Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ 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 4t. 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-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive ] Yes J No/Walks J Yes J No/Planters ] 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: P c e- y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1 7 County Center Drive • Oroville, CaOornia 95965 • Telephone (530) 538- 41PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT r ASSESSOR PARCEL NUMBER 071-440-009 ZONING EVdILDINt PERMIT OWNER VAUGHAN, JIMKY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6912 SUNNY SLOPE DRIVE, SAC 95828 CONTRACTOR'S NAME KEOPLE CONSTRUCTION HONE TE589-3832 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ BUILDING ADDRESS 77 JUSTATMERE LANE, BERRY CREEK Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome XK Other SPECIFY 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 ❑ Utilifies ❑ Installation ❑ Other ❑ Describe Work: MHI/RE: BP# 99-0494 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. �( I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 6d I 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 hwith comply ith those rovisions. X Date �_ Signature of Applicant - caner ❑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 sow TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADONS. ( a AGC. BIDS. 3.5¢FT; r,OµR°IDT' MULTI.OUTLET @7.50 APPARATUS a SINGLE OUTLET C1 R. j 20 Ex. Occup. OUTLET OR FIXTURES BAL @'. 0 LNS Ex. Occup. OUTLLEFIXETS AEs OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee $ occ coNST. TYPE TOT L FEE $ 143.00 HAZ. F IM941 FLOOD I CX ✓ PARC PO �1L� .r/ ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By __A�l / r7ate � z PERMIT EXPIRES ON l G I I P. a ReceiptNo. 264738 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i A. P. # D 7/ — e/'/n- /n OWNER.., . h OWNER—.J. PERMIT # MH UTIL. CLEARANCE DATE INSPECTOR Z—/ ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE YES NO YES NO SIZE LOAD TYPE ISIZE LENGTH CO'UNT,X OF BUTTE DEPARTMENT OF DE&OPMENT SERVICES - BUILDING DIVISION 7 •COUNTY CENTER DRIVE - OROvmpI ; C ffdkn 965 - TELEPHONE (916) 538-7541 .. PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: L� 0 --O Proposed BtMdtnd se: Building Inspeetor: Date: L At time of permit application, I was advised the following data must be sub ed prior to permit processing andror issuance: ❑ 1. All items have been submitted.------------------------------------------�------ ------------------------------------ Date Received By 02. Plot plans, 3/4 sets, signed by the preparer of plans.---------------------------------------------------- E13. --------------------------------------------------.❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ Hazardous Material Form. ------------------------------------------------------------------------------------------ w<anufactured Home data and installation instructions including Tie Down Specifications.------------------ &tpsof$-------------------act fees as shown on the attached schedule. - ` ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 13. Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. ---------------------------------------- 1116. -------------------------------------- ❑16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: / (B) Parking: _ 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 1:11.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---• ❑ 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------ E122. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ln R(25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- E12,6. ------------------------------------------------- ��❑ 6. Letter of intent on building use. ----------------------------------------------------------------------------------- ufactured Home utility clearance.-------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------. (Date) n ❑29. ❑433 A, ❑Grant Deed, 11 M.H. Title, ❑ Check to H.C.D $--------------- �. Other: PkPu_ S'l nl 4i £ Wheyou issue thermitJ, prices flgJlows El Mail to owner, ❑Mail contractor. Telephone �j wand hold for pickup at office. ❑ Peliver with inspector. q q G Applicant: Date: �✓ / / / Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution DaQ By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ` ❑ Plan Check List 2. Additional items required: L.7 c g Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by- Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: ' Yellow Copy - Department of Development Services, Building Division. Cw o� by ��/ 61 Li�i �C� fit✓: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No. (Rev.12/96) APPLICATION AND PERMIT?// ASSESSOR PARCEL Nu ZONING BUILDING PERMIT -4 4�/IGIS 3ETELa-`I' 1 / SO. FT. OCC. BUILDING VALUATION DwNola MAUNo Iv'v s CONTRACTOR'S NAM! TEU !PHONE r3�3 CONTRACTOR'S MATING ADDRESS CONSTRUCTION LENDER LENDER'S MAILNO ADDRESS Fireplace Total Valuatlon S ARCHITECT OR ENGINEER LICENSE NO. Filina Fee S 20.00 ARCHITECT OR ENOINEER S MAII"G A00RES3 Permit Fee S 3 — Plan Checkina Fee S SULDM ADORESS _ 22 fJs AIM Lf(/ 6/c— Energy Plan Checking Fee S a PERMIT FEE _ LOT NO. 9UBDNBxMiaNAME PARCEL. MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehomt,13- �Other SPEC" Each Trap 7.00 Solar or heat pump water heater 23.00 Water i in 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtiRties ❑ sEetAation ❑ Describe Work: Other ❑ Gas piping system 1 - 5 outlets 15.00 Building sower 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Filing* Fee 20.00 Main Service = 9R3 23.00 Receipt No. WHITE -O.D.S7F.0.• SOR PINK -INSPECTOR CiOLDENR00•APPLICANT Main Service 200A TO I000A 46.00 NEW CONST. OwE31lq oauP. 3.5ds°_ OR ADON3. i ACc. BLD3. NON•RES10. mtvw CUM T. MULTI -OUTLET @7.50 " -P-=`o`-P= d0. Ex. Occup. OUTLET OR FDRUIiE3 p 0"00 SAL 9 .50 Ex. Occup. = p• 0" 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 FEt i Mobile Home Installation Fee b 00®� Energy Inspection Fee S °C`' CONST. TTPE TOTAL FEES 3 HAZ 1 0. FEES WP I FLO00 I COF PARCEL PO I HO I ISSUE This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON to Mobilehome Manufacturer: ��5 J i1�'f� & z, 462 eManufacture Year: If other than single wide, furni h Setup Model Number: Width:(ft.) Length: CJ (ft.) Tagalong or Expando Size (ft.).x- --(ft.) On all mobilehomes manufactured . after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation ade[N Other: SUPPORTS: ..Concrete blockN Other: Provide Tie Down Specifications for all Mobilehomes: ,AA s re Git/4ih/ ee.r e� r`e �ac�,fs Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 f 1 Line 2 Line 2 ......................:..................................................................... Main Beams Line2....................................................................................:.......2 Line 1 e 3 e 2 ............................................................................................. Main Beams e 2 ro 1 ............................................. e S Tag or Triple 4 ine 1 Line 1 Piers: Size minimum: r i x Spacing maximum: I t` From ends -maximum: &` Line 2 Piers: ,, le Size minimum: ,):X x 0 . Spacing maximum:' ` `' ` From ends -maximum: / ` p' ` Line 3 Roof Loads: . Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings - Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: x Spacing maximum: &` From ends -maximum: I` �5_()7(I OVER N AUG. 0 4 1999 FILA COP BUTTE COUNTY Y BUILDING DIVISION 1. Owner's Name: J ; r4 "�- JFa S� �� U 4 A Q A/ 2. Assessor's Parcel Number: 3. Installer's Name: 4. Is the site currently under permit? Yes[ T --No[ ] Permit No. —dam 5. Is the site an existing site? Yes[ ] No[ "yes, furnish two plot plans). 6._ What is the electrical rating of the mobilehome? .L% Amperes. 7. What is the mobilehome site circuit breaker rating? , S�Q Amperes. 8. What is the electrical rating of the mobilehome site?e Amperes. 9. Is the main service remote from the mobilehome site? Yes[ 4 -"No[ ] If it is, what is the rating? �� �d Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. W ,, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- ' 1DLD A LT Amperes- O b) The main service: � Load-l/�LT,3 Amperes- 11. Type of gas service at mobilehome site: Natural[ ] Propane[ None[ ] 12. Sizeof�gas' pipe at the mobilehome site from the meter or tank: .� inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?Z(ft.). 14. What is the mobilehome gas demand? Dv D O o B.T.U.* *(This information is not required if the pipe len h is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION RECEIVE® BU my ,�Y rSENT May 1995 & ;,8.5 AbLZ:)UU LNUINLLKLU COMBINATION -TIE-DOWNS MANUFACTURED HOME TIE -DOWN CALCULATIONS AND SCHEDULES FOR SINGLE/DOUBLE/TRIPLE )UA, V C� DESIGN LOADS: DESIGN & GENERAL NOTES 9E WIND --------- 15 PSF AUG 0 4 1999 * SOIL BEARING ---- 1000 PSF BUTTE COUNTY * TIE DOWN STRAPS — 3150# WORKING LOAD BUILDING DIVISION TIE—DOWN STRAPS MEETS FEDERAL SPECIFICATION 00—S -781H FOR TYPE 1, CLASS B, GRADE 1 STRAPPING AND BE AT LEAST 1 1/4" x .035 ZINC PLATED. -IE EARTH AUGERS -------- 2962# TESTED TO 4750# MIN.) * CROSS DRIVES -------- 2962# TESTED TO 4750# MIN.) .fib CONCRETE SLAB ANCHORS — 1390 (CALCULATED) GENERAL NOTES: 1. THE CHARTS SHOWN HEREON. ARE THE: REQUIRED NUMBER OF TIE—DOWNS ON THE SIDES OF THE MANUFACTURED HOME. 2. TIE—DOWNS ARE REQUIRED AT EACH CHASSIS BEAM, EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME AND CAN BE ANY OF THE TYPES SHOWN HEREON. 3. COMBINATIONS OF THE DIFFERENT TYPES OF TIE—DOWNS CAN BE USED. 4. IN THE EVENT AN EARTH AUGER CANNOT BE INSTALLED DUE TO AN OBSTRUCTION, USE OF CROSS DRIVE ANCHORS IS PERMITTED, PROVIDED THAT (2) CROSS DRIVES ARE INSTALLED FOR EACH EARTH AUGER THAT CANNOT BE INSTALLED. SEE PAGE #3. 5. FOR ALL TIE—DOWN INSTALLATIONS, THE MFG'D. HOME CHASSIS MEMBERS ARE SHOWN AS "I., BEAMS. (FOR ILLUSTRATION PURPOSES ONLY) CHASSIS BEAMS CAN ALSO BE "C" SHAPED . OF RFC SHAPED. 6. END TIE—DOWNS CAN BE LOCATED WITHIN 24" OF EITHER SIDE OF CHASSIS BEAM AXIS AS SHOWN. CHASSIS BEAM i � � N (ONE END TIE—DOWN MANDATORY AT EACH END OF "I" BEAM) N 18"MIN--j 7. THE SIZES, TYPES, LENGTHS, ETC. OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY ABESCO MAY BE USED AT THE SAME SPACING & LOCATIONS SHOWN. ENGINEER APPROVAL I [_ STATE APPROVAL 3 Exp. o � P 3 Sl G1v1� W �F 0 U n THIS TIEDOWN SYSTEM MEETS THE REQUIREMENTS M OF SECTION 1336.3. SUBSECTION (o) PACIFIC CONSULTING ENGINEERS 2150 BELL AVE. SUITE 145 SAC. CA. 95838 PH: 916-564-6028 ENGINEERED APPROVED SUBJECT TO CORRECTIONS NOTED Approval does nct authorize cr approva cry cmissiCn of dev;a'.icn from requ;renents of applicable State laws and regulations. Sate of California D artment of Housing and C,,mimunity Development OF DES AND STANDARDS B G Date Z— (Signature! SPA NO 11 This Plan Approval Expires 2- /D- Zoo/ a ABESCO a ,� r�'t+" f 585 MORIN P,P,RK,INS• ROAN) ;),) kj T�UPU " SAC; CAi'':93'828k -k X9116=3'8'3-8831 r•at h `ts ��pv 000 ABESCO TIE -DOWNS CABESCO NAME STAMPED' IN'1 HEADS OF TIE -DOWNS // ff VV/ 1.1\VJJ DRIVE ANCHOR #606 STEEL STRAP W/BUC v� I, #406 PIER BOLT -ON TOP rQ #601 30" #614 STEEL T.D.A. STRAP W/HOLE #604 CONCRETE #602 48" SLAB ANCHOR W/ #615 CONCRETE T.D.A. #SH 5822 SLEEVE SLAB ANCHOR ANCHORS (DRY) (WET) SIDE TIE -DOWNS (SEE NOTE BELOW) SIDE TIE -DOWNS (SEE NOTE BELOW) #616 STABILIZER PLATE -1 MAX. LENGTH OF 36' 54' zo a 59' 168' MFG'D. HOME om <' SINGLE WIDE oW <' 2 3 V,�o _ SIDE TIE -DOWNS X1(4;#t Z W W N v ' �2.1 EVENLY (SPACED 12'1 <'"' TRIPLE WIDE LENGTH VARIES SIDE TIE—DOWNS (SEE NOTE BELOW) <�' Ln </ Z O \� � X13 J I W 2'[ EVENLY t SPACED EVENLY ( SPACED 12'1 - W';7 0 LENGTH VARIES DOUBLE WIDE WN ► ► ► ► 2- EVENLY SPACED #EVENLY SPACED I EVENLY SPACED 12' LENGTH VARI NOTE: SIDE TIE -DOWNS: MUST BE WITHIN 24" OF THE END OF CHASSIS BEAM. END TIE -DOWNS: CAN BE LOCATED'WITHIN 247 OF EITHER SIDE OF CHASSIS BEAM. ONE TIE -DOWN IS MANDATORY AT EACH.END OF "I" BEAM. (SEE PAGE 0. GENERAL NOTE #6) IF SIDE WALL TIE -DOWN GROUND ANCHOR.LOCATION IS SUCH THAT THE ANGLE BETWEEN JHE GROUND AND STRAP EXCEEDS 60% CONNECT THE TIE STRAP TO THE INSIDE CHASSIS BEAM ON DOUBLE AND TRIPLE WIDES AND THE OPPOSITE CHASSIS BEAM ON SINGLE WIDES. EARTH AUGERS MAX. LENGTH OF 36' 54' 72' a 59' 168' MFG'D. HOME MINIMUM NO. OF 2 3 4 SIDE TIE -DOWNS X1(4;#t CROSS DRIVE ANCHORS MAX. LENGTH OF 36' 54' 72' a 59' 168' MFG'D. HOME MINIMUM NO. OF 2 3 4 SIDE TIE -DOWNS X1(4;#t CONCRETE , S:LAB AN,GHO<RS? MAX. LENGTH OF ;� 34'� 42' ' S0 a 59' 168' MFG'D. HOME_ MINIMUM NO) Of SIDE TIE -DOWNS' X1(4;#t 3 0 m 0 Z W v i 3 0 0 W r 0 z W ` -DOWN CROSS DRIVE TIE END. TIE -DOWN - _ CHASSIS #406 PIER BOLT -ON TOP SIDE TIE -DOWN \ STEEL 4y STRAP #614 STL. Sao . I #608 SPLIT ` �j607 CROSS S i RAP M 6� I I o o STEEL ��'1' BOLT do NU06T STRAP DRIVE ANCHOR #616 STABLIZER PLATE GROUND LINE INSTALLATION INSTRUCTIONS 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL AS SHOWN. I rl\_r{� �.r<v�� V 'IvC 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. WITH STABILIZER PLATE 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES. IF THE GROUND SURFACE IS OTHER THAW ROCK OR MINIMUM 2" ASPHALT, INSTALL #616 STABILIZER PLATE. (STABILIZER PLATES MAY BE PREWELDED TO #607 CROSS DRIVE ANCHOR) OR INSTALL 12"02"x12" CONCRETE BLOCK. IF A CROSS DRIVE IS USED WHERE AN AUGER COULD BE USED (IN LOAMY TYPE SOIL), THEN TWO CROSS DRIVES MUST BE INSTALLED PROPERLY IN PLACE OF THE ONE TIE -DOWN. BOTH CROSS DRIVES MUST BE STABILIZED AS SHOWN IN DETAIL"A". SEE PAGE #1, GENERAL NOTE #4. CONCRETE TIE -DOWN INSTALLATION SIDE TIE -GOWN INSTRUCTIONS - END TIE -DOWN , . _ - c x"11 CHASSIS #406 PIER BOLT -ON TOP j81N I #606 STEEL STRAP # 6.1.4.. "STL. ..:STRAP' :: ._.'.•6�?. 1 6 q 0.p NL.. :. •:... 0 3 0 z 0 0 0 0 li V, W t #604 DRY 1. CONCRETE MUST BE A MINIMUM OF 3 1/2" THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY EDGE. #615 WET 1. PLACE CONCRETE ANCHOR INTO WET CONCRETE. 2. ALLOW CONCRETE TO PROPERLY DRY. CHASSIS CONNECTION 1. ATTACH STRAPS ;TO ,,CHASSIS BEAM IN MANNER SHOWN. x, {' 2. INSERT;,S;TRpP i THROUGH -SPLIT BOLT-;� CUT..O.FE EXCESS-�STRAPLAND'rTHEN T.IGHTEN'BOLT "UNTIL STRAP IS SNUG. y !P SIDE TIE -DOWN - END. TIE—DOWN #406 PIER BOLT -ON TOP ---,.- TIE -DOWN ' "I" BEAM CHASSIS SEE "I" BEAM CHASSIS NOTE #5, SHT. 1 FOR v TIE -DOWN INFORMATION ~i #606 STEEL STRAP FOR DRILL 9/16" HOLE AT MID HEIGHT OF BEAM, _ INSTALL 1/2" A307 BOLT "C" BEAM CHASSIS "RFC" BEAM CHASSIS SEE "I" BEAM CHASSIS NOTE #5, SHT. 1 FOR TIE -DOWN INFORMATION SEE "I" BEAM CHASSIS NOTE #5, SHT. 1 FOR TIE -DOWN INFORMATION SPLIT BOLT & NUT --, GROUND LINE #616 T.D.A. STABILIZER PLATE NOTE: VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL �u--10'rwo— DETAIL (TYPICAL) INSTALLATION INSTRUCTIONS 1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTILL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED BELOW FROST. LINE. 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. m CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. To 1 3 INSTALL GROUND ANCHOR : ' PLACE STABILIZER PLATE FINISH TURNING ANCHOR INTO GROUND, LEAVING NEXT TO SHAFT BETWEEN INTO THE GROUND UNTIL OF SHAFT EXPOSED. _ 'ANCHOR AND CHASSIS ANCHOR HEAD IS (LUSH BEAM, AND DRIVE INTO WITH STABILIZER PLATE. GROUND. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. 3. - CONTRACTORS VERIFICATION - Z 3 0 I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUlLDINC�{'STRUCTUREI, F11\41 V, \: N COMPANY NAME:--------------------------- CO ACTOR L�C����xn-1�s.SL- ,, . DATE: =�___ % SIGNATURE:_ L��:�' - 7- N_ _-_ 9 f��Y'+f," 707_ ` I� �,i! #r �n.r�^�•s.:.�^1,.,�r�...... ,�r`7rr'�h•��`�. '�:l��:r'!:•?.Y�'�_�'_•"''" �'riir��...',�" CN'r+.i..�.:�.F'`i'iM'�' v�� �`tv=.+�^i.rH .. �•�'`....�+,,,, r... r�.-��-- ' "-• ✓ w.. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM t- —.(One form per Buildingl I � r, School District Til / /L ' t� - Building Department No. A.P. Number O 7/— 1y0 --t) Jurisdiction: City •County Property Owner Property Location/Address 77 J U �� 4 C— i -Cl- 4 h C Subdivision Lot No. ................................................................................................................. Residential Development Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # Fyti, '(No foundation inspection)' ........................................................................................... .................. ah Commercial/Industrial O �_ Sq. Footage _ New Addition (Including Exterior Roofed Areas) p L/ Building Department Represent ti Date (F or la s r viewed by School District Personnel)�y District Identification No.. l l 1 s School District certifies that 1 ' (Applicant) (Street Address) �j(Phone Number) Q P (City) (State) (Zip Code) I has complied with the requirements of Resolution No. representing -1210 square feet. 9,2�z� X;76-6 School District Representative Paid by Check # Remarks: by payment of $ ` _ O AB 2926 �' S FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. 1 If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency.that this project is being reviewed under the California Environmental Quality Act (CEQA). this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink'(school district) ' r feeform.xls (10/98)dmm LAND OF NATURAL WEALTH AND BEAUTY J1YPLANNING DIVISION '•x DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 December 15, 1998 Jim and Rose Vaughan 6912 Sunnyslope Drive Sacramento, CA 95828 Re: Pre -1976 mobile home on APN 071-440-009 Dear Mr. and Mrs. Vaughan: Thank you for your letter regarding the existing uninstalled 1975 mobile home on your property. As we discussed on December 1, 1998, and according to the documents that you showed me, the mobile home has been on the property since February 11, 1997, but has not been installed. On March 11, 1997, . the Butte County Board of Supervisors changed the Zoning Ordinance to require that any new mobile home placed on a property must be a HUD -approved (1976 or newer) mobile home. Because you have proved to our satisfaction that your mobile home was on your property prior to the passage of this new ordinance, and that you have every intention of installing it but could not due to extenuating circumstances, the Planning Division will allow your pre -1976 mobile home to be installed on your property. In order to provide for the timely installation of the mobile home, you have until December 31, 1999, to install the mobile home with the proper permits and inspections from the Building Division. Should you have any further questions regarding this matter please contact me between the hours of 8:00 a.m. and 4:00 p.m., Monday through Friday, in this office at the address or telephone number listed above. Sincerely, Stephen Betts Associate Planner cc: Butte County Bu>tldmg D>'VISIO KANUSOVAUGHAN.LET 0 Planning Division D E C 1 U 1998 ®ro0e. Galifomi ( e �—A-d-oe--,-L5 �C t r / I, � / � ,• �� ,-moi i /I i ,f / 42,._._ H '...,� � .►- /. iii � � �� 5,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 �ER IT N . (Rev.4,/96) APPLICATION AND PERMIT o ASSESSQQA/�jtCEl�NyIM16 009 (JIMMY FR - 5 BUILDING PERMIT r D�JVAUGHAN OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERVIT"T NYSLOPE DR, SACTO CA 95828 CONTRA ��L CONST TELEPHONE 589-3832 AV CONTRAfOU Mtn AVY6, BERRY CREEK CA 95916 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ xxx&bo Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 23.0 BUILDINGADDRESS JUSTAMERE LANE, BERRY CREEK Energy Plan Checking Fee $ PERMIT FEE $ 23.00 LOT NO. SUBDN6wN5 NAME PA EL AP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN 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 PX Installation ❑ Other ❑ Describe Work: TITTT , MH Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 0.00 PERMIT FEE $ 80.00 ELECTRICAL PERMIT Fling Fee 20.00 R UES OOOVMain Service zo.A OR LESS 23.00 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 Busines nd Professions Code, and my license is in full force and effect. License Class Lic. NO. r} `� S� as'S UILDER DECLARATION I 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (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, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 1�,q �� Date 3 Z12 Signature of Ap 'ca - ❑ 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 To I 46.00 WEE200A NEW CONST. DWELLING OCCUP. SO U OR ADONS. ( a ACC. BInS. 3.50FT: CUT @7.50 NOµR SIDANCHO CIRCUITS POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FURES skL @'.50 OWN DRER-B Ex. Occu . OF"ILIT qa D°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE $ 63.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TO AL FEE $ HA2 D. FE FLOOD CD p H ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 7' p By Date � PERMIT EXPIRES ON�� Date Receipt No. 952571 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '�Y`fZr.:+'����v�y4v:�+L��.^.<"--�-z.l.`��,-.yd's•..-•..•�� Tip-w...y..�-,r:��y.,�.(k'e.-�cS"Y4�,,.-`,:�� ;��L.:�ry,rtli'+;r�1-+-'ti-nom+ 1�,nv�G`.^`-'.��`' •-�.•✓�;". ., - COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER Al BUILDING USE /* /-�('i 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES C' (paid at District Office) ' RIFF FEES (paid at- Building Division) esidential ..... . ,, ; x $360.00 = $ .. ` 'UUnits 3. 'Commercial (sq -.ft. )... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK 4200.00 9.00 (paid at -Building Division) WATER TENDER FEES (Battalion # (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. # �I 44 Lo DATE J— t /' "7 RECEIPT # DATE REC 2 S _,FrJI _�&, 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 D 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 Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) �i 1/i 117'11iR�t.�� 'f�FYI°''yyyel '.u►1i,:,,; �j l*94 F1►�rS6'+of*VVM' r. i1'1111.. ® ?�Y OF BUTTE- DEPARTMENT OF"DEPELOPMENT SERVICES - BUILDING DIVISION V� �;�, -7 COUNTY CENTER DRIVE - OROVILLE, CALIFORMA 05965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: V 'i�-(1�' f44-k,� ' ~ ASSESSOR PARC C(C) Proposed Building Use:, Building Inspector: Date: At time of permit application, I was advised the following data must be mitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ E16. ----------------- ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- El 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- El 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. M actured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 1 sof $ ------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule.--------------------------------------------------------------- 12. California Department of Forestry plan''approval/fees.--------------- ' ❑ 13. -lood elevation certificate. ----= =- --------------------------- --------------------------------------- 4. Sanitation and plot plan approval,©n.C_'JHealth Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. -'--------------------------------------------------------------------------------- ~ ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- rPlanning approval for, (A) Use: 1 (B) Parking: -------------------------- /Contact Land Development about Improvements, ❑ Drainage, Legal Parcel. ----------------------- �l/ Encroachment Permit for"driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- 022. Workers' Compensation.eg-er and policy number. -------------------------------------------- ----------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ; 011234. -Letter of signature authorization.-------------------------------------------------------------------------------- ?r 25 . Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 3 ❑26. Letter of intent on building use. -p--===---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- 028. Existing violations and/or expired permits. El 29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: E _ (Date) Whhee you issue the permit, process as follows 11 Mail to owner; ❑Mail to contractor. C�Telephone and hold for pickup at' ®�� office. ❑Deliver with inspector. ,. Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Del Copy of plans sent ❑ Health Department, ❑ Fire Department, 1. Index permit application for the above items numbered: Applicant: VDate:— ment, 11 Air Pollution.ate: By: ❑ Plan Check List 2: Additional items required: /1% ! 1%._� . Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: 5 �_ Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONO Plot Plan Anachad Floor Plan Attached Sent to S.D. / TO: Building Department u FROM: Environmental Health SUBJECT: Sanitation Clearance Own AP# Plan Approved for: Sewage Dispose,�ocation Water Supply: Public Private Well Clearance for dwelling. Other Ld naa",L 7+'Co Hold final for: Final clearance O.K. for: (VOTE: Environmental 8/96 Ith SoeciZist 1111wn/0, 0s" 4 �I _. I.. Ce i An i IC - --- --- --- � _ rte. - ,..loseOF) coo `- V m --- I F J�ll '• -- o c p c o > cs tti i �OCRI 1 R EWE ) i fI t31JTT- co.IFJRE'DEjr� I� --- --- - - -- rALIIF. I.>EPT. of FOREST. — - - - - -- - -- — - I ' ❑ �apProv8d as submitt 41 ed I3pF'rov6d — I , �vOndition, I ' I--- — I user ttai",eet! Zvi. jl9nalure L 4L j?be.. © ..0 1 H TRi IC UllrNS ift � E DU�PMENT INCLUDINt,� to $� - - Ok ER.!IAN (3s -3H/I,LL- E WLE. kR OF ALL EASEMENTS, to� y tale e, rho -- - i o-- --- ---I A SET BA GK OFii _ -FT FF!IOt+I THE ;;IDE AND i ~ Fl,. FO:`,;C!'t:RTIY Li -^ �i --p , ;VES AND AL CLIEAf' OF S7 R ; , r'i . •I CEIdTERLI`'�E SHALT_ !. E I ui ,TU �E, A,( D E.QUIPMINii E:XC.EFIT _ - - -- -- - - -P4jR A'2 F AVE^. V �r'�:1s7P I I i j i -mat o ---F 61 IW4 KL L_ Ii - CDF FIRE SAFE REQUIREMENTS gq- 049q- V-��; AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [�Q 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [x] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-:rteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [1(] 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. [�{J 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of -3., 7 /- L(L�' 09 al'q- l%c, 41') �►�w,, AP # PERMIT # NAME FA 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. [' 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. M] 1. All parcels 1 acre azid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�J 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 �modificatior shall be completed prior to completion of road construction �,r fi_ial inspection of a building permit. Page 2 of 3 �w DY }�,� W-44-617 99,0 AP # PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAME [ ] if Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with. enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property . line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials 3-2 x 41 , Date Signature Page 3 of 3 -3 U I"DING DCEo RT1"' .'i.'�! , �. P P 0 V March 26, 1999 Keoppel Construction P.O.Box 820 Berry Creek, CA 95916 ,�3uite C L A N D O F N A T U R A L W E A L T H A N D BEAUTY re: Building Permit Application #99-0494 APN: 071-440-009 .(Jimmy Vaughan) Dear Keoppel Const. Co, PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 FAX: (916) 538-7785 The building permit application you recently submitted on February 18, 1999, has been reviewed by the Planning Division. The application was checked for completeness and compliance with current zoning and development standards including any special conditions unique to the parcel being improved. The item(s) listed below need to be completed or submitted before the Building Division can begin plan checking. Please be advised that.additional information or items may be needed to complete the plan check process. In that case, another letter will be sent detailing any additional submittal requirements. 1. FYI, There are development conditions relating to this parcel as stated on Parcel Map Book 132 at pages 49/50. Note # 4: Requires sprinkler systems in all new residential structures, N.F.P.A. Standard 13d. Note#5: Soil work shall be limited to the time period from April 15th to November 15th. Note#7: There were notes to be included in the deeds for these parcels: A. Fencing for areas other than residential areas shall be limited to a maximum of 5 strand of wire. The lower strand shall be at least 16" above ground and the upper strand shall be no higher than 48" above ground. B. Retain hardwood trees to the extent possible. No trees shall be removed except where Homesites, roads and accessory structures are situated. C. Removed hardwoods shall be replaced at a 5 to 1 ratio with the same species. D. Irrigation and soil disturbance (e.g. trenching) shall not occur within the root zone of hardwoods. The root zone extends beyond the outer edge of the tree canopy a distance equal to one half of the canopy.radius. E. There shall be no pruning or cutting of hardwoods or snag removal except to correct an imminent safety hazard. If you have questions regarding any of the above items, please contact this Department at (530) 538- 7601 between the hours of 8 am and 4 pm, Monday through Friday. Sincerely, Larry Painter Planning Technician LAND DEVELOPMENT OROVILLE / CHICO BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE OWNERS VAUGHN, JIMMY 0. NAME PRINT LAST NAME FIRST ADDRESS/ COUNTY ZONING Building Permit No. 99-0494 (MH UTIL) A.P. NUMBER 071-440=00Q DESIGNATION: FLOOD MAP: FLOOD ZONE: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL DEED BY CREATION OR MAP ✓ S DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING: LOT 2 BOOK 3 2 PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. —2. Maintain a ft. building setback from right-of-way/centerline 3. Comply with Zoning code for building setback from road. —4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from —6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. —7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Connect to a public water supply. —9. Corinecf to a public sewer system. e t� =10.' Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the 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 Fire Department specifications, serves the parcel: ' NA --9 9(- F0� ANO 1 T-)-ON5 -11. Pay T.D.D. (fhermalito Drainage District) fee in the amount of $ _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) —13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. —14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. —15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. 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. —20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21 22. 23. 24. 25. 26. LD 6/98 FORMS\BLDG PERMIT CLEARANCE ,N 3iN1318 30,iN 1lA000 HU 6 1 HVW ®3nr333a 071-440-009 _ 99-0711 VAUGHAN, Jimmy 77 Justamere Lane, Berry Creek Contr: Keoppel Construction MHI/ MHU 99-0494 S -41 r COUNTY OF:BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 " - PWRMIT NO. (Rev. 12/96) - APPLICATION AND -PERMIT- ` -Ij- 711 ASSESSOR PARCEL NUMBER 071-440-009 ZONING BUILDING PERMIT OWNER ; ,,- f -L r*\Y21VVSl!lN'...aTtlltii - TELEPHONE�29� SQ. FT. OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS 6922. SUNNY SIAPE DRIVEL SAC 95828 CONTRACTOR'S NAME REOPLE CONSTRUCTION TE589-E3832. CONTRACTORS MAULING ADDRESS CONSTRUCTION LENDER Fireplace FNDER'S MAILING ADDRESS Total Valuation $ gCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.W ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 77 USIA_—R L�• BERRY �uy�. ,�i�,' t� CREU Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 7.00 ' USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome fCZ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK' M' New ❑ Addition El Remodel 13 Utilities [3 Installation ❑ Other [3 Describe Work: MIJRE. BP# 99-0494,,---- _ _ - Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W_ -F-020.00 �.._ PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 V OR LE Main Service 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 in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License r 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. -�" C I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number ere: Carrier Main Service 200A TO ,000A 46.00 NEW CONST. DWELLING OCC P. OR ADONS. ( d ACC. BLDS. SO 3.5¢FT. NONNEW -ID. INC.Oun-eT 97.50 OWER APPARATUS, 8 PO.OUTLET CIR. Occu OUTLET OR FDrTURES e20 p':500 Ex. Occup. .."D A=lo)0eA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) R I 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. '/ Q f�� A X 1 s9r�1 �iC.l' 1 ,� Date `� ' �'" � / _ Signatu}e of Applicant - a 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 $ loo Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ.. r , D. FE IMP FLOOD ._. CO PARC n � PD ..► Hof ISSu€ t/ 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. jam' : iti j /� _A0_t4_77_1 By h;.f7+t/ tr Date 0/,�-/Aq oo' PERMIT EXPIRES ON le -12 /1 I 1 Date Receipt No. r '5 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR - GOLDENROD -APPLICANT -I.- State of California nRt. Business, Transportation and Housing AgencyDepartment of Housing and Community Developments`' C, -c Division of Codes end Standards APPLICATION FOR: "tlF Alteration/ConversionOApproval to Remanufacture ❑ Alternate Approval ❑ Technical Services ❑ Replacement Insignia ❑ Coding Inspection (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) CONTRACTOR/OWNER BUILDER DECLARATIONS Not required for Special Purpose Commercial Coaches or Recreational Vehicles 1. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. C16 License Class C16 Lic. N�o.,3DB_3G .5;- Exp. Date 0 Contractor l (jk ( fj&*"!/l/ Date 2. OWNER -BUILDER DECLARAT ON� I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($ 500).): 1 11, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended of offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors License Law.). SECTION 1 - UNIT INFORMATION I/We are requesting services for the following unit(s): (Check Appropriate Box) Manufactured Home/Multi-Unit Manufactured Housing Manufactured Home/Multi-Unit Mfg. Hsg. Component Structure ❑ Recreational Vehicle ❑ Commercial Coach (Occupancy Group ❑ Special Purpose Commercial Coach Decal or License No. Serial Manufacturer Name/ v NCn�s� Model Name � T/ Year of Manufacturer 97� Insignia/HUD Label Number(s) lex / 7KA COL NO. FEE RECD DATE / _11 - /�z - 1 / AA NO. L RT TO RT BY Owner \J101Vj1LI611 qct% ,, Telephone No. /16 --2h 3' 2?11 Address 6 712 .5C/1,//V`/ f [ 1 i i;�X City 5Ae*7-0 County —5Va 70 zip g 592 � Location of Unit if Different Than Above _ .���7 ��Z7J72V 1,;i rLXe/ Zit/ • eVire(-7--X Applicant _ / e9 (/?'.) Ie- 1/ 1 J Address 3 "-5 0L7 I I I am exempt under Sec. B. & P.C. for this reason:I City ( 'vleze Zip 2J96y 3 Telephone No. 3,30-,5 ,33 — 2 7-30 Date 3. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 II 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. (XI have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier _ STjjf�- Z-(J1VP Policy Number 272 UNi? Z (This section nee not a comp ete —Fie permitr or one undre dollars (51001 or less). I I I 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 suNect to workers' co nsation provisions of Section 3700 of the Labor ode, I shall fort) it, comply with those provisions. Applicant U =iDate WARNING. 9 PE A 1 COVERAGE IS UNLAWFUL, ANDS • L SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec.3097, Civ. C.). Lender's Name I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby au horize representatives of this county to enter upon the above-mAioned property or,inspection purposes. to HCD 415, Side 1 (02/96) 1 DISTRIBUTION: YE SECTION 3 - CONTRACTOR, ARCHITECT OR ENGINEER INFORMATION Contractor's Name Address Architect/Engineer Name Address SECTION 4 - DESCRIPTION OF WORK/AC di[ LG C', License No. Describe the proposed work/activity in detail. Attach additional pages if necessary. If structural alterations or remanufacturing are proposed, complete plans, specifications, details, and calculations must accompany this form. Check box O if plans accompany this application. Provide the make and model of any appliance to be installed and provide complete electrical calculations for any electrical alterations or additions. Indicate the Total Cost of the Work to be Performed $ 1,yl SQ I/We hereby make application for the services designated above. If applying for replacement of a lost insignia for the unit described in SECTION 1 above, I/we certify that there have been no alterations, additions, or modifications to the unit that would affect the unit's compliance with California or federal law or the rules and regut?tions of the Departme (lf alterations, additions, or modifications have been made, a coding inspection must be obtained.) Signature Gid/ (.Owner of unit must PP ROVED ❑ MENT USE ONLY (see reverse side) Signature of Department Date ❑ Disapproved (see reverse side) /�;,�-;5 Date ^ b •' - III I"I I' I� II') I II II'I'I SII (I'I'I »a .�, . 1999-10 5 03 AND WHEN RECORDED 1VIAIL TO: Recorded I REC FEE 13.08 BUTTE COUNTY BUILDING DIVISION Official Records I COPIES 2.00 WT Ef 7 COUNTY CENTER DRIVE CouBUTT OROVILLE CA 95965 CANDACE J. 6RUBRS I Recorder_' "ROSEMARY DICKSON' Assistant I Myles 89:45AM p71?99 I Pa e 1 -ofa AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT_. FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires 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 prgperty should be prepared to accept such inconvenience or discomfort from normal, necessary farm opefations. All that real property situate in the County of Butte, State of California, described as follows: J See Attachment A-1 Date: 3/22/99 ZM V PROPERTY OWNERS: • Q�'e /J��Z Rose Ann Vaughan Jimmy De Vaughan ' State of California ) County of Sacramento ) On March 22, 1999 before me, Kathleen Ogg personally appeared Rose Ann Vaughan and Jimmy Dean Vaughan personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in-his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s)t or the entity upon behalf of which the person(s)-acted,. . executed the instrument. • WITNESS my hand and officiat seal.. r; ;, ,'KATHLEE-N COMMISSION #120676V31 it• '' t`„';� a IC : •�' - NOTARY PUBLIC -CALIFORNIA y SACRAMENTO COUNTY'S �•t.•.••'' MY COMM. EXPIRES JAN 12, 2003 Signa tur Seal: A.P. NOTE TO RECORDER: DO NOT REfY)RD THIS SIDE AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT A.A. - I Instructions for recording Agricultural Statement of Acknowledgment: 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. (The description may be handwritten or typed in the space provided or attached on a separate sheet is more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorderwill record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $7.00 - 1 st Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday - Friday) 94-0298G. ORDER NO. BU -136708-3 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: 'PARCEL I• J PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 22, 1993, IN BOOK 132 OF MAPS, AT PAGE(S) 49 AND 50. RESERVING THEREFROM A NON—EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS, AS SHOWN ON SAID MAP. PARCEL II: AN.EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH —THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: COMMENCING AT THE EAST 1/4 CORNER OF SECTION 2, TOWNSHIP 20 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE SOUTH 88 DEG. 47' 29" WEST 15..63 FEET TO THE WESTERLY RIGHT OF WAY LINE OF ROCKERFELLER ROAD; THENCE ALONG THE WESTERLY RIGHT OF WAY LINE OF ROCKERFELLER ROAD NORTH 20 DEG. 30' 09" WEST 31.79 FEET TO THE TRUE POINT OF BEGINNING; THENCE __._SOUTH. 88 DEG. 471. 29". .WEST .726.16 FEET; .THENCE NORTH 69 DEG. 50' 49" WEST 41.67 FEET; THENCE NORTH 74 DEG. 40' 16" WEST 55.85 FEET; THENCE NORTH 86 DEG. 46' 26" WEST 93.11 FEET; THENCE SOUTH 87 DEG. 23' 08" WEST 105.93 FEET; THENCE NORTH 27 DEG. 51' 34" WEST 49.76 FEET; THENCE NORTH 01 DEG. 24' 52" EAST 103.46 FEET;.THENCE NORTH 17. DEG. 58' 46" EAST 142.43 FEET; THENCE NORTH 34 DEG. 09' 49'* EAST 62.14 FEET; THENCE NORTH 11 DEG. 56' 56" EAST 77.89 FEET; THENCE NORTH 21 DEG'. 05' 56" WEST 54.11 FEET; THENCE NORTH 41 DEG. 23' 40" WEST 234.13 FEET; THENCE NORTH 89 DEG. 53' 11" WEST 790.71 FEET TO THE -END OF THIS EASEMENT. Attachment A-1 EVD OF DOCUMENT VIOLATION CHECK LIST A. P. # 071-02-0-101 Address Justamere lane, Berry Creek Owner JimmyD. & Rose Ann Vaughan Owner's Address' 6912 Sunnyslope Dr, Sacto CA 95828 Owner's Phone No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. } .Travel trailer without permits Specific Plot Plan with C/V Noted _des no Penalties Required 1st. Notice Sent 6/16/94 2nd. Notice Sent ate Date Comments and/or Determination 21 Juve 44 - An,zk Au� . �.c.,��! . .�. 0.. /"//- T.,__ ; ./ ) " . Disposition For Citation Citation Date (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) Jimmy D. & Rose Ann Vaughan 6912 Sunnyslope Drive Sacramento, CA 95828 g 1E A i ,- ucrrmn i encw & yr vcvcwrov my i ocnvn,co .. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 June 16, 1994 RE: Code Violation A.P. #071-02-0-101 Justamere Lane, Berry Creek Dear Mr-. and Mrs. Vaughan: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of a travel trailer. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of .enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan -for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. MCV:dms I cc: Assessor Sincerely, Mic ael C.1 Vieira, C.B.O. Manager, Building Inspection COUNTY OF BUTTE } BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES _ 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ? %P� -7/ 0z - R 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 notify 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. L�s D/r Ot/�Y `j0 l 0r(g- YL vf/-osrf-C� [�'t� �l pooSS"�bIc— nn r i Date 3 Inspector r REV 10/92 i TT ou LJ r ----------------------------WALL REINFORCING ---------------------------- SEGMENT -1 -CONCRETE b > .000 IN d > .000 IN M > .625 FT -KIPS OVERLOAD FACTOR ) 1.700 LIVE LOADS Mu ) 1.063 FT -KIPS SEE CALCS As REOD. > .000 IN^2 INCLUDES 33% INCREASE SINCE P ACTUAL IS LESS THAN p MIN. ACTUAL As > .000 IN"2 --- p MIN ) .005 (200/Fy) p ACTUAL ) .000 (P=As/bsd) T > .000 KIPS (T=As*Fy) a > .000 IN. (a=T/(B*F'c#b)) mMn > .000 FT -KIPS --- ------------------------------------------------------------------------ --------------SEGMENT I ------------- VERTICAL NO. 4 AT 24,000 IN. O.C. As MIN. ) .064 IN"2/FT (OK) (GROSS AREA REQUIREMENT) As ) .098 IN"2/FT (OK) .894 a MINIMUM DEVELOPMENT LENGTH) 16.000 INCHES HORIZONTAL -2--f- " NO. 4 AT 11400 IN. O.C. As MIN. ) .085 IN"2/FT / (GROSS AREA REQUIREMENT) As ) .147 IN"2/FT (OK) --------------SEGMENT 2 ------------- VERTICAL NO. 0 AT .000 IN. O.C. As MIN._) .000 IN"2/FT --- (GROSS AREA REQUIREMENT) As ) .000 IN"2/FT --- 1. ,000 y MINIMUM 'DEVELOPMENT -LENGTH) .000" INCHES HORIZONTAL N0. O AT' .000 -IN. O.C. Ag MIN,) `.000` IN"2/FT (GROSS AREA REQUIREMENT), As > .000 IN"2/FT --- -------------- SEGMENT 3------------- VERTICAL NO. 0 AT .000 IN. O.C. As MIN. ) .000 IN"2/FT --- (GROSS AREA REQUIREMENT) As ) .000 IN"2/FT --- .000 x MINIMUM DEVELOPMENT LENGTH) .000 INCHES HORIZONTAL NO. 0 AT .000 IN. O.C. As MIN. ) .000 IN"2/FT ('GROSS AREA REQUIREMENT) As ) .000 IN"2/FT --- 21 e N . 21 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, oroville CA 95965 Phone: 916-538-7541 Jim Vaughan 6912 Sunnyslope Dr. Sacramento CA 95828 RE: Ag Exemppt Building Permit A . P . # 071-x+40-009 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE: June 21, 2002 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licens land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prion to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed ani (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road other: What is the specific use of yourrnpaspd Q RQ ,,;7aina — Should you have any questions concerning the above, please contact of this office. 4Manger eryoVieira, , C. C.B.O. MCV:ahb copy , uilding Inspection COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541 Jim Vaughan 6912 Sunnyslope Dr. Sacramento CA 95828 RE: Ag. Exempt,Building Permit DATE: June 21, 2002 ' A . P . 4 071-440-009 } With reference to Ehe above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by prepaie- of plaiis. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. __F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a license( land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Lard Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy) Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder -Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and �-) Parcel liICCLS zon-ing alfa and Ll: C'i Ci.`atiC iClILLll CiaC I1LS. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other: What is Should you have any questions concerning the above, please contact of this office. `Go� very t1raiv, Mithhel C./ Vieira, C.B.O. MCV:ahb Man ger, uilding Inspection s - C L V BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. `�! ZONING -AY6-66� s OWNER , \J ro R6 < < c. PHONE NO. -- 3 93 OWNER'S ADDRESS 'JS 32 LOCATION OF BUILDIN�^ . -mss; — _--- - - ----..---- USE OF BUILDING - J SIZE OF STRUCTURE SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME. STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING P7e,T0_ FLOOR TYPE ESTIMATED COST OF CONSTRUCTION ©t% AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields: AG Buildings less than 1000 sq. ft. in floor areasb.A!Jtb$]6datob a�ninimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial budding kit AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the'building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date l6-jl/-OZ ermit Fee - $60.00 Receipt No. Signature of Owner 12 The above described AG Building is exempt from a building permit. Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant � N DAVCO BUSINESS FORMS • 19161 743-6h I I 1 OR; 4, V, 1197Lmimp �1 � ,.! J �a. .Eft._;.._ { `' ; k t�r - _.----•--•--• — -- 'Ili 11114 � '� + PHEI-AHED Uy • I el 0�Ii , w I u�� 41 111 ii 1 J'� I , ; I � - I 'R 4 _ } I. •r f y r IN + ' 77 .t Y } li {., •" .r1: t I I I � I � ( � "r' F Ik `r• 4s, r s -�i3.' I ; ��1��• 41,1 i I f }ik !•-S, �{ 71 .f .. �1f ,Fit I 4 GIF ( ",'Ly . IL 'i ' atl p tJ( ti i'f 111:16 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 ' 7 County Center Drive • Orovillei CA • (530) 538-7541' Y , 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, ple e` contact this office immediately. c.�ACin.� / 1,/ ^f / '///_ /p1— -_'-l / J /tom(. vS- �e-7 <60,��y✓-� Date Inspector �- REV 10192 ill W THISPROVIDES` PROTECTION AGAINST' LATERAL: 0 _ MOVEMENT.. ... 41 0 CONTRACTORS VERIFICATION U I CERTIFY THAT. I. HAVE 'INSTALLED THE "ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION 'INSTRUCTIONS. r. I HAVE -MADE" NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. W° COMPANY NAME:__________ __ _____________ CO ACTORS LIC./{_ DATE:--.�_�-% 9 SIGNATURE:_ ,'A +0 2. ALLOW CONCRETE TO PROPERLY DRY. - n .STRAP. , 6 I o da: 3 1. ATTACH STRAPS 46-C ASSWSIIS BEAM' N,Ir174NNER SH. r ttl Clr OM, 2. INSERT, STRAP THROUGHr,t Puir BOLfjCUT OFF EXCESS STRAP,, AIAD),THEA TIGHTEN }BOLT UNTIL y STRAP IS�aSNUG. " o j + .s W _ : W v. i ANCHOR INTO WET CONCRETE. +0 2. ALLOW CONCRETE TO PROPERLY DRY. - r R` v T CHASSIS PC;0N.N1 tTI,�I� 1. ATTACH STRAPS 46-C ASSWSIIS BEAM' N,Ir174NNER SH. r ttl Clr OM, 2. INSERT, STRAP THROUGHr,t Puir BOLfjCUT OFF EXCESS STRAP,, AIAD),THEA TIGHTEN }BOLT UNTIL y STRAP IS�aSNUG. " j + .s MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT.OF DEVELOPMENT SERVICES BUILDING DIVISION - COUNTY CENTER DRIVE OROVILLE, CA 95965 - PHONE (530) 538-7541 APN: PERMIT NO.: 0-71— C��fq �t.GDc/� t 0�l /( Owner's Name: ]. t i�L1 t 1 i 5' Owner's Address: Ll " f .% f i Vii'" Mobilehome Manufacturer: J 7ear Manufacture: Serial Number Insignia or HUD NumbeF: w" / ^� / may' Official approving in�sftallation: A Date: /0 '.o 1 !.?, _r n. wrc !� Z-15 W I If the mobilehome is moved 0r /relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B white -owner, Yellow -Installer, Pink -Bldg, Gold -Assessor 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 b / 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. f � 41 Int C—Q 1 _A 1/ 4Z " v P v// Date Inspector REV 10/92 ��+�"'l'+„r*-=r-5'�-�f.•-`�i-,rxr'Lrsy�'�t+t r7F-"1s'�+.�'..y�,.�.s:rs.n"'."�-':I'Y�1. 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 ER - D / 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, plea contact this office immediately. / l Date - REV 1 r20N. E. MA B. 8 M. 02 A.1k OWL 156AMAC 1*3 p.-, 2. AdR 13)5 Air 1,26 t AC 14 �374AC -J,(�r,51907AC tt�� JI! 10 1670.28 2, 12.76 5AC 54-1 10Z SPA I .1cm .13.5 AC P, 4 in ars - I - )m m S-,mri WKS It. 2 AW L614 %% t 2 P w-7 11 2 0 (3028) (3o.m JAU) I 35.429A.' P/m so-mofzw (32 2) L 1 -11 . 1'� - - - - I' * t .76 14 1323.59 40 AC I' 40-094C 2 1 22 1291.54 % 1200 P/M 46 42.8 Ac. 7 .37 '5 nfl?! t 1) 7(13-2) 1376.67 BERRY 1�*EK RANCH 241755 /M&W-00- .214 Ymoo 1.33 pi/0.344C ZYW .6 _ T a" 4b xSTATES .4fid7i.19 to 4103.1 Z92 i. 14V.315�� (9, 21 sow E4) 5 6.15 7 AC 0. - 9 33AC 2 55AC It IS 576, If 12 Pm I 0) A 40AC. I .. 10'2AC "'-'m &5AE F 66989 5Ac 101 Vol 2670. 4\ .4 2734.16 670 136708 zl PM 53170 0 -.wv -67* 6fA 2j2Ar 89 N 4j 41.' 40AC. 60 4C. ;-3 77 286.617Air 2 rn (�� N 06 (PIM 40 5 @W4ZA Q 0. 75 A? 4 . 9. 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Wj— 1-41 R 0 -- SM +-RO50 Owner Name Address / Phone No. % Y 57 E 1 Site Location Contact: Name Phone FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: — USES: : SITE��N _. y. ....................................._...._...... ............. ....-.......:.............:..................._.... .. _ .......... ... .- .. ..._............. .. .. ........._-............. ..................................................... ,......... .._........ .- REVIEWED BY i ......:......:...: ......... _ .. .. .. .. .- :.....:...................:._......-....,. frt3�u�teC�u �tre� .. ; anir�g0ffiqer......... - - - - :�: _ F butt' -Pfa :.. BIASIJ�E IF?l :l8!��add-require0to•�Ea3le;....:......:......:.... k�...::.....:....:.:....:-;.-... s� Fullyenc9osed noatcortit eaves oh structure: :UN ...:......:.....:......:......:-_.....:.._...;.....: .. .. isePPaove, with ctR+Tarte'..;.....;.....:......;..... 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