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072-061-020
P 72-061-20 Myrtle Corbell 4Ima % 141(h I 7159-A Mt.Ida Rd., Oroville Permit #4508-79P,E(util.,MH)� ELEC. g-3 /- GAS 9 kpt- SUPPORT STRUCTURE REQ. /Z/,o COtiPACTION TEST REQ. AIrt'? �� 72-061-20 contra Cu y Trailer"Towing, Oro. • Permit #612 - MHI� Issued 72-061-20 Permit #3543-80B,P,E(new carport, I` cabana & decks/MH) O.� .8 V 072-061-020 :,,0621776 STERRETT, GERALD ,.. 20CLOST HORIZON DR, OROVILLE Cont: D&A CONST MH PERM FND (NE )2ND DWEL 4F1N41- I'7- 1 - B06-2816 072-061-020' MISCELLANEOUS Electrical NEW ELECT METER FOR EX. SF (PER 202 LOST HORIZON DR ; STERRETT, GERALD L & MARY R P1 12 -14 �70(o l�R.IGHT, WM. L. 1745B 1427P -271 2557E_ 868 e/s Mt.; Ida Rd., 1000' no. at intersection 7 Orovi lle -Forbes town Rd., Oroville CONTR: 13,4t�tb. --ft21sN 'Xul§h, 6' Butte Construction, Chico 2 2 MYERS, Ivan 670-67B 562 -67E - C -57 62 -67E - Ca '�_Afl 1329-67P e/s Mt . - Ida Rd.. app. 2 mi. no.. of Olive Hwy Oroville (Detached Storage bldg. & washroom for-mob:- home) or mob:home) ZF 072-061-020 US -1590 STERRETT,GERALD 202 LOST'HORIZON,,OROVILLE Cont: OWNER AG BLDG 01 '-wZ" k1ECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0066403 Recorded 1 MC FEE 10.00 Official Records I County of I COWORIf£D COPY 1, 00 Butte I CMM J. GRUBBS I County Clerk-Recorderl I 1 BW 03:11PM 19 -Dec -2006 1 Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, CC 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. GERALD AND MARY STERRETT BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 202 LOST HORIZON DR. 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 200 LOST HORIZON DR 06-1776 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER OROVILLE BUTTE CA 95966 12/18/2006 CITY COUNTY STATE ZIP SIGNATURE OF VAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION CMH MANUFACTURING WEST 2005 DESERT MANOR -2044 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER HER023822ORA/B/C 66'X 26'8"/27'4" X 13' ORE468392/3/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 072-061-020 HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: Parcel 1, as shown on the certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on November 18, 1975, In Book 55 of Maps, at Page(s) 3 and 4. �9) %_I C� ic) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2816 Issued: 12/08/2006 Addres 202 LOST HORIZON DR OROVILLE APN• 99' 072-061-020 Permit Subtype: Electrical Owner: STERRETT, GERALD L & MARY R Applicant: R T ANGEL INC Description: NEW ELECT METER FOR EX SF (PER 0628 MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Ins ection Type IVR INSP DATE Set ac s 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 OFFICE COPY Address GAS Meter By Date I J ELECTRI 1+� Meter By ^/ Date 1117-060: 1 -See 13P_ 0(07' 1 1-7( L 1 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HA COMMENCED, YOU MAY PAY FOR A I YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy 3 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds R T ANGEL INC 201 CONCOURSE BLVD SUITE B SANTA ROSA, CA 95403 (530)821-5850 R T ANGEL INC 201 CONCOURSE BLVD SUIT SANTA ROSA, CA 95403 (530)821-5850 FEE INFORMATION Single Phase Service - Res $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires R T ANGEL INC 457364 / C47 B / 06/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X )) (t1fLQrQ1� 12/08/2006 Contractor's Signature Date 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. ®I HAVE AND WILL MAINTAIN WORKER'S 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 tare;; Carrier: k_ Policy Number: "1 exp. Date: 8-1- 0(D (This section nee not be competed if the permit is or one hum red dollars ($100) or less.) ❑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 the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Xp.Q, 12/08/2006 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. 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. (3097 civ. code) Lenders Address City State Zip Building Garage RemdUAddn Other Porch/Patio Total I otal Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1140 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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]; Please check one of the following: ❑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 License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 proof 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 Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: 12/08/2006 Ix Owners Signature Date I hereby 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, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. ,11'V11 \ in D 01 e 649-0 0 0, YYI'i (.h401 I.v re -.,,o 1 12/08/2006 Owner Contractor OR. DAgent for Owner Dgent for Contractor FILE COPY PROJECT INFORMATION Site Address: 202 LOST HORIZON DR Owner: Permit No: B06-2816 APN: 072-061-020 STERRETT, GERALD L & MAR Permit type: MISCELLANEOUS 202 LOST HORIZON DR Issued Date: 12/08/2006 By KCG Subtype: Electrical OROVILLE, CA 95966 Expiration Date: 12/08/2007 Description: NEW ELECT METER FOR EX SF (I Occupancy: Zoning: AR R T ANGEL INC 201 CONCOURSE BLVD SUITE B SANTA ROSA, CA 95403 (530)821-5850 R T ANGEL INC 201 CONCOURSE BLVD SUIT SANTA ROSA, CA 95403 (530)821-5850 FEE INFORMATION Single Phase Service - Res $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires R T ANGEL INC 457364 / C47 B / 06/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X )) (t1fLQrQ1� 12/08/2006 Contractor's Signature Date 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. ®I HAVE AND WILL MAINTAIN WORKER'S 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 tare;; Carrier: k_ Policy Number: "1 exp. Date: 8-1- 0(D (This section nee not be competed if the permit is or one hum red dollars ($100) or less.) ❑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 the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Xp.Q, 12/08/2006 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. 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. (3097 civ. code) Lenders Address City State Zip Building Garage RemdUAddn Other Porch/Patio Total I otal Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1140 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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]; Please check one of the following: ❑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 License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 proof 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 Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: 12/08/2006 Ix Owners Signature Date I hereby 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, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. ,11'V11 \ in D 01 e 649-0 0 0, YYI'i (.h401 I.v re -.,,o 1 12/08/2006 Owner Contractor OR. DAgent for Owner Dgent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Names 1 ,,+ �J t first Name r Mailing Address 207. LQsA- 400 Ztn L)r- ", C)r' 0\-1 i (le- I State CA "'253(d,. Phon 1 b 3L q ' p.3 ax E-mail APPLICANT INFORMATION CONTRACTOR Name Q (fpn C7Z6 Address op GSyOt/ City F�`53ts Fal Sys `% State Zip Phone Fax E-mail Lic. #45.,73 1/1 CI APPLICANT INFORMATION ARCHITECT/ENGINEER Name City 0 C Address op GSyOt/ City F�`53ts Fal Sys `% State Tip Phone Fax E-mail State License Number APPLICANT INFORMATION Name IX A Address o 53 Sante -Q f2osQ A* -e J City 0 C state op GSyOt/ Phone,,,,, S� 5Q F�`53ts Fal Sys `% E-mail 1 0 APPLICANT SIGNATURE X For office use on : Zoning JFlood Zone SRA I Yes I No Occ. I Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. 00 BIN # PROJECT LOCATION AP# 0-1 1 O a 0 prn—rtv Address City ibr i n I CrOvi Ile Cross S t v2 �w WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ ' Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not Received by: 0 • Amount: � Bldg SRA Receipt #: L31 ILC Sheriff NI' # 2g G SMIP Date: 12 _� _0 I e6 q15- BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner Sterrett APN No: 72-061-020 Permit Type: Subtype: App Date: 7/24/2006 Permit No: BP 061776 Permit Desc: 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application $549.90 $219.96 $329.94 Balance of Building Permit Fee 0 $95.00 - $204.98 $109.98 $314.96 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $424.94 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $3,681.95 $329.94 $13.29 I u RECEIPT DATE Tech/Asst 4 5 6 7 7a Balance of Building Permit Fees (from No. 1 above) SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: 8 IMPACT FEES - RESIDENTIAL* Applications After 04/15/06 Per Dwelling Per Dwelling MFD x Little. Chico Creek r2gy 773 County 4249.11 3183.54 1 3238.72 Lindo Channel Chico Urban Area 6146.23 4538.82 5648.44 $7,211 EI Medio Fire District 3249.97 2385.76 2422.68 North Chico Specific Plan SR -1, SR -3, SR-1/PD 8801.091 7395.041 8486.40 �c R-1 8897.09 7491.04 8582.40 0 ti° R-2 8390.091 6984.04 8075.40 R-3 7604.09 6198.04 7289.40 RECEIPT DATE Tech/Asst Processing Fee is automatically added to impact fee total 1 $100.00 $3,338.72 9 WATER TENDER FEE (Not collected when impact Fees Applicable) Enter Bat.# $200.00 DRAINAGE FEES' 10 CHICO STORM DRAINAGE MASTER PLAN New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 770 Butte Creek $7,997 771 Comanche Creek $8,341 772 Little. Chico Creek $9,088 773 Big Chico Creek $6,776 774 Lindo Channel $8,267 775 SUDAD Ditch $7,211 776 Mud -Sycamore Creek $6,275 RECEIPT DATE Tech/Asst 777 PV Ditch $8,893 �I-J 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling 1 $136 At time of building permit �L-J $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* Oroville Elementary 091 12a RECREATION DISTRICT FEES* Oroville At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: Pursuant to Government code Section 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 A COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.netldds OWNER A.P. # 07 Z - o6 I-C-ZC> PROPRO$F D BUILDING USE �%�� M l 4 r N L� DATE -7— 2 L�r-0 RECEIPT # DATE REC. r W�.' BUILDING PERMIT FEES IGINS ii Cj --- Balance Due ..................... $ `'� ` l�� --- FEMA Flood elevation review...$ -- ditional plan checking Fee...: $ , SCHOOL DISTRICT FEES O0�/ L (� aid at School District Office *T- 3. .� form available after Plan Che k) a� • 3. NON-RESIDENTIAL, DEVELOPMENT IMPACT FEES Total Fees Due: 04.;SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 aid at Building Division) 5. ' IRE MARSHAL PLAN.REVIEW Amount: II MIP Z % ��l! qQ 7. OTHER 8. OTHER . /LC l// S f�� %? �Z C74i 9. OTHER CnAL �!� 310 i At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 7, 8, and 9 above may have been imposed on your project- You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). , Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/06) BUTTE COUNTY �UTrF DEPARTMENT OF DEVELOPMENT SERVICES o �\ I / o BUILDING PERMIT APPLICATION o /� o AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 o �.s: o A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.btittecotinty.net/dds \�D flu 'Cy "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Nam First Name Address rca Lm+ VDrIZOn ' 6vc, City oco'4 sue State cA Zip q5�� Phone Fax E-mail APPLICANT SIGNATURE X �(Y� For office use only: CONTRACTOR Namer,, t e -�CaLC'4'-• Addressgu$ Cityc�Lo City State cA Zip QEqqI Phoniie5_B0$;).1 c58� Fax 536S;Qt 5$51 E-mail corn Circe -)3 Cl11 &1 APPLICANT SIGNATURE X �(Y� For office use only: ARCHITECT/ENGINEER Name -�CaLC'4'-• Address Book City Lot # State Zip Phone Address Fax E-mail State License Number APPLICANT SIGNATURE X �(Y� For office use only: APPLICANT INFORMATION Name -�CaLC'4'-• Address Book City Lot # State Zip Phone Address Fax E-mail APPLICANT SIGNATURE X �(Y� For office use only: Zoning 2 Flood Zone SRA rYes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP©6 17 BIN # PROJECT LOCATION AP# ora-dLOk 00LO PropertxyAddress o�06fe La-'), %�C�ZCx1'Dr�v� City Oro�1�e Cross Street Ad (D\'%w .. WORKER'S COMPENSATION Policy Number OI 000 QO t4kol 0('P% Carrier Noz�k6na.l LIa�l�I�� Fire If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: ►t1(lOwn "Z(.PBtt)c (Pi; 131y Inc X.08 J Scl FT= Living 26q5 Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy ote previous u EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. �\ Received by, Amount: Bldg L SRA Receipt #: :257A _ _Sheriff SMTP Date: lob �w Other Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-10-06 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No fazes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, (E) Manufactured Home Support Data (form available on our website) all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs (if building in the City of Biggs). ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan.approval'(if required). D 4. NPDES Form.' ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer , or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. ❑ 13. Planning Division approval for parcel check, use and parking (if required). If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. `, EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid. the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds. can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\81dgApp1SubRgmts.doc Page 2 of 2 REV 4-10-06 072-061-020M 06-1776 �. STERRETT, GERALD NOTES ; .200 LOST HORIZON DR, OROVILLE k" Cont: D&A CONST - MH PERM FND (NEW)2ND DWEL°"�{• i RESIDENTIAL i APN: Permit No. Owner. Site Address: + Contractor. Type of Permit: i i • 11 i OFFICE COPY Address a 4�� a5 � �`" �l_• GAS S i Meter By Date` °d6 J ELECTRI _. Meter By Date' SRA C ��//D1�'�BY�� • -��-�-`— FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED ' SPECIAL INSPECTION ITEMS i t VERIFY fi USE PERMIT CONDITIONS 1 ENCROACHMENT PERMIT REINSPECTION FEE PAID SRA C ��//D1�'�BY�� • -��-�-`— FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED ' SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID FIV HLTH CLEARANCE F f DATE JOB F < SIGNATURE - '. ,-... ti } • =OK 0 = Not OK MANUFACTURED HOMES DATE I L.PERMANENT FOUNDATION U SOFT -SET Zoning• Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIUCIO-Concrete 4 W octn-Test-Easement Needed -Regulator Loctn-Dimes-Gmd Amp -concrete and Gas; Loctn-Test Wrap Nat ❑ or LPQ Inch Sz Ft Lngth �I kng; SzSpacing-Marriage Line .8Zaa" MH Test -Demand Valve-Cnncir 6Ele , H Cntnty Test -Crossovers -Breakers -Gimes rain• M `est -Fall -Flex Cnnctr 11 Wtr*: eWor Connected -C/O to Grade 4 a Ele 0 ty Tagged Z%T owns Foundation Exits 15 C!0of occupancy ds-IIUD LabeUlnsignia Numbers Serial Numbers °' MISCELLANEOUS - 3 E C K S -CO V E R S -C A R P 0 R T S 'G A R A G E S ISCELLANEOUS' 3ECKS-COVERS-CARP0RTS'GARAGES 1 ZoningSetbaclts-Easements 2 Ftgs; Soils-Sz-DpthSpacing-DnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-RRrs-CnnctmShthg. Frmg-Brcng 5 Alum Awn; Columns-DnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors T Electric 8 Frmg; Sills-AnchrsStuds-Rtb-s Trtisses 9 Siding; Nailing-VengerStucco-Lath 10 Roof; Shthg-Roofing 11 Ezt; Steps -Doors -Landings 12 Braced Wail pnls 1 Setbacks -Easements _ 2 Soils;.Compaction-Structure Stability _ 3 Pool Structure; Steel-Cnnetns-Thickness Dead Men -Lining _ 4 Elec RcptclslLting; Distance -GR _ 5 Elec Pool Lting;15 volts-GFI _ 6 Elec.Enclsrs; Conduit Entries Terminals -Listed _ 7•Elec Bonding; Metal w/5'-DrcItng Egp-Htr _ 8 Etec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg tioxgs-Encisrs-pnlboards.4nsultn•to Main Conduit _ 9 Health Dept AppiA . _ 10 Plmb; Cir Test-Wtr Supply Test _ 11 Lt Niche , _ 12 Endsr, Fencing Alarms 13 Bond'mg, Diving board or Slide dA 0ds o'd �a`. Drawing A RESIDENTIAL (Single & Duplexl DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; SoilsSteel-Elec Gmd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Opth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steei-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12_ Elec Undrgmd 13 Plenums & Ducts; Cirnc-materialSupportansultn 14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntitn 16 Insulation o' mss. DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders 4 flr Nailing 20 Draft Stop to Walls (rat proof) • 21 Fire Stops; Furred CeilingsSta"-Chasers-Tubs 22 Headers 8 BeamsSz & Bearing' 23 Hangers-Posf'Caps-Anchrs-Cinnctns 24 Ceiling Joist-Rfir Ties-Purli.n-Roof Brac TrussShthg 25 Frple Ties or Type A Flue=Frplc Throat Cime 26 Attic Acc; Sz &'Rhix pitekn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill kit & Dimensions 28 Garage Fire Prtctri Framing -RC Channel 29 Prprty Line Firewall & Opngs' . 30 Ext Doors -One X -Check Gauge 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Runa andfng-Fire Pdctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rfir Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn Walls -Ceilings 39 Infiltration -W ails -W ndws o'er DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cimc-Ins Prtctn 41 Elec Rcptcts 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 oa E] cu or ❑AL AC Wire Sz pa ❑ Cu or ❑ AL 48 Range Clic w Q CU or ❑ AL Oven Circ g- [—ICU or ❑ AL Insulated Neutral QYes ❑No 49 Service -Riser Cndctrs & Gmd Mala Dscrnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector DATE JPLUMBING 53 Wtr Htr; Vent-Acc•Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail Pr(ctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tubi & Shwr, 2nd fir - Tub Acc . 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE fMECHANICAL 61 AC Ducts Insultn & Support " 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace In attic oil— DATE }DATE FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFl & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elee Trim & Subpnl, Breaker Szs & Labels 73 Stairs, GuardlHandrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking 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 Prtctn; LPG Appince Undr House 3' drain 81 Pimb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFl) 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 Cimc Dmge Planters 0 Yes Q No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frpic-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler ., ...7"•�... -."�. - .-•--.-:Y„�•+i�r., .�. ..r V' �--''+Yr'.�.sS...-:*t-.�Y,V "r�.t�A�'tC'f:-s;`S",f,�c-�`�Y^.W�,-�•.•'�.��.-Y--•.:"'4.'�:+°�' ...............COUNTY OF BUTTE ................ 'y'• - - BUILDING DIVISION w DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 . CORRECTION NOTICE 12967 126-17 � OWNER PERMIT NO. I 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. IF ram s:',• Date Inspector �c�i -3i7 f7 ' V /Xli/�/ =• REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 L• COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES" 7 County Center Drive • Oroville, CA * (530) 538-7541 CORRECTION NOTICE' -'-*- 7 7 OWNER PERMIT NO. R A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address 'adshould be corrected. Please call for re -inspection when correction of work is completed�/,, f you have any questions pertaining to this matter, or need additional explanation, eas contact the Building Inspector as indicated below. -Z 7 f Z7 Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE Ka` BUILDING DIVISION , F= DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE kF OWNER PERMIT NO. ac. 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 4 explanation, please contact the Building Inspector as indicated below. y�..�Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 1`Y BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061776 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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.n License Class: Q t� License Number: 7J� Dater Contractor: �) A �O t!s ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 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 owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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. 4 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Lab6r Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:Q– Policy #: 1-1 ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. l Date: -V oro Issued Date: 09/05/2006 APN: 072-061-020-000 i Site Address: 200 LOST HORIZON DR ORO Map Index: Description.: NEW MH PERMFND 2nd DWELLING Owner: STERRETT, GERALD AND MARY 202 LOST HORIZON DR OROVILLE, CA 95966 Applicant: DU PAR & ANGEL INC MICHELLE FREEL ' 2532 SANTA ROSA AVE SANTA ROSA, CA 95404 530-821-5850 530-821-5854 (fax) michellef88@sbcglobal.net Contractor: DU PAR & ANGEL INC MICHELLE FREEL 2532 SANTA ROSA AVE SANTA ROSA, CA 95404 530-821-5850 530-821-5854 (fax) michellef88@sbcglobal. net License #: 457364 Architect: Engineer: Total Square Ft: 2045 S.F. Valuation: $132,925.00 Census Code: � 7y5. as #yy�331 9-29-OCo WARNING: Failure to secure workers' compensation coverage is r.J�11I.0 r.� unlawful, and shall subject an employer to criminal penalties and one �J r a hundred thousand dollars ($100,000), in addition to the cost of %pl Iq U compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio s to do work indicated ab re for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: M Date: Address: PERMIT EXPIRES ON: I�1 ❑ I hereby certify that the use of this facility shall comply with Sections 25505,25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all couflty and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 1- h l//.0 Y L 11° Vx-ee.l Signature Date: tet— �-OZO ❑ Owner ❑ Contractor ❑ Agent for Owner r4 Agent for Contractor in. t_ nunumg rermit u1 -10-u4 pg 1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION Y4 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET A_ OWNER: ASSESSOR PARCEL NUMBER 0'72 - 6 6 /-6 Q6 - / Proposed Building Use: /i1 01// , NL,�v $/iL' ; �LSI� INj Permit Tecludcian: �� Date: X �C Items required in order to apply for aor permit: All boxes MUST be checked OR marked NA in order to apply. N 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 0 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 faxesl ❑ 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. 1 N 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in du li e. - ❑ " 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 tj 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other \Remaining items needed to issue the permit: (May require additional plan review upon receipt of the following items.) ®�,i.r 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... o 18. Erosion Control Plan Required .......................................... Qi 0 -Rees; as shown on the attached Schedule of Fees Du_e Sheet ..c5,3.&��......... 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of iggr...................... 2�Califomia Department of Forestry plan approval aid. Sent b�jt!L-i gh , l &w 23. Planning approval for (A) Use: 0 Y_- (B) Parking: (C) Parcel Check: ............ ❑ 24. Contact land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by ...................... //v 26. NPDES Form ........................................ .... ......... ........ ................................ 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 .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner)....... :............. 31. Letter of Signature authorization.................................................................... recorded copy of Agricultural Acknowledgment Statement .............. ............... ❑ 3 . Existing violations and/or expired permits.........................................................': . f 1A . Deed Restriction.......................................:}................................................. ❑ ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other. ❑ 37. Other. When issued Telephone ►C�1�'L� ��� U and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant - Date: 1. Index permit application fo the above items numbered:SOO Plan Check Letter items required ntractor designer, owner, was advised of the above data by ❑ one, mail, ❑ counter, by Date:. c o igner, owner, was advised of the above data by phone, ❑mail, ❑counter, by Date. r, designer, owner, w advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by- ate: f . c�E,_ Plans approved by: Date: Q i Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division .., _ T'i' U I ICF -ONLY COUtY Plot Plan Attached ) -- Floor Plan Attached JUL 2 5 20r sent toao�s TO: Building Division = Development SerNibe- §P` -r ;,!-.. j, SERVIC►1» FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal: Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Heakhuot$-ecialist Building Clearance 9/2005 Supply: Public 7 Date Well ;;t.�{•.w-�. ,.- -�, .�w-+7.`r,+r� �.. .�. ,.3....`. �.�+,+�...-n +..k` . ... . ti.,-.+.... ...� ...�.r++tA�"'"'�:•'r .+`t.^''k,-^'..4....... . .-. ..._: .,�{: � �,+• ^BUT�J ,r � s ,.M. � � •� 4t�:1j COUNTY' VA Oq I BUTTE COUNTY SCHOOLS IMPACT. FEE CERTIFICATION FORM 4 I SEP 0 5 2006 ; (One form per Building) _. ti DEVE, LOPI[ Nil n ` / SchoNsi G"s Qr �V t n i' n9 Depa en .,Building rtme t No. G) I VE A.P. Number Q �' Jurisdiction: ' City lCounty 1 Property Owner 1� A f_1 1) Property Location/Address 20Q -L n % C Ny Subdivision ti Lot No. ........................................................................................ 2_0qResidential Development ® Q Q Sq. Footage No of Living Mobile Home Addition/ "Supplemental to (Group, R) Units Installation Conversion Permit # `• '(No foundation inspection) :........................................................................................ 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 Representatvve Sq. Footage (Including Exterior Roofed Areas) -2_3-0 Co Date !� District Identification No. School District certifies that St -err r e=�t r_ (Applicant) s2- a O l._.0 ct f e r k Z. air• � r L J e-- � (Street Address) (Phone Number) °t (City) (State) (Zip,Code) has complied with the requirements of Resolution No. -o b-0 q by payment of $ F, 3 S representing 0 `{ S square feet.B 2926 $ tULL MITIGATION _ School District Represe6titive Date Paid by Check # Remarks: b - p I__p Notice: You may protest the Imposition of the fees Identified above I 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. K, 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 ==hits Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeformAs (3r SW= MA BUTTF,¢-OUNT'Y DEVELOPMENT FEE CERTIFICATION FORM M FEATHER.RIVER RECREATION AND PARK DISTRICT (FRRPD) S33YAN3S ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ,r.NawamaAaa. 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 9002 5 O d3S 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) n.iNfI03 :Pard () X1 2-o�Q� --�1�� Building PermitNumbe�'JrV Assessor Parcel Numbers D b Property Owner (s) Project Location /A Subdivision Name New Development Assessable Sq. Ftge 210 y t Type of Residential Development (check one) Alteration/Addition(s) — Mobilr le_home — Demo Permit (date issued Comments: Department Single Family -Detached Non -Residential to Residential Mobile home replacement Date 'WD ❑ CARD ❑ PRPD D DRPD certifies that: Applicant Name hone Number Mailing City Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building Department 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 CheA No: Paid by Cash: and Park District Representative 471,1 per unit for a total of per sq foot for a total of $ Receipt No: Date ra .AND WHEN RECORDED MAIL TO: •BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2006-0043731 Recorded I REC FETE Official Records I County of I CUNFURIED CLPY 1.00 Butte 1 CMNDACE J. GRUBBS I County Clerk-Recorderl I I LIP 011:16AN 24 -Aug -21b06 I Page 1 of 1 7.00 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: l THE LAND REFERRED TO HEREIN BELOW 1S SITUATED IN THE UNINCORPORATED (/ AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: Parcel I, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on November 18, 1975, in Book 55 of Maps, at Page(s) 3 and 4. Date 9\S%—ArX00J6 PROPERTY OWNERS: L. State of California County of OLL444 an before me, a Mary R. 'S+errt++ personally appeared (%elf d �, . p rree- - a r d L44r" � �� ��r�-% personally known to me (or proved to me on the basis of satisfactory evidence) to be thhperson(s) whose name(s)Xare subscribed to the within instrument and acknowledged to me that /they executed the same in /their authorized capacity(ies), and that by4bii&9l;4eir signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature��/11tirGr;.r�i 11�I_/, Seal: MICHELLE LEE FREEL Comm. # 1435881 N NOTARY PUBLIC -CALIFORNIA N A.P. # — "'0Q 0 My Comm BExpir s Auutte gus124, 2007"+ f jv" - 05/02/08 13:45 FAX RECORDING REQUESTED RY: Fidelity National Title Company of Callfarnla 8sorQW NO-- OS-107504•TG Locate No.: CAFW0950.0958�0001.0000107504 Title No.: OS -x07504 -So When Recordzd Mall Document and Ta)c Staternent To: Mr. and Mrs. Gerald L. Sterrett 8375 Triad Cir Sacramento, Ca. 95828 BTEC OROVILLE 4 INTEGRITY CHICO Q005 2005-0031725 Official Records I IAC 10.80 Coapt of TA} 170.50 t>vt�p I CAkIDiQtE J. swills 1 Covnty 11crk-Rec'arder1 TBI e9:MCA 03 -Jun -•2m I Past . Ittllllurrlrui�lrr�uarloliui A PN: 072-061-020 GRANT DEED SPACE ABOVE TMS UNE FzOR RECopMS U ZL, The undersigned flranbor(s) declare(&) rf— bacurne ry transfer tax lg $1'70.50 I ] computed on full value or property conveyed, or ( l computed an fun value less value of Yens or encumbrances remaining at time of sake, Unincorporated Area City of Oravilfa,. FOR r, VALUABLE CONSIDERATION,receipt Parker, husband and wife, as jointntterrants of arhlsh is hereby acknowledged, Gray C. Parker and Carolyn A. tena hereby GRANTS) to Gerald L. Sterrett and Mary R. Sterrett, husbana and wife as joint tenants the following described real% County of But propel{$ In the City of Orovillte, State of California; SEf D(HIe1T "A" ATTACHED HERETO AND MADE A PART HOOF DATED-- June 2, 200.5 SPATE OF CALIFORNIA COUNTY OF _ oN- S— before me, �d Pct rvorary a„►,ll pers9nall/ Personally known to me (or proved m me on the basis of satlsfaROry evidence) to be the person(s),whose name(s) is/are Subscribed to the within instrumentand acknowledged to me that he/she/may eXecuted the same in his/her/thelr authorized Capaclty(ies), . and that by his/her/thelr signature($) on the Instrument the pe(Wn(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my ha and official seal, i Signature ,f -j U FD -213 (Rev 7, Nfant)(040S) Gr C -P ker Carolyn A. P ker GEnoy �'IO BPuDI� �Carl�rorrN2 e n My carr&_ ft cg ,, r)j 24, 2007 MAIL. TAX STATEMENTS AS DIRECTED ABOVE M AY 0 3 y 910/1tQ 94I990 VA samog SIWOM ZMMM XVA 09:tt GRA 900Z/£0/90 06/02/06 13:45 FAX BTEC OROVILLE INTEGRITY CHICO IM006 a5cmw No.; 05-107504.TG locbtc Nb.! [p09� 0958-0001-OaQ010>5oq 17UeNo.; 05.107504-8D uAN i THE LAND REFERRED TD HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA ,ICOUNIY OF BUTTE, STATE OF CALIFCRNI& AND IS DESCRIBED AS FOLLOWS: Parcel 1, as shown On that Certain Parcel Map, Filed In the Office Of the Recorder of the Cou of butte, State of [alifornla, on Novernbcr 18, 1975, In Book 55 0f Maps, at Page(s) 3 and a. Initi3Ls., 9T0/Z:IQ HDIAJO \Q �F Samog Sjjd2@juI ZEE t� 0�9 JVJ 09 : TT GRA 900Z/�0/90 �P p.RTivS ElY T �� � o �\3TrF6 Department ®f Public Works 0 ° C o u n t y o f B u t t e ° 0 7 County Center Drive Oroville, CA 95965 °COUN�y°� J. Michael Crump, Director (530)538-7681 (FAX) 538-7171 p�Lic WOF�y Shawn H. O'Brien, Assistant Director Assessors Parcel Number: Owners Name: Owners Mailing Address: Property Address: 2 me2I-� 2— ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION: Building permit #�. lO 0 Reason for exemption: [] Not a County maintained road Existing driveway conforms to County S-31 standard Other i 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. PS -WENT ;13TT.o� Department of Pubitic Works i� o �`' ��`_.:1 0\\� C o u n t y o f B u t t e I o �� o LAND DEVELOPMENT DIVISION ° J. Michael Crump, o o Storm Water Management Program ��•, C �� Director 7 County Center Drive Oroville, CA 95965 A Qc WO 15 (530) 538-7266 (FAX) 538-7171 National 'Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE] Project Description: Project Location and/or Parcel Number: 67e� -- U-9 I 0o� By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, 'do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of CaliforniaRegional 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 Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 r7- --r -144 o Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 =Butte County Department ofDevelopnent Services 10Tr�0 7 County Center Drive 0 C - G Oroville, CA 95965 0 o (530)538-7601 Telephone o (530) 538-7785 Facsimile c0101Nty BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit 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 air: 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: MkCkn2uC_(& j)e A lr'� ._ APN: Building site address: 961�- Lt s+ 40- C I rl `hr_ Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DATE Copy to Applicant/EH/File K:Forms/BldgPertnitwithoutClearances 020705 STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION ' STATEMENT OF FACTS This unit is a: Mobi.lehome Commerical Coach Floating Home Truck Camper Decal (License) No: (s) Trade Name Serial No. (s) 4Wxo 236aaov-Artac I/ We, the undersigned, hereby state: that the unit described above: iae p1a(kd ori CL perftno.n&J�r -'T\ aoZ Lock 3A0rrtcn 'pr'��rer 0rty',61Le CA g5CA(D(P C79L-oLe(-O"a-o Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above- described unit in California, of from issuance of a California certificate of title covering the same. I / We certify under penalty of perjury that the foregoing is true and correct. Executed on ��at: oroville ,California (Date) (City) (State) Signature of each affiant Printed name of each affiant Address 1740 Feather River Rlvrl_ City Oroville HCD 476.6 (Rev 11/86) 5 Michelle Freel, Office Manager State California • �F1(I OF 3STATE OF CALIFORNIA NUMBER: BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 7 3 210 7 ' OIVISION OF CODES AND STANDARDS ♦ MANUFACTURED HOUSING PROGRAM IT MANUFACTURER MANUFACTURER CERTIFICATE OF ORIGIN DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR. UNLESS THERE IS NONE, THEN FORWARD Tg44-1WREEFFA R (DEALS TORR TRANSFEREE). COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1928, SACRAMENTO, CA 85812-1626, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY a (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCD 483.0 - Side 1 - (7/6Tj' MbbvbM 970/£70 90IJAO V\Q 04 samog �Jjd2@Jul Z�t� 0�9 XVA T9:TT Qg1�'I 900Z/i0/90 ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HDI,(, ING NUMBER OF C�7 SFO (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: CM 'Manufac•tu,riny West, Inc. (A1ar-lette) Mr -1126458 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: PO ,Bo:; 910/400 W. flrri Harmis•Lon Oregon. 97838 $148,955 street Ci stale (ZIP) MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: i�latic�t?ne Desert Tlanor-2044 3-3-05 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF, DEALER NUMBER OR DATE OF TRANSFER: TRANSFEREE DESIGNATION: lategrity Homes, Inc:. 1067714 3-3-05 DEALER OR TRANSFEREE ADDRESS: Fpatile=c river RIVc�. Ortrri 92 65 SUe1t740 SFste Z INVENTORY CREDITOR NAME: boniba.rdier Ca¢'i.tal INVENTORY CREDITOR ADDRESS: 261 Mouxitain View Dr. Colc'Iuaster r 05446 Street CI State(ZIP) SECTION MANUFACTURER SERIAL NUMBER MCO INSIGNIA OR HUD LABEL NUMBER LENGTHWIDTH WEIGHT (I -8 INCHES INCHES POUNDS 1 HER0238220RAHC ORE 468392 792" 160" 42,504 r 79211 " 4 3. eRE 16839-1 E128" i6a i;? 9139 TRANSPORTER NAME: T N BO �Eiti(DD � ° L• �. shee«0 Cr,dustrial Wa • Wo ,un: Slue OR(zip) 97071 DESTINATION FOR UNIT DESCRIBED ABOVE: N 1'.arity iiomes, Inc.d,-" 0 Feather RiVer }:td. OrovilleSlfie 959q4) I cortify under Penalty of poryury undot the Iowa of the State of CalNomla Ihat tM above faW aro hue and owmat E.owted on i— 2— ]�i at (Date) (City) , �(Couny) M ...:: SIGNATURE OF AUTHORIZED AGENT: '�l/ 't DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR. UNLESS THERE IS NONE, THEN FORWARD Tg44-1WREEFFA R (DEALS TORR TRANSFEREE). COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1928, SACRAMENTO, CA 85812-1626, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY a (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCD 483.0 - Side 1 - (7/6Tj' MbbvbM 970/£70 90IJAO V\Q 04 samog �Jjd2@Jul Z�t� 0�9 XVA T9:TT Qg1�'I 900Z/i0/90 2006-0045640 Recorded I REC FEE 22.06 _ Official Records I County of I CONFORMED CONY 1.00 Butte 1 When recorded return to:- CMDU J. BRUBBS I County of Butte County Clerk-Recorderl I Department of I CP 62:W01 05 -Sep -M 1 Page 1 of 6 Development Services ' Planning Division IIII"III"II"IIII'IIII'+III'I"I 7 County Center Drive Oroville, CA 95965-3397 Space above for Recorder's Use (rev.5/04) Owner Name: Gerald L. & Mary R. Sterrett Building Permit No: 06-1776 DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 17th day of August, 2006, Gerald & Mary Sterrett, hereinafter referred to as owner(s), is the record owner of the following real property: 202 Lost Horizon Drive, Oroville, CA 95966 (APN: 072-061-020), and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and II. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. 06-1776 was applied for on July 24, 2006 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No. 06-1776 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a change in' use or character of use has been approved by the Butte County Building Official or a change in law has occurred, either of which change allows the uses otherwise restricted herein to be conducted on the real property described herein. Under either circumstance allowing such change in use, Owner shall be entitled to have 9, 0 x =T this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a subsequent document' entitled Rescission of Deed Restriction and Notice of Limited Use Facility by the Director of Development Services; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. 06-1776 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 06-1776 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, additionally, the owner of the parcel or lot must occupy either the main dwelling or the second dwelling unit. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit .upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in interest. Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of execution. This document shall be recorded and returned to the Butte County Peter Calarco , Assistant Director Department of Development Services, Building Division prior to the issuance of Building Permit No. 06-1776. DATE: _ 06 , 20 a �o Owner Signature: Print or Type Name of Above Owner Signature: Print or Type Name of Above Peter Calarco Assistant Director . B State of California County of"bck+J.e, iG On i ,jp�t: S�aooXo before me, Mic he -Ug— Lep_ Frees (,.)�lbir ersonally appeared Geerqlcl L.SAutr -1 e QYbU Skw4 personally known to me (or proved to me on the basis of satisfactory evidence) to be the personQ)whose name(s) ¢ a subscribed to the within instrument and acknowledged to me that he"Wo executed the same inisH authorized capaci ie , and that byigs4wg�o signaturs(�s ion the instrument, the person& or the entity upon behalf of which the persono)acted, executed the instrument'. WITNESS my hand and official seal. 16 • MICHELLE lEE FREEL Signature ;N Comm. # I435881 1A [) NOIARYPUBLIC-CALIFORNIA Bulge County �. MY Comm. Expires Augucf24,2007"6 This is , to certify that the Deed Restriction set forth above is hereby acknowledged by the Director of the Department of Development Services and that Butte County consents to its recordation thereof. STATE OF CALIFORNIA COUNTY OF BUTTE On kt.-usr 17 Pooh Public, personally appeared _ Dated: 7 eter Calarco, Assistant Director Department of Development Services SS. be� or-e�m2e, ��� f`'�`- t"Q�u�-� ,Notary _ �E RGo personally known to me to be the personW whose name($) is/ar6 subscribed to the within instrument and acknowledged to me that he/sh&tholy executed the same in his/hgf/thdr authorized capacity(io), and that by his/lief/their signature(,s'j on the instrument the personW, or the entity upon behalf of Which the person(s) acted, executed the instrument. WA ACMLLM WITNESS my hand and official seal. con"AM #1"7051 Now PUM - CaRkw a t suft COUMV -Y )1rda4A-- L0--- AP6.2004 e. Si ture' (Seal) 0 Owl EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: Parcel 1, as shown on the certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on November 18, 1975, In Book 55 of Maps, at Page(s) 3 and 4. Fx2"x 2"x 3/16"EL ANGLE CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED 3/8" CAD PLATED BOLT, NUT do WASHER COACH "C" FRAME COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 2" CHANNEL 1/4"x 1-1 /4'- 1/4" STAND BASE TEK STS , Z— ABESCO ABS PAD #503 (2) REQUIRED 1/4" GRIPPER PLATE COACH "J" FRAME 1/4"xI-1/4" TEK STS (4) REQUIRED 1 /4" GRIPPER ��,�f � 1/4" GRIPPER BASE � ` BASE DETAIL "A"�® ��+®� 1/2" A307 BOLT A307 BOLT (2) REQUIRED1/2" 3/8"x 6"x 6" (4) REQUIRED STEEL PLATE a 1/2" A307 BOLT C—BEAM J—BEAM (2) REQUIRED ATTACHMENT ATTACHMENT 01 1/2" SCH 40 PIPE RISER WITH m 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE m 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD /503 �� o STEEL FRAME SEE DETAIL "A" 36" MAX TO BOTTOM OF PAD 10.00 —�{ 0 0 T- 10.00 O 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE 1-1 0 PIN 09/16 HOLE (TYP) r STAND BASE I TOP VIEW i �T.1r'J.YV.lb�yc .. • 'i; 4 0 / 37" TUF-1 PU MANE•NTy4v FOUNDATION SYSTEM ABESCO 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 8" i/2" DIA. HOLE (8) PLACES �j— 30" —I STEEL FRAME TOP VIEW STATE APPROVA 1r1ANUFACTURED HOME/MOBIM MONS FOUNDATION SYSTEM HEALTH AND SAFETY CODE. SECTION 18331 APPROVED SUBIECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY r` OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPUCABLE STATE LAWS AND REGULATIONS State orCallfomfa Dope ftW atIlla"8 and Coimmully DmIlepownt FAX: (916) 383-5207 WAYNE T. POLVADO, PE—LISTING NQ. F94249 SHEET 1 of 3 GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD — 30 LB. FLOOR LIVE LOAD — 40 PSF WIND LOAD — 80 MPH EXPOSURE "C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE #15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS". 4 WHEREIN AREAS DIFFERENTIAL CAN MA UFACTU EDHOMESHAA SETTLEMENT D)C L BEE DJ STEDWHENDSEXC EDS/4 , OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES—ASTM A36 BOLTS—SAE GR 5=ASTM A449=ASTM A3725. 7, THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL GUS GUARD TUF=1 2200# 6000# GUS GUARD MGP PAD 2200# 6000# GUS GUARD E—Z TIE PAD 2200# 6000# 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT. OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDE THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE—WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET #3) • 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT 16. FOUNDATION BLOCKS 16% 16"x12" POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) ES S SE u u u ❑ ❑ u RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER ❑ (TYPICAL) ❑ ❑ ❑-T ❑❑❑❑ 8' NOM. ❑ ❑ 2' NOM. PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) e o�ssro REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF -1 PERMANENT FOUR (4) 1/2"x 3 1/2" EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABESCO WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PERKINS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. OU. Tann\ STATE APPROVAL FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California Department of Housing and Community Development DI SI OF DES STANDARDS . BY 1 DATE G� " ^ (signature) SPA NO. This Plan Approval Expires WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 1 • , • • / ZXPANSION ANCHOR ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT & WASHER REQUIRED • • • BORED FLUSH WITH BOTTOM II II .1Lfl' II J 1. 1L! 11� • CONCRETE PAD INSTALLATION t,�....1�� .�ll�l-a1�-ICI=►►� "-►1f11;IL` `II C11=1i�►G .ter•• r���l :II��LG ��� �l1 / POURED IN PLACE 160602 CONCRETELLr11�.0—iL� i��-,►r_ii-.g==ir=ii=_'��=ir= FOUNDATION INSTALLATION11=]l.11�l\ F11 �1�.11=11►11'.�cIC=11�- 'Il'�11 ILII L� ^ 1111'll.� F��I� If.�� � 11 �•I1:�IP1� 11 CHASSIS FRAME--,, �.IL�c11►11r1�11� G \ LIGHT HEAVY—WEIGHT �r PLASTIC PAD INSTALLATION 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH m 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE e, 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD X1503 —1 q6 o STEEL FRAME �i�.'♦ 4w E Z TIE. PAD iVLil— EDI UNITS SDiGLS AIDE va,i+7 TO BOTTOM LENGTH OF WIDTH OF HOME LENGTH OF WIDTH OF HOME 1. OF PAD HOME 247726 28 44 l HOME f 10 12 14 16 UP TO 44' 8 8 I 8 1 12UP TO 44' 66 6NOD] 44'-1' to 66' 12 12 12 18 44 —1' to 66' 8 8 801/2"x 3" C.R. e6'-1' to m- 20 20 20 24 66•-1' to 80 10 10 10 4 LOCK PIN WITH NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED PIN " BRIDGE NOTE: SINGLE WIDE UNITS REQUIRE (4) E—Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL I - 1 OOT wS�QI�IA QM 37" TUF-1 PERMANENT FOUNDATION SYSTEM STATE APPROVAL MANUFACTURED 14ONii_ MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY WN OMISSIONS OR DEVIATION FROM REQUIREMFNTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California Depatfineot of Rousing and Culmnunity Development --.7�IS OF CO AND STAh1DAhD3 1 D1 BY 1'�L DATE RPA NO. / This Plan Approval Expires_ e2 _ 7 WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 3 of 3 POW 9-a .%-Al Rood Mdo 0 �-s .j_l,j . E BUT'T'E COUNTY EUIL®1NG, DIVISION ,.� APPROVED -g_ i-I--oft, r\ O axia+a r Jg 'IS 3 XQQ5� JQ Y \ o F „8—X 2 j—p / „0—,99 a „8—,9z 3-�W OISEV70 Y0MM �99999 , � O o i 'now OXI'via ', "IIQB 'ISN U Wd i. i O ccn BUT'T'E COUNTY EUIL®1NG, DIVISION ,.� APPROVED -g_ i-I--oft, r\ Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name: ` �, �l e++A.P.# ©` -C(Q I- 0Q0 Home Manufacturer: 'n Manufacture Year:.92=5 Model Nujnb rY Name: T*0r+r' - Width: " S (ft.) Length: ,,(ft.) FOOTINGS. Wood - pressure treat d or foundation grade[?' Other:[ ] SUPPORTS: Concrete block [X Other:[ ] Provide manufacturer's installation manual,.support blocking requirements and state approved or engineered foundation or tie down system specifications. SINGLE WIDE Line 1 Line 2 Line 1 Line 1 Piers- Minimum size piers: Spacing maximum: From ends maximum Line 2 Piers: Minimum size piers: Spacing maximum: 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) Pier Footing Sizes and'Locations ----------------------------- --------------- --- 6 Section 1 BUTTE COUNT' Section 2 APPROVED Section 3 [IZIx[30 [ 2] x[30] 533a a 415 q^n a MULTI -WIDE Line 1 Line 2 Line 3 Line 2 Line 4 (triple wide only) Line 2 Snow Load: psf Snow Load requirements may be obtained at http://www.upstate-ca.com/butte/butte_county/ Insert AP #, view snow load in lower right corner. Line 1 Openings: Minimum size pier: [ JZ ] x [ l Required at each side of openings over `f ' b wide. CI -7 -IR rp 9qQ AI -ICI X333 3.353 REIMM �� IAII MEN M. X333 3.353 REIMM �� IAII N m W Q r UTRITY WZASUREWEN FROM THIS CORNER Jo l/4 T t 0 �1 � l/j� r cLgr'C = � wjo 114 co ! lal 1 f (If ry r a .JU 1/4 L T w 13UTTE COUNTY ' BUILDING DIVISION APPROVED ------------- _ _----------•-__---- r ----------t irPEW AM rRWr 74" 1 8 aPffrlr FiY6:A_Wr -- } r --•T r ----I --.——.-----.—.� a ---�•. f r..--� k A- 741 I co 24'-0" j I LD SBP- J C4S-b 1- Lo. Bp- � 13 i1 ------------- io m •Feee,detfna Av ethrn !n mn/ormanr / r W N aa'rfD Cres) Sga�.e !rote! ora • a2 y IV AZl14lS Lo• oa _sl/_ •!db fo e6leln edegeryl� ra_ nJJ)�Jtn mer Rr°ra'."..��r" F-)KAIM Mr3-A�,_SRfAt/ M nm UME pm? ng c , , 1I IZ AWA 111I1T ( BE 0}2A BLE j 1 CISH Manufaciurin West, Inc.® Marlene .,_ L // ti C a: y cn c�O .. G=- ,O ✓! Z G Z sti o -, c - W C-•+ C=) crq r 2 r, mZ W`c 0 B Z rn cD D D c7 y zy l� A � z rn L� D � m m D z n r� CISH Manufaciurin West, Inc.® Marlene .,_ L // w BUTTE COUNTY BUILDING DIVISION r APPROVED to w s 0 w w J Of a t� Ln m m N Lf) m 11 'I7 0 I -u -0 -D -0 W (o co -,j O Cn-,C4t.1 UTILITY LOCATIONS o SYI,9FGA RIPTION DISTANCE FROM END / FROM SfDE I " n 1 INLET 0 29'-6" ® 2'-0q (.i P O ' �� Z Irl, to tr N -- 0 2 X -OVER iA%8) 0 29'-6., 13'-4 ° -.. - -p. o m -� tr Un °'- i 3 X -OVER (B/P00} ®3g'_6" �� � 26 -8 I I rn -a r. i I I r O o 0o � � o . _ e � o 4 DRAIN OUTLET ® 30'-0" 0 3'-8„ 5 DRAIN X -OVER (A/POD) 0 30'-0" 0 35'-4° 6 WATER INLET 0 15'-8" ® 0'- IO" 7 WATER X -OVER (A\POD) 0 34'-0" ® 13'-4"/26'-8" 8 ELECTRICAL INLET 0 9'-0�'a" 0 11 -4. ^ O 9 ELEC. X -OVER .(A/s) ® 14'-0q C� 13'. 4" 10 ELM X -OVER B/P00) ®31 -4 C 26'-B" Z 11 12 HEAT X -OVER (A/8) HEAT X OVER (8. POD) 0 3'-2" & 63'-2" ® 28'-10" & 39'-6" 0 _ '� o 13 DRYER VENT ® 16 - 2 ® 26'-8" ®6,-6" W W -A- w w o -A (A L.A WO�Lo to Cc CA .� co ., " w to v .� L4 A NO o c 14 OPT. METER BASE 0 10'-0" ' a � � `o.=' v ,:" �' -0 N Vrn ) c::;, o CMN Manufacturi ng Wei Marlette 1. California Department of Forestry and Fire Protection Butte County Fire Department Fire Safe Requirements Permit# oG - f 7 OU.' 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 CDFButte 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 roajway requirements. [X] (b) All driveways shall pnvide 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 establisl-ed 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-oncrete. 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 Roadwav 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 minimim of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. Revised 07/25/06 C IC F F I R E RM E Q U I R E M E N T S 1273.07 Roadway Structures [X] (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. [X] (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. [X] (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 [X] (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. ,j2,76.01 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. [ ] 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. [ ] (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 07/25/06 2 Same Practical Effect for Buildings less then 30 feet from property 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 requ-sed 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-Bcard, Plank or similar siding (c) Masonry (d) Metal (e) Other Butte County Fire Department approved materials 1276.02 Disposal of Flammable Vegetation and Fuels [X] Disposal, including chipping, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by she development and construction, road and driveway construction, and fuel modification small 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 [X] 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 [X] Roofs shall comply with the requirements of Chapter 7A and Chapter 15. Roofs shall have a roofing assembly installed in accordance with its list;ng and the manufacturer's installation instructions. 704A.1.2 Roof coverings [X] 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 [X] When provided, valley flashings shall be not less than 0.016 -inch (0.41min) (No. 28 galvanized sheet gage) corrosion -resistant metal installed ovrr a minimum 36 inches (914 mm) wide underlayment consisting of one layer of No. 72 ASTM cap street running the full length of the valley. 704A.1.4 Roof gutters [X] Noncombustible screens on gutrer& 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 [X] When required by Chapter 15, roof and attic gents shall resist the intrusion of flame and embers into the attic area of the structure, or shall be-xotected by corrosion resistant, noncombustible wire mesh with ''A inch (6mm) openings or its equivalent. Revised 0725/06 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 http://buttefire.ore/Fireprevention/protplan/protplan.htmi AUG 2 3 2006 Date Revised 07/25/06 4 Darren Read Fire Protection Planning Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name: Gemla � , V IN ?_++ A. P.# . ©ja-�U I - 090 Home Manufacturer: jn LManufacture Year: Model Nufnb r� Name: 5e✓t'+ - -:;044 Width: It 3 eft.) Length: ,�(ft.) I �-�-E COU FOOTINGS. Wood -pressure treat d or foundation grade[' Other:[ ] NTY SUPPORTS: Concrete block [X Otherj BUILDING DIVISION L.,. APPROVED Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. p' 1-7 - 06,.,, Pier Footing Sizes and Locations SINGLE WIDE MULTI -WIDE Line1 - - ------ ------------------------------------------------------------ Line 1 Line 2 section 1 Line 2 Line1 ��------------------------------------------------------------ , Line 3 ------------------------------------------------------------ Section 2 Line 2' ------------------------------------------------------------ Line 4 (triple wide only) ------------------------------------------------------------- Section 3 Line 2 Line 1 Piers: Snow Load: psf Minimum size piers: [ IZ ] X [30 ] Snow Load requirements may be obtained at Spacing maximum: rj " http://www.upstate-ca.com/butte/butte_County/ From ends maximum: Q Insert AP #, view snow load in lower right corner. Line 2 Piers: Minimum size piers: Spacing maximum: From ends maximum: Line 3 Roof Loads: Minimum size piers.- Location iers:Location (from front): Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued). [ 'L] X[�] 533a S 44S et -n S Line 1 Openings: Minimum size pier: [ (Z ] X [ ,' ] Required at each side of openings over ' a "I wide. C11 -IR (,RR_o 3,)'lR 3333 3333 rill ---_-- �l ° U5/UVZM WEE 11:51 FAX 530.1 1'+3332 Integrity Homes D\A OFF1PR, 0014/015 5303433332 D IMENSIQNL SHOWN ARE ArTIJAI Fl nOP BOX SIZE DOES NOT INCLUDE SIDING AND ANY SET U ARIANCELl W BU TE COUNTY BUILDING DIVISIO"hl. 0 I• r - .J Z S R ZO 39dd S3WOH MAINVW 00 I ��..... T J 08VTL9STPS Ts.01 5002/S0/b0 Fr' . 'u5/Q3/LUUb ITER 11;51 YAA 53U"13332 integrity Homes 114 0\A OFFIPE 5303433332 r TO ' 30Vd B - LOCATION 40#r, 8P-713333 ROOF ZONES ` @ (LOAD IN POUNDS SUPPORTED BY PIER) BP-# LOCATION 40# %BP=1 ='' BP �@ 5332 ;2{ ®16'-0"� �8445 *-49778 @.45'-4° �O V C p N d. 00 q. Ol a r } @.,54'-87 1,9778'> '6892; S13P-5 BP -6 0 ®_ 66'"0"�, 3779 - B - LOCATION 40#r, 8P-713333 ` @ 45'-6"/21'%6„ 3333 8P-9 13'-4', 4446 w A 00 �O V C p N d. 00 q. Ol a r I I I I ca r7 Nr N MJ]O'd' P-. rN to �NC�O k O W - cV . a _ M cOc�cogOODO c) O .--.. w� O� .-- M w -00 rl,7 C14 o 0 0 m -Q�-Qz� of Q of of w �;! �§! =!O O Z> j!gw zL Wp I I KCQOO X I O�W cUn w of �" cn�Q Of V) cn O rk dOf -Iww-4¢>- CD Q) CD cn cn, w W x 0 0 9015/015 BU'PTE COUNY BUILDING DIVISON APPROVED N►�-,;I-Lncor`coc�Q =NMv M S3WOH 31nladW b8VTL9STh5 TB.OT GOOZ/SO/PO F r/� 2"x 2"x 3/16" STEEL ANGLE CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 3/8" CAD PLATED BOLT, NUT do WASHER COACH "C" FRAME COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 2" CHANNEL 1/4"x1-1/4"- 1/4" STAND BASE TEK STS Z- ABESCO ABS PAD #503 (2) REQUIRED 1/4" GRIPPER PLATE COACH "J" FRAME 1 /4"x 1-1 /4" TEK STS (4) REQUIRED 1/4- GRIPPER 1 1/4" An GRIPPER BASE �� �� ,1 /2" A307 BOLT DETAIL A BUTTE COUNTY (2) REQUIRED 1/2" A307 BOLT (4) REQUIRED BUILDING VISION STEEL PLATEr• �-, AP, . O EO _� 1/2" A307 BOLTMC—BEAM J—BEAM (2) REQUIRED ATTACHMENT ATTACHMENT 1/2-13UNC-A307 x 4" - BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH tol 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD X1503 � a STEEL FRAME SEE DETAIL "A" 36" MAX TO BOTTOM OF PAD 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN tD.00 �{ 0 0 10.00O OK 09/16 HOLE (TYP) STAND BASE TOP VIEW TUF-1 PE" RMAAE-NT `f-.`g:G FOUNDATION SYSTEM ABESCOx 8" 1/2" DIA. HOLE (8) PLACES I- 30" -I STEEL FRAME TOP VIEW STATE APPROVAL ' MMUFACiURED HOMEIMOBILH HONE FOUNDATION SYS71D1 HEALTH AND SAFETY CODE. SECTION =1 APPROVED SUBJECT TO CORRECTIONS NOTED a� APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS v S" of Califomfe xT DapmtmW atRouina and Coemata fr DawdopmW AVID 5851 FLORIN -PERKINS ROAD RA1)p0� SACRAMENTO, CA 95823 71YtaFL�Appo�al (800) 382-8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE—LISTING N . F94249 SHEET 1 of 3 FA - < <-e-, GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD — 30 LB. FLOOR LIVE LOAD — 40 PSF WIND LOAD — 80 MPH EXPOSURE "C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE #15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS". 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES—ASTM A36 BOLTS—SAE GR 5=ASTM A449=ASTM A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL GUS GUARD TUF=1 2200# 6000# GUS GUARD MGP PAD 2200# 6000# GUS GUARD E—Z TIE PAD 2200# 6000# 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. ! 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED` THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE—WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET #3) • 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14 WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT 16. FOUNDATION BLOCKS 16"x 16"x12" POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) ES S SE u u u ❑ ❑ u RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER ❑ (TYPICAL) ❑ ❑ ❑ ❑ ❑� ❑❑❑❑ 8' NOM. EJ*❑ ❑ 2 NOM. PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) ww- !e7ke F111p S civ �%. 0 c, REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF-1 PERMANENT FOUR (4) 1/2"x 3 1/2" EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABESCO WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PERKINS ROAD . MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. cu. lRnnl zR7—RR-At STATE APPROVAL FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California Department of Housing and Community Development OF BY SPANO. This Plan Approval (signature) WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 aW ,-1"61 3/4" DIA. x 18" LG.1 r , • ' • EXPANSION ANCHO (4) REQUIRED vllr,� .I �.1►.11- •I��-1►�11.��1�►�'�IGI��� "._II�I�GI�r"° Ili j :1� Ill j � • • � • ur�ll.`f�'ytiF I1.�f�1�wIC►1P111�11 �� 1111►11�II'lIn1�G11 • � • • • • 11�►1►P.11 '� llt=� �q-11� '11.11. X11? 11.11'�AF. jf1�11=.U•�f � Ilrl��.11. jd.11-1I ICC.11►.1� Ir.UIL?ll.�ll� �dflF 1� �11rr11.I1r11F11' u: t 1 n: 1/4" GRIPPER PLATE \1®. • (2) REQUIRED 1/4" GRIPPER BASE a 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED m 01 1/2" SCH 40 PIPE RISER WITH m 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE o 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD jj503 0 STEEL FRAME 18 1/2- E Z TIE. PAD I V 17'j OF PAD 01/2"x 3" C.R. LENGTH OF HOME 24 WIDTH OF HOME 26 28 44 UP TO 44 8 1 8 1 8 1 12 to 66' 12 12 12 18 0'-1' —1' to sol 20 1 20 1 20 1 24 LENGTH OF HOME 10 WIDTH OF HOME 12 14 16 UP TO 44' 1 6 1 6 6 6 44'-Im b Sri 8 1 8 8 8 86'-1' to 801 10 1 10 10 10 LOCK PIN WITH NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED BRIDGE PIN NOTE: SINGLE WIDE UNITS REQUIRE 4 E -Z TIE PADS. GUS GUARD TUF-i PIERS ARE PIN TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL I STATE APPROVAL 'off s/o MANUFACTURED HOI'OEIMOBILE HOM'6 /,", FOUNDATION SYSTEM fHEALTH AND SAFETY CODE; SECTION 18551 64; J\® C_ APPROVED w Exph2 TUF-1 PERMANENT FOUNDATION SYSTEM SUBJECT TO CORRECTIONS NOTED _ APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF ' APPLICABLE STATE LAWS AND REGULATIONS Sta1t0 0f Cn1 i fo rn i a Department oflTnusing and Cuuununity Development //VDISI, OF CO AND STANDAkDS BY RPA This WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 3 of 3 1)5/03% 2006 WED 11,49 FAX 6303433332 Integrity Homes COAMIddV )ISING Maine A.LNno.o t g -.j ., #A.,: CDF/Butte County Fire a Allnewbuild" : in SRA are required to have: Fully enclosed noncombustible eaves on entire structure Gutter screens to prevent accumulation of leaves/debris ComosionAigtant, noncombustible, 1/a"maximum opening roof and vents + A.Oq4vyc. M s Carty REVIEWED BY fire Protection Planning Oif 4r , CDF, Butte County Fire , This -project is approved with C mpliance . of conditions on attached iheet- gnature Date ' Pad�d��q Cb . ZL EUTTOUNT Y ) C BUILDING DIVI5i01. APPROVED W `J lam, Cle d ° Mar �t exre+f- z.. �--�o�i2nn'�JrT/� t� APPROVED Butte County En ironro,nt�l o,Z- Date Signature COPY of Document Recorded RECORDING REQUESTED BY: 19 -Dec -2006 2006-0066403 Has not been compared rtith original AND WHEN RECORDED MAIL TO: BUTTE COUNTY COUNTY RECORDER BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document _ shall be indexed by_. the county,. recorder to.,the _named_ owner_ of the _real property and shall be deemed _to..giye constructive notice as to its contents to all persons thereafter dealing with the real property. GERALD AND MARY STERRETT BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 202 LOST HORIZON DR. 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 200 LOST HORIZON DR 06-1776 530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER OROVILLE BUTTE CA 95966 12/18/2006 CITY COUNTY STATE ZIP SIGNATURE OF LSCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY . STATE ZIP UNIT DESCRIPTION CMH MANUFACTURING WEST 2005 DESERT MANOR -2044 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER HER0238220RAJB/C 66'X 26'8"/27'4" X 13' ORE468392/3/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 072-061-020 /tc::;�k(0MQV k9 LF HCD FORM 433(A) REV 8/91 kRY — HCD PINK — Annlican EXHIBIT "A" THE.LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: Parcel 1, as shown on the certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on November 18, 1975, In Book 55 of Maps, at Page(s) 3 and 4. FOUNDATION. SYSTEM CERTIFICATE' OF OCCUPANCY BUILDING PERMIT NUMBER: 06-1776 Address or location of unit: 200 LOST HORIZON DR OROVILLE CA 95966 Legal Description of Real Property: 072-061-020 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: GERALD AND MARY STERRETT Owner's address: 202 LOST HORIZON DR. OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: ORE468392/3/4 SERIAL NUMBER OR V.I.N.: HER023822ORA/B/C MANUFACTURER'S NAME: CMH MANUFACTURING WEST YEAR: 2005 OFFICIAL APPROVING INSTALLATION: DATE: /2-110/0(0 PHONE: (530) 538-7541 H.C.D. 513 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. 1A 21,1 _ ® �a _ �O ZONING _12_ OWNER PHONE NO. 9'16 68q-2_'!3 3 OWNER'S ADDRESS 1 ,�Qa DST tJ2l �!>AJ �/ _ LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE 3 � —'X _ /� OrZ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL `/ CONCRETE OTHER (Specify) TYPE OF SIDING1 S ROOF COVERING jj TF7L�YPE 76�� ESTIMATED COST OF %NSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: X01 FRON SIDES �C2i�_ 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 7// he requireme�n�s in effsct at that time and before occupancy. _ // &/ Date I�P " 026— 05 Signature of Owner Permit Fee 464.9e— /09 9 P Receipt No. i� 3 J Q% 1 The above described AG Building is exempt from a building permit. Manager Building White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant RECORDING REQUES Fidelity National Title Co Escrow No.: 05 -107504 -TG Locate No.: CAFNT0958-095 Title No.: 05 -107504 -BD When Recorded Mail I and.Tax Statement Tc Mr. and Mrs. Gerald L. S, 8375 Triad Cir Sacramento, Ca. 95828 BY: . )y of California 2005-0031725 Recorded I REC FEE 18.88 'Official Records I TAX 178.58 County of I But I CRIM J. 6RUBBS I County Clerk-Recorderl I I TB 89:88AM 83 -Jun -M I Page 1 of 2 APN: 072-061-020 SPACE ABOVE TMS LINE FOR RECORDERS USE GRANT DEED The undersigned grantors) declare(s) Q Documentary transfer tsx is $170.50 �LJ [ ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [ ] Unincorporated Area City of Oroville, FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Gray C. Parker and Carolyn A. Parker, husband and wife,las joint tenants hereby GRANT(S) to Gerald L. Sterrett and Mary R. Sterrett, husband and wife as joint tenants the following describedireal property in the City of Oroville, County of Butte, State of California: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF DATED: June 2, 2005 STATE OF CALIFORNIA COUNTY OF ON 1W -.r- oS personally known to me ( satisfactory evidence) to I is/are subscribed to the wit to me that he/she/they o authorized capacity(ies), signature(s) on the instrui upon behalf of which the instrument. Witness my ha and of Signature FD -213 (Rev 7/96) (grant)(04-05) Gr6y C -P er before me, /Z ✓ gpgareo• Carolyn A. PAfter r proved to me on the basis of the person(s) whose name(s), iin instrument and acknowledged cuted the same in his/her/their and that by his/her/their ent the person(s), or the entity person(s) acted, executed the seal. TERM GEAOy 1pon i5 sal �otary Public li California 0 0 MY Comm13uttO County . EXP. CCT. 24.2007 y MAIL TAX STATEMENTS AS DIRECTED ABOVE GRANT DEED ( r Escrow No.: 05 -107504 -TG Locate No.: CAFNT0958-0958-0001-0000107504 Title No.: 05 -107504 -BD EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: Parcel 1, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on November 18, 1975, in Book 55 of Maps, at Page(s) 3 and 4. r J Initials: PERMIT NO. 3543=80A,P,E OWNER PERMIT EXPIRES Myrtle Corbell owner. CONTR. 72-061-20 LOCATION (A.P. n 7159 Mt. Ida Rd., Oroville l r r ,t 'i f l j t ,t i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. ¢ Called PG&E JOB / �O FINALED I (Date) r (Signatu ) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD _ BUILDING BUILDING (Co Vd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathin . ' Water Piping Piers Roofing Sewer Garage - Fdn. Vents V Fixtures L O 2t ro Footings StemwaII Garage Vents Insulatio Water Htr. Heaters - Slab Carport Footings Prov. for physically handica ed Conformance of ex. iu Qzurature Appliances �^ Gas Piping & Test Temp. Gas Slab Ina - SaPAI tion Patio _ FIREPLACE final L 2` Footin s Footing ELECT ICAC/ Masonry Walls Throat Rou h Reinf. Steel Final Fixtures 2/ Bond Beam FIRE SPRINKLERS Motors Framing L Test Water Htr. Stucco Final A Subpanels Mesh MECHANICAL Grd. Fault Prot. " Scratch Healing Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Vent io ane t Door Closer j al,Y Fin C b MOBILEHOME UTILITIES ------------- -----' Service , ec lec. Pedestal Water Piping -" Sewer Gas Piping 1 EHOME INSTALLA LION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS r (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE=,DEPAf1TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 I APPLICATION AND PERMIT PERMIT NO A ES OR- AR'C EL NUMBER �-4 COQ � 2� ZON&G li BUILDING PER OWNE��, ^ „' r�EPHO /AWA, /-^F�_ /�/@/J)F//►CL..yC�h�– tAZZIPNE SQ. FT. OCC. BUILDI ALUATION /// 9?4-W Y 24 r CONTRACTOR'S N'AM,Es'� �VW'9W 'r TELEPHONE G g /7 L � �©f) CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ f® LENDER'S MAILING ADDRESS Permit Fee Z O8 ARCHITECT OR INEEB ,VJV� LICENSE NO. Plan Checking Fee $ I��Q Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 7&.00 BUILDING DRE S S /J? PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Z,d(9 Repair drainage or vent piping 2.00 � oV��f✓ Water piping x LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�-_Otherr°6S509* &UJS SPECIFY Building sewer r Lawn sprinkler system 2.00 TYPE OF WORK New [!g-' Addition 0 Remodel Utilities 4 Ins allation���Other ❑ Describe work: �u. 6owgi �, S 9�" Permit Fee $ 2.00 Contractor . ELECTRICAL PERMIT Filing Fee 3-.00 Main service 100 AMP OR1 OR SLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OC OR ACDNS. ACC BLCGS.0d 20 sq ft Z.� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification LTJ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not ,intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U, TII OUTLET NON -RE BRANCH CIRCUITS2.50 ea NEW CONSTPOWER APPARATUS &) NON.RESIR. D. (SINGLE OUTLET CIR. ExOccu 50 @ 250 . P(OUTLETS OR FIXTURES BAL@10¢ FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department 1 a Certificate of Workmen's Compensation Insurance or a Cercate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in c nseq ce of the ranting of this permit. X Date �– — �%/ Signature of Ap 'cant — OwnerContractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ ry —TYPE OC . GROUP �, OF CONST. ,r/ AY PARCE4 l.✓/ PD N E ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date y� Receipt No. WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -�.-yam- :.h. `v..Y +" !'_ .,'+w �� � :,- .- �: �.awc ...,, +• �_ c «�y...,.,�„�� �,. t"!i;...... -.. , _�1 :_ -y�K r...,_- . r r .� _., � .. "`-'OT�:—All Mnt,�ri�lsWor!, �rcn -I�rre with nor^ry„"Mnnshio Shall Be in i cy� Of a �uryJit� �-! P••�•�+:ces and N nre-r4., I fo. the S„ecifie Uniform Buildind use in the g, Plum'�ing & MachanicaCodes and I the National Electrical Code. 90' P .S 11?, 9G A setback of 5 ft. from the Property lines and a setback Of 50ft. from the road cE'nterlirie shall be clear of �+ structures or equipment except for a 2 ft+ eave overhang, This set of plans and specifications MUST be - kept on the job at ell! t%►res r nd it is unlawf:il ft) mr'•e my changes or c If -*r. *,ans on some without written permission roraihe [}apartment of Public . Works, County of Butte, + 46 9 • cr Z "`-'OT�:—All Mnt,�ri�lsWor!, �rcn -I�rre with nor^ry„"Mnnshio Shall Be in i cy� Of a �uryJit� �-! P••�•�+:ces and N nre-r4., I fo. the S„ecifie Uniform Buildind use in the g, Plum'�ing & MachanicaCodes and I the National Electrical Code. 90' P .S 11?, 9G A setback of 5 ft. from the Property lines and a setback Of 50ft. from the road cE'nterlirie shall be clear of �+ structures or equipment except for a 2 ft+ eave overhang, This set of plans and specifications MUST be - kept on the job at ell! t%►res r nd it is unlawf:il ft) mr'•e my changes or c If -*r. *,ans on some without written permission roraihe [}apartment of Public . Works, County of Butte, + FRoti r r� Gv> Q Yx�rviee141 Gvrtk• s �o rt v d % t il'X for Poo/ pjWdum1q,ate bracing. . wlep#lp Vyl A L u m . R -or,- bracing. A,$s�s t IP♦s �W rr W f/ x Pl GI G _ y To A7f /Z X lZ k4 -0 5W1704 U ITiTky IWO �IOM x i a b odFZ - poops 3 �E�, ugtrate-- a. Provide a e uate toc cin x �n �• Pr®vi ,a equate bracing. d..4 a; t ®oe CAI �1�N q• �o be 26 xa6 r r*2 K. /3 boa I jappe , it je-/1,4�47 4 f q '9 TOP L# I ic L---1 F1 o OR , S-MAOR 7 F I -e 6� cv Zfst�-TE COUNTY Lam. SUILDIHG DEPARTMENT .7 .1— n o,\/"E D, VARIES - 36," MIN. 6' .4 Is x, J6 JA C�p :K 4*- rn >< D 2Q r C- # FZD 0 -n 0 C al k0l/ll :3 c: L ro o CD CD 0 m 30"- 34" HNORML H[16HT 0 Ln m co . z 0 NI AX. 7D u, CO VI FT TN� 71 X3 G', " 30" MIN. STAIR 7q rn W I DTH Lq Provide . '0"C�ver 'F-2Aol AL 7---oqN.4;r,6' ' 02 X-6 no//si- "/ -4'el 'Zqxegoo r, - / f fl' n, sall p A'f conrllpwctvo -.% tim Sa 4, -ail '9'0rw#'qq fumbap theM by p..2 0.4 He radle ap ho#ftr. Z cwn6a� m ccoAsce =crnc.-a fa a.- apOft rA-// da ft&,f Abd -mind. .6",7" or 7WE'CIAL MAMRIALr -T71e um of any It pea'al 'raferral, - ape. AOWW 0 iL 4' 12 .t '- - - - -� whets CO/7C. /$ �bU!@� r/zy• � O � O � S/ab '/7 vs RESIDEMCIAZ P071-0 Cc�)WW 7?�,,"-�I' _4Z. C01, TqU,. 101Vz9Z -7 WIZS NO, DATE 3�G/Eo COUNTY OF BUTTE'— DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION -1. C Lp.jn t -, C -: r-' t 4 r 1) v -v e - 0 ruvif;rt. Cal0ornia 95955 - Telephune 534-4541 '� , L\ COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC W0 11 7 County Center Drive - Orbville, California 95965 ., Telephone: 534-4541 • • APPLICATION AND PERMIT ' BUILDING Owner SO. FT. OCC. BUILDING vAtfCATION Mailing Address Telephone No. Contractor I4y/s• T w1 Mailing Address SO /4 Fireplace Total Valuation /�_'V/(�(r 10 K�J(�i Q�p� ,al rip �7-00?jt� Permit Fee Building Address 7/15_t� 4 1117-14 2D- Plan Checking Fee 81/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ©�(��� Repair drainage or vent piping 1.50 7 —/ A. P. No. 2 G a(p�� 2a Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50. F s WZJ S&OfttM I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plan Parcel Declaration Parcel Map 60' R/W Improv ents Each additional outlet .30 Building sewer 5.00 Bldg. Pla Recd Plkfs Approval Lawn sprinkler system 2.00 ___f,r,A'-A`ppr.v.I NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ k111 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�� - Single Family ❑ Duplex ❑ Mobil Home ©/ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DWEACCLBLDGS.LING CCUP. Y) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name StIe O y ` TLET NEW CONSTR. BRANCH CIRCUITS) NON -REBID � BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS fi NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES) B L1� 0¢ FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.1 EA) 2.00 Temporary service 10.00 (yE: Ig � Mobile Home Facilities 15.00 —License N0,2&3733 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against -liability for Workmen's Compensation. 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Fee $ 0-b TOTAL PERMIT FEE $ OULI1V11GC IVJJICACIILGLIVVb UI LIIC %,UUll LY UI DULLC LU Clllt;l UPUII lilt: above-mentioned property for inspection purposes. X c ` Date Sign ree of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. DI,R UBLIL WORKS My Hm Building permit expires .. MOB IDEHOME SUPPORT DATA If other than single wide, Mobilehome flfr._ ^. 5'��% L,(j furnish Setup Model No., Year Width_(ft.) Box Length (ft.) Tagalong or Expando Siz �. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one). Single WAW4 1. Wood either pressure treated ox foundation grade. El 2. Other (specify) _ Supports (check one) 1: Concrete block. Ej 2: Other (specify) \ *---=Tagalong or Expando,' (ft (in:); (in.) (in.) Center support Center support loca ions* footing sizes (in.) x a (in.) (in.) " 1. Wood either pressure treated ox foundation grade. El 2. Other (specify) _ Supports (check one) 1: Concrete block. Ej 2: Other (specify) \ *---=Tagalong or Expando,' 3G ", show support details. ( t.)(in.) (in.) (in.) ;)L x, -- Typical Support (in. in. Footing Size (f .)(in.) (in.) (in.) �" �o " -- Max. Pier Spacing (ft ) (in.) (in.) (in.) -a Max. Overhang couffn BUILDING DEPARTMEN ,.. APPROVE D *If center piers are other than drawn above, `r draw in -locations, spacing, and'dimensions. BUTTE COUNTY DEPARTMENf OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Z22MT LE ri,j 11PA [ G 2.. Installer's name: SCC AL Y S -Z Z- / L/` /V 3. Is the site currently under permit? Yes A-4— No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No-/ / (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /"'/ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- X" Amps 6. What is the mobilehome site service rating? --------------------- V Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome -/ siteservice? --------------------------------------------------- Yes / No 251 (If yes, identify the load and sizer (Load) e—:rO (Amps) 9. What is the mobilehome site gas pipe size? 3�(d (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? �O (ft.) 12. What is the mobilehome gas demand? ---------' ----------- =R ��o�j 000 (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) I PERMIT NO. 4568-79 PERMIT EXPIRES OWNER Myrtle Corbell t owner CONTR. LOCATION (A.P. 72-061-20 7159-A Mt. Ida Rd., Oroville .Y i r � t t k i � L I .,C • i� f _ t t Temp. Power Pole Called PG&E Temp. Elec. Serv-3-�� Called PG&E Temp. Gas Serv. 5 ZO Gf 7, Called PG&E JOB • FINALED _ (Date) (Sign ure) t COUNTY OFBUTTE — DEPARTMENT OF PUBLIC WORKS -" BUILDING INSPECTION RECORD BUILDING J BUILDING (Cont'd) �, PLUMBING etDacK f I Vrewall Soil Piping rms I P a ets 1st Floor In Bldg. Res oom Finish nd Floor ootin s Wind s I 3XI Floor sialli, Roof Shekthing Water P4ping Pier Roofing Sewer Garage Fdn. Vents Fixtures ` Footin Garage Vents Water Htr. StemwaI I Insulation Heaters Slab Prov. for ph sica A liances hand Ica capped Carport Conformance of ex. Gas Piping & Tes Footings structure V Temp. Gas Slab A Final Sanitation Patio RE ACE Final Footings Footing, EULCTR AL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beaw IRE SPRINKLE4 Motors Framinq Test Water Htr. Stucco Final Subpanels Jrior MECHANICAL Gird. Fa t Prot. Heati Servicor Cool g Te p. Pole - is Du s der round l' V Illation ennanent or Closer Winai final MOBILEHOM UTILITIES ----------------- Elec_ Service g<% Elec. Pedestal Water Piping 7 Sewer Gas Piping WIRBILEHOWIL INSTALLATION -------------- Support/4 laElec.Continuity 4Z r -25V Water Piping l% �jG2. Drainage Gas Piping IV DATE REMARKS OR CORRECTIONS r (NOTE: An entry must be made on this form each time you visit the job site.) .r: �w 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of 100 amp),and other facilities on lot, i.e., water pumps, garage, cabana,'etc.? Yes_41___I�o_ B. Is there -proper clearances around panels? Yes l/No ' •C. Is power supply cord or feeder assembly properly fused? Yes. D. Is continuity test satisfactory as per the following procedure? Yes-, No_ 1. De -energize electrical wiring system.of the mobilehome at the pedestal 2. Make sure that the power supply cord, or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in,the mobilehome to the "on" position. 4. Connect one'lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductor,s,shall.be connected to the site service equipment. A further continuity test shall then -be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle. /��_<, Length e Width Vehicle Serial No. 5 State Identification No. 7 Additional Information or Comments: e 0 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes 1' No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_4�-'No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes.4Z No 4. Is the mobilehome level? (Sec. 5088) Yes. -.0.140 5. If more han a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flex''ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes_ZNo_ Backflow - If coach is not State of California approved, does station have backflow device !!! and pressure -relief valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 4" per foot slope and is it properly supported? Yes C. Are any leaks detected in drainage system after running 3-ga-lons of water thropgh each fixture including washing machine standpipe? Yes No If coach is not State of California approved, does station have required trap and vent? Yes. No 8. Gas.Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobil -home gas line inlet without reductions other than the mobilehome connector. Yes dd No B. .Test OK as per following procedure? Yes,,;-' No 1. Open all appliance connector vjLlves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10":14" water column or test with slope gauge (minimum 0 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehoRe with connector, turn on gas, test connections with .soapy water. / C. Are all appliance vents properly installed? Yesa� No Owner Mailing Address Contractor COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT % Af& Tel ephon Mai I i ng Address C.OVCG NEW CONSTR. POWER APPARATUS 6 NON.RESID. (SINGLE OUTLET CIR. Telephone No. Building Address 5BA'OLiN CO Ex. Occup. (OUTLETS IXED P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ;pa A. P. No. 7 a 'U O Al.ning & an Ing Fies I 4,e Fire Dept. Fire Zone Us ermit EQA Parking Parcel Declaration parcel a P 60' R/W Improvements P �Pl�an�s Bldg. P af''ns Rec'd 1-�WarchoA"pproval Pla4oxpprovol NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. Classification _ BUILDING VW / SQ. FT. OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each,,T raD 9erair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LE55 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 FEE r NON.RESID l BRANCH CIRCUITS/ C.OVCG NEW CONSTR. POWER APPARATUS 6 NON.RESID. (SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES) 5BA'OLiN CO Ex. Occup. (OUTLETS IXED P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ;pa Misc. Wiring 6.25 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above -mmentioned property for inspection purposes. X - Date��y Si ature of Permitee or Agent Q� Receipt No. ;Z; —? (0" White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Coo I i $3.00 �1 Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ "D This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov o)which feesh e been paid. T F PU IC WORKS -3d-i B Date Building permit expires Date �7 �� "�U i, 2lo e XtntP 113 r� od — 35' 2� zm� �g;eda�q Q i f Mar CA 1 _ i APPROVED Butte County Environ Heath 14's � Date Signature • i a ' BUTT E COUNTY BUILDING DIVISION APPROVED �--F-6 (el