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072-160-005
_ A.P. - 7a-16-6- Nillis t V5225 Oro Bangor Hwy. , say�le-.. < Permit-465-72B'(Repairs)Fi 1,3t�.y� 72-16-05 NEW (1WNFR DONAQ SQJJCHTING 5215 Oro Bangor Rd, Oroville permit ##3125-78E(update main ser from fuses to c.ir �brdakers) S F- �gn rn ri D• P&6? v U 072-160-005 04-0067 SCHLICHTING FAMILY TRUST 5225 ORO BANGOR HWY, OROVILLE Cont: OWNER DEMO 796 SQFT 031-225-024 "'A 05-1553 � WOODWARD, RONALD { 1810 6 TH ST, OROVILLE� [ Cont: GEORGE ROOFING REROOFv 072-160-005 05-1554 SCHLICHTING, DON 5215 ORO BANGOR HWY, OROVILLE Cont: OWNER DEMO HOUSE �,l —1-05 SCHLICHTING, BETTY 5225 ORO BANGOR HWY, OROVILLE Cont: D & A CONST M/H PERM FND(NEW). CLARK, _David 5226-0ro Bangor Hwy., Oroville (repair kre damage) 216-67B 174-67E7" �i C RDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded I Official Records I County of I Butte I CARACE J. GRUBBS I County Clerk-Recorderl I I 03:43PN 08 -Aug -2008 I REC FEE 11.00 CONFORMED COPY 1.00 AH Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter'dealirig with the real property. DONALD L. AND BETTY L. SCHLICHTING TRUSTEES REAL PROPERTY OWNERILESSOR PO BOX 5973 MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP 5225 ORO BANGOR HWY. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE ' CA 95965 CITY COUNTY STATE ZIP 06-0989 (530) 538-7541 BUILDINGPERMIT•NO. TELEPHONE UMBER S 0 SI NAT RE OF OCAL AGENCY OFFICIAL DAIE INTEGRITY HOMES DEALER NAME (if not a dealer sale, write "NONE") 1067714 DEALER LICENSE NO. CHAMPION HOMES 2005 IL699-2 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 009-05-699-15547A/B 44'X 11'8"/ 46'X 11' 8" RAD1423686/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 072-160-005 HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. AAad� Exhibit "A" 93-357.83 A parcel of land lying in the East one half of Section 31 and in the West one half of Section 32, Township 19 North, Range 5 East, M.D.B. & M., Butte County, California, said parcel being all of Lot 8 and part of Lot 4 of the Daniels Subdivision,. as said lots are designated on that certain Map entitled, "Official Map of the Daniels Subdivision", recorded as of record December 6, 1920 in Map Book B, at page 1, in the office of the Recorder of said Butte County, together with a part of Lot 20 of the Rutherford Subdivision, as said Lot 20, is designated on that, certain Map entitled, "Official map of the Rutherford Subdivision No. 1" recorded as of record on December 10, 1931 in Map Book B, at page 35 in the office of the Recorder of said Butte County, the entire parcel being more particularly described as follows: BEGINNING at a point in the.Southwest one quarter of the Northwest one quarter of said Section 321rom which point the section corner common to Sections 29, 30, 31 and 32 of above Township and Range bears North 60 36' 12" West 1929.19 feet; thence North 870 12' East 640.42 feet; thence, North 20 48' West 134.00 feet to a point -in the Northerly boundary of the aforesaid Lot 4 of Daniels Subdivision; thence, South 870 12' West along .said Northerly boundary of Lot 4, 659.89 feet to the Southeast corner of the aforesaid Lot 8 of Daniels Subdivision; thence, North 110 30' West along the Easterly boundary of said Lot 8, 100.00 feet to the Northwest corner thereof; 'thence, South 870 12' West along the Northerly boundary of said lot 8, a distance of 133.23 feet to a point in the West line of the aforesaid Section 32; thence, North 10 27' West along said West line of Section 32, which is also the Easterly boundary of the aforementioned Lot 20 of the Rutherford Subdivision, a distance of 20.00 feet; thence, South 870 12' West along a line parallel to and 20 feet Northerly of the Northerly boundary of the aforesaid Lot 8 of Daniels Subdivision, a distance of 354.59 feet to a capped 1 inch iron pipe buried 12 inches below ground surface; thence, South 110 30' East along a line parallel to and 15 feet Westerly of the Westerly boundary of said Lot 8, a distance of 120.23 feet to a point in the Northerly boundary of the aforesaid Lot 4 of the Daniels.Subdivision; thence, Westerly along said Northerly boundary of Lot 4, the following courses and distances: South 870 12' West 15.17 feet; North 110 30' West 27.90 feet and South 860 46' West 72.02 feet to point in the produced centerline of an 18 foot wide easement for road purposes; thence, South 260 49' East along said centerline and production thereof 313.31 feet; thence, along the centerline of a 6. foot wide easement for pipeline and head ditches the following courses and distances: South 100 50' East 257.90 feet; South 140 34' East 331.95 feet; South 530 48' East 194.52 feet and South 130 45' East 216.68 feet to a point in the Southerly boundary.of said Lot 4 of daniels Subdivision; thence North 670 22' East along Southerly boundary, 326.06 feet; thence North 110 04' West 939.78 feet to the point of beginning, containing 15.148 acres, more or less. A.P.N.: 072-160-005 Clew M. — _. I 4 072-160-005. a 04-0067 SCHLICHTING FAMILY TRUST 5225 ORO BANGOR HWY, OROVIL• LE Cont: OWNERS i DEMO 796 SQFT't' ' F , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPu��J=.LB)0_000 L zorHNO BUILDINGPERMIT OWNER SCHLICHTING FA dLY TiWSI TE4LEP"°NE. S : - X562 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS bLELlt+ ill , E�IY CONTRACTOR'S NAME PU WX 5973 OR VILIIE CA 95966 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9999 ORO RANCOR HWY 0RoVTT.T.E$ Energy Plan Checking Fee $ PERMIT FEE $ 35.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: YDFMO 796 SQ FI SF PER ASSESSORS RIMMI Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos oA mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawrfor the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO IODOA 46.00NEW CONST. DWEwNG OCCUP. OR ADDNS. ( a ACC. eros. sO 3.5¢FT: NON-RESIO. MULTI-OLfTLET 97,50 POWER APPARATUS a sINGLE ourtEr cIR. Ex. Occup. OUTLET OR FOMRES 20 @ I.DO BAL @ .50 FIXED ALNSI Ex. Occup. °. PPOE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) p I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date *� i „' + �� < Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excava io s over 5'0" deep and demolition or construction of structures.oyar�3 o�ie ip.h ht. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAz. D. FEES IMP FLooD COF pARC0. PD HD ISS -,D This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated ab&e for which fees have been (J^ By JJJ ���111 (/ti I/(( Date PERMIT EXPIRES ON provisions to do work paid. Ln1f b1 ate ReceiptNo.i �`� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,f i \ - - 06-0989 V-*' 072-160-005 SCHLICHTING, BETTY FRS OkOVILLE 5225 ORO BANGOR HWY, -,e I\1 O T. E S i Cont: D& A CONST M/H PERM FND(NEW) APN: Owner. Site Address: Contractor. Type of Permit: RES I'DENTIAL Permit No. t� 5'5"3 S3 1 OFFICE COPY Address 1. GASDate�{p Meter By ELECTRIC��j�' Date �. Meter By !!��''�� SPECIAL CONDITIONS SRA C�5c.srS,jtai B(oc,4,5 FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE CHECKED BY ;•r;, DATE JOS FINALED: SIGNATURE: = OK MANUFACTURED HOMES MISCELLA,N.EOUS DATE ERMANENT FOUNDATION Lj SOFT -SET 1 ng -Setbacks -Easements Soils-, Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete „ 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 EI octn-Clrncs- d Amp -Concrete Z and Gas; Loctn es '- r Nat 0 or LP ��i.� Inch Sz_Ft Lngth 7 61c n�g- S -z -Spacing -Marriage Line ,8-19—as- `H Test-Demand-Valve-Dnnctr lec MH Cntnty Test-Crossovers-Breakers-DIrncs ll-Flex C nctr 10 Drain; MH Enan 11 Wtr 'ver ecC!O to Grade 1 nd ElecTagged ie� s Q Foundation G'.fr 15 Cert of Occupancy 16 `HUD Label/Insignia Numbers Serial Numbers �- ^O ow 00 ^ DATE DEC -C O V E R S -C A R P O R T S `G A R A G E S oning-Setbacks-Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing 1 Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shthg ,' Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs K 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses , .1 9 Siding; Nailing -Veneer -Stucco -Lath 1 10 Roof; Shthg-Roofing 4 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls °' i 4 °tee DATE IPOOLS 1 Setbacks -Easements j 2 Soils; Compaction -Structure Stability ( 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GF1 S Elec Pool Lting; 1S volts-DF1 t 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Bdxes-Enclsrs=pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enctsr, Fencing -Alarms 13 Bonding, Diving board or Slide ,l Pool Drawing I f I i - 1 ;I 4 =r 4 = OK = Not OK RESIDENTIAL (Single. & Duplex) UNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage-, Soils-Steel-Elec Grnd Ftg Dpth_ 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 69 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test tl Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Cirnc-MaterialSupportdnsultn 14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girders & flr Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Jois t-Rftr. Ties -Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue-Frpic Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtr Vnts-Undrfir Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolls 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws so'er m o'er m DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga Q CU or ❑AL AC Wire Sz sa Q CU or ❑ AL 48 Range Circ ea Q CU or ❑ AL Oven Circ ya Q CU or ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrnrs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector UAIt= 1PLUMBING 53 Wtr Htr; Ven t-Acc-Cnibs tn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd flr - Tub-Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE IMECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-DIrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GF1 Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-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-ClmcCom Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Lottn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters Q Yes [] No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-DIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99. Fire Sprinkler • COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES r 7 County Center Drive - Oroville, CA - (530) 538-7541 ( rr CORRECTION NOTICE OWNER _J PERMIT NO. F A routine inspection indicates that the following violations of Butte County Ordinances exist at z 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. --A C�- 4 C-3 el T Date -12 11 v Inspector GAA REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 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. BP060989 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 I Issued Date: 06/21/2006 APN: 072-160-005-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 5225 ORO BANGOR HWY ORO Map Index: Date: Contractor: Description: NEW MH, PERM FND, EX SITE- 2ND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the 1050 DWELLING ( ) Contractors' Slate 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 Owner: SCHLICHTING FAMILY LIVING TRUST 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 SCHLICHTING DONALD L & BETTY L she is exempt therefrom and the. basis for the alleged exemption. Any TRUSTEES violation of Section 7031.5 by any applicant for a permit subjects the P O BOX 5973 applicant to a civil penalty of not more than five hundred dollars ($500).): OROVILLE, CA 95966-0973 ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (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 Applicant: SCHLICHTING FAMILY LIVING TRUST 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 SCHLICHTING, DONALD & BETTY sale.). TRUSTEES 1, as owner.. of the property, am exclusively contracting with 5215 ORO BANGOR HWY licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does OROVILLE,CA 95966 not apply to an owner of property who builds or improves thereon, (530)589-0562 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:Gad �L I/A Q -0-(9wne Contractor: DU PAR 8, ANGEL INC MICHELLE FREEL WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 2532 SANTA ROSA AVE ❑ I have and will maintain a certificate of consent to self -insure for SANTA ROSA, CA 95404 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit 530-821-5850 530-821-5854 (fax) is issued. michellef88@sbcglobal.net ❑ 1 have and will maintain workers' compensation insurance, as License #: 457364 required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Architect: Engineer: Policy #: 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, 1050 S.F. and agree that if I should become subject to the workers' Total Square Ft: compensation provisions of Section 3700 of the Labor Code, I shall Valuation: $68,250.00 forthwith comply with those provisions. Census Code: Date: oC Applicant:��� =ge WARNING: Failure to secure workers' compensation is 5') unlawful, and shall subject an employer to criminal penalties and one -OCL hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 1 code, interest, and attorney's fees. y 11 16R2 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 Resolutions to d work indicated ab ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) //'_� /� Date: Hn LU- 2 1 - 0l 0 -By:_ Name: (� n - Co - PERMIT EXPIRES ON: L1 Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relaying to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represeAlatiyes of Butte County to enter upon the above mentioned property for inspectionXes, t , Print Name:: Signature - // 01 0 Date: ��. C�I�Qo 6O Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor i B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2534 OFFICE #: (530) 538-7541 A FEE I-VILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLYY Y 'M S P L. rn :1i :) . OWNER INFORMATION NaIn e Name Addres- Cit St ef7� Zip Phone s�79 _ 0 S61171 Fax i E-mail PERMIT NO. BIN # APPLICANT INFORMATION ARCHITECT/ENGINEER Name Stat Address Phone City Email State Zip Phone Book Fax E mail Planner State License Number APPLICANT INFORMATION Name y Addcess .._� . City IM12/1 LF, Stat 7jp9 Phone Fax Email For office use only: U Zoning Flood Zone SRA Ye I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS Description or Scope of Work: .- Sq FT- Living %� Garage Open Cov'-,. ❑ 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 refundable. Received by: �j� Amount: tD9ACa_Bldg nu SRA Receipt #-.4 5 Q 2q4 Sheriff k* SMIP �' I' /V�� Other Date: L Total 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 faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A). Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs; (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from 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). ❑ -.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. q Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. El 12. Sanitation and site plan approval from the Environmental Health Department. 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\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 Hobo 19 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:�)Qhlick�na ASSESSOR PARCEL NUMBER" MM 0 �j 20D P*11ing �t` Proposed Building Use: I . Permit Technician: K.G. Date: 5 -1 - TD Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. V Z.N 1. Site plans,(3�r 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. Cl 6. Energy compliance design and supporting documentation in duplicate. 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. `*J `❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fndd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑i 11. Hazardous Material Form i� 12. Acknowledgement of building permit application without required clearances. 13. Other �Pc +Q Shln+ Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) , 1 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable_%4g � 0 ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 18. Erosion Control Plan Required........................................................................ MA 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the ty of Biggs .............................. 1 22. California Department of Forestry plan approval✓ paid. Sent by: oC#�L: 23. Planning approval for (A) Use: >.,> (B) Parking: (C) Parcel Checl>.........C& 0 24. Contact Land Development about _ Improvements, _ Drainage ........................ 0 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... -4-N 34. Deed Restriction......... 4........................................................................ 35 gal description�Z M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone 9R9 998 -17/0 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applican�X, f Date: 1. Index ermit Ypplication f& a above items numbered: Plan Check Letter 2. Additional items reeeuired e _ /-A Contractor, designe owner was advised of the above data by X PbK`0 mail, ❑ counter, by f�.V • Date: fvzapu Contractor, designer, er, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: ge Structural reviewed by' Dat . Structural approved by' Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 TO: FROM: Building Division = Development Services Environmental Health ✓�F Plot Plan AttachedAttache, Floor Plan Attached, Sent to 8D/DS / J t q SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposa Clearance for dwelling. Other Hold final for: �j A- rI Final clearance O.K. for: NOTE: Ith specialist Building Clearance 9/2005 Supply: Public > Private Well Date 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 072-160-005 APN No: 072-160-005 App Date: 5/1/2006 Permit No: BP 060989 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 Permit Type: Subtype:d(g(G Permit Desc: Liu M"�i/ SJ;r�� Z,Rd J)Wetli R $549.90 $219.96 $329.94 Balance of Building Permit Fee 0 $95.00 $204.98 $109.98 1 NON-REFUNDABLE portion of fees due at application $314.96 RECEIPT DATE Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $_424.94 t{ o27 5/1/06 Kourtni FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT � ?$336 77 ) 1 Balance of Building Permit Fees (from No. 1 above) $329 94 .46 ;;AAR 5 6 7 7a 8 9 10 SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: IMYAI: I t-ttb - KtblUtN I IAL" Applications After 04/15/06 u I Per Dwelling SFD Per Dwelling MFD a Per Dwelling MH County 4249.11 3183.54 3238.72 Chico Urban Area 6146.23 4538.82 5648.44 EI Medio Fire District 3249.97 2385.76 2422.68 North Chico Specific Plan I � CHICO STORM DRAINAGE A SR -1, SR -3, SR-1/PD 8801.091 7395.04 �c R-1 0 ° 8897.09 7491.04 R-2 8390.091 6984.04 R-3 7604.091 6198.04 Processing Fee is automatically added to impact fee total 0 WATER TENDER FEE (Not collected when impact Fees Applicable) Enter Bat.# $200.00 DRAINAGE FEES* I � CHICO STORM DRAINAGE 770 Butte Creek $6.83 (^ an(TrL�� �-I-J L__IJ 8486.40 8582.40 8075.40 7289.40 RECEIPT DATE Tech/Asst $100.00 $200.00 I � MASTER PLAN 771 Comanche Creek 772 Little Chico Creek 773 Big Chico Creek New construction, vacant 774 Lindo Channel land, on 1 acre or less - 775 SUDAD Ditch Enter 1 or less acre value 776 Mud -Sycamore Creek 777 PV Ditch 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 $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO is completed for applicant to take to respective district office. 997 $6,275 RECEIPT DATE Tech/Asst $8,893 [ 12 SCHOOL DISTRICT FEES* Oroville Elementary 091 7��ver1, f 12a RECREATION DISTRICT FEES* Oroville OF PERMIT. Forms will be prepared after plan check 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 co a ti n 66020, you are hereby notifi d those Items followed by an "* may have been imposed on your project. You have 90 days from the date of approval the porject or from the impostion of th 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 ' f BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District % / Q Elm. rAaP`i A.P. Number 071- �Y1U'tl( Jurisdiction: City Property Owner Property Location/Address Subdivision Residential Development Q No of Living Units i(Sec +(hej �Or(q . Commercial/Industrial Q New Representative 52 Building Department No. VSO 1 1 County Lot No. ........................................................................................ © ::Sq. Footage 1 Oso Mobile Home Addition/ "Supplemental to (Group R) Installation Conversion Permit # '• '(No foundation inspection) I ................................................................................... Addition District Identification No. n `(-"1 O S 1;,— (Street Address) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) 4;_1 _0G Date Le w,. School District certifies that S e,.�'_I�yf' C4 plicant) (Phone Number) (City (State) (Zip Code) has complied with the requirements of Resolution No. 6'3 _ o '4 by payment of. $ 5 b N representing ,? S`( square feet. L School District B 2926 S r ULL MITIGATION S Paid by Check # Remarks: to SO Date NoMa: You may protest the Imposition of the fees Identif ed above by submkdng a written Probst 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 win/ prohibit you from challenging the Imposition of the fees In any court action. H, subsequent to the School District Represenbtive signing this Butte County Schools Impact Fee Certificoon Form, the School District Is notified by On applicable Local Planning Agency that this project Is being rwlewed under the Caftrnia Environmental GuaHty Act (CEOA), this project may be subject to additional school face to fully mltgats its hnpaet an the school district's schools. White (school district), Yellow (building department), Pink (applicant) feefonrh.xis (31ftW rn BUTTE OUNTY ]DEVELOPMENT FEE CERTIFICATION FORM CUFEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s).0 7 9J � D -000 __ Building Permit Number 0 0 �� �� Property Owner (s)_� Project Location /Address Subdivision Name me • VT° Assessable Sq. Ftge Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home �/ Mobile home replacement verified by Assessor Department K9• Demo Permit (date issued�p ) Comments: �P�lo►ce '��� S�T�V,le��l�na ��I Department Uate verified by Building Department in an, �� m hi ('e ARRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that: -77) /-,.0 - Q, - f f - /- - - - r� �/) ) . 11�_ R C/ - /1- 1"/ Nivm Has complied with requirements of the Butte County Board of Supetvisors Resolution No. by Payment of: Dwelling Units @ $ — Square Feet @ $ Remarks: Paid (jbynnCheck No: Paid by Cash: per unit for a total of $ per sq foot for a total of $ Receipt No: Department C- o u n f Y J. Michael Crump, Director Shawn H. O'Brien, Assistant Director ®f Public Wo.rks O f B u t t e ^�, ronFrr Drive Assessors Parcel Number: , -�6 p_�� Building permit # Owners Name: Owners Mailing Address: Property Address: ENCROACIiMENT PERMIT ACCEPTED: PERMIT NUMB ER: ENCROACgl\�NT PERMff EXENgTION: E. Reason for exemption: _. Q Not a County maintained road Existing driveway conforms to County S-31 standard El Other Approved by l Printed Name Title Z' Date l3 r•r,T,M'rrT(1N� FOR EXEMPTING A DRIVEWAY • �Oroville, CA 95965 (530) 538-7681 (PAX) 538-7171 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. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING May 24, 2006 Betty Schlichting P.O. Box 5973 Oroville, CA 95966 Subject: Building Permit 06-0989 (APN 072-160-005); Second Dwelling Dear Applicant/Representative: The Butte County Department of Development Services, Planning Division, has reviewed the submitted permit application, and requires the following revisions to your site plan, or information in order to continue the review (this may be for notification purposes, please see below): ® Creation Deed ❑ Site Plan Resubmit — Follow Requirements ❑ Erosion Control Plan ❑ Setback Conformance ❑ Watershed Protection Zone ❑ Front Yard ❑ Cohasset Specific Plan ❑ Side Yard ❑ Subdivision Map Note ❑ Rear Yard ❑ Off -Street Parking; Development Standards ❑ Special Setback or Parcel Limitation ❑ Parking for Specified Use ❑ Federal Aid Road/Arterial ❑ Lot & Landscaping Requirements ❑ Easement ❑ Oak Tree Plan ❑ Subdivision Map Condition/Note ❑ SRA Setback* ❑North Chico Specific Plan — Erosion Control ❑ Fire Sprinklers* ❑ Notification Only — No Action Required ❑ Other: - rtre sprinmers, ana the )wA setback, are not requirements jor the Planning Division approval, and this notification is for informational purposes, however it may be requiredfor the issuance ofa buildingpermit. The requested information, or notification, is described on the included hand-outs. You will also be given some brief direction, on the following page, of how the information should be submitted or returned to the County. Should you have further questions please contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603, or the appropriate Department/Division identified in the hand-out. -Sinccopy, e Chris Tolley Associate Planner Cc. Q PgTME�1T JTr 1� z:_?,-, a o \ o c�UN�^ Department of Public Works o \� _o y C o u n t y o f B u t t e I� J. Michael Crump, LAND DEVELOPMENT DIVISION p %/ Storm Water Management Program Director 7 County Center Drive Oroville CA 95965 AVellc Wo¢�9 (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: //,S Ta Il /1�e icl /b7 Odle f�1ne_ Project Location and/or Parcel Number: D %? — /,/,,-g - l0 -5- By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB I 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 California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: ( /-Y kms- {2 Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program . Revised 5/24/04 Butte County Department of-DevelOPMent Services o � t 0 7 County Center Drive 0 Oroville, CA 95965 °° '.-0 ° (530) 538-7601 Telephone 0IUJ I (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES [ request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining ap nPrP. occary rlAtpd nen-nits and clearances from other regulatory entities, including but not limited to, County Fire, and Agriculture. I hereby acknowledgd: Planning, !Environmental Health, Land Development, ® I need to submit applications for septic and/or well to Butte County Environmental Health immediately. v I am required to bring the approved Environmental Health site plan and approved sa�sitatioti clearance to the Building Division as soon as clearance is obtained I am responsible for notifying Development Services, in w►•iting, 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:&-T71-�� �� - APN: 0 %� -/� d Building site address: 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: SIGN . U OF APPLICANT DATE I I' ,yDIT& STATE OF CAUFORMA NUMBER: BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF MOUSING AND COMMUN/TN DEVELOPMENT 8733620. r� DIVISION OF CODES AND STANDARDS i MANUFACTURED HOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN DISTRIOVTION; ORIGINAL (PINK) FORWARD TO THE tNVENTORY CREOITOR UNJ THERE IS.NONE; THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P,O., BOk1 B, SACIt MENTO. CA 95812.1028, WITHIN FIVE (S) GAYS OF RELEASE. COPY 2 (YELLOW)DELIVER TO THE TRANSPORTER TO ACCOMPANY THEUNIT TO. ITS DESTINATION. (GQ COPY 9 LDENROD) TO BE RETAINED BY THE MANUFACTURER 481.0 - Side 1 - (7/97) E00/Z0q HOIA10 H'I'IIBB (+- samog 91TJ20lul NHUHg IVA 09:V els 9009/99/0 ❑ 'ORIGINAL CHECK IF THIS IS A DUPLICATE MCO-ENTE MCO NO. MANUFACTURED WQ 4C OR MULTI -UNIT MANUFACTURED HOUSING NUMBER OF IN SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS 2 COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: -Champion Home Builder$ CO. 90086 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: P.O. Box 423 Lindsay CA 93247 47,784.00 stt�et c state MANUFACTURER TRADE NAME; MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: INFINYTY IL699-2 03-29-05 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OF TRANSFER: DUPAR AND ANGEL MFG HOUSJNG GP TRANSFEREE DESIGNATION: DMA INTEGRITY HOMyES jNC 1067714 04-01-•05 DEALER OR TRANSFEREE ADDRESS: 1740 FEATHER RXVER BLVD OROVILLB CA 95965 S CI (State) (4) INVENTORY CREDITOR NAME: TEXTR�I ia'ZI�JA.'QCIAL CORP _ INVENTORY CREDITOR ADDRESS: strep 11 BONHOMME AVE SUITE 500 C T. LOUIS Mc 6 Z( SECTION 1-6 MANUFACTURER SERIAL NUMBER MCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT tNCNES INCHES POUNDS► - id d TRANSPORTER NAME; TRANSPORTERADDRESS; Strom C Stele DESTINATION FOR UNIT DESCRIBED ABOVE; NAME(Street) Slate 1 ce" weer petwlly of pot)uly www we laws d" Stale of Calllom:a put the fwvo !oats oro Ins and oortoa :74--01--05 Lindsay, r.'ulare, :2. F-eadaa on ,a (Date ) (city). (Canny) I (Slate) SIGNATURE OF AUTHORIZED AGENT: ..` DISTRIOVTION; ORIGINAL (PINK) FORWARD TO THE tNVENTORY CREOITOR UNJ THERE IS.NONE; THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P,O., BOk1 B, SACIt MENTO. CA 95812.1028, WITHIN FIVE (S) GAYS OF RELEASE. COPY 2 (YELLOW)DELIVER TO THE TRANSPORTER TO ACCOMPANY THEUNIT TO. ITS DESTINATION. (GQ COPY 9 LDENROD) TO BE RETAINED BY THE MANUFACTURER 481.0 - Side 1 - (7/97) E00/Z0q HOIA10 H'I'IIBB (+- samog 91TJ20lul NHUHg IVA 09:V els 9009/99/0 SITE PLAN REVIEW APPLICATION Date: AP# es;) e, L — l 6 -PJ crp Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: '� �CtT`�`,�►L� Owners Address: Telephone No.: Site Address: Proposed Use: Zone: n2- S Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home Residential Accessory Permanent Second Dwelling Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Commercial Remodel ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Other: GP: Aa - DEVELOPMENT SERVICES INFORMATION (For Staff Use) o< CA( 6, / C % �Approv Conditionally Approved JaResolve Problems Prior to Approval ❑ Resolved By IY7 &7Date ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District. (Approval must be .obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: Q i - 5- General Plan: .-4W1= Applicable Building Setbacks: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side c d 1 Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Parcel Created By: Deeds: Date. of Creation: ��,tZ0 , lqh°l Legal Access Provided: ElNo ❑Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: Page: I I 914IAlle, California I W41 1. u..'. I IL110' Utity CII A Val, v6zrA�Irl 4n:j, or CA,U74W:*..' IkYoitCGUR TP!- XA Sri. -9 :i FL6TI) DAM MM TIXAL jacrjUl.fT: Or. ZiTrv�TRTI i' AND Y 114 AL UTST'RINTIOX &dAiIInIStr*triX of the tatate of .]rLOYD IT. 6 Asaii: baying on tiliA )0th day of 3eptambisr.i 1900 i. h!r in - 4, a f,u" 19Id 20' .4k"Wi th'' said II*A:,0f.4aIA AIM. jua,�.dtstr bi r. he AA 4id Pr*O :hAT ftg be" tb4, court iVAi ;olfsti K. t 4" hilWAA"r sad ToX*ttss tiw saQuis0 bTr a 10. To OtA there or.' reave�iWir"es" a a 40i '-:TbAt &aid account to in all M•1 l,':' prover w6uoiiirsj; so has or the adaialstratrIx ar &ad porsomial 'PropertrU otho .:RECEIVED fl�wvdv 0/ JUN'- -1 .3 2006 COUWOFWM M DMMEW DIT ML. . - ?A AVIED .006 COM OF BUTTE MMDWL0wWCW. l a0yta1544 ialiri' of 01,5006,001 _ 2: Th 't duia and legal notice to:aretitora of raid •stat s dos,baen .given' in the "naer and for the, t1As.retinirw by law; n e jt 'Th*L °all-olaixs and debts`'a�sinst,said deosdeat ind ..:.' tss� against' said estato,..all peva mal property i,a><ea due and yayable' b 6 ;.the estate, and -all debts, aapeasee aad'a rgss of edmiAirtr^Lica- Wk*4e.•heea: full>r: paid and discharge i; t"t as evideaoed. by the of - the A"iritanoe .tdY appra 'PO :on 110 :hazel•; there '. >t "is:'no lnheritaaoe'-tax due from the diatilb.6teas and- be estate ia' rc%44y' fo:r. distribution sad noa In a. condition to be closed; 10 :.TDnt the' whole of sal.d estate was the sclpa.rate sad ..: . It 006iunIty property of said decedent tins of-decod"V a surviving 1s s wife; 14 j: That said 1LOYv DANI1lJ died in:setnte, leaving hia :'p+arri'trinS. the;lollario4 heirs elle are entitled to share is the le issl4w of saig estate, as hereinafter 6sieribid," M' mint for.::: 'War i Mat ` : ,�. 1!7 �',+�,`f;iy..j;i: (a.j :� fa �. , •.,; • `�iiii�lilQ� .�; l +! t, ;�• °;t:.. ;;�' bo11 >. P!,A }._.: :.• :�.,. Qloaa Oaaiola;i4aa ,;��,^'•' 'i ;i.'!0 - � �;r'w:►'�'.�014 Raelala' �t stiA4t.� •0011''' : ... „�, ;�;r�1 .T►at .there Is oe fila Marilo u`a4mmiot by wilts �; ;,• :'ib} 'tiiia:t64'Misi-at�lar.aad dlstributasi,os above uaoed, rroviting ;,. ;';; tex=utl.°:4latsifntioa of the rceldae of rail Qua"] . J ;`� ; ' . - • ZZ l� Tl elft oxnDID aW WM. 'Ltb • nCKM asol rlw. ! t" final esaoaat of eaid ad+etaistratris be,. .. ::. 9'f;;„•..',, S. rJ :'a..E•.•„rt 77.S i+,4..i' •:ig ... - ; ,. ���•, ,� `4�� `.f�'-:iw'�i-;�l<iiy,`llnallY. eat1U4, '+►11arN� sad by9iovN� ,�'. .itis';. �f•. :(�;c,. .. .ip;?.: :' n�'9-:., .'L: :':.Y...•. '.. Nrcf:.' :. �� �.li�;�fj>r►1,ths'aloata4eSpa ascU`�all-aStats 'be berm:jy' 1i»is to t:eit iateratti. i 1 %- X"`'x 'S” ` �� ttLat'.,tAe raaitoe -ef said: il ostatV at eau 44eeuet a$ Sic'„ . io•' ,..,� ''.:r,::: •_}J,:.i;' ' ;<:,,,,• :' ',.: ,: ..' :;.;,..-....,, -P', �4..: •: ;..<. _.. ,.. , •••• °' :Ns tiattra: ieaertfe4, irA all otbdr Props 'Wbetbor tasaribed barale os not, be 4120i"tod asuordisw y,Mr■w+ A ��+1. ... .. �•+,, 2°• I -J71 A Wife, 3/9th.% thereof 2/9the thereof R1 LT`1:1i - I) -h*-. i-Iz, &On 2/9ths thereof QLRZN son NABLOLD WMIA'Ls'son (a Plistor) 2/9 ths thereof • The followinG is a particular dojurlptlOA Of tb* said residue or geld estate referred to in t1la decree, and Of which aforeav d 813,11 in socordailoe -ulth ;:distribution Is new ordered as .7 tk,* distribution aj;redmont on file herein; to -wits r by and, L�i a" to is:%hrough hI3 'JuardIA11, >I- is 10 1 All that real property situate III UAG County of 11 p 11nutte, :%t,,to -f C-aliforolem described AD f0110'P18; 12 k, parcel of Igoe lyin in the IGAI A f M) of :;ratios )2 amnship 19, I& tion and In the !4mt out -hal said per is* 0 C��nty, Colifor'i., 9 North, R%A40.5 kat, N%ts Subdivision III A I 14 1"1 . eel: I of 1.0% 6 and port of 14% j. of the Daslels '816 said Ltalb&rg dogi ;Aptod *op that aertalis 6AP 60%itisd 16 - ap of the DLAIGI loubilvipLoso filed as of sword Deoember 6, 1924 In Xap book "NO at f4w;a 1, In Like office or % . or of este �kor tho RutL#rfor# dub -1 with a port of !at 0 Is :But%* county, ►wgo%hqr %ad va that certain leap OntitIO4 �"0ftl.41a1djvjsjoA so said 1,01. n S-9 404194411, Xap of %he ;jutharford Jubdivlo& NO 11"Mod as of rG0014 ..:" %it 5 In%he01*flamof is tbi cw,,'Dss"b*r 10j 11)31, LA Hap kw -IL , 1$01 bOlUe KA)V8 r Said putts GouAkyt the retire ['a, rallolgal Ba&jzAiS16 at is the bou%h"gt oao__q6artosY let' tho %Ojthv6s% ons-quartor (INJI Of 9914 XO4t1OA sarns)2 "Os sh'" s$lSiess ir oomOA t6 30stioas 29 P, ?I aAA )2 ett IVOLAt the Ad jk&W bears No r%b 123 go&%. 1919.19 above Too 28hip A tbooes Mortb 20 461 408% hoose Sorth 67* 12' last, 640-42 "'stl of1ho af0f*4611 29 At" took to & poi&6 :a t6i larLh*fly bOWAST 4 4,99 D"1616 4041041901 thea*. joush 070 12, -stot along said Aborly bw*MAZY Of Lot 4, 09-69 fest to %b4 j4m%b*"f* 6"Ses Sri aroe#said Lot 0SAL4111 Outo4iltsickol thea** North U* )0' the 4 U 94611 44084 the usterij bwwAsJ7 of said IA% so 4,00.00 test or lharsqfj %heat& aoutb 974k L24 lost ale.04 tie sort" V17 bos"ary of mid Loo so a dl&Lamas of 1))023 f t'so axiliesssttl# s , %be lost &I&* of tb* 4acresald 066%loa 321 thsAas Xrth, i also t%O B&OL-Arly -'@at "as or aeo"ou )Z' %blab is & 19014 Ss'" V1410m, tbousdary of i10 iforo-emileffied Lot 20 of the buthertuM Jub" i 117 distales of 20.00 f %I thea** boutb 87" 12@ 100% 1610" a "Do f,,'jk&r_jj@j to mad 20 fO:o Northerly Of lbs Sarth9ri, boundary of th& Is aforosalt Lot I of D&A161's WAITINIQU 6 ""an" of )5)"59 feet to 6 104 10 Ira& pipe buyled 120 bolas &"WA surfteal thease is 11 6 )Q, parallel to AC4 15 feet lamtorly of: South Usk along a lin to a r b said [*t a a diat"Oe of 120.2) feet ;the typist la 0A ftrtb&rly bowidQry 0 eforosalt Lot 4 of V:16 Orly aloat **I& Markhorly wo"10109 SubdIvIS100; &bases 'easterly 11 1* the falloolAs camrses, cat distance$ 3ogtk 97' 12' %wst- -of Lot 4 , )0, seat. 27.90 festl im .**kith 860 460 lost'$ J5.17 restj Itorth 110 32 6 i 1 ;ot9�P :ti•a�tpo c i 40tu r7: :":�.' � .'►!: wLl. ?4% to..T4 it;eTlQ c�f,ti 1; :M4"Z 7 •' f hi 1�� iP I�'�Aa �Lt�R#a0tir4� iza.�..•�t�v�,'4,;0.�:,w9t��lti�Plt 1 voi-25'Dq zc as" rtf, •Ct• Was 0% Vi �•�� 1«!0 1its.�+i teav�...ts�•ttoaatit 40K AMj<"AtO,jrt,�latJ,. 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OQTa►...4bo;A q. oqt' '1n .liti'4:tl To Oq1 asao . s•ao1TP pv•q pav rojT•djd soj 4vm la 1011 R STsZHVQ 9iti3ttf 401 S'Itt ncl 1tXA?0 0.1 'lTivTor •lavil osr►: Olg9sT' �'.SCPtiS�d�,S i't�iC.'j�f3!,.ty;4•�°� �,yi . f'�}'•'v:: :ir'�.' %,; 'v` j �'��' •�;!.�. ... `•.<z;,� jPiQrA'rx9l�!':•ori{r.�4�T'0�1F`"alilemOf�'v'1tiT1�":'30Oi'�:�'i�>oftl :=i'.:!�1�1� 9�i''�►�is'.Rs � ,tr��'"2>Jtai..*goo6i�sas'•�,::�':'sQ�a�S`�v:,s;:t�'fxjRtra�'�ci�Le�.m�!' �if�•Q @EES•0;:;..�ir4'iR.O�s►gDa�s9';otjaw'+�sit8•'�►TetdGtl�'�'h c:. ��"�..a• y . 1' 7tl S r. a w• '' ' ,..?: 4..." .,�• ,1.7 ;6 F. tp. :'.^.• 1'::''; si i '!.. `•q,i .. 7►�Y1i iy:tiT}.. pt 5 S'" .i .d'�:Y!i '�4':."•` '! .v?iJAi. '6M„• .+r ;' . . • � .:. y :; ,,r. ";r.47 .. , � r •: ' %' %. ;..� .:x, ;LYr[+Glj':[ a �''p::'. ':°i''(:a k!�i0 •SQ; .•r[QL1 •aot•9ti'4r...i}alnTnsvoo;'?stTWT#09%3d sc;od. Ou1r..o=.'#1+a �.tb%5' 3o0f� sot101y Y .004 .,Q! gvc.AavvciRoa :_LY.isOtlze►� pTM L► Al .011' ewTtTaTPaK' #at!t4lQt lo; so'!: ptRf:'a• i ATj�Y�o1 'Mf1 ;ae'�#�o�':.sC.;�..'1!*S Sq'9►T{ 3ts4 •.•5t.�:•�.L� V1AoC S;Mx Zi'!'6t' 4pwl .• 'OC1J`14w► v =.seel 46-M SF a1'i v]:I' lkww 401 Lit. #mnr .at•'m.lt%” tt f,•ssn�►#0tc .: ";.►.asritoe Aa:�PTToi;Nit oy•l;tA p•q pos •s;j• jd soj 1a•�iOs►�.•PZn�.#4091 9..r.•fd_:.ovti:�!s*N •11, •tv,•ot.40e{1 dS40��, TL'Itlf' tos.lsQl 6*1%L"Void : t4 109,11 ilosu'Ot MIS 31*01V 'test sojf 1we O" OTA #0401 vt of io: •rjT.t40lQ•O vospoad 011 40T tinod 9 " #0401 wtl tt Is K a off 0 t 7 S wi, I soil 'U.); 0, U1 1A along the': outer line tit @his the foil Lou 1 f t 14N, 2 I t b to, SUM 04 22 048 &:Gir'�Iijaii of ths-,�- SAL. 33.:: f istf. to'Ak-`Pc -'asaill West f .A 4 A: 1. 4;.1IMiRV: A 3`00 4 - a ` to V" .0, 6 can fest"'. b, -A '07 AzA- 26 ori oititly to 0 a" 1'0 o.::grew 'parpoSas .6yer this "t-, 7- an tar; ii . ca M.111A A. right of.: VAT the .18 "toot. w Ldo'4ASUNIV horsinbof6ra tj�. to-OL.M. DANIZi also aiW-j6iA TU'Daftiels latts ar DANIXIA a right of way f h*aa ditahot ar.pipoline sbA �s oras foo sat b*-*iab*forQ the issatim thl, satire 6 foot c- Starly Tmaram that portion aloha the Ve the Urovillf-� within UW1. ri&b comate -the for rood -jurpossaj tUt part of "P,. T -above '46MIT111 wool, 11166 sithis U104"OstiLt 96for"t to: 1A &h to Iwo bArmAli.. 2 t bar Rate xit t j 'A - 4, if -4 i 1j -f" -A of 'omp"60 lea"" _40 W& .71 T*4&k pip) a lath i ths, Ilk, 1,t mova" - mat, On -ties of vlot"NA" pf L VMOA "Ass &Aa. a Lad as US &*-*am wroww"s a Us" NA 33 it toot. to a petal -la t" ;DW*jS,,ft "IA aoxtw:�Awl n9;x --wt Triellolm , an& 'the ast a 6 u4i thiko* North -V 11,00 .-2-v it' boundary. of said Lot .4, &.41stanics"o `along., th*,Xortb1irlr boun4axy of.. Wit, Lot 4, * th i is stance's, UAtli: 500 19 aid.11cu." %PtAil-.Xisit ")T'.4i' "Reat, tb�8408, xaavl4wcast birly boundary of lot --4, youth :20. 0:24lat' 4 a a h 1}4:00, -'f4sWAheAc*:3outh:-.67* 121 viimit: 6A.0.42.1 set to Abs. polxlt'�of beginning. C.Cntminiag 21.9,31 acrea,- tiora or loss. .64 Istato-eLlso gxdnt4 to XILT011- DkXIML:� an 'over -the. f olliowiig':port ion jof. - tiRCIL 2: I Or l. -f 66VU, vii4th ":Aying. 6.:--f"%:!va :eich- ..side of 00mitifi6ims at'-a'.Polat in : .the no'rth-4iiii. uo of oori.er:. ban i a 3nbdivieioa "ours Point the Southwest o, said' "Ila rtli; 970'12 U %,- 24 2 9.- f !iheado. Uouth'. `Xotth 6- -,&69 - tas .62 f a s% " to 'a poiyitr,lrinh noie 8 t LIM. =z t C' "th*'.iDt..-.'.tbe.boutfi-sait.oarnoT,,.of. tht.. X 6U,:*041*191cal, thanes North" W.:1,121.�:Y."t! 8 --of -ti '• i; bang, ;4irall to: and -6- fs#V'&GMtkAr1�`fr0M the Northerly. bound said Lot,' 4, a:Zstamco of 110.6] f4atj thossa'.3caUR-496 05Vx&&4.-* la 145.21.1sot .So a polAt'In tbs last oour64 is the 'dostiriptios of. ds*or1b*4-4b0,rj*: Bald .10 rd SuMiluioa '4M 616-1 U6,0; . of Awturtom* - .0 1 UAW 418kUU! My -eat Wait 60CCI ftubd lslajvjto;- j*';,riled ;&s:or r000rd, on .0iiikeiV010i"19 of:.Aat:xo" ,*In- in sue off I** of. the Risoorder of -batte 096styr ItarALLAO, saidIA 19'.00itaialAg 4,06 wea-Acre OIL 'ot Let 26 of mUCK0 or ort 'Lai* .the f � tk# NA14118 .j '104A 96rtala.t "tite& i.10frIGI&I.- mp of sksl, "as of -as, is k" Uta st 06. act •F-0-mati viiii, 20 of LaN sitea',' Mrs '1084 H 21' SII�R Lot. 2G`AF'1ij*." WPa IV MM; �li t or, A# ."It k feet; 4 T . IV. '4 we Y, 4ad to ar to IN Cal sihi I mail said hater IIs -ThIrd of AU Y Joso&.&mA Ladders •` Tbs Uou&Wwld ftraltuia la'th* yl*A' DW614 amts I .,a r ;ho farmiturs now 1"ated, in the marings g1th Me 410.0ktloa of one bo4roca as% to SYLTa. 6AMILS. lY .6- n' < :,-; •.; tp .. ;L ' in .drtot ►fined 'aAd ordero L1tR ti osioto In. haao d�rioe >rith the AAros,"At of diosr:buitoo.oA iii• is horeiA; wistitutes distribution •000rdiae'te ler kAd the; pro- perti�e>t sy�oi.lieR in Yorwsrh ) of into deereef i! 0092:thic. 1Olr-sc Rap of CeltOer 1944. S tt 111111f1� a[�tv► : 3 tip .\ Ott .q�.: .. �il• i'�l�A•:�K�'�t10 9lfy�t;� N�J! O��iK�"'t:•�t#'�I R�1�•'' ,'Yz�;�,..;<t.. ... ;:.`,,) : yox ixt. MW w �,a�,i is �1t1 6< l �,;s, , �.'.. . .:.: / • ' ; � f ` ARIRAA.�ltAlly. s! : k O: '•(• ':rY1'9;, ..-Y..3 OjY" :'�cl 4' 7. nliA 7a': :7'. ri•t., .^ it c.., f7lI�YM�� �-!"v��,-..� '>aA.�,.S ,�.•�: •BH. .a iL �.;. AI' ,.. � ... • i�'...;: �-�K•; •,way;:<-..;�,�:-. .::• ;�•.. .w a� comes-* I � +r t f 1M••�rM ..•.. ! !.bio;•. ,i: o } g': .. ;t' f .,, ^ jG6's:{:, :L.r.,,, ;,i ;;';. ; 0. : 1!"•l.,'. t�• . ••, 1}?i•Ly «lt 1 ..;A•, ::ii/31UN%t1,91r,Ni�Ai" ta�W.!`6 �r�2:, r w.•r;.. a ;1,� c +f K+. � .: n.,. • .. .. . t'o v::`J•;:r..:35?.l;S lejach ;"ra'en:' Trite dr s ;1:'Tiiso a.:�,•' a' 1" 01Yord' 4-71okup; 6 it 4 . Trio -'Thirds of CIO 'Boxes: and:Lnddere: 1 3*t dies and 1 trrciTer frame;:axle and .xhe$Is r'?s..: TC; •t�1LTOti D44IELS : .n; �'.;,.,. 7 .. .. 'fol �1.liTitB:'9w�lblat i; , t 1 Deer dif19 {, r t AS,ttr1 ILIcon of a*Ad n' < :,-; •.; tp .. ;L ' in .drtot ►fined 'aAd ordero L1tR ti osioto In. haao d�rioe >rith the AAros,"At of diosr:buitoo.oA iii• is horeiA; wistitutes distribution •000rdiae'te ler kAd the; pro- perti�e>t sy�oi.lieR in Yorwsrh ) of into deereef i! 0092:thic. 1Olr-sc Rap of CeltOer 1944. S tt 111111f1� a[�tv► : 3 tip .\ Ott .q�.: .. �il• i'�l�A•:�K�'�t10 9lfy�t;� N�J! O��iK�"'t:•�t#'�I R�1�•'' ,'Yz�;�,..;<t.. ... ;:.`,,) : yox ixt. MW w �,a�,i is �1t1 6< l �,;s, , �.'.. . .:.: / • ' ; � f ` ARIRAA.�ltAlly. s! : k O: '•(• ':rY1'9;, ..-Y..3 OjY" :'�cl 4' 7. nliA 7a': :7'. ri•t., .^ it c.., f7lI�YM�� �-!"v��,-..� '>aA.�,.S ,�.•�: •BH. .a iL �.;. AI' ,.. � ... • i�'...;: �-�K•; •,way;:<-..;�,�:-. .::• ;�•.. .w a� comes-* I � +r t f 1M••�rM ..•.. ! N Last Will and Testament of Donald L. Schlichting I, Donald L. Schlichting, a resident of Butte County, California, being of sound and disposing mind and memory, and not acting under duress, menace, fraud or undue influence of any person whomsoever, do hereby declare this to be my Last Will and Testament and I hereby revoke all Wills and codicils previously made by me. I have not entered into a contract with any person to make this Will or any other Will, nor have I entered into a contract with any person not to revoke this or any other Will. Article 1 Declarations I.1. Spouse. I am married to Betty L. Schlichting. 1.2. Children. I have four children: Stephen M. Schlichting, Donna L. Gillette, Belinda S. Schlichting, and Valerie L. Hook. 1.3. Statement of Intent. By the provisions of this Article, I intend to dispose of all the rest, residue, and remainder of my property and estate of every kind, character, and description, and wheresoever situated, which is not otherwise effectually disposed of by other means, including any property over which I have power of testamentary disposition at the time of my death pursuant to a power of appointment. Article 2 Disposition of Estate 2.1. Community Proper to Spouse. I give all of my interest in community property to my wife, Betty L. Schlichting, if living, otherwise as set forth in Section 2.2 below. 2.2. Disposition of Residuary. I give my entire residuary estate to the Trustee of the Schlichting Family Living Trust Dated August 4, 1993 ("the Trust") created by myself and my spouse as Settlors. The Trustee shall add my entire residuary estate to the principal of the Trust and hold, administer, and distribute the property in accordance with the provisions of the Trust, including any amendments thereof made before or after the execution of this Will. If the Trust has been revoked, terminated, or declared invalid for any reason, I give my entire residuary estate in trust to the Trustee(s) named therein, or to their successor(s), as Trustee(s), who shall hold, administer, and distribute the property under a testamentary trust in accordance with the provisions of the Trust in effect on the Last Will and Testament of Donald L Schlichting Page 2 date of execution of this Will, in which case the terms of such Trust are incorporated herein by this reference. 2.3. Omission of Heirs. Except as otherwise set forth hereinabove, I have intentionally omitted to provide for all my heirs whether or not mentioned herein and I generally and specifically disinherit each, any, and all persons whomsoever claiming to be or who may be lawfully determined to be my heirs at law, including without limitation: (1) my spouse; (2) any and all individuals named in Paragraph 1.2 above; (3) any child born to me or .adopted by me after the making of this Will; (4) any child who comes into a parent/child relationship with me, as defined in California Probate Code Section 6408(b), either before or after the making of this Will; or (5) the issue of any of the foregoing. Article 3 Appointment of Executor 3.1. Appointment of Executor and Successor. I appoint Betty L. Schlichting as Executor. If Betty L. Schlichting fails or ceases to act as Executor for any reason, I appoint Stephen M. Schlichting and Valerie L. Hook as my Executors. If either Stephen M. Schlichting or Valerie L. Hook fails or ceases to act as Co -Executor for any reason, I appoint the other of them and Belinda S. Schlichting as my Executors. If either the other of Stephen M. Schlichting and Valerie L. Hook or Belinda S. Schlichting fails or ceases to act as Co -Executor for any reason, I appoint the other of them and Donna L. Gillette as my Co -Executors. If either the other of Stephen M. Schlichting, Valerie L. Hook, Belinda S. Schlichting or Donna L. Gillette shall fail or cease to act as Co - Executor for any reason, I appoint the other of them as my Executor. References in my Will to "the Executor" are to the executor acting at the pertinent time. 3.2. Waiver of Bond. No bond shall be required of any executor named in this Will for any purpose. 3.3. Executor's Powers. My Executor shall have power to make a disclaimer for me and have full authority to administer my estate under the Independent Administration of. Estates Act (Section 10400 et seq. of the California Probate Code). 3.4. Executor's Liability. I direct that no executor shall be personally liable for any loss or damage in connection with the administration of my estate, except in the case of willful misconduct or gross negligence. Article 4 General Provisions Last Will and Testament of Donald L. Schlichting Page 3 4.1. Severability. Should any of the provisions of this Will be for any reason invalid, the invalidity thereof shall not affect any of the other provisions of this Will, and all invalid provisions shall be wholly disregarded. 4.2. Captions. The captions of articles and paragraphs appearing herein are for convenience of reference only and shall have no significance in the construction or interpretation of this Will. 4.3. Incom et�en y. For all purposes under this will, a person shall be deemed "incompetent" if and so long as a guardian or conservator of his or her person or estate duly appointed by a court of competent jurisdiction is serving, or upon certification by two physicians (licensed to practice under the laws of the state where the person is domiciled) that the person is unable properly to care for himself or herself or for his or her person or property. 4.4. No Contest. A contestant shall be considered to have predeceased me without issue and not to be in existence at the time of my death. For purposes of this Will, a "contestant" means any person who, directly or indirectly, voluntarily participates in any proceeding or action in which such person seeks to void, nullify, set aside, or modify (1) any provision of this Will; (2) any provision of any trust of which I am a Settlor; or (3) any codicil to this Will or any amendment to any trust of which I am a Settlor. My executor is authorized to defend, at the expense of my estate, any contest or other attack on this Will or any of its provisions or codicils. I have executed and declare this to be my Last Will and Testament, and have requested the Witnesses whose names appear on the next page, entitled "Statement of Witnesses", to act as Witnesses to my signature and this instrument. Dated:) 4�r ' onald L. Schlichting Last Will and Testament ofDonald L Schlichting Page 4 Each of the undersigned, being at least eighteen years of age, states the following: 1. This instrument, consisting of 4 pages, including this page, was, in County, California, and on the date thereof, acknowledged or signed by Donald L. Schlichting as his Will in the presence of us, and each of us, all being present at the. same time, who, with the understanding that this is the testator's Will, and in the testator's presence and in the presence of each .other, have subscribed our names as witnesses thereto. 2. At the time the testator signed this instrument the testator was over the age of eighteen years and appeared to be of sound mind. 3. I have no knowledge of any facts indicating that this instrument, or any part of it, was procured by duress, menace, fraud, or undue influence. Each of the undersigned, on his or her own behalf but not on behalf of the others, declares under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Name: Street Address: 1,() an( �• City, State ZIP: kICO I Name: Street Address: City, State ZIP: �2 3 &� W a- . Sk Z C�tZb' Q 0 IS`I.2( {� SACRAMENTO COUNTY. DEPARTME III ��►TD HUMAN SERVICES f ....ry,-wwti.. S�ATEmOnCAIIiO�NA�OA ORALTRUl10N4 ....... e�..:�x I COUNTY OF SACRAMENTO IIIII I IIIII IIIII IIII I LII I RLI I III II II IIIII IIII IIII _ 2 � \ \`As LL q�ll-Tl3s STATE OF CALIFORNIA 1 SS J EU EK y�( y s\ �� This is a true and exact reproduction of the document officially registered and placed on *000544847* file with SACRAMENTO COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES. MIJul 23 2003 �,�, v s%. �-�� t �. ,o =, _ o _ DATE ISSUED: y LOCAL REGISTRAR $, r ® � � rI� This copy not valid unless prepared on engraved border displaying date and'signature-of Registrar._-- V T��i�//�, � � �� � j IF� STATE FSE NUMBER t^r11 1 NAME OF DECEDENT - FIRST (GI -0 2. MIDDLE 3. LAST (FamSy) 1. SCHLICHTING a DONALD/ LEROY NOEN2AIAU 4 assx AKA ALSO KNOWN AS- tndd. IuO AKA (FIRST. MIDDLE, LAST) 4. DATE OF BIRTH-Wddl=yy 6. ADE Yn. , MvIM. , M Ibm. MkMee 01/04/1935 68 i M Z BIRTH STATEIFOREIGN COUNTRY im SOCIAL SECURITY NUMBER 11. EVER IN U.S. ARMED f-0ROEST 1L _AL STATUS (et TM d D.m)1 7. DATE OF DEATH mMdMc.yy B. HOUR (2/Hour) QB. 563-44-0847 EYE ❑No ❑B"I( Married 07/12/2003 2129 tay� t IS CA bwle 4D.Sr. 1N18. WAS I CCEDFM SPMOSK"MPNAGTATINO? (Il yes -wm ., -..kj /a OECEOENT•S RACE - Up 1001e�m m.y be +tee (d!. wolLdml en B.d) f DUCA 7AN IAdy �j W Mn bn (m bnb ❑YES �No Caucasian Some college i c17. USUAL OCCUPATION -Type of -wk Im me t d Me. DO NOT USE RETIRED Ie. KIND OF BUSINESS OR INDUSTRY (e.0., 91-Y -e, -d a ev,.Ik M1 envi y- 1.1 e1n) 18. YEARS IN OCCUPATION , Manager Fish Hatcher 35 20. DECEDENT'S RESIDENCE (Strse1 ad nvlmer m bratlaQ A J Z 5215 Oro Bangor Hwy R W23. N O 2/. CITY P2 COUI7TY?ROVMCE ZIP CODE 21. YEACOUNTY 25.9TATEIFOREIGN COUNT Oroville :Butte 95966 35` CA ` mµ6' 28. MFORMANT9 NAME, RELATIONSHIP ± 27. D PNIANPB MNLMO ADORE59 (Street end nt.Mr m rvrd mNa comber, diy m bnn..tete, ZIP) Betty Schlichting, Spouse PO Box 5973, Oroville,.'CA-• 95966' 2& NAME OF SURVIVING SPOUSE - FIRST "_' 28. MIDDLE 30. LAST (M.Mm Nem.) . = ��r Betty / - Spafford - 4 O H31. NAME OF FATHER - FIRST T 3x MIDDLE � UST U. BIRTH STATE a ¢ Peter F°y .', ^. - Schlichting CA Z 95. NAME OFMOTHER- FlRST 3S. MIDDLE . 37. LAST PAL%IwQ 98. BIRTH STATE y Margaret - Remferl ND a R 3S. DISPOSITION DATE mMddlmyy .0, PLACE OF FINAL DISPOSITION • . _1 - - } ORO -BANGOR HGIY.,OROVILLE:,CA 95966 G2 07/18/2003' ° RES., Betty Schlichting, Spouse, 3215 W 11-- s la 41. TYPE OF DISPOSITIONS) e2 SIGNATURE OF EMBER �. t A ,.. •_ • . 1 •1 N. UCENSE NUMBER :` :, '¢ CR/RES " , ; ., ll,Not embalmed- = V a. NAME OF FUNERAL ESTABLISHMENT r , ?. 1 C Ib. LICENSE NUMBER M. SIGNATURE,O, %.CAL REQS �.►• �'�Q �T. DATE mMddlayy' n7>l 61 2S Scheer Memorial Chapel. Y FD 975 / '� `' "f HH. PLACE OF DEATH ; 1 ! 102 IF VITAL. SPECIFY ONE 103. IF OTHER THAN HOSPITAL SPECIFY ONE ;❑f)" • ❑NmetnO �-e d- ❑Oily o �� UCD Medical Center �I❑�TA/OP❑DOA P A1omeATc IAeme - 108. pTY s WHERE FOUND (Street end mmbr m bu0on) 101. COUNTY LOS FACILITYADDRESS OR LOCATION i o � Sacramento 'It '. 2315 Stockton Boulevard Sacramento 107. CAUSE OF DEATHcfi.Ndevmd.-alee.m.kjulm,mcojft&Om+-IW dkeedy cued deeOt DO NOT elver trn"svmb ud�-' Tbwwasee n 1 u e.nlho ertgL leryk.bly .nat m ventrbJr IblMtlbn MNmd efenMnp OH nOobO'. DO NOT ABBREVIATE. 1 .. 1 N �' IKDEATHT80RIEDro WRD1ER7 X YES NO IMMEDIATE CAUSE W _ Yti �* _ •/ :: 1 t - Cardio Pulmonary Arrest _ •_ �i "1 mins 03-03352 HIS. BIOPSY PERFORMED? days,• ❑YEs El NO s.R..etIetN, Det - �epsis Ate• D enr• y. ; ICI) I..dkq I. ry ". I " - ;days 110. AUTOPSY PERFORMED7 YES ❑NO v UNDERLY +o Ischemic Bowel CAUSE (dbeue m -' ' I iIDII 111. USm MOETETUSMtA DAl15E1 . W a aM,tlBeyied tln mmis t IeWOvmdeewIJIST .Non Small Cell Lung Cancer I mos ❑YES �No v 112 OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH BUT NOT RESULTING M THE UNDERLYING CAUSE GIVEN 94107 _ None 1 RM R ON IN ITEM 107 OR 112?Alyn, 4tlype dopenfbn end e.t.J t'Y/bMM�maE°lT ` yo Resection, Rt. Hemicolectom Expp. Lap 2 113Aff FE"AIE,PRSiIURWIAHT Yum? vEs No IJNK ❑ ❑ ❑ 07/06/2003 Small.Bowel Resection with Primary Anasjomosis X's Z ill I19i11FY THAT TO THE BEST OFWRAWIIDOE DUTH.000IWED AT THE IAl1R DATE. AND RALE STATED FRDYTIE CN) ES STATm. 113.SIONATUREANDTITLEOFCERTIFIER til, 11 S. LICENSE NUMBER 11T.OATE mMdd'my7 F U� D.cedwADeddSbe. D,d�Led 8 -Alli 1 ► S rV'.� fI.1>. A071082 07/12/2003 ImlYevcyy - mMddkM 118. TYPE ATTENDING PHYSIGANS NAME MAXING ADDRESS, 2IP CODE Matt Sena, MD ' W ; (g) 07/03/2003 i 07/12/2003 2315 Stockton Boulevard.Sacramento, CA 95817 IH. ICERT" THAT IN MYORNINDFATHOCEMWED AT THE HONL DATE ATO PUCE STATED FROM THE MMS STATED 120. INJURED AT WORK? 121. INJURY DATE nmdddl.oyy 122 HOUR (24 Hour) NO ❑ UNK MANNER OF OEATH ❑ Nelurel ❑ Aeddad ❑ Ilondelds ❑ BukMe ❑ 1101 ❑ ❑ YES ❑ Z O 123. PLACE OF INJURY (e.&. Lome, emeVLdW dW wooded a- etcQ � W UTA. DESCRIBE HOW INJURY OCCURRED (EYrd. w"dl -Ad in Ili O 6 O U 12L LOCATION OF INJURY (Street ed mnAer, m b.a0mt .d ety, rd 21P) ' 125. SIGNATURE OF CORONER/ DEPUTY CORONER 127. DATE ;;Z; yy 12R TYPE NAME TIRE OF CORONER/ DEPUTY CORONER / p . B C D E FAX AIJTH. • - CENSUS TRACT STATE •', • - REGISTRAR G` I COUNTY OF SACRAMENTO IIIII I IIIII IIIII IIII I LII I RLI I III II II IIIII IIII IIII _ 2 � \ \`As LL q�ll-Tl3s STATE OF CALIFORNIA 1 SS J EU EK y�( y s\ �� This is a true and exact reproduction of the document officially registered and placed on *000544847* file with SACRAMENTO COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES. MIJul 23 2003 �,�, v s%. �-�� t �. ,o =, _ o _ DATE ISSUED: y LOCAL REGISTRAR $, r ® � � rI� This copy not valid unless prepared on engraved border displaying date and'signature-of Registrar._-- V T��i�//�, � � �� � j IF� CONSTRUCTION HISTORY PERMIT ,PERMIT PERMIT NO. TYPE OF CONSTRUCTION SQUARE FEET VALUE CONTRACTOR DATE N.O.C. DATE OCCUPIED 5 6,5, 1-554 -7q Butte County -Assessor APR Z 5 2006 Oroville, CA it rNnvc� ADDRESS • . _ • .. ��',! � , S SHEET .OF r SHEETS DESCRIPTION OF BUILDING ASS@SHAPE CONSTRUCTION STRUCTURAL EXTERIOR ROOF LIGHTING AIR CONDITION ci ht ROOM AND FINISH DETAIL f _ g_ X Frame 2,e{,?¢ stucco on f/oJ s.Pitch Wirin INTERIOR FINISH - -- - 9 Neoling ,X !2 l;n FLOORS FLOOR FINISH Sub -Standard Gob/e / ROOMS TR1M •4 R.T. Conduit Forced /eon; B 1 2 Material Grade wo//s Ceirinns I RCHI TECTURE Standard Shpo}pin f N Appraiser B Dote ' _gyp -e' Unit Area o j Cost R /G -s 7 � S • � y ti C 6a �Z�I z , / I � TOTAL NORMAL %GOOD -- R.C.L.N.D. c, AH 530-A c COMPUTATION Cost Unit cost [[l� Cost h��i Cost Cost (gth: ft. Sp}osh: BATH DETAIL Finish SPECIAL FEATURES Book Coses Bui/r in Beds Venetian Blinds Costs1 Cost Unit Cost 0 g Above -Standard Concrete Block idin flip /q %� B K. Coble Gravity Nutnid. A// � -- Stones Special Ad A T. B G %� Shed Fixtures Well unit USE TYPE _ - Cul U p Few Cheap FOUNDAT/ON Brick 4dobe Shiny/es Dormers AV . Med;um f/oorUnit Living Concrele SpkMany Specro/Dining F4pj_-,1 Reinforced /sty "XPLUMBINGBed Brick Shingle Good — Wood Sub Floor I Slone Shake or Ded Cour/ -- P%e/s WINDOWS rile Oi/Burner Mote/ --- S1oN6 D. H. Cosemenl Tile Trim fixtures 6Yorer yeorer M. -B.T. U. lnsulored Ceilin s Steel Sosh / - Composition AL/omot c AFireplace Kitchen ✓nits tNeovy Insulated No//s T Screens Compo. Shin le Gas Elect. I 1 /0 DroinBd. Materia% CONSTRUCT/ON RECORD EFFEC. APPR. NORMAL /, GOOD RATING (E, G, A, F P) Permit No. For Amount Dole YEAR YEAR Remain q e 9 Toole % g Cond. Arch. t"unc. Con- S1oro eSpoce Work- Fl. Fly (ife QjQSo o ' gtrr. Plan form. - upb'dC/osef hshrp No. F/oars /5 f l' Y� <r rt/ 4 U RC locteled i o r9 N Appraiser B Dote ' _gyp -e' Unit Area o j Cost R /G -s 7 � S • � y ti C 6a �Z�I z , / I � TOTAL NORMAL %GOOD -- R.C.L.N.D. c, AH 530-A c COMPUTATION Cost Unit cost [[l� Cost h��i Cost Cost (gth: ft. Sp}osh: BATH DETAIL Finish SPECIAL FEATURES Book Coses Bui/r in Beds Venetian Blinds Costs1 Cost Unit Cost 0 ,,Jan. 1'3. 20 06:0 .� �� r-:-_-� =:: •Y-; ��Y.,, - No. 7685 P. 4/4 w F S ;". Z Z But By Champion dome Bwldws Co. - Lindsay, CaMomla - guP e CoVEO Envir�mentaj nH /th Opt Inswing v V =M m P.03 Om " ���8. ? twacac3 i1 !11% WIN ENVIRONMENTAL HEALTH My 2 7 COUW CENTER DRP f,* Model,#L3463B (699): 66�,CHaI11P�U[� 1,050 Square Feet Wb� tic ode 23'-4a x 46'144' WW W.chompionhDmes.net All dlmanslons are approximate, and may be subject to changas by Champion Home Builders Co. Lindsay, CA i 2"x 2"x 3/16" STEEL ANGLE DETAIL "A" CHASSIS FRAME 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 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO — 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 - STEEL FRAME SEE DETAIL "A 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 1/4" STAND BASE ABESCO ABS PAD #503 / 36" MAX TO BOTTOM OF PAD 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN COACH "C" FRAME 2" CHANNEL 1/4"x 1-1 /4"- TEK STS (2) REQUIRED 1/4- GRIPPER BASE 1/2" A307 BOLT (2) REQUIRED 3/8"x 6"x 6" STEEL PLATE 1/2" A307 BOLT (2) REQUIRED 10.00 —moi 0 0 1 10.00(� 01i o 09/16 HOLE (TYP) STAND BASE TOP VIEW 17918 TUF-1 PERMANENT FOUNDATION SYSTEM 1/4- GRIPPER PLATE COACH "J" FRAME 1/4"x1-1/4" TEK STS (4) REQUIRED 1/4- GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED C -BEAM J -BEAM ATTACHMENT ATTACHMENT 4 � � 8" 1/2- DIA. HOLE (8) PLACES 30" -I STEEL FRAME TOP VIEW BUTTE �: �R.O CMMIQ>fM10� OR APMWM MW 011108SIXIM OR 96MTIOlM FROM ItBQUUtWlZM OP AFIR AMNfAU"Wo Wo 0-(cr—*b""e WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 1 of 3 GENERAL NOTES GUS GUARD TUF-1 I. 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 SHALLBE 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 OIL 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 22000 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-i 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) I E -t-- S S--w}�--- S---� i� E -� I I � Li u LI ❑ ❑ U RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER ❑ a a (TYPICAL) 0 ❑E3 a 9 ❑ E3 -T ❑ ❑ ❑ ❑ 8' NOM. a2"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) 1 , 17918 ` ac 49 Exp.��-=s�� L 4. OF 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-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PER GINS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. ou. /onnl zo,)_ooz, STATE APPROVAL MANUFACTURED ROMEIMOBILB HOMQ FOUNDATION SYSTEM REALTH AND SAFETY CODE. SEWN IisS1 APPROVED SUBJECT TO CORRECTIONS mTED APPROVAL DOES NOT AUTHORIZE OR AppROVE ANT OMISSIONS OR DEVIATION FROM REQUHU MENig pit APPLICABLE STATE LAWS AND REQUI ATMs Stan of California Dep" t of Housing and CommosbyDommimpS"at O CODES AND ST BY �� J SPA NO. This Plan Anoroval F.—;— 7777.; WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 W. 3/4" DIA, x 18" LG. 1/2"x 3 1/2" 1/2"x 8" LONG (4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT dt WASHER (4) REQUIRED (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. \ (8) REQUIRED CONCRETE PAD INSTALLATION POURED IN PLACE 16x16x12 CONCRETE FOUNDATION INSTALLATION CHASSIS FRAME 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 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 STEEL FRAME 36 MAX TO BOTTOM OF PAD I 01/2"x 3" C.R. LOCK PIN WITH , 01/8" BRIDGE I PIN mpnjmw MAP 'AD LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION MULTI—AIDE UNITS SII LENGTH OF HOME 24 WIDTH OF HOME 26 28 44 UP TO 44' 8 8 8 12 14'-1' to 66' 12 12 12 18 66'-1' to 60 20 20 20 24 GLB HIDE UNITS LENGTH OF WIDTH OF HOME 10 12 14 HOME 16 UP TO 44' 6 6 6 6 44'-1' 10 66' 8 8 8 8 66'-1' to 80 10 10 10 10 NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED 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 TUF-1 PERMANENT FOUNDATION SYSTEM STATE APPROVAL FOUNDATION SYSTEM TH AND SAFETY CODE, SECTION I8531 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 D en of Honsi and Conumalty Development DES AND STANDARDS BYTB zY o 7 cis SPA N0. F This Plan Approval Expires (p 2.e�, ,c.t.r &W i WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 3 of 3 0 18-=0 li2'— WIN aur LE7 ELUTRICAL KRIH15'-8 t/2' - 7'-1 CAS INLET cc WTE•INLET W-0, IB' 19 314'1 --------658'-658'------------------------------- IL.rJ 4r -- ----1 -45084590-- --4502- --4589----•4ge,�.--- .4598 —45D3- 1 J ► J L J _ J 21 '-8 I -45984592------- I L -I.. -J LwJ L• F-------------- 2698- 1 L -4528----- • 4598 —T-- - 4588• - J L L_a 21'-D I -4599 -4598--- 4500-- - - - - - - - - - - - - - - - 850 529—• ---------------659 --859------- TJ L J 14'-6 314, 17'-9 314' Cff "' ' DON HOME ®U RD ERS CO. c4e«� oFM ME, P.O. BOX 425, 1111M, CR 33217 BUTTE COUNTY 3UILDING DIVISION APPROVED PIER FIACEMENT 0ENERAL NOTE5 1, This pian his bee■ calculated with a 20 found roof lomd. 2, All I-9cam piers kave a maximum spacing of 06 lmche6 ole with and plere rotated so mare than 2-0 from asch cad of the 1-Bcmm. S. sae Iastah alrox manual Pages 14, 15 aad 18 for prow con flgEiratloos. 4. Alterw a methods of loundatlea and Ile down coastrvetlon may be used in lieu of the Chary Ion InstaIlatloa llanval provrded the method has been deslgmed and stawpcd ty a registered Architect or Engineer And the metkod reefs focal andlar state 601dic1 co4ei 5. All dlmsnsians tdvi From rear edge of floor. 09-599 17 PIER FOUNDATION F Jan. 13. 200611:55A--�.No. 7685t=,P. 4/4 �Z Z ®� `» Bulk By Champion Home BtnUm Co. - Undsay, Ca6Fomla Opt IInssw rig 0 iRi 4 1 rRr.�a F7�r,y vT,afo�e.=�. Ei Bdrtn #3 101-T Bdmt ##2 1a -r BUTTE COUNTY BUILDING DIVISION APPROVED Model #L3463B (699) �CHaI�1Pion 1,050 Square Feet froaa 23'-4' x 46744' www.chompionhorhe$.net AD dlmanstons are apprmftsate, and may be subject to dramas by Champion Home Builders Co. Undsay, CA o5i,Mav 1. 2006-c 8:50AM,X D & A Construction No•9207 P. lZool,00i Butte County Building Division j MANUFACTURED HOME SUPPORT DATA Owner's name.,& 1-2; , /ice !, Tim -9 A- j Home Manufacturer:f/ Manufacture Year:_,�G Model Number/ Name: Width:3�2 ►"�" (ft.) Length: Z ' (ft.) FOOTINGS: Wood - pressure treated or foundation gradegOther:[ 1 • SUPPORTS: Concrete block`I] Other:'jj Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. rear r*VU1L111 I 01cu5 anu LV%lauVn� SINGLE WIDE Line 1 —�~ Line 2 �� Section 1 Line 1—�:y-- — -- Line 1 Piers, Minimum size piers: Spacing maximum: From ends maximum Section 2 Section 3 MULTI -WIDE Line 1 Line 2 Line 3 Line 2 Line 4 (triple wide only) Line 2 Snow Load:r�i psf X [3d ] Snow Load requirements may be obtained at 1 ' o " http://www.upstate-ca.com/butte/butte_county/ �.' 0 Insert AP #, view snow load in lower right corner. Line 2 Piers: Minimum size piers: 1Z ] X 30 Spacing maximum: From ends maximum: c9 O " Line 3 Roof Loads: Minimum size pe Location (from 4: Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 1 Openings: Minimum size pier: [ i-2 ] X [ --%o ] Required at each side of openings over a ' (0 wide. er California Department of Forestry and Fire Protection Butte County Fire Department Fire Safe Requirements Permit# O 6 - pc' 20l Under authority of Public Resources Code Section 4290, the following checked items are required by CDF/Butte County Fire Department and made part of this permit These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. 1272.00 Maintenance of Defensible Space Measures [X] To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access, and utilization of the defensible space provided for these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or shall be provided as a condition of the permit, parcel or map approval. Public Resources Code 4291 information will be provided. 1273.10 Driveways [X] (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] (b) All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] (c) Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where the driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart [X] (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be within 50 feet of the building. 1273.02 Roadway Surface [X] The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire engines. Surfaces should be established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. 4" of class 2 aggregate base shall be required for all driveways, turnouts, and turnarounds. 1273.03 Roadway Grades [X] The grade for all driveways shall not exceed 15 percent. Grades above 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. 1273.04 Roadwav Radius [X] (a) No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] (b) The length of vertical curves in roadways, exclusive of gutters, ditches, and drainage structures designed to hold or divert water, shall be not less than 100 feet. 1273.05 Roadway Tumarounds Pq 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 " 17' shall be a minimum of 60 feet in length. 1273.06 Roadway Turnouts [X] Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. Revised 02/28/06 c [C F Is 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. 1273.11 Gate Entrance [XJ (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. 1276.01 Setback for Structure Defensible Space (a) All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] Your parcel is larger then 1 acre but your 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. Revised 02/28/06 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 • Fire rated metal doors on side toward property line with insufficient setback • Siding on entire structure from the following list: (a) Stucco -3 coat (b) Non combustible Hardi-Board, Plank or similar siding (c) Masonry (d) Metal (e) Other Butte County Fire Department approved materials 1276.02 Disposal of Flammable Vegetation and Fuels [X] Disposal, including chipping, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction, and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements- 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. MAY 0 2 2006 Date Revised 02/28/06 3 Darren Read Fire Protection Planning .1% r 2006-0025990 •_ Recorded I REC FEE 22.10 Official Records I County of I CONFORMED COPY 1.00 Butte I CANDACE I GRUBBS I When recorded return to: county clerk-Recorderl County of Butte I I KL Department of 03:18N 19 -May -2K6 I Page 1 of 6 Development Services(III'III'1II"II��'�I'I'III�I'I�) Building Division I 1 I 7 County Center Drive Oroville, CA 95965-3397 Space above for Recorder's Use (rev.7/05) Owner Name: Betty L. Schlichtinq i Building Permit No: 06-0989 Second dwelling unit i DEED RESTRICTION AND F (� NOTICE OF LIMITED USE FACILITY k I. WHEREAS, on this 18th day of April, 2006, Betty L. Schlichtinq i hereinafter referred to as owner(s), is the record owner of the following real property: 5225 Oro Bangor Hwy. Oroville, Ca. 95966 Assessors Parcel Number 072-160-005 , and as further set forth in Exhibit "A" attached' hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and t 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. 06-0989 was applied for on May 1. 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. 06-0989' has been reviewed and approved for only the limited purposes set forth below; and i 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 t!Y 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 ,b 4 entitled to have this Deed Restriction and Notice of Limited Use Facility resclnI ed 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. 06-0989 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 06-0989 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 i 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, except the following uses are not allowed: The owner of the parcel or lot must occupv 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 r shall be binding on Owner and all his/her assigns or successors in interest. Scott Rutherford, ! tIntimBuiling Official 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 Department of Development Services, Building Division prior to the issuance of --` --Building Permit No. 06-0989 DATE: ZI 20 1S Owner Signature: Owner Signature: Scott Rutherford, rrimB Official /3 eiv, L aS6_� /� & 1 Print or twe Name of Above Print or Type Name of Above NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct'notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA - - -COUNTY OF BUTTE On ffL Public, p SS. Notary (or proved to me on the basis of satisfactory evidence) to be the person(ss) whose name{) is/afe subscribed to the within instrument and acknowledged to me;that _ie/sheA�y executed the same in-h+s/her/theif authorized capacity(ies), and that by -h+s/her/their signature{sj on the instrument the person( -s'), or the entity upon behalf of which the persons) acted, executed the instrument. -- WITNESS my hand and official seal. //I� /l 11 Sir ature STATE OF CALIFORNIA COUNTY OF BUTTE JAMES LAMAR KINSER COMM. #1377185 -+ ►0— o NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY My Comm. Expires Sept. 28, 2006 (Seal) On before me, I , Notary Public, personally appeared personally,kriown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to,me'that . he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature (Seal) Scott Rutherford, In rifBu* g Official t 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. + r� Dated: S of ► 1 Scott Rutherfor Interim Building Official, Department of Development Services i STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) On tj�ty t Z Poo&, before me, �► `� ,u. �►.1 , Notary Public, personally appeared JC co rr u-rarE2G�c� ; personally known to me to be the person(,i J whose name(M is/�r4 subscribed to the within instrument and acknowledged to me that he/spy/th.ey executed the same in his/Vr/tj eir authorized capacity(io, and that by his/W/th,eir signature(A on the instrument the person(,4, or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. ooarnmoon01"7051 waanr wao • ca�Momo �Couti� . ` • I / � M1► carni. Eo" Ap 6. i nature (Seal) I Exhibit "A" 93-35783 A parcel of land lying in the East one half of Section 31 and in the West one half of Section 32, Township 19 North, Range 5 East, M.D.B. & M., Butte County, California, said parcel. being all of Lot 8 and part of Lot 4 of the Daniels Subdivision,. as said lots are designated on that certain Map entitled, "Official Map of the Daniels Subdivision", recorded as of record December 6, 1920 in Map Book B, at page 1, in the office of the Recorder of said Butte County, together with a part of Lot 20 of the Rutherford Subdivision, as said Lot 20, is designated on that certain Map entitled, "Official map of the Rutherford Subdivision No. 1" recorded as of record on December 10, 1931 in Map Book B, at page 35 in the office of the Recorder of said Butte County, the entire parcel being more particularly described as follows: BEGINNING at a point in the -Southwest one quarter of the Northwest one quarter of said Section 32 from which point the section corner common to Sections 29, 30, 31 and 32 of above Township and Range bears North 60 36' 12" West 1929.19 feet; thence North 870 12' East 640.42 feet; thence, North 20 48' West 134.00 feet to a point -in the Northerly boundary of the aforesaid Lot 4 of Daniels Subdivision; thence, South 870 12' West along .said Northerly boundary of Lot 4, 659.89 feet to the Southeast corner of the aforesaid Lot 8 of Daniels Subdivision; thence, North 110 30' West along the Easterly boundary of said Lot 8, 100.00 feet to the Northwest corner thereof; thence, South 870 12' West along the Northerly boundary of said lot 8, a distance of 133.23 feet to a point in the West line of the aforesaid Section 32; thence, North 10 27' West along said West line of Section 32, which is also the Easterly boundary of the aforementioned Lot 20 of the Rutherford Subdivision, a distance of 20.00 feet; thence, South 870 12' West along a line parallel to and 20 feet Northerly of the Northerly boundary of the aforesaid Lot 8 of Daniels Subdivision, a distance of 354.59 feet to a capped 1 inch iron pipe buried 12 inches below ground surface; thence, South 110 30' East along a line parallel to and 15 feet Westerly of the Westerly boundary of said Lot 8, a distance of 120.23 feet to a point in the Northerly boundary of the aforesaid Lot 4 of the Daniels Subdivision; thence, Westerly along said Northerly boundary of Lot 4, the following courses and distances: South 870 12' West 15.17 feet; North 110 30' West 27.90 feet and South 860 46' West 72.02 feet to point in the produced centerline of an 18 foot wide easement for road purposes; thence, South 260 49' East along said centerline and production thereof 313.31 feet; thence, along the centerline of a 6. foot wide easement for pipeline and head ditches the following courses and distances: South 100 50' East 257.90 feet; South 140 34' East 331.95 feet; South 530 48' East 194.52 feet and South 130 45' East 216.68 feet to a point in the Southerly boundary of said Lot 4 of daniels Subdivision; thence North 670 22' East along Southerly boundary, 326.06 feet; thence North 110 04' West 939.78 feet to the point of beginning, containing 15.148 acres, more or less. A.P.N.: 072-160-005 VND OP Mf'41 tl6gcwne. N .Z " 913-35783 4 i, 93-0357831 Rec Fee 8.00. 1 Check 8.00 Recorded I. Recording Requested by: I Official Records I and when recorded mail to: County of I Butte I AMERICAN PROVIDERS Candace J. Grubbs I 5433 E1 Camino Avenue, Suite 200; Recorder I Carmichael, California 95608 8:O2am 19 -Aug -93 .I PUBL VS 2 Mail Tax Statements To: The Undersigned declare: Transfer Tax: None MR. & MRS. DONALD L. SCHLICHTING Noconsideration. Revocable 5212 Oro Bangor Highway Transfer to Oroville, California 95966 Living Trust for Benefit of Grantor(s). Exempt.: R&T 11911 QUITCLAIM DEED A.P.N.: 072-160-005 WE, DONALD L. SCHLICHTING and BETTY L. SCHLICHTING, his and wife, hereby remise, release and quitclaim to DONALD L. SCHLICHTING and BETTY L. SCHLICHTING, TRUSTEES of the SCHLICHTING FAMILY LIVING TRUST DATED August 4, 1993, any and all right, title and interest in and to that certain real property situated in the County of Butte, State of California, described as follows: See Exhibit "A" Attached Heret Dated: August 4, 1993 STATE OF CALIFORNIA } } COUNTY OF BUTTE } On August 4, 1993, before me, JAMES C. WECKER,-Notary Public, personally appeared DONALD L. SCHLICHTING and BETTY L. SCHLICHTING, personally known to me (or proved. to me on the basis of satisfactory evidence) to be the'persons whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their authorized capacities, and that by their signatures on the instrument the persons, or the entity upon behalf of which the persons acted, executed the instrument._ WITNESS my nd and official seal. g Si nature JAMES C. WECKER W r NOTARY PUBLIC-CALfFORN1A COMMISSION #863650 j N SACRAMENTO COUNTY .� 'f MY Comm• Feb. 26.1894 Exhibit "A" 93-35783 A parcel of land lying in the East one half of Section 31 and in the West one half of Section 32, Township 19 North, Range 5 East, M.D.B. & M., Butte County, California, said parcel being all of Lot 8 and part of Lot 4 of the Daniels Subdivision, as said lots are designated on that certain Map entitled, "Official Map of the Daniels Subdivision", recorded as of record December 6, 1920 in Map Book B, at page 1, in the office of the Recorder of said Butte County, together with a part of Lot 20 of the Rutherford Subdivision, as said Lot 20, is designated on that certain Map entitled, "Official map of the Rutherford Subdivision No. 1" recorded as of record on December 10, 1931 in Map Book B, at page 35 in the office of the Recorder of said Butte County, the entire parcel being more particularly described as follows: BEGINNING at a point in the.Southwest one quarter of the Northwest one quarter of said Section 32 from which point the section corner common to Sections 29, 30, 31 and 32 of above Township and Range bears North 60 36' 12" West 1929.19 feet; thence North 870 12' East 640.42 feet; thence, North 20 48' West 134.00 feet to a point -in the Northerly boundary of the aforesaid Lot 4 of Daniels Subdivision; thence, South 870 12' West along .said Northerly boundary of Lot 4, 659.89 feet to the Southeast corner of the aforesaid Lot 8 of Daniels Subdivision; thence, North 110 30' West along the Easterly boundary of said Lot 8, 100.00 feet to the Northwest corner thereof; thence, South 870 12' West along the Northerly boundary of said lot 8, a distance of 133.23 feet to a point in the West line of the aforesaid Section 32; thence, North 10 27' West along said West line of Section 32, which is also the Easterly boundary of the aforementioned Lot 20 of the Rutherford Subdivision, a distance of 20.00 feet; thence, South 870 12' West along a line parallel to and 20 feet Northerly of the Northerly boundary of the aforesaid Lot 8 of Daniels Subdivision, a distance of 354.59 feet to a capped 1 inch iron pipe buried 12 inches below ground surface; thence, South 110 30' East along a line parallel to and 15 feet Westerly of the Westerly boundary of said Lot 8, a distance of 120.23 feet to a point in the Northerly boundary of the aforesaid Lot 4 of the Daniels Subdivision; thence, Westerly along said Northerly boundary of Lot 4, the following courses and distances: South 870 12' West 15.17 feet; North 110 30' West 27.90 feet and South 860 46' West 72.02 feet to point in the produced centerline of an 18 foot wide easement for road purposes; thence, South 260 49' East along said centerline and production thereof 313.31 feet; thence, along the centerline of a 6. foot wide easement for pipeline and head ditches the following courses and distances: South 100 50' East 257.90 feet; South 140 34' East 331.95 feet; South 530 48' East 194.52 feet and South 130 45' East 216.68 feet to a point in the Southerly boundary of said Lot 4 of daniels Subdivision; thence North 670 22' East along Southerly boundary, 326.06 feet; thence North 110 04' West 939.78 feet to the point of beginning, containing 15.148 acres, more or less. A.P.N.: 072-160-005 \ .Z 02/06 13: 41 FAX 03/02/06 11:58 FAX 530 8B4 7647 BTEC OROVILLE BTEC CUSTO= SERVICE INTEGRITY CHICO WE, DONP.LD L. SCHLICHTING and 5M -TY L_ mILICNTING, his and wife, hceoby remiae, releasa and quitclaim to DvuALD T._ smLICIMNO and BETTY L. 9CHL1CFITXNG j TRDa'rBk;S of the AfNT.L�Ht`xN(i FAHXLY LIVXNG TRUST DATED August A. 1993. anv ono all right, title and intareot in and to that bortnin real property situated in the County of Dmttm, state of California, dearribed as rollowu: See RxhibiC °A" Attached Hereto !� Dated: Auguat 4, 1993 i//L�Y�_ ���7�r�•� D`O`tjA'�D' L. `rj^c`jj`L� cNTINO �ETTY 9citI.IC T N STATB OP Cl►LIPDRt y► } } CoLw7x or BOMB } on A-Ugumt 4, 1993, beforo mo, JAA— J C. l4PcK=, Notary public, personally aBPcared DONALD L. 9CHLICIITING and BETTY L, SCHLI"TINO, personally known to mo (or proved to m.t on the bapia Of eatio:aototevidenoe) to bo the partamm whooe namiaD aro oubeoribed to thm wiTh inotriimont and acknodlodgucl to mo that they exaauted the dame in thinir authorized Capacities, and that by them. - signatures on Cha inutnament thn peracnD, or tha entity upon behalf of whioh the persons acted, oxoet,ted the inwtrumtnt. WITNESS Rey kid and` orrialdi avni. /� � J.W664v.tc.:crt•`� � jppenR�7UD�1WealtaOM � s�nuuw, u , rt �. signaturo i 1 i M,coan w nid. �.n ,aa , , [a 003 0 004/005 0 LRECEIVED 3 2006 nesaripbiaa: F3�stte,CA Docwuent-Year.DoclD 2993.35769 Bago: 1 eP 2 Order: b Col>tment: - - _.. _ -•— -- - -- _, - I T TEEEEaERS I0/0TA , n B1990 Hca FFF $ap10].] ,I'IT190,mT Inn(1nl.nn�Q VU.In nn'�T n>IT nAA1110/�0 d c,L, l'oid uoi}�ilai.no;1 b Q Wd�� if b00Z '9 '364 r t 3-01355 83 ! lice Fou I C,nuck 8.00 'Recording Regueetad by; Rvco� dad I Oitioinl Ftvoucda 1 and .+ben raaorded mail to: County of 1 ANBRICAN, PROVID6'R9 Candace T. Grubbe 1 5473 1r1 Camino Avenua, Sltita 200 Feov� art cnnnichoel, California Sia6oa 6;02ora 19 -yup -53 1 PURL Vs eaI ..ax t4 mn To: -*FAIR un drm gnou oclare; Tr-nnafer Tex, )done MR. b KR9. DONALD L. 9CHLIC"Ibla 14o oonaideratiort, 5212 oro 9angor Ili hway Tranafor to Revocable erov111e, Calixe,rnia 95966 Living Truot for Donafir of Grantor(s). t3rompt, RGT 11921 QUITCT,21z21 DEED A.P.H.1 D72-160-006 WE, DONP.LD L. SCHLICHTING and 5M -TY L_ mILICNTING, his and wife, hceoby remiae, releasa and quitclaim to DvuALD T._ smLICIMNO and BETTY L. 9CHL1CFITXNG j TRDa'rBk;S of the AfNT.L�Ht`xN(i FAHXLY LIVXNG TRUST DATED August A. 1993. anv ono all right, title and intareot in and to that bortnin real property situated in the County of Dmttm, state of California, dearribed as rollowu: See RxhibiC °A" Attached Hereto !� Dated: Auguat 4, 1993 i//L�Y�_ ���7�r�•� D`O`tjA'�D' L. `rj^c`jj`L� cNTINO �ETTY 9citI.IC T N STATB OP Cl►LIPDRt y► } } CoLw7x or BOMB } on A-Ugumt 4, 1993, beforo mo, JAA— J C. l4PcK=, Notary public, personally aBPcared DONALD L. 9CHLICIITING and BETTY L, SCHLI"TINO, personally known to mo (or proved to m.t on the bapia Of eatio:aototevidenoe) to bo the partamm whooe namiaD aro oubeoribed to thm wiTh inotriimont and acknodlodgucl to mo that they exaauted the dame in thinir authorized Capacities, and that by them. - signatures on Cha inutnament thn peracnD, or tha entity upon behalf of whioh the persons acted, oxoet,ted the inwtrumtnt. WITNESS Rey kid and` orrialdi avni. /� � J.W664v.tc.:crt•`� � jppenR�7UD�1WealtaOM � s�nuuw, u , rt �. signaturo i 1 i M,coan w nid. �.n ,aa , , [a 003 0 004/005 0 LRECEIVED 3 2006 nesaripbiaa: F3�stte,CA Docwuent-Year.DoclD 2993.35769 Bago: 1 eP 2 Order: b Col>tment: - - _.. _ -•— -- - -- _, - I T TEEEEaERS I0/0TA , n B1990 Hca FFF $ap10].] ,I'IT190,mT Inn(1nl.nn�Q VU.In nn'�T n>IT nAA1110/�0 d c,L, l'oid uoi}�ilai.no;1 b Q Wd�� if b00Z '9 '364 12:41 FAX -.. BTEC OROVILLE INTEGRITY CHICO 03/02/06 11:55 FAX $30 391 7667 BTEC CUSTOMER SERVICC ss -35793 Exhibit "A" A yat'eal of lana lylsiq in tha East ona helf of Section 31 and in the Weat one half of Seatioll 32, 2awnuh* 19 North, Range S 9110t X.D. B, 9 i3,, Butte county, California, said parvol -being all of l.oL e and part of Lot I of thn Dahiele subdivision, as &aid loto are decslgllbte d o11 t;iot aavtain Map antlt�IF)d, • "official Map of tha 15anlels 9ubdivimion",, raoorded as of record Dcoembor. 6, 1920 in Hall Dook e, at page 1, in the of±ice of the Recorder of said !lgtto county, togethwc with a part -of 1.ot 20 of the Rut1i'erfocd Subdivision as staid Loi: 2a, in dooignatud on that ddrt-lin Map antitle,d, Woffioial wap of the Ruthurfurd subdivision No. 1" recorded an of record on DadoMi3er 10, 1931 in Map gook H, At page 3S in the cffica of the Recorder of raid Butte county, the entire parcel being mare partiou,larly described no follows: BEoTNNINa an a point in the eouthvest: orae quarter of the riorthvep,t one quortar of said Section 32 from which point tho section =rnav c =on to Sections a9, 30, 31 and 72 of above Townmhip and Range beaxa North 60 20 12" Wept 1929.19 feat; thence North 890 121 Z�iot 6,10.d2 thnn"o unrth 20 421 Woot iiA.On fast, to n ooint in the Northerly boundbly of the Aforeoa,id Got 4 o1 Daniclo subdivision7 thence, south 07' 12' Woot along said Northerly boundary of Lot 4, 659.89 fact to th4 Southeast corner of tha aforev d Lot 8 of Dahiole Subdivision; thcnco, North 11" 30' West along the Eaeterly boundary OR oaid Lot 8, 100.00 feet to the l:orthwoot coxnor tbercof; thence, south 67, lz' West along tha Northerly boundary of said lot 8, a diotunce of 133.23 feet tv a point in the Wast line of the aforesaid suction 321 thenoe, North 10 271 WOBt along said Weat lin& of Secti.on 32, which is Also the ,�asterly boundaryy of the aforamentlonud Lot 20 of the Rutherford e%bd.vision, a disttance of 20,00 feet; thence, South 67" 121 West along a 11ne AAYallal to and 20 foot Northerlyy of the Rorthorly boundary of the aforesaid Lot a of Daniels subdivicion a distance of 354.59 feet to a oapped i inch iron pipe buried i2 Inchon below ground ourfaavl thence. South il^ 3D' F -but along n lino parallel to and 15 feet Westerly of the Westu rly boundary of said Lot 0, n rli5tanca of 120,23 feet to a point in the Northerly boundary of the aforoaaid Lot 4 of the Daniole subdivitlion) thence, Westerly alonry said Northerly boundary o2 Lot 4, the: roilowing eour000 and distances: South 157. 12' Wadt 15.17 foot; North lie ao' Woot 27.90 leut and 9ouch 061 46' Wast 72.02 foot to point in the prodUagd oenterline of an 1e root Wide enaament for rood purposes; thence, South 260 099 Fact along maid oetntarlilno and production thereor 313.31 feet; Chance, along the contex7line of a 6 foot w1.de easement for pipal.ine and hand ditches rho following courses and diotanoaai South 100 501 Cant 287-00 foot; 9nuth 1.40 341 East 331.96 fact) aouLh 5':'- 421 !wast 194.52 rest and South 13• 65' Ploat 216.65 fpot tv n point in t;hK? southerly boundary of sold Lot 4 of daniels Subdiyivion) thanoe North 67" a2' east along Southerly boundary, 326. 0b featt thaneo North 111 04' Woet 939,78 feet to the point of beginning, containing 15.140 acros, mord or le". A. P. N,: 072-160-005 01004 U005/005 7MAR I`�TED 2006 END C)P OCCUMENT beeori�tion: Butte, [�1 Doc*=,Qm L -Yon=. DOCTD 1-093.35783 Page: 2 of 2 _ _ - ordar: h CotamQnt: ZEUMUG ETO/I 9n � E�Cfj, l' ON ��I��O �'\Q FFF PIT 1 ') ani �u, Ingr ni��� �Wb';fin i IZdQi)T�T gen oy`J/�0 NOTES i �6._ 1111694, RESIDENTIAL f' 072-160-005 - 05-1554 PERMIT NO. SCHLICHTING, DON 5215 ORO BANGOR HWY, OROVILLE Cont: OWNER DEMO HOUSE SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ks-o ft - qo — i JOB FINALED (Date) — 05- Signature sSignature V\,\m CHECKED BY J=OK 0 = Not OK - = Not Applicable . =Not Ready HOMES q I� 9-6hfiROBILE OMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L 'ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK ¢y 0 = Not OK =Not Applicable Ga RESIDENTIAL (Single Duplex) - = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFl 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size! /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes O No Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. _ 34. Clothes Closet Light -Shower Light -Spa Light Date 35. Smoke Detector Date FINAL (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform ff Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels Date Card B-1 Date Card B-1 Comments at Final: 62.Insulation-Walls-Ceilings 63. I nfittration-Wal ls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F FI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InsOWDrive 0 Yes 0 No/Walks 0 Yes O No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds 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. License Class: License Number: Date: Contractor: OWNER43UILDER 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 perinit 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 jntended or,offered for, sale,.(Sec; 7p44,.Business apd 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.). ❑ I am Exempt under Article 3 of the Business ndd,Pr fessioonns Code Date: �'� Owners' P„ �` ry WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' ,compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will -maintain -workers' compensation insurance, as required by Section 3700 the Labor. Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are:* Carder: Policy #: 16/ 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. Date: AA Applican WARNING: Failure to secure workers' compensation coverage is unlawful,-'and'shall subject an employer to criminal penalties and one hundred thousand 'dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP051554 Issued Date: 06/15/2005 APN: 072-160-005-000 Site Address: 5215 ORO BANGOR HWY ORO Map Index: Description: DEMO HOUSE(796 VERIFIED BY ASSESSOR RECORDS) Owner: SCHLICHTING FAMILY LIVING TRUST SCHLICHTING DONALD L & BETTY L TRUSTEES P O BOX 5973 OROVILLE, CA 95966-0973 - Applicant: SCHLICHTING FAMILY LIVING TRUST Contractor: License #: Architect: Engineer: Total Square Ft: Valuation: Census Code: CONSTRUCTION LENDING AGENCY This I hereby affirm that there is a construction lending agency for the Res( performance of the work for wvhich this permit is issued (Sec 3097 Civ.) Name: By:_ Address: SCHLICHTING DONALD L & BETTY L TRUSTEES P O BOX 5973 OROVILLE, CA 95966-0973 0 S. F. $0.00 PERMIT EXPIRES the applicable provisions of the Butte County CodA and/or ove for which fees have been paid. t �' tv Date: 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. O Attached are copies of the required E.P.A. notification forms. I hereby,certifythat 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. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance,9f any official form or dowment of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpgWs. 10: 1 Print Name: Signatur Date: f `LTi, BJP �-onSl 1 _�wner ❑ Contractor ❑ Agent for Owner L ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLS.. (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY* OWNER Last Names'CA l,G{tTJ r7 First Name —0-� c I7 Addres Cily i f`P Stag Zip Phone 5 g9 y Fax E-mail APPLICANT NAME CONTRACTOR Name City20 t 1D Address Z 41 6 Y' City Fax State Zip Phone Type Const. Fax E-mail Map Book Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City20 t 1D Address Z 41 6 Y' City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Na Address City20 t 1D StatL� Z 41 6 Y' Phone � Fax E-mail APPLWYT 1, mm W11 W� rV/ For office u o@;7 AP# Zoning I° -o vrlle- Flood Zone WORKER'S COMPENSATION SRA I Yes I No Occ. LENDING AGENCY Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:IFORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. G5, 1 BIN # LOCATION AP# Property AddressCity a 15 6 o r I° -o vrlle- Cross Street 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 Page 1 of 2 Description or Scope of Work: 2 7941 sse516 e e,c_z Q2 , i) h� I Sq. Footage ❑ 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 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: Receipt #: �l D� Dater S Amount: Bldg Sheriff SMIP Other Total REV 2-24-05 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 faxes! ❑ 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 inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 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). - 0 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. 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 KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 Demolition Permits Asbestos Notification Statement W-0 Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project . The permitting agency may require the applicant to make the declaration in writing, or -i ' t may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy .of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant aR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable o this demolition project. ?gna&ure of Applicant 2/19/91 FCS'<-�. �x Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is.received. 1. I personally plan to provide- ` Ie major labor and material for construction of this proposed property improvemen :' YES/ ] NO [ ]. 2. I HAVE'[] HAVE'NOfi [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: „ NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder v6ication is required by Section 1.9831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted. to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile y�las�c�"��x�:�.�..sAliaVir ^3� '7�T ('c^� 'Zst's 1.k.4c:L�'�"�.. �£�..§, y3 .,.x `g,�•T%..&t:i+^dST yj+� .E.', E ra^i ., Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial. Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i6� MicVael C. VieirJ C.B.O. Ma ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 'r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF 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 lull force and effect. Licensee Class : C-39 License Numbers: Y-7 of a2� Date:(p-9—� Contraclor:`�Q,Q_ OWNER -BUILDER DECLARATION I hereby affirm under penally 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 Stale 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).): O 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' Slate 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.). O 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.). O I am Exempt under Article 3 of the Business and Professions Code Dale: 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. I have and will maintain workers' compensation insurance, as required by Section 3700 the labor Code. for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:_ YLZ44(,_ Policy #:.9 22 — S 9 to Cl 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. Date: 6 ` 9 —0 S - Applicant: !s WARNING: Failure to secure workers' compensation coverage is unlawful, and shall'subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BPO51553 IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. Issued Date: 06/15/2005 APN: 031-225-024-000 Site Address: 1810 6TH ST ORO Map Index: Description: Reroof comp (22 sq) Owner: WOODWARD RONALD E & BARBARA A 1810 6TH ST OROVILLE, CA 95965 Applicant: GEORGE ROOFING 6810 LINCOLN BLVD OROVILLE, CA 95966 (530) 533-6393 Contractor: GEORGE ROOFING 6810 LINCOLN BLVD OROVILLE, CA 95966 (530) 533-6393 License #: 452266 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: C � `{ 30i qq 't This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to doworkwork indicated 1above g/for which fees have been paid. By:� 11 �. ( t1"i'alfo rL Dale PERMIT EXPIRES ON: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code. which regulate the storage. handling and use of hazardous materials. O • Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply wilh all county and stale IaWa felallna 10 bull�ln aoIstruoticn• I agknFwledge It to unlswf I IQ q Isl Ihp bgUnos of Rn� offlolgl fafm PI dAPH111�f1! ql IaN11M gpHhlY I nnrnpy auljt.gl!za /RPlAs?nlgllYf+s P.1(�u`le EPyn y �o en}af upon the apove fnentloned pfopaftY for Inepectlo�j purporee. T S,►�� RL .E �/ Tip E �l y// r Print Na//me: _ Signature. Date: (Q -2 —ovg- O Owner O Contractor XAgent for Owner O Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT SIGNATURE X Shirley, Tr Age t for George Roo i For office use only: OWNER Name Ron & Barbara Woodward Address 1810 6th St. City Oroville State CA Zip 95965 Phone 533-3562 Fax E-mail Lic.# APPLICANT SIGNATURE X Shirley, Tr Age t for George Roo i For office use only: CONTRACTOR Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530) 533-6393 Fax (530)533-0287 E-mail dan@abcgc.com Lic.# Class dan@abcgc.com 452266 1 C39 APPLICANT SIGNATURE X Shirley, Tr Age t for George Roo i For office use only: ARCHITECT/ENGINEER Name NIA Address 6810 Linocln Blvd City Oroville State CA Zip Phone (530) 533-6393 Fax E-mail dan@abcgc.com State License Number APPLICANT SIGNATURE X Shirley, Tr Age t for George Roo i For office use only: APPLICANT NAME Name GEORGE ROOFING Address 6810 Linocln Blvd City Oroville State CA Zip 95966 Phone (530) 533-6393 Fax (530) 533-0287 E-mail dan@abcgc.com APPLICANT SIGNATURE X Shirley, Tr Age t for George Roo i For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: LOCATIIO,, N Property Address 1810 6th St. Oroville, Ca. 95965 Cross Street PERMIT NO. NO. I0Q 3 WORKER'S COMPENSATION Policy Number 272-596-02 Carrier STATE FUND If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work Reroof - House - Comp Sq. Footage 22 Squares ❑ Structure Built Without Permits ❑ Proposed Change of Occupancy (Note previous use): R 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. 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: r& Receipt #: � 30ggq 105 2H Amount: 3""7-50 Bldg SRA Sheriff SMIP Other Date: (D %` 5/0 E) I 37 �jc1 Total REV: George Roofing COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75410 -Wly' (Rev. 12/96) APPLICATION AND PERMIT (�(��U ASSESSOR P V / LNUI�BbV-OO5 ZONING BUILDING PERMIT OWNER SCHLlICHTING FAMILY TRUST TELEPHONE 9 0562 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS SCHLICIIING I BETTY CONTRACTOR'S NAME PO BOX 5973 OROVILLE CA 95966 TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE S 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEMO 796 SQ FT SF PER ASSESSORS RECORD Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home_J S I G 1w @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20.AORLESs 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License LaXor the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLns. SO 3.50'; NEW CONST. MULTI -OUTLET NOµRESID, 7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL �':� Ex. Occup. oFlx Ds q pOEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation Of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith com with those provisions. �- - Date Z)0 At re Applicant - ❑Owner ❑ C ntractor ❑Agent An OSHA permit is required for excava ' s over 5'0" deep and de lition or construction of structure Tie iryh t Receipt No-,;) WHITE-D.D.S.-B.D. C ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HA2. D. FEES IMP FLOOD COF pARDEL pp HO ISS This permit is hereby issued under the applicable provisions of the/Butte County Code and/or Resolutions to do work indic ed a e for whi h fees have been paid. By Date PERMIT EXPIRES ON I/ ate COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-75410� (Rev. 12/96) APPLICATION AND PERMIT O 7 ASSESSOR PARCEL NUMBER_ /"�)_oO� 20NIN3 BUILDINGPERMIT 0/7 4� (Iry OWNEf�yi / /7 „ t , vi /' /1 s , / //r T;���q"Enr__ SQ. FT. I OCC. BUILDING VALUATION CONTRACTOR'S MAILING ADDRESS /I/J ELECTRICAL PERMIT Filing Fee 20.00 CONSTRUCTION LENDER - 2�0on ow mss 23.00 Main Service 200A TO 1000A Fireplace NEW CONST. OR ADDNS. DWELLINGOCCUP. 8 ACC. BLD S. LENDER'S MAILING ADDRESS NON•ONST.RES D. Total Valuation $ ^ O l:• ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ �-- ARCHITECT OR ENGINEERS MAILING ADDRESS ' Plan CheckingFee $ 20.00 euILDINGADDaess 1 Energy Plan Checking Fee $ S PPA..EL PERMIT FEE $ LOT NO. SUBDIVISIONS NAME MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water pi in 15.00 Each gas vAter heater or vent .00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Innstalallation 0 Over ❑ Describe Wolk: [/ L _(q 15FMobile Gas pipingtsystern 1 - 5 outlets 15.00 Buildings wer 15.00 Hom S I n 920.00 PERMIT FEE PAID SRA SHERIFF OTHER R E �V C; AMOUNT RECEIVED $ '>� DATE RECEIVED RECEIPT # PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood . 6.50 Ventilation PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee $ OCD CONST. TYPE TOTAL FEE $ �— HAZ. I D. FEES I IMP I FLOOD I COF I PARCEL I PD I HD I SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ` By PERMIT EXPIRES ON Date PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2�0on ow mss 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. OR ADDNS. DWELLINGOCCUP. 8 ACC. BLD S. 3.5Qso. FT. NON•ONST.RES D. ULTI.OUTLET RCUITS ^ O l:• WEIR APPARATUS INGL E OUTLET COL EX. OCCU LJTIET OR FORUR 20 BAL Ex. Occup.D APPLWO OUTTEtTS ID. Ea 5.00 Temporary Se ' 23.00 Mobile Home Facilities 20.00 Misc. Wiring 1 1 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood . 6.50 Ventilation PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee $ OCD CONST. TYPE TOTAL FEE $ �— HAZ. I D. FEES I IMP I FLOOD I COF I PARCEL I PD I HD I SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ` By PERMIT EXPIRES ON Date O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES Er NO ❑ 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRAC'TOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK NOTE. This Owner -Builder Ver fication is required by Section 19831 and 19832 of the California Health and Safety Code, This verification must be completed and returned to our office before we are permitted to issue the permit. OVER I OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourseh; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you -plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an `owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these maters. The building permit will not be issued until the verification is retumed. rely, Mic 1 C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health acid Safety Code OVER 0 o COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — ; 0i.W�ille, California 95965 Tel epho�e: i334-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By DIRECTOR OF PUBLIC WORKS Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. I Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel Approval --7 Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLBLOGS.LING CCUP. Si\ •ZP Sq ft 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: NEW CONSTR BRANCH CIR T NO N.R ONS ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS e NON-RESID.SINGLE OUTLET CIR. EX. QccuD OUTLETS OR FIXTURES BAL 25t FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 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. ❑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. MECHANICAL No @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By DIRECTOR OF PUBLIC WORKS Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date Date 'W COUNTY OF BUTTE – DEPARTMENT OF PUBLIC WORKS 7 County Center Drive i7"-' OroviIIe, California 95965 Telephoff 534A541 APPLICATION AND PERMIT •• — arc _ v Signa re of P mitee or Agent ,� L BY Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant tiding permit expires Date C� BUILDING Owner ^j S �� 8 SO. FT. OCC. BUILDING VALUATION Mailing Address 1 57 10 r �GQ-�c4e�6 /L Teleph ne No. Y�OS�� Contractor CD c—� Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address C"�� S d�a Ole Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Qi960[ _LL.5 Repair drainage or vent piping 1.50 A. P. No. ^L ^d 5 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F Ui% I ,"SBttttatirm- Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg.-PFmrsfbec'd Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ —& ,oyj� �y ELECTRICAL NO. @ FEE CZA9c 7' IVERMIT FILING FEE $3.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ ain service 100 AMP ORI OR LESS5.00 1 Main service EA. ADD'L 100 AMP 2.50 Main service 00 AMP OR LESS 25.00 Main service(( EA. ADD'L 100 AMP 1.00 NEW OR ADDNST %ACCLBL GS.LING CCUP. �') 20sgft r 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 st le of: Y NEW CONSTR ULTI.OUTL T NON-RESI.. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS .& TET CIR. NON-RESID. SINGLE OUL Ex. Occup(OUTLETS OR FIXTIIRES g L� Ex. OCCU FIXED APPLNS. OR p.�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification 11 Misc. Wiring 6.25 , I am exempt from the Contractors License Laws of the State of California. Permit Fee $ L$ WORKMEN'S COMPENSATION INSURANCE I 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. ❑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. MECHANICAL No @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 County of Butte to enter upon the above- entioned prop ty . r inspection purposes. iabove Y a `T7; , n i ��, ._/r.w.�� Land Development Fee Is TOTAL PERMIT FEE $ (0 7� This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated for which fees have been paid. DIRECTOR OF_ PUBLIC WORKS •• — arc _ v Signa re of P mitee or Agent ,� L BY Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant tiding permit expires Date C� C• ;,j PERMIT NUMBER B %/65-72B 433-72P E 433-72E t� f? PERMIT EXPIRES -7 TOWNER Willis Holmquist CONTR:. Owner LOCATION (A.P. 37-33-4 5225 Oro Bangor Hwy. Oroville ti COUNT: OF-'5UTTE Department of Public Works BUILDING INSPECTION RECORD Zoning Setback Foundation Piers & Girders Rgh. Plumbing Bond Beam Rein. Steel Gas Piping & Test Framing Plmg. Topout Wt-. Htr. Furnace Firewall Garage Vents ELECTRIC GAS Temporary Temporary Final Final DATE Forms fireplace Lath & Plaster Found. Vents Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of Occup. Final REMARKS OR CORRECTIONS COUNTY OF BUTTE — o!5 P�RlrMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT WOR 4/ 5--7 t�4 X33 7Si ;S� -S:? 7, -)-, aumorIze represunfauvus of the county of Butte to enter upon the above mentioned property for inspection purposes. 8 X ( %lo° A Date Signature of Nefrrnitee or Agen Receipt No. White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF PUBLIC WORKS By Date Building Permit Expires Date /_ % BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Addres Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ 67 ® C $ �', C>C Build g Address � oZ-- PLUMBING No. @ FEE PERMIT FILING FEE $2.00 �? , + Each Trap 1.50 Repair drainage or vent piping % 1.50 /,.570 Water piping / 1.50 /, S Each gas water heater or vent 1.50 A. P. No. — 3� Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation I Planning Building sewer 5.00 Plans "— Fees W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER Permit Fee ,Q $ J . fir✓ + ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 QO Main service incl. 1 meter , Ov Additional met each 1.00 Sub -panel &r e s) (more than 12) USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures .209 25 isal Receps., switches & fix outlets 2,bffikL 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification i am exempt from the Contractors License Laws of the State of California. Permit Fee , gQ $6.6 C 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. ❑ 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ $% O I certifythat I have read this application and state that the above pp information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby sn St rument atio$tr QaTion I $0.07/$1000 Evaluation $ O TOTAL PERMIT FEE aumorIze represunfauvus of the county of Butte to enter upon the above mentioned property for inspection purposes. 8 X ( %lo° A Date Signature of Nefrrnitee or Agen Receipt No. White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF PUBLIC WORKS By Date Building Permit Expires Date /_ % m s ! -4 (� V 6� � ��, ���.i �-�-1 �'i� �" .--fes � Lam►.' ;5"2 I -S' c) RD' Zoi rQG 0Q'-Iw' k CCbv\J"ACT L r I CA -4-71 KCS 6 OR a/v\c-0 th/ vv �• •"' er -h. • •• mow• ••.. r.. .. PLANNING DIVISION - BUIL Dse:&�-- Date: . Parking: dsca; Other. Signature: s r * 15.15 EnButte COED V/rOnm0(/nty --2 mal Huth at Signature '. ENVIRONWNTA L HEAM MAY 2;:3. ^s�J 1 CpUNT,CENTER DRIVE .oa• 3ANG 831N SITE PLAN_....._.......... - ....- 3�.�d1Nl.1p� 1---- : — ...---- --- —.....— — .. _ .. _ .. — — .... _ .. _ .. _ .. — — _ ._ _....._ .. _ .. — .. .. .. .. .. ................goo -.. ............ .. .. .. .. .. ........... . .. .. .. .. .. ..... .. �b N .t.. e, APPRO ' i=..: i •- ;._ ..;..... '3 - .. ►J 4,141Q h. COiant • A <. 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U ii M d jrIbs OJO 2, av C 0 C't Q t Y" CA L E 235T-7-& aZ'ZpjQG OIZ-44W. 07 -�119 � ? - 0 "<-&C;L F11re protection Planning officer CDF, Butte County Fire This pro, qct is approved with compliance of cunglitions on attached sheet Sig ature Date 15.15 AC V