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HomeMy WebLinkAbout073-340-046A NOTES RESIDENTIAL 073-340-046 03-0217 • PERMIT NO. MACDONALD; MARVIN--- - - - - f 21 WALDEN POND, FORBESTOWN = CONT: SKYCREST ENTERPRISES DETACHED GARAGE c. t SPECIAL CONDITIONS CHECKED BY ` SRA ,• FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER �� U JOB FINALED (Date Signature J =c`OK . ti 0 = Not OK Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except ft's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Locatioh-Test-Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Cohnected-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 DW146; COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 3. 4. 5. ootings; Soils -Size -Depth -Spacing -Connectors -Steel Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors ectric mg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. R of; Shthg-Roofing 12. Ext.; Steps -Doors -Landings 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-Panel boards -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 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth ' 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 57. Siding -Nailing Veneer 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 60. Shear Walls; Nailing -Bolts 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 63. Infiltration -Walls -Windows 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground FINAL (Plans) OK except #'s 13. Plenums & Ducts; Clearance -Material -Support -Ins. 64. Ext. Steps -Door & Sidelight Protection -Landings 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 65. Smoke Detector 15. Access & Ventilation 16. Insulation 68. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 Date 71. Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 17. Water Htr.; Vent -Access -Combustion Air Baffle 74. Elec. Outlets & Receptacles at Kit. Counter 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 80. Insulation -Foam -Looked in Attic 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No Date 84. Stucco Brown -Finish Card 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 91. Corrections from Previous Inspections 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 GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 96. Fire Sprinkler 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral Cl Yes 0 No Date 32. Service -Riser Conductors & Ground Main Disconnect Card B-1 Date Card B-1 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing -!Y Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 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: 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center DriveOroville, California 95965 • Telephone (530) 538-7541 D-yyM�7 (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 073-340-046 ZONING BUILDING PERMIT OWNER TELEPHONE W-iCDO'l .OWNERS MAIUNG ADDRESS - y ?1 .-RESMWN C_4 SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME S_YCRDS TELEPHONE CONTRACTORS MAILING ADDRESS - ` CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 12600 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23 00 BUILDING ADDRESS 2 UN Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Piie 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DFrACHED GA-11A=C Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service "0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license )n I rce and effect. Q p License Class Lic. No. 7 0 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' ens ion insu ce carr. r and policy number are: Carrier Main Service zoOA TO IOooA 46.00 NEW CONST. DW ,"NO OCCUP. OR orS. ( 3 5¢SO. Fr. MUL�TCou�TtS. ET NON-RESID. U -- 97.50 a 8O,,WE E FPi RAr. Ic w. Ex. Occup. OUTIET OR FDRURES 20 ® 1.00 BAL (9 ,50 Ex. Occup. DuT,�r°rs J FRa PM. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 140-16 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Numb'W (The above sections nee not be competed ifthe permit is for work of evaluation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with th se provisions. Date % S' a re of Applicant 006r ❑ Contractor ❑ A t A SHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 209.16 HA3%/ V D. FEES IMP O CDF PARCEL PO HD UE This permit is hereby issued under of tte County C de and/or ind' ated r w ch1fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Z /!� Da 0 Z / 7 Dale ReceiptNo. 369905 . F 900) _ J E, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANTI r.+o."yr'�`� /+�"t+im'; i�+►wan+^ i��r�+lAyW •♦s.t�+l+'�r3.i�+�P'�1�+'�i�`i�I?�" � �'�"va:+7q`'I�'ttf�`�=*#�7i , �. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION -7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 j� PERMIT APPLICATION DATA SHEET OWNER: p / Ii�eyI Imo) �S t' Ij�/� c' 00 r1(j, rfA ASSESSOR PARCEL NUMBER �J S X10 —0 1-16 Proposed Building Use: 1 -1 X �% �,q Counter Technician: T10' Date: �' Q Items required in order to apply for a permi . All boxes MUST be checked OR marked NA in order to apply. to ans, 3 or 4 sets, signed,k the preparer of the plans. mplete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ �,,,Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. , ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the'eneineer. t Items required for initial plan review. If checked items have not been received, plan review cannot proceed. indexed and returned to the plan review line-up when required items are received. Date Received " ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ........ :................... ❑ 9. Plot plan and business license approval from the City of Biggs .................................. ❑ 10. Letter of intent for non-residential buildings...................................................... ❑ 11. Detached Accessory Building Formf,filled out by the owner .................................. ❑ 12. Hazardous Material Form............................................................................. ❑ 13. Other ` . The.permit will be :By ,: r Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following' items.) •. ° s es as shown "on the attached Schedule of Fees Due Sheet...S .f A... 0../�. .... ,c'.l. C� nn I — -Z17-63 15. Statement of Intent for Non -heated and A/C Buildings .......................................:.. 6. Sanitation and plot plan approval from the Environmental Health De art en in �j (Q ❑ 17. City of Chico Plumbing permit ...................... California Department of Forestry plan approval aid. Sent. by: !� {/................... ;:, ❑ 19. Planning approval for (A) Use: _ (B)Parking: (C) Par el Check: :! ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage .................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for, required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... #. ❑ 26! Letter of Signature authorization....s............................................................... 3 ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance........... .................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. t ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above ite sand requirements for obtaining a building permit. b Applicant: Dat : / 7 I'. Index pemfit application for the above items numbered: - Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by' ❑ phone, ❑. mail, ❑ counter, by Date: Contractor, designer, owner, was advised of thea ove ata by' ❑ phone, ❑ mail, ❑ counter, by Date: 1. Plans reviewed by: INJ Date. Plans approved by: 16_ Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow Ruildine Division _ ►a..ug ar v Plot Plan Attacnod Rout Ran AttacA®Z-15- said to s.c. 11 —1 r ». TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance AP# Owner Location osal� Dilater Supply: Public Private Vllell Plan Approved for: Sewage Dosp , Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Date Environmental Health Specialist 8/96 _.._"s.:.� t - .Ta _,__.::a:.t,e •W"_ 4 � S � „=i, y J..�.._i..:.'�'..i.__��._.s. .,�—.m.�4 �.� t� a§ ry 5y F -_ r CLEARANCE/ PROJECT DESCRIPTION: COPY TO: CO. BLDG. DEPT. CITY BLDG. DEPT. OTHER DATE/TIME SERVICE OR COMMENT A� f a '�o dd\request.4 u NOTES RESIDENTIAL F?07-340-046 02-2915 PERMIT NO. 1MACDONALD, MARVIN _6� SUSAN I 2L WALDEN POND, FORBESTOWN ' CONT: SKYCREST ENTERPRISES NEW MH PERM FND NEW SITE 1 HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS -`-BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE - -- INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). I14SPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter By Date ELECTRI J Meter By Date r # JOB FINALED (Date) 9_,��71_'*12� Signature J=OK 0 = Not OK . = Not Ready ApplicaAte MOBILE HOMES Date MOBI OME UTILITIES (Plans) OK except #'s 8. -r-zopirig Requirements -Setbacks -Easements 9. 2.9jiv, Special MH Support Sketch 10. Sewer; Location -Test -Fall -C/0 -Concrete 11. 4. Wa , ocatio est- asement Needed (Sketch) ectrici bcation-Clearances-Grnd-/ /Amp -Concrete Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG . Date 7. Well Clearance & Disconnect Date 8. Utility Clearance Date PERMANENT END SYSTEM (ONLY) Zoni equirements-Setbacks-Easements Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTAL)_ATION (Plans) OK.except #'s 7. 1. Zoning Requirements -Setbacks -Easements 2: Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Conhected-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 Jullf Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Zoni equirements-Setbacks-Easements gs; Size Spacing -Marriage Line " Ce.� loc 4. as; MH Test -Demand -Valve ectricity; MH Test Water; MH Test 7. Wa and Sewer Connected 1D. License Decals 11. Verifv #'s with ( Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Sr�y zw� c..t, LI S4 zo 65��c��� 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 I 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 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 57. Siding -Nailing Veneer 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 60. Shear Walls; Nailing -Bolts 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 63. Infiltration -Walls -Windows 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground FINAL (Plans) OK except #'s 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation, 67. Bedroom Exiting 16. Insulation 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 70. Stairs & Rails 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 75. Garage Fire Door; Swing -Landing -Closure 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 81. Guard Rails & Deck Construction -Post Caps 22. Gas Pipe; Sixe & Anchors 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 23. Fire Sprinkler; Test _ 83. Following Instld./Drive ❑ Yes 0 No/Walks ❑ Yes O No/Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 Date 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 91. Corrections from Previous Inspections 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 94. Energy Compliance Certificate -Other Certificates 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Date 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes 0 No/Walks ❑ Yes O No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing ' 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/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: 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 ASSESSOR PARCEL NUMBER 973-340-046 ZONING T1 BUILDING PERMIT OWNER t1kEPHONE >- S MAUNG ADRES .OWNERDS Q011 WITTTAASON CT. SQ. OCC. BUILDING VALUATION [FT. 1 0' 5 107;190.00 CONTRACTOR'S NAME TELEPHONE/f FMn1SES RI -9-9694 CONTRACTORS MAIUNG ADDRES CONSTRUCTION LENDER 99E.9 GHK97 GA 9597-3 Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 107 1°0.0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 667.50/2 $333-75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING Res WAI DEN POND, EOIRBESTOW Energy Plan Checking Fee $ $ PERMIT FEE $376.7 LAT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Lb. 00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NFW MN PERM EM NEW SITE Gas piping system 1 - 5 outlets 15.00 L5.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 05.00 ELECTRICAL PERMIT Fling Fee 20.00 600V 0R LESS Main Service 200AORLESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is f 11 and effect. �(' / License Class Lic. No. / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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' ns 'on ins�nce car ier and policy number are: Carrier /' Policy Number (The above sections need not be com-plefted 4 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' compensati n provisions of section 3700 of the Labor Code, I shall forthwith comply wi those provisions. Date - Liof Applicant - ❑ wrier ❑ Contractor ❑ Age PAOSHA permit is required r excavations over 5'0" deep and demolition or construction tures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( t: ACC. stns. SO 3.5QFT; b10"�.=T. MULTI.BRANCHOt1 CU @a 7.50 POSINGLE OUTLET CIR.WER APPARATUS d Ex. Occup. OUTLET OR FIXTURES �� x';50 Ex. Occup. GUTp °� S q 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 484.75 HAZ. I D. FEES IMP I 14,9K CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date / PERMIT EXPIRES ON Date ReceiptNo.364174 $[a$ ,]5 WHITE-D.D.S.-B.D. CA ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT •� y„ , .. •�-��r'n`•4#iT":"Y'"'y'P'7xRlf4PAn'`!'^'.'-x�*..n^s.w..r."T"w......•.e�^,^ai V E� t, COUNTY OF BUTTE -DEPARTMENT OF DEVENNIENT SERVICES -BUILDING DIVISION .. 7 County Center Drive, Oroville, CA,95965 Phon "(530)538-7541 Fax (530)538-2140 PERMIT APPLICATIO ; .DATA SHEET OWNER: �� C\ `C. ASSESSOR PARCE NUMBER l3 t " - Proposed Building Use:�N)t�" J J VtCounter Technician: Date: lb .,-; t Items required in order to apply for a permit. All boxes MUST be checked OR r ted NA in order to apply. 1. Plot plans, 3 or 4 sets, signed ty the preparer of the plans. - ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliancegand supporting documentation in duplicate i j 6. Manufactured homData sheets and installation instructions, ( Marriage line information,(1 ). loor Plan, T -),Tie down or foundation plans, aplicate. ❑ 7. Metal�uildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. F> (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Ifems recOired for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received ff. 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs ...................•................. .. ❑. 10. Letter of intent for,. non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ...................................... } ❑ 12. Hazardous Material Form............................................................................... T _ ❑ t\'3. Other By Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) �« Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 1 Statement of Intent for Non -heated and A/C Buildings ...................................; ......... anitation and plot plan approval from the Environmental Health Department in -oZ c City of Chico Plumbing permii...........................................P ........... l California Department of Forestry plan approval paid. Sent. by: 02/........ .q.>±19. Planning approval for (A) Use: CD (B)Parking: (C) arc heck: 0`10.'. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... - �'1.' Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ .22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ' ❑ 2Owner-Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization....'.............................................................. 27. Recorded copy of Agricultural Acknowledgment Statement .................................... 5. k❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violation and/or expired permits............ ❑ 30.TGrant Deed; H. Title/Statement of Facts, ❑Letter from Legal Owner Check to H.C.D. $ ❑ 31. Other. When issued Telephone 25 and hold for pickup. I have Been informed of the aboveAt' ms and requirements for obtaining a building permit. Applicant: Date: 1. Index erini application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the ab_ove ata by ❑phone, ❑mail, ❑ cou to by Date: Plans reviewed by: Date: ;% 0�1 Plans approved by:, Date: 3 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Vellnw Riddino Nl icinn a.. ..: LW— TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.N. USE ONLY -� Flat Plan Atteclhod "s- Floor Plan Anachad� Sent to 8.0.12 Owner Location ALP# Plan Approved for: Sewage Disposa Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. fo NOTE: rY W sL =/ - Environmental ealth Specialist Date 8/96 Marysville Joint Unified School District Exhibit 3610 #1 CERTIFICATION OF COMPLIANCE SCHOOL DISTRICT -DEVELOPMENT IMPACT FEES To be completed`by.appRcant and taken, to: Marysville Joint Unified School District 1919 B Street, Marysville, CA 95901 Part I d (530) 749-6114, Room 106 Property Owners Name: ni F fu,. Do n A ! C 4 a Owner's Address: t" Project Address: Parcel No: 0 -73 - -3 V 0 `/ 6 Lot No: Building Dept: Permit No: TYPE OF CONSTRUCTION: Residential Construction y , a Residential Reconstruction Commercial Construction City or Coun~~ it-- l l •P i Single Family Dwelling Multiple Family Dwelling '4 No. of Units Commercial Reconstruction Mobile. Home Total Number of Habitable Square Feet: .� l J THIS CERTIFICATION COVERS ONLY THE AMOUNT OF SQUARE FOOTAGE INDICATED ABOVE. ANY ADDITIONS OR CORRECTIONS TO THE SQUARE FOOTAGE FOR THE PROJECT WILL REQUIRE AN AMENDMENT TO THE CERTIFI- CATION OF COMPLIANCE. FALSIFICATION OF SQUARE FOOTAGE AND/OR TYPE OF CONSTRUCTION IS CAUSE FOR REVOCATION OF CERTIFICATION OF COMPLIANCE. ACCORDING TO GOVERNMENT CODE SECTION 66020 (d) (i), I HAVE BEEN NOTIFIED THAT WITH THE IMPOSITION OF THIS FEE,` THE 90 -DAY APPROVAL PERIOD IN WHICH I HAVE TO PROTEST THE FEE HAS BEGUN. Applicant's Name: f) HIA(1 f'�S Date: / 0 ;31- b 2, Applicant's Signat Part Il i Total Number of Habitable Square Feet S Cit y of Marysville County.of-Y ba Signature 642 1J JJ Me -1S a -unty, of Butte Part III - TO BE COMPLETED' BY SCHOOL DISTRICT Certification of Compliance No. (Receipt No.): Fees Collected: No. of Square Feet x's $.34 for Commercial = $ No. of Square Feet_ x's $2.14 for Residential = $ . Exempt from Fees: ^Reason'- LFr- IS (, r c7 w AS THE AUTHORIZED SCHOOL DISTRICT OFFICIAL, I HEREBY CERTIFY THAT THE REQUIREMENTS OF , -fie f 'le GOVERNMENT CODE SECTION 65995 HAVE BEEN COMPLIED WITH BY THE ABOVE SIGNED APPLICANT. Signature u "" d.U" , A- /,./,/),IMaureen Fitzgerald, Assistant Superintendent ojBusiness Services Date (O /-0 / ' Ik�+ White: - School District Yellow: - Applicant a SD:co Pink - Building Dept --- 6/10/02 "Is AND WHEN RECORDED MAIL'TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVIILE, CA 95965 Recorded I REC EEE 10000 Official Records I COPIES 2,50 County Of I BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON 1 Assistant I MaryR 09:44AM 29 -Oct -2002 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL, DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within. an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers, and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE A7TACHED LEGAL DESCRIPHON Date f(i - X1'7 c� L PROPERTY OWNERS: X Stage of California County of Done 5"_A0_XLQ'tLf0 p fa� On //0-04-41:2 be@'®re ina- personally ;5eared r / known tooved tome on the basis of satisfactory evi encs) t be the person(s) whose mme(s) the within Instrument and acl ledged to nae that he/sh ex ecuted the same in his/la capac a and that by his/he el r signatur s on the instrument, the perso °�L'J br the entity upon perso (s) clad, executed the instrument. WITON'S na® hand and official seal. ( l V. i** E. SEE Signature X 11 �,� _ Seal: 00701 IF (- p , NOTARYUBLICOMM. #GCALIFORNIAL) 2 SACRAMENTO COUNTY 0 APN: 073-340-044-000 1 WOR COMM. EXP. APRIL 13, 2005 APN: 073-340-046-000 personally ubscribed to ) authorized of which the -10/18/02--.16:12 BIDWELL TITLE 4 5303429174 N0.343 P003 Preliminary Report Order No. BU -198401-3 MAM Dmsciiption The land refeared to herein is situated in the State of California, County of Butte, City of Oroville, and is described as follows: PARC LOTS 10 AND 14, AS SHOWN ON THAT CERTAIN MAP &4TTTLED, "WALDEN pOND ESTATES PRASE 2", WHICH MAP WAS RECORDED IN ' THE OFFICE OF THE RECORDER OF Tj-IE COUNTY OF BUTTE,. STATE OF CALIFORNIA. ON FEBRUARY 28, 1990, IN BOOK 116 OF MAPS, AT PAGE(S) 97,98 AND 99, ANIS REVISFD ON MAP RECORDED ON AUGUST 6, 1992, IN BOOK 126 OF MAPS, AT PAGE(S) 28, 29 AND 30. RESERVING THEREFROM A NON-F.XCLUSIVIE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THAT PORTION LYING WITHIN WALDL;N POND LANE AND BIG FIR ROAD, AS SHOWN ON SAID MAP, THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRI=ONS AS SFT FORTH IN THAT CERTAIN DIECLARA71ON OF RESTRICTIONS RECORDED FEBRUARY 28,1990, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 90-9077, BUTTE COUNTY, CALIFORNIA; ALL OF WIUCH ARE INCORPORATED HMMIN BY REFERENCE TRERBTO WrM THE SAME FORCE AND EFFECT AS 'THOUGH RMLY SET FORTH F MkxN AT, LENGTH AND GRANTMS BY ACCEPTANCE OF TRIS DEED APPROVE, ADOPT, RATWY AND AGREE TO THE TERMS OF SAID DECLARATION. APN 073-340.044-00o (LOT 10) ANT) 073-340-046-000 0,0'I' 14) A RIGHT OF WAY FOR ROAD AND PUBLIC UTZM rly PURPOSES OVER WALDEN POND LANE AND BIG FIR ROAD, AS SHOWN ON THAT CERTAL'�T MAP IrNTITLSD, "WALDEN POND ESTATES PHASE 2", WHICH MAPP WAS RECORDED IN TBE OFFICB OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1990. IN BOOK 116 OF MAPS, AT PAGE(S) 97,98 AND 99, AND REVISED ON MAP RECORDED ON AUGUST 6, 1992, IN BOOK 126 OF MAPS, AT PAGES) 28, 29 AND 30. EXCEPTING THEREFROM ALL THAT PORTION LYING WUHN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. SITE PLAN REVIEW APPLICATION Date: AP# 073 —'3 H o— <3 ('I �0 Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: ' W A e- Owners Name: C_ 0'"L.t> Owners Address: 3 3 W t --t-11 rr� lJ C,1 Sl�yc.rzGS EN-TeF'�2)S�� Telephone No.: 3 Lf Z — `Z bq y Situs Address: P DA fj p_-D, Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel A Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New. Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): S eF ► " C- -TO -V (5&t> O 0 4 P 1-,>- ) e,I-A -' 6- 1_,J A, / , DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ® Approved ❑ Conditionally Approved - ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By Date ) D -28-©2, Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: 0 Snow Load Area: -25(!M TO ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: C.. Index Date: 6— 8— 9 6 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------------------------------------------------------------------------------------------------------------__ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: V{ Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Zoning Code Streets & Highways Fire Prevention Subdivision Map Front ,s D CA - -Side Side -5 ?J Side Street Rear 3 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: Standard Fees . Amount ❑ Fire - ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ---------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Q Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: Legal Access Provided: ❑ No ❑ Yes Legal Access Required ❑ No ❑ Yes ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 PE Subdivision Map/Parcel Map: flat_ � Pd �0 t> 1. Map Date of Recording: C?— — Z -- Lot: Book: r 2 40 Page: 2 ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. i\ Page 4 of 5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 1 The a"""'' r'ire Sate I , "ulrBments must be oonlpieftd i e1 V8.0, 'ed and SPPr ave # NOTE: See thea" �LANNINGDt 1810N• BUq.DING PLAN APPROVAL ; Re Dire ents . I Qct ,�-ate.. - ! _ Data:.. Z,, I I I (' ages ---: --'4 11 ►�:_ _. Landscaping: - I - I ! I s 1:FF(ther I, REVIEWED BY au CO. i=1R. ;r DEPT I °CALIF. DF_Pt. of FORESTRY .T _...1. approved a$ sut;mit<ed I II I .approved with Conditidri.9 per attache sh of.. Signaturo TRUCTt,lRE"`S -AN .-EQUIPM" I ��..... I I _ .B>T.CLEAR OF ALL EAS ; _ 31); T j r- . FROM THE SIDE AND _ �I �9 FT XS I I ! t; i =1, -- —.a wROPERTY LINES AND �'.a:__t�ENTERLINE-SHALL 9E ©DEPT ?6 711 00 t�I 1'i. E i f I — — i ----i L. 1 IS i 71 is � � (- -_j_- ( ;- I- � - ! •� - -I_ I j - - - •-- -- --- !- OUNTlf PARTMEN? 09:29 5303429174 CHICO BLDG SYSTEMS PAGE 02 i I � " I i ~.4--� I ! i : : , : Jp•- IIr � •I _. I .�.. . --� - r , I �i Ar am I I i„� I �F r� nrn tai e 19pe (0. 0310bddr IXIRW%fd3G Main, 8 uNno3 t O N D939CT156265613 (1,985 SQ.fT.) �a )��ue�uojinu� uno� 04 na 4�A08ddd 11 y M.H.L-2 C ................:.;.......:..::ii:;:.:�:::L::i.;:i;i::i:i:.::i,•�,������, .:',�' :i��' is L.: .i' ,� `.: .. .i:: i i:i >i'.+.:;i;i::i:::iiY>::::i:..;.::.::<:::i:i•.:::.i:.:i.i:...:.::.::::..: .. .::. ..: 1 . Owner's Name: 1�IAC.. DONALD, MART'I1V L. & SUSANL. ii34=0 ti -04 I4 "-t6 i2 Assessor's Parcel Nmber: 04 3 . Installer's Name: r*I�SICI(CR EST ENTERPRISES' 4 . Is the site currently under permit? Yes [ J No [X J Permit No. _ :3 5i1ClrI-Ed6.3W, }ff. 101 �,,..5'�.:•�..h,t; F','�ti+,`� ,r, , 5 . Is the site an existing site: Y r Yes ^_ NO X (If yes, fiunish two plot plans). 6 . What is the electrical rating of the mobilehome? 100 Amperes. 7. What is the mobilehome site circuit breaker rating? _ 100 Amperes. 8 . What is the electrical rating of the mobilehome site? 200 Amperes. 9 . Is the main service remote from the mobilehome site? :,�,;.,; , ; Yes [ ] No X the rating? A If it is, what is mperes. 10 . Is there any other electric load to be served by the Imobilehome site electric service (i.e. wX well, garage, etc.)? Yes P ,�:, ` [ ] No [ J Ifyes, please identify the load and size: a) The mobilehome site: ' 'n'' Load - (^.�yc� Amperes - 20 . . b) The main service: Load - ,; , ,..,. •,; ...,Amperes - �,,;sr�rr�� 11 . Type of gas service of mobilehome site: Neral [ ] Piopane X None ( ] P [ 12 13 14 LI Size of gas pipe at the mobilehome site from the. meter or tank: 3/4 i J l w il.mir14'1_ ,,t<' What is the gas pipe -length from the meterfor#ank to the`rriobilehome?71- What is the mobilehome, gas demand? BTU.* *(This.information.is not required -if the••pipe length; is less -than-6-feet on natural gas or i i -less than 50 feet on propane): inches. '30_ ' (ft.) THE OTHER SIDE OF THIS FORINT MUST BE COMPLETED IN ORDER TO _._.. ___..... _.....• PROCESS -P RMW CATIO "i:; M.H.I.-2 MOBITEH()14f� SUPPORT DATA Mobilehome Manufacturer: 'SKYLINE Manufacture Year: 2002 If other than single wide, furnish Setup Model Number: D939CT Width: 39' (ft.) Length: _56 (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup -sheets. - FOOTINGS: Wood pressure treated or;fotu}dation grade [X] Other: SUPPORTS: Concrete block [X] Other: " Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line i line ............................................................................................ Lice 2 Main Beams Line 1 ........................................................................................... Main Beams .................................................................................... ............................................ line Tag or Triple live 4 .. .:............. : ... Iia 1 N Line 1 Piers: Line 1 Openings: Size minimum: x '`Size minimum: Spacing maximum: Each side of openings From ends -maximum: '' *iih width over: Line 2 Piers: Line 4 Piers: , Size minimum: 12 x [301 Size minimum: Spacing maximum: 7'0" ;, . Spacing maximum: From ends -maximum: 2' 0" From ends - Line 3 Roof Loads: Size minimum: Location (from rear): Line 5 Roof Loads: Size minimum: Location (from rear): 12X30 12X30 jiijbb 136XjO 124X301 13'4' 1 18'8" 1 254" 1 41'4" 1 56'0" LmeI Line 2 Line 2 Line 3 Line 2 Lint Line 1 [ 12] x [30] - 4' 0" 12X30 I 12X36 1 0 12X30' 16'6" 22'10" 35'2" 41'4" 1444K 1 1 ho IU s.e,,. OVER CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAM Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [�] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-rtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. E)G 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [� 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. Nj 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [-] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 '. OOA)4", MV_d'J AP # PERMIT # NAME [] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. ['�C] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�J 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�U 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. (�4 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ull property lines and/or the center of the road. [ ) 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [' 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall ba completed prior to completion of road construction )r fiscal inspection of a building permit. Page 2 of 3 r.. IAI-CAZALD AP # PERMIT # NAM Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with.insuffi- U cient setback Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D Glass area not to exceed i0$ of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal ` Other Butte County Fire Department approved materials Date Signature r Page 3 of 3 oey �---t3'-4' S-4'—�--6'-e' --Id 5-�'--t-----�'- rQpjQ 2 rspq��s y ♦ r s---- T�S I � T 1 I O C �a U Lu 13i'-4' 18'-8" 25-4" 41'-4" r. 1300f i 1300# 3900# 7480/ 0 Q n n 1 c ,♦ 1 � c ---------- �C 16'-6" 22'-10 35'-2' 41'-4" 1550# 155,0/ 1500¢ 1500{] r j - II I � I I RLE Mt 9321 _ VOL ' 355'-4' —4 22� I 10-8'--t St PG6-79f 30# CENTERLINE SUPPORT REQUIREMENTS ORA11N 8Y : YAN THIS SHEET IS TO BE INSERTED WITH SUPPLEMENT TO FlELD INSTALLATION MANUAL FOR DATE: Zoo1 0 mm vm # ROOF ZONE SNOW LOAD. SEE ABOVE PRINT FOR LOAD REQUREUENTS AND LOCATIONS. 301 R 2B " »k -REVISED TO n uVF Lona 5626 -31K --CATH (w/56 TAG) 0939 -CT , RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 13 -,Tan -2003 2003-0002318 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MARVIN L. MACDONALD AND SUSAN L. MACDONALD REAL PROPERTY OWNER/LESSOR 9033 WILLIAMSON CT. MAIIJNG ADDRESS SACRAMENTO SACRAMENTO CA 95626 CITY COUNTY STATE ZIP 21 WALDEN POND INSTALLATION MAILING ADDRESS, IF DIFFERENT FORBESTOWN BUTTE CA 95941 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS CITY COUNTY - - STATE ZIP UNIT DESCRIPTIO BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE SU NIERHILL MAILING ADDRESS DATE OF MANUFACTURE OROVILLE, BUTTE, CA 95965 C1-70-0389-R-A/B/C CITY COUNTY STATE ZIP 02-2915 (530)538-7541 B PERMIT N0. TELEPHONE NUMBER 419 4 1-9-03 GNA OF LOCAL AGEN?FM?LeDATE COUSIN GAR DEALER NAME (if not a dealer sale, write "ATONE") 91265 DEALER LICENSE NO. SKYLINE 2002 SU NIERHILL MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUM BER C1-70-0389-R-A/B/C 58 X 39 ULI 542009/10/11 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGMA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED A.P. # 073-340-046 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. . ,Y w . i, E FOU�NDA� IO_ N SYSTEM J'y t ; {CERTIFICATE OF OCCUPANCY: BUILDING PERMIT NUMBER: 02-2915 Address or location of unit: 21 WALDEN POND, FORBESTOWN, CA. 95941 Legal Description of Real Property: A.P.# 073-340-046 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: MARVIN L. AND SUSAN L. MACDONALD Owner's address: 9033 WILLIAMSON CT., SACRAMENTO, CA. 95626 INSIGNIA OR HUD NUMBER: ULI 542009/10/11 SERIAL NUMBER OR V.I.N.: C1-70-0389-R-A/B/C MANUFACTURER'S NAME: SKYLINE YEAR: 2002 OFFICIAL APPROVING INSTALLATIO DATE: 1-9-03 PHONE: (530) 538-7541 H.C.D. 513C 06/29/02 16:56 BIDWELL TITLE -) 5303438496 N0.015 P008 LEGAL Description Ordcr No. BU -195785-3 MAM The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: LOTS 10 AND 14, AS SHOWN ON THAT CERTAIN MAP ENTTTLED, °WALDEN POND ESTATES PHASE 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1990, IN BOOK 116 OF MAPS, AT PAGE(S) 97,98 AND 99, AND REVISED ON MAP RECORDED ON AUGUST 6, 1992, IN BOOK 126 OF MAPS, AT PACWS) 28, 29_AND 30. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THAT PORTION LYING WTITIIN WALDEN POND LANE, AS SHOWN ON SAID MAP. THIS DEED IS MADE AND ACCEPM UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED FEBRUARY 28, 1990, UNDER BUTTE COUNTY RECORDER'S SERIAL NO, 90-8077, BUTTE COUNTY, CALIFORNIA; ALL OF' WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH TETE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLARATION. APN 073-340-044-000 OZT 10) 073-340-046-000 (LOT 14) PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER WALDEN POND LANE AND BIG FIR ROAD. -AS SHOWN ON THAT CERTAIN MAP'EffMED, --WALDEN POND ESTATES PHASE. 2", WI•ACH MAP WAS RECORDED IN 7HE OFFICE OF THE RECORDER OF TETE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1990, IN BOOK 116 OF MAPS, AT PAGE(S) 97, 98 AND 99, AND REVISED ON MAP RECORDED ON AUGUST 6, 1992, - IN BOOK 126 OF MAPS, AT PAGES) 29,29 AND 30. 01/13/2003 14:41 5303429174 CHICO BLDG SYSTEMS PAGE 02 �- :::::•., •.:.:;�:; t3TIPiEICfQ#L'IFCRNIA:e::.:-:r�::,"....:.... - N iAB R..... _...... ....... ..... ' USINESS, TRAN3PORTATI N AND MO 9 NO AGENCY•.:,: � • > ::;_•. ' " . •. DEPARTMENT OF HOUSING YTO GGKES _.,........ .._ 8646 9,..... . - . "; �::••..- �•:.� ... - - • .. "'DIVISIdN' dODEBANF3 ARDARDS"' .,. :••:.... :.. MANUFACTiJREP1j19W91Nq-PROGRAM::,:.::: �.., ...........'_MANU•FACTURER' 5ftTIFICATE' O'F ORIGIN 111 l o CHECK IF THIS.J$ A pUPLICAJE,MCO-ErJ.T.ER.ORIGINAL MCO NO. MANuFACTI tog^ HOME T MANUFACTURED HOUSING NUMBER OF TRANSPORTABLE SECTIONS 3 IRSFO (3INOLE FAMILY. PWELLING) ..Q. MUMH (MULTI -UNIT MANUFACTURED HOUSINQ:. IR OCCUPANCY'GROUP. MANUFACTURER LICENSE NUMBER: tMANUFACTURER'NAME:'"" """ " ` 90002 Sm. INK HOMES INC SUGGESTED RETAIL PRICE: MANUFACTURER ADDRESS: 720 BAST BBAMER STREETWOOD 1 D CA state 95776 z1 $ 106,230.80 x MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: SUMMERHILL• D939—CT 11/27/2002 NAME OF DEALER OR TRANSFE EE (OWNERSHIP TRANSFERRED TO): ` ' ' . NUMBER R URA DATE OF TRANSFER: TLNSFEALE DESIGNATION 9 11/27/2002 SKYCREST ENTERPRISES/COUSIK GARY'S HOMES 91265 DEALER OR TRANSFEREE ADDRESS: 13 13 468 HWY 99 CHICO CA 95973 21 ) S (City)State INVENTORY CREDITOR NAME' TEXTRON BINANCIAL CORP INVENTORY CREDITOR ADDRESS: 7.01 XENIA AVE .. SOUTH .SUITE 300 GOLDEN VALLEY (State)MN 5Z 416 Street C BEGTtON MANUFACTURER SERBV, NUMBER MCO INSIGNIA OR HUD LABEL NUMBER LENGTHWIDTH WEIGHT (INCHEINCHES POUNDS t-6 1 C1-70-0389—R—C ULI 542009 704" 156 23.654 2 GI-704389—R—B ULI.;542010 704 156 23,404 3 C1-70-0389—R—A ULI 542011 704 156 24,434 TRANSPORTER NAME: D &:R TRANSPORT TRANSPORTER ADDRESS: P.O. BOX 179 DURHAM CA 95938 61t'eet Cg Slmo (Zl DESTINATION FOR UNIT DESCRIBED ABOVE: COUSIN GARY'S HOMES 13468 HWY 99 ICO CA Biala 95973 = NAME Btnat I CanIW UPON pWatty 61 p&IM Uf10er IIIB law. of ND Slab of CBInDmia that the eDOV0 (eats We lr a wd tatrecl. 11/27/2002 WOODLAND YOLO CA Eneaudan e1 (Data) ) 1 (County) (Stele) SIGNATURE OF AUTHORIZED AGENT:^^ 018TRI ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR. UNLESS THERE IS NONE. THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREEI- .COPY I (WHITE) FORWARO TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO. CA 95012.1826, WITHIN FIVE (S) DAYS OF RELEASE. COPY 2 (YELLOVA DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNITTO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER, MCD 40 � •IAe 1 - (Tree •V,� STATE OF CALIFORNIA �-i DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 1 DIVISION OF CODES AND STANDARDS 1%. '`r REGISTRATION AND TITLING SECTION STATEMENT OF -FACTS hi -s unit is.'.a: Mobilehome E] Commercial -coach Floating Home ecal (License) No.(s) Trade Name Serial No.(s) �ajl't `Pi✓�1 t l 9z9� /We, the undersigned, hereby state that the unit described above: Truck Camper M 6Ly be P )ac- ed o n cL, per rnana v\-+ a LX Y-da.-+io� Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State.o.f..California, and subsequent purchasers of said unit, for any loss they e- --may-suffer rsulting from registration of the above-described unit in California, or from issuance of a California certific-ate"of title -covering the same. I/We certify under'penalty of perjury that the foregoing is true and correct. Executed on �. at -2 Cit (State) 0. e ( Y) Sim nature of each affiant Add I City NCD 476.6 (Rev 11/86) Printed name of each affiant in 0? �ome State 10/18/02 16:12 BIDWELL TITLE � 5303425174 NO.343 P002 1 MLD VALLEY TITLE & ESCROW C.O. arm VAM UZOORDIMMAX TOt MARVIN AND SUSAN MACDONALD 9033 WILLIAMSON COURT SACRAbdRNTO, CA 9S626 ORO -C A.P.N.:473,30.044 R 046 Order No.:19WtMAM dlfd��fdd�edilll�l0lldlff 11�1fi1 Recorded I REC 1M 16,08 Officti�al mwds of � TAX 60.m . CAJORMS I RecoR00MY DICKSM 1 109: am afi-jun-m 1 page I of 2 Above TMs Line for Recorder's Use Only GRANT DEED Escrow No.: 19MIMAM T)Z UND13 MNW ORANTOR(s) DECLpAM) THAT DOCI)MBNTARY TRANSB'Bft TAX IS: COUNTY 0.50 cucupp- wed own full v� Im value o was or erncmbrm= remaining at time of sale, J unincorporated area; f 1 City of ad FOR A VALUABLE CONSIDERATION, Rmeipt of whin is hereby aclmowledpd, HENRY T. RUNGE, JR., TRUSTEE OF THE HENRY T. RUNGE, JR. AND CXNTEaA A. RUNGE LIVING TRUST heresy GRANT(S) to MARVIN L. MACDONALD and SUSM L. MACDONALD, Husband and Wife as Joint Teteatate the following dascribed properly in the wsiueorporated area of the, County of Butte State of California; SEE A11TACEMD LEGAL DESC�WMON THE HENRY T. RUNGS, JR. AND CYNTHIA A._ RUNGE i�L VING TRUST By. HENRY T. RUNGE,. illi., IMUSTEE Document Dace: XtR If, 209 STATS OF CAWO&& )SS COUMT OF ) on June 25, 2002 boom M. Michelle A. Miller, Notary Public pcma* appeared Henry T. Runge, Jr., Trustee Sets oaal ly !mows to ate (or proved ic ma on the bas's of mEMcoory et ideam) to be die persons) whose nems) !dere subuAW a the wbin �mtrumdrt and aeknowMSM to = mer tx &Wtkoy executed the semc in e®/tr their admired cga0ty(i ) and that by bia/ mt teir slgemm(s) on dte inM=m tbs pwwn(s) a the an* upon behalf of wbkh tba pumn(s) acted, ututed the insnvmm, wrTl iw ead end otHeI suL„ Sigaeiure P C UE A. MILLER 00mrt3a100 A1=1456 Notey Ptibilt • c�ay"famle EXP. AN IS. 2M Mail Tax Statements to: SAME AS ABOVE or Address NoW Bdow 08/29/02 16:56 BIDWELL TITLE i 530343B496 N0.015 P008 LEGAL Description Order No. BU -195785-3 MAM The land referred to herein is situated in the Sta follows: tb of California, County of Butte, and is described as LOTS 10 AND 14, AS SHOWN ON THAT CERTAIN MAP EN ITLEDP ,WALDEN POND ESTATES PHASE 2-, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,STATE OF CALIFORNLa, ON FEBRUARY 28, 1990, IN BOOK 116 OF MAPS, AT PAGE(S) 97, 98 AND 99, AND REVISED ON MAP RECORDED ON AUGUST 6, 1992, IN BOOK 126 OF MAPS, AT PAGES) 28, 29.AND 30. RESERVING THEREFROM A NON-BXCLUSIVE EASBMENT FOR ROAD AND PUBLIC UTTLPPy PURPOSES OVER THAT PORTION LYING WITHIN WALDEN POND LANE, AS SHOWN ON SAID MAP. THIS DEED IS MADE AND ACCEIIED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTH 1N THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED FEBRUARY 28, 1990, UNDER BUTTE COUNTY RECORDER'S SERLAL NO, 90-8077, BUTTE COUNTY, CALIFORNIA; ALL OF' WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLARATION. APN 073-340-044000 (LOT 10) 073-340-046-000 a= 14) EMM"11. A RIGHT OF WAY FOR ROAD AND PUBLIC UT11= PURPOSES OVER WALDEN POND LANE AND $IG FIR ROAD. -AS SHOWN ON THAT CERTAIN MAP'EN'IMED, "WALDEN POND ESTATES PHASE 2-, WHICH MAP WAS RECORDED IN 77JM OFFICE OF THE OF RECOR THE COUNTY OF BUTTE. STATE OF CALIFORNIA, ON FEBRUARY28.1990- IN BOOK RECORDER 116 OF ER MAPS, AT PAGE(S) .97, 98 AND 99, AND REVISED ON MAP RECORD® ON AUGUST 6, 1992, - ..__. IN BOOK 126 OF MAPS, AT PAGES) 28, 29 AND 30. COUNTY OF BUTTE ' Oroville, Califomia GENERAL CLAIM :LAIMANT: ' SKYCREST ENTERPRISES ADDRESS: 13468 HWY 99 :ITY & STATE: CHICO, CA 95973 DATE OF CLAIM: 12-18-02 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT. - SEE INSTRUCTIONS ON REVERSE SIDE ATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT INV. DATE OWNER DECIDED NOT TO BUILD: AP# 073-340-046, BP# 02-30,697. RE EIPT DATED: 11-4-02 OWNER: MARVIN MACDONALD TOTAL AMOUNT PAID: 357 06 RETAIN REFUND PROCESSING FEE: 25 00 RETAIN BUILDING PERMIT FILING FEE: .20 00 20 00 RETAIN PLAN CHECKING FEE: 23 00 RETAIN SRA PLAN CHECKING FEE: 43 00 TOTAL AMOUNT TO BE RETAINED: 1311,00 TOTAL AMOUNT TO BE REFUNDED: TOTAL 226 OFi I e undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered /bnd that this claim is MA I correct as stated. �(� �(�, ted this day of / % , 19� at `��...�� �'`�(',.� l? , Calif. Signature of CJjNiiarit he undersigned, hereby certify that, to the best of my knowledge, the services or ar7XV, ed abo n performed 6r de8vsred and it there is a Budget Appropriation ( I or Specific Board Approval ( I (Check one) for /1 , r ;ed this 18TH day of Xf6_D3at OROVILLE , Calif. Head or Authorized -pt. Code 440-001 Exp. Code 4210500 PAYABLE FROM BUILDING PERMITS FUND !pt. Code 0-001 Exp. .Code 7240 PAYABLE FROM SRA CDF FEES FUN ipt Code Exp. Code PAYABLE FROM FUN DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMS. GROSS AMT. FOR BUILDING DIVISION -USE. - 4c� Receipt -Information. Nurfiber: P. 1 0, -. " r, t- r. Date: 7), 7PA I/ I§sued76: Amount: Fees Retained: V/p/rocessing Fee: 1 /Bldg Filing Fee: Plbg Filing Fee: $ v/Elec Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ �an Check Fee: $ Inspection Fee: $ /SRA Fee: $ ov Total Amount Retained $ /13/ TOTAL REFUND DUE $ 7, i CL•AtMANT'S,NAME MAILING ADDRESS ASSESSORRARCEL #: RECEIPT -NUMBERS) rte^ i • Y Requestra efund of fees -----nn-h n 01 i REFUND CLAIM APPLICATION _ - r, d on the above receipt r �o(e� s) for the following reasons: Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) ( ) Building Permit Fees SRA Fees (CDF Fire Planning) Disposition of'Plans ( ) Plans returned to me at counter ( ) Sheriff Fees ( ) Urban Area Fees ( ) Please mail plans to me at above address. 3 -Please dispose of plans. SIGNATURE DATE -T PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV�4�C.. Av. - 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 IT (�;Z•.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 073-340-046 ZONING BUILDING PERMIT OWNER MACT)MATo TELEPHONE SO. FT. OCC. BUILDING VALUATION L� . 0 10 368.00 . OWNERMAILING ADDRESS 'S CONTRACTOR'S ME TELEPHONE CONTRACTORS MAILI ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 10.368.00 ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 169.00 LOT NO. SUBDIVISIONS NAME PARCEL AP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTU SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Describe Work: NEW GARAGE s piping system 1 - 5 outiets 15.00 Ouilding sewer 15.00 Mobile Home I S I G I W 1@20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions hapt 9 (commencing with Section 7000) of Division 3 of the Business and Professions. Code, and my license is in fuJI force and effect. /•�/� License Class Lic. No. �„(% OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation,a will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason IWORKERS' COMPENSATION DECLARATION d 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' o e sation ins nce carrier and policy number are: Carrier � � /.6 ice, Policy Num -6 Z'I- G� Ui (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation pro isions of section 3700 of the Labor Code, I shall thwith comply with thos rovisions. /�'"� Date �� 7� ��� of Applicant - ❑ wner Contractor ❑ Agent ?AnOpermit is required for ex vations over 5'0" deep and demolition or construction res over 3 stories in height. Main Service zooA TO tOooA 46.00 NEW CONST. DWELLING UP. so r OR ADDNS. ( 8 ACC. S.3.5¢FT; NON.RESID MULTI.OUTLET @7,50 POWESINGR APPARATUS 8 OUTLET CIS. X20 @@ 1.50 OUTLET FIXEDARFoctLIREs FIXED EA NMobile 5.00 Service 23.00 Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S 40.16 MECHANICA PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITX $ Mobile Home Installation Fee $ Energy Inspection Fee Occ CONST. TYPE TOTAL FEE $ 09, i6 HAZ. D. FEES IMP FLOOD CDF p EL pD HD Is UE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicab provisions Resolutions do work been paid. Date 0810 Receipt No. 364262 $268.06// WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,',lei!�1�+!.`r'14-:,ti�C-+7:=..:.�...'-:,J�«.._✓-+..,•..-.-^-+i:= _.i*,-.;,•.;,.,�;, y4 ,COUNTY'O'F BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI SI County Center Drive Oroville,4California 95965 •Telephone (530)538-7541 (Iev.12/�6),-. -' .�' , ._:, APPLICATION ANIS PERMIT ASSESSORPARCELNUMSERb _, ° ZONING BUILDING PERMIT OWNERt ; T. T a TELEPHONE to i. STFr.OCC.BUILDING VALUATION ___W,,368.00 . OWNERS MAIUN(fAUDRESS 7 0 ,r _ CONTRACTOR'S ME - SKayST CF TELEPHONE Z a CONTRACTORS MAILM, ADDRESS CONSTRUCTION LENDER ,e' • �f LENDER'S MAIUNG ADDRESS Fireplace Total Valuatlgn `- $ 1 368; ARCHITECT OR ENGINEER LICENSE NO. Flinn Fee '&NA 0$ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS I Plan Checkin -F a Y $ BUILDINGADDRESS r BT.G '� Energy Plan Ch cki ,g Fee ; $ PERMIT F $ 169.00 LOT NO. SUBDIVISION'S NAME PARCEL PLUMBING "PERMIT N' Filing Fee '20.00 USEOFSTRUCTU�F < '> a- SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar_or,heat pump water heater 23.00 :Wate`rWpfping 15.00 L Each, � 6 as water heater or vent 15.00 TYPE OF WORK d New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ d s Describe Work: NEW GARAGE r. .. 4s -piping stem 1 - 5 outlets 15.00 uilding sewer 15.00 Mobile Home S G W @20.00 t PERMIT FEE $ ^Fling ELECTRICAL -PERMIT 01) Fee 20.00 200A OR LEss ! 23.00 Main Service ct `2200A LICENSED CONTRACTOR'S DECLARATION % I hereby affirm under penalty of perjury that I am licensed under provisions hapte 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER I License Class • Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: i �"•'�" ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intend �ec� or'offered for sale. b I, as owner of the property, am exclusively conttacting with licensed contractors to construct the project. ' ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Services 200A TO fo?gA"'�i '' 46.00 NEW CONST. . ( DWEwNG OCCUP. SO o OR ADDNS. a AOC. BLD _)D 3.5,sFr. 20,16 NOµHEOSID. MULTI.OUTLErrs @7,50 APPARATUS a SINGLE OUTLET CIR. f j% Olccu ouTLET oR,FDcruaEs e20 @'.50 FIXED APP.LNS. OR Ex. ccu . , OUTLETS RESID. EA 5.00 Tem ar 'Ser Iv ce "!- 23.00 ,.� Mobile r a Facilities 20.00 s Misc. Wirin / P.,'23.00 t PERMIT FEE $ 40.16 WORKERS' COMPENSATION DECLARATION`N,,,, Mereby affirmiunder penalty of perjury one of the following declarations: - i ❑ 1 have and will maintain a certificate of consent to self -insure for workers' i 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' o ensation insu once carrier and policy number are: Carrier P / yI - Policy Num er _/" 2� �'�i (G (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ---^� orthwith complywith those rovisions. , X _ Date 'f �^ ���� �1 nature of Applicant,- O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of -structures over 3 stories in height. MECHANICA PERMIT Filing Fee 20.00 _Heating Coolin' 4 Hood 6.50 Ventilation) V' i PERMIT FN $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 09.16 HAZ. D. FEES IMP FLOOD CDF PAR•EL PD MD IS UE "i This permit is hereby issued under the applicab o provisions of the,Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. \ By Date PERMIT EXPIRES ON (Date) Receipt No. 364262 $268.06// WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M_ ,COUNTYiOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS�� 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 IT o• (A .12/96). APPLICATION AND PERMIT rz- ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER ca TELEPHONE 005 SQ. FT. OCC. BUILDING VALUATION b 8. 10 .00 .OWNERS MAILIADDRESS CRA CONTRACTOR'S ME _ •'y RIMPRISES TELEPHONE 3/A CONTRACTORS MAID • ADDRESS - ... 14 RR r Atira _ CONSTRUCTION LENDER - „✓ •Y t(. Fireplace i '�-`. LENDER'S MAILING ADDRESS Total Valuation�!y 5 ;368;,W ARCHITECT OR ENGINEER' LICENSE NO. Filing Fee �" �, }$ 20.00 i Permit Fee �\jc/ $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS f ' Plan Checkin `Fee./-' -/ $, 23.00 BUILDING ADDRESS�✓`�-•P B 1 Energy Plan Checking Feer/ $ V . v } a L PERMITS EE LOT NO. SUBDIVISIONS NAME '� PARCEL AP PLUMBING PERMIT,�k Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTU SF ❑ Duplex ❑ Mobilehome ❑ Other T sPECIFy Solar or hest pump water heater 23.00 Water piping 15.00 ; Each gas water heater or vent 15.00 TYPE OF WORK t New ❑ Addition ❑ Remodel 13 Utilities ❑ Installation 13 ❑ Describe Work: -N& GARAGE - ''s i in stem 1 - 5 outlets 15.00 h ilding sewer 15.00 Mobile Home S G W @20.00 r PERMIT FEE S _ ELECTRICAL PERMIT `« ; Filing Fee 20.00 Main Service '-'moon oa mss ` 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions �fjhapt 9 (commencing with Section 7000) of Division 3 of the Business and ProfessCode, and my license is in fu I force and effect. ✓ h Class / % Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure.is not intended or offered for sale. O 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service 200A To +000ri 'y _. .46.00 NEW CONST. DWELLING OCCUP. SO ADDNS. :LLcoagcsu % 3.5QFr. 0.16 NOR EW CONST. UTLET NON -REBID. CU 97.50 POWER APPARATUS d SINGLE OUTLET CIR.License ourLEroRFaruREs Occup. +: o BAS o FlXED APPLNS. OR Ex. ccu , ounErs RESID. EA. 5.00 Temp ry Service ""'r 23.00 Mobile � a Facilities , , 20.00 , Misc. Wirin ' / r� 23.00 PERMIT FEE $ 40.16 t WORKERS' COMPENSATION DECLARATION I'Itereby affirm.under penalty of perjury one of the following declarations:--• y ❑ 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 k4 / J Policy Number '/.,"5"_1A E6 (z (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall 'not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall `,---forthwith comply with those rovisions. . , X } + Y Date / �+ " (�' �'" Signature of Appiicant`4- 0 Owner /0 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICA PERMIT Filing Fee 20.00 Heating Cooling, • 1t. Hood / t` 6.50 � Ventilation PERMIT F Elk $ Mobile Home Installation Fee Energy Inspection Fee $ occ coNST.TYPE TOTAL FEE $ \1 09 HAZ. D FEES IMP FLOOD CDF PAR EL PD HD IS UE This permit is hereby issued under the applicab a provisions of the (Butte County Code and/or Resolutions to, do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Date Receipt No. 364262 $268.06/1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I p 1yCOUNTY OF BUTTE - DEPARTMENT_ OF DEVELOPMENT SERVICES - BUILDING DIVISION 1 0 i Alk __ r r; a • +....•ta :t¢: .w. -.,a ri-r'•ilZy;• s 7 County Center Drive Orovlli4,6, `Californla 95965' -Telephone (530) 538-7541 -P RMIT O. 112 APPLICATIONANDPERMIT r7•�Crf ASSESSOR PARCEL NUMBER 07.3-34NW' ZONING BUILDING PERMIT OWNER .1 &Ah9� MARVIN TELEPHONE SO. FT. OCC. BUILDING VALUATION y I� V.i �:• .OWNERS MAIUADDRESS _ CONTRACTORS PRISES J TELEPHONE - F 142-2604 CONTRACTORS MAIU74G ADDRESS F a L. CONSTRUCTION LENDER ISr' Fireplace LENDER'S MAILING ADDRESS .. Total Valuatlon, $ ARCHITECT OR ENGINEER - LICENSE NO. '". ♦ N• Filing Fee -,w 1 $ 20.00 Permit Fees• .. $ 126.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS -- t Plan Checkiri •Feej°" $a-23.00 BUILDINGADDRESS fir` •- BIG )r'ERN/it Energy Plan Checking Feed' $'r . $ PERMITIFEE $ LOT NO. SUBDNISIONS NAME " PARCEL PLUMBING PERMIT ,tri- Filing Fee 20.00 USEOFSTRUCTU �' SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY r Each Trap N 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK J,ding New ❑ Addition ❑ Remodel ❑ Udlides ❑ Installation ❑ ❑uilsewer Describe Work: MU CAME Gas piping system 1 - 5 outlets 15.00 15.00 Mobile Home I S G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo. oa UEss 23.00 LICENSED CONTRACTOR'S DECLARATION r/� I hereby affirm under penally of perjury that I am licensed under provisions bf"Chapt 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 1�•�j ��!y+h.� i License Class f/ / / Lic. No. �_f e Ia✓ OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: `-%,Tem ❑ 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. O 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I'hereby affirm -under penalty of perjury one of the following declarations: i` ❑ 1 have and will maintain a certificate of consent to self -insure for workers' f 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' co,m,p.pensation insurance carrier and policy number are: Carrier >�i'i.�::�✓,• a i r'� Main Service 200A To 1000A .-- 46.00 NEW CONST. DWEWNG OCCUP. OR ADONS. ( DV; ACC. BLDS. SO 3.5¢,. O� 16 NEW CONST. MULTI- OUTLET NON-RESID. 97.50 POWER APPARATUS S SINGLE OUTLET CIR. OCCU OUTLET OR FIXTURES PO , 00 20 O .50 Ex. ccu . OuTLEOTs AEES16 °EEl 5.00 r Service 23.00 Mobile me Facilities 20.00 Misc. Wirin . / 23.00 PERMIT FEE $ 4 MECHANICA PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT F $ Policy Number 5.t+ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' laws of Cal fornia, 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. ` ! f \X '�!'s-Kw /t .i� _• Date �✓ `"' .� ^" f Signature of Applicant \- ❑ OwneyO Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction •of structures over 3. stories in height. Mobile Home Installation Fee Energy Inspection Fee $ OCC CONST. TYPE AL FEE $ 09.16 F_� . PLooD CDP PARCELcompensation _4 This permit is hereby issued under the of thesButte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date Date Receipt'No. 364262 $268.05// WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION °' �• �7 Count Center Drive • Y Oroville, California 95965 • Telephone (530) 538-754 Rev. 12/96.) APPLICATION AND PERMIT bZ� /3(j NO. ASSESSOR PARCEL NUMBER � � � ZONING BUILDING OWNER PERMIT D 'I TELEPHONE V! • Y I 1 vJr --�[J SO. FT• OCC. BUILDING VALUATION OWNERS MUUNO ADDRESS 'VA✓^j �jt'J^' / l/7 COMRACTORS NAME 'r SKYCREST ENT TEUn4ONE 342-2694 TD briq"99 E. CHICO CA 95973 CONSTRUCTION LENDER OLENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCNRECT OR ENGINEERLICENSE NO. ARCHITECT OR ENGINEERS MAILING ADDRESS Filin Fee $ 20.00 Permit Fee � S _ BUILDING ADDRESS / l I Plan Checkina Fee ga ----- r.� Energy Plan Checking Fee $ $ vp LOT NO. SUSONsIONsNAME PERMIT FEE S U PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 SF ❑ Duplex ❑ Mobllehome V10ther Solar or heat um water heater 23.00 Water piping15.00 ePECIFr TYPE OF WORK Each gas water heater or vent 15.00 New ❑ Addition ❑ Remodel 13 Utilities O Installation 13Other ❑ Gas I in stem 1 - 5 outlets 15.00 r O Buildingsewer 15.00 Describe Work: ��I x 2 Mobile Home S G l� W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service °00V OR LESS sow oR LEN 23.00 Main Service xow TO tOOOA 46.00 NEYV CONST. DWELLING OCCUP. OR ADONS. A ACC. BIDS. NON-RESID. MULTFOUnzr @7.50 POWER APPARATUS c� 8 SINGLE OUTLET CIR *PERMIT $ Cn �P Ex. Occup. OUTUET OR FOCTUq® p -@1 00 BAL 50 r -,` Ex. Occup. O�D9 RAID °EA 5.00 Temporary Service 23.00 SRA $ q Mobile Home Facilities 20.p0 Misc. Wiring 23.00 SHERIFF $ PERMIT FEE S �(p MECHANICAL PERMIT Fling Fee 20.00 OTHER $ Heating Cooling Hood 6.50 $ Ventilation $ PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ AMOUNT RECEIVED $ 6 G °`° �°"�' TYPE �, TOTAL FEE $ HAZ. D. FEES IMP 0 CO,F PARC P01 6SU This permit is hereby Issued under the applicable provisions *RECEIPT NUMBER �� of the Butte County Code and/or Resolutions to do work ` Indicated above for which fees *TO have been paid. BE PUT INTO COMPUTER By Date PERMIT EXPIRES ON