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HomeMy WebLinkAbout078-110-031�r TRAVEL TRAILER WITHOUT PERMITS J 5/11/92 (J�'p�Cjfiaf -a i-9� 0 DAY CODE ENFORCEMENT. 30 -DAY LETTER LEW PRATT r d v I 5890 Lower Wyandotte, Orlovilie Permit#842-88B,E(repair fire amage/SF)( Permit#1766-89E(add el mete^-jz-q) 03$21 ,. PERMTI#96shop) 'LAS PL ,0586 LIMAS, DEVEL ERS 58YO Lowe' to ­Oroville, ', replace G /SF',-' 03 - - ' PERMIT#97-0679 + `- LAS PLUMAS EV . - F Rc 5890 Lowe Wyandotte, Oroville Replace tr Htr/SF AP 36-21 Harri on R. Baker. Jr. -< 589 Low Wyandotte Rd. , Oroville SP it 4725-75B (reroof) N 076 N@ „;i 051412_ HANCOCK,JACOB r -LOWER' WYANDOTE; 'O TROVILLE? 5g�� Cont: FLEETWOOD RETAIL NEW MH PERM FND r_. °:y r C NOTES RESIDENTIAL 0`7Y-110-03! . . . PERMIT NO. t n��nT431 = 05-1412�� r HANCOCK, JACOB s�0 LOWER WYANDOTTE, OROVILLE Cont: FLEETWOOD RETAIL NEW MH PERM FND OFFICE COPY .address / LWti W cew,Jc>I6#xl rPGAS Meter By Date ELECTRIC gi Meter By Date SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER �c�,4-/ 1836 ��G 13167 i�/a3 3 tin 3 Pon )'0 5 03 �'L'd'��4vv� JOB FINALEDDate c ) Signature `'—/ 1r �t RESIDENTIAL 0`7Y-110-03! . . . PERMIT NO. t n��nT431 = 05-1412�� r HANCOCK, JACOB s�0 LOWER WYANDOTTE, OROVILLE Cont: FLEETWOOD RETAIL NEW MH PERM FND OFFICE COPY .address / LWti W cew,Jc>I6#xl rPGAS Meter By Date ELECTRIC gi Meter By Date SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER �c�,4-/ 1836 ��G 13167 i�/a3 3 tin 3 Pon )'0 5 03 �'L'd'��4vv� JOB FINALEDDate c ) Signature `'—/ a y'c _ rl a � .ate S'" r I�C� _�I! � �.: J=OK 0= -Not OK - = Not.ReaaReaitcahle . =Not y MOBILE HOMES 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/0 -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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s T. 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-Connectot 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 7. Kerd Sewer Connected and Electricity Tagged Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Pate Card B-1 Date Card B-1 Date Card B-1 leCr4 t, 4.e f- .4 1-(41& Or- INS dc, O'� `mak 0 or P � rAh MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors I Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 1 6. Carports; Windows -Doors i 7. Electric 1 8. Fnng.; 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 { vaic %j u u o- i vale %.aru a- i i Date Card B-1 Date Card B-1 1 1 I = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) 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.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Frtting-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 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 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 InstldJDrive 0 Yes O No/Walks O Yes O WPlanters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-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: 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 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 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 -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. 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. Fumace-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-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 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 InstldJDrive 0 Yes O No/Walks O Yes O WPlanters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-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: �w COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE HP 0,- 4112 - OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. I SP -11 V le_z t (- Date Q� ; t 1 Inspector, REV 4/05 ( Phone # b FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 II 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.net\dds PERMIT NO. BPO51412 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/07/2005 APN: 036-210-031-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 5890 LOWER WYANDOTTE ORO Date: Contractor. Map Index: Description:. NEW MH PERM FND(2288) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a HANCOCK, JAKOB AND YOGANAGIE permit to construct, alter, improve, demolish, or repair any structure, prior Owner: 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 2686 FORESTVIEW DR. 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 OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044; Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: FLEETWOOD HOMES such work himself or herself or through his or her own employees, DORM LORD provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 2243 FEATHER RIVER BLVD. year of completion, the owner -builder will have the burden of OROVILLE, CA 95965 proving that he or she did not build or improve for the purpose of 530-532-3301 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 Contractor: FLEETWOOD HOMES pursuant to the Contractors' State License Law.). O 1 am Exempt under Article 3 of the Business and Professions Code 2243 FEATHER RIVER BLVD. OROVILLE, CA 95965 ate: owner: 530-532-3301 WORKERS' COMPENSATION DECLARATION ri ereby affirm under penalty of perjury one of the following declarations: License #: 785185 ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and polict num er are: Carrier: Total Square Ft: 2288 S.F. Valuation: $148,720.00 Policy #: we ❑ I certify that in the performance of the work for which this permit is Census Code: issued. 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, j and agree that if I should become subject to the workers' c_ly compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiol G Date: Applicant: % I WARNING: Failure to secure workers' compensation coverage is�1�` 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 This permit is hereb ssued un: appliaabl isions of the Butte County Cods ?nrl/or 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to d ork ind'caled ove forrw fees ve been paid. Name: By: D-a-tte::� r / PERMIT EXPRES ON: Address: r_2'�_t/� Date O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ 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 relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represe tatives(off/Butie County to enter upon the above mentioned property for inspection purpo r Print Name- /✓'// Signature: 6 L Date: O Owner ❑ Contractor /Agent for Owner 0 Agent for Contractor 430774 - - 5/31/2005 431195 7/7/2005 FINALED PLLA'N CHECK ArCiTIVITY Plan Chk-7 Chkd By -1i Return -l: Str Chk-9: Plan Chk-2c Chkd By�2:.:: Return�2:, Sir Chk:2 Mg Chk-3: Chkd By -3: - Approved Str Appr: Comments: Z55 char. max NEEDS NEW FILE (WAITING ON ORDER)6/1.mjs-Revsn. 6/7/05 BB, approved -called contr: 6-10 informed of needs bal of fees $ 2,576.17 & data sheet items tp 6/27 $10998fema$2326.36elmedio$14.87smip#431195.MJS 2243 Feather River Blvd. TO:t,J. ATE: Oroville; C4 959 (530) 532-3301 Phi (530) 532.3304 F; FROM: FAX jrrlo ?vumber of pages including this one -Regarding i Have a great day! Z00/T0001 AIND 311119 --l- JI'IVD 3'I'IIANO WOG33HJ MC US OCS XVJ ZC:OT •IM SO/ZT/80 /S'51/C/ el, /) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION **PLEASE PRINT CLEARLY** APPLICANT NAME v OWNER Last Name 0 r First Name Address A 1770 City 0 f Zp 94. 9, State 0 1 elo Phone 9 Fax ` E-mail r APPLICANT NAME CONTRACTOR Name Name Address Phone Fax E-mail Address Lot # City toj���� Phone State Zip Phone • :', Fax E-mail Lic. #_ �- � Class APPLICANT NAME ARCHITECT/ENGINEER Name City St14Wate 1114 Address Phone Fax E-mail City Lot # State Zip Phone Fax E-mail State License Number APPLICANT NAME Name Address City St14Wate 1114 Subdivision Name Map Phone Fax E-mail or office use only: Zoning Flood Zone f�- SRA Yes N Occ Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: MA UvtK FO SUBMITTAL REQUIREMENTS LL K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 PERMIT NO. BIN # LOCATION AP# Property Address O City Cross Street �I c / 5W WORKER'S COMPENSATION Policy Number WC e, 21 Carrier AIRS/y If hiring anyone other than license conUactors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage 9:�;k ire Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expireone 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 Received by: f U Amount: Bldg SRA Receipt M A, O l -7l Sheriff � SUP Date / REV 7-27-04 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 Q( 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paperl) 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 faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑/ 5. Statement of Intent for 7[Data -heated and A/C for Non-ResidentialBuildings. f3 6. Manufactured homes: ( sheets and installation inst, (@marriage line info, (Q)-1Floor Plan, (eie 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). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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 Ag9cultural Acknowledgment State►��►ent. ❑ 11. 13"Grant Deed, CI .H. Title/Statement of Facts, latetter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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, ori 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 FORMS\BIdgApPlSubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS/OISI' 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �%%t vj / ASSESSOR PARCEL NUMBER (/3(:;, Proposed Building Use: Permit Technician: Date: ^ 3hj S - Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. L�-_ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes -.0 Installation manual, including marriage line info, Floor Plan, UT -Tie down or d plans, all,, n 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 _0 r must be stamped and wet -signed by the engineer. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential` buildi6gs-,.' ❑ 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs ............................... 23. California Department of Forestrplan approval + aid. Sent by: 24. Planning approval for (A) Use: , (B)Parking: (C) Parcel Check: ..�v... � ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 1 _ 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) ..................... d 0 31. Letter of Signature authorization.................................................................... roo. ❑ 31. Le 32. Recorded copy of Agricultural Acknowledgment Statement ................................. I ds ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction..........................................................::.............................. of 35. D ee al description, lam. Title, title search, registration or MCQ......................... 36. Other: jj�oa aj): eR,4_ "rtr'c!{� _r i� ror.S ,l7 ❑ 37. Other: When issued Telephone and hold for pickup. I have been informed of the above items and squirements.for obtaining a building permit. Applicant: Date: 1. Index pepolit dpoTiCatGn irrlKe a4 a/e items umbered: + Plan Check Letter 4Adbnal items required i , signer, owner, was advised of the above data by phone, ❑mail, ❑ counter, by Date: , designer, owner, was advised of the above data by d phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter 4y Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER f'J A. P. # PROPROSED BUILDING USE �`ti1��/j'1� /�/Jq,(J� DATE 1 LS 6/ RECEIPT # DATE REC. 1. BUILDING PERMIT FEES _ 0INS +�- r - --- lance Due ..................... $ C - 11 MA Flood elevation review... $ --- Additional plan checkin �F �j $ eD2. SCHOOL DISTRICT FEES' J ' D �. DYE (paid at School District Office) (form avail le after Plan Check) - 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg• PI—plq¢�j 4. RECREATION DISTRICT FEES ` / (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ �/ //n /, EL MEDIO FIRE DISTRICT (per dwelling) $ -3(, . ) �!` `ZS (li�� 7 6S7U ' NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning $ 'WA 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division)pe /may /jam 8. SMIP 1 '_6 r7 9. OTHER 10. OTHER 11. OTHER At time of permit appl' tion, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed tng a plan checking pr ess. APPLICANT DATE Pursuant to Govemment Code Section 66020,you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) use ONLY Fiat Plan Attachad rZoas Ran AtUchad Sent to B.O. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 36 � Owner Location AP# Plan Approved for: Sewage Disposayl Vater S.0 ply: Public Private Well 7 Clearance for dwelling. Other ! (1 -..� Hold final for: Final clearance O.K. for: NOTE: Environmental He 8/96: pecialist N Date CO co 0) C,b0 CD "i ` Q (M LLIYJ J c co `G6 -`jLLLC ' "' c- O N N Vogue Series Model 76048 4 Bedrooms • 2 Baths • -2,288 Square Feet a- ZRFJ��� i■/...soon Own woo no -----L //soon ■////////■�■■//■/////■/■ ■//Moo ■//////■s■\•o/ NOMINEE ■■■■■EM■■■■��IN■ � ■■ . FAMILY.11 I . AREAW1.1 ■■/.■■■MM■■■■/■oM■.■■HUM■I■ ■■■■o■■MMo■/■ on ■■ �®■MEM■■■■■I ■/■//■MM■ IIINMMIN■/M. II ■■MnM■ ■■■o■■■■■I II MM■■■■ ■■MINE■IN■■■M■■■■■■■■■Iimmommommannoms .■■■■. IS ■■MIN■E■M■M■■■■■■■■■■I .... M""", ME ■■■INM■■M■■■■ ■. 1911 ■ a "-�\ ii--- BEDROOMIii 0 AREA loom ■■e�■uUNEN • • IsomMASTER ----LIKNG ROOM BEDROOM ■ sso / / o 0 11M no E ■ uM■co■ BEDROOM BEDROOM I CLOSET ® WALK -LN .I — L d Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. Al dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specks. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. vOr3vOCroa Exterior • Fiber cement siding built to resist weather damage • 2" x 6" exterior wall construction provides a sturdy frame • Transverse floors with 2" x 6" floor joists for better support • Class "A" fire -rated, dimensional shingle roof for long-lasting, low maintenance performance • Vented roof cavity allows hot air and condensation to exhaust for improved energy efficiency • Inswing front entry door with deadbolt, for your family's safety • Inswing rear door with deadbolt and window add natural light • Low -E coated dual paned vinyl framed windows for better energy efficiency • Porch lights at front and rear entries for your safety Interior • W drywall tape and texture in all areas (including closets) adds style to your interior • Rounded sheet rock corners in living areas soften your decor • Standard 25 oz. carpet in all living and bedroom areas for high performance and low maintenance - 100% nylon to prevent fuzzing and shedding - Multi -colored dye technique minimizes tracking and spotting - Treated with StainTech- for easy cleaning • Glass ceiling fixtures brighten your home's interior • Vaulted ceiling throughout provides an open look and feel • White lined overhead cabinets for easy maintenance • Solid wood cabinets add quality and natural beauty to your kitchen and bathrooms • Meta mini -blinds for your privacy • Hollow core closet doors are durable. and provide convenient access • Waterfall style door trim throughout • Upgraded rebond carpet pad extends the life of your carpet Baths • Easy -care laminate countertop with hand lad, 4" ceramic tile backsplash provides attractive color accent • Guest bath has a one-piece 60" fiberglass tub/shower comfortable molded design and easy maintenance • Ceiling exhaust fan provides extra ventilation in each bath • Bank of three drawers in the master bath for handy storage • Extra large vanity mirrors with Hollywood lights in both bathrooms provide an expansive viewing area • Single lever faucet is simple to maneuver and service Kitchen • Whirlpool® appliances provide confidence and hassle -free service - Smooth top electric range - Dishwasher - 19.8 cu. ft. side-by-side refrigerator with water and ice • Adjustable kitchen overhead cabinet shelves create storage flexibility • Drawers over cabinet doors for extra convenient storage in the kitchen area • Deep stainless steel sink and single lever faucet with sprayer are handy when preparing meals • Congoleum® no -wax, vinyl flooring for easy care • Elegant crown molding provides a finishing touch to overhead cabinets • Choice selection of 4" ceramic tile backsplash provides attractive color accent • Tile self -edge provides a finished look • Recessed can lights are spaced to provide even lighting Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. ® 02003. Fleetwood Enterprises, Inc. Utility, Safety and Energy Features • Shut-off valves at all plumbing fixtures for your convenience • Overhead utility shelf for added storage space • Super Good Cents insulation package saves on energy bills and makes your home more comfortable • 50 gallon electric water heater is efficient and requires low maintenance • Coleman® electric furnace provides name brand confidence and hassle -free service • Plumb/wire for washer and dryer provides convenic . hook up Optional Features • Garbage disposal for quick and easy kitchen clean-up • Skylights of various sizes brighten any room • Refrigerator and range upgrades meet your culinary needs • Deluxe carpet selections for increased performance and beauty • Ceiling fan circulates air for a "spring breeze" feeling all year long • Overhead utility cabinets expand your storage space • Recessed fluorescent lights give your kitchen a contemporary look • Sliding glass exterior door welcomes more natural light into your home • California gas package includes: 40 gallon gas water heater, gas range and gas furnace • Recessed medicine cabinet provides convenient storage space in each bath `OV"FLEE7WOOD. FLEETWOOD HOMES of WASHINGTON, INC. a subsidiary of Fleetwood Enterprises, Inc. 211 5th Street Woodland, WA 98674 (360) 225-9461 VO/31/0CTo4 ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 5384356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone Permit Number -77 61� L District (530) 538-7157 Ext. 2016 0 50 - Lt APPLICATION I WE, he undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads td highways, all in accordance with County ordinances and general laws. All information except signature must be ed or legibly rinted Applicant's Name: la. Company Name: Address: Phone: _ 4. As or' Pa el Location o o to b -- Done Applicant's Sig., 7. Date: CONTRACrIrOR'S INFORMATION Contractor's Name Add r � _ _ 7. Phone, �Q 11. Fax: 'e 2. Contractor's License Number. 13. Certificate of Insurance: Yes Y;41— No: ❑ 4. Contractor's Signature: 14a Dale Signed: TYPE OF WORK TO BE DONE 6. Please Check: 17. If Driveway List Type: Curb: ❑ Gutter: ❑ Sidewalk: ❑ . 8. Other Work - Describe: 19. Plans Attached: ❑ Yes ❑ No PERMIT GRANTED i compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, ermission is hereby granted. 0. Conditions )0-111 )nderground Service Alert (U.S.A.) must be noti&d two working days prior to any excavation. 800-227-2600 1. ❑ All work shall conform to accompanying: Detailg Plans ❑ Special Conditions ❑ .2. Date Issued -7- _ 0 �� 23. Expiration Date: 7 _ 7 _ <=,;) 24. Surety: 5. Date Paid: ,zZ ` . _ 26. Amount Paid: 27. Paid By: - 28. Receipt No.: r j! / viike Crump, Director of Public Works By: �I 29. Final Inspection Date: 30. Inspected By: ❑ Completed - F1Completed — Not OK ;or County ❑ Additions omments Attached Use oniy: 31. Comments: dote: If permits are faxed to any number besides (530)539-4356, they can be delayed up to one GENERAL CONDMONS It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the . of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permittse's part to comply with any on will be cause for revocation of this permit Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. ermit is to be on job at all times while the work is being done. All work shall be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butt. The Permittee shall, mes, during the progress of the work, keep the County Hghway in as neat and dean a condition as is possible and upon completion *of the work granted , shall leave the County Flighway in a thoroughly neat, dean, and usable condition. The Permittee agrees by the acceptance of this permit to properly maintain any encroachment placed by the Permittee on any pad of the County ay and to immediately repair any injury -to any portion of the highway, which occurs as a result of the encroachment until such lime as the Permittee may wed of the responsibility of such encroachment by the County Department of Public Works. It is further agreed by the Permittee tfmat whenever construction, reconstruction, or maintenance work upon the highway may require the installation :d herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. No material used for fill or backfill in the construction of the encroachment shall be borrowed or taken from within the County right of way. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or cling therewith, shall be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be dosed to travel by neral public without special permission, in writing, from the Board of Supervisors. The Permittee, by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise the work herein permitted or which may arise out of the failure on the part of the Permllee to do the work provided for under this permit In the event any )f such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them ch of them harmless for such claim, All excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300 advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise parmmitted by the Engineer. Unless otherwise permitted under the I Conditions, backfill shall be place and mechanically compacted in such a manner that the relative compaclion throughout the en5re fill within the County )ht of way shall oonform to the percentage of compaction as stated below. Permittee shall notify foreman 24 hours before back ilfing and/or paving. a. The relative compaction from the bottom of excavation to a plane five feet (6) below finish surface grades shall be no less than ninety ;percent (90%) as determined by.Test Method No. Calif. 216-0 of the Materials and Research department State of California, Transportation Department Division of Highways, or other approved test method. b. The relative compaction from a plane five feet (5) below the finish surface grade b said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bar all costs and responsibility for compaction tests. CL The relative oompac$on from a plane five feet (5') below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. Material for use as trench baddill in any existing or proposed roadway section shall be sand, shag be places_ in 8" lifts. and be compacted to a relative compaction of not less than 957c, Material for use as baddill in roadside gutter excavations shall be the native maternal and be compacted to a relative compaction of not less than 90%. Any pavement a>Ang shag be scored, or sawn cut before trenching Minimum depth of cover over all underground faaTrSes shag be 30 inches, excerpt drainage cuhwis. All installations, parallel with roadway, shag be placed as dose to the right-of-way Una as possible. No portion of the bactll(s) shag be compacted by ponding or jetting. - All pavements, curbs, gutters, sidewalks, borrow drldmes. pipes, headwalls, road signs, treys, shrubbery. and/or other' permanent road favi ities impaired by or as a result of construction operations at the construction sha(s), or at other ground(s) occupied by materials and/or equipment shag be restored immediately upon baddilliimg or the excavation to the original grades and cross sections, and b a condition as good as, or better than, existed prior to the construction. . , All surfacing maMails of roadways and driveway approaches alt or damaged by or as a result of construction opemfions, shag be replaced within ONE WEEK following the baddilfrng of excavation, weather pe.-rmitfing, with compacted layers of surfacing mabriats at least as thick as the existing; and no less than two inches (2) of asphalt concrete over eight inches (Bi of aggregate base, according to current Caftrna State Sp cilications. Whenever necessary to secure p=ermission from abutting property owners, such authority must be secured by the Pam-&-- prior to starting work \ The future safety and convenience of the traveling public shag be given every consideration in the locagon and type of construction. Pertnitte shall b be placed, erg, and maintained all warning signals, lights, barricades, signs, and other devices or measures essential b safeguard travel by the I public over and at the site of work authorized herein. If the construction work covered by this permit is to be done by a private contractor hired by the applicant applicant shag notify contractor as to the conditions and requirements contained herein. Page 2 of 2' ' n t i 6 EDGE OF EXISTING PAVEMENT i 1 7- ----------------- N -- ------------1 0 R FLOW UNE DITCH } z w J1 16' MIN. 1 24' MAX. PIPE IF REQUIRED, SIZE AND LENGTH TO BE DETERMINED IN THE FIELD BY COUNTY ROAD FOREMAN 10' MIN. AREA TO BE PAVED r— R/W PROPERTY LINE NOTES: 1. PIPE TO BE C.S.P. OR EQUAL (12" DIA. MIN.) 2. PAVING SHALL CONSIST OF 4" OF AGGREGATE BASE, MIN.. AND 2" OF ASPHALT CONCRETE. MIN. 3. NEW CONSTRUCTION OR RECONSTRUCTION THAT IS REQUIRED THROUGH A 4 DESCRECTIONARY PERMIT REQUIRES FULL IMPROVEMENTS INCLUDING ASPHALT CONCRETE. RECONSTRUCTION BY APPLICANT TO REPLACE DAMAGED OR DETERORATED CULVERT PIPE, REQUIRES ONLY IN—LAND REPLACEMENT OF DRIVING SURFACES.- (REVISED 4/04) N.T.S. STANDARD FOR: p0MENT PRIVATE DRIVEWAY DETAILS O�TrF 0 o COUNTY STANDARD NO0 . S-31 °� �° OuNZ_,r N.T.S. ,c WpFn PLAN REVISION/RETURN Owner's Name: +1 6VLCOCL BP#: D Date: h/7/0C Contact Person & Phone Number: AP#: Received} By: Time: l PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering f *Plan Revision — r, /nt ❑ *Requested by Building Inspector's Correction Notice — Inspector's Name: ❑ Requested by Plan's Examiner —Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS- AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: ❑ Call ❑ Deliver with next inspection. and hold for pick-up. Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: 6 ❑ Minimum $54.99 Receipt #: ❑ Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt #: Revised 2/04 BUTTE C06 -1f SCHOOLS IMPACT FEE CERTIFICATION (One form per Building) School District 017L Building Department No. A.P. Number Jurisdiction: city F County l�Property Owner/���,��f4 Property Location/Address; /"ff 41,1;A4AR'- (11(6 ik - r'/se?l, 4 7 Subdivision Lot No. ............................................................... e ... ................................ Residential Development Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection) .. . ... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) i Commercial/Industrial Now Addition Department Reprei I. identification No. -6( i I I U-1 (City) has complied with the requirements of Resolution No. representing square feet. r School District Representative District certifies that % Sq. Footage (Including Exterior Roofed Areas) Date Ir (Applicini) (Phone Number) (State) (Zip Code) by payment of $ FULL 2926 $ 1111MIGATION $ 0 (O%716g- Date Paid by Check # jV Remarks: V Notice: You may protest the Imposition of the fees Ideritilled above by submiding a written protest to the District. In compliance with Govermnent Code Section 66020(a), within 90 days from the date fen are 0M. Failure to submit a timely written protest wilt -prohibit you from challariging the Imposition of the fen In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee CartIfication Form, the School Db*W Is ratifiedby the applicable Local Planning Agency that this project Is being reviewed under the California Environnuntal Quality Act (CEQA). this project may be subject to addIttlonal school fees to fully n0gato.11s Impact on the school districts edwols. White (applicant), Yellow (building department), Pink (school district.) fteform.xls 00/03)dmrn 0� ! BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM FfEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND. PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) 3/ Building Permit Number Property Owner (s) C 11,2694) drily_ �� ` Project Location /Address Subdivision Name 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 Demo Permit (date issued ) verified by Building Department Comments: tr ,A�pppliicc ❑ CARD ❑ PRPD 0 DRPD certifies that: ant Name !, _ Phone Number Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: / Dwelling Units @ $ 42—g, 0-0 per unit fora total of $ , oil Square Feet @ $ per sq foot for a total of $ Remarks: Paid by Check No: Paid by Cash: Recreation and Park District KAFORMSMILDING FORMS\park-rec standard form rev Ldoc Receipt No: Date E" Butte County Department of-Developriel2t Services ��11,1 7 County Center Drive ' ° = ° Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile cOUN�y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: • I. need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I an: required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to.the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to, all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). APN: O��D` ;g®` Permit No.: �S" 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: AGfA'TfJRE'0FAPPL_1C'ANT DATE Copy to Applicant/EH/File K:Forms/BldgPennitwithouOearances 020705 O �uKI Tr ° O 1 pC'OUN�ys AUC W�� .0 o u n t V J. Michael Crump; Director of Public o f B•U t Warks LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (5.30) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (N.PDES) Phase l! Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SPPP)enoledgernentE��S RE �5 "/41� Project Description: Project Location and/or Parcel Number:674>6 22,A0 By signing below, I, the project owner/owner's agent, certify that this project WILL N®T DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Stone 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 Contio1 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: f , ' y 2005-0033563 Recorded I REC FEE flIi1.00 AND WHEN RECORDED MAIL TO: ,* Official Records i Coun4 of 1 BUTTE COUNTY BUILDING DIVISION t 7 COUNTY CENTER DRIVE CAN ACE J. GRUBBs I OROVILLE, CA 95965 County Clerk -Recorder! I CP 011:28AM 13 -Jun -2005 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be "subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort. from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: (k A1 1 Rx%c kAe%� ). State of Califo nia ) County Of On �c,.v�•0 13 r �f��� before me, ��V�t 1 LJ'P�'G'��i'lp V �f personally appeared MX 00 h � � r'a H1C'("C C �)*4 personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons) 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. WITN��d and official .seal. �TERRI GEROY 0Sc Signature/ Seal: Commission #1442621 v U Notary Public-Calitomia cn Butte County 2A07 A.P. e/�J Title No. 05 -107442 -BEE Locate No. CAFNT0958-0958-0001-0000107442 LEGAL DESCRIPTION EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: Lot 3 as shown on that certain Map entitled, "Copra Subdivision", which Map was filed in the Office of the Recorder of the County of Butte, State of California, on August 5, 1992 in Book 85 of Maps, at Pages 70 and 71. Certificate of Correction on the above Map was recorded November 30, 1983 in Book 2888, Page 81, Official Records. APN: 036-210-031 CLTA Preliminary Report Form (11/17/04) HANCOCK CONTRACTOR • • 1 STREET N0 -;: • STREET NAI LOWER WYANDOTTE 036-210-031 6. C OROVILLE 424.94 1 124.961 PLAN CHECK ACTIVITY RECEIPT APPLIED ®K RECEIPT 2 ISSUED f RECEIPT,3 RECEIPT 4 F/NALED`" Plan Chk-1: Chkd By-1MOM Plan Chk-2: Chkd By -2s Plan Chk-3: Chkd By -3: Refurni 1: Return-2:�� Str Chk-�: Str Chk-2: -_ Sfr Appr: NEEDS NEW FILE (WAITING ON ORDER)6/1.mjs-Revsn. 6/7/05 BB, approved -called contr: 6-10 informed of needs bal of fees $ 2,576.17 & data sheet items tp 6/27 $10998fema$2326.36elmedio$14.87smip#431195.MJS TO. r 2243 Feather River Blvd. Orovffie, CA 95965 (530) .532-3301 Phone 14 Fax_�•� �� T•- FROM. DATE: / FAX 7: dumber bf pages including this one -Regarding Have a great day! r.� TAA JTAAM TT,,nn aTTM^ «< 1T 1 Tnnn.,...TT n . inn ..n a r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PERMIT BUILDING PERMIT APPLICATION NO. AND SUBMITTAL REQUIREMENTS dS- /4 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530)'891-2834 -BP OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLIC4TION BIN # **PLEASE PRINT CLEARLY** OWNER Last Name _ Address "„' `d p /1 I State G Phone fpm Fax K:IFORMSIBUILDING F0RMS161d 9APPISubRgmts.doc Page 1 of 2 Policy Number. !12 city D q5, e --------------- VSA ON _�--NSATION Carrier Afy�%f - - " RSAI - If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit Issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. ❑ 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 reffinelahlo Received by: -rp- Amount: Bldg SRA Receipt #���� Sheriff 60 SMIP Date`S• REV 7-27-04 �> FEDERAL. EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Importait Read the instructions on pages 1.7. SECTION A- PROPERTY OWNER INFORMATION BUILDING OWNERS NAME Jacob and Yoganagie Hancock BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 5890 Lower Wyandotte Rd. O.M.B. No. 3067-0077 Expires December 31, 2005 For Insuranoe Company Use: Policv Number Number CITY STATE ZIP CODE Oroville CA 95966 PROPERTY DESCRIP11ON (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 036-210-031 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc, Use a Comments area, if necessary.) Residential LATIIUDEILONGRUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (rype): ( #It' - #9 - ##.##' or ® NAD 1927 0 NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION BuulteeCo.Unioupaatedan?as060017 1 am I CA 84. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVAl10N(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFTECTIVEIREVM DATE BS. ROOD ZONE(S) Rare A0, use deph of ) 06007CO985 C Jurre8,98 servidng the building (Describe in a Comments area) X 240 B1 U. Indicate the souroe or the Base Flood Devatim (BFE) data or base flood depth min 89. ❑ FG Profile ❑ FIRM ❑ Community Determined ® Other (Describe): Field s� B11. Inoiicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building loomed in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (ORA)? ❑ Yes ❑ No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: [3 Const uctim Drawings* ® Building Under Construction' ❑ Fmished Construction 'A new Elevation Catificate W11 be rr Wred when constrrctiar of the building is complete. C2. Building Diagram Number 6 (Select the building diagram most similar to the building for which this ceatiliicalle is beirg oanpleted - see pages 6 and 7. ff rho dagram aocurately repesents the building, provide a sketch or photograph.) C3. Elevations – Zaa Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARAE, ARJA1-AW, ARIAH, ARIAO Corroete Items C3. -a4 below W0101i g to the building dagrn spealied in Item C2 State the datum used. ff the datum is drfferent from the datum used for the BFE in Section B, convert the datum to that used for the BFE Show field meisuernents and datum conversion man. Use the space provided ache Camels area of Secticrh D a Section G, as appropriate, to document the datum conversion. Datum T Conversion/Comments _ Elevation mbwm mark used Does the elegy abon nelerenoe mak used appear on the FIRM? ❑ Yes ❑ No o a) Top of bottom floor (including baserne nt or enclosure) o b) Top of rod higher floor o c) Bottom of lowest hamontal structural member (V zones only) _• it(m) o c o d) Attached garage (bop of slab) — —it(m) E1 o e) Loh%l elevation of machinery and/or equipmeaht w g servidng the building (Describe in a Comments area) — ft(m) o f) Lowest adjacernt (fir shed grade (LAG) _. —it (m) Z P o g) Highest adjacent (finished) grade (HAG) _ !L(m) C o h) No. of perrmaneaht openings (flood vents) within 1 IL above adijacent grade _ o i) Total area of all pamanent openings (food vents) in C3.h sq. in. (sq. an) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this cartilicate represents my best efforts to interpret the data available. I understand that anv false statement may be punishable by fine or imadsonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Frank James Pursell LICENSE NUMBER 60924 TITLE RCE COMPANY NAME Jim Rne ll Engirming ADDRESS CITY STATE ZIP CODE 2360 Baldwin Ave. Oroville CA 95966 SIGNATURE DATE TELEPHONE cis 530,321.6118 FEMA Form 81-31, Jan4dA 2003 See reverse side for continuation. Replaces all previous editions t� IMPORTANT: In Mese spaces, copy the corresponding information from Section A For Irsura m Company Use: BUILDING STREET ADDRESS (Inckmhq Apt, Unit, Suite, ardor Bldg. No.) OR P.O. ROUTE AND BOX NO. Poli,y Num 5890 Lower Wynanclotte Rd. CITY STATE ZIP CODE Company NAIC Number Orwk CA 95966 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CE MIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUoompany, and (3) building owner. COMMENTS Dancing is in zone X on a hill above the flood zone and is in no danger of flooding. Building permit should be issued and no flood isuranoe staid be required. ❑ aleck here ifattachments SECTION E - WILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A fVVTDW BFEII Fa Zone A0 and Zane A (without BFE), complete Items E1 through E4. If the Elevation Catifcais is intended for use as supporting information fora LOMA a LOMR-F, Section C must be complaled. E1. Building Diagram Number 6 (Select the bwlding diagram most similar to the building for which this offs ficate is being completed — see pages 6 and 7. If no diagram aocurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floc (mciuding basement or enclosure) of the building Is Q 1L(m) Qin.(cm) ® above or ❑ below (dock ane) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6$ with wings (seepage 7), the need higherf oor or elevated floor (elevation b) of the building is 3t(m) _in.(crm) above the highest adaoent grade. Complete Items C3.h and C31 on front of form. E4. The top of the platformof machinery ardor equipment servicing the building is 2 fL(m) 4in.(crm) ® above or ❑ below (check one) the highest adaoent grade. (Use natural grade, fl available). F-5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in a000rdmoe with the oommunVs floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNWS REPRESE fATpM CERTIFICATION The property owner or ownds airlhorfwd rive who complales Sections A, B, C (Items C3.h and C3J only), and E for Zone A (without a FEMA4ssued orcm=mdy . issued BFE) orZone AO must sign here The data e t in Sections A, Q G &d E are cored to die best ofmy km0edge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME Jacob and Yogaragie Hancock ADDRESS CITY STATE ZIP CODE 5690 Lower Wyandotte Rd. Ort*lfe CA 95966 SIGNATURE DATE TELEPHONE 530.6324989 COMMENTS E j Check here if attadtments SECTION G - COMMUNf TY INFORMATION (OPTIMAL) • The bot official who is authorized by law or ordinance to administer to communVs floodplain management adinar>ce can complete Sections A, B, C (or E), and G of this Elevation Certificate. Cornplete the applicable ife<n(s) and sign below. G1. ❑ The information In Section C was taken from other doanrnentation that has been signed and embossed by a kerised surveyor, engineer, or architect who is authorized by state a local law to certify elevation lrim ation. (Indicate the source and date d the elevation dela in the Comments area below.) G2. ❑ A oo mmuntly official completed Section E for a building located in Zane A (wit oiA a FEMAA4ssued or cornmunity4aW BFE) or Zone A0. G3. ❑ The following infomnation (Itians G4-0) is provided for community floodplain management purposes. G7. This permit has been issued for ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-buitt lost floor (indklrng basement) of the building is: _ ft (m) Datum: G9. BFE or (in Zane AO) depth of flooding at the building site is: _ ft(m) Datum: _ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check bene iFadtachmenis FEMA Forth 81-31, January 2003 Replaces all previous editions . '�,...�•��, -Yic. •.r,$ �^zL:_ .6.�r�?..y 1a.<>-rr': ;,<Y.,i: rte. k,s to -+r_ e,'. - `?rv';!+ EA* USE ONLy, Fiat Man Aneched Rees Wen Anacleed Sant 1a G.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ILI( 4t-, 50,ca. 34 Owner Location AP# Plan Approved for: Sewage Disposayl Water Supply: Public Private Well Clearance for dwelling. Other I �.� 9 �] 4 ) �j,\��r ��(J r t Ynh )A Hold final for: Final clearance O.K. for: NOTE: ,j Environmental Health Specialist Date 8/96 '-1 10 co c << 'Par:' LI.I w p^ LI- rL- k N CV Vogue Series Model 7604B 4 Bedrooms - 2 Baths'- -2,288 Square Feet FAMILY ROOM 16-2'x 12'-10• MORNING AREA 10'-6•x n -o• I,/\> I I WALK-IN LLOSE juu BEDROOM BEDRMOO 13EDRl 1 1 WALK IN 1 CLOSET 1 ISLAND PANTRY FLANr SHELF LIVING ROOM is -2•x19'-6• uuv�uo I niiu9:i:i mvnl I■■■.\■■■sk ■.... .■■.■■.■■■ i■■■■tl f■1.1.11■11rIf•.�■ ■■■■..■ ■iln■.■.■■■.■..■i:■ ■.._■__�ININGVAREA ,I • . ....■. I■■ ::■1 ■% • ...... owl11, I,/\> I I WALK-IN LLOSE juu BEDROOM BEDRMOO 13EDRl 1 1 WALK IN 1 CLOSET 1 ISLAND PANTRY FLANr SHELF LIVING ROOM is -2•x19'-6• uuv�uo I niiu9:i:i O I■■■.\■■■sk In .■■.■■.■■■ i■■■■tl f■1.1.11■11rIf•.�■ ■■■■..■ ■iln■.■.■■■.■..■i:■ ,I • . ....■. . ...... j WALK-INWALK-IN I CLOSET 3V CLOSEr 0 hood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, In keeping with Fleetwood's policy of constant Ing and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and Is an approximate figure. Length Indicated in floorplans Is length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. VO/31/OCT04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP051412 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/07/2005 APN: 036-210-031-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 5890 LOWER WYANDOTTE ORO Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description:. NEW MH PERM FND(2288) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a HANCOCK, JAKOB AND YOGANAGIE permit to construct, alter, improve, demolish, or repair any structure, prior Owner: 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 2686 FORESTVIEW DR. 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 OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Cooe: The Contractors' State License Law does not apply to an owrer of property who builds or improves thereon, and who does Applicant: FLEETWOOD HOMES such work himself or herself or through his or her own employees, DORM LORD provided that such improvements are not intended or offered for sale. If however• the building or improvements are sold within one 2243 FEATHER RIVER BLVD. yea- of completion, the owner -builder will have the burden of OROVILLE, CA 95965 proving that he or she did not build or improve for the purpose of 530-532-3301 salE . ). • ❑ I, Es 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 Contractor: FLEETWOOD HOMES pursuant to the Contractors' State License Law.). O I an Exempt under Article 3 of the Business and Professions Code 2243 FEATHER RIVER BLVD. OROVILLE, CA 95965 ate: owner: 530-532-3301 WORKERS' COMPENSATION DECLARATION 1/, hereby affirm under penalty of perjury one of the following declarations: License #: 785185 ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Laior Code, for the performance of the work for which this permit is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and polic num er are: i Carrier: Policy #: Total Square Ft: 2288 S.F. , Valuation: $148,720.00 ❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to Census Code: 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 provisio�_ ol Date: � I Applicant: 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 This permit Is hereb ssued undo applicabl t>visions of the Butte County Code anrUor I hereby affirm that there is a construction lending agency for the Resolutions to d ork ind"cated ove for w h fees ve been paid. -7 performance of the work for which this permit is issued (Sec 3097 Civ.) �� Name: By. Date: � PERMIT EX RES ON: AddreEs: Date ❑ 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. d 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 relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represe taGves`o/f Butte County /two enter/upon the above mentioned properly for inspection puryo Print Mame' ?/t'I f" "rim -L Signature: Date: y O .❑ Owner ❑ Contractor /Agent for Owner ❑ Agent for Contractor tAl Pe r i me 'iV\q pe, u i re-CL 3 19'-6 1/2' 6 21'-9 1/2' �Y� ae>�r a LIUC4 TROM '-2, 5 5 s 4 4 i i 1 1 4� 4 1 MORN. AREA a ac Fo RALICE FAMILY ROOM n 115.4 SQ. FT. KITCHEN s s � 236.2 S0. FT. ' a 5 BATH 4 �4------ Q I 0 2 5 ; _ UTILITY a4 b 0 12 gl 10 t5 t 5 > \ I 5 yOTES. 5 4 3 PANIRY --� 2 5 s 1 1. 6rogeole NA m 4 4 -----aa ----------------- '---- BEDROO0 ® 03 V 1 DL I 131.2SO. FT. �T}j - --- r-7 7 _ E PIER 112* MAX. ;s`; I 6 DINING AREA LOADS E] TRIB PO5f wzl z e LBS LOAD N0. Rn �+ 0 COL60Im cff_; \ -_ Fl1W1 U EN 426.2 SO. FT. �1 0 0 \`1 5200 1 8 8'-7 1/4' 33 �. ,7, 7 LIVING ROOM �' 9200 2 e 15'-4 1/2' 8 ®7 6 ii BEDROOM 6 9 I I 3 8 7 286.2 S0. FT. 6 7800 813'-0 3/4 7 RAU 8800 814'-7 1/2' 7 .� 6700 5 A 11'-0' 33 0 `\, 0 0 A 3 I 1 3 \� 3wff 5500 6 B 9'-1' 33 1 BEDROOM-------- 90 �:Q `` 9400 7 c15'-91/4' 8 126.1 S0. FT.--------� 126.7 50. fT. /• •`\ i 10200 8 17-1' 8 8500 9 � 14-2 3/4' 7 ------------�----- B 4000 10 B C-6' 33 5'-3 1/Y 3 to'-8 1/2'- 17'-4' 16'-O'3 I � ING STANDARD 40. SIZE DESCRIPTION GLAZ VENT NO. SIZE DESCRIPTION GLAZ rj SEF aM OR Std LEGEW. ® 1Nt1 ot511tBm PAN! y� .0 WOODL"A1!D -)". SHT 1 3 z V. SLIDER 155 75 A ■ HOUSE — -- %= Q RMY AR 4410 T V7,,z a (�, m). OF 1 24a Y. SLIDER 4b jG Ic CORAGE 5.1 -- I1GNf FDfRii ; ; AR SUPPIr 1 ?{ti0'-0'-0' 6 62 ■ K SLIDER 213 7 440 K SLIDER 99 111afO6TAT v 1V/p"x DROP SA11'S LINE11RANN Bt; SHAUN REV 10W . 1 1 2 RMW a7. nawlsT a crs FAN v 5lfARM�t1 HIGHLAND PARK31' iµ , KBIDER 32J S1101o: wa i7 511F1 W POST 1M�E: 4/24/0276048 ��18 : s3 V. SIIDQt 139 18 -0 11 6 -6 S.G.D. SAFELY 32S 16 2 ® 9i0� MAisl ( RAW Ii11I01 G�IE SOLE: 3 16' = I' 0' .r. q F/R OPTION 11 •/wr vi F/R OPTION I2 5 �2 n s 8 EA t ow ON LMSCE 0 ROM ED8 ROO 6 g ' 3 B 8 -6 271.3 S0. FF. s s ■ /H tp! i 1 4 I 0 0 ��� 0 -� 9 i i9 ----------- 3 _ utiun BEDROOor9� jd 6EQRQ0M 2 s o M 9r -T - 111.0 S0. Ff. .AB 111.2 SO. FF. 11 s t5�i� g RETREAT _2 78.8 SO. FF. I A— 5 I --- s a -- ---- --- 3 t77 1—s-0/2' 3 t ss1/1• t 16-0' -2• OPT 112 BATH -0• r-1,• OPT 2nd G/BATH OPT MBR RETREAT VO. SIZE DESCRIPTION GLAZ VENT NO. SIZE DESCRIPTION GLAZ VENTd m ® SEE ELM OR SPECS SE111CH LIGK FOOurt� ltUNOSru OF" a CEI. FAN &W X am mm "" LEGEND-_ ® WM osffz LION PAK 0 SUPPLY M Mi/M (4,10 Trp) •, NR suPPir V W/MME DROP v SH MALL b SUPIM FOS, RSG mm m aauE RN's avroanerscr, tic TmE: WOODLAND - 31 FLOOR PIAN lr-4•,so-0•®ts-4••ptr�•,so-o• SHT 1 OF 1 1 : V. SLIDER ,t a S7 e . HOUSE — -- 3 . V. SLIDER is 7S _ lK �8 S40 UNE ora 9(.- SHAUN HIGHLAND PARK 7604B REV 9 z ■ 10 SLIDER 1.0 3, 94 : K SLIDER 323 ta4 WE WE/ 3 SCALE: 3/16* = 1'-0• DRAIN PLUMBING SYSTEM OPT 2nd G/BATH CCM OPooft SHIP IDOL H TUB _ PPE AMD avers FTM"M C fm DURA -w- LMMlrn T+g1A "aMLMI LFOfIO W.C. 3/4- PIPE 1-1/2' PIPING T 3 WAY ELL C V + }- SAH TEE r 45' Y -BRANCH W/H WSHR El" OR L C H H C SHWR DIREcnoNAL CKga NOT RUN H C OPT CI H� SINK HI iC INLET ' SINK H C i C I H' am I LAV /�/pjy^p} I ``` \�1^.K �y la's ` .�Ic . I COIn RUN ��lT or �{ %APF1n am .vf ./CPT DA W.C. TUB C I uV Cl lu "I IC DRAIN PLUMBING SYSTEM OPT 2nd G/BATH CCM OPooft SHIP IDOL _ PPE AMD avers FTM"M fm DURA -w- LMMlrn T+g1A "aMLMI LFOfIO 3' C p• ppm � 45' LT M 3/4- PIPE 1-1/2' PIPING T 3 WAY ELL 1/2- PPE + }- SAH TEE r 45' Y -BRANCH TEE Q AUTO VENT L ELT El" OR L DIREcnoNAL CKga Y TUB C Cl IV Of WATER PLUMBING SYSTEM NOME 1. OPAMIG SHM STA4M PPE 00FIAU01M ONLY. G6 PLUMBING U M 1. r"IC 3/4- PIPING 1/2- PIPING TEE L EUM DRY 22 ER 11BTUH FURN 95 MBTUH 15 /� OPT GAS PLUMBING SYSTEM SYSTEM COMPLIANCE WITH FEDERAL MOBILE HOME STANDARDS IS PROVIDED BY: 1. CERTIFIED TEST NO. T-1 FOR 1/2' FURN UNE 2.; TABLE SECTION 280.705 (D), 70' COLUMN FOR REMAINDER OF SYSTEM TML- WOODLAND - 31 THT 1 PLUMBING Or 1 LSE IAM B. SHAUN HIGHLAND PARK REV DATE 3/1/oz 76048 l `4 Exterior • Fiber cement siding built to resist weather damage • 2" x 6" exterior wall construction provides a sturdy frame • Transverse floors with 2" x 6" floor joists for better support - • Class A" fire -rated, dimensional shingle roof for long-lasting, low maintenance performance - Vented roof cavity allows hot air and condensation to exhaust for improved energy efficiency • Inswing front entry door with deadbolt, for your family's safety • Inswing rear door with deadbolt and window add natural light • Low -E coated dual paned vinyl framed windows for better energy efficiency Porch lights at front and rear entries for your safety Interior • %" drywall tape and texture in all areas (including closets) adds style to your interior • Rounded sheet rock comers in living areas soften your decor • -Standard 25 oz.•carpet in all living and bedroom "areas for high performance and low maintenance - 100% nylon to prevent fuzzing and shedding - Multi -colored dye technique minimizes tracking and spotting - Treated with StainTech- for easy cleaning • Glass'ceiling fixtures brighten your home's interior • Vaulted ceiling throughout provides an open look and feel • ,White lined overhead cabinets for easy maintenance r Solid wood cabinets add quality and natural beauty to your kitchen and bathrooms • Metal mini -blinds for your privacy • Hollow core closet doors are durable and provide convenient access • Waterfall style door trim throughout t • Upgraded rebond carpet pad extends the life of your carpet _ Baths • Easy -care laminate countertop with hand laid, 4" ceramic tile backsplash provides attractive color accent • Guest bath has a one-piece 60" fiberglass tub/shower comfortable molded design and easy maintenance • Ceiling exhaust fan provides extra ventilation in each bath • Bank of three drawers in the master bath for handy storage • Extra large vanity mirrors with Hollywood lights in both bathrooms provide an expansive viewing area • Single lever faucet is simple to maneuver and' service Kitchen • Whiripool® appliances provide confidence and hassle -free service - Smooth top electric range - Dishwasher - 19.8 cu. ft side-by-side refrigerator with water and ice • Adjustable kitchen overhead cabinet shelves create storage flexibility • Drawers over cabinet doors for extra convenient storage in the kitchen area • Deep stainless steel sink and single lever faucet with sprayer are handy when preparing meals • Congoleum® no -wax, vinyl flooring for easy care • Elegant crown molding provides a finishing touch to overhead cabinets • Choice selection of 4" ceramic tile backsplash provides attractive color accent • Tile self -edge provides a finished look • Recessed can lights are spaced to provide even lighting Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's polity of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The lengthof the hitch is not included. (Add four feet to arrive at transportable length.) Ask. your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. O02003. Fleetwood Enterprises, Inc. ..; Utility, Safety and Energy Features • Shut-off valves at all plumbing fixtures for your convenience • Overhead utility shelf for added storage space • Super Good Cents insulation package saves on energy bills and makes your home more comfortable 50 gallon electric water heater is efficient and requires low maintenance • Coleman® electric furnace provides name brand confidence and hassle -free service • Plumb/wire for washer and dryer provides convenient hook up Optional Features • Garbage disposal for quick and easy kitchen clean-up • Skylights of various sizes brighten any room • Refrigerator and range upgrades meet your culinary needs • Deluxe carpet selections for increased performance and beauty • Ceiling fan circulates air for a 'spring breeze" feeling all year long • Overhead utility cabinets expand your storage space • Recessed fluorescent lights give your kitchen a contemporary look • Sliding glass exterior door welcomes more natural light into your home • California gas package includes: 40 gallon gas water heater, gas range and gas furnace • Recessed medicine cabinet provides convenient storage space in each bath c �c'FLEETWO�D� FLEETWOOD HOMES of WASHINGTON, INC. a subsidiary of Fleetwood Enterprises, Inc. 211 5th Street Woodland, WA 98674 (360) 225-9461 VO/31/OCT04 k � � Vogue Series Model 7604B 4 Bedrooms \ 2 Baths • 2,288 Square Feet - F01-01 1..�, ®.........MIN . -'--' -----jC:::::C:: Mons■■ I:■■:::N■■m■Gn■m////■///■L4■V■■■■■//■/■ ■//■■/■■/■a/■//■■/■/■■/■ . u■■oFAMILYR�Mn■MMM■u►\■M}����.M■ �. ■■■■u ■■MMM■■■MMM\�■ ■■ /I BEDROOM 101-21 x 1z -1o^ BEDROOM 1a -2•x 1r -1o° u ■■inoommoommoo KMEN no s iii■ , so uuw I■Mn■■11 •REAan MEN MMMMMP;d ■ BEDROOM u■uuu�-- �i ■ u■■■M ■■/■M■M■■■M■■■■■■■■■i ■■■r ■mammon SUSSSIMMOSSUMMEMEM ........■.......■■■■i MN■M■ ■on onsoon NONE DININO AREA 91-4"X is' -2' LIKNO ROOM 15'-2° x W -B• MASTER BEDROOM 15'-6' X 19-B' , WALK-IN m -I�i Il I `S/ -------- ------- -------- Fleetwood ------! Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. VO/31/OCT04 y j =17 BEDROOM 1 1 WALK -04 CL05Er LIKNO ROOM 15'-2° x W -B• MASTER BEDROOM 15'-6' X 19-B' , WALK-IN m -I�i Il I `S/ -------- ------- -------- Fleetwood ------! Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. VO/31/OCT04 g a CD N m 110 cn r 00 33 I A DELRo- f i %, YGG SEL CFLOi 16TH F V33AIIsrNIaUO smalli'1H uo NoislA€aans IVOW HUM Ald WOO ION AVPl S133NVd WAoHS vivo 3H1 d0 Aavavw"v 3H1 a0a o3Wnssv sl A MOVIl ON'AINO 93SOdUnd 3aiV311313U U0J 03sn 3o oZnOHS dbNi sim S 1/2 OF SEC 28 T i m R.4E M.D.B.&M. cfwmamcm n `L70J 14 VISTA MEAOQWS #1 VISTA MEADONS •2 a m iAc -NSM RANCH f46 ---- -- — f O 36 122 Mc 1 O 21.2atc cam SLB. oWM SAN W AM 70/,1 8-5-82 LM 1/4 wm ca 61nwo SUP An J e5 KQR, 8-2091 VXU Oil COM SUB IOD 2 66 A1Q-R 71/74 3-2-79 MTA OIEL CflW 1d6T W. i 38 N-ak 38/11 6-22-77 W" KRW A10A: "I U4P W 12 zo »� .TQ,74Ac 2 O 88T/c O ro A ' co 36-21 r", 0 0 v, i V —4W -n b x Ch w 0 co CD CD CD cn w 7Ar H ,( C3 m r l� { 31 38 � 1 z a H 1¢a5d1 z q � A r 3197Ac ` �j 1 r m •- 28127 - :1/q aOY 26 33 34 Butte county assessors Atop Book Page UOS IS NGT A SUAVFf JX 21 THIS 1S A COPY CF THE COUNTY ASSESSOR'S ED SOLELY TO AID IN � mm � am � a* oe my „a �, . ,,,� a NAR 15 200 PLAT h� P HED 'eS 114 RESPECT TO ROADS AND LOCATING C s, c>e w a+ sem-` er oa �kmfn oN 2-fg 8mt OTHER PARCELS- FIOtUTY NATIOaA1-nOSS FOR ANY -m I� aer ,s ASSUASES NO LIABILITY OF RELIANCE arm OCCURRING BTHEREON • ,o o ._. N 0 O CA) COUNTY OF BUTTE= DEPARTMENT OF DEVELOPMENT SERVICES ='BUILDING DIVISION" 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-751! PERMIT NO. APPLICATION AND PERMIT �� 74'" D,�'S 4-, ASSESSOR PARCEL NUMBER " 036.-210-032 ZONING, R1 BUILDING PERMIT 3 OWNER LAS ILUi't S DEVELOPERS)` T° :)Z -W7 SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5280 L. WYANDO'M OROVILLE, 95966 CONTRACTOR'S NAME.-�,n Yi'ILlC TELEPHONE di CONTRACTOR'S MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT CR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 5890 L. WYANDOM PERMITFEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑,7 Duplex ❑ Mobilehome ❑ Other - SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 15•00 Building sewer 15.00 TYPE OF WORK V New , ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other i] Describe Work: REPLACE GAS WATER HEATER Mobile Home ISI GI W @20.00 PERMITFEE g 50,00 Contractor ELECTRICAL PERMIT Filing Fee 20:00 '000VA OR LESS Main Service ( 200OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 1 hereby affirm, under penalty of perjury that I am exempt from the Contractors License Law for the following reason: t3,f 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 NEW CONST. DWELLING OCCUP. S0. OR ( 8 ACC. BEDS. ) 3.50T. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) zL p 1.00 BA.00 Ex. Occup. (OFIXETS(RES D.) E0.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number IThe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 61' 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,thpse provisions. X ,� Date -- Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 50.00 HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been/paid. in f B V,7/f� y &,J/Date . PERMITEXPIRESON 3A71!J �C'7 (Date) ReceiptNo. 194675 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 '036 -210 -,O -Z-; 3..T. PERMIT#96-0586 LAS PLUMAS DEVELOPERS 5896 Lower Wyaridotte;'Oroville replace Gas Wtr Htr/SF: 3P i 4 N • '4 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER /`; ZONING BUILOING.PERMIT OWNER jC..,?/�o, 4y TE�^E.... SO. FT. OCC. BUILDING VALUATION OWNER'S MAILNO ADDRESS' w!,{,�iq.r!�^, r� ••C+ CONTRACTOR'S NAME. TELEPHONE�,�r CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 7:00 _._.... LOT NO.SUBDIVISION'S NAME PARCEL MAP Solar or heatpumpwater heater 23.00 USEOFSTRUCTURE M/ SF d• Duplex ❑ Mobilehome ❑ Other • SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 , e_sv Gas piping system 1 - 5 outlets 15.00 � Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ �Insta'llation ❑ Other Describe Work:ti- �. Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT, Filina Fee 20:00 Main ServiceOOOV OR LESS 200A OR LESS ) 23.00 F Main Service ( 200A TO 1000A ) 46.00 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 yin full force and effect. , License Class 6' ' Lic. Na OWNER -BUILDER DECLARATION 1 herebyaffirm under penalty of er u That I am exempt from the Contractors License p ty p j ry p Law for the following reason: �\ e ❑ I, as owner of the prop �rty r•m�! employe�s�th wages astheir sole compensation, will do the work, and �h strucure is not in -tended or offered for sale. ❑ 1, as owner of the property -&m exclusioly ontracting with licensed contractors toico'hstruel_the project. ❑ 1 am exe'm�t under Sec. 8usiriess an`d-Professions Code for this reason j NEW CONST. DWELLING OCCUP. \ s0. OR ADDNS. ( 8. ACC. BUDS. / 3.50 FT. NEW CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( & POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) BA� ®':so Ex. Occup. (OFIXED UTLETS (RES SORA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ ' CoRtr'acPo WORKERS 01CY P�NSATION DECLARATION I hereby affirm under penalty rj�r .ojne of the following declarations: ❑ 1 have and will maintain a certiffcate df consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the perforrnAQce of the work4or 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'' compensationjnsurance carrier -and policy number are: Carrier .0,7 -/tit Z hl MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation _ PERMITFEE $ Contractor Policy Number k7he above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) l0 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 wifh,those provisions. % -" r �' t t f -% X ���j G.��—�' . ��=_ Date '�'—� � ---- Signature 'ofApplicant- Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ ._ ;� rS / , "L�e"' HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE tf 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. ,,I . By {}^ i i ;� r f r Dote Jr [ % • i PERMITEXPIRESON (Date) ReceiptNo. )1 WHITE-D.D.S.-R.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' ►A97 �.ON 036-210-033 ; PERMIT#97-0679 LAS PLUMAS DEV. I 5890 Lower Wyandotte, Oroville Replace Wtr Htr/SF+ 4 G� RECORDING RE(eTJESTED.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 But i CAME J. GRUBBS I County Clerk-Recorderl I I WAN @3 -Feb -2N6 I REC FEE 10.00 CONFORMED COPY 1.00 JC Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY P` 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. JACOB AND YOGANAGIE HANCOCK REAL PROPERTY OWNER/LESSOR 5900 LOWER WYANDOTTE AVENUE MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME 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 05-1412 (530) 538-7541 BUILD G PERMIT N0. TELEPHONE NUMBER �I 1 4.�—®� SIGNATURE OF LOCAL A- E CY OFFICIAL DATE FLEETWOOD TAIL DEALER NAME (if not a dealer sale, write "NONE") 1061581 DEALER LICENSE NO. FLEETWOOD HOMES 2003 HIGHLAND PARK MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER WAFL331'A/B/C18360-HP13 60 X 39'11 WAS0093167/203%4 SERIAL NUMBER(S) . LENGTH X WIDTH _ INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 078-110-031 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. r. " n—mment Recorded 17442 -CC 'aS58-0958-0001-0000107442. 1 7442 -BEE EXHIBIT "A,. .E LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED --AUFORNIA, AND IS DESCRIBED AS FOLLOWS: AREA, COUNTY OF BUTTE, STATE OF Lot 3 as shown on that certain Map entitled, "Copra Subdivision", which Map was filed in County of Butte, State of California, on August 5, 1992 in Book 85 of Maps, at Pages 70the Office of the Recorder of the 9 and 71. Certificate of Correction on the above Map was recorded November 30, 1983 in Book 2888, Page 81 Official fficial Records. RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 NOTICE OF MANUFACTURED HOME (MOBILEHOME OR COMMERCIAL .COACH, INSTALLATION ON A FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR IN THE REAL PROPERTY OWNERS NAME, INSTALLATION MAILING ADDRESS, DATE OF MANUFACTURE, INSIGNbVLABEL NUMBER, ON THE NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM RECORDED ON FEBRUARY 3, 2006 UNDER SERIAL NUMBER 2005-0005747. THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 ' f� COPY .of Document Recorded, 3 -Feb -2006 2006-0005747 Has not been compared faith original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JACOB AND YOGANAGIE HANCOCK REAL PROPERTY OWNER/LESSOR 5900 LOWER WYANDOTTE AVENUE MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY - COUNTY STATE ZIP 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 05-1412 (530) 538-7541 BUILDrG PERMIT NO. TELEPHONE NUMBER S J J SIGf,lATURE OF LOCAL AiE CY OFFICIAL DATE FLEETN I ZETAIL' DEALER NAME (if not a dealer sale, write "NONE") 1061581 DEALER LICENSE NO. UNIT DESCRIPTION FLEETWOOD HOMES=2000 `�-� HIGHLAND PARK MANUFACTURER'S NAME DATE OF MANUFACTURE - MODEL NAMEINUMBER WAFL331A/B/C18360-HP13 6o x 39'11 /'�,, WAS0093167/203/4 1, SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 070110-031 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. .,+ n-mimens. Recorded ). 1 ,7442 -CC ! 4T0958-0958-0001-0000107442 .07442 -BEE EXHIBIT It 1E LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED -ALIFORNIA, AND IS DESCRIBED AS FOLLOWS: AREA, COUNTY OF BUTTE, SATE OF Lot 3 as shown on that certain Map entitled, "Cop County of Buttep ra Subdivision", which Ma was filed in the Office of the Recorder of the9 Pages , State of California, on August 5, 1992 in Book 85 of Maps, at Pa 70 and 71. Certificate of Correction on the above Map. was recorded November 30, 1983 in Book 2888, Page 81 9 , Offiaal Records. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2005-0048126 Recorded I Official Records I County of I Butte I CANDACE J. GRUBBS I County Clerk-Recorderl I I 09.04A+1 15 -Aug -2005 I EC FEE 10.00 CO,dFORNED COPY 1.00 LY Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, a , / INSTALLATION ON A FOUNDATION SYSTEM V 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. JACOB HANCOCK REAL PROPERTY OWNEWLESSOR ' 5890 LOWER WYANDOTTE AVENUE MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME 'INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME 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 054412 530 538-7541 BUILDING E ITNO. TELEPHONE NU BER SIGNAT F OCAL GENCY OFFICIAL DAT FLEE W OD RETAIL DEALER NAM. (if not a dealer sale, write "NONE") 1061581 DEALER LICENSE NO. FLEETWOOD HOMES 2004 HIGHLAND PARK MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER WAFL331A/B/C18360-HP13 , 401X 60 WAS0093203/4 167 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ' ASSESSOR'S PARCEL NUMBER 036-210-031 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. .r Escrow No.: 05 -107442 -CC Locate No., CAFNT0958-0958-01•i01-00d@1074;42 Title No.: 05 -107442 -BEE EXHIBIT ..A„ THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: Lot 3 as shown on that certain Map entitled, "Copra Subdivision", which Map was filed in the Office of the Recorder of the County of Butte, State of California, on August 5, 1992 in Book 85 of Maps, at Pages 70 and 71. Certificate of Correction on the above Map was recorded November 30, 1983 in Book 2888, Page 81, Official Records. BUILDING PERMITS NUMBER: 05-1412 Address or location of unit: 5890 LOWER WYANDOTTE AVENUE, OROVILLE Legal Description of Real Property: 036-210-031 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: JACOB AND YOGANANGIE HANCOCK Owner's address: 5890 LOWER WYANDOTTE AVENUE, OROVILLE INSIGNIA OR HUD NUMBER: WAS0093167 & WAS0093203/4 SERIAL NUMBER OR V.I.N.: WAFL331A/B/C18360-HP13 MANUFACTURER'S NAME: FLEETWOOD HOMES YEAR: 2003 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE: COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JACOB AND YOGANAGIE HANCOCK REAL PROPERTY OWNER/LESSOR 5890 LOWER WYANDOTTE AVENUE MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME 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 65-1412 (530) 538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE FLEETWOOD RETAIL DEALER NAME (if not a dealer sale, write "NONE") 1061581 DEALER LICENSE NO. FLEETWOOD HOMES 2004 HIGHLAND PARK MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER WAFL33 1A/B/C1 8360-HP13 60 x 39'11 WAS0093167/203/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 078-110-031 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD - PINK - Applicant GOLDENROD- Building Dept. •• BUSINESS. TRANSPORTATIAN•AN04OU51NGAGENCY DEPARTMENT OF MOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS • l"�'• / S 3 MANUFACTURED MOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN ❑ THIS CHECK IF IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED IIOMF OR MUI.TI-UNIT MANUFACTURED MOUSING r -*XX NUMBER OF 3 LJ ❑ TRANSPORTABLE SECTIONS SFD (SINGLE FAMILY DWELLING) MUMH (MULTI -UNIT MANUFACTURED HOUSING COMMERCIAL COACH; OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: FLEETWOOD HOMES OF WASHINGTON, INC. 0031 MFI082465 MANUFACTUREIi AOORESS: SUGGESTED RETAIL PRICE: 211 5TH STREET WOODLAND, WA 98674 (Street? Ci (State) (Zip) MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE; HIGHLAND PARK 7604E 2004 10/03/2003 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO); CALIF. DEALER NUMBER OR DATE OF TRANSFER: FLEETWOOD RETAIL CORPORATION OF CALIFORNIA TRANSFEREE DESIGNATION: DBA: FLEETWOOD HOMES OF OROVILLE 1061581 10/03/2003 DEALER OR TRANSFEREE ADDRESS: 2243 FEATHER RIVER OROVILLE CA 95965 (Street) (CI) (State) (Zip) INVENTORY CREDITOR NAME: FLEETWOOD RETAIL CORP INVJWN CPEjlTlf ADESS_ MSO DESK 2150 WEST 18TH STSIOTTE 300 HOUSTON TX 77008 (Strool) (City) IStete) Zip SECTION MANUFACTURER SERIAL NUMDER NICD INSIGNIA OR HUD LABEL NUMBER LENGTH WIOT14 WEIGHT tGi (INCHES) (INCHES) (POUNDS) 1 WAFL331A18360-HP13 WAS0093167 720 160 26,950 2 WAFL331SIS360-HP13 WAS0093203 720 160 25,500 3 WAFL331CIS360-Hs13 WAS0093204 720 160. 27,600 U0 �3 3 TRANSPORTER NAME: , WESTSTAR SYSTEMS, IN TRAN6PORTER ADDRESS: IShaej) Clty) State , Mel DESTINATION FOR UNIT DESCRIBED ABOVE: (NAME) 9reo1 (Cityl (Stela Zi I comfy ondor penally of perjury under the law- of the State of Cellfornla that tho above rade are UUe and eorroet. 10/03/2003 WOODLAND COWLITZ WA EYPcu{edon at (Dere) /1 / ( � ICounly) (Slelo) SIGNATURE OF AUTHORIZED AGENT' ' "" " I'` r 1 I Nt L� DISTRImsiTION; ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR. UNLESS THERE IS NONE, TIICN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE) COPY I (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1826, SACRAMENTO, CA 95812.1628. WnYHIN FIVE (5) DAYS Of RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER, HCD 463.0 . Side I , (7/97) Z00/ZOOfpj Aim 3, iau JI'IN3 31IIAOHO X003HA 60CC ZCS 0CS-'XV3; ZC:OT NJ SO/ZT/80 RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 NOTICE OF MANUFACTURED HOME (MOBILEHOME OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM THE -ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR IN THE INSTALLATION MAILING ADDRESS, DATE OF MANUFACTURE, INSIGNIA/LABEL NUMBER, OWNER'S NAMES ON THE NOTICE OF MANUFACTURED HOME IMOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEMRECORDED ON AUGUST 15, 2005 UNDER SERIAL NUMBER 2005-0048126 THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. I BUILDING PERMITS NUMBER: 05-1412 Address or location of unit: -90 LOWER WYANDOTTE AVENUE, OROVILLE Legal Description of Real Property: 036-210-031 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: JACOB HANCOCK Owner's address: 5900 LOWER WYANDOTTE AVENUE, OROVILLE INSIGNIA OR -HUD NUMBER: WAS0093167 & WAS0093203/4 SERIAL NUMBER OR V.I.N.: WAFL331A/B/C18360-HP13 MANUFACTURER'S NAME: FLEETWOOD HOMES YEAR: 2003 OFFICIAL APPROVING INSTALLATION: 4(V 1 ri t76 t1ll O\ DATE: O C) PHONE: (530) 538-7541 H.C.D. 513C 07/07/2CO5 11:53 FAX 530 899 9531 RECORDING REQUESTED BY: Fidelity Natlonal Title Company of Cagfornia E&C ow No.: 051074x2 -cc Locate Ko.c 1-0000107442 TWO No,: 05-1074/2-ee6 When Reaorded Mal! Document and Tau StaternentTo: Mr, and Mrs. Jacob J. Hancock 2686 Forestview Drive Oravllle, CA 95966 FIDELITY NATIONAL TITLE/6002/003 2003-0029603 lbeardld I KC FEE 10.N officialCount ` TAX 55.10 delle I OI ffillm L GNMA I County ClerM-Recorder I NZ 091flfl M tri -Nay -M 1 Pole 1 of 2 III NI Ib I IIIA I Nl 111 11 l 1l l IIIn APN• 036-210-031 SPAa ADM -MIS LINE FM REMROER5 lht GRANT DEED 17, The undersignad gmrftS(s) dadsre(s) DoChwmenfary !randier fmu Is $56.00 [ X ] computed on full value of property conveyed, or I computed on full value less value of gens or encumbrances remalning at time of sale, Unincorporated Area City of Orovlile, FOR A VALUABLE CONSIDERATION, reodpt of which Is herebY 9duwvrtedge4 Irene Hendry Pratt, surviving Trustee of the Pratt Family Trust, a Trust hereby GRANT(S) to Jamb J. Hancock and Yoganagie Nanaock, husband and wife as joint tenants the hollowing described real property In the Cloy tit roalflq, County of Butte, State of Calibmla: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF DATED: May 15, 2005 STATE OF CALIFORNIA COUNTY OF ON E•� Ito, -Z.00.5' before me, Public Ny aPpmw personally known to me (or proved to me an the basis of satisfactory evidence) to be the person($) whose name(s) is/are subscribed to the within instrunivht and aanowledged to me that he/she/they executed the Sarna in hlsiher/their authorized capacity(les), and that by histher/their signature(s) an the Instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my handoffid Signature 1 f. T Irene Hendry Pratt, Surviving Trustee of the Pratt Family Trust Irene Hendry Pratt, Trustee Ndw PLO"- �a 200 HM TAX STATHMENTS AS 01REM0 ABOVE GRANT DEED Description: Butta,= Do==ent-Year.DoazD 2005.29609 Page: 1 of 2 order: Molly Cogent: 07/07/05 THU 11:53 (TX/R% NO 83971 0 002 07/07/2005 11:54 FAX 530 899 9531 FIDELITY NATIONAL TITLE 1a003/003 r EMew No.: 05.107"2{C Locate Na: CAFNT09MOSS-0001-0000107442 TIS! No.$ 05-1074424 EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUN7Y OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: Lot 3 as shown on that certain Map enUded, "Copra SubdMslon ; which Map was filed in the Office of the Recorder of the County of Butbe, State of Cefiromia, on August S, 1992 in Book i6of Maps, at Pages 70 and 71. Certificate of Correction on the above Map was recorded November 30, 1983 in Book 2888, Page 81, Official Records. DesCZi tion: Butto,CA Dvcurmont-roar.DocID 2005.29603 Papa: 2 of 2 Ordar:'Molly Concent: 07/07/05 THU 11:53 [TX/RX NO 83971 a003 PERMIT NO. 4725-75B r P E M MH UTIL. PERMIT NO. i PERMIT EXPIRES OWNER Harrison R. Baker, Jr. ,t CONTR. owner .1 '36-21-21 LOCATION (A.P. ) i .e V, 5890 Lower Wyandotte Rd., Oroville 4 1 W . 4 ' _ F Temp. Power P e Called P E /eErv. E v. E e (Signa ure) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback. Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing - Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab. Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE 2-9- 76 REMARKS OR CORRECTIONS J COUNTY OF BUTTE —1 DEPjIRTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner 7 X SQ. FT. OCC. BUILDING VALUATION Mailing Address �— O Telephone No. 33� Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address �—�9� PLUMBING No. @ FEE 'PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ���- �'��Zo Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F SaaLtalkon Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Ug.-R�amsi2"ec'd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 d Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b 1�2 Receps., switches & fix outlets 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring yr R] I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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 $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -mens oned property for W' ecti purposes. X Date Al7 natur of Permitee or Agent Ricipt White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit.is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Of) PUBLIC WORKS ��(?- "� By - Date ? B tiding permit expires Date F c 36-21-32 F PRATT 5 r a Q 113 5890 Lower Wyandotte, Orovil e Permit#842-88B,E(repair fire damage/SF) 36-21-32 Permit#1766-89E(add elec meteF/shT/hn-�L .� y'ita: j 1 'a;tl: '� �;,�,. �:'hh.`'" +t•Ai .ny... e,t tia dtti�ah N' -S �� w.. 'L,.- �.--+.r`i�l���-3.2��F 4::+°«�`W✓t 1�.F. Yom.,.( 1f4 i. �1. ^ ~ . PD007 COUNTY OF BUTTE PROPERTY SYSTEM ASSESSOR INQUIRY O4/28/92 9:37:55.7 FEE PARCEL PARCEL: 036 210 032 000 STATUS: A 00/00/00 CREATED: 85R0369800 00/00/00 SEC TRA: 092055 KILLED: DESC: 5890 LOWER WYANDOTTE RD ZONING: R1 00 ' ASSMT: 036 210 032 000 STATUS: A 00/00/00 CREATED: 85R0369800 00/00/00 TRA: 092055 TAX CD: 000 BASE: 00/00 KILLED: CUR DOC: 91R09050 03/08/91 DESC: 5890 LOWER WYANDOTTE RD DODGE CHUN MEI ROLL ASSESSEE: N RETAINED OWNER: Y P O BOX 187 ACRES: 33.99 ELK GROVE CA 95759 ET AL OWNERS: N SUPL CNT: 2 COMMENT: 3621003200 CONVERTED 09/08/88 SITUS: 5890 LOWER WYANDOTTE RD ORO OPTION: NXT OWN PCL SIT EXP TAX PRE RET SC2 ATT HON APR MEN HLP PHY PBU501 COUNTY OF BUTTE 04/28/92 PROPERTY SYSTEM 9:38:30.5 ' PHYSICAL CHARACTERISTICS INQUIRY ASSMT: 036 210 032 000 OWNER: DODGE CHUN MEI DESC: 5890 LOWER WYANDOTTE RD COMMENT: 3621003200 CONVERTED 09/08/88 CODE AREA: 092�'055 USE CODE: RV DWELLING: 0000 ACRES: 33.99 ZONING CONFOR�ITY: EFFECTIVE YR: USE CONFORMITY: YEAR BUILT: 00 BUILDING CLASS: SQUARE FOOTAGE: 0 NUMBER OF BEDROOMS: 0 NUMBER OF BATHS: 0.0 LAND TYPE: GARAGE: N POOL: N FIREPLACE: HEATING: COOLING: = = = = = = = = = = = = = = = = = = = = = = = = = = PAI NEXT PA2 PREVIOUS PF7 RETURN pT � \ -J� RATIVE OFF4� E J F BUTTE _ ITER DRIVE INIA 95965-3380 i) 538-7631 38-7120 MEMBERS OF THE BOARD: HASKEL A. McINTURF JANE DOLAN KEVIN CAMPBELL ED MCLAUGHLIN LEN FULTON 2�c IM Im /0 Zo 'Axc 3 V L 4 ",'FPoNA -4V,I- L' V!:-'- CEPRO �'u6 3F j:!NE 577 ✓f 74 IEL 6 6 0 1� 7! '74 2 '-4,:,&(C H '9 /-9 . c -'E N T -E P OF SEC. 1402.58 4 242 ACr. - IIA qg ?`-0- 3? 2 0., 2 IL 'o .3_ �c j 2 6'; 3 .74 tz. /Ic" C. 4 1.3 3 3. 99 Cel PRA SU89VISI 0 N 23C:: 1 322.42 7.75 AC, 7 --I X 39 31, visT,A DEL CERRO Sj� .8 NO. 1 ;711 46 354 15 :4 4 873 .1 32 m.: nf. PC] PI AA 44 14) 31 6 0 2 -4 -.6-r L 28 CAMqLA T 58 -j 3.V!4 21 I 1,22* 24. z 3013 - ' 23 5"�s 2r 35 1�41 L;;4,v. i - 57 % L A 16 Q L U3. 31 46 %0 54 Jr 28 !n, 44 AC! 2�c IM Im /0 Zo 'Axc 3 V L 4 ",'FPoNA -4V,I- L' V!:-'- CEPRO �'u6 3F j:!NE 577 ✓f 74 IEL 6 6 0 1� 7! '74 2 '-4,:,&(C H '9 /-9 . c -'E N T -E P OF SEC. 1402.58 4 242 ACr. - IIA qg ?`-0- 3? 2 0., 2 IL 'o .3_ �c j 2 6'; 3 .74 tz. /Ic" C. 4 1.3 3 3. 99 Cel PRA SU89VISI 0 N 23C:: 1 322.42 7.75 AC, 7 --I X I ELM s9. , AVE - 630 � 29128, 6c 32'3 3 `--' _., . ci 9.51 A C 9. '56 C �r^� i• _ 2043•"0 R•QAG - .. 215*. o, G : 20 46751 259 ___ OpHIR '� `� 1 o� 2.6 :'c o _ 50 (64� Rp I Y r8, ='y ;E8.27 -o2.98 462.01 241. 5 1�1 _ 6a, 41 Ac —A -- 66 Q.05::C I 9.EdaC 642.46 _.._ avE. %' .47" 7:2-77-1 WHEELER US 7R.4 ADD. T6 SUP 8 IN �� ' ,SCE 'i: �- .- ( .,�� :•�t:.''.. 58E .3.2 AC Of COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: z , Post-It"routing request pad 7664 OUTING - REQUEST r Please ❑ READ To ❑ HANDLE ❑ APPROVE and ❑ FORWARD ❑ RETURN S ' ` ❑ KEEP OR DISCARD ❑ REVIEW WITH ME Date From I�t�"� COMPLA_ZNANT : ADDRESS: PHONE NUMBER: CAUTION REASON: ZONING HISTORY: - OTHER COMMENTS: Butte County Departrnent ofDevelopnent Services ADMINISTRATION * BUILDING * GIS *PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538-2140 Facsimile August 6, 2003 Dunnigan Country Estates Inc. 1523 El Camino Drive Clayton, CA 94517 RE: Formal Warning Notice Butte County Code Violation Address 5890 Lower Wyandotte Road, Oroville, CA AP#036-210=033 Dear Dunnigan Country Estates Inc: Through our courtesy notice on April 2, 2003, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the accumulation of junk in public view and the keeping of inoperable vehicles in public view. Your failure to eliminate the stated violations are cause for the issuance of this formal warning notice. As of this date, our records indicate that the following violations to the Butte County Code still exist: Butte County Code Chapter 24 Section 24-125 - The R-1 (Residential) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the R -N zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. The determination that this violation exists on the property is based on the following definition in the Butte County Code: Butte County Code Chapter 24 Section 24-305-240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or.piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. i Dunnigan Country Estates Inc August 6, 2003 Page 2 In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: 1. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-305.240. 2. Remove all inoperable/junk vehicles from the property. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a,Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Scot Johnson Code Enforcement Officer SJ: kj cc: Department of Development Services, Code Enforcement 1 PROOF OF SERVICE BY MAIL 2 I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and 3 not a party to the within action. My business address is Department 4 p ent of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. 1 am readily 5 familiar with the County's 6 y practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said 7 8 correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. 9 On August 6, 2003,1 served the foregoing 10 Day Notice on the person(s) named 10 below by placing a true copy thereof in a sealed envelope, with first class postage thereon 11 12 fully paid, addressed as indicated below, and by placing said envelope. 13 In the appropriate place wit 14 hin the Department of Development Services where mail is collected for mailing with the United States Postal Services 15 on the same day. 16 17 X In the United States Postal Service Mail in Oroville, California. 18 Dunnigan Country Estates Inc. 19 1523 El Camino Dr. 20 Clayton, Ca. 94517 21 1 declare under penalty of perjury under the laws of the State of California that the 22 foregoing is true and correct and that this declaration was executed on August 6, 2003 at • Oroville, California. 23 24 25 Karen E. Jones .26 Plans Application Assistant 27 28 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION.kWD PERMIT PERMIT NO. r ASSESSOR PACELNU;4 ER' ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION rl OWNER'S MAILING ADDRESS CONT RACTOR'S NAME Jr fIV)'tA✓ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 90 %1t/ t o n� F Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 re Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME- PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF t� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ OtherIN Describe work: R4 r h -!% ! 1" ( %Q pIQr C_ �AFe +C,rN `4 lr �ICv.i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 r t ^ (, ' i00 Main service SOov OR LESS 10.00 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSEkILA I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneSS and Professions Code and my license is in full force°and effect. License No. Classification V I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y , OR ADONS. ACC. BLDGS. 20sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID .BRA C CIRC UITS) POWER APPARATUS e (SINGLE OUTLET CIR. zoesoe EX. Occup OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g IJ�J Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate /of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California.. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the'County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County ir' consequence of the granting of this "permit. X ;��/ Y/��iY i/r�/X ti , _ Date Signature of Applicant — Owner(O' Contractor ❑ Agent EJ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CON3T.TYPI[J ISCHOOLIFL.ODIPARCELI PD I NO I ISSUE This permit is hereby issued under the applicable provi- slons of the Butte County Code and/or resolutions to do work Indicated above for which fees have been paid. / ; 611RECTOR OF PUBLIC'WORKS / ` %I I I By „/�i: ,��` .!�` =/ . A-1 Date 1 • � PERMIT EXPIRES Date - n Receipt No. n�. WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS w 7 County Center Drive - Oroville,tCalifornia 95965 - Telephone: 916/538-7541 APPLICOMNIND PERMIT ,HERMIT NO. / Ass S oR P RCwL ER .- 20NIN BUILDING PERMIT OW ER T`E.L PHONE L�91,41 SQ. FT. 9CC. I BUILDING VALUATION '30V OW/MER'S MAILING AD SS /� ` L { G( �® CORACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS , Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 e Solar or heat pump water heater 20.00. LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFX Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I J 50-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Install ion❑ Other, t T Describe work: %^ a (SA&f1•fra W 4— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 1^ Main service TDDV OR LESS 00 AMP OR LESS . 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE I declare under penalty of perjury (check one): I ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a , OR ADDNS. ACC. BLDGS. h2Sgft NEW CONSTR MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES e�L030 Ex. Occup. OUTLETS P(FIXED RESID )NS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 / g S Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. y I shall not employ any person in any manner so as to become subject . to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also a/greet ave, indemnify and keep harmless the County of Butte against all liabilitie judgme co , and expenses which may in any way accrue against s i oun y ' cons I. of the granting of thi*pee t. 1&e, X Datesions Signatur of Applicant — Owner V Contractor ❑ Age An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Q OCCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL P11 ND ISSUE This permit is hereby issued under of the Butte County Code and/or work 21nd above for which IREC PUB B P MIT EXPIRE Date the applicable provi- resolutions to do fee have been paid. ORKS / Date Receipt No. WHITE-D.P.W.. YELLOW-A3e ES3o K. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 t1/1,01 eria for construction of the proposed property i provement (yep or 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 Contractors 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 Addre'ss / City Phone Contractors.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 Social Security Nu be - D Date r NOTE: This Owner -Builder Verification is sent to you as required by -Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to,our office before we are per- mitted to issue the permit. R E 6P"' C0 R T FC -18 (3/86) t--'% ORIGIN LOCATION ORDER NUMBER TOWNSHIPf41 - - ILS❑N RANGE ® E REG. R:U. INCIDENT O. ^ START MO. DATE �jYEAR COUNTY ❑ DUMP - ❑ OTHER INDUSTRY-COMRCL. BLOCK 10 ❑ ROAD RESPONSIBILITY FIRE NUMBER ❑ NON-WILDLAND FIRE NAME: STATUTORY O❑ wIIDLAND BURNED OR THREATENED /�, MILES 3 TOWNSHIPf41 - - ILS❑N RANGE ® E Es 19— S — y ❑ W MILES 3 DIRECTION _ & ® FROM ❑ IN. �s �`�y�2 NATIONAL FOREST, FIRE DIST., CITY 8 STREET NO., ETC. D Low Lie (�t� vo7� Rb SFIRE IN O O 0 OR 0 ONLY) ~ 1 DOMESTIC " ❑ FOREST INDUSTRY - INCIDENT TYPE E] RANCH -FARM SFIRE ❑ FALSE ALARM --GO TO ❑ DUMP - ❑ OTHER INDUSTRY-COMRCL. BLOCK 10 ❑ ROAD RESPONSIBILITY TIMBER &/OR 4A46 ❑ NON-WILDLAND STATE ZONE STATUTORY O❑ wIIDLAND BURNED OR THREATENED RESPONSIBILITY 30 ❑ CDF LOCAL GOVT. CONTRACT O❑ UNPROTECTED O AT ORIGIN) %v? [:]STATE 0 ❑ ASSIST OTHER AGENCY (Not City) ❑ U.S.F.S. LOCAL ZONE © CDF LOCAL GOVT. CONTRACT, ❑ B.L.M. ❑ B.I.A. O Cl ASSIST OTHER AGENCY (Not City) ❑ OTHER FEDERAL FEDERAL ZONE ❑ ASSIST FED. AGENCY (Not Mil.) - ❑ OTHER 0 ❑ CDF LOCAL GOVT. CONTRACT MISC. AND OTHER O[t ASSIST CITY, CONTRACT CO., MIL; OTHER DWELLINGS CAUSE (STARTS IN O O © OR O ONLY) 5 ❑ LIGHTNING ❑ DEBRIS ❑ PLAY W/FIRE ❑ CAMPFIRE ❑ . ARSON ❑ OTHER/MISC. Fl SMOKING EQUIPMENT' IN O O 0 OR 0 ONLY) ~ 1 DOMESTIC " ❑ FOREST INDUSTRY - S DAMAGE E] RANCH -FARM ❑ RECREATION o11 b wa ec lom ❑ DUMP - ❑ OTHER INDUSTRY-COMRCL. 5 ❑ ROAD ` ❑ WILDLAND TIMBER &/OR ❑ UTILITY, RAILROAD ❑ NON-WILDLAND ❑ UTILITY, ELECTRIC ❑ OTHER DAMAGE r n n OR n oNrn ACRES OF VEGETATION BURNED ON ARRIVAL (0 VEGETATION FIRES ONLY) 9 SIZE DISTANCE (Origin to head WEATHER(ESTIMATE AT SCENE) WIND SPEED (M.P.H.) DIRECTION (FROM) TEMPERATURE (°F) 10 OVER PLEASE , GDF 7540-130-01 18 66 3"W S DAMAGE Number o11 b wa ec lom T 2 8/or 8 5 TIMBER &/OR YOUNG GROWTH WILDLAND VEGETATION %v? Other thm T 8 Y G AGRICULTURAL PROD >% '`:::•:': ir4:•: (Other than T 4 Y G) DWELLINGS &/OR CONTENTS OTHER STRUCTURES &/OR CONTENTS VEHICLES & CONTENTS OTHER "3 TOTAL ::>::: :s<, ACRES OF VEGETATION BURNED ON ARRIVAL (0 VEGETATION FIRES ONLY) 9 SIZE DISTANCE (Origin to head WEATHER(ESTIMATE AT SCENE) WIND SPEED (M.P.H.) DIRECTION (FROM) TEMPERATURE (°F) 10 OVER PLEASE , GDF 7540-130-01 18 66 3"W 10C�RJrR "vUMBER _ REG. R.U. INCIDENT NO. YEAR Z I 22_Z e_1 FIRE Rr-rr)p 1 AAn nATc TICK f I FIRE STARTED OUTSIDE 1 2 5 OR 8 Enter 1ST. CD Dispatch 12 CDF STATE 8 LOCAL GOVT_ CONTRACT ORGAN- INSIDE Ol 4 2 ©OR 8 AIRCRAFT t7 ORGAN- FIRE DISCOVERED AIRCRAFT CREW NAME IZATION FIRST REPORT 3 CREW NAME IZATION SECOND REPORT FLT. HRS. 1 ST. ATK' att FIRST ATTACK BY CDF FIRE CONTAINED Q 030/ IGO TO 1© LOOKOUT: (If 1 ST, or 2ND. report made by lookout SITE NAME: SITE NAME: CDF OVERHEAD TOTAL ON 2 8 FIRES, ENTER TOTALS BELOW U.S.F.S. (Ind. Overhead) TOTAL OTHER FEDERAL (Ind. Overhead) TOTAL FIRE DIST. 8 OTHER LOCAL TOTAL PAID HOURLY (E.F.F.) TOTAL VOLUNTEERS (Unpaid) TOTAL 3A MAP Me ❑ FC -18B (Additional crew activity) ATTACHED 13B 'W-v/TuInGIN 1 .1 MAP IS: ❑ ONE SECTION ❑ FOUR SECTIONS ❑ MAP ATTACHED W ; L e -WI /? ORIGINAL REPORT BY: APPROVED BY: SIGNATU TITLE DA INTL DATE , :7 . D it (V- - ..- I 4vzt -zv-� CREW OVERHEAD RECORD 12 CDF STATE 8 LOCAL GOVT_ CONTRACT ORGAN- PERSON AIRCRAFT CDF STATE 8 LOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT CREW NAME IZATION HOURS FLT. HRS. CREW NAME IZATION HOURS FLT. HRS. 1 ST. ATK' att CDF CREW CDF OVERHEAD TOTAL ON 2 8 FIRES, ENTER TOTALS BELOW U.S.F.S. (Ind. Overhead) TOTAL OTHER FEDERAL (Ind. Overhead) TOTAL FIRE DIST. 8 OTHER LOCAL TOTAL PAID HOURLY (E.F.F.) TOTAL VOLUNTEERS (Unpaid) TOTAL 3A MAP Me ❑ FC -18B (Additional crew activity) ATTACHED 13B 'W-v/TuInGIN 1 .1 MAP IS: ❑ ONE SECTION ❑ FOUR SECTIONS ❑ MAP ATTACHED W ; L e -WI /? ORIGINAL REPORT BY: APPROVED BY: SIGNATU TITLE DA INTL DATE , :7 . D it (V- - ..- I 4vzt -zv-� C9, tt+ 36-21-32176 t _ j 6-89E! PRATT, Lew 5890,L;o Wyandotte - - (elec ser/shop) ORoville r FINALED �+ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Cellfotnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PER//MIT 140. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME J) // tai - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Q Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER. a LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS rq Permit fee $ PLUMBING PERMIT Filing Fee 10.00 — Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE [f S–klq Duplex❑ Mobilehome7 Other / SIN6P SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 4O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti,lirr,t�iies ®- Installation❑ Other ❑ Describe work: �Ll , /✓/76,9 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service 100 AMP S00V OR LE SLESS 10.00 la. Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In full force and effect. License No. Classification LI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW OR ADDNCONST. S. DWELLING OCCUP.ACC. BLDGS. /a , 2OSq ft NEW CONSTR MULTI -OUTLET 2.SOea NON-RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCUp�OUTLETS OR FIXTURES 20050t SAL030 EX. Occup. OUT LETS IXED P(Fi ESID IISIS RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 r 9 /5— Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ©^'1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Conlin g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County inconsequence of the granting of this permit. %� `' ' r Date Ir — Signature of Applicant — Owner © Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories i rheight. Mobile Home Installation Fee $ Energy Inspection Fee $ 7_ TOTAL PERMIT FEE $ occu P. CONST.TYPC SCHOOL FLOOD PARCEL I PD ND 59UE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS // r. •, f By_ ./1.,+. T L" ,k,JLAt-J ! lr�� / Date " �. PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW-ASBE350R. PINE -INSPECTOR. GOLDENROD -APPLICANT �i--,...-... .Y i{:-•-.._i--:..1`-��_.,'�"'�,...r-,5,.si.�+v�,,y �, ,ti;,�'"� -t ter- ,.�.4� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' W�'y 196 Memorial Way, Chico — Phone: 891-2751' 7 County Center Drive, Oroville — Phone: 538-7541 f 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE _ g A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspectory/ / Date / J COUNTY OF BUTTE - DEPARTMENT E� RTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Galifornia 95965 - Telephone: 916/538-7541 1, APPLICATION -AND PERMIT PERMIT,NO. ASSESSOR PARCEL NUMBER �G 32 .—�, Z G BUILDING PERMIT OWNE TELEPHONE SO FT OCC BUILDING VALUATION OWNER'S al Ai�NG ADD S CONTRACTOR'S NAVE- / i-C/�.l�j-- TELEPHONE CONTRA O 'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE nab Sf Duplex❑ Mobilehome0 Other a0 SN6P SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition/❑ Remodel ❑ Utilities RL Installation El Other ❑ Describe work: GTG� �l �� �F� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 1000 �] . I (J Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. (cense No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e OR ADDNS. ACC. SLOGS. , /20sgft NEW CONSTR. MULTI -OUTLET NO N.RESID .BRANCH CIRC ITS 2.50 ea IPOWER APPARATUS e %SINGLE OUTLET CIR. EX. Occu o io050e Occup(OUTLETS OR FIXTURES DAL030 FIXED Ex. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring ._-. g 15.00 15 Permit Fee $ '_:� WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 0 onsent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, cos and expenses which may in any way accrue against said unty in on equ ,once of the granting of this permit. Date Z Signature of Applicant — Ownerff Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in eight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPC ISCHOOLIFL.ODIPARCEL PD ND 59UE This permit is hereby issued under sions of the Butte County Code and/or sions work indicated above for which DIR OF PU L BY RMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Recelpt 'No: WHITE-D.P.W.. TCL LO W-A96CSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY .OF BUTTE'-:: 'Department of Public Works 7 County Center .Drive, Oroville, CA 95965 Phone: 916-538-7541 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 giaterials for construction of the proposed property improvement (yes or no) S (2. I (have/have not) fes /r 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 Contractors 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 Contractors 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 Social Secu2�z iNu a � Date g�g NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT %— ASSESSORPARCELNUMBER®3,�_a/O_ D,a ZONING BUILZINGPERMIT OWNERZ T ?,HONE Sp. FT, OCC. BUILDING VALUATION OWNERS 1. (EO 2 s / / CONTRACTOR'S NAM TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS �c/h �` / j 4 77V (/V PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 , 00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK / New ❑ Addition ❑ R ode1 ❑ Utififies ❑ In tion /❑, /Oth r C�' Describe Work: '^�"``-"'� ' """ L(/�C ! — Mobile Home S G W @20.00 PERMITFEE $ D r Od Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main ServiceE00V OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affi 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. _( oySF�� OWNER -BUILDER DECLARATIO 1 hereby affirm der 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 rea n NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) so. 3.50 FT. NEW - EW CONST. MULTI -OUTLET NON -RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER SINGLE OUTAPPARATUS ) 8 LET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 2U BAL SO Ex. Occup. ( OUTLETS (RES D.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby a Irm 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' c mpensatiolyasurance carrier and policy number are: Carrier 77)InE r��QD -� MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 shallTOTAL 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 hose Ovision X _ Date Si ture Applicant - 9FOwner ❑ Contractor ❑ Agent An OSHA permit is requir5d for excavations over 60" deep and demolition or construction of structures over 3 in heigh Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE FEE $ HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PO HD ISS This permit is hereby issued under of the Butte County Code and/or indicated ab ve for which fees ve BY PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. �lD e O (Date) /stories Receipt No. / Q a WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF,DEVE4OPMENTSERVICES -BUILDING DIVISI 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT -x:58 ASSESSOR PARCEL NUMBER 036-210-0,7 ZONING R1 BUliffING PERMIT OWNER LAS PLUMAS DEVELOPERS 7J3-0487 SO. FT. OCC. BUILDING VALUATION OWNERS "UNG ADDRESS 5280 L. WYANDOTTE OROVILLE, 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDERS MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 5890 L. WYANDOTTE PERMITFEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ( Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublibes ❑ Installation ❑ Other Y1 Describe Work: REPLACE GAS WATER HEATER Mobile Home IS I GI W 1 @20.00 PERMITFEE gr,()_00 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8. ACC. BUDS. ) sO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .SO Ex. Occup. (oFFIXED LET3 (RESID.) R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE g Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 se provis. ns. ^ P �& X __ Date G (.7 Signature of Appli nt - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionV of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 50.00 HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL I PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolu ions to do work indicated ve for which fees have bee paid. By Date,,? PERMITEXPIRESON 1y/97 I (Dat ) Receipt No. 194675 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT D.B.- I 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[ ] NO[ ]. 2. I HAVE(] ' HAVE NOT[ ] signed an application fora 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: 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: d�zyc�D �C7�S, SOCIAL SECURITY NUMBER: _ DATE: �. Z6) ..�� NOTE:, This owner -Builder Verification 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 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 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 you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 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. 0 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. 0 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 "ownerbuilder" 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 matters. The building permit will not be issued until the verification is returned. Sincbrel , Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ASSESSOR OWNER COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENTS ERVICES- BUILDING DIVISION 7 County Center Drive - Oroville,,CMalif2rnia 95965 - Telephone (916) 538-71541 APPLICATION AND PERMIT ZONING /) BUILDING PERMIT _' ! TELEpIyONE ^ SO. FT. OCC. i BUILDING VALUATION PERMIT `JC OWNERS MAILING ADDRESS CONTRACTOR'S NAME CONTRACTORS MAILING ADDRESS CONSTRVN LENDER �D V1 f LENDER'S "UNG ADDRESS AACNrrECT 09 E? NEER _ -,-V 0 h -e ARCHRECT OR ENGINEERS MAILING ADDRESS TELEPHONE i"N"NOWN I LICENSE NO. BUILDING ADDRESS i5 $ /9 0 L _ W c / q ki cl © f LOT NO. I SUSONrSIONS NAME USEOFSTRUCTURE SFS Duplex ❑ Mobilehome ❑ Other SPEC:FY TYPE OF WORK New ❑ Addition ❑ Remodel Cl Utilities ❑ Installation ❑ Other Describe Work: W v; 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 Divisicr. 3 cf the Business and Professions Ccde. and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 I hereby affirm under penalty of perjury one cf the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued. 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. X Date --------- Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit Is required for excavations o Ter 50" deep and demolition or construction of structures over 3 stories In height. Fireplace Total Valuation $ Fling Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee $ 20.00 S $ PERMITFEE 1 $ Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S G; W j tg Fee j 20.00 7.00 23.00 _ 15.00 15.00 I is fi 15.00 Pi 15.00 I 1 @20.00 I I PERMITFEE : S c3 0,M) Contractor ELECTRICAL PERMITFiling Fee I 20.CC Main Service ( a0OVoR LESS 200A OR LESS 23.00 Main Service 200A TO I000A I 46.00 ': NEw CONST DWELLING Occ" OR ADONs a ACC (mss ( I SO. I 3.5c FT. , NEW CONST / MULTI -OU -LET' vON•RES�p ` BRANCH CIRCUITS ) I @7.50 -_- / POWER APPARATUS S SINGLE OUTLET CIR ) ' ( OUTLET OR FIXTURES EX. Occup-- ) 20 :i 1 00 T: 9AL :- eo ' CX. OCCU / FIXED APPLNS OR ' P. \CUTLETS IRESIO I EA ) S.00 '• Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring I 23.00 ' PERMITFEE S Contractor MECHANICAL PERMIT j Filing Fee20.C: Heating Cooling Hood -. - ...... _. -Ventilation __-�_._ -- •- --- PERMITFEE 6.50 I — $ Contractor Mobile Home Installation Fee $ Energy.Inspection Fee $ °" ` r�E TOTAL FEES S-D,IJV) I'r.AZ D FEES FLOOD I COF I PARCEL I PO I HO IS:. This permit Is hereby Issued under tree applicable provisions of the Butte County Code and/or Resolutions to do worl, Indicated above for which fees have been paid. By ---- ------------Date PERN11TEXPIRES ON _ Receipt No 1 — H ,r. AI -1 AN1 Syr, E. ; ,;ANaN• A''. .Co - v� - .ii�L(;FN I Request for Inspectio Date: d / O Permit No. ❑ Utilities ❑ Insulation ❑ Foundation ❑ Stucco ❑ Underfloor ❑ Pool Pre-Gunite ❑ Shear Nailing ❑ Pool Pre -Plaster ❑ Frame ❑ Final ❑ Corrections -.11111"...".".....p .. . . . ..... I. -V ......... "W"W& M. X ............ .... �yr tjq ............. ITWIsi ........... %Wam IN 44 . .. ............. ........ ........... . ........ ... ......... .. . ......... . W nw. ik" fij N= .................• W.X....... ....................... • X4. g� "0 O.Y cAr 05., LOWER WYAND07 ...... . ... .. .. . .......... ,03( .;L4 o o36 YANDOT E: {'>::::<o 4�R D . ........... . • ................ O'S(04-10-057 %"�N 5890 LO ER'YANDOTTE RD ... .... . . . ct % self U .......... 20 3213-': S 112 OF SEC 28 T. 19N. R. 4E. M. D.a&m. 57 El Hl �45.....5 . ....................................... ........ 4 f ........... ..... ...... .. 2.42Ac . ................................ ...... ...... ..................... RS k;l C-VP.V F 6-- Is 9 EE 721 .... F74 1 VIA MADERO �A 751 210�001,n: V-1 ST 20. OA S 112 OF SEC 28 T. 19N. R. 4E. M. D.a&m. 57 El Hl �45.....5 . ....................................... ........ 4 f ........... ..... ...... .. 2.42Ac . ................................ ...... ...... ..................... RS k;l C-VP.V FURVAISION a5 U.OR 7f;/ 7 i iz--- -82 i")T5 '14 V7i.. Df . . I .1"ERAIP SUP 1-10. j 85 M.C.R. 8-20--ei , . - I v6M DEL rD?j-lo SMB NO 2 66 M.O.R. 71174 79 VISTA M. rFRR-r- UNIT 1 58 M. C'. R N3/'4? -M.O.R. MLL. WP NO. F2 36-21 -2 -31 7 ............... .................. 33134 1 Butte County Assessor's Mop Book 36, Page 21 -,z= pavoR . ..............*..m 10, cmszw.r v � ✓ *-,d ;(qy M fol ; -=W :................................vV5':. Il.io OY 5-8�-2M ....... .......................... ................................. Is 9 FURVAISION a5 U.OR 7f;/ 7 i iz--- -82 i")T5 '14 V7i.. Df . . I .1"ERAIP SUP 1-10. j 85 M.C.R. 8-20--ei , . - I v6M DEL rD?j-lo SMB NO 2 66 M.O.R. 71174 79 VISTA M. rFRR-r- UNIT 1 58 M. C'. R N3/'4? -M.O.R. MLL. WP NO. F2 36-21 -2 -31 7 ............... .................. 33134 1 Butte County Assessor's Mop Book 36, Page 21 -,z= pavoR . ..............*..m 10, cmszw.r v � ✓ *-,d ;(qy M fol ; -=W :................................vV5':. Il.io OY 5-8�-2M ....... .......................... ................................. All .IF.^:... - 0 WT%RIOR RIDGE SUPPORTS ' STANDARD PIER AS SPECIFIED AS SPECIFIED BY MANUFACTURER BY COACH MANUFACTURER T INSTAIA, MINUTE MANEARTH AUGEIIS (09 EQUIV.) 2900 IGh CApAG'ITYY • wHEtl REQUIRED. SEE TABLE. SPACE t 2 Fl FROM END THEN SPACE EVENLY. N G-4, , •, ' t -: N N Seale: V _ 10' I ' -I 4 4 TRIPLE WIDE MOBILE COACH W 11 SEISMIC ZONE 3 I 3 & 4 e�1Ce7�1�7E��X� ICAAC'NNBEEMS\ I���-�y{'j-�E�� I I/ o a I/CxIMd o M-s"y a COACH s BCAMSy a L / OF 1 J� �I T LFA L I 1 LI SEISMIC TE PIERS DOW I m I m I I 4 I 4 I 4 UP TO 78 FT 2X:12 CK Efl DO M Efl 8 0 Ll -1 t El] EID 11] EID 0 I 4 IEDI 4 4 I 4 I 4 I 4 r b o a © © a 0 I I I cj I Cm I I I 30,36' UP TO 60 FT. 4:12 mi 0 18 0 (�� (t�j `- 18 0 16 0 D MMOBILE F C 4. 4OUTLINE0'•" G 3. CONCRETE FOUNDATION PADS COACH nA' nA' A'' AN' OF MOBILE - -0. T INSTAIA, MINUTE MANEARTH AUGEIIS (09 EQUIV.) 2900 IGh CApAG'ITYY • wHEtl REQUIRED. SEE TABLE. SPACE t 2 Fl FROM END THEN SPACE EVENLY. N V PLAN , •, ' t -: N N Seale: V _ 10' I ' -I 4 4 TRIPLE WIDE MOBILE COACH W 11 SEISMIC ZONE 3 i..IT.. I47BIL 3 & 4 ROOF LIVE ,AAD (ELF1 60 40 [.,STING HOBILCr'�j}� I,COACN BEANS o u WIND LOAD(MPH,EXP) 70B 70B,7OC&8 Y COACH SIZE / OF / OF / OF #C WIDTH LENGTH ROOF PITCH SEISMIC TIE- PIERS DOWNS SEISMIC TE PIERS DOW a UP TO 48 IT 2X:12 6 0 8 0 ILXJ UP TO 78 FT 2X:12 12 0 12 0 zo' UP TO 48 FT 4:12 8 0 8 4 E{ UP TO 78 FT 4:12 12 0 12 4 g s 24'•26'26' UP TO 48 FT 4:12 8 0 8 0 32' UP TO 44 FT 4:12 8 0 8 0 24,26 UP TO 88 FT 4:12 12 0 12 0 28'•32' Up TO 78 FT 4,12 16 0 16 0 30,36' UP TO 60 FT. 4:12 l2 0 18 0 42'.48' UP TO 78 FT 4:12 18 0 16 0 T INSTAIA, MINUTE MANEARTH AUGEIIS (09 EQUIV.) 2900 IGh CApAG'ITYY • wHEtl REQUIRED. SEE TABLE. SPACE t 2 Fl FROM END THEN SPACE EVENLY. N 1'-1•-I' , •, ' t -: N W-4 ' 'on TRIPLD WIDE I ' -I 4 4 W 11 N ROWS EOF 1` PIERS IB PIERS,SQUIRED PLACE V ROWS OF S. i..IT.. I47BIL + Q + +oTHEN IICOACN BEAMS 11 a a [.,STING HOBILCr'�j}� I,COACN BEANS o u ,^ EXISTING MOBIL ,/COACH BEANSy co a Y c. SHALL BE WELDED ACCORDING TO AWS SPECIFICATIONS: LT1 In �`. Eb a ED m a m 'm iv. THREADED ROD: COLD DRAWN LOW CARBON WELDABLE ILXJ d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE L-1--1 EID lb LI. -IED u w AND CONSULTING SERVICES (CTC). FOR THE FOLLOWING. LOADS: c a. LATERAL :X -LARGE PIER: 1907 LBS. ULT. LOAD LARGE PIER: 2423 LBS ULT. LOAD N 'Z 3 b. VERTICAL . 16000 LD3 ULTIMATE LOAD FOR DOUBLE WIDE El]I Q 1 , a U LACE SEISMIC PIERS U I U x o SITE WITH NO EXISTING SOIL PROBLEMS.. SEE TITLE 25 SECTION 1334(b) a IN ROWS OF 4 / PER TABLE I ED I I SEISMIC PIER & FOUNDATION -PAD / PER T4BLE I I r o MOBILE HOMES PARK ACT. v Z ' j (� wx j N 1. FOUR 'FOUNDATION PADS }IRE AVAILABLE FOR USE WITH THIS SYSTEM. THE c E. CUSTOMER MAY CHOOSE ONE OF THE FOUR PADS FOR THEIR COACH. U D MMOBILE F C 4. 4OUTLINE0'•" G 3. CONCRETE FOUNDATION PADS COACH A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARLITE WEIGHT CONCRETE. o OF MOBILE - -0. O W w COACH 1. 0'. 24', 0"12"14',OR 18' PLAN Scsle: V a 10' PLAN Beate: 1" = iD'' OF THE PADS ARE PARALLEL TO THE COACH BEAM.• DOUBLE WIDE MOBILE COACH SINGLE WIDE MOBILE COACH 0 C00 A. 3/4 INCH A.P.A. 46/24 EXTERIOR P.S.I.-83 CC. PLUGGED, NER-QA397,PRP-108. c ; 5. ATTACHMENT TO EXISTING CONCRETE SLAB THE C.P. SEISMIC PIER MAY BEATTACHED TO AN EXISTING COMPETENT CONCRETE SLAB OR OTAL NUMBER OF C.P. SEISMIC & TOTAL OF TIEDOWNS D. IIT PLANABOVE &0 INSTA RTI PLACEMENT INC.S SE SNC PISHALL BE ERS PLACE IRN ITER T STIO Ee F INSPECTION. EEL BE I 12 IN OVERSIZED ! 5/8'x3' FOR CHIPPING AND/OR II FLANGED PLASTIC CORNER BREAKAGE ANCHOR INSERTS ' 3 = 36 1/2' I 4' 5/8' x 1-3/8' FLANGED 5ZW3' STAINLESS STEEL OR FLANGED PLASTIC 5/8 x 3' FLANGED COACH I BEAN ANCHOR INSERTS PLASTIC ANCHOR INSERT 2 - 3/8' x V BOLTS 3.5' 3' x �• PLATE 4 - ;,/8' 3 5' BOIT•VttH FIELD DRILL HOLES GENERAL -NOTES: REVISIONS REFERENCE: CALIFORNIA CODE OF REGULATIONS. TITLE 25 AND U.B.C. 1994 EDITION. +4d • 05-02=03 1. DESIGN LOADS SHALL BE CONSISTENT WITH LOCAL REQUIREMENTS 'WHERE INSTALLED. 2. FOOTINGS ARE TO BE SUPPORTED BY EITHER FIRM. UNSATURATED, UNDISTURBED SOIL OR 10-01-03 COMPACTED FILL, ASPHALT OR CONCRETE. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING CAPACITY AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. ALL FOOTINGS SHALL 04-07-04 BE FOUNDED IN ACCORDANCE WITH 1LC.D. OUIDLI14EO AND TITLE 25.. 3. STRUCTURAL STEEL: ,^ a. SHALL CONFORM TO ASTM A36 Fy = 36 KSI MINIMUM. b. SHALL BE FABRICATED ACCORDING TO 'AISC SPECIFICATIONS: Y c. SHALL BE WELDED ACCORDING TO AWS SPECIFICATIONS: i. ELECTRODES: E70 I --a Z ii. PLATES: ASTM A36 a HLBOLTS: STANDARD ASTM A307 iv. THREADED ROD: COLD DRAWN LOW CARBON WELDABLE [� d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE PROTECTIVE COATED. 4. THE C.P. SEISMIC PIER SHALL BE LISTED AN� LABELED BY CERTIFIED TESTING u w AND CONSULTING SERVICES (CTC). FOR THE FOLLOWING. LOADS: c a. LATERAL :X -LARGE PIER: 1907 LBS. ULT. LOAD LARGE PIER: 2423 LBS ULT. LOAD N 'Z 3 b. VERTICAL . 16000 LD3 ULTIMATE LOAD L� 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED BUILDINGS CONSTRUCTED WITH LONGITUDINAL OR CROSS JOISTS. U o 6. THIS FOUNDATION SYSTEM PLAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL x o SITE WITH NO EXISTING SOIL PROBLEMS.. SEE TITLE 25 SECTION 1334(b) a ° 7. STANDARD PIER &FOOTING SPACING PER COACH MANUFACTURER'S, INSTALLATION MANUAL WITHOUT MANUAL, SPACING OF STANDARD PIERS TO BE DETERMINED BY STATE r o MOBILE HOMES PARK ACT. v Z ' FOUNDATION PAD NOTES: wx j N 1. FOUR 'FOUNDATION PADS }IRE AVAILABLE FOR USE WITH THIS SYSTEM. THE c E. CUSTOMER MAY CHOOSE ONE OF THE FOUR PADS FOR THEIR COACH. U 2. FDTN PADS SHALL BE PLACED ON FIRM, LEVEL UNDISTURBED SOIL (SEE GEN. NOTE 2) ^ G 3. CONCRETE FOUNDATION PADS F -i E --I 0 ' A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARLITE WEIGHT CONCRETE. o B, PREFERRED PAD ORIENTATION WHERE EVER POSSIBLE IS THAT THE LONG DIMENSION O W w OF THE PAD BE PERPENDICULAR TO THE COACH BEAM (AS SHOWN ON THE PLAN). C. WHERE FIELD CONDITIONS, REQUIRE PAD ROTATION, NO MORE THAN HALF OF THE o, PADS IN A TRAVERSE LINE CAN BE ROTATED SO THAT THE LONG DIMENSION OF THE PADS ARE PARALLEL TO THE COACH BEAM.• 4. PRESSURE TREAT .D FO NDATION. PAD oI A. 3/4 INCH A.P.A. 46/24 EXTERIOR P.S.I.-83 CC. PLUGGED, NER-QA397,PRP-108. �] w 5. ATTACHMENT TO EXISTING CONCRETE SLAB THE C.P. SEISMIC PIER MAY BEATTACHED TO AN EXISTING COMPETENT CONCRETE SLAB OR O e CONCRETE FOOTING ACCORDING TO THE FOLLOWING CRITERIA: 1. ATTACH WITH TWO '%* DIAM. ITW RAMSET/ REDHEAD TRUBULT WEDGE ANCHORS 2. MINIMUM EMBEDMENT = 2.5" 3. MINIMUM CONCRETE THICKNESS = 3'/." 4. MINIMUM EDGE DISTANCE = 2" COACH SIZE NOTES: 1. UNLESS APPROVED BY ROCK SOLID ENGINEERING. INC.. THE ROOF PITCH SHOULD NOT EXCEED: A. SINGLE WIDES: 3:12 OR 4:12 AS SHOWN IN TABLE B. 20 FEET WIDES: 2X:12 OR 4:12 AS SHOWN 1N TABLE.- 14-Zlj C. ALL OTHER DOUBLE WIDES: 4:12 D. TRIPLE WIDES: 4:12 2. FOR ANY COACH SIZE OTHER THAN AS SHOWN ON THIS PLAN OR REFERENCED ABOVE, LAYOUT SHALL BE REVIEWED AND APPROVED BY ROCK SOLID ENGINEERING, INC. INSPECTION REQUIREMENTS: 1. THE DESIGN OF THIS SYSTEM IS BASED ON STANDARD MANUFACTURED HOMES AS BUILT BY THE MANUFACTURER. SITE BUILT ADDITIONS SUCH AS GARAGES AND SECONDARY ROOFS HAVE NOT BEEN INCLUDED IN THIS DESIGN. 2. ALL DIMENSIONS INCLUDED ON THIS PLAN. INCLUDING COACH SIZE, ROOF HEIGHT AND PIER HEIGHT, SHOULD BE FIELD VERIFIED BY THE LOCAL BUILDING OFFICIAL ANY DISCREPENCIES SHOULD BE IMMEDIATELY BROUGHT TO THE ENGINEER'S ATTENTION. 3. THE BUILDING PAD SHOULD BE INSPECTED TO ENSURE THAT PROPER DRAINAGE PATTERNS HAVE BEEN ESTABLISHED IN'ACCORDANCE WITH TITLE 25 & MANUFACTURER. 4x4 -4x4 WVF� _ q• 1.J 1' ABOVE C VASH9:R 6 NUT . OPTION OF 4-014 SELF TAPS REVS COACH C 4x4 -4x4 VVF 2' DIA 3 N FOR THE 6 N P P OR J BEAM PRECAS C.P. PRO PAD PRECAST PAD 7 INF R THE 10 IN P P STD PIPE 30'x32'x3/4' 12 IN FOR THEIS IN PIPE 4 - 3.18' BOLTS 1/4•x2'x4• 3' x 3' PLYWOOD 14 1N FOR THE 18 IN PIPE 71GHTCH TO ANGLE 3' VIDE PLATE 180 IN -LBS SPACER AS NEEDEI HOLES FOR TUBE MUST EXTEN a • (15 F1 -LBS> TOROUS FOR J -BEAM 1/2' x 2 1/2' C.B. 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